• Title/Summary/Keyword: predictive validity

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Predictive validity of the gait scale in the Performance Oriented Mobility Assessment for stroke survivors: a retrospective cohort study

  • An, Seungheon;Jee, Youngju;Lee, Donggeon;Song, Sunhae;Lee, Gyuchang
    • Physical Therapy Rehabilitation Science
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    • v.5 no.1
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    • pp.1-8
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    • 2016
  • Objective: The present study was to investigate the discrimination capacity of the Performance Oriented Mobility Assessment-Gait Scale (POMA-GS), for predicting falls in stroke survivors. Design: Retrospective cohort study. Methods: Data including the characteristics and number of falls of 52 chronic stroke patients from a rehabilitation center were collected. The number of falls each subject had experienced in the previous year were investigated through interviews. The subjects were divided into two groups depending on the number of falls: if falls occurred twice or more on the basis of the time of study after stroke, they were defined as the falls group and if there was no fall experience or one fall, they were defined as the non-falls group. The subjects were examined with the POMA-GS, and physical functions were examined using by the One Leg Stand Test (OLST), Sit to Stand Test (SST), 10-m Walk Test, Lower Extremity in Fugl-Meyer assessment (FM-LE), and Trunk Impairment Scale (TIS). The validity of POMA-GS for falls prediction was analyzed. Results: In the POMA-GS, which predicts falls in stroke survivors, the cut-off value was 8.5 (sensitivity 72%; specificity 65%) and the area under the curve was 0.75 (95% confidence interval: 0.60-0.90, p<0.007). There was a significant difference in the OLST, SST, FM-LE, and TIS between the subjects with POMA-GS >8.5 and the subjects with POMA-GS ${\leq}8.5$. Conclusions: The POMA-GS could be a useful tool in predicting falls in stroke survivors, as its discrimination capacity and predictive validity is proven satisfactory.

Development of Self Administered Questionnaire and Validity Evaluation for American National Standards Z-365 Checklist (미국표준연구원 체크리스트 Z-365의 자가보고형 설문개발 및 타당도 평가)

  • Park, Kyung Sik;Kang, Dongmug;Lee, Yong Hwan;Woo, Ji Hoon;Shin, Yong Chul
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.16 no.2
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    • pp.172-182
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    • 2006
  • Self administered checklist is needed to be developed to evaluate ergonomic risk factors. This study was conducted to develop self administered form of American National Standards Institute (ANSI) Z-365 checklist which represents comprehensive ergonomic risk factors, and to evaluate validity of this checklist. This study had been conducted from May 2004 to July 2005, of which subjects were 147 workers from 4 workplaces. Response rates for every items of self administered form of ANSI Z-365 were evaluated. To estimate the validity of checklist, relationship between the checklist grade that ANSI recommended and work-related musculoskeletal disorders (WMSDs) symptom were calculated with and without adjustment of related variables. To evaluate the utility of checklist, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated. Because response rates of almost items were over 90 %, item development was successful. Because the checklist was related with WMSDs symptom after adjusting related variables, the checklist might represents ergonomic risk well. Because of low sensitivity and NPV, high specificity and PPV, the checklist is not suitable for screening tool. The checklist has better relationship with more severe symptom. Because of high specificity of the checklist, using it with high sensitive tool would enhance it's utility. Further study to develop high sensitive and comprehensive self administered ergonomic checklist is needed.

A Study on Diagnostic Validity of Spurling Test Compared to Magnetic Resonance Imaging Findings in Diagnosing Herniated Cervical Intervertebral Disc (경추 추간판 탈출증을 진단함에 있어 경추부 자기공명 영상 소견과 비교한 Spurling test의 진단적 타당성에 대한 연구)

