• KSII Transactions on Internet and Information Systems (TIIS)
• /
• 제7권10호
• /
• pp.2376-2394
• /
• 2013

In order to ensure both of the whole system capacity and users QoS requirements in heterogeneous wireless networks, admission control mechanism should be well designed. In this paper, Multi-agent Q-learning based Admission Control Mechanism (MQACM) is proposed to handle new and handoff call access problems appropriately. MQACM obtains the optimal decision policy by using an improved form of single-agent Q-learning method, Multi-agent Q-learning (MQ) method. MQ method is creatively introduced to solve the admission control problem in heterogeneous wireless networks in this paper. In addition, different priorities are allocated to multiple services aiming to make MQACM perform even well in congested network scenarios. It can be observed from both analysis and simulation results that our proposed method not only outperforms existing schemes with enhanced call blocking probability and handoff dropping probability performance, but also has better network universality and stability than other schemes.

• 한국임상약학회지
• /
• 제13권1호
• /
• pp.5-12
• /
• 2003

Influenza virus is a major cause of respiratory infection in the epidemic season. Especially, the elderly with underlying health problems are at increased risk for complications of influenza. The objective of this study was to investigate that influenza vaccination can reduce the hospital admission rate related to the respiratory diseases. This study was a retrospective study of two age groups, who are the healthy children aged 6 months to 9 years (n=237) and the adults aged over 20 years with respiratory disease (n=327). The vaccinated groups were compared to the controls that were matched in sex and age. The children were vaccinated in winter season of 1995-96 and the adults were vaccinated in 1996-97. The efficacy of influenza vaccine was evaluated with the number of outpatient visits in children group, the admission rate and the mean admission days in both children and adult group. As results, there were not significant differences between the vaccinated and the control group of children. In the elderly over 61 years, however, the influenza vaccination can reduce the admission rate $(8.9\%\;vs.\;25.6\%,\;p<0.05)$ and the mean admission days (1.3 vs. 3.8 days, p<0.05) compared to the control. In conclusion, influenza vaccination can effectively reduce the events related to respiratory infection in the elderly than the children. The elderly should be recommended for influenza vaccination.

• 한국통신학회:학술대회논문집
• /
• 한국통신학회 2006년도 하계종합학술발표회 논문 초록집
• /
• pp.555-555
• /
• 2006

• 한국지역사회생활과학회지
• /
• 제26권4호
• /
• pp.731-747
• /
• 2015

This study investigates general environmental factors influencing hypertension and diabetes patients and their disease control methods, self-efficacy, nutritional risk, diagnosis of eating styles according to nutritional risk, accountability in eating habit instructions, and nutritional intake and provides basic data for eating habit control in hypertension and diabetes patients. For this, 70 patients who visited a hypertension and diabetes admission center were interviewed using a questionnaire. According to the results, the implementation of self-efficacy in hypertension and diabetes was higher in female subjects. The diagnosis of eating type with nutritional risk was higher in female subjects, and there was a significant difference between male and female subjects (p<0.05). Both sexes had scores above 6 in nutritional risk and were diagnosed to have a "high-risk nutritional status." In the diagnosis of eating habits with nutritional risk, diet quality was higher for female patients (p<0.05), and the nutritional intake of subjects was low for most nutrients. In particular, the intake of calcium, vitamin A, riboflavin, and folic acid was low, indicating a need to improve eating habits for the balanced intake of nutrients because of the increasing importance of eating habits for controlling chronic diseases.

