• Korean Journal of Adult Nursing
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• v.12 no.3
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• pp.323-333
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• 2000

The purpose of this study was to determine the impact of situational, clinical and psychsoical factors on treatment-seeking behavior among those with acute myocardial infarction(AMI). This study used a retrospective, descriptive design. The sample consisted of 72 patients aged over 30 and who were diagnosed with an acute myocardial infarction at two large university-affiliated medical centers from July 1, 1998 to March 30, 2000. But of 72, patients 5 who were an outlier in treatment-seeking time were deleted. Data were collected by using questionnaires, which included demographic data, situational, clinical and psychosocial data. Also patient interviews and chart review were used to obtain information related to treatment-seeking time. The results of this study were summarized as follows ; 1. Mean time from the onset of AMI symptoms to arrival at the hospital was $12.09{\pm}11.44$ hours; 2. Treatment-seeking time was not significantly different by age, gender, or education; 3. Most(44 or 65.78%) patients were at home when they began having AMI symptoms. The remaining patients were either in a public area, workplace or in a car. Patients at home delayed longer than those who had their first symptoms elsewhere, but not significantly different. Also, most patients were with another person when they began to experience AMI symptoms: a spouse(25 or 37.3%), other family member(31 or 46.3%); the remaining 11 were alone. There were no significant differences in treatment-seeking time based on whether alone or with others. Most patients(46 or 68.7%) used an ambulance rather than taking private transportation, and patients who used an ambulance were delayed longer than those who used private transportation, but there were no significant differences; 4. Time to treatment-seeking was not significantly different by blood pressure, heart rate on admission and the peak CK-MB, CPK and Cholesterol level, Killips class; 5. There were no significant statistical differences in treament-seeking times by anxiety level, mood status or control ability.

• Clinical and Experimental Pediatrics
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• v.58 no.3
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• pp.112-115
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• 2015

Hand, foot, and mouth disease (HFMD) is an acute, mostly self-limiting infection. Patients usually recover without any sequelae. However, a few cases are life threatening, especially those caused by enterovirus 71 (EV71). A 12-month-old boy was admitted to a primary hospital with high fever and vesicular lesions of the mouth, hands, and feet. After 3 days, he experienced 3 seizure episodes and was referred to our hospital. On admission, he was conscious and his chest radiograph was normal. However, 6 hours later, he suddenly lost consciousness and had developed a massive pulmonary hemorrhage that continued until his death. He experienced several more intermittent seizures, and diffuse infiltration of both lung fields was observed on chest radiography. Intravenous immunoglobulin, dexamethasone, cefotaxime, leukocyte-depleted red blood cells, fresh frozen plasma, inotropics, vitamin K, and endotracheal epinephrine were administered. The patient died 9 hours after intubation, within 3 days from fever onset. EV71 subgenotype C4a was isolated retrospectively from serum and nasopharyngeal swab by real-time reverse transcription-polymerase chain reaction. Here, we report a fatal case of EV71-associated HFMD with sudden-onset massive pulmonary hemorrhage and suspected encephalitis.

• Journal of Korea Multimedia Society
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• v.13 no.3
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• pp.349-358
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• 2010

Adaptability is an important issue in video streaming over mobile environments, since the clients may request videos with great differences in their workload. In this paper, we propose the issues in limited bandwidth scheduling for efficient MPEG-4 video stream transmission over a mobile or wireless network. In the phase of admission control, the amount of bandwidth allocated to serve a video request is the mean bandwidth requirement of its requested video. The dynamic allocation of bandwidth in the phase of scheduling depends on the playback buffer levels of the clients with an objective to make it more adaptive to the playback situation of individual clients. In the proposed RTA scheduling protocol, more bandwidth may be allocated temporarily to the client whose buffer level is low. By employing the buffer level based scheduling policy, this protocol attempts to maximize the real-time performance of individual playback while minimizing the impact of transient overloading. Extensive simulation experiments have been performed to investigate the performance characteristics of the RTA protocol as comparing with BSBA protocol. This RTA protocol shows the better performance by transferring more frames than BSBA protocol.Computer simulations reveals that the standard deviation of the bit rate error of the proposed scheme is 50% less than that of the conventional method.

