• 제목/요약/키워드: LOS Analysis

검색결과 351건 처리시간 0.027초

사용자비용분석을 통한 간선도로 위험순위 산정에 관한 연구 (Evaluating of Risk Order for Urban Road by User Cost Analysis)

  • 박정하;박태훈;임종문;박제진;윤판;하태준
    • 대한교통학회지
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    • 제23권7호
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    • pp.77-86
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    • 2005
  • 현재 우리나라 간선도로의 서비스수준(LOS)은 차량의 평균통행속도를 기준으로 평가되어지고 있다. 이는 도로의 혼잡도 만을 기준으로 적용한 것으로 교통안전측면이 고려되지 않은 것이 현실이다. 합리적인 도로 설계와 운영을 위한 평가 지표라면 도로 이용자에게 영향을 미치는 제반 인자들을 보다 포괄적으로 포함할 수 있어야 한다. 교통안전과 소통측면을 총괄할 수 있는 변수로 사용자비용 개념을 적용하여 간선도로 평가방법을 모색하고자 한다. 사용자 비용을 효과척도로 하는 간선도로 평가도 가능하다는 것을 본 연구를 통해 알 수 있었다. 또한, 본 연구의 사용자 비용에 의해 평가된 간선도로 서비스 수준과 도로용량편람의 평균통행속도에 의해 평가된 간선도로 서비스 수준을 비교 분석하여 종합적인 서비스 수준 분석방법 여부를 가릴 수 있을 것이다. 이로서, 안전과 소통 측면을 모두 고려한 간선도로 평가가 가능함을 알 수 있었다.

Central Sarcopenia, Frailty and Comorbidity as Predictor of Surgical Outcome in Elderly Patients with Degenerative Spine Disease

  • Kim, Dong Uk;Park, Hyung Ki;Lee, Gyeoung Hae;Chang, Jae Chil;Park, Hye Ran;Park, Sukh Que;Cho, Sung Jin
    • Journal of Korean Neurosurgical Society
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    • 제64권6호
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    • pp.995-1003
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    • 2021
  • Objective : People are living longer and the elderly population continues to increase. The incidence of degenerative spinal diseases (DSDs) in the elderly population is quite high. Therefore, we are facing more cases of DSD and offering more surgical solutions in geriatric patients. Understanding the significance and association of frailty and central sarcopenia as risk factors for spinal surgery in elderly patients will be helpful in improving surgical outcomes. We conducted a retrospective cohort analysis of prospectively collected data to assess the impact of preoperative central sarcopenia, frailty, and comorbidity on surgical outcome in elderly patients with DSD. Methods : We conducted a retrospective analysis of patients who underwent elective spinal surgery performed from January 1, 2019 to September 30, 2020 at our hospital. We included patients aged 65 and over who underwent surgery on the thoracic or lumbar spine and were diagnosed as DSD. Central sarcopenia was measured by the 50th percentile of psoas : L4 vertebral index (PLVI) using the cross-sectional area of the psoas muscle. We used the Korean version of the fatigue, resistance, ambulation, illnesses, and loss of weight (K-FRAIL) scale to measure frailty. Comorbidity was confirmed and scored using the Charlson Comorbidity Index (CCI). As a tool for measuring surgical outcome, we used the Clavien-Dindo (CD) classification for postoperative complications and the length of stay (LOS). Results : This study included 85 patients (35 males and 50 females). The mean age was 74.05±6.47 years. Using the K-FRAIL scale, four patients were scored as robust, 44 patients were pre-frail and 37 patients were frail. The mean PLVI was 0.61±0.19. According to the CD classification, 50 patients were classified as grade 1, 19 as grade 2, and four as grade 4. The mean LOS was 12.35±8.17 days. Multivariate stepwise regression analysis showed that postoperative complication was significantly associated with surgical invasiveness and K-FRAIL scale. LOS was significantly associated with surgical invasiveness and CCI. K-FRAIL scale showed a significant correlation with CCI and PLVI. Conclusion : The present study demonstrates that frailty, comorbidity, and surgical invasiveness are important risk factors for postoperative complications and LOS in elderly patients with DSD. Preoperative recognition of these factors may be useful for perioperative optimization, risk stratification, and patient counseling.

