• Title/Summary/Keyword: Delta index

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Usefulness of Shock Index to Predict Outcomes of Trauma Patient: A Retrospective Cohort Study

  • Kim, Myoung Jun;Park, Jung Yun;Kim, Mi Kyoung;Lee, Jae Gil
    • Journal of Trauma and Injury
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    • v.32 no.1
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    • pp.17-25
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    • 2019
  • Purpose: We investigated how prehospital, emergency room (ER), and delta shock indices (SI) correlate with outcomes including mortality in patients with polytrauma. Methods: We retrospectively reviewed the medical records of 1,275 patients who visited the emergency department from January 2015 to April 2018. A total of 628 patients were enrolled in the study. Patients were divided into survivor and non-survivor groups, and logistic regression analysis was used to investigate independent risk factors for death. Pearson coefficient analysis and chi-square test were used to examine the significant relationship between SI and clinical progression markers. Results: Of 628 enrolled patients, 608 survived and 27 died. Multivariate logistic regression analysis reveals "age" (p<0.001; OR, 1.068), "pre-hospital SI >0.9" (p<0.001; OR, 11.629), and "delta SI ${\geq}0.3$" (p<0.001; OR, 12.869) as independent risk factors for mortality. Prehospital and ER SIs showed a significant correlation with hospital and intensive care unit length of stay and transfusion amount. Higher prehospital and ER SIs (>0.9) were associated with poor clinical progression. Conclusions: SI and delta SI are significant predictors of mortality in patients with polytrauma. Moreover, both prehospital and ER SIs can be used as predictive markers of clinical progression in these patients.

On Efficient Estimation of the Extreme Value Index with Good Finite-Sample Performance

  • Yun, Seokhoon
    • Journal of the Korean Statistical Society
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    • v.28 no.1
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    • pp.57-72
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    • 1999
  • Falk(1994) showed that the asymptotic efficiency of the Pickands estimator of the extreme value index $\beta$ can considerably be improved by a simple convex combination. In this paper we propose an alternative estimator of $\beta$ which is as asymptotically efficient as the optimal convex combination of the Pickands estimators but has a better finite-sample performance. We prove consistency and asymptotic normality of the proposed estimator. Monte Carlo simulations are conducted to compare the finite-sample performances of the proposed estimator and the optimal convex combination estimator.

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Study on the Thermal Fastness of Fluorescent Whitening Agents (제지용 형광증백제의 열 견뢰도에 대한 연구)

  • Kim, Chul-Hwan;Lee, Ji-Young;Kim, Beong-Ho;Choi, Jae-Sung;Lim, Gi-Baek;Kim, Da-Mi
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.44 no.1
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    • pp.10-15
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    • 2012
  • Fluorescent whitening agents (FWAs) are used extensively in the paper industry to improve the optical properties. FWAs are neither photochemically nor thermally stable, and thereby the papers containing FWAs can be damaged by external heat. We observed that the CIE whiteness, ISO brightness and fluorescence index of the commercial papers decreased with the thermal treatment and thought that the thermal fastness of FWAs was the main factor affecting the thermal stability of the papers. Thus, the model papers treated with three types of FWAs were manufactured respectively and the thermal stability of FWAs was identified by determining ${\Delta}$ CIE whiteness and ${\Delta}$ fluorescence index.

Study on the Competitiveness Evaluation of Urban Cultural Tourism Creative Industry in Pan-Yangtze River Delta

  • Mengmeng, Shao
    • The Journal of Industrial Distribution & Business
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    • v.9 no.12
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    • pp.15-21
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    • 2018
  • Purpose - In order to improve the comprehensive competitiveness of cultural tourism creative industries in the region, different grade cities should adapt to local conditions and differentiated development as the angle. It can promote the optimization of regional tourism industry structure, and make relevant suggestions accordingly. Research design, data, and methodology - Based on the characteristics of cultural tourism creative industry, 24 indicators are selected from four aspects. The comprehensive competitiveness evaluation index system of cultural tourism creative industry is constructed. The essay use factor analysis to quantitatively evaluate 27 cities in the Pan-Yangtze River Delta, and use cluster analysis to classify the competitiveness of cultural tourism creative industries in each city into five types. Results - The results of cluster analysis show that the whole area presents five kinds of step-like features, which are mature leading type, the advantageous development type, comparatively advantageous type, well-grounded type and difference-promotion type. Conclusions - The factor analysis method was used to quantitatively evaluate 27 cities in the Pan-Yangtze River Delta, and cluster analysis was used to classify the cultural tourism creative industry competitiveness of each city into fives type city. Based on the differentiation of cultural tourism creative industry competitiveness and 27 cities in the Pan-Yangtze River Delta, the relevant strategies were proposed.

