• Title/Summary/Keyword: LOS system

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The Variation of Factors of severity-adjusted length of stay(LOS) in acute stroke patients (급성 뇌졸중 환자의 중증도 보정 재원일수 변이에 관한 연구)

  • Kang, Sung-Hong;Seok, Hyang-Sook;Kim, Won-Joong
    • Journal of Digital Convergence
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    • v.11 no.6
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    • pp.221-233
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    • 2013
  • This study aims to develop the severity-adjusted length of stay(LOS) model for acute stroke patients using data from the hospital discharge survey and propose management of length of stay(LOS) for acute stroke patients and using for Hospital management. The dataset was taken from 23,134 database of the hospital discharge survey from 2004 to 2009. The severity-adjusted LOS model for the acute stroke patients was developed by data mining analysis. From decision making tree model, the main reasons for LOS of acute stroke patients were acute stroke type. The difference between severity-adjusted LOS from the decision making tree model and real LOS was compared and it was confirmed that insurance type and bed number of hospital, location of hospital were statistically associated with LOS. And to conclude, hospitals should manage the LOS of acute stroke patients applying it into the medical information system.

A study on the trend in the length of hospital stay in Korea (우리나라 병원의 평균재원기간의 추이)

  • Cho, Woo-Hyun;Chun, Ki-Hong;Kang, Im-Ok
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.1 s.52
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    • pp.51-65
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    • 1996
  • The purpose of this study was to examine the trends of length of hospital stay (LOS), which is most likely to be a major attribute to hospital performance. From 1984 to 1994, an average LOS of each hospital was analyzed by factors such as medical departments, bed size, occupancy rate, region and ownership. This study was analyzed changing rate of LOS during 11 years. This rate was calculated by simple regression, which was used only with hospital without missing data during 11 years. This study findings are as follows. 1. The results indicated that the average LOS was steadily increased until 1990 but it was slightly decreased after 1990. 2. This trend could be found in all hospital scale and all group of occupancy rate. Specifically this trends of LOS were found in internal medicine, corporate owned hospitals, and hospitals in major city. But LOS of individual owned hospital was continuously increased until 1994. 3. Means of changing rates of LOS were calculated from 1984 to 1994. If we devided it into two parts, before 1990 and after 1990, most changing rates of LOS before 1990 except individual owned hospital were found positive sign. The changing rates after 1990 were negative sign but small hospital(lesser then 200 bed), individual owned hospital, national & public hospital and hospital in small urban have little change of LOS after 1990. Finally from this results we thought that most hospitals in Korea began to be concerned with LOS. Nevertheless LOS of several hospital such as small hospital or individual owned hospital was increased. And this trend may be caused by a few patients, low occupancy rate, or low profit. This trend of LOS is different from that of other countries. Perhaps this phenomenon is resulted from the reimbursement method. Because of fee for service reimbursement system in Korea the hospitals didn't need to shorten LOS in order to save the cost and increase the profit. Therefore reform of hospital cost reimbursement method will be needed to reduce hospital cost in Korea. We thought that the Korean health authority should consider the reimbursement method by unit of bundle of services, for example DRG and prepayment in the United States. This study presents some limitations such as no insight of severity of disease, case-mix measurement of hospital, and other clinical characteristics that can. possibly affect LOS. However, this study reports an important trend in LOS from 1984 to 1994.

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Design and performance validation of a wireless sensing unit for structural monitoring applications

  • Lynch, Jerome Peter;Law, Kincho H.;Kiremidjian, Anne S.;Carryer, Ed;Farrar, Charles R.;Sohn, Hoon;Allen, David W.;Nadler, Brett;Wait, Jeannette R.
    • Structural Engineering and Mechanics
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    • v.17 no.3_4
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    • pp.393-408
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    • 2004
  • There exists a clear need to monitor the performance of civil structures over their operational lives. Current commercial monitoring systems suffer from various technological and economic limitations that prevent their widespread adoption. The wires used to route measurements from system sensors to the centralized data server represent one of the greatest limitations since they are physically vulnerable and expensive from an installation and maintenance standpoint. In lieu of cables, the introduction of low-cost wireless communications is proposed. The result is the design of a prototype wireless sensing unit that can serve as the fundamental building block of wireless modular monitoring systems (WiMMS). An additional feature of the wireless sensing unit is the incorporation of computational power in the form of state-of-art microcontrollers. The prototype unit is validated with a series of laboratory and field tests. The Alamosa Canyon Bridge is employed to serve as a full-scale benchmark structure to validate the performance of the wireless sensing unit in the field. A traditional cable-based monitoring system is installed in parallel with the wireless sensing units for performance comparison.

