• Title/Summary/Keyword: Decision making tool

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The APACHE III Score and Multiple Organ Failure(MOF) Score in Patients who were Recipients of Decision-Making Do-Not-Resuscitate (Do-Not-Resuscitation(DNR)을 결정한 환자의 APACHE III 점수와 다발성 장기부전(MOF) 점수 비교)

  • Kim, Yun Sook;Yoo, Yang Sook
    • Korean Journal of Adult Nursing
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    • v.17 no.5
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    • pp.762-771
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    • 2005
  • Purpose: The purpose of this study was to identify characteristics of patients who were recipients of decision-making DNR, to describe the situations of DNR, and to analyze the APACHE III and MOF scores. Method: Data collection was conducted through reviews of medical records of 51 patients and through interviews with families of patients who were decision-makers for DNR at C university K Hospital located in Seoul from April to September 2002. Results: The men's APACHE III and MOF scores were higher than the women's and the non cancer patients were higher than cancer patients. Some 80.4% of DNR orders was by communication, while 11.8% of consents were written. Each of APACHE III and MOF scores of patients in the intensive care unit was higher than the patients in general ward at both points of admission and decision-making of DNR. APACHE III and MOF scores positively correlated statistically with each other. Conclusions: The findings of this study suggest that APACHE III and MOF scores be useful for decision-making of DNR as a tool measuring severity.

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Electronic Risk Assessment System as an Appropriate Tool for the Prevention of Cancer: a Qualitative Study

  • Amoli, Amir hossein Javan;Maserat, Elham;Safdari, Reza;Zali, Mohammad Reza
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8595-8598
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    • 2016
  • Background: Decision making modalities for screening for many cancer conditions and different stages have become increasingly complex. Computer-based risk assessment systems facilitate scheduling and decision making and support the delivery of cancer screening services. The aim of this article was to survey electronic risk assessment system as an appropriate tool for the prevention of cancer. Materials and Methods: A qualitative design was used involving 21 face-to-face interviews. Interviewing involved asking questions and getting answers from exclusive managers of cancer screening. Of the participants 6 were female and 15 were male, and ages ranged from 32 to 78 years. The study was based on a grounded theory approach and the tool was a semi-structured interview. Results: Researchers studied 5 dimensions, comprising electronic guideline standards of colorectal cancer screening, work flow of clinical and genetic activities, pathways of colorectal cancer screening and functionality of computer based guidelines and barriers. Electronic guideline standards of colorectal cancer screening were described in the s3 categories of content standard, telecommunications and technical standards and nomenclature and classification standards. According to the participations' views, workflow and genetic pathways of colorectal cancer screening were identified. Conclusions: The study demonstrated an effective role of computer-guided consultation for screening management. Electronic based systems facilitate real-time decision making during a clinical interaction. Electronic pathways have been applied for clinical and genetic decision support, workflow management, update recommendation and resource estimates. A suitable technical and clinical infrastructure is an integral part of clinical practice guidline of screening. As a conclusion, it is recommended to consider the necessity of architecture assessment and also integration standards.

Investment Ranking Decision Using MCDA in Dam Projects (MCDA 기법을 이용한 댐사업의 투자우선순위 결정)

  • Kim, Woo-Gu;Lee, Gwang-Man;Park, Doo-Ho
    • Journal of Korea Water Resources Association
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    • v.39 no.12 s.173
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    • pp.1067-1080
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    • 2006
  • In empirical evaluations of public projects and public provided goods, MCDA(multicriteria decision-making analysis) has helped decision makers with an adequate policy decision-making tool since it allows taking into account a wide range of assessment criteria. As a tool for decision-making of conflict management, MCDA has demonstrated its usefulness in many public projects such as road, dam and harbor construction. In this study, to use this merit of MCDA, dam project assessment indicators from points of social, economic, environmental and practical views are developed based on sustainable development of water resources, and weighting factors are also estimated by means of questionnaire survey. In order to decide project investment rank, developed evaluation indicators are applied to 6 existing dams under investigation for a rehabilitation project. In addition to, it is recognized that the project practicability has become more important indicator as well as environmental and social issues. This is because cooperation and support from a local government and people are regarded as one of the most important problems in public projects recently.

