• Title/Summary/Keyword: Actual treatment time

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The Composite Crowding Index for the Medical Emergency Department (응급의료센터의 특성을 반영한 과밀화 지표 개발 및 적용 방안 연구)

  • Lee, Young-Hoon;Kim, Jeong-Woo;Lee, Yoon-Ho;Kim, Seung-Ho;Park, Yoo-Seok;Park, In-Cheol
    • Journal of Korean Institute of Industrial Engineers
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    • v.36 no.1
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    • pp.59-68
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    • 2010
  • The medical emergency departments are suffering from the crowdness of patients, hence the quality of medical service the patients are receiving are getting poorer. Overcrowding of medical emergency departments may incur the waiting time for the treatment, and the improper treatment in time. For the operational control of the emergency department, the crowding index is commonly used to identify the crowding intensity, with which the operation process is managed, and future process can be expected. In this study the composite crowding index is suggested, in which the trend of inpatients rate, the age and acuity of patients, and resource of ED are considered. The validity of the suggested crowding index is discussed by the regression analysis for the index and the actual number of inpatients, and by the simulation study using the process model and the real data.

Real-Time Simulation of an Excavator Considering the Functional Valves of the MCV (MCV의 기능밸브를 고려한 굴삭기의 실시간 시뮬레이션)

  • Im, Yong-Hyeon;Lee, Sang-Wook;Cho, Min-Gi;Shin, Dae-Young;Hwang, Sung-Ho
    • Journal of Drive and Control
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    • v.16 no.4
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    • pp.38-47
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    • 2019
  • In this paper, a real-time simulation model of an excavator using Amesim was proposed, considered the operation of functional valves with the main control valve (MCV). The hydraulic system models including the pump and MCV have been developed. The kinematic and dynamic models of the manipulator have also been developed, to confirm the behavior of the excavator. The MCV model includes various functional valves such as the regenerative valves, holding valves, swing and boom priority valves, and regen-cut valves so that simulations similar to real excavators can be performed. Additionally, to obtain the real-time calculation performance, the parts with no major influence on the dynamic behavior were simplified, high frequency factors were removed, and parameters were optimized. The models were compared with each other through the numerical analysis with variable time-step and fixed time-step, and the results were verified by comparison with the results of the actual vehicle tests.

Application of the Central Composite Design and Response Surface Methodology to the Treatment of Dye Using Electrochemical Oxidation (전기화학적 산화를 이용한 염료 처리에 중심합성설계와 반응표면분석법의 적용)

  • Kim, Dong-Seog;Park, Young-Seek
    • Journal of Environmental Science International
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    • v.18 no.11
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    • pp.1225-1234
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    • 2009
  • The aim of this research was to apply experimental design methodology in the optimization condition of electrochemical oxidation of Rhodamine B(RhB). The reactions of electrochemical oxidation were mathematically described as a function of parameters amounts of current, NaCl dosage, pH and time being modeled by the use of the central composite design, which was used for fitting quadratic response surface model. The application of response surface methodology using central composite design(CCD) technique yielded the following regression equation, which is an empirical relationship between the removal efficiency of RhB and test variable in actual variables: RhB removal (%) = 3.977 + 23.279$\cdot$Current + 49.124$\cdot$NaCI - 5.539$\cdot$pH - 8.863$\cdot$time - 22.710$\cdot$Current$\cdot$NaCl + 5.409$\cdot$Current$\cdot$time + 2.390$\cdot$NaCl$\cdot$time + 1.061$\cdot$pH$\cdot$time - $0.570{\cdot}time^2$. The model predicted also agree with the experimentally observed result($R^2$ = 91.9%).

Study on the present state of cancer patients based on charts of Oriental Medicine institutions (한방의료기관 환자진료부에 의한 암환자 현황에 대한 연구)

