• 제목/요약/키워드: Decision Methods

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미러영상 특징을 이용한 Joint Bayesian 개선 방법론 (An Improved Joint Bayesian Method using Mirror Image's Features)

  • 한성휴;안정호
    • 디지털콘텐츠학회 논문지
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    • 제16권5호
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    • pp.671-680
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    • 2015
  • Joint Bayesian 방법론[1]은 2012년 발표된 이후 최근까지 최고 성능을 보이는 거의 모든 얼굴인식 알고리즘에서 이진 분류를 위해 사용되고 있지만, 지금까지 이를 개선한 알고리즘은 2D-JB[2] 외에 거의 발표되지 않았다. 우리는 본 논문에서 주어진 얼굴 영상과 이를 좌우 반전시킨 미러 영상을 함께 고려함으로써 Joint Bayesian 방법론의 성능을 향상시킬 수 있는 방법론을 제안한다. 일반적인 패턴인식에서 결정함수 값이 결정경계 또는 임계치에 가까운 경우 오류가 발생할 확률이 높다. 제안한 방법론은 미러 영상의 특징을 이용하여 결정함수 값을 결정경계로부터 멀어지게 함으로써 오류를 줄이는 방법이다. 우리는 LFW DB를 이용한 실험을 통해 제안한 JB 개선 방법론이 기존 JB 방법론보다 1%이상 높은 인식률을 보임을 입증하였다. LFW DB를 이용한 기존 연구들에서 성능을 1% 높이기 위해 많은 학습데이터가 필요했음을 감안할 때, 제안한 방법론은 큰 의미가 있다고 볼 수 있다.

근거에 기반한 의약품의 유익성-위해성 평가 (Evidence-Based Benefit-Risk Assessment of Medication)

  • 이의경
    • 보건의료기술평가
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    • 제1권1호
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    • pp.22-26
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    • 2013
  • Objectives: Balancing benefits and risks through the drug life cycle has been discussed for many decades. The objective of this study was to review the processes and tools currently proposed for benefit-risk assessment of medicinal drugs. It aimed to establish scientific and efficient drug safety management system based on the synthetic analysis of benefit-risk evidence. Methods: We conducted a review of exiting literatures published by regulatory agencies or initiatives. Not only quantitative methodologies but also qualitative method were compared to understand their key characteristics for the benefit and risk assessment of drugs. Results: Recently, benefit-risk assessments have more structured approaches to decision making as part of regulatory science. Regulatory agencies such as European Medicines Agency, FDA have prepared plans to apply benefit-risk assessment to regulatory decision making. Also many initiatives such as IMI (Innovative Medicine Initiative) have conducted research and published reports about benefit-risk assessment. For benefit-risk assessment, four kinds of methods are necessary. Frameworks such as BRAT (Benefit Risk Action Team) framework, PrOACT-URL provide guidance for the whole process of decision-making. Metrics are measurements of risk benefit. The estimation techniques are methods to synthesis and combine evidences from various sources. The utility survey techniques are necessary to explicit preferences of various outcome from stakeholders. Conclusion: There is the lack of widely accepted, validated model for benefit-risk assessment. Nor there is an agreement among academia, industry, and government on methods for the quantitative valuation. It is also limited by available evidence and underlying assumptions. Nevertheless, benefit-risk assessment is fundamental to improve transparency, consistency and predictability for decision making through the structured systematic approaches.

아동간호사의 임상적 의사결정 유형에 관한 연구 (Clinical Decision Making Patterns of Pediatric Nurses)

  • 황인주
    • 부모자녀건강학회지
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    • 제15권1호
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    • pp.20-32
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    • 2012
  • Purpose: The purpose of this study was to identify clinical decision making pattern of pediatric nurses and analyze how it shows the differences in types of decision making pattern by nurses characters. Methods: A self-administered questionnaire was used to pediatric nurses of 4 general hospitals in Seoul from February 2004 to April 2004. The data of 251 nurses was analyzed by varimax rotation factor analysis, t-test, and ANOVA. Results: 6 decision making patterns were identified: Individual Patient-oriented, Pattern-oriented Intuitive, Typical Nursing Knowledge-oriented, Nursing Model-oriented, Medical Knowledge-oriented, and Patient-Family-Nurse Collaborative. Individual Patient-oriented, Pattern-oriented Intuitive, Typical Nursing Knowledge-oriented, and Nursing Model-oriented decision making pattern got meaningful differences in age, marital status, total number of years in nursing practice, and number of years in pediatric nursing practice. Conclusion: We expect the result of this study can be applied for promotion of understanding the decision making of nurses that occurs in pediatric nursing practice and also can be used as foundation data for development and expansion of pediatric nursing practice.

