• Title/Summary/Keyword: timing factors

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Efficacy of the Decompressive Craniectomy for Acute Cerebral Infarction : Timing of Surgical Intervention and Clinical Prognostic Factors

  • Cho, Tae-Koo;Cheong, Jin-Hwan;Kim, Jae-Hoon;Bak, Koang-Hum;Kim, Choong-Hyun;Kim, Jae-Min
    • Journal of Korean Neurosurgical Society
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    • v.40 no.1
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    • pp.11-15
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    • 2006
  • Objective : Acute cerebral infarction is often accompanied by transtentorial herniation which can be fatal. The aim of this study is to determine the timing of surgical intervention and prognostic factors in patients who present with acute cerebral infarction. Methods : We reviewed retrospectively 23 patients with acute cerebral infarction, who received decompressive craniectomy or conservative treatment from January 2002 to December 2004. We divided patients into two groups according to the treatment modalities [Group 1 : conservative treatment, Group 2 : decompressive craniectomy]. In all patients, the outcome was quantified with Glasgow Outcome Scale and Barthel Index. Results : Of the 23 patients, 11 underwent decompressive craniectomy. With decompressive craniectomy at the time of loss of pupillary light reflex, we were able to prevent death secondary to severe brain edema in all cases. Preoperative Glasgow Coma Scale and loss of pupillary light reflex were significant to the clinical outcome statistically. With conservative treatment, 9 of the 12 patients died secondary to transtentorial herniation. The clinical outcomes of remaining 3 patients were poor. Conclusion : This study confirms the value of life-saving procedure of decompressive craniectomy after acute cerebral infarction. We propose that the loss of pupillary light reflex should be considered one of the most important factors to determine the timing of the decompressive craniectomy.

The Importance of Early Surgical Decompression for Acute Traumatic Spinal Cord Injury

  • Lee, Dong-Yeong;Park, Young-Jin;Song, Sang-Youn;Hwang, Sun-Chul;Kim, Kun-Tae;Kim, Dong-Hee
    • Clinics in Orthopedic Surgery
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    • v.10 no.4
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    • pp.448-454
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    • 2018
  • Background: Traumatic spinal cord injury (SCI) is a tragic event that has a major impact on individuals and society as well as the healthcare system. The purpose of this study was to investigate the strength of association between surgical treatment timing and neurological improvement. Methods: Fifty-six patients with neurological impairment due to traumatic SCI were included in this study. From January 2013 to June 2017, all their medical records were reviewed. Initially, to identify the factors affecting the recovery of neurological deficit after an acute SCI, we performed univariate logistic regression analyses for various variables. Then, we performed a multivariate logistic regression analysis for variables that showed a p-value of < 0.2 in the univariate analyses. The Hosmer-Lemeshow test was used to determine the goodness of fit for the multivariate logistic regression model. Results: In the univariate analysis on the strength of associations between various factors and neurological improvement, the following factors had a p-value of < 0.2: surgical timing (early, < 8 hours; late, 8-24 hours; p = 0.033), completeness of SCI (complete/incomplete; p = 0.033), and smoking (p = 0.095). In the multivariate analysis, only two variables were significant: surgical timing (odds ratio [OR], 0.128; p = 0.004) and completeness of SCI (OR, 9.611; p = 0.009). Conclusions: Early surgical decompression within 8 hours after traumatic SCI appeared to improve neurological recovery. Furthermore, incomplete SCI was more closely related to favorable neurological improvement than complete SCI. Therefore, we recommend early decompression as an effective treatment for traumatic SCI.

Effect of Bandwidth of Moving Average Filter on Symbol Timing Detection Performance (이동 평균 필터의 대역폭이 심벌 타이밍 검출 성능에 미치는 영향)

  • Lee, Jihye;Jeon, Taehyun
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.14 no.5
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    • pp.117-121
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    • 2014
  • In the orthogonal frequency division multiplexing system, the prefix inserted between data symbols should be eliminated to apply the Fourier transform on the valid symbol interval. This functional procedure should be based on the accurate symbol timing detection. The symbol timing detection at the receiver side provides the reference for determining the beginning time index of each symbol whose initial point is located at the boundary between the preamble and the payload part. Also, the detection error is one of the main factors in the overall system performance. In this paper the effect of the bandwidth of the moving average filter on the symbol timing detection is discussed. Simulations are carried out to analyze the detection performance for the varying values of the window size of the moving average filter which is related to the filter bandwidth.

