• Title/Summary/Keyword: Two-time scale

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Effects of Trauma Center Establishment on the Clinical Characteristics and Outcomes of Patients with Traumatic Brain Injury : A Retrospective Analysis from a Single Trauma Center in Korea

  • Kim, Jang Soo;Jeong, Sung Woo;Ahn, Hyo Jin;Hwang, Hyun Ju;Kyoung, Kyu-Hyouck;Kwon, Soon Chan;Kim, Min Soo
    • Journal of Korean Neurosurgical Society
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    • v.62 no.2
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    • pp.232-242
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    • 2019
  • Objective : To investigate the effects of trauma center establishment on the clinical characteristics and outcomes of trauma patients with traumatic brain injury (TBI). Methods : We enrolled 322 patients with severe trauma and TBI from January 2015 to December 2016. Clinical factors, indexes, and outcomes were compared before and after trauma center establishment (September 2015). The outcome was the Glasgow outcome scale classification at 3 months post-trauma. Results : Of the 322 patients, 120 (37.3%) and 202 (62.7%) were admitted before and after trauma center establishment, respectively. The two groups were significantly different in age (p=0.038), the trauma location within the city (p=0.010), the proportion of intensive care unit (ICU) admissions (p=0.001), and the emergency room stay time (p<0.001). Mortality occurred in 37 patients (11.5%). Although the preventable death rate decreased from before to after center establishment (23.1% vs. 12.5%), the difference was not significant. None of the clinical factors, indexes, or outcomes were different from before to after center establishment for patients with severe TBI (Glasgow coma scale score ${\leq}8$). However, the proportion of inter-hospital transfers increased and the time to emergency room arrival was longer in both the entire cohort and patients with severe TBI after versus before trauma center establishment. Conclusion : We confirmed that for patients with severe trauma and TBI, establishing a trauma center increased the proportion of ICU admissions and decreased the emergency room stay time and preventable death rate. However, management strategies for handling the high proportion of inter-hospital transfers and long times to emergency room arrival will be necessary.

Development a multidimensional assessment scale for work-family spillover in working couples with children (유자녀 맞벌이 부부의 다차원적 일-가족 전이 척도 개발)

  • Jang, Yoon-Ok;Jeong, Seo-Leen
    • Journal of Family Resource Management and Policy Review
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    • v.17 no.3
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    • pp.59-79
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    • 2013
  • The purpose of this study was to develop and validate a scale for the multidimensional assessment of work-family spillover in working couples with children. The subjects of this study were working wives and husbands with children in Daegu. Two surveys were administered, eliciting 243 respondents and 227 respondents, respectively. Then a series of tests were run to analyze the data, including item-to-total correlation, Cramer's V coefficients, item discrimination, Cronbach's ${\alpha}$, and exploratory and confirmatory factor analysis. The results yielded that, first, a preliminary 102 items were developed on the basis of the literature review, and this was narrowed down to 72 items selected with the help of experts. Through preliminary, primary and secondary survey analysis, the scale for the multidimensional assessment of work-family spillover was developed and validated, with a 36 items scale, 18 items for work to family spillover and 18 items for family to work spillover. Furthermore, the scale constructed three spillover processes - time interference, energy depletion, and psychological distraction - and consisted of four different domains of family life into which spillover occurs - namely marital relationship, parent-child relationship, leisure, and housework. The internal reliability was evaluated to show a confidence range of .85 ~.92 for each factor.

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A versatile small-scale structural laboratory for novel experimental earthquake engineering

