• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.10
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• pp.4910-4918
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• 2013

This study aims to design a Severity-Adjusted LOS(Length of Stay) Model in order to efficiently manage LOS of AMI(Acute Myocardial Infarction) patients. We designed a Severity-Adjusted LOS Model with using data-mining methods(multiple regression analysis, decision trees, and neural network) which covered 6,074 AMI patients who showed the diagnosis of I21 from 2004-2009 Korean National Hospital Discharge in-depth Injury Survey. A decision tree model was chosen for the final model that produced superior results. This study discovered that the execution of CABG, status at discharge(alive or dead), comorbidity index, etc. were major factors affecting a Sevirity-Adjustment of LOS of AMI patients. The difference between real LOS and adjusted LOS resulted from hospital location and bed size. The efficient management of LOS of AMI patients requires that we need to perform various activities after identifying differentiating factors. These factors can be specified by applying each hospital's data into this newly designed Severity-Adjusted LOS Model.

• Journal of Korean Society of Transportation
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• v.33 no.6
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• pp.584-597
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• 2015

A considerable amount of literature has been published on pedestrian LOS. So far, however, there is a limitation that LOS analysis methodologies has concentrated on quantitative variables such as pedestrian flow rate, speed and space. This paper intended to suggest the accessibility variable which can not be considered on previous study. The factor was defined and quantified using public transport attributes in particular. This study was carried out in three phases: 1. defined accessibility employing public mode location and service information. 2. investigated the relationship between accessibility and pedestrian flow rate 3. developed the model to establish the factors affected to pedestrian LOS. The results showed that accessibility, walkway attribute and land use type affected the pedestrian LOS. Especially, accessibility and commercial area ratio had negative relationship with LOS. Futhermore, pedestrian LOS declined when obstacle of bus station located on the walkway. On the contrary, LOS was upgraded when sufficient effective width or residential area was secured. These results can receive considerable critical attentions related to determination of pedestrian LOS or effective walkway width.

• Archives of Plastic Surgery
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• v.50 no.1
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• pp.63-69
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• 2023

Background An increasing number of nonbinary patients are receiving gender-affirming procedures due to improved access to care. However, the preferred treatments for nonbinary patients are underdescribed. The purpose of this study was to investigate the goals and treatments of nonbinary patients. Methods A retrospective study of patients who self-identified as nonbinary from our institutional Gender Health Program was conducted. Patient demographics, clinical characteristics, surgical goals, and operative variables were analyzed. Results Of the 375 patients with gender dysphoria, 67 (18%) were nonbinary. Over half of the nonbinary patients were assigned male at birth (n = 57, 85%) and nearly half preferred the gender pronoun they/them/theirs (n = 33, 49%). A total of 44 patients (66%) received hormone therapy for an average of 2.5±3.6 years, primarily estrogen (n = 39). Most patients (n = 46, 69%) received or are interested in gender-affirming surgery, of which, almost half were previously on hormone therapy (n = 32, 48%). The most common surgeries completed or desired were facial feminization surgery (n = 15, 22%), vaginoplasty (n = 15, 22%), mastectomy (n = 11, 16%), and orchiectomy (n = 9, 13%). Nonbinary patients who were assigned male at birth (NB-AMAB) were more often treated with hormones compared to nonbinary patients assigned female at birth (NB-AFAB) (72% vs. 30%, p = 0.010). Conversely, patients who were AFAB weremore likely to complete or desire surgical intervention than those who were AMAB (100% vs. 63.0%, p < 0.021). Conclusion Majority of nonbinary patients were assigned male at birth. NB-AFAB patients all underwent surgical treatment, whereas NB-AMAB patients were predominantly treated with hormone therapy.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.36 no.1
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• pp.115-120
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• 2016

This paper presents how LOS (Level of Service) of connectivity at railway stations is developed. Based on interview surveys to railway users at 56 railway stations, the catchment areas for railway is defined and MOE (Measures of Effectiveness) is also developed. The MOE is determined to be the weighted access time (min) and LOS "D" was set up between 45 mins and 60 mins. The 56 railway stations is evaluated based on this MOE and most of them is found to be below LOS "E". Finally some guideline for improving the LOS of accessibility. They are an expansions of accessibility facility, an expansion of bus route, an improvement of congestion roads, and expansions of parking lots for automobile users.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.6
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• pp.2668-2676
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• 2011

In order to analyze the variation in length of stay(LOS) of injury inpatients, we developed severity-adjusted LOS model using Korean National Discharge In-depth Injury Survey data of Center for Disease Control. Appling this model, we calculated predicted values and, after standardizing LOS using the differences from the actual values, analyzed the variation in LOS. Major factors affecting severity-adjusted LOS of injury inpatients were found to be severity, surgery(or no surgery), age, injury mechanism and channel of hospitalization. Result of analysis of the differences between the actual values and predicted values adjusted by decision tree model suggested that there were statistically significant differences by hospital size(number of beds), type of insurance and location of institution. In order to reduce the variation in LOS, efforts should be exerted in developing nationwide treatment protocol, inducing medical institutions to utilize it, and furthermore systematically evaluating it to reduce the variation continually.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.10 no.4
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• pp.747-752
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• 2009

In this paper, the MIMO(Multi-Input Multi-Output) channel characteristics for Rx antenna spacing are described in the real environment, which has LOS(Ling of Sight) and NLOS (Won-Line of Sight). We developed $2\times2$ MIMO channel measurement system at 2.3GHz Wibro Band. MIMO antenna evaluation parameters such as received power, channel capacity and spatial correlation are evaluated for standard dipole antenna with 0.25, 0.5, 0.75 and 1.0 wavelength spacing at 2-position for LOS and 4-position for NLOS. The spatial correlation is distributed more than 0.9 in most LOS case which might be intricate to operate MIMO communication. MIMO antenna design need to be focused on getting spatial diversity and reducing spatial correlation in LOS case.

