• 제목/요약/키워드: rehabilitation decision-making

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하수관거 평가 및 정비 우선순위 의사결정도구 개발 (Development of sewer condition assessment and rehabilitation decision-making program(SCARD))

  • 한상종;황환국
    • 상하수도학회지
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    • 제29권1호
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    • pp.123-131
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    • 2015
  • A CCTV inspection method has been widely used to assess sewer condition and performance, but Korea lacks a proper decision support system for prioritizing sewer repair and rehabilitation (R&R). The objective of this paper is to introduce the results that we have developed in the Sewer Condition Assessment and Rehabilitation Decision-making (SCARD) Program using MS-EXCEL. The SCARD-Program is based on a standardized defect score for sewer structural and hydraulic assessment. Priorities are ranked based on risk scores, which are calculated by multiplying the sewer severity scores by the environmental impacts. This program is composed of three parts, which are decision-making for sewer condition and performance assessment, decision-making for sewer R&R priority assessment, and decision-making for optimal budget allocation. The SCARD-Program is useful for decision-makers, as it enables them to assess the sewer condition and to prioritize sewer R&R within the limited annual budget. In the future, this program logic will applied to the GIS-based sewer asset management system in local governments.

무릎 수술 후 재활 치료에서의 한양방협진 매뉴얼 제안 (Proposal of East-West Integrative Medicine Manual for Rehabilitation after Knee Surgery)

  • 송민영;조희근;설재욱;임정태
    • 한방재활의학과학회지
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    • 제28권1호
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    • pp.97-107
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    • 2018
  • Objectives This is one of the manuals of East-West integrative medicine which was created by the committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. The purpose of this manual is to support clinical decision-making and communication between Korean and western medical staff in a Korean medicine hospital during the rehabilitation of patients after knee surgery. Methods The draft was made by two rehabilitation specialists in Korean medicine. After a rehabilitation specialist in western medicine reviewed the draft and exchanged their ideas, a revised version that reflects the goal of consultation was made. Then the committee agreed to adopt the manuals through the process of review and feedback in addition to face-to-face discussions. Results This manual describes clinical decision-making for rehabilitation after arthroscopic partial meniscus resection, meniscus refixation, reconstruction of anterior and posterior cruciate ligaments. Therefore, it contains the schedule of rehabilitation treatment by the surgical technique, general goal of the rehabilitation by phase, guide for patients and postoperative infection management. Conclusions Despite some limitations, this manual has significance as the first example of a decision-making protocol suggestion for East-West integrative rehabilitation treatment after a knee surgery in one medical institution.

어깨 수술 후 재활 치료에서의 한양방협진 매뉴얼 제안 (Proposal of East-West Integrative Medicine Manual for Rehabilitation after Shoulder Surgery)

  • 송민영;조희근;설재욱;임정태
    • 한방재활의학과학회지
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    • 제28권1호
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    • pp.109-120
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    • 2018
  • Objectives This is one of the manuals of East-west integrative medicine which was created by the Committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. The purpose of this manual is to support clinical decision making and communication during the rehabilitation of patients after shoulder surgery. Methods The drafting was done by two rehabilitation specialists in Korean medicine. After a rehabilitation specialist in western medicine reviewed the draft and exchanged their ideas, a revised version that reflects the goal of consultation was made. Then the Committee agreed to adopt the manuals through the process of review and feedback in addition to face-to-face discussions. Results This manual describes clinical decision making for rehabilitation after arthroscopic rotator cuff repair, SLAP repair, and arthrolysis. Therefore it contains the schedule of rehabilitation treatment through the surgical technique, general goal of the rehabilitation by phase, guide for patients and postoperative infection management. Conclusions The proposal of this manual has a significance for it provides information about decision making process and contents of treatment in one medical institution for East-west integrative rehabilitation treatment after shoulder surgery.

요추 수술 후 재활 치료에서의 한양방협진 매뉴얼 제안 (Proposal of East-west Integrative Medicine Manual for Rehabilitation after Lumbar Spine Surgery)

  • 송민영;조희근;설재욱;임정태
    • 한방재활의학과학회지
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    • 제28권4호
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    • pp.59-69
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    • 2018
  • Objectives This is one of the manuals of East-west integrative medicine which was created by the Committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. The purpose of this manual is to support clinical decision making and communication during the rehabilitation of patients after lumbar spine surgery. Methods The drafting was done by two rehabilitation specialists in Korean Medicine. After a rehabilitation specialist in western medicine reviewed the draft and exchanged their ideas, a revised version that reflects the goal of consultation was made. Then the Committee agreed to adopt the manuals through the process of review and feedback in addition to face-to-face discussions. Results This manual describes clinical decision making for rehabilitation after lumbar microdiskectomy, interbody fusion, and kyphoplasty. Therefore it contains the schedule of rehabilitation treatment through the surgical technique, general goal of the rehabilitation by phase, scales for outcome measure and postoperative infection management. Conclusions The proposal of this manual has a significance for it provides information about decision making process and contents of treatment in one medical institution for East-west integrative rehabilitation treatment after lumbar spine surgery.

