• Title/Summary/Keyword: national protocols

Search Result 824, Processing Time 0.03 seconds

A Review of Anesthesia for Lung Transplantation

  • Kim, Hye-Jin;Shin, Sang-Wook;Park, Seyeon;Kim, Hee Young
    • Journal of Chest Surgery
    • /
    • v.55 no.4
    • /
    • pp.293-300
    • /
    • 2022
  • Lung transplantation is the only treatment option for patients with end-stage lung disease. Although more than 4,000 lung transplants are performed every year worldwide, the standardized protocols contain no guidelines for monitoring during lung transplantation. Specific anesthetic concerns are associated with lung transplantation, especially during critical periods, including anesthesia induction, the initiation of positive pressure ventilation, the establishment and maintenance of one-lung ventilation, pulmonary artery clamping, pulmonary artery unclamping, and reperfusion of the transplanted lung. Anesthetic management according to the special risks associated with a patient's existing lung disease and surgical stage is the most important factor. Successful anesthesia in lung transplantation can improve hemodynamic stability, oxygenation, ventilation, and outcomes. Therefore, anesthesiologists must have expertise in transesophageal echocardiography, extracorporeal life support, and cardiopulmonary anesthesia and understand the pathophysiology of end-stage lung disease and the drugs administered. In addition, communication among anesthesiologists, surgeons, and perfusionists during surgery is important to achieve optimal patient results.

Integration of Single-Cell RNA-Seq Datasets: A Review of Computational Methods

  • Yeonjae Ryu;Geun Hee Han;Eunsoo Jung;Daehee Hwang
    • Molecules and Cells
    • /
    • v.46 no.2
    • /
    • pp.106-119
    • /
    • 2023
  • With the increased number of single-cell RNA sequencing (scRNA-seq) datasets in public repositories, integrative analysis of multiple scRNA-seq datasets has become commonplace. Batch effects among different datasets are inevitable because of differences in cell isolation and handling protocols, library preparation technology, and sequencing platforms. To remove these batch effects for effective integration of multiple scRNA-seq datasets, a number of methodologies have been developed based on diverse concepts and approaches. These methods have proven useful for examining whether cellular features, such as cell subpopulations and marker genes, identified from a certain dataset, are consistently present, or whether their condition-dependent variations, such as increases in cell subpopulations in particular disease-related conditions, are consistently observed in different datasets generated under similar or distinct conditions. In this review, we summarize the concepts and approaches of the integration methods and their pros and cons as has been reported in previous literature.

An Efficient Broadcast Technique for Vehicular Networks

  • Ho, Ai Hua;Ho, Yao H.;Hua, Kien A.;Villafane, Roy;Chao, Han-Chieh
    • Journal of Information Processing Systems
    • /
    • v.7 no.2
    • /
    • pp.221-240
    • /
    • 2011
  • Vehicular networks are a promising application of mobile ad hoc networks. In this paper, we introduce an efficient broadcast technique, called CB-S (Cell Broadcast for Streets), for vehicular networks with occlusions such as skyscrapers. In this environment, the road network is fragmented into cells such that nodes in a cell can communicate with any node within a two cell distance. Each mobile node is equipped with a GPS (Global Positioning System) unit and a map of the cells. The cell map has information about the cells including their identifier and the coordinates of the upper-right and lower-left corner of each cell. CB-S has the following desirable property. Broadcast of a message is performed by rebroadcasting the message from every other cell in the terrain. This characteristic allows CB-S to achieve an efficient performance. Our simulation results indicate that messages always reach all nodes in the wireless network. This perfect coverage is achieved with minimal overhead. That is, CB-S uses a low number of nodes to disseminate the data packets as quickly as probabilistically possible. This efficiency gives it the advantage of low delay. To show these benefits, we give simulations results to compare CB-S with four other broadcast techniques. In practice, CB-S can be used for information dissemination, or to reduce the high cost of destination discovery in routing protocols. By also specify the radius of affected zone, CB-S is also more efficient when broadcast to a subset of the nodes is desirable.

