• 제목/요약/키워드: Direct LOS

검색결과 31건 처리시간 0.028초

Preoperative Serum Albumin Levels Predict Treatment Cost in Total Hip and Knee Arthroplasty

  • Rudasill, Sarah E.;Ng, Andrew;Kamath, Atul F.
    • Clinics in Orthopedic Surgery
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    • 제10권4호
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    • pp.398-406
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    • 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.

기어와 유연축을 갖는 구동계로 구동되는 OTM 안테나 시선의 안정화 제어 (LOS(line-of-sight) Stabilization Control of OTM(on-the-move) Antenna Driven by Geared Flexible Transmission Mechanism)

  • 강민식;윤우현;이종비
    • 한국소음진동공학회논문집
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    • 제21권10호
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    • pp.951-959
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    • 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.

밀리미터파 탐색기 2축 직구동 김발 서보 시스템의 직접 및 간접 시선안정화 성능 분석 (Analysis of Line of Sight Stabilization Performance based on Direct vs. Indirect of a 2-axis Gimbaled Servo System for Millimeter Wave Seeker)

  • 신승철;이성용
    • 전기학회논문지
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    • 제67권11호
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    • pp.1555-1561
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    • 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.

시선 안정화 시스템의 고 정밀 적응제어 (Adaptive High Precision Control of Lime-of Sight Stabilization System)

  • 전병균;전기준
    • 제어로봇시스템학회논문지
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    • 제7권1호
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    • pp.1155-1161
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    • 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.

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Transitioning from the Posterior Approach to the Direct Anterior Approach for Total Hip Arthroplasty

  • Cameron M. Metzger;Hassan Farooq;Jacqueline O. Hur;John Hur
    • Hip & pelvis
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    • 제34권4호
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    • pp.203-210
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    • 2022
  • Purpose: Total hip arthroplasty (THA) using the direct anterior approach (DAA) is known to have a learning curve. The purpose of this study was to review cases where surgery was performed by an arthroplasty surgeon transitioning from the posterior approach (PA) to the DAA. We hypothesized similar complication rates and improvements in surgical duration over time. Materials and Methods: A review of 2,452 consecutive primary THAs was conducted. Surgical duration, length of stay (LOS), surgical complications, decrease in postoperative day (POD) 1 hemoglobin, transfusion rates, POD 0 and POD 1 pain scores, incision length, leg length discrepancy (LLD), and radiographic cup position were recorded. Results: No differences in surgical duration were observed after the first 50 DAA cases. A shorter LOS was observed for the DAA, and statistical difference was appreciated after the first 100 DAA cases. There were no differences in periprosthetic fractures. A higher rate of infections and hip dislocations were observed with the PA. The PA showed an association with higher transfusion rates without significant difference in POD 1 decrease in hemoglobin over the first 100 DAA cases. Similar POD 0 and POD 1 pain scores with a smaller incision were observed for the first 100 DAA cases. The DAA cohort showed less variation in cup inclination, version, and LLD. Conclusion: DAA is safe and non-inferior in terms of reduced LOS, smaller incision, and less variation in cup position. Fifty DAA cases was noted to be the learning curve required before no differences in duration between approaches were observed.

8 GHz 대역에서의 마이크로셀용 전파전파 예측 모델 개발 (Development of Microcellular Radio Propagation Prediction Model in the 8 GHz Bands)

  • 송기홍
    • 한국전자파학회논문지
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    • 제17권12호
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    • pp.1212-1223
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    • 2006
  • 마이크로웨이브 대역은 무선 서비스의 수요가 많은 대역이지만 주로 장거리 고정 통신용으로 이용되어 전파 모델에 대한 연구가 VHF/UHF 대역보다 적게 이루어졌으나, 최근 마이크로웨이브 대역을 이용한 이동 통신 서비스가 증가됨에 따라 보다 정확성 있는 전파 예측 모델의 개발이 요구되어 왔다. 이동 전파 환경에서 신뢰성있는 전파 예측 모델을 개발하기 위해서는 다양한 전파 환경에서 신호의 반사, 회절 및 산란에 따른 전파 특성에 대한 측정 및 분석이 필요하다. 제시된 8 GHz 대역용 전파 예측 모델은 가시거리 영역과 비가시거리 영역에 맞는 모델을 구분하여 개발된다. 가시거리 영역용 예측 모델은 직접파, 지면 반사파 및 도로 양쪽 건물 반사파에 의한 해석적 결과에 측정된 경로 손실 지수를 적용하여 신호 세기를 예측하고, 비가시거리 영역용 예측 모델은 회절 후 신호 변화 현상에 대한 분석 결과를 이용하여 수신 전력을 예측한다.

