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The Factors Influencing Survival of Out-of-hospital Cardiac Arrest with Cardiac Etiology (병원 밖에서 발생한 심인성 심장정지환자의 생존 관련 요인 7년간 국가심장정지조사사업 자료 활용)

  • Jeong, Su-Yeon;Kim, Chul-Woung;Hong, Sung-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.560-569
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    • 2016
  • Purpose The purpose of this study was not only to explore the factors associated with the survival of OHCA(Out-of-hospital Cardiac Arrest), but to provide ideas for improving the operation of emergency medical system in Korea. Method 90,734 OHCAs(Out-of-hospital Cardiac Arrest) with a cardiac etiology, who had been transported by 119 EMS ambulances for seven years from 2006 to 2012 in Korea, were analyzed. The data had a multilevel structure in that patient's survival in the same region is interrelated, so two-level (patient-region) logistic regression analysis was applied to adjust this correlation. Results The adjusted OR in group who were given CPR(Cardiopulmonary Resuscitation) by a bystander were 1.40 for survival to discharge. In addition, the adjusted OR in the group with an implementation of AED (automated external defibrillator) before arriving in hospital was 2.98 for survival to discharge. we categorized some continuous variables (number of emergency physician, OHCAs volume fo hospital, area deprivation level) into five quintiles. The adjusted OR in the number of emergency physician compared with Q1(lowest) was 1.29(Q2), 2.89(Q3), 3.39(Q4), 4.07(Q5), respectively. the adjusted OR in OHCAs volume of each hospital compared with Q1(lowest) was 2.06(Q2), 3.06(Q3), 3.46(Q4), 4.36(Q5), respectively. Lastly, the adjusted OR in deprivation level compared with Q1(least deprived area) was 0.72(Q4), 0.64(Q5) so that the adjusted OR of survival to discharge tended to decrease in more deprived districts. Conclusion The survival to discharge was better significantly in group given CPR by a bystander and with the implementation of AED before arriving in hospital. The survival to discharge tended to be significantly better in hospitals with a larger number of emergency physicians and higher volume of OHCAs in less deprived districts.

Classification of Domestic Freight Data and Application for Network Models in the Era of 'Government 3.0' ('정부 3.0' 시대를 맞이한 국내 화물 자료의 집계 수준에 따른 분류체계 구축 및 네트워크 모형 적용방안)

  • YOO, Han Sol;KIM, Nam Seok
    • Journal of Korean Society of Transportation
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    • v.33 no.4
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    • pp.379-392
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    • 2015
  • Freight flow data in Korea has been collected for a variety of purposes by various organizations. However, since the representation and format of the data varies, it has not been substantially used for freight analyses and furthermore for freight policies. In order to increase the applicability of those data sets, it is required to bring them in a table and compare for finding the differences. Then, it is shown that the raw data can be aggregated by a particular criterion such as mode, origin and destination, and type commodity. This study aims to examine the freight data issue in terms of three different points of view. First, we investigated various freight volume data sets which are released by several organizations. Second, we tried to develop formulations for freight volume data. Third, we discussed how to apply the formulations to network models in which particular OR (Operations Research) techniques are used. The results emphasized that some data might be useless for modeling once they are aggregated. As a result of examining the freight volume data, this study found that 14 organizations share their data sets at various aggregation levels. This study is not an ordinary research article, which normally includes data analysis, because it seems to be impossible to conduct extensive case studies. The reason is that the data dealt in this study are diverse. Nevertheless, this study might guide the research direction in the freight transport research society in terms of data issue. Especially, it can be concluded that this study is a timely research because the governmemt has emphasized the importance of sharing data to public throughout 'government 3.0' for research purpose.

Analysis of Signaling Load of Mobile IPv6 and Hierarchical Mobile IPv6 (Mobile IPv6와 Hierarchical Mobile IPv6의 시그널링 부하 분석)

  • Kong Ki-Sik;Song MoonBae;Hwang Chong-Sun
    • Journal of KIISE:Information Networking
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    • v.32 no.4
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    • pp.515-524
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    • 2005
  • As the number of the mobile nodes (MNs) increases in the networks, the signaling traffic generated by mobility management for MNs will increase explosively, and such a phenomenon will probably affect overall network performance. In this paper, we propose a novel analytical approach using a continuous-time Markov chain model and hierarchical network model for the analysis on the signaling load of representative IPv6 mobility support Protocols such as Mobile IPv6 (MIPv6) and Hierarchical Mobile IPv6 (HMIPv6). According to these analytical modeling, this paper derives the various signaling costs, which are generated by an MN during its average domain residence time when MIPv6 and HMIPv6 are deployed under the same network architecture, respectively. In addition, based on these derived costs, we investigate the effects of various mobility/traffic-related parameters on the signaling costs generated by an MN under MIPv6 and HMIPv6. The analytical results show that as the average moving speed of an MN gets higher and the binding lifetime is set . to the larger value, and as its average packet arrival rate gets lower, the total signaling cost generated during its average domain residence time under HMIPv6 will get relatively lower than that under MIPv6, and that under the reverse conditions, the total signaling cost under MIPv6 will get relatively lower than that under HMIPv6.

