• Title/Summary/Keyword: 도착지

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Massive pneumoperitoneum following cardiopulmonary resuscitation (심폐소생술 후 발생한 다량의 기복증)

  • Choi, Jeonjwoo;Shin, Sangyol;Hwang, Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.5
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    • pp.3303-3307
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    • 2015
  • The purpose of this study was attemped to investigate the clinical presentation and pathophysiology of 74-year-old female who developed pneumoperitoneum as complications of chest compression from sudden cardiac arrest. Such chest compression is the same one excercised to by-stander and paramedics. A healthy 74 year female had a sudden mental deterioration while working at a restaurant. She was transfered from 119 emergency medical system to the hospital. After the symptom developed, by-stander called 119 who carry out 6 minutes Cardiopulmonary resuscitation(CPR). Defibrillation and CPR was carried out by health provider after the arrival, and the patients spontaneous circulation returned. After Return of spontaneous circulation(ROSC), patients was transferred to the nearst hopspital, but suspicious of myocardial infarction, she was again transferred to a larger scale hospital. At the hospital she took X-rays and Abdominal CT, and the results of suspicious gastro-intestinal perforation near gastro-esophageal junction, surgical repair was recommended. But in operation room, while operation went on, cardiopulmonary arrest appeared again, and she expired. For this reason, prehospital CPR needs more accurate localization of cardiac massage and serious consideration of positive pressure ventilation. Moreover, treatment of pneumoperitoneum after CPR needs more cautious consideration of patients hemodynamic stability.

Effect of Packaging Materials on the Postharvest Quality of Fresh Wild Garlic Leaves during Room Temperature Storage (포장재 종류가 산마늘 상온저장 중 품질에 미치는 영향)

  • Choi, Ji-Weon;Lee, Ji-Hyun;Kim, Chang-Kug;Lee, Jung Soo;Shin, Il Sheob
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2019.04a
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    • pp.109-109
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    • 2019
  • 2018년 5월 전라북도 남원군에서 재배하여 수확 후 $0^{\circ}C$ 저장고에서 예냉을 마친 산마늘을 사용하였으며 외 포장 상자는 골판지로 구성된 통기공이 없는 골판지상자 1kg용을 사용하였다. 골판지상자와 함께 내부 포장으로 사용하기 위한 내포장 필름은 $20{\mu}m$ 두께의 HDPE으로 된 필름 봉지, 흡습종이는 파라핀왁스 코팅 종이($32{\times}35cm$, 태영산업)를 이용하여 조합 처리하고 국내에서 개발한 기능성 필름2종으로 포장처리는 총 4가지로 (1) PE(관행) (2) PE+흡습지 (3) 기능성필름1($30{\times}58cm$, 기능성물질 1%+40,000OTR, 제조사: 신영산업사) (4) 기능성필름2($30{\times}58cm$, Key fresh, 제조사: 씨앤케이프로팩(주)) 각 처리당 1kg 씩의 산마늘 잎을 포장하였다. 실험은 포장 처리 후 상온상태로 전북 완주군 실험실까지 수송하였으며 실험실 도착 후 상온 실험실에 두고 2일과 6일 후 중량감소율, 색도, 엽록소, 손실률 및 종합선도 등 품질특성 변화를 조사하였고 각 포장방법별 온도와 상대습도 변화를 보기 위하여 산마늘 잎이 포장된 상자 내부 중앙 부분에 디지털온습도기록계(SP-2000-20R)를 고정한 후 측정하였다. 대조구로 사용한 PE필름 단용으로 포장한 산마늘 잎은 상온저장 6일 경과 후 중량 소율이 1.7%, PE필름+신선지 처리는 1.0%, 기능성필름1과 기능성필름2는 거의 중량감소가 없어 1% 미만의 변화를 보였다. 산마늘 잎의 SPAD 값에 의한 엽록소 수치와 색도를 측정한 명도($L^*$)와 Hue angle 값의 변화는 기능성필름1과 기능성필름2가 유사하게 높게 유지되었고 반면에 PE필름은 저장 2일 후 부터 값이 감소하기 시작하여 6일 후 크게 감소하였다. 저장 6일 후 기능성필름1과 기능성필름2가 외관품위에서 높은 평가를 받아 상품성을 유지하고 있었으나 PE필름 처리와 PE필름+흡습지 처리는 상품성을 상실한 상태였다. 이러한 경향은 건전율에 있어서도 유사하였으며 기능성필름1(다공성 나노 물질이 혼입되어 있으며 산소투과율을 $40,000cc/m2{\cdot}day{\cdot}atm$으로 조성한 필름)이 상온저장 6일 후 상품성을 유지하는 건전율이 83%로 가장 높았다.

