• Title/Summary/Keyword: timing factors

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Thromboprophylaxis in Abdominoplasty: Efficacy and Safety of a Complete Perioperative Protocol

  • Marangi, Giovanni Francesco;Segreto, Francesco;Poccia, Igor;Campa, Stefano;Tosi, Daniele;Lamberti, Daniela;Persichetti, Paolo
    • Archives of Plastic Surgery
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    • v.43 no.4
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    • pp.360-364
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    • 2016
  • Background Venous thromboembolism, a spectrum of diseases ranging from deep venous thrombosis to pulmonary embolism, is a major source of morbidity and mortality. The majority of cases described in plastic surgery involve abdominoplasty. Risk assessment and prophylaxis are paramount in such patients. General recommendations were recently developed, but the evidence in the literature was insufficient to prepare exhaustive guidelines regarding the medication, dosage, timing, or length of the prophylaxis. Methods A thromboprophylaxis protocol was developed for patients undergoing abdominoplasty. The protocol consisted of preoperative, intraoperative, and postoperative measures. Enoxaparin was administered as chemoprophylaxis in selected patients. The study involved 253 patients. The patients were analyzed for age, body mass index, enoxaparin dosage, risk factors, and complications. Results Deep venous thrombosis was documented in two cases (0.8%). No pulmonary embolism occurred. Three patients (1.2%) presented mild subcutaneous abdominal hematoma within the first postoperative week that spontaneously resorbed with neither aesthetic nor functional complications. Two patients (0.8%) presented severe hematoma requiring surgical re-intervention for drainage and hemostasis revision. Statistical analysis showed no significant correlation between enoxaparin dosage and hematoma (P=0.18) or deep venous thrombosis (P=0.61). Conclusions The described thromboprophylaxis protocol proved to be effective in the prevention of thrombotic events, with an acceptable risk of hemorrhagic complications. Furthermore, it provides new evidence regarding the currently debated variables of chemoprophylaxis, namely type, dosage, timing, and length.

Surface Properties of Exposed-Aggregate Concrete Depending on Retarder and Water Jet Washing Timing (지연제 살포량과 물씻기 시간이 골재노출 콘크리트의 표면성상에 미치는 영향)

  • Park, Jun Hui;Han, Cheon-Goo
    • Journal of the Korea Institute of Building Construction
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    • v.15 no.2
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    • pp.169-175
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    • 2015
  • Recently, a stone is preferred as a cladding materials because of its outstanding durability and luxurious character. However, because of running out of natural resources and restriction of production, it is expected that difficulty of stable supply, and thus alternative cladding materials for concrete wall is needed. Therefore, in this research, as an alternative cladding materials, exposed-aggregate concrete is studied using saccharin based retarder. For evaluating factors, changing water-to-cement ratio, dosages of saccharin-based retarder, and timing of water jet washing were tested on the surface properties of exposed-aggregate concrete. As a result, the most favorable surface performance was obtained at 0.75 day after the placing in 25% of water-to-cement ratio, and at one day after the placing in 35 and 55% of water-to-cement ratio, 1.5 day after the placing in 65% of water-to-cement ratio with $24m{\ell}/m^2$ of retarder application.

VLSI Design for Automatic Magnetizing and Inspection System (자동착자 및 검사자동화 시스템을 위한 집적회로 설계)

  • Im, Tae-Yeong;Lee, Cheon-Hui
    • The Transactions of the Korea Information Processing Society
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    • v.6 no.7
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    • pp.1929-1940
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    • 1999
  • In this paper a VLSI design for the automatic magnetizing and inspection system has been presented. This is a design of a peripheral controller, which magnetizes CRTs and computer monitors and controls the automatic inspection system. We implemented a programmable peripheral interface(PPI) circuit of the control and protocol module for the magnetizer controller by using a 0.8um CMOS SOG technology of ETRI. Most of the PPI functions have been confirmed. In the conventional method, the propagation/ramp delay model was used to predict the delay of cells, but used to model on only a single cell. Later, a modified "linear delay predict model" was suggested in the LODECAP(LOgic DEsign CAPture) by adding some factors to the prior model. But this has not a full model on the delay chain. In this paper a new " delay predict equation" for the design of the timing control block in PPI system has been suggested. We have described the detail method on a design of delay chain block according to the extracted equation and applied this method to the timing control block design. And we had descriptions on the other blocks of this system.

