• Title/Summary/Keyword: On-line Decisions

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Decision and Practice of End-of-Life Care in Lung Disease Patients with Physicians Orders for Life Sustaining Treatment

  • Yu Mi Oh;Yoon Na Kang;Soo Jung Han;Jeong Hye Kim
    • Journal of Hospice and Palliative Care
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    • v.26 no.1
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    • pp.7-17
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    • 2023
  • Purpose: The purpose of this study was to analyze end-of-life care practices in lung disease patients with physician orders for life-sustaining treatment (POLSTs). Methods: We retrospectively analyzed data from medical records regarding the end-of-life care practices of POLST decisions for patients with lung disease hospitalized at a tertiary hospital in Seoul, South Korea. Data were collected from January 1 to June 30, 2021. Results: Of 300 total patients, 198 had lung cancer (66.0%) and 102 had non-malignant lung diseases (34.0%). A POLST was written for 187 patients (62.3%), and an advance directive was written for 20 patients (6.7%). Subsequent treatments were hemodialysis in 13 patients (4.3%), surgery in 3 patients (1.0%), and cardiopulmonary cerebral resuscitation in 1 patient (0.3%). Among cancer patients, chemotherapy was performed in 11 patients (3.7%), targeted therapy in 11 patients (3.7%), immunotherapy in 6 patients (2.0%), and radiation therapy in 13 patients (4.3%). Depending on the type of lung disease, types of treatment differed, including hemodialysis, ventilators, bilevel positive airway pressure, high-flow nasal cannulas, nebulizers, enteral nutrition, central line, inotropic agents, and opioids. Conclusion: Although the goals of hospice care are the same whether a patient has lung cancer or a non-malignant lung disease, because the characteristics of the respective diseases differ, end-of-life care practices and hospice approaches must be considered differently.

A Preliminary Study on the Development of Korean Medication Algorithm for Attention-Deficit Hyperactivity Disorder (한국형 주의력결핍 과잉행동장애 약물치료 알고리듬 개발을 위한 예비연구)

  • Park, Jae-Hong;Kim, Bung-Nyun;Kim, Jae-Won;Kim, Ji-Hoon;Son, Jung-Woo;Shin, Dong-Won;Shin, Yun-Mi;Yang, Su-Jin;Yoo, Hanik-K.;Yoo, Hee-Jeong;Lee, Soyoung Irene;Cheon, Keun-Ah;Hong, Hyun-Ju;Hwang, Jun-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.22 no.1
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    • pp.25-37
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    • 2011
  • Objectives:This study was conducted to develop a Korean algorithm of pharmacological and non-pharmacological treatment strategies in attention-deficit hyperactivity disorder (ADHD) and its specific comorbid disorders (e.g. tic disorder, depressive disorder, anxiety disorder, bipolar disorder, and oppositional defiant disorder/conduct disorder). Methods:Based on a literature review and expert consensus, both paper- and web-based survey tools were developed with respect to a comprehensive range of questions. Most options were scored using a 9-point scale for rating the appropriateness of medical decisions. For the other options, the surveyed experts were asked to provide answers (e.g., duration of treatment, aver-age dosage) or check boxes to indicate their preferred answers. The survey was performed on-line in a self-administered manner. Ultimately, 49 Korean child & adolescent psychiatrists, who had been considered experts in the treatment of ADHD, vol untarily completed the questionnaire. In analyzing the responses to items rated using the 9-point scale, consensus on each option was defined as a non-random distribution of scores as determined by a chi-square test. We assigned a categorical rank (first line/preferred choice, second line/alternate choice, third line/usually inappropriate) to each option based on the 95% confidence interval around the mean rating score. Results:Specific medication strategies for key clinical situations in ADHD and its comorbid disorders were indicated and described. We organized the suggested algorithms of ADHD treatment mainly on the basis of the opinions of the Korean experts. The suggested algorithm was constructed according to the templates of the Texas Child & Adolescent medication algorithm Project (CMAP). Conclusion:We have proposed a Korean treatment algorithm for ADHD, both with and without comorbid disorders through expert consensus and a broad literature review. As the tools available for ADHD treatment evolve, this algorithm could be reorganized and modified as required to suit updated scientific and clinical research findings.