A Comparative Study of risk based LOS(Level of service) of the Regional Water Supply (자산관리 상수도분야 리스크 기반 서비스수준)

  • Cho, Inuh;Lee, Youngjai
    • Journal of Korean Society of Water and Wastewater
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    • v.29 no.3
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    • pp.305-317
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    • 2015
  • The function failure of present major facilities is likely to lead to failure of related systems and/or whole facilities, increasing the necessity for protection of infrastructures, main structures, and major industrial facilities. In addition, safe and efficient management for urban infrastructure (waterworks and sewerage facilities, electricity, telecommunications, roads, etc) installed in the basement or on large cities grounds at various public areas is required. Recently in response to this demand, efforts for vitalizing asset management are being made such as enacting related laws and developing asset management system in the U.S., Australia, Europe and other advanced countries with the concept for a new maintenance. In our county, identifying maintenance system problems such as aging and rapid increasing of existing infrastructures and decision-making about updating maintenance is required for systematic and organizational maintenance. In this study, by comparing and observing the LOS(Level of Service) of each countries' waterworks and risk-based LOS, we suggest the direction of future urban water infrastructure management systems for more effective management.

Experimental analysis of frequency reallocation to FM broadcasting link system for effective use in 900 MHz band (900MHz 대역의 효율적 이용을 위한 FM 방송 링크 시스템 주파수의 재배치에 대한 실험적 분석)

  • Lee, Joo-Hwan;Suh, Kyoung-Whoan
    • Journal of Broadcast Engineering
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    • v.15 no.1
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    • pp.99-111
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    • 2010
  • In this paper as a follow-up to Paper I, the required fade margin derived in Paper I to preserve the same service quality has been examined by analyzing system and propagation characteristics as well as measured data. The comparison of the fade margin between simulated and measured results is also performed for the actual operating line-of-sight(LOS) and non-LOS links, and practical usefulness as an analysis tool is revealed by checking service quality of M/W system relevant to frequency reallocation. According to simulated and measured results, there was a little difference for LOS link between Mt. Moodung and Mt. Mangun, but a fairly good agreement was reached for non-LOS link between Andong KBS and transmitter site.

Estimation of a Level of Service and Cost of Service Function for Road Pavements for Performance Management in the Public Sector (공공부문 성과관리를 위한 도로포장의 서비스수준과 서비스비용 함수 추정)

  • HAN, Daeseok;LEE, Suhyung;LEE, Sang Hyuk;YOO, In-kyoon
    • International Journal of Highway Engineering
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    • v.18 no.4
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    • pp.9-18
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    • 2016
  • PURPOSES : This study aimed to evaluate the performance of pavement management works and to develop a function for estimating the level of service (LOS) and cost of service (COS) for the systematic and quantitative management of pavement performance in the public sector. METHODS : The International Roughness Index (IRI) was used as the performance index for pavement management. Long-term pavement performance data for a period of 7 years (2007-2014) collected by the National Highway Pavement Management System and historical maintenance budget data published by the South Korean government were used to develop the LOS-COS function. Based on the function, a model for estimating the appropriate budget as well as the network conditions was suggested. RESULTS : There was high degree of correlation between pavement performance and the investment level (R = - 0.74). The developed LOS-COS function suggested that the unit cost to improve the network IRI to 1 m/km was 32.6 billion KRW. Further, the maintenance costs normalized with respect to the LOS levels were LOS-A = 88.2 billion KRW, LOS-B = 55.6 billion KRW, and LOS-C = 23.0 billion KRW. CONCLUSIONS : This study proposes a simple way of developing a LOS-COS function. It also shows how to develop a network budget demand and condition estimation model using the LOS-COS function. In addition, it is the first attempt to evaluate the road maintenance budget in South Korea. It is expected that these results will help in the negotiations between the road managers and budget makers.

