• Journal of The Korea Institute of Healthcare Architecture
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• v.24 no.2
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• pp.27-36
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• 2018

Purpose: In the case of mass disaster, the establishment of temporary medical facilities for the first aid and treatment is required for the stable accommodation of patients caused by the disaster. However, the criteria for decision making related to the deployment of field emergency medical facilities are not specified. So, The purpose of this study is to draw considerable factors needed for the deployment of field emergency medical facilities and to make proposal for site selection process of field emergency medical facilities on the basis of the factor. Methods: This study performs text mining of disaster-related laws, guidelines and documents to derive key factors affecting site selection, also proposes a decision making process and conducts virtual deployment to validate the process. Results: The key factors for the site selection derived as the size of the damage, the size of the DMAT inputs, the location of available place, and distance to the disaster base hospital. As a result of virtual deployment following proposed decision making process, It is confirmed that the site of field emergency medical facilities is changed depending on the type of disaster, even if the scope of the disaster damage was the same. Implications: The deployment of field emergency medical facilities requires a separate criteria for each type of disaster, not uniform, as a future research a quantitative approach of the criteria needs to be performed.

• Journal of Chest Surgery
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• v.56 no.6
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• pp.435-444
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• 2023

Background: Edwards Intuity is recognized as a relatively contraindicated bioprosthesis for bicuspid aortic valve disease. This study compared the early echocardiographic and clinical outcomes of rapid-deployment aortic valve replacement for bicuspid versus tricuspid aortic valves. Methods: Of 278 patients who underwent rapid-deployment aortic valve replacement using Intuity at Seoul National University Hospital, 252 patients were enrolled after excluding those with pure aortic regurgitation, prosthetic valve failure, endocarditis, and quadricuspid valves. The bicuspid and tricuspid groups included 147 and 105 patients, respectively. Early outcomes and the incidence of paravalvular leak were compared between the groups. A subgroup analysis compared the outcomes for type 0 versus type 1 or 2 bicuspid valves. Results: The bicuspid group had more male and younger patients. Comorbidities, including diabetes mellitus, hypertension, chronic kidney disease, and coronary artery disease, were less prevalent in the bicuspid group. Early echocardiographic evaluations demonstrated that the incidence of ≥mild paravalvular leak did not differ significantly between the groups (5.5% vs. 1.0% in the bicuspid vs. tricuspid groups, p=0.09), and the early clinical outcomes were also comparable between the groups. In the subgroup analysis between type 0 and type 1 or 2 bicuspid valves, the incidence of mild or greater paravalvular leak (2.4% vs. 6.7% in type 0 vs. type 1 or 2, p=0.34) and clinical outcomes were comparable. Conclusion: Rapid-deployment aortic valve replacement for bicuspid aortic valves demonstrated comparable early echocardiographic and clinical outcomes to those for tricuspid aortic valves, and the outcomes were also satisfactory for type 0 bicuspid aortic valves.

• The Korean Journal of Emergency Medical Services
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• v.28 no.2
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• pp.157-172
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• 2024

Purpose: Ensuring prompt and consistent 119 emergency services for all citizens is crucial and requires every region to adhere to prescribed deployment standards Methods: This study assessed the compliance with 119 emergency resource deployment standards in 229 districts (si-gun-gu) by analyzing data from 18 fire headquarters as of December 31, 2022. Results: At the Sigun-gu level, 16 areas (7%) did not meet the fire station standards. Among the 229 si-gun-gu, 25 (10.9%) failed operational ambulance standards, and 114 (49.8%) did not meet the 119 first responder standards. Areas lacking fire station standards had lower financial self-sufficiency and higher elderly and single-person elderly household proportions (p<.05). Areas not meeting ambulance standards had lower proportions of these populations, but higher financial self-sufficiency. In addition, areas that did not meet the 119 first-responder standards had greater financial autonomy (p<.05). Areas meeting only basic fire station standards had higher proportions of elderly and single-person households and lower financial self-sufficiency. Areas meeting only ambulance standards had lower financial autonomy, whereas those meeting only emergency medical technician standards had lower financial self-sufficiency and a higher elderly proportions (p<.05). Conclusion: Si-gun-gu, with a large elderly population and poor finances, often fails to meet fire station standards and meets only the basic criteria. Continuous monitoring and targeted management are crucial for reducing disparities in 119 resource allocation and improving the overall deployment.

• Journal of the Korea Institute of Military Science and Technology
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• v.19 no.2
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• pp.145-154
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• 2016

In this paper, a pneumatic device for the deployment performance verification of canards deployed by inertia has been designed and the performance of the pneumatic device has been proven through analysis and tests. The pneumatic conveying process, orifice opening process and piston movement process of the pneumatic device were investigated by using numerical methods. The orifice diameter, pressure in a pressure tank and type of gas were regarded as the main design parameters of the pneumatic device. The error rate between analysis and test results under the same conditions was within 4 %. The accuracy of numerical methods used in this study were validated.

