• Title/Summary/Keyword: Support Decision Making

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Analyzing Regional Public Hospitals' Efficiency and Productivity Change (지방의료원의 효율성 및 생산성변화 분석)

  • Jeon, Jin-hwan;Kim, Jong-Ki
    • The Journal of the Korea Contents Association
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    • v.10 no.5
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    • pp.303-313
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    • 2010
  • The purpose of this study is to evaluate the performance efficiency and productivity change of the regional public hospital in Korea. We use DEA(Data Envelopment Analysis) for CCR, BCC model, and MPI(Malmquist Productivity Index). DEA is a useful nonparametric technique for measurement of efficiency of a DMU(Decision Making Unit) and MPI is a evaluation method to measure DMU's productivity change. We utilize 34 regional public hospital's time-series data over 6 years from 2003 to 2008.The results of this study were as follows. First, technical efficiency(TE) shows that approximately 3.6% of inefficiency exists on the regional public hospitals and it reveals that the cause for technical inefficiency is due to scale inefficiency. Second, MPI's results show that regional public hospital made effort to improve total factor productivity change to raise technical efficiency. In order to raise efficiency, the regional public hospitals should deploy internal innovation and the government should support welfare policies.

Can Computed Tomographic Angiography Be Used to Predict Who Will Not Benefit from Endovascular Treatment in Patients with Acute Ischemic Stroke? The CTA-ABC Score

  • Kwak, Hyo-Sung;Park, Jung-Soo
    • Journal of Korean Neurosurgical Society
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    • v.63 no.4
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    • pp.470-476
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    • 2020
  • Objective : The objective of this study was to develop a score to predict patients with acute ischemic stroke (AIS) who will not benefit from endovascular treatment (EVT) using computed tomographic angiography (CTA) parameters. Methods : The CTA-ABC score was developed from 3 scales previously described in the literature: the Alberta Stroke Program Early CT Score (0-5 points, 3; 6-10 points, 0), the clot burden score (0-3 points, 1; 4-10 points, 0), and the leptomeningeal Collateral score (0-1 points, 2; 2-3 points, 0). We evaluated the predictive value of CTA parameters associated with symptomatic intracranial hemorrhage (sICH) or malignant middle cerebral artery infarction (MMCAI) after EVT and developed the score using logistic regression coefficients. The score was then validated. Performance of the score was tested with an area under the receiver operating characteristic curve (AUC-ROC). Results : The derivation cohort consisted of 115 and the validation cohort consisted of 40 AIS patients. The AUC-ROC was 0.97 (95% confidence interval [CI], 0.94-0.99; p<0.001) in the derivation cohort. The proportions of patients with sICH and/or MMCAI in the derivation cohort were 96%, 73%, 6%, and 0% for scores of 6, 5, 1, and 0 points, respectively. In the validation group, the proportions were similar (90%, 100%, 0%, and 0%, respectively) with an AUC-ROC of 0.96 (95% CI, 0.90-1.00; p<0.001). Conclusion : Our CTA-ABC score reliably assessed risk for sICH and/or MMCAI in patients with AIS who underwent EVT. It can support clinical decision-making, especially when the need for EVT is uncertain.

Evaluation of the Korea Forest Resource Promotion Policy by Using LISREL Model (LISREL모형을 활용한 산림자원 육성정책의 평가)

  • Nam, Sunghyun;Kim, Sebin;Kwon, Kiwon;Jeon, Hyonsun
    • Journal of Korean Society of Forest Science
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    • v.97 no.3
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    • pp.255-265
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    • 2008
  • This study is aiming at providing the useful information for successful implementation of the forest resource promotion policy through analyzing the impacting factors and their relationships on policy accomplishment and policy effectiveness in executing the forest resource promotion policy. Interview survey was conducted on the stake-holders such as government officers and civilians who have direct or indirect influences on the establishment and execution of the forest resource promotion policy. The forest resource promotion policy was heuristically analyzed by using the LISREL (Linear Structural RELations) Model. The policy accomplishments of forest resource promotion significantly showed the positive relations with the suitability of problem recognition, the suitability of policy decision-making and rationality of policy execution, while the degree of policy support and the policy accomplishments were having significant impacts upon the policy effectiveness. Since the path coefficients between the latent variables and observed variables and among the latent variables mostly showed the positive relations significantly, the forest resource promotion policy was evaluated very successful in terms of policy accomplishments and policy effectiveness.

