• Title/Summary/Keyword: LOS system

Search Result 352, Processing Time 0.021 seconds

Hospital-Acquired Pressure Injury: Clinical Characteristics and Outcomes in Critical Care

  • Hyun, Sookyung;Moffatt-Bruce, Susan;Newton, Cheryl;Hixon, Brenda
    • International Journal of Advanced Culture Technology
    • /
    • v.7 no.2
    • /
    • pp.28-33
    • /
    • 2019
  • Electronic health records (EHRs) enable us to use and re-use electronic data for various multiple purposes, such as public reporting, quality improvement, and patient outcomes research. Current hospital-acquired pressure injury (HAPI) risk assessment instruments have not been specifically developed for intensive care unit (ICU) patients and showed false positive rates in this specific populations. Previous research studies report a number of risk factors; however, it is still not clear what factors influence ICU HAPI in this population. As part of a larger research study, we performed an exploratory analysis by using a large electronic health record data. The aims of this study were to compare characteristics of patients who developed HAPIs during their ICU stay with those who did not, and to determine whether the two groups were different in the aspects of length of ICU stay, discharge disposition, and discharge destinations. We conducted chi-square test and t-test for group comparison. Association was examined by using bivariate analyses. Pearson correlation coefficients were used to examine correlation between LOS and number of medications. Our findings suggest a number of consistent and potentially modifiable risk factors, such as sedation, feeding tubes, and the number of medications administered. The mortality of the HAPI group was significantly higher than the non-HAPI group in our data. Discharge disposition was significantly different between the groups. 67% of the HAPI group transferred to intermediate or long-term care hospitals whereas 57.7% of the non-HAPI group went home after discharge. Awareness of these risk factors can lead to clinical interventions that can be preventative in the ICU setting.

Level of Service Evaluation of Pedestrian Road Using Micro-Simulation (미시적 교통 시뮬레이션을 활용한 보행자도로 서비스 수준 평가)

  • Park, Soon Yong;Cho, Hyerim;Cho, Ga Young;Yun, Ilsoo
    • The Journal of The Korea Institute of Intelligent Transport Systems
    • /
    • v.19 no.6
    • /
    • pp.26-36
    • /
    • 2020
  • The use of existing macroscopic research of pedestrian behavior on the walking link as data is limited in determining an individual pedestrian's moving route and the level of service. In macroscopic studies, it is difficult to make quantitative indices, such as pedestrian flow rate, occupied space, density, and speed for determining the level of service on pedestrian roads. Therefore, the microscopic pedestrian route is required to establish appropriate pedestrian policies. In this study, the Yeok-Sam subway station network was examined using a micro-simulation VISSIM, which was then calibrated and validated statistically. The Pedestrian Road's Level of Service of Yeok-Sam subway station area was evaluated using the pedestrian speed as the evaluating index on the Korean highway capacity handbook.

Physical, Mechanical and Durability Properties of the Quartzite Units of Central Nepal Lesser Himalaya

  • Dinesh Raj Sharma;Naresh Kazi Tamrakar;Upendra Baral
    • The Journal of Engineering Geology
    • /
    • v.34 no.1
    • /
    • pp.67-105
    • /
    • 2024
  • This study compares the quartzites of four quartzite units: The Fagfog Quartzite, Dunga Quartzite (member of the Robang Formation), Pandrang Quartzite (member of the Kalitar Formation) and the Chisapani Quartzite. The analysis shows variations in flakiness and elongation, as the Fagfog Quartzite displays low flakiness whereas the Pandrang and the Chisapani have moderate and the Dunga Quartzite has shown variations. The density values of the four quartzite units remain consistent, indicating uniform physical properties and porosity levels. However, bulk density values differ among the quartzites, suggesting variations in particle arrangement, porosity, and density. Regarding strength measures, the Pandrang and the Chisapani Quartzite have higher strength characteristics as compared to the Fagfog and the Dunga Quartzites. The Pandrang Quartzite has the highest average point load strength index, classifying it as "Extremely Strong". The resistance to impact and crushing forces varies among the quartzites, with lower Aggregate Impact Value (AIV) and Aggregate Crushing Value (ACV) indicating higher strength and durability. Durability tests show that the Fagfog Quartzite has high durability against slaking, with a slight decrease observed after the fifth cycle. The Dunga Quartzite shows varying degrees of weathering, while the Pandrang and the Chisapani Quartzite have minimal weight changes, indicating strong resistance to weathering. Magnesium sulfate soundness tests indicate high durability and resistance to degradation for all four units. The Los Angeles abrasion value (LAAV) tests indicate favorable resistance to abrasion for the majority of the Fagfog, Dunga, and the Pandrang Quartzites samples, while Chisapani Quartzite shows more variability in LAAV values. The Pandrang Quartzite shows a higher proportion of elongated particles but lower flakiness index values as compared to Fagfog and Dunga Quartzites while Chisapani Quartzite stands out with a significantly higher presence of flaky particles and lower elongation index values. Mechanically, the Fagfog and Dunga Quartzite show higher strength and better resistance to abrasion and freeze and thaw. The Pandrang Quartzite shows moderate resistance to crushing and sudden effect, while the Chisapani Quartzite has variable resistance to effect. This comparative study emphasizes the diversity and complexity of quartzite rock types, showing the need for comprehensive characterization and assessment to determine their suitability for specific applications.

