• Title/Summary/Keyword: 병원 할당

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A Task Assignment Rule for the Registered Nurses of the Emergency Department of Hospital Using Multiple System Attributes (병원 응급실에서 여러 속성을 고려한 간호사 치료태스크 할당 규칙에 관한 연구)

  • Kim, Dae-Beom
    • Journal of the Korea Society for Simulation
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    • v.18 no.4
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    • pp.107-116
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    • 2009
  • Overcrowding in an Emergency Department (ED) of hospital is a common phenomenon. To improve the service quality and system performance of the ED, a task assignment rule for the Registered Nurses (RNs) is proposed in this paper. At each task assignment point, the rule prioritizes all treatment requests based on the urgency which is determined by the multiple attributes such as accomplishment time of treatment task, elapsed time of treatment request, total remain time to patient discharge, and number of remain treatments. The values of partial urgency with a single criterion are determined and then overall urgency is computed to find the most urgent one among current requests with the importance weights assigned to the criteria. Through computer simulation, the performance of the proposed rule is compared with current rule in terms of the length of stay and system throughput in a simplified ED system of the hospital M.

Design of a hospital assignment scheme for ambulances based on minimum cost maximum flow algorithm (최소비용 최대유량 알고리즘에 기반한 구급차의 환자이송 병원 배정 기법의 설계)

  • Junghoon Lee
    • Smart Media Journal
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    • v.12 no.9
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    • pp.72-80
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    • 2023
  • This paper presents a design and analyzes the performance of a hospital assignment and reassignment scheme for emergency rescue services based on minimum cost maximum flow algorithm. It consists of flow graph building, link capacity updating, and allocation discovering steps. The efficiency of the algorithm makes it possible to reallocate hospitals even in case of dynamic changes in the number of patients or hospitals. The performance measurement result obtained from a prototype implementation shows that the proposed scheme can reduce the transport time requirement miss by up to 24%.

Simulation Analysis for a Partial Appointment System of Outpatients in a Private Clinic (개인 병원의 부분 예약제 도입을 위한 시뮬레이션 분석 사례)

  • La, Soonyoung;Jeong, Byung Ho;You, Taiwoo
    • Journal of the Korea Society for Simulation
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    • v.21 no.4
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    • pp.57-64
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    • 2012
  • The waiting time of patients is an important factor related with service quality of a hospital system. An appointment system of patients is not popular, in special, in a private hospital. An appointment system is expected to diversify patients in time and to reduce patient's waiting time. Three appointment rules are suggested and analyzed to compare the waiting time of appointment and walk-in patients using simulation analysis. The results of two way ANOVA show that the time slot of 30 minutes for allocating appointment patients is better than the time slot of 60 minites in view of patient's waiting time. The results of the appointment level 1 also show that the constant pattern rule and the zigzag pattern rule give shorter waiting time for walk-in patient and for appointment patient, respectively.

Comparison of Factors Influencing Job Satisfaction by Occupation in S Tertiary Hospital -Focused Herzberg's Motivation and Hygiene Factors (일개 S상급종합병원 내 직종별 직무만족에 미치는 영향요인 비교 -허즈버그의 동기 및 위생요인 중심으로)

  • Kang, Kun-Woo;Jeong, Ho-Tae;Nam, Yun-Teak;Cho, Eun-Kyung
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.1
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    • pp.96-104
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    • 2021
  • There will be many changes in job consciousness and job satisfaction due to changes in various job fields and social interests, and it is necessary to manage them efficiently for the organization to continue to grow. By analyzing factors influencing job satisfaction by occupation, the study intended to provide the necessary data for an efficient management plan. 400 Employees working at S tertiary hospital in Seoul from April 1st to April 15th, 2015 were targeted. An analysis of the validity and reliability of the influencing factors was conducted, and the allied health profession which showed the highest level of satisfaction in overall job satisfaction and influencing factors were identified. It was found that achievement, compensation and working environment in the medical doctor profession, achievement, compensation and job stability in the nursing profession, achievement and working environment in the allied health profession, achievement, interpersonal relationships, working environment, and job stability in the administrative profession, were the main influencing factors for job satisfaction. It can be seen that not only motivation factors but also hygiene factors affect job satisfaction. To increase the level of satisfaction, it is judged that systematic management of hygiene factors as well as motivation factors is necessary.