• 한국응급구조학회지
• /
• 제11권2호
• /
• pp.19-27
• /
• 2007

Purpose: By identifying the actual profile of emergency medical personnel's pre-admission infection control practices, this study intended to provide a basic reference material for the improvement and reorientation of pre-admission infection control measures, and thereby help establish an effective plan for pre-admission infection control activities. Methods: Total 119 EMT's working for Jeollabuk-do Provincial Fire Defense HQ were asked to join a structured questionnaire survey from June to August 2006. Results: 1. It was found that 56.1% respondents answered no guideline available on the prevention of infection. Out of our rescue brigade members who knew about relevant guideline available, 34.2% respondents answered that their department conducted quality control program for the guideline. 2. For protective outfit in emergency practice, it was found that most respondents put on gloves or nothing at all(38%), which was followed by sterile gloves(29.2%), disposable mask(26.9%), gown(4.3%) and protective goggle(1.6%). And it was noted that all respondents(100%) washed out any clothing contaminated with somatic secretion on their own. 3. For a question about any experience in emergency activities exposed to infectious diseases, it was found that most of all respondents(77.9%) answered 'No', which was followed by 'Don't Know'(18.6%) and Yes(3.9 %). 4. For a question about any experience in inquiring of patients about infectious diseases, it was found that most respondents(49.4%) answered 'Yes' and 'Sometimes'(9.1%). It was noted that 20.2% respondents had extra medical examination in medical institution in terms of whether they were exposed to infectious diseases, apart from regular medical examination. Conclusions: In order to protect 119 EMT's from infectious diseases, it will be necessary to acquire emergency medical staffs specializing in infection control and organize corresponding personnel training units to keep providing reorientation and evaluation. In addition, it will be also necessary to supply them with a full set personal protection apparatuses and other equipments required for disinfection and sterilization.

• 한국통신학회논문지
• /
• 제28권5A호
• /
• pp.294-304
• /
• 2003

셀룰러 CDMA 시스템에서 보다 효과적인 소프트웨어 다운로드가 되기 위해, 영역 기반 세션수락제어 기법이 제안된다. 제안 방식에서 기지국은 단말이 셀의 기지국 근처에 위치할 때만 세션 시작을 허용한다. 단말의 위치가 셀의 기지국 근처이면 소프트웨어 다운로드 요구를 허용하고, 셀의 경계에 위치한 경우는, 셀의 근처로 올 때까지 기다려서, 소프트웨어 다운로드를 시도하도록 함으로서, 소프트웨어 다운로드 중 셀간 핸드오프가 일어나는 빈도를 줄여, 핸드오프 세션의 강제절단확률을 줄이는 방식이다. 세션지속시간의 분포함수로서 지수분포와 Pareto 분포를 고려하여 핸드오프 빈도, 평균 채널점유시간, 세션 블록킹 확률, 핸드오프 세션의 강제 절단 확률 관점에서 성능을 분석하였다. 성능분석 결과 단말 이동속도, 세션 요구 허용 지역의 크기, 핸드오프 전용 채널 수 등의 트래픽 특성에 따라 다르지만, 분석을 위해 가정한 파라미터 값을 기준으로, 기존 방식에 비해 30 ～ 250% 정도의 핸드오프 빈도를 줄일 수 있게 된다. 또한 신규세션의 블록킹 확률은 5 ~ 20% 정도 줄이지만, 핸드오프세션의 강제절단률은 35% ~ 220%까지 줄일 수 있게 됨을 알 수 있다.

