• 제목/요약/키워드: service state

검색결과 2,258건 처리시간 0.033초

An Improvement Plan with Assessment of Therapeutic Drug Monitoring Service for Vancomycin (Vancomycin Therapeutic Drug Monitoring 운영 실태 조사와 업무 개선 방안)

  • Kim, Hae-Sook;Lee, Suk-Hyang
    • Korean Journal of Clinical Pharmacy
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    • 제19권2호
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    • pp.120-130
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    • 2009
  • The objective of this study was to analyze and to improve therapeutic drug monitoring(TDM) service of vancomycin in a local hospital. Patients with TDM service between September 2005 and December 2008 were included and the data were collected for vancomycin use and components of TDM. During that period, 421 cases of TDM service of vancomycin in 236 patients were retrospectively reviewed. The first dosages of vancomycin were appropriate in 135(57.2%) patients and administration of vancomycin was discontinued in 126(53.4%) patients due to therapeutic failure or adverse drug reaction. MRSA was identified in 191(80.9%) patients and 135(70.7%) samples for the identification were sputum. According to the TDM reports, 232(55.1%) serum samples were obtained at the steady-state conditions and 55.5% of the samples that were drawn before the steady-state was due to the physician's inappropriate knowledge about the steady-state. Based on the time of vancomycin administration, 35.8% of the samples were not obtained at the recommended sampling time. For the patients in general wards, the most common reason for the incorrect samples was routine serum sampling by the laboratory medicine phlebotomists between 6 and 8 a.m. except sunday. In contrast, samples drawn by nurses or physicians at inappropriate time were the most common reason for the incorrect samples with patients in the intensive care units. Physicians accepted 68.5% of the recommendations for vancomycin dosage and administration. In conclusion, TDM service of vancomycin needs to be improved in inappropriate sampling time and vancomycin dosage. For solving these problems, current team made of TDM pharmacists and physicians of laboratory medicine can be expanded to include a physician of infectious diseases, nurses and laboratory medicine phlebotomists as new members. Through the TDM service of vancomycin by the new team, we can settle the problems and make the guideline for the scientific controversies associated with therapeutic monitoring of vancomycin.

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A Converged Profile and Authentication Control Scheme for Supporting Converged Media Service (융합 미디어 서비스 제공을 위한 통합 프로파일 및 인증제어 기술 연구)

  • Lee, Hyun-Woo;Kim, Kwi-Hoon;Ryu, Won
    • The Journal of Korean Institute of Communications and Information Sciences
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    • 제35권3B호
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    • pp.503-516
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    • 2010
  • In this paper, we propose the converged profile and authentication scheme for supporting converged media services of broadcasting & communications convergence in fixed mobile convergence networks. The proposed scheme supports the management of access, service, mobility and IPTV profiles on subscriber and a function of open API(Application Program Interface) for providing the subscriber profile for the third party service provider with the PUSH/PULL method. The open API is based on a web service and a REST(Representational State Transfer) and provides various services for the third party service provider with ease. In addition, the proposed scheme supports a function of SSO(Single Sign-on). After user succeeded in establishing an access connection, user can sustain the same authentication state with this function although connected access network is changed or IMS(IP Multimedia Subsystem) service network is attached. We evaluate and analyze the performance of the proposed scheme through the implementation of CUPS(Converged User Profile Server) system test-bed.

An Approach to Assessment of the Value of Black Start Service (자체기동 보조서비스의 가치평가 산정 방안)

  • Lee, Jeong-Ho;Oh, Tae-Kyoo;Kang, Dong-Joo;Ok, Ki-Youl
    • The Transactions of The Korean Institute of Electrical Engineers
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    • 제58권2호
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    • pp.256-263
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    • 2009
  • For the power system to keep in a stable operating state, sufficient ancillary services must be available to respond to credible contingency events and return the power system to a satisfactory operating state in the case of contingencies as well as blackout events within specified predefined limits. The logical and reasonable bases of valuing and pricing the ancillary services are required to reach the common ground among market participants. The total amount of black start service transactions is quite small compared to the total ancillary service transactions as well as energy market transactions. Black start services must be provided as one of the ancillary services in the deregulated electricity market. In order to procure and remunerate black start services, it is necessary to quantify the value of the black start sources within the power system. In this paper, an approach to assess the value of the black start service is presented based on the cost-of-service solution. Financial simulation of the influence on market participants for the proposed approach on the service is carried out. The cost of the black start service is allocated in accordance with the principle of "causer pays", and the cost is shared by the producers and consumers equally that created the requirement for the service. Under the present electricity market, the mechanism to recover the cost is not implemented, a new approach to the ancillary services to provide incentive for the service providers has to be studied in the near future.

