• Title/Summary/Keyword: repeated measurements

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Reliability Study of Measuring Range of Motion Glenohumeral Joint Internal Rotation With Pressure Biofeedback Stabilization

  • Hwang, Ui-jae;Ha, Sung-min;Jeon, In-chul;Jung, Sung-hoon;Choi, Kyu-hwan;Kim, Su-jung;Kwon, Oh-yun
    • Physical Therapy Korea
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    • v.22 no.4
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    • pp.62-70
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    • 2015
  • The aims of the current study were to assess reliability of range of motion (ROM) measurement of glenohumeral internal rotation (GIR) with a pressure biofeedback stabilization (PBS) method and to compare the reliability between manual stabilization (MS) and the PBS method. In measurement of pure glenohumeral joint motion, scapular stabilization is necessary. The MS method in GIR ROM measurement was used to restrict scapular motion by pressing the palm of the tester's hand over the subject's clavicle, coracoid process, and humeral head. The PBS method was devised to maintain consistent pressure for scapular stabilization during GIR ROM measurement by using a pressure biofeedback unit. GIR ROM was measured by 2 different stabilization methods in 32 subjects with GIR deficit using a smartphone clinometer application. Repeated measurements were performed in two test sessions by two testers to confirm inter- and intra-rater reliability. After tester A performed measurements in test session 1, tester B's measurements were conducted one hour later on the same day to assess the inter-rater reliability and then tester A performed again measurements in test session 2 for confirming the intra-rater reliability. Intra-class correlation coefficient (ICC) (2,1) was applied to assess the inter-rater reliability and ICC (3,1) was applied to determine the intra-rater reliability of the two methods. In the PBS method, the intra-rater reliability was excellent (ICC=.91) and the inter-rater reliability was good (ICC=.84). The inter-rater and intra-rater reliability of the PBS method was higher than in the MS method. The PBS method could regulate manual scapular stabilization pressure in inter- and intra-rater measuring GIR ROM. Results of the current study recommend that the PBS method can provide reliable measurement data on GIR ROM.

Reproducibility of an Automatic Quantitation of Regional Myocardial Wall Motion and Systolic Thickening on Gated Tc-99m-MIBI Myocardial SPECT (게이트 Tc-99m-MIBI SPECT에서 국소 심근운동과 수축기 심근두꺼워짐 자동정량화법의 재현성)

  • Paeng, Jin-Chul;Lee, Dong-Soo;Cheon, Gi-Jeong;Kim, Yu-Kyeong;Chung, June-Key;Lee, Myung-Chul
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.6
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    • pp.487-496
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    • 2000
  • Purpose: The aim of this study is to investigate the reproducibility of the quantitative assessment of segmental wall motion and systolic thickening provided by an automatic quantitation algorithm. Materials and Methods: Tc-99m-MIBI gated myocardial SPECT with dipyridamole stress was performed in 31 patients with known or suspected coronary artery disease (4 with single, 6 with two, 11 with triple vessel disease; ejection fraction $51{\pm}14%$) twice consecutively in the same position. Myocardium was divided into 20 segments. Segmental wall motion and systolic thickening were calculated and expressed in mm and % increase respectively, using $AutoQUANT^{TM}$ software. The reproducibility of this quantitative measurement of wall motion and thickening was tested. Results: Correlations between repeated measurements on consecutive gated SPECT were excellent for wall motion (r=0.95) and systolic thickening (r=0.88). On Bland-Altman analysis, two standard deviation was 2 mm for repeated measurement of segmental wall motion, and 20% for that of systolic thickening. The weighted kappa values of repeated measurements were 0.807 for wall motion and 0.708 for systolic thickening. Sex, perfusion, or segmental location had no influence on reproducibility. Conclusion: Segmental wall motion and systolic thickening quantified using $AutoeUANT^{TM}$ software on gated myocardial SPECT offers good reproducibility and is significantly different when the change is more than 2 mm for wall motion and more than 20% for systolic thickening.