• Korean Journal of Radiology
• /
• 제23권9호
• /
• pp.878-888
• /
• 2022

Objective: To investigate the clinical impact of a quality improvement program including dedicated emergency radiology personnel (QIP-DERP) on the management of emergency surgical patients in the emergency department (ED). Materials and Methods: This retrospective study identified all adult patients (n = 3667) who underwent preoperative body CT, for which written radiology reports were generated, and who subsequently underwent non-elective surgery between 2007 and 2018 in the ED of a single urban academic tertiary medical institution. The study cohort was divided into periods before and after the initiation of QIP-DERP. We matched the control group patients (i.e., before QIP-DERP) to the QIP-DERP group patients using propensity score (PS), with a 1:2 matching ratio for the main analysis and a 1:1 ratio for sub-analyses separately for daytime (8:00 AM to 5:00 PM on weekdays) and after-hours. The primary outcome was timing of emergency surgery (TES), which was defined as the time from ED arrival to surgical intervention. The secondary outcomes included ED length of stay (LOS) and intensive care unit (ICU) admission rate. Results: According to the PS-matched analysis, compared with the control group, QIP-DERP significantly decreased the median TES from 16.7 hours (interquartile range, 9.4-27.5 hours) to 11.6 hours (6.6-21.9 hours) (p < 0.001) and the ICU admission rate from 33.3% (205/616) to 23.9% (295/1232) (p < 0.001). During after-hours, the QIP-DERP significantly reduced median TES from 19.9 hours (12.5-30.1 hours) to 9.6 hours (5.7-19.1 hours) (p < 0.001), median ED LOS from 9.1 hours (5.6-16.5 hours) to 6.7 hours (4.9-11.3 hours) (p < 0.001), and ICU admission rate from 35.5% (108/304) to 22.0% (67/304) (p < 0.001). Conclusion: QIP-DERP implementation improved the quality of emergency surgical management in the ED by reducing TES, ED LOS, and ICU admission rate, particularly during after-hours.

• 기본간호학회지
• /
• 제13권3호
• /
• pp.351-358
• /
• 2006

Purpose: The purpose of this study was to compare the effects of oral hygiene with 0.1% chlorhexidine or with normal saline on the incidence of pathogens in the oral cavity of patients in Intensive Care Units (ICU). Method: A quasi experimental design with non-equivalent control group and non-synchronized design was used. For the study 46 patients were recruited from a university hospital (24 for the experimental group, 22 for the control group). patients in the experimental group received mouth care with 0.1% chlorhexidine gluconate and those in the control group received mouth care with normal saline twice a day for 7 days in a row. Oral samples were taken for bacterial cultures on admission day, the 4th day and the 7th day for both groups. Results: The incidence of oral pathogens decreased in the experimental group, and increased in the control group. There was no significant difference in the incidence of oral pathogens between the two groups. However oral hygiene using 0.1% chlorhexidine gluconate decreased the incidence of oral pathogens significantly for patients who already had pathogenic bacteria in their mouths on the admission day. Conclusion: The results suggest that mouth care with 0.1% chlorhexidine is effective for decreasing the incidence of oral infection for ICU patients who have oral infections.

• 대한간호학회지
• /
• 제3권1호
• /
• pp.1-4
• /
• 1972

A study designed to provide effective nursing care for schizophrenic patient was carried out to 22 patients who were admitted to the psychiatric in-patient service, St. Malays Hospital, Catholic Medical Center. The main purpose of the study was to provide effective means of discriminating the effects of nursing care for schizophrenic patients. The experimental group sampled consisted of 10 male and female patients who have been given patient-centered nursing care while the control group consisted of 12 male and female patients who have been given only routine care. The administration of the WBI manual in both groups obtained the changes in the psychopathological behavior of them. The result were found to be as follows. 1. The greater number of the patient in both groups were below 30 years of age (70%). 2. Uptill 15 days after admission there was no difference between the change of the psychopathological behavior the subject group and that of the control. 3. There as a difference between the change of the psychopathological behavior of the subject group and that of the control uptill 30 days after. admission(p<0.08).

• 한국정보처리학회:학술대회논문집
• /
• 한국정보처리학회 2005년도 춘계학술발표대회
• /
• pp.1509-1512
• /
• 2005

차별화된 고품질의 서비스를 제공하기 위해서, 사용자와 서비스 제공자 간의 SLA(Service Level Agreement)를 만족시켜 줄 수 있는 웹 서버 클러스터의 성능 분리(Performance Isolation) 기능을 고려하였다. 본 논문에서는 서로 다른 기능적 도메인으로 구성된 이질 웹 서비스 환경에서 SLA 를 만족시켜주는 승인 제어(Admission Control) 기법을 연구하였으며, 시뮬레이션 결과를 통해 제안된 기법의 응답시간(Response Time) 및 승인 제어 성능을 분석하였다.