DECISION SUPPORT SYSTEM FOR SUBURBAN STATION REHABILITATION

  • TaeHoon Hong;Sangyoub Lee
    • 국제학술발표논문집
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    • The 1th International Conference on Construction Engineering and Project Management
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    • pp.855-861
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    • 2005
  • Every public agency governing infrastructure has to plan effectively for rehabilitation of existing facilities within the constraints of the capital program. Numerous technical, social, political, financial, and management constraints govern the decision to rehabilitate a facility. However, without a systematic procedure for selecting facilities for rehabilitation, within the prevailing constraints, it is possible that the funds available for rehabilitation might be suboptimized. Therefore, a decision support system that assists the user in selecting facilities for rehabilitation while considering the technical, social, financial, and political and management constraints will be useful in the decision-making process. This paper compares the Analytical Hierarchy Process (AHP) with the Swing Weight method used to prioritize functional criteria for suburban station rehabilitation. This paper also contains a brief discussion about the relevance of the Multi Attribute utility theory in developing a decision model for the problem at hand. The results of this paper provides the user with a decision support system that would prioritize the stations in order of their weights obtained by a systematic evaluation of various criteria and sub-criteria involved in the decision making process

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효율적인 하수관거 개량을 위한 의사결정모형의 개발 (Development of a Decision Making Model for Efficient Rehabilitation of Sewer System)

  • 이정호;전환돈;주진걸;김중훈
    • 한국수자원학회논문집
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    • 제41권2호
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    • pp.127-135
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    • 2008
  • 하수관거 개량사업의 주된 목적은 Inflow/Infiltration (I/I)를 제거 및 통수능력 확보이다. 최근 노후 하수관거의 개 보수 및 신설 사업이 활발히 이루어지고 있으나 현재의 사업들은 관거 데이터의 부족, 유량 및 수질 자료의 장기적인 측정 미비 등으로 인하여 효율적인 사업을 진행시키기에 무리가 있다. 본 연구에서는 하수관거 개량사업을 보다 효율적으로 진행시키기 위하여 Rehabilitation Weighting Model (RWM)과 Rehabilitation Priority Model (RPM)로 구성된 의사결정모형을 개발하였다. RWM은 시간 및 예산상의 제약으로 인하여 주요 지점에서만 관측되는 I/I를 상류의 각 관거별로 I/I를 산정하며, 관거별 I/I는 Analytic Hierarchy Process (AHP)를 통하여 산정된 8개 결함항목별 가중치에 따라서 결정된다. RPM은 Genetic Algorithm (GA)를 이용하여 소유역별 최적개량우선순위를 산정한다. 이것은 공사 기간 중 발생하는 I/I를 최소화시키기 위한 소유역별 공사 순서를 설정함으로써 하수처리장의 처리비용을 절감시킴으로써 하수관거 개량사업의 효율적인 시행을 위한 판단 기준을 제시해준다.

공업용수 배수관망시스템을 개선하기 위한 설계 대안의 수리해석 (Hydraulic analysis of design alternatives to improve an industrial water distribution system)

  • 임성린
    • 상하수도학회지
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    • 제29권1호
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    • pp.97-106
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    • 2015
  • A CCTV inspection method has been widely used to assess sewer condition and performance, but Korea lacks a proper decision support system for prioritizing sewer repair and rehabilitation (R&R). The objective of this paper is to introduce the results that we have developed in the Sewer Condition Assessment and Rehabilitation Decision-making (SCARD) Program using MS-EXCEL. The SCARD-Program is based on a standardized defect score for sewer structural and hydraulic assessment. Priorities are ranked based on risk scores, which are calculated by multiplying the sewer severity scores by the environmental impacts. This program is composed of three parts, which are decision-making for sewer condition and performance assessment, decision-making for sewer R&R priority assessment, and decision-making for optimal budget allocation. The SCARD-Program is useful for decision-makers, as it enables them to assess the sewer condition and to prioritize sewer R&R within the limited annual budget. In the future, this program logic will applied to the GIS-based sewer asset management system in local governments.