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치기공과 학생의 전공선택확신과 진로결정수준의 관계에서 전문직업성의 매개효과 (The Mediating Effects of Professionalism on the Relationship between Major Selection Conviction and Career Decision Level of Dental Technology Students)

  • 정효경;곽동주;최주영
    • 대한치과기공학회지
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    • 제37권4호
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    • pp.285-293
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    • 2015
  • Purpose: The following study analyzes the mediating effects of professionalism on the relationship between major selection conviction and career decision level of dental technology students. It is to be used as basic data for improvement of the students' career decision level and an effective way to train professionals of the colleges. Methods: The survey was conducted on dental technology students. The collected data was analyzed by the statistical program SPSS 18.0. The results were analyzed by reliability, frequency, multiple-way ANOVA, correlation, multiple regression. To test for significance on each item, p<0.05 has been decided as a standard. Results: The analysis shows that the students' age and clinical practice experience bring a significant difference in major selection conviction, career decision level and professionalism. Professionalism has been found to bring significance mediating effects in relation to major selection conviction and career decision level. Conclusion: To improve the quality and pride as a professional as well as satisfaction with major selection can be expected to raise the standard of the students' career decision level.

의사와 환자 간 공유된 진료의사결정이 환자만족도에 미치는 영향 (Impact of Shared-Decision Making on Patient Satisfaction)

  • 서원식;이채경
    • Journal of Preventive Medicine and Public Health
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    • 제43권1호
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    • pp.26-34
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    • 2010
  • Objectives: The purpose of this research is to analyze the impact of shared-decision making on patient satisfaction. The study is significant since it focuses on developing appropriate methodologies and analyzing data to identify patient preferences, with the goals of optimizing treatment selection, and substantiating the relationship between such preferences and their impact on outcomes. Methods: A thorough literature review that developed the framework illustrating key dimensions of shared decision making was followed by a quantitative assessment and regression analysis of patient-perceived satisfaction, and the degree of shared-decision making. Results: A positive association was evident between shared-decision making and patient satisfaction. The impact of shared decision making on patient satisfaction was greater than other variable including gender, education, and number of visits. Conclusions: Patients who participate in care-related decisions and who are given an explanation of their health problems are more likely to be satisfied with their care. It would benefit health care organizations to train their medical professionals in this communication method, and to include it in their practice guidelines.

환자의 치료 의사결정 참여와 건강수준 (Patients' Participation in Treatment Decision Making and Health Status)

  • 윤난희
    • 한국의료질향상학회지
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    • 제24권1호
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    • pp.40-52
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    • 2018
  • Purpose: This study aimed to identify the factors influencing on patients' participation in their treatment decision making, and influences of patients' experience on their health status. Methods: Data from the 2015 Korea National Health and Nutrition Examination Survey were used for the analysis. Multivariate logistic regression analysis was conducted to identify the factors influencing on patients' participation in their treatment decision making. The influences of patients' experience on their health status were analyzed using multiple linear regression analysis. Results: Of the 4,497 respondents, 3,698 (82.2%) respondents mostly participated in their treatment decision making. Those who experienced enough visit duration, physicians' explanation easy enough to understand, or more opportunities to ask were more likely to participate in their treatment decision making. After controlling for their sociodemographic factors and health status, those who had better experience during the outpatient visits were more likely to have better self-rated health or quality of life. Conclusion: To improve patients' health outcomes and satisfaction of health care uses, it is necessary to provide better experiences and expand the opportunities for participation in treatment decision making during their hospital visits.