  • Moon, Tae-Woong;Kang, Myung-Jin;Kong, Duck-Hyun;Kim, Jun-Su;Yang, Kee-Young;Lee, Jae-Hoon;Eun, Young-Jun;Kim, Ki-Joo
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.2
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    • pp.203-212
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    • 2009
  • Objectives : Spurling test is one of the most widely used physical tests to diagnose herniated cervical intervertebral disc. The purpose of this study is to analyse diagnostic validity of Spurling test. Methods : This study was carried out on 382 subjects who visited Bu-Chun Ja-Seng oriental hospital with the neck pain or radiating pain from neck to upper extremities from November, 2007 to October, 2008. All subjects underwent both Spurling test and cervical magnetic resonance imaging(MRI). The associations between Spurling test and herniated cervical intervertebral disc were analysed. Results : 1. The sensitivity of Spurling test for herniated cervical intervertebral disc was 64%. 2. The specificity of Spurling test for herniated cervical intervertebral disc was 86%. 3. The positive predictive value of Spurling test for herniated cervical intervertebral disc was 93%. 4. The negative predictive value of Spurling test for herniated cervical intervertebral disc was 44%. Conclusions : This study suggests that Spurling test is not useful in screening for herniated cervical intervertebral disc due to the test's relatively low sensitivity. Thus it is necessary to consult advanced tests such as diagnostic imaging to diagnose herniated cervical intervertebral disc.

The Standardization of the Korean Version of Brief Edinburgh Depression Scale as a Screening Tool for Depression in Cancer Patients (암 환자에서 우울증의 선별도구로서 단축형 에딘버러 우울증 척도의 한국 표준화)

  • Lee, Jung Hyun;Kim, Tae-Suk;Ko, Yoon-Ho;Yoon, Sujung J.;Lyoo, In Kyoon;Jun, Tae-Youn;Lee, Chul
    • Korean Journal of Biological Psychiatry
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    • v.16 no.2
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    • pp.112-120
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    • 2009
  • Objectives : Depression is a common psychiatric disorder in cancer patients. The Brief Edinburgh Depression Scale(BEDS), which is an abbreviated version of the Edinburgh Depression Scale, may serve as a useful tool in screening for the depression in patients with the medical illnesses. This report investigated the reliability and validity of the Korean Version of the BEDS(K-BEDS) for the depression in cancer patients. Methods : One-hundred cancer patients were enrolled in this study. All subjects completed the K-BEDS, the Hospital Anxiety Depression Scale(HADS), and the Karnofsky Performance Status Scale(KPSS). Reliability, validity and Receiver Operating Characteristic(ROC) curve analysis measures were assessed. Results : The K-BEDS showed good internal consistency(Cronbach ${\alpha}$=0.77) and test-retest reliability(0.94, p<0.001). All item-total correlations were above 0.3. Also, it revealed moderate correlation with the depression subscale of the HADS(r=0.617), but no correlation with the KPSS. Exploratory factor analysis produced only one factor, accounting for 47.1% of the total variance. The most valid cutoff value to screen for depression was a total score of 5 on the K-BEDS, which showed sensitivity of 62.5% and specificity of 86.4% with a positive predictive value of 4.60 and a negative predictive value of 0.43.

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Validity of the Korean Developmental Screening Test for very-low-birth-weight infants

  • Kim, Chae Young;Jung, Euiseok;Lee, Byong Sop;Kim, Ki-Soo;Kim, Ellen Ai-Rhan
    • Clinical and Experimental Pediatrics
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    • v.62 no.5
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    • pp.187-192
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    • 2019
  • Purpose: The importance of the neurodevelopmental outcomes of very-low-birth-weight (VLBW) infants has been emphasized as their mortality rate has markedly improved. This study aimed to assess the validity of the Korean Developmental Screening Test (K-DST), a developmental screening tool approved by the Korean Society of Pediatrics, for the timely diagnosis of neurodevelopmental delay in VLBW infants. Methods: Subjects included VLBW infants enrolled in the Korean Neonatal Network database between January 2012 and December 2014. The collected data were analyzed for sensitivity, specificity, positive predictive value, and negative predictive value (NPV) in the K-DST compared to those in the Bayley Scales of Infant Development-II for VLBW infants. Results: A total of 173 patients were enrolled. Their mean gestational age and mean birth weight were $27.5{\pm}2.8weeks$ and $980.5{\pm}272.1g$, respectively. The frequency of failed psychomotor developmental index (PDI) <85 was similar to that in at least one domain of K-DST <1 standard deviation. Failure in more than one K-DST domain compared with a mental developmental index (MDI) <85 showed a sensitivity and NPV of 73.2% and 75.0%, respectively. Failure in more than one K-DST domain compared with PDI <85 showed a sensitivity and NPV of 60.3% and 71.6%, respectively. Each K-DST domain had a stronger correlation with predicting a failing MDI <85 than a failing PDI <85 (P<0.05). Conclusion: K-DST could be a useful screening tool for predicting mental developmental delay in VLBW infants and referring them for neurodevelopmental assessments.

