• Title/Summary/Keyword: severity Index

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PERFORMANCE INDEX-An Assessment Indicator of Concrete Bridges (콘크리트 교량의 상태 평가를 위한 성능지수)

  • Kim, Kyoung-Soo;Cabrera, J.G.
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.1 no.2
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    • pp.131-140
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    • 1997
  • 콘크리트 교량을 저렴하고 신속하게 상태 평가를 하기 위하여 성능 지수(Performance Index)를 제안한다. 이 기법은 육안 검사에 의하여 발견된 결함의 범위와 심각도를 사용하여 콘크리트 교량의 전반적인 상태를 신속하게 등급화 하고 콘크리트 교량의 노출 조건을 고려하여 콘크리트 성능을 정량적으로 평가한다. 또한 본 연구에서는 상기한 성능 지수 기법의 타당성을 증명할 수 있는 정밀 안전 진단 시험결과를 활용하여 6개의 주요 노후화 원인을 고려하는 또 다른 성능 지수를 제안한다. 이러한 두 상태 평가 방법이 영국의 실제 교량 상태 평가 자료를 바탕으로 한 상태 평가 결과를 퍼지 집합 이론(fuzzy set theory)으로 분석한 결과와 비교하여 방법의 정당성 및 신뢰성을 논의한다.

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Acanthosis Nigricans as a Clinical Predictor of Insulin Resistance in Obese Children

  • Koh, Young Kwon;Lee, Jae Hee;Kim, Eun Young;Moon, Kyung Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.19 no.4
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    • pp.251-258
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    • 2016
  • Purpose: This study aimed to evaluate the utility of acanthosis nigricans (AN) severity as an index for predicting insulin resistance in obese children. Methods: The subjects comprised 74 obese pediatric patients who attended the Department of Pediatrics at Chosun University Hospital between January 2013 and March 2016. Waist circumference; body mass index; blood pressure; fasting glucose and fasting insulin levels; lipid profile; aspartate transaminase, alanine transaminase, glycated hemoglobin, C-peptide, and uric acid levels; and homeostatic model assessment insulin resistance (HOMA-IR) and quantitative insulin check sensitivity index (QUICKI) scores were compared between subjects with AN and those without AN. Receiver operating characteristic curves were used to investigate the utility of the AN score in predicting insulin resistance. HOMA-IR and QUICKI were compared according to AN severity. Results: The With AN group had higher fasting insulin levels ($24.1{\pm}21.0\;mU/L$ vs. $9.8{\pm}3.6\;mU/L$, p<0.001) and HOMA-IR score ($5.74{\pm}4.71$ vs. $2.14{\pm}0.86$, p<0.001) than the Without AN group. The AN score used to predict insulin resistance was 3 points or more (sensitivity 56.8%, specificity 83.9%). HOMA-IR scores increased with AN severity, from the Without AN group (mean, 2.15; 95% confidence interval [CI], 1.72-2.57) to the Mild AN (mean, 4.15; 95% CI, 3.04-5.25) and Severe AN groups (mean, 7.22; 95% CI, 5.08-9.35; p<0.001). Conclusion: Insulin resistance worsens with increasing AN severity, and patients with Severe AN (AN score ${\geq}3$) are at increased risk of insulin resistance.

MODALITY OF MALOCCLUSION ACCORDING TO REGIONAL DIFFERENCE USING HLD (HANDICAPPING LABIOLINGUAL DEVIATION), TPI(TREATMENT PRIORITY INDEX) AND HMAR(HANDICAPPED MALOCCLUSION ASSESSING RECORD) (HLD (Handicapping Labiolingual Deviation), TPI (Treatment Priority Index)와 HMAR (Handicapped Malocclusion Assessing Record)를 이용한 지역간 부정교합 양상에 관한 연구)

  • Sohn, Byung-Wha;Hwang, Chung-Ju;Hwang, Hyun-Sik
    • The korean journal of orthodontics
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    • v.23 no.1 s.40
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    • pp.17-35
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    • 1993
  • We tried to evaluate frequencies and severities of malocclusion of various socioeconomic areas according to growth and development. To obtain objective validity, we used Handicapping Labiolingual Deviation (HLD) suggested by Draker, Treatment Priority Index (TPI) by Grainger, Handicapped Malocclusion Assessing Record (HMAR) by American Dental Association and American Association of Orthodontist. Seoul and Kwangju were selected as an urban group, Ahnyang as an middle socioeconomic group and Hwasun near the Kwangju area as an rural group. 140 (male 63, female 73) of 5th grade in 'E' elementary school students in Seoul, 202 (male 101, female 101) of 'S' elementary school students in Kwangju, 207(male 105, female 102) of 'H' elementary school students in Hwasun, and 100(male 49, female 51) of 'M' elementary school students of in Ahnyang of all the same grade were analyzed and we obtained the results as follows; 1. TPI, HLD, and HMAR showed high coincidence and reproducibility between different observer. (p<0.01) 2. In comparison of TPI, HLD, and HMAR according to clinical decision, there was statistically difference between each other. (p<0.01) 3. As the severity of malocclusion increases there was high correlation between TPI and HLD, and between HLD and HMAR (p<0.05) 4. With respect to differences between areas in TPI and HLD, there was statistically difference between Ahnyang and other areas. 5. In Seoul as an urban group there was a high incidence of periodic checkup and history of orthodontic treatment than other area. 6. Mode of feeding and posture during sleeping did not affect the severity of malocclusion. As a conclusion, TPI, HLD and HMAR are so reproducible and coincident that they can be used as a guide on evaluating the frequency and severity of malocclusion and determining the priority of orthodontic treatment to determine the need and supply of orthodontic treatment. Furthermore these indices can provide objectively valid data for establishing public health problem solution.

