• 제목/요약/키워드: state of Ohio

검색결과 497건 처리시간 0.028초

Secondary Analysis on Ventilator-Associated Pneumonia and Pressure Injury

  • Hyun, Sookyung;Moffatt-Bruce, Susan;Newton, Cheryl;Kaewprag, Pacharmon
    • International Journal of Advanced Culture Technology
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    • 제6권3호
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    • pp.211-215
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    • 2018
  • Ventilator-associated pneumonia (VAP) is a lung infection that develops in patients receiving mechanical ventilation. VAP contributes to about 50% of hospital-acquired pneumonia in ICU settings. One of the recommendation of the Institute of for Healthcare Improvement ventilator bundle is HOB elevation. HOB elevation affects shearing forces and makes higher risk for pressure injury development. Pressure injury (PI) is localized damage to the skin over a bony prominence. PI prevention guidelines recommend that HOB positioning should be lower to reduce risk for PI development which contradicts VAP prevention guidelines for the HOB between 30 and 45 degrees for ICU patients. This presents a care dilemma and tension. The purpose of this study was to perform a secondary data analysis using cumulative electronic health record data in order to determine the association of HOB elevation with VAP and PI in ICU patients. A secondary data analysis was conducted to determine whether HOB elevation is associated with VAP and PI. HOB elevation was not likely to be associated with VAP prevention whereas it was likely to be related to PI development. This is somewhat contrary to popular data and publications. Prospective cohort study is desired to inform us in an evidence-based fashion what actually is optimal HOB elevation for ventilated patients in ICU settings.

Development of new finite elements for fatigue life prediction in structural components

  • Tarar, Wasim;Scott-Emuakpor, Onome;Herman Shen, M.H.
    • Structural Engineering and Mechanics
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    • 제35권6호
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    • pp.659-676
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    • 2010
  • An energy-based fatigue life prediction framework was previously developed by the authors for prediction of axial and bending fatigue life at various stress ratios. The framework for the prediction of fatigue life via energy analysis was based on a new constitutive law, which states the following: the amount of energy required to fracture a material is constant. In this study, the energy expressions that construct the new constitutive law are integrated into minimum potential energy formulation to develop new finite elements for uniaxial and bending fatigue life prediction. The comparison of finite element method (FEM) results to existing experimental fatigue data, verifies the new finite elements for fatigue life prediction. The final output of this finite element analysis is in the form of number of cycles to failure for each element in ascending or descending order. Therefore, the new finite element framework can provide the number of cycles to failure for each element in structural components. The performance of the fatigue finite elements is demonstrated by the fatigue life predictions from Al6061-T6 aluminum and Ti-6Al-4V. Results are compared with experimental results and analytical predictions.

Tree-based Approach to Predict Hospital Acquired Pressure Injury

  • Hyun, Sookyung;Moffatt-Bruce, Susan;Newton, Cheryl;Hixon, Brenda;Kaewprag, Pacharmon
    • International Journal of Advanced Culture Technology
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    • 제7권1호
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    • pp.8-13
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    • 2019
  • Despite technical advances in healthcare, the rates of hospital-acquired pressure injury (HAPI) are still high although many are potentially preventable. The purpose of this study was to determine whether tree-based prediction modeling is suitable for assessing the risk of HAPI in ICU patients. Retrospective cohort study has been carried out. A decision tree model was constructed with Age, Weight, eTube, diabetes, Braden score, Isolation, and Number of comorbid conditions as decision nodes. We used RStudio for model training and testing. Correct prediction rate of the final prediction model was 92.4 and the Area Under the ROC curve (AUC) was 0.699, which means there is about 70% chance that the model is able to distinguish between HAPI and non-HAPI. The results of this study has limited generalizability as the data were from a single academic institution. Our research finding shows that the data-driven tree-based prediction modeling may potentially support ICU sensitive risk assessment for HAPI prevention.

