• Title/Summary/Keyword: severity Index

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Development of Mortality Model of Severity-Adjustment Method of AMI Patients (급성심근경색증 환자 중증도 보정 사망 모형 개발)

  • Lim, Ji-Hye;Nam, Mun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2672-2679
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    • 2012
  • The study was done to provide basic data of medical quality evaluation after developing the comorbidity disease mortality measurement modeled on the severity-adjustment method of AMI. This study analyzed 699,701 cases of Hospital Discharge Injury Data of 2005 and 2008, provided by the Korea Centers for Disease Control and Prevention. We used logistic regression to compare the risk-adjustment model of the Charlson Comorbidity Index with the predictability and compatibility of our severity score model that is newly developed for calibration. The models severity method included age, sex, hospitalization path, PCI presence, CABG, and 12 variables of the comorbidity disease. Predictability of the newly developed severity models, which has statistical C level of 0.796(95%CI=0.771-0.821) is higher than Charlson Comorbidity Index. This proves that there are differences of mortality, prevalence rate by method of mortality model calibration. In the future, this study outcome should be utilized more to achieve an improvement of medical quality evaluation, and also models will be developed that are considered for clinical significance and statistical compatibility.

A Comparative Study on the Drought Indices for Drought Evaluation (가뭄평가를 위한 가뭄지수의 비교 연구)

  • Ryu, Jae-Hea;Lee, Dong-Ryul;Ahn, Jae-Hyun;Yoon, Yong-Nam
    • Journal of Korea Water Resources Association
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    • v.35 no.4 s.129
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    • pp.397-410
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    • 2002
  • In order to quantitatively identify historical drought conditions and to evaluate their variability, drought indices commonly used. The calculation method for the drought index based on the principal hydrological factors, such as precipitation and reservoir storage, can estimate the duration and intensity of a drought. In this study the Palmer-type formula for drought index is derived for the Nakdong River basin by analyzing the monthly rainfall and meteorological data at 21 stations. The Palmer Drought Severity Index(PDSI) is used for dry land sectors to evaluate the meteorological anomaly in terms of an index which permits time and space comparisons of drought severity. The Surface Water Supply Index(SWSI) is devised for the use in conjunction with the Palmer index to provide an objective indicator of water supply conditions in Nakdong River basin. The SWSI was designed to quantify surface water supply capability of a watershed which depends on river and reservoir water The Standardized Precipitation Index(SPI) is evaluated for various time periods of 1 to 12 months in Nakdong River basin. For the purpose of comparison between drought indices correlation coefficient was calculated between indices and appropriate SPI time period was selected as 10 months for Nakdong River basin. A comparative study is made to evaluate the relative severity of the significant droughts occurred in Nakdong River basin since 1976. It turned out that $'94{\sim}'97$ drought was the worst drought in it's severity. It is found that drought indices are very useful tools in quantitatively evaluating the severity of a drought over a river basin.

Derivation of Drought Severity-Duration-Frequency Curves Using Drought Frequency Analysis (가뭄빈도해석을 통한 가뭄심도-지속시간-생기빈도 곡선의 유도)

  • Lee, Joo-Heon;Kim, Chang-Joo
    • Journal of Korea Water Resources Association
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    • v.44 no.11
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    • pp.889-902
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    • 2011
  • In this study, frequency analysis using drought index had implemented for the derivation of drought severity-duration-frequency (SDF) curves to enable quantitative evaluations of past historical droughts having been occurred in Korean Peninsular. Seoul, Daejeon, Daegu, Gwangju, and Busan weather stations were selected and precipitation data during 1974~2010 (37 years) was used for the calculation of Standardized Precipitation Index (SPI) and frequency analysis. Based on the results of goodness of fit test on the probability distribution, Generalized Extreme Value (GEV) was selected as most suitable probability distribution for the drought frequency analysis using SPI. This study can suggest return periods for historical major drought events by using newrly derived SDF curves for each stations. In case of 1994~1995 droughts which had focused on southern part of Korea. SDF curves of Gwangju weather station showed 50~100 years of return period and Busan station showed 100~200 years of return period. Besides, in case of 1988~1989 droughts, SDF of Seoul weather station were appeared as having return periods of 300 years.

