• Journal of Korean Institute of Industrial Engineers
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• v.1 no.1
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• pp.99-103
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• 1975

A procedure for the test of independence of the observations and the null distribution are studied for a waiting-time distribution of the number of Bernoulli trials required to obtain a preassigned number of successes under Markov dependence. Selected critical values for the test statistic are tabulated.

• Proceedings of KOSOMES biannual meeting
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• 2017.11a
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• pp.186-186
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• 2017

• The Korean Journal of Emergency Medical Services
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• v.14 no.3
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• pp.71-81
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• 2010

Purpose: To minimize an interruption in chest compression, reduce the hands-off time, the American Heart Association has recommended the ratio of chest compression to ventilation ratio to 30:2 from 2005 CPR guideline to 2010 CPR guideline. However, current studies have shown that the hands-off time was > 10 seconds with that method. For this reason, we devised new CPR method that a ventilation to chest compression ratio of 2:30 to reduce pt assessment time and skipped the assessment step of carotid artery pulse would be a more effective way to reduce the hands-off time & the time to set the CPR. According to the more detailed purpose are listed below. 1) We would like to confirm efficiency of a ventilation to chest compression ratio of 2:30 than a chest compression to ventilation ratio of 30:2 to reduce the hands-off time & the time to set the CPR. 2) We would like to evaluate possibility of increasing for chest compression accuracy of a ventilation to chest compression ratio of 2:30 than a chest compression to ventilation ratio of 30:2 3) We would like to evaluate possibility of increasing for ventilation accuracy of a ventilation to chest compression ratio of 2:30 than a chest compression to ventilation ratio of 30:2 Methods: According to 2005 American Heart Association Guidelines, 60 paramedic students(20 students X freshmen, sophomore, junior) performed 5 cycles of 3~ chest compressions : 2 ventilations after A, B, C evaluation with Laerdal Resusci R Anne SkillReporters. After 5 minutes rest, the 60 students performed 5 cycles of 2 ventilations : 30 chest compressions after A, B evaluation with the manikins between 13 and 17 September 2010. The short reports including speed & accuracy of chest compression, respiratory, CPR cycle were gained from the manikins. Hands-off times were measured by assistants. Results: Recently, the importance of high quality CPR was emphasized in order to perform the CPR faster and more accurate. To find out improving the conventional CPR method, we switch the procedure of the compression and the ventilation. By switching the procedure back and forth, we are able to compare the effectiveness of CPR between two type of CPR method which are 2:30 and 30:2 methods. 2:30 is that the breaths is delivered twice, first and perform 30 compressions while 30:2 perform 30 compressions first and give 2 breaths followed by the ABC method. Also, we verify the effectiveness of the hands off time, compression accuracy of the compression through the comparison of the two procedure as mentioned earlier. Consequently research verified that 2:30 is the efficient by providing faster set up delivering more accurate chest compression. Conclusion: 2:30 can minimize a time delay from cardiac standstill until starting the chest compression. In addition, hands-off time which is an interruption in chest compression can be shortened by 2:30 method, which result to effective oxygenation of coronary artery & maintenance of the bloodstream. Once again, performing the 2:30 method provide lessen hands off time and increase the accuracy of the chest compression.

• Archives of Plastic Surgery
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• v.32 no.1
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• pp.117-123
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• 2005

The reconstructive modalities for vaginal reconstruction include simple dilatation, skin graft, use of intestinal segments and various methods using flaps. However, skin grafting procedure is the most commonly used technique and the McIndoe procedure is a representative technique among skin grafting procedures. McIndoe procedure is easier, faster and has a lower morbidity compared to other techniques. However the conventional McIndoe procedure has several problems such as incomplete vestibule formation, excessive bleeding during dissection, possibility of recto-vaginal or urethro-vaginal fistula formation, late vaginal contracture and discomfort in wearing hard plastic mold for a long time after operation. To solve these problems, the authors modified the conventional McIndoe procedure in several perspectives. The undeveloped vestibule was incised with X-shaped mucosal incision between the urethral opening and posterior margin of the vestibule and deepened by blunt finger dissection to provide a sufficient diameter & length of the neovagina and to minimize bleeding. A sizable medium thickness split skin graft was harvested and wrapped over a roll gauze-filled condom mold. Applying multiple stab incision on the skin grafted condom mold, it was inserted into the prepared neovaginal canal. Distal margin of the skin graft was secured with tips of the mucosal flaps created by X-shaped vestibular incision to prevent accidental extrusion of the skin grafted mold. During last 15 years, we applied this modification to 20 vaginal agenesis patients and investigated results of the 12 patients who could be followed up serially including hematoma formation and skin graft survival rate, size, depth, presence of late contracture, appearance, comfortness, and hygiene of the neovagina. And they were compared with 8 patients of 20 patients who underwent conventional McIndoe procedures. The modified McIndoe procedure revealed lower complication rate, higher patient satisfaction and better functional results.

