• Title/Summary/Keyword: Protocol developing

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Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia

  • Ruslin, Muhammad;Dom, Lawrence;Tajrin, Andi;Yusuf, Andi Sitti Hajrah;Arif, Syafri Kamsul;Tanra, Andi Husni;Ou, Keng Liang;Forouzanfar, Tymour;Thamrin, Sri Astuti
    • Archives of Plastic Surgery
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    • v.46 no.6
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    • pp.511-517
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    • 2019
  • Background Cleft treatment is frequently performed in Indonesia, mostly in charity missions, but without a postoperative protocol it is difficult to establish the risks and complications of cleft treatment. The present study was designed to give an overview of current cleft lip and palate treatment strategies in Indonesia and to assess the complication rates during and after surgery. Methods This prospective study evaluated anesthetic, intraoperative surgical, and short-term postoperative complications in patients undergoing primary, secondary, or corrective surgery for cleft lip and palate deformities. The population consisted of 98 non-syndromic cleft patients. The main anesthetic complication that occurred during general anesthesia was high blood pressure, whereas the main intraoperative surgical complication was excessive bleeding and the main early postoperative complication was extremely poor wound hygiene. Results In this study, there were no cases of perioperative or postoperative mortality. However, in 23 (23.4%) of the 98 operations performed, at least one perioperative complication related to anesthesia occurred. The intraoperative and early postoperative complications following cleft lip and/or palate were assessed. There was a significant difference in the complication rate between procedure types (χ2=0.02; P<0.05). However, no relationship was found between perioperative complications related to anesthesia and the occurrence of postoperative complications (χ2=1.00; P>0.05). Nonetheless, a significant difference was found between procedure types regarding perioperative complications and the occurrence of postoperative complications (χ2=0.031; P<0.05). Conclusions Further evaluation of these outcomes would help direct patient management toward decreasing the complication rate.

A Link Protection Scheme with a Backup Link Spanning Tree for Provider Backbone Bridged Networks and Implementation (프로바이더 백본 브리지 망을 위한 백업링크 스패닝트리 기반 링크장애 복구기능과 구현)

  • Nam, Wie-Jung;Lee, Hyun-Joo;Yoon, Chong-Ho;Hong, Won-Taek;Moon, Jeong-Hoon
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.47 no.1
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    • pp.58-68
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    • 2010
  • In this paper, we propose an efficient link protection switching scheme for provider backbone bridge systems with a spanning tree for backup links exclusively, and evaluate its performance. The proposed scheme offers guaranteed QoS flows even when a link fault occurrs in the primary link by flooding the flows over the profiled spanning tree. The flooding mechanism over the spanning tree can also provide low latency and remove the loopback flows. We also derive the efficiency of bandwidth usage for the normal flows and the number of lost frames during the link restoration. For evaluating its feasibility, we implement a prototype of PBB-TE systems based on the Linux bridge codes, which can support both link protection switching capability with CCM and MAC-in-MAC encapsulation. A related protocol analyzer is also developed. One can see that the proposed scheme and the prototype can be useful for developing carrier class Ethernet systems based on PBB-TE.

The IEEE 802.15.4e based Distributed Scheduling Mechanism for the Energy Efficiency of Industrial Wireless Sensor Networks (IEEE 802.15.4e DSME 기반 산업용 무선 센서 네트워크에서의 전력소모 절감을 위한 분산 스케줄링 기법 연구)

  • Lee, Yun-Sung;Chung, Sang-Hwa
    • Journal of KIISE
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    • v.44 no.2
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    • pp.213-222
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    • 2017
  • The Internet of Things (IoT) technology is rapidly developing in recent years, and is applicable to various fields. A smart factory is one wherein all the components are organically connected to each other via a WSN, using an intelligent operating system and the IoT. A smart factory technology is used for flexible process automation and custom manufacturing, and hence needs adaptive network management for frequent network fluctuations. Moreover, ensuring the timeliness of the data collected through sensor nodes is crucial. In order to ensure network timeliness, the power consumption for information exchange increases. In this paper, we propose an IEEE 802.15.4e DSME-based distributed scheduling algorithm for mobility support, and we evaluate various performance metrics. The proposed algorithm adaptively assigns communication slots by analyzing the network traffic of each node, and improves the network reliability and timeliness. The experimental results indicate that the throughput of the DSME MAC protocol is better than the IEEE 802.15.4e TSCH and the legacy slotted CSMA/CA in large networks with more than 30 nodes. Also, the proposed algorithm improves the throughput by 15%, higher than other MACs including the original DSME. Experimentally, we confirm that the algorithm reduces power consumption by improving the availability of communication slots. The proposed algorithm improves the power consumption by 40%, higher than other MACs.

