• Title/Summary/Keyword: transit

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An Analysis of Primary Causes for Waiting for Inpatient Admission and Length of stay at Emergency Medical Center(EMC) (응급의료 센터의 체류 및 입원대기 시간 지연 요인 - 일개 의료기관을 중심으로 -)

  • Kil Suk-Yong;Kim Ok-Jun;Park Jin-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.3
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    • pp.522-531
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    • 1999
  • This research identifies the ingress to egress primary factors that causes a patient to receive delayed emergency medical care. This material was collected between February 1st to 28th, 1998. Research envolved 4,118 people who visited the college emergency medical center in Kyeongido Province, South Korea. Medical records were examined, using the retrospective method. to determine the length of stay and the main cause for waiting. Results are as follows : 1. The age group with the highest admission rate was 10 and under, approximately 1,394 (33.9%). Followed by an even distribution for ages between 11-50 at 10-15% for their respective ranges. The lowest admission rate was 50 years and above. 2. From the 4,118 records examined, 3,489 received outpatient treatment (84.7%); 601 were admitted for inpatient care (14.6%); 25 arrived dead on arrival (0.6%); and 4 people died at the hospital. 3. Between 7PM to 12AM, 42.9% were admitted to the EMC. The hours from 9PM to 11PM recorded the highest admission rate and 5AM to 8AM was the lowest From 8PM to 12AM, the most beds were occupied. 4. For most patients. the average length of stay was approximately 2.2 hours. By medical department, external medicine was the longest for 2.8 hours. Pediatrics was the shortest for 1.6 hours. The average waiting period for inpatient admission was 2.6 hours. Inpatient admission for pediatrics and external medicine was 3.4 hours and 2.2 hours respectively. 5. Theses are primary factors for delay at EMC: 1) pronged medical consultations to decide between inpatient versus outpatient treatment, and delaying to be inpatient, 2) when you call physicians they are delayed to come 3) Understaffing during peak or critical hours, 4) Excessive consulting with different medical departments, 5) some patients require longer monitoring periods, 6) medical records are delayed in transit between departments, 7) repeated laboratory tests make delay the result, 8) overcrowded emergency x-ray place causes delay taking x-ray and portable x-ray, 9) the distance between EMC and registration and cashier offices is too far. 10) hard to control patient's family members. The best way to reduce EMC waiting and staying time is by cooperation between departments, both medical and administrative. Each department must work beyond their job description or duty and help each other to provide the best medical service and satisfy the patient needs. The most important answer to shortened the EMC point from ingress to egress is to see things from a patient point of view and begin from there to find the solution.

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Adaptive Buffer and Burst Scheme and Its Characteristics for Energy Saving in Core IP Networks (에너지 절약을 위해 적응적 버퍼링 기법을 이용한 버스트 구성 방법 및 특성)

  • Han, Chimoon
    • Journal of the Institute of Electronics and Information Engineers
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    • v.49 no.10
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    • pp.34-42
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    • 2012
  • This paper analyses the energy saving basic power models in core IP networks, and proposes the adaptive buffer and burst scheme which is a possible energy saving method, and its implementation algorithm in core IP networks. Especially this paper describes the adaptive buffer and burst scheme dynamically varying the buffering interval B according to the input traffic volume of ingress router, and explains the operation principle of proposed scheme. This method is to adjust the buffering interval B according to input traffic volume of ingress router, that is increasing the interval B when input traffic volume is low, and decreasing the interval B when input traffic volume is high between some given interval regions. This method can gets the high energy saving effect as decreasing the transition number of idle/active in networks when input traffic volume is low, and decreasing the transition number of idle/active by the continuous of burst packets in transit router when input traffic volume is high. This paper shows the increasing of asleep rate for the energy saving of core IP networks and confirms the energy saving of core IP networks by the computer simulation. We confirmed that proposed method can be save the energy of IP networks by properly trade off network performances.

