• Title/Summary/Keyword: 노모그램

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Construction of a Nomogram for Predicting Difficulty in Peripheral Intravenous Cannulation (말초 정맥주사 삽입 어려움 예측을 위한 노모그램 구축)

  • Kim, Kyeong Sug;Choi, Su Jung;Jang, Su Mi;Ahn, Hyun Ju;Na, Eun Hee;Lee, Mi Kyoung
    • Journal of Home Health Care Nursing
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    • v.30 no.1
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    • pp.48-58
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    • 2023
  • Purpose: The purpose of this study was to construct a nomogram for predicting difficulty in peripheral intravenous cannulation (DPIVC) for adult inpatients. Methods: This study conducted a secondary analysis of data from the intravenous cannulation cohort by intravenous specialist nurses at a tertiary hospital in Seoul. Overall, 504 patients were included; of these, 166 (32.9%) patients with failed cannulation in the first intravenous cannulation attempt were included in the case group, while the remaining 338 patients were included in the control group. The nomogram was built with the identified risk factors using a multiple logistic regression analysis. The model performance was analyzed using the Hosmer-Lemeshow test, area under the curve (AUC), and calibration plot. Results: Five factors, including vein diameter, vein visibility, chronic kidney disease, diabetes, and chemotherapy, were risk factors of DPIVC. The nomogram showed good discrimination with an AUC of 0.81 (95% confidence interval: 0.80-0.82) by the sample data and 0.79 (95% confidence interval: 0.74-0.84) by bootstrapping validation. The Hosmer-Lemeshow goodness-of-fit test showed a p-value of 0.694, and the calibration curve of the nomogram showed high coherence between the predicted and actual probabilities of DPIVC. Conclusion: This nomogram can be used in clinical practice by nurses to predict DPIVC probability. Future studies are required, including those on factors possibly affecting intravenous cannulation.

Nomogram of Transcutaneous Bilirubin Level after Birth Driven from a Single Center (단일기관에서 도출된 출생 후의 경피적 빌리루빈의 노모그램)

  • Han, Young-Ji;Kim, Eun-Ryoung;Lee, Myung-Sook;Lee, Won-Uk;Park, Su-Hwa;Lee, Jung-Ju
    • Neonatal Medicine
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    • v.17 no.1
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    • pp.102-108
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    • 2010
  • Purpose : The goal of this study was to measure bilirubin levels over 6 hours using a transcutaneous bilirubinometer. The change in the bilirubin levels were recorded in anomogram. The natural progress of jaundice in neonates was monitored using the nomogram and cases were identified that needed further follow-up observation and treatment. Methods : The subjects of this study were 986 healthy term or near-term infants at the age of 35 weeks or older who were born at Sung-Ae General Hospital during the period from October 1, 2007 to April 30, 2009 and whose parents were both Koreans. Transcutaneous bilirubin measurements were obtained using a transcutaneous bilirubinometer (Minolta, JM-103) from 6 hours of life to discharge at intervals of 6 hours. A nomogram was derived from the obtained data and compared to the delivery method, gestational age, and feeding method. Results : Percentile graphs were drawn according to time. Based on the graphs, phototherapy was necessary in more than 90 percent of the infants between 35 and 37.6 weeks of age and in 95 percent of the infants 38 weeks and older. The mean bilirubin level at 24, 48, 72 and 96 hours after birth were compared according to the delivery method, gestational age, and feeding method. The bilirubin level in 48 hours was significantly higher in neonates born via cesarean section delivery compared to the neonates born via vaginal delivery, however the levels were not statistically different at the other hours. Conclusion : The results of this study show the nomogram derived from hour-specific transcutaneous bilirubin levels. This information can be used to predict the risk for subsequent significant hyperbilirubinemia.

Damping Properties of the Spray Type Vibration Reduction Material for the Use of the Automotive Interior Parts (자동차 내장용 분무형 제진재의 제진특성)

  • 윤주호;윤여성;김영명;김의용;김종수
    • Transactions of the Korean Society of Automotive Engineers
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    • v.10 no.5
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    • pp.138-146
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    • 2002
  • The new type of vibration reduction material far an automotive interior, which is spray-type liquid material, is developed in this study The new material has better damping property and lower mass density than other damping materials, for example asphalt sheet. It can be sprayed by an automatic robot, so it is expected to improve productivity and cut down manpower. And it solves a poor adhesion problem and makes an automotive to be lightweight by optimizing spray process. So, It is a next generation automotive vibration reduction material. In this paper, the chemical process for making the new damping materials is described. And then, the damping properties of the vibration reduction materials are analyzed by modal testing of damping treatment specimens. The new vibration reduction materials have good damping properties than asphalt sheet in the experimental results.

