• 제목/요약/키워드: service state

검색결과 2,261건 처리시간 0.033초

Vancomycin Therapeutic Drug Monitoring 운영 실태 조사와 업무 개선 방안 (An Improvement Plan with Assessment of Therapeutic Drug Monitoring Service for Vancomycin)

  • 김해숙;이숙향
    • 한국임상약학회지
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    • 제19권2호
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    • pp.120-130
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    • 2009
  • The objective of this study was to analyze and to improve therapeutic drug monitoring(TDM) service of vancomycin in a local hospital. Patients with TDM service between September 2005 and December 2008 were included and the data were collected for vancomycin use and components of TDM. During that period, 421 cases of TDM service of vancomycin in 236 patients were retrospectively reviewed. The first dosages of vancomycin were appropriate in 135(57.2%) patients and administration of vancomycin was discontinued in 126(53.4%) patients due to therapeutic failure or adverse drug reaction. MRSA was identified in 191(80.9%) patients and 135(70.7%) samples for the identification were sputum. According to the TDM reports, 232(55.1%) serum samples were obtained at the steady-state conditions and 55.5% of the samples that were drawn before the steady-state was due to the physician's inappropriate knowledge about the steady-state. Based on the time of vancomycin administration, 35.8% of the samples were not obtained at the recommended sampling time. For the patients in general wards, the most common reason for the incorrect samples was routine serum sampling by the laboratory medicine phlebotomists between 6 and 8 a.m. except sunday. In contrast, samples drawn by nurses or physicians at inappropriate time were the most common reason for the incorrect samples with patients in the intensive care units. Physicians accepted 68.5% of the recommendations for vancomycin dosage and administration. In conclusion, TDM service of vancomycin needs to be improved in inappropriate sampling time and vancomycin dosage. For solving these problems, current team made of TDM pharmacists and physicians of laboratory medicine can be expanded to include a physician of infectious diseases, nurses and laboratory medicine phlebotomists as new members. Through the TDM service of vancomycin by the new team, we can settle the problems and make the guideline for the scientific controversies associated with therapeutic monitoring of vancomycin.

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융합 미디어 서비스 제공을 위한 통합 프로파일 및 인증제어 기술 연구 (A Converged Profile and Authentication Control Scheme for Supporting Converged Media Service)

  • 이현우;김귀훈;류원
    • 한국통신학회논문지
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    • 제35권3B호
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    • pp.503-516
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    • 2010
  • 본 논문에서는 유무선 통합 환경에서 융합 미디어 서비스를 제공하기 위한 통합 프로파일 및 인증 제어 기술로써, 시스템 구현을 통한 결과를 제시한다. 가입자의 접속, 서비스, 이동성, 방송형 프로파일을 관리하고 개방형 API(Application Program Interface)를 통해서 제3사업자에게 가입자 프로파일 정보를 PUSH/PULL 방식으로 제공하는 방안을 제안한다. 이때 개방형 API는 웹 서비스, REST(Representational State Transfer) 기반으로 구현하여 제3사업자가 쉽게 서비스를 제공할 수 있는 방식을 제안한다. 또한, 한번 접속 인증에 성공하면 액세스 망이 변하거나 혹은 IMS(IP Multimedia Subsystem) 기반의 서비스 망에 접속하게 될 때 동일한 인증 정보를 유지할 수 있는 SSO(Single Sign-On) 기능을 제안한다. 제안된 방식은 CUPS(Converged User Profile Server) 시험 네트워크 구현 연구를 통하여 기능 검증 및 성능 분석을 수행하였다.

자체기동 보조서비스의 가치평가 산정 방안 (An Approach to Assessment of the Value of Black Start Service)

  • 이정호;오태규;강동주;옥기열
    • 전기학회논문지
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    • 제58권2호
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    • pp.256-263
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    • 2009
  • For the power system to keep in a stable operating state, sufficient ancillary services must be available to respond to credible contingency events and return the power system to a satisfactory operating state in the case of contingencies as well as blackout events within specified predefined limits. The logical and reasonable bases of valuing and pricing the ancillary services are required to reach the common ground among market participants. The total amount of black start service transactions is quite small compared to the total ancillary service transactions as well as energy market transactions. Black start services must be provided as one of the ancillary services in the deregulated electricity market. In order to procure and remunerate black start services, it is necessary to quantify the value of the black start sources within the power system. In this paper, an approach to assess the value of the black start service is presented based on the cost-of-service solution. Financial simulation of the influence on market participants for the proposed approach on the service is carried out. The cost of the black start service is allocated in accordance with the principle of "causer pays", and the cost is shared by the producers and consumers equally that created the requirement for the service. Under the present electricity market, the mechanism to recover the cost is not implemented, a new approach to the ancillary services to provide incentive for the service providers has to be studied in the near future.