• 제어로봇시스템학회:학술대회논문집
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• 2003.10a
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• pp.2707-2712
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• 2003

In this paper, with the utilization of a three-dimensional version of Leibniz’s rule, the procedure of deriving the time rate of change of an energy functional for axially moving continua is investigated. It will be shown that the method in [14], which describes the way of getting the time rate of change of an energy functional in Eulerian description, and subsequent results in [10, 11] are not complete. The key point is that the time derivatives at boundaries in the Eulerian description of axially moving continua should take into account the velocity of the moving material itself. A noble way of deriving the time rate of change of the energy functional is proposed. The correctness of the proposed method has been confirmed by other approaches. Two examples, one-dimensional axially moving string and beam equations, are provided for the purpose of demonstration. The results following the procedure proposed and the results in [14] are compared.

• Journal of the Korean Operations Research and Management Science Society
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• v.30 no.4
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• pp.45-60
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• 2005

We consider a vehicle routing problem with time window and dock capacity constraints (VRPTD). In most traditional models of vehicle routing problems with time window (VRPTW), each customer must be assigned to only one vehicle route. However demand of a customer may exceed the capacity of one vehicle, hence at least two vehicles may need to visit the customer We assume that each customer has Its own dock capacity. Hence, the customer can be served by only a limited number of vehicles simultaneously. Given a depot, customers, their demands, their time windows and dock capacities, VRPTD is to get a set of feasible routes which pass the depot and some customers such that all demands of each customer are satisfied Since VRPTD is NP-hard, a meta-heuristic algorithm is developed. The algorithm consists of two Procedures : the route construction procedure and the route scheduling procedure. We tested the algorithm on a number of instances and computational results are reported.

• Clinics in Shoulder and Elbow
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• v.25 no.1
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• pp.42-48
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• 2022

Background: Total shoulder arthroplasty (TSA) has been demonstrated to be an effective treatment for multiple shoulder pathologies. The purpose of our study was to compare the relative value units (RVUs) per minute of surgical time for primary and revision TSA. Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried to identify patients that underwent primary TSA, one-component revision TSA, and two-component revision TSA between January 1, 2015 and December 31, 2017 using current procedure terminology codes. RVUs were divided by mean operative time for each procedure to determine the amount of revenue generated per minute. Rates were compared between the groups using a one-way analysis of variance with post-hoc Tukey test. Statistical significance was set at p<0.05. Results: When dividing compensation by surgical time, we found that two-component revision generated more compensation per minute compared to primary TSA (0.284±0.114 vs. 0.239±0.278 RVU per minute or $10.25±$4.11 vs. $8.64±$10.05 per minute, respectively; p=0.001). Conclusions: The relative value of revision TSA procedures is weighted to account for the increased technical challenges and time associated with these procedures. This study confirms that reimbursement is higher for revision TSA compared to primary TSA.

• Management Science and Financial Engineering
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• v.8 no.2
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• pp.1-20
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• 2002

This paper presents a model that analyzes the impact of uncertainties in demand and processing times on the production lead time of a Kanban system. We consider the waste associated with under-production as well as over-production when we measure the production lead time. We set up an optimization model to minimize the production lead time. A simple heuristic procedure is developed to determine solutions in terms of the size of containers and the number of Kanban cards. In addition, we numerically examine the behavior of the optimal Kanban system.

• Proceedings of the KIEE Conference
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• 1999.11c
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• pp.591-593
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• 1999

The finite time optimum regulation problem of a discrete time bilinear system with a quadratic performance criterion is obtained in terms of a sequence discrete algebraic Lyapunov equations. Our new method is based on the successive approximations. This algorithm saves the computation time to solve the optimal problem, and the design procedure is illustrated for an example.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 1996.04a
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• pp.372-377
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• 1996

A time-optimal control law for quick, strongly nonlinear systems like revolute robots has been developed and demonstrated. This procedure involves the utilization of neural networks as state feedback controllers that learn the time-optimal control actions by means of an iterative minimization of both the final time and the final state error for the known and unknown systems with constrained inputs and/or states. The nature of neural networks as a parallel processor would circumvent the problem of "curse of dimensionality".ity".uot;.