• Title/Summary/Keyword: Adjustment Models

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Developing a Hospital-Wide All-Cause Risk-Standardized Readmission Measure Using Administrative Claims Data in Korea: Methodological Explorations and Implications (건강보험 청구자료를 이용한 일반 질 지표로서의 위험도 표준화 재입원율 산출: 방법론적 탐색과 시사점)

  • Kim, Myunghwa;Kim, Hongsoo;Hwang, Soo-Hee
    • Health Policy and Management
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    • v.25 no.3
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    • pp.197-206
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    • 2015
  • Background: The purpose of this study was to propose a method for developing a measure of hospital-wide all-cause risk-standardized readmissions using administrative claims data in Korea and to discuss further considerations in the refinement and implementation of the readmission measure. Methods: By adapting the methodology of the United States Center for Medicare & Medicaid Services for creating a 30-day readmission measure, we developed a 6-step approach for generating a comparable measure using Korean datasets. Using the 2010 Korean National Health Insurance (NHI) claims data as the development dataset, hierarchical regression models were fitted to calculate a hospital-wide all-cause risk-standardized readmission measure. Six regression models were fitted to calculate the readmission rates of six clinical condition groups, respectively and a single, weighted, overall readmission rate was calculated from the readmission rates of these subgroups. Lastly, the case mix differences among hospitals were risk-adjusted using patient-level comorbidity variables. The model was validated using the 2009 NHI claims data as the validation dataset. Results: The unadjusted, hospital-wide all-cause readmission rate was 13.37%, and the adjusted risk-standardized rate was 10.90%, varying by hospital type. The highest risk-standardized readmission rate was in hospitals (11.43%), followed by general hospitals (9.40%) and tertiary hospitals (7.04%). Conclusion: The newly developed, hospital-wide all-cause readmission measure can be used in quality and performance evaluations of hospitals in Korea. Needed are further methodological refinements of the readmission measures and also strategies to implement the measure as a hospital performance indicator.

The Implementation of a Battery Simulator with Atypical Characteristics of Batteries (비정형적 배터리 특성을 포함한 배터리 시뮬레이터의 구현)

  • Lee, Dong Sung;Lee, Seong-Won
    • KIPS Transactions on Computer and Communication Systems
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    • v.3 no.11
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    • pp.419-426
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    • 2014
  • The recent trend of performance increase in the smart mobile devices demands more power consumption and lower batter life time. Among three battery models of mathematical model, electrochemical model and electric model, the Thevenin's equivalent circuit with non-linear function model of SOC in the electrical model is widely used. However, the OCV results have only limited accuracy because of the characteristic shift caused by temperature and age and atypical impedance property that cannot expressed by electrical components. In this paper, the new battery model that improves the accuracy of the existing models is proposed. In the proposed simulator the mathematical model for SOC characteristic is improved and the adjustment for the temperature, the age of battery and atypical electrical characteristics. In the experimental results of predicting of the battery in the static and dynamic state, the proposed simulator shows improved MSE comparing to the results of the existing methods.

Enhanced ACGAN based on Progressive Step Training and Weight Transfer

  • Jinmo Byeon;Inshil Doh;Dana Yang
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.3
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    • pp.11-20
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    • 2024
  • Among the generative models in Artificial Intelligence (AI), especially Generative Adversarial Network (GAN) has been successful in various applications such as image processing, density estimation, and style transfer. While the GAN models including Conditional GAN (CGAN), CycleGAN, BigGAN, have been extended and improved, researchers face challenges in real-world applications in specific domains such as disaster simulation, healthcare, and urban planning due to data scarcity and unstable learning causing Image distortion. This paper proposes a new progressive learning methodology called Progressive Step Training (PST) based on the Auxiliary Classifier GAN (ACGAN) that discriminates class labels, leveraging the progressive learning approach of the Progressive Growing of GAN (PGGAN). The PST model achieves 70.82% faster stabilization, 51.3% lower standard deviation, stable convergence of loss values in the later high resolution stages, and a 94.6% faster loss reduction compared to conventional methods.

