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Evidence-Based Clinical Practice Guideline for Fluid Therapy to Prevent Contrast-induced Nephropathy (조영제 유발 신장병증 예방을 위한 수액요법에 관한 근거기반 임상실무지침 개발)

  • Lee, Kyung Hae;Shin, Kyung Min;Lee, Hyeon Jeong;Kim, So Young;Chae, Jung Won;Kim, Mi Ra;Han, Min Young;Ahn, Mi Sook;Park, Jin Kyung;Chung, Mi Ae;Chu, Sang Hui;Hwang, Jung Hwa
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.1
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    • pp.83-90
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    • 2017
  • Purpose: This study was to develop evidence-based clinical practice guideline in order to prevent contrastinduced nephropathy (CIN) for patients undergoing percutaneous coronary intervention (PCI). Methods: The guideline was developed based on the "Scottish Intercollegiate Guidelines Network (SIGN)". The first draft of guideline was developed through 5 stages and evaluated by 10 experts.(1) Clinical questions were ensured in PICO format.(2) Two researchers conducted a systematic search through electronic database, identifying 170 studies. We selected 27 full text articles including 16 randomized clinical trials, 7 systematic reviews, and 4 guidelines. Quality of each studies were evaluated by the Cochran's Risk of Bias, AMSTAR, K-AGREEII. Among the studies, 11 studies were excluded.(3) The strength of recommendations were classified and quality of recommendations were ranked.(4) Guideline draft was finalized.(5) Content-validation was conducted by an expert group. All contents were ranked above 0.8 in CVI. Results: Evidence-based clinical practice guideline to prevent CIN was dveloped.(1) The guideline for preventing CIN recommends using 0.9% saline.(2) Standardized rate of fluid therapy is 1 to 1.5ml/kg/hr.(3) Execute hydration for 6~12hrs before PCI and after PCI. Conclusion: This study suggests evidence-based clinical practice guideline for preventing CIN which can be more efficiently used in clinical practice.

A Novel QoS Provisoning Scheme Based on User Mobility Patterns in IP-based Next-Generation Mobile Networks (IP기반 차세대 모바일 네트워크에서 사용자 이동패턴에 기반한 QoS 보장기법)

  • Yang, Seungbo;Jeong, Jongpil
    • Journal of the Institute of Electronics and Information Engineers
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    • v.50 no.5
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    • pp.25-38
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    • 2013
  • Future wireless systems will be required to support the increasingly nomadic lifestyle of people. This support will be provided through the use of multiple overlaid networks which have very different characteristics. Moreover, these networks will be required to support the seamless delivery of today's popular desktop services, such as web browsing, interactive multimedia and video conferencing to the mobile devices. Thus one of the major challenges in the design of these mobile systems will be the provision of the quality of service (QoS) guarantees that the applications demand under this diverse networking infrastructure. We believe that it is necessary to use resource reservation and adaptation techniques to deliver these QoS guarantee to applications. However, reservation and pre-configuration in the entire service region is overly aggressive, and results in schemes that are extremely inefficient and unreliable. To overcome this, the mobility pattern of a user can be exploited. If the movement of a user is known, the reservation and configuration procedure can be limited to the regions of the network a user is likely to visit. Our proposed Proxy-UMP is not sensitive to increase of the search cost than other schemes and shows that the increasing rate of total cost is low as the SMR increases.

Necessity of the Physical Distribution Cooperation to Enhance Competitive Capabilities of Healthcare SCM -Bigdata Business Model's Viewpoint- (의료 SCM 경쟁역량 강화를 위한 물류공동화 도입 필요성 -빅데이터 비즈니스 모델 관점-)

  • Park, Kwang-O;Jung, Dae-Hyun;Kwon, Sang-Min
    • Management & Information Systems Review
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    • v.39 no.3
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    • pp.17-35
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    • 2020
  • The purpose of this study is to develop business models for current situational scenarios reflecting customer needs emphasize the need for implementing a logistics cooperation system by analyzing big data to strengthen SCM competitiveness capacities. For healthcare SCM competitiveness needed for the logistics cooperation usage intent, they were divided into product quality, price leadership, hand-over speed, and process flexibility for examination. The wordcloud results that analyzed major considerations to realize work efficiency between medical institutes, words like unexpected situations, information sharing, delivery, real-time, delivery, convenience, etc. were mentioned frequently. It can be analyzed as expressing the need to construct a system that can immediately respond to emergency situations on the weekends. Furthermore, in addition to pursuing communication and convenience, the importance of real-time information sharing that can share to the efficiency of inventory management were evident. Accordingly, it is judged that it is necessary to aim for a business model that can enhance visibility of the logistics pipeline in real-time using big data analysis on site. By analyzing the effects of the adaptability of a supply chain network for healthcare SCM competitiveness, it was revealed that obtaining competitive capacities is possible through the implementation of logistics cooperation. Stronger partnerships such as logistics cooperation will lead to SCM competitive capacities. It will be necessary to strengthen SCM competitiveness by searching for a strategic approach among companies in a direction that can promote mutual partnerships among companies using the joint logistics system of medical institutes. In particular, it will be necessary to search for ways to utilize HCSM through big data analysis according to the construction of a logistics cooperation system.

