• Title/Summary/Keyword: Access transportation

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The Meaning of 'Golden Hour' in Prehospital Time for Abdominal Trauma Victims with Emergency Laparotomy (복부외상으로 응급개복술을 시행한 환자에서 병원전단계 황금시간의 의의)

  • Jang, Tae-Chang;Lee, Kyung-Won
    • Journal of Trauma and Injury
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    • v.23 no.2
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    • pp.180-187
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    • 2010
  • Purpose: The "golden hour" concept in trauma is pervasive despite little evidence to support it. This study addressed the association between prehospital time and in-hospital mortality in seriously injured abdominal trauma victims. Methods: A retrospective study was conducted over a three-year period from 2006 to 2008. We analyzed trauma victims with abdominal injuries who underwent an emergency laparotomy in a local emergency center located in a city with a population of 2,500,000. According to the 'golden hour' oncept, we separated the trauma victims into two groups (Gourp 1: prehospital time ${\leq}$ 1 hour, Group 2: prehospital time > 1hour) and investigated several factors, such as time, process, and outcome. Results: During the period from January 2006 to December 2008 139 trauma victims underwent an emergency laparotomy, and 89 of them were enrolled in this study. Between the two groups, emergency department (ED) access, transportation, and injury mechanism showed statistically meaningful differences, but no statistically meaningful differences were observed in various measures of the outcome, such as length of hospital stay, length of Intensive Care Unit stay, and mortality. In a univariate logistic regression study, age (odds ratio [OR]: 1.101; 95% confidence interval [CI]: 1.026 to 1.182), Revised Trauma Score (RTS) (OR: 0.444; 95% CI 0.278 to 0.710), hemoglobin (OR: 0.749; 95% CI: 0.585 to 0.960), and creatinine (OR: 24.584; 95% CI: 2.019 to 299.364) were significant prognostic factors, but prehospital time was not. In a multivariate logistic regression study, age and RTS were significant associated with mortality. Conclusion: In this study, we found no association between prehospital time and mortality among abdominal trauma patient who underwent an emergency laparotomy. We suggest that in our current out-of-hospital and emergency care system, until arrival at the hospital time may be less crucial for trauma victims than once thought.

Landscape Elements and User Satisfaction in National Street: Focusing on Gwangwhamun Square (국가상징거리의 구성요소 특징과 만족도에 관한 연구: 광화문 광장을 중심으로)

  • Choi, Hyun-Ah;Cho, Young-Tae;Lee, Woo-Kyun
    • Land and Housing Review
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    • v.5 no.4
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    • pp.215-224
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    • 2014
  • National street has become one of open space for enhancing environmental qualities of city and country. In the developed countries such as France, U.K. U.S.A are designed symbolic malls, squares and street which are represented the historicity, culture and symbolic place. For place identity, we analyzed the relationship between element and user satisfaction in Sejong Avenue, Gwangwhamun Square. Data were analyzed using statistical methods such as descriptive statistics, ANOVA and correlation. Results of this study are as follows, i) factor analysis is carried out to extract spatial components and satisfaction. The satisfaction concerning transportation access was the higher than other factors, ii) user satisfaction was strongly correlated on the spatial elements, iii) user showed high user perception to study site. Results of this study can identify representative street management plan based on landscape elements and user satisfaction.

Effective Emergency-Warning Message Transmission in the Vehicle-to-Vehicle Communication Environment (차량 간 통신 환경에서 효과적인 위험 경고 메시지 전송 방안)

  • Byun, Jae-Uk;Kwon, Sung-Oh
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.37 no.1B
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    • pp.1-8
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    • 2012
  • In this paper, we propose an algorithm to improve collision avoidance in Vehicle-to-Vehicle (V2V) networks based on IEEE 802.11p. Since IEEE 802.11p adopts CSMA/CA as a multiple access scheme and an emergency warning message (EWM) is delivered to behind vehicles in a multi-hop manner, due to transmission collision, the more vehicles in the vehicle chain results in a longer delay. The longer delay increases the possibility of a rear-end collision. In order to ensure message reception with low latency, we consider implicit acknowledgement of a broadcasted EWM message and propose an algorithm to reduce redundant message transactions, called Two-Way Implicit Acknowledgement (TWIA). By simulations, we show that our proposed algorithm can reduce the latency until the last car receives the message by 9% and the success rate every car receives the message within 0.7sec by 12% at 100 fixed-number-of-car environment.