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Relationship between Attachment for Intimate Relations and Self-Regulated Learning Ability of College Students (대학생의 친밀대상에 대한 애착과 자기조절학습 능력의 관계)

  • Kim, Boseong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.245-252
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    • 2016
  • The purpose of this study was to examine the relationship between the attachment of college students to parents and peers as intimate or major attachment objects and their self-regulated learning ability. To accomplish this, we conducted a survey with the parents-peer attachment scale and self-regulated learning scale. As a result, it was found that the relationship between their self-regulated learning ability and parents-peer attachment was significant, while the explicit goal-oriented variable as an essential factor in the regulation of their motivation was excluded. In addition, it was found that the effect of peer and mother attachment on their self-regulated learning ability was relatively high. On the other hand, two variables, viz. the test anxiety in motivation regulation and timing and studying regulation in behavior regulation, were heavily influenced by father attachment. These results could be interpreted in two ways. First, there could be a lower relationship between positive relations and comparative advantages and, second, these two items could be closely related to the negative factors in the relationship between father and child.

Discontinuity in GNSS Coordinate Time Series due to Equipment Replacement

  • Sohn, Dong-Hyo;Choi, Byung-Kyu;Kim, Hyunho;Yoon, Hasu;Park, Sul Gee;Park, Sang-Hyun
    • Journal of Positioning, Navigation, and Timing
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    • v.11 no.4
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    • pp.287-295
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    • 2022
  • The GNSS coordinate time series is used as important data for geophysical analysis such as terrestrial reference frame establishment, crustal deformation, Earth orientation parameter estimation, etc. However, various factors may cause discontinuity in the coordinate time series, which may lead to errors in the interpretation. In this paper, we describe the discontinuity in the coordinate time series due to the equipment replacement for domestic GNSS stations and discuss the change in movement magnitude and velocity vector difference in each direction before and after discontinuity correction. To do this, we used three years (2017-2019) of data from 40 GNSS stations. The average magnitude of the velocity vector in the north-south, east-west, and vertical directions before correction is -12.9±1.5, 28.0±1.9, and 4.2±7.6 mm/yr, respectively. After correction, the average moving speed in each direction was -13.0±1.0, 28.2±0.8, and 0.7±2.1 mm/yr, respectively. The average magnitudes of the horizontal GNSS velocity vectors before and after discontinuous correction was similar, but the deviation in movement size of stations decreased after correction. After equipment replacement, the change in the vertical movement occurred more than the horizontal movement variation. Moreover, the change in the magnitude of movement in each direction may also cause a change in the velocity vector, which may lead to errors in geophysical analysis.

Influence of mesiodens on adjacent teeth and the timing of its safe removal

  • Barham, Majd;Okada, Shunsuke;Hisatomi, Miki;Khasawneh, Abdullah;Tekiki, Nouha;Takeshita, Yohei;Kawazu, Toshiyuki;Fujita, Mariko;Yanagi, Yoshinobu;Asaumi, Junichi
    • Imaging Science in Dentistry
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    • v.52 no.1
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    • pp.67-74
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    • 2022
  • Purpose: To focus on the effects of the presence of mesiodens on adjacent teeth and to investigate the timing of its safe removal. Materials and Methods: Cone-beam computed tomography examinations, obtained at Okayama University Hospital over a three-year period, were inspected. Data were recorded including the number of mesiodens; associated abnormalities; and the relationship with neighboring structures. Depending on multiple factors, the risk of developing complications due to early extraction of a mesiodens was divided into three categories: high, medium, and low risk. Results: A total of 5,958 cone-beam computed tomography exams were obtained, 460 patients aged 3-85 years were diagnosed with a total of 568 mesiodens, 382 (67.3%) of which were discovered in young patients (age <10 years), and 333 (87.2%) of these were associated with abnormalities. Regarding the risk categories, 11 (1.9%) were considered to be in the high-risk, five (0.9%) in the medium-risk and 552 (97.2%) in the low-risk categories. Moreover, eight out of 11 high-risk mesiodens were extracted and no post-operative complications have been seen. Conclusion: As the results showed that no postoperative complications were seen in all the extracted cases of high-risk mesiodens, this indicates the possibility of safe extraction at an early age which could reduce related future complications.

Geodetic Survey Campaigns and Maintenance Plan for KASS Reference Station Antenna Coordinates

