• Title/Summary/Keyword: 프로토콜 분석기

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Analysis of Application of Massive Transfusion Protocol for Trauma Patients at a Single Tertiary Referral Hospital (단일 3차 의료기관에서 외상환자에 대한 대량수혈 프로토콜 적용 분석)

  • Kim, Hyerin;Yoo, Dong-Won;Kim, Hyerim;Shin, Kyung-Hwa;Lee, Hyun-Ji;Chang, Chulhun L.;Kim, Hyung-Hoi
    • The Korean Journal of Blood Transfusion
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    • v.29 no.3
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    • pp.262-272
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    • 2018
  • Background: Massive hemorrhage due to trauma is one of the major causes of death in trauma patients, and the quick supply of appropriate blood products is critical in order to reduce the mortality rate. We introduced a massive transfusion protocol (MTP) for safe and rapid transfusion of trauma patients. Using records collected since its adoption, we compared the characteristics of MTP applied group (MTP group) and MTP not applied group (non-MTP group) to determine whether there is an indicator for predicting patients to be treated with MTP. Methods: We retrospectively reviewed the electronic medical records and laboratory findings of patients who received massive transfusions in the trauma emergency room of a single tertiary hospital from February to August 2018. We analyzed various laboratory test results, the amount and ratio of the transfused blood products, and the time required for blood products to be released for the MTP group and the non-MTP group. Results: Of the 54 trauma patients who received massive transfusions, 31 were in the MTP group and 22 in the non-MTP group. There was no significant difference in initial vital signs (except blood pressure) and laboratory test results. Also there was no difference in the amount and ratio of blood products, but the time required for blood product release was shorter in the MTP group. Conclusion: There was no significant difference in clinical findings such as initial vital signs and laboratory test results between the MTP and non-MTP groups, but required blood products were prepared and released more quickly for the MTP group.

Two Design Techniques of Embedded Systems Based on Ad-Hoc Network for Wireless Image Observation (애드 혹 네트워크 기반의 무선 영상 관측용 임베디드 시스템의 두 가지 설계 기법들)

  • LEE, Yong Up;Song, Chang-Yeoung;Park, Jeong-Uk
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.39A no.5
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    • pp.271-279
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    • 2014
  • In this paper, the two design techniques of the embedded system which provides a wireless image observation with temporary ad-hoc network are proposed and developed. The first method is based on the embedded system design technique for a nearly real-time wireless short observation application, having a specific remote monitoring node with a built-in image processing function, and having the maximum rate of 1 fps (frame per second) wireless image transmission capability of a $160{\times}128$size image. The second technique uses the embedded system for a general wireless long observation application, consisting of the main node, the remote monitoring node, and the system controller with built-in image processing function, and the capability of the wireless image transmission rate of 1/3 fps. The proposed system uses the wireless ad-hoc network which is widely accepted as a short range, low power, and bidirectional digital communication, the hardware are consisted of the general developed modules, a small digital camera, and a PC, and the embedded software based upon the Zigbee stack and the user interface software are developed and tested on the implemented module. The wireless environment analysis and the performance results are presented.

The Study on Usefulness of LEAP Collimator in Lung Ventilation SPECT (Lung Ventilation SPECT에서 LEAP Collimator의 유용성에 관한 연구)

