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Analysis of characteristics of out-of-hospital cardiac arrest patients by region in Chungcheong buk-do (충청북도 내 지역별 병원 전 심장정지 환자의 특성에 대한 분석)

  • Seong Bin Im;Hyeon Mo Yang;Young Jae Kim
    • Smart Media Journal
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    • v.13 no.5
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    • pp.33-44
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    • 2024
  • Chungbuk has various regional characteristics in terms of population composition by region, industrial facilities, and distribution of emergency medical institutions. However, there are no studies yet that have analyzed regional characteristic factors related to the occurrence characteristics of cardiac arrest patients. Therefore, this study provided basic data to establish a response system for OHCA patients suitable for the characteristics of the Chungcheongbuk-do region by analyzing the characteristics of OHCA patients and the transfer status of 119 paramedics in Chungcheongbuk-do. This study is a retrospective study that analyzed 1,188 cardiac arrest patients transferred by ambulance based on raw data from the survey on acute cardiac arrest in Chungbuk (2020). There are a total of 11 emergency medical institutions in Chungbuk-do, which are concentrated in city-level areas, so the transfer time of patients to hospitals in county-level areas was delayed. In the county-level area, the frequency of dispatch of special paramedics was relatively small, and the frequency of administration of cardiac arrest drugs to help resuscitate cardiac arrest patients was also low. In conclusion, efforts should be made to improve accessibility of emergency medical services (deployment of emergency vehicles in marginal areas, proper placement of emergency medical institutions, etc.), to promote prevention of traumatic cardiac arrest patients, and to expand the scope of work to strengthen the first aid expertise of paramedics.

A Study in the Temporality in Digital Gameplay (디지털 게임 플레이의 시간성 연구)

  • Lee, Dong-Eun
    • Journal of Korea Game Society
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    • v.13 no.2
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    • pp.5-16
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    • 2013
  • The purpose of this study is how to occur the temporality in Digital Gameplay. There is two types of time in Gameplay. One is Irreversibility time that goes passed through a game world like a chronology order. Another is Reversibility time that returns and renews the time. The time's duality is caused by player's intervene and experience. And the polychronic temporality in gameplay makes the rhythm as replay and eternal cyclic time.

The Impact of Bike Lane Implementation via Road Diet Treatment on Automobile Traffic Flow: Bike Lane Demonstration Program in Nam-Gu, Busan (도로다이어트를 이용한 자전거도로 설치가 자동차흐름에 미치는 영향 : 부산시 남구 자전거도로 시범사업을 중심으로)

  • Shin, Kang-Won;Kim, Jong-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.10
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    • pp.4005-4011
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    • 2010
  • This study investigates the effect on automobile traffic flow of the bike lane configuration via the road diet implemented in Nam-Gu, Busan using the microscopic simulator TransModeler. The results show that the increases in average delay time and stopped time experienced by automobile vehicles after implementing the road diet during the peak period are significant, but those during the non-peak period are insignificant at alpha=0.1. The results in peak period are consistent with the results of the past studies, which concluded that a road diet can contribute to deteriorating the level of service when the automobile traffic flow rate on the existing roadway is relatively high. For the non-peak period, the analysis results may reflect the fact that the automobile traffic flow is not severly affected by the road diet due to the reserved capacity.

Comparative Analysis of $\alpha$-STAT and pH-STAT Strategies During Deep Hypothermic Circulatory Arrest in the Young Pig (초저체온 순환정지시 $\alpha$-STAT와 pH-STAT 조절법의 비교분석 -어린돼지를 이용한 실험모델에서-)