  • Hwanho, Jeong;Hyunjin, Jang;Youngsun, Yun;ByungSeok, Lee
    • Journal of Positioning, Navigation, and Timing
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    • v.12 no.1
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    • pp.83-89
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    • 2023
  • The Korea Augmentation Satellite System (KASS) system is a Satellite Based Augmentation System (SBAS) under development to provide APV-I SBAS service in the Republic of Korea. The KASS ground segment generates correction and integrity information for GPS measurements of KASS users using the accurate positions of KASS Reference Station (KRS) antenna phase centers. For this reason, the accuracy of KRS reference points through geodetic survey campaigns is one of the important factors for providing the KASS service in compliance with the required navigation performance. In order to obtain accurate positions, two geodetic survey campaigns were performed at several reference points, such as Mark, Center of Mast at Ground Level (CMGL), and Center of Hole in Top Plate (CHTP), of each KRS site using three different survey methods, the Virtual Reference Station (VRS), Flächen Korrektur Parameter (FKP), and raw data post-processing methods. By comparing and analyzing the results, the computed coordinates of the reference points were verified and Antenna Phase Center (APC) positions were calculated using KRS Antenna Reference Point (ARP) data, and the first KASS Site Acceptance Test (SAT#1) was performed successfully using the verified APC coordinates. After the first site survey activities, the KASS operators should maintain the coordinates with the required performance such that the overall KASS navigation performance commitment is guaranteed during the lifetime of 15 years. Therefore, the maintenance plan for the KRS antenna coordinates should be developed before the commissioning of KASS operation planned after 2023. Therefore, this paper presents a geodetic survey method selected for the maintenance activities and provides the rationale for using this method.

Appropriateness of Bed Utilization in One University Hospital (병상 이용의 적절성에 영향을 미치는 요인에 관한 연구 -한 대학병원 자료를 중심으로-)

  • 이상일;김용익;신영수
    • Health Policy and Management
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    • v.3 no.1
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    • pp.1-24
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    • 1993
  • This study is designed to find clues to make a plan for efficient hospital bed utilization. Author has tried to estimate the level of appropriateness and to find out factors affecting intra-hospital variation of inappropriate bed utilization using modified Appropriateness Evaluation Protocol of which criteria are based on service intensity and patients' conditions. Systematic random sampling was done from the population of inpatients during one month in on university hospital. Data were collected by concurrent and retrospective medical record review and analysed by multiple logistic regression. In medical services, 83.5% of admission reveals appropriate and the level of inappropriate admission shows significant differences by patients' residence, type of department admitted to, admission 개\ulcorner, and length of stay. In surgical services, 97.3% and 34.7% are appropriate in location and timing of surgery respectively. Inappropriate timing of surgery differs significantly depending on patients' age, type of department admitted to, admission route, and length of stay. Sixty two percent of hospital days shows appropriate and the level of inappropriateness show marked differences by patients'age, type of services, admission routes, part of the month, part of the stay, and length of stay. Inappropriate hospital days are due to inappropriate level of care, premature admission, improper scheduling of diagnostic or therapeutic procedures, and problems in scheduling surgery in sequence. In conclusion, substantially high proportion of inappropriate hospital bed utilization was confirmed. To reduce it, it is necessary to develop alternative services with which can replace inpatient services, and to introduce utilization management system which may include internal peer review.

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A Study on the Energy Usage Prediction and Energy Demand Shift Model to Increase Energy Efficiency (에너지 효율 증대를 위한 에너지 사용량 예측과 에너지 수요이전 모델 연구)

  • JaeHwan Kim;SeMo Yang;KangYoon Lee
    • Journal of Internet Computing and Services
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    • v.24 no.2
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    • pp.57-66
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    • 2023
  • Currently, a new energy system is emerging that implements consumption reduction by improving energy efficiency. Accordingly, as smart grids spread, the rate system by timing is expanding. The rate system by timing is a rate system that applies different rates by season/hour to pay according to usage. In this study, external factors such as temperature/day/time/season are considered and the time series prediction model, LSTM, is used to predict energy power usage data. Based on this energy usage prediction model, energy usage charges are reduced by analyzing usage patterns for each device and transferring power energy from the maximum load time to the light load time. In order to analyze the usage pattern for each device, a clustering technique is used to learn and classify the usage pattern of the device by time. In summary, this study predicts usage and usage fees based on the user's power data usage, analyzes usage patterns by device, and provides customized demand transfer services based on analysis, resulting in cost reduction for users.

The myocarditis and cardiomyopathy in children (소아 심근염과 심근증)

  • Kil, Hong Ryang
    • Clinical and Experimental Pediatrics
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    • v.50 no.11
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    • pp.1049-1054
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    • 2007
  • Myocarditis represent an important condition encountered by general pediatricians & general practitioners. Its presentation is varied, and therefore a high index of suspicion must be maintained when the possibility of myocarditis is raised. A progression from viral myocarditis to dilated cardiomyopathy has long been hypothesized. Treatment is initially aimed at achieving hemodynamic stability and is largely supportive. There is currently little evidence to support the immunomodulatory or specific antiviral therapies. Pediatric cardiomyopathies are a heterogeneous group of disorders with diverse genetic, infectious, mitochodrial and metabolic etiologies. The timing and severity of presentation vary according to cardiomyopathy type as well as genetic and ethnic factors. The behavior of specific cardiomyopathies can be predicted by morphological and functional attributes, as well as underlying patient characteristics.