A Study on the Development of Diagnosing System of Defects on Surface of Inner Overlay Welding of Long Pipes using Liquid Penetrant Test (PT를 이용한 파이프내면 육성용접부 표면결함 진단시스템 개발에 관한 연구)

  • Lho, Tae-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.19 no.10
    • /
    • pp.121-127
    • /
    • 2018
  • A system for diagnosing surface defects of long and large pipe inner overlay welds, 1m in diameter and 6m in length, was developed using a Liquid Penetrant Test (PT). First, CATIA was used to model all major units and PT machines in 3-dimensions. They were used for structural strength analysis and strain analysis, and to check the motion interference phenomenon of each unit to produce two-dimensional production drawings. Structural strength analysis and deformation analysis using the ANSYS results in a maximum equivalent stress of 44.901 MPa, which is less than the yield tensile strength of SS400 (200 MPa), a material of the PT Machine. An examination of the performance of the developed equipment revealed a maximum travel speed of 7.2 m/min., maximum rotational speed of 9 rpm, repeatable position accuracy of 1.2 mm, and inspection speed of $1.65m^2/min$. The results of the automatic PT-inspection system developed to check for surface defects, such as cracks, porosity, and undercut, were in accordance with the method of ASME SEC. V&VIII. In addition, the results of corrosion testing of the overlay weld layer in accordance with the ferric chloride fitting test by the method of ASME G48-11 indicated that the weight loss was $0.3g/m^2$, and met the specifications. Furthermore, the chemical composition of the overlay welds was analyzed according to the method described in ASTM A375-14, and all components met the specifications.

Analyzing the Characteristics of Sea Ice Initial Conditions for a Global Ocean and Sea Ice Prediction System, the NEMO-CICE/NEMOVAR over the Arctic Region (전지구 해양·해빙예측시스템 NEMO-CICE/NEMOVAR의 북극 영역 해빙초기조건 특성 분석)

  • Ahn, Joong-Bae;Lee, Su-Bong
    • Journal of the Korean earth science society
    • /
    • v.36 no.1
    • /
    • pp.82-89
    • /
    • 2015
  • In this study, the characteristics of sea ice initial conditions generated from a global ocean and sea ice prediction system, the Nucleus for European Modeling of the Ocean (NEMO) - Los Alamos Sea Ice Model (CICE)/NEMOVAR were analyzed for the period June 2013 to May 2014 over the Arctic region. For the purpose, the observed and reanalyzed data were used to compare with the sea ice initial conditions. Results indicated that the variability of the monthly sea ice extent and thickness in model initial conditions were well represented as compared to the observation, while it was found that the extent and thickness of Arctic sea ice in initial data were narrower and thinner than those in reanalysis and observation for the period. The reason for the narrower sea ice extent in model initial conditions seems to be due to the fact that the initial sea ice concentration at the boundary area of sea ice was about 20 percent less than the reanalysis data. Also, the reason for the thinner sea-ice thickness in the Arctic region is due to the underestimation of Arctic sea ice thickness (about 60 cm) of the model initial conditions in the Arctic Ocean area adjacent to Greenland and Arctic archipelago where thick sea ice appears all the year round.