VRIFA: A Prediction and Nonlinear SVM Visualization Tool using LRBF kernel and Nomogram (VRIFA: LRBF 커널과 Nomogram을 이용한 예측 및 비선형 SVM 시각화도구)

  • Kim, Sung-Chul;Yu, Hwan-Jo
    • Journal of Korea Multimedia Society
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    • v.13 no.5
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    • pp.722-729
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    • 2010
  • Prediction problems are widely used in medical domains. For example, computer aided diagnosis or prognosis is a key component in a CDSS (Clinical Decision Support System). SVMs with nonlinear kernels like RBF kernels, have shown superior accuracy in prediction problems. However, they are not preferred by physicians for medical prediction problems because nonlinear SVMs are difficult to visualize, thus it is hard to provide intuitive interpretation of prediction results to physicians. Nomogram was proposed to visualize SVM classification models. However, it cannot visualize nonlinear SVM models. Localized Radial Basis Function (LRBF) was proposed which shows comparable accuracy as the RBF kernel while the LRBF kernel is easier to interpret since it can be linearly decomposed. This paper presents a new tool named VRIFA, which integrates the nomogram and LRBF kernel to provide users with an interactive visualization of nonlinear SVM models, VRIFA visualizes the internal structure of nonlinear SVM models showing the effect of each feature, the magnitude of the effect, and the change at the prediction output. VRIFA also performs nomogram-based feature selection while training a model in order to remove noise or redundant features and improve the prediction accuracy. The area under the ROC curve (AUC) can be used to evaluate the prediction result when the data set is highly imbalanced. The tool can be used by biomedical researchers for computer-aided diagnosis and risk factor analysis for diseases.

Estimation of Formability for Sheet Metal Forming of Electronic Parts (전자 박판 부품의 가공성 평가에 대한 연구)

  • Lee, B.C.;Kang, S.Y.;Moon, J.H.
    • Journal of the Korean Society for Precision Engineering
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    • v.13 no.5
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    • pp.104-114
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    • 1996
  • For the improvement of productivity, the reduction of cost and time for manufacturing is mandatory, especially in the field of electromic industry. The study is concerned with a practical means of systematic assistance to formability estimation and selection of reliable design specification for electronic sheet metal parts. The objective of this research work is to develop a simulation system which hops to analyze the target processes with the finite element method and to acquire available design data quickly and exactly. The simulation system developed in the study consists of design verification, selection of optimal combination of parameters, knowledge acquisition and graphical user interface(GUI). Design verification is automatically carried out by using the finite element method. A data base management system and nomograms are utilized for knowledge acquisition. The developed system has been applied to some major sheet metal forming operations such as flanging, embossing, bending and blanking. According to the simulated results, the validation of the target processes has been confirmend. Analysis data, estimation rules of formability and graphical representation of the analysis have been employed for the designer's understanding and evaluation, thus providing a practical means of robust design and evaluation of forma- bility for producing electronic sheet metal parts.

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Influence of Delay Time on the Ground Vibration (발파공간 지연시차가 지반진동에 미치는 영향)

  • Kim, Ji-Soo;Choi, Tae-Hong;Lee, Chang-Won
    • Explosives and Blasting
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    • v.32 no.2
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    • pp.1-8
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    • 2014
  • In this study, 16 test blastings had been carried out with different spacings, burdens, drilling lengths, and charges per delay for investigating the characteristics of ground vibration propagation, which depends on the delay time. From the tests, it was possible to derive a ground vibration equation. Using the equation, the characteristics of ground vibration could be investigated by analyzing the nomogram and predicting the Peak Particle Velocity (PPV), which are influenced by the delay time and the priming location. The trend of ground vibration change depending on the delay time was analyzed for the standards charges of 0.5, 1.6, 5, and 15 kg, which were suggested in "Blasting design and construction guidelines to road construction" by the Ministry of Land, Infrastructure and Transport. From the study, it would be possible to suggest a favorable vibration control method, which depends on the charge.

Influence of Inner-hole Priming Location on Ground Vibration (발파공내 기폭위치가 지반진동에 미치는 영향)

  • Kim, Jae-Woong;Kang, Choo-Won;Ko, Chin-Surk
    • Explosives and Blasting
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    • v.30 no.1
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    • pp.29-36
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    • 2012
  • In this study, the influence of priming location inside a blast hole on the ground vibration has been studied. In most of the previous studies dealing with the ground vibration, the effect of priming location in a blast hole was usually considered in a limited way. Thus, it seems that the results of the studies can be applicable only to the relevant sites. Considering the fact that the mechanism of ground vibration caused by blasting is quite complex, the priming location can have a considerable effect on the ground vibration in certain situations and be an important parameter in a blasting design. To identify the characteristics of the wave propagation according to priming locations, total 72 test blasts were carried out with different spacing, burden, drilling length, and charge, and prediction equations were derived. The characteristics of ground vibration, which was changed according to the priming location, was analyzed by using the nomogram of peak particle velocity (PPV) record. Attenuation relations, which were also dependent on the priming location, were analyzed. In this case, four different amounts of charge, that is, 0.5, 1.6, 5, and 15 kg, were used for the test. This criterion of charge amount is specified in the "Blasting design and construction guidelines to road construction" by the Ministry of Land, Transport and Maritime Affairs of Korea.