Performance Analysis of IEEE 802.15.4e Time Slotted Channel Hopping for Low-Rate Wireless Networks

  • Chen, Shuguang;Sun, Tingting;Yuan, Jingjing;Geng, Xiaoyan;Li, Changle;Ullah, Sana;Alnuem, Mohammed Abdullah
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제7권1호
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    • pp.1-21
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    • 2013
  • The release of IEEE 802.15.4e specification significantly develops IEEE 802.15.4. The most inspiring improvement is the enhancement for medium access control (MAC) sublayer. To study the performance of IEEE 802.15.4e MAC, in this paper we first present an overview of IEEE 802.15.4e and introduce three MAC mechanisms in IEEE 802.15.4e. And the major concern here is the Time Slotted Channel Hopping (TSCH) mode that provides deterministic access and increases network capacity. Then a detailed analytical Markov chain model for TSCH carrier sense multiple access with collision avoidance (CSMA-CA) is presented. Expressions which cover most of the crucial issues in performance analysis such as the packet loss rate, energy consumption, normalized throughput, and average access delay are presented. Finally the performance evaluation for the TSCH mode is given and we make a comprehensive comparison with unslotted CSMA-CA in non-beacon enabled mode of IEEE 802.15.4. It can validate IEEE 802.15.4e network can provide low energy consumption, deterministic access and increase network capacity.

Introducing an Integrated Library Information Service with Learning Management System: Library on Blackboard from Murray State University Libraries (미국 대학도서관의 수업지원 시스템과 연계한 맞춤형 정보검색 서비스에 대한 고찰 - 머레이 주립 대학(MSU)의 사례를 중심으로 -)

  • Kim, Dong-Wan
    • Journal of the Korean Society for Library and Information Science
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    • 제44권2호
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    • pp.29-50
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    • 2010
  • The purpose of this study presents a model of the integrated online library service with LMS (Learning Management System). The new library service is called 'Library on Blackboard' which was developed and implemented by Murray State University Libraries in Murray, Kentucky, USA. This user-centered service with applied information technology has the potential to enhance the quality of the library performance in university libraries. The introduction of the Learning Management System in South Korea has a potential to enhance the education environment and promote new library services. With the emergence of new information technologies and growing popularity in online classes and distance education programs, the importance and usage of Learning Management Systems in higher education has increased.

Stochastic Channel Modeling for Railway Tunnel Scenarios at 25 GHz

  • He, Danping;Ai, Bo;Guan, Ke;Zhong, Zhangdui;Hui, Bing;Kim, Junhyeong;Chung, Heesang;Kim, Ilgyu
    • ETRI Journal
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    • 제40권1호
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    • pp.39-50
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    • 2018
  • More people prefer using rail traffic for travel or for commuting owing to its convenience and flexibility. The railway scenario has become an important communication scenario in the fifth generation era. The communication system should be designed to support high-data-rate demands with seamless connectivity at a high mobility. In this paper, the channel characteristics are studied and modeled for the railway tunnel scenario with straight and curved route shapes. On the basis of measurements using the "Mobile Hotspot Network" system, a three-dimensional ray tracer (RT) is calibrated and validated for the target scenarios. More channel characteristics are explored via RT simulations at 25.25 GHz with a 500-MHz bandwidth. The key channel parameters are extracted, provided, and incorporated into a 3rd-Generation-Partnership-Project-like stochastic channel generator. The necessary channel information can be practically realized, which can support the link-level and system-level design of the communication system in similar scenarios.