Study on the Measurement System for MIMO Channel Considering Urban Environment at Microwave Frequencies (도심 환경을 고려한 마이크로파 대역 MIMO 전파 채널 측정 시스템에 관한 연구)

  • Lim, Jae-Woo;Kwon, Se-Woong;Moon, Hyun-Wook;Park, Yoon-Hyun;Yoon, Young-Joong;Yook, Jong-Gwan;Jeong, Jin-Soub;Kim, Jong-Ho
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
    • /
    • v.18 no.10
    • /
    • pp.1142-1149
    • /
    • 2007
  • In this paper, the development of wideband MIMO channel sounder and a pilot measurement result is described for research on the multi antenna radio propagation characteristics considering urban environment at microwave frequencies. We developed $4{\times}4$ MIMO(BW:100 MHz) channel sounder using the high speed switching mechanism and periodic pseudo random binary signals method considering next generation mobile communication system. A pilot measurement campaign at the urban area of Bundang is presented for confirmation of system performance. From the analysis of measurement data, wideband path loss exponent of 3.7 and 8 GHz band is 1.79 and 1.76. Average RMS delay spread is 200 ns and 42 ns respectively. From the experiment results, operation of this measurement system is confirmed considering research for a coverage, SNR and channel capacity in urban environment at microwave frequencies.

Performance Analysis of Interference Cancellation Algorithms for an FM Based PCL System (FM 신호 기반 PCL 시스템에서 간섭 신호 제거 알고리즘의 성능 분석)

  • Park, Geun-Ho;Kim, Dong-Gyu;Kim, Ho Jae;Park, Jin-Oh;Lee, Won-Jin;Ko, Jae Heon;Kim, Hyoung-Nam
    • The Journal of Korean Institute of Communications and Information Sciences
    • /
    • v.42 no.4
    • /
    • pp.819-830
    • /
    • 2017
  • An FM radio based PCL system is a passive radar technique for detecting the multiple moving targets from FM radio signals and tracking the trajectories of the targets by calculating the cross-correlation function of direct-path signal and target echo signals. However, the interference signals are received from a surveillance channel, which is designed to receive the target echo signals. Because of this problem, the target echo signals are masked by the strong interference signals and this makes it difficult to detect the true targets from the cross-correlation function. Adaptive filters are known as effective methods for suppressing the interference signals but there is a problem to present their accurate performances in the PCL system because many literatures used the cross-correlation function and the ratio of input and output power as a measure of the performance analysis. In this paper, a performance analysis method is proposed to evaluate the performance of interference cancellation algorithms. By using the property that each component of the filter weight vector is adjusted to suppress the specific interference signal, a performance measure of the interference signal suppression is defined by a function of adaptive filter weights. Based on the proposed method, we compare the performance of the adaptive filters used in the PCL system. Simulation results show that the proposed method can be very effective for evaluating the performance of interference cancellation algorithms.

Unified Design Methodology and Verification Platform for Giga-scale System on Chip (기가 스케일 SoC를 위한 통합 설계 방법론 및 검증 플랫폼)

  • Kim, Jeong-Hun
    • Journal of the Institute of Electronics Engineers of Korea SD
    • /
    • v.47 no.2
    • /
    • pp.106-114
    • /
    • 2010
  • We proposed an unified design methodology and verification platform for giga-scale System on Chip (SoC). According to the growth of VLSI integration, the existing RTL design methodology has a limitation of a production gap because a design complexity increases. A verification methodology need an evolution to overcome a verification gap. The proposed platform includes a high level synthesis, and we develop a power-aware verification platform for low power design and verification automation using it's results. We developed a verification automation and power-aware verification methodology based on control and data flow graph (CDFG) and an abstract level language and RTL. The verification platform includes self-checking and the coverage driven verification methodology. Especially, the number of the random vector decreases minimum 5.75 times with the constrained random vector algorithm which is developed for the power-aware verification. This platform can verify a low power design with a general logic simulator using a power and power cell modeling method. This unified design and verification platform allow automatically to verify, design and synthesis the giga-scale design from the system level to RTL level in the whole design flow.

