• Title/Summary/Keyword: High-volume

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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.

Comparative Study of Tritium Analysis Method with High-Volume Counting Vial

  • Yoon, Yoon Yeol;Kim, Yongcheol
    • Journal of Radiation Protection and Research
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    • v.45 no.3
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    • pp.142-146
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    • 2020
  • Background: Tritium (3H) analysis in groundwater was difficult because of its low activity. Therefore, the electrolytic enrichment method was used. To improve the detection limit and for performing simple analysis, a high-volume counting vial with the available liquid scintillation counter (LSC) was investigated. Further, it was compared with a conventional 20-mL counting vial. Materials and Methods: The LSC with the electrolytic enrichment method was used 3H analysis in groundwater. A high-volume 145-mL counting vial was compared with a conventional 20-mL counting vial to determine the counting characteristics of different LSCs. Results and Discussion: When a Quantulus LSC was used, the counting window between channels 35 and 250 was used. The background count was approximately 1.86 cpm, and the counting efficiency increased from 8% to 40% depending on the mixing ratio of the volume of sample and cocktail solution. For LSC-LB7, the optimum counting window was between 1 and 4.9 keV, which was selected by the factory (Hitachi Aloka Medical Ltd., Japan) by considering quenching using a standard external gamma source. The background count of LSC-LB7 was approximately 3.60 ± 0.29 cpm when the 145-mL vial was used and 2.22 ± 0.17 cpm when the 20-mL vial was used. The minimum detectable activity (MDA) of the 20-mL vial was greater for LSC-LB7 than for Quantulus. The MDA with the 145-mL vial was improved to 0.3 Bq/L when compared with the value of 1.6 Bq/L for the 20-mL vial. Conclusion: The counting efficiency when using the 145-mL vial was 27%, whereas it was 18% when using the 20-mL vial. This difference can be attributed to the vial volume. The figure of merit (FOM) of the 145-mL vial was four times greater than that of the 20-mL vial because the volume of the former vial is approximately seven times greater than that of the latter. Further, the MDA for 3H decreased from 1.6 to 0.3 Bq/L. The counting efficiency and FOM of LSC-LB7 was slightly less than those of Quantulus when the 20-mL vial was used. The background counting rate of the Quantulus was lower than that of the LSC-LB7.

Strength Development and Durability of High-Strength High-Volume GGBFS Concrete (고강도 고함량 고로슬래그 콘크리트의 강도 발현 특성 및 내구성)

  • Kim, Joo-Hyung;Jeong, Ji-Yong;Jang, Seung-Yup;Jung, Sang-Hwa;Kim, Sung-Il
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.3 no.3
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    • pp.261-267
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    • 2015
  • To develop high-strength high-volume ground granulated blast-furnace slag (GGBFS) concrete, this study investigated the characteristics of strength development and durability of concrete with the water-to-binder ratio of 23% and the GGBFS replacement ratio of up to 65%. The results show that the compressive strength of GGBFS blended concrete is lower than that of ordinary Portland cement (OPC) concrete up to 3-day age, but the becomes higher after 7-day age. Together with strength increase, the pore structure becomes tighter, and thus the resistance to chloride ion penetration increases. Therefore, the GGBFS blended concrete has high resistance to freezing and thawing without additional air-entraining, and high resistance to carbonation despite low amount of calcium hydroxide ($Ca(OH)_2$). On the other hand, if silica fume (SF) is blended with GGBFS, the strength becomes lower than that of the concrete blended with GGBFS only, and the resistance to chloride ion penetration deceases. Therefore, it needs further studies on the reaction of SF in high-strength high-volume GGBFS concrete.

Effects of Initial Inoculum Size, Liquid Volume and Medium Feeding Strategy on Panax ginseng Hairy Roots Growth

  • Jeong, Gwi-Taek;Park, Don-Hui;Hwang, Baek
    • 한국생물공학회:학술대회논문집
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    • 2000.11a
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    • pp.250-253
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    • 2000
  • We researched effects of growth on initial inoculum size, liquid volume, and medium feeding rate etc. Cell suspension inoculated at low cell concentrations showed a typical growth reduction, whereas root cultures showed an improvement in growth. In this paper, Hairy roots showed high growth rate at 0.4 % inoculum size and 100 mL liquid volume in 250 mL flask cultures.

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Electrical Conduction Characteristics of Ultra High Voltage Cable for Prevention of Electrical Fires (전기 방재를 위한 초고압케이블의 전기 전도 특성)

  • Park, Hee-Doo;Park, Ha-Yong
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2007.11a
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    • pp.216-217
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    • 2007
  • In this paper we investigated the volume resistivity and AC conduction current according to the temperature and voltage. As a result, the volume resistivity comes to be small according to the measurement temperature and voltage. AC conduction current of the heat treatment specimen is increased because of the decrease of insulation.

