• Journal of Korean Academy of Psychiatric and Mental Health Nursing
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• v.27 no.4
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• pp.380-393
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• 2018

Purpose: The purpose of this study was to explore psychiatric nurses' decision making in the use of seclusion and restraint (SR). Methods: Data were collected using focus group interviews. Two focus group interviews were held with a total of 10 psychiatric nurse participants. All interviews were recorded and transcribed, and data were analyzed using qualitative content analysis. Results: Eleven categories emerged from three main themes. All the themes describe factors that participants took into account when deciding whether to implement SR: 1) Personal factors area: 'Personal attributes of nurses,' 'Attitude of nurses regarding SR,' 'Nurses' physical and emotional states,' 'Negative experiences of nurses related to SR'; 2) Relational factors area: 'The level of cooperation between nurses and doctors,' 'Role models created by seniors and colleagues,' 'The level of support by nursing assistants,' 'Therapeutic relations with patients'; and 3) Environmental factors area: 'Poor nursing work environment,' 'Atmosphere of ward regarding SR,' and 'Social atmosphere to raise alarm about SR.' Conclusion: These findings should be considered in the evaluation of the use of SR in psychiatric hospital settings and appropriate strategies used to help minimize the use of restraint.

• Journal of Chest Surgery
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• v.54 no.6
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• pp.449-453
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• 2021

The 2020 American College of Cardiology focused update on the mitral regurgitation (MR) pathway provides an excellent summary of the decision-making trees in the treatment of severe MR, in which 2 main branches of the flowchart are suggested depending on whether MR is primary or secondary. Surgery is suggested as preferable over transcatheter edge-to-edge repair (TEER) in primary MR that needs intervention. The decision-making for secondary MR generally prioritizes TEER over surgery according to the guidelines, but further stratification is necessary based on the pathophysiologic mechanisms of MR. TEER is probably the more suitable option in secondary MR caused by left ventricular dysfunction or dilatation, given the high perceived surgical risks, despite the lack of sufficient evidence in support of overt clinical benefits from surgical therapy in these patients. In atrial functional MR associated with atrial fibrillation (AF), however, concomitant ablation of AF seems to be a desirable option, as it has been demonstrated to be a key factor leading to improved survival, reduced stroke risk, and more durable mitral and tricuspid function in patients undergoing mitral surgery. Therefore, atrial functional MR requiring intervention may be best treated by surgical therapy that combines mitral repair and AF ablation in the majority of patients. This particular issue, however, needs further research to obtain scientific evidence to guide optimal management strategies.

• International Journal of Advanced Culture Technology
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• v.12 no.3
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• pp.140-147
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• 2024

Oil and gas industry is a unique sector with complex activities, long supply chains and strict rules for the business. It is important to use enterprise resource planning (ERP) systems to address these challenges as it helps in simplifying operations, improving efficiency and facilitating evidence-based decision making. Nonetheless, successful integration of ERP systems in this industry involves careful planning, customization and alignment with specific business processes including regulatory requirements. Several critical factors, such as strong change management, support of top managers and training that works have been identified in the study. Amongst the hurdles are employee resistance towards the changes, data migration complications and integration with existing systems. Nonetheless, NOCL's ERP implementation resulted in significant improvements in operating efficiency, better data visibility and compliance management. It also led to a decrease in financial reporting timeframes, more accurate inventory tracking and improved decision-making capabilities. The study provides useful insights on how to optimize oil and gas sector ERP implementations; key among them is practical advice including strengthening change management strategies, prioritizing data security and collaborating with ERP vendors. The research highlights the importance of tailoring ERP solutions to specific industry needs as well as emphasizes the strategic role of ongoing monitoring/feedback for future benefits sustainability.

• Journal of Intelligence and Information Systems
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• v.12 no.2
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• pp.125-144
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• 2006

The development of mobile applications is fast in recent years. However, nearly all applications are for messaging, financial, locating services based on simple interactions with mobile users because of the limited screen size, narrow network bandwidth, and low computing power. Processing an algorithm for supporting a group decision process on mobile devices becomes impossible. In this paper, we introduce the mobile-oriented simple interactive procedure for support a group decision making process. The interactive procedure is developed for multiple objective linear programming problems to help the group select a compromising solution in the mobile Internet environment. Our procedure lessens the burden of group decision makers, which is one of necessary conditions of the mobile environment. Only the partial weak order preferences of variables and objectives from group decision makers are enough for searching the best compromising solution. The methodology is designed to avoid any assumption about the shape or existence of the decision makers' utility function. For the purpose of the experimental study of the procedure, we developed a group decision support system in the mobile Internet environment, MOBIGSS and applied to an allocation problem of investor assets.

• Journal of Korean Society for Geospatial Information Science
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• v.3 no.2 s.6
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• pp.101-113
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• 1995

In pipeline planning, the systematic and reasonal management of topographical and spatial data are needed in order to omprove the availibilities for data analysis and the effective combinations of spatial informations. According to that fact, DBMS (Database Management System) and DSS(Decision making Support System) have to be developed for the planning of water supply system Also, the economic selection for harmonious delivery of water to target area, since the alternatives of pre-designed pipeline are influenced by hydraulic stability and geographic characteristics. In this study, GIS technique for water supply planning and management which stores graphic features and attributes as digital data sets is considered and engineering application programs are integrated for effective planning of water supply system. Decision making support system based on analyzing technical, Social and economical aspects is developed for the extension of water supply facilities and pipeline configurations. Especially, Hydraulic, land-use and economic influences are considered as important factors for the purpose of developing the system. Hydraulic analysis program(SAPID) for pipeline flow which is already developed in Water Resources Research Institute and economic analysis program(ECOVEL) are integrated with GIS for resonable decision making. Every possible aspects in pipeline planning for water supply is reviewed and the applicabilities of developed system into the field are evaluated.

