• Title/Summary/Keyword: supply delay

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A Research on the Total Emergency Room Time for Child Patients under 14 years suffering from External Injuries using Medical Information (의료정보를 활용한 14세 이하 외상환자 응급실 총 경유시간에 미치는 요인)

  • Jeon, Eun-Ju;Kim, Kwang-Hwan
    • Korea Journal of Hospital Management
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    • v.13 no.4
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    • pp.27-45
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    • 2008
  • This research focused on a total of 378 patients with external injuries under the age of 14 who visited the emergency center at a university hospital in Korea, during the months of January, April, August and November between January and December of 2007. In addition, the survey was conducted only on even number days and ranged across the whole year to reflect the impact of seasonal characteristics on the collected data. The research focused on determining the characteristics and inflicting cause of these patients with external injuries, analyzed the total time spent in the emergency room and obtained the following results. 1. When classifying the patients into different genders, the proportion of males (67.5%) was higher than that of females (32.5%). According to the different age groups, the highest ratio, at 61.1 %, was patients under the age of six. 2. Looking at the total number of minutes spent in the emergency room, the longest amount of time occurred during April with 162.7 minutes, followed by 121.9 minutes in January and 92.4 minutes in November. August had the shortest period of time spent in the emergency room, a significant statistical difference from the other periods of the year (p<0.001). 3. Regarding the amount of time required for each examination, patients required to provide a urine test spent an average of 204.7 minutes while those who did not spent 113.5 minutes on average. This is a 5% statistical difference among the two groups (p>0.05). 4. Looking at the five most commonly diagnosed problems in the emergency room, the total number of people with these top five commonly diagnosed illnesses comprised 55.6%, or 210 patients out of 378. 5. Utilizing the Decision Tree Model to estimate the total number of minutes required per visit, the first classifications were made using a chemical examination factor. People subject to chemical classification spent an average of 177.7 minutes, which was longer than the overall average of 115.2 minutes, and those exempt from chemical examination spent an average of 103.8 minutes, which was shorter than the average Conclusion; Effort to curtail the total time spent in emergency rooms is vital in guaranteeing efficient management of hospitals and providing medical services. The delay experienced by many comprehensive professional medical centers must be resolved through the establishment of effective delivery of medical services, increased supply of patient rooms and other policy oriented implementations. However, for now, this problem must be resolved by increasing the level of patient satisfaction and guaranteeing effective operation of patient rooms, which will significantly contribute to the general management and success of hospitals and institutions.

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The Result and Attentiveness of Reconstructive Surgery by Anterolateral Thigh Perforator Free Flap (전외측 대퇴부 천공지 유리피판술의 실패 원인과 합병증)

  • Kang, Kyung-Dong;Lee, Jae-Woo;Kim, Kyoung-Hoon;Oh, Heung-Chan;Choi, Chi-Won;Choi, Soo-Jong;Bae, Yong-Chan;Nam, Su-Bong;Kim, Jung-Il;Chu, Gi-Seok
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.27-34
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    • 2011
  • Purpose: Anterolateral thigh (ALT) perforator free flap is commonly used because of its various benefits. The author reports important factors of preoperative and perioperative ALT perforator free flap and causes of failure. Methods: 84 patients who were treated with ALT perforator free flap from December 2004 to 2008, and February 2010 to April 2010 were studied. 61 patients were male and 23 were female. The mean age of patients was 51.1. The main cause was neoplasm and the main reconstructive areas were head and neck area. The size of flap was various from $3{\times}4$ to $12{\times}18$ cm. 6 patients received split thickness skin graft at donor site. Preoperative angiography was checked to all patients. Results: Among the 84 patients, partial necrosis of flaps occurred in 4 patients because of atherosclerosis, varicose vein, or inattention of patient, etc. And total flap necrosis in 5 patients because of abnormal vessels of recipient area or delay of operation, etc. One case of serous cyst was found as the complication of donor area. Two cases of skin graft on donor site were done because of suspected muscle compartment syndrome, 4 cases of that because of large flap. Septocutaneous perforators were found in 7 cases. The author couldn't find reliable perforator in 3 cases, ipsilateral anteromedial thigh perforator and contralateral ALT perforator and latissimus dorsi musculocutaneous free flap were done instead of ALT. There was no case which needed reoperation because of the impairment of blood supply, and 3 cases were revised by leech because of the burn injury by a lamp or venous congestion. Conclusion: Although ALT perforator free flap is widely used with its various merits, many factors such as preoperative condition of donor or recipient area, morphology of defect and operating time need to consider to prevent flap necrosis. And operators should need careful technique because septocutaneous perforator is uncommon, and musculocutaneous perforator is common but difficult to dissect.

