• Quality Improvement in Health Care
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• 제2권2호
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• pp.56-71
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• 1996

Background : Review of readmissions in health care facilities is necessary from the viewpoint of both economic concerns and quality considerations. To identify the characteristics, factors, and causes of multiple admissions in comparison with single admissions is essential for both providers and payers in order to assure quality care and efficient use of medical resources. Methods: All discharges from an university hospital in 1993 were analyzed, and the characteristics of multiple admissions were identified and were compared with those of single admissions by using the data bases of the discharge abstract and billing for reimbursement. Medical records of patients readmitted within 6 days after the previous discharge were reviewed to identify the reasons for such prompt readmission. Statistical analysis between groups of patients were performed by using SPSS. Result : The mean age was higher in multiple admissions than those of single admissions, and the average length of stay was longer in multiple admissions than in single admissions. The hospital cost per day is higher in single admissions while the cost per case is higher in multiple admissions. More than half of readmissions occurred within one month after the preceding discharges. Above 15% of the readmission within 6 days after the preceding discharges seemed to have close relationship with quality of care provided during the preceding hospitalization. The death rate of the patients readmitted within 6 days was the highest in comparison with multiple admissions and single admissions. Conclusion : Potential preventable readmissions should be reduced by identifying characteristics of multiple admissions, especially unplanned readmission, and by applying some interventions such as standard predischarge assessment or careful follow-up care after discharge for high risk readmission groups. As the results of these efforts, health care facilities could achieve quality improvement in medical care, and effective use of hospital resources.

• Journal of the Korea Academia-Industrial cooperation Society
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• 제20권10호
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• pp.366-373
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• 2019

Combat uniforms require higher tensile and tear strength than civilian products, and applied infrared reflectance from the recently developed nighttime fluoroscopy equipment to ensure combatant survival at night. Unlike other uniforms for civilian use, combat uniforms require durability against laundering because they may not be supplied again, once originally provided. Therefore, this study examined the changes in strength and changes in infrared reflectance after multiple washing of combat uniforms. The experiment confirmed that the strength change after the washing of combat uniforms 15 times was maintained in the same manner as the result after washing five times. In the case of infrared reflectance, the difference in reflectance after multiple washing treatments was greater than that in the case where washing was not performed. Therefore, although the durability in the case of combat uniforms is strong, it is necessary to maintain a reflectance higher than a certain level through the development of materials and the development of dyes.

• Wind and Structures
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• 제13권3호
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• pp.235-256
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• 2010

The aeroelastic stability of bridge decks equipped with multiple tuned mass dampers is studied. The problem is attacked in the time domain, by representing self-excited loads with the aid of aerodynamic indicial functions approximated by truncated series of exponential filters. This approach allows to reduce the aeroelastic stability analysis in the form of a direct eigenvalue problem, by introducing an additional state variable for each exponential term adopted in the approximation of indicial functions. A general probabilistic framework for the optimal robust design of multiple tuned mass dampers is proposed, in which all possible sources of uncertainties can be accounted for. For the purposes of this study, the method is also simplified in a form which requires a lower computational effort and it is then applied to a general case study in order to analyze the control effectiveness of regular and irregular multiple tuned mass dampers. A special care is devoted to mistuning effects caused by random variations of the target frequency. Regular multiple tuned mass dampers are seen to improve both control effectiveness and robustness with respect to single tuned mass dampers. However, those devices exhibit an asymmetric behavior with respect to frequency mistuning, which may weaken their feasibility for technical applications. In order to overcome this drawback, an irregular multiple tuned mass damper is conceived which is based on unequal mass distribution. The optimal design of this device is finally pursued via a full domain search, which evidences a remarkable robustness against frequency mistuning, in the sense of the simplified design approach.

• Journal of the Korea Safety Management & Science
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• 제9권4호
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• pp.29-38
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• 2007

We adapted association rules of data mining in order to investigate the relation among the factors of musculoskeletal disorders and proposed the method of preventing the musculoskeletal disorders associated with multiple logistic regression in previous study. This multiple logistic regression was difficult to establish the method of preventing musculoskeletal disorders in case factors can't be managed by worker himself, i.e., age, gender, marital status. In order to solve this problem, we devised association rules of factors of musculoskeletal disorders and proposed the interactive method of preventing the musculoskeletal disorders, by applying association rules with the result of multiple logistic regression in previous study. The result of correlation analysis showed that prevention method of one part also prevents musculoskeletal disorders of other parts of body.

