According to the facility of effective search and user-friendly access to various spatial data by building GIS, the demand for application of information and social effect has been increased. To meet such domestic demands, it has become necessary to develop local, regional, and global SDI(Spatial Data Infrastructure) which can support discovery, access, and use of spatial information in the decision-making process. Many developed countries are implementing and managing GSDI in accordance with their state and purpose. There are two typical international cases; U.S. Geospatial One-Stop and European Geo-Portal. These systems are observed the international standards so they provide standardization and interoperability of GI. In domestic cases, however, each sector is managing separately geospatial data management systems. From this point of view, this paper proposed implementation approaches of GOS that can provide interchange of geospatial information between supplier and user. This paper focused on standardization, considered technical and political factors and analyzed two cases of GOS such as U.S. and Europe cases into our spatial information environments. It is possible to search and access geospatial data effectively by introducing GOS. In addition, it is possible to promote popularization of geospatial information and development of GIS industy.
The concept of 'spatial association' explains spatial distribution pattern of geographical phenomenon based on similarity with neighborhoods, as in the Tobler's Law of Geography: 'Everything is related to everything else, but near things are more related than distant things.' In this study, we develop a time-series exploratory analysis tool for discovering temporal patterns of spatial association by combining spatial statistics and geo-visualization, and thus present a possibility to support spatial decision-making process. As for the spatial proximity weight matrix indispensable to measuring global and local spatial association, we employ a variety of flexible weighting schemes using geometric characteristics of areal unit. In addition, we renovate the existing visualization methods for more effective understanding of the procedures and results of time-series analysis on spatial association: for instance, temporal parallel coordinate plot with box plot, animated map for spatial association, and 3D Moran scatterplot. The feasibility of our system is verified by time-series analysis experiments on the spatial association of land price fluctuation rate for all administrative units in Korea, $1995{\sim}2004$.
Lee, Kwang-Sub;Lee, Chan Woo;Yang, Keun-Yul;Min, Jae Hong;Shin, Jong Jin
Journal of the Korean Society for Railway
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v.19
no.1
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pp.77-86
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2016
Before urban railway vehicles reach their design life-span, operating agencies should determine when to buy new vehicles. Previous LCC (Life Cycle Cost) studies were limited because they independently focused on existing vehicles based on costs that directly impacted only the operating agency without considering effects such as social costs and the reduction of maintenance costs. Thus, it is difficult to systematically determine when to buy new vehicles. This study investigated the operating and maintenance related costs, especially from additional expenses and social costs due to unexpected vehicle failures and safety accidents, and did an economic analysis of scenarios with different discount rates. Considering that the public is very concerned about safety after the Sewol ferry accident, additional costs, which include social costs, should be included in the analysis. This study shows that the economic priority of scenarios may change depending on whether those costs are included and on the discount rate. The results of this study can help in the decision-making process for the planning and buying of new trains.
Purpose : The objective of this study is to serve guidelines for the investigation and management of uterine myomas with KM therapies. Methods : English-language articles from PubMed and Korean-language articles from the database of the journal of oriental gynecology were reviewed from 2000 to 2005, using the key words 'uterine myoma', 'uterine leiomyoma', 'fibroid', 'uterine artery embolization', 'endometrial ablation', 'myomectomy', and jagungguenjong(子宮筋腫)'. Results and Limits : The areas of clinical practices considered in formulating this guideline are assessment, KM therapies, medical treatments, myolysis, selective artery occlusion, endometrial ablation and surgical therapies including myomectomy and hysterectomy. Implementation of this guideline would optimize the decision-making process of women with uterine myomas and further investigation or therapy of their KM doctors. But we don't have abundant evidences of clinical trials of uterine myoma treated with KM therapy, though we treat or manage that with every-day clinical practices. Moreover cultural gaps between Korea and other western countries make many differences in the attitude to surgical therapies, especially hysterectomy. So it is very difficult to compare W therapies with other therapies. Moreover it is much difficult to estimate cost-effectiveness and benefit of those therapies in QOL. Conclusions : The majority of uterine myoma is asymptomatic and will not require any intervention or further investigation. But unmarried women who wish to marry and get pregnant want to find safe therapy for their asymptomatic uterine myomas. In that case, most of the patients prefer non-surgical therapy to surgical therapy. So KM herbal medicinal therapy is a good alternative method for those patients. For the symptomatic myomas, hysterectomy offers a definitive solution. However, it is not the best solution for women who wish to preserve their uterus. So KM therapy is a good alternative for them. But the predicted benefits of alternative therapies including KM therapy must be carefully weighed against the Possible risks of these therapies. To improve the quality of life of both women with asymptomatic and symptomatic myomas, selecting and treating patients should be done carefully. Moreover, the effect of KM therapy has to evaluated, comparing the possible situation without treatment and the benefit of constant treatment as a health-care system.