  • Kim, Jung Soo;Kim, Soo Mee;Kim, Jin Eui;Lee, Jae Sung;Lee, Dong Soo
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.2
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    • pp.18-24
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    • 2012
  • Purpose : Although lung ventilation SPECT (LV-SPECT) has a good sensitivity in detection of deep lung lesions, it is difficult to apply the LV-SPECT to patients having breathing problems due to limited examination time. In this study, we evaluated the usefulness of LEAP collimator, which provides high detection sensitivity and tolerable resolution, for the LV-SPECT in terms of diagnostic accuracy and examination time. Materials and Methods : Four volunteers inhaled Technegas (370 MBq) and the lung ventilation planar scan (LVPS, 300 counts/view (cpv)) with LEHR collimator was performed using Siemens E.cam scanner as a reference test. LV-SPECT scans were performed with three collimators, LEHR, LEUHR, and LEAP, in low (7 kcpv) and high (70 kcpv) counting modes. The count ratios of left (LT) and right (RT) lung segments were calculated on the geometric mean view of anterior and posterior images for LVPS and on the summed coronal images of LV-SPECT, respectively. Comparing to LVPS, the usefulness of three different collimators for LV-SPECT was evaluated through statistical analysis (paired t-test), on count ratios of lung segments. Results : The average LT:RT ratio in LVPS was 47:53. For LV-SPECT, there were negligible difference of the LT:RT ratios (48:52 on average) among three different collimators in low and high counting modes. Comparing to standard LVPS with LEHR, all LV-SPECTs with different collimators resulted in similar diagnostic accuracy through paired t-test (p>0.05). The scan time in LVPS (6 views) was 17.3 min. For LV-SPECT (128 views) in low counting mode, it took 18.7 (LEUHR), 15.0 (LEHR), and 12.3 min (LEAP), respectively. Conclusion : Comparing to standard LVPS, the LV-SPECT with LEAP in low counting mode provided the comparable diagnostic accuracy in addition to shortened scan time.

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Design of Traffic Control Scheme for Supporting the Fairness of Downstream in Ethernet-PON (이더넷 기반 광가입자망에서 공평성 보장을 위한 하향 트래픽 제어 기법 설계)

  • Han Kyeong-Eun;Park Hyuk-Gu;Yoo Kyoung-Min;Kang Byung-Chang;Kim Young-Chon
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.43 no.5 s.347
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    • pp.84-93
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    • 2006
  • Ethernet-PON is an emerging access network technology that provides a low-cost method of deploying optical access lines between OLT and ONUs. It has a point-to-multipoint and multipoint-to-point architecture in downstream and upstream direction, respectively. Therefore, downstream packets are broadcast from an OLT toward all ONUs sithout collision. On the other hand, since alt ONUs share a common channel, the collision may be occurred for the upstream transmission. Therefore, earlier efforts on Ethernet-PON have been concentrated on an upstream MAC protocol to avoid collision. But it is needed to control downstream traffic in practical access network, where the network provider limits available bandwidth according to the number of users. In this paper, we propose a traffic control scheme for supporting the fairness of the downstream bandwidth. The objective of this algorithm is to guarantee the fairness of ONUs while maintaining good performance. In order to do this, we define the service probability that considers the past traffic information for downstream, the number of tokens and the relative size of negotiated bandwidth. We develop the simulation model for Ethernet-PON to evaluate the rate-limiting algorithm by using AWESIM. Some results are evaluated and analyzed in terms of defined fairness factor, delay and dropping rate under various scenario.

Implementation of a Ranging Simulator for the ATM-PON Based on ITU-T G.983.1 (G.983.1 기반의 ATM-PON을 위한 Ranging 시뮬레이터 구현)

  • Hong, Jae-Geun;Woo, Man-Sik;Chung, Hae;Kim, Jin-Hee;Yoo, Gun-Il;Kim, Woon-Ha
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.38 no.9
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    • pp.12-20
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    • 2001
  • The ATM-PON has an important meaning at next generation access network because the equipment transmits various types of user traffic with a single platform through the passive optical splitter. Ranging is a technology to place all ONUs at the same virtual distance in order to provide the synchronization for the upstream signal in the ATM-PON based on the Time Division Multiplexing (TDM). In this paper, we review the merits of ATM PON and related protocol for the PON operation. We summarize and analyze the steps about the ranging protocol based on ITU-T G.983.1 and implement a simulator that can simulate the ranging procedure based on our modeling. In this paper, we can investigate time requirements of G.983.1 by using the simulator and find out the wasted rate of the bandwidth during the ranging procedure in order to know the influence for ONUs while ATM-PON is in-service. Also, we show that a new ranging scheme reducing window size can avoid the degradation of quality of service of ONUs in service with simulation.

