• 한국보건간호학회지
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• 제13권2호
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• pp.70-83
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• 1999

This study was designed to evaluate the prevalence and significant features of accidental patients and to evaluate the degree of satisfaction on emergency care who visited emergency room. The subject of this study was a total of 243 accidental patients and 249 patients with disease visiting emergency room of 4 university hospitals in Seoul. The data was collected from guestionnaire during the period of January to february 1999. The results were summarized as follows. 1. Distribution of the general characteristics (age, sex, educational status, marrital status and job) in the accidental patients were significantly different from that of the control group. The most common group of age was 20-30 years of age and males predominated over female. 2. CD Fourty two $\%$ of accidental patients arrived within 30 mins. (2) Fifty seven $\%$ of patients was first-aided one. (3) An ambulance was the most frequently used transportation. (4) The time interval from arrival to initial emergency care was 10 mins. (5) Admission rates of the patients after treatment was $72.0\%$. (6) Time interval from arrival to completion was 3-4 hours. 3. The Mean score of the accidental patents' degree of satisfaction on emergency services was $3.26\pm0.64$ which was not significantly different from that of control group.

• 한국건설관리학회논문집
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• 제5권4호
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• pp.87-96
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• 2004

건설공사에서 공기는 매우 중요한 요소로 건설사업비에 미치는 영향이 크다. 선진국들은 공기단축을 통한 건설사업비 절감을 위해 노력하고 있다. 국내에서도 공기단축의 필요성을 절감함으로써 공기단축을 위해 많은 노력을 기울여 왔지만, 그 효과는 아직 미미한 것으로 나타나고 있다. 향후 주 5일 근무제가 시행되고, 후분양제가 도입될 경우, 건설사업비 절감이나 리스크 관리측면에서 공기단축은 필수불가결한 요인이 될 것이다. 공기를 효과적으로 단축하기 위해서는 공기에 영향을 미치는 중요요인과 공정 메커니즘을 명확하게 분석해야 한다. 이러한 사항들이 규명될 때 효과적인 공기단축이 가능해져 건설사업비를 줄일 수 있게 될 것이다. 이에 본 연구에서는 아파트 건설공사에서 공기의 $40\sim50\%$를 차지하는 골조공사의 기준층에 대한 공정메커니즘을 분석하여 골조공사의 공기에 영향을 미치는 요인들을 규명하고자 한다. 또한, 도출된 요인들을 효과적으로 활용할 수 있는 방법들을 사례 분석함으로써 합리적인 공기단축방안을 제시하고자 한다.

• 산업경영시스템학회지
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• 제31권3호
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• pp.101-109
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• 2008

This paper considers an integrated decision for scheduling and outsourcing(or, subcontracting) of a finite number of jobs(or, orders) in a time-sensitive make-to-order manufacturing environment. The jobs can be either processed in a parallel in-house facilities or outsourced to subcontractors. We should determine which jobs should be processed in-house and which jobs should be outsourced. And, we should determine the schedule for the jobs to be processed in-house. If a job is determined to be processed in-house, then the scheduling cost(the completion time of the Job) is imposed. Otherwise(if the job should be outsourced), then an additional outsourcing cost is imposed. The objective is to minimize the linear combination of scheduling and outsourcing costs under a budget constraint for the total available outsourcing cost. In the problem analysis, we first characterize some solution properties and then derive dynamic programming and branch-and- bound algorithms. An efficient heuristic is also developed. The performances of the proposed algorithms are evaluated through various numerical experiments.

• 한국경영과학회:학술대회논문집
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• 한국경영과학회/대한산업공학회 2005년도 춘계공동학술대회 발표논문
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• pp.506-516
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• 2005

This paper deals with an investment scheduling problem of maximizing net present value of dividend with reinvestment allowed, where each investment has certain capital requirement and generates deterministic profit. Such deterministic profit is calculated at completion of each investment and then allocated into two parts, including dividend and reinvestment, at each predetermined reinvestment time point. The objective is to make optimal scheduling of investments over a fixed planning horizon which maximizes total sum of the net present values of dividends subject to investment precedence relations and capital limit but with reinvestment allowed. In the analysis, the scheduling problem is transformed to a kind of parallel machine scheduling problem and formulated as an integer programming which is proven to be NP-complete. Thereupon, a depth-first branch-and-bound algorithm is derived. To test the effectiveness and efficiency of the derived algorithm, computational experiments are performed with some numerical instances. The experimental results show that the algorithm solves the problem relatively faster than the commercial software package (CPLEX 8.1), and optimally solves the instances with up to 30 investments within a reasonable time limit.

