• Title/Summary/Keyword: Discharge Decision

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Decision of the Margin of the Sustain Voltage Based on the Wall-Charge Distribution (AC PDP의 벽전하 분포를 이용한 유지 펄스의 전압 마진 결정)

  • 하영석;권오경
    • Proceedings of the IEEK Conference
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    • 2000.06e
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    • pp.77-80
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    • 2000
  • This paper describes a new method to decide the margin for the sustain voltage of AC PDPs based on the wall-charge distribution. We model the discharge cell and measure the wall-charge when sustain pulses are applied to the AC PDP. The measured wall-charge distribution informs us of the voltage forming the maximum wall-charge which should be chosen as the sustain voltage.

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Severity-Adjusted LOS Model of AMI patients based on the Korean National Hospital Discharge in-depth Injury Survey Data (퇴원손상심층조사 자료를 기반으로 한 급성심근경색환자 재원일수의 중증도 보정 모형 개발)

  • Kim, Won-Joong;Kim, Sung-Soo;Kim, Eun-Ju;Kang, Sung-Hong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.10
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    • pp.4910-4918
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    • 2013
  • This study aims to design a Severity-Adjusted LOS(Length of Stay) Model in order to efficiently manage LOS of AMI(Acute Myocardial Infarction) patients. We designed a Severity-Adjusted LOS Model with using data-mining methods(multiple regression analysis, decision trees, and neural network) which covered 6,074 AMI patients who showed the diagnosis of I21 from 2004-2009 Korean National Hospital Discharge in-depth Injury Survey. A decision tree model was chosen for the final model that produced superior results. This study discovered that the execution of CABG, status at discharge(alive or dead), comorbidity index, etc. were major factors affecting a Sevirity-Adjustment of LOS of AMI patients. The difference between real LOS and adjusted LOS resulted from hospital location and bed size. The efficient management of LOS of AMI patients requires that we need to perform various activities after identifying differentiating factors. These factors can be specified by applying each hospital's data into this newly designed Severity-Adjusted LOS Model.

Computerized Decision Support System for Real-time Flood Forecasting and Reservoir Control (홍수시(洪水時) 저수지(貯水池) 실시간(實時間) 운영(運營) 의사결정(意思決定) 지원(支援) 시스템)

  • Ko, Seok Ku;Lee, Han Goo;Lee, Hee Sung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.12 no.1
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    • pp.131-140
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    • 1992
  • For a real-time flood forecasting and reservoir control problem of a multipurpose dam, the online acquisition of hydro-meteorological data and computerized analysis of the acquired data are absolutely necessary for the prompt decision of reservoir discharges which can minimize the possible damages and simultaneously maximize the utilization of the runoff. By introducing a man-machine interface such as condensed color graphics of the analyzed results, it is much easier and faster to transform the information to the decision maker who can decide the reservoir discharge. The newly developed PC-REFCON, which represents the PC based real-time flood forecasting and reservoir control, can easily handle the above problems by adopting a innovative decision support system. The system has three principal components of, a data base subsystem which acquires and manages real-time data, a model subsystem which forecasts the flood runoff and simulates the reservoir operation, and a dialogue subsystem which helps decision maker and system engineers using various graphics and tables with renovative methodologies. The developed PC-REFCON will be utilized from the coming Summer of 1992 for the flood control of all the nine multipurpose reservoirs in Korea.

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A Study on Groundwaters being Discharged into East Sea along the Shoreline of Southern of Southern Korean Peninsula (한반도 동해안 유출 지하수에 대한 연구)

  • Kim, Hyeong-Su;Kim, Seong-Ju
    • Journal of the Korean Geophysical Society
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    • v.4 no.1
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    • pp.71-84
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    • 2001
  • A study was initiated to investigate whether the groundwaters being discharged into the sea could be used as a possible water resources. This paper presents a preliminary information about the groundwaters being discharged along the shoreline of East Sea. Major discharge sites were selected primarily on the basis of the informaion on surface temperatures of the sea. Hydrogeologic and geographic conditions were also considered in selecting the major discharge sites. The development possibility of the discharging groundwater were estimated roughly, considering populations, industries and social development compatibilities of the selected areas. Groundwater dams and linked usage with surface water were suggested as possible development methods for the groundwaters.. Based on this study, we selected about 60 sites as the major discharge areas and tentatively recommended 6 sites as optimal sites for development of groundwaters being discharged into the sea. However, detailed in-situ hydrogeologic surveys are required prior to the final decision.