  • Chen, Pei-Ching;Ting, Guan-Chung;Li, Chao-Hsien
    • Earthquakes and Structures
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    • v.18 no.3
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    • pp.337-348
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    • 2020
  • Experimental testing has been considered as one of the most straightforward approaches to realize the structural behavior for earthquake engineering studies. Recently, novel and advanced experimental techniques, which combine numerical simulation with experimental testing, have been developed and applied to structural testing practically. However, researchers have to take the risk of damaging specimens or facilities during the process of developing and validating new experimental methods. In view of this, a small-scale structural laboratory has been designed and constructed in order to verify the effectiveness of newly developed experimental technique before it is applied to large-scale testing for safety concerns in this paper. Two orthogonal steel reaction walls and one steel T-slotted reaction floor are designed and analyzed. Accordingly, a large variety of experimental setups can be completed by installing servo-hydraulic actuators and fixtures depending on different research purposes. Meanwhile, a state-of-the-art digital controller and multiple real-time computation machines are allocated. The integration of hardware and software interfaces provides the feasibility and flexibility of developing novel experimental methods that used to be difficult to complete in conventional structural laboratories. A simple experimental demonstration is presented which utilizes part of the hardware and software in the small-scale structural laboratory. Finally, experimental layouts of future potential development and application are addressed and discussed, providing the practitioners with valuable reference for experimental earthquake engineering.

Scale-aware Faster R-CNN for Caltech Pedestrian Detection (Caltech 보행자 감지를 위한 Scale-aware Faster R-CNN)

  • Byambajav, Batkhuu;Alikhanov, Jumabek;Jo, Geun-Sik
    • Proceedings of the Korea Information Processing Society Conference
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    • 2016.10a
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    • pp.506-509
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    • 2016
  • We present real-time pedestrian detection that exploit accuracy of Faster R-CNN network. Faster R-CNN has shown to success at PASCAL VOC multi-object detection tasks, and their ability to operate on raw pixel input without the need to design special features is very engaging. Therefore, in this work we apply and adjust Faster R-CNN to single object detection, which is pedestrian detection. The drawback of Faster R-CNN is its failure when object size is small. Previously, small sized object problem was solved by Scale-aware Network. We incorporate Scale-aware Network to Faster R-CNN. This made our method Scale-aware Faster R-CNN (DF R-CNN) that is both fast and very accurate. We separated Faster R-CNN networks into two sub-network, that is one for large-size objects and another one for small-size objects. The resulting approach achieves a 28.3% average miss rate on the Caltech Pedestrian detection benchmark, which is competitive with the other best reported results.

Change points detection for nonstationary multivariate time series

  • Yeonjoo Park;Hyeongjun Im;Yaeji Lim
    • Communications for Statistical Applications and Methods
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    • v.30 no.4
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    • pp.369-388
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    • 2023
  • In this paper, we develop the two-step procedure that detects and estimates the position of structural changes for multivariate nonstationary time series, either on mean parameters or second-order structures. We first investigate the presence of mean structural change by monitoring data through the aggregated cumulative sum (CUSUM) type statistic, a sequential procedure identifying the likely position of the change point on its trend. If no mean change point is detected, the proposed method proceeds to scan the second-order structural change by modeling the multivariate nonstationary time series with a multivariate locally stationary Wavelet process, allowing the time-localized auto-correlation and cross-dependence. Under this framework, the estimated dynamic spectral matrices derived from the local wavelet periodogram capture the time-evolving scale-specific auto- and cross-dependence features of data. We then monitor the change point from the lower-dimensional approximated space of the spectral matrices over time by applying the dynamic principal component analysis. Different from existing methods requiring prior information on the type of changes between mean and covariance structures as an input for the implementation, the proposed algorithm provides the output indicating the type of change and the estimated location of its occurrence. The performance of the proposed method is demonstrated in simulations and the analysis of two real finance datasets.

Effects of a Maternal Role Adjustment Program on First-time Mothers (초산모를 위한 모성역할적응 프로그램의 효과)

  • Kim, Su Jeong;Seo, Ji Min
    • Women's Health Nursing
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    • v.24 no.3
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    • pp.322-332
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    • 2018
  • Purpose: To investigate the effect of a maternal role adjustment program on first-time mothers. Methods: The research was quasi-experimental with a non-equivalent control group non-synchronized design. Participants were first-time mothers admitted to two postpartum clinics at women's hospitals. The experimental group had 38 mothers and the control group had 35 mothers. A maternal role adjustment program was applied individually to the experimental group between the 1st and 2nd weeks after childbirth. Assessing Adaptation to Motherhood, Semantic Differential Scale-Myself as Mother, and Edinburgh Postnatal Depression Scale were used to measure effects of the program. A pre-test was conducted in the 1st week after childbirth while post-tests were conducted in the 4th and 6th weeks. Data were analyzed with $x^2$ test, Fisher's exact test, t-test, and repeated measures ANOVA using SPSS 24.0. Results: Maternal role adjustment (F=6.17, p=.015) and maternal identity (F=6.63, p=.012) were significantly increased in the experimental group compared to those in the control group. However, the difference in postpartum depression (F=1.11, p=.335) was not statistically significant between the two groups. Conclusions: The maternal role adjustment program can be utilized as an effective nursing intervention program to enhance maternal role adjustment and maternal identity for first-time mothers.

