• Title/Summary/Keyword: TimeSeries Data

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The Change in Readmission Rate, Length of Stay and Hospital Charge after Performance Reporting of Hip Hemiarthroplasty (고관절 부분 치환술 시술정보 공개에 따른 재입원율, 입원일수 및 진료비의 변화)

  • Jang, Won-Mo;Eun, Sang-Jun;SaGong, Pil-Young;Lee, Chae-Eun;Oh, Moo-Kyung;Oh, Ju-Hwan;Kim, Yoon
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.6
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    • pp.523-534
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    • 2010
  • Objectives: We assessed impact of performance reporting information about the readmission rate, length of stay and cost of hip hemiarthroplasty. Methods: The data are from a nationwide claims database, National Quality Improvement Project database, of Health Insurance Review & Assessment Service in Korea. From January 2006 to April 2008, we received information of length of stay, readmission within 30 days, cost of 22 851 hip hemiarthroplasty episodes. Each episodes has retained the diagnoses of comorbidities and demographics. We used time-series analysis to assess the shifting of patients selections, between high volume (over 16 operations in a year) and low volume institutions, after performance reporting (December 2007). The changes of quality (readmission, length of stay) and cost were evaluated by multilevel analysis with adjustment of patient's factors and institutional factors after performance reporting. Results: As compared with the before performance reporting, the proportion of patients who choose the high volume institution, increased 3.45% and the trends continued 4 months at marginal significance (p = 0.059). After performance reporting, national average readmission rate, length of stay were decreased by 0.49 OR (95% CI=0.25 - 0.95) and 10% (${\beta}$=-0.102, p<0.01) and cost was not changed (${\beta}$=-0.01, p=0.27). The high volume institutions were more decreased than low volume in length of stay. Conclusions: After performance reporting, readmission rate, length of stay were decreased and the patient selections were marginally shifted from low volume institutions to high volume institutions.

Clinical Patterns of Penetrating Torso Injury at Emergency Department (응급실을 통하여 입원한 체간부 관통상 환자에 관한 임상적인 고찰)

  • Yun, Soon Young;Cheon, Young Jin;Won, Tae Hee
    • Journal of Trauma and Injury
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    • v.18 no.1
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    • pp.47-52
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    • 2005
  • Background: This study was undertaken to evaluate the clinical pattern of the patients with penetrating torso injury. We retrospectively analyzed the clinical symptoms, mechanism of injury, injury type including injured organ, and ultimate outcome of treatment. Our purpose of the study was to establish guideline of management in penetrating torso injury. Methods: This study consists of an analysis of a consecutive series of 94 patients with penetrating injury of trunk treated at one general hospital during 7year period (from January 1995 to April 2003) who was admitted through in our emergency department. All data were collected from the medical records and entered in a database for analysis on the following: age, sex, mechanism of injury, vital sign at admission, clinical outcome including hospital mortality, length of hospital stay, length of intensive care unit stay, requirement of crystalloid fluid and blood product. Results: Among 94 patients, there were 68 men and 26 women, with ages ranging from 19 to 82 years (average 38.2 years). The most frequent mechanism of injury was violence by others including rob (n=54, 57.4%) followed by suicidal attempt (n=24, 25.5%) and accidental injury (n=16, 17.0%). No injury was inflicted from gun. In 37 patients, systolic blood pressure at admission was under 90mmHg. The time interval from injury to admission, and from admission to operation was 57.8minutes and 4hour 12minutes each. Laparotomy was required in 70 patients, thoracotomy in 5 patients, and 3 patients required thoracotomy and laparotomy. Among 94 patients, an average of 1.7 organs were injured. The small bowel and colon were the organs most commonly wounded followed by liver, mesentery, pleura. Of the 94 patients, 6 died for an overall mortality rate of 6.4%, and two of them were not related with hemorrhage. The average length of hospital stay was 18.1 days, and 40 patients required ICU care. Conclusion: Of the 94 patients who were admitted from penetrating torso injury, no patient was injured from firearm. Overall mortality rate was 6.4%. In our hospital, firearm injury was relative rare.

