Journal of the Korean Operations Research and Management Science Society
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v.32
no.3
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pp.17-31
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2007
In this paper, we consider a service system with bi-functional servers, which can switch between the primary service room and the secondary room. A service policy is characterized by the switching paints which depend on the queue length in the primary service room and the service level requirement constraint of the secondary room. The primary service room is modeled as a Markovian queueing system and the throughput of the primary service room is function of the total number of bi-functional servers. the buffer capacity of the primary service room, and the service policy. There is a revenue obtained from throughput and costs due to servers and buffers. We study the problem of simuitaneously determining the optimal number of servers, buffer capacity, and service policy to maximize profit of the service system, and develop an algorithm which can be successfully applied with the small number of computations.
Purpose: to investigate nursing service needs of dementia caregivers in the community, and, also to provide basic data that is helpful in developing nursing intervention for them. Method: MMSE-K exam was administered on 15,216 men more than 65years old who live in Gu, Seoul city, and the subject of this study were caregivers of 792 demented elderly who were below 20 points in the MMSE-K exam. Result: Total score of nursing service needs of family appeared lower than average. By specific area, information nursing needs was the highest(M=3.29), and therapeutic nursing needs (M=3.31), welfare service nursing needs(M=3.32), emotional support nursing needs (M=3.34) followed in order. The factors which increased the total score of nursing service needs of dementia caregivers as general and physical characteristics were man (p=.04), lower ADL (p=.00) and IADL(p=.00), longer length of sick days(p=.01), having diseases(p=.03), decline of cognition(p=.00), existence of dementia symptom(p=.00). And. high economic status(p=.03), good caring attitude(p=.00) were family characteristics which increased the nursing service needs of caregivers. As predicting variables dementia symptom (10.4%), caring attitude(1.9%), existence of economic activity (1.5%), and length of sick days(1.2%) exhibited explanation power in order. Conclusion: In future, active intervention methods that correspond to family nursing service needs have to be developed, and it is also needed to develop nursing intervention strategy on specific problem with dementia problematic behavior, exercise etc.. Also, it is needed to do research on the caring attitude of dementia family because active caring attitude of family was significant influencing factor on nursing service needs of family.
The purpose of this study was to analyze the differences in the outcome for CABG according to whether hospitals provided heart related surgeries. The 2011 National Inpatient Sample (NIS) and inpatient quality indicator principles from the Healthcare Research and Quality (AHRQ) were used for analysis. Hospitals were divided into three groups according to the surgeries they provided. The length of stay and in-hospital deaths were adjusted for the differences in risks. ANOVA was performed to examine the differences for the risk-adjusted in-hospital mortality rate and risk-adjusted length of stay among the three groups. The analysis results showed that hospitals providing CABG, PTCA, and PHS had lower risk-adjusted in-hospital mortality rates or similar risk-adjusted lengths of stay compared to those of hospitals providing only CABG. However, the three groups did not have statistically significant differences in outcome indicators. Another study will be needed with a larger sample.
The study was based on 1921 service period records of Nili Ravi buffaloes maintained at six dairy farms in Pakistan during the period 1978 to 1994. The mean service period was $237.57{\pm}4.5$ days in the over all data. The highest mean service period ($393.59{\pm}16.18$ days) was at MDF Rawalpindi and the lowest ($199.15{\pm}14.35$ days) was at MDF Peshawar. The difference was significant p<0.001. Late maturing buffaloes showed significantly longer service period as compared to early maturing buffaloes. Parity and seasonal effects on Service Period were studied. There was an overall trend of reduction in the length of service period with the increase in parity. The mean ($287.54{\pm}6.89$ days) service period was (highest) in parity number one and lowest in parity number eight ($107.95{\pm}19.72$ days). The difference was highly significant. In overall data significantly lower service periods were seen in buffaloes calving in spring+winter as compared to summer+fall.
Cloud computing is internet-based computing where computing resources are offered over the Internet as scalable and on-demand services. In particular, in case a number of various cloud services emerge in accordance with development of internet and mobile technology, to select and provide services with which service users satisfy is one of the important issues. Most of previous works show the limitation in the degree of user satisfaction because they are based on so called concept similarity in relation to user requirements or are lack of versatility of user preferences. This paper presents cloud service selection reasoning which can be applied to the general cloud service environments including a variety of computing resource services, not limited to web services. In relation to the service environments, there are two kinds of services: atomic service and composite service. An atomic service consists of service attributes which represent the characteristics of service such as functionality, performance, or specification. A composite service can be created by composition of atomic services and other composite services. Therefore, a composite service inherits attributes of component services. On the other hand, the main participants in providing with cloud services are service users, service suppliers, and service operators. Service suppliers can register services autonomously or in accordance with the strategic collaboration with service operators. Service users submit request queries including service name and requirements to the service management system. The service management system consists of a query processor for processing user queries, a registration manager for service registration, and a selection engine for service selection reasoning. In order to enhance the degree of user satisfaction, our reasoning stands on basis of the degree of conformance to user requirements of service attributes in terms of functionality, performance, and specification of service attributes, instead of concept similarity as in ontology-based reasoning. For this we introduce so called a service attribute graph (SAG) which is generated by considering the inclusion relationship among instances of a service attribute from several perspectives like functionality, performance, and specification. Hence, SAG is a directed graph which shows the inclusion relationships among attribute instances. Since the degree of conformance is very close to the inclusion relationship, we can say the acceptability of services depends on the closeness of inclusion relationship among corresponding attribute instances. That is, the high closeness implies the high acceptability because the degree of closeness reflects the degree of conformance among attributes instances. The degree of closeness is proportional to the path length between two vertex in SAG. The shorter path length means more close inclusion relationship than longer path length, which implies the higher degree of conformance. In addition to acceptability, in this paper, other user preferences such as priority for attributes and mandatary options are reflected for the variety of user requirements. Furthermore, to consider various types of attribute like character, number, and boolean also helps to support the variety of user requirements. Finally, according to service value to price cloud services are rated and recommended to users. One of the significances of this paper is the first try to present a graph-based selection reasoning unlike other works, while considering various user preferences in relation with service attributes.