A Study on the Effect of Doula's Roles including Therapeutic Touch on Labor and Delivery Process (치료적 터치를 병용한 듀라 (Doula)의 역할이 분만 제 요인에 미치는 영향에 관한 연구)

  • Kim, Gum-Juing;Yoo, Eun-Kwang
    • Women's Health Nursing
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    • v.5 no.2
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    • pp.262-277
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    • 1999
  • The purpose of this study is to define the effects of the roles played by the Doulas : one group educated on the conventional Lamaze method known to have effects on birth pang during delivery process and the other group educated both on Lamaze and therapeutic touch. On the various factors of delivery, and thereby, provide for some basic data to develop an effective nursing intervention to relieve women of their birth pang. 136 mothers who were hospitalized in a general hospital from June 13, 1998 to May 13, 1998 to May 13, 1999 to deliver their first babies were sampled to be divided into control group, test group I and test group II and thus be subject to interviews and observations. As for the tool of study, melzack's(1975) 'pain scale', McCaffery's(1972) and Mcrachlan's(1974) 'pain expression scales' and Spielberger's (1975) 'anxiety scale' were used. The preparatory educational programs consisted of 5week Lamaze method and therapeutic touch. The research, design was quasi-experimental, non equivalent, posttest only control group design. The collected data were processed using the SPSS/PC statistics software for frequencies, means and one-way Anova as well as Tukey HSD and Scheffe test as post hoc for individual comparison. Moreover, chi-square test was used to test the differences between groups, while Pearson's correlation coefficients were analyzed to determine the correlations between anxiety and variables. The findings are as follows ; 1. The birth pain of the mothers delivering first babies scored in a subjective and objective pain scale; 1) There was a significant difference of subjective birth pain at 8~10cm opening of cervix between control group and two test groups. 2) There was no significant difference of objective birth pain as per opening of cervex among three groups in terms of sweating, facial movement, bodily posture and vocal changes. 2. There was no significant difference of trait anxiety among three groups. however, there was a significant difference of state anxiety during labor process between control group and two test groups. On the other hand, all the three groups showed a significantly lower level of anxiety during labor process than when they were carried to the hospital. 3. There was a significant difference of the time of total and first-stage labor among three groups, while there was a significant but small difference of the time elapsed from 8~10cm cervix open to the full among three groups. 4. Two test groups showed a higher frequency of natural deliveries than the control group. 5. Two test groups were subject to these drugs than the control group. In conclusion, it was found that the test group I and II showed a shorter delivery time than the control group, a higher frequency of natural delivery and a lesser use of anodyne or epidural. In particular, this study is significant to develop a nursing intervention service or a therapeutic touch which the nursing administrators can apply to their hospitals in marketing programs.

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The Effect of Ultrasound-guided TAPB on Pain Management after Total Abdominal Hysterectomy

