• Title/Summary/Keyword: Protocol-Based Approach

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CQI Action Team Approach to Prevent Pressure Sores in Intensive Care Unit of an Acute Hospital Korea (중환자의 욕창 예방 연구 : 욕창 예방 QI팀을 중심으로)

  • Kang, So Young;Choi, Eun-Kyung;Kim, Jin-Ju;Ju, Mi-Jung
    • Quality Improvement in Health Care
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    • v.4 no.1
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    • pp.50-63
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    • 1997
  • Background : A pressure sore was defined as any skin lesion caused by unrelieved pressure and resulting in damage to underlying tissue. The health care institutions in the United States were reported the incident rate of pressure sores ranging from 6 to 14 %. Intensive Care Unit needed highest quality of care has been found over 40% incidence rate of pressure sore. Also, Annual expenditures for the care of pressure sores in patients in the United States have been estimated to be $7.5 billion; furthermore, 50 percent more nursing time is required to care for patients with pressure sore in comparison to the time needed to implement preventive measures against pressure sore formation. However, In Korea, there were little reliable reports, or researches, about incidence rates of pressure sore in health care institution including intensive care unit and about the integrated approach like CQI action team for risk assessment, prevention and treatment of pressure ulcers. Therefore, this study was to develop pressure sore risk assessment tool and the protocol for prevention of pressure sore formation through CQI action team activities, to monitor incident rate of pressure sore and the length of sore formation for patients at high risk, and to approximately estimate nursing time for sore dressing during research period as the effect of CQI action team. Method : CQI action team in intensive care unit, launched since early 1996, reviewed the literature for the standardized risk assessment tool, developed the pressure sore assessment tool based on the Braden Scale, tested its validity, compared on statistics including incidence rate of pressure sore for patients at high risk. Throughout these activities, CQI action team was developed the protocol, called as St. Marys hospital Intensive Care Unit Pressure Sore Protocol, shifted the emphasis from wound treatment to wound prevention. After applied the protocol to patients at high risk, the incident rate and the period of prevention against pressure development were tested with those for patients who received care before implementation of protocol by Chi-square and Kaplan-Meier Method of Survival Analysis. Result : The CQI action team found that these was significant difference of in incidence rate of pressure sores between patients at high risk (control group) who received care before implementation of protocol and those (experimental group) who received it after implementation of protocol (p<.05). 25% possibility of pressure sore formation was shown for the patients with 6th hospital day in ICU in control group. In experimental group, the patients with 10th hospital day had 10% possibility of pressure sore. Therefore, there was significant difference(p<.05) in survival rate between two groups. Also, nursing time for dressing on pressure sore in experimental group was decreased as much as 50% of it in control group. Conclusion : The collaborative team effort led to reduced incidence, increased the length of prevention against pressure sore, and declined nursing care times for sore dressing. However, there have had several suggestions for future study. The preventive care system for pressure sore should be applied to patients at moderate, or low risk throughout continuous CQI team activities based on Bed Sore Indicator Fact Sheet. Hospital-wide supports, such as incentives, would be offered to participants for keeping strong commitment to CQI team. Also, Quality Information System monitoring incidents and estimating cost of poor quality, like workload (full time equivalence) or financial loss, regularly in a hospital has to be developed first for supporting CQI team activities as well as empowering hospital-wide QI implementation. Being several limitations, this study would be one of the report cards for the CQI team activities in intensive care unit of an acute hospital and a trial of quality improvement of health care in Korea.

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An End-to-End Mobility Support Mechanism based on mSCTP (mSCTP를 이용한 종단간 이동성 지원 방안)

  • 장문정;이미정;고석주
    • Journal of KIISE:Information Networking
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    • v.31 no.4
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    • pp.393-404
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    • 2004
  • Recently, mSCTP (Mobile SCTP) has been proposed as a transport layer approach for supporting mobility. mSCTP is based on the ‘multi-homing’ feature of Stream Control Transmission Protocol(SCTP), and utilize the functions to dynamically add or delete IP addresses of end points to or from the existing connectionin order to support mobility. In this paper, we propose a mechanism to determine when to add or delete an W address, utilizing the link layer radio signal strength information in order to enhance the performance of mSCTP We also propose a mechanism for a mobile node to initiate the change of data delivery path based on link layer radio signal strength information. In addition, if it takes long time to acquire new data path, we propose an approach for reducing handover latency. The simulation results show that the performance of proposed transport layer mobility support mechanism is competitive compared to the traditional network layer mobility supporting approach. Especially, when the moving speed of mobile node is fast, it shows better performance than the traditional network layer approaches.

