• Title/Summary/Keyword: improvement index

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PARK Index for Preventable Major Trauma Death Rate (중증외상환자에서 TRISS를 활용한 예방가능 중증외상사망률 지표: PARK Index)

  • Park, Chan Yong;Yu, Byungchul;Kim, Ho Hyun;Hwang, Jung Joo;Lee, Jungnam;Cho, Hyun Min;Park, Han Na
    • Journal of Trauma and Injury
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    • v.28 no.3
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    • pp.115-122
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    • 2015
  • Purpose: To calculate Preventable Trauma Death Rate (PTDR), Trauma and Injury Severity Score (TRISS) is the most utilized evaluation index of the trauma centers in South Korea. However, this method may have greater variation due to the small number of the denominator in each trauma center. Therefore, we would like to develop new indicators that can be used easily on quality improvement activities by increasing the denominator. Methods: The medical records of 1005 major trauma (ISS >15) patients who visited 2 regional trauma center (A center and B center) in 2014 were analyzed retrospectively. PTDR and PARK Index (Preventable Major Trauma Death Rate, PMTDR) were calculated in 731 patients with inclusion criteria. We invented PARK Index to minimize the variation of preventability of trauma death. In PTDR the denominator is all number of deaths, and in PARK Index the denominator is number of all patients who have survival probability (Ps) larger than 0.25. Numerator is the number of deaths from patients who have Ps larger than 0.25. Results: The size of denominator was 40 in A center, 49 in B center, and overall 89 in PTDR. The size of denominator was significantly increased, and 287 (7.2-fold) in A center, 422 (8.6-fold) in B center, and overall 709 (8.0-fold) in PARK Index. PARK Index was 12.9% in A center, 8.3% in B center, and overall 10.2%. Conclusion: PARK Index is calculated as a rate of mortality from all major trauma patients who have Ps larger than 0.25. PARK Index obtain an effect that denominator is increased 8.0-fold than PTDR. Therefore PARK Index is able to compensate for greater disadvantage of PTDR. PARK Index is expected to be helpful in implementing evaluation of mortality outcome and to be a new index that can be applied to a trauma center quality improvement activity.

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A Study on the Improvement Method of the Local Safety Level Index in Basic Local Governments (기초지방자치단체의 지역안전지수 향상방안 연구)

  • Song, Changyoung
    • Journal of the Society of Disaster Information
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    • v.16 no.2
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    • pp.211-222
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    • 2020
  • Purpose: The purpose of the Improvement method of Local Safety Level Index in guideline of disaster safety master plan. Method: This research will establish disaster safety management system strategy through consistency analysis of law, safety innovation master plan and international safety cities index regarding disaster safety and proposes guideline of disaster safety master plan which includes that includes regional characteristics and disaster management measures by sector. Result: Establish detailed policies applying the disaster safety master plan guideline to improve the local safety level index in 'G'-basic local government. Conclusion: In this study, basic local government will Strengthen the disaster response capacity by improving the local safety level index.

Effects of Ankle Self-Mobilization with Movement Intervention on Ankle Dorsiflexion Passive Range of Motion, Timed Up and Go Test, and Dynamic Gait Index in Patients with Chronic Stroke

  • Park, Donghwan
    • Physical Therapy Rehabilitation Science
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    • v.10 no.3
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    • pp.257-262
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    • 2021
  • Objective: Patients with stroke generally diminished ankle range of motion, which decreases balance and walking ability. This study aimed to determine the effect of ankle self-mobilization with movement (s-MWM) on ankle dorsiflexion passive range of motion, timed up and go test, and dynamic gait index in patients with chronic stroke. Design: Randomized controlled trial design Methods: Twenty-four post-stroke patients participated in this study. The participants were randomized into the control (n = 12) and self-MWM groups (n = 12). Both groups attended standard rehabilitation therapy for 30 minutes per session. In addition, self-MWM group was performed 3 times per week for 8 weeks. All participants have measured ankle dorsiflexion passive range of motion, timed up and go test, and dynamic gait index in before and after the intervention. Results: After 8 weeks of training, self-MWM group showed greater improvement in ankle dorsiflexion passive range of motion, timed up and go test, and dynamic gait index than in the control group (p<0.05). Further, self-MWM group had significantly improvement in all dependent variables compared to the pre-test (p<0.05). Conclusions: Our investigation demonstrates that self-MWM is beneficial for improving functional ability. Also, self-MWM was superior to control with respect to improving ankle dorsiflexion passive range of motion, timed up and go test, and dynamic gait index.

