• Journal of Home Health Care Nursing
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• v.18 no.2
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• pp.118-125
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• 2011

Purpose: The aim of this study was to evaluate the efficiency of nursing units in a hospital using DEA. Methods: Data were collected using the medical information system of a general hospital in a city. Input variables were number of nurses, number of nurse-aides, number of beds, and overhead costs. Output variables included number of admitted patients, rate of bed utilization, satisfaction of discharged patients, and prevention rate of safety accidents and sores. EMS Window version 3.1 was used to measure the efficiency score and descriptive statistics were applied to analyze the general characteristics of variables. Results: The average efficiency score of 18 general nursing units was approximately .99. Nine nursing units had a 1.00 efficiency score. Conclusion: Our findings reveal that nursing units operated very efficiently. To increase efficiency of inefficient nursing units, we recommend results of the DEA slack analysis as a benchmark of the most efficient nursing unit.

• Journal of the Korea Society of Computer and Information
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• v.24 no.3
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• pp.29-39
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• 2019

In this study, we introduce a model that satisfies energy efficiency and economical efficiency by introducing and demonstrating cogeneration generators in industrial complexes using various actual data collected at the site. The proposed model is composed of three scenarios, ie, full - time operation, scenario operated according to demand, and a fusion type. In this study, the power generation profit and surplus thermal energy are measured according to the operation of the generator, and the thermal energy is traded according to the demand of the customer to calculate the profit and loss including the heat and evaluate the economic efficiency. As a result of the study, it is relatively profitable to reduce the generation of the generator under the condition that the electricity rate is low and the gas rate is high, while the basic charge is not increased. On the contrary, if the electricity rate is high and the gas rate is low, The more you start up, the more profit you can see. These results show that even a cogeneration power plant with a low economic efficiency due to a low "spark spread" has sufficient economic value if it can sell more than a certain amount of heat energy from a nearby customer and adjust the applied power through peak management.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.67 no.12
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• pp.1595-1601
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• 2018

The biggest obstacle to the commercialization of small and medium size microgrid (MG) is the reliability and economics of MG operation and maintenance. In this paper, we propose an autonomous operation method that is implemented as an application program installed in the MG operating system in emergency situations. The proposed algorithm consists of four steps of distinction, recognition, determination and control of emergency situations that can occur in MG. A fuzzy-based situation decision algorithm has been proposed to eliminate the barriers of autonomous operation in actual emergency situation such as occurrence of bad data and communication delay. In addition, countermeasures have been suggested for cases where multiple emergency situations have occurred in combination. The proposed algorithm was tested in a 500kW actual microgrid site of a university. Through the test, the validity of the proposed method and its applicability to practical MG operation are verified.

• Journal of information and communication convergence engineering
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• v.20 no.3
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• pp.204-211
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• 2022

This study evaluated the completeness of patient care report (PCR). A retrospective quality analysis was conducted using raw data of 122,140 EMS activity reports prepared by paramedics in Gyeonggi-do from April 1 to May 31, 2021. In all, 67,830 cases of normal transfers were statistically analyzed using IBM SPSS Statistics version 22, and statistical significance was set at p<0.5. The 119EMT_2 certificate was omitted in 50,037 (73.8%) cases, followed by time-related items in 1,227 (1.8%) cases. In the primary assessment of vital signs, systolic blood pressure was omitted and erroneous in 1,218 (1.9%) and 1,129 (1.8%) cases, respectively. In the secondary assessment, the completeness of all vital sign items was approximately 70%. Advanced emergency care and online medical control (OLMC) reporting showed discrepancies in all items. As the severity of the patient's condition increased, the errors in the Patient care report (PCR) also increased, at a significant level (p= .00). Paramedics must be aware of the importance of completing the activity report.

• Journal of the Institute of Electronics Engineers of Korea TC
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• v.48 no.10
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• pp.43-52
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• 2011

In this paper, we propose the architecture of the policy-based emergency bio data transmission for the smart healthcare service. the medical staff can quickly and accurately monitor the emergency bio data of the remote patient through the proposed architecture. The proposed system consists of three parts: IEEE 11073-based agents and managers performing the aggregation function and transmission function of the bio data; the emergency management server performing the converting function between IEEE 11073 and HL7 and auto-diagnosis function of the policy-based; HL7 medical system based on HL7. Finally, by implementing the proposed system, we shows that the aggregation of the bio data and management of the emergency bio data in the smart healthcare service are possible.

• The Korean Journal of Emergency Medical Services
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• v.9 no.2
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• pp.89-100
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• 2005

Due to the improvement in life, we, human beings, are living in the more convenient world. However, as society gets complex, it comes to be faced a dangerous situation that needs to request a help due to an unexpected accident. The promptly emergency relief and emergency treatment from this accident, can be said to be extremely important in increasing a rate of resuscitation. This study analyzed on a case study and problems about the Emergency Medical System out of hospital in our country. The contents in the results of a study can be summarized as follows. 1. given the occurrence of medical disputes in a situation of emergency treatment, the regulation in the legal protection 'Will need to be reinforced. 2. in relation to the mobilization of ambulance, the preferentially passage right in ambulance needs to be guaranteed. In general, the preferentially passage right in ambulance is secured, but it will need to be supplemented by improving the education in civic consciousness and the social system. 3. in case of emergency duties in the emergency medical technician, the countermeasure will need to be strengthened in terms of abusive language and violence from a citizen. 4. in terms of emergency duties in the emergency medical technician, aiming to keep safety from a sudden situation, the possession of the protective equipments will need to be completely provided. 5. the limitation of activity will need to be eased by expanding the range of duties in the emergency medical technician within the ambulance, and the opening of duties will need not to be allowed to the similarly job category. 6. it needs to be reinforced the safety of the emergency medical technician from infectious diseases. Aiming at these emergency medical technicians whose service spirit is thoroughgoing, the nation and the local government will need to form all the conditions in which emergency medical technicians can be active passionately.