  • Cho, Kyung-Sook;Shin, Hyeun-Kyoo
    • THE JOURNAL OF KOREAN ORIENTAL ONCOLOGY
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    • v.9 no.1
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    • pp.39-46
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    • 2003
  • Objectives : The former study of Oriental Medicine on cancer has been mostly focused on lab studies with herbal medicine. Among this atmosphere, the aim of this study is to investigate the suitability of Oriental Medicine institutions to participate in cancer registry programme in R.O.K by investigating the type of treatments used for cancer patients in Oriental Medicine institutes. Methods : To investigate the actual conditions of cancer patients who visited Oriental Medicine institutes, a survey was done based on clinical charts of 258 patients of cancer. Results : The order for the percentage of the original tumor organ of the patients, the number of patients who recognized the outbreak on the year of the first visit was the biggest, and the number gradually decreased while the years passed. For the type of treatment, herbal medicine was the most for 92.6%, acupuncture 52.6%, moxibustion 16.7%, cupping 14.7%. It can be seen that multiple treatment was preferred to single treatment. Among the periods for herbal medication, 10 days was the most for 34.1%, 29.8% for within 50 days and 10.5% for within 100 days. The percentage of patients who took treatment of western medicine at the same time and those who took treatment of Oriental medicine only was 47.4% and 43.8% respectively. By surveying categories such as the symptoms, diagnosis of syndrome, principle of treatment from the chart by a free description, there was 841 names of symptoms, 207 diagnoses of syndromes and 206 principles of treatment. But no relation or connection between these could be found statistically. At there were even occasions which the doctor didn't record the cancer itself, precise investigatio for the actual condition of cancer patients in Oriental Medicine institutions appeared to be very difficult. Conclusions : It seems impossible to enroll cancer patients of Oriental Medicine institutions to the cancer registry programme in R.O.K as far as the patients are recorded only under the paradigm of Oriental Medicine. However, if the Oriental Medicine doctors keep a consistency in classifying categories such as cause of death, syndrome diagnosis, principle of treatment and prescriptions, and limit the choices, for each category, a pilot study for cancer registry programme in R.O.K. in Oriental Medicine could be carried out.

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Early Traffic Opening-Capable Continuous Multi-Layer Asphalt Pavement Maintenance Method Using Electric Arc Furnace Slag Aggregate and Emulsified Asphalt (전기로슬래그 혼합골재를 이용한 조기교통개방이 가능한 연속 적층식 상온 아스팔트포장 유지보수 공법)

  • Kim, Wan-Sang;Lee, Suck-Hong;Kwon, Mun-Hyun;Choi, Do-Sun
    • 한국방재학회:학술대회논문집
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    • 2007.02a
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    • pp.117-120
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    • 2007
  • The main purpose of this paper is to introduce the early traffic opening-capable continuous multi-layer asphalt pavement maintenance method using electric arc furnace slag aggregate and emulsified asphalt to the actual construction sites. As well known, the previous surface treatment method of emulsified asphalt mixture have various shortcomings such as long work-time, traffic congestions, plastic deformation and poor evenness. Thus, the proposed method has enabled tile early traffic opening by utilizing the optimized emulsified asphalt after consideration of the climate and road conditions in Korea. The application of the electric furnace slag with $6\;{\sim}\;18\;mm$ thickness is helpful to become a environment-friendly construction method. And also, it has been improved enough to accommodate night-time works of mechanized construction activities for wearing course and control course.

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Diagnosis of Wastewater Treatment Processes through the Wastewater COD Fractionation and Process Simulation I : Wastewater COD Fractionation (유입하수 유기물 분류 및 공정모사를 통한 하수처리공정 진단 I : 유입하수 유기물 분류)

  • Choi, Young-Gyun;Chung, Tai-Hak
    • Journal of Korean Society of Water and Wastewater
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    • v.21 no.5
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    • pp.513-520
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    • 2007
  • The simulation programs used for diagnosis and design of activated sludge process require organic fractions in municipal wastewater as the input variables. However, methods for characterizing organic fractions are still under development, and are not standardized. In this study, total COD of municipal wastewater was experimentally subdivided into readily and slowly biodegradable COD as well as soluble and particulate inert COD. The COD fractionation of the three municipal wastewater for one year shows linear relationship between each COD fraction and TCOD concentration with around 100% COD balance. This result means that the COD fraction do not vary very much with time, although the actual influent concentrations vary significantly with time and day. Therefore, the experimentally subdivided COD fractions can be utilized as wastewater specific parameters for the simulation of activated sludge processes.

A Study on the Traffic Flow Characteristic Analysis and Applicability of Work Zones (도로 공사중의 교통류 특성분석과 적용성에 관한 연구 -고속도로를 중심으로-)

  • Lim, Chae-Moon;Lee, Ju-Ho;Lee, Young-Woo
    • Journal of the Korean Society of Industry Convergence
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    • v.5 no.4
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    • pp.329-337
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    • 2002
  • It is the actual condition that the increasing traffic delay and accident caused by inefficient management on various construction by occupying the roadways. Since almost roadway improvements are for the public convenient, negative effects by them are ignored. But now due to the increase of traffics demand and limitation of road supply, the positive management scheme and treatment plan on the constructions must be considered. Thus, to the extent of this study divides uninterrupted flow into freeways and the Highway, yielding the time spread between under construction and not, that is delay time, we build capacity and delay model in the change of traffic volume and occupying length.

