• Title/Summary/Keyword: expected delay

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Reducing the waiting time of parkinson's patients in outpatient pharmacy by improving EMR and workflow (외래약국에서 파킨슨병 환자 투약대기시간 단축을 위한 전산 및 업무 흐름 개선)

  • Choi, Dan-Hee;Yim, Ji-Yoon;Lee, Yong-Hwa
    • Quality Improvement in Health Care
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    • v.20 no.1
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    • pp.28-40
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    • 2014
  • Objectives: Prescriptions for Parkinson's can be dispensed at the outpatient pharmacy. In general, the treatment of Parkinson's disease requires a multitude of drugs, sometimes taken 4 to 6 times a day at specific times as prescribed by the medical practitioner. Said "time-specific therapy" is one of the major reasons of dispensing delay observed at the outpatient pharmacy. Because our establishment lacked a computerized system to support time-specific prescriptions, they were not recognized electronically. They had to be issued and dispensed manually, which required a greater amount of time than the automated process. To solve the problem, a new sig code was developed to handle time-specific prescriptions with a comprehensive automated dispensing system to support it. This study aims to create electronic programs and streamline the process to increase dispensing performance. And thus, ensure greater patient safety and dispensing accuracy within a shorter dispensing time and also increase employee satisfaction through a decreased workload. Methods: After identifying the problems caused by non-electronic prescriptions an automated system that allowed the issuance of time-specific prescriptions was developed. A new sig code was created that could be recognized by the Pharmacy electronic medical program, the label printer to group medications by administration times and the Automatic Tablet Counter(ATC) to count the grouped drugs accordingly. Result: With the new sig code, the practitioner became able to electronically select the times of drug administration while issuing the prescription. This 'time-specific prescription' can now be recognized by the pharmacy electronic medical program, the label printer and the ATC like any other prescription. Conclusion: The developed program started operating on September 2013. Although not all Parkinson's patients have been issued with the new electronic 'time-specific prescription', the overall dispensing process has become more streamlined and accurate. As the medical team continues to integrate the new system in their practice an additional decrease of the dispensing time is predicted. Future program upgrades and other new time-saving approaches are scheduled, which are expected to further increase the service quality of our outpatient pharmacy.

Fault free Shortest Path routing on the de Bruijin network (드브르젼 네트워크에서 고장 노드를 포함하지 않는 최단 경로 라우팅)

  • Ngoc Nguyen Chi;Nhat Vo Dinh Minh;Zhung Yonil;Lee Sungyoung
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.29 no.11B
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    • pp.946-955
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    • 2004
  • It is shown that the do Bruijn graph (dBG) can be used as an architecture for interconnection network and a suitable structure for parallel computation. Recent works have classified dBG based routing algorithms into shortest path routing and fault tolerant routing but investigation into fault free shortest path (FFSP) on dBG has been non-existent. In addition, as the size of the network increase, more faults are to be expected and therefore shortest path dBG algorithms in fault free mode may not be suitable routing algorithms for real interconnection networks, which contain several failures. Furthermore, long fault free path may lead to high traffic, high delay time and low throughput. In this paper we investigate routing algorithms in the condition of existing failure, based on the Bidirectional do Bruijn graph (BdBG). Two FFSP routing algorithms are proposed. Then, the performances of the two algorithms are analyzed in terms of mean path lengths and discrete set mean sizes. Our study shows that the proposed algorithms can be one of the candidates for routing in real interconnection networks based on dBG.

A Consideration of the Decision-Making Efficiency Concerning the Removal of Oil Spills by Foreign Ships in the EEZ (EEZ내 외국 침몰선박 잔존유 제거 의사결정 효율화 방안 고찰)

  • Na, Song-Jin
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.25 no.6
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    • pp.698-707
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    • 2019
  • The removal of oil spilled by the sinking of a foreign ship in Korea's Exclusive Economic Zone (EEZ) began in May 2019 four years after the ship sunk near Jeju Island. The cleanup was conducted by a foreign company that was contracted to the ship-owner's protection & indemnity (P&I) insurance company. In contrast to the time taken to begin the cleanup, the operation itself was completed in just 22days. Compared to similar cases, the decision to begin the removal was a delayed one. This study analyzes all 93 documents related to the ship's sinking and the eventual cleanup, confirming delays in administrative decision-making on the removal, and identifies factors that influenced this delay. These factors include a neglect of accident-related data verification, and other, legal, technical, environmental, and human aspects. Finally, this study suggests ways to improve decision-making efficiency. As the first study dealing with the cleanup in the EEZ, this research is expected to facilitate decision-making and influence the formulation of policies in the future.