The Consumer Perceived Value in Taekwondo Performance Spectators: Scale Development and Validation (태권도 공연 관람자의 인지된 가치 척도 개발 및 적용)

  • Jeong, Seung-Hoon
    • 한국체육학회지인문사회과학편
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    • v.55 no.6
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    • pp.417-435
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    • 2016
  • The purpose of this study was to develop a valid, reliable instrument to measure perceived value for Taekwondo performance spectators. The perceived value scale for Taekwondo performance spectators was developed in eight phases. For the development spectators perceived value scale (1) literature review, (2) preliminary factors and items selected, (3) assessment of the items, (4) pilot test, (5) data sampling, (6) validity of development scale, (7) assess reliability of items and, (8) predictive validity of development items. Based on three processes, a new perceived value of Taekwondo performance spectators scale with six factors(cultural, social, hedonic, aesthetic, moral and utilitarian value) and 19 items were developed. The result of predictive validity of development items: first, cultural, social, aesthetics, moral of perceived value had significantly influence on spectators attitude. Second, social, hedonic, utilitarian of perceived value had significantly influence on spectators satisfaction. Third, cultural, social, aesthetics perceived value had significantly influence on future consumption behavior of spectators.

Validation of the International Classification of Diseases 10th Edition Based Injury Severity Score(ICISS) (ICD-10을 이용한 ICISS의 타당도 평가)

  • Jung, Ku-Young;Kim, Chang-Yup;Kim, Yong-Ik;Shin, Young-Soo;Kim, Yoon
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.4
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    • pp.538-545
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    • 1999
  • Objective : To compare the predictive power of International Classification of Diseases 10th Edition(ICD-10) based International Classification of Diseases based Injury Severity Score(ICISS) with Trauma and Injury Severity Score(TRISS) and International Classification of Diseases 9th Edition Clinical Modification(ICD-9CM) based ICISS in the injury severity measure. Methods : ICD-10 version of Survival Risk Ratios(SRRs) was derived from 47,750 trauma patients from 35 Emergency Centers for 1 year. The predictive power of TRISS, the ICD-9CM based ICISS and ICD-10 based ICISS were compared in a group of 367 severely injured patients admitted to two university hospitals. The predictive power was compared by using the measures of discrimination(disparity, sensitivity, specificity, misclassification rates, and ROC curve analysis) and calibration(Hosmer-Lemeshow goodness-of-fit statistics), all calculated by logistic regression procedure. Results : ICD-10 based ICISS showed a lower performance than TRISS and ICD-9CM based ICISS. When age and Revised Trauma Score(RTS) were incorporated into the survival probability model, however, ICD-10 based ICISS full model showed a similar predictive power compared with TRISS and ICD-9CM based ICISS full model. ICD-10 based ICISS had some disadvantages in predicting outcomes among patients with intracranial injuries. However, such weakness was largely compensated by incorporating age and RTS in the model. Conclusions : The ICISS methodology can be extended to ICD-10 horizon as a standard injury severity measure in the place of TRISS, especially when age and RTS were incorporated in the model. In patients with intracranial injuries, the predictive power of ICD-10 based ICISS was relatively low because of differences in the classifying system between ICD-10 and ICD-9CM.