1. Objective TS-QSCD (The Two-Step Questionnaire for the Sasang Constitution Diagnosis) is one of the self-reporting Sasang-Constitutional diagnosis questionnaires and one constituted by a two-step discriminant function. The process of TS-QSCD is as follows. During the first step, the testers are classified into two groups: the Yangin(陽人) group and Eumin(陰人) group. Following this, the Yangin group is divided into the Soyangin group and Taeyangin group likewise the Eumin group is divided into the Taeumin group and Soeumin group. This questionnaire has the merits of an ordinary questionnaire with four discriminant functions and a decision tree method. The purpose of this study is to evaluate and standardize TS-QSCD 2. Materials and Methods TS-QSCD was administered to 352 random informants who were examined by professionals. Reliability was tested by inter-item consistency using cronbach's ${\alpha}$, and validity was tested by a two step discriminant function. Cross tabulation Analysis was also used to look into the distribution of responses among the groups. 3. Result 1) The reliability of TS-QSCD was relatively valid. The internal consistency of TS-QSCD (AB) was cronbach's ${\alpha}$= 0.815, and TS-QSCD (AC) was cronbach's ${\alpha}$= 0.832. 2) There was a significant difference in points between Eumin group teens and other age groups, between those of Soeumin teens and other age groups. 3) TS-QSCD corresponded with the real Sasang constitution at the rate of 65.0%. When using 61 questions and four discriminant function as with ordinary methods, TS-QSCD corresponded with the real Sasang constitution at the rate of 74.9%. 4. Conclusion 1) TS-QSCD that complements the merits of existing questionnaires is effective in diagnosing Sasang constitutions. 2) Deleting duplicate questions is thought to be one of the reasons for the decreased validity rate. 3) The lower the validity of the first step, the more we should build up at each second steps a way to rescue the groups which were assigned wrongly during the first steps. 4) This standardization of TS-QSCD would be helpful in making a program for diagnosing the Sasang Constitution
Kang, Eun Sook;Tark, Kwan-Chul;Lee, Taewha;Kim, In Sook
Quality Improvement in Health Care
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v.9
no.2
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pp.116-133
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2002
Background : It is very common in Korea to take care of non-acute patients in an acute setting, due to the lack of long-term facilities. Long term hospitalization increase medical expenses and decreases the bed utilization, which can affect the urgent and emergent admissions, and eventually jeopardize the hospital financially. In this study, strategies for effective transfers to the lower levels of care, and to decrease the length of stay were presented by surveying and analyzing the patient's knowledge of the transfer needs, and the willingness to transfer those whose hospital length of stay was more than 30days. Method : The survey is subject to a group of 251 patients who have been hospitalized over 30 days in a general hospital in Seoul. Excluding those that were in the Intensive Care Unit and psychiatric ward, 214 in-patients were used as participants. They were surveyed from April 9, 2002 to April 17, 2002. One hundred and thirty seven out of 214 were responded which made the response rate 64%. Data were analyzed by SAS and SPSS. Result : Multi-variable Logistic Regression Analysis showed a significant effect in medical expenses, knowledge of referral system and the information of the receiving hospital. The financial burden in medical expenses made the patient 10.7 times more willing to be transferred, knowledge of the referral system made them 5 times more willing to be transferred, and the information of receiving hospital makes 6.5 times more willing to be transferred. Reasons for willing to be transferred to a lower level of care were the phase of physical therapy, the distance from home, the attending physician's advice and being unable to be treated as an out patient. Reasons for refusing to be transferred were the following. The attending physician's competency, not being ready to be discharged, not trusting the receiving hospital's competency due to the lack of information, or never hearing about the referring system by the attending physician. Conclusion : Based on this, strategies for the effective transfer to the lower levels of care were suggested. It is desirable for the attending physician to be actively involved by making an effort to explain the transfer need, and referring to the Healthcare Coordinating Center, which can help the patient make the right decision. Nationwide networking for the referral system is the another key factor that may need to be suggested as an alternative to decrease the medical expenses. Collaborating with the Home Health Agency for the early discharge planning and the Social Service Department for financial aid are also needed. It is recommended that the hospital should expedite the transfer process by prioritizing the cost and the information as medical expenses, knowledge of referring system and the information of the receiving hospital, are the most important factors to the willingness to transfer to a lower level of care.