• 정보처리학회논문지A
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• 제16A권1호
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• pp.35-42
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• 2009

이 논문은 지능형 로봇을 위한 새로운 커버리지 알고리즘을 제안한다. 커버리지 알고리즘의 성능을 향상하기 위한 많은 연구들은 전체 커버리지 완료 시간을 최소화하는데 초점을 맞추어왔다. 그러나, 만일 전체 커버리지를 완료하기에 충분한 시간이 없다면, 최적의 경로는 달라질 수 있다. 이러한 문제를 해결하기 위하여 본 논문에서는 MaxCoverage라고 하는 데드라인이 있을 경우에 가능한 많은 면적을 커버하기 위한 새로운 커버리지 알고리즘을 제안한다. MaxCoverage 알고리즘은 이동 경로를 셋 커버 문제를 위한 그리디 알고리즘을 이용하여 결정한다. 실험 결과에 의하면 MaxCoverage 알고리즘은 임의의 데드라인에 대하여 다른 알고리즘들에 비해 향상된 성능을 보여준다.

• Archives of Reconstructive Microsurgery
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• 제3권1호
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• pp.45-53
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• 1994

Suture microvascular anastomosis is time-consuming and tedious and demands long and continuous training. Techinique of anastomosis of microvessel was presented interrupted suture and continuous suture. Recently the unilink instrument system is created as a fast and simple method to achieve high patency rates without long and continuous training in the anastomosis of small vessels. The author experimentally studied the femoral artery of 20 mice(0.5-1.0mm, av. 0.7mm), the femoral vein of 20 mice(0.8-1.6mm, av. 1.2mm) after anastomosis with interrupted suture in 20 cases and continuous sutre in 20 cases. For the unilink apparatus we used the carotid arteries of 15 cases in 14 rabbits(1.0-1.6mm, av. 1.3mm) and facial veins of 12 cases in 14 rabbits(0.9mm-2.2mm, av. 1.5mm). A total of 27 arterial and venous anastomoses were performed. We examined the postoperative patency at immediate, 2 weeks, and 8 weeks. The results were as followings, 1. In the arterial anastomosis the rate of patency was 90%(18/20) in interrupted suture, 90%(18/20) in continuous suture and 93%(13/15) in unilink apparatus. In the venous anastomosis the rate of patency was 90%(18/20) in interrupted suture, 80%(16/20) in continuous suture and 100%(9/9) in unilink apparatus. 2. The mean time for completion of the arterial anastomosis were 12.2 minutes in interrupted suture group, 10.3 minutes in continouous suture group and 8.5 minutes in unillnk apparatus group. The mean time for completion of the venous anastomosis were 13.6 minutes in interrupted suture group, 11.0 minutes in continuous suture group and 6.2 minutes in unilink apparatus group. 3. At the histological examination of suture group, hyperplastic reaction of middle layer and subintimal hyperplasia were observed. In unilink apparatus group, the endothelium layer was continued and the thickness of vessel wall was decreased due to moderate atrophy of the media and mild degree of nonspecific chronic inflammation were seen around the unilink apparatus. 4. No significants was noticied in foreign body reaction among the interrupted, continuous and unilink apparatus group. 5. A case of the arterial anastomosis was released with acting out at 15 minutes after operation. 6. The important factors in the technical problems were accurate apposition of the cut vessel edges in suture group and the proper selection of the ring size and optimal fitting between two rings in unilink apparatus group. Even though the outer diamater of vessel in suture group was different from that in unilink apparatus group the unilink method provides a very safe, fast, and simple way to perform microvascular anastomoses especially in anastomosis of vein. But howerver suture was needed in vessels below 1 mm outer diamater. In that situation continuous suture was benefit than the interrupted suture in operation time.

• 한국임상수의학회지
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• 제40권6호
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• pp.438-444
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• 2023

The aim of this study was to analyze the learning curve of a low-volume veterinary surgeon for laparoscopic salpingectomy of Asiatic black bear. A total of 66 Asiatic black bears (Ursus thibetanus) were presented for sterilization using laparoscopic salpingectomy. These 66 bears were divided into three groups of 22 bears according to the order of surgery (A, B, and C groups, 22 bears per group). One veterinarian performed laparoscopic salpingectomy. There was no significant difference in age, body weight, or crown-rump length between groups. The hazard of completion for salpingectomy by 5 minutes was higher (p < 0.0001) in B and C groups than A group, whereas the hazard was not significant different between B and C groups. The factor that affected the hazard of completing salpingectomy by 5 minutes was heart rate, not age or weight. Operation time was 12.61 ± 8.04 minutes for group A, 5.35 ± 4.38 minutes for group B, and 2.80 ± 1.16 minutes for group C. The operation time for salpingectomy shortened over time. However, significant difference in operation time was present only between groups A and C (p = 0.001). The operation time for laparoscopic salpingectomy decreased rapidly for the first 7 bears (p < 0.05). It then decreased gradually until the 66th case. Operation time of laparoscopic salpingectomy was significantly decreased and stabilized after 33 cases (p < 0.05). As a result, the number of bears required for a low-volume veterinary surgeon to be proficient in laparoscopic salpingectomy is 33 or more.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.2829-2834
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• 2013

