• Title/Summary/Keyword: end-use quality

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Korean Medicine Treatment for Pressure Injury in Terminal Stage Cancer Patients with Debridement and Local Flap: A Case Report (변연절제 및 국소 피판술을 시행한 말기 암환자의 욕창에 대한 한의학적 치료 1례)

  • Song, Juyeon;Moon, Jiseong;Min, Seonwoo;Kim, Hakkyeom;Kim, Youngji;Ahn, Lib
    • The Journal of Internal Korean Medicine
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    • v.41 no.3
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    • pp.478-486
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    • 2020
  • Objectives: Pressure injury is a common symptom of end-stage cancer, which impact quality of life. This case study reports on use of traditional Korean medicine in an end-stage cancer patient with pressure injury after debridement and local flap. Methods: A pressure injury with debridement and a local flap was treated using herbal medicine, a carbon arc, acupuncture, dressing, and cooperation in plastic surgery. Pressure injury was followed up with photographs. Results: On the 22nd day of treatment (26 days after the debridement and local flap), redness, swelling, and the condition of pressure injury were all improved. Moreover, the condition of the pressure injury was good without dressing. Conclusions: These results show that traditional Korean medicine may have a positive effect on a pressure injury and improve the quality of life of cancer patients. However, further study is needed to confirm these findings.

Performance Analysis of Flow Control Method Using Virtual Switchs on ATM (ATM에서 가상 스위치를 이용한 흐름 제어 방식의 성능 분석)

  • 조미령;양성현;이상훈
    • Journal of the Korea Computer Industry Society
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    • v.3 no.1
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    • pp.85-94
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    • 2002
  • EMRCA(Explicit Max_min Rate Control Algorithm) switch, which has been proposed in the ATM(Asychronous Transfer Mode) standard, controls the ABR(Available Bit Rate) service traffic in the ATM networks. The ABR service class of ATM networks uses a feedback control mechanism to adapt to varying link capacities. The VS/VD(Virtual Source/Virtual Destination) technique offers the possibility to segment the otherwise end-to-end ABR control loop into separate loops. The improved feedback delay and the control of ABR traffic inside closed segments provide a better performance and QoS(Quality of Service) for ABR connections with respect to throughput, delay, and jitter. This paper is study of an ABR VS/VD flow control method. Linear control theory offers the means to derive correct choices of parameters and to assess performance issues, like stability of the system, during the design phase. The performance goals are a high link utilization, fair bandwidth distribution and robust operation in various environments, which are verified by discrete event simulations. The major contribution of this work is the use of linear control theory to model and design an ABR flow control method tailored for the special layout of a VS/VD switch, the simulation shows that this techniques better than conventional method.

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An Exploratory Study on Healthcare Supply Chain Management of Large Hospitals (대형종합병원의 헬스케어 공급망관리 도입에 관한 탐색적 연구)

  • Park, Seong Taek;Kim, Tae Ung;Kim, Mi Ryang
    • Journal of Digital Convergence
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    • v.17 no.5
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    • pp.145-155
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    • 2019
  • The Healthcare supply chain management has recently attracted attention as a critical tool to improve service quality and reduce healthcare operational cost. Improving large hospital supply chain performance has become increasingly important as healthcare organizations strive to improve the service quality, while reducing the ever-increasing healthcare cost. This paper explores the strategic areas where the traditional supply chain management may enhance the overall performance of the large hospitals. Based on the literature review and relevant case analysis, this paper argues that the visibility, information sharing and standardization are the critical factors for deploying the supply chain principles, and also proposes the supply chain framework for efficient planning and execution, the use of RFID-enabled system for the end-to-end traceability of medical products, and cross-docking system for minimizing the inventory level in the hospital supply chain. Implications of the study findings are discussed.

Practical Considerations in Providing End-of-Life Care for Dying Patients and Their Family in the Era of COVID-19

  • Kim, Yejin;Yoo, Shin Hye;Shin, Jeong Mi;Han, Hyoung Suk;Hong, Jinui;Kim, Hyun Jee;Choi, Wonho;Kim, Min Sun;Park, Hye Yoon;Keam, Bhumsuk
    • Journal of Hospice and Palliative Care
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    • v.24 no.2
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    • pp.130-134
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    • 2021
  • In the era of coronavirus disease 2019 (COVID-19), social distancing and strict visitation policies at hospitals have made it difficult for medical staff to provide high-quality end-of-life (EOL) care to dying patients and their families. There are various issues related to EOL care, including psychological problems of patients and their families, difficulties in EOL decision-making, the complicated grief of the bereaved family, moral distress, and exhaustion of medical staff. In relation to these issues, we aimed to discuss practical considerations in providing high-quality EOL care in the COVID-19 pandemic. First, medical staff should discuss advance care planning as early as possible and use the parallel planning strategy. Second, medical staff should play a role in facilitating patient-family communication. Third, medical staff should actively and proactively evaluate and alleviate dying patients' symptoms using non-verbal communication. Lastly, medical staff should provide care for family members of the dying patient, who may be particularly vulnerable to post-bereavement problems in the COVID-19 era. Establishing a system of screening high-risk individuals for complicated grief and connecting them to bereavement support services might be considered. Despite the challenging and limited environment, providing EOL care is essential for patients to die with dignity in peace and for the remaining family to return to life after the loved one's death. Efforts considering the practical issues faced by all medical staff and healthcare institutions caring for dying patients should be made.

