• Title/Summary/Keyword: arrival time

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Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction (급성심근경색 환자의 증상 발현 후 골든타임내 응급의료센터 도착율 및 지연에 관련된 요인)

  • Ahn, Hye Mi;Kim, Hyeongsu;Lee, Kun Sei;Lee, Jung Hyun;Jeong, Hyo Seon;Chang, Soung Hoon;Lee, Kyeong Ryong;Kim, Sung Hea;Shin, Eun Young
    • Journal of Korean Academy of Nursing
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    • v.46 no.6
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    • pp.804-812
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    • 2016
  • Purpose: This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI). Methods: Data used in the research was from the National Emergency Department Information System of the National Emergency Medical Center which reported that in 2014, 9,611 patients went to emergency medical centers for acute myocardial infarction. Prehospital time is the time from onset to arrival at an emergency medical center and is analyzed by subdividing arrival and delay based on golden time of 2 hour. Results: After onset of acute myocardial infarction, arrival rate to emergency medical centers within the golden time was 44.0%(4,233), and factors related to prehospital delay were gender, age, region of residence, symptoms, path to hospital visit, and method of transportation. Conclusion: Results of this study show that in 2014 more than half of AMI patients arrive at emergency medical centers after the golden time for proper treatment of AMI. In order to reduce prehospital delay, new policy that reflects factors influencing prehospital delay should be developed. Especially, public campaigns and education to provide information on AMI initial symptoms and to enhance utilizing EMS to get to the emergency medical center directly should be implemented for patients and/or caregivers.

A Study on Maximum Likelihood Method for Multi Target Estimation (다중 목표물 추정을 위한 최대 우도 방법에 대한 연구)

  • Lee, Min-Soo
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.13 no.3
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    • pp.165-170
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    • 2013
  • In spatial, desired target direction of arrival estimation is to find a incidental signal direction on receive antennas. In this paper, we were an estimation a desired target direction of arrival using maximum likelihood method. Direction of arrival estimation method estimated a desired target calculating the maximum likelihood sensitivity using singular value decomposition above threshold signals among receive signals in maximum likelihood method. Through simulation, we were analysis a performance to compare existing method and proposal method. In direction of arrival estimation, proposed method is effectivity to decrease processing time because it is not doing an eigen decomposition in direction of arrival estimation, and desired target correctly estimated. We showed that proposal method improve more target estimation than general method.

Factors Contributing to Mortality for Patients at a Newly-designated Regional Trauma Center (중증 외상 특성화 센터에서 사망률에 영향을 미치는 인자 분석)

  • Chang, Ikwan;Kim, Hoon;Shin, Hee Jun;Joen, Woo Chan;Park, Joon Min;Shin, Dong Wun;Park, Jun Seok;Kim, Kyung Hwan;Park, Je Hoon;Choi, Seung Woon
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.188-195
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    • 2012
  • Purpose: An increase in the demand for specialized Trauma Centers led to a government-driven campaign, that began in 2009. Our hospital was selected as one of the Trauma Centers, and we reviewed data on trauma patients in order to correlate the mortality at a regional Trauma Center with its contributing factors, such as the severity of the injury, the means of arrival, and the time duration before arrival at our center. Methods: Data on the patients who visited our Trauma Center from January 2010 to November 2011 were retrospectively reviewed using electronic medical records. The patients who had revised trauma scores (RTSs) less than 7 or injury severity scores (ISSs) greater than 15 were included. The patients were categorized as survivors and non-survivors, and the means of arrival as transferred or visited directly. Time durations before arrival of less than one hour were also taken intoconsideration. Results: Two hundred(200) patients were enrolled, and the mortality rate was 36.5%. The most common cause of the accident was an automobile accident, and the most common cause of death was brain injury. The RTSs and the ISSs were significantly different in the non-survivor and the survivor groups. The mortality rate of the patients who were transferred was not statistically different from that of patients who visited directly. However, a time duration before arrival of less than one hour was statistically meaningful. Conclusion: The prognosis of the trauma patients were correlated with the severity of the trauma as can be expected, but the time between the incidence of accident and the arrival at hospital and whether the presence of transfer to trauma center were not statistically significant to the prognosis.