Analysis of the Durban Climate Summit and Its Implications to Climate Policies of Korea (제17차 유엔 기후변화 더반 당사국 총회의 평가와 정책적 시사점)

  • Park, Siwon
    • Journal of Environmental Policy
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    • v.11 no.3
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    • pp.149-170
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    • 2012
  • The United Nations Climate Change Conference, Durban 2011, ended on December 12, 2011, 36 hours over its schedule, delivering the Durban Package, which consisted of, inter alia, the extension of the period for Kyoto Protocol term and the launch of Ad-hoc working Group on the Durban Platform for Enhanced Action. Despite the positive progress made in Durban, the future of post-2012 climate regime still seems cloudy. Before the Durban conference, some of Annex I countries with emissions reduction commitment under the Kyoto Protocol's first commitment period openly declared their intention not to participate in the second one, reducing the effectiveness of Durban agreement. Parties to the conference have a long list of difficult issues disturbing the materialization of the new legal agreement in 2020 such as level of mitigation targets of individual countries and legal nature of their commitment. Given this uncertainty, the Korean government should reinforce its domestic climate policies rather than settling in the fact that it remains as a non-Annex I county party under the Durban Agreement due to the extension of the Kyoto Protocol period. Domestically, it needs to continue to raise the public awareness for rigorous climate policies to transit its economy to low carbon pathway which reduces the country's dependency on fossil fuel in the long term. It is also important to implement cost effective climate policies to cope with domestic resistance and international competitiveness. Internationally, its priority would be working for trust-building in the on-going negotiation meetings to encourage meaningful participation of all parties.

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Development of System Requirement Management Database System from User-centered Scenario (사용자 편의를 고려한 시스템 요구사항 관리 데이터베이스 구축)

  • Jin, Moon-Sub;Park, Chan-Young;Choi, Chunho;Chung, Kyung-Ryul
    • Transactions of the KSME C: Technology and Education
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    • v.1 no.2
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    • pp.199-204
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    • 2013
  • In this paper, a new system requirement management tool and its application on the Urban Transit Maglev Project were introduced. In most R&D projects on complexity system such as transportation system, Systems Engineering(SE) activities are included on each project, and SE teams are using commercial computer-based tools to perform the SE activities. Even though SE tools help to manage huge data and documents on engineering efficiently, but well-designed functions of SE tools which support SE activities are not sufficiently used on the whole process of system engineering. In order to computer-based SE tools are to be effectively used on project management, most engineers who takes engineering and coordination roles, at least sub-project managers should be familiar to the tool and could be easily use it, but usability of commercial SE tools are very difficult for normal engineers with no experience on SE activities and SE tools. To overcome this difficulty, we developed a new system requirement management tool considering each user's scenario on using engineering tools. The developed tool could not cover whole SE processes, but designed to perform requirement engineering such as system requirements(SRs) management, specification management, traceability management, SRs' verification activity management and so on. All the entities on SR database are inter-connected by pre-recognized traceabilities, so even non-specialists on SE can easily browse the database and find entities concern, and linked information such as interacted entities, legal or engineering constraints, coordination documents, status of development and verification and so on. Also functions for SR verification tools, TPM(Technical Performance Measure) tools, DB searching tools with traceability, and report generation tools are included on the system.

Performance Responses, Nutrient Digestibility, Blood Characteristics, and Measures of Gastrointestinal Health in Weanling Pigs Fed Protease Enzyme