Selecting on the Preferred Alternatives of the MADM Problems using the Entropy Measure (엔트로피 척도를 이용한 MADM 문제의 선호대안 선정)

  • 이강인
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.26 no.2
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    • pp.55-61
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    • 2003
  • The purpose of this paper is to propose a method for selecting the preferred alternatives of Multiple- Attribute Decision-Making(MADM) problem using the Entropy measure. A decision-maker who wants to estimate exactly the weight to be applied to her/his MADM problem is usually confronted with the embarrassing situation where, although there exist a variety of weighting methods, it is hard to find a right procedure to choose a pertinent value To remedy this uncomfortable situation, the Entropy measure commonly used in information theory, Is proposed as a tool that can be used by decision-makers to more efficiently select the preferred alternatives. As a result, the method proposed in the paper can be significant in that relatively easy to understand by decision-makers.

Empirical Approach for Evaluating or Upgrading EOP Strategies Using the Decision theory and Simulator

  • Kim, Sok-Chul;Lee, Duck-Hun;Kim, Hyun-Jang
    • Proceedings of the Korean Nuclear Society Conference
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    • 1998.05a
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    • pp.833-837
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    • 1998
  • This paper presents preliminary findings regarding a modeling framework under development for use in a multi-attribute decision model for advanced emergency operating procedures(EOPs). This model provides a means for optimal decision making strategy for advanced emergency operating procedures conceptualizing the dynamic coordination of responsibilities and information in the human system interactions with advanced reactor systems. For the purpose of evaluation of the applicability of this modeling framework, an empirical case study for a post-cooldown strategy during an steam generator tube rupture (SGTR) accident was carried out. As a result, it was found empirically that the multi-attribute decision model is a useful tool for establishing advanced EOPs that reduce the operator's cognitive and decision making burden during the accident mitigation process.

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Selecting optimized mix proportion of bagasse ash blended high performance concrete using analytical hierarchy process (AHP)

  • Praveenkumar, S.;Sankarasubramanian, G.;Sindhu, S.
    • Computers and Concrete
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    • v.23 no.6
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    • pp.459-470
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    • 2019
  • Apart from strength properties, durability, toughness and workability are also important criteria in defining the performance of a concrete structure. Hence "High Performance Concrete (HPC)" is introduced. It is different from high strength concrete and can have various applications. In this paper, the properties (Mechanical and Durability) of High Performance Concrete blended with bagasse ash at 5%, 10%, 15% and 20% are studied. However, it is difficult to analyze the performance based on different properties obtained from different experiments. Hence it is necessary to combine all the criteria/properties into a single value to obtain a result by a technique called Analytical Hierarchy Process (AHP).It is an effective tool for dealing with complex decision making, and may aid the decision maker to set priorities and make the best decision. In addition, the AHP incorporates a useful technique for checking the consistency of the decision maker?s evaluations, thus reducing the bias in the decision making process.

Research on make-or-buy decision making strategy using system dynamics: Focused on Korea's military improvement project (시스템 다이내믹스를 이용한 제조-구매 결정 전략: 한국의 방위력 개선 사업을 중심으로)

  • Choi, Jeong-Hwan;Ko, Seong-Pil;Lee, Jeong-Dong
    • Korean System Dynamics Review
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    • v.13 no.1
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    • pp.159-182
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    • 2012
  • Strategic decision on the execution of national security improvement project is greatly important for the present and future national security. Though, the importance of strategic decision, decision making process has been executed under one-way thinking framework. This research provides a decision-making tool with make-or-buy approach for the national security improvement policy execution methods: foreign purchase and military R&D project, and, via simulation, confirms dynamic change of military capability index respect to change in ratio of foreign purchase and military R&D. A result shows that current ratio of foreign purchases and military R&D is insufficient for national security improvement policy goal. Applying the model from this research provides an appropriate ratio for short term and long term defense strategy and policy goal, and consequent result of increase in national security capability. Thus, this research model can be effectively utilized for national security improvement project.