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Age-related low skeletal muscle mass correlates with joint space narrowing in knee osteoarthritis in a South Korean population: a cross-sectional, case-control study

  • Kim, Hyun-Je;Hong, Young-Hoon
    • Journal of Yeungnam Medical Science
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    • v.39 no.4
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    • pp.285-293
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    • 2022
  • Background: This study was conducted to analyze the effects of low skeletal muscle mass index (SMI) and obesity on aging-related osteoarthritis (OA) in the Korean population. Methods: A total of 16,601 participants who underwent a dual-energy X-ray absorptiometry and 3,976 subjects with knee X-rays according to the modified Kellgren-Lawrence (KL) system were enrolled. Knees of ≥KL grade 2 were classified as radiologic OA. The severity of joint space narrowing (JSN) was classified by X-rays as normal, mild-to-moderate, and severe JSN in radiologic OA. The subjects were grouped as normal SMI (SMI of ≥-1 standard deviation [SD] of the mean), low SMI class I (SMI of ≥-2 SDs and <-1 SD), and low SMI class II (SMI of <-2 SDs). Obesity was defined as a body mass index (BMI) of ≥27.5 kg/m2. Results: The modified KL grade and JSN severity were negatively correlated with the SMI and positively correlated with BMI and age. The SMI was negatively correlated with age. JSN severity was significantly associated with a low SMI class compared to a normal SMI, which was more prominent in low SMI class II than class I. Obesity was significantly associated with more severe JSN, only for obesity with a low SMI class. Furthermore, patients with a low SMI class, regardless of obesity, were prone to having more severe JSN. Conclusion: This study suggested that a low SMI class was associated with aging and that an age-related low SMI was more critically related to the severity of JSN in OA.

Factors Influencing Overactive Bladder Symptom Severity in Community Residents (일 지역 주민의 과민성방광 증상심각도 영향요인)

  • Choi, Eun Hui;Lee, Eun Nam;Cho, Jeong Lim;Jang, Moon Jung
    • Journal of muscle and joint health
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    • v.23 no.1
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    • pp.39-48
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    • 2016
  • Purpose: This study was conducted to determine factors that influence overactive bladder (OAB) symptom severity in community residents. Methods: The participants of the study were 115 adults who participated in the health lectures for patients with OAB between March 1 and June 30, 2013. The overactive bladder-questionnaire (OAB-q) was used to assess the OAB symptom severity. Results: The mean score of OAB symptom severity was 35.48 out of 100. Participants showed the highest score of urgency among OAB symptoms. The significant predictors were the monthly income, operation history of urogynecology, and body mass index accounting for 23% of the variance of OAB symptom severity. The OAB symptom severity was higher in subjects who had lower monthly income, urogynecology operation history and higher BMI (>$25kg/m^2$). Conclusion: The findings of this study demonstrate that it should be considered to recommend weight loss as a component of nursing intervention for alleviating OAB symptom severity in overweight OAB patients.

Analysis of Burn Severity in Large-fire Area Using SPOT5 Images and Field Survey Data (SPOT5영상과 현장조사자료를 융합한 대형산불지역의 피해강도 분석)