  • Tactacan, Glenmer B.;Cho, Seung-Yeol;Cho, Jin H.;Kim, In H.
    • Asian-Australasian Journal of Animal Sciences
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    • v.29 no.7
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    • pp.998-1003
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    • 2016
  • Although exogenous protease enzymes have been used in poultry diets quite extensively, this has not been the case for pig diets. In general, due to their better gut fermentative capacity and longer transit time, pigs have greater capacity to digest dietary proteins than poultry. However, in early-weaned piglets, the stress brought about by weaning adversely affects the digestion of dietary proteins. Therefore, a study was conducted to determine the effects of a commercial protease enzyme in weanling pigs. Indices of growth, nutrient digestibility, blood profiles, fecal microflora, fecal gas emission and fecal scores were measured during the study. A total of 50 weanling pigs ($6.42{\pm}0.12kg$) at 28 d of age were randomly assigned to receive 1 of 2 dietary treatments: i) control diet (corn-soy based) with no supplemental protease (CON), and ii) control diet+200 g/ton protease (PROT) for 42 d. A completely randomized design consisting of 2 treatments, 5 replicates, and 5 pigs in each replicate was used. Growth performance in terms of body weight ($27.04{\pm}0.38kg$ vs $25.75{\pm}0.39kg$; p<0.05) and average daily gain ($491{\pm}7.40g$ vs $460{\pm}7.46g$; p<0.05) in PROT fed pigs were increased significantly, but gain per feed ($0.700{\pm}0.01$ vs $0.678{\pm}0.01$; p>0.05) was similar between treatments at d 42. Relative to CON pigs, PROT fed pigs had increased (p<0.05) apparent total tract digestibility ($84.66%{\pm}0.65%$ vs $81.21%{\pm}1.13%$ dry matter and $84.02%{\pm}0.52%$ vs $80.47%{\pm}1.22%$ nitrogen) and decreased (p<0.05) $NH_3$ emission ($2.0{\pm}0.16ppm$ vs $1.2{\pm}0.12ppm$) in the feces at d 42. Except for a decreased (p<0.05) in blood creatinine level, no differences were observed in red blood cell, white blood cell, lymphocyte, urea nitrogen, and IgG concentrations between treatments. Fecal score and fecal microflora (Lactobacillus and E. coli) were also similar between CON and PROT groups. Overall, the supplementation of protease enzyme in weanling pigs resulted in improved growth rate and nutrient digestibility. Exogenous protease enzyme reduced fecal $NH_3$ emission, thus, potentially serving as a tool in lowering noxious gas contribution of livestock production in the environment.

Model for the Connection-Time of Vehicle-to-Mobile RSU (V2MR) Communications Near a Bus Station (버스 정류소 주변에서 자동차-이동기지국 (V2MR) 통신의 연결시간에 대한 성능분석모형)

  • Jeong, Han-You;Purnaningtyas, Magdalena Trie;Nguyen, Hoa-Hung
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.41 no.12
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    • pp.1969-1977
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    • 2016
  • We study the connection time of vehicle-to-mobile roadside unit (V2MR) communications which can reduce the significant cost of the fixed RSU by installing a gateway of mobile network into a transit bus called the mobile RSU. In the V2MR communications, the connectivity of a commute vehicle can be improved via ad-hoc connection to a nearby mobile RSU. In this paper, we present a new analysis model to estimate the connection time between a commute vehicle and a mobile RSU, when there is a bus station in the overlapping route. Since the connection time between two vehicles is highly dynamic and unpredictable, our analysis will provide a fundamental basis of connection-time estimation of V2MR communications. Numerical results obtained from VEINS simulation show that our analysis can estimate the connection time of V2MR communications with the average error below 1.0 percent. Moreover, we show that the average connection time of V2MR communications can be extended to approximately 3.85 times of that of V2R communications.

Study on Temperature Characteristics of Friction Stir Welding Process by Numerical Analysis (수치해석을 활용한 마찰교반용접 공정의 온도 특성 분석 연구)

  • Kim, Moosun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.513-518
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    • 2019
  • Friction Stir Welding is a welding technique for metal materials that utilizes the heat generated by friction between the material to be welded and the welding tool that rotates at high speed. In this study, a numerical analysis method was used to analyze the change in the internal temperature of the welded material during friction stir welding. As the welding target material, AZ31 magnesium alloy was applied and the welding phenomenon was considered a flow characteristic, in which a melting-pool was formed. FLUENT was used as the numerical tool to perform the flow analysis. For flow analysis of the welding process, the welding material was assumed to be a high viscosity Newtonian fluid, and the boundary condition of the welding tool and the material was considered to be the condition that friction and slippage occur simultaneously. Analyses were carried out for various rotational speeds and the translational moving speed of the welding tool as variables. The analysis results showed that the higher the rotational speed of the welding tool and the slower the welding tool movement speed, the higher the maximum temperature in the material increases. Moreover, the difference in the rotational speed of the welding tool has a greater effect on the temperature change.

