• 제목/요약/키워드: Mean Center

검색결과 6,929건 처리시간 0.032초

가천대학교 길병원 권역외상센터 3개년 내원 환자 및 치료 경험 분석(2011~2013) (Three-year Analysis of Patients and Treatment Experiences in the Regional Trauma Center of Gachon University Gil Hospital between 2011 and 2013)

  • 윤용철;이정남;정민;전양빈;박재정;유병철;이길재;조현진;마대성;이민아;최정주;손성
    • Journal of Trauma and Injury
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    • 제27권4호
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    • pp.170-177
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    • 2014
  • Purpose: The first regional trauma center selected in Korea was the Gachon University Gil hospital regional trauma center; expectation on its role has been high because of its location in the Seoul metropolitan region. To determine if those expectations are being met, we analyzed the patients visiting the center and their treatment experiences for the past 3 years in order to propose a standard for the operation of a trauma center. Methods: The visiting route, visiting methods, performance of emergency surgery, the ward and the length of stay, the injury mechanism, the injury severity score (ISS), the department that managed the surgery, and the cause of death were analyzed for 367 patients visiting the center from its establishment in June 2011 through December 2013. Results: The mean age of the patients was 47 years (285 male and 82 female patients). A total of 187 patients directly visited the center whereas 180 were transferred to the center. Traffic accidents comprised the majority of injury mechanisms, and 178 patients underwent emergency surgery. The mean length of stay per patient was 11 days for those in the ICU and 27 days for those in a general ward. These patients occupied 4 beds in the ICU and 10 beds in the general ward per day. A total of 1.21 surgeries were performed per patient, and the mean number of surgeries performed per day was 0.49. The mean ISS was 15.91, and 183 patients (50%) had an ISS of ${\geq}16$. Thirty-one patients died; they had a mean ISS of 28.42. The most frequent cause of death was multi-organ failure. The mean number of treatment consultations during a patient's stay was 6.32. Forty-five patients (13%) were discharged from the center, and 291 (79%) were transferred to another hospital. Conclusion: A systematic approach to establishing a treatment model for trauma patients, including injury mechanism, multidisciplinary treatment, and trauma surgeon intervention, is required for treating trauma patients.

Applying Novel Mean Residual Life Confidence Intervals

  • Guess, F.M.;Steele, J.C.;Young, T.M.;Leon, R.V.
    • International Journal of Reliability and Applications
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    • 제7권2호
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    • pp.177-186
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    • 2006
  • Typical confidence intervals for a mean or mean residual life (MRL) are centered about the mean or mean residual life. We discuss novel confidence intervals that produce statements like "we are 95% confident that the MRL function, e(t), is greater than a prespecified $\mu_o$ for all t in the interval [0, $\hat{\theta})$)" where $\hat{\theta}$ is determined from the sample data, confidence level, and $\mu_o$. Also, we can have statements like 'we are 95% confident that the MRL of population 1, namely $e_1$(t), is greater than the MRL of population 2, $e_2$(t), for all t in the interval [0, $\hat{\theta}$)" where $\hat{\theta}$ is determined from the sample data and confidence level. We illustrate these one and two sample confidence intervals on internal bonds (tensile strengths) for an important modem engineered wood product, called medium density fiberboard (MDF), used internationally.

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산술 평균에 대한 예비교사들의 개념화 분석 (Pre-service Teachers' Conceptualization of Arithmetic Mean)

  • 주홍연;김경미;황우형
    • 한국수학교육학회지시리즈A:수학교육
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    • 제49권2호
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    • pp.199-221
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    • 2010
  • The purpose of the study were to investigate how secondary pre-service teachers conceptualize arithmetic mean and how their conceptualization was formed for solving the problems involving arithmetic mean. As a result, pre-service teachers' conceptualization of arithmetic mean was categorized into conceptualization by "mathematical knowledge(mathematical procedural knowledge, mathematical conceptual knowledge)", "analog knowledge(fair-share, center-of-balance)", and "statistical knowledge". Most pre-service teachers conceptualized the arithmetic mean using mathematical procedural knowledge which involves the rules, algorithm, and procedures of calculating the mean. There were a few pre-service teachers who used analog or statistical knowledge to conceptualize the arithmetic mean, respectively. Finally, we identified the relationship between problem types and conceptualization of arithmetic mean.

Using Mean Residual Life Functions for Unique Insights into Strengths of Materials Data

  • Guess Frank M.;Zhang Xin;Young Timothy M.;Leon Ramon V.
    • International Journal of Reliability and Applications
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    • 제6권2호
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    • pp.79-85
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    • 2005
  • We show how comparative mean residual life functions (MRL) can be used to give unique insights into strengths of materials data. Recall that Weibull's original reliability function was developed studying and fitting strengths for various materials. This creative comparing of MRL functions approach can be used for regular life data or any time to response data. We apply graphical MRL's to real data from tests of tensile strength of high quality engineered wood.