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Study of a 13-weeks, Repeated, Intramuscular Dose, Toxicity Test of Sweet Bee Venom in Sprague-Dawley Rats

  • Kang, Hyunmin;Lim, Chungsan;Kwon, Ki-Rok;Lee, Kwangho
    • Journal of Pharmacopuncture
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    • v.17 no.2
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    • pp.73-79
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    • 2014
  • Objectives: This study was performed to analyze a 13-week repeated dose toxicity test of Sweet Bee Venom (SBV) extracted from bee venom and administered in Sprague-Dawley (SD) rats. Methods: Male and female 5-week-old SD rats were treated once daily with SBV (high-dosage group: 0.28 mg/kg; medium-dosage group: 0.14 mg/kg; or low-dosage group: 0.07 mg/kg) for 13 weeks. Normal saline was administered to the control group in a similar manner (0.2 mL/kg). We conducted clinical observations, body weight measurements, ophthalmic examinations, urinalyses, hematology and biochemistry tests, and histological observations using hematoxylin and eosin (H&E) staining to identify any abnormalities caused by the SBV treatment. Results: During this study, no mortality was observed in any of the experimental groups. Hyperemia and a movement disorder were observed around the area of in all groups that received SBV treatment, with a higher occurrence in rats treated with a higher dosage. Male rats receiving in the high-dosage group showed a significant decrease in weight during the treatment period. Compared to the control group, no significant changes in the ophthalmic parameters, the urine analyses, the complete blood cell count (CBC), and the biochemistry in the groups treated with SBV. Compared to the control group, some changes in organ weights were observed in the medium-and the high-dosage groups, but the low-dosage group showed no significant changes. Histological examination of thigh muscle indicated cell infiltration, inflammation, degeneration, and necrosis of muscle fiber, as well as fibrosis, in both the medium- and the high-dosage groups. Fatty liver change was observed in the periportal area of rats receiving medium and high dosages of SBV. No other organ abnormalities were observed. Conclusion: Our findings suggest that the No Observed Adverse Effect Level (NOAEL) of SBV is approximately 0.07 mg/kg in male and female SD rats.

An Evaluation of Resistances in Porous Asphalt Concrete Mixtures due to Repeated Cyclic Freeze-Thawing (배수성 아스팔트콘크리트 혼합물의 반복 동결융해 저항성 평가)

  • Jo, Shin Haeng;Kim, Nakseok
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.1D
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    • pp.33-39
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    • 2012
  • More and more pavements are suffering from damage these days due to the below-zero winter temperatures and frequent snowfalls. From this research, the freeze-thawing mechanisms of pavements will be observed, and the freeze-thawing resistance of porous asphalt concrete mixture is to be evaluated according to various assessment methods. The investigation was conducted through applying rigid and flexible pavements to freeze-thawing resistance experiments, which include various experiments such as deformation rate measurements, Lottman tests, repeated cyclic freeze-thawing experiments, stripping resistance tests and so on. Test results revealed that the porous asphalt concrete had less deformations according to temperatures compared to dense-graded asphalt concrete due to the 20% void gap. In addition, according to the freeze-thawing repetition experiments which are effected by moisture, the porous asphalt concrete mixture showed superior resistance to repeated cyclic freeze-thawing compared to other asphalt concrete mixtures due to the drainage and the voids within the specimen.

Study on Effect of Warmth Therapy Nursing Intervention Program after Laparoscopic Cholecystectomy (복강경담낭절제술 후 가온요법 간호중재 프로그램 적용 효과)

  • Lee, Jung-Geun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.350-356
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    • 2020
  • Purpose: This study is a non-equilibrium control-like experimental study that attempts to develop a nursing intervention plan and to present basic data by grasping the effect of the heating therapy nursing intervention program on patients entering the recovery room after surgery. Method: The subjects of the study were 31 in an experimental group and 31 in a control group who applied one heating therapy program located in D city. The warming therapy was conducted in a recovery room in the range of 38 to 43℃ through a heater. The general characteristics of the subjects were determined by real number and percentage, and a homogeneity test between the experimental group and the control group was determined by 𝑥2-test and independent t-test. The difference in body temperature, pain, and tremor over time between the two groups was determined by repeated measure ANOVA. Results: First, the results of repeated measurements immediately after surgery showed significant differences in body temperature, pain, and tremor between the two groups. Second, temperature comfort showed a significant difference. Conclusion: The results confirmed that there was a positive effect on the patient in the intervention of warming therapy after surgery.