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Predicting Discharge Rate of After-care patient using Hierarchy Analysis

  • Jung, Yong Gyu;Kim, Hee-Wan;Kang, Min Soo
    • International Journal of Advanced Culture Technology
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    • v.4 no.2
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    • pp.38-42
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    • 2016
  • In the growing data saturated world, the question of "whether data can be used" has shifted to "can it be utilized effectively?" More data is being generated and utilized than ever before. As the collection of data increases, data mining techniques also must become more and more accurate. Thus, to ensure this data is effectively utilized, the analysis of the data must be efficient. Interpretation of results from the analysis of the data set presented, have their own on the basis it is possible to obtain the desired data. In the data mining method a decision tree, clustering, there is such a relationship has not yet been fully developed algorithm actually still impact of various factors. In this experiment, the classification method of data mining techniques is used with easy decision tree. Also, it is used special technology of one R and J48 classification technique in the decision tree. After selecting a rule that a small error in the "one rule" in one R classification, to create one of the rules of the prediction data, it is simple and accurate classification algorithm. To create a rule for the prediction, we make up a frequency table of each prediction of the goal. This is then displayed by creating rules with one R, state-of-the-art, classification algorithm while creating a simple rule to be interpreted by the researcher. While the following can be correctly classified the pattern specified in the classification J48, using the concept of a simple decision tree information theory for configuring information theory. To compare the one R algorithm, it can be analyzed error rate and accuracy. One R and J48 are generally frequently used two classifications${\ldots}$

A Study on Medical-criminal Problem of Withdrawing Life-Sustaining Treatment (치료중단행위에 대한 의료형법적 고찰 -의학적 충고에 반한 퇴원 사례를 중심으로-)

  • Cho, In-Ho
    • The Korean Society of Law and Medicine
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    • v.9 no.1
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    • pp.319-382
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    • 2008
  • As a withdrawing care's study, the purpose of this study is searching about withdrawing care's acceptance and circumstances through Bora-mae hospital case(chapter 1). Withdrawing life-sustaining treatment has various forms. Though the meaning of euthanasia, death with dignity, natural death, physician assisted suicide are duplicated, the meaning of those are different slightly. Firstly, this study looks about the difference of the those meaning and acceptance range(condition) by withdrawing care's forms(chapter 2). Bora-mae hospital case sentenced guilty about physician who discharged incompetent patient who was after surgery by patient's wife determination. This Bora-mae case that sentenced guilty about discharge against medical advise(DAMA) that is regarded to custom has brought intensive confliction of legal, social, medical aspect, Bora-mae hospital case has many legal problems. First, as to criminal law rule 250(murder), the problem is whether discharge and withdrawing life-sustaining treatment is commission or omission. this study concluded omission(district court: omission, appeal, supreme court: commission). Because legal denounce point of discharge and medical treatment withdrawing is omission that physician who is obligatory on patient to cure. If physician's act is regarded omission, it is necessary to determine whether he has guardian status and obligation. Without guardian status and obligation, omission crime can't exist. This study decided that physician had guardian status and obligation and foundation of guardian status was pre-action or acceptance of emergency patient. Physician's medical treatment duty finished when patient(or patient's guardian) demands discharge. But when patient death is foreseen and other possible treatment does not exist, his duty of life prolonging treatment does not finish. This originate from physician's social responsibility and public status that limits patient's private liberty. This study regarded physician's action as accomplice about whether physician's discharging action is accomplice or the principal offender(district court: the principal offender, appeal, supreme court: accomplice). Though the principal offender needs criminal determination and action, there is no this common determination and functional action control of physician in Bora-mae case(chapter 3). Bora-mae hospital case partly originated from deficiency of legal, institutive system including medical security system shortage, the instruction is 1. medical security system strengthening, 2. hospital ethical committee's activity strengthening, 3. institutionalization of withdrawing life-sustaining treatment, 4. acceptance of pre-decision making system, 5. sufficient persuasion of physician for patient and faithful writing of medical paper, 6. respect for patients' self-determination and rights, 7. consciousness's changing for withdrawing life-sustaining treatment and persistent education about medical ethics(chapter 4). Considering Bora-mae case, medical sector is not the dead ground of a criminal punishment. Intervention of criminal law in medical sector give rise to ill effect, that is, excess medical examination and treatment, safeguard treatment, delay of discharge from a hospital. Because sufficient guarantee of life becomes mere empty slogan under situation that impose a burden of heavy cost to family or hospital, public and systematic solution should be given(chapter 5).

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Comparison of Extracorporeal Cardiopulmonary Resuscitation with Conventional Cardiopulmonary Resuscitation: Is Extracorporeal Cardiopulmonary Resuscitation Beneficial?