Airline Disruption Management Using Ant Colony Optimization Algorithm with Re-timing Strategy (항공사 비정상 운항 복구를 위한 리-타이밍 전략과 개미군집최적화 알고리즘 적용)

  • Kim, Gukhwa;Chae, Junjae
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.40 no.2
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    • pp.13-21
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    • 2017
  • Airline schedules are highly dependent on various factors of uncertainties such as unfavorable weather conditions, mechanical problems, natural disaster, airport congestion, and strikes. If the schedules are not properly managed to cope with such disturbances, the operational cost and performance are severely affected by the delays, cancelations, and so forth. This is described as a disruption. When the disruption occurs, the airline requires the feasible recovery plan returning to the normal operations in a timely manner so as to minimize the cost and impact of disruptions. In this research, an Ant Colony Optimization (ACO) algorithm with re-timing strategy is developed to solve the recovery problem for both aircraft and passenger. The problem consists of creating new aircraft routes and passenger itineraries to produce a feasible schedule during a recovery period. The suggested algorithm is based on an existing ACO algorithm that aims to reflect all the downstream effects by considering the passenger recovery cost as a part of the objective function value. This algorithm is complemented by re-timing strategy to effectively manage the disrupted passengers by allowing delays even on some of undisrupted flights. The delays no more than 15 minutes are accepted, which does not influence on the on-time performance of the airlines. The suggested method is tested on the real data sets from 2009 ROADEF Challenge, and the computational results are compared with the existing ones on the same data sets. The method generates the solution for most of problem set in 10 minutes, and the result generated by re-timing strategy is discussed for its impact.

Association Between Initiation of Rehabilitation and Length of Hospital Stay for Workers with Moderate to Severe Work-Related Traumatic Brain Injury

  • Suk Won Bae;Min-Yong Lee
    • Safety and Health at Work
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    • v.14 no.2
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    • pp.229-236
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    • 2023
  • Background: In workers with moderate to severe work-related traumatic brain injury (wrTBI), this study aimed to investigate the effect of the timing of rehabilitation therapy initiation on the length of hospital stay and the factors that can influence this timing. Methods: We used data obtained from the Republic of Korea's nationwide Workers' Compensation Insurance. In the Republic of Korea, between the years 2010 and 2019, a total of 26,324 workers filed a claim for compensation for moderate to severe wrTBI. Multiple regression modeling was performed to compare the length of hospital stay according to the timing of rehabilitation therapy initiation following wrTBI. According to the timing of the initiation of rehabilitation therapy following TBI, the proportions of healthcare institutions that provided medical care during each admission step were compared. Results: The length of hospital stay for workers who started rehabilitation therapy within 90 days was significantly shorter than that for workers who started rehabilitationment were first admitted to tertiary hospitals. Approximately 39% of patients who received delayed rehabilitation treatment were first admitted to general hospitals, and 28.5% were first admitted to primary hospitals. Conclusions: Our findings demonstrate the importance of early rehabilitation initiation and that the type of healthcare institution that the patient is first admitted to after wrTBI may influence the timing of rehabilitation initiation. The results of this study also emphasize the need to establish a Worker's Compensation Insuranceespecialized rehabilitation healthcare delivery system.

Optimal Derivation Timing for Establishment of Porcine Embryonic Stem Cells (돼지 배아줄기세포 확립을 위한 최적의 유도시기)

  • Kim, Eun-Hye;Cheong, Seung-A;Yoon, Junchul David;Jeon, Yubyeol;Hyun, Sang-Hwan
    • Journal of Embryo Transfer
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    • v.28 no.1
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    • pp.1-6
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    • 2013
  • A lot of works have been dedicated to clarify the reasons why the establishment of embryonic stem cells (ESCs) from pig is more difficult than that from mouse and human. Several concomitant factors such as culture condition including feeder layer, sensitivity of cell to cell contact, definitive markers of pluripotency for evaluation of the validity and optimal timing of derivation have been suggested as the disturbing factors in the establishment of porcine ESCs Traditionally, attempts to derive stem cells from porcine embryos have depend on protocols established for mouse ESCs using inner cell mass (ICM) for the isolation and culture. And more recently, protocols used for primate ESCs were also applied. However, there is no report for the establishment of porcine ESCs. Indeed, ungulate species including pigs have crucial developmental differences unlike rodents and primates. Here we will review recent studies about issues for establishment of porcine ESCs and discuss the promise and strategies focusing on the timing for derivation and pluripotent state of porcine ESCs.