Effects of Nutrition Service Improvement Activities for Reducing Plate Waste of the Diabetic Mellitus Diet in a General Hospital (당뇨식 잔반 감량을 위한 영양서비스 개선 활동의 효과)

  • Sohn, Cheong-Min;Yeom, Hae-Sun
    • Korean Journal of Community Nutrition
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    • v.13 no.5
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    • pp.674-681
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    • 2008
  • Hospital malnutrition could be caused by not completing the food served in the hospital. This has been a big problem since it delays the recovery of the patient and extends the length of hospital stay. The purpose of the study was to reduce the plate waste for the DM diet by performing several nutrition service improvement activities. The study was performed in a general hospital with 900 beds. A questionnaire survey was taken by 39 DM patients to obtain their aspect of the hospital foodservice systems and the quality of the meals at the beginning of the study. The amounts of foods served in the hospital kitchen and returned were measured by weights. After the improvement activities, the measurement of the plate waste was performed again for comparison. The average percentage of plate waste for the DM diet was 23.2%. The survey showed no difference by sex, age or duration of admission in plate waste. However, this food wastage percentage showed differences between the patients having a chance to get information about the diet therapy (12.21%) and not having one (26.06%) (p < 0.05). Using a five-point Likert-type scale, the quality of food by its taste was 2.49 (1: very poor, 5: excellent), the temperature score was 3.56 (1: very poor, 5: excellent), and the amount of food served score was 2.95 (1: very poor, 5: excellent), and the preference score was 3.13 (1: very dislike, 5: very like). Nutritional care improving activities were performed by adjusting seasonings, developing new menus, and standardizing cooking methods in order to increase the satisfaction of meal quality. The dietitian's inpatients care protocol was adjusted to expand the nutritional counseling chance for the DM patients. After the improvement activities, the average plate waste was reduced to 14.6%, and the satisfaction of food taste and preference increased to 3.21 (p < 0.001), and 3.36 (p < 0.05) correspondingly. The result shows that, for therapeutic diet patients, food intake could be increased by improving the food service satisfaction by controlling the meal quality and clinical nutritional service activities.

Emission Characteristics of HFC-23 (CHF3)/HCFC-22 (CHClF2) between Different Air Masses in Northeastern Asia (동북아시아 지역에서의 공기괴별 HFC-23/HCFC-22의 배출특성)

  • Li, Shanlan;Kim, Joo-Il;Kim, Kyung-Ryul;Muhle, Jens
    • Journal of Korean Society for Atmospheric Environment
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    • v.26 no.5
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    • pp.490-498
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    • 2010
  • HCFC-22 (chlorodifluoromethane, $CHClF_2$), one of the major components in various refrigeration, is emitted mostly from developing countries, as its consumption is not limited until 2013 by the Montreal Protocol. In addition, HFC-23 (trifluoromethane, $CHF_3$), a by-product in the manufacture of HCFC-22, is also a powerful greenhouse gas. Here, we discuss the regional emission characteristics of these compounds based on high-frequency in-situ measurements using the "Medusa" GC-MS system. HCFC-22 and HFC-23 baseline concentrations measured at Gosan (Jeju Island, Korea) from November 2007 to December 2008 increased by 1.8 ppt/yr and 0.6 ppt/yr, respectively. Pollution events of these compounds were observed, very frequently (e.g., ~2~3 times) at Gosan than baseline levels. All the measurement data were divided into four groups by simultaneously considering the ratio (HFC-23/HCFC-22) and concentration (HCFC-22) at Trinidad Head (TH, California, USA). The residence time of trajectories were then analyzed in each of the four groups. The results exhibited the existence of a strong correlation with air mass origin for each group: 1) Air masses originating from Siberia in the north and from the Pacific in the south had ratios of 0.08~0.12 and concentrations of 196.9~254.3 ppt which is highly comparable to background air at TH. 2) Air masses passing over the Southern China exhibited similar ratios but higher HCFC-22 concentrations. 3) Air masses passing over the Northern China had ratios of 0.12~0.21. 4) Air masses passing over Korea and/or Japan had ratios of 0.01~0.08. Our results suggest that the HFC-23/HCFC-22 ratio can be used as a good indicator for the assessment of the pollution with Chinese origin. We also confirmed differences in air masses traveling over Northern and Southern China, most likely due to differences in air mass travelling speed over these regions before arriving at Gosan. This signature may be treated as one of the critical components in identifying the emission sources from different parts of China.