• The KIPS Transactions:PartA
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• v.12A no.5 s.95
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• pp.355-364
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• 2005

With fast advances in computing power and network technologies, online streaming services of continuous media (CM) have been popularly implemented on the Web. To implement such services, a variety of CM streams need to be processed efficiently, so that the Sweep scheme was proposed. This scheme has several advantages such as hiccup-free playbacks and seek-time optimization. In this scheme, however, the entire CM streams are scheduled with a single scheduling period, called a cycle. Since only one scheduling period is allowed in this scheme, a significant amount of disk time is usually wasted because of its inflexible disk schedules. To solve this, we propose a new dynamic Sweep scheme. For this, we devise an algorithm that is able to expand scheduling periods of serviced CM streams and propose a new admission control mechanism guaranteeing hiccup-free playbacks. To show performance gains, we execute various simulation experiments. From the experimental results, we can see that the proposed scheme outperforms the Sweep scheme in terms of disk utilization and scheduling flexibility.

• Journal of Communications and Networks
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• v.6 no.3
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• pp.269-279
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• 2004

A new online multi-layer integrated routing (MLIR) scheme that combines IP (electrical) layer routing with WDM (optical) layer routing is investigated. It is a highly efficient and cost-effective routing scheme viable for the next generation integrated optical Internet. A new simplified weighted graph model for the integrated optical Internet consisted of optical routers with multi-granularity optical-electrical hybrid switching capability is firstly proposed. Then, based on the proposed graph model, we develop an online integrated routing scheme called differentiated weighted fair algorithm (DWFA) employing adaptive admission control (routing) strategies with the motivation of service/bandwidth differentiation, which can jointly solve multi-layer routing problem by simply applying the minimal weighted path computation algorithm. The major objective of DWFA is fourfold: 1) Quality of service (QoS) routing for traffic requests with various priorities; 2) blocking fairness for traffic requests with various bandwidth granularities; 3) adaptive routing according to the policy parameters from service provider; 4) lower computational complexity. Simulation results show that DWFA performs better than traditional overlay routing schemes such as optical-first-routing (OFR) and electrical-first-routing (EFR), in terms of traffic blocking ratio, traffic blocking fairness, average traffic logical hop counts, and global network resource utilization. It has been proved that the DWFA is a simple, comprehensive, and practical scheme of integrated routing in optical Internet for service providers.

• Asian Oncology Nursing
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• v.2 no.1
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• pp.27-35
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• 2002

The Cancer Patients are rapidly growing and it became one of the main cause of death. Lately with the effect of Chemotherapy, drastically improved patients quality of life and also Prolonged Life of Cancer Patients. But the Chemotherapy not only Kill the Cancer cells but also harm to normal cells witch Cancer lots of side effect. This study was designed to identify the effectiveness of patient education to reduce side effect and help promote self care. The date was collected from October, 2001 to February, 2002 by questionary Survey Method. The subjects were 24 patients Who were and Anti Chemotherapy C University Hospital. Educated booklet contained what is Chemotherapy, what are the side effects, and to promote Self care, Pre test was given after 3-4 weeks re admission period. Analysis data was done by SPSS Program Paired t-test was used to differentiate Knowledge and difference of performing self care. Relationship in between Knowledge and promoting Self care was used Pearson Correlation. As the result of education, knowledge of self care and performance was drastically increased but the relationship in between knowledge of self care performed was not significant. Therefore it is proposed as follows: 1) Further research with experienced subjects to differentiate experience group and control group. 2) Education program need to be develop and standardize for anti cancer Chemotherapy patient. 3) During 6 cycle of Chemotherapy what is ideal number of in order to get the best result.

• Journal of Preventive Medicine and Public Health
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• v.42 no.2
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• pp.104-108
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• 2009