Early stages of technology valuation have been often overlooked or under-represented. The early stage technologies are even riskier due to their inadequacy of commercial development and market applicability. More than 95% of patents fail to earn any revenues so that the majority of patents were valueless. Technology transfers from laboratories at universities and research institutes to industrial firms have increased to acquire value from invented technologies. Technology transfer, a process of transferring discoveries and innovations resulted from research to commercial sectors, typically comprises several steps: disclosing the discoveries and innovations, i.e., intellectual property (IP), evaluating the IP's economic prospects, securing a patent, copyright or trademark for the IP, commercializing the technology through licensing, forming a joint venture, or selling. At each of those stages in the research and development of technology, the value of technology would play a very important role of making decision on the movement toward the next step, however, the financial value of technology is not easy to determine due to a great amount of uncertainty in the course of research and development, and commercialization. This paper refers to technology embodied as devices, equipment, software or processes primarily developed at public research institutions such as universities. Sometimes it is also as the result of externally financed projects contracted with industry. Nearly always technology developed at public research entities results in laboratory prototypes. When it is required to define the technology transfer contract terms for the license of the university patrimonial rights to external funding companies or other interested parties, a question arises: what is the monetary value? In this paper, we present a method for technology valuation based on the identification of specific value points related to its development. The final technology value must be within previously defined value limits. This paper consists of the review of issues related to technology transfer and commercialization, the identification of characteristics of technologies in the early stage of technology development, the formulation of framework of methods to value the early stage technologies, and the conclusion and implication of the previous review.
This study was conducted to examine the medication non-adherence and related factors based on medication adherence model of older adults that use polypharmacy. A survey was used to collect data from 190 study participants. Among the 190 subjects, 43.2% did not adhere to their polypharmacy intentionally. The reason for medication non-adherence was listed in order of 'when they felt well on symptoms', 'when it was annoying and uncomfortable', and 'when they felt worse due to medication'. Moreover, the older adults often do not seek for medication information actively. Between adherence and non-adherence groups, while there were differences in gender, type of medication, and experience in drug-related side effects, there were no statistically significant differences in medication information contents and route. This study demonstrates that gender, type of medication, and experience in drug-related side effects should be considered to promote medication adherence. In addition, since the elderly with polypharmacy are rarely actively searching for the contents and route of drug information, the contents of drug information need to be provided by the route preferred by the elderly in order to assist in their decision-making process for polypharmacy.
In today's data-driven society, we've been hearing a great deal about the power of Big Data over the last couple of years. At the same time, it has become the most important issue that the problems is caused by the data collection, management and utilization. Moreover, Big Data has a wide applications ranging from situation awareness, decision-making to the area to enable for the foreseeable future with man-made and analysis of data. It is necessary to process data into meaningful information given that the huge amount of structured and unstructured data being created in the private and the public sector, even in disaster management. This data should be public and private sector at the same time for the appropriate linkage analysis for effective disaster management. In this paper, we conducted a literature review and case study efficient Big Data to derive the revitalization of national disaster management. The study obtained data on the role and responsibility of the public sector and the private sector to leverage Big Data for promotion of national disaster management plan. Both public and private sectors should promote common development challenges related to the openness and sharing of Big Data, technology and expansion of infrastructure, legal and institutional maintenance. The implications of the finding were discussed.
UIC Codes 714R & 715R recommend the use of line classifications and their usage in maintenance work by employing notional traffic loads. However, the classification has not been applied to local lines and, therefore, a new line classification system based on UIC 714R has been proposed in this study. For this, various classification models of UIC, Germany, and UK have been studied first and equivalent traffic loads based on Korail's report, as well as on train timetables, have been derived. The results of the classifications have been compared with those of major European countries and it has been shown that the proposed classification is equivalent to the average value in the European cases. The line classification can be fully utilized during the decision making process of maintenance work and will also be used to model the Reliability Centered Maintenance (RCM) in the future.
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