Interpretation of Empirical Cone Factors for Determining Undrained Strength (비배수강도 결정을 위한 콘 지수 연구)

  • Kim, Dae-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.11
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    • pp.3296-3301
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    • 2009
  • The results of PCPT(Pezocone Penetration Test) are widely used for the estimation of the undrained shear strength, for which the empirical cone factors($N_{kt}$, $N_{ke}$, $N_{{\Delta}u}$) need to be obtained at each site. In this study, the cone factors were estimated, for the soils at Bookmyun area in Changwon city, using the undrained shear strengths from the unconfined and UU triaxial compression tests. The parametric studies with plastic index and pore water pressure ratio were performed as well. $N_{kt}$, $N_{ke}$ and $N_{{\Delta}u}$ were estimated in the ranges of 8~40, 7~37, and 1~26 respectively. It was observed that there is a relationship between the cone factors, specially $N_{{\Delta}u}$, and the pore pressure ratio.

Influence on the Ground Reaction Force Parameters According to Wearing Positions of Backpacks During Stair Ascending and Descending (계단 오르기와 내리기 시 가방착용 위치가 지면반력 파라미터에 미치는 영향)

  • Hyun, Seung-Hyun;Ryew, Che-Cheong
    • Korean Journal of Applied Biomechanics
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    • v.25 no.1
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    • pp.85-94
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    • 2015
  • Purpose : The purpose of this study was to investigate the influence on the ground reaction force parameters according to wearing positions of backpack for during stair ascending and descending. Methods : Participants selected as subject were consisted of young female(n=10) and performed stairs walks(ascending and descending) with 2 types of wearing position(front of trunk[FT], rear of trunk[RT]). Passive(Fz 1) and active(Fz 2) forces of the vertical GRF were determined from time function and frequency domain. Also shear forces(Fx, Fy 1, Fy 2), dynamic postural stability index(MLSI, APSI, VSI, DPSI), loading rate and center of pressure (${\Delta}COPx$, ${\Delta}COPy$, COP area) were calculated from time function and frequency domain. Results : Fx, Fy 1, Fy 2, and Fz 1 in GRF didn't show significant differences statistically according to the wearing positions of backpack(p>.05), but stair descending showed higher forces than that of stair ascending. Particularly, Fz 2 of stair ascending showed higher forces than that of stair descending(p<.001), RT types showed higher than that of FT types(p<.05). MLSI, APSI, VSI, and DPSI of stair descending showed the increased stability index than that of stair ascending(p<.05), MLSI of RT types showed the decreased stability index than that of FT types(p<.05). Loading rate didn't show significant differences statistically according to the wearing positions of backpack(p>.05), but stair descending showed higher loading rate than that of stair ascending(p<.001). Also, ${\Delta}COPx$ in stair descending showed the increased movement than that of stair ascending(p<.05). Conclusions : A backpack of 10 kg(10 kg(ratio of body weights $17.61{\pm}1.17%$) showed significantly change GRF parameters according to wearing positions during stair ascending and descending. If possible, we suggest that the dynamic stability, in case of stairs walking with a smaller weights can be further improved.

Effect of anesthetics and diuretics on Doppler measurements of intrarenal resistive index in dogs