Research on Determine Buying and Selling Timing of US Stocks Based on Fear & Greed Index (Fear & Greed Index 기반 미국 주식 단기 매수와 매도 결정 시점 연구)

  • Sunghyuck Hong
    • Journal of Industrial Convergence
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    • v.21 no.1
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    • pp.87-93
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    • 2023
  • Determining the timing of buying and selling in stock investment is one of the most important factors to increase the return on stock investment. Buying low and selling high makes a profit, but buying high and selling low makes a loss. The price is determined by the quantity of buying and selling, which determines the price of a stock, and buying and selling is also related to corporate performance and economic indicators. The fear and greed index provided by CNN uses seven factors, and by assigning weights to each element, the weighted average defined as greed and fear is calculated on a scale between 0 and 100 and published every day. When the index is close to 0, the stock market sentiment is fearful, and when the index is close to 100, it is greedy. Therefore, we analyze the trading criteria that generate the maximum return when buying and selling the US S&P 500 index according to CNN fear and greed index, suggesting the optimal buying and selling timing to suggest a way to increase the return on stock investment.

Correction in the Measurement Error of Water Depth Caused by the Effect of Seafloor Slope on Peak Timing of Airborne LiDAR Waveforms (지형 기울기에 의한 항공 수심 라이다 수심 측정 오차 보정)

  • Sim, Ki Hyeon;Woo, Jae Heun;Lee, Jae Yong;Kim, Jae Wan
    • Journal of the Korean Society for Precision Engineering
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    • v.34 no.3
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    • pp.191-197
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    • 2017
  • Light detection and ranging (LiDAR) is one of the most efficient technologies to obtain the topographic and bathymetric map of coastal zones, superior to other technologies, such as sound navigation and ranging (SONAR) and synthetic aperture radar (SAR). However, the measurement results using LiDAR are vulnerable to environmental factors. To achieve a correspondence between the acquired LiDAR data and reality, error sources must be considered, such as the water surface slope, water turbidity, and seafloor slope. Based on the knowledge of those factors' effects, error corrections can be applied. We concentrated on the effect of the seafloor slope on LiDAR waveforms while restricting other error sources. A simulation regarding in-water beam scattering was conducted, followed by an investigation of the correlation between the seafloor slope and peak timing of return waveforms. As a result, an equation was derived to correct the depth error caused by the seafloor slope.

Symmetric Position Drift of Integration Approach in Pedestrian Dead Reckoning with Dual Foot-mounted IMU

  • Lee, Jae Hong;Cho, Seong Yun;Park, Chan Gook
    • Journal of Positioning, Navigation, and Timing
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    • v.9 no.2
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    • pp.117-124
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    • 2020
  • In this paper, the symmetric position drift of the integration approach in pedestrian dead reckoning (PDR) system with dual foot-mounted IMU is analyzed. The PDR system that uses the inertial sensor attached to the shoe is called the IA-based PDR system. Since this system is designed based on the inertial navigation system (INS), it has the same characteristics as the error of the INS, then zero-velocity update (ZUPT) is used to correct this error. However, an error that cannot be compensated perfectly by ZUPT exists, and the trend of the position error is the symmetric direction along the side of the shoe(left, right foot) with the IMU attached. The symmetric position error along the side of the shoe gradually increases with walking. In this paper, we analyze the causes of symmetric position drift and show the results. It suggests the possibility of factors other than the error factors that are generally considered in the PDR system based on the integration approach.

The Role of Timing and Presidential Popularity in Local Elections: Upheaval in the 2018 Busan City Council Election

  • Jenkins, Matthew D.;Bae, Jin Seok
    • Analyses & Alternatives
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    • v.6 no.1
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    • pp.223-258
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    • 2022
  • The 2018 local elections completely upended the composition of Busan's city council, with the council membership changing from being solidly and consistently conservative to being over 80% liberal. What explains this anomalous outcome? While existing literature suggests the outcome of the 2018 city council elections was the consequence of a combination of structural and strategic factors, such as the decline of regional voting, we argue that the individual-level evaluation of President Moon Jae-in is one of the primary factors driving this result. Although coattails effects are commonly considered in concurrent national legislative elections, the Presidentialized and nationalized politics of Korea makes it possible for Presidential elections to affect local elections as well. We assess our explanation through an analysis of repeated cross-sectional survey data collected just before the 2018 local elections. The results of the analysis show that support for the Democratic Party is very strongly predicted by individual-level evaluation of President Moon. When considered in the context of the timing of presidential and local elections, the results suggest that Presidential coattail effects are capable of destabilizing established political patterns, such as regional voting, if perhaps only in a sporadic and idiosyncratic fashion, depending on whether or not local elections are held early on in a President's term.