The Search for New Model of Delivery System for Family Welfare Service (가족복지서비스 전달체계 수립을 위한 방향과 원칙에 관한 탐색적 연구)

  • Song, Da-Young
    • Korean Journal of Social Welfare
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    • v.57 no.4
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    • pp.225-251
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    • 2005
  • This study examines the changing paradigm of family welfare policy and tries to find an appropriate model for the delivery system of family welfare service. First, the study reviews the contexts of family policy in new paradigm, and traces the changing process of family welfare-related administration from the ministry of human and health to the ministry of family and gender equality. Second, the study examines the principles of the delivery system for family welfare service to pursue the advancement of family policy. In conclusion, it proposes an alternative model for the successful settlement into community of family welfare delivery system, and a desirable position and role of family support center. The principles of the delivery system of family welfare service is fundamentally to make family policy come realistic, such as strengthening family stability through the harmonic reconciliation of work and family, preventing any forms of families from social safety net, and securing happy lives. Comprehensiveness, continuity, effectiveness, and accessibility of the system are also needed. In particular, family support center, recently very controversial, could be better as a representative council of networking various kinds of community organizations in the fields of family welfare enhancement, rather than organization of direct service provision, such as family counselling, education and therapy. Finally, an alternative model of delivery system for family welfare service is presented.

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Comprehensive Review of Research Publications on Gifted Education in Korea : 2003-2012 (한국 영재교육 연구의 현황 및 성과: 2003-2012)

  • Lee, Sang Hee;Choi, Sun Ill
    • Journal of Gifted/Talented Education
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    • v.25 no.6
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    • pp.881-904
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    • 2015
  • The purpose of this paper is to explore the future direction of research on gifted education through a literature review of dissertations and research reports, as well as an analysis of the trends and milestones achieved related to gifted education. The period from 2003 to 2012, from which the data for this literature review was collected, marks the ten-year period proposed by the Gifted Education Development Comprehensive Plan II and I. Data was collected through a search of the keyword "gifted" on Academic Naver and on Korea Education and Research Information Service (KERIS). Results showed 1,696 articles from 182 academic journals, 138 doctoral dissertations, 1,470 masters' dissertations, and 798 research reports from 75 institutions. For analysis, each article was classified by target of study, kind of giftedness, subject of study, and methods used for the study. Results from this literature review demonstrated that from 2003 to 2012, the articles from the 182 academic journals and the doctoral and masters' dissertations used quantitative research to analyze elementary and middle school students gifted in math and science as well as the curriculum and programs of their study. This paper provides recommendations for future research on gifted education within the country.

Cost-Based Directed Scheduling : Part II, An Inter-Job Cost Propagation Algorithm (비용기반 스케줄링 : Part II, 작업간 비용 전파 알고리즘)

  • Suh, Min-Soo;Kim, Jae-Kyeong
    • Journal of Intelligence and Information Systems
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    • v.14 no.1
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    • pp.117-129
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    • 2008
  • The cost-based scheduling work has been done in both the Operations Research (OR) and Artificial Intelligence (AI) literature. To deal with more realistic problems, AI-based heuristic scheduling approach with non-regular performance measures has been studied. However, there has been little research effort to develop a full inter-job cost propagation algorithm (CPA) for different jobs having multiple downstream and upstream activities. Without such a CPA, decision-making in scheduling heuristics relies upon local, incomplete cost information, resulting in poor schedule performance from the overall cost minimizing objective. For such a purpose, we need two types of CPAs : intra-job CPA and inter-job CPA. Whenever there is a change in cost information of an activity in a job in the process of scheduling, the intra-job CPA updates cost curves of other activities connected through temporal constraints within the same job. The inter-job CPA extends cost propagation into other jobs connected through precedence relationships. By utilizing the cost information provided by CPAs, we propose cost-based scheduling heuristics that attempt to minimize the total schedule cost. This paper develops inter-job CPAs that create and update cost curves of each activity in each search state, and propagate cost information throughout a whole network of temporal constraints. Also we propose various cost-based scheduling heuristics that attempt to minimize the total schedule cost by utilizing the cost propagation algorithm.

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(Design and Implementation of Integrated Binding Service of Considering Loads in Wide-Area Object Computing Environments) (광역 객체 컴퓨팅 환경에서 부하를 고려한 통합 바인딩 서비스의 설계 및 구현)

  • 정창원;오성권;주수종
    • Journal of KIISE:Information Networking
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    • v.30 no.3
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    • pp.293-306
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    • 2003
  • In recent years, distributed computing environments have been radically changing to a structure of global, heterogeneous, federative and wide-area systems. This structure's environments consist of a let of objects which are implemented on telecommunication network to provide a wide range of services. Furthermore, all of objects existing on the earth have the duplicated characteristics according to how to categorize their own names or properties. But, the existing naming or trading mechanism has not supported the binding services of duplicated objects, because of deficiency of independent location service. Also, if the duplicated objects which is existing on different nodes provide the same service, it is possible to distribute the client requests considering each system's load. For this reason, we designed and implemented a new model that can not only support the location management of replication objects, but also provide the dynamic binding service of objects located in a system with minimum overload for maintaining load balancing among nodes in wide-area object computing environments. Our model is functionally divided into two parts; one part is to obtain an unique object handle of replicated objects with same property as a naming and trading service, and the other is to search one or more contact addresses by a location service using a given object handle. From a given model mentioned above, we present the procedures for the integrated binding mechanism in design phase, that is, Naming/Trading Service and Location Service. And then, we described in details the architecture of components for Integrated Binding Service implemented. Finally, we showed our implement environment and executing result of our model.