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A Study on the Foundation of the Infrastructure for National Geospatial Information Distribution (국가 지리공간 정보 유통기반 구축에 관한 연구)

  • Choi, Jae-Hun;Chyung, Nan-Soo;Kim, Young-Sup
    • Journal of Korea Spatial Information System Society
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    • v.1 no.2 s.2
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    • pp.63-80
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    • 1999
  • This study presents NGDM(National Geospatial Information Distribution Model) in order to effectively utilize and differently apply geospatial information which is important in the dispersion of GIS. In order to establish the NGDM, this study draws the guideline of NGDM in Korea by analyzing its present condition of domestic and foreign geospatial information distribution. It also investigates some major factors forming the infrastructure of NGDM in regulative, technical, physical, and social aspects. Based on these factors, this study presents a three-staged NGDM that is applicable in Korea. The NGDM consists of four components that are the consumer, supplier, gateway for the clearinghouse and the clearinghouse of the geospatial information. According to the management form of geospatial information, the types of NGDM are classified as the concentration type, the distribution type, and compound type. Also, this study explains the mutual relationship between the NGDM's components and suggests a three-staged NGDM of planting, growth, and maturity period considering comparison results of classified models and development direction of regulation, protocol, communication network, electronic commerce, and etc.

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Implementation of Control Point, Digital TV, and Light Controller Emulator on Embedded System Using UPnP Home Networking Control Middleware (홈 네트워킹 제어 미들웨어인 UPnP를 이용한 Control Point 및 내장형 시스템 상에서의 DTV와 전등 제어기 에뮬레이터 구현)

  • Jeon Ho-In
    • Journal of The Institute of Information and Telecommunication Facilities Engineering
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    • v.1 no.1
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    • pp.6-25
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    • 2002
  • In this paper, we have implemented UPnP Devices which emulate a Control Point, a Light Controller, and a Digital TV. The Control Point has been developed on Linux host system by using C language. The UPnP Devices emulating the Digital TV and Light Controller are running on embedded linux developer board. For the development of UPnP Devices, UPnP SDK API Vl.04 made by Intel Co. Ltd. has been ported on Assabet Linux Reference board to implement the UPnP protocol. After we analyze and design some services of Digital TV device, we have applied UPnP Device program to those devices. UPnP SDK vl .04 consists of APIs which support HTTP, SSDP, SOAP, GENA and XML DOM Level-1 that are cores of UPnP protocol. The C program written for the UPnP Control Point has been compiled and executed on Linux-based PC. The embedded system running on Embedded Linux OS has been connected all together through Ethernet which allows IP-based communications. Under this environment, the UPnP programs are being executed on each device. Control Point, when in operational mode, discovers UPnP Devices on the network and displays the device list on the consol. By selecting one of the functionalities of the device services that are displayed on the Control Point, the controllability has been accomplished. The experiment that we performed in this thesis have revealed that the Control Point and UPnP Devices have supported the protocols including SSDP, SOAP, GENA, and DHCP.

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Development of New Prototype of Mechanical Quality Assurance for Clinical Linear Accelerator (의료용 선형가속기의 기계적 점검을 위한 새로운 정도관리 프로토콜의 개발)