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A Study on Reactive Congestion Control with Loss Priorities in ATM Network (ATM 네트워크에서 우선권을 갖는 반응 혼잡 제어에 관한 연구)

  • Park, Dong-Jun;Kim, Hyeong-Ji
    • The Transactions of the Korea Information Processing Society
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    • v.3 no.4
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    • pp.697-708
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    • 1996
  • In this paper, we study reactive congestion control with priority in ATM network. The priority schemes for buffer access, partial buffer sharing have been investigated in order to improve the utilization of ATM network resources the network and to satisfy the most demanding traffic class. We consider in this paper a discrete-time queueing model for partial buffer sharing with two Markov modulated Poisson inputs. This model can be used to analyze the the effects of the partial buffer sharing priority scheme on system performance for realistic cases of bursty services. Explicit formulae are derived for the number of cells in the system and the loss probabilities for the traffic. Congestion may still occur because of unpredictable statistical fluctuation of traffic sources even when preventive control is performed in the network. In this Paper, we study reactive congestion control, in which each source changes its cell emitting rate a daptively to the traffic load at the switching node. Our intention is that,by incorporating such a congcstion control method in ATM network,more efficient congsestion control is established. We develope an analytical model,and carry out an approximateanalysis of reactive congestion con-trol with priority.Numerical results show that several orders of magnitude improvement in the loss probability can be achieved for the high priority class with little impact on the low priority class performance.And the results show that the reactive congestion control with priority are very effective in avoiding congestion and in achieving the statistical gain.

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Software Development for Optimal Productivity and Service Level Management in Ports (항만에서 최적 생산성 및 서비스 수준 관리를 위한 소프트웨어 개발)

  • Park, Sang-Kook
    • Journal of Navigation and Port Research
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    • v.41 no.3
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    • pp.137-148
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    • 2017
  • Port service level is a metric of competitiveness among ports for the operating/managing bodies such as the terminal operation company (TOC), Port Authority, or the government, and is used as an important indicator for shipping companies and freight haulers when selecting a port. Considering the importance of metrics, we developed software to objectively define and manage six important service indicators exclusive to container and bulk terminals including: berth occupancy rate, ship's waiting ratio, berth throughput, number of berths, average number of vessels waiting, and average waiting time. We computed the six service indicators utilizing berth 1 through berth 5 in the container terminals and berth 1 through berth 4 in the bulk terminals. The software model allows easy computation of expected ship's waiting ratio over berth occupancy rate, berth throughput, counts of berth, average number of vessels waiting and average waiting time. Further, the software allows prediction of yearly throughput by utilizing a ship's waiting ratio and other productivity indicators and making calculations based on arrival patterns of ship traffic. As a result, a TOC is able to make strategic decisions on the trade-offs in the optimal operating level of the facility with better predictors of the service factors (ship's waiting ratio) and productivity factors (yearly throughput). Successful implementation of the software would attract more shipping companies and shippers and maximize TOC profits.

A Pre-Hospital Cardiac Arrest Patient Surviving after Dispather-Assisted Defibrillation by an Untrained Witness (응급의료전화상담원의 도움에 의해 교육 받지 않은 목격자의 제세동 시행 후 생존한 병원 전 심정지 1례)

  • Kim, Jong-Ho;Moon, Jun-Dong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.239-244
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    • 2018
  • A 59-year-old man with no specific medical or family history complained of chest pain and became unconscious. A member of his family, who was a witness, called 119 and gave him dispatcher-assisted cardiopulmonary resuscitation, followed by defibrillation using an automated external defibrillator placed in his apartment. Afterward, he was given two sessions of defibrillation by the 119 emergency squad, then transferred to an emergency medical center with the return of spontaneous circulation. The patient was discharged with cerebral performance category (CPC) 1 15 days later. While dispatcher-assisted cardiopulmonary resuscitation and defibrillation is at its beginning stage in South Korea, this case seems to demonstrate its effectiveness. Moreover, this case suggests it can be particularly useful for helping untrained witnesses use an automated external defibrillator, which may have important implications in regions in which there are delayed responses of the 119 emergency squad to the site. It is also important to develop a plan for improving witness access to and quantitative supply of the South Korean public access defibrillation (PAD) program.