Design and Implementation of a SQL based Moving Object Query Process System for Controling Transportation Vehicle (물류 차량 관제를 위한 SQL 기반 이동 객체 질의 처리 시스템의 설계 및 구현)

  • Jung, Young-Jin;Ryu, Keun-Ho
    • The KIPS Transactions:PartD
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    • v.12D no.5 s.101
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    • pp.699-708
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    • 2005
  • It becomes easy and generalized to track the cellular phone users and vehicles according to the Progress of wireless telecommunication, the spread of network, and the miniaturization of terminal devices. It has been constantly studied to provide location based services to furnish suitable services depending on the positions of customers. Various vehicle tracking and management systems are developed to utilize and manage the vehicle locations to relieve the congestion of traffic and to smooth transportation. However the designed previous work can not evaluated in real world, because most of previous work is only designed not implemented and it is developed for simple model to handle a point, a line, a polygon object. Therefore, we design a moving object query language and implement a vehicle management system to search the positions and trajectories of vehicles and to analyze the cost of transportation effectively. The designed query language based on a SQL can be utilized to get the trajectories between two specific places, the departure time, the arrival time of vehicles, and the predicted uncertainty positions, etc. In addition, the proposed moving object query language for managing transportation vehicles is useful to analyze the cost of trajectories in a variety of moving object management system containing transportation.

Multiple Path-Finding Algorithm in the Centralized Traffic Information System (중앙집중형 도로교통정보시스템에서 다중경로탐색 알고리즘)

  • 김태진;한민흥
    • Journal of Korean Society of Transportation
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    • v.19 no.6
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    • pp.183-194
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    • 2001
  • The centralized traffic information system is to gather and analyze real-time traffic information, to receive traffic information request from user, and to send user processed traffic information such as a path finding. Position information, result of destination search, and other information. In the centralized traffic information system, a server received path-finding requests from many clients and must process clients requests in time. The algorithm of multiple path-finding is needed for a server to process clients request, effectively in time. For this reason, this paper presents a heuristic algorithm that decreases time to compute path-finding requests. This heuristic algorithm uses results of the neighbor nodes shortest path-finding that are computed periodically. Path-finding results of this multiple path finding algorithm to use results of neighbor nodes shortest path-finding are the same as a real optimal path in many cases, and are a little different from results of a real optimal path in non-optimal path. This algorithm is efficiently applied to the general topology and the hierarchical topology such as traffic network. The computation time of a path-finding request that uses results of a neighbor nodes shortest path-finding is 50 times faster than other algorithms such as one-to-one label-setting and label-correcting algorithms. Especially in non-optimal path, the average error rate is under 0.1 percent.

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Establishing the Managerial Boundary of the Baekdu-daegan(II) - In the Case of Semi-mountainous District - (백두대간 관리범위 설정에 관한 연구(II) - 준산악형 구간을 대상으로 -)

  • Kwon, Taeho;Choi, Song-Hyun;Yoo, Ki-Joon
    • Journal of the Korean Association of Geographic Information Studies
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    • v.7 no.1
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    • pp.62-74
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    • 2004
  • Baekdu-daegan is the greatest mountain chain as well as the major ecological axis of the Korean Peninsula. In recent year, however, this area is faced with the various kinds of developmental urge. To cope adequately with these problems, this study was executed to prepare synthetic and systematic management with conservation-oriented strategy for Baekdu-daegan and to suggest spatially definite zoning for the managerial area. This study is to take into consideration the traditional concepts of stream and watershed as well as the actual disturbance on Baekdu-daegan area. The study area is selected with semi-mountainous type, from Namdeokyusan to Sosagogae. To propose the process for reasonably establishing the managerial boundary adjacent to the Ridges, the analysis was carried out that ArcGIS was mainly used for its analysis with digital maps, Landsat TM image and ArcGIS Hydro Model. Landsat TM image was classified by 5 land use types such as cultivated land, urban area, barren area, water body and forest. Based on these analyses results, the managerial boundaries as alternatives from the Ridges were produced by watershed expansion process, and used for tracing the changes of areal ratio of various land use types to the relevant watersheds to search out the adequate managerial boundary. The results show that watershed expansion process could be effective tool for establishing the managerial boundary, and eighth expanded watershed toward Muju-Gun(west) and fifth expanded watershed toward Geochang-Gun(east) might be included for the adequate managerial boundary of the case site.

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