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Non-zero Mean Noise에 의한 Signal의 Boost-up 및 Drag-down을 Correction하기 위한 연구 (Correction Method for Signal Boost-up or Drag-down Caused by Non-zero Mean Noise)

  • 임나리;김일도;최병선;박상규
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2007년도 하계종합학술대회 논문집
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    • pp.229-230
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    • 2007
  • 카메라 시스템에서 일반적인 Noise Reduction방법은 Noise간에 서로 Correlation이 없고 Independent한 White Noise이며, Zero Mean Noise라는 가정 하에 설계된 것이다. 본 논문에서는, 실제 Non-zero Mean Noise 현상을 규명하고, 이에 의해 발생한 Low Level Signal의 Boost-up 및 High Level Signal의 Drag-down을 Correction하여 화질을 개선하기 위한 방안을 제안한다.

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부산시내 지하생활권의 공기오염도와 온열인자에 관한 조사연구 (A Study on Air Pollution and Thermal Factors in Underground Shopping Center of Pusan Area)

  • 최성용;문덕환;이종태;송인혁;이채언;이승민
    • Journal of Preventive Medicine and Public Health
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    • 제27권3호
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    • pp.505-516
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    • 1994
  • For the purpose of preparing the fundamental data on air pollution in underground shopping center and also contributing to the health improvement of residents, the authors measured the level of $SO_2,\;NO_2,\;TSP,\;CO,\;CO_2$ and also some related factors as air temperature, air movement, relative humidity and mean radiation temperature at inside and outside of underground shopping center in Pusan from January to February and from July to August 1994. The results were as follows : 1. The mean concentration of CO within the underground shopping center was $3.1{\pm}1.3ppm$ in winter and $2.1{\pm}0.9ppm$ in summer. There was a negative correlation (p<0.01) between inner CO concentration and temperature in summer and no correlation between inner CO concentration and outer CO concentration in underground shopping center 2. The mean concentration of COE within the underground shopping center was $876{\pm}353ppm$ in winter and $757{\pm}125ppm$ in summer. There was a negative correlation (p<0.01) between inner $CO_2$ concentration and air movement in summer and positive correlation (p<0.05) between inner $CO_2$ concentration and outer $CO_2$ concentration in underground shopping center. 3. The mean concentration of $SO_2$ within a underground shopping center was $0.036{\pm}0.019ppm$ in winter and $0.040{\pm}0.013ppm$ in summer. There was a positive correlation(p<0.01) between inner $SO_2$ concentration and temperature in summer and positive correlation between inner $SO_2$ concentration and outer $SO_2$ concentration in summer and winter in underground shopping center. 4. The mean concentration of $NO_2$ within a underground shopping center was $0.052{\pm}0.038ppm$ in winter and $0.042{\pm}0.016ppm$ in summer. There was a no correlation between inner $SO_2$ concentration and thermal factors in summer and winter and low correlation between inner $SO_2$ concentration and outer $SO_2$ concentration in underground shopping center 5. The mean concentration of TSP within a underground shopping center was $430{\pm}214{\mu}g/m^3$ in winter, $366{\pm}73{\mu}g/m^3$ in summer, and very in excess of the atmospheric environmental quality standards of Korea ($150{\mu}g/m3{\downarrow}$). There was low correlation between inner TSP concentration and temperature in summer and high correlation between inner TSP concentration and outer TSP concentration in underground shopping center.

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The Early Experience of Laparoscopy-assisted Gastrectomy for Gastric Cancer at a Low-volume Center

  • Yang, Shi-Jun;Ahn, Eun-Jung;Park, Sei-Hyeog;Kim, Jong-Heung;Park, Jong-Min
    • Journal of Gastric Cancer
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    • 제10권4호
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    • pp.241-246
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    • 2010
  • Purpose: Laparoscopy-assisted gastrectomy (LAG) has become a technically feasible and safe procedure for early gastric cancer treatment. LAG is being increasingly performed in many centers; however, there have been few reports regarding LAG at low-volume centers. The aim of this study was to report our early experience with LAG in patients with gastric cancer at a low-volume center. Materials and Methods: The clinicopathologic data and surgical outcomes of 39 patients who underwent LAG for gastric cancer between April 2007 and March 2010 were retrospectively reviewed. Results: The mean age was 68.3 years. Thirty-one patients had medical co-morbidities. The mean patient ASA score was 2.0. Among the 39 patients, 4 patients underwent total gastrectomy and 35 patients underwent distal gastrectomy. The mean blood loss was 145.4 ml and the mean operative time was 259.4 minutes. The mean time-to-first flatus, first oral intake, and the postoperative hospital stay was 2.8, 3.1, and 9.3 days, respectively. The 30-day mortality rate was 0%. Postoperative complications developed in 9 patients, as follows: anastomotic leakage, 1; wound infection, 1; gastric stasis, 2; postoperative ileus, 1; pneumonia, 1; cerebral infarction, 1; chronic renal failure, 1; and postoperative psychosis, 1. Conclusions: LAG is technically feasible and can be performed safely at a low-volume center, but an experienced surgical team and careful patient selection are necessary. Furthermore, for early mastery of the learning curve for LAG, surgeons need education and training in addition to an accumulation of cases.