Objectives : To increase the booster vaccination rate, the Korean government legislated a measles vaccination for elementary school students in 2001, requiring parents to submit a certificate of vaccination upon the admission of the students to elementary school. The purpose of this study was to evaluate the validity of measles vaccination certificates which were issued to parents. Methods : Using questionnaire survey data of 890 general practitioners and 9,235 parents in 2005, we investigated the evidence for booster vaccination certificates of measles. Results : In the survey of general practitioners, 59.5% of the certificates depended on the medical records of clinic, 13.5% was immunization booklets, 23.7% was reimmunizations, 1.9% was confirmation of record of other clinics, and 1.4% was parents statements or requests without evidence. In the survey of parents, 36.2% of the certificates depended on the medical records of clinic, 43.4% was immunization booklets, 18.0% was reimmunizations, and 2.4% was parents statements or requests without evidence. Conclusions : Our findings show that a majority of the booster vaccination certificates of measles was issued on the basis of documented vaccinations and it means that the implementation of the law requiring the submission of elementary school students' vaccination certificates has been very successful in Korea.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.29 no.9A
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• pp.1067-1074
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• 2004

In the wireless mobile networks, it IS important to provide the quality-of-service (QoS) guarantees as they are increasingly expected to support the multimedia applications Although the QoS provisioning problem arises in the wire-line networks as well, the mobility of hosts and the scarcity of bandwidth make QoS provisioning a challenging task in wireless mobile networks. The resource allocation to multimedia applications of varying QoS reqUlrement 15 a complex issue. In this paper, we propose a new adaptive resource allocation scheme based on the concept of the resource reservation and the renegotiation in order to guarantee the QoS of the real-tune traffic. The proposed scheme is aimed at improving the perfonnance in terms of the new call blocking rate, the bandoff dropping rate, and the bandwIdth utilization.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.6 no.6
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• pp.1522-1545
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• 2012

Call admission control (CAC) plays an important role in mobile cellular network to guarantee the quality of service (QoS). In this paper, a dynamic hybrid CAC scheme with integrated cutoff priority and handoff queue for mobile cellular network is proposed and some performance metrics are derived. The unique characteristic of the proposed CAC scheme is that it can support any number of service types and that the cutoff thresholds for handoff calls are dynamically adjusted according to the number of service types and service priority index. Moreover, timeouts of handoff calls in queues are also considered in our scheme. By modeling the proposed CAC scheme with a one-dimensional Markov chain (1DMC), some performance metrics are derived, which include new call blocking probability ($P_{nb}$), forced termination probability (PF), average queue length, average waiting time in queue, offered traffic utilization, wireless channel utilization and system performance which is defined as the ratio of channel utilization to Grade of Service (GoS) cost function. In order to validate the correctness of the derived analytical performance metrics, simulation is performed. It is shown that simulation results match closely with the derived analytic results in terms of $P_{nb}$ and PF. And then, to show the advantage of 1DMC modeling for the performance analysis of our proposed CAC scheme, the computing complexity of multi-dimensional Markov chain (MDMC) modeling in performance analysis is analyzed in detail. It is indicated that state-space cardinality, which reflects the computing complexity of MDMC, increases exponentially with the number of service types and total channels in a cell. However, the state-space cardinality of our 1DMC model for performance analysis is unrelated to the number of service types and is determined by total number of channels and queue capacity of the highest priority service in a cell. At last, the performance comparison between our CAC scheme and Mahmoud ASH's scheme is carried out. The results show that our CAC scheme performs well to some extend.

• Journal of Communications and Networks
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• v.9 no.4
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• pp.511-523
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• 2007

In broadband convergence network(BcN), heterogeneous broadband wired & wireless subnetworks and various terminal equipments will be interconnected. In order to provide end-to-end realtime multimedia services on such heterogeneous networking environment, as a result, two major problems should be resolved: i) Multimedia session establishment & negotiation that adjusts the differences in the capability of multimedia data processing at the end terminal nodes, ii) quality of service(QoS)-guaranteed connection establishment or resource reservation with connection admission control(CAC) in each heterogeneous subnetworks along the path. The session layer signaling(e.g., SIP/SDP) should be extended for QoS negotiation, and must be tightly cooperating with network layer signaling or resource reservation with CAC function. In this paper we propose a session and connection management architecture for the QoS-guaranteed realtime multimedia service provisioning on BcN, with Q-SIP/SDP, resource reservation protocol with traffic engineering extension, and CAC functions. The detailed interaction scenario and related algorithms for QoS-guaranteed realtime multimedia session, resource reservation and connection establishment are explained and analyzed. From the experimental implementation of the proposed scheme on a small scale BcN testbed, we verified that the proposed architecture is applicable for the realtime multimedia service provisioning. We analyze the network performance and QoS parameters in detail.