• 제목/요약/키워드: Allocation of risk

검색결과 186건 처리시간 0.027초

Method of preventing Pressure Ulcer and EMR data preprocess

  • Kim, Dowon;Kim, Minkyu;Kim, Yoon;Han, Seon-Sook;Heo, Jungwon;Choi, Hyun-Soo
    • 한국컴퓨터정보학회논문지
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    • 제27권12호
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    • pp.69-76
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    • 2022
  • 본 논문에서는 MIMIC-IV(Medical Information Mart for Intensive Care) v2.0 데이터를 이용한 시계열 데이터의 정제 및 가공 방법을 제안한다. 더불어 해당 가공법을 기반으로 정제한 데이터셋을 활용하여 구축한 기계학습 기반의 욕창 조기 경보 시스템을 통해 해당 가공 방법의 유의성을 검증하였다. 구현된 욕창 조기 경보 시스템은 병변이 발생하기 전 12, 24시간에 미리 의료진에게 경보를 주는 시스템이다. 전자의무기록(Electronic Medical Record; EMR) 시스템과 연동하여 실시간으로 환자의 욕창 발생 위험도를 의료진에게 알려 중환자 의사결정을 지원하고, 나아가 효율적인 의료 자원 배분을 가능하게 한다. 여러 기계학습 모델 중 GRU 모델을 사용하였을 때, AUROC 평가지표를 기준으로 발생 전 12시간이 0.831, 24시간이 0.822로 가장 좋은 성능을 보였다.

A Regionalization Model to Increase Equity of Access to Maternal and Neonatal Care Services in Iran

  • Daniali, Zahra Mohammadi;Sepehri, Mohammad Mehdi;Sobhani, Farzad Movahedi;Heidarzadeh, Mohammad
    • Journal of Preventive Medicine and Public Health
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    • 제55권1호
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    • pp.49-59
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    • 2022
  • Objectives: Access to maternal and neonatal care services (MNCS) is an important goal of health policy in developing countries. In this study, we proposed a 3-level hierarchical location-allocation model to maximize the coverage of MNCS providers in Iran. Methods: First, the necessary criteria for designing an MNCS network were explored. Birth data, including gestational age and birth weight, were collected from the data bank of the Iranian Maternal and Neonatal Network national registry based on 3 service levels (I, II, and III). Vehicular travel times between the points of demand and MNCS providers were considered. Alternative MNCS were mapped in some cities to reduce access difficulties. Results: It was found that 130, 121, and 86 MNCS providers were needed to respond to level I, II, and III demands, respectively, in 373 cities. Service level III was not available in 39 cities within the determined travel time, which led to an increased average travel time of 173 minutes to the nearest MNCS provider. Conclusions: This study revealed inequalities in the distribution of MNCS providers. Management of the distribution of MNCS providers can be used to enhance spatial access to health services and reduce the risk of neonatal mortality and morbidity. This method may provide a sustainable healthcare solution at the policy and decision-making level for regional, or even universal, healthcare networks.

물리치료 바이오피드백의 정의 및 범위와 활용법: 체계적 문헌고찰 (Definition, Scope, and Applications of Physiotherapy Biofeedback: Systematic Reviews )

  • 오종선;이경진;김성길
    • 대한물리의학회지
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    • 제18권4호
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    • pp.109-119
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    • 2023
  • PURPOSE: The definition and scope of biofeedback are broad and lack a clear framework. Therefore, efforts are needed to clearly understand the exact range and definition of biofeedback based on the research and development conducted to date. Thus, the purpose of this study was to arrive at the definition and scope of biofeedback through a literature review and analysis of its application methods. METHODS: This study is a systematic literature review conducted to understand the various types and effects of biofeedback. International databases such as Google Scholar and PubMed were used. Domestic databases utilized for keyword searches included the Research Information Sharing Service (RISS) and the National Digital Science Library (NDSL). Quality assessment of the selected studies in the selection process was done using the Cochrane risk of bias, and the research was analyzed according to the population, intervention, control, and outcomes (PICO) format. RESULTS: Studies conducted between 2019 and 2021 were selected, with 4 papers falling under physiological classifications and 7 under biomechanical classifications. The quality assessment results showed that random sequence generation, allocation concealment, performance bias, and reporting bias were unclear. Detection bias was moderate, and attrition bias and other biases were low. Out of the 11 papers, 9 dealt with physical function outcomes, 5 with daily life activities, and 3 with mental functions. CONCLUSION: Physiological biofeedback tended to influence psychological factors more than physical functions, while biomechanical biofeedback tended to have a positive impact on physical functions.