• Korean Journal of Agricultural and Forest Meteorology
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• v.18 no.4
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• pp.378-388
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• 2016

International societies are currently working together to achieve the Climate-Smart Agriculture (CSA) initiative which aims the triple wins: (1) sustainably increasing agricultural productivity and incomes; (2) adapting and building resilience to climate change; and (3) mitigating greenhouse gases emissions. In terms of its scope and context, CSA follows the '3Nong (三農)' vision cast about 200 years ago by Dasan Jeong Yak-Yong who emphasized the triad of governance, management and monitoring towards comfortable, profitable and noble agriculture. Yet, the CSA provides the practical aims that facilitate the development of holistic indicators for quantitative evaluation and monitoring, on which decision-making support system is based. In this study, we introduce an agent-based model, i.e. Mathematical Programming Multi-Agent Systems (MP-MAS), as a tool for supporting the decision-making toward CSA. We have established the initial version of MP-MAS adapted for domestic use and present the preliminary results from an application to the rice farming case in Haenam, Korea. MP-MAS can support both farmers and policy-makers to consider diverse management options from multiple perspectives. When the modules for system resilience and carbon footprint are added, MP-MAS will serve as a robust tool that fulfills not only CSA but also Dasan's '3Nong' vision of sustainable agricultural-societal systems.

• Korean Management Science Review
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• v.21 no.2
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• pp.191-213
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• 2004

This study addresses the evaluation criteria of multimedia authoring tools(MATs), the way which decision-maker can exclude outlier matrix from group using the concept of the compatibility index, and how AHP can be applied to the selection of MATs in a group decision-making environment. The AHP technique allows an evaluator to quantify the relative importance of elements at each hierarchy and to calculate the composite relative weights for each product(i.e. MATs). This decision process allows setting to priority of the MATs based on the AHP. The results indicated that technical ability of MATs was the most significant factor in affecting their decision, trailed by managerial efficiency and vendor support. To the experts, multimedia data support was the less important than development interface. Also, the results indicated that product A(0.510) was their first choice, trailed by product C(0.286) and B(0.204). Assessing the composite relative weights revealed that expert group's members were consistent with the rankings of decision variables(evaluation criteria variables) statistically in selecting their MATs. Therefore, we believed that expert group's members have achieved sufficient agreement to permit the use of geometric mean to average the group's preference without obscuring the differences of individual opinions.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.18 no.2
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• pp.284-310
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• 2024

Identifying clinical pathways for disease diagnosis and treatment process recommendations are seriously decision-intensive tasks for health care practitioners. It requires them to rely on their expertise and experience to analyze various categories of health parameters from a health record to arrive at a decision in order to provide an accurate diagnosis and treatment recommendations to the end user (patient). Technological adaptation in the area of medical diagnosis using AI is dispensable; using expert systems to assist health care practitioners in decision-making is becoming increasingly popular. Our work architects a novel knowledge-based recommender system model, an expert system that can bring adaptability and transparency in usage, provide in-depth analysis of a patient's medical record, and prescribe diagnostic results and treatment process recommendations to them. The proposed system uses a set of parallel discrete fuzzy rule-based classifier systems, with each of them providing recommended sub-outcomes of discrete medical conditions. A novel knowledge-based combiner unit extracts significant relationships between the sub-outcomes of discrete fuzzy rule-based classifier systems to provide holistic outcomes and solutions for clinical decision support. The work establishes a model to address disease diagnosis and treatment recommendations for primary lung disease issues. In this paper, we provide some samples to demonstrate the usage of the system, and the results from the system show excellent correlation with expert assessments.

• 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.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.16 no.1
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• pp.171-180
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• 2013

As the second-largest 1st degree of ecological zone in Kangwon Province, Pyeongchang County is expected to play an important role in expanding the protected areas of the Republic of Korea. However, Pyoungchang County is expected to experience an increase in demand for development due to the 2018 Winter Olympics. Problems related to various stakeholders and limited budget will arise regarding the issue of expanding the protected areas. In this study, in order to effectively control these problems, we designed expansion plans for the 1st degree ecological zoning map areas and the observed data of threatened species I and II in Pyoungchang County by using the MARXAN Software. As for the methods, we first set the planning units(PUs) for the spatial analysis. The PUs include boundary length, land cost, land status, etc. Then, we made the input data by controlling the conservation features, BLM(Boundary Length Modifier) and iteration numbers. There are two measures for the establishment of the protected areas, one of which only concerns with the ecological priority, and the other with combining the land cost on forest. The one illustrated shows that the larger patches that include the conservation feature was selected as a candidate of the protected areas. The other one presented shows that inexpensive land cost areas were selected. As this study produces visual results and enables an efficient application of various values in selecting protected areas, we believe that it will be useful to various stakeholders in spatial decision-making process.