The objective was to analyze the radiotherapy (RT) practice at the cancer centre of a tertiary academic medical institution in Delhi. This audit from an Indian public institution covered patient care processes related to cancer diagnosis, integration of RT with other anti-cancer modalities, waiting time, overall treatment time, and compliance with RT. Over a period of one year, all consecutively registered patients in radiotherapy were analyzed for the audit cycle. Analysis of 1,030 patients showed median age of 49.6 years, with presentation as stage I and II in 14.2%, stage III and IV in 71.2% and unknown stage in 14.6%. A total of 974 (95%) were advised for RT appointment; 669 (68.6%) for curative intent and 31.4% for palliation. Mean times for diagnostic workup and from registration at cancer centre to radiotherapy referral were 33 and 31 days respectively. Median waiting time to start of RT course was 41 days. Overall RT compliance was 75% and overall duration for a curative RT course ranged from 50 days to 61 days. Non-completion and interruption of RT course were observed in 12% and 13% respectively. Radiotherapy machine burden in a public cancer hospital in India increases the waiting time and 25% of advised patients do not comply with the prescribed treatment. Infrastructure, machine and manpower constraints lead to more patients being treated on cobalt (74%) and by two-dimensional (78%) techniques.

• Nutrition Research and Practice
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• 제4권2호
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• pp.149-154
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• 2010

The purpose of this research was to determine barriers that prevent participation in an employee wellness program, Wellness Wednesdays: "Eat & Meet" About Healthy Living, conducted at East Carolina University (ECU) in Greenville, North Carolina. All ECU ARAMARK employees (n = 481) over the age of 18 were eligible to participate in the wellness program. Weekly 30 minute classes, taught by a Registered Dietitian, on various nutrition- and health-related topics were conducted for 10-weeks. Five question knowledge quizzes were administered to participants at the end of each class to determine the comprehension of material presented. Qualitative interviews (n = 19) were conducted with employees (participants and non-participants) and the program organizer after the completion of the 10-week program to identify barriers to program participation. A total of 50 (10.4% of the total number of potential participants) ECU ARAMARK employees, managers, and leadership team directors attended Wellness Wednesdays at least once during the 10-week program. Employees, on average, scored 71-100% on the weekly knowledge quizzes administered at the end of each class. The most common barriers to participation reported included (most often to least often reported): insufficient incentives, inconvenient locations, time limitations, not interested in topics presented, undefined reasons, schedule, marketing, health beliefs, and not interested in the program. Results showed that employee wellness programs can be effective in increasing knowledge of employees on nutrition- and health-related topics. However, program planning that addresses identified barriers including insufficient incentives, inconvenient locations, and time limitations may facilitate higher participation in future worksite wellness opportunities.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.2891-2896
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• 2013

Background: To illustrate multiple approaches and to assess participation rates adopted for a community based smoking cessation intervention programme in rural Kerala. Materials and Methods: Resident males in the age group 18-60 years who were 'current daily smokers' from 4 randomly allocated community development blocks of rural Thiruvananthapuram district, Kerala (2 intervention and 2 control groups) were selected. Smoking status was assessed through house-to-house survey using trained volunteers. Multiple approaches included awareness on tobacco hazards during baseline survey and distribution of multicolour anti-tobacco leaflets for intervention and control groups. Further, the intervention group received a tobacco cessation booklet and four sessions of counselling which included a one-time group counselling cum medical camp, followed by proactive counselling through face-to-face (FTF) interview and mobile phone. In the second and fourth session, motivational counselling was conducted. Results: Among 928 smokers identified, smokers in intervention and control groups numbered 474 (mean age: 44.6 years, SD: 9.66 years) and 454 respectively (44.5 years, SD: 10.30 years). Among the 474 subjects, 75 (16%) had attended the group counselling cum medical camp after completion of baseline survey in the intervention group, Among the remaining subjects (n=399), 88% were contacted through FTF and mobile phone (8.5%). In the second session (4-6 weeks time period), the response rate for individual counselling was 94% (78% through FTF and 16% through mobile phone). At 3 months, 70.4% were contacted by their mobile phone and further, 19.6% through FTF (total 90%) while at 6 months (fourth session), the response rate was 74% and 16.4% for FTF and mobile phone respectively, covering 90.4% of the total subjects. Overall, in the intervention group, 97.4% of subjects were being contacted at least once and individual counselling given. Conclusion: Proactive community centred intervention programmes using multiple approaches were found to be successful to increase the participation rate for intervention.