A Study on the Changes of Early Puerperium Symptoms and Blood Stasis Index of Women Taking Gungguijohyeol-eum-gamibang (궁귀조혈음가미방(芎歸調血飮加味方)을 복용한 여성의 산욕 초기 증상과 어혈 변화에 대한 연구)

  • Choi, Seok-Young;Kim, Chan-Woo;Kim, Nam-Hoon;Park, Kyoung-Sun;Hwang, Deok-Sang;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock
    • The Journal of Korean Obstetrics and Gynecology
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    • v.31 no.1
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    • pp.1-19
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    • 2018
  • Objectives: The purpose of this study was to investigate the changes of early puerperium symptoms and Blood Stasis Index in women during the first two weeks after childbirth. Methods: 38 women staying at Korean postpartum management facilities were studied. Questionnaires were filled out on the date of arrival and departure. Changes in overall physical conditions including neuropsychiatric, circulatory, digestive, musculoskeletal, and urogenital and breast symptoms as well as Blood Stasis Pattern were studied. Results: 1. Neuropsychiatric symptoms were shown in order of Depressed Feeling, Insomnia, Dizziness, Headache, and Easy to Anger and Nervous on arrival. All symptoms showed improvement after two weeks, without significance. 2. Circulatory symptoms were shown in order of Excessive Sweating, Edema, Fatigue, Hot Flash, Anemic Feeling, Alternating Chills and Fever, Cold Hypersensitivity, Chills, Oppression in the Chest, and Palpitation on arrival. Hot Flash, Excessive Sweating, and Edema showed significant improvement after two weeks. 3. Digestive symptoms were shown in order of Dyspepsia, Dry Mouth, Constipation, and Loss of Appetite. All symptoms showed improvement after two weeks, without significance. 4. Pain of Muscles & Joints showed improvement after two weeks, without significance. Pain of Teeth & Gingiva showed slight worsening after two weeks, without significance. 5. Urogenital and Breast symptoms were shown in order of Wound Pain, Fever and Distending Pain in the Breast, and Lower Abdominal Pain on arrival. All symptoms showed significant improvement after two weeks. 6. Blood Stasis Index showed significant improvement after two weeks. Conclusion: Most symptoms were improved in women staying at Korean postpartum management facilities for two weeks. Hot Flash, Excessive Sweating, Edema, Wound Pain, Lower Abdominal Pain, Fever and Distending Pain in the Breast and Blood Stasis Index showed significant improvement.

Performance Analysis of Similarity Reflecting Jaccard Index for Solving Data Sparsity in Collaborative Filtering (협력필터링의 데이터 희소성 해결을 위한 자카드 지수 반영의 유사도 성능 분석)

  • Lee, Soojung
    • The Journal of Korean Association of Computer Education
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    • v.19 no.4
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    • pp.59-66
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    • 2016
  • It has been studied to reflect the number of co-rated items for solving data sparsity problem in collaborative filtering systems. A well-known method of Jaccard index allowed performance improvement, when combined with previous similarity measures. However, the degree of performance improvement when combined with existing similarity measures in various data environments are seldom analyzed, which is the objective of this study. Jaccard index as a sole similarity measure yielded much higher prediction quality than traditional measures and very high recommendation quality in a sparse dataset. In general, previous similarity measures combined with Jaccard index improved performance regardless of dataset characteristics. Especially, cosine similarity achieved the highest improvement in sparse datasets, while similarity of Mean Squared Difference degraded prediction quality in denser sets. Therefore, one needs to consider characteristics of data environment and similarity measures before combining Jaccard index for similarity use.