  • Choi, Ho-jung;Yoon, Jung-hee;Eom, Ki-dong;Lee, Hee-chon;Choi, Ji-hye;Sung, Jae-ki
    • Korean Journal of Veterinary Research
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    • v.39 no.4
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    • pp.832-837
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    • 1999
  • lntrarenal resistive index (RI) was determined in normal, sedated and diuretic kidneys. The mean RI values of normal dogs were $0.64{\pm}0.03$ without statistically significant difference between left and right kidney. Interrenal RI difference (${\Delta}RI$) was $0.03{\pm}0.01$. No significant relationship was found between mean intrarenal RI versus body weight. The mean intrarenal RI values after administration of acepromazine, xylazine, thiopental, and ketamine were $0.66{\pm}0.03$, $0.64{\pm}0.03$, $0.56{\pm}0.05$, and $0.50{\pm}0.05$, respectively. After administration of acepromazine or xylazine, a significant change of the RI was not found. But, a significant decrease of the RI following thiopental or ketamine administration could be observed as compared with the normal RI. The mean intrarenal RI values were $0.63{\pm}0.06$ and $0.62{\pm}0.04$ at 10 minutes and 30 minutes after injection of furosemide, respectively. No significant change of intrarenal RI was found after administration of furosemide. But, mannitol significantly decreased mean intrarenal RI to $0.57{\pm}0.02$ and $0.58{\pm}0.03$ at 30 minutes and 60 minutes, respectively. Based on the obtained results, values of 0.72 and 0.05 may be proposed as the reasonable upper limits of RI and ${\Delta}RI$ of normal average. Acepromazine or xylazine are recommended as anesthetics for renal diseases because they have less effect on the RI. Further study using mannitol injection to increase ${\Delta}RI$ may be suggested in unilateral urinary tract obstruction since mannitol more effectively changed mean RI than furosemide.

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The Effect of Conjugated Linoleic Acid(CLA) Supplemented to Different Fat Sources on Fat Depositions and Stearoyl-CoA Desaturase l(SCDl) Gene Expression in Mice (지방 급원을 달리한 식이에 첨가된 CLA가 지방조직과 Stearoyl-Co A Desaturase 1(SCD 1) 발현에 미치는 영향)

  • Lee, Se-Na;Kang, Keum-Jee
    • The Korean Journal of Food And Nutrition
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    • v.20 no.3
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    • pp.245-252
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    • 2007
  • This study investigated the effects of conjugated linoleic acid(CLA) on the fat deposition, triglyceride levels and the expression of stearoyl-CoA desaturase 1(SCD1) in the livers of male ICR mice that were fed with either soybean oil or beef tallow supplemented with CLA. Mice weighing $25{\sim}30$ g were divided into four groups; soybean oil(SBO), and SBO supplemented with 1% CLA(SBOC), beef tallow(BT) and BT supplemented with 1% CLA(BTC). Each group consisted of 10 mice that were fed the experimental diets for 4 weeks. The experimental diets consisted of 64% carbohydrate, 20% protein, and 16% fat in terms of their contributions to total calories. All other nutrients were identical in the diets. Triglyceride measurements were completed using a kit. Fatty acid compositions were analyzed in the liver using gas chromatography. The levels of SCD1 expression were analyzed by RT-PCR in the liver. No significant differences were found for food intake level, body weight and food efficiency among the experimental groups. However, the weights of epididymal fat pads and plasma triglyceride levels were significantly lower in SBOC and BTC(p<0.05) compared to the SBO and BT groups. These effects were similar in the CLA supplemented groups. The expression level of SCD1 gene and ${\Delta}9$ desaturase index were not significantly different, regardless of the fat used for CLA supplementation. Based on these results, addition of CLA showed decreasing effects on the fat depots weight and the concentration of triglyceride regardless of the fat sources. The SCD1 gene expression and ${\Delta}9$ desaturase index were not influenced by the types of fats with respect to the CLA effects.

A Polynomial Time Algorithm for Edge Coloring Problem (간선 색칠 문제의 다항시간 알고리즘)

  • Lee, Sang-Un
    • Journal of the Korea Society of Computer and Information
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    • v.18 no.11
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    • pp.159-165
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    • 2013
  • This paper proposes a O(E) polynomial-time algorithm that has been devised to simultaneously solve edge-coloring problem and graph classification problem both of which remain NP-complete. The proposed algorithm selects an edge connecting maximum and minimum degree vertices so as to determine the number of edge coloring ${\chi}^{\prime}(G)$. Determined ${\chi}^{\prime}(G)$ is in turn either ${\Delta}(G)$ or ${\Delta}(G)+1$. Eventually, the result could be classified as class 1 if ${\chi}^{\prime}(G)={\Delta}(G)$ and as category 2 if ${\chi}^{\prime}(G)={\Delta}(G)+1$. This paper also proves Vizing's planar graph conjecture, which states that 'all simple, planar graphs with maximum degree six or seven are of class one, closing the remaining possible case', which has known to be NP-complete.