A Dynamic Offset and Delay Differential Assembly Method for OBS Network

  • Sui Zhicheng;Xiao Shilin;Zeng Qingji
    • Journal of Communications and Networks
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    • v.8 no.2
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    • pp.234-240
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    • 2006
  • We study the dynamic burst assembly based on traffic prediction and offset and delay differentiation in optical burst switching network. To improve existing burst assembly mechanism and build an adaptive flexible optical burst switching network, an approach called quality of service (QoS) based adaptive dynamic assembly (QADA) is proposed in this paper. QADA method takes into account current arrival traffic in prediction time adequately and performs adaptive dynamic assembly in limited burst assembly time (BAT) range. By the simulation of burst length error, the QADA method is proved better than the existing method and can achieve the small enough predictive error for real scenarios. Then the different dynamic ranges of BAT for four traffic classes are introduced to make delay differentiation. According to the limitation of BAT range, the burst assembly is classified into one-dimension limit and two-dimension limit. We draw a comparison between one-dimension and two-dimension limit with different prediction time under QoS based offset time and find that the one-dimensional approach offers better network performance, while the two-dimensional approach provides strict inter-class differentiation. Furthermore, the final simulation results in our network condition show that QADA can execute adaptive flexible burst assembly with dynamic BAT and achieve a latency reduction, delay fairness, and offset time QoS guarantee for different traffic classes.

Ecological Assessments of Aquatic Environment using Multi-metric Model in Major Nationwide Stream Watersheds (우리나라 주요하천 수계에서 다변수모델을 이용한 생태학적 수환경 평가)

  • An, Kwang-Guk;Lee, Jae-Yon;Bae, Dae-Yeul;Kim, Ja-Hyun;Hwang, Soon-Jin;Won, Doo-Hee;Lee, Jae-Kwan;Kim, Chang-Soo
    • Journal of Korean Society on Water Environment
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    • v.22 no.5
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    • pp.796-804
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    • 2006
  • The objective of this research was to develop ecological multi-metric models using natural fish assemblages for a diagnosis of current stream health condition, and apply the model to nationwide lotic ecosystems of the Geum River, the Youngsan River, and the Sumjin River. The ecological stream health model was based on the index of biological integrity (IBI), which was originally developed in North American streams by Karr (1981), and the Rapid Bioassessment Protocol (RBP), which was scientifically established by the US EPA (1999). The metric numbers and metric attributes were partially changed for the regional applications, so the scoring criteria was modified for the assessment. Overall, metric values, based on the IBI calculations, reflected conventional water quality characteristics, based on nutrient regime, and agreed with results of staticeco-toxicity tests. Some stations impaired in terms of stream health were identified by the IBI approach, and also major key stressors affecting the stream health were identified by additional evaluations of physical habitats. Our preliminary results suggested that biological integrity in stream ecosystems was largely disturbed by habitat degradation as well as chemical pollutions. This new approach would be used as a key tool for ecological restorations and species conservations in the degraded aquatic ecosystems in Korea and applied for elucidating major causes of ecological disturbances. Ultimately, this approach provides us an effective management strategy of stream ecosystems through establishments of ecological networks in various watersheds.