EVALUATION OF THE THERAPEUTIC EFFECTS OF CARBAMAZEPINE IN AUTISTIC CHILDREN (자폐증 아동에 있어서 Carbamazepine의 치료효과 평가)

  • Hong, Kang-E;Choi, Jin-Sook;Shin, Min-Sup;Hwang, Yong-Seung;Ahn, Yun-Ok
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.87-96
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    • 1991
  • A double bhad, placebo controlled study was performed to evaluate the therapeutic effects of Carbamazepine in autistic children, 23 boys with the diagnosis of Pervasive Developmental Disorders according to the DSM-IIIR were selected for study subjects, from Child and Adolescent Psychiatric Outpatient Department of Seoul National University Children Hospital during Oct. $1989{\sim}Nov.$ 1991. Subjects with histories of medical disease or psychiatric diseases were excluded and all study subjects had drug free periods more than 2 Months. Study subjects were randomly assigned to Cabamazepine treatment group(N=12) and placebo group(N=11). After the baseline observation periods, the double blind drug treatment and observation were performed for 12 weeks. Several scales (Ritvo-Freedman Real Life atring Scale. Behavior Checklist) were employed to evaluate the effects of drug treatment during baseline observation periods and the drug treatment periods by two raters blind to the study. Interrater reliability of each scales were .4875~.6613, the socrodemographic variables and the rating scores during baseline observation periods were not significantly different between two groups. Reduction of total scores in Autsm Behavior Checklist scale, i.e.. improvement of global autistic symptoms were noted significantly in Carbamazepine treatment group. Improvement in significant social maturations according to Vineland Social Mataration scale were observed in both patient groups after drug treetment periods.

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Secure biometric information delivery scheme of implantable device using code-division multiplexing method (코드 분할 다중화 방식을 이용한 체내삽입장치의 안전한 생체 정보 전달 기법)

  • Jeong, Yoon-Su
    • Journal of Digital Convergence
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    • v.14 no.3
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    • pp.235-241
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    • 2016
  • Among recent issues emerging in the areas related to the society, health has received the most attention. In this paper, for a patient unable to do self-care because of worsened diseases, a biological information transfer method is proposed by which the disease information can be securely managed, by attaching an implantable device into the body. Our method object of the invention is to prevent a third party from illegally intercepting and interfering with the biological information attached to the insertion device in the body. In the proposed technique to improve the safety of the patient between the hospital and physician by assigning each code to the biometric information of the patient in order to prevent a third party tapping and interfering. In addition, our method is assigned a code necessary for encoding in advance to confirm the biological information between the patient and the hospital (doctor) in a manner dividing the bio-information code. In particular, the proposed technique makes a third party unable to illegally tap or interfere in, by previously generating a code used for encoding so that it can be stored in the database of the hospital, which not only decreased hospital care time to 6.9%, but also increased work efficiency rate up to 12.7%.

An Improvement of the Outline Mede Error Backpropagation Algorithm Learning Speed for Pattern Recognition (패턴인식에서 온라인 오류역전파 알고리즘의 학습속도 향상방법)

  • 이태승;황병원
    • Proceedings of the Korean Information Science Society Conference
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    • 2002.04b
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    • pp.616-618
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    • 2002
  • MLP(multilayer perceptron)는 다른 패턴인식 방법에 비해 몇 가지 이점이 있어 다양한 문제영역에서 사용되고 있다 그러나 MLP의 학습에 일반적으로 사용되는 EBP(error backpropagation) 알고리즘은 학습시간이 비교적 오래 걸린다는 단점이 있으며, 이는 실시간 처리를 요구하는 문제나 대규모 데이터 및 MLP 구조로 인해 학습시간이 상당히 긴 문제에서 제약으로 작용한다. 패턴인식에 사용되는 학습데이터는 풍부한 중복특성을 내포하고 있으므로 패턴마다 MLP의 내부변수를 갱신하는 은라인 계열의 학습방식이 속도의 향상에 상당한 효과가 있다. 일반적인 온라인 EBP 알고리즘에서는 내부 가중치 갱신시 고정된 학습률을 적용한다. 고정 학습률을 적절히 선택함으로써 패턴인식 응용에서 상당한 속도개선을 얻을 수 있지만, 학습률을 고정함으로써 온라인 방식에서 패턴별 갱신의 특성을 완전히 활용하지 못하는 비효율성이 발생한다. 또한, 학습도중 패턴군이 학습된 패턴과 그렇지 못한 패턴으로 나뉘고 이 가운데 학습된 패턴은 학습을 위한 계산에 포함될 필요가 없음에도 불구하고, 기존의 온라인 EBP에서는 에폭에 할당된 모든 패턴을 일률적으로 계산에 포함시킨다. 이 문제에 대해 본 논문에서는 학습이 진행됨에 따라 패턴마다 적절한 학습률을 적용하고 필요한 패턴만을 학습에 반영하는 패턴별 가변학습률 및 학습생략(COIL) 방댑을 제안한다. 제안한 COIL의 성능을 입증하기 위해 화자증명과 음성인식을 실험하고 그 결과를 제시한다.