• Health Policy and Management
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• v.20 no.2
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• pp.17-39
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• 2010

This study explored the impact on the DRG(Diagnosis-Related Groups)-based prospective payment system(PPS) operated by voluntarily participation providers. We analyzed whether the provides in the DRG-based PPS and in traditional fee-for-service(FFS) systems showed different the degree of variation in length of stay(LOS), and the providers' behaviors depending on the differences according to the varied participation periods. The study sample included all data 2,061 institutions participated in DRG-PPS in 2007 and all cases 473 FFS institutions which reported fee-for-service claims were reviewed same diagnosized diseases at least 10cases claims during three months We compared the differences of the LOS among health care institutions according to their type, region, and size. For DRGs showing significant differences in LOS, multiple regression analyses were performed to find out factors associated with LOS and interaction effect participation and hospital types or participation periods. The result provide the evidence that the DRG payment system operated by volunteering health care institutions had impact on resources use, which can reduce the institutions' the length of stay. While some DRGs had no correlation between participation periods and LOS, other DRGs, DRG participation period reversely linear relationship with LOS. That is to say, the longer participation year, the less reducing the LOS. These results support the future expansion of the DRG-based PPS plan to all health care services in Korea.

• International Journal of Highway Engineering
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• v.14 no.6
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• pp.75-84
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• 2012

PURPOSES : This paper aims to improve the evaluation method of the Level of Service(LOS) for urban streets presented by the current Korean Highway Capacity Manual(KHCM) and suggest its utilization plan as a part of the methods to evaluate the sustainability of a transportation policy. METHODS : This paper carried out a research in 3 steps to develop a new evaluation method. First of all, this paper reviewed the previous studies related to the LOS of urban streets and the socially requested items for a sustainable transportation system. Then this paper derived an index and weight through expert questions to select an evaluation index. Lastly, this paper compared the results according to the existing evaluation methods with the new evaluation methods through case studies. This paper used an Analytic Hierarchy Process(AHP) for importance analysis and weight selection between new evaluation items and indices, and applied a Grey System Theory(GST) for a synthetic and integrated evaluation between the selected evaluation indices. RESULTS : As a result of evaluating the LOS according to the existing evaluation methods and the integrated evaluation methods using a GST through case studies, it was analyzed that new methods' results are less than or equal to the existing evaluation methods; and as a result of applying a weight between evaluation indices according to AHP, it was noticed that the total score seems to rise more when the LOS in the existing evaluation is calculated lower. It was analyzed that the LOS calculated by reflecting the newly established evaluation items and the importance between indices in this study has difference from the LOS of the existing urban streets. CONCLUSIONS : It is expected that this evaluation method can diagnose the current conditions when establishing a future sustainable traffic system and can be used for the measurement of the sustainability effects of the improvement plans and so on.

• Health Policy and Management
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• v.30 no.1
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• pp.82-91
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• 2020

Background: This study investigates the influence factors of medical service variations using medical charge and the length of stay (LOS) for urinary incontinence surgery and uterine polypectomy. Methods: The National Health Insurance claims data and Medical Resource Report by the Health Insurance Review & Assessment Service in 2016 were used. Frequency analysis, one-way analysis of variance, and Bonferroni post-hoc tests were executed for each surgery. A multilevel analysis was executed to assess the factors to the medical charge and LOS for each surgery in patient, doctor, and hospital level. Results: Fifty-two point eight percent of urinary incontinence surgery and 87.1% of uterine polypectomy were distributed in general and tertiary hospitals. Among three levels, the patient level variation was 61.5% or 77.2% in medical charge and 93.9% or 96.3% in LOS, respectively. The doctor level variation was 29.6% or 22.6% in medical charge and 0.6% or 0.0% in LOS, respectively. The institution level variation was 8.9% or 0.2% in medical charge and 5.5% or 3.7% in LOS, respectively. Number of other disease and organizational type were main factors that affected the charge and LOS for urinary incontinence surgery and uterine polypectomy. Conclusion: Medical service variations of the urinary incontinence surgery and uterine polypectomy were the largest for the patient level, followed by doctor level for the medical charge, and the institution level for the LOS.

• PNF and Movement
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• v.12 no.4
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• pp.201-207
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• 2014

Purpose: The purpose of this study was functional leg length inequality effect on COP(Center Of Pressure) and LOS(limits Of Stability) and EMG activation. Methods: The participants were consisted of fourteen. Subjects were distributed 2 groups; control group, leg length inequality ${\leq}3mm$, n=8), experimental group(leg length inequality${\geq}10mm$, n=8). The participants were measured leg length wearing comfortable clothes through tape measure method(TMM). All subjects was measured COP(Center Of Pressure), LOS(limits of stability) using by Balance Trainer BT4(HUR, Finland). Results: The results COP was not exist statistical significant differences(p>0.05). LOS was not exist statistical significant difference(p>0.05). Conclusion: The results was not statistical significant differences COP and LOS depending on Leg Length Inequality. But between experimental group and comparison group was exist mean differences on COP, LOS(COP:Ex.>Com, LOS:Ex.