• Title/Summary/Keyword: Delay Causes

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Prevention of delay in implant services using time schedule (타임스케줄을 이용한 임플란트 수술의 지연 개선)

  • Ji-Yeon, Park
    • Journal of Korean Academy of Dental Administration
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    • v.10 no.1
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    • pp.1-8
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    • 2022
  • This study introduces research on the quality of medical services, optimization of medical services, dental medical services, implant medical services, and time schedules, as well as the effective process of dental implant medical services, which is expensive and requires a long treatment period. For improvement, it is suggested to evaluate using a time schedule. In this method, a time schedule is prepared in which each step, starting from the patients appointment until the completion of the treatment process, is allotted a certain time. This schedule was finalized in consultation with the employees. When performing all implant operations, the starting time of each item was checked to evaluate the degree of compliance and to understand any reasons for delay in each step. After identifying the causes for delay at each step, suitable steps to rectify the drawbacks were developed, and an optimal plan for patient management was determined. Changes in waiting time and human resource utilization were shown as concrete data, suggesting that such a schedule is meaningful as a decision-making support tool.

THE ROOT CAUSE ANALYSIS PROCESS FOR SCHEDULE DELAY IN CONSTRUCTION (건설공사의 작업지연 원인분석 프로세스)

  • Ji, Kun-Chang;Kim, Chang-Duk;Yu, Jung-Ho
    • Korean Journal of Construction Engineering and Management
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    • v.7 no.5
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    • pp.138-148
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    • 2006
  • In constructing projects, there exist various kinds of work interferences, which cause a delay of the outset and completion of planned schedule because of some attributions, such as variability, uncertainty and complexity, and so schedule delay has been treated as a natural phenomenon. To reduce or prevent the schedule delay, a constant confirmation of schedule delay and a preparation of counter plans for finding out the cause structure of schedule delay should have been done. However, all this time the research has been mostly done on the calculation method or claim cases of schedule delay, and the range of analysis method of the cause structure of schedule delay has been multifarious from industrial views to views of specific work. Moreover, the classifying system and analysis method did not consider the trait, which cause the schedule delay, in constructing projects. For this reason, it is difficult to compare the cause of delay factors of the projects and to understand the effect of schedule delay by each factor. This paper restricts the range of the cause analysis of schedule delay to the field of site management in the projects and divides the cause structure of schedule delay into the cause objects and cause attributes of schedule delay according to the input elements. The system of classifying causes of schedule delay is examined by interviews with experts and questionnaire. Additionally, this paper analyzes the attributes of cause attributes and cause subjects and presents the analysis method and procedure of schedule delay with the application of VSM.

Study of Relationship Between Illness Perception and Delay in Seeking Help for Breast Cancer Patients Based on Leventhal's Self-Regulation Model

  • Attari, Seyedeh Maryam;Ozgoli, Giti;Solhi, Mahnaz;Majd, Hamid Alavi
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.167-174
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    • 2016
  • One of the major causes of morbidity and mortality in breast cancer patients is delay in seeking help. Leventhal's self-regulation model provides an appropriate framework to assess delay in seeking help. The aim of this study was to investigate the relationship between "illness perception" and "help seeking delay" in breast cancer patients based on Leventhal's self-regulation model. In this correlational descriptive study with convenience sampling conducted in 2013, participants were 120 women with breast cancer who were diagnosed in the last year and referred to chemotherapy and radiotherapy centers in Rasht, Iran. Data collection scales included demographic data, Revised Illness Perception Questionnaire (IPQ-R)and a researcher made questionnaire to measure the delay in seeking help. Pre-hospital delay (help seeking delay) was evaluated in 3 phases (assessment, disease, behavior). The data were analyzed using SPSS-19. The mean (SD) age calculated for the patients was $47.3{\pm}10.2$. Some 43% of the patients had a high school or higher education level and 82% were married. The "pre-hospital delay" was reported ${\geq}3months$. Logistic regression analysis showed that none of the illness perception components were correlated with appraisal and behavioral delay phases. In the illness delay phase, "time line" (p-value =0.04) and "risk factors"(p-value=0.03) had significant effects on reducing and "psychological attributions" had significant effects on increasing the delay (p-value =0.01). "Illness coherence" was correlated with decreased pre-hospital patient delay (p-value<0.01). Women's perceptions of breast cancer influences delay in seeking help. In addition to verifying the validity of Leventhal's self-regulation model in explaining delay in seeking help, the results signify the importance of the "illness delay phase" (decision to seek help) and educational interventions-counseling for women in the community.