The treatment of an edentulous patient with DENTCA$^{TM}$ CAD/CAM Denture (CAD/CAM Denture를 이용한 완전 무치악 환자 수복 증례)

  • Park, Joon-Ho;Cho, In-Ho;Shin, Soo-Yeon;Choi, Yu-Sung
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.53 no.1
    • /
    • pp.19-25
    • /
    • 2015
  • Nowadays, CAD/CAM is broadly used in dentistry for inlays, crowns, implant abutments and its spectrum is expanding to complete dentures. Utilizing CAD/CAM to fabricate complete dentures is expected to decrease chair time and the number of visits, thus decreasing total fabrication time, expenses and errors caused during fabrication processes. One of the systems using CAD/CAM, DENTCA$^{TM}$ CAD/CAM denture (DENTCA Inc. Los Angeles, USA) scans edentulous impressions, designs dentures digitally, fabricates try-in dentures by 3D printing and converts them into final dentures. Patients can wear final dentures after only 2 - 3 visits with satisfying adaptation. This case report introduces a 71-year-old male patient who visited to consult remaking of existing old dentures. Residual teeth with bad prognosis and root remnants were extracted and the patient used reformed existing mandibular denture for 2 months. And then DENTCA system started. One-step border molding was done using conventional tray of adequate size provided by DENTCA system and wash impression was taken. Gothic arch tracing was completed based on the vertical dimension of existing dentures. Both maxillary and mandibular trays were placed to the resultant centric relation and bite registration was taken. Then DENTCA scanned the bite registration, arranged the teeth, completed the festooning and fabricated the try-in dentures by 3D printing. The try-in dentures were positioned, occlusal plane and occlusal relations were evaluated. The try-in dentures were converted to final dentures. To create bilateral balanced occlusion, occlusal adjustment was done after clinical remounting using facebow transfer. The result was satisfactory and it was confirmed by patient and operator.

A development of DS/CDMA MODEM architecture and its implementation (DS/CDMA 모뎀 구조와 ASIC Chip Set 개발)

  • 김제우;박종현;김석중;심복태;이홍직
    • The Journal of Korean Institute of Communications and Information Sciences
    • /
    • v.22 no.6
    • /
    • pp.1210-1230
    • /
    • 1997
  • In this paper, we suggest an architecture of DS/CDMA tranceiver composed of one pilot channel used as reference and multiple traffic channels. The pilot channel-an unmodulated PN code-is used as the reference signal for synchronization of PN code and data demondulation. The coherent demodulation architecture is also exploited for the reverse link as well as for the forward link. Here are the characteristics of the suggested DS/CDMA system. First, we suggest an interlaced quadrature spreading(IQS) method. In this method, the PN coe for I-phase 1st channel is used for Q-phase 2nd channels and the PN code for Q-phase 1st channel is used for I-phase 2nd channel, and so on-which is quite different from the eisting spreading schemes of DS/CDMA systems, such as IS-95 digital CDMA cellular or W-CDMA for PCS. By doing IQS spreading, we can drastically reduce the zero crossing rate of the RF signals. Second, we introduce an adaptive threshold setting for the synchronization of PN code, an initial acquistion method that uses a single PN code generator and reduces the acquistion time by a half compared the existing ones, and exploit the state machines to reduce the reacquistion time Third, various kinds of functions, such as automatic frequency control(AFC), automatic level control(ALC), bit-error-rate(BER) estimator, and spectral shaping for reducing the adjacent channel interference, are introduced to improve the system performance. Fourth, we designed and implemented the DS/CDMA MODEM to be used for variable transmission rate applications-from 16Kbps to 1.024Mbps. We developed and confirmed the DS/CDMA MODEM architecture through mathematical analysis and various kind of simulations. The ASIC design was done using VHDL coding and synthesis. To cope with several different kinds of applications, we developed transmitter and receiver ASICs separately. While a single transmitter or receiver ASC contains three channels (one for the pilot and the others for the traffic channels), by combining several transmitter ASICs, we can expand the number of channels up to 64. The ASICs are now under use for implementing a line-of-sight (LOS) radio equipment.

  • PDF