• Title/Summary/Keyword: Enhanced Decision

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Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea

  • Osman, Brian M.;Shapiro, Fred E.
    • Archives of Plastic Surgery
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    • v.46 no.3
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    • pp.189-197
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    • 2019
  • There has been an exponential increase in plastic surgery cases over the last 20 years, surging from 2.8 million to 17.5 million cases per year. Seventy-two percent of these cases are being performed in the office-based or ambulatory setting. There are certain advantages to performing aesthetic procedures in the office, but several widely publicized fatalities and malpractice claims has put the spotlight on patient safety and the lack of uniform regulation of office-based practices. While 33 states currently have legislation for office-based surgery and anesthesia, 17 states have no mandate to report patient deaths or adverse outcomes. The literature on office-base surgery and anesthesia has demonstrated significant improvements in patient safety over the last 20 years. In the following review of the proceedings from the PRS Korea 2018 meeting, we discuss several key concepts regarding safe anesthesia for office-based cosmetic surgery. These include the safe delivery of oxygen, appropriate local anesthetic usage and the avoidance of local anesthetic toxicity, the implementation of Enhanced Recovery after Surgery protocols, multimodal analgesic techniques with less reliance on narcotic pain medications, the use of surgical safety checklists, and incorporating "the patient" into the surgical decision-making process through decision aids.

Enhanced Adaptive Mode Decision of H.264 Based on Efficient AZCB Prediction (능률적 AZCB 예측 기반 H.264 적응 모드 결정 개선 알고리즘)

  • Kim, Yang-Soo;Kim, Yong-Goo;Choe, Yoon-Sik;Choi, Yung-Ho
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.56 no.11
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    • pp.2036-2039
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    • 2007
  • This paper proposes an enhanced adaptive mode decision scheme for fast H.264 encoders. By efficiently predicting AZCB (All Zero Coefficient Block), the proposed scheme can encode motion pictures in H.264 up to 2.86 and 1.68 times faster than JM9.3 and AMD [1], respectively. Besides, this scheme significantly reduces the encoding performance fluctuation of AMD across tested bit-rates and video sequences.

Performance Analysis of Suboptimal Receiver Combining Adaptive Array Antenna and Orthogonal Decision-Feedback Detector for DS/CDMA System

  • Cho, Young-pil;Yoo, Sung-Kyun;Lee, Hyung-ki;Kwak, Kyung-sup
    • Proceedings of the IEEK Conference
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    • 2002.07b
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    • pp.1354-1357
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    • 2002
  • In this paper, we propose a suboptimal receiver combining adaptive array antenna and orthogonal decision-feedback detector in DS/CDMA system. Adaptive array antenna can cancel out undesired signal using beamforming scheme. However, if there are interfering signals from undesired users with the same incident angle as that of a desired user, an adaptive array antenna cannot suppress them. The proposed receiver can cancel out remaining interference from users having nearly the same beam pattern. And we employ Orthogonal Decision-Feedback Detector (ODFD) as multiuser detection. The ODFD performs as good as the decorrelating decision -feedback detector (DDD) with much less complexity. Simulation results show that the proposed system provides a significantly enhanced performance.

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Design of Novel Iterative LMS-based Decision Feedback Equalizer (새로운 반복 LMS 기반의 결정 궤환 등화기의 설계)

  • Choi, Yun-Seok;Park, Hyung-Kun
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.56 no.11
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    • pp.2033-2035
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    • 2007
  • This paper proposes a novel iterative LMS-based decision feedback equalizer for short burst transmission with relatively short training sequence. In the proposed equalizer, the longer concatenated training sequence can provide the more sufficient channel information and the reused original training sequence can provide the correct decision feedback information. In addition, the overall adaptive processing is performed using the low complexity LMS algorithm. The study shows the performance of the proposed method is enhanced with the number of iterations and, furthermore, better than that of the conventional LMS-based DFEs with the training sequence of longer or equal length. Computational complexity is increased linearly with the number of iterations.

Seamless Mobility of Heterogeneous Networks Based on Markov Decision Process

  • Preethi, G.A.;Chandrasekar, C.
    • Journal of Information Processing Systems
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    • v.11 no.4
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    • pp.616-629
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    • 2015
  • A mobile terminal will expect a number of handoffs within its call duration. In the event of a mobile call, when a mobile node moves from one cell to another, it should connect to another access point within its range. In case there is a lack of support of its own network, it must changeover to another base station. In the event of moving on to another network, quality of service parameters need to be considered. In our study we have used the Markov decision process approach for a seamless handoff as it gives the optimum results for selecting a network when compared to other multiple attribute decision making processes. We have used the network cost function for selecting the network for handoff and the connection reward function, which is based on the values of the quality of service parameters. We have also examined the constant bit rate and transmission control protocol packet delivery ratio. We used the policy iteration algorithm for determining the optimal policy. Our enhanced handoff algorithm outperforms other previous multiple attribute decision making methods.

