• Journal of Preventive Medicine and Public Health
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• 제26권4호
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• pp.650-660
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• 1993

This study aims to describe the causes of medically unnecessary hospital stay at a teaching tertiary hospital, using modified version of Delay Tool in which the causes of delay are divided into slx major categories : delay related to test scheduling, test results, surgery, medical staff, patient/family, and administration. For the analysis of hospital stay, 6,479 inpatient-days were reviewed in two medical and four surgical departments for one month. Initially inappropriate hospital stays were identified using Appropriateness Evaluation Protocol (AEP), and causes of delay listed in Delay Tool were assigned to each of them. In both medical and surgical services, the most important cause of delay was related to medical staffs, ranging from 3.6% to 51.6% of total inpatient days. Next important category was delay related to test scheduling in medical services ($4.7{\sim}9.2%$), and delay related to surgery in surgical services ($7.3{\sim}15.0%$). Among subcategories of delay related to medical staffs, delay due to conservative care was the most important cause of inappropriate hospital stay ($2.9{\sim}6.4%$). Each clinical departments had different distribution among delay categories, which could not be fully justified by their clinical charateristics. The Delay Tool would be helpful in exploring factors related to the inefficient use of hospital beds. As a measurement tool of inappropriate hospital stay, however, the Delay Tool should be refined in the definitions of categories and its contents.

• 지적과 국토정보
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• 제53권2호
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• pp.67-77
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• 2023

도시가 과밀화, 집중화됨에 따라 도시민의 생활수준 향상으로 공공서비스에 대한 수요가 지속적으로 증가하고 있다. 그중 소방서비스는 응급상황에서의 사고로 인한 피해를 줄이고 도시민의 의료서비스 접근성 향상에 영향을 미쳐 중요한 공공서비스 중 하나라고 볼 수 있다. 골든타임 내 환자 및 의료기관의 신속한 이동과 적절한 응급처치는 응급상황 시 필수적인 요소로 서울은 약 1천만 명의 인구가 거주하는 초대형 도시로 응급의료 환자가 매우 많은 지역이다. 이에 본 연구는 골든타임 확보를 위해 공간회귀분석을 활용하여 서울시의 응급차 출동 지연요인에 영향을 미치는 요인을 살펴보고, 관리 우선순위를 도출하여 응급차 출동 지연요인 관리에 대한 시사점을 제시하였다. 주요 분석 결과 긴급차 출동 시간은 토지이용 특성이 가장 영향력이 큰 요인으로 나타났으며, 토지이용 혼합도, 상업지역 밀도, 평균 환자 연령, 평균 도로길이 순으로 응급차 출동 시간에 영향을 미치는 것으로 나타났다. 본 연구는 응급차 출동 지연요인의 정확한 이해와 우선순위에 따른 대응방안 마련을 위한 중요한 기초자료로 활용될 수 있을 것이다.

• 드라이브 ㆍ 컨트롤
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• 제17권1호
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• pp.44-50
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• 2020

For the requirement of accurate tracking control and the safety of physical human-robot interaction, torque control is basically desirable for humanoid robots. Because of the complexity of humanoid robot dynamics, the TDC (time-delay control) is practical because it does not require a dynamic model. However, there occurs a considerable error due to discontinuous non-linearities. To solve this problem, the TDC-FLC (fuzzy logic compensator) is applied to humanoid robots. The applied controller contains three factors: a TDE (time-delay estimation) factor, a desired error dynamic factor, and FLC to suppress the TDE error. The TDC-FLC is easy to execute because it does not require complicated humanoid dynamic calculations and the heuristic fuzzy control rules are intuitive. TDC-FLC is implemented on the whole body of a humanoid, not on biped legs even though it is performed by a virtual humanoid robot. The simulation results show the validity of the TDC-FLC for humanoid robots.

• 한국안전학회지
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• 제19권2호
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• pp.54-60
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• 2004

Flammable substances are frequently used chemical industry processes. An accurate knowledge of the ALTs(Autoignition Temperatures) is important in developing appropriate prevention and control measures in industrial fire protection. The AITs describe the minimum temperature to which a substance must be heated, without the application of a flame or spark, which will cause that substance to ignite. The AITs are dependent upon many factors, namely initial temperature, pressure, volume, fuel/air stoichiometry, catalyst material, concentration of vapor, ignition delay. This study measured relationship between the AITs and the ignition delay times by using ASTM E659-78 apparatus for methanol and ethanol. The A.A.P.E.(Average Absolute Percent Error) and the A.A.D.(Average Absolute Deviation) of the experimental and the calculated delay times by the AITs for methanol were 14.59 and 1.76 respectively. Also the A.A.P.E. and the A.A.D. of the experimental and the calculated delay times by the ATIs for ethanol were 8.33 and 0.88.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제6권4호
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• pp.1006-1025
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• 2012

Improving the quality of service in IP networks is a major challenge for real-time voice communications. In particular, packet arrival-delay variation, so-called "jitter," is one of the main factors that degrade the quality of voice in mobile devices with the voice-over Internet protocol (VoIP). To resolve this issue, a receiver-based enhanced timing recovery algorithm combined with active jitter estimation is proposed. The proposed algorithm copes with the effect of transmission jitter by expanding or compressing each packet according to the predicted network delay and variations. Additionally, the active network jitter estimation incorporates rapid detection of delay spikes and reacts to changes in network conditions. Extensive simulations have shown that the proposed algorithm delivers high voice quality by pursuing an optimal trade-off between average buffering delay and packet loss rate.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2004년도 ICCAS
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• pp.219-222
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• 2004

