• Title/Summary/Keyword: Admission policy

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The Impact of Living Alone on the Transfer and Treatment Stages of Acute Ischemic Stroke in the Busan Metropolitan Area (부산권역 급성 허혈성 뇌졸중 환자 이송 및 치료단계에서 독거가 미치는 영향)

  • Hye-in Chung;Seon Jeong Kim;Byoung-Gwon Kim;Jae-Kwan Cha
    • Health Policy and Management
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    • v.33 no.4
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    • pp.440-449
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    • 2023
  • Background: This study aimed to analyze the prehospital process and reperfusion therapy process of acute ischemic stroke in Busan metropolitan area and examine the impact of living arrangement on the early management and functional outcomes of acute ischemic stroke (AIS). Methods: The patients who diagnosed with AIS and received reperfusion therapy at the Busan Regional Cardiovascular Center between September 2020 and May 2023 were selected. We investigated the patients' hospital arrival time (onset to door time) and utilization of 119 emergency ambulance services. Additionally, various time matrices related to reperfusion therapy after hospital were examined, along with the functional outcome at the 90-day after treatment. Results: Among the 753 AIS patients who underwent reperfusion therapy, 166 individuals (22.1%) were living alone. AIS patients living alone experienced significant delays in symptom detection (p<0.05) and hospital arrival compared to AIS patients with cohabitants (370.1 minutes vs. 210.2 minutes, p<0.001). There were no significant differences between the two groups in terms of 119 ambulance utilization and time metrics related with the reperfusion therapy. Independent predictors of prognosis in AIS patients were found to be age above 70, National Institutes of Health Stroke Scale score at admission, tissue plasminogen activator, living alone (odds ratio [OR], 1.785; 95% confidence interval [CI], 1.155-2.760) and interhospital transfer (OR, 1.898; 95% CI, 1.152-3.127). Delay in identification of AIS was shown significant correlation (OR, 2.440; 95% CI, 1.070-5.561) at living alone patients. Conclusion: This study revealed that AIS patients living alone in the Busan metropolitan region, requiring endovascular treatment, face challenges in the pre-hospital phase, which significantly impact their prognosis.

Examination of Individual, School, and Parent/Household Factors Affecting Private English Tutoring Costs of College Students (대학생의 영어 사교육 비용에 미치는 개인, 학교, 및 부모/가구요인에 대한 연구)

  • Kim, Jung Eun
    • The Korean Journal of Community Living Science
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    • v.28 no.3
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    • pp.429-446
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    • 2017
  • The current study aims to identify factors associated with private tutoring of college students in Korea. For this purpose, this study used the Korean Education and Employment Panel survey, which contains items regarding whether or not college students receive private tutoring as well as the monthly costs of private lessons. The current study focuses on private English lessons due to the very low response rates of other types of private tutoring. For the analysis, the 5th wave of KEEP collected in 2008 was selected, and a Heckman selection model was employed, including three categories of variables: individual, school, and parent/household factors. The results have revealed that for the selection model (receiving private English tutoring or not), having received private lessons in high school, gender, and level of satisfaction regarding the respondent's current university were significant. In terms of the outcome model (cost for private English tutoring in college), university admission type (rolling vs. regular), living with parents, school type (4-yr university vs. others), being in debt to cover private lesson fees in high school, and monthly household income had significant effects. This article also discusses the results and implications for future research and policy makers.

Design and Implementation of parallel Media server in current system environment (기존 시스템 환경에서의 병렬 미디어 서버의 설계 및 구현)

  • 김경훈;류재상;김서균;남지승
    • Proceedings of the IEEK Conference
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    • 2000.06c
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    • pp.97-100
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    • 2000
  • As network resources have become faster and demands for multimedia service through network have increased, the demand for Media server system has increased. These kinds of media server solve their bottle neck problem of internal storage device by using parallel system which takes advantage of fast network resource. Many vendors have suggested each of their media server system to solve these problem radically, but most of them require major modification of infra component and additional drawback has added. For example, storage mechanism for specific media requires new file system which is totally different from traditional one, and algorithm for enhancing performance may not suit for traditional operating system environment. In this paper, we designed a parallel media server based on web interface of traditional system and implemented a program for media server. Implemented server system performs parallel processing through web interface without any modification of traditional system, and controls which is related to merging load by distributed data is charged only to client and control server and consequently load of storage server can be minimized. And also, data transfer protocol for streaming media includes Retransfer algorithm and client Admission control policy relevant to performance of whole system.