Microscopic Study on the Warrants for TWLTL Based on the DHV - Focusing on the Section with Overlapping Left-turn Movements - (설계시간 교통량 기반 양방향 좌회전차로의 설치기준에 관한 미시적 연구 - 좌회전 상충이 발생하는 구간을 중심으로 -)

  • Lee, Ji-Sun;Shin, Chi-Hyun
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.13 no.5
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    • pp.1-10
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    • 2014
  • This research focuses on the warrants for the Two-Way Left-Turn Lanes (TWLTL). Using a microscopic traffic simulation tool, two key parameters were investigated herewith. One is a wide range of the Design Hourly Volume (DHV), reflective of recent Korean roadway volume characteristics, that is conventionally reduced from the Average Daily Traffic (ADT). The other is driveway spacing, the length of the middle-lane section where two conflicting left-turn demands often compete for space. In addition, unlike previous researches, the way and the procedure the TWLTL operation is realized in the VISSIM S/W with its add-on application such as VISVAP is clearly stated and described in detail. According to the result of simulations for 10 volume scenarios, as expected, the higher the volume level is, the more delay the left-tuner experience. The Level Of Service (LOS) for most cases was in the range of C and D based on the non-signalized intersection LOS criteria. Furthermore, the TWLTL was found operable up to the volume level of 1,116 and 1,860 vph in heavy direction (equivalent of volume level 7) for 3-lane and 5-lane facility respectively, which covers significant portion of existing two to four-lane highway volumes in Korea.

Emerging P2P Traffic Analysis and Modeling (P2P 트래픽의 특성 분석과 트래픽 모델링)

  • 주성돈;이채우
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.29 no.2B
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    • pp.279-288
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    • 2004
  • Rapidly emerging P2P(Peer to Peer) applications generate very bursty traffic, which gives a lot of burden to network, and the amount of such traffic is increasing rapidly. Thus it is becoming more important to understand the characteristics of such traffic and reflect it when we design and analyze the network. To do that we measured the traffic in a campus network and present flow statistics and traffic models of the measured traffic, and compare them with those of the web traffic. The results indicate that P2P traffic is much burstier than web traffic and as a result it negatively affects network performance. We modeled P2P traffic using self-similar traffic model to predict packet delay and loss occurred in network which are very important to evaluate network performance. We also predict queue length distribution and loss probability in SSQ(Single Sewer Queue). To assess accuracy of traffic model, we compare the SSQ statistics of traffic models with that of the traffic trace. The results show that self-similar traffic models we use can predict P2P traffic behavior in network precisely. It is expected that the traffic models we derived can be used when we design network capacity and predict network performance and QoS of the P2P applications.

Characteristics of Strength Development of Ultra-High Performance Concrete according to Curing Condition (초고성능 콘크리트의 양생 조건에 따른 강도 발현 특성)

  • Park, Jong-Sup;Kim, Young-Jin;Cho, Jeong-Rae;Jeon, Se-Jin
    • Journal of the Korea Concrete Institute
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    • v.25 no.3
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    • pp.295-304
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    • 2013
  • Ultra-High Performance Concrete (UHPC) has recently been one of the most active research fields in Korea as well as in foreign countries, because it can contribute to a longer life and economic efficiency of structures. Although precast-type UHPC fabricated in a factory is preferable in terms of quality control and reduction of construction period, there exist, even in the precast structure, some parts that need to be cast in-place such as the joints between precast segments. In the cast-in-place UHPC, however, it is probable that an optimum curing condition can hardly be realized in contrast to the factory production. In this study, therefore, the trend of compressive strength development of UHPC was experimentally investigated by assuming various inferior curing conditions that may be anticipated at a construction site. Concrete specimens were fabricated and cured under different conditions with the variables such as curing temperature, delay time before the initiation of curing, duration of curing time and moisture condition. The strengths were compared with those of the specimens cured by standard high temperature steam. Through the analysis of the test results, some minimum requirements for curing have been proposed that are required when the UHPC is cast in-place. It is expected, through this study, that practical use of UHPC in construction sites can be increased.

Structural Strength Evaluation for Development of a Vertical Transfer Device for a Personal Rapid Transit (PRT) Vehicle (PRT 차량용 수직이송장치의 개발을 위한 구조강도 평가)

  • Kang, Seok-Won;Um, Ju-Hwan;Jeong, Rag-Gyo;Song, Joon-Hyun
    • Transactions of the KSME C: Technology and Education
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    • v.3 no.3
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    • pp.165-173
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    • 2015
  • This paper presents numerical results of static structural stability analysis in development of a vertical transfer device of a PRT(Personal Rapid Transit) vehicle. The vertical transfer of a fully occupied vehicle operating on a road network is the first attempt, which is expected to contribute to overcome the limitations of conventional 2-dimensional operation mode. In particular, the vertical transfer apparatus designed based on vertical circulating conveyors is capable of continuous transfer without time delay so that it enables to accommodate a high traffic density. This system has been frequently used in a logistics field; however, it is essential to assess a structural integrity because an external force by a vehicle weight is exerted on the conveyors in the form of a concentrated load unlike a conventional logistic transport. In this study, prior to the production process, the structural performance of the pilot design in an early stage is numerically evaluated using the commercial finite element method (FEM) solver (i.e., $Ansys^{(R)}$).