Convergence Study in Development of Severity Adjustment Method for Death with Acute Myocardial Infarction Patients using Machine Learning (머신러닝을 이용한 급성심근경색증 환자의 퇴원 시 사망 중증도 보정 방법 개발에 대한 융복합 연구)

  • Baek, Seol-Kyung;Park, Hye-Jin;Kang, Sung-Hong;Choi, Joon-Young;Park, Jong-Ho
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.217-230
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    • 2019
  • This study was conducted to develop a customized severity-adjustment method and to evaluate their validity for acute myocardial infarction(AMI) patients to complement the limitations of the existing severity-adjustment method for comorbidities. For this purpose, the subjects of KCD-7 code I20.0 ~ I20.9, which is the main diagnosis of acute myocardial infarction were extracted using the Korean National Hospital Discharge In-depth Injury survey data from 2006 to 2015. Three tools were used for severity-adjustment method of comorbidities : CCI (charlson comorbidity index), ECI (Elixhauser comorbidity index) and the newly proposed CCS (Clinical Classification Software). The results showed that CCS was the best tool for the severity correction, and that support vector machine model was the most predictable. Therefore, we propose the use of the customized method of severity correction and machine learning techniques from this study for the future research on severity adjustment such as assessment of results of medical service.

A Review on Air Quality Indexing System

  • Kanchan, Kanchan;Gorai, Amit Kumar;Goyal, Pramila
    • Asian Journal of Atmospheric Environment
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    • v.9 no.2
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    • pp.101-113
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    • 2015
  • Air quality index (AQI) or air pollution index (API) is commonly used to report the level of severity of air pollution to public. A number of methods were developed in the past by various researchers/environmental agencies for determination of AQI or API but there is no universally accepted method exists, which is appropriate for all situations. Different method uses different aggregation function in calculating AQI or API and also considers different types and numbers of pollutants. The intended uses of AQI or API are to identify the poor air quality zones and public reporting for severity of exposure of poor air quality. Most of the AQI or API indices can be broadly classify as single pollutant index or multi-pollutant index with different aggregation method. Every indexing method has its own characteristic strengths and weaknesses that affect its suitability for particular applications. This paper attempt to present a review of all the major air quality indices developed worldwide.

Effects of the Abbreviated Cognitive Behavioral Therapy for Chronic Insomniacs (만성불면증 환자에게 적용한 단기 인지행동중재의 효과)

  • Choi, Su-Jung;Yi, Young-Hee
    • Journal of Korean Critical Care Nursing
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    • v.1 no.1
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    • pp.19-31
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    • 2008
  • Purpose: This study was conducted to exam the effects of the Abbreviated Cognitive Behavioral Therapy(ACBT) on chronic insomnia. Methods: Study was one-group interrupted time series study that involved 13 adults(mean age=51.7, aged 25-77 years) with chronic primary insomnia who visited sleep disorder clinic of S Hospital from November 2004 to October 2005. The subjects received 2-session individual ACBT with 2 week-interval($1^{st}$: 1.5- 2hrs, $2^{nd}$: 20-30min). To measure the subjective insomnia severity and sleep patterns, 3 times of insomnia severity index and sleep logs were completed(before ACBT, after ACBT, and 3-month after ACBT). The main outcomes were subjective insomnia severity and sleep patterns(sleep onset latency, waking after sleep onset, and total sleep time, sleep efficiency). The data were analyzed with SPSS 10.0 version program by Friedman test, Wilcoxon signed rank test with Bonferroni correction. Results: There were statistically significant decrease in insomnia severity index, sleep onset latency, and waking after sleep onset, and increase total sleep time and sleep efficiency. Conclusion: ACBT was effective in reducing subjective insomnia severity and improving sleep patterns. Sleep improvement was better sustained over time with ACBT.

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Probabilistic Analysis of Drought Characteristics in Pakistan Using a Bivariate Copula Model

  • Jehanzaib, Muhammad;Kim, Ji Eun;Park, Ji Yeon;Kim, Tae-Woong
    • Proceedings of the Korea Water Resources Association Conference
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    • 2019.05a
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    • pp.151-151
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    • 2019
  • Because drought is a complex and stochastic phenomenon in nature, statistical approaches for drought assessment receive great attention for water resource planning and management. Generally drought characteristics such as severity, duration and intensity are modelled separately. This study aims to develop a relationship between drought characteristics using a bivariate copula model. To achieve the objective, we calculated the Standardized Precipitation Index (SPI) using rainfall data at 6 rain gauge stations for the period of 1961-1999 in Jehlum River Basin, Pakistan, and investigated the drought characteristics. Since there is a significant correlation between drought severity and duration, they are usually modeled using different marginal distributions and joint distribution function. Using exponential distribution for drought severity and log-logistic distribution for drought duration, the Galambos copula was recognized as best copula to model joint distribution of drought severity and duration based on the KS-statistic. Various return periods of drought were calculated to identify time interval of repeated drought events. The result of this study can provide useful information for effective water resource management and shows superiority against univariate drought analysis.