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Opportunistic Routing for Bandwidth-Sensitive Traffic in Wireless Networks with Lossy Links

  • Zhao, Peng;Yang, Xinyu
    • Journal of Communications and Networks
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    • v.18 no.5
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    • pp.806-817
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    • 2016
  • Opportunistic routing (OR) has been proposed as a viable approach to improve the performance of wireless multihop networks with lossy links. However, the exponential growth of the bandwidth-sensitive mobile traffic (e.g., mobile video streaming and online gaming) poses a great challenge to the performance of OR in term of bandwidth guarantee. To solve this problem, a novel mechanism is proposed to opportunistically forwarding data packets and provide bandwidth guarantee for the bandwidth-sensitive traffic. The proposal exploits the broadcast characteristic of wireless transmission and reduces the negative effect of wireless lossy links. First, the expected available bandwidth (EAB) and the expected transmission cost (ETC) under OR are estimated based on the local available bandwidth, link delivery probability, forwarding candidates, and prioritization policy. Then, the policies for determining and prioritizing the forwarding candidates is devised by considering the bandwidth and transmission cost. Finally, bandwidth-aware routing algorithm is proposed to opportunistically delivery data packets; meanwhile, admission control is applied to admit or reject traffic flows for bandwidth guarantee. Extensive simulation results show that our proposal consistently outperforms other existing opportunistic routing schemes in providing performance guarantee.

Knowledge and Practice on Infection Prevention of Caregivers of Hospitalized Children (입원 아동 보호자의 병원감염예방 지식과 실천)

  • Kwon, In-Soo;Seo, Yeong-Mi
    • Korean Parent-Child Health Journal
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    • v.13 no.2
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    • pp.102-109
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    • 2010
  • Purpose: The purpose of this study was to identify the knowledge and practice on hospital infection prevention of caregivers of hospitalized children. The results will be the basic data of future policy and education program for hospital infection prevention. Methods: A descriptive survey design was utilized, The subjects included 151 caregivers from a university hospital in Gyeongnam Province, Korea. The data was collected using a self-reported questionnaire which included 17 items for knowledge, 18 items for practice, developed by researchers from March 2005 to January 2006. The collected data was analyzed with descriptive statistics, t-test, and ANOVA using SPSS program. Results: The mean score of knowledge on infection prevention was .87 of 1 (especially low in method of hand washing item), and practice, 2.60 of 3 (especially low in protection from other people items). There were differences in practice by admission frequency (F=2.83, p = .04), but there were no differences in knowledge by any general characteristics. Conclusion: The degree of knowledge and practice on caregiver's infection prevention was not enough to prevent hospital infection of hospitalized children. Therefore, effective strategies should be developed to prevent hospital infection of hospitalized children.

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Determining Factors for the Use of Oriental Healthcare Services for Survey Subjects with Chronic Illnesses : 2005 National Health and Nutrition Examination Survey (만성질환자의 한방의료서비스 이용 결정요인 : 2005년도 국민건강영양조사)

  • Lee, Hyun-Joo;Yoo, Weon-Seob;Chung, Su-Kyoung
    • Journal of Society of Preventive Korean Medicine
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    • v.15 no.3
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    • pp.115-125
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    • 2011
  • Objectives : The aim of this study is to investigate the relevant factors which determine the use of oriental healthcare services among subjects with chronic illnesses. Method : This study utilized the data from the Korean National Health and Nutrition Examination Survey in 2005. Out of all the participants of the survey, 11,665 individuals who are older than 19 years old and have one or more chronic diseases were included in this study. Results : The factors that affect utilization of oriental healthcare services were significantly associated with gender, educational level, job, personal income, the number of chronic illnesses, experiences of nontreatment or delayed treatment and admission experiences for the last one year(p<.001). Although some of these factors need further studies, the determining factors for the use of oriental healthcare services are the presence of chronic illness and the number of chronic disease. That is, the chronically ill are more likely to seek oriental healthcare services. And the more chronic diseases the clients have the higher probability of seeking oriental healthcare services was found. Conclusions : The results suggest that the national integrated care services should be established for diverse development of policy regarding the quality of care of chronic illness and cost-effectiveness.

