• Clinics in Orthopedic Surgery
• /
• v.10 no.4
• /
• pp.398-406
• /
• 2018

Background: Hypoalbuminemia (serum albumin < 3.5 g/dL) is associated with increased morbidity and mortality in patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA). However, costs associated with hypoalbuminemia remain unknown. This study investigated the effect of serum albumin on direct treatment costs, length of stay (LOS), and readmissions for primary and revision THA and TKA patients. Methods: All adult patients at a single institution undergoing primary or revision THA or TKA between January 2014 and December 2016 were retrospectively reviewed. Patients were stratified by preoperative serum albumin level. The primary outcome was total direct costs at index hospitalization. Secondary outcomes included LOS and readmission within 30 days. Multivariable regressions were utilized to adjust for demographics and comorbidities. Results: Of 3,785 patients, 114 (3.0%) had hypoalbuminemia. After adjustment, hypoalbuminemia was associated with a 16.2% increase in costs (${\beta}=0.162$; 95% confidence interval [CI], 0.112 to 0.213; p < 0.001), representing an average cost increase of $3,383 (95% CI, $2,281 to $4,485) relative to costs for serum albumin > 4.5 g/dL. The increased total costs were significantly higher in revision ($4,322, p = 0.034) than in primary ($3,446, p < 0.001) procedures. In adjusted regression, each 1.0 g/dL increase in serum albumin yielded a 6.6% reduction in costs (${\beta}=-0.066$; 95% CI, -0.090 to -0.042]; p < 0.001), for average savings of $1,282 (95% CI, $759 to $1,806) per unit albumin. Adjusted regressions demonstrated that a 1-point increase in serum albumin reduced readmissions by 53% (odds ratio, 0.47; 95% CI, 0.31-0.73; p = 0.001) and LOS by 0.6 days (${\beta}=-0.60$; 95% CI, -0.76 to -0.44; p < 0.001). Conclusions: Hypoalbuminemia is associated with increased total direct costs, LOS, and readmissions following primary and revision THA and TKA. Future efforts to predict and address total costs should take into consideration the patient's preoperative serum albumin levels.

• Transactions of the Korean Society for Noise and Vibration Engineering
• /
• v.21 no.10
• /
• pp.951-959
• /
• 2011

In this study, an OTM(on-the-move) antenna which is mounted on ground vehicles and is used for mobile communication between vehicle and satellite while moving was addressed. Since LOS(line-of-sight) of antenna should direct satellite consistently while vehicle moving to guarantee high satellite communication quality, active antenna LOS stabilization is a core technology for OTM antenna. Stabilization of a satellite tracking antenna which consists of 2-DOF gimbals, an elevation gimbal over an azimuth gimbal, was considered in this study. In consideration of driving mechanism which consists of gear train and flexible driving shafts, a two-mass-system dynamic model coupled with vehicle motion was presented. An internal PI-control loop + outer PI-control loop structure has been suggested in order to damp the torsional vibration and stabilize control system. The classical pole-placement method was applied to design control gains. In addition, a vehicle motion compensation control beside of the feedback control loop has been suggested to improve LOS stabilization performances. The feasibility of the proposed control design was verified along with some experimental results.

• The Transactions of The Korean Institute of Electrical Engineers
• /
• v.67 no.11
• /
• pp.1555-1561
• /
• 2018

Tracking and detecting targets by the millimeter wave seeker is affected by movement of platform. Stabilization equipments use an inertial sensor to compensate for disturbance of stabilizing gimbal or platform. In the direct line of sight stabilization system, an inertial sensor is mounted on inner gimbal to compensate the disturbance directly, so the performance is excellent and the implementation method is simple. However gimbal design requires somewhat larger volume. Since an inertial sensor is mounted on gimbal base in the indirect line of sight stabilization system, additional space of gimbal is not required for the gimbal design. However, this method does not directly compensate for the disturbance of the line of sight stabilization axis, which can degrade performance. In order to perform the tracking performance, two methods are analyzed for line of sight stabilization performance based on direct and indirect of a 2-axis gimbaled servo system for millimeter wave seeker in this study. The simulation and experimental results validate the performance comparison of two methods.

• Journal of Institute of Control, Robotics and Systems
• /
• v.7 no.1
• /
• pp.1155-1161
• /
• 2001

We propose an adaptive nonlinear control algorithm for high precision tracking and stabilization of LOS(Line-of-Sight). The friction parameters of the LOS gimbal are estimated by off-line evolutionary strategy and the friction is compensated by estimated friction compensator. Especially, as the nonlinear control input in a small tracking error zone is enlarged by the nonlinear function, the steady state error is significantly reduced. The proposed algorithm is a direct adaptive control method based on the Lyapunov stability theory, and its convergence is guaranteed under the limited modeling error or torque disturbance. The performance of the pro-posed algorithm is verified by computer simulation on the LOS gimbal model of a moving vehicle.