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Development and Validation of Korean Composit Burn Index(KCBI) (한국형 산불피해강도지수(KCBI)의 개발 및 검증)

  • Lee, Hyunjoo;Lee, Joo-Mee;Won, Myoung-Soo;Lee, Sang-Woo
    • Journal of Korean Society of Forest Science
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    • v.101 no.1
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    • pp.163-174
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    • 2012
  • CBI(Composite Burn Index) developed by USDA Forest Service is a index to measure burn severity based on remote sensing. In Korea, the CBI has been used to investigate the burn severity of fire sites for the last few years. However, it has been an argument on that CBI is not adequate to capture unique characteristics of Korean forests, and there has been a demand to develop KCBI(Korean Composite Burn Index). In this regard, this study aimed to develop KCBI by adjusting the CBI and to validate its applicability by using remote sensing technique. Uljin and Youngduk, two large fire sites burned in 2011, were selected as study areas, and forty-four sampling plots were assigned in each study area for field survey. Burn severity(BS) of the study areas were estimated by analyzing NDVI from SPOT images taken one month later of the fires. Applicability of KCBI was validated with correlation analysis between KCBI index values and NDVI values and their confusion matrix. The result showed that KCBI index values and NDVI values were closely correlated in both Uljin (r = -0.54 and p<0.01) and Youngduk (r = -0.61 and p<0.01). Thus this result supported that proposed KCBI is adequate index to measure burn severity of fire sites in Korea. There was a number of limitations, such as the low correlation coefficients between BS and KCBI and skewed distribution of KCBI sampling plots toward High and Extreme classes. Despite of these limitations, the proposed KCBI showed high potentials for estimating burn severity of fire sites in Korea, and could be improved by considering the limitations in further studies.

Development of Quantitative Drought Representation Methods by Drought Index Application (가뭄지수의 적용성 분석을 통한 가뭄의 정량적 표현기법 개발)

  • Jeong, Sang-Man;Lee, Joo-Heon;Kim, Lee-Hyung;Kim, Ha-Yong
    • Proceedings of the Korea Water Resources Association Conference
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    • 2006.05a
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    • pp.1166-1171
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    • 2006
  • Drought is defined by differently for the several scientific and technical fields such as hydrological drought, agricultural drought, meteorological drought, climatological drought, atmospheric drought. A lot of drought indices have been developed to quantify drought severity levels. However these drought indices might be expressed differently as the drought conditions for specific period because the drought severity level is using different types of data on each condition. It is necessary for development of quantative drought representation methods by drought index application. In this research, the reaction to the historical droughts is analyzed after estimation of PDSI, SPI and MSWSI(Modified Surface Water Supply Index) in south korean territory. Lastly the drought representation methods were examiner combining the drought indices by drought indices. The arithmetic mean drought indices that include PDSI, SPI, in yearly basis from 1971 to 2001 and MSWSI in yearly basis from 1974 to 2001 were estimated through the whole nation. The applicability of drought indices are examined based on the observed drought data for national and regional droughts. The result shows that PDSI, SPI(3), SPI(6), and MSWSI have proven to be sensitive enough to the historical drought. The correlation analysis of each drought index was conducted whether they could show the long and short term drought equally. The analysis of how appropriately represent for the historical drought was used for determining for the combined drought index. Consequently, PDSI, SPI(3), SPI(6), and MSWSI have been appeared as suitable indices for the development of quantitative drought representation methods. For the decision of weight on combining PDSI, SPI(3), SPI(6), and MSWSI, drought map was made for eighteen alternative to decide weight. The results showed that PDSI(20%), SPI(3)(60%), SPI(6)(10%), and MSWSI(10%) have been the most well matched weights. Using selected weights of each drought indices and by reconstructing the national mean drought severity on yearly basis, the fact that the year of historical drought is in accordance with the verified one for drought representation. In short, the acquired technique using combined drought index can be used for useful and believable quantitative method of drought analysis.

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A new damage index for detecting sudden change of structural stiffness

  • Chen, B.;Xu, Y.L.
    • Structural Engineering and Mechanics
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    • v.26 no.3
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    • pp.315-341
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    • 2007
  • A sudden change of stiffness in a structure, associated with the events such as weld fracture and brace breakage, will cause a discontinuity in acceleration response time histories recorded in the vicinity of damage location at damage time instant. A new damage index is proposed and implemented in this paper to detect the damage time instant, location, and severity of a structure due to a sudden change of structural stiffness. The proposed damage index is suitable for online structural health monitoring applications. It can also be used in conjunction with the empirical mode decomposition (EMD) for damage detection without using the intermittency check. Numerical simulation using a five-story shear building under different types of excitation is executed to assess the effectiveness and reliability of the proposed damage index and damage detection approach for the building at different damage levels. The sensitivity of the damage index to the intensity and frequency range of measurement noise is also examined. The results from this study demonstrate that the damage index and damage detection approach proposed can accurately identify the damage time instant and location in the building due to a sudden loss of stiffness if measurement noise is below a certain level. The relation between the damage severity and the proposed damage index is linear. The wavelet-transform (WT) and the EMD with intermittency check are also applied to the same building for the comparison of detection efficiency between the proposed approach, the WT and the EMD.