• Title/Summary/Keyword: Risk-based LOS

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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.

Relationship of Nutritional Status at the Time of Admission to Length of Hospital Stay ( LOS ) and Mortality : A Prospective Study Based on Computerized Nutrition Screening (입원당시의 영양상태가 재원일수와 사망률에 미치는 영향 : 전산영양검색을 이용한 전향적 연구)

  • Kim, Yeong-Hye;Kim, Mi-Gyeong;Seo, Ae-Ri;Lee, Yeon-Mi
    • Journal of the Korean Dietetic Association
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    • v.5 no.1
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    • pp.48-53
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    • 1999
  • This study was prospectively conducted to investigate any relationship of nutritional status at the time of admission to length of hospital stay and mortality. All patients admitted to the Asan Medical Center between October 13 and November 12, 1997 who met the study criteria were included in the study. Patients were classified as Not-at-risk, At-risk Ⅰ or At-risk Ⅱ based on the levels of serum albumin and total lymphocyte count in a computerized nutrition screening program. Sixty three percent of the patients were classified as Not-at-risk Group, 29% as At-risk Group Ⅰ and 8% as At-risk Group Ⅱ. Significant correlation was observed between nutritional status and LOS (P<0.01) as well as mortality rate (P<0.05). The more the patient had the nutritional risk factors, the longer the LOS and the higher the mortality rate were. Further studies have to be done in order to demonstrate cost-effectiveness of medical therapy for the malnourished hospitalized patients.

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Development and Application of a Severity-Adjusted LOS Model for Pneumonia, organism unspecified patients (상세불명 병원체 폐렴의 중증도 보정 재원일수 모형 개발 및 적용)

  • Park, Jongho;Youn, Kyungil
    • Korea Journal of Hospital Management
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    • v.19 no.4
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    • pp.21-33
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    • 2014
  • This study was conducted to propose an insight into the appropriateness of hospital length of stay(LOS) by developing a severity-adjusted LOS model for patients with pneumonia, organism unspecified. The pneumonia risk-adjustment model developed in this paper is based upon the 2006-2010 the Korean National Hospital Discharge in-depth Injury Survey. Decision tree analysis revealed that age, admission type, insurance type, and the presence of additional disorders(pleural effusion, respiratory failure, sepsis, congestive heart failure etc.) were major factors affecting the severity-adjusted model using the Clinical Classifications Software(CCS). Also there was a difference in LOS among the regional hospitals, especially the hospital LOS has not been efficiently managed in Gyeongsangbuk-do, Jeollanam-do, Jeollabuk-do, Daejeon, and Busan. To appropriately manage hospital LOS, reliable statistical information about severity-adjusted LOS should be generated on a national level to make sure that hospitals voluntarily reduce excessive LOS and manage main causes of delayed discharge.

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UML based User-Centric Design for Evaluating of Risk Order (위험 순위 산정을 위한 UML 기반 사용자 중심 설계)

  • Woo, Chan-Il;Lee, Seung-Dae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.2
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    • pp.841-846
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    • 2011
  • Presently, the level of service(LOS) of the domestic roads are evaluated by using average speed of passing by vehicles. However, this method has been designed by considering the degree of congestion on the road only, without considering the reality of traffic safety. Therefore, for the LOS to serve as an index evaluating proper road design and operation, it should be able to deal with wider coverage than known factors which directly affects road users. Therefore the study wants to explore the concept of user cost, as a factor that covers traffic safety and flow, for evaluating roads. Also, the study wants to develop UML based user-centric design, not a one-time development method, for evaluating risk order of roads.