  • Kim, Won-Gon;Lim, Cheong;Moon, Hyun-Jong;Won, Tae-Hee;Kim, Yong-Jin
    • Journal of Chest Surgery
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    • v.31 no.6
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    • pp.553-559
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    • 1998
  • Introduction: The most dramatic application of hypothermia in cardiac surgery is in deep hypothermic circulatory arrest(DHCA). Because man in natural circumstances is never exposed to this extreme hypothermic condition, one of the controversial aspects of clinical hypothermia is appropriate acid-base management($\alpha$-stat versus pH-stat). This study aims to compare $\alpha$-stat with pH-stat for: (1) brain cooling and re-warming speed during hypothermia induction and re-warming by cardiopulmonary bypass (CPB); (2) cerebral perfusion, metabolism, and their coupling; and (3) the extent of development of cerebral edema after circulatory arrest, in young pigs. Materials & Methods: Fourteen young pigs were assigned to one of two strategies of gas manipulation. Cerebral blood flow was measured with a cerebral venous outflow technique. After a median sternotomy, CPB was established. Core cooling was initiated and continued until nasopHaryngeal temperature fell below $20^{\circ}C$. The flow rate was set at 2,500 ml/min. Once their temperatures were below $20^{\circ}C$, the animals were subjected to DHCA for 40 mins. During cooling, acid-base balance was maintained according to either $\alpha$-STAT or pH-STAT strategies. After DHCA, the body was re-warmed to normal body temperature. The animals were then sacrificed, and their brains measured for edema. Cerebral perfusion and metabolism were measured before the onset of CPB, before cooling, before DHCA, 15 mins after re-warming, and upon completion of re-warming. Results & Conclusion: Cooling time was significantly shorter with $\alpha$-stat than with pH-stat strategy, while there were no significant differences in rewarming time between the two groups. Nosignificant differences were found in cerebral blood flow, metabolic rate, or flow/ metabolic rate ratio between two groups. Temperature-related differences were significant in cerebral blood flow, metabolic rate, and flow/metabolic rate ratio within each group. Brain water content showed no significant differences between two groups.

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A Modelling of segmental Duration based on Regression Tree of the Normalized Duration (정규화 지속시간 회귀트리를 기반으로 한 음운지속시가 모델화)

  • 정지혜
    • Proceedings of the Acoustical Society of Korea Conference
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    • 1998.06e
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    • pp.278-281
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    • 1998
  • 본 논문에서는 자연음성으로부터 통계적인 방법으로 일반적인 음성합성 규칙을 생성하기 위해, 남녀 각각 1명이 200문장에 대해 발성한 문음성 데이터를 음운 세그먼트, 음운 라벨링, 음운별 품사 태깅, 문법 정보 태깅하여 음성 데이터베이스를 구축하였다. 이 음성 데이터베이스로부터 휴지지속시간을 분석하여 긴 휴지와 짧은 휴지로 분류하였고, 이러한 휴지가 어느 경우에 나타나는가를 조사하였다. 음운지속시간을 보다 정교하게 예측하기 위하여, 각 음운의 고유 지속시간의 영향을 배제시킨 정규화 지속시간에 대해 2가지 class(장, 단)의 휴지시간을 고려한 회귀트리로 음운지속시간을 모델화하였다. 제안된 모델의 평가 결과 예측치와 관측치 간의 다중 상관 계수는 남성은 0.82, 여성은 0.84 정도로 평가되었다.

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Event Routing Scheme to Improve I/O Latency of SMP VM (SMP 가상 머신의 I/O 지연 시간 감소를 위한 이벤트 라우팅 기법)

  • Shin, Jungsub;Kim, Hagyoung
    • Journal of KIISE
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    • v.42 no.11
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    • pp.1322-1331
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    • 2015
  • According to the hypervisor scheduler, the vCPU (virtual CPU) operates under two states: the running state and the stop state. When the vCPU is in the stop state, incoming events are delayed until that vCPU's state changes to the running state. The latency in handling such events that are sent to the vCPU is regarded as the I/O latency. Since a SMP (symmetric multiprocessing) VM (virtual machine) incorporates multiple vCPUs, the event latency on a SMP VM can vary according to specific vCPU that receives the event. In this paper, we propose a new scheme named event routing that sends events according to the operation state of each vCPU to reduce the event latency on an SMP VM. We implemented the proposed event routing scheme in Xen ARM hypervisor and confirmed the reduction of I/O latency from measuring the network RTT (round trip time) and the TCP bandwidth under a variety of testing conditions. The network RTT decreases by up to 94% and the TCP bandwidth increases up to 35% when compare to native Xen ARM.