멀티 홉 Wi-Fi Direct 통신 기반 실시간 영상관리 시스템 성능 분석 (Performance Analysis of Real-Time Video Management System Based on Multi-Hop Wi-Fi Direct Communication)

  • 우채율;조미란;권순량
    • 한국통신학회논문지
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    • 제41권11호
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    • pp.1472-1480
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    • 2016
  • 지진, 홍수, 태풍 등의 자연 재해 및 화재, 테러 등 재난 발생시 현장 상황의 영상을 촬영하여 지휘본부에 위치한 서버에 전송하여 현장상황을 한 눈에 파악할 수 있게 하는 영상관리시스템이 요구된다. 본 논문에서는 영상관리시스템 구축에 필요한 성능 요소 정보를 파악하기 위해 와이파이 다이렉트 통신 기반의 애드혹 망 구성 방법을 제시하고 영상관리시스템에 대한 환경 구축을 통해 성능을 평가하였다. 평가한 성능 시험항목은 '영상 압축률 및 영상 크기에 따른 패킷 흐름 시험', '거리에 따른 패킷 흐름 및 트래픽 시험', 'LOS(Line of Sight) 여부에 따른 패킷 흐름 시험', '시나리오 성능 시험'이다.

Time-to-go 다항식 유도 법칙의 표적 가관측성 분석 (Target Observability Analysis of Time-to-go Polynomial Guidance Law)

  • 이창훈;김태훈;탁민제
    • 한국항공우주학회지
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    • 제38권7호
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    • pp.664-672
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    • 2010
  • 본 논문은 표적의 방향 정보만을 측정할 경우 $t_{go}$-다항식 유도법칙의 표적 가관측성 분석을 다룬다. 본 연구에서는 직접적인 방법으로 표적의 가관측성을 분석한다. 등속도 표적에 대해 가관측성을 갖기 위한 조건들이 시선각의 함수로만 주어지기 때문에, $t_{go}$-다항식 유도법칙을 적용 했을 때 시선각의 닫힌 해를 도출하고, 이 닫힌 해를 가관측성 조건에 직접 대입하므로, $t_{go}$-다항식 유도법칙의 표적 가관측성 특성을 해석한다. 표적의 가관측성은 유도법칙의 유도이득, 초기 유도 조건과 유도명령의 형상에 따라 달라진다. 최종적으로 시뮬레이션을 통해 $t_{go}$-다항식 유도법칙의 표적 가관측성을 검증한다.

어패럴 마트의 유통체계 및 상권분석 -캘리포니아 주를 중심으로- (The Channels of Distribution and Place Strategy of the Apparel Mart: The Los Angeles Area Apparel Industry in California)

  • 원명심
    • 한국의상디자인학회지
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    • 제5권2호
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    • pp.31-46
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    • 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.

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LTE 하향 링크 중계기 시스템에서 새로운 하이브리드 코드북 성능 분석 (Performance Analysis of A Hybrid Codebook for LTE Downlink Relay Systems)

  • 김형준;박노윤;김영주
    • 한국전자파학회논문지
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    • 제22권4호
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    • pp.462-469
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    • 2011
  • 본 논문에서는 레일리 분포를 가지는 DFT 행렬 기반의 코드북에 LOS용 코드북을 라이시안 페이딩 채널에서 최소 거리를 최대화하는 조건에 맞게 결합, 새로운 하이브리드 코드북 설계 방법을 제안한다. 제안하는 코드북을 LTE 하향 링크 시스템에 적용, 기존의 DFT 행렬을 이용한 코드북과 제안하는 하이브리드 코드북의 성능을 분석한다. 하이브리드 코드북은 K값이 0.28~0.99인 경우, 가장 우수한 성능을 보이면서 레일리 페이딩 채널 및 LOS 성분이 강해지는 모든 경우에서 우수한 성능을 보인다.