A Study on The Law and System of The Private Body Guard in Korea (한국(韓國) 민간신변보호(民間身邊保護)의 발전(發展)을 위한 법규(法規) 및 제도(制度)에 관한 고찰(考察))

  • Lee, Han-Ick
    • Korean Security Journal
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    • no.1
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    • pp.283-319
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    • 1997
  • Our society witnesses the rapid progress in the areas of politics, economy, society and culture in the process of national modernization since 1960s, which in turn as a reverse function gets to contract a societic pathology, totally lowering the security level of citizens' lives owing to various violent crimes like hostage commotions and murders with rifles and deadly weapons. what is the main reason for that? That may be partly because the chief police force concentrates on the current situation resulting in the vacuum of the public peace. However, the main reason is that the police fall short of man-power and equipments even if the whole police power were put to use in preventing and quelling the crimes. That is true not only of Korea but also of the advanced countries like the U.S.A., England and Japan. We realize that these advanced countries have higher level of security in every individual's life and property than Korea because their progress of the private guard systems can fill in a vacuum of the shortage of the police power, Therefore, we should without delay internationalize our private guard systems expecting the widely opening of the guard service markets in the age of Uruguay Round. To do this, we need to change our ideas for fostering the policy of the private guard from passive defense ideas into positive aggressive ones. Our police should urgently set up a plan to pursue the orientation of vision that we should dispatch our private guards overseas before foreign guards rush into our markets. Accordingly it goes without saying that the private guard group should distinguish their services from the public services initiating their own theory and strategy of private guard services and also readjust themselves between the public duties and the private services with the study of minimizing the reverse function of the private guard systems. The history criminal justice has always shown that the criminal system progressed at the initiative of the civil factor in case its demand and supply do not make both ends meet. Nevertheless, in the process the power of the government never weakens, rather it is built up in general. In conclusion, the necessity of the build-up of the private guard services must duly be acknowledged by the police as well as by the business which has its unique sphere within the criminal justice instead of as the suplemtary services of the simple the police power on the long-term basis. The purpose of the private guard services can be largely classified into the two categories; first it means the function to prevent the crimes against the citizens and secondly to enhance the national interest as an increasing mammoth business with a worldly competition capacity. The police has an absolute responsibility that they should protect the modem public in general from feeling the crisis of the personal threat, tension, anxiety and nervousness. In short, if we develop the complete private guard system to guarantee the societic atmosphere for all citizens, keep the public peace, and protect all citizens' lives and properties, we will sure enjoy a beautiful land, a wholesome society and a happy life in goodharmony of law and order.

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The analysis of two-lane highway traffic flows in case of the neighborhood electric vehicle involved (2차로도로에서 저속전기자동차 혼입에 따른 교통류 특성분석)

  • Jang, Keun-Woo;Jung, Sung-Hwa;Cho, Ju-Myung;Jung, Phil-Hyun
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.10 no.5
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    • pp.124-134
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    • 2011
  • To make popular the NEV(Neighborhood Electric Vehicles) uses, it must be considered the supply of infrastructure and the political decision for NEV. However, the guidelines of infrastructure for NEV are not prepared. The guidelines of infrastructure for NEV should be performed in many research and case. The purpose of this study is to reveal the influence of NEV on the two-lane highway traffic flows by TWOPAS simulation model. The main items to check the influence are Average Travel speed, Percent Time Spent Following and Total Delay. The scenario were setup by traffic volume. And the NEV percentages are changed from 1% ~ 30%. The scenario 1 which traffic volume are 650veh/h and the scenario 4 which traffic volume are 2,600veh/h are less influenced by NEV, compare to scenario 2, scenario 3. Because the scenario 1 is more free to make passing other cars and Scenario 4 is fully saturated with existing traffic volumes. The urban two-lane highway which has much traffic volume and the rural two-lane highway which has little traffic volume has affinity for NEV than the other two-lane highway.