The Component Characteristics and the Distribution Channels for Forest Products Consumed as a Fuel in Kyeongseong City (Seoul) in 1929 (1929년 경성부(京城府)에서 소비(消費)된 임산연료(林産燃料)의 구성별(構成別) 특성(特性)과 유통(流通) 경로(經路))

  • Lee, Ki-Bong;Bae, Jae-Soo
    • Journal of Korean Society of Forest Science
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    • v.94 no.3 s.160
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    • pp.135-145
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    • 2005
  • The purpose of this study is to reveal the component characteristics and the channels of distribution for forest products as a fuel that were consumed in Kyeongseong city (Seoul) in 1929, in the middle of the colonial period. The summary of the results are as follows; (1) though the average consumption of forest products consumed as a fuel per household in Kyeongseong city was slightly less than one-third as much forest products as fuel consumed in other counties of Kyeongki province, but due to the high heat capacity, the amount of fuelwood and charcoal consumption was much higher than leaf and grass consumption; (2) the largest supply areas of forest products for fuel were the riverside of Kangwon province and Kyeonggi province in which the waterways were available. They supplied 42.6% of total consumption, and the other supply areas were the northern part of Kyeonggi province, etc. (29.5%) where railroads were handy, and the suburbs of Kyeongseong City (27.9%) by roads; (3) the transportation areas using the Han River were divided into two parts of Ttook island (43.0%) and former Yongsan and Mapo (45.6%), but the volume of transportation by railroad was centralized in Kyeongseong Station, which accounted for 72.2% of total volume of transportation by rail; (4) the most of the forest products consumed for fuel in Kyeongseoung city were sold in temporary fuelwood markets, rather than permanent and regular markets.

Analysis of Arrival Information and Status of the Patients in Emergency Department (응급의료센터 환자의 내원 정보 및 실태 분석)

  • Lee, Sam-Beom;Do, Byung-Soo
    • Journal of Yeungnam Medical Science
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    • v.16 no.2
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    • pp.277-282
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    • 1999
  • Background: For effective and systematic management of patients in the emergency department(ED), the data on patient arrival and status in ED of Yeungnam University Hospital were evaluated. Materials and Methods: During the seven days from Apr. 1 to Apr. 7, 1998, the general patient information such as onset time and place, factors associated with transportation, causes of admission, cared department and patient disposition were recorded. Results: Total of 464 patients visited the ED during the seven days, and the mean number of patients per day was 66.3. Male to female ratio was 1:0.71. Daily staying patients were 17.3, and 83.6 patients were cared totally each day. The methods of transportation and distribution of patients according to region and event were as follows: visit by walk(57.3%). transportation by car(58.0%), place of event in residence(85.3%), regional distribution in Taegu(81.5%), and direct visit(97.4%). Cause of admission due to diseases was 74.6%. The percentages of departments which cared the patients were internal medicine 26.6%, pediatrics 16.8%, orthopedics 8.6%, neurology 8.2%, neurosurgery 7.8% and other department including emergency medicine 8.2%, respectively. Patient dispositions were admission 38.4%, discharge 61.0% and death on arrival(DOA) 0.6%, but referred patient-to-another-hospital was zero. Conclusion: Improvements in several aspects of ED's caring system such as "fast tracking" system and reinforcement of disease and trauma caring system, would be helpful for effective management of emergency patients.

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A study on the selection of candidates for public bases according to the spatial distribution characteristics Automated External Defibrillator in Daegu City (대구시 자동심장충격기 공간분포 특성에 따른 공공 거점후보지 선정 연구)

