• Title/Summary/Keyword: Time delay protocol

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Prehospital Status of the Patients with Ischemic Chest Pain before Admitting in the Emergency Department (허혈성 흉통 환자의 응급의료센터 방문 전 상황)

  • Jin, Hye-Hwa;Lee, Sam-Beom;Do, Byung-Soo;Chun, Byung-Yeol
    • Journal of Yeungnam Medical Science
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    • v.24 no.1
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    • pp.41-54
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    • 2007
  • Background : The causes of chest pain vary but the leading cause of chest pain is ischemic heart disease. Mortality from ischemic chest pain has increased more than two fold over the last ten years. The purpose of this study was to determine the data necessary for rapid treatment of patients with signs and symptoms of ischemic chest pain in the emergency department (ED). Materials and Methods : We interviewed 170 patients who had ischemic chest pain in the emergency department of Yeungnam University Hospital over 6 months with a protocol developed for the evaluation. The protocol used included gender, age, arriving time, prior hospital visits, methods of transportation to the hospital, past medical history, final diagnosis, and outcome information from follow up. Results : Among 170 patients, there were 118 men (69.4%) and the mean age was 63 years. The patients diagnosed with acute myocardial infarction (AMI) were 106 (62.4%) and with angina pectoris (AP) were 64 (37.6%). The patients who had visited another hospital were 68.8%, twice the number that came directly to this hospital (p<0.05). The ratio of patients who visited another hospital were higher for the AMI (75.5%) than the AP (59.4%) patients (p<0.05). The median time spent deciding whether to go to hospital was 521 minutes and for transportation was 40 minutes. With regard to patients that visited another hospital first, the median time spent at the other hospital was 40 minutes. The total median time spent before arriving at our hospital was 600 minutes (p>0.05). The patients who had a total time delay of over 6 hours was similar 54.8% in the AMI group and 57.9% in the AP group (p>0.05). As a result, only 12.2% of the patients with an AMI received thrombolytics, and 48.8% of them had a simultaneous percutaneous coronary intervention (PCI). In the emergency department 8.5% of the patients with an AMI died. Conclusion : Timing is an extremely important factor for the treatment of ischemic heart disease. Most patients arrive at the hospital after a long time lapse from the onset of chest pain. In addition, most patients present to a different hospital before they arrive at the final hospital for treatment. Therefore, important time is lost and opportunities for treatment with thrombolytics and/or PCI are diminished leading to poor outcomes for many patients in the ED. The emergency room treatment must improve for the identification and treatment of ischemic heart disease so that patients can present earlier and treatment can be started as soon as they present to an emergency room.

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Application of Radiological Study by Small Bowel Disease - Comparison of Diagnostic Results of Small Bowel Series and Abdominal Pelvic Computed Tomography - (소장 질환별 방사선학적 검사의 적용에 관한 연구 - 소장조영술과 복부골반전산화단층촬영의 결과 분석을 중심으로 -)