Feasibility Evaluation of High-Tech New Product Development Projects Using Support Vector Machines

  • 신택수;노전표
    • 한국지능정보시스템학회:학술대회논문집
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    • 한국지능정보시스템학회 2005년도 공동추계학술대회
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    • pp.241-250
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    • 2005
  • New product development (NPD) is defined as the transformation of a market opportunity and a set of assumptions about product technology into a product available for sale. Managers charged with project selection decisions in the NPD process, such as go/no-go choices and specific resource allocation decisions, are faced with a complicated problem. Therefore, the ability to develop new successful products has identifies as a major determinant in sustaining a firm's competitive advantage. The purpose of this study is to develop a new evaluation model for NPD project selection in the high -tech industry using support vector machines (SYM). The evaluation model is developed through two phases. In the first phase, binary (go/no-go) classification prediction model, i.e. SVM for high-tech NPD project selection is developed. In the second phase. using the predicted output value of SVM, feasibility grade is calculated for the final NPD project decision making. In this study, the feasibility grades are also divided as three level grades. We assume that the frequency of NPD project cases is symmetrically determined according to the feasibility grades and misclassification errors are partially minimized by the multiple grades. However, the horizon of grade level can be changed by firms' NPD strategy. Our proposed feasibility grade method is more reasonable in NPD decision problems by considering particularly risk factor of NPD in viewpoints of future NPD success probability. In our empirical study using Korean NPD cases, the SVM significantly outperformed ANN and logistic regression as benchmark models in hit ratio. And the feasibility grades generated from the predicted output value of SVM showed that they can offer a useful guideline for NPD project selection.

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SIL(Safety Integrity Level) 선택에 의한 리스크 감소에 관한 연구 (A Study of Risk Reduction by SIL(Safety Integrity Level) Determination)

  • 김정환;김범수;양재모;장창봉;김민섭;정상용;고재욱
    • 한국가스학회지
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    • 제15권5호
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    • pp.57-62
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    • 2011
  • 현대의 화학공장 및 석유 가스산업 시설은 공정 및 설비가 더욱 복잡해지고 세분화됨으로써 산업현장에서는 다양한 잠재위험으로 인하여 화재, 폭발, 독성물질 누출 등의 중대 산업사고의 발생 가능성 및 사고결과의 피해가능 범위가 증가되고 있다. 이러한 위험요소를 줄이기 위하여 공정 내 안전장치를 설치하여 공정의 위험도를 줄여야 하지만, 공장 운전 효율성과 안전도는 서로 적절한 수준을 유지하지 않으면 잦은 검사와 확인으로 효율성을 저해할 수 있다. 그를 위하여 이번 연구에서 SIL(Safety Integrity Level)을 이용한 SIF(Safety Instrument Function)의 추가로 장치의 적절한 사양, 설계를 이루고 공정내의 잠재위험이 사고로 이어지는 것을 방지하여, 화학공장의 안전성을 향상시켰다.