• Transactions of the Korean Society of Mechanical Engineers B
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• 제22권6호
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• pp.734-749
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• 1998

A numerical study t predict the characteristics on transient operation of the heat pipe cooling system with multiple heaters for electronic system has been performed. The heat pipe cooling system of 45 cm length and 16 mm diameter was composed of evaporator section with four heaters which simulate electronic components, insulated transport section, and condenser section with a conductor which was cooled under the constant heat flux boundary condition. Two test cases were investigated in present study; Case 1 indicated that the 1st and 2nd heaters among four heaters were heated off, while the 3rd and the 4th heaters were heated on. Case 2 was the inverse situation switched from heating locations of Case 1. Case 3 indicated that the 1st and 4th heaters among four heaters were heated off, while the 2nd and 3rd heaters were heated on. The results showed that the transient time to reach the steady state is shorter for Case 1 than for Case 2. Especially, the maximum temperature among the heaters which simulate electronic components during switching operation is relatively small compared to the maximum allowable operating temperature in electronic system. It is concluded that the heat pipe cooling system in present study operate with the good thermal reliability even for sudden switching situation of the heaters.

• The Journal of Information Systems
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• 제10권1호
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• pp.27-50
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• 2001

The purpose of this study was to examine some of the most important factors for the development of information systems with today's fast-paced, ever-changing, and exciting information system environment. Especially, it was focused to investigate current information technology related to develop information systems, to find some important problems during the development process, and to suggest solutions for the problems. Case research methodology was used because a natural setting was needed and a focus was on contemporary events for this study. Similarly, research phenomena was not supported by a strong theoretical base. The case was the development of an integrated information systems in a specific university. Multiple-case designs were desirable, but single-case study was used because of limitations of site selection. Multiple data collection methods were employed in this study such as documentation, interviews, and direct observation. Some major problems were found during the system development. First, the schedule to complete a project was delayed over six months. Second, the system did not ensure to align organizational goals and information systems goals based on BPR (Business Process Reengineering). Third, there was a difficulty in evaluating request for proposal (RPR) returns and choosing a vendor. Finally, information technology is changing too fast. So, it was very difficult to get the transparency of new technology The study has suggested a few solutions: top management support, matching If planning with business planning, complete project plan and control, user participation, and training Finally, joint application development (JAD) is strongly recommended, which is a workshop that unites management, IT specialists, and knowledge workers to define and specify the logical requirements and technical alternatives for a proposed system.

• Investigative Magnetic Resonance Imaging
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• 제22권3호
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• pp.187-193
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• 2018

Sweet's syndrome also known as acute neutrophilic dermatosis is a multisystem inflammatory disorder characterized by fever, malaise, leukocytosis, and skin lesions. Sweet's syndrome affects multiple organs though only rarely does it affect the central nervous system (CNS) when it does it is called Neuro-Sweet disease (NSD). We report on a case study of a biopsy-proven NSD in a 50 year old man. Serial magnetic resonance imaging (MRI) showed repeated CNS involvement of Sweet's syndrome after a respiratory tract infection preceded it. On the MRI, T2 hyperintense lesions occurred at multiple sites and disappeared after steroid therapy.

• Research in Mathematical Education
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• 제13권3호
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• pp.197-216
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• 2009

The purpose of this study was to investigate middle and high school mathematics teachers' levels and multiple approaches in United States practicing their abstraction levels and, different strategies and method of solutions towards given number theory problems. The mathematics teachers taking part in this study are consisted of 25 members of online graduate and undergraduate course (MAE 5641 and MAE 4813) delivered through Online Learning System called as the Blackboard (http://www.blackboard.com). Data collection methods include journal entries, written solutions to problems, the teachers' reflections on said problems, and post interviews. Data analysis was done based on [Hazzan, O. & Zazkis, R. (2005). Reducing abstraction: The case of school mathematics. Educ. Stud. Math. 58(1), 101-119]. Analysis of students' written solutions revealed that transitions among the solution methods have major effect on abstraction levels. Elevation and reducing abstraction is a dynamic process.

• Journal of Sasang Constitutional Medicine
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• 제25권3호
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• pp.243-253
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• 2013

Objectives The aim of this study was to examine significant improvement of dizziness, gait disturbance, insomnia and xerostomia after treatment with Jowisengcheong-tang in a Taeeumin patient with olivopontocerebellar atrophy (OPCA). Methods The patient's subjective and objective symptoms were observed daily throughout the hospitalization period using global assessment (G/A), and the Unified Multiple System Atrophy Rating Scale (UMSARS) was used to assess the overall function of patient. Results The symptoms of dizziness and xerostomia decreased from G/A 100 to G/A 10~30 for five days, and the UMSARS score decreased in Part I,II. Conclusions This case showed that Sasang constitutional medicine treatment can be effective treatment method for OPCA. We consider that consistent treatment can contribute to improve the patient's quality of life.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 1993년도 한국자동제어학술회의논문집(국제학술편); Seoul National University, Seoul; 20-22 Oct. 1993
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• pp.109-114
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• 1993

It is well known that neural networks can be used to diagnose multiple faults to some limited extent. In this work we present a Multiple Fault Diagnosis Method (MFDM) via neural network which can effectively diagnose multiple faults. To diagnose multiple fault, the proposed method finds the maximum value in the output nodes of the neural network and decreases the node value by changing the hidden node values. This method can find the other faults by computing again with the changed hidden node values. The effectiveness of this method is explored through a neural-network-based fault diagnosis case study of a fluidized catalytic cracking unit (FCCU).