미세구조 내에서의 사출성형 흐름에 관한 연구 (Study on flow behavior of polymer solutions in microchannels)

  • 김동학
    • 한국산학기술학회논문지
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    • 제7권3호
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    • pp.471-475
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    • 2006
  • 랩온어칩(Lab-on-a-chip) 등 미세구조를 갖는 다양한 장치들의 대량 생산이 가능한 사출성형공정 내에서의 미세 흐름 거동의 이해는 매우 중요하다. 본 논문에서는 마이크로 채널 구조 내에서의 사출성형 흐름에 관하여 연구하였다. 흐름 현상을 관찰하기 위하여 투명한 PMMA를 사용하여 가시화 금형(visual mold)을 제작하였다. 실험 대상 물질로는 고분자 용액인 PEO (poly (ethylene oxide)) 와 PA (polyacrylamide) 용액을 선정하였는데, 이는 고분자 용융체의 특징인 높은 점성과 탄성을 갖도록 설계한 것이다. 시간에 따른 흐름현상과 주 채널과 마이크로 채널과의 경쟁적인 흐름 현상을 관찰하였다. 이로부터 마이크로 사출성형 흐름에서 나타나는 마이크로 채널 내의 충전길이에 대한 해석이 가능하였다.

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유성기어 소음을 고려한 pRMC 프로그램 개발 및 적용에 관한 연구 (Research for the Development of a pRMC Program for the Planetary Gear Noise)

  • 이현구;김무석;서현승;김진호;칼만아멧;하리안또자니;권현식
    • 한국소음진동공학회논문집
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    • 제23권7호
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    • pp.669-674
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    • 2013
  • To design the optimized low noise planetary gear sets, a program called pRMC(planetary run many cases) is developed. The pRMC is especially using a combination analysis method for all gear specifications and also able to analyze any type of planetary gear sets. The pRMC is composed of the 5 sections those are generate, setting, evaluate, combine and analysis. After calculating all candidate gear sets, the pRMC could show many results that represent the character of each gear set including the transmission error which is the main gear noise factor, the contact ratios, the bending stress and so on. By comparing the results objectively, user could predict and select the optimized gear set which has quiet noise level and desired durability. The planetary gear designed by pRMC could have reduced noise and vibration level from 5 to 10 dB than previous-designed one.

A "GAP-Model" based Framework for Online VVoIP QoE Measurement

  • Calyam, Prasad;Ekici, Eylem;Lee, Chang-Gun;Haffner, Mark;Howes, Nathan
    • Journal of Communications and Networks
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    • 제9권4호
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    • pp.446-456
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    • 2007
  • Increased access to broadband networks has led to a fast-growing demand for voice and video over IP(VVoIP) applications such as Internet telephony(VoIP), videoconferencing, and IP television(IPTV). For pro-active troubleshooting of VVoIP performance bottlenecks that manifest to end-users as performance impairments such as video frame freezing and voice dropouts, network operators cannot rely on actual end-users to report their subjective quality of experience(QoE). Hence, automated and objective techniques that provide real-time or online VVoIP QoE estimates are vital. Objective techniques developed to-date estimate VVoIP QoE by performing frame-to-frame peak-signal-to-noise ratio(PSNR) comparisons of the original video sequence and the reconstructed video sequence obtained from the sender-side and receiver-side, respectively. Since processing such video sequences is time consuming and computationally intensive, existing objective techniques cannot provide online VVoIP QoE. In this paper, we present a novel framework that can provide online estimates of VVoIP QoE on network paths without end-user involvement and without requiring any video sequences. The framework features the "GAP-model", which is an offline model of QoE expressed as a function of measurable network factors such as bandwidth, delay, jitter, and loss. Using the GAP-model, our online framework can produce VVoIP QoE estimates in terms of "Good", "Acceptable", or "Poor"(GAP) grades of perceptual quality solely from the online measured network conditions.