There are several factors that disturb an Ultra-Wideband (UWB) radio propagation in an indoor environment such as path loss, shadowing and multipath fading. These factors directly affect the quality of the received signal. In this paper, we investigated the influence of the human body shadowing on UWB propagation based on measured wireless channel in an anechoic chamber. The characteristics of the UWB channel including the transmitter and the receiver antenna effects are acquired over the frequency bandwidth of 3${\sim}$11 GHz. The major factors such as the power delay profile (PDP), the angular power distribution (APD), the pulse distortion and the RMS delay spread caused by the human body shadowing are presented.

• 한국시스템다이내믹스연구
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• 제4권2호
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• pp.95-130
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• 2003

The purpose of this study is to find what causes make public projects hold off, going beyond the planned deadline and budget. Using System Dynamics(SD) and their derivative Urban Dynamics(UD) models, it intends to analyze major feedback loops based on VENSIM and to simulate them with STELLA software, all of which are interrelated with various causes of project delay. To prevent or ameliorate project delay, first of all it advises to focus on endogenous delaying factors not exogenous ones. These factors either reinforce or balance certain loops in complex causal structure, In the case example on the Cremation Building Project in Cheongju, Residents’ participation demand make negotiation put off and delayed negotiation reinforces administrative-expediency planning in order to observe a time limit, on the other hand, once building consensus, it increase both the level of planning performance and public trust. In the meantime, the real planning process used to neglect residents opinions and manage public grievance only through compensation, he a result of simulation, visible fruit of negotiation in the initial phase seems to be not satisfactory owing to funds and time consumed, but after reaching an mutual agreement among stakeholders, planning performance is effective and strategic than administrative-expediency planning viewed in both financial and time angle. It proposes to devise specific tools schematizing project implementation. In order to upgrade the quality of project management, it recommends for planners to adopt key concepts based on SD/UD diagrams and causal loops, which would contribute to enriching Planning abbots.

• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9427-9432
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• 2014

Background: Delayed presentation of symptomatic breast cancer is a public health issue in Iran, making a major contribution to low survival. Despite the importance of this problem, current knowledge is insufficient to inform interventions to shorten patient delay. The aim of this study was to explore factors influencing patient delay in Iranian women with self-discovered breast cancer symptom. Materials and Methods: This qualitative study was conducted during 2012-2013. Purposeful sampling was used to recruit 20 Iranian women with self-discovered symptoms of breast cancer who attended the Cancer Institute of Tehran University of Medical Sciences, Tehran, Iran. Data were collected through semi-structured in-depth audiotaped interviews, which were transcribed and analyzed using conventional content analysis with MAXqda software version 10. Findings: Content analysis of the data revealed four main themes related to the delay in seeking medical help including: 1) attributing symptoms to the benign conditions; 2) conditional health behavior; 3) inhibiting emotional expression; and 4) barriers to access to health care systems. Conclusions: These results suggest that patient delay is influenced by complex and multiple factors. Effective intervention to reduce patient delay for breast cancer should be developed by focusing on improvement of women's medical knowledge, managing patients' emotional expression and reform of the referral system.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2004년도 학술대회지
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• pp.468-472
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• 2004

In this paper a VLSI design for the automatic magnetizing system has been presented. This is the design of a peripheral controller, which magnetizes CRTs and computers monitors and controls the automatic inspection system. We implemented a programmable peripheral interface(PPI) circuit of the control and protocol module for the magnetizer controller by using a O.8um CMOS SOG(Sea of Gate) technology of ETRI. Most of the PPI functions has been confirmed. In the conventional method, the propagation/ramp delay model was used to predict the delay of cells, but used to model on only a single cell. Later, a modified "apos;Linear delay predict model"apos; was suggested in the LODECAP(LOgic Design Capture) by adding some factors to the prior model. But this has not a full model on the delay chain. In this paper a new "apos;delay predict equationapos;" for the design of the timing control block in PPI system has been suggested. We have described the detail method on a design of delay chain block according to the extracted equation and applied this method to the timing control block design.

• 한국자동차공학회논문집
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• 제18권2호
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• pp.97-103
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• 2010

The four combustion stages in a diesel engine have close correlation among them. Especially, the ignition delay period has significant effect on the following combustion stage. And the period is also one of inevitable combustion processes in the diesel engine. For example, the diesel knocking is a well-known phenomenon due to the long ignition delay period. The interval of the ignition delay period is affected by the mixture formation process in the cylinder. However, in the case of the D.I. diesel engine, the available duration to make the mixture formation of air-fuel is very short. In addition, the means of the mixture formation mainly depends on the injection characteristics and properties of the fuel. It is difficult to make complete mixture. Therefore, an early stage of combustion is violent, which leads to the weakness of noise and vibration. In this study, using the visible engine, we measured the ignition delay period by photo sensor which detect occurrence of flame and presented the factors of the injection characteristics such as kinds of injection system, the injection pressure and the injection timing. The relation between the ignition delay period and cylinder pressure diagram which was concurrently obtained was also estimated.