  • Lee, Seung-Hun;Jung, Jae-Seung;Lee, Kwang-Hyung;Kim, Hee-Jung;Son, Ho-Sung;Sun, Kyung
    • Journal of Chest Surgery
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    • v.48 no.5
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    • pp.318-327
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    • 2015
  • Background: With improvements in cardiopulmonary resuscitation (CPR) techniques, the quality and the effectiveness of CPR have been established; nevertheless, the survival rate after cardiac arrest still remains poor. Recently, many reports have shown good outcomes in cases where extracorporeal membrane oxygenation (ECMO) was used during prolonged CPR. Accordingly, we attempted to evaluate the impact of extracorporeal cardiopulmonary resuscitation (ECPR) on the survival of patients who experienced a prolonged cardiac arrest and compared it with that of conventional CPR (CCPR). Methods: Between March 2009 and April 2014, CPR, including both in-hospital and out-of-hospital CPR, was carried out in 955 patients. The ECPR group, counted from the start of the ECPR program in March 2010, included 81 patients in total, and the CCPR group consisted of 874 patients. All data were retrospectively collected from the patients' medical records. Results: The return of spontaneous circulation (ROSC) rate was 2.24 times better in CPR of in-hospital cardiac arrest (IHCA) patients than in CPR of out-of-hospital CA (OHCA) patients (p=0.0012). For every 1-minute increase in the CPR duration, the ROSC rate decreased by 1% (p=0.0228). Further, for every 10-year decrease in the age, the rate of survival discharge increased by 31%. The CPR of IHCA patients showed a 2.49 times higher survival discharge rate than the CPR of OHCA patients (p=0.03). For every 1-minute increase in the CPR duration, the rate of survival discharge was decreased by 4%. ECPR showed superiority in terms of the survival discharge in the univariate analysis, although with no statistical significance in the multivariate analysis. Conclusion: The survival discharge rate of the ECPR group was comparable to that of the CCPR group. As the CPR duration increased, the survival discharge and the ROSC rate decreased. Therefore, a continuous effort to reduce the time for the decision of ECMO initiation and ECMO team activation is necessary, particularly during the CPR of relatively young patients and IHCA patients.

A Study on Using Incineration Heat of Municipal Solid Wastes - Case Study of Taegu metropolitan city - (생활(生活)쓰레기 소각열(燒却熱) 이용실태(利用實態)에 관(關)한 연구(硏究) - 대구광역시(大邱廣域市)를 중심(中心)으로 -)

  • Hong, Won-Hwa;Yi, Gang-Kook;Lee, Ji-Hee
    • KIEAE Journal
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    • v.1 no.1
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    • pp.45-52
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    • 2001
  • This study aims to make a fundamental data for a policy-making decision in treatment and disposal of municipal solid wastes and presents a research data on the discharge properties of municipal solid wastes and making a unit of them in the Taegu metropolitan city. The results can be summarized as follows; survey the discharge properties of municipal solid wastes, calorific values and to present a research-data in supplying incineration-heat of wastes with the area of Sung-seo in Taegu. So, using fundamental data for planning and running wastes-incineration plants as well as trying to make better Urban Environmental Infra-structure. The results are obtained from the study. 1) The proportion of combustible wastes in Taegu increased from 89.6% to 94.47% during 1993~2000. However, the proportion of incombustibles decreased from 10.4% to 5.53% during 1993~2000. 2) The value of representative properties is about 1500~2000kcal/kg. So we can expect that it should be made use of energy-resources positively. 3) The heat from Sung-seo wastes-incineration plants is used to produce electronic-energy for wastes-incineration plants in summer season. The heat from Sung-sea wastes-incineration plants is in charge of 27% which of supplying the area of Sung-seo with district heating energy in winter season.

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The decision of the inner fault of 154kV Gas Insulated Transformer through analyzing ingredients of insulated gas. (절연가스 성분분석을 통한 154kV 가스절연변압기 내부결함 판정)

  • Mun, Byong-Seon;Tark, Eui-Gyun;Lee, Tae-Kyu;Park, Chan-Eui;Lee, Min-Ho
    • Proceedings of the KIEE Conference
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    • 2015.07a
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    • pp.447-448
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    • 2015
  • In order to looking for method of detecting inner fault of a 154kV GIT(Gas Insulated Transformer), it was considered that diagnosis partial discharge(PD) in UHF band and that analyze the ingredients of SF6 insulating gas. UHF PD diagnosis that is optimized to GIS was considered unsuitable through checking of inner part of a transformers which PD is detected excessively. The method analyzing the content of six kinds of gas(SOF2, SO2F2, etc)was decided through analysis of chemical degradation and combination process and discharge experiment. With the result applying this method to analyze the content of insulated gas of eighty five Gas Insulated Transformers.

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A Study on Flooding Characteristic Value for the Decision Method of an Urban Basin Design Magnitude (도시유역의 치수계획규모 결정을 위한 침수특성치에 관한 연구)

  • Ahn, Jeonghwan;Cho, Woncheol;Kim, Hosoung
    • Journal of Korea Water Resources Association
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    • v.45 no.10
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    • pp.1035-1041
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    • 2012
  • This paper is on the decision of design magnitude for flood control of urban basin, based on flooding characteristic values. In Korea, a design magnitude for flood control is established based on peak discharge of the outlet of basin. However, this method is inappropriate in an urban basin because sewerage only can flow out as much as it could and other discharge overflow to basin. In order to calculate a design magnitude for flood control of an urban basin, flooding characteristic values (peak discharge of pipe, average flooded depth, maximum flooded depths of an important point, flooded area, flooded volume, flooded time) were used as a tool. Using the Gwanghwamun Square as an example, a methodology was proposed that used XP-SWMM 2010 model as a platform to predict urban flood disaster. It can help other local government and residents to better understand, prepare for and manage a flood in urban environments.