Test-retest Reliability of Balance Tests in Older Adults (노인들에 대한 균형검사의 검사-재검사 신뢰도)

  • Kang, Soon-Hee
    • Journal of Korean Physical Therapy Science
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    • v.16 no.4
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    • pp.49-57
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    • 2009
  • Background: The purpose of this study was to assess the test-retest reliability of balance measurements in older adults using balance measurement system(Good Balance). Methods: The subjects consisted of 49 female and 20 male in community-dwelling older adults. This study used a repeated-measure design. Each subject completed all the different tests once and they were then repeated with 2 minutes in between. Repeated two-ways analysis of variance(ANOVA), representing two test times and both sexes, was calculated for each of the two dependent variables. Intraclass correlation coefficients(ICCs) were used to assess the test-retest reliability. Results: 1) There was not significant difference between test and retest for mediolateral sway speed and anterioposterior sway speed under conditions of normal standing with eyes open, normal standing with eyes closed and semitandem standing with eyes open. There was not significant difference between males and females for mediolateral sway speed and anterioposterior sway speed under conditions of normal standing with eyes open, normal standing with eyes closed and semitandem standing with eyes open. There were not the interaction effects between genders and test time under three conditions. 2) The reproducibility between test and retest was excellent for anterioposterior sway speed(ICC=.77) under condition of normal standing with eyes open, and for mediolateral sway speed(ICC=.76) and anterioposterior sway speed(ICC=.84) under condition of semitandem standing with eyes open. The reproducibility between test and retest was fair to good for mediolateral sway speed(ICC=.64) under condition of normal standing with eyes open, for mediolateral sway speed(ICC=.63) and anterioposterior sway speed(ICC=.75) under condition of normal standing with eyes closed. Conclusion: Balance tests in older adults using balance measurement system(Good Balance) demonstrated acceptable levels of reliability.

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A Study on the Evaluation of Repeated Measurement Stability of 3D Tooth Model Obtained by Several Dental Scanners (수종의 치과용 스캐너로 채득된 3차원 치아 모형의 반복측정 안정성 평가 연구)

  • Bae, Eun-Jeong;Kim, Won-Soo;Lim, Joong Yeon
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.996-1003
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    • 2021
  • The purpose of this study is to evaluate the reliability of repeated measurements of several dental scanners. Blue-lighted scanners, white-light scanners and optical-type scanners are used in the study of repeatability in this study. The measurement results were calculated as root mean square (RMS) and the significance level was confirmed by applying the 1-way ANOVA statistical technique (𝛼=.05). According to the statistical analysis, the scanner with the largest RMS value was Z-opt group (38.2 ㎛. Next, D-white was 35.2 ㎛ and the group with the lowest RMS value was I-blue (34.1 ㎛). The comparison of RMS means between each group was not significant (p>.05). From this result, the blue light had the lowest error in repeatability of dental scanners, but no statistical significance. The conclusion of this study is that the study results are clinically acceptable.

Reproducibilities of cephalometric measurements of three-dimensional CT images reconstructed in the personal computer (개인용 컴퓨터에서 재구성한 3차원 전산화단층영상의 두부계측 재현성)

  • Jeon Kug-Jin;Park Hyok;Lee Hee-Cheol;Kim Kee-Deog;Park Chang-Seo
    • Imaging Science in Dentistry
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    • v.33 no.3
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    • pp.171-178
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    • 2003
  • Purpose: The purpose of this study was to report the reproducibility of intra-observer and inter-observer consistency of cephalometric measurements using three-dimensional (3D) computed tomography (CT), and the degree of difference of the cephalometric measurements. Materials and Methods: CT images of 16 adult patients with normal class I occlusion were sent to personal computer and reconstructed into 3D images using V-Works 3.5/sup TM/(Cybermed Inc., Seoul, Korea). With the internal program of V-Works 3.5/sup TM/, 12 landmarks on regular cephalograms were transformed into 21 analytic categories and measured by 2 observers and in addition, one of the observers repeated their measurements. Intra-observer difference was calculated using paired t-test, and inter-observer by two sample test. Results: There were significant differences in the intra-observer measurements (p < 0.05) in four of the categories which included ANS-Me, ANS-PNS, Cdl-Go (Lt), GoL-GoR, but with the exception of Cdl-Go (Lt), ZmL-ZmR, Zyo-Zyo, the average differences were within 2 mm of each other. The inter-observer observations also showed significant differences in the measurements of the ZmL-ZmR and Zyo-Zyo categories (p < 0.05). With the exception of the Cdl-Me (Rt), ZmL-ZmR, Zyo-Zyo categories, the average differences between the two observers were within 2 mm, but the ZmL-ZmR and Zyo-Zyo values differed greatly with values of 8.10 and 19.8 mm respectively. Conclusion: In general, 3D CT images showed greater accuracy and reproducibility, with the exception of suture areas such as Zm and Zyo, than regular cephalograms in orthodontic measurements, showing differences of less than 2 mm, therefore 3D CT images can be useful in cephalometric measurements and treatment planning.