The Characteristic of Long Term Variation of the Water Quality from Hansan-Geoje bay, Korea (한산거제만 해역의 수질 장기변동 특성)

  • Kwon, Jung-No;Park, Young-Chul;Eom, Ki-Hyuk
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.16 no.3
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    • pp.189-201
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    • 2013
  • To study characteristics of the water quality in the Hansan-Geoje bay, we analyzed the long term monitoring data collected at the two sites during the period of 1987~2010. The trophic state of the waters in Hansan-Geoje bay was the mesotrophic level by the classification of Wasmud et al.[2001]. The water nutrients increased steadily from a wet season (Aug.), it reached the maximum concentration peak in a dry season (Nov.), and then decreased steadily to the winter, it reached at the minimum value in May in the next year. The result of factor analysis divided the waters of Hansan-Geoje bay into the five factors (nutrient, season, inflow land water, pollution, internal production) and the factors represented the 76.82% on the status of the waters. According to time series analysis, temperature, DO and bottom DIP were increased, and pH and COD were decreased during the period of 1987~2010. In particular, the fluctuation trend of DIN has been turned from oversupply to shortage by the N/P ratio since before and after 1990's. The water quality of the Hansan-Geoje bay has been recovered except DIP since 1987, despite of its geographical characteristic which is a general semi-closesd bay and a massive aqua-culture ground. To preserve the waters in Hansan-Geoje bay, we need to know on the cause of the increase or accumulation of DIP, and we should continue to study on the interrelation between the aqua-culture and water environment.

A Study on the Numerical Modeling of the Fish Behavior to the Model Net - Swimming Characteristics of Rainbow Trout, Salmo Gairdnerii in the Water Tank Without Model Net - (모형 그물에 대한 어군행동의 수직 모델링에 관한 연구 - 모형 그물이 없는 수조에서의 무지개송어의 유영특성 -)

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    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.31 no.1
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    • pp.74-83
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    • 1995
  • To estimate the parameters of a mathematical model of fishes' swimming behavior, the behavior in a experimental water tank was observed and analyzed using the video monitoring system. The tank was equipped with vertical circulation system, and measured $3,500L\;{\times}\;1,500B\;{\times}\;1,000H\;mm$ at flow channel and $1,200L\;{\times}\;900B\;{\times}\;500H\;mm$ at observational part. Rainbow trout, salmo gairdnerii were used as experimental fishes. Their swimming behavior in the tank was observed by the monitoring system, and the positions of every individual were checked at 0.5 second intervals by the image processing of recorded pictures for 5 minutes. The mean swimming speed calculated from the time series data of positions of every individual ranged from 2.5BL cm/sec to 2.9BL cm/sec at the stagnated flow. The mean swimming speed of 10 individuals in a school increased according to the flow speed. The mean swimming depth ranged from 17 cm to 38 cm even though it changed irregularly at the stagnated flow and gradually became stable according to the increase of flow speed. In the present study, the mean distance of individuals from wall of the tank varied from 17.6cm to 21.4cm. The mean distance between the nearest individual varied from 0.4BL cm to 0.7BL cm when 10 individuals in a school were observed. The mean dimension of fish schools became enlarged in all directions according to increase in the number of individuals, and as flow speed increased the horizontal dimension of fish schools expanded while their vertical dimension decreased.

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Implementation of Evolving Neural Network Controller for Inverted Pendulum System (도립진자 시스템을 위한 진화형 신경회로망 제어기의 실현)

  • 심영진;김태우;최우진;이준탁
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.14 no.3
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    • pp.68-76
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    • 2000
  • The stabilization control of Inverted Pendulum(IP) system is difficult because of its nonlinearity and structural unstability. Futhermore, a series of conventional techniques such as the pole placement and the optimal control based on the local linearizations have narrow stabilizable regions. At the same time, the fine tunings of their gain parameters are also troublesome. Thus, in this paper, an Evolving Neural Network Controller(ENNC) which its structure and its connection weights are optimized simultaneously by Real Variable Elitist Genetic Algorithm(RVEGA) was presented for stabilization of an IP system with nonlinearity. This proposed ENNC was described by a simple genetic chromosome. And the deletion of neuron, the according to the various flag types. Therefore, the connection weights, its structure and the neuron types in the given ENNC can be optimized by the proposed evolution strategy. And the proposed ENNC was implemented successfully on the ADA-2310 data acquisition board and the 80586 microprocessor in order to stabilize the IP system. Through the simulation and experimental results, we showed that the finally acquired optimal ENNC was very useful in the stabilization control of IP system.