An Exploring Study on the Evaluation Strategies of the Extra-Curricula Area for Admission to a University using SWOT Analysis (SWOT 분석을 통한 대학 입학 전형에서 비교과 영역 평가 전략 탐색)

  • Heo, Gyun;Sung, Eun-Mo
    • Journal of Fisheries and Marine Sciences Education
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    • v.24 no.2
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    • pp.234-245
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    • 2012
  • This study aims to analyze the factors of the extra-curricula area in personal school performance record and propose the practical strategies for entrance examination affairs on this area. To address this goal, we have applied a SWOT analysis with related documents and research results. We found out five strengths: (S1) Link the students' experience to right people for the university, (S2) Quantitative Indicators, (S3) Qualitative Indicators, (S4) Link to other evaluation factors, and (S5) Analysis of Human Resource. The weakness included: (W1) Fairness, (W2) Reliability, (W3) Difficulties to set standards, (W4) Difficulties to set environments, and (W5) Lack of systemic experience of an evaluation. We also discovered five opportunities (O1) Recognition of public education, (O2) The need of national support, (O3) The importance of autonomy, (O4) Specialization, and (O5) Networks. Finally, threat factors consisted of: (T1) Frequent change of educational policy, (T2) Increasing of private education, (T3) Lack of information and preparation time, and (T4) The accuracy and reliability of personal school records. Based on these results, we suggested practical strategies with these four dimensions: S-O, W-O, S-T, and W-T.

China's Ascent in World Trade and Associated Shift in Its Trade Structure

  • Rao, D. Tripati;Pathak, Ravi
    • The Journal of Asian Finance, Economics and Business
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    • v.3 no.3
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    • pp.39-55
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    • 2016
  • The rapid expansion of China's trade surplus since the mid-eighties and picking up until the onset of 2008-09 global financial crisis has been a key development in the world economy. While growing trade surplus of China has been viewed with cynicism borne out of an undervalued Yuan and for having being a member of WTO since 2001, many others argue that China's trade surplus reflect changes in China's economic and trade structure and associated shifts in its role within regional and global production chains. We address this issue by analyzing: (i) China's growing and changing trade structure as well as changing structure of trade surplus with the rest of the world, USA, Europe, Japan and rest of Asia, (ii) China's revealed comparative advantage (RCA) with the rest of the world, and (iii) how China's trade policies resulted into a shift in China's trade structure. We find that, not only China has made significant inroads in the world trade since its admission to WTO, but also there has been a noticeable shift in China's trade structure with specialization in high-end technology industries wherein China's exports aided by a well calibrated FDI policy.

A Study on the Customer's Satisfaction Evaluation of Hotel Food and Beverage Products (호텔 식음료 상품의 속성과 고객만족도 측정에 관한 연구)

  • Kim Mee-Kyung;Lee Jung-Hak
    • Management & Information Systems Review
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    • v.7
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    • pp.247-263
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    • 2001
  • To evaluate customer satisfaction of hotel food and beverage products, developing items for the measurement is necessary through studying the properties of food and beverage products. The properties consist of human service, physical and systematic service. Human service includes appearance and uniforms, courtesy and kindness, quickness and precision of the service, well-educatedness, moral sense and etc. Physical service includes the taste of food and beverage, diversity of food and beverage, outlets' cleanness and atmosphere, refinement of fixture, furnishing and table ware, the admission passage to the hotel and parking lot facilities, and etc. Systematic service includes passages of movement to outlet, arrangement of outlet, reservation management system, operation of events and package goods, temperature and ventilation system and etc. The price is also one of important variables to measure customer satisfaction index, so it is included to the investigating items. As shown some hotels have several satisfactory items but most items are unsatisfactory because expected service is better than perceived service. Therefore, the hotels which lack human service need the reinforcement of service education, the hotels which lack physical and systematic services need the improvement, the development and the renovation according to the unsatisfactory items. And the hotels whose price item is unsatisfactory need to consider the policy.

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Analysis of traffic control policies in the voice-date integrated cellular CDMA mobile network (음성 및 데이터가 혼합된 CDMA 셀룰러 망에서의 트래픽 제어 분석 방법)

  • Yoon, Bok-Sik;Lee, Nam-Jun;Lee, Dong-Kie;Lie, Chang-Hoon
    • Journal of Korean Institute of Industrial Engineers
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    • v.22 no.4
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    • pp.771-788
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    • 1996
  • A CDMA-based cellular mobile telecommunication system has already been developed and is expected to provide more stable mobile communication services for much more users than traditional analog mobile systems. As a natural course of development, the CDMA mobile system is expected to provide ISDN services in the near future. In this paper, we analyze several traffic control policies for the voice-data integrated traffic in the cellular CDMA system. We first select four admission control policies which take differences in traffic and QOS characteristics between voice and data into account, and then develop modelling and analysis techniques, which can be used directly to analyze the chosen control policies. Our approach is based on so-called threshold model. Numerical computation results obtained under the typical traffic situation are also given. Through these computation results we could tentatively conclude that the cutoff priority policy, which can provide the priority for handoff voice cells while effectively utilizing unused channels, seems to be most effective among the four policies.

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