• Title/Summary/Keyword: consensus problem

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A Comparative Analysis for Projection Models of the Physician Demand and Supply Among 5 Countries (주요 국가 의사인력 수급 추계방법론 비교분석)

  • Seo, Kyung Hwa;Lee, Sun Hee
    • Health Policy and Management
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    • v.27 no.1
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    • pp.18-29
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    • 2017
  • Background: In Korea, the problem of physician workforce imbalances has been a debated issue for a long time. This study aimed to draw key lessons and policy implications to Korea by analyzing projection models of physician demand/supply among five countries. Methods: We adopted theoretical framework and analyzed detail indicators used in projection models of demand/supply comparatively among countries. A systematic literature search was conducted using PubMed and Google Scholar with key search terms and it was complimented with hand searching of grey literature in Korean or English. Results: As a results, Korea has been used a supply-based traditional approach without taking various variables or environmental factors influencing on demand/supply into consideration. The projection models of USA and Netherlands which considered the diversity of variables and political issues is the most closest integrated approach. Based on the consensus of stakeholder, the evolved integrated forecasting approach which best suits our nation is needed to minimize a wasteful debate related to physician demand/supply. Also it is necessary to establish the national level statistics indices and database about physician workforce. In addition, physician workforce planning will be discussed periodically. Conclusion: We expect that this study will pave the way to seek reasonable and developmental strategies of physician workforce planning.

ADSORPTION OF HUMAN RECOMBINANT FIBRONECTIN TO TITANIUM IN VITRO

  • Kim H.J.;Chang I.T.;Koak J.Y.;Heo S.J.;Yim S.A.;Jang J.H.
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.3
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    • pp.301-306
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    • 2004
  • Statement of problem. Fibronectin mediates its biological effects by binding to integrins on cell membranes through a consensus site including the Arg-Gly-Asp (RGD) sequence within tenth type III module. Purpose. The purpose of our study was to investigate the adsorption affinity of human recombinant fibronectin peptide (hFNIII 9-10) to titanium and to investigate the effect of the surrounding ionic composition on the adsorption process. Material and methods. As for evaluating the affinity of hFNIII 9-10 to Ti, titanium disks were incubated in 40, 80 and $120{\mu}g/ml$ hFNIII 9-10 solution at $37^{\circ}C$ overnight, repectively. As for evaluating the effect of surrounding ionic concentration, hFNIII 9-10 was dissolved in distilled water, phosphate buffered saline and RPMI 1640. Optical density (O.D.) was measured in ELISA reader. Results. The results were as follows; 1. The adsorption of hFNIII 9-10 showed significantly highest mean optical density (O.D.) value in $80{\mu}g/ml$. 2. The difference of ionic composition in DW, PBS and RPMI did not influence the adsorption amount of hFNIII 9-10.

A GDSS for Obtaining Corporate Understanding : Improving the Synergy Effects through the Strategic Coordination of Conflicting Interdepartmental Goals (그룹 의사결정지원 시스템을 이용한 공동목표의식의 배양 : 부서간 이해차이의 전략적 조정을 통한 조직시너지 효과의 향상)

  • Jeon, Gi-Jeong
    • Asia pacific journal of information systems
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    • v.2 no.2
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    • pp.31-54
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    • 1992
  • Generating an action plan and obtaining commitment to achieve it is desired in organizations, but not always achieved. Whatever the reason, there is a room for an improved approach to decision making, so that people can arrive at a common understanding of a problem and commitment to action. Those are the purposes of a Decision Conferencing(DC). A DC, one example of single workstation-based GDSSs, is a two-day session attended by a group of people who attempt to resolve important issues of concern to their organization with the help of group facilitation techniques and decision analytic computer modelling. The interchange of differing perspectives on the issues is encouraged by the facilitator who attends to group processes but does not contribute to the content of discussions. Decision analysis provides a variety of structures for modelling the differing perspectives. Information and value judgements are incorporated in these models, whose results usually reveal new, higher-level perspectives on the issues. Information technology is needed to combine the part of the model and to facilitate on-the-spot replay of results. The experimental case study in this paper shows that how a DC can help a Korea's trading company to develop new, corporate level resource allocation strategies which are based on improved consensus among competing participants.