• Journal of Korean Society for Quality Management
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• v.42 no.3
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• pp.279-290
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• 2014

Purpose: The purpose of this study is to propose adoption of QFD and Stage-gate in order to analyze the quality of korea defense system. Methods: Drawing change data of initial production phase in korea defense system were anlayzed and a practical method was proposed. Results: The results of this study are as follows; Off line Quality Control should be introduced in development phase. Specially, in case of defense system, the best method is QFD(Quality Function Deployment) and Stage-gate process. At first, QFD 1 step defines product planning from VOC(Voice Of Customer), QFD 2 step specifies part planning from product planning, QFD 3 step defines process planning from part planning, QFD 4 step defines production planning from previous process planning. Secondly, Stage-gate process is adopted. This study is proposed 5 stage-gate in case of korea defense development. Gate 1 is located after SFR(System Function Review), Gate 2 is located after PDR(Preliminary Design Review), Gate 3 is located after CDR(Critical Design Review), Gate 4 is located after TRR(Test Readiness Review) and Gate 5 is located before specification documentation submission. Conclusion: Off line QC(Quality Control) in development phase is necessary prior to on line QC(Quality Control) in p roduction phase. For the purpose of off line quality control, QFD(Quality Function Deployment) and Stage-gate process can be adopted.

• Transactions of the Korean Society for Noise and Vibration Engineering
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• v.26 no.3
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• pp.242-247
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• 2016

This work investigates the performances of active hood lift system(AHLS) activated by two different operating methods through the experimental test. In the AHLS, the deployment time of the system and decrement of pedestrian injury are the most important factors for the pedestrian safety during the pedestrian-vehicle impact. After introducing the working principle of AHLS using spring actuator and gunpowder actuator, the deployment time of AHLS and decrement of pedestrian injury are evaluated by the experimental test. It has been identified that the gunpowder actuator can provide a faster deploying time of AHLS.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.42 no.1
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• pp.140-148
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• 2017

This paper focused on finding a cost-effective LTE mobile network design methodology, suitable for socio-economic circumstances of developing countries. Developing countries have different requirements and circumstances compared with those of developed countries that had deployed LTE networks in advance, thus a differentiated way of design and deployment methods are necessary. This paper analyzed LTE design-related attributes of developing countries, identified relevant technological requirements and appropriate technologies, and suggested design methodologies. These suggestions were verified through the case studies of several developing countries that a Korean telecommunication company (Korean telecom company A) had participated in the LTE design and deployment for future reference by other developing countries.

• Journal of The Korea Institute of Healthcare Architecture
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• v.25 no.1
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• pp.29-40
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• 2019

Purpose: The purpose of this study is to analyze the deployment characteristics of korean and foreign mobile hospitals and to draw out the advantages and disadvantages based on the movement of patients. Methods: The arrangement and user movement lines of foreign mobile hospitals which were actually utilized, and the arrangements and user movement lines of korean mobile hospitals are compared and analyzed. Based on the results of the comparative analysis, we suggest the optimal placement of mobile hospital in Korea. Results: The recently developed Korean mobile hospitals have made many improvements. However, there is no practical use case for the mobile hospital in Korea, so it is necessary to establish the basis for the mobile hospital development site and the site access considerations. In addition, there is no detailed analysis of the movement of the administrators other than the medical staff, and it is considered that research on safe waste disposal is further needed. Implications: It is highly likely to be used as a basic data to find out the combination method of mobile hospitals that can efficiently deal with disasters through the arrangement and movement analysis of mobile hospitals in Korea and abroad.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.18 no.9
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• pp.2739-2763
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• 2024

In wide area SDP networks, the failure of SDP components caused by malicious attacks will be accompanied by different deployment locations, profoundly affecting network service latency. However, traditional deployment methods based on prior knowledge are no longer applicable to dynamic SDP networks. This article proposes a dynamic and dimensionally variable deployment mechanism DDPG-SDPCR for SDP components based on DDPG, which enhances the network's endogenous security capability and improves attack tolerance. Based on this, we constructed corresponding mathematical models for latency, load balancing, and attack tolerance. The DDPG-SDPCR mechanism dynamically deploys new SDP nodes to replace faulty nodes based on the real-time status of the network, thereby achieving imperceptible attack tolerance for users. We have implemented a wide area SDP prototype with endogenous security capabilities and evaluated it under different network topologies, traffic sizes, and network attacks. The evaluation results indicate that under high traffic conditions, our proposed redeployment mechanism outperforms the baseline by 36.42% in latency, and only increases by 19.24% compared to the non attacked situation.

• Journal of The Korea Institute of Healthcare Architecture
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• v.24 no.3
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• pp.39-47
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• 2018

Purpose: The purpose of this study is to examine the deployment types and characteristics of mobile hospitals with it's historical backgrounds. Methods: Since the disaster can not be classified by country, the scope of the study is to include both domestic and foreign mobile hospitals. In order to minimize the casualties from the field hospitals used at the time of the First World War, which is the mother of mobile hospitals, we analyzed the mobile hospitals which are more compact and changed to the target areas and analyzed the mobile hospitals. Results: Historically, mobile hospitals have been transformed in a way that they are close to the target area and rapidly inject essential elements, and the deployment of wards has evolved to be able to combine in any form with center corridor. In the case of hospitals that can deal with infectious diseases, each treatment room was installed separately to thoroughly separate the copper wire. Implications: As disaster damage increases and incidence increases, field response should be quick. However, research on mobile hospitals, which are indispensable for field response in Korea, has not been conducted in various ways. From the origins of mobile hospitals, the development process is reviewed, and research is carried out to clarify the grounds and backgrounds for the planning of mobile hospitals that are quick and appropriate to the situation in Korea and abroad.