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      • KCI등재

        Estimation of Free-Flow Speed

        Joseph Fazio,Brady N. Wiesner,Matthew D. Deardoff 대한토목학회 2014 KSCE JOURNAL OF CIVIL ENGINEERING Vol.18 No.2

        In 2010 Highway Capacity Manual, one preferably determines free-flow speed by deriving it from a speed study involving the existing facility or on a comparable facility if the facility is in the planning stage. Many have used a ‘rule of thumb’ by adding 10 km/ h (5 mi/h) above the posted limit to obtain free-flow speed without justification. Two team members using a radar gun and manual tally sheets collected 1668 speed observations at ten sites during several weeks. Each site had a unique posted speed limit sign ranging from 30 km/h (20 mi/h) to 120 km/h (75 mi/h). Five sites were on urban streets. Three sites were on multilane highways, and two on freeways. Goodness-of-fit test results revealed that a Gaussian distribution generally fit the speed distributions at each site at a 5% level of significance. The best-fit model had a correlation coefficient of +0.99. The posted speed limit variable was significant at 5% level of significance. Examining data by highway type revealed that average free-flow speeds are strongly associated with posted speed limits with correlation coefficients of +0.99, +1.00, and +1.00 for urban streets, multilane highways, and freeways, respectively.

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        A Systematic Review of Randomized Controlled Trials Comparing Buccal Mucosal Graft Harvest Site Non-Closure versus Closure in Patients Undergoing Urethral Reconstruction

        Hwang Eu Chang,de Fazio Adam,Hamilton Kallie,Bakker Caitlin,Pariser Joseph J.,Dahm Philipp 대한남성과학회 2022 The World Journal of Men's Health Vol.40 No.1

        Purpose: To assess the effects of buccal mucosal graft site non-closure versus closure on postoperative oral morbidity for male undergoing augmentation urethroplasty for urethral stricture. Materials and Methods: We included randomized controlled trials. Inclusion criteria were male over the age of 18 with urethral stricture disease requiring reconstruction with buccal mucosal graft harvest. Primary outcomes of the review were postoperative oral pain, need for secondary oral procedures and cosmetic defects. Results: We included 5 studies with 346 randomized patients with urethral strictures, of whom 260 completed the trials. In terms of primary outcomes, non-closure graft site may reduce oral pain on postoperative day #1 (standard mean difference [SMD] 0.24 lower; 95% confidence interval [CI] 0.61 lower to 0.12 higher; low certainty evidence [CoE]) but we are uncertain how this impacts pain on postoperative days 3 to 6 (SMD 0.35; 95% CI 0.12 to 0.81 higher; very low CoE). We are also very uncertain as to how it affects the need for secondary oral procedures (risk ratio [RR] 0.22; 95% CI 0.01 to 4.28; very low CoE). Non-closure may increase the risk of cosmetic defects (RR 2.40; 95% CI 0.93 to 6.22; low CoE). Conclusions: This review describes the trade-off for buccal mucosal graft site non-closure versus closure for various patientimportant outcomes; decision-making will likely hinge on the relative value individual patients and surgeons place on them. The supporting evidence was rated as low and very low, thereby signaling substantial underlying uncertainty and the need for better trials.

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