A Comparative Analysis of Expert's and Novice's Thinking Processess in Solving Physics Problems (물리문제해결 실패자(초심자)와 성공자(전문가)의 문제해결 사고과정에 관한 연구)

  • Kwon, Jae-Sool;Lee, Seong-Wang
    • Journal of The Korean Association For Science Education
    • /
    • v.8 no.1
    • /
    • pp.43-55
    • /
    • 1988
  • This study intended to find the differences between expert's and novice's thinking processes when they solve physics problems. Five physics professors and twenty sophomore students in a physics department were participated in the study. The researcher investigated their thinking processes in solving three physics problems on NEWTON's law of motion. The researcher accepted so called "Thinking Aloud" method. The thinking processes were recorded and transfered into protocols. The protocols were analysised by problem solving process coding system which was developed by the researcher on the basis of Larkin's problem solving process model. The results were as follows: (1) There was no difference of time required in solving physics problem of low difficulty between expert and novices; but, it takes 1.5 times longer for novices than experts in solving physics problems which difficulties are high and average. (2) Novices used working forward strategy and working backward strategy at the similiar rate in solving physics problems which difficulties were average and low. while Novices mo mostly used working backward strategy in solving physic problems which difficulty was high. Experts mostly used working forward strategy in solving physics problems whose difficulties was average and low, however experts used working forward strategy and working backward strategy at the similiar rate in solving physics problem which difficulty was high. (3) Novices usually wrote only a few information on the diagram of figure they drawn, on the other hand experts usually wrote almost all the information which are necessary for solving the problems. (4) Experts spent much time in understand the problem and evaluation stage than novices did, however experts spent less time in plan stage than novices did. (5) Physics problems are solved in sequence of understanding the problem, plan, carrying out the plan, and evaluation steps regardless of problem difficulty.

  • PDF

A Key Exchange Protocol based on the Steganography with the QR code (스테가노그라피 기법이 적용된 QR코드 이미지 기반의 키 교환 프로토콜)

  • Lee, Gil-Je;Yoon, Eun-Jun;Yoo, Kee-Young
    • Journal of the Institute of Electronics and Information Engineers
    • /
    • v.50 no.6
    • /
    • pp.173-179
    • /
    • 2013
  • The traditional key exchange protocols are transmitted by using the cryptographic. However, these protocols are compromised by the attacker. To solve this problem, this paper proposes a key exchange protocol based on the steganography with the QR code. The steganography technique embed secret information to the images, documents, videos, and MP3 files and transmit to the others. The attacker can't know that the transmission data is the secret data. Therefore, the sender transmits efficiently and safely the secret data to the others. In additional, the cover image is using the QR code image to insert the secret key. If attackers scan the QR code, then they just read the information or connect URL. They can not be recognized that the QR code image is hiding the secret key. The experiments compare the QR code image with the well-known image about the distortion and the safety.

Nurses' Perception and Experiences at Nursing Home Residents with Dysphagia: Focus Group Interviews (연하장애를 가진 노인에 대한 노인요양시설 간호사의 경험: 포커스 그룹 연구)

  • Park, Yeon-Hwan;Chang, Hee Kyung;Bang, Hwal Lan;Lee, Jin-Yi
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.16 no.2
    • /
    • pp.112-121
    • /
    • 2013
  • Purpose: This study aimed to describe Korean nursing home nurses' perceptions on dysphagia management and their working experiences of older adults with dysphagia. Methods: Using a purposive sampling design, 23 eligible nurses were interviewed as four focus groups from 4 facilities out of nursing homes. The qualitative data from focus group interviews were analyzed using thematic analysis to classify common themes into larger categories. Results: Two main themes on the attributes of caring nursing home residents with dysphagia were 'Need for nursing resources' and 'Need for support'. In addition, four subthemes emerged as a result of analysis: 'need for nursing protocols for assessing and managing dysphagia', 'need for emergency care skills of nurses and nurse assistants', 'need for prompt and accurate management by cooperation of physicians and therapists', and 'need for partnership upon comprehension of visiting family members concerning dysphagia'. Conclusion: Nursing home nurses fully recognized the importance of dysphagia management; however, they experienced substantial barriers due to lack of adequate nursing protocols or partnership with family caregivers, insufficient training for emergency care, and deficient support from medical staff. Development of nursing guidelines tailored to the nursing home context and based on partnership among medical experts and family caregivers is needed.

Design and Implementation of TCP Supporting Optional Encryption Functionalities (선택적인 암호화 기능을 지원하는 TCP의 설계 및 구현)

  • Seong, Jeong-Gi;Kim, Eun-Gi
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.22 no.1
    • /
    • pp.190-195
    • /
    • 2018
  • Recently, Due to the ongoing increase in cyber attacks and the improved awareness of privacy protection, most Internet services encrypt the traffic by using security protocols. Existing security protocols usually have additional layer between transport layer and application layer, and they incur additional costs because of encrypting all the traffic transmitted. This results in unnecessary performance degradation because it also encrypts data that does not require confidentiality. In this paper, we propose TCP OENC(Optional Encryption) which enables users of the application layer to optionally encrypt only confidential data. TCP OENC operates by TCP option to allow the application layer to encrypt the TCP stream transmitted only on demand. And it ensures transparency between the TCP layer and the application layer. To verify this, we verified that TCP OENC optionally encrypts the stream of TCP session on the embedded board. And then analyzed the performance of the encrypted stream by measuring the elapsed time.