Analysis of Friction Stir Welding Process of Mg alloy by Computational Fluid Dynamics (유동 해석을 통한 마그네슘 합금의 마찰교반용접 분석 연구)

  • Kim, Moosun;Sun, Seung-Ju;Kim, Jung-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.679-684
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    • 2017
  • Friction Stir Welding is a metal welding technique, in which friction heat between a welding tool and a welding material is used to weld parts at temperatures below the melting point of a material. In this study, the temperature and velocity changes in a magnesium alloy (AZ31) during the welding process were analyzed by computational flow dynamics technique while welding the material using a friction stir welding technique. For the analysis, the modeling and analysis were carried out using Fluent as a fluid analysis tool. First, the welding material was assumed to be a temperature-dependent Newtonian fluid with high viscosity, and the rotation region and the stationary region were simulated separately to consider the rotational flow generated by the rotation of the welding tool having a helical groove. The interface between the welding tool and welding material was given the friction and slip boundary conditions and the heat transfer effect to the welding tool was considered. Overall, the velocity and temperature characteristics of the welded material according to time can be understood from the results of transient analysis through the above flow analysis modeling.

A Study on the TOD Planning Elements Affecting the Number of Public Transportation Users - Focused on the Subway and Railway Station in Incheon - (대중교통 이용객수에 영향을 미치는 TOD 계획요소 분석에 관한 연구 - 인천시 주요 지하철·전철역을 중심으로 -)

  • Kim, Ki Hyung;Lee, Joo Hyung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.35 no.3
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    • pp.647-662
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    • 2015
  • This study analyzes the factors that influence the number of public transportation passengers. By comparing the major TOD planning elements such as mixed-use level, job-housing proximity level, comparison of the density and pure density in the 66-autonomous city townships through a comparison such as TOD plan element achievements and indicators are chosen. A model is derived by correlation analysis and regression analysis of the parameters. The result of the regression analysis of the station influence area (SIA) in Incheon, the parameters that effect the number of passengers of public transportation are the number of employees, population, number of bus stops in the SIA, and the distance between the bus stop and the subway entrance. Therefore, as the number of employees and the resident population increase, the volume of traffic increases. Also, the number of public transportation users increases when there are more bus stops and when the distance between the bus stop and the subway entrance is short. This study shows that subways and SIA has achieved many parts of the TOD in Incheon, because the SIA around 29 subways and 11 Seoul-Incheon trail stations already included important TOD planning elements.

Laxative Activity of the Hot-Water Extract Mixture of Hovenia dulcis Thunb. and Phyllostachys pubescens Mazel in Chronic Constipation Model SD Rats

  • Oh, Kyo-Nyeo;Kim, Yujin;Choi, Eun Jin;Lee, Hyunmi;Hong, Ji Ae;Kim, Miri;Oh, Dool-Ri;Jung, Myung-A;Park, Ro-Dong;Kim, Seong-il;Yong, Ju-seon;Lee, Hui-Seop;Ban, SangOh;Choi, Chul-yung
    • Journal of Microbiology and Biotechnology
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    • v.30 no.5
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    • pp.649-661
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    • 2020
  • This study examined the laxative effects of hot-water extracts of Hovenia dulcis Thunb. (HD), Phyllostachys pubescens Mazel (PM), and a 2:8 mixture of both (HP) in two chronic constipation models. For the loperamide-induced constipation model, animals were divided into an untreated group, negative control group (loperamide 4 mg/kg), positive control group (bisacodyl 4 mg/kg) group, and six treatment groups (HP 100 or 400, HD 50 or 100, and PM 100 or 400 mg/kg). For the low-fiber diet-induced constipation model, animals were divided into an untreated group (normal diet), negative control group (low-fiber diet), positive control group (Agio granule, 620 mg/kg), and the same treatment groups. Fecal number, weight, fecal water content, and intestinal transit ratio were higher in the groups treated with HP, HD, and PM than in the groups treated with loperamide or low-fiber diet. Thickness of colon mucosa and muscle layers were increased in the treated groups. Colon tension increased in the HP groups, and [Ca2+]i measurements using fura-2 as an indicator showed that HP inhibits ATP-mediated Ca2+ influx in IEC-18 cells. These results showed that the HP mixture has laxative activity by increased mucin secretion and inducing contractile activity and relaxation. It may be a useful therapeutic strategy for ameliorating in chronic constipation.