  • Won, Myoungsoo;Kim, Kyongha;Lee, Sangwoo
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.16 no.2
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    • pp.114-124
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    • 2014
  • For classifying fire damaged areas and analyzing burn severity of two large-fire areas damaged over 100 ha in 2011, three methods were employed utilized supervised classification, unsupervised classification and Normalized Difference Vegetation Index (NDVI). In this paper, the post-fire imageries of SPOT were used to compute the Maximum Likelihood (MLC), Minimum Distance (MIN), ISODATA, K-means, NDVI and to evaluate large-scale patterns of burn severity from 1 m to 5 m spatial resolutions. The result of the accuracy verification on burn severity from satellite images showed that average overall accuracy was 88.38 % and the Kappa coefficient was 0.8147. To compare the accuracy between burn severity and field survey at Uljin and Youngduk, two large fire sites were selected as study areas, and forty-four sampling plots were assigned in each study area for field survey. The burn severities of the study areas were estimated by analyzing burn severity (BS) classes from SPOT images taken one month after the occurrence of the fire. The applicability of composite burn index (CBI) was validated with a correlation analysis between field survey data and burn severity classified by SPOT5, and by their confusion matrix. The result showed that correlation between field survey data and BS by SPOT5 were closely correlated in both Uljin (r = -0.544 and p<0.01) and Youngduk (r = -0.616 and p<0.01). Thus, this result supported that the proposed burn severity analysis is an adequate method to measure burn severity of large fire areas in Korea.

Establishing meteorological drought severity considering the level of emergency water supply (비상급수의 규모를 고려한 기상학적 가뭄 강도 수립)

  • Lee, Seungmin;Wang, Wonjoon;Kim, Donghyun;Han, Heechan;Kim, Soojun;Kim, Hung Soo
    • Journal of Korea Water Resources Association
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    • v.56 no.10
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    • pp.619-629
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    • 2023
  • Recent intensification of climate change has led to an increase in damages caused by droughts. Currently, in Korea, the Standardized Precipitation Index (SPI) is used as a criterion to classify the intensity of droughts. Based on the accumulated precipitation over the past six months (SPI-6), meteorological drought intensities are classified into four categories: concern, caution, alert, and severe. However, there is a limitation in classifying drought intensity solely based on precipitation. To overcome the limitations of the meteorological drought warning criteria based on SPI, this study collected emergency water supply damage data from the National Drought Information Portal (NDIP) to classify drought intensity. Factors of SPI, such as precipitation, and factors used to calculate evapotranspiration, such as temperature and humidity, were indexed using min-max normalization. Coefficients for each factor were determined based on the Genetic Algorithm (GA). The drought intensity based on emergency water supply was used as the dependent variable, and the coefficients of each meteorological factor determined by GA were used as coefficients to derive a new Drought Severity Classification Index (DSCI). After deriving the DSCI, cumulative distribution functions were used to present intensity stage classification boundaries. It is anticipated that using the proposed DSCI in this study will allow for more accurate drought intensity classification than the traditional SPI, supporting decision-making for disaster management personnel.

Development and validation of a novel screening instrument to prioritize the orthodontic referral of developing malocclusion in children: The index for interceptive orthodontics referral

  • Saraswathy Devi Sinniah;Annapurny Venkiteswaran;Najiyatu Nazihah Zakaria
    • The korean journal of orthodontics
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    • v.53 no.2
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    • pp.116-124
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    • 2023
  • Objective: The absence of a guideline to refer to developing malocclusions appropriately, may be a contributing factor to the inadequacy of timely interceptive orthodontics provision. This study aimed to develop and validate a new orthodontic grading and referral index to be used by dental frontliners to prioritize the orthodontic referral of developing malocclusion in children based on its severity. Methods: A cross-sectional study involving clinical assessment with 413 schoolchildren aged between 8.1 and 11.9 years was conducted in 2018. All the presenting malocclusion was listed and graded based on a few dental guidelines to produce the draft index. The validity and reliability of the draft index were tested using twenty study models. Face and content validation was carried out using the content validation index and Modified Kappa Statistics. Results: Fourteen dental and occlusal anomalies were identified as components of malocclusion and three grades of referral (monitor, standard, urgent) were included in the final index. The scale-level content validity index average value of 0.86 and 0.87 was obtained for content and face validation, respectively. There was moderate to excellent agreement in the Modified Kappa Statistics for both validations. Excellent inter- and intra-assessor agreement was obtained. The new index displayed valid and reliable scores. Conclusions: The Index for Interceptive Orthodontics Referral was developed and validated for the dental frontliners to identify and prioritize the developing malocclusion in children based on its severity and refer for orthodontic consultation to increase the possibility for interceptive orthodontics.

The comparison of Ergonomic Workload Stress Index (EWSI) among the different workload assessment techniques (작업 스트레스 산정기법들의 비교분석)

  • 정화식;김동묵
    • Korean Management Science Review
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    • v.12 no.1
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    • pp.61-77
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    • 1995
  • The Ergonomic Workload Stress Index (EWSI) was developed to predict the existence and level of the ergonomic workload stress in the workplace. To determine the validity of model, the values of the EWSI and two other similar techniques, Job Severity Index (JSI) and Physical Work Stress Index (PWSI) were evaluated in two actual industrial environments. The results from the validation study provide further substantial evidence that two techniques, JSI and PWSI, which have similar objective considerations, are significantly associated with the value of the EWSI among the employees participating in the experimentation.

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