Considerations of Automatic Passenger Counting System using Infrared Sensors at doorway in Overseas Railway Transit (적외선 센서를 이용한 자동 승객 계수 시스템에 대한 고찰)

  • Kim, Jin-Seok;Gwak, Ho-Seung
    • Proceedings of the KSR Conference
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    • 2009.05a
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    • pp.418-423
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    • 2009
  • Unlike domestic railway transportation system in which majority of station are equipped with gate access controller and ticket office, it has been a very common practice in overseas railway transit or railway station that they use a pressure door mat, infrared-sensors or CCTV cameras so as to automatically determine the number of passenger onboard and alight and to reflect the information to their business (i.e., deployment of vehicles and human resources). The data collected by the automatic passenger counting (APC) system provides methods how to obtain the information about the number of passenger using the vehicles on the basis of date, time and stop(station) which enables large-scaled transit company to create profits through effective vehicle deployment and management of their employees. This paper addresses the basic features of the automatic passenger counting system using infrared sensor and describes those of the extended APC system in conjunction with wireless technologies such as GPS, WLAN or Cellular network.

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A Simulator for the Design and Operation of the Steel Mill (제강.연주 공장 설계와 운영을 위한 시뮬레이터)

  • Choi, Seong-Hoon
    • Journal of the Korea Society for Simulation
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    • v.20 no.2
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    • pp.49-57
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    • 2011
  • Stiff competition and skyrocketing prices of raw materials are increasingly demanding the optimal design and operation of iron and steel mills minimizing trial and error. Computer simulation can provide the methodology in accordance with requirements. The purpose of this paper is to suggest a simulator for the design and operation of the steelmaking and continuous casting mill. The simulator was developed using Arena, popular simulation software and input and output interface based on MS Excel. It allows easy access for the maintenance and extension of the model. One of distinct features of the proposed simulator is the inclusion of complex transportation modules composed of transfer cars and overhead cranes. The simulator can be used for evaluating various alternative designs of a projected mill via throughput analysis and material flow analysis. Also, one can utilize it effectively to search for the best product mix suitable for many types of situations. It could be an invaluable tool evaluating the performance of operation patterns and improving the accuracy.

A Design of Internet-Based Safety Guarantee Global Integrated Logistics Management System Framework (인터넷 기반의 안전보장 글로벌 통합물류관리시스템 프레임워크 설계)

  • Hong, Ho-Seon;Hong, Ki-Sung;Lee, Chulung
    • Journal of the Korea Society of Computer and Information
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    • v.18 no.5
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    • pp.103-111
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    • 2013
  • This paper provide a framework for an IGILMS(internet-based global integrated logistics management system) which can access and mediate cargo transportations among small- and medium-sized domestic/international logistics corporations as regards cargo, registration and search for space, public tender and negotiation, contract, payment and safety-guarantee, transportation through the internet, wireless communication means, or smart phone etc. In addition, we describe a model to provide customized services in the B2B e-market for IGILMS and the structure and the control of its fulfillment process, and provide technical architecture of the IGILMS for an internet-based global logistics management system. To validate an efficiency of the proposed system, we develop a simulation model and analyze the performance of the proposed system.