Confidence Improvement of Serial Cadastral Map Edit Using Ortho Image (정사영상을 이용한 연속지적도 편집의 신뢰성 향상 방안)

  • Kim Kam Lae;Ra Yong Hwa;Ahn Byung Gu;Park Se Jin
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.22 no.3
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    • pp.253-259
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    • 2004
  • The sheetwise cadastral map data needs to become a Serial Cadastral Map (SCM) database for the promotion of the reliability of cadastral surveying, for the efficient operation of the Parcel Based Land Information System, and for the convenient use of land information as well. A large amount of money and time are required for the editing process of producing SCM DB in accordance with the $\ulcorner$Guideline for the Production of Serial Cadastral Maps$\lrcorner$ by the Ministry of Construction & Transportation if any of field surveying techniques is accompanied by. In addition, a boundary line that extends to a neat line does not meet the counterpart of the neighboring map sheet at a point. Such cases frequently occur and are much dependent upon the decisions of individuals in charge of editing or inspecting. The core processes of the research, firstly overlay SCM produced by the edition of the sheetwise cadastral maps with Autodesk Map on orthophoto images, secondly adjust the parcel boundaries which are delineated over more than one map sheet, and lastly compare the original boundary coordinates and areas with the corresponding adjusted ones and calculate root mean square errors (RMSEs). The research aims at promoting the quality of SCM by minimizing the inconsistency of parcel boundaries by means of the comparative analysis of the calculated RMSEs.

The Effects of Price Salience on Consumer Perception and Purchase Intentions (개격현저대소비자감지화구매의도적영향(价格显著对消费者感知和购买意图的影响))

  • Martin-Consuegea, David;Millan, Angel;Diaz, Estrella;Ko, Eun-Ju
    • Journal of Global Scholars of Marketing Science
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    • v.20 no.2
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    • pp.149-163
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    • 2010
  • Previous studies have shown that retail price promotion change consumers' purchase behavior and that retailers use price promotion more frequently. Keeping constant the benefits received by consumers, there are several ways for retailers to communicate a price promotion. For example, retailers can present a price reduction in absolute terms ($, ${\euro}$), percentage terms (%), or some combinations of these two methods (Della Bitta et al. 1981). Communicating a price promotion in different ways is similar to the framing of purchase decisions (Monroe 1990). Framing effects refers to the finding that subjects respond differently to different descriptions of the same decision question (Frisch 1993). Thus, the presentation of the promotion has an impact on consumer deal evaluation and hence retail sales. In fact, much research in marketing attests to the effects of price presentation on deal perception (Lichtenstein and Bearden 1989; Urbany et al. 1988; Yadav and Monroe 1993). In this sense, a number of marketing researches have argued that deal perceptions are also determined by the degree to which consumers are able to calculate the discounts and final purchase prices accurately (Estelami 2003a; Morwitz et al. 1998), which suggests that marketers may be able to enhance responses to discounts by improving calculation accuracy. Consequently, since calculation inaccuracies in the aggregate lead to the underestimation of discounts (Kim and Kramer 2006), consumers are more likely to appreciate a discounted offer following deeper processing of price information that enables them to evaluate a price discount more accurately. The purpose of this research is to examine the effect of different presentations of discount prices on consumer price perceptions. To be more precise, the purpose of this study is to investigate how different implementations of the same price promotion (semantic and visual salience) affect consumers' perceptions of the promotion and their purchase decisions. Specifically, the analysis will focus on the effect of price presentation on evaluation, purchase intentions and perception of savings. In order to verify the hypotheses proposed in the research, this paper will present an experimental analysis dealing with several discount presentations. In this sense, a2 (Numerical salience presentation: absolute and relative) x2 (Worded salience presentation: novel and traditional) x2 (Visual salience: red and blue) design was employed to investigate the effects of discount presentation on three dependent variables: evaluation, purchase intentions and perception of savings. Respondents were exposed to a hypothetical advertisement that they had to evaluate and were informed of the offer conditions. Once the sample finished evaluating the advertisement, they answered a questionnaire related to price salience and dependent dimensions. Then, manipulation checks were conducted to ensure that respondents remembered their treatment conditions. Next, a $2{\times}2{\times}2$ MANOVA and follow-up univariate tests were conducted to verify the research hypotheses suggested and to examine the effects of the individual factors (price salience) on evaluation, purchase intentions and perceived savings. The results of this research show that semantic and visual salience presentations have significant main effects and interactions on evaluation, purchase intentions and perception of savings. Significant numerical salience interactions affected evaluation and purchase intentions. Additionally, a significant worded salience main effect on perception of savings and interactions on evaluation and purchase intentions were found. Finally, visual salience interactions have significant effects on evaluation. The main findings of this research suggest practical implications that firms should consider when planning promotion-based discounts to attract consumer attention. Consequently, because price presentation has important effects on consumer perception, retailers should consider which effect is wanted in order to design an effective discount presentaion. Specifically, retailers should present discounts with a traditional style that facilitates final price calculation. It is thus important to investigate ways in which marketers can enhance the accuracy of consumers' mental arithmetic to improve responses to price discounts. This preliminary study on the effect of price presentation on consumer perception and purchase intentions opens the line of research for further research. The results obtained in this research may have been determined by a number of limiting conceptual and methodological factors. In this sense, the research deals with a variety of discount presentations as well as with their effects; however, the analysis could include additional salience dimensions and effects on consumers. Furthermore, a similar study could be carried out including a larger, more inclusive and heterogeneous sample of consumers. In addition, the experiment did not require sample individuals to actually buy the product, so it is advisable to compare the effects obtained in the research with real consumer behavior and perception.