Priority Setting for Occupational Cancer Prevention

  • Peters, Cheryl E.;Palmer, Alison L.;Telfer, Joanne;Ge, Calvin B.;Hall, Amy L.;Davies, Hugh W.;Pahwa, Manisha;Demers, Paul A.
    • Safety and Health at Work
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    • 제9권2호
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    • pp.133-139
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    • 2018
  • Background: Selecting priority occupational carcinogens is important for cancer prevention efforts; however, standardized selection methods are not available. The objective of this paper was to describe the methods used by CAREX Canada in 2015 to establish priorities for preventing occupational cancer, with a focus on exposure estimation and descriptive profiles. Methods: Four criteria were used in an expert assessment process to guide carcinogen prioritization: (1) the likelihood of presence and/or use in Canadian workplaces; (2) toxicity of the substance (strength of evidence for carcinogenicity and other health effects); (3) feasibility of producing a carcinogen profile and/or an occupational estimate; and (4) special interest from the public/scientific community. Carcinogens were ranked as high, medium or low priority based on specific conditions regarding these criteria, and stakeholder input was incorporated. Priorities were set separately for the creation of new carcinogen profiles and for new occupational exposure estimates. Results: Overall, 246 agents were reviewed for inclusion in the occupational priorities list. For carcinogen profile generation, 103 were prioritized (11 high, 33 medium, and 59 low priority), and 36 carcinogens were deemed priorities for occupational exposure estimation (13 high, 17 medium, and 6 low priority). Conclusion: Prioritizing and ranking occupational carcinogens is required for a variety of purposes, including research, resource allocation at different jurisdictional levels, calculations of occupational cancer burden, and planning of CAREX-type projects in different countries. This paper outlines how this process was achieved in Canada; this may provide a model for other countries and jurisdictions as a part of occupational cancer prevention efforts.

불확실성하에서의 확률적 기법에 의한 판매 및 실행 계획 최적화 방법론 : 서비스 산업 (Optimization Methodology for Sales and Operations Planning by Stochastic Programming under Uncertainty : A Case Study in Service Industry)

  • 황선민;송상화
    • 산업경영시스템학회지
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    • 제39권4호
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    • pp.137-146
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    • 2016
  • In recent years, business environment is faced with multi uncertainty that have not been suffered in the past. As supply chain is getting expanded and longer, the flow of information, material and production is also being complicated. It is well known that development service industry using application software has various uncertainty in random events such as supply and demand fluctuation of developer's capcity, project effective date after winning a contract, manpower cost (or revenue), subcontract cost (or purchase), and overrun due to developer's skill-level. This study intends to social contribution through attempts to optimize enterprise's goal by supply chain management platform to balance demand and supply and stochastic programming which is basically applied in order to solve uncertainty considering economical and operational risk at solution supplier. In Particular, this study emphasizes to determine allocation of internal and external manpower of developers using S&OP (Sales & Operations Planning) as monthly resource input has constraint on resource's capability that shared in industry or task. This study is to verify how Stochastic Programming such as Markowitz's MV (Mean Variance) model or 2-Stage Recourse Model is flexible and efficient than Deterministic Programming in software enterprise field by experiment with process and data from service industry which is manufacturing software and performing projects. In addition, this study is also to analysis how profit and labor input plan according to scope of uncertainty is changed based on Pareto Optimal, then lastly it is to enumerate limitation of the study extracted drawback which can be happened in real business environment and to contribute direction in future research considering another applicable methodology.

로지스틱 회귀모형을 이용한 수관화확산확률식의 개발 (Development of Crown Fire Propagation Probability Equation Using Logistic Regression Model)