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Intermode Space Charge Fields in Photorefractive Material with Two Impurities for Volume Holographic Interconnections (두 종류의 불순물을 가진 광굴절 물질의 체적 홀로그램 광연결에서 생기는 모드간 공간 전하 필드)

  • Hwang, Byeong-Joon;Lee, Hyuk
    • Proceedings of the KIEE Conference
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    • 1993.07b
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    • pp.666-669
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    • 1993
  • The space charge fields, including intermode apace charge fields in photorefractive material with two impurities are obtained for the small light intensity at large modulation depth, and their implication of high-capacity volume holographic interconnection are presented. In the following data regions the effect of intermode space charge fields are suppresed and the criteria for optimal implementation of volume holographic interconnections are satisfied.

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A Study on Traffic Volume Prediction for e-Commerce Systems (전자상거래 시스템의 트래픽량 예측에 관한 연구)

  • Kim, Jeong-Su
    • The KIPS Transactions:PartC
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    • v.18C no.1
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    • pp.31-44
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    • 2011
  • The applicability of network-based computing depends on the availability of the underlying network bandwidth. Such a growing gap between the capacity of the backbone network and the end users' needs results in a serious bottleneck of the access network in between. As a result, ISP incurs disadvantages in their business. If this situation is known to ISP in advance, or if ISP is able to predict traffic volume end-to-end link high-load zone, ISP and end users would be able to decrease the gap for ISP service quality. In this paper, simulation tools, such as ACE, ADM, and Flow Analysis, were used to be able to perceive traffic volume prediction and end-to-end link high-load zone. In using these simulation tools, we were able to estimate sequential transaction in real-network for e-Commerce. We also imported virtual network environment estimated network data, and create background traffic. In a virtual network environment like this, we were able to find out simulation results for traffic volume prediction and end-to-end link high-load zone according to the increase in the number of users based on virtual network environment.

Estimation of the Lubricating Oil Rheology at High Pressure Based on Phase Diagram

  • Rahman, Md.Z.;Ohno, N.
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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    • 2002.10b
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    • pp.85-86
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    • 2002
  • For rheology investigation of lubricating oils, first phase diagrams were made from determined free volume based on density measurements and the temperature-pressure relation was estimated using the expansion coefficient of free volume and the temperature-pressure relation of the viscoelastic transition point. Next, the authors proposed the density-pressure-temperature relation and the viscosity-pressure-temperature relation of the tested oils based on the free volume and the phase diagrams. Moreover, it was shown that the Ehrenfest equation or the gradient of the phase diagram is closely related to the expansion coefficient of free volume.

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Combustion characteristics in small combustion chamber that has high surface to volume ratio (고 표면적-체적 비를 가지는 소형 연소실 환경에서의 연소특성)

  • Lee, Dae-Hoon;Choi, Kwon-Hyoung;Kwon, Se-Jin
    • 한국연소학회:학술대회논문집
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    • 2000.12a
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    • pp.212-216
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    • 2000
  • Combustion phenomenon in scale-downed combustor is investigated. As the combustor volume decreases surface to volume ratio increases. for increased surface to volume ratio means increased heat loss and this increased heat loss affects reaction in combustion chamber. Plastic mini combustor is made. Stoichiometricaly premixed Hydrogen I air gas is used as fuel. Initial chamber pressure and chamber size are varied and the effects are evaluated. Peak pressure decreases with the decrease in chamber height. As initial chamber pressure decreases peak pressure decreases. And this change is more important than scale down effect till the chamber height of 1mm. With this result and further information following the experiments design parameter for micro engine can be established.

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A VOLUME OF FLUID METHOD FOR FREE SURFACE FLOWS AROUND SHIP HULLS (선체주위 자유수면 유동 해석을 위한 VOF법 연구)

  • Park, I.R.
    • Journal of computational fluids engineering
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    • v.20 no.1
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    • pp.57-64
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    • 2015
  • This paper describes a volume of fluid(VOF) method, mRHRIC for the simulation of free surface flows around ship hulls and provides its validation against benchmark test cases. The VOF method is developed on the basis of RHRIC method developed by Park et al. that uses high resolution differencing schemes to algebraically preserve both the sharpness of interface and the boundedness of volume fraction. A finite volume method is used to solve the governing equations, while the realizable ${\kappa}-{\varepsilon}$ model is used for turbulence closure. The present numerical results of the resistance performance tests for DTMB5415 and KCS hull forms show a good agreement with available experimental data and those of other free surface methods.