A Survey on 5G Enabled Multi-Access Edge Computing for Smart Cities: Issues and Future Prospects

  • Tufail, Ali;Namoun, Abdallah;Alrehaili, Ahmed;Ali, Arshad
    • International Journal of Computer Science & Network Security
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    • v.21 no.6
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    • pp.107-118
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    • 2021
  • The deployment of 5G is in full swing, with a significant yearly growth in the data traffic expected to reach 26% by the year and data consumption to reach 122 EB per month by 2022 [10]. In parallel, the idea of smart cities has been implemented by various governments and private organizations. One of the main objectives of 5G deployment is to help develop and realize smart cities. 5G can support the enhanced data delivery requirements and the mass connection requirements of a smart city environment. However, for specific high-demanding applications like tactile Internet, transportation, and augmented reality, the cloud-based 5G infrastructure cannot deliver the required quality of services. We suggest using multi-access edge computing (MEC) technology for smart cities' environments to provide the necessary support. In cloud computing, the dependency on a central server for computation and storage adds extra cost in terms of higher latency. We present a few scenarios to demonstrate how the MEC, with its distributed architecture and closer proximity to the end nodes can significantly improve the quality of services by reducing the latency. This paper has surveyed the existing work in MEC for 5G and highlights various challenges and opportunities. Moreover, we propose a unique framework based on the use of MEC for 5G in a smart city environment. This framework works at multiple levels, where each level has its own defined functionalities. The proposed framework uses the MEC and introduces edge-sub levels to keep the computing infrastructure much closer to the end nodes.

An Application-Independent Multimedia Adaptation Framework Using Only Minimum Unit Transcoder Set (최소 단위 트랜스코더 집합만을 이용한 응용 독립적 멀티미디어 적응 프레임워크)

  • Chon, Sung-Mi;Ryu, Dong-Yeop;Lim, Young-Hwan
    • Journal of the Korea Society of Computer and Information
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    • v.11 no.6 s.44
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    • pp.227-235
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    • 2006
  • MPEG-21's digital item adaptation technology becomes a new way for universal multimedia access. It needs transcoder to change media resource's format and so on according to delivery context Then, the use of heavy transcoder with various transcoding functions integrated into one altogether is so complicated and difficult in supporting universal multimedia access. Unit transcoder Is useful is to resolve this question, in which a transcoder has only one transcoding function. This requires considering how to compose a set of unit transcoders. Thus, given a set for end-to-end different service quality pairs according to the character of application as defined by user, this study suggests how to compose complete unit transcoders that can always create one and more transcoding path(s) for each pair in the set. This method has a question of creating too many transcoding paths for each pair or end-to-end different service quality. Thus, this study also suggests the algorithm that generates minimum unit transcoder sets to support multimedia adaptation with minimum unit transcoder. The algorithm suggested was implemented into multimedia stream engine, and this paper describes the results of experiment for this algorithm.

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A Survey research on Current Situation and Effectiveness of Performance Information in the Hang-Tag of Functional Outdoor Jacket (기능성 아웃도어 재킷의 행택을 통한 성능정보 제공 현황과 유용성 및 대안연구)

  • Lee, Eun Byol;Bang, Gi seong;Yoo, Shin Jung
    • Fashion & Textile Research Journal
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    • v.16 no.5
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    • pp.800-810
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    • 2014
  • In this study, the current status of product information of functional outdoor jackets in the hang-tags was investigated in perspective of consumer protection. Effectiveness and preferred alternatives to hang-tag information were also investigated. For the market survey, 1560 hang-tags from 676 functional outdoor jackets were investigated. For the effectiveness and preferred alternatives, 472 adults in their 20-60's were surveyed. The average number of hang-tags was 2.3 but 5.9% did not provide any product information. The contents included functional property of fabric; quality guarantee; brand introduction; product characteristics; instructions for care/usage; subsidiary material information, and they were different depending on end-use of jackets. Consumers strongly wanted explanations of the terms used in the hang-tag and could not accurately figure out the functions of the products from hang-tag information regardless of expression methods. The percentage of incorrect answer of 'figure/foreign language' method was extremely high. It is a noticeable feature of graph method that customers perceived that the graph was difficult to understand, but the percentage of correct answers was much higher than other methods, implying that graph method was possibly more useful at delivering accurate information to the customers who pursuit information. Customers strongly agreed to need of alternative methods and preferred an unified performance grade from selected functions based on the end-use of products. Customers also wanted to include the information of performance change after laundering. The results could provide practical insights to the consumers, companies, and the government to prepare proper guideline/policies for consumer protection.