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An Approach to Urban Planning System for Disaster Prevention through Location/Allocation of EMS(Emergency Medical Service) - Focused on Optimum Location of Safety Centers in Jinju - (응급의료서비스 입지/배분을 통한 도시방재시스템의 도시계획적 접근 - 진주시 안전센터의 최적입지를 중심으로 -)

  • Choi, Jin Do;Kim, Yeong;Kim, Sung Duk
    • 한국방재학회:학술대회논문집
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    • 2011.02a
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    • pp.112-112
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    • 2011
  • 오늘날 우리 사회의 생활과 문화의 질이 향상됨에 따라 공공 및 개인의 안전과 건강에 대한 관심이 증대되고 있다. 특히, 재난과 비상사태는 생명에 대한 희생뿐만 아니라 훨씬 더 심각한 경제적인 결과를 초래한다. 이러한 응급사태에 개비하여 적절히 준비되지 않았거나 재난의 예방 및 완화시킬 방법을 가지고 있지 못한다면 도시의 발전적인 프로젝트는 예고 없이 도시를 강타하는 재난 및 비상사태에 의해 무산되고 만다. 이러한 여건 하에 재난과 응급사고를 효율적으로 대처하는 응급처치와 서비스에 대한 급격한 관심과 함께 일정한 결정적 대응시간 내에 각종사고와 재해로부터 방어할 수 있는 공공서비스에 대한 필요성이 크게 증가되었다. 본 연구에서는 신고, 응급구조, 환자이송 등 도시의 병원 전 단계 의료환경에 대해서 조사하였다. 본 연구의 목적은 반응시간과 출동거리를 분석함으로써, 응급사고에 즉시 응급구조서비스를 제공하기 위해 안전센터(119센터)의 최적 입지를 확인하는 것이다. 이를 위해서 사고발생, 반응시간, 출동거리 등을 응급의료 활동과 관련된 연구논문, 대상지 전역의 소방기록물과 출동일지 등의 통계자료를 활용하여 신속한 응급의료 서비스를 위한 패턴을 분석 하였다. 또한 응급구조대의 조직과 활동의 분석을 통해 응급의료시설의 최적 입지설정을 위한 제도적 개선대안을 마련해 보았다. 대상지 연구를 위해, 구조활동 및 소방서비스의 최근 통계자료의 조사를 통해 진주시의 모든 119센터의 입지와 응급의료서비스 및 사고발생 현황을 나타내었다. 자료 분석을 위해서 SPSS14.0을 사용하였으며, 지역의 특성 분포, 안전센터별 대응시간, 이송시간 등을 소방 GPS시스템과 입지할당모형 중 Center Point Model(CPM)을 적용하였다. 결과적으로 본 연구를 통해 대상지역의 119안전센터의 서비스 질이 나쁜 지역을 지리학적인 관점에서 최적 입지/배분 패턴의 설정을 통해 확인할 수 있었으며, 이를 통해 미래 응급의료서비스의 효율적인 입지/배분을 통해 공공 및 개인의 안전과 건강에 기여할 수 있을 것으로 기대된다.

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Distributed Processing of Big Data Analysis based on R using SparkR (SparkR을 이용한 R 기반 빅데이터 분석의 분산 처리)

  • Ryu, Woo-Seok
    • The Journal of the Korea institute of electronic communication sciences
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    • v.17 no.1
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    • pp.161-166
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    • 2022
  • In this paper, we analyze the problems that occur when performing the big data analysis using R as a data analysis tool, and present the usefulness of the data analysis with SparkR which connects R and Spark to support distributed processing of big data effectively. First, we study the memory allocation problem of R which occurs when loading large amounts of data and performing operations, and the characteristics and programming environment of SparkR. And then, we perform the comparison analysis of the execution performance when linear regression analysis is performed in each environment. As a result of the analysis, it was shown that R can be used for data analysis through SparkR without additional language learning, and the code written in R can be effectively processed distributedly according to the increase in the number of nodes in the cluster.

The Effects of Cognitive Training Using Application Games of Smart Device on Cognitive Function in Patients With Mild Traumatic Brain Injury (스마트기기 애플리케이션 게임을 이용한 인지훈련이 경미한 손상이 있는 외상성 뇌손상 환자의 인지기능에 미치는 영향)

  • Kang, Seon-Hwa;Kim, Young-Sil;Kang, So-La;Moon, Jong-Hoon
    • Journal of Korean Society of Neurocognitive Rehabilitation
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    • v.10 no.2
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    • pp.9-18
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    • 2018
  • The research has sought to examine the effect of cognition training using smart device application games on the cognition function of traumatic brain injury patients. The research was conducted to the seventeen traumatic brain injury patients with slight symptoms who were treated with occupational therapy. The patients were divided into the two groups, nine for the experimental group and eight for the control group. The experimental group was assigned to conduct cognition training using smart device application games and traditional cognition training for fifteen minutes each, and the control group has conducted the traditional cognition training for 30 minutes. All arbitrations were conducted for 30 minutes a day, five times a week and for four weeks. To assess the cognitive function, Korean Mini-Mental State Examination (K-MMSE), Lowenstein Occupational Therapy Cognitive Assessment (LOTCA) and visual memory 1 and 2 of Motor-free Visual Perception Test-3 (MVPT-3) were measured before and after the intervention. In the comparison of the change between the two groups, the experimental groups showed a significant improvement in the visual memory of Motor-free Visual Perception Test-3 and remembrance section of the Korean Mini-Mental State Examination (p<.05). The result of this research has confirmed that the cognition training using the smart device application game can make the positive change to the visual memory of the traumatic brain injury patients more than the traditional cognition training.