Review of Qualitative Approaches for the Construction Industry: Designing a Risk Management Toolbox

  • Zalk, David M.;Spee, Ton;Gillen, Matt;Lentz, Thomas J.;Garrod, Andrew;Evans, Paul;Swuste, Paul
    • Safety and Health at Work
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    • v.2 no.2
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    • pp.105-121
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    • 2011
  • Objectives: This paper presents the framework and protocol design for a construction industry risk management toolbox. The construction industry needs a comprehensive, systematic approach to assess and control occupational risks. These risks span several professional health and safety disciplines, emphasized by multiple international occupational research agenda projects including: falls, electrocution, noise, silica, welding fumes, and musculoskeletal disorders. Yet, the International Social Security Association says, "whereas progress has been made in safety and health, the construction industry is still a high risk sector." Methods: Small- and medium-sized enterprises (SMEs) employ about 80% of the world's construction workers. In recent years a strategy for qualitative occupational risk management, known as Control Banding (CB) has gained international attention as a simplified approach for reducing work-related risks. CB groups hazards into stratified risk 'bands', identifying commensurate controls to reduce the level of risk and promote worker health and safety. We review these qualitative solutions-based approaches and identify strengths and weaknesses toward designing a simplified CB 'toolbox' approach for use by SMEs in construction trades. Results: This toolbox design proposal includes international input on multidisciplinary approaches for performing a qualitative risk assessment determining a risk 'band' for a given project. Risk bands are used to identify the appropriate level of training to oversee construction work, leading to commensurate and appropriate control methods to perform the work safely. Conclusion: The Construction Toolbox presents a review-generated format to harness multiple solutions-based national programs and publications for controlling construction-related risks with simplified approaches across the occupational safety, health and hygiene professions.

Comparison of Home Automation System Using IPV-4 and IPV-6 Based On Mitigate Reconnaissance Attacks

  • Ali, Muhammad Shujat;Siddiq, Imran;Faisal, Abdullah;Awan, Muhammad Zubair
    • International Journal of Computer Science & Network Security
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    • v.22 no.2
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    • pp.341-347
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    • 2022
  • This research is designed to help and offer hold up to complete the requirements of aged and disable in a home. The control approach and the tone approach are used to manage the house appliances. The major organize system implementation in technology of wireless to offer distant contact from a phone Internet Protocol connectivity for access and calculating strategy and appliance remotely. The planned system no need a committed server PC with value of parallel systems and offers a new communication-protocol to observe and control a house environment with more than just the switch functionality. To express the possibility and efficiency of this system, devices like as lights switches, power plugs, and motion-sensors have been included with the planned home control system and supply more security manage on the control with low electrical energy activate method. The rank of switches is corresponding in all this control system whereby all user interfaces indicate the real time existing status. This system planned to manage electrical-appliances and devices in house with reasonably low cost of design, user friendly interface, easily install and provide high security. Research community generally specified that the network "Reconnaissance Attacks" in IPv6 are usually impossible due to they will take huge challenge to carry out address scanning of 264 hosts in an IPv6 subnet."It being deployed of IPv6 shows that it definitely enhances security and undermines the probability". This research of the IPv6 addressing-strategies at present utilizes and planned a new strategy and move toward to "mitigate reconnaissance attacks".

Web3 Business Model Innovation Approach and Cases of Korean Game Giants

  • Song, Minzheong
    • International Journal of Internet, Broadcasting and Communication
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    • v.16 no.1
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    • pp.241-252
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    • 2024
  • We analyze the types of Web3 business model innovation (BMI) of the six major Korean game companies by market size. As a result of the analysis, Nexon is watched as the adapter. It introduces blockchain (BC) layer 2, 'Polygon' to the extended ecosystem such as the creator's secondary creation, item utility, and compensation experience using the existing core intellectual property (IP). KakaoGames and Neowiz are watched as the adventurers. KakaoGames introduces BC layer 2, 'Polygon' and 'Near Protocol' to various experiments using tokenomics models in casual games and massively multiplayer online role-playing games (MMORPGs) using several existing popular IPs. Neowiz also introduces BC layer 2, 'Polygon' and 'Avalanche' to the IntellaX platform using existing game IPs. As the reinventor, Netmable positions as a game publisher that releases third-party games based on multi-chain infrastructure such as Klaytn, BNB Chain, Near Protocol, Aptos Foundation, and introduces BC to new core IPs. Finally, there are Wemade and Com2us as the mavericks. They aim to be the Web3 platform operators that create a BC layer 1 ecosystem and provide services that encompass BC games, GameFi, and non-fungible tokens (NFTs). Here are the implications of the four types of BMI. In terms of infrastructure, Nexon, KakaoGames, and Neowiz try to introduce a part of cross-chain, whereas Netmable tries to move toward a complete multi-chain strategy, and Wemade and Com2us also try to consider multi-chain, even if they have the full BC introduction. In terms of defending against market decline, Nexon and Netmable have a different position. Nexon which has a greater market dominance, only tries to continuously experiment, but Netmable is aggressively focusing on monetizing new products. Attacks on growth aspirations also show two different positions. KakaoGames and Neowiz only try to aggressively explore, while WeMade and Com2us try to set new standards for industrial innovation.