A Software VIA based PC Cluster System on SCI Network (SCI 네트워크 상의 소프트웨어 VIA기반 PC글러스터 시스템)

  • Shin, Jeong-Hee;Chung, Sang-Hwa;Park, Se-Jin
    • Journal of KIISE:Computer Systems and Theory
    • /
    • v.29 no.4
    • /
    • pp.192-200
    • /
    • 2002
  • The performance of a PC cluster system is limited by the use of traditional communication protocols, such as TCP/IP because these protocols are accompanied with significant software overheads. To overcome the problem, systems based on user-level interface for message passing without intervention of kernel have been developed. The VIA(Virtual Interface Architecture) is one of the representative user-level interfaces which provide low latency and high bandwidth. In this paper, a VIA system is implemented on an SCI(Scalable Coherent Interface) network based PC cluster. The system provides both message-passing and shared-memory programming environments and shows the maximum bandwidth of 84MB/s and the latency of $8{\mu}s$. The system also shows better performance in comparison with other comparable computer systems in carrying out parallel benchmark programs.

A Study on IPTV Video Quality by Routing Protocols in Wireless LAN (무선 LAN 환경에서 경로 배정 프로토콜에 따른 IPTV 영상 서비스 품질에 관한 연구)

  • Jung, Jae-hoon;Park, Seung-seob
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
    • /
    • 2009.05a
    • /
    • pp.572-575
    • /
    • 2009
  • With the advent of integration environment of broadcasting and communication, IPTV has been widely used. It provides services such as information, movie contents and broadcasting through TV using super-high speed networks. Developments of Wireless LAN and IP network technology create various and fusional services such as IPTV, VoIP that are based on IP network. The development of Wireless LAN is very important in IPTV network field which requires the best quality of service on the security, QoS and bandwidth. In this Paper, We configure the experimental network in its RIP and OSPF environment to test the Video Quality of IPTV in Wireless LAN. We measure and evaluate broadcasting quality by using PSNR to show the corelation of Routing Protocols in Wireless LAN in which how they affect to the IPTV real-time Video Quality.

  • PDF

Implementation of Enhanced Recovery after Surgery (ERAS) Program in Perioperative Management of Gastric Cancer Surgery: a Nationwide Survey in Korea

  • Jeong, Oh;Kim, Ho Goon
    • Journal of Gastric Cancer
    • /
    • v.19 no.1
    • /
    • pp.72-82
    • /
    • 2019
  • Purpose: Despite its clinical benefits, enhanced recovery after surgery (ERAS) is less widely implemented for gastric cancer surgery. This nationwide survey investigated the current status of the implementation of ERAS in perioperative care for gastric cancer surgery in South Korea. Materials and Methods: This survey enrolled 89 gastric surgeons from 52 institutions in South Korea. The questionnaire consisted of 24 questions about the implementation of the ERAS protocols in the management of gastric cancer surgery. The survey was carried out using an electronic form sent via email. Results: Of the 89 gastric surgeons, 58 (65.2%) answered that they have knowledge of the concept and details of ERAS, 45 (50.6%) of whom were currently applying ERAS for their patients. Of the ERAS protocols, preoperative education (91.0%), avoidance of preoperative fasting (68.5%), maintenance of intraoperative normothermia (79.8%), thromboprophylaxis (96.5%), early active ambulation (64.4%), and early removal of urinary catheter (68.5%) were relatively well adopted in perioperative care. However, other practices, such as avoidance of preoperative bowel preparation (41.6%), provision of preoperative carbohydrate-rich drink (10.1%), avoidance of routine abdominal drainage (31.4%), epidural anesthesia (15.9%), single-dose prophylactic antibiotics (19.3%), postoperative high oxygen therapy (36.8%), early postoperative diet (14.6%), restricted intravenous fluid administration (53.9%), and application of discharge criteria (57.3%) were not very well adopted for patients. Conclusions: Perioperative management of gastric cancer surgery is largely heterogeneous among gastric surgeons in South Korea. Standard perioperative care based on scientific evidence needs to be established to improve the quality of surgical care and patient outcomes.