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Effect of Cementite Precipitation on Carburizing Behavior of Vacuum Carburized AISI 4115 Steel (진공침탄에 의한 AISI 4115강의 침탄 거동에 미치는 세멘타이트 석출의 영향)

  • Gi-Hoon Kwon;Hyunjun Park;Yoon-Ho Son;Young-Kook Lee;Kyoungil Moon
    • Journal of the Korean Society for Heat Treatment
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    • v.36 no.6
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    • pp.402-411
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    • 2023
  • In order to examine the effect of cementite precipitated on the steel surface on the carburizing rate, the carburizing process was carried out at various boost times to measure the mass gain and carbon flux, phase analysis and carbon concentration analysis were performed on the surface of the carburized specimen. In the case of the only boost type, the longer the boost time, the more the mass gain by the diffused carbon follows the parabolic law and tends to increase. In particular, as the boost time increased, the depth of cementite precipitation and the average size of cementite on the steel surface increased. At a boost time of 7 min, the fraction of cementite precipitated on the surface is 7.32 vol.%, and the carburizing rate of carbon into the surface (surface-carbon flux) is about 17.4% compared to the calculated value because the area of the chemical (catalyst) where the carburization reaction takes place is reduced. The measured carbon concentration profile of the carburized specimen tended to be generally lower than the carbon concentration calculated by the model without considering precipitated cementite. On the other hand, in the pulse type, the mass gain by the diffused carbon increased according to the boost time following a linear law. At a boost time of 7 min, the fraction of cementite precipitated on the surface was 3.62 vol.%, and the surface-carbon flux decreased by about 4.1% compared to the calculated value. As a result, a model for predicting the actual carbon flux was presented by applying the carburization resistace coefficient derived from the surface cementite fraction as a variable.

The Effects of Postural Control based on Bobath Approach for Body Schema and Visual Perception of Middle Cerebral Artery Infarcts : Case Report (보봐스 개념에 기초한 중대뇌동맥 경색 환자의 자세조절이 신체도식과 시지각에 미치는 영향 : 단일사례연구)

  • Lee, Dae-Hee;Ro, Hyo-Lyun
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.3
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    • pp.193-200
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    • 2009
  • Purpose:In this study is to verify the effects postural control training based on Bobath approach for body schema and visual perception on Middle Cerebral Artery(MCA) Infarcts. Methods:The subject was a 46 years old man with MCA infaction, lives in B city. An AB design for a single-subject research was used for this study. The procedures consisted of 1 time of baseline phase(A), 20 times of treatment phase(B). We applied the Bobath approach at the subject. Treatments included to facilitate trunk alignment and stability, and to train weight bearing and shifting, to facilitate pelvis movement, and to train walk especially stance phase and assist up-down stairs locomotion in environment similar to actual daily life. Results:With this treatment, the majority of body schema and visual perception and postural control was improved in treatment phase compared with in baseline phase. Therefore, this study supported the effectiveness of postural control training based on Bobath approach for body sechma and visual perception of hemiplegia. Conculusion:This study is integrated postural control training with Bobath approach that are widespread for hemiplegia and measured outcomes based on individualized therapy goals. Consequently the study is suggested the meaning of quality effectiveness of Bobath approach.

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Study for Serum Cholesterol Level with Patients on Premature Examination of Stroke - Based on National Cholesterol Education Program Adult Treatment Panel III - (중풍 조기검진 환자의 혈중지질에 대한 연구 - NCEP Adult Treatment Panel III를 중심으로 -)

  • Chang, Mun-Won;Choi, Seong-Hwan;Jo, Hyun-Kyung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.4
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    • pp.716-721
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    • 2010
  • The aim of this study is to investigate the serum cholesterol level of patients who visited Oriental Hospital of Daejeon University to predict stroke, in Korea. In the time of period June 15th 2009 to June 20th 2009, 45 patients visited Oriental Hospital of Daejeon University to check the risk of stroke. We checked their blood to find out the serum cholesterol level and investigated their past history according to Adult Treatment Panel III guidelines. Male has higher risk of coronary heart disease than the female. The average of the total serum cholesterol of the participants was lower than the average of Korean. The percentage of the participants who have less HDL-cholesterol than 40 mg/dL was 33.3% and this result is less than the average percentage of Korean. Only 8.9% of the participants were placed in group who need to use lipid-lowering drug to reduce the lipoprotein density. Checking the characters of the person is necessary to use lipid-lowering drugs. This study can be the baseline data of actual condition of serum cholesterol level.