  • Lee, Hee-Jung;Son, Soon-Yong;Lee, Won-Hong
    • Journal of radiological science and technology
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    • v.28 no.4
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    • pp.279-286
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    • 2005
  • Purpose : There are two modalities, those are small bowel series(SBS) and abdominal pelvic computed tomography(CT), for diagnosis of small bowel disease. The aim of this study is to lend radiological technologists who are doing the two modalities assistance in the understanding characteristic of disease by comparing the two results. Meterials and method : 284 patients were examined the two SBS and abdominal pelvic CT together from 1999 to 2003. 250 ml $BaSO_4$ suspension 40 w/v% and 600ml carboxy methyl cellulose 0.5 w/v% were used for SBS. Abdominal Pelvic CT was examined in one hour before taking 450 ml $BaSO_4$ suspension 1.5 w/v%. The CT scan was done in 72 sec after 150 ml contrast media injection. the used protocol was helical mode 5:5 mm pitch 1.375:1, speed 27.50, exposure 120 kv, 240 mA, tube rotation time 0.5 sec. the statistic analysis was conducted with statistical program SPSS 10 version with frequency and crossing analysis. P-value less than 0.05 were considered significant. Results : In the results of SBS, normal findings were 131 patients(46.1%), inflammatory bowel disease(IBD) 64(22.9%), ischemia+ileocolitis+vasculitis 22(7.7%), Obstruction+stricture 21(7.7%) and Others 45(15.9%). In the results of abdominal pelvic CT, normal findings were 103 patients(36.3%), inflammatory bowel disease 65(22.9%), wall thickening+lymphadenopathy 42(14.8%), Fluid collection 17(6%), and Others 57case(20%). The same results of the two were 130patients(45.8%). 30patients(10.6%) of normal finding in SBS were diagnosed as wall thickening+lymphadenopathy and IBD in CT, and 15patients(5.3%) of normal finding in CT were diagnosed as ischemia+ileocolitis+vasculitis, mass and IBD in SBS(p<0.05). Transit time delay was diagnosed in 10patients(3.5%) on only SBS, wall thickening+lymphadenopathy was diagnosed in 20patients(7%) in only CT(p<0.05). Conclusion : We think that proper examination method will be selected in the small bowel disease, if we understand the characteristics of the disease and method.

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The MCSTOP Algorithm about the Minimum Cost Spanning Tree and the Optimum Path Generation for the Multicasting Path Assignment (최적 경로 생성 및 최소 비용 신장 트리를 이용한 멀티캐스트 경로 배정 알고리즘 : MCSTOP)

  • Park, Moon-Sung;Kim, Jin-Suk
    • The Transactions of the Korea Information Processing Society
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    • v.5 no.4
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    • pp.1033-1043
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    • 1998
  • In this paper, we present an improved multicasting path assignment algorithm based on the minimum cost spanning tree. In the method presented in this paper, a multicasting path is assigned preferentially when a node to be received is found among the next degree nodes of the searching node in the multicasting path assignment of the constrained steiner tree (CST). If nodes of the legacy group exist between nodes of the new group, a new path among the nodes of new group is assigned as long as the nodes may be excluded from the new multicasting path assignment taking into consideration characteristics of nodes in the legacy group. In assigning the multicasting path additionally, where the source and destination nodes which can be set for the new multicasting path exist in the domain of identical network (local area network) and conditions for degree constraint are satisfied, a method of producing and assigning a new multicasting path is used. The results of comparison of CST with MCSTOP, MCSTOp algorithm enhanced performance capabilities about the communication cost, the propagation delay, and the computation time for the multicasting assignment paths more than CST algorithm. Further to this, research activities need study for the application of the international standard protocol(multicasting path assignment technology in the multipoint communication service (MCS) of the ITU-T T.120).

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A Novel Rate Control for Improving the QoE of Multimedia Streaming Service in the Internet Congestion (인터넷 혼잡상황에서 멀티미디어 스트리밍 서비스의 QoE 향상을 위한 전송률 제어기법)

  • Koo, Ja-Hon;Chung, Kwang-Sue
    • Journal of KIISE:Information Networking
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    • v.36 no.6
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    • pp.492-504
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    • 2009
  • The delivery of multimedia that efficiently adapts its bit-rate to changing network characteristics and conditions is one of the important challenging tasks in the design of today's real-time multimedia streaming systems such as IPTV, Mobile IPTV and so on. In these work, the primary focus is on network congestion, to improve network stability and inter-protocol fairness. However, these existing works have problems which do not support QoE (Quality of Experience), because they did not consider essential characteristics of contents playback such as the media continuity. In this paper, we propose a novel rate control scheme for improving the QoE of multimedia streaming service in the Internet congestion, called NCAR (Network and Client-Aware Rate control), which is based on network-aware congestion control and client-aware flow control scheme. Network-aware congestion control of the NCAR offers an improving reliability and fairness of multimedia streaming, and reduces the rate oscillation as well as keeping high link utilization. Client-aware flow control of NCAR offers a removing the media discontinuity and a suitable receiver buffer allocation, and provides a good combination of low playback delay. Simulation results demonstrate the effectiveness of our proposed schemes.