  • Gharaei, Helen;Imani, Farnad;Almasi, Fariba;Solimani, Massoud
    • The Korean Journal of Pain
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    • v.26 no.4
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    • pp.374-378
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    • 2013
  • Background: Incisional pain is particularly troublesome after hysterectomy. A method called transversus abdominis plane block (TAPB) has shown promise in managing postoperative pain. In this study, we evaluated the analgesic efficacy of ultrasound-guided TAPB after hysterectomy at different time points and at each time point separately for 48 hours. Methods: Forty-two patients (ASA I, II) who were electively chosen to undergo total abdominal hysterectomy were divided into 2 groups, control (group C) and intervention (group I). Twenty-one patients underwent TAPB (group I) and 21 patients received only the standard treatment with a fentanyl pump (group C). Both groups received standard general anesthesia. For patients in group I, following the surgery and before emergence from anesthesia, 0.5 mg/kg of ropivacaine 0.2% (about 20 cc) was injected bilaterally between the internal oblique and transverse abdominis muscles using sonography. Pain scores using the Visual Analogue Scale (VAS) and drug consumption were measured at 2, 6, 12, 24, and 48 hours after TAPB. Results: There were no significant differences in demographics between the two groups. VAS scores appeared to be lower in group I, although there was no interaction with time when we compared mean VAS measurements at different time points between group I and group C (P > 0.05). The amount of fentanyl flow was consistently higher in group C, but when we compared the two groups at each time point separately, the observed difference was not statistically significant (P < 0.053). The incidence of vomiting was 10% in group I and 28% in group C. There were no complaints of itching, and sedation score was 0 to 3. There were no complications. Conclusions: This study showed that TAPB did not result in a statistically significant decrease in VAS scores at different time points. TAPB did lead to decreased fentanyl flow, but when we compared the two groups at each time point separately, the observed difference was not statistically significant.

Techniques to Guarantee Real-Time Fault Recovery in Spark Streaming Based Cloud System (Spark Streaming 기반 클라우드 시스템에서 실시간 고장 복구를 지원하기 위한 기법들)

  • Kim, Jungho;Park, Daedong;Kim, Sangwook;Moon, Yongshik;Hong, Seongsoo
    • Journal of KIISE
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    • v.44 no.5
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    • pp.460-468
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    • 2017
  • In a real-time cloud environment, the data analysis framework plays a pivotal role. Spark Streaming meets most real-time requirements among existing frameworks. However, the framework does not meet the second scale real-time fault recovery requirement. Spark Streaming fault recovery time increases in proportion to the transformation history length called lineage. This is because it recovers the last state data based on the cumulative lineage recorded during normal operation. Therefore, fault recovery time is not bounded within a limited time. In addition, it is impossible to achieve a second-scale fault recovery time because it costs tens of seconds to read initial state data from fault-tolerant storage. In this paper, we propose two techniques to solve the problems mentioned above. We apply the proposed techniques to Spark Streaming 1.6.2. Experimental results show that the fault recovery time is bounded and the average fault recovery time is reduced by up to 41.57%.

Study on the Time Dependent Stress-Strain Behavior of Clay (점성토의 시간의존적 응력 - 변형 특성에 관한 연구)

  • 지인택;강우묵
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.30 no.4
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    • pp.134-153
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    • 1988
  • This paper was carried out to investigate the existence of a unique stress- strain behavior by obtaining some factors influencing the time dependent stress- strain behavior of clay. The results obtained from this study were summarized as follows ; 1. The relationship between stress ratro and strain in normally consolidated clay was in- dependent on pre-shear consolidation pressure. Therefore, shear strain could be expressed as a function with stress ratio. 2. The constitutive equation of shear strain on Modified Carn Clay Model coincided better with the observed value than Cam Clay Model. 3. The relationships between deviator stress and shear strain, between pore water pressure and shear strain were unified by the mean equivalent pressure. 4. The shear strain contour in norrnally consolidated clay was increased linearly through origin, but that in overconsolidated clay was not in accordance with the result of the former. 5. Because the effective stress path of normally consolidated clay was unified by the mean equivalent pressure, state boundary surface in (e,p,q) space was transformed into two dimensional surface. But it was considered to be suitable that the unified stress- strain in overconsolidated clay be expressed by a function with overconsolidation ratio. 6. The deviator for constant strain was increased linearly with increment of strain rate ($\varepsilon$) on semi-log scale, but pore water pressure was decreased. 7. The behavior of stress relaxation was transformed from linear to curvilinear with inc - rement of strain rate before stress relaxation test, and pore water pressure was increased in total range. 8. The strain of creep was increased linearly with increment of time on semi-log scale. The greater the strain rate before creep test became, the greater the increment of strain of creep became. And the pore water pressure during creep test was increased generally with increment of time on semi-log scale.

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