Analytical Approach of Global Mobility Support Schemes in IP-based Heterogeneous Mobile Networks (IP기반 이종 모바일 네트워크에서 글로벌 이동성 지원기법의 분석적 접근법)

  • Won, Younghoon;Jeong, Jongpil
    • KIPS Transactions on Computer and Communication Systems
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    • v.1 no.3
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    • pp.205-218
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    • 2012
  • Mobility management of the mobile nodes and provision of seamless handover is crucial to an efficient support for the global roaming of the mobile nodes in next-generation wireless networks. Mobile IPv6 and mobility management in extended IP layer, which highly depend on traffic characteristics and user mobility models, were proposed by the IETF. Therefore, to evaluate the in-depth performance about these factors is important. Generally, the performance of IPv6-based mobility management protocol is evaluated through simulation. This paper shows the correlation between network parameters and performance metrics through numerical results, which is investigated how influence handoff latency and packet loss. And this paper uses mathematical analysis of the system parameters, such as the subnet residence time, the packet arrival rate and delay in wireless connection through the analytical framework which evaluate the performance of IPv6-based mobility management protocol.

A TCP-Friendly Congestion Control Scheme using Hybrid Approach for Reduction of Transmission Delay for Real-Time Video Stream (실시간 비디오 스트림의 전송지연 축소를 위한 TCP 친화적 하이브리드 혼잡제어 기법)

  • 김형진;조정현;나인호
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.8 no.2
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    • pp.304-309
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    • 2004
  • Recently, the needs for multimedia stream such as digital audio and video in the Internet has increased tremendously. Unlike TCP, the UDP protocol, which has been used to transmit streaming traffic thorough the Internet, does not apply any congestion control mechanism to regulate the data flow thorough the shared network And it leads to congestion collapse of the Internet and results in long-term transmission delay. To avoid any adverse effect on the current Internet functionality, a now protocol of modification or addition of some functionality to perform congestion control and to reduce huge transmission delay in transmitting of multimedia stream are in study. TCP-friendly congestion control mechanism is classified into two : one is window-based congestion control scheme using general window management functionalities, the other is rate-based congestion control scheme using TCP modeling equation. In this paper, we propose an algorithm for improving the transmitting rate on a hybrid TCP-friendly congestion control scheme combined with widow-based and late-based congestion control for multimedia stream. And we also simulate the performance of improved TEAR implementation using NS. With He simulation results, we show that the improved TEAR can provide better fairness and lower rate fluctuations than TCP.

Interactive Visual Analytic Approach for Anomaly Detection in BGP Network Data (BGP 네트워크 데이터 내의 이상징후 감지를 위한 인터랙티브 시각화 분석 기법)

  • Choi, So-mi;Kim, Son-yong;Lee, Jae-yeon;Kauh, Jang-hyuk;Kwon, Koo-hyung;Choo, Jae-gul
    • Journal of Internet Computing and Services
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    • v.23 no.5
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    • pp.135-143
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    • 2022
  • As the world has implemented social distancing and telecommuting due to the spread of COVID-19, real-time streaming sessions based on routing protocols have increased dependence on the Internet due to the activation of video and voice-related content services and cloud computing. BGP is the most widely used routing protocol, and although many studies continue to improve security, there is a lack of visual analysis to determine the real-time nature of analysis and the mis-detection of algorithms. In this paper, we analyze BGP data, which are powdered as normal and abnormal, on a real-world basis, using an anomaly detection algorithm that combines statistical and post-processing statistical techniques with Rule-based techniques. In addition, we present an interactive spatio-temporal analysis plan as an intuitive visualization plan and analysis result of the algorithm with a map and Sankey Chart-based visualization technique.