An analysis of the causes of prehospital delays in patients with suspected acute stroke (급성 뇌졸중 의심 환자의 병원 전 지연 원인 분석)

  • Lee, Nam-Jin;Moon, Jun-Dong
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.2
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    • pp.27-38
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    • 2020
  • Purpose: Stroke is a time-sensitive disease that could have reduced complications and mortality with timely diagnosis and treatment. This study aimed to analyze the causes of delay in detecting the clinical signs and symptoms of stroke. Methods: This retrospective observational study analyzed the emergency medical services reports of suspected stroke patients with positive predictive values on the Cincinnati Prehospital Stroke Scale. The study was conducted in Daejeon, Republic of Korea from January 1, 2016 through December 31, 2017. Results: Prolonged prehospital time was associated with high blood pressure, history of cerebrovascular disease, and incidences during daily activities, and sleep. High blood pressure and complications from a previous stroke strongly associated with the prolonged stroke-detection phase (p<.05). Total prehospital time was shortened when patients had evident stroke symptoms, such as decreased level of consciousness, dysarthria, and hemiplegia (p<.05). There was no significant difference in gender or age as a factor that delayed the total prehospital time of the suspected stroke patients. Conclusion: Many patients did not recognize the early clinical symptoms and signs of a stroke. Furthermore, risk factors, such as high blood pressure and history of stroke, prolonged the total prehospital time. Therefore, we need targeted interventions that educate about warning symptoms of stroke, along with emphasis on the importance of emergency calls to substantially reduce the prehospital delays.

A Novel Adaptive Routing Algorithm for Delay-Sensitive Service in Multihop LEO Satellite Network

  • Liu, Liang;Zhang, Tao;Lu, Yong
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.10 no.8
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    • pp.3551-3567
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    • 2016
  • The Low Earth Orbit satellite network has the unique characteristics of the non-uniform and time-variant traffic load distribution, which often causes severe link congestion and thus results in poor performance for delay-sensitive flows, especially when the network is heavily loaded. To solve this problem, a novel adaptive routing algorithm, referred to as the delay-oriented adaptive routing algorithm (DOAR), is proposed. Different from current reactive schemes, DOAR employs Destination-Sequenced Distance-Vector (DSDV) routing algorithm, which is a proactive scheme. DSDV is extended to a multipath QoS version to generate alternative routes in active with real-time delay metric, which leads to two significant advantages. First, the flows can be timely and accurately detected for route adjustment. Second, it enables fast, flexible, and optimized QoS matching between the alternative routes and adjustment requiring flows and meanwhile avoids delay growth caused by increased hop number and diffused congestion range. In addition, a retrospective route adjustment requesting scheme is designed in DOAR to enlarge the alternative routes set in the severe congestion state in a large area. Simulation result suggests that DOAR performs better than typical adaptive routing algorithms in terms of the throughput and the delay in a variety of traffic intensity.

Application of array comparative genomic hybridization in Korean children under 6 years old with global developmental delay