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Analysis of Health Promoting Schools: Focusing on Small-sized Elementary School in Rural Area (건강증진모델학교 분석: 읍면 지역 소규모 초등학교를 중심으로)

  • Kim, Miju
    • Journal of the Korean Society of School Health
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    • v.28 no.2
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    • pp.67-78
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    • 2015
  • The purpose of the study was to present a model of WHO Health Promoting School easily applicable to small-sized schools in rural areas. Methods: The study analyzed data of 11 small-sized schools in rural areas selected from 85 health promoting schools, an initiative led by the Ministry of Education from 2012 to 2014. Results: Through the analysis, the study found out the operation process of health promoting schools consists of five stages: system development, needs survey & survey on current status, school health policy development, program development & execution, and evaluation. In addition, the study was able to discover three key factors in operating health promoting schools: connection with curriculum, connection with community, and consensus among members. While it turned out the schools were following operation manuals faithfully, the biggest problem with operation was that the stages of needs survey, priority setting, and core task development were not closely coordinated. Conclusion: Although the model suggested in the study fails to reflect the characteristics of small-sized schools in rural areas, it is close to a universal model which could serve as a guideline when regular schools adopt the system of health promoting schools.

A Delphi Study of Developing Competency Model for Korean Health Teachers (보건교사의 역량모형 개발을 위한 델파이 연구)

  • Park, Kyoung-Sun;Bae, Eul-Kyoo
    • Journal of the Korean Society of School Health
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    • v.25 no.1
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    • pp.1-13
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    • 2012
  • Purpose: This study was intended to identify the competency model for korean health teachers. In order to enhance job effectiveness and talent development of health teachers in schools, this study would provide policy makers and school administrators with a competency model to be used as a valid and reliable tool for selection, development, and appraisal of health teachers. Methods: This study used three-round Delphi technique, which was a series of surveys to obtain a consensus of experts in school health and health education. 31 experts were finally involved in Delphi panel, which consisted of professors, administrators, and school teachers. Results: This study found that the competency model of health teachers was composed of fourteen competencies and 75 performance indicators. The fourteen competencies were as follows: consulting and teaching competency, students understanding competency, health problem solving competency, health assessment competency, relationship building competency, information management competency, curriculum management competency, teaching activity competency, writing competency, professional expertise competency, health business management competency, self control competency, school commitment competency, and achievement orientation competency. Conclusion: Based on the results of this study, policy makers and school administrators would be able to use the competency model as a tool of new health teachers selection, existing health teachers appraisal, and new and existing teachers training and education. Future research needs to classify the levels of each performance indicator as a kind of behavior indices.

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Recent Development of Scoring Functions on Small Molecular Docking (소분자 도킹에서의 평가함수의 개발 동향)

  • Chung, Hwan Won;Cho, Seung Joo
    • Journal of Integrative Natural Science
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    • v.3 no.1
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    • pp.49-53
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    • 2010
  • Molecular docking is a critical event which mostly forms Van der waals complex in molecular recognition. Since the majority of developed drugs are small molecules, docking them into proteins has been a prime concern in drug discovery community. Since the binding pose space is too vast to cover completely, many search algorithms such as genetic algorithm, Monte Carlo, simulated annealing, distance geometry have been developed. Proper evaluation of the quality of binding is an essential problem. Scoring functions derived from force fields handle the ligand binding prediction with the use of potential energies and sometimes in combination with solvation and entropy contributions. Knowledge-based scoring functions are based on atom pair potentials derived from structural databases. Forces and potentials are collected from known protein-ligand complexes to get a score for their binding affinities (e.g. PME). Empirical scoring functions are derived from training sets of protein-ligand complexes with determined affinity data. Because non of any single scoring function performs generally better than others, some other approaches have been tried. Although numerous scoring functions have been developed to locate the correct binding poses, it still remains a major hurdle to derive an accurate scoring function for general targets. Recently, consensus scoring functions and target specific scoring functions have been studied to overcome the current limitations.