Performance Analysis of IEEE 802.15.4e Time Slotted Channel Hopping for Low-Rate Wireless Networks

  • Chen, Shuguang;Sun, Tingting;Yuan, Jingjing;Geng, Xiaoyan;Li, Changle;Ullah, Sana;Alnuem, Mohammed Abdullah
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제7권1호
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    • pp.1-21
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    • 2013
  • The release of IEEE 802.15.4e specification significantly develops IEEE 802.15.4. The most inspiring improvement is the enhancement for medium access control (MAC) sublayer. To study the performance of IEEE 802.15.4e MAC, in this paper we first present an overview of IEEE 802.15.4e and introduce three MAC mechanisms in IEEE 802.15.4e. And the major concern here is the Time Slotted Channel Hopping (TSCH) mode that provides deterministic access and increases network capacity. Then a detailed analytical Markov chain model for TSCH carrier sense multiple access with collision avoidance (CSMA-CA) is presented. Expressions which cover most of the crucial issues in performance analysis such as the packet loss rate, energy consumption, normalized throughput, and average access delay are presented. Finally the performance evaluation for the TSCH mode is given and we make a comprehensive comparison with unslotted CSMA-CA in non-beacon enabled mode of IEEE 802.15.4. It can validate IEEE 802.15.4e network can provide low energy consumption, deterministic access and increase network capacity.

미국 대학도서관의 수업지원 시스템과 연계한 맞춤형 정보검색 서비스에 대한 고찰 - 머레이 주립 대학(MSU)의 사례를 중심으로 - (Introducing an Integrated Library Information Service with Learning Management System: Library on Blackboard from Murray State University Libraries)

  • 김동완
    • 한국문헌정보학회지
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    • 제44권2호
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    • pp.29-50
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    • 2010
  • 본 연구는 미국 켄터키 주에 소재한 머레이 주립대(Murray State University)가 제공하고 있는 주제별 맞춤형 정보제공(Library on Blackboard) 시스템의 기능들을 중심으로 현존하는 대학도서관 서비스가 온라인상에서 어떠한 정보기술을 통해 변형되어 제공될 수 있는지를 살펴보았다. 정보기술의 발달로 인하여 미국 대학교육에서 온라인 강의와 원거리 교육의 비중이 점점 늘어나는 추세이다. LMS(Learning Management System)는 새로운 대학 환경변화의 중요한 도구이다. 대학도서관의 정보제공 기능도 대학교육 환경의 변화에 발맞추어 발전해 왔고, 이에 따라 이용자에게 효과적인 서비스를 제공하기 위한 LMS와 연계한 맞춤형 정보검색 시스템을 개발하기에 이르렀다. LMS와 연계한 도서관 서비스는 학생들의 연구형 과제해결을 위한 정보수집에 적합한 검색시스템과 유용한 정보들을 한곳에 모은 가상 분관의 기능을 제공하기에 더욱 사용되고 발전해야 한다. 이 시스템을 더욱 발전시키기 위해서는 Contents Management Systems의 사용과 과목별 접근방식으로 변환이 중요하다.

Stochastic Channel Modeling for Railway Tunnel Scenarios at 25 GHz

  • He, Danping;Ai, Bo;Guan, Ke;Zhong, Zhangdui;Hui, Bing;Kim, Junhyeong;Chung, Heesang;Kim, Ilgyu
    • ETRI Journal
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    • 제40권1호
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    • pp.39-50
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    • 2018
  • More people prefer using rail traffic for travel or for commuting owing to its convenience and flexibility. The railway scenario has become an important communication scenario in the fifth generation era. The communication system should be designed to support high-data-rate demands with seamless connectivity at a high mobility. In this paper, the channel characteristics are studied and modeled for the railway tunnel scenario with straight and curved route shapes. On the basis of measurements using the "Mobile Hotspot Network" system, a three-dimensional ray tracer (RT) is calibrated and validated for the target scenarios. More channel characteristics are explored via RT simulations at 25.25 GHz with a 500-MHz bandwidth. The key channel parameters are extracted, provided, and incorporated into a 3rd-Generation-Partnership-Project-like stochastic channel generator. The necessary channel information can be practically realized, which can support the link-level and system-level design of the communication system in similar scenarios.

