• Title/Summary/Keyword: 2-Terminal

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Terminal Care in Nursing Homes (일 지역 요양시설의 임종돌봄서비스)

  • Kim, Jung Hee;Mun, Kyung Sook;Shin, Bok Soon;Jang, Eun A
    • Journal of Home Health Care Nursing
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    • v.22 no.2
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    • pp.216-227
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    • 2015
  • Purpose: This study aimed at understanding terminal care provided in nursing homes. Method: An interview survey with staff in charge of terminal care was conducted in 97 nursing homes using questionnaires. The questionnaire was reviewed by 3 experts and pretested at 5 facilities. Data were analyzed using descriptive statistics, chi-square test, and Fisher's exact test. Result: Dyspnea was the most prevalent symptom predicting death. The most prevalent services were vital sign check for physical care, providing services by talking despite an unconscious state for psychosocial care, and respecting the faith of the elder for spiritual care. Employment of a registered nurse showed a significant difference in tube feeding (p=.035), analgesic administration (p=.022), informing the elder of end-of-life state (p=.020), helping an elderly person say good-byes through a visit with friends and acquaintances (p=.023), and helping express feelings related to death (p=.002). Lack of service was noticed for elderly resident, family, and staff after death of an elder. Problems related to terminal care were indifference of family members, difficulty in obtaining medical prescription, difficulty in predicting death, and so forth. Conclusion: Terminal care must be improved by making specific guidelines and it must become a part of nursing home evaluation.

Multiple-Output Combinational Digital Logic Systems based on Decision Diagram (결정도에 기초한 다중출력조합디지털논리시스템)

  • Park Chun-Myoung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.9 no.6
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    • pp.1288-1293
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    • 2005
  • This paper presents a design method for multiple-output combinational digital logic systems using time domain based on multiplexing(TDBM) and common multi-terminal extension decision diagrams(CMTEDD). The CMIEDDs represents extension valued multiple-output functions, while TDBM systems transmit several signals on a single lines. The proposed method can reduce the 1)hardware, 2)logic levels and 3)pins. In the logic system design, we use two types of decision diagrams(DDs), that is the common binary decision diagrams(CBDDs) and CMTEDDs. Also, we propose an algorithms to derive common multiple-terminal binary decision diagrams(CMTBDD) from CBDDs, and CMTEDDs from CMTBDDs. The CMTEDDs over CBDDs is more compactness in terms of number of non-terminal nodes, where the nodes for output selection variables are not included in the non-terminal nodes. In the logic design, each non-terminal nodes of an CBDDs and an CMTEDDs is realized by a multiplexer(MUX). In addition, we compare the proposed TDBM realization with the conventional one.

Time and Cost-saving of Inter-Terminal Transportation (타 부두 환적 화물의 시간 및 비용절감 방안)

  • Son, SungHyun;Kim, YeongJun;Jeon, CheolGyun;Choi, YoungHoon;Cho, GyuSung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2015.10a
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    • pp.549-552
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    • 2015
  • The Korean government establishes a strategy to develop the Busan New Port as a world ranking two transit-oriented port. This paper aims at presenting an efficient Inter-Terminal Transportation system in the Busan New Port as a method of achieving the government strategy. It proposes four systems to treat Inter-Terminal Transportation in the port; Double stack Multiple Trailer System (DMTS) Rail-based transportation system, Private road for Inter-Terminal Transportation, and platform for Inter-Terminal Transportation. This is shown to highly potential for efficient Inter-Terminal Transportation in the port.

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An Edge Removal Algorithm for the Reliability Evaluation of Directed Communication Networks (방향성 통신망의 신뢰도 계정에 관한 에지제거 알고리즘)

  • 임윤구;오영환
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.13 no.1
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    • pp.63-73
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    • 1988
  • In this paper, an algorithm is proposed to evaluate the source-to-terminal reliability, the probability that a source node can communicate with a terminal node, in a probabilistic derected graph. By using Satyanaratana's factoring $theorem^{(7)}$, the original graph can be partitioned into two reduced graphs obtained by contracting and deleting the edge connected to the source node in the probabilistic directed graph. The edge removal proposed in this paper and the general series-parallel reduction can then be applied to the reduced graph. This edge reduction can be applied recursively to the reduced graphs until a source node can be connected to a terminal node by one edge. A computer program which can be applied to evaluating the source-to-terminal reliability in a complex and large network has also been developed.

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Decision Tree Model for Predicting Hospice Palliative Care Use in Terminal Cancer Patients

  • Lee, Hee-Ja;Na, Im-Il;Kang, Kyung-Ah
    • Journal of Hospice and Palliative Care
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    • v.24 no.3
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    • pp.184-193
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    • 2021
  • Purpose: This study attempted to develop clinical guidelines to help patients use hospice and palliative care (HPC) at an appropriate time after writing physician orders for life-sustaining treatment (POLST) by identifying the characteristics of HPC use of patients with terminal cancer. Methods: This retrospective study was conducted to understand the characteristics of HPC use of patients with terminal cancer through decision tree analysis. The participants were 394 terminal cancer patients who were hospitalized at a cancer-specialized hospital in Seoul, South Korea and wrote POLST from January 1, 2019 to March 31, 2021. Results: The predictive model for the characteristics of HPC use showed three main nodes (living together, pain control, and period to death after writing POLST). The decision tree analysis of HPC use by terminal cancer patients showed that the most likely group to use HPC use was terminal cancer patients who had a cohabitant, received pain control, and died 2 months or more after writing a POLST. The probability of HPC usage rate in this group was 87.5%. The next most likely group to use HPC had a cohabitant and received pain control; 64.8% of this group used HPC. Finally, 55.1% of participants who had a cohabitant used HPC, which was a significantly higher proportion than that of participants who did not have a cohabitant (1.7%). Conclusion: This study provides meaningful clinical evidence to help make decisions on HPC use more easily at an appropriate time.