A Study on the performance Improvement of the Adaptive Blind Equalizer Using the Soft Decision-Directed Stop-and-Go Algorithm (연판정지향 Stop-and-Go 알고리즘을 이용한 적응 블라인드 등화기의 성능 향상에 관한 연구)

  • 정영화
    • The Journal of Information Technology
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    • v.2 no.1
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    • pp.103-113
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    • 1999
  • In this paper, we propose th soft decision-directed sto-and-go algorithm combining a concept of the stop-and-go algorithm with soft decision-directed algorithm. The proposed algorithm has an enhanced equalization performance according to using the more confidential error signal than two algorithms. By computer simulation, it is confirmed that the proposed algorithm has the performance superiority in terms of residual ISI and convergence speed compared with the adaptive blind equalization algorithm of CMA, Modified CMA(MCMA), Stop-and Go algorithm and simplified 50ft decision-directed algorithm.

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A Novel Investment Priority Decision Method for Facilities of Distribution Systems Considering Reliability of Distribution System (신뢰도를 고려한 배전계통 설비투자 우선순위 결정에 관한 연구)

  • Choi Jung Hwan;Park Chang Ho;Kim Kwang Ho;Jang Sung il;Cho Sung Hyeon
    • Proceedings of the KIEE Conference
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    • summer
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    • pp.545-547
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    • 2004
  • This paper proposes the novel investment priority decision method for distribution facilities considering the potential failure rate and the influence of customer caused by faults in distribution networks. The Proposed method decides the investment priority of the facilities combining, by the fuzzy rules, the KEPCO's priority decision for investment and the priority decision considering SAIFI(System Average Interruption Frequency Index) and SAIDI(System Average Interruption Duration Index). To verify the performance of the proposed method, these works utilized the projects for weak facility reinforcement planned in KEPCO in the Busan region in 2003 and 2004. The evaluation results showed that the reliability of the KEPCO in the Busan region using the proposed method can be enhanced more than using the conventional KEPCO's method.

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Performance Enhancement of Decision Directed SNR Estimation by Correction Scheme of SNR Estimation Error (결정지향 SNR 추정방식에서의 추정오차 보정기법을 통한 SNR 추정성능개선)

  • Kwak, Jae-Min
    • Journal of Advanced Navigation Technology
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    • v.16 no.6
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    • pp.982-987
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    • 2012
  • In this paper, the SNR estimation error of Decision Directed SNR estimation method in AWGN is investigated, which uses samples received in reference decision region. In communication system receiver, when SNR estimation scheme using error vectors between ideal sample points and received sample points of reference region is adopted, the samples contain incorrectly received samples due to AWGN. Consequently, the mean of estimated reference constellation point is shifted and Decision Directed SNR estimation is inaccurately performed. These effects are explained by modified probability density function and difference between actual SNR and estimated SNR is theoretically derived and quantatively analyzed. It is proved that SNR estimation error obtained through computer simulation is matched up with derived one, and SNR estimation performance is enhanced significantly by adopting suggested correction scheme.

A Study on the Influence of Enterpriser Job Stress on Decision Quality through Corporate Network and Absorption Capacity (경영자의 직무스트레스가 기업네트워크와 흡수역량을 통해 의사결정품질에 미치는 영향에 관한 연구)

  • Byun, Hee-Ji;Seo, Young-Wook
    • Journal of Digital Convergence
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    • v.18 no.9
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    • pp.159-167
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    • 2020
  • This study was intended to examine how the job stress of enterpriser affects decision quality when they make rational decision making, and to empirical analysis on whether decision quality can be enhanced through corporate network and absorption capacity. For this purpose, 356 survey data were collected from small business enterpriser and analyzed using SPSS v.25 and AMOS v.24. Studies have shown that among job stress, challenging stress has positive(+) influence on decision quality, disturbing stress has negative(-) influence on decision quality, and both corporate network and absorption capacity have positive(+) influence on decision quality. In addition, challenge stress and hindrance stress have been shown to have a positive(+) influence on decision quality through corporate network and absorption capacity. These findings confirmed that the challenge factors of job stress had a positive effect on decision quality, and confirmed that the corporate network and absorption capacity were important factors in enhancing decision-making products. As such, conclusions were discussed and implications and directions for follow-up studies were presented.

Complex-Channel Blind Equalization using Euclidean-Distance Algorithms with Decision-Directed Modes (Decision-Directed 모드와 유클리드 거리 알고리듬을 사용한 복소채널의 블라인드 등화)

  • Kim, Namyong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.3 no.3
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    • pp.73-80
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    • 2010
  • Complex-valued blind algorithms which are based on constant modulus error and Euclidian distance (ED) between two probability density functions show relatively poor performance in spite of the advantages of information theoretic learning since the inherent characteristics of the constant modulus error prevent the algorithm from coping with the symbol phase rotation caused by the complex channels. In this paper, we show that the symbol phase rotation problem can be avoided and the advantages of information theoretic learning can be preserved by introducing decision-directed mode to the blind algorithm whenever the equalizer output power lies in the neighborhood of multi-modulus levels. Simulation results through MSE convergence and constellation comparison for severely distorted complex channels show significantly enhanced performance of symbol-point concentration and no phase rotation problems caused by the complex channel models.

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