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Assessing the repeatability of reflection seismic data in the presence of complex near-surface conditions CO2CRC Otway Project, Victoria, Australia (복잡한 천부구조하에서 반사법 탄성파자료의 반복성에 대한 평가, 호주, 빅토리아, CO2CRC Otway 프로젝트)

  • Al-Jabri, Yousuf;Urosevic, Milovan
    • Geophysics and Geophysical Exploration
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    • v.13 no.1
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    • pp.24-30
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    • 2010
  • This study utilises repeated numerical tests to understand the effects of variable near-surface conditions on time-lapse seismic surveys. The numerical tests were aimed at reproducing the significant scattering observed in field experiments conducted at the Naylor site in the Otway Basin for the purpose of $CO_2$ sequestration. In particular, the variation of elastic properties of both the top soil and the deeper rugose clay/limestone interface as a function of varying water saturation were investigated. Such tests simulate the measurements conducted in dry and wet seasons and to evaluate the contribution of these seasonal variations to seismic measurements in terms of non-repeatability. Full elastic pre-stack modelling experiments were carried out to quantify these effects and evaluate their individual contributions. The results show that the relatively simple scattering effects of the corrugated near-surface clay/limestone interface can have a profound effect on time-lapse surveys. The experiments also show that the changes in top soil saturation could potentially affect seismic signature even more than the corrugated deeper surface. Overall agreement between numerically predicted and in situ measured normalised root-mean-square (NRMS) differences between repeated (time-lapse) 2D seismic surveys warrant further investigation. Future field studies will include in situ measurements of the elastic properties of the weathered zone through the use of 'micro Vertical Seismic Profiling (VSP)' arrays and very dense refraction surveys. The results of this work may impact on other areas not associated with $CO_2$ sequestration, such as imaging oil production over areas where producing fields suffer from a karstic topography, such as in the Middle East and Australia.

Assessment of Validity and Reliability of Plantar Pressure in Smart Insole (스마트 인솔의 족저압 측정 결과에 대한 타당도 및 신뢰도 평가)

  • Kang, Ho Won;An, Yae Lynn;Kim, Dae-Yoo;Lee, Dong-Oh;Park, Gil Young;Lee, Dong Yeon
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.3
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    • pp.130-135
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    • 2022
  • Purpose: Smart insoles are wearable devices that are inserted into shoes. Smart insoles with built-in pressure and acceleration sensors can measure the plantar pressure, stride length, and walking speed. This study evaluated the validity and reliability of the plantar pressure measurements of smart insoles during walking on flat ground. Materials and Methods: Twenty one subjects were included in this study. After wearing smart insoles, I-SOL® (Gilon, Seongnam, Korea), the subjects walked a 10 m corridor six times at a rate of 100 steps/min, and the middle three steps, free from direction changes, were chosen for data analysis. The same protocol was repeated after wearing Pedar-X (Novel Corporation, Munich, Germany), an insoletype plantar pressure measurement equipment with proven validity. The average maximum pressure (Ppeak, kPa) and the time at which Ppeak appeared (Ptime, %stride) were calculated for each device. The validity of smart insoles was evaluated by using the interclass correlation coefficient (ICC) of Ppeak and Ptime between the two instruments, and Cronbach's alpha was obtained from the Ppeak values to evaluate the reliability. Results: The ICC of Ppeak was 0.651 (good) in the hallux, 0.744 (good) in the medial forefoot, 0.839 (excellent) in the lateral forefoot, and 0.854 (excellent) in the hindfoot. The ICC of Ptime showed 0.868 (excellent) in the hallux, 0.892 (excellent) in the medial forefoot, 0.721 (good) in the lateral forefoot, and 0.832 (excellent) in the hindfoot. All ICC values showed good or excellent results. The Cronbach's alpha of Ppeak measured in the smart insoles was 0.990 in the hallux, 0.961 in the medial forefoot, 0.973 in the lateral forefoot, and 0.995 in the hindfoot; all indicated excellent reliability in all areas. Conclusion: The plantar pressure measurements of smart insoles during walking on a flat ground showed validity compared to Pedar-X, and high reliability after repeated measurements.