  • 유계선;이병두;원명수;김경하
    • 한국지리정보학회지
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    • 제17권1호
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    • pp.1-12
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    • 2014
  • 수관화는 대형산불의 주된 확산유형으로 빠른 확산속도와 높은 산불강도의 특성을 보이며 많은 피해를 입힌다. 이 연구에서는 수관화 피해를 사전에 예측하기 위해서 수관전소 피해를 입은 지역의 지형 임상 기상 특성을 분석하여 수관화확산확률식을 개발하였다. 영덕 울진 고령 예천에서 일어난 4개의 산불피해지를 대상으로 하였으며, 총 18개의 공간 변수를 구축한 뒤 기타연소지에 대한 수관전소지의 비를 이용하여 각 변수별 구간 가중치를 구하고 로지스틱 회귀모형을 이용하여 변수와의 상관계수를 산출하였다. 그 결과, 수관화확산확률은 임상이 침엽수림일 때, 250m 이상에서 고도가 높아질수록, 기복이 심할수록, 사면향은 남서 또는 남동사면일 경우, 능선일수록, 일사량이 많아질수록 높게 나타났다. 고도와 경사가 낮은 곳에서는 교란현상이 많이 나타나 일정한 패턴을 보이지 않았다. 이 확률식을 통해 수관화 위험지를 사전에 분석할 수 있고, 산불방지 숲가꾸기 지역 선정 및 진화 우선 지역 선정 등에 효과적으로 활용할 수 있을 것이다.

경제위기 전후 기업대출시장 및 회사채시장의 결정요인: 미시적 실증연구 (Determinants of Corporate Loans and Bonds before and After Economic Crisis in Korea: Empirical Study on the Firm-level Data)

  • 임영재
    • KDI Journal of Economic Policy
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    • 제28권2호
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    • pp.239-262
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    • 2006
  • 경제위기 이후 은행 등 금융기관의 기업 규모별 대출분포를 살펴보면 대규모 기업에서 중소규모 기업으로 그 비중이 이동하였음을 알 수 있다. 이러한 현상의 원인 중 하나로 경제위기 이후 진행된 금융구조 개혁으로 금융기관의 대출관행이 개선된 점을 들 수 있다. 경제위기 이후 회사채시장에서도 중요한 변화가 정착되고 있다. 경제위기 이전에는 기업 또는 그룹의 규모 자체가 회사채 조달에 있어 중요한 결정요인 중 하나였는데, 경제위기 이후 그러한 현상이 사라져가고 있는 것이다. 이는 경제위기 이전에는 소위 "대마불사"의 신화로 일반투자자들이 대규모 재벌의 회사채를 수익성과 관계없이 선호하였으나, 1999년 대우그룹 붕괴 및 2000~2001년 현대그룹 유동성 위기 등으로 그러한 불합리한 믿음이 깨지게 된 것과 밀접한 관련이 있다.

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DRASTIC을 이용한 지하수 오염 가능성 분석 및 그래픽 사용자 인터페이스 개발연구 (Analysis of Groundwater Pollution Potential and Development of Graphic User Interface using DRASTIC System)

  • 민경덕;이영훈;이사로;김윤종;한정상
    • 대한지하수환경학회지
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    • 제3권2호
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    • pp.101-109
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    • 1996
  • 본 연구에서 사용한 DRASTIC 시스템은 미국 EPA에서 개발한 것으로, 수리지질학적 인자를 사용하여 상대적인 지하수 오염 가능성을 분석하는데 널리 이용된다. 또한 정호 및 매립지 위치 선정과 지하수 보호책으로의 토지이용 기초자료, 감시 목적과 오염지역 복원시 자금을 효율적으로 할당하는데 유용하게 이용될 수 있다. 본 연구는 이러한 시스템을 이용하여 충주호 주변의 지하수 오염 가능성을 분석한 것이다. 이번 연구에서는 지하수면의 깊이, 함양도, 대수층과 토양의 구성성분, 지형과 수리전도도의 수리지질학적 인자를 사용하였다. 보다 정밀한 분석을 위해 원격탐사자료에서 끌어낸 선구조를 DRASTIC 시스템에 이용하였다. 본 연구에서는 지구정보시스템(GIS)과 그래픽 사용자 인터페이스를 개발 연구하여 지하수 오염 가능성과 위험도를 지도화하여 쉽고 빠르게 이해할 수 있도록 하였다.

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