고관절 전치환술 환자의 Critical pathway적용효과 (Effects of Critical Pathway(CP) on the patients with Primary Total hip replacement(THR))

  • 이미경;도복늠
    • 간호행정학회지
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    • 제8권2호
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    • pp.295-308
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    • 2002
  • Purpose: The purpose of this quasi-experimental research is to develop the CP for primary THR patients and verify its effectiveness. Method: The CP is designed for both patients and medical employees to meet the 14-day-long hospitalization with an expert and clinical validity test, and the standardized orders are also created. 21 eligible subjects for the control group(with common care plan) and 27 subjects for the experimental group(with CP service) were assigned. Data were collected from questionnaires to evaluate patients' satisfaction level of nursing care and CP, investigation of physical complications, inspection of LOS(length of hospital stay) and hospital charges from April 2000 to February 2001 at K-hospital in Daegu. The collected data were analyzed by using the SAS program. Results: After implementation of CP, there was a statistically significant reduction in mean length of stay. The hospital charges have no considerable difference between two groups. Frequency of physical complications is reduced considerably. The experimental group scored much higher than the control group on the satisfaction level toward nursing care. And in the analysis of CP satisfaction questionnaires, many subjects have high satisfaction in items of 'I see the treatment process and hospital life', 'I feel that I am participating in my treatment process with health care staff'. The analysis of variances which cause a prolonged LOS supports that it's necessary to strengthen an evaluation of pre-operative outpatients' condition and link the home nursing care system in discharge for more shortening of LOS. Conclusion: The above results show that CP can have a positive impact on satisfaction level of inpatients with primary THR and the hospital.

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스트랩다운 탐색기를 탑재한 유도탄의 안정성 해석 (Stability Analysis of Missiles with Strapdown Seeker)

  • 김태훈;박봉균;권혁훈;김윤환;탁민제
    • 한국항공우주학회지
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    • 제39권4호
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    • pp.332-340
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    • 2011
  • 스트랩다운 탐색기를 탑재한 유도탄의 경우, 비례항법 호밍유도를 위한 관성좌표계 기준 시선각속도 정보를 직접적으로 획득하지 못하기 때문에 유도탄의 자세정보와 탐색기의 지향각 정보를 활용하여 적절히 추정하여야 한다. 하지만, 시선각속도를 추정하는 방법에 따라 획득된 시선각속도 정보에 동체 자세각속도 정보가 포함되어 불필요한 피드백루프(Parasite Loop)가 형성되고, 이로 인해 유도성능이 감소하거나 전체 유도조종루프가 불안정하게 되는 현상(Parasite Effect)이 발생하기도 한다. 본 논문에서는 비례항법 호밍유도를 위한 시선각속도 정보 추정방법과 이에 따라 발생되는 Parasite Loop 원인을 살펴보며, Routh-Hurwitz 안정성 판별법을 이용하여 Parasite Effect를 최소화하는 방안을 제시하도록 한다. 또한 다양한 시뮬레이션을 통해 제안한 방법에 대해 검증하도록 한다.

Exploring the Movements of Chinese Free Independent Travelers in the U.S.: A Social Network Analysis Approach

  • Lin Li;Yoonjae Nam;Sung-Byung Yang
    • Asia pacific journal of information systems
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    • 제29권3호
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    • pp.448-467
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    • 2019
  • In a new age of smart tourism, free independent travelers (FITs) choose their travel routes in a more diversified and less predictable way with the aid of smart services. This paper focuses on the movements of Chinese outbound FITs in the U.S. in the year of 2018. 110 places to visit (destinations) extracted from 122 travel routes recommendations on Qyer.com, a major online travel community in China, are analyzed with social network analysis (SNA). Based on the results of SNA, employing degree centrality, eigenvector centrality, betweenness centrality, network visualization, and cluster diagram methods, some preferred cities and natural attractions outside city centers (i.e., New York City (NYC), Los Angeles, San Francisco, Washington D.C., and Niagara Falls) are identified. Moreover, it is found that NYC in the East and Los Angeles in the West play a major role in the movements of Chinese FITs. This study contributes to the body of knowledge on tourist destination movements and provides valuable implications for smart service development in the tourism and hospitality industry.

A Study of Los Angeles Public School Design in Identifying Community Improvement

  • Reeder, Eric D.;Park, Suh-Jun;Kim, Youngsuk
    • Architectural research
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    • 제18권4호
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    • pp.171-178
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    • 2016
  • Architectural utility in Richard Neutra's early twentieth century modern school design was paramount in progressively shaping salience of academic institutions, in part to move beyond neoclassical traditions in style based design. The intention being to address school and community through modern architectural solutions. Expanding on Neutra's practice, the planning and design of new public schools in Los Angeles, are advocating the integration of institutional and public spaces. This research will document through qualitative analysis of institutional design within transitioning neighborhoods, a utilitarian approach that has become foundational for positive urban change. The focus of this research will reflect upon contemporary schools designed by DalyGenik Architecture, Coop Himmelblau and Michael Maltzen Architecture. Comparing with Neutra's early modernist approach, the selected case studies will address material and spatial applications having redefined functional relationships of interior space, architectural envelope and an interconnected public realm. A dynamic peripheral condition in new school design has emerged with the elimination of decorative adornment, clarifying utilitarian intentions of institutional service to and the rejuvenation of public realms and community spaces.