Influence of Delay Time and Priming Location on the Blast-Induced Ground Vibration (발파공 사이의 지연시차와 기폭위치가 지반진동에 미치는 영향)

  • Kang, Choo Won;Ryu, Bok Hyun;Choi, Tae Hong
    • Tunnel and Underground Space
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    • v.24 no.1
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    • pp.97-109
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    • 2014
  • In order to identify the characteristics of the propagation depending on delay time (20, 25 ms) and priming location (top priming, middle priming, bottom priming), test blasts were carried out a total of 4 times using different spacing, burden, drilling length, charge per delay and was derived the formula to predict blast vibration. This study investigated the characteristics of vibration by analysis of the nomogram and prediction of Peak Particle Velocity (PPV) from delay time and priming location by the formula to predict ground vibration. And it analyzed the trends of vibration increase by standards charge 0.5, 1.6, 5, 15 kg. Standards charge is "Blasting design and construction guidelines to road construction" by the Ministry of Land, Infrastructure and Transport. Depending on the charge in favor of vibration control method is proposed. Thus, when the design was to be used as a variable.

Development of a Diabetic Foot Ulceration Prediction Model and Nomogram (당뇨병성 발궤양 발생 위험 예측모형과 노모그램 개발)

  • Lee, Eun Joo;Jeong, Ihn Sook;Woo, Seung Hun;Jung, Hyuk Jae;Han, Eun Jin;Kang, Chang Wan;Hyun, Sookyung
    • Journal of Korean Academy of Nursing
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    • v.51 no.3
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    • pp.280-293
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    • 2021
  • Purpose: This study aimed to identify the risk factors for diabetic foot ulceration (DFU) to develop and evaluate the performance of a DFU prediction model and nomogram among people with diabetes mellitus (DM). Methods: This unmatched case-control study was conducted with 379 adult patients (118 patients with DM and 261 controls) from four general hospitals in South Korea. Data were collected through a structured questionnaire, foot examination, and review of patients' electronic health records. Multiple logistic regression analysis was performed to build the DFU prediction model and nomogram. Further, their performance was analyzed using the Lemeshow-Hosmer test, concordance statistic (C-statistic), and sensitivity/specificity analyses in training and test samples. Results: The prediction model was based on risk factors including previous foot ulcer or amputation, peripheral vascular disease, peripheral neuropathy, current smoking, and chronic kidney disease. The calibration of the DFU nomogram was appropriate (χ2 = 5.85, p = .321). The C-statistic of the DFU nomogram was .95 (95% confidence interval .93~.97) for both the training and test samples. For clinical usefulness, the sensitivity and specificity obtained were 88.5% and 85.7%, respectively at 110 points in the training sample. The performance of the nomogram was better in male patients or those having DM for more than 10 years. Conclusion: The nomogram of the DFU prediction model shows good performance, and is thereby recommended for monitoring the risk of DFU and preventing the occurrence of DFU in people with DM.

A Determination of the Maximum Potential Runoff of Small Rural Basins (소하천(小河川) 유역(流域)의 잠재유출량(潛在流出量) 결정(決定))

  • Yoon, Yong Nam;Hong, Chang Seon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.2 no.1
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    • pp.53-62
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    • 1982
  • An effort of preliminary type has been made to develope a practical method for the waterway area determination of a drainage outlet in rural or agricultural areas. The Seoul meteorological station was selected as tile index station, and the maximum rainfalls-duration-frequency (R-D-F) relation of short-time intense rainfalls was first established. A frequency analysis of the daily rainfalls for the 75 stations selected throughout the country resulted the 50-year daily rainfall for each station. The rainfall factor, which is defined here as the ration of 50-year daily rainfalls of individual station and the index station, was determined for the 8 climatological regions divided in this study. Following the US SCS method the runoff number of a watershed was given based on the soil type, land-use pattern, and the surface treatment. With this runoff number and the R-D-F relationship the runoff factors for the index station were computed and hence a nomogram could be drawn which makes it possible to determine the runoff factor for a given rainfall number and a rainfall of specific duration and frequency. With this done, the potential runoff of a watershed for a given rainfall duration could be calculated, based on the unit hydrograph theory, by multiplying the rainfall factor, the runoff factor, and the drainage area of the watershed under consideration. Then, the maximum runoff potential was determined by varying the rainfall duration and finding out the duration which results the peak discharge of a gived return period.

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