Expression, Purification and Functional and structural relationship of pyruvate dehydrogenase phosphatase

  • Kim, Young-Mi;Jung, Ki-Hwa
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 2002.07a
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    • pp.236-236
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    • 2002
  • Pyruvate dehydrogenase phosphatase (PDP) is a mitochondrial protein serine/threonine phosphatase that catalyzes the dephosphorylation and concomitant reactivation of the pyruvate dehydrogenase componant of the pyruvate dehydrogenase complex (PDC). PDP consists of a Mg$\^$+2/ -dependent and Ca$\^$+2)-stimulated catalytic subunit (PDPc) of Mr 52,600 and a FAD-containing regulatory subunit (PDPr) of Mr 95.600. Catalytic subunit of pyruvate dehydrogenase phosphatase (PDPc) has been suggested to have three major functional domains such as dihydrolipoamide acetyltransferase(E$_2$)-binding domain, regulatory subunit of PDP(PDPr)-binding domain, and calcium-binding domain. In order to identify functional domains, recombinant catalytic subunit of pyruvate dehydrogenase phosphatase (rPDPc) was expressed in E. coli JM101 and purified to near homogeneity using the unique property of PDPc: PDPm binds to the inner lipoyl domain (L$_2$) of E$_2$ of pyruvate dehydrogenase complex (PDC) in the presence of Ca$\^$+2/, not under EGTA. PDPc was limited-proteolysed by trypsin, chymotrypsin, Arg-C, and elastase at pH7.0 and 30$^{\circ}C$ and N-terminal analysis of the fragment was done. Chymotrypsin, trypsin, and elastase made two major framents: N-terminal large fragment, approx. 50kD and C-terminal small fragment, approx. 0 kDa. Arg-C made three major fragments: N-terminal fragment, approx. 35 kD, and central fragment, approx. 15 kD, and C-terminal fragment, approx. 10 kD. This study strongly suggest that PDPc consists of three major functional domains. However, further study should be necessary to identify the functional role.

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The Operating Objective of Automated Container Terminal by the AHP Techniques : The Case of Port of Gwangyang Automated Container Terminal (AHP기법을 활용한 자동화 컨테이너터미널 운영목표 설정에 관한 연구 : 광양항 자동화 컨테이너터미널을 대상으로)

  • 박남규;최형림;이창섭
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2003.05a
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    • pp.223-230
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    • 2003
  • KCTA(Korea Container Terminal Authority) is going to introduce automated operating system in the port of Gwangyang container terminal to enhance the efficiency. Prior to developing the container terminal, defining the objective of container terminal operation is essential. This research used AHP technique to define the operation objective of automated container terminal objectively, and the questionnaire to collect the opinions of future customer, operator and research institution. The objectives mix of the automated container terminal are composed of the minimization of initial investments, the minimization of operational expenses, the performance of automation system, the raising of operation efficiency and productivity and the improvement of customer service. The result of the analysis revealed that most important factor among objectives mix was “the minimization of operation expense”. Especially, the user group preferred to select the factor of “the improvement of customer service”as objective rather than select other objectives. The result of this research will suggest some guidelines for deciding the level of investment of terminal construction. information system, automation equipment, terminal worker and etc., which are to be considered in terminal development and the system development hereafter.

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Receding Horizon Predictive Control for Nonlinear Time-delay Systems

  • Kwon, Wook-Hyun;Lee, Young-Sam;Han, Soo-Hee
    • 제어로봇시스템학회:학술대회논문집
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    • 2001.10a
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    • pp.27.2-27
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    • 2001
  • This paper proposes a receding horizon predictive control (RHPC) for nonlinear time-delay systems. The control law is obtained by minimizing finite horizon cost with a terminal weighting functional. An inequality condition on the terminal weighting functional is presented, under which the closed-loop stability of RHPC is guaranteed, A special class of nonlinear time-delay systems is introduced and a systematic method to find a terminal weighting functional satisfying the proposed inequality condition is given for these systems. Through a simulation example, it is demonstrated that the proposed RHPC has the guaranteed closed-loop stability for nonlinear time-delay systems.

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A Computer Simulation Model for Container Terminal Systems (컨테이너항 전산 모의실험 모형의 개발)

  • Jo, Deok-Un
    • Journal of Korean Institute of Industrial Engineers
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    • v.11 no.2
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    • pp.173-187
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    • 1985
  • A computer simulation model for optimum design and determination of optimal operational parameter values for modern container terminal systems was developed through the use of GASP-IV, a subset of SLAM. Input data reflecting current system configuration and operational practices at Pusan container terminal was used to test the model, which resulted in its validation. Possibilities for application of the model in areas of candidate system comparisons, operational parameter testing and forecasting operational performance under future traffic situations, are explained.

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