Association of Lower Socioeconomic Status and SARS-CoV-2 Positivity in Los Angeles, California

  • Allan-Blitz, Lao-Tzu;Goldbeck, Cameron;Hertlein, Fred;Turner, Isaac;Klausner, Jeffrey D.
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.3
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    • pp.161-165
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    • 2021
  • Objectives: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads heterogeneously, disproportionately impacting poor and minority communities. The relationship between poverty and race is complex, with a diverse set of structural and systemic factors driving higher rates of poverty among minority populations. The factors that specifically contribute to the disproportionate rates of SARS-CoV-2 infection, however, are not clearly understood. Methods: We evaluated SARS-CoV-2 test results from community-based testing sites in Los Angeles, California, between June and December, 2020. We used tester zip code data to link those results with United States Census report data on average annual household income, rates of healthcare coverage, and employment status by zip code. Results: We analyzed 2 141 127 SARS-CoV-2 test results, of which 245 154 (11.4%) were positive. Multivariable modeling showed a higher likelihood of SARS-CoV-2 test positivity among Hispanic communities than among other races. We found an increased risk for SARS-CoV-2 positivity among individuals from zip codes with an average annual household income

Seismic risk assessment of concrete-filled double-skin steel tube/moment-resisting frames

  • Hu, Yi;Zhao, Junhai;Zhang, Dongfang;Zhang, Yufen
    • Earthquakes and Structures
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    • v.14 no.3
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    • pp.249-259
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    • 2018
  • This paper aims to assess the seismic risk of a plane moment-resisting frames (MRFs) consisting of concrete-filled double skin steel tube (CFDST) columns and I-section steel beams. Firstly, three typical limit performance levels of CFDST structures are determined in accordance with the cyclic tests of seven CFDST joint specimens with 1/2-scaled and the limits stipulated in FEMA 356. Then, finite element (FE) models of the test specimens are built by considering with material degradation, nonlinear behavior of beam-column connections and panel zones. The mechanical behavior of the concrete material are modeled in compression stressed condition in trip-direction based on unified strength theory, and such numerical model were verified by tests. Besides, numerical models on 3, 6 and 9-story CFDST frames are established. Furthermore, the seismic responses of these models to earthquake excitations are investigated using nonlinear time-history analyses (NTHA), and the limits capacities are determined from incremental dynamic analyses (IDA). In addition, fragility curves are developed for these models associated with 10%/50yr and 2%/50yr events as defined in SAC project for the region on Los Angeles in the Unite State. Lastly, the annual probabilities of each limits and the collapse probabilities in 50 years for these models are calculated and compared. Such results provide risk information for the CFDST-MRFs based on the probabilistic risk assessment method.

Development of a mobile-based self-management health alarm program for obese children in South Korea and a test of its feasibility for metabolic outcomes: A study based on the information-motivation-behavioral skills model

  • Choi, Jihea;Park, Yon Chul;Choi, Sarah
    • Child Health Nursing Research
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    • v.27 no.1
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    • pp.13-23
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    • 2021
  • Purpose: This study aimed to develop a mobile-based self-management health alarm (MSHA) program for modifying obese children's lifestyle based on the information-motivation-behavioral skills (IMB) model and to test its feasibility. Methods: A methodological study for the development of the MSHA program and pilot study with a one-group pretest-posttest design for feasibility testing was conducted. The MSHA program was designed to provide obesity-related information (I), monitor daily diet and exercise, provide motivational text messages (M), and enhance healthy diet and exercise skills (B) via a mobile-based web platform. In the feasibility test, six obese children participated in the 4-week program, and the number of days per week that they achieved their goals and differences in metabolic components were assessed. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: Participants successfully achieved their diet and exercise goals≥5 days per week. Body mass index (z=-1.99, p=.046), waist circumference (z=-2.20, p=.028), and triglyceride levels (z=-2.21, p=.027) significantly decreased. Conclusion: The MSHA program showed positive effects on health behaviors and metabolic syndrome risk. The program may be effective in improving metabolic syndrome in obese children by promoting self-health management behaviors.