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A Case Study on SK Telecom's Next Generation Marketing System Development (SK텔레콤의 차세대 마케팅 시스템 개발사례 연구)

  • Lee, Sang-Goo;Jang, Si-Young;Yang, Jung-Yeon
    • Journal of KIISE:Computing Practices and Letters
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    • v.14 no.2
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    • pp.158-170
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    • 2008
  • In response to the changing demands of ever competitive market, SK Telecom has built a new marketing system that can support dynamic marketing campaigns and, at the same time, scale up to the large volumes of data and transactions for the next decade. The system which employs Unix-based client-server (using Web browser interfaces) architecture will replace the current mainframe-based COIS system. The project, named NGM (Next Generation Marketing ), is unprecedentedly large in scale. However, both managerial and technical problems led the project into a crisis. The application framework that depended on a software solution from a major global vendor could not support the dynamic functionalities required for the new system. In March 2005, SK telecom declared the suspension of the NGM project. The second phase of the project started in May 2005 following a comprehensive replanning. It was decided that no single existing solution could cope with the complexity of the new system and hence the new system would be custom-built. As such. a number of technical challenges emerged. In this paper, we report on the three key dimensions of technical challenges - middleware and application framework, database architecture and tuning, and system performance. The processes and approaches, adopted in building NGM system, may be viewed as "best practices" in the telecom industry. The completed NGM system, now called "U.key System," successfully came into operation on the ninth of October, 2006. This new infrastructure is expected to give birth to a series of innovative, fruitful, and customer-oriented applications in the near future.

Relationship between Squid (Todarodes pacificus) Catch by Sea Block and Marine Environment in the East Sea during 1980s and 1990s (1980-1990년대 동해에서 해구별 오징어(Todarodes pacificus) 어획량과 해양환경의 관계)

  • Kim, Yoon-Ha;Moon, Chang-Ho;Choi, Kwang-Ho;Lee, Chung-Il
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.16 no.3
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    • pp.259-268
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    • 2010
  • Data on squid catches by the Korean jig fishery in sea blocks ($30'{\times}30'$), water temperatures at depth(30m, 50m and 100m) and zooplankton biomass in the East Sea from 1980 to 1999 were analyzed to examine the mechanism of formation of the high density stock area. Japanese common squid (Todarodes pacificus) catch in the East Sea was low in 1980s, while the catch was high in 1990s. The five sea blocks (No. 76, 82, 83, 87, 88) of the southern part in the eastern coastal waters of Korea showed high levels of percentage of total catch (35.1%), whereas the four sea blocks (No. 65, 71, 72, 78) of the coastal waters of Uleung Island showed high levels of percentage of CPUE (61.2%) for 20 years. Squid catches showed monthly fluctuations according to the vertical distribution of optimum water temperature for fishing ($14^{\circ}C{\sim}19^{\circ}C$). High total catch and high CPUE area matched well with $10^{\circ}C$ isothermal lines at 100m depth indicating northern limiting of Tsushima Warm Current, and temporal and spatial change in $10^{\circ}C$ isothermal line caused the change in total catch and CPUE. Horizontal distribution of zooplankton biomass by sea block was not matched well with those of total catch and CPUE, however pattern of time-series change in total zooplankton biomass was similar to that in total squid catch.

An Empirical Study on Causality among Trading Volume of Busan, Kawangyang and Incheon port (부산항, 광양항, 인천항의 물동량간 인과관계 분석)

  • Choi, Bong-Ho;Kim, Sang-Choon
    • Journal of Korea Port Economic Association
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    • v.26 no.1
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    • pp.61-82
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    • 2010
  • The purpose of this study is to examine the causuality among export and import trading volume of port of Busan, Kwangyang, Incheon and to induce policy implications. In order to test whether time series data is stationary and the model is fitness or not, we put in operation unit root test, cointegration test. And We apply Granger causality and impulse response and variance decomposition based on VECM. The results indicate that the trading volume of port of Busan is not largely influenced by that of port of Kawangyang and Incheon, but the trading volume of port of Kawangyang and Incheon is largely influenced by other ports including port of Busan. The result suggest that government has to focus on policy that the port of Kawangyang and Incheon can raise its own competitiveness in the world market.