A Global Optimal Sliding-Mode Control for the Minimum Time Trajectory Tracking with Bounded Inputs

  • Choi, Hyeung-sik
    • Journal of Mechanical Science and Technology
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    • v.15 no.4
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    • pp.433-440
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    • 2001
  • A new design of the sliding mode control is proposed for the uncertain linear time-varying second order system. The proposed control drives system states to the target point in the minimum time with specified ranges of parametric uncertainties and disturbances. One of the advantages of the proposed control scheme is that the control inputs do not go beyond saturation limits of the actuators. The other advantage is that the minimum arrival time and the acceleration of the second order actuators system can be estimated with given parametric bounds and can be expressed in the closed from; conversely, the designer can select actuators based on the condition of the minimum arrival time to the target point. The superior performance of the proposed control scheme to other sliding mode controllers is validated by computer simulations.

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A Batch Arrival Queue with a Random Setup Time Under Bernoulli Vacation Schedule

  • Choudhury, Gautam;Tadj, Lotfi;Paul, Maduchanda
    • Management Science and Financial Engineering
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    • v.15 no.2
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    • pp.1-21
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    • 2009
  • We consider an $M^x/G/1$ queueing system with a random setup time under Bernoulli vacation schedule, where the service of the first unit at the completion of each busy period or a vacation period is preceded by a random setup time, on completion of which service starts. However, after each service completion, the server may take a vacation with probability p or remain in the system to provide next service, if any, with probability (1-p). This generalizes both the $M^x/G/1$ queueing system with a random setup time as well as the Bernoulli vacation model. We carryout an extensive analysis for the queue size distributions at various epochs. Further, attempts have been made to unify the results of related batch arrival vacation models.

A Study on the Eye-Hand Coordination for Korean Text Entry Interface Development (한글 문자 입력 인터페이스 개발을 위한 눈-손 Coordination에 대한 연구)

  • Kim, Jung-Hwan;Hong, Seung-Kweon;Myung, Ro-Hae
    • Journal of the Ergonomics Society of Korea
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    • v.26 no.2
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    • pp.149-155
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    • 2007
  • Recently, various devices requiring text input such as mobile phone IPTV, PDA and UMPC are emerging. The frequency of text entry for them is also increasing. This study was focused on the evaluation of Korean text entry interface. Various models to evaluate text entry interfaces have been proposed. Most of models were based on human cognitive process for text input. The cognitive process was divided into two components; visual scanning process and finger movement process. The time spent for visual scanning process was modeled as Hick-Hyman law, while the time for finger movement was determined as Fitts' law. There are three questions on the model-based evaluation of text entry interface. Firstly, are human cognitive processes (visual scanning and finger movement) during the entry of text sequentially occurring as the models. Secondly, is it possible to predict real text input time by previous models. Thirdly, does the human cognitive process for text input vary according to users' text entry speed. There was time gap between the real measured text input time and predicted time. The time gap was larger in the case of participants with high speed to enter text. The reason was found out investigating Eye-Hand Coordination during text input process. Differently from an assumption that visual scan on the keyboard is followed by a finger movement, the experienced group performed both visual scanning and finger movement simultaneously. Arrival Lead Time was investigated to measure the extent of time overlapping between two processes. 'Arrival Lead Time' is the interval between the eye fixation on the target button and the button click. In addition to the arrival lead time, it was revealed that the experienced group uses the less number of fixations during text entry than the novice group. This result will contribute to the improvement of evaluation model for text entry interface.

Non-intrusive measurement of pulse arrival time and Estimation of Systolic Blood Pressure (무구속적 맥파 전달 시간의 측정을 통한 혈압 추정)

  • Chee, Young-Joon;Park, Kwang-Suk
    • Proceedings of the IEEK Conference
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    • 2005.11a
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    • pp.489-492
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    • 2005
  • Even though the blood pressure is one of the most widely used index for the healthcare monitoring of hypertensive and normotensive persons, there is no non-intrusive measurement method which is commercialized until now. Pulse Arrival Time (PAT) is known that it has close relation with the systolic blood pressure (SBP) and arterial stiffness. In this study, SBP estimation methods by non-intrusive measurement of PAT are suggested. For the unconstrained measurement of PAT, the first method used the electrically non contact electrocardiogram (ENC-ECG) technique and the reflective type of Photoplethysmography (PPG) sensor on the computer mouse. In the second method, ENC-ECG and the air pressure sensor in the seat cushion on a chair were measured. The third method used ECG electrodes and PPG sensors on the toilet seat cover. The validation and regression analysis of the relationship of PAT and SBP are summarized. These methods have considerable errors to be used for all people. But these can be applied for each subject after the parameter customization within acceptable error. So, it is feasible for suggested methods to be used for monitoring of SBP in daily life in non-intrusive way when there is personal identification system of each subject.