Daylighting Performance based Parametric Design focused on the Office Building at the conceptual phase of BIM (설계 초기 단계 BIM 형상정보 파라메트릭 연동을 통한 오피스 실내조도 분석)

  • Park, Jung-Dae;Jo, Chan-Won;Jeon, Min-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.475-481
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    • 2019
  • The importance of performance-based design feedback is being emphasized when it comes to the potential impact that affects all the lifecycle of the building. However, the latency and disconnection of domain expert in the sector of AEC/FM remain current obstacles between design and performance feedback. It is hard to utilize performance feedback information for design exploration and support design decision making during the conceptual phase of design. Using parametric design, this paper proposes various design alternatives from a set of rules and constraints defined by algorithms for the geometric configurations of an Office Building. A Building Performance Analysis (BPA) was to developed using Autodesk® Revit® 2019 which integrates Autodesk® Green Building Studio® to predict its sufficient daylighting conditions of the LEED v4's Daylighting Autonomy (DA). The parametric-based performance feedback of this study outlines potential design improvements for further exploration in application to the early design process.

Development of Disaster Prevention Information System using Disaster Prevention Map Based on Digital Image (수치영상 기반의 방재지도를 활용한 방재정보시스템 개발)

  • Park, Joon-Kyu
    • Journal of Korean Society for Geospatial Information Science
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    • v.19 no.4
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    • pp.47-53
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    • 2011
  • As global warming and has caused the number of abnormal changes, much damage has occurred recently in Korean Peninsula from natural disaster. To prevent and cope with these annually repeated natural hazards, scientific analysis are needed in Disaster Management, including systematic management. In this study, As part of scientific disaster prevention measures, digital image based hazard map for solution to overcome the existing hazard map with schematic representation was constructed. which was combined digital image, digital map and hazard information, and than hazard information system was developed using the hazard map. The hazard information map and hazard information system are able to provide great service to the public and to support quick decision making for hazard management and analysis of natural hazard damage.

Construction of Multi-purpose Hazard Information Map Based on Digital Image Using Geospatial Information (지형공간정보를 활용한 수치영상기반의 다목적 재해정보지도 구축)

  • Yun, Hee-Cheon;Min, Kwan-Sik;Kim, Min-Gyu
    • Journal of the Korean Association of Geographic Information Studies
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    • v.13 no.3
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    • pp.91-101
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    • 2010
  • As global warming has caused the number of abnormal changes in climate to increase throughout the world, much damage has occurred recently in Korean Peninsula which results from unexpected heavy rains, landslides, and floods from typhoons. To prevent and cope with these annually repeated natural hazards, the overall improvements are needed, including systematic management of the existing natural hazard information and improvement of hazard information. In this study, multi-purpose hazard information map based on digital image was constructed as an effective way to enhance hazard management considering regional characteristics and hazard response capabilities in the field. Multi-purpose hazard information map with a new concept by fusion of geospatial information and hazard attribute information is able to support quick decision for hazard management making and development of hazard information system.

Comparative Evaluation between Administrative and Watershed Boundary in Carbon Sequestration Monitoring - Towards UN-REDD for Mt. Geum-gang of North Korea - (탄소 저장량 감시에서 배수구역과 행정구역의 비교 평가 - 금강산에 대한 UN-REDD 대응 차원에서 -)

  • Kim, Jun-Woo;Um, Jung-Sup
    • Journal of Environmental Impact Assessment
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    • v.22 no.5
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    • pp.439-454
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    • 2013
  • UN-REDD (United Nations programme on Reducing Emissions from Deforestation and forest Degradation) is currently being emerged as one of important mechanism to reduce carbon dioxide in relation to the deforestation. Although administrative boundary has already gained world-wide recognition as a typical method of monitoring unit in the process of GHG (Greenhouse Gas) reduction project, this approach did not provide a realistic evidence in the carbon sequestering monitoring in terms of UN-REDD; the meaningful comparison of land use patterns among watershed boundaries, interpretation for distribution trends of carbon density, calculation of opportunity cost, leakage management, etc. This research proposes a comparative evaluation framework in a more objective and quantitative way for carbon sequestering monitoring between administrative and watershed boundary approaches. Mt. Geumgang of North Korea was selected as a survey objective and an exhaustive and realistic comparison of carbon sequestration between the two approaches was conducted, based on change detection using TM satellite images. It was possible for drainage boundary approach to identify more detailed area-wide patterns of carbon distribution than traditional administrative one, such as estimations of state and trends, including historical trends, of land use / land cover and carbon density in the Mt. Geumgang. The distinctive changing trends in terms of carbon sequestration were specifically identified over the watershed boundary from 4.0% to 34.8% while less than 1% difference was observed in the administrative boundaries, which were resulting in almost 21-22%. It is anticipated that this research output could be used as a valuable reference to support more scientific and objective decision-making in introducing watershed boundary as carbon sequestering monitoring unit.