Performance Evaluation of Output Queueing ATM Switch with Finite Buffer Using Stochastic Activity Networks (SAN을 이용한 제한된 버퍼 크기를 갖는 출력큐잉 ATM 스위치 성능평가)

  • Jang, Kyung-Soo;Shin, Ho-Jin;Shin, Dong-Ryeol
    • The Transactions of the Korea Information Processing Society
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    • v.7 no.8
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    • pp.2484-2496
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    • 2000
  • High speed switches have been developing to interconnect a large number of nodes. It is important to analyze the switch performance under various conditions to satisfy the requirements. Queueing analysis, in general, has the intrinsic problem of large state space dimension and complex computation. In fact, The petri net is a graphical and mathematical model. It is suitable for various applications, in particular, manufacturing systems. It can deal with parallelism, concurrence, deadlock avoidance, and asynchronism. Currently it has been applied to the performance of computer networks and protocol verifications. This paper presents a framework for modeling and analyzing ATM switch using stochastic activity networks (SANs). In this paper, we provide the ATM switch model using SANs to extend easily and an approximate analysis method to apply A TM switch models, which significantly reduce the complexity of the model solution. Cell arrival process in output-buffered Queueing A TM switch with finite buffer is modeled as Markov Modulated Poisson Process (MMPP), which is able to accurately represent real traffic and capture the characteristics of bursty traffic. We analyze the performance of the switch in terms of cell-loss ratio (CLR), mean Queue length and mean delay time. We show that the SAN model is very useful in A TM switch model in that the gates have the capability of implementing of scheduling algorithm.

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Construction of a WAP Proxy and its Improvement for Wireless Communication Efficiency (WAP 프록시의 구축 및 무선통신 효율을 위한 개선)

  • Park, Kee-Hyun;Synn, Yang-Mo;Ju, Hong-Taek
    • The KIPS Transactions:PartC
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    • v.11C no.3
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    • pp.379-386
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    • 2004
  • The WAP 2.0 system is a newly proposed wireless communication system by the WAP Forum for interoperability across Internet environment and the system takes charge of communication between WAP terminals and existing origin Web servers. The purpose of this paper is 1) to construct a WAP 2.0 proxy proposed by the WAP Forum and 2) to improve the WAP Proxy in order to increase communication efficiency between wired and wireless communication objects. The Improved WAP proxy constructed in this study provides links between wired and wireless communication environments using the split-TCP concept. However, unlike the split-TCP connection, The improved WAP proxy maintains TCP's end-to-end semantics and reduces overhead by avoiding operations as much as possible on the upper protocol layer. In addition, The improved WAP proxy supports SACK(Selective Acknowledgement ) option and Timestamp option for speedy re-transmission which leads to reduction of performance degradation. After constructing the improved WAP proxy under Linux environment, experiments have been taken. The experimental results show that, compared with the experiments when a WAP proxy proposed by the WAP Forum is used, both data transmission delay time and data transmission size decrease to show that communication efficiency is increased. In particular, as packet missing ratio Increases, data transmission size decreases, which demonstrates that the improved WAP proxy is very effective for performance improvement in wireless communication environment.

Performance of active PNC Handover and PNC Heart Beat based Beacon Alignment Schemes for Wireless PAN Systems (WPAN에서의 신속한 망 복구를 위한 능동적인 PNC 핸드오버방법 및 PNC Heart Beat 의 비컨 프레임 정렬 방식의 성능분석)