An Efficient Revocable Group Signature Scheme in Vehicular Ad Hoc Networks

  • Zhao, Zhen;Chen, Jie;Zhang, Yueyu;Dang, Lanjun
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제9권10호
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    • pp.4250-4267
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    • 2015
  • Although many revocable group signature schemes has been proposed in vehicular ad hoc networks (VANETs), the existing schemes suffer from long computation delay on revocation that they cannot adapt to the dynamic VANETs. Based on Chinese remainder theorem and Schnorr signature algorithm, this paper proposes an efficient revocable group signature scheme in VANETs. In the proposed scheme, it only need to update the corresponding group public key when a member quits the group, and in the meanwhile the key pairs of unchanged group members are not influenced. Furthermore, this scheme can achieve privacy protection by making use of blind certificates. Before joining to the VANETs, users register at local trusted agencies (LTAs) with their ID cards to obtain blind certificates. The blind certificate will be submitted to road-side units (RSUs) to verify the legality of users. Thus, the real identities of users can be protected. In addition, if there is a dispute, users can combine to submit open applications to RSUs against a disputed member. And LTAs can determine the real identity of the disputed member. Moreover, since the key pairs employed by a user are different in different groups, attackers are not able to track the movement of users with the obtained public keys in a group. Furthermore, performance analysis shows that proposed scheme has less computation cost than existing schemes.

Intelligent Scheduling Control of Networked Control Systems with Networked-induced Delay and Packet Dropout

  • Li, Hongbo;Sun, Zengqi;Chen, Badong;Liu, Huaping;Sun, Fuchun
    • International Journal of Control, Automation, and Systems
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    • 제6권6호
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    • pp.915-927
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    • 2008
  • Networked control systems(NCSs) have gained increasing attention in recent years due to their advantages and potential applications. The network Quality-of-Service(QoS) in NCSs always fluctuates due to changes of the traffic load and available network resources. To handle the network QoS variations problem, this paper presents an intelligent scheduling control method for NCSs, where the sampling period and the control parameters are simultaneously scheduled to compensate the effect of QoS variation on NCSs performance. For NCSs with network-induced delays and packet dropouts, a discrete-time switch model is proposed. By defining a sampling-period-dependent Lyapunov function and a common quadratic Lyapunov function, the stability conditions are derived for NCSs in terms of linear matrix inequalities(LMIs). Based on the obtained stability conditions, the corresponding controller design problem is solved and the performance optimization problem is also investigated. Simulation results are given to demonstrate the effectiveness of the proposed approaches.

보건기관 이용 현황 및 만족도와 관련 요인 -'2010지역사회건강조사' 자료를 이용하여- (Related Factors on Health Service Utilization and Satisfaction of Health Center Clients -Using '2010 Community Health Survey'-)

  • 김혜숙;박영희
    • 보건의료산업학회지
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    • 제7권3호
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    • pp.95-109
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    • 2013
  • The objective of this study is to assess the utilization and satisfactions about public health centers in Korea. For the analysis, the study utilize the nationwide data of 229,229 person on '2010 Community Health Survey' of Ministry of Health & Welfare. The statistical methodology used in the study is ${\chi}^2$, ANOVA, logistic regression model and multiple regression model. This study have four major findings. First, the significant affecting socio-demographic factors in utilizing public health center were gender, age, region, national basic living secured, married, income, education, job, state of health, chronic disease, unmet medical needs and utilization reason. Second, the most serviced category of health center user was vaccination both city and rural area and the next was certificate, primary care, health screening, other use, the mother and child in city area, primary care, health screening, certificate, home visiting health in rural area. Third, the significant affecting socio-demographic factors in satisfaction degree on health center service were age, region, national basic living secured, income, education, job, state of health, utilization degree and reason. Fourth, the most satisfied service of health service center was home visiting health in city area and mental health service in rural area and the next was nutritive control and the lowest satisfied service was user of certificate. The utilization and satisfaction on health center service were identified as different with residental area and user's characteristics. The politic effort are needed to support socially disadvantaged class and to narrow regional gap.