Retrofit Prioritization of Highway Network considering Seismic Risk of System (지진 위험도를 고려한 도로 교통망의 내진보강 우선순위 결정)

  • Na, Ung-Jin;Park, Tae-Won;Shinozuka, Masanobu
    • Journal of the Earthquake Engineering Society of Korea
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    • v.12 no.6
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    • pp.47-53
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    • 2008
  • This research focuses on the issue of seismic retrofit prioritization based on the Caltrans' highway network serving Los Angeles and Orange counties. Retrofit prioritization is one of most important problems in earthquake engineering, and it is a problem that most decision makers face in the process of resource allocation. This study demonstrates the methods of prioritized resource allocation in the process of retrofitting a regional highway network. For the criteria of a retrofit ranking, seismic vulnerability and the importance of network link are first introduced. Subsequently, link-based seismic retrofit cases are simulated, investigating the effects of the seismic retrofit in terms of seismic performance, such as driver's delay. In this study, probabilistic scenario earthquakes are used to perform a probabilistic seismic risk analysis. The results show that the retrofit prioritization can be differently defined and ranked depending on the stakeholders. This study provides general guidelines for prioritization strategy for the effective retrofitting of a highway network system.

A Development of Instrumentation Radar Tracking Status Simulator (계측레이더 추적 시뮬레이터 개발)

  • Ye, Sung-Hyuck;Ryu, Chung-Ho;Hwang, Gyu-Hwan;Seo, Il-Hwan;Kim, Hyung-Sup
    • Journal of the Korea Institute of Military Science and Technology
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    • v.14 no.3
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    • pp.405-413
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    • 2011
  • Defense Systems Test Center in ADD supports increasingly various missile test requirements such as higher altitude event, multi target operation and low-altitude, high velocity target tracking. In this paper, we have proposed the development of instrumentation radar tracking status simulator based on virtual reality. This simulator can predict the tracking status and risk of failure using several modeling algorithms. It consists of target model, radar model, environment model and several algorithms includes the multipath interference effects. Simulation results show that the predict tracking status and signal are similar to the test results of the live flight test. This simulator predicts and analyze all of the status and critical parameters such as the optimal site location, servo response, optimal flight trajectory, LOS(Line of Sight). This simulator provides the mission plan with a powerful M&S tool to rehearse and analyze instrumentation tracking radar measurement plan for live flight test at DSTC(Defense Systems Test Center).

Impact of HIV-1 subtype and Korean Red Ginseng on AIDS progression: comparison of subtype B and subtype D

  • Cho, Young-Keol;Kim, Jung-Eun;Lee, Sun-Hee;Foley, Brian T.;Choi, Byeong-Sun
    • Journal of Ginseng Research
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    • v.43 no.2
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    • pp.312-318
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    • 2019
  • Background: To date, no study has described disease progression in Asian patients infected with HIV-1 subtype D. Methods: To determine whether the disease progression differs in patients infected with subtypes D and B prior to starting combination antiretroviral therapy, the annual decline (AD) in $CD^{4+}$ T cell counts over $96{\pm}59months$ was retrospectively analyzed in 163 patients and compared in subtypes D and B based on the nef gene. Results: $CD^{4+}$ T cell AD was significantly higher in the six subtype D-infected patients than in the 157 subtype B-infected patients irrespective of Korean Red Ginseng (KRG) treatment (p < 0.001). Of these, two subtype D-infected patients and 116 subtype B-infected patients had taken KRG. AD was significantly lower in patient in the KRG-treated group than in those in the $KRG-na{\ddot{i}}ve$ group irrespective of subtype (p < 0.05). To control for the effect of KRG, patients not treated with KRG were analyzed, with AD found to be significantly greater in subtype D-infected patients than in subtype B-infected patients (p < 0.01). KRG treatment had a greater effect on AD in subtype D-infected patients than in subtype B-infected patients (4.5-fold vs. 1.6-fold). Mortality rates were significantly higher in both the 45 $KRG-na{\ddot{i}}ve$ (p < 0.001) and all 163 (p < 0.01) patients infected with subtype D than subtype B. Conclusion: Subtype D infection is associated with a >2-fold higher risk of death and a 2.9-fold greater rate of progression than subtype B, regardless of KRG treatment.