  • Nam Hye-Jin;Kim Jae-Young;Jeon Young-Ae;Lee Hyung-Soo;Kim Se-Han;Yoon Chong-Ho
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.31 no.2B
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    • pp.117-128
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    • 2006
  • For the legacy IEEE 802.15.3 WPAN protocol, an unpredictable piconet coordinator(PNC) leaving from a piconet without a proper handoff procedure causes an absence of PNC, and thus the piconet gets collapsed. In addition, several beacons from PNCs in adjacent piconets may be collided on a device(DEV) located between those piconets. This beacon collision eventually makes the DEV leave from the piconet. To remedy these two problems, we here propose an Active Seamless Coordinator Switching(ASCS) scheme and a PNC HB based Beacon Alignment(PHBA) one. In the ASCS scheme, a PNC assigns a number of DEVs as next possible PNCs in sequence for provisioning against the abrupt breakdown of the current active PNC. Each nominated DEV proactively sends a probe frame to confirm the operation status of the active PNC. For the case of no response from the PNC, the nominated DEV tries to become a new PNC immediately. In the second PHBA scheme, each PNC is allow to broadcast a special Heart Beat(HB) frame randomly during a superframe period. When a DEV receives a HB frame from other PNC, it promptly sends the related PNCs a special Hiccup Beat(HCB) frame with the superframe information of its associated PNC. As a result, the HCB frame makes both PNCs align their superframe beginning time in order to yield no more beacon collisions. For these two proposed schemes, we show the performance by simulations. We can confirm the enhancement of throughput for each superframe and average frame transfer delay, since each scheme can reduce the duration of piconet collapse. Finally, it is worth while to note that the proposed schemes can be operated with frames those are permitted in the legacy WPAN standard.

A Study on the Aviation Case Law -Focusing on the Application of Treaties for the International Carriage by Air- (항공판례의 연구 -국제항공운송조약의 적용문제를 중심으로-)

  • Kim, Jong-Bok
    • The Korean Journal of Air & Space Law and Policy
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    • v.21 no.1
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    • pp.29-63
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    • 2006
  • This paper studied and introduced the aviation law cases in applying the treaties of the Warsaw System to the liability of the international air carrier by categorizing four main sections. Firstly, this paper handled the cases regarding the defining an international flight, exclusivity of the treaties as international air carrie's liability Convention, determining treaty relationship between the countries which one country has ratified only the Hague Protocol, an amended version of the Warsaw Convention, while the other has ratified only the original, unamended Warsaw Convention. Annotation assisted the case if it needed. Secondly, the cases relating to the issues of actual and contracting carrier, successive carrier, agents and servants of the carrier and others were studied. Thirdly, the issues relating to the accident in the course of any operations of embarking or disembarking of passengers, the occurrence during the transportation by air of baggage or goods and delay in the transportation by air of passengers, baggage or goods in addition to the cancellation of the flights were studied according to the applicable range. Fourthly, I studied the time issue with effective date of the treaties. Conclusively, it is not excessive to emphasize the importance of cases in Aviation Law like all other legal areas, therefore, a full-dress future reaserch of aviation cases is expected in here Korea with this paper as a foundation although it studied and introduced only a part of numerous aviation law cases.

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A Study on Linkage Integration Control System Using Power Line Communication(PLC) and Wireless Sensor Network(WSN) (전력선 통신과 무선 센서 네트워크 기술을 이용한 연동 통합제어 시스템에 관한 연구)

  • Ji, Yun-il;Lim, Kang-il;Park, Kyung-sub
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2009.05a
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    • pp.733-736
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    • 2009
  • Power Line Communication(PLC) is need not additional communication line. So establishment expense is inexpensive and application is simple. Therefore, lower part network of various application field is possible. However, there are high subordinate interference and noise problem on limited transmission data and communication interference element. Wireless Sensor Network(WSN) is need not infrastructure, Self-regulating network architecture of sensor nodes is possible. So at short time, network construction is available. But, power consumption is increased by active sensing for QoS elevation and unnecessary information transmission, low electric power design and necessity of improve protocol are refered to life shortening problem and is studied. In this paper, supplement problem of power line communication and wireless sensor network mutually and because advantage becomes linkage integration control system using synergy effect of two technologies as more restriction be and tries to approach structurally control network that is improved for smooth network environment construction. Honeywell's hybrid sensor network does comparative analysis(benchmarking). Confirm performance elevation proposing teaming of power line communication and wireless sensor network. Through simulation, service delay decreases and confirms that performance elevation.

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