  • Lee, Kyung Yeon;Shin, Eunsim
    • Clinical and Experimental Pediatrics
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    • v.60 no.9
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    • pp.282-289
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    • 2017
  • Purpose: Recent advancements in molecular techniques have greatly contributed to the discovery of genetic causes of unexplained developmental delay. Here, we describe the results of array comparative genomic hybridization (CGH) and the clinical features of 27 patients with global developmental delay. Methods: We included 27 children who fulfilled the following criteria: Korean children under 6 years with global developmental delay; children who had at least one or more physical or neurological problem other than global developmental delay; and patients in whom both array CGH and G-banded karyotyping tests were performed. Results: Fifteen male and 12 female patients with a mean age of $29.3{\pm}17.6months$ were included. The most common physical and neurological abnormalities were facial dysmorphism (n=16), epilepsy (n=7), and hypotonia (n=7). Pathogenic copy number variation results were observed in 4 patients (14.8%): 18.73 Mb dup(2)(p24.2p25.3) and 1.62 Mb del(20p13) (patient 1); 22.31 Mb dup(2) (p22.3p25.1) and 4.01 Mb dup(2)(p21p22.1) (patient 2); 12.08 Mb del(4)(q22.1q24) (patient 3); and 1.19 Mb del(1)(q21.1) (patient 4). One patient (3.7%) displayed a variant of uncertain significance. Four patients (14.8%) displayed discordance between G-banded karyotyping and array CGH results. Among patients with normal array CGH results, 4 (16%) revealed brain anomalies such as schizencephaly and hydranencephaly. One patient was diagnosed with Rett syndrome and one with $M{\ddot{o}}bius$ syndrome. Conclusion: As chromosomal microarray can elucidate the cause of previously unexplained developmental delay, it should be considered as a first-tier cytogenetic diagnostic test for children with unexplained developmental delay.

The improvement of the SDMB service in the border adding time delay to the satellite signal (위성신호 Delay추가를 통한 위성DMB 서비스 경계지역 품질개선)

  • Min, Man-Gi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.9 no.5
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    • pp.1279-1283
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    • 2008
  • Satellite Digital Multimedia Broadcasting(SDMB) needs Gap Fillers(GFs) to cover the non-service areas. However, SDMB mobile phones which are not located in GFs service area receive signals directly from the satellite because it is impossible to cover all SDMB service with GFs. Therefore, there is a border between the GFs service coverage and the satellite service coverage and it causes a time delay in signals which are from the GFs or the satellite. The time delay is the reason why SDMB service deteriorates. In this paper, I show how to reduce the deterioration of SDMB service in the border area between the GFs and the satellite adding the time delay to the satellite signal and the GFs signal. I think that this method is helpful in reducing the deterioration, especially in the early stages of SDMB service, which the GFs are not spread all over the nation yet.

Efficient Mechanism for receiver and sink node in Wireless Sensor Networks (무선 센서 네트워크에서 수신 및 싱크 노드를 위한 효율적인 데이터 전송 방법)

  • Jeon, JunHeon
    • The Journal of Korean Association of Computer Education
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    • v.23 no.3
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    • pp.65-70
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    • 2020
  • In wireless sensor networks, data packets are send to the sink node. So traffic increases near the sink node. This causes delay and collision. To solve this problem, the proposed mechanism used half rotation antenna. By using a half rotation antenna, the delay of data packets can be reduced. Also we propose a method to efficiently use the energy of the node using BRN(backup receiver node) and increase the lifetime of the entire networks. Our numerical analysis and simulation results show that our mechanism outperforms RI-MAC protocol in terms of energy consumption and transmission delay.

The Research about Voice Transmission between CDMA Network and PSTN Network Using CDMA Circuit Data Service (CDMA 회선 데이터 서비스를 이용한 CDMA망과 PSTN 망간의 음성 전송에 관한 연구)

  • Park, Yong-Seok;Ahn, Jae-Hwan;Ryou, Jae-Cheol
    • The KIPS Transactions:PartC
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    • v.15C no.5
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    • pp.367-374
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    • 2008
  • To realize the voice privacy between CDMA mobile phone and PSTN terminal, the voice frames shall be transmitted transparently between the heterogeneous networks. For satisfying this requirement, we propose the method which transmits voice frames using the CDMA circuit data channel in real time. In this paper we analyze the causes of voice delay which occurs during voice transmission using circuit data channel. And in order to overcome this kind of delay, the technique controlling the TCP control flag and the variable audio block construction algorithm according to the vocoder output rate are proposed. As a result of experimenting by applying the proposed method, we confirmed that the transit delay was improved with about average 70%.