An Efficient Revocable Group Signature Scheme in Vehicular Ad Hoc Networks

  • Zhao, Zhen;Chen, Jie;Zhang, Yueyu;Dang, Lanjun
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제9권10호
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    • pp.4250-4267
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    • 2015
  • Although many revocable group signature schemes has been proposed in vehicular ad hoc networks (VANETs), the existing schemes suffer from long computation delay on revocation that they cannot adapt to the dynamic VANETs. Based on Chinese remainder theorem and Schnorr signature algorithm, this paper proposes an efficient revocable group signature scheme in VANETs. In the proposed scheme, it only need to update the corresponding group public key when a member quits the group, and in the meanwhile the key pairs of unchanged group members are not influenced. Furthermore, this scheme can achieve privacy protection by making use of blind certificates. Before joining to the VANETs, users register at local trusted agencies (LTAs) with their ID cards to obtain blind certificates. The blind certificate will be submitted to road-side units (RSUs) to verify the legality of users. Thus, the real identities of users can be protected. In addition, if there is a dispute, users can combine to submit open applications to RSUs against a disputed member. And LTAs can determine the real identity of the disputed member. Moreover, since the key pairs employed by a user are different in different groups, attackers are not able to track the movement of users with the obtained public keys in a group. Furthermore, performance analysis shows that proposed scheme has less computation cost than existing schemes.

Intelligent Scheduling Control of Networked Control Systems with Networked-induced Delay and Packet Dropout

  • Li, Hongbo;Sun, Zengqi;Chen, Badong;Liu, Huaping;Sun, Fuchun
    • International Journal of Control, Automation, and Systems
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    • 제6권6호
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    • pp.915-927
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    • 2008
  • Networked control systems(NCSs) have gained increasing attention in recent years due to their advantages and potential applications. The network Quality-of-Service(QoS) in NCSs always fluctuates due to changes of the traffic load and available network resources. To handle the network QoS variations problem, this paper presents an intelligent scheduling control method for NCSs, where the sampling period and the control parameters are simultaneously scheduled to compensate the effect of QoS variation on NCSs performance. For NCSs with network-induced delays and packet dropouts, a discrete-time switch model is proposed. By defining a sampling-period-dependent Lyapunov function and a common quadratic Lyapunov function, the stability conditions are derived for NCSs in terms of linear matrix inequalities(LMIs). Based on the obtained stability conditions, the corresponding controller design problem is solved and the performance optimization problem is also investigated. Simulation results are given to demonstrate the effectiveness of the proposed approaches.

Related Factors on Health Service Utilization and Satisfaction of Health Center Clients -Using '2010 Community Health Survey'- (보건기관 이용 현황 및 만족도와 관련 요인 -'2010지역사회건강조사' 자료를 이용하여-)

  • Kim, Hye-Sook;Park, Young-Hee
    • The Korean Journal of Health Service Management
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    • 제7권3호
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    • pp.95-109
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    • 2013
  • The objective of this study is to assess the utilization and satisfactions about public health centers in Korea. For the analysis, the study utilize the nationwide data of 229,229 person on '2010 Community Health Survey' of Ministry of Health & Welfare. The statistical methodology used in the study is ${\chi}^2$, ANOVA, logistic regression model and multiple regression model. This study have four major findings. First, the significant affecting socio-demographic factors in utilizing public health center were gender, age, region, national basic living secured, married, income, education, job, state of health, chronic disease, unmet medical needs and utilization reason. Second, the most serviced category of health center user was vaccination both city and rural area and the next was certificate, primary care, health screening, other use, the mother and child in city area, primary care, health screening, certificate, home visiting health in rural area. Third, the significant affecting socio-demographic factors in satisfaction degree on health center service were age, region, national basic living secured, income, education, job, state of health, utilization degree and reason. Fourth, the most satisfied service of health service center was home visiting health in city area and mental health service in rural area and the next was nutritive control and the lowest satisfied service was user of certificate. The utilization and satisfaction on health center service were identified as different with residental area and user's characteristics. The politic effort are needed to support socially disadvantaged class and to narrow regional gap.