다수 참여자하의 퍼지 다기준 의사결정 지원 시스템 모델 (Fuzzy Multi-Criteria Decision Support Systems Model with Multi-Persons)

  • 최대영
    • 한국정보처리학회논문지
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    • 제4권12호
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    • pp.3045-3051
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    • 1997
  • 대부분의 다기준 의사결정 문제에서는 복잡한 문제를 다루기 때문에 의사결정 과정에 한 사람이 아닌 여러 사람의 의견을 필요로 한다. 기존의 퍼지 병합 방법에서 여러 사람이 제출한 퍼지한 의견을 병합하는 방법으로 최소값, 최대값, 평균값등과 같은 연산자가 사용되었다. 그러나, 이들 방법은 의사결정 과정에 의사결정시의 상황을 적절히 반영할 수 없는 문제점이 있다. 이러한 문제점을 해결하기 위해 이 논문에서는 여러 스텝들이 제출한 퍼지한 의견을 의사결정자가 상황에 따라 병합할 수 있는 퍼지 다기준 의사결정 지원 시스템 모델을 제안한다. 또한, 이에 관련된 알고리즘을 설계하고 이를 위한 프로토타입 시스템을 개발하였다.

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아동병동 간호사의 임상의사결정 능력이 직무만족도에 미치는 효과: 아동병동 간호사-환아 부모 간 파트너십 매개효과를 중심으로 (Effects of Clinical Decision-making on Job Satisfaction among Pediatric Nurses: The Mediating Effect of the Nurse-Parent Partnership)

  • 신경숙;김혜영
    • Child Health Nursing Research
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    • 제24권1호
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    • pp.9-17
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    • 2018
  • Purpose: The purpose of this descriptive survey study was to characterize the relationship between clinical decision-making and job satisfaction among pediatric nurses and to elucidate the mediating effects of the nurse-parent partnership on that relationship. Methods: The subjects of the study were 174 nurses who had worked in a pediatric ward in a university hospital, general hospital, or children's hospital. Data were collected from June 20, 2016 to August 10, 2016 and analysed using descriptive statistics, the t-test, analysis of variance, the Pearson correlation coefficient, and three-step mediated regression analysis in SPSS version 22.0 for Windows. Results: The nurse-parent partnership had significant effects on clinical decision-making and job satisfaction, with an explanatory power of 19% and 26%, respectively. The nurse-parent partnership had a partial mediating effect on the relationship between clinical decision-making and job satisfaction (Sobel test: Z=4.31, p<.001). Conclusion: The nurse-parent partnership had a partial mediating effect on the relationship between clinical decision-making and job satisfaction among pediatric nurses. Therefore, in order to improve the job satisfaction of pediatric nurses, it is necessary to develop effective educational programs and strategies to address their clinical decision-making and their experiences of the nurse-parent partnership.

간호대학생의 진로결정 자기효능감과 전공만족도의 관계에서 교수-학생 상호작용의 조절효과 (Moderating Effect of Professor-Student Interaction on the Relationship between Career Decision Self-efficacy and Major Satisfaction among Nursing Students)

  • 현혜순;김윤영
    • 한국간호교육학회지
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    • 제24권1호
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    • pp.29-38
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    • 2018
  • Purpose: The purpose of this study was to investigate the effect of career decision self-efficacy on major satisfaction among nursing students, and to examine the moderating effect of professor-student interaction on career decision self-efficacy and major satisfaction. Methods: This study analyzed the data of 307 students among fourth-year university nursing students in A and C cities from May 2017 to July 2017 using the SPSS 24.0 statistics program. Results: There were significantly positive relationships between career decision self-efficacy, major satisfaction, and professor-student interaction. The professor-student interaction showed moderating effects in the relationship between career decision self-efficacy and major satisfaction, with 52.7% of explanatory power. Conclusion: This finding suggests the importance of career decision self-efficacy and the moderating effects of professor-student interaction to increase nursing students' satisfaction in their major. Therefore, it is necessary to make diverse efforts in the field of education to improve students' career decision self-efficacy and professor-student interaction.

대학생의 전공선택과 진로결정 분석 - D대학 치기공과 재학생을 중심으로 - (Research on the major selection and the career decision of college students (Centering on students studying Dental Technology in D-College))

  • 이화식;배봉진;장기환
    • 대한치과기공학회지
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    • 제33권4호
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    • pp.427-440
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    • 2011
  • Purpose: The following research analyzes the causes of major selection and career decision of students studying dental technology. It is to be used as basic data for the management of career improvement program. Methods: The survey has