Experiences of thoracic esophagectomy with laparoscopic gastric pull up in thoracic esophageal cancer patient in single center

  • Jun, Jin-Woo;Kim, Wooshik;Park, Jong-Min
    • 대한종양외과학회지
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    • 제14권2호
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    • pp.95-101
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    • 2018
  • Purpose: The standard treatment of esophageal cancer is the Ivor-Lewis operation, which consists of an abdominal phase involving gastric tube formation, and a chest phase involving esophagectomy and anastomosis. We aimed to report our experience of performing thoracic esophagectomy with the laparoscopic gastric pull up (LGPU) technique and its surgical outcomes. Methods: Clinicopathologic data and short-term surgical outcomes of 14 patients who underwent LGPU for thoracic esophageal cancer from August 2008 to May 2016 were retrospectively reviewed. Results: Mean age of the patients was 62.3 years and mean body mass index was $21.7kg/m^2$. Eleven patients had medical comorbidities. Patients' mean American Society of Anesthesiologists score was 2. Mean operation time was 428.5 minutes, with the mean abdominal operation time being 138.9 minutes. There was no open conversion case. Three patients had pneumonia, three patients had surgical site infection, and one patient had subcutaneous emphysema within 30 days after surgery. One patient had minor anastomosis site leakage. There was one 30-day mortality case. One patient with postoperative aspiration pneumonia developed acute respiratory distress disease, and died due to sepsis. Mean postoperative intensive care unit stay was 3.5 days, and mean postoperative hospital stay was 20.6 days. Nasogastric tubes were removed on average at 3.4 days, and mean oral intake time was 3.4 days. Conclusion: If the gastrointestinal surgeon has extensive experience in laparoscopic procedures, LGPU will be a safe and feasible technique for thoracic esophagectomy in patients with intrathoracic esophageal cancer.

신입간호사 교육 기간 단축에 따른 Preceptor program 적용에 관한 연구 (A Study of the Application of Precepter Program with the Reducion of the Time of New Entry Nurse Orientation.)

  • 김혜숙;김이영;최선숙;한미정;김순희;안영희;공성화;장수련;김미애;김수영
    • 대한간호
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    • 제37권4호
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    • pp.58-71
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    • 1998
  • The purpose of this study was to contribute the improvement of nursing staff development by implementing of effective and organized orientation program using the measure of effectiveness in the application of preceptor program with the reduction of the time of New entry nurse orientation. The subjects were comprised of 116 new entry nurses(59 new entry nurses were employed at June, 1996 and 57 at May & July, 1997) and 79 preceptors, who were in charge of new entry nurse orientation at 1997. These date were collected from June 18, 1996 to August 29, 1997. The characteristics of questionairs applied in this study were general characteristics(7 questions), knowledge of nursing care(138 questions); attitude toward her profession(40 questions) and the degree of satisfaction for the program(5 questions). The questionnairs were developed by the researchers of Asan Medical Center. The Check-list for basic nursing skill were used for the measurement of nursing skill which was developed by nursing department of AMC. The data were analyzed for the mean, standard deviation, difference of mean, ANOV A & t-test. The results of this study are as follows : 1) The changes in knowledge of nursing care : After three months of training the difference of mean between before and after the orientation was higher than the result of two month period training. However, the result was insignificant(p= .469). 2) Performance in nursing practice : Two month period orientation was more effective than three-month training period, however, the statistical significance can not be reached than 3 month period, which resulted in insignificant difference(p=.150). 3) The change in attitude toward her profession : After three-month of orientation, the difference of mean between before and after the orientation was higher than 2 month period orientation, which resulted in significant difference (p=.000). 4) The degree of satisfaction for the program with the time of new entry nurse orientation : After two-month of orientation, the mean of points was 2.57 where the score is higher than 3 month period with mean of 2.30. It resulted in significant difference(p=.000).

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Comparison of D- and L-Lactic Acid Contents in Commercial Kimchi and Sauerkraut

  • Yoon, Hyang-Sik;Son, Yeo-Jin;Han, Jin-Soo;Lee, Jun-Soo;Han, Nam-Soo
    • Food Science and Biotechnology
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    • 제14권1호
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    • pp.64-67
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    • 2005
  • Commercial kimchi and sauerkraut were analyzed for their D- and L-lactic acid contents. Ranges of D- and L-lactic acid contents in commercial kimchi were 17-57 (38.51 mean) and 25-87 (64.47 mean) mM, respectively. Ratio of D-lactic acid on L-lactic acid (D/L) was 0.50-0.80 (0.60 mean). Ranges of D- and L-lactic acid contents in commercial sauerkraut were 68.96-103.62 (88.97 mean) and 74.46-82.26 (78.91 mean) mM, respectively, with D/L of 0.90-1.26 (1.13 mean). Results reveal kimchi and sauerkraut contained a significant amount of D-lactic acid, with sauerkraut showing a higher content than kimchi, while L-lactic acid contents were not significantly different.