An Interoperable Mapping Model between SEP 2.0 & OpenADR 2.0b for ICT Grid Convergence (ICT 전력 융합을 위한 SEP 2.0과 OpenADR 2.0b간의 상호운용 매핑 모델)

  • Choi, Min-Young;Lee, June-Kyoung;Lee, Kyoung-Hak
    • Journal of the Korea Convergence Society
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    • v.8 no.8
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    • pp.41-49
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    • 2017
  • The 'NIST Framework and Road Map for Smart Grid Interoperability Standards' proposes an architecture framework to secure the direction of development and standard interoperability of smart grid and provides a list of identified standard, standard cyber security strategies, and certification framework. In particular, SEP 2.0 and OpenADR 2.0 are the examples. SEP 2.0 and OpenADR 2.0 can functionally link HEMS and Smart Grid, but interoperability standards between the two protocols are not planned in above document. The OpenADR Alliance also announced that work is underway to define mapping tables for interoperability between OpenADR 2.0 and SEP 2.0, but no information is yet available. Therefore, In this paper, in developing energy efficiency improvement HEMS, we propose a mapping model that supports syntactic and semantic founded interoperability between SEP 2.0 and OpenADR 2.0b for ICT grid convergence based on the standard specification document of each protocol and confirmed through an example of the semantic mapping function based on the demand response service scenario.

A Design and Implementation of the Management Sever for the Gateway Supporting Home Networking Using the UML (UML을 이용한 흠 네트워킹 지원 게이트웨이 관리 서버 설계 및 구현)

  • 권진혁;민병조;강명석;남의석;김학배
    • Journal of the Korea Computer Industry Society
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    • v.5 no.3
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    • pp.393-404
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    • 2004
  • Recently, public home have used a more than two computer connected with network, and several home appliances using independently with internet or network are developing to be related closely with the network. Therefore, the home utilized for a simple terminal of the global network in the past is being expanded to another part of the sub network. For a variety of connecting home-area protocols with the existing existing network, we require a new Residential Gateway(RG) that does not only make the home-area network operating in the sub network but also connects to the external network. In this paper, RG has intrinsic limits against flexible service due to IP address assignment and hardware capacity. In order to solve this problem in the RG, we propose a Management Server(MS). The MS that offers the integrated managements and control services for a variety of devices connected the RG in the home-area. It can not only solve the dynamic IP address assigning problem but also assigns private IP addresses to the home network devices through the Network Address Translation(NAT). It also provides somewhat useful functions for the home network and the RG for other additional services. <중략> The MS is using a SNMP protocol for managing the RG in the domain, a polling method of the MS and the RG compose a sequence polling method, a polling method using a multi-process and a multi-thread. In this paper, we introduce a problem with polling method separately, show a polling method between the MS and the RG using a multi-thread.