  • Beak, Seong Ryul;Kim, Jun Hyun
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.38 no.6
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    • pp.599-610
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    • 2020
  • The AED (Automated External Defibrillator) is not evaluated for spatial accuracy and temporal availability even if it is located within a building or a specific area that needed necessary to partition by spatial analysis and location allocation analysis. As a result of the analysis, the spatial analysis was performed using the existing public data of AED with applied the GIS location analysis method. A public institution (119 safety center, police box) was selected as a candidate for a public AED base that can operate 24 hours a day, 365 days a year according to the characteristics of each residential area. In addition, Thiessen Polygons were created for each candidate site and divided by regions. In the analysis of the service was analyzed regional in terms of accessibility to emergency medical services in consideration of the characteristics of AED, that emergency vehicles could arrive within 4 minutes of the time required for emergency medical treatment in most areas of the study area, but it did not areas outside of the city center. As a result, It was found that the operation of the AED base service center centered on vehicles of public institutions is effective for responding to AED patients at night and weekend hours. 19 Safety Center under and police box the jurisdiction of Daegu City to establish an AED service center for public institutions, location-based distance, attribute analysis, and minimization of overlapping areas that the method of using a vehicle appeared more efficient than using the existing walking type AED.

The Definition of Connecting Flight and Extraterritorial Application of Regulation (EC) No 261/2004: A Case Comment on Claudia Wegener v. Royal Air Maroc SA [2018] Case C-537/17 (EC 261/2004 규칙의 역외적용과 연결운항의 의미 - 2018년 EU사법재판소 Claudia Wegener v. Royal Air Maroc SA 판결의 평석 -)

  • Sur, Ji-Min
    • The Korean Journal of Air & Space Law and Policy
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    • v.35 no.1
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    • pp.103-125
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    • 2020
  • This paper reviews the EU Case, Claudia Wegener v. Royal Air Maroc SA [2018] ECLI:EU:C:2018:361, Case C-537/17. It analyzes some issues as to Wegener case by examining EU Regulations and practical point of views. Article 3(1)(a) of Regulation (EC) No 261/2004 of the European Parliament and of the Council of 11 February 2004 establishing common rules on compensation and assistance to passengers in the event of denied boarding and of cancellation or long delay of flights, entitled scope, provides: "this Regulation shall apply: (a) to passengers departing from an airport located in the territory of a Member State to which the Treaty applies; (b) to passengers departing from an airport located in a third country to an airport situated in the territory of a Member State to which the Treaty applies, unless they received benefits or compensation and were given assistance in that third country, if the operating air carrier of the flight concerned is a Community carrier." ECJ held that must be interpreted as meaning that Regulation (EC) No 261/2004 applies to a passenger transport effected under a single booking and comprising, between its departure from an airport situated in the territory of a Member State and its arrival at an airport situated in the territory of a third State, a scheduled stopover outside the European Union with a change of aircraft. According to the Court, it is apparent from the regulation and case-law that when, as in the present case, two (or more) flights are booked as a single unit, those flights constitute a whole for the purposes of the right to compensation for passengers. Those flights must therefore be considered as one and the same connecting flight.

Timing Driven Analytic Placement for FPGAs (타이밍 구동 FPGA 분석적 배치)

  • Kim, Kyosun
    • Journal of the Institute of Electronics and Information Engineers
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    • v.54 no.7
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    • pp.21-28
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    • 2017
  • Practical models for FPGA architectures which include performance- and/or density-enhancing components such as carry chains, wide function multiplexers, and memory/multiplier blocks are being applied to academic FPGA placement tools which used to rely on simple imaginary models. Previously the techniques such as pre-packing and multi-layer density analysis are proposed to remedy issues related to such practical models, and the wire length is effectively minimized during initial analytic placement. Since timing should be optimized rather than wire length, most previous work takes into account the timing constraints. However, instead of the initial analytic placement, the timing-driven techniques are mostly applied to subsequent steps such as placement legalization and iterative improvement. This paper incorporates the timing driven techniques, which check if the placement meets the timing constraints given in the standard SDC format, and minimize the detected violations, with the existing analytic placer which implements pre-packing and multi-layer density analysis. First of all, a static timing analyzer has been used to check the timing of the wire-length minimized placement results. In order to minimize the detected violations, a function to minimize the largest arrival time at end points is added to the objective function of the analytic placer. Since each clock has a different period, the function is proposed to be evaluated for each clock, and added to the objective function. Since this function can unnecessarily reduce the unviolated paths, a new function which calculates and minimizes the largest negative slack at end points is also proposed, and compared. Since the existing legalization which is non-timing driven is used before the timing analysis, any improvement on timing is entirely due to the functions added to the objective function. The experiments on twelve industrial examples show that the minimum arrival time function improves the worst negative slack by 15% on average whereas the minimum worst negative slack function improves the negative slacks by additional 6% on average.