The Exoscope versus operating microscope in microvascular surgery: A simulation non-inferiority trial

  • Pafitanis, Georgios;Hadjiandreou, Michalis;Alamri, Alexander;Uff, Christopher;Walsh, Daniel;Myers, Simon
    • Archives of Plastic Surgery
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    • v.47 no.3
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    • pp.242-249
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    • 2020
  • Background The Exoscope is a novel high-definition digital camera system. There is limited evidence signifying the use of exoscopic devices in microsurgery. This trial objectively assesses the effects of the use of the Exoscope as an alternative to the standard operating microscope (OM) on the performance of experts in a simulated microvascular anastomosis. Methods Modus V Exoscope and OM were used by expert microsurgeons to perform standardized tasks. Hand-motion analyzer measured the total pathlength (TP), total movements (TM), total time (TT), and quality of end-product anastomosis. A clinical margin of TT was performed to prove non-inferiority. An expert performed consecutive microvascular anastomoses to provide the exoscopic learning curve until reached plateau in TT. Results Ten micro sutures and 10 anastomoses were performed. Analysis demonstrated statistically significant differences in performing micro sutures for TP, TM, and TT. There was statistical significance in TM and TT, however, marginal non-significant difference in TP regarding microvascular anastomoses performance. The intimal suture line analysis demonstrated no statistically significant differences. Non-inferiority results based on clinical inferiority margin (Δ) of TT=10 minutes demonstrated an absolute difference of 0.07 minutes between OM and Exoscope cohorts. A 51%, 58%, and 46% improvement or reduction was achieved in TT, TM, TP, respectively, during the exoscopic microvascular anastomosis learning curve. Conclusions This study demonstrated that experts' Exoscope anastomoses appear non-inferior to the OM anastomoses. Exoscopic microvascular anastomosis was more time consuming but end-product (patency) in not clinically inferior. Experts' "warm-up" learning curve is steep but swift and may prove to reach clinical equality.

Assessment of the Indoor Air Quality at Schools in Ulsan (울산지역 학교의 실내공기질 평가)

  • Jung, Jong-Hyeon;Seo, Bo-Sun;Ju, Dong-Jin;Park, Man-Chul;Shon, Byung-Hyun;Phee, Young-Gyu
    • Journal of Environmental Health Sciences
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    • v.36 no.6
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    • pp.472-479
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    • 2010
  • The purpose of this study was to investigate the concentration of indoor air pollutants at 63 elementary schools, 41 middle schools and 51 high schools in Ulsan from the beginning of May to the end of December, 2008. To assess the indoor air quality of the various classrooms, the 8 indoor air pollutants such as $CO_2$, CO, $NO_2$, $O_3$, $PM_{10}$, TVOCs, HCHO and TBC were measured and analyzed. The mean concentrations of $PM_{10}$ and TBC in the elementary schools were significantly higher than those of middle and high schools (p < 0.01). For the HCHO, the multi-use practice rooms showed an average 1.5 times higher than general classrooms. In schools located in urban areas, the concentrations of CO, $O_3$, $PM_{10}$, HCHO and TBC were lower than in the vicinity of industrial complexes. The exceeding rate of the school air quality maintenance limits in the 6 air pollutants by law were 6.7%, 3.5%, 1.7%, 18.2%, 13.0% and 18.4% for $CO_2$, $NO_2$, $O_3$, $PM_{10}$, HCHO and TBC, respectively. Based on these results $PM_{10}$ and TBC have to be in the order of priority of need to improve the classroom air quality in elementary school of Ulsan.

Analysis of Smartphone Quality Attributes According to User Tendency (사용자 성향에 따른 스마트폰 품질특성 분석)

  • Parkg, Jong Hun;Lee, Sang Cheon;Hong, Jung-Sik
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.42 no.4
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    • pp.153-164
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    • 2019
  • Since the appearance of smartphones, the smartphone market has been in fierce completion by new technologies and marketing trends. The smartphone market is now somewhat saturated, and the manufacturers are trying to improve their position in the market through the repurchase of existing customers and the influx of competitors. At the same time, customers have their own purchasing criteria for smartphones. Therefore, manufacturers need to determine new technology and marketing trends based on customer purchasing trends and usage characteristics. The aim of this study is to analyze the quality attributes of smartphones. We conducted a survey on 220 respondents, and divided the respondents into several groups by purchasing trends and usage characteristic through cluster analysis. The groups are analyzed and compared based on the Kano model for the quality attributes of smartphone. The analysis result are as follows. Firstly, purchasing trends divide responders into groups that prefers high-end premium smartphones and those that take into account practicality in terms of purchasing trends. Secondly, usage characteristic divide responders into three groups: those with clear usage pattern, those who prefer ease of use, and the rest, and we find out that those with clear usage pattern are important customer in viral marketing. Lastly, Kano analysis is revealed the 'Slow/hi-speed camera', 'Private mode', 'Widget', 'Health care' are attractive quality attributes.