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Performance Evaluation of Output Queueing ATM Switch with Finite Buffer Using Stochastic Activity Networks (SAN을 이용한 제한된 버퍼 크기를 갖는 출력큐잉 ATM 스위치 성능평가)

  • Jang, Kyung-Soo;Shin, Ho-Jin;Shin, Dong-Ryeol
    • The Transactions of the Korea Information Processing Society
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    • v.7 no.8
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    • pp.2484-2496
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    • 2000
  • High speed switches have been developing to interconnect a large number of nodes. It is important to analyze the switch performance under various conditions to satisfy the requirements. Queueing analysis, in general, has the intrinsic problem of large state space dimension and complex computation. In fact, The petri net is a graphical and mathematical model. It is suitable for various applications, in particular, manufacturing systems. It can deal with parallelism, concurrence, deadlock avoidance, and asynchronism. Currently it has been applied to the performance of computer networks and protocol verifications. This paper presents a framework for modeling and analyzing ATM switch using stochastic activity networks (SANs). In this paper, we provide the ATM switch model using SANs to extend easily and an approximate analysis method to apply A TM switch models, which significantly reduce the complexity of the model solution. Cell arrival process in output-buffered Queueing A TM switch with finite buffer is modeled as Markov Modulated Poisson Process (MMPP), which is able to accurately represent real traffic and capture the characteristics of bursty traffic. We analyze the performance of the switch in terms of cell-loss ratio (CLR), mean Queue length and mean delay time. We show that the SAN model is very useful in A TM switch model in that the gates have the capability of implementing of scheduling algorithm.

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Investigating the Efficiency of Various Consumer-acceptance Testing Methods while Developing a Ready-to-eat Meal (덮밥류 편의식에 대한 효과적인 소비자 조사 기법 비교연구)

  • Shin, Weon-Sun;Kim, Ji-Na;Kim, Kyeong-Mi;Park, Jin-Hee;Chung, Jin-A;Chung, Seo-Jin
    • Korean journal of food and cookery science
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    • v.24 no.6
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    • pp.763-770
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    • 2008
  • A taste-testing method that accurately measures consumer-acceptance is critical during the course of the product development stage. Although various types of consumer-acceptance tests are available, the testing protocol appropriate for measuring the acceptance of ready-to-eat-meals (REM) has not yet been verified. In this study, various hedonic taste-testing methods (9-point hedonic scaling, best-worst scaling, open ended response) were compared for their efficiency and power in identifying the preferred REM menu of consumers. Forty-four consumers evaluated the acceptance of five types of REM menu samples consisting of a wide variety of flavors. Consumers initially used the 9-point hedonic rating method to choose the best and the worst sample among the 5 meals tested. Finally, consumers were asked to fill out open-ended comments where they could freely describe their liking and disliking of each sample. The results showed that the REM menu acceptance measured by the 9-point hedonic method that rated best-worst scaling exhibited a similar preference pattern. The open-ended response method could not provide a quantifiable acceptance data but was able to provide supplementary information regarding the limitations of the samples and therefore, provide a general idea of the direction of improvement during the product development.

Implementation of a TCP/IP Offload Engine Using Lightweight TCP/IP on an Embedded System (임베디드 시스템상에서 Lightweight TCP/IP를 이용한 TCP/IP Offload Engine의 구현)

  • Yoon In-Su;Chung Sang-Hwa;Choi Bong-Sik;Jun Yong-Tae
    • Journal of KIISE:Computer Systems and Theory
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    • v.33 no.7
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    • pp.413-420
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    • 2006
  • The speed of present-day network technology exceeds a gigabit and is developing rapidly. When using TCP/IP in these high-speed networks, a high load is incurred in processing TCP/IP protocol in a host CPU. To solve this problem, research has been carried out into TCP/IP Offload Engine (TOE). The TOE processes TCP/IP on a network adapter instead of using a host CPU; this reduces the processing burden on the host CPU. In this paper, we developed two software-based TOEs. One is the TOE implementation using an embedded Linux. The other is the TOE implementation using Lightweight TCP/IP (lwIP). The TOE using an embedded Linux did not have the bandwidth more than 62Mbps. To overcome the poor performance of the TOE using an embedded Linux, we ported the lwIP to the embedded system and enhanced the lwIP for the high performance. We eliminated the memory copy overhead of the lwIP. We added a delayed ACK and a TCP Segmentation Offload (TSO) features to the lwIP and modified the default parameters of the lwIP for large data transfer. With the aid of these modifications, the TOE using the modified lwIP shows a bandwidth of 194 Mbps.