The health effects of low blood lead level in oxidative stress as a marker, serum gamma-glutamyl transpeptidase level, in male steelworkers

  • Su-Yeon Lee;Yong-Jin Lee;Young-Sun Min;Eun-Chul Jang;Soon-Chan Kwon;Inho Lee
    • Annals of Occupational and Environmental Medicine
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    • v.34
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    • pp.34.1-34.13
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    • 2022
  • Background: This study aimed to investigate the association between lead exposure and serum gamma-glutamyl transpeptidase (γGT) levels as an oxidative stress marker in male steelworkers. Methods: Data were collected during the annual health examination of workers in 2020. A total of 1,654 steelworkers were selected, and the variables for adjustment included the workers' general characteristics, lifestyle, and occupational characteristics. The association between the blood lead level (BLL) and serum γGT level was investigated by multiple linear and logistic regression analyses. The BLL and serum γGT values that were transformed into natural logarithms were used in multiple linear regression analysis, and the tertile of BLL was used in logistic regression analysis. Results: The geometric mean of the participants' BLLs and serum γGT level was 1.36 ㎍/dL and 27.72 IU/L, respectively. Their BLLs differed depending on age, body mass index (BMI), smoking status, drinking status, shift work, and working period, while their serum γGT levels differed depending on age, BMI, smoking status, drinking status, physical activity, and working period. In multiple linear regression analysis, the difference in models 1, 2, and 3 was significant, obtaining 0.326, 0.176, and 0.172 (all: p < 0.001), respectively. In the multiple linear regression analysis stratified according to drinking status, BMI, and age, BLLs were positively associated with serum γGT levels. Regarding the logistic regression analysis, the odds ratio of the third BLL tertile in models 1, 2, and 3 (for having an elevated serum γGT level within the first tertile reference) was 2.74, 1.83, and 1.81, respectively. Conclusions: BLL was positively associated with serum γGT levels in male steelworkers even at low lead concentrations (< 5 ㎍/dL).

Analysis of Three Dimensional Position According to Photographing Position in Close-Range Digital Photogrammetry (촬영위치에 따른 근접수치사진측량의 3차원 위치 해석)

  • Lee, Jong-Chool;Seo, Dong-Ju;Roh, Tae-Ho;Nam, Shin
    • Proceedings of the Korean Society of Surveying, Geodesy, Photogrammetry, and Cartography Conference
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    • 2003.10a
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    • pp.181-186
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    • 2003
  • As the approach close-range digital photogrammetry has a variety of merits, the application of precision requiting fields is in Increase for its scope expansion. In the meantime, in case of photographic surveying by use of films, a lot of studies on experiment analysis and theoretical forecast models about a change of the exactness as per photographing coordinates have been conducted, but experiments about approach close-range digital photogrammetry are not enough yet. In consequence, this study has made photographing respectively by changing the photographic distance, converging angle, picturing direction by use of Rollei d7 metric and d7 metric$\^$5/ that is a measurement digital camera. And also in order to minimize the errors happened at the relative orientation, we have sorted out the prototype target that the relative orientation is automatically on the programming and have calculated RMSE by carrying out the bundle adjustment. We think that such a study could be used as very important basic data necessary in deriving the optimal photographic conditions by the close-range digital photogrammetry and in judging such a degree.

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Rule-Based Fuzzy-Neural Networks Using the Identification Algorithm of the GA Hybrid Scheme

  • Park, Ho-Sung;Oh, Sung-Kwun
    • International Journal of Control, Automation, and Systems
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    • v.1 no.1
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    • pp.101-110
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    • 2003
  • This paper introduces an identification method for nonlinear models in the form of rule-based Fuzzy-Neural Networks (FNN). In this study, the development of the rule-based fuzzy neural networks focuses on the technologies of Computational Intelligence (CI), namely fuzzy sets, neural networks, and genetic algorithms. The FNN modeling and identification environment realizes parameter identification through synergistic usage of clustering techniques, genetic optimization and a complex search method. We use a HCM (Hard C-Means) clustering algorithm to determine initial apexes of the membership functions of the information granules used in this fuzzy model. The parameters such as apexes of membership functions, learning rates, and momentum coefficients are then adjusted using the identification algorithm of a GA hybrid scheme. The proposed GA hybrid scheme effectively combines the GA with the improved com-plex method to guarantee both global optimization and local convergence. An aggregate objective function (performance index) with a weighting factor is introduced to achieve a sound balance between approximation and generalization of the model. According to the selection and adjustment of the weighting factor of this objective function, we reveal how to design a model having sound approximation and generalization abilities. The proposed model is experimented with using several time series data (gas furnace, sewage treatment process, and NOx emission process data from gas turbine power plants).