The Development and Application of Bus Bunching Indices for Bus Service Improvement (버스서비스 개선을 위한 버스몰림지표 개발 및 적용)

  • Kim, Eun-Kyoung;Rho, Jeong-Hyun;Kim, Young-Chan
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.7 no.6
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    • pp.1-11
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    • 2008
  • As bus is realized by economical, environmental transportation that is available mass transport than car, various policy for improvement of services is achieved. As innovative public transportation systems like BMS (Bus Management System) have established, it is possible to manage bus service efficiently. However, the present bus service management system mainly focuses on enhancing service reliability represented by schedule adherence index. This study discusses the necessity of a special management for bus bunching phenomena at stops, and develops two kinds of bus bunching indices based on the Number of Berth and the Average Bus Arrival Rate. The bus bunching indices were measured by utilizing the bus operational information from BMS at the Seoul TOPIS(Transportation & Information Service). In order to evaluate the sensitivity of the Indices, the indices were applied to two different bus groups: buses on exclusive bus median lane, and regular (shared) lanes. As analysis result, is bunching as is near in downtown and is bunching to peak time morning than the afternoon. Compared with the schedule adherence index, the suggested indices were proved as an efficient complementary indices in the evaluation of the bus operational performance. The results of index comparison between exclusive bus median lane and shared lanes can promote the expansion of exclusive bus median lane. Moreover, it can also be used as a reference in deciding bus station scale including the Number of Berth and the route adjustment plan.

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Minimization Method of Data Collection Delay Time for Bus Information System (버스정보 수집지연시간 최소화 방안 연구)

  • Lim, Seung-Kook;Kim, Young-Chan;Ha, Tae-Jun;Lee, Jong-Chul
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.7 no.6
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    • pp.81-91
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    • 2008
  • In this study, data collection delay time generated in bus information system is analysed and improvement on system reliability by minimizing the delay time is suggested. To minimize the data collection delay time (call setup time), factors on data collection phase are analyzed. Each connecting time that it occurs from wireless communication during data collection phase, is selected as a main effective variable and a model for selecting an optimum communication point to minimize the effect of data delay time by each connecting time is suggested. In this model, minimization of the point between the time carrying out wireless communication and vehicle moving time, is calculated and the difference between the bus arrival time and information delivered time to the passenger is reduced. The test results for the proposed model in BIS using a CDMA (Code Division Multiple Access) communication show that delay time in real system operation has been improved. The minimum data collection delay time based on optimal communication position leads to the better reliability for Bus Information System. This study can be applied to the selection of optimal communication position and detection position instead of empirical methods.

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A Study on the Improvement of Service Quality in Medical Tourism by Combining Service Blueprint and AHP (서비스 청사진과 AHP의 결합에 의한 의료관광서비스 개선방안에 관한 연구)

  • Hyun, Min-Cheol;Cho, Boo-Yun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.1895-1904
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    • 2014
  • This study explores the way to improve service quality with the application of Service Blueprint and Analytic Hierarchy Process (hereafter, "AHP") in medical tourism. Service Blueprint has been widely accepted to identify the possible fail points in service delivery system, and AHP analysis has been recognized as beneficial method to rate relative importance in multi-criteria decision making process. We try to understand possible pitfalls to enhance Chinese medical tourists, and propose the priority in the resolution process. In the first step, we reviewed the extant literatures about medical tourism of South Korea, and built initial Service Blueprint. Experts who experienced service delivery process towards Chinese patients participated to review the proposed Service Blueprint in the second step. Thirdly, after extracting the possible fail points from revised Service Blueprint, we asked experts to guess the relative importance of Chinese patient by AHP methodology. Four domains (Arrival and Welcoming, Hospitalization, Process before, operations, and after surgery, Recovery and discharge) were emerged with detail criteria. Results show that operations and treatment is the most important domain not to lose Chinese patient's loyalty with following hospitalization process domain. Also, we suggest the priority among sixteen criteria to prevent service failure.

Implementation of Location Based Services Using Satellite DMB System (위성 DMB 시스템을 이용한 위치 기반 서비스 구현)

  • Kwon, Seong-Geun;Lee, Suk-Hwan;Kim, Kang-Wook;Kwon, Ki-Ryong
    • Journal of Korea Multimedia Society
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    • v.15 no.1
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    • pp.32-39
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    • 2012
  • In this paper, the implementation of location based services (LBS) using S-DMB (satellite-digital multimedia broadcasting) system was proposed. In S-DMB System, the frequency of transmitted signal is about 2 GHz which has a characteristics of strong straightness but weak diffraction so that there are many shade areas such as indoors and underground spaces. Therefore the signal transmitted from the satellite should be retransmitted by the earth repeaters called as gap filler. Because each gap filler has its own identification value, the gap filler ID introduces the area in which the gap filler was installed. Generally, the 51st data symbols of S-DMB pilot signal transmitted from the satellite are padded by dummy value and gap filler ID is embedded in this pilot symbol by the gap filler when S-DMB signals are retransmitted by gap fillers. So using gap filler ID of S-DMB system, LBS such as region registration, distance and time to destination, alarm of local area information could be implemented. In the experiment to prove the performance of the proposed LBS system using the gap filler ID of the S-DMB system, the firmware of S-DMB chip composing of RF and baseband parts was lightly modified so that application processor was able to manipulate the gap filler ID and the its related regional information.