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An Improved Predictive Functional Control with Minimum-Order Observer for Speed Control of Permanent Magnet Synchronous Motor

  • Wang, Shuang;Fu, Junyong;Yang, Ying;Shi, Jian
    • Journal of Electrical Engineering and Technology
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    • v.12 no.1
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    • pp.272-283
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    • 2017
  • In this paper, an improved predictive functional control (PFC) scheme for permanent magnet synchronous motor (PMSM) control system is proposed, on account of the standard PFC method cannot provides a satisfying disturbance rejection performance in the case of strong disturbances. The PFC-based method is first introduced in the control design of speed loop, since the good tracking and robustness properties of the PFC heavily depend on the accuracy of the internal model of the plant. However, in orthodox design of prediction model based control method, disturbances are not considered in the prediction model as well as the control design. A minimum-order observer (MOO) is introduced to estimate the disturbances, which structure is simple and can be realized at a low computational load. This paper adopted the MOO to observe the load torque, and the observations are then fed back into PFC model to rebuild it when considering the influence of perturbation. Therefore, an improved PFC strategy with torque compensation, called the PFC+MOO method, is presented. The validity of the proposed method was tested via simulation and experiments. Excellent results were obtained with respect to the speed trajectory tracking, stability, and disturbance rejection.

Is Transcranial Doppler Ultrasonography Old-fashioned?: One Institutional Validity Study

  • Han, Pan-Yeal;Kim, Jae-Hoon;Kang, Hee-In;Moon, Byung-Gwan;Lee, Seung-Jin;Kim, Joo-Seung
    • Journal of Korean Neurosurgical Society
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    • v.44 no.2
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    • pp.63-66
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    • 2008
  • Objective : The purpose of this study is to investigate the correlation between various transcranial Doppler (TCD) ultrasonography parameters and clinical vasospasm after aneurysmal subarachnoid hemorrhage (SAH). Methods : This study enrolled 40 patients presented with aneurysmal SAH between September 2006 and August 2007. We measured differences of mean blood flow velocity (BFVm), highest systolic blood flow velocity (BFVh), and Lindegaard ratio (LR) in the middle cerebral artery on TCD examination. These parameters were evaluated for correlation with clinical vasospasm by univariate analysis and the receiver operating characteristic analysis. Results : Twelve patients (30%) developed clinical vasospasm. The best TCD parameters for the detection of clinical vasospasm were revealed to be differences of BFVm, BFVh, and LR values between $1^{st}$ TCD test and $3^{rd}$ TCD (7 cm/s. 11.5 cm/s, 0.45 respectively). The positive predictive value of anyone of three parameters was 60% and the negative predictive value was 100%. Conclusion : TCD is still considered a useful tool for screening clinical vasospasm. To confirm the predictive value of the above parameters. further prospective study will be needed.

A High Performance Permanent Magnet Synchronous Motor Servo System Using Predictive Functional Control and Kalman Filter

  • Wang, Shuang;Zhu, Wenju;Shi, Jian;Ji, Hua;Huang, Surong
    • Journal of Power Electronics
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    • v.15 no.6
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    • pp.1547-1558
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    • 2015
  • A predictive functional control (PFC) scheme for permanent magnet synchronous motor (PMSM) servo systems is proposed in this paper. The PFC-based method is first introduced in the control design of speed loop. Since the accuracy of the PFC model is influenced by external disturbances and speed detection quantization errors of the low distinguishability optical encoder in servo systems, it is noted that the standard PFC method does not achieve satisfactory results in the presence of strong disturbances. This paper adopted the Kalman filter to observe the load torque, the rotor position and the rotor angular velocity under the condition of a limited precision encoder. The observations are then fed back into PFC model to rebuild it when considering the influence of perturbation. Therefore, an improved PFC method, called the PFC+Kalman filter method, is presented, and a high performance PMSM servo system was achieved. The validity of the proposed controller was tested via experiments. Excellent results were obtained with respect to the speed trajectory tracking, stability, and disturbance rejection.