A Study of Competence-Competence in the United States (미국에서의 중재인의 권한판단권한(Competence-Competence)에 관한 고찰)

  • Kang, Soo-Mi
    • Journal of Arbitration Studies
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    • v.22 no.2
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    • pp.53-77
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    • 2012
  • Competence-competence refers to an arbitratorpower to determine whether he or she has jurisdiction to decide a controversy. Although arbitrators power to rule on their own jurisdiction is generally recognized throughout the world, in the United States, neither the courts nor legislative bodies have recognized its significance or the reasoning behind its widespread adoption. Section 3 of the Federal Arbitration Act (FAA) is notorious among arbitration statues for its failure to incorporate competence-competence. When courts rule on an issue of competence-competence, it is referred to as a question of who decides the arbitrability of the case. In the United States, the use of competence-competence as a term of art is still limited to scholarly writings. The answer to the competence-competence inquiry is found in an interpretation of section 3 of the FAA which empowers the courts to decide arbitrability issues. The cases of the Supreme Court and most commentators interpreted sections 2 and 3 of the FAA as conferring issues of arbitrability on the federal courts, including the ability to rule on the validity and scope of the arbitral agreement. Traditionally, United States courts have denied the competence-competence to arbitral tribunal. Recently, however, they have confounded the rules by placing primary importance on the arbitration agreement between the parties. The Supreme Court, in a series of cases, has underscored the necessity of giving full effect to the intentions of the parties as expressed in their agreement to arbitrate. The result of the Supreme Court's emphasis on contractualism in determining the issue of arbitrability is most evident in the Courtdecision in the First Options case. Under First Options, courts are to decide arbitrability issues unless there is a clear and unmistakable contractual assignment of these issues to the tribunal itself. The Court is appraised that it has attempted to compromise between contractual freedom in the arbitration setting and the rule of law that is necessary in a society that depends on the concept of ordered liberty. In the decision in Howsam, the Court clarified the definition of arbitrability by attempting to draw a clear line between questions of arbitrability that are to be decided by courts and those matters that bear on the allocation of decisions between courts and arbitrators but are not questions of arbitrability.