최적 도시유출시스템의 개발 : II. 도시유역의 최적유출시스템 제어를 위한 의사결정모형의 개발 (Development of Optimal Urban Runoff System : II. Development of Decision Making Model for Optimal Control of Rainfal1-Runoff System in Urban Area)

  • 이정호;김중훈;김형수;조덕준;김응석
    • 한국수자원학회논문집
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    • 제37권3호
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    • pp.207-217
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    • 2004
  • 국내의 경우 전국적으로 관거의 신설보다는 기존에 매설되어있는 관거의 노후에 따른 개량에 대한 관심이 증대되고 있으나, 그에 따른 연구는 미비한 실정이다. 국내ㆍ외에서는 유전자 알고리즘을 이용하여 개량시기를 결정하는 연구 예가 있으나, 이러한 연구에서 개량시기를 결정하는 요소들이 매우 단순하여 관거의 노후에 따른 복합적인 의사결정이 이루어지지 않고 있다. 본 연구에서는 관거별 통수능력 및 불명수 발생량을 산정하여 배수분구내 토구별 최적 개량 우선순위를 결정하는 한편, 유전자 알고리즘을 이용하여 최적개량비용을 산정하는 최적개량 의사결정 시스템을 개발하였다.

전문대학교 언어재활과 학생들의 실습 불안과 진로 결정 자기 효능감 및 진로결정 수준 인식에 대한 연구 (A Study of Practical Training Anxiety, Career Decision-Making Self-Efficacy, and Career Decision Level of Students Majoring in Language Rehabilitation in College)

  • 이명순;박현
    • 한국콘텐츠학회논문지
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    • 제16권8호
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    • pp.169-179
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    • 2016
  • 본 연구는 전문대학교 언어재활과 학생들의 실습불안, 진로결정자기효능감, 진로결정수준을 평가하여 학생들의 진로 지도에 효율적인 지도 방안을 모색하고자 하였다. 자료들은 18.0 SPSS 통계 패키지를 사용하여 학생들의 성적, 실습시간에 따라 Mann-Whitney test와 kruskal-wallis test 등 비모수 검정과 Bonferroni 사후검정을 실시하였다. 본 연구의 결과는 다음과 같다. 첫째, 언어재활과 학생들은 학년에 따라 실습불안의 실습내용 및 운영과 실습평가와 진로결정수준의 확신수준에서 집단 간 유의미한 차이를 나타내었다. 둘째, 언어재활과 학생들은 성적과 실습시간에 따라 실습불안, 진로결정자기효능감과 진로결정 수준의 대부분 하위 요인에서 유의미한 차이가 나타났다. 본 연구의 결과와 앞으로 다양한 분석과 표집을 통한 차후 연구로 전문대학교 언어재활과 학생들의 진로 지도 지원에 대한 토대를 이룩하도록 하여야 할 것이다.

뇌성마비아동 보호자들의 재활치료 선택 과정: 근거이론 중심 (Rehabilitation Therapy Selection Process in Parents of Children with Cerebral Palsy: Grounded Theory)

  • 김부영;윤영주;이현주
    • 재활복지
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    • 제22권2호
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    • pp.175-212
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    • 2018
  • 본 연구의 목적은 뇌성마비아동 보호자들의 재활치료 선택과 중단에 영향을 미치는 요인을 확인하고, 요인들의 상호작용에 의한 재활치료 선택과 중단 과정모형을 제시하는 것이다. Strauss와 Corbin(1994)의 근거이론을 사용하였다. 분석결과, 개방코딩에서 140개의 개념과 29개의 하위범주, 8개의 범주가 도출되었으며, 축 코딩의 패러다임에 의한 범주 분석 결과 중심현상은 '시행착오 속 최적화된 치료 찾기'였다. 재활치료 시작부터 현재까지의 과정분석결과 뇌성마비 아동 보호자들은 '당황', '혼란', '극대화', '방황', '전략', '균형' 등 6단계를 경험하는 것으로 나타났다. 재활치료 선택과정의 핵심범주는 '시행착오 속 재활과 일상생활의 균형 잡기'로 도출하였다. 뇌성마비아동 보호자들의 재활치료 선택에 영향을 미치는 요인들의 상호작용에 의한 재활치료 선택과 중단 과정모형을 설명하고, 재활과 일상생활의 균형 잡기를 제안하였다.