Manufacture of Immobilization Device (Vac-lok) and the Usefulness of Evaluation for Reproducibility of Patients in the Radiotherapy (환자의 재현성을 위한 고정장치(Vac-lok) 제작과 방사선치료에서 유용성 평가)

  • Lee, Jae-Seung;Kim, Gyoung-Hee;Jeong, Kyu-Hwan;Kweon, Dae-Cheol;Goo, Eun-Hoe;Park, Cheol-Woo;Im, In-Chul;Dong, Kyung-Rae;Chung, Woon-Kwan
    • Journal of Radiation Protection and Research
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    • v.36 no.1
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    • pp.8-16
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    • 2011
  • We manufactured the Vac-lok that can be applied to patient of special body shape and need to special set-up position and evaluated the usefulness in the radiation therapy. The manufacture Vac-lok, It was used EVA resin and biobeadform of a diameter 1.5 mm. carried out the test of functionality, structural and analyzed the relative reproducibility of phantoms and patients. During the total period of radiation therapy, Vacuum pressure bring variety to a very small amount in the test of functionality of the manufacture Vac-lok. But It was a negligible quantity. The manufacture Vac-lok improved the relative reproducibility of phantoms than the existing Vac-lok and tolerance has a confidence less than 4% error. Also, relative reproducibility of patient increased error than phantom in the antero-posterior and lateral plan. However, the maximum set-up error was less than ${\pm}\;2.3$ mm. In conclusion, If tolerance set-up error of radiotherapy is less than ${\pm}\;3$ mm, the manufacture Vac-lok was enough possible to use and improvement of reproducibility, considering supply with the Vac-lok made to measure of special patient that produced at a low price and without delay.

Design of a Feature-based Spatial Data Management System for Digital Map (수치지도를 위한 피처 기반 공간자료 관리 시스템 설계)

  • Chi, Jeong-Hee;Kim, Seung-Kwan;Ryu, Keun-Ho;Kim, Myung-Jun
    • Journal of Korea Spatial Information System Society
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    • v.7 no.3 s.15
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    • pp.107-118
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    • 2005
  • Various spatial data are utilized, through geographic information system, for the process to make a decision related to space. Generally, spatial data is large in quantity and it costs high and takes quite a long time for producing and maintaining it. An existing spatial data management system, tile-based one, for digital map manages spatial data being separated by a uniform data unit called tile. These systems can be implemented easily but have many problems such as they can directly store and manage feature included in tile. Therefore, in this paper, we suggest a feature-based spatial data management system for digital map. The proposed system is able to store and manage spatial data in the unit of feature directly. Hence this system is able to immediately update any change in the data and to supply users with the updated data without any delay. The proposed system can not only support a function of data input, management, supplying and update but also support unity origin coordinate conversion, UFID creation, feature unifying, feature dividing and metadata input which is not supported by the existing tile-based system. The proposed system can easily manage spatial data and can increase efficiency in processing and application.

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Numerical Study of Evaporation and Ignition of in-line Array Liquid Droplets (액적 배열의 증발과 착화에 관한 수치해석적 연구)

  • 김충익;송기훈
    • Fire Science and Engineering
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    • v.13 no.1
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    • pp.37-47
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    • 1999
  • The spreading fire of very small floating particles after they are ignited is fast and t therefore dangerous. The research on this area has been limited to experiments and global simulations which treat them as dusts or gaseous fuel with certain concentration well m mixed with air. This research attempted micro-scale analysis of ignition of those particles modeling them as liquid droplets. For the beginning, the in-line array of fuel droplets is modeled by two-dimensional, unsteady conservation equations for mass, momentum, energy and species transport in the gas phase and an unsteady energy equation in the liquid phase. They are solved numerically in a generalized non-orthogonal coordinate. The single step chemical reaction with reaction rate controlled by Arrhenius’ law is assumed to a assess chemical reaction numerically. The calculated results show the variation of temperature and the concentration profile with time during evaporation and ignition process. Surrounding oxygen starts to mix with evaporating fuel vapor from the droplet. When the ignition condition is met, the exothermic reactions of the premixed gas initiate a and burn intensely. The maximum temperature position gradually approaches the droplet surface and maximum temperature increases rapidly following the ignition. The fuel and oxygen concentration distributions have minimum points near the peak temperature position. Therefore the moment of ignition seems to have a premixed-flame aspect. After this very short transient period minimum points are observed in the oxygen and fuel d distributions and the diffusion flame is established. The distance between droplets is an important parameter. Starting from far-away apart, when the distance between droplets decreases, the ignition-delay time decreases meaning faster ignition. When they are close and after the ignition, the maximum temperature moves away from the center line of the in-line array. It means that the oxygen at the center line is consumed rapidly and further supply is blocked by the flame. The study helped the understanding of the ignition of d droplet array and opened the possibility of further research.