• Journal of the Korean Society for Railway
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• v.18 no.1
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• pp.15-24
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• 2015

In magnetic levitation vehicles, the clearance between the magnet and track should be maintained within an allowable range through a feedback control loop. The flexibility of the guideway would introduce additional modes in the overall suspension system, resulting in dynamic interaction between the guideway vibration and the electromagnetic suspension control system. This dynamic interaction can be a serious problem, particularly at very low speeds or standstill, and may cause airgap instability. To optimize the overall system dynamics, an integrated dynamic model including mechanical and electrical parts and a flexible guideway as well as a control loop was developed. With the proposed model, airgap simulations at standstill were performed while varying the control gains, specifically with the aim of understanding the effects of gains of the PID controller on the airgap variation. The findings may be used to achieve a stable levitation controller design.

• International Journal of Computer Science & Network Security
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• v.22 no.3
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• pp.37-44
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• 2022

Plug-in Hybrid electric vehicles (PHEV) show great potential to reduce gas emission, improve fuel efficiency and offer more driving range flexibility. Moreover, PHEV help to preserve the eco-system, climate changes and reduce the high demand for fossil fuels. To address this; some basic components and energy resources have been used, such as batteries and proton exchange membrane (PEM) fuel cells (FCs). However, the FC remains unsatisfactory in terms of power density and response. In light of the above, an electric storage system (ESS) seems to be a promising solution to resolve this issue, especially when it comes to the transient phase. In addition to the FC, a storage system made-up of an ultra-battery UB is proposed within this paper. The association of the FC and the UB lead to the so-called Fuel Cell Battery Electric Vehicle (FCBEV). The energy consumption model of a FCBEV has been built considering the power losses of the fuel cell, electric motor, the state of charge (SOC) of the battery, and brakes. To do so, the implementing a reinforcement-learning energy management strategy (EMS) has been carried out and the fuel cell efficiency has been optimized while minimizing the hydrogen fuel consummation per 100km. Within this paper the adopted approach over numerous driving cycles of the FCBEV has shown promising results.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.58 no.6
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• pp.1116-1122
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• 2009

ATS(Automatic Train Stop) system makes train stop when it runs over the speed limit and ensure the safe operation of train. Seoul Metro line 2 in Korea, which started its passenger service in 1982, has adopted ATS system for its signaling system. The ATS system has only a train stop function at the time of emergency, and Seoul Metro is planning to replaced them with ATC(Automatic Train Control)/ATO(Automatic Train Operation) system which can provide the dedicated speed control for headway reduction and automatic operation of train. Until all the ATS system is replaced with the new ATC system, both systems are to operate simultaneously at the same metro line. In this situation, ATS system sometimes reveals improper operation: train stops suddenly without any obstacles in front of it. These emergency stops cause interruption of passenger service, and abnormal abrasion of wheels and rail. This paper makes it clear that these interruptions are caused by EMI phenomena between ATS on-board device and ATC wayside device : Signal current flowing in AF track circuit of ATC is turn out to be a EMI source that prevent normal operation of the ATS on-board device. Although the two systems have different frequency-ranges (ATS system has frequency range between $78{\sim}130$[kHz] and ATC system has frequency range between $9.5{\sim}16.5$[kHz]), it turned out that EMI phenomena appears between the both systems. This is investigated by measuring the output signal from ATS on-board device passing over ATC wayside device. The FFT(Fast Fourier Transform) analysis of the signal reveals that AF track circuit signal is transmitted to the ATS on-board device and induce noise causing improper operation. The countermeasures to the EMI phenomena are examined in three ways; blocking EMI transmission, enforcement of EMS (Electromagnetic Susceptibility) of ATS on-board device, and blocking the EMI source. It is suggested that the practical solution be blocking EMI source temporarily, that is breaking AF track circuit signal when the trains with ATS on-board device pass over it. To this purpose, TODS(Train Occupation Detection System) is developed, and has made a success in preventing the EMI problem of Seoul Metro line 2.

• Korean Journal of Adult Nursing
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• v.18 no.1
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• pp.146-156
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• 2006

Purpose: 1) to construct cohorts according to risk scores calculated with the Gail Breast Cancer Risk Assessment Tool (Gail et al., 1989) (Gail) and the Breast Cancer Risk Appraisal (Lee et al,. 2003) (Lee) 2) to identify the distribution of risk factors and preventive behavior stages between the cohorts 3) to identify abnormal breast conditions in risk cohort. Method: Using convenience sampling, 775 rural women were selected. Risk appraisal was scored using Gail and Lee. Preventive behavior stages for BSE (Breast self examination) and mammography were measured using 4 stages of the Transtheoretical Model (Prochaska & DiClemente, 1983). Results: 1) The risk cohort according to Gail was 12.3% (n=95), and Lee, 3.1% (n=24). 2) There were significant differences in the distribution of risk factors (age, family history, age at 1st live birth, age at menarche, number of breast biopsy, history of breast disease, and breast-feeding) between cohorts. 3) There was a significant difference in the distribution of the stage of BSE according to Lee. 4) Six women in the risk group detected masses or nodules and physician consultation and ultrasonography were recommended. Conclusion: On the basis of the constructed cohorts, further longitudinal studies of cohorts are recommended with interventions according to characteristics of cohorts.