Technology Trends, Research and Design of AIM Framework for Authentication Information Management (인증 정보 관리를 위한 기술 동향과 AIM 프레임워크 연구 및 설계)

  • Kim, Hyun-Joong;Cha, Byung-Rae;Pan, Sung-Bum
    • Journal of Digital Convergence
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    • v.14 no.7
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    • pp.373-383
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    • 2016
  • With mobile-epoch and emerging of Fin-tech, Bio-recognition technology utilizing bio-information in secure method has spread. Specially, In order to change convenient payment services and transportation cards, the combination of biometrics and mobile services are being expanded. The basic concept of authentication such as access control, IA&A, OpenID, OAuth 1.0a, SSO, and Biometrics techniques are investigated, and the protocol stack for security API platform, FIDO, SCIM, OAuth 2.0, JSON Identity Suite, Keystone of OpenStack, Cloud-based SSO, and AIM Agent are described detailed in aspect of application of AIM. The authentication technology in domestic and foreign will accelerate technology development and research of standardization centered in the federated FIDO Universal Authentication Framework(UAF) and Universal 2 Factor Framework(U2F). To accommodate the changing needs of the social computing paradigm recently in this paper, the trends of various authentication technology, and design and function of AIM framework was defined.

The Status and Suggestions for Big Data Adaptation in the Government and the Public Agency (정부 및 공공기관에서의 빅데이터 활용에 대한 현황 및 실행방안 제안)

  • Byeon, Hyeon-Su
    • Journal of Digital Convergence
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    • v.15 no.4
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    • pp.13-25
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    • 2017
  • Volume in data storage is growing more than ever before. This phenomenon is caused by the participation of governments and firms as well as general users. As for big data, governments and public agencies are likely to play important roles in applications since they can access and operate personal data for public purposes. In this study, the author examined the status and countermeasure of big data from different countries and drew some common grounds. The suggestions are as follows. First of all, securing manpower and technology have to take precedence. In addition, share and development between the government and the private sector are required. And organizations should come up with long-term strategies along with the development of data loading and analysis. In conclusion, the author propose the recognition of the importance of data management, privacy protection and the expansion of field application possibilities for political usage of big data.

Semi-Analytical Averaged Error Rate Evaluation for DSF-Relay MC-CDMA systems over Multipath Rayleigh Fading Channels (다중경로 레일리 페이딩 채널에 대한 DSF 릴레이 MC-CDMA 시스템의 평균 오류율 의사 분석 기법)

  • Ko, Kyun-Byoung
    • Journal of IKEEE
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    • v.16 no.2
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    • pp.138-144
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    • 2012
  • In this paper, a semi-analytical approach is proposed for DSF(Decode and Selective Forward)-Relay MC-CDMA(MultiCarrier-Code Division Multiple Access) systems over multipath Rayleigh fading channels. Considering BER(bit error rate) performance and complexity, the MMSE-C(Minimum Mean squared Error-per subCarrier) is used as the combining method for MC-CDMA systems. At first, the analytical method based on error-events at relay nodes for DSF-Relay schemes is utilized in order to derive the averaged BER. Then, the averaged BER is expressed as the form considering possible all error-events. Also, proposed semi-analytical expressions have been verified by comparing with simulation results. Finally, it is verified that the derived analytical expressions can be a frame work to cover different multipath Rayleigh fading channel conditions and to measure the upper performance for DSF-Relay MC-CDMA systems.

The CloudHIS System for Personal Healthcare Information Integration Scheme of Cloud Computing (클라우드 컴퓨팅 환경에서 개인의료정보를 통합한 CloudHIS 시스템)

  • Cho, Young-Bok;Woo, Sung-Hee;Lee, Sang-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.19 no.5
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    • pp.27-35
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    • 2014
  • The characteristics of today's health care industry, based on the state of the art IT can be represented as a paradigm of human-oriented ubiquitous and accessible as possible by U-Health care. In addition, the healthcare industry is information and communication technologies (ICT) developments regarding the many advances and applications based on the research being carried out actively. Medical information system has been developed toward combining information systems of medical IT and it sets its sights on the fusion of developed IT and u-healthcare system. So changing distributed medical information systems into a safe PHR integrated system based on IaaS cloud computing is suggested in order to forge u-healthcare system with the times in this paper. Our experimental results show that our proposed system increased the data access time by about 24% and reduces the waiting time for processing service by about 4.3% over the web-based PHR.