Estimating Transfer Trips in Seoul Metropolitan Urban Railway (Using Transportation Card) (수도권 도시철도 환승통행량 추정방안 (교통카드자료를 이용하여))

  • Lee, Mee Young;Sohn, Jhieon
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.15 no.6
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    • pp.36-46
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    • 2016
  • Separate transportation card readers that record the amount of transfer volume occurring during movement in-between lines within the metropolitan railway transfer stations do not exist. This research proposes a model to estimate passenger transit movements in transfer stations that adequately reproduces characteristics arising during a transfer trip. The model used in this study assumes that passengers adopt transfer behaviors that minimize their generalized costs during transfer trips. Further, two measures are sought in order to reflect attributes of the metropolitan railway. The first is that similar paths connect origin and destination stations. For this, the M-Similar Paths method is applied to the model to identify the similar paths that arise. The second is that passengers perceive increasing number of transfers as additional transfer costs, which is reflected by means of the Stepwise Transfer Coefficient. Two case studies of metropolitan railway are used to propose measures for analysis of transfer trips. Twenty directional transit phenomena are reproduced for Sindorim railway station. Aggregate directional transit(A), aggregate inter-line transit(B), and B/A are calculated on a percentage basis for 33 metropolitan railway transfer stations, and using this, the functional role of transfers is explored.

Dynamic Power Management Method Considering VBR Video Traffic in Wi-Fi Direct (Wi-Fi Direct에서 VBR 비디오 트래픽을 고려한 동적 에너지 관리 기법)

  • Jin, Mei-Hua;Jung, Ji-Young;Lee, Jung-Ryun
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.40 no.11
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    • pp.2218-2229
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    • 2015
  • Recently Wi-Fi Alliance defined Wi-Fi direct, which can communicate through a direct connection between the mobile device anytime, anywhere. In Wi-Fi direct, all devices are categorized by group of owner (GO) and client. Since portability is emphasized in Wi-Fi direct devices, it is essential to control the energy consumption of a device very efficiently. In order to avoid unnecessary power consumed by GO, Wi-Fi direct standard defines two power management schemes: Opportunistic power saving scheme and Notice Of Absence (NOA) scheme. But, these two schemes do not consider the traffic pattern, so we cannot expect high energy efficiency. In this paper, we suggest an algorithm to enhance the energy efficiency of Wi-Fi direct power saving, considering the characteristics of multimedia video traffic. Proposed algorithm utilizes the statistical distribution for the size of video frames and adjusts the length of awake interval dynamically. Also, considering the inter-dependency among video frames, the proposed algorithm assigns priorities to video frames and ensures that a video frame with high priority is transmitted with higher probability than other frames with low priority. Simulation results shows that the proposed method outperforms the traditional NOA in terms with average delay and energy efficiency.

Space-Sharing Scheduling Schemes for NOW with Heterogeneous Computing Power (이질적 계산 능력을 가진 NOW를 위한 공간 공유 스케쥴링 기법)

  • Kim, Jin-Sung;Shim, Young-Chul
    • Journal of KIISE:Computer Systems and Theory
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    • v.27 no.7
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    • pp.650-664
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    • 2000
  • NOW(Network of Workstations) is considered as a platform for running parallel programs by many people. One of the fundamental problems that must be addressed to achieve good performance for parallel programs on NOW is the determination of efficient job scheduling policies. Currently most research on NOW assumes that all the workstations in the NOW have the same processing power. In this paper we consider a NOW in which workstations may have different computing power. We introduce 10 classes of space sharing-based scheduling policies that can be applied to the NOW with heterogeneous computing power. We compare the performance of these scheduling policies by using the simulator which accepts synthetically generated sequential and parallel workloads and generates the response time and waiting time of parallel jobs as performance indices of various scheduling strategies. Through the experiments the case when a parallel program is partitioned heterogeneously in proportion to the computing power of workstations is shown to have better performance than when a parallel program is partitioned into parallel processes of the same size. When the owner returns to the workstation which is executing a parallel process, the policy which just lowers the priority of the parallel process shows better performance than the one which migrates the parallel process to a new idle workstation. Among the policies which use heterogeneous partitioning and process priority lowering, the adaptive policy performed best across the wide range of inter-arrival time of parallel programs but when the load imbalance among parallel processes becomes very high, the modified adaptive policy performed better.

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