Clinical efficacy of Gyeongshingangjeehwan16 according to obeisty related to measurement variables. (신체부위별 측정변인에 따른 경신강지환16의 비만 개선효과 평가)

  • Jung, Yang-Sam;Yoon, Ki-Hyeon;Choi, Seung-Bae;Yoon, Mi-Chung;Shin, Soon-Shik
    • Herbal Formula Science
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    • v.16 no.1
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    • pp.169-183
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    • 2008
  • In this study, we measured body mass index, visceral fat ratio and 6 parts of body, neck circumference, circumference of upper arm, chest circumference, abdomen circumference, hip circumference, and thigh circumference by bioimpedence analysis system, after taking Gyeongshingangjeehwan16 (GGEx16) in five months except the first period before taking GGEx16 on 49 women who are obesity or high-level obesity. In order to examine the significance test for the effect of obesity improvement of GGEx16, we practices repeated measure ANOVA with values of measurement variables in 6 monthly times. As a result of all measurement variables, there were significant difference (P-value=0.001). Therefore, we can say that GGEx16 is effective about obesity improvement. As it dramatically decreased between second measure period and first measure period for all measure variables, we can see that there were the most effect of GGEx16 in the first time after taking GGEx16. It is known that a important measurement variable to have a effect for obesity improvement about two variable which are body mass index and visceral fat ratio is waist circumference through correlation analysis. The result of whether there are differences to effect of obesity improvement for GGEx16 around the climacteric, there were significant difference for the effect of obesity improvement for GGEx16 around the climacteric about all parts of body (P-value=0.001). There were also powerfully difference in effect of obesity improvement for GGEx16 around the climacteric about all parts of body (P-value=0.001). Especially, the climacteric before is more effective than the climacteric after in the aspect of the effect of GGEx16.

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A Retrospective Study on the Effects of ShinBaro Pharmacopuncture and Jungsongouhyul Pharmacopuncture on Whiplash Injury by Traffic Accident (교통사고 후 발생한 편타 손상 환자에 대한 신바로약침과 중성어혈약침의 치료효과 비교연구)

  • Kim, Tae-Hun;Park, Won-Hyung;Cha, Yun-Yeop
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.4
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    • pp.1-7
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    • 2013
  • Objectives The purpose of this study is to compare the effects of ShinBaro pharmacopuncture and Jungsongouhyul pharmacopuncture on whiplash injury by traffic accident. Methods This study was carried out on 30 patients who received treatment in Jaseng Hospital of Korean Medicine. 30 patients were divided ShinBaro pharmacopuncture group and Jungsongouhyul pharmacopuncture group. Visual analog scale (VAS) and neck disability index (NDI) were compared after treatment. Results 1) Both the ShinBaro group and Jungsongouhyul group showed significant improvement in the visual analog scale (VAS) and neck disability index (NDI) after 3 weeks of treatment. 2) The VAS and NDI of the ShinBaro group decreased gradually with treatment. The VAS scores showed significant improvement up to week 2, but although week 3 showed further improvement compared to week 2, the difference did not reach statistical significance. The NDI scores showed significant improvement consistantly throughout the treatment period. 3) The VAS and NDI of the Jungsongouhyul group decreased with treatment also. The VAS scores significantly improved up to week 2, but though week 3 showed further improvement in comparison to week 2, the difference did not reach statistical significance. The NDI scores showed significant improvement consistantly throughout the treatment period. 4) Although the ShinBaro group showed a swifter decline than the Jungsongouhyul group in both VAS and NDI scores, the difference was not statistically significant. Conclusions We found out that ShinBaro pharmacopuncture group and Jungsongouhyul pharmacopuncture group is effective and useful in whiplash injury by traffic accident. And, further studies will be needed.