Robust Estimation of Camera Motion using Fuzzy Classification Method (퍼지 분류기법을 이용한 강건한 카메라 동작 추정)

  • Lee, Joong-Jae;Kim, Gye-Young;Choi, Hyung-Il
    • The KIPS Transactions:PartB
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    • v.13B no.7 s.110
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    • pp.671-678
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    • 2006
  • In this paper, we propose a method for robustly estimating camera motion using fuzzy classification from the correspondences between two images. We use a RANSAC(Random Sample Consensus) algorithm to obtain accurate camera motion estimates in the presence of outliers. The drawback of RANSAC is that its performance depends on a prior knowledge of the outlier ratio. To resolve this problem the proposed method classifies samples into three classes(good sample set, bad sample set and vague sample set) using fuzzy classification. It then improves classification accuracy omitting outliers by iteratively sampling in only good sample set. The experimental results show that the proposed approach is very effective for computing a homography.

A Study on the Development of the Intervention Model for Korean Men Who Batter (폭력남편에 대한 한국에서의 개입모델 개발을 위한 시론적 연구)

  • Lee, Eun-Joo
    • Korean Journal of Social Welfare
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    • v.40
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    • pp.157-190
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    • 2000
  • As the Law on the Prevention of Domestic Violence was enacted in Korea, it has become necessary to work on how to intervene effectively in Korean men who batter. The purpose of this study is to establish the framework of the intervention model which is relevant to Korean wife-batterers. In the States, the psychoanalytic model, cognitive-behavioral model, and feminist model are most widely used with men who batter. As yet, the consensus on which model is most effective has not been reached. In this study, each model is reviewed briefly. And then it is suggested that in the light of Korean culture the educational model is more relevant than therapeutic model. Several points are also suggested, which need to be considered when feminist model is used in Korean culture. It is also insisted that the integrated model based on ecological theory is necessary to intervene effectively in such a multi-dimensional problem as domestic violence. For the group intervention, it is suggested to use educational model primarily and to use therapeutic model complementarily. Based on the framework suggested in this study, to develop the specific structure of the program, to implement it, and to test its effectiveness will be the tasks of the future researches.

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Differences in Awareness and Ethical Attitudes about Do-Not-Resuscitate among Emergency Departments' Team (심폐소생술 금지에 대한 응급의료종사자간 인식과 윤리적 태도의 차이)

  • Park, Hak-Young;Sung, Mi-Hae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.3
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    • pp.411-420
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    • 2011
  • Purpose: The aim of this study was to exam differences in awareness and ethical attitudes associated with Do-Not- Resuscitate (DNR) among emergency department's team. Method: The participants in this study were 402 emergency department's team working in the 41 hospitals. The data was collected by using "awareness measuring tool" by Kang (2003) and "ethical attitudes measuring tool" by Ko (2004) from May 1 to September 15, 2009. Collected data were analyzed by descriptive statistics, t-test, Pearson correlation coefficient using SPSS WIN 14.0 program. Results: 74.4% of subjects was responded that they had never been educated about DNR, but 73.9% of subjects was responded that they had experienced DNR in the emergency room. The majority of subjects responded that the patients and their families should make a decision about the DNR. There was a difference in an appropriate time for explanation of DNR among emergency department's team. There was a difference in ethical attitudes associated with Do-Not- Resuscitate among emergency department's team. Conclusion: For a professional and systematic approach to the problem, DNR guideline sufficient to elicit a social consensus is needed.

Politics of State-led Microcredit under the Lee Myung-bak Administration: State Autonomy, Capacity, and Outcomes

  • Choi, Jongho;Jung, Heon Joo
    • Analyses & Alternatives
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    • v.4 no.1
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    • pp.5-37
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    • 2020
  • In the 2000s, financial exclusion of low-income people emerged as a major social problem in South Korea. Microcredit business was first introduced by NGOs to help the poor overcome poverty while the Korean government soon chose to initiate microcredit policies to assist financially marginalized low-income people as a key policy measure to alleviate social inequality and revitalize economy. Unlike the initial expectation that state intervention in microcredit industry would be more effective, the outcome has been much less impressive. This paper aims to examine the poor performance of state-led microcredit in South Korea during the period of Lee Myung-bak administration by employing the concepts of state autonomy and capacity. It finds that the state autonomy, a key characteristic of a developmental state, was high in the sense that the funds had been raised in the face of strong resistance from private financial institutions. Lack of state capacity such as low technocratic expertise and politicization of microcredit policy, however, turned out to be a major stumbling block to the state-led microcredit in South Korea. This study shows that although the Korean government still has strong willingness to intervene in the financial market even in the face of interest groups' opposition, the eventual success of state action largely depends on its capacity to effectively implement financial policies.

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