A PRACTICAL LOOK AT MONTE CARLO VARIANCE REDUCTION METHODS IN RADIATION SHIELDING

  • Olsher Richard H.
    • Nuclear Engineering and Technology
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    • 제38권3호
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    • pp.225-230
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    • 2006
  • With the advent of inexpensive computing power over the past two decades, applications of Monte Carlo radiation transport techniques have proliferated dramatically. At Los Alamos, the Monte Carlo codes MCNP5 and MCNPX are used routinely on personal computer platforms for radiation shielding analysis and dosimetry calculations. These codes feature a rich palette of variance reduction (VR) techniques. The motivation of VR is to exchange user efficiency for computational efficiency. It has been said that a few hours of user time often reduces computational time by several orders of magnitude. Unfortunately, user time can stretch into the many hours as most VR techniques require significant user experience and intervention for proper optimization. It is the purpose of this paper to outline VR strategies, tested in practice, optimized for several common radiation shielding tasks, with the hope of reducing user setup time for similar problems. A strategy is defined in this context to mean a collection of MCNP radiation transport physics options and VR techniques that work synergistically to optimize a particular shielding task. Examples are offered in the areas of source definition, skyshine, streaming, and transmission.

2.4GHz ISM 대역에서 IEEE 802.11b 기반의 무선랜과 RF 전구의 전파간섭 분석 (Analysis of Radio Interference between RF Lighting Device and IEEE 802.11b WLAN)

  • 박진아;박승근
    • 전자통신동향분석
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    • 제21권6호통권102호
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    • pp.202-211
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    • 2006
  • 본 논문에서는 2.4GHz 마그네트론을 이용하는 RF 전구에 대하여 동 대역을 사용하는IEEE 802.11b 기반의 무선랜과 전파간섭을 분석하였다. RF 전구가 무선랜에 미치는 전파간섭을 분석한 결과, LOS 환경(무선랜 수신전력 -63dBm/MHz)에서는 무선랜 채널 9, 10에 약 1~2Mbps의 전송속도 저하를 유발하였으며, Non-LOS 환경(무선랜 수신전력 -78dBm/MHz)에서는 무선랜 채널 6-11번에 통화절단 현상을 야기하였다. 그러나, RF 전구 수에 따른 간섭전력의 누적효과는 없는 것으로 나타났다.

슬관절 전치환술 후의 물리치료 (Physical Therapy After Total Knee Replacement (A Comparison of Two Physical Therapy Techniques))

  • 장문헌;고주연
    • 대한물리치료과학회지
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    • 제5권4호
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    • pp.809-816
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    • 1998
  • This study was conducted to evaluated the effects adding continuous passive motion(CPM) each day to the entire postoperative program of patients who received a total knee replacement(TKR). A retrospective chart review was completed for 31 patients(12 with bilateral involvement, totaling 44 knees)who received a TKR between 1996 and 1998. The data analysis compared the following variables for 28 patients who received CPM and 16 patients who received no CPM: the length of hospital stay(LOS), the frequency of postoperative complications, the number of post-operative days(PODs) range of motion (ROM). The CPM Group showed significant decreases in the frequency of complication(p<0.05), the LOS(p < 0.05), and No difference was demonstrated in the ROM of the two groups. We concluded that CPM was an effective adjunct to physical therapy care of patients undergoing total knee replacement.

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전자광학추적장비의 좌표추적기 구현 및 헬리콥터 탑재 레이더 연동시험에 관한 연구 (An Experimental Study on Coordinates Tracker Realization for EOTS Slaved to the Radar of a Helicopter)

  • 정슬;박주광
    • 제어로봇시스템학회논문지
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    • 제11권4호
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    • pp.369-377
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    • 2005
  • This paper describes the realization of a coordinates tracking algorithm for an EOTS (Electro-Optical Tracking System). The EOTS stabilizes the image sensors, tracks targets automatically, and provides navigation capability for vehicles. The coordinates tracking algorithm calculates the azimuth and the elevation angle of an EOTS using the inertial navigation system and the attitude sensors of the vehicle, so that LOS designates the target coordinates which are generated by a Radar. In the error analysis, the unexpected behaviors of an EOTS due to the time delay and deadbeat of the digital signals of the vehicle equipments are anticipated and the countermeasures are suggested. The application of this algorithm to an EOTS will improve the operational capability by reducing the time which is required to find the target and support flight especially in the night time flight and the poor weather condition.