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Tele-metering

  • Hearte, L.O.
    • 전기의세계
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    • v.2
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    • pp.6-14
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    • 1949
  • Telemetering may be described as the art of metering at a considerable distance those quantities which are ordinarily encountered in industry, and in the generation of electric power. It is in the production of electric power that telemetering is particularly important, for it permits the system operator, or load dispatcher, to have before him at all times a continuous graphic record of the power output of each individual generating station together with an automatically made continuous graphic record of the total system output. There desired individual graphic records may be obtained showing power flow in or out, on important tie lines, etc. Such arrangements have the very great advantage that loads may be assigned to each generating station so that the best over-all system economy may be obtained and the system operator at all times may see with his own eyes that loads scheduled are actually held at the various stations. Moreover, with such equipment, in the event of system or station trouble the load dispatcher can see exactly what station, or stations, are affected and to what extent, without having to get in touch with anyone by telephone. Decisions can, therefore, be quickly reached for rescheduling the load. One of the most accurate and reliable telemetering systems is based on the use of potentiometric circuits, the fundamentals of which are discussed below. A member of such telemetering systems have been installed for the Boston Edicon Co., Boston, Massachusetts, the Consolidated Edison Co. of New York City. The Public Service Gas & Electric Co. of Newark, new Jersey. The Philadelphia Electric Co. for Philadelphia, Pennsylvania, and the Pennsylvania Railroad Co. for their electrified zone between New York and Washington a distance of over 200 miles. The scale of the totalizing recorder for the New York area is 3,000,00 KW. That of the totalizing recorder for the Philadelphia area is 2,000,000 KW. The initial installation using this type of equipment described was placed in service for the Philadelphia Electric Co. in 1923. All of the original recording instruments are still in service, later instruments have been added to take care of additions to the power system and naturally these later recorders have incorporated in those refinements in design made since the earlier ones were manufactured. Many other installations of similar equipment have been made in the United States in various locations such as at St. Louis, on the West Coast, at Baltimore and in Washington, D.C. While the use of these basic potentiometric circuits involves the use of continuous metallic circuits of good insulation resistance and free of grounds, nevertheless, intermediate transmission links, involving and impulse method suitable for use on telephone Morse carrier channels is available. This same method may be employed on power line carrier systems and is also suitable for use on beam type microwave transmission. Many impulse type units are also used as a link in these potantiometric methods. For the sake of brevity a description is given only of these basic potentiometric circuits. If there is sufficient interest in Korea, a further paper can be given covering those impulse circuits also.

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The Dynamic Effects of Subway Network Expansion on Housing Rental Prices Using a Modified Repeat Sales Model (수도권 지하철 네트워크 확장이 아파트 월세 가격에 미치는 영향 분석 - 수정반복매매모형을 중심으로 -)

  • Kim, Hyojeong;Lee, Changmoo;Lee, Jisu;Kim, Minyoung;Ryu, Taeheyeon;Shin, Hyeyoung;Kim, Jiyeon
    • Journal of Cadastre & Land InformatiX
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    • v.51 no.2
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    • pp.125-139
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    • 2021
  • Continuous subway line expansion over the years in Seoul metropolitan area has contributed to improved accessibility to public transport. Since public transport accessibility has a significant impact on housing decisions, quantitative analysis of correlation between housing prices and public transport accessibility is regarded as one of the most important factors for planning better housing policies. This study defines the reduction of traveling time resulted from the construction of new metro stations despite them not being the closest stations as 'Network Expansion Effect', and seeks to understand how the Network Expansion Effect impacts on housing prices. The study analyzes monthly rent data converted from upfront lump sum deposit, so called Jeonse in Korea, from 2012 to 2018, through 'A Modified Repeat Sales Model.' As a result, the effect of 'Network Expansion' on rental prices in Seoul has stronger during the period of 2017 to 2018 than the base period of 2012 to 2014, which suggests the 'Network Expansion' has a meaningful effect on rent. In addition, in comparison between the most and the least affected group of apartments by 'Network Expansion Effect', the most affected group has more price increase than the least affected group. These findings also indicate that different levels of 'Network Expansion Effect' have various influences on the value of residential real estate properties.

Growth and Contents of Inorganic Nutrient during Cultivation of Zoysiagrass (한국잔디의 재배기간 중 생육과 무기성분 함량 변화)