Temporal and Spatial Variations in Sea Surface Temperature Around Boryeong off the West Coast of Korea From 2011-2012 (2011-2012년 서해 보령연안 수온의 시공간적 변동)

  • Choo, Hyo-Sang;Yoon, Eun-Chan
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.23 no.5
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    • pp.497-512
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    • 2017
  • Temporal and spatial variations in surface water temperature were studied using data from temperature monitoring buoys deployed at 47 stations around Boryeong from 2011-2012 off the west coast of Korea. Temperature fluctuations are predominant at diurnal and semidiurnal periods for all seasons, and their amplitudes are large in spring and summer but small in autumn. The maximum annual change in air temperature takes place on August 2nd and August 22th for water temperature, which means the phase for air temperature precedes water temperature by 20 days. The diurnal period of water temperature fluctuation is predominant around Daecheon and Muchangpo Harbors, with the semidiurnal period around Wonsan Island, and the shallow water constituent period on the estuary around Daecheon River. On the whole, air and water temperatures fluctuate with wind. Spectral analyses of temperature records show significant peaks at the 0.5, 1 and 15 day marks with 7-10 day periods of predominant fluctuations. Cross-correlation analyses for the temperature fluctuation show that the waters around Boryeong can be classified into four areas: a mixed water zone around the southeast side of Wonsan Island, an off-shore area to the west, an off-shore area to the south and a coastal area along the shore from Song Island to Muchangpo Harbor.

Effects of Non-ionic Surfactants on Enzyme Distributions of Rumen Contents, Anaerobic Growth of Rumen Microbes, Rumen Fermentation Characteristics and Performances of Lactating Cows

  • Lee, S.S.;Ahn, B.H.;Kim, H.S.;Kim, C.H.;Cheng, K.-J.;Ha, J.K.
    • Asian-Australasian Journal of Animal Sciences
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    • v.16 no.1
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    • pp.104-115
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    • 2003
  • A series of experiments was carried out to determine the possibility for the non-ionic surfactant (NIS) as a feed additive for ruminant animals. The effect of the NIS on (1) the enzyme distribution in the rumen fluids of Hereford bulls, (2) the growth of pure culture of rumen bacteria and (3) rumen anaerobic fungi, (4) the ruminal fermentation characteristics of Korean native cattle (Hanwoo), and (5) the performances of Holstein dairy cows were investigated. When NIS was added to rumen fluid at the level of 0.05 and 0.1% (v/v), the total and specific activities of cell-free enzymes were significantly (p<0.01) increased, but those of cell-bound enzymes were slightly decreased, but not statistically significant. The growth rates of ruminal noncellulolytic species (Ruminobacter amylophilus, Megasphaera elsdenii, Prevotella ruminicola and Selenomonas ruminantium) were significantly (p<0.01) increased by the addition of NIS at both concentrations tested. However, the growth rate of ruminal cellulolytic bacteria (Fibrobacter succinogenes, Ruminococcus albus, Ruminococcus flavefaciens and Butyrivibrio fibrisolvens) were slightly increased or not affected by the NIS. In general, NIS appears to effect Gram-negative bacteria more than Gram-positive bacteria; and non-cellulolytic bacteria more than cellulolytic bacteria. The growth rates of ruminal monocentric fungi (Neocallimastix patriciarum and Piromyces communis) and polycentric fungi (Orpinomyces joyonii and Anaeromyces mucronatus) were also significantly (p<0.01) increased by the addition of NIS at all concentrations tested. When NIS was administrated to the rumen of Hanwoo, Total VFA and ammonia-N concentrations, the microbial cell growth rate, CMCase and xylanase activities in the rumen increased with statistical difference (p<0.01), but NIS administration did not affect at the time of 0 and 9 h post-feeding. Addition of NIS to TMR resulted in increased TMR intake and increased milk production by Holstein cows and decreased body condition scores. The NEFA and corticoid concentrations in the blood were lowered by the addition of NIS. These results indicated that the addition of NIS may greatly stimulate the release of some kinds of enzymes from microbial cells, and stimulate the growth rates of a range of anaerobic ruminal microorganisms, and also stimulate the rumen fermentation characteristics and animal performances. Our data indicates potential uses of the NIS as a feed additive for ruminant animals.