It is imperative to know the reproductive parameters of the existing swine breed for profitable farming in Bangladesh. This study was designed to determine the reproductive parameters of sows at hilly areas. A total of 245 pigs with 47 breedable sows were included. The data on age at puberty, oestrous cycle length, oestrus duration, gestation length, interval between furrowing and onset of oestrus, first service pregnancy rate, service per pregnancy and number of piglets born per sow in local and cross bred sows were determined. The present study revealed that age at puberty of local and cross breed sows was $232.5{\pm}8.4$, $221.3{\pm}6.9$ days, respectively. Oestrous duration was $41.1{\pm}3.1$ hours. The interval between furrowing and onset of oestrus was shorter in cross bred sows. There was no variation in values of oestrus cycle length and gestation length. The first service pregnancy rate was higher in both the local and cross bred sow. Number of piglets per sow per farrowing was $6.1{\pm}2.2$ and 60.9% local sows gave birth of 3 to 5 piglets per farrowing whereas 75.0% cross bred sows gave birth of 6 to 9 piglets. These results suggest that reproductive parameters of local sow need to be improved for better production, and cross bred sows should be reared for obtaining expected productivity.
Purpose: This is a comparative study using secondary data from the Korean national long term care (LTC) insurance. Methods: Visiting nursing (VN) service users (n=666) and non-users (n=4,375) were extracted and compared in terms of medical expenditures, length of hospitalization, and annual number of ambulatory care visits to investigate effects of VN services in LTC. Results: Total health care expenditures were compared between the two groups and it was found that VN service users spent about $ 1700 than non-users for their medical costs between 2009 and 2011. The average length of in-hospital stay for VN service users was 19.4 days shorter than that of non-users. However, using VN services did not significantly influence the annual number of ambulatory care visits. Conclusion: The study has found that VN services are effective ways of providing community-based LTC services. We recommend LTC policy makers to further utilize VN services to deliver cost effective health care services.
The assessment of reproductive potentials of female gayal under semi-intensive management was conducted with 18 animals in Bandarban hilly area of Bangladesh. Age at first estrous (days), age at first conception (days), length of estrous cycle (days), number of service per conception (natural), gestation period (days), age at first calving (days), and calving interval (natural service) (days) of gayal were $598.2{\pm}168.44$, $723{\pm}169.94$, $21.86{\pm}2.93$, 1.41, $296.05{\pm}3.87$, $1014.42{\pm}260.32$ and $465{\pm}80.48$ respectively. Daily milk yield and lactation length of gayal were $304.98{\pm}30.46ml/day$ and $116.67{\pm}8.08days$. Gayal male calves had higher birth weight (19.67 kg) than female calves (15.58 kg) in first lactation. Birth weight increases in second and third lactation than first lactation in both male and female calves. Highest conception rate observed in winter season and 70.60% successful conception occur when service was given within 21-30 h of estrous. Maximum number of female gayal use to come in estrous in winter and calved in monsoon and autumn. Cervicitis and irregular heat were the most reproductive problems followed by metritis, case of abortion, anestrous and repeat breeding. From this study it was observed that the reproductive performance of gayal is very close with the domestic cattle. It may use as beef cattle for the hilly regions of Bangladesh.
The Journal of Korean Institute of Communications and Information Sciences
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v.32
no.9B
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pp.577-588
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2007
The rapid growth of the Internet has stimulated the development of various new applications and services, and the service providers and the Internet users now require different levels of service qualities rather than current best-effort service which treats all incoming packet equally. Therefore, next generation routers should provide the various levels of services. In order to provide the quality of services, incoming packets should be classified into flows according to pre-defined rules, and this should be performed for all incoming packets in wire-speed. Packet classification not only involves multi-dimensional search but also finds the highest priority rule among all matching rules. Area-based quad-trie is a very good algorithm that constructs a two-dimensional trie using source and destination prefix fields. However, it performs the linear search for the prefix length, and hence it does not show very good search performance. In this paper, we propose to apply binary search on length to the area-based quad-trie algorithm. In improving the search performance, we also propose two new algorithms considering the priority of rules in building the trie.
Objectives: The purpose of this study was to examine the impact of Diagnosis-Related Group (DRG)-based payment on the length of stay and the number of outpatient visits after discharge in for patients who had undergone caesarean section. Methods: This study used the health insurance data of the patients in health care facilities that were paid by the Fee-For-Service (FFS) in 2001-2004, but they participated in the DRG payment system in 2005-2007. In order to examine the net effects of DRG payment, the Difference-In-Differences (DID) method was adopted to observe the difference in health care utilization before and after the participation in the DRG payment system. The dependent variables of the regression model were the length of stay and number of outpatient visits after discharge, and the explanatory variables included the characteristics of the patients and the health care facilities. Results: The length of stay in DRG-paid health care facilities was greater than that in the FFS-paid ones. Yet, DRG payment has no statistically significant effect on the number of outpatient visits after discharge. Conclusions: The results of this study that DRG payment was not effective in reducing the length of stay can be related to the nature of voluntary participation in the DRG system. Only those health care facilities that are already efficient in terms of the length of stay or that can benefit from the DRG payment may decide to participate in the program.
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