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A Study on the Impacts of Manufacture's Sales Policy of Each Power Source on Sales Will by Agency (제조업체의 파워원천별 영업정책이 대리점의 판매의지에 미치는 영향에 관한 연구)

  • Lee, Han-Il;Park, Jong-Oh
    • Management & Information Systems Review
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    • v.29 no.3
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    • pp.23-50
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    • 2010
  • This study is that the manufacturer's sales policy power appeared on the source of local distributors through the sale willingness impact on research for coexistence between the manufacturer and dealer sales for developing policy. Dealers in terms of the sale of regional sales willingness says "manufacturers and retailers to connect to the regional distribution on the path to regional sales representative for manufacturers based on trust companies that supply products or products manufactured by local retailers for about a unilateral will sale whether the continued willingness and indicates the degree of business". This study topics are the results of this measure will sell a total of 24 entries are four factors. In variety sales policy of each power source, First, sales policy in Reward Power, compensatory power as the manager of promotion support, sales support and sales activities will significantly impact respectively. Second, sales policy of Coercive Power, reduction of credit limits act as an element of discontent and the sales will appear in the negative hypothesis of the influence was partially supported. Third, sales policy in Referent Power, the information trust, the most significantly impact of trade policy, respectively. Fourth, sales policy in Professional Power, delay time delivery of goods, sales of our product and sales knowledge will have a significantly effect appear to be related.

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Fuzzy Control for the Obstacle Avoidance of Remote Control Mobile Robot (원격제어 이동로봇의 장애물 회피를 위한 퍼지 제어)

  • Yeo, Hee-Joo;Sung, Mun-Hyun
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.48 no.1
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    • pp.47-54
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    • 2011
  • The remote control mobile robot is the robot accomplishing a task according to the orders giving by a user through departed communication system using a joystick. Basically, to supply a lot of information, as this type of robot uses visual information, the user can check the transmitted information by eyes and give orders to the robot. But the weak point of this type of robot is that it has a possibility to come into a collision with an obstacle not be seen to the user because of the communication delay occurring in a communication system and dead zone happening in visual information. To solve the problem, in this paper, we try to suggest a system applying a fuzzy control system to the robot to avoid collision with an obstacle by an immediate order of the user. The fuzzy control system has better performance than any other existing control methods in the change of noise and parameter. And it is more efficient than any other since it solves easy the complexity of the system analysis occurring because of the nonlinear feature of the mobile robot system. In this paper, we made experiments how the mobile robot controlled by the fuzzy control system avoids an obstacle, tracks the path and avoids the obstacle in the path, to prove the performance and to check the evaluation and the application possibility of the fuzzy control system.

An Experimental Study for Substitutability of Sand Mat with Fiber Mat (Fiber Mat의 Sand Mat 대체가능성평가를 위한 실험적 연구)

  • Lee Song;Jeong Yong-Eun
    • Journal of the Korean Geotechnical Society
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    • v.21 no.5
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    • pp.225-230
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    • 2005
  • At present, there are several problems related with sand mat which is used as a way to accelerate consolidation settlement, to act like an underground drainage layer and to increase trafficability simultaneously. First of all, the unbalance of the demand and supply of sand is one of the biggest problems, which causes not only price rise but also delay of the term of the total construction work. Secondly, the damage of ecosystem and scenery is triggered by thoughtless sand dredging or mining. So, the need that sand mat should be replaced with a new environmentally friendly material has been increased. Fiber mat may be one of the proper materials that suits the need. Therefore, we intended to compare the drainage properties of sand mat with those of fiber mat by experimental model tests. On the basis of the test results, fiber mat took shorter period of consolidation than sand mat and the amount of settlement in the farmer showed a little bit bigger than in the latter. As a conclusion, the substitutability of sand mat with fiber mat could be placed highly in view of drainage efficiency. Furthermore, when fiber mat is used, it has an advantage that spoiled soil of the construction site or nearby site can be used for the purpose of increasing trafficability in addition to a role of drainage layer.