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The Effect of Indirect Advertisement to Consumers' Clothing Purchase Behavior -Focusing on Clothing Sponsorship of Television Drama- (의류제품의 우회광고가 소비자의 구매행동에 미치는 영향 -TV드라마 의상협찬을 중심으로-)

  • 이은정;이은영
    • Journal of the Korean Society of Costume
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    • v.52 no.4
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    • pp.141-154
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    • 2002
  • The purpose of this study was to define 'sponsorship' as a kind of advertising tool, and to describe its effects on consumer brand attitude and actual purchase behavior. From previous research results, clothing sponsorship was defined as 'indirect advertisement', which has common ad traits as well as the uncommon ad traits, such as indirectness, emotional affinity, and symbolism. Results from empirical research using 1,227 data collected in Seoul and Kyounggi Areas were as follows ; (1) Television drama clothing sponsorship was proved to have effects on brand image, emotional & rational brand attitudes, decision making process, and actual purchase behavior. (2) Each of drama clothing sponsorship factors, such as 'drama', 'role', and 'actress', had different effects on brand memory and attitudes. (3) Consumer decision making process initiated by drama clothing sponsorship followed two different processes, which were called 'rational' and 'heuristic'. The rational process followed every steps of EKB model, which explained consumer's rational shopping, but heuristic model was closer to emotional and impulsive shopping.

Methodology for Designing Bicycle Speed Hump Using Multi-critiria Decision Making Process (다기준의사결정론을 적용한 자전거 과속방지턱 설계기법 연구)

  • Joo, Shin-Hye;Oh, Cheol;Choi, Hee-Yong;Jang, Ji-Yong
    • International Journal of Highway Engineering
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    • v.14 no.4
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    • pp.103-111
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    • 2012
  • PURPOSES : Effective speed management is necessary for preventing traffic crashes on the road. Speed hump is known as an effective tool for managing speed. Unlike existing studies which are mainly focused on humps for vehicles, this study proposed a novel method to determine design parameters for bicycle speed humps based on a multi-criteria decision making process. METHODS : Three objectives including the effectiveness of speed reduction, bicycle safety, and user's comfortability were incorporated into the proposed evaluation framework for determining design parameters. A multi-criteria value function was also derived and utilized as a part of the proposed method. RESULTS : Extensive simulations and statistical tests show that an integrated bike-box way is identified as the best in terms of operational efficiency and safety. CONCLUSIONS : It is expected that the outcomes of this study can be a valuable precursor for developing design guidelines for bicycle road and facility.

Radioactive waste sampling for characterisation - A Bayesian upgrade

  • Pyke, Caroline K.;Hiller, Peter J.;Koma, Yoshikazu;Ohki, Keiichi
    • Nuclear Engineering and Technology
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    • v.54 no.1
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    • pp.414-422
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    • 2022
  • Presented in this paper is a methodology for combining a Bayesian statistical approach with Data Quality Objectives (a structured decision-making method) to provide increased levels of confidence in analytical data when approaching a waste boundary. Development of sampling and analysis plans for the characterisation of radioactive waste often use a simple, one pass statistical approach as underpinning for the sampling schedule. Using a Bayesian statistical approach introduces the concept of Prior information giving an adaptive sample strategy based on previous knowledge. This aligns more closely with the iterative approach demanded of the most commonly used structured decision-making tool in this area (Data Quality Objectives) and the potential to provide a more fully underpinned justification than the more traditional statistical approach. The approach described has been developed in a UK regulatory context but is translated to a waste stream from the Fukushima Daiichi Nuclear Power Station to demonstrate how the methodology can be applied in this context to support decision making regarding the ultimate disposal option for radioactive waste in a more global context.