A study on aerial triangulation from multi-sensor imagery

  • Lee, Young-ran;Habib, Ayman;Kim, Kyung-Ok
    • Proceedings of the KSRS Conference
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    • 2002.10a
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    • pp.400-406
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    • 2002
  • Recently, the enormous increase in the volume of remotely sensed data is being acquired by an ever-growing number of earth observation satellites. The combining of diversely sourced imagery together is an important requirement in many applications such as data fusion, city modeling and object recognition. Aerial triangulation is a procedure to reconstruct object space from imagery. However, since the different kinds of imagery have their own sensor model, characteristics, and resolution, the previous approach in aerial triangulation (or georeferencing) is performed on a sensor model separately. This study evaluated the advantages of aerial triangulation of large number of images from multi-sensors simultaneously. The incorporated multi-sensors are frame, push broom, and whisky broom cameras. The limits and problems of push-broom or whisky broom sensor models can be compensated by combined triangulation with frame imagery and vise versa. The reconstructed object space from multi-sensor triangulation is more accurate than that from a single model. Experiments conducted in this study show the more accurately reconstructed object space from multi-sensor triangulation.

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IGRINS : Collimating Mirror Mount Opto-mechanical Design

  • Rukdee, Surangkhana;Park, Chan;Chun, Moo-Young;Yuk, In-Soo;Lee, Sung-Ho;Lee, Han-Shin;Kim, Kang-Min;Jeong, Hwa-Kyung;Strubhar, Joseph;Jaffe, Daniel T.
    • Bulletin of the Korean Space Science Society
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    • 2011.04a
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    • pp.30.4-31
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    • 2011
  • The Korea Astronomy and Space Science Institute (KASI) and the Department of Astronomy at the University of Texas at Austin (UT) are developing a near infrared wide-band high resolution spectrograph, IGRINS (Immersion Grating Infrared Spectrograph). The white-pupil design of the instrument optics uses 7 cryogenic mirrors including 3 aspherical off-axis collimators and 4 flat fold mirrors. Two of the 3 collimators are H- and K-band pupil transfer mirrors and they are designed as compensators for the system alignment in each channel. Therefore, their mount design will be one of the most sensitive parts in the IGRINS optomechanical system. The design work will include the computer-aided 3D modeling and finite element analysis (FEA) to optimize the structural stability of the mount models. The mount body will also include a tip-tilt and translation adjustment mechanism to be used as the alignment compensators.

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Formal Charts for Qnantified $^{99m}Tc$-DMSA Renal Uptake Rates (정량화한 $^{99m}Tc$-DMSA 신섭취율의 공식표)

  • Moon, Tae-Yong;Kim, Yong-Ki;Hwang, Su-Hee;Yoon, Chong-Byung;Seung, Kyung-Tak
    • The Korean Journal of Nuclear Medicine
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    • v.27 no.2
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    • pp.248-255
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    • 1993
  • To Assessment of the quantified renal uptake rates in every $^{99m}Tc$-DMSA scan tests of patients is actually difficult because of time consumption and complicated calculations required to measure the correct dose of the infused radionulide and radiation decay, the adjustment for the depth of kidney and the subtraction of background count. We've formulated two regression models for the quantified renal uptake rates[I] from the simple renal uptake rates[H] with a square shaped ROI (Region-Of-Interest) in 25 cases (Group 1) and with a kidney shaped ROI in 37 cases (Group 2), respectively. The regression model for the Group 1 was $[I]_1$=0.885 $[H]_1$-4.575 (P<0.005), and for the Group 2 was $[I]_2$=0.591 $[H]_2$-2.105 (p<0.005). The formal charts were clinically convenient to evaluate the individual renal functions in patients with $^{99m}Tc$-DMSA renal scan.

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The Dynamic Relationship of Domestic Credit and Stock Market Liquidity on the Economic Growth of the Philippines

  • CAMBA, Abraham C. Jr.;CAMBA, Aileen L.
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.1
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    • pp.37-46
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    • 2020
  • The paper examines the dynamic relationship of domestic credit and stock market liquidity on the economic growth of the Philippines from 1995 to 2018 applying the autoregressive distributed lag (ARDL) bounds testing approach to cointegration, together with Granger causality test based on vector error correction model (VECM). The ARDL model indicated a long-run relationship of domestic credit and stock market liquidity on GDP growth. When the GDP per capita is the dependent variable there is weak cointegration. Also, the Johansen cointegration test confirmed the existence of long-run relationship of domestic credit and stock market liquidity both on GDP growth and GDP per capita. The VECM concludes a long-run causality running from domestic credit and stock market liquidity to GDP growth. At levels, domestic credit has significant short-run causal relationship with GDP growth. As for stock market liquidity at first lag, has significant short-run causal relationship with GDP growth. With regards to VECM for GDP per capita, domestic credit and stock market liquidity indicates no significant dynamic adjustment to a new equilibrium if a disturbance occurs in the whole system. At levels, the results indicated the presence of short-run causality from stock market liquidity and GDP per capita. The CUSUMSQ plot complements the findings of the CUSUM plot that the estimated models for GDP growth and GDP per capita were stable.