  • Bae, Eun-Ji;Lee, Kwang-Soo;Park, Yong-Bae;Lee, Sang-Myeong;Yang, Geun-Mo;Huh, Moo-Ryong
    • Weed & Turfgrass Science
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    • v.2 no.1
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    • pp.82-87
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    • 2013
  • This research will be utilized as a base line data by researching on growth and the accumulation of inorganic nutrients during the cultivation period of zoysiagrass and also to establish a cultivation strategy of zoysiagrass. It involves the management such as fertilizer and mowing which ultimately led to the difference of growth and accumulation of inorganic nutrients. The accumulation of inorganic nutrients after mowing, the amount of accumulation was small when compared to the amount lost for the shoot, rhizome and root. Difference in the accumulation of inorganic nutrients, but as for K, Ca and Mg accumulation it shows similar aspects to N accumulation. The orders of inorganic nutrients in zoysiagrass were N > K > P > Ca > Mg. The characteristics of inorganic nutrients absorption of such zoysiagrass acts as the foundation of cultivation, and in the aspect of making decisions on the fertilization amount and soil management, it is closely related to the requirement on nutrients. In order to increase the productivity based on the zoysiagrass's growth and density rate improvement, accumulation of inorganic nutrients per growth period needs to be analyzed, and supplying nutrients in an efficient method suitable to the growth period is advisable, so such basic research was necessary.

Construction for the Design Project Management System(DPMS) (디자인 프로젝트 관리 시스템(DPMS)의 구성)

  • 우흥룡
    • Archives of design research
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    • v.12 no.3
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    • pp.227-234
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    • 1999
  • We paid attention to the fact that a project will always tend to increase in size even if its scope is narrowing. The complexities and multidisciplinary aspects of projects require that the many parts should be put together so that the prime objectives- performance, time, and cost- are met. These aspects lead to the use of teams to solve problems that used to be solved by individuals. Firstly, We surveyed the design companies and their clients on the design projects, and categorized the design task into 5 phases, that are marketing, planning, idea development, presentation, and follow-up. Among the phases, the presentation has the most difficult task, longest processing time, and highest cost, whereas idea development phase has relatively low cost, longer processing time, and more difficult task. Most of the companies used to be faced several bottlenecks on their design projects - time control, budget control, and resource control. Secondly, for improving the project managing process, we adopted that dividing and analyzing the sub critical paths may help in the effective managing.(Badiru, Adedeji B., 1995) Some critical paths require almost as much attention as the critical path since they have a high potential of becoming critical when changes occur in the network. Therefrom we suggest the Total task weight(Gt) as a management formula for the design project management.${Gt=\mathrm{T}\ast\leftthreetimes\ast1/100}$<\TEX> ( Gt = Total task weight, mathrm{T} = Task Weight, \leftthreetimes= Criticality ) Thirdly, In order to support to managing for the design projects, we set up an application system, which is graphically planning and implementing a complex undertaking. It is helpful to make the control of a project easy. The DPMS(Design Project Management System), which has two sub system. One is Project Screening System(PSS), and another Project Managing System(PMS). In PMS, we divided the design project into three modules; Project Planning, Project Implementation, and Project Evaluation. As a result, the DPMS will contribute to supply the control of a project easily and effectively. Also teams are used for making decisions and taking action with the DPMS. But we need to get further studies on the relationships between the whole project and its tasks.

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Investment Process of Start-up: A Case Study of LetinAR (스타트업의 초기 투자유치 프로세스: (주)레티널 사례를 바탕으로)

  • KIM, HA YOUNG;BAE, TAE JUN;WON, CHI WOON
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.14 no.6
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    • pp.119-130
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    • 2019
  • Although a well-established line of research has addressed the funding decision, the activities of investee startups to receive funding have been overlooked because prior research has been conduced from investor's point of view. In addition, funding does not result from one off decisions but from decision process with many stages. Moreover, the emphasis placed on specific investment criteria varies by different stages during the process. Therefore, understanding the initial funding of startups requires to analyze the strategic behaviors of startups throughout the entire funding decision process from first meeting with investors to funding success. This study investigates the initial funding process of startups, and the analysis is based on a case study of LetinAR one of the successful startups founded by students in South Korea. This study investigates how early start-ups were able to receive funding from startup's point of view, and the analysis is based on a case study of LetinAR, an augmented reality(AR) startup using Pin mirror technology. By adding "legitimacy building" stage that had not been addressed previously, we divided funding process into four stages: 1) legitimacy building, 2) familiarization, 3) screening, and 4) bargaining phase. We did not only analyze major criteria, but also strategic activities of startup at each stage. This study makes a contribution by helping us understand complicated process of funding and the successful strategic behavior of investor backed startups.