• The Journal of Korean Institute of Electromagnetic Engineering and Science
• /
• v.17 no.12 s.115
• /
• pp.1212-1223
• /
• 2006

Microwave(M/W) bands, though having great demand in wireless services, have been used mostly for long distance communications. As a result, the studies on their mobile radio models have been made less than on VHF/UHF. However, as the mobile communication services with M/W bands have been increasing, the development of a more accurate prediction model of the mobile radio environments has been demanded. The development of a reliable radio prediction model in the mobile radio environments requires the measurement and analysis of the characteristics of the radio waves according to reflection, diffraction and scattering of radio signals in various mobile radio environments. The proposed 8 GHz band radio prediction models have 2 different categories: (1) LOS model and (2) non-LOS model. The LOS model predicts signal strength using the analytic result with measured pathless exponents for the waves direct and reflected by ground and buildings, and the non-LOS model suggests a prediction model of received power by calculating the signal variations after diffraction.

• The Journal of Korean Institute of Communications and Information Sciences
• /
• v.41 no.11
• /
• pp.1472-1480
• /
• 2016

When disasters such as earthquake, flood, typhoon, fire and terrorism are occurred a video management system is required which can shoot video on the disaster site, and send it to a server located in the command center that can grasp at a glance the site conditions. In this paper, to know the performance elements information needed to construct the video management system. we presented a method of configuring an ad hoc network based on Wi-Fi direct communication. And we also evaluated the performance through built of environment for the video management system. The evaluated performance test items are 'packet flow tests according to the video compression ratios and the image sizes', 'packet flow tests according to the distance and traffic tests', 'packet flow tests according to whether LOS or not', and 'performance test of scenarios'.

• Journal of the Korean Society for Aeronautical & Space Sciences
• /
• v.38 no.7
• /
• pp.664-672
• /
• 2010

This paper provides the target observability analysis of time-to-go polynomial guidance law with bearing-only measurement. In this study, a direct approach is used to analyze the target observability. Since the observability condition of a constant-velocity target is given by the function of LOS angle only, the target observability characteristic is determined by substituting the closed form solution of LOS angle to the observability condition directly. The analysis results show that the target observability is depended on the choice of guidance gain, initial intercept condition and guidance command shape. After that this mathematical analysis result is evaluated and demonstrated by number of simulation.

• Journal of the Korea Fashion and Costume Design Association
• /
• v.5 no.2
• /
• pp.31-46
• /
• 2003

The purpose of this study was to explore the ways of improving Korean apparel firms' competitiveness by examining the Korea's number one trading partner U.S. apparel industry. Especially, the Los Angeles area apparel industry which is the second largest and the primary market center on the west coast was analysed. The following strategies are suggested to Korean apparel firms to function more effectively in incleasingly competitive U.S. markets: l)Basics can be produced in lower wage countries meanwhile quick turnaround and high quality works can be produced either in Korea or U.S. 2)Manufacturers might try to have direct relationship with powerful retailers who have their own private labels of store-brand lines. 3)Apparel companies can open market showrooms in the California Market Center. For small firms they can contact with independent representatives who receive commissions for showing lines for manufacturers or rent space for showing the lines during market weeks. 4)Apparel firms can contact buying offices to introduce their products to retail buyers. 5)Korean firms can contact Korean-American apparel firms to gain easy access to U.S.Market.

• The Journal of Korean Institute of Electromagnetic Engineering and Science
• /
• v.22 no.4
• /
• pp.462-469
• /
• 2011

In this paper, we propose a novel hybrid codebook design method which combines DFT matrix based codebook for Rayleigh fading and LOS codebook for direct path. Link-level performances employing hybrid codebook outperform the ones employing the conventional codebooks when K-factor of Rician distribution is 0.28 to 0.99. Moreover hybrid codebook shows good performances over not only Rayleigh channel but also high K's Rician channels.

• Korean Journal of Optics and Photonics
• /
• v.30 no.6
• /
• pp.230-236
• /
• 2019

We propose and demonstrate a searching and autoalignment method for indoor optical wireless communication, using a cost-effective retroreflective sheet and a microelectromechanical system (MEMS) mirror. We use an extremum-seeking method for a single axis and beam steering with a MEMS mirror to maintain a line of sight (LOS) with the optical link. This autoalignment method shows a receiver sensitivity of -31.87 dBm for a bit rate of 2.5 Gb/s over a 7 m communication link.