• The Korean Journal of Emergency Medical Services
• /
• v.24 no.2
• /
• pp.79-88
• /
• 2020

Purpose: The study aimed to collect the first aid activity log data of patients who were retransferred through paramedics and to analyze the data in the hospital to improve the plan. Methods: We analyzed 434 retransferred patients, out of the 18,197 patients who visited the emergency medical center in the C area in G metropolitan city, from January 2017 through December 2018. The collected data were analyzed using the SPSS software. Results: The patients were retransferred for various reasons: 17.7% (77 cases) due to the absence of specialists, 15.0% (65 cases) required first aid, and 5.3% (23 cases) due to absence of medical department. In addition, the major medical department with the largest number of retransfer was the department of emergency medicine with 38.2% (166 cases). In the prehospital stage, 38.5% (167 cases) were classified as severe, but in the hospital stage, they were classified as mild. In addition, as a result of hospitalization and discharge, 60.4% (262 cases) were discharged. Conclusion: Most of the retransferred patients were non-emergency patients, and were discharged for mild conditions. The overcrowding in the emergency room of a tertiary hospital can be prevented by reducing the retransmission.

• Proceedings of the IEEK Conference
• /
• 2000.06c
• /
• pp.97-100
• /
• 2000

As network resources have become faster and demands for multimedia service through network have increased, the demand for Media server system has increased. These kinds of media server solve their bottle neck problem of internal storage device by using parallel system which takes advantage of fast network resource. Many vendors have suggested each of their media server system to solve these problem radically, but most of them require major modification of infra component and additional drawback has added. For example, storage mechanism for specific media requires new file system which is totally different from traditional one, and algorithm for enhancing performance may not suit for traditional operating system environment. In this paper, we designed a parallel media server based on web interface of traditional system and implemented a program for media server. Implemented server system performs parallel processing through web interface without any modification of traditional system, and controls which is related to merging load by distributed data is charged only to client and control server and consequently load of storage server can be minimized. And also, data transfer protocol for streaming media includes Retransfer algorithm and client Admission control policy relevant to performance of whole system.

• KIPS Transactions on Computer and Communication Systems
• /
• v.4 no.4
• /
• pp.135-140
• /
• 2015

The WDSS improves defensive capacity against web application layer DDoS attack by using web cache server and L7 switch which are added on the DDoS shelter system. When web DDoS attack occurs, security agents divert traffic from backbone network to sub-network of the WDSS and then DDoS protection device and L7 switch block abnormal packets. In the meantime, web cache server responds only to requests of normal clients and maintains stable web service. In this way, the WDSS can counteract the web DDoS attack which generates small traffic and depletes server-client session resource. Furthermore, the WDSS does not require IP tunneling because it is not necessary to retransfer the normal requests to original web server. In this paper, we validate operation of the WDSS and verify defensive capability against web application layer DDoS attacks. In order to do this, we built the WDSS on backbone network of an ISP. And we performed web DDoS tests by using a testing system that consists of zombie PCs. The tests were performed by three types and various amounts of web DDoS attacks. Test results suggest that the WDSS can detect small traffic of the web DDoS attacks which do not have repeat flow whereas the formal DDoS shelter system cannot.

• Clinical and Experimental Reproductive Medicine
• /
• v.43 no.2
• /
• pp.133-138
• /
• 2016

Objective: To determine the incidence of embryo retention (ER) in the transfer catheter following embryo transfer (ET) in blastocyst transfer and investigate whether retransferring retained embryos has an impact on reproductive outcomes in patients undergoing in vitro fertilization-ET. Methods: We retrospectively analyzed the records of 1,131 blastocyst transfers, which comprised 223 single blastocyst transfer (SBT) and 908 double blastocyst transfer (DBT) cycles. Each SBT and DBT group was classified depending on whether ET was performed without retained embryos in the catheter during the first attempt (without-ER group) or whether any retained embryos were found following ET (ER group) for the purpose of comparing reproductive outcomes in a homogenous population. Results: The overall incidence of finding retained embryos was 2.8% (32/1,131). There were no retained embryos in SBT cycles. In DBT cycles, implantation rates (30.0% vs. 26.6%), positive ${\beta}-hCG$ rates (57.2% vs. 56.2%), clinical pregnancy rates (45.3% vs. 46.9%), and live birth rates (38.9% vs. 43.8%) were not significantly different between the without-ER and ER groups. There were no significant differences in the mean birth weight (g) $2,928.4{\pm}631.8$ vs. $2,948.7{\pm}497.8$ and the mean gestational age at birth ($269.3{\pm}17.2days$ vs. $264.2{\pm}25.7days$). A total of nine cases of congenital birth defects were found in this study population. Eight were observed in the without-ER group and one in the ER group. Conclusion: Our results suggest that retransfer of retained embryos does not have any adverse impact on reproductive outcomes in blastocyst transfer cycles. Furthermore, our results support finding that SBT might be advantageous for decreasing the incidence of retained embryos in catheters.

• Journal of the Society of Disaster Information
• /
• v.18 no.4
• /
• pp.839-846
• /
• 2022

Purpose: To secure the safety of firefighters who are dispatched to emergency activities for patients with suspected infectious diseases during an epidemic, and to identify the current status of suspected infectious disease patients by region based on the information collected at the site, and manage firefighting infectious diseases that can be controlled and supported I want to develop a system. Method: Develop a smartphone app that can classify suspected infectious disease patients to check whether an infectious disease is suspected, and develop a disposable NFC tag for patient identification to prevent infection from suspected infectious disease patients. Develop a management system that collects and analyzes data related to emergency patients with suspected infectious disease input from the field and provides them to relevant business personnel to evaluate whether the transport of emergency patients with suspected infectious disease is improved. Result: As a result of the experiment, it was possible to determine whether an infectious disease was suspected through the algorithm implemented in the smartphone app, and the retransfer rate was significantly reduced by transferring to an appropriate hospital. Conclusion: Through this study, the possibility of improving emergency medical services by applying ICT technology to emergency medical services was confirmed. It is expected that the safety of paramedics will be actively secured.