A Basic Study on the Implementation of Knowledge Management for Design (디자인에 있어서 지식경영의 도입에 관한 기초연구)

  • 서홍석
    • Science of Emotion and Sensibility
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    • v.5 no.4
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    • pp.33-43
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    • 2002
  • The world is in the great change by the digital revolution and is changing fast to knowledge-based society beyond information society. That is to say, Knowledge is the most powerful source of competitiveness. This change of environment needs new paradigm in design. As of today, There is need to study systematically and approach practically about knowledge management. So that, we are intend to reconstruct theoretical system from design-oriented viewpoint and propose knowledge-creation paradigm through the importing technique of knowledge management into design. This study is to develop theoretical frame work of knowledge management in design as a basic study on the implementation of knowledge management for design. By the method of study for this, It was studied literature and precedent. Further more, proposed the appropriate direction of knowledge management implementation in design. Also, It was composed knowledge management system of the infra system, information system, decision-making support system and knowledge competency. Finally, The technical feature of knowledge management system was analyzed from a information technology point of view.

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Evaluation of Focal Bone Mineral Density Using Three-dimensional Measurement of Hounsfield Units in the Proximal Humerus

  • Moon, Young Lae;Jung, Sung;Park, Sang Ha;Choi, Gwi Youn
    • Clinics in Shoulder and Elbow
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    • v.18 no.2
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    • pp.86-90
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    • 2015
  • Background: Although there are several methods for evaluating bone quality, Hounsfield units (HU), a standardized computed tomography (CT) attenuation coefficient, provide a useful tool for estimating focal bone mineral density (BMD). The aim of this study is to investigate the HU for evaluating the degree of osteoporosis in greater tuberosity with regard to anchor positioning. Methods: Forty patients diagnosed as normal on shoulder CT were included and categorized according to age and gender. Axially sectioned CT images were processed to 3-dimensional models containing information about bone quality using Mimics (14.11 platform v14.1.1.1 Materialise). Three-dimensional anchors were simulated and positioned according to 6 regions of interest (ROI) in the greater tuberosity classified using Tingart's system. Mean HU of intra-anchor volumes in the 6 regions was measured. Results: A significant decrease in HU was observed with increasing age (p=0.0001) and menopause (p<0.001). A significant difference in HU was found between male and female groups with males showing the higher values (p=0.0001). HU of proximal areas of ROI was higher than those of distal areas (p<0.005). However, although mean HU of distal posterior ROI showed the lowest values, no statistically significant difference was found between anterior, middle, and posterior regions (p=0.087). Conclusions: Mean HU of ROIs provides a tool for preoperative assessment of focal BMD, which is a factor of suture anchor stability and can be used to aid decision-making regarding secure anchor positioning for rotator cuff repair. Our data support that the most secure point is the proximal regions of ROI.

Uncertainty Analysis on the Simulations of Runoff and Sediment Using SWAT-CUP (SWAT-CUP을 이용한 유출 및 유사모의 불확실성 분석)

  • Kim, Minho;Heo, Tae-Young;Chung, Sewoong
    • Journal of Korean Society on Water Environment
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    • v.29 no.5
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    • pp.681-690
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    • 2013
  • Watershed models have been increasingly used to support an integrated management of land and water, non-point source pollutants, and implement total daily maximum load policy. However, these models demand a great amount of input data, process parameters, a proper calibration, and sometimes result in significant uncertainty in the simulation results. For this reason, uncertainty analysis is necessary to minimize the risk in the use of the models for an important decision making. The objectives of this study were to evaluate three different uncertainty analysis algorithms (SUFI-2: Sequential Uncertainty Fitting-Ver.2, GLUE: Generalized Likelihood Uncertainty Estimation, ParaSol: Parameter Solution) that used to analyze the sensitivity of the SWAT(Soil and Water Assessment Tool) parameters and auto-calibration in a watershed, evaluate the uncertainties on the simulations of runoff and sediment load, and suggest alternatives to reduce the uncertainty. The results confirmed that the parameters which are most sensitive to runoff and sediment simulations were consistent in three algorithms although the order of importance is slightly different. In addition, there was no significant difference in the performance of auto-calibration results for runoff simulations. On the other hand, sediment calibration results showed less modeling efficiency compared to runoff simulations, which is probably due to the lack of measurement data. It is obvious that the parameter uncertainty in the sediment simulation is much grater than that in the runoff simulation. To decrease the uncertainty of SWAT simulations, it is recommended to estimate feasible ranges of model parameters, and obtain sufficient and reliable measurement data for the study site.