  • 윤형근;신교철;김기환;오영기;김진기;정동혁;김정기;조문준;박인규
    • Progress in Medical Physics
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    • v.13 no.3
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    • pp.109-113
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    • 2002
  • In recent years, the radiotherapy equipment has become much more sophisticated, and with the complication comes an increased set of quality assurance (QA) responsibilities. Today's computer controlled linear accelerator requiring QA of not only the radiation integrity, but also the mechanical accuracy of the linear accelerator. The existing QA sheets are adequate for acceptance testing and commissioning but those sheets are somewhat descriptive form for routine QA. establishing the QA sheets for a facility are more efficient if the sheets could estimate the long-term stability for the result of QA. We are going to develope new prototype of mechanical QA sheet to visualize and to verify long-term stability of mechanical QA for clinical linear accelerator. The items included in mechanical QA sheet were 1) gantry rotation, 2) collimator rotation, 3) couch rotation, 4) optical distance indicator (ODI), and 5) laser alignment. We compared new prototype sheet with conventional sheet for several hospitals in Korea for those items. The QA acceptance criteria in this study mainly followed published recommendations. The contents of test for mechanical QA are the following. Confirm that the digital and/or mechanical gantry angle readouts are correct. Verify that digital and/or mechanical readouts of collimator angle agree with the true angle, as determined with the protractor. Measure the light field using a graph paper and compare with the digital readouts. Confirm digital readout accuracy. Verify that the sagittal laser, the left and right lasers, and the ceiling laser intersect at the isocenter. In the design of new QA sheet, we emphasized the representation of the long-term stability of mechanical QA by using Excel program. By using the new prototype QA sheet, we simplified and visualized the mechanical QA process, and could estimate the long-term stability of mechanical error of linear accelerator.

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Estimation of Indicator PCBs Exposure in Infants via Breast-Feeding Period (수유기간에 따른 모유 중 Indicator PCBs 분석을 통한 영유아의 인체노출평가)

  • We, Sung-Ug;Yoon, Cho-Hee;Min, Byung-Yun
    • Journal of Korean Society of Environmental Engineers
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    • v.34 no.1
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    • pp.7-15
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    • 2012
  • The levels of indicator PCBs were determined in 132 human milk samples (Colostrum, 30th days after delivery, 60th days after delivery) collected in 2006 according to World Health Organization's (WHO) protocol. In addition, concentrations of indicator polychlorinated biphenyls (PCBs) were measured by the isotope dilution method with high resolution gas chromatograph/high resolution mass detector (HRGC/HRMS), which gave accurate and precise data for estimations of international trend and comparisons. Average daily intakes (ADIs) of all analytes were calculated. The median level of total indicator PCBs was 14 ng/g lipid, which is significantly lower than the level found in individuals from other countries. PCB congeners 138, 153 and 180 accounted for about 65% of the sum of the indicator congeners analyzed. The concentration of the most abundant PCB 153 is positively correlated with the concentration of the sum indicator PCBs (p<0.001). In this study, concentrations of total indicator PCBs significantly decreased with increasing number of children for a mother, indicating that parity and breast-feeding period an important role in the accumulation and elimination of these compounds in lactating women. The ADI for the median of total indicator PCBs for an infant was evaluated at $0.077{\mu}g/kg{\cdot}bw/day$ from birth to 6 months of age. The present study shows that concentrations of PCB 118 primipara breast milk have decreased 25~35 since 1998, and that this trend is continuing.

A Study on the Prediction Method of Information Exchange Requirement in the Tactical Network (전술네트워크의 정보교환요구량 예측 방법에 관한 연구)

  • Pokki Park;Sangjun Park;Sunghwan Cho;Junseob Kim;Yongchul Kim
    • Convergence Security Journal
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    • v.22 no.5
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    • pp.95-105
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    • 2022
  • The Army, Navy, and Air Force are making various efforts to develop a weapon system that incorporates the 4th industrial revolution technology so that it can be used in multi-domain operations. In order to effectively demonstrate the integrated combat power through the weapon system to which the new technology is applied, it is necessary to establish a network environment in which each weapon system can transmit and receive information smoothly. For this, it is essential to analyze the Information Exchange Requirement(IER) of each weapon system, but many IER analysis studies did not sufficiently reflect the various considerations of the actual tactical network. Therefore, this study closely analyzes the research methods and results of the existing information exchange requirements analysis studies. In IER analysis, the size of the message itself, the size of the network protocol header, the transmission/reception structure of the tactical network, the information distribution process, and the message occurrence frequency. In order to be able to use it for future IER prediction, we present a technique for calculating the information exchange requirement as a probability distribution using the Poisson distribution and the probability generating function. In order to prove the validity of this technique, the results of the probability distribution calculation using the message list and network topology samples are compared with the simulation results using Network Simulator 2.