Neuro-genetic controller design of the line of sight system (유전알고리듬에 의한 조준경 시스템의 신경망제어기 설계)

  • 이승수;장준오;전기준
    • 제어로봇시스템학회:학술대회논문집
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    • 1996.10b
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    • pp.956-959
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    • 1996
  • In this study, we propose a neuro-genetic controller combined with a linear controller in parallel to improve the tracking performance of the Line of Sight(LOS) stabilization system and reject the effect of disturbances. A Genetic Algorithm(GA) is used to optimize weights of the neuro-genetic controller since this algorithm can search a global minimum without derivatives or other auxiliary knowledge. The LOS system is very complex and has limited measurable output data. Under these specific circumstances GA solves many problems that other training methods have. Computer simulation results show that the, proposed controller makes better tracking response and rejection of disturbance than a linear controller.

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Effect of Induced Leg Length Discrepancy on the Limitation of Stability and Static Postural Balance (유도된 다리길이 차이가 안정성한계와 정적 자세균형에 미치는 영향)

  • Han, Jin-Tae
    • PNF and Movement
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    • v.16 no.2
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    • pp.267-273
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    • 2018
  • Purpose: Leg length discrepancy (LLD) is one of the risk factors for postural imbalance. This study aimed to investigate the effect of induced leg length discrepancy on the limitation of stability (LOS) and static postural balance. Methods: Thirteen adults (males, 7; females 6) participated in this study. The LOS and static postural balance [sway length, sway area, and sway velocity of center of gravity (COG) displacement] were measured by the balance trainer system. The subjects were asked to move the COG for the anterior, posterior, and left and right directions maximally and to keep standing on the platform with and without induced LLD for 30 s in the open and closed eyes conditions, respectively. The LLD was artificially induced to 2 cm using insole. Wilcoxon test was used to compare the LOS and the static postural balance between with and without induced LLD. Results: The anterior and posterior LOS significantly decreased in induced LLD (p<0.05), and the left and right LOS were not significantly different between with and without LLD (p>0.05). Sway length, sway area, and sway velocity of the COG displacement significantly decreased in induced LLD (p<0.05). Conclusion: This study suggests that induced LLD could decease the antero-posterior LOS and increased the static postural balance. Therefore, the LLD could disturb the postural balance.

Non-Contact Line-of-sight Detection using Color Contact Lens for Man-Machine Interface

  • Nishiuchi, Nobuyuki;Kurihara, Kenzo;Takada, Hajime
    • 제어로봇시스템학회:학술대회논문집
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    • 1998.10a
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    • pp.391-394
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    • 1998
  • The man-machine interface Is an important factor in the computer system, and it is thought that line-of-sight (LOS) detection technology will allow significant advances in this field. Techniques for detecting LOS for use in human interfaces have been studied[1][2]. In earlier studies, however, LOS was detected with a head piece, goggles, or through fixing the position of the head. The limitations imposed by these fixed conditions render them unsuitable far use in interfaces, as they have adverse mental or physical effects on humans. Therefore. they have not been sufficiently developed for practical application. Research on non-contact LOS detection is expected to result in a usable LOS man-machine interface[3][4], and the current study is intended to be a step in that direction. The authors used color contact lenses for LOS detection, and applied this new method to a computer interface. The use of color contact lenses simplifies image processing. The algorithm used in this study is sufficiently accurate for practical applications. This technique can be used in input devices, in virtual reality applications, and in human engineering research.

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Stabilization of elevation for gunner primary sight using variable structure control (가변구조제어에 의한 조준경 고각 안정화)

  • 김중완;이정규;김주상;이만형
    • 제어로봇시스템학회:학술대회논문집
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    • 1990.10a
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    • pp.643-647
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    • 1990
  • Gunner primary sight(GPS) stabilization system lays line of sight(LOS) to find out a target and transmits informations to the fire control system (FCS). In a moving vehicle, accuracy of LOS and FCS depends on the design of GPS and servomechanism system. The heavy vibration of vehicle on the severe off-road environment degenerates the stabilization capability of GPS. In this study, to stabilize of elevation for GPS using the variable structure control, we derived the dynamic equation of GPS system and designed the variable structure controller. Computer simulation results fulfilled the static and dynamic stability of GPS using the variable structure control.

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