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Busy Period Analysis of the Geo/Geo/1/K Queue with a Single Vacation (단일 휴가형 Geo/Geo/1/K 대기행렬의 바쁜 기간 분석)

  • Kim, Kilhwan
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.42 no.4
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    • pp.91-105
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    • 2019
  • Discrete-time Queueing models are frequently utilized to analyze the performance of computing and communication systems. The length of busy period is one of important performance measures for such systems. In this paper, we consider the busy period of the Geo/Geo/1/K queue with a single vacation. We derive the moments of the length of the busy (idle) period, the number of customers who arrive and enter the system during the busy (idle) period and the number of customers who arrive but are lost due to no vacancies in the system for both early arrival system (EAS) and late arrival system (LAS). In order to do this, recursive equations for the joint probability generating function of the busy period of the Geo/Geo/1/K queue starting with n, 1 ≤ n ≤ K, customers, the number of customers who arrive and enter the system, and arrive but are lost during that busy period are constructed. Using the result of the busy period analysis, we also numerically study differences of various performance measures between EAS and LAS. This numerical study shows that the performance gap between EAS and LAS increases as the system capacity K decrease, and the arrival rate (probability) approaches the service rate (probability). This performance gap also decreases as the vacation rate (probability) decrease, but it does not shrink to zero.

Development of a Time-Based Railway Crossing Control System and Evaluation (철도건널목 정시간 제어방식 개발 밑 효과분석에 관한 연구)

  • Park Dongjoo;Oh Ju-Taek;Lee Sun-Ha;Jung Chun-Hee;Shin Seong-Hoon
    • Journal of the Korean Society for Railway
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    • v.8 no.2
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    • pp.145-154
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    • 2005
  • Traffic accidents at highway-rail crossing result in larger social and economic damages than the accidents at the typical highway intersections. The traditional control and warning systems of the highway-rail crossing have limitations in that 1) they do not recognize the differences of the trains' arrival times because they rely on the distance-based control system, rather than the time-based one, and 2) thereby they usually cause longer delays of vehicles and pedestrians at the highway-rail crossings. The objective of this study is to develop a time-based railroad crossing control system which takes into account the speed and expected arrival time of trains. using the spot speeds and acceleration rates of trains measured at three points, the developed system was found to be able to accurately estimate the arrival time of train. VISSIM simulation package was utilized to compare system effect of the developed time-based railroad crossing control system with that of the conventional distance-based one. It was found that the developed time-based railroad crossing control system reduced the average travel time, maximum delay length, average delay time, and average number of stop-experienced vehicles as much as 7.0$\%$, 75.6$\%$, 12.7$\%$, and 60.0$\%$, respectively, compared with those from the conventional distance-based one.

Progressive Iterative Forward and Backward (PIFAB) Search Method to Estimate Path-Travel Time on Freeways Using Toll Collection System Data (고속도로 경로통행시간 산출을 위한 전진반복 전후방탐색법(PIFAB)의 개발)

  • NamKoong, Seong
    • Journal of Korean Society of Transportation
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    • v.23 no.5 s.83
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    • pp.147-155
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    • 2005
  • The purpose of this paper is to develop a method for estimation of reliable path-travel time using data obtained from the toll collection system on freeways. The toll collection system records departure and arrival time stamps as well as the identification numbers of arrival and destination tollgates for all the individual vehicles traveling between tollgates on freeways. Two major issues reduce accuracy when estimating path-travel time between an origin and destination tollgate using transaction data collected by the toll collection system. First, travel time calculated by subtracting departure time from arrival time does not explain path-travel time from origin tollgate to destination tollgate when a variety of available paths exist between tollgates. Second, travel time may include extra time spent in service and/or rest areas. Moreover. ramp driving time is included because tollgates are installed before on-ramps and after off-ramps. This paper describes an algorithm that searches for arrival time when departure time is given between tollgates by a Progressive Iterative Forward and Backward (PIFAB) search method. The algorithm eventually produces actual path-travel times that exclude any time spent in service and/or rest areas as well as ramp driving time based on a link-based procedure.