A Clinical Study on the Effects of the Dong-Si Acupuncture treatment for the patients with lumbago(by Analysing Digital Infrared Thermographic Imaging) (체침과 동씨침을 시행한 요각통 환자 38례의 임상고찰(적외선체열촬영으로 치료효과 비교))

  • Jin, Kyong-son;Lim, Tae-hyung;Kim, Jong-wuk;Choi, Sung-yong;Hwang, Woo-jun;Do, Keum-rok;Kang, Sung-do
    • Journal of Acupuncture Research
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    • v.20 no.2
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    • pp.204-214
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    • 2003
  • Objective : The purpose of this study is to evaluate clinical effect of oriental treatment for lumbago patients by comparing of Improvement index, Visual analog scale, DITI gap between common acupuncture with Dong-Si acupuncture treatment group and common acupuncture treatment group. Methods : The 38 patients who had a diagnosis of lumbago were observed from June 2002 to February 2003, were divided into two classes ; the A group was 19 cases practised Dong-Si acupuncture with common acupuncture, B group 19 cases only common acupuncture. Then the time of 2 weaks after, I compared Improvement index, Visual analog scale, DITI gap of two groups. Results : In Improvement Index, Group A is $0.4442{\pm}0.1165$ and Group B is $0.3061{\pm}0.1402$. So Group A is thought to be significant(P=0.002). In VAS(visual analogue scale), Group A is $7.4737{\pm}1.1239$ and Group B is $6.3684{\pm}1.0116$. So Group A is thought to be significant(P=0.003). In DITI, temperature differance of Group A is lower than Group B after treatment.

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Performance Improvement of Air Conditioner Network System using Wireless Sensors Through System Performance Index and Dynamic Power Distribution Control (시스템 성능 지수 및 동적 전력분산 제어를 통한 무선센서를 이용한 에어컨 네트워크 시스템의 성능 개선)

  • Choi, Ho-seek;Kwon, Woo-hyen;Yoon, Byung-keun
    • Journal of Sensor Science and Technology
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    • v.28 no.1
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    • pp.64-70
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    • 2019
  • Wireless sensors have been developed in numerous ways for enhancing the convenience of installation, management and maintenance of sensors. Energy harvesting wireless sensors, which can collect energy from the external environment for permanent usage without the need of recharging and exchanging batteries, have been developed and employed used in Internet of Things and at various industrial sites. Energy harvesting wireless sensors are significantly affected by the sensor lifespan to sudden variation in the external environment. Furthermore, reduction in the sensor operating timespan can greatly affect the characteristics of the devices connected through a network. In this paper, a system performance index is proposed that can comprehensively evaluate the lifespan of a solar cell wireless sensor, determine the characteristics of devices connected to the associated network, and recommend dynamic power distribution control for improving the system performance index. Improvement in the system performance index was verified by applying the proposed dynamic power distribution control to an air conditioner network system using a solar cell wireless sensor. Obtained results corroborate that the dynamic power distribution control can extend the lifespan of the incorporated wireless sensor and reduce the air conditioner's power consumption.

A Study for Performance Improvement of RDBMS on Using Bitmap Index (Bitmap Index를 이용한RDBMS 성능향상 기법에 관한 연구)

  • Jeon, Sang-Hwa;Lee, Eun-Bae
    • Proceedings of the Korea Information Processing Society Conference
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    • 2005.05a
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    • pp.11-14
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    • 2005
  • 데이터베이스 성능이 저하되면, 가장 먼저 SQL 튜닝을 고려한다. SQL 튜닝에서 가장 주의 깊게 사용 해야하는 부분이 바로 Index의 설정과 관련된 부분이다. 본 논문에서 OLAP 환경에서 다양하고 복잡한 질의처리 요구와 관련하여, B-Tree Index의 문제점을 개선하고 질의 성능을 향상시키기 위해서 Bitmap Index를 사용하였다. 또한, Bitmap Index 사용의 최적 임계점을 추적하기 위하여, 데이터 분포도와 조건절의 복잡도를 조사하였으며, 샘플링된 질의문을 기준으로 B-Tree Index를 사용하였을 때와 Bitmap Index를 사용하였을 때의 비교 실험을 통하여 Bitmap Index의 사용으로 RDBMS의 성능향상이 있음을 증명하였다.

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