Musculocutaneus Island Flap Based on the Distal Vascular Pedicle of Gracilis Muscle (박근의 원위혈관경을 이용한 도서형 근피판술)

  • Chung, Duke-Whan;Lee, Yong-Wook;Cho, Chang-Hyun
    • Archives of Reconstructive Microsurgery
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    • v.6 no.1
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    • pp.96-102
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    • 1997
  • The gracilis that is frequently used as a donor of free muscle trasfer is appropriate in the muscular shape and vascular position. This muscle is belonged to the second type of muscle group by the classification of the pattern of muscular nutrient vessel. The adductor branch or first perforating branch of deep femoral artery which supplies the proximal 1/3 of this muscle is a dominant one and this is used for the microscopic anastomosis of muscle or musculocutaneous flap. The minor vascular pedicles which enter the distal 1/3 of this of this muscle are branches of the superficial femoral artery and it is 0.5mm in diameter, 2cm in length with two venae comitantes. These minor pedicles supplies distal half of the gracilis muscle. This island musculocutaneous flap using distal vascular pedicle can be used to cover the defect of soft tissue around the distal femoral supra-condylar area, knee joint and proximal tibial condyle area which cause limitation of motion of knee joint, or in the cases that usual skin graft is impossible. The important operative procedure is as follows; The dissection is carried proximally and distally and the entire gracilis muscle including proximal and distal pedicle is completely dissected. After temporary blocking of the proximal vascular pedicle, the adequate muscle perfusion by the distal pedicle is identified and it is rotated to the recipient site around knee joint. The advantages of this procedure are simple, no need of microscopic vascular anastomoses and no significant functional loss of donor site. Especially in the cases of poor condition of the recipient vessel, this procedure can be used effectively. From 1991 to 1996, we performed 4 cases; complete survival of flap in 3 cases and partial survival of flap with partial necrosis in 1 case. This procedure is though to be useful in the small sized soft tissue defect of distal femoral supra-condylar area, knee joint and proximal tibial condylar area, especially in the defect of anterior aspect which expected to cause limitation of motion of knee joint due to scar contracture. But the problems of this procedure are the diameter of distal vascular pedicle is small and the location of distal vascular pedicle is not constant. To reduce the failure rate, identify the muscular perfusion of distal vascular pedicle after blocking the proximal pedicle, or strategic delay will be helpful.

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Development of a Freeway Travel Time Forecasting Model for Long Distance Section with Due Regard to Time-lag (시간처짐현상을 고려한 장거리구간 통행시간 예측 모형 개발)

  • 이의은;김정현
    • Journal of Korean Society of Transportation
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    • v.20 no.4
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    • pp.51-61
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    • 2002
  • In this dissertation, We demonstrated the Travel Time forecasting model in the freeway of multi-section with regard of drives' attitude. Recently, the forecasted travel time that is furnished based on expected travel time data and advanced experiment isn't being able to reflect the time-lag phenomenon specially in case of long distance trip, so drivers don't believe any more forecasted travel time. And that's why the effects of ATIS(Advanced Traveler Information System) are reduced. Therefore, in this dissertation to forecast the travel time of the freeway of multi-section reflecting the time-lag phenomenon & the delay of tollgate, we used traffic volume data & TCS data that are collected by Korea Highway Cooperation. Also keep the data of mixed unusual to applicate real system. The applied model for forecasting is consisted of feed-forward structure which has three input units & two output units and the back-propagation is utilized as studying method. Furthermore, the optimal alternative was chosen through the twelve alternative ideas which is composed of the unit number of hidden-layer & repeating number which affect studying speed & forecasting capability. In order to compare the forecasting capability of developed ANN model. the algorithm which are currently used as an information source for freeway travel time. During the comparison with reference model, MSE, MARE, MAE & T-test were executed, as the result, the model which utilized the artificial neural network performed more superior forecasting capability among the comparison index. Moreover, the calculated through the particularity of data structure which was used in this experiment.

Development of penetration rate model and optimum operational conditions of shield TBM for electricity transmission tunnels (터널식 전력구를 위한 순굴진율 모델 개발 및 이를 활용한 쉴드TBM 최적운전 조건 제안)

  • Kim, Jeong-Ju;Ryu, Hui-Hwan;Kim, Gyeong-Yeol;Hong, Seong-Yeon;Jeong, Ju-Hwan;Bae, Du-San
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.22 no.6
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    • pp.623-641
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    • 2020
  • About 5 km length of tunnels were constructed by mechanized tunnelling method using closed type shield TBM. In order to avoid construction delay problems for ensuring timely electricity transmission, it is necessary to increase the prediction accuracy of the excavation process involving machines according to rock mass types. This is important to corroborate the project duration and optimum operation for various considerations involved in the machine. So, full-scale tunnelling tests were performed for developing the advance rate model to be appropriately used for 3.6 m diameter shield TBM. About 100 test cases were established and performed using various operational parameters such as thrust force and rotational speed of cuttterhead in representative uniaxial compressive strengths. Accordingly, relationships between normal force and penetration depth and, between UCS and torque were suggested which consider UCS and thrust force conditions according to weathered, soft, hard rocks. Capacity analysis of cutterhead was performed and optimum operational conditions were also suggested based on the developed model. Based on this study, it can be expected that the project construction duration can be reduced and users can benefit from the provision of earlier service.