A Comparison of 3D Reconstruction through the Passive and Pseudo-Active Acquisition of Images (수동 및 반자동 영상획득을 통한 3차원 공간복원의 비교)

  • Jeona, MiJeong;Kim, DuBeom;Chai, YoungHo
    • Journal of Broadcast Engineering
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    • v.21 no.1
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    • pp.3-10
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    • 2016
  • In this paper, two reconstructed point cloud sets with the information of 3D features are analyzed. For a certain 3D reconstruction of the interior of a building, the first image set is taken from the sequential passive camera movement along the regular grid path and the second set is from the application of the laser scanning process. Matched key points over all images are obtained by the SIFT(Scale Invariant Feature Transformation) algorithm and are used for the registration of the point cloud data. The obtained results are point cloud number, average density of point cloud and the generating time for point cloud. Experimental results show the necessity of images from the additional sensors as well as the images from the camera for the more accurate 3D reconstruction of the interior of a building.

Stop Object Method within Intersection with Using Adaptive Background Image (적응적 배경영상을 이용한 교차로 내 정지 객체 검출 방법)

  • Kang, Sung-Jun;Sur, Am-Seog;Jeong, Sung-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2430-2436
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    • 2013
  • This study suggests a method of detecting the still object, which becomes a cause of danger within the crossroad. The Inverse Perspective Transform was performed in order to make the object size consistent by being inputted the real-time image from CCTV that is installed within the crossroad. It established the detection area in the image with the perspective transform and generated the adaptative background image with the use of the moving information on object. The detection of the stop object was detected the candidate region of the stop object by using the background-image differential method. To grasp the appearance of truth on the detected candidate region, a method is proposed that uses the gradient information on image and EHD(Edge Histogram Descriptor). To examine performance of the suggested algorithm, it experimented by storing the images in the commuting time and the daytime through DVR, which is installed on the cross street. As a result of experiment, it could efficiently detect the stop vehicle within the detection region inside the crossroad. The processing speed is shown in 13~18 frame per second according to the area of the detection region, thereby being judged to likely have no problem about the real-time processing.

Velocity Control Method of AGV for Heavy Material Transport (중량물 운송을 위한 AGV의 주행 제어 방법)

  • Woo, Seung-Beom;Jung, Kyung-Hoon;Kim, Jung-Min;Park, Jung-Je;Kim, Sung-Shin
    • Journal of the Korean Institute of Intelligent Systems
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    • v.20 no.3
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    • pp.394-399
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    • 2010
  • This paper presents to study the velocity control method of AGV for heavy material transport. Generally, in the industries, fork-type AGV using path tracking requires high stop-precision with performing operations for 20 hours. To obtain the high stop-precision of AGV for heavy material transport, AGV requires driving technic during low speed. Hence, we use encoder with keeping the speed of AGV and study the velocity control method to improve for the stop-precision of AGV. To experiment the proposed the velocity control method, we performed the experiments engaging the pallet located 4m in front of the AGV. In the experimental result, the maximum error of stop-precision was less than 18.64mm, and we verified that the proposed method is able to control stable.

Mathematical Programming and Optimization of the Resource Allocation and Deployment for Disaster Response : AED case study (수리계획법을 활용한 방재자원 배치 최적화: AED 배치 사례)

  • Hwang, Seongeun;Lee, Nagyeong;Jang, Dongkuk;Shin, Dongil
    • Journal of the Korean Institute of Gas
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    • v.25 no.3
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    • pp.53-58
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    • 2021
  • The number of patients with cardiovascular diseases who experience an out-of-hospital cardiac arrest (OHCA) are increasing among young adults as well as the aged population. An automated external defibrillator (AED) is vital in improving survival rates of OHCA victims. Survival rates of OHCA were shown to decline exponentially in time to defibrillation, yet studies in Korea are uncommon that captures the properties of their survival rates in examining optimal locations of AEDs. In this study, we worked on the maximal gradual coverage location problem (MGCLP) with exponential decay coverage function to decide on their optimal locations. The exponential decay coverage function mitigates the drawback of over-estimating survival rates of OHCA patients. It is expected that a more sophisticated facility location problem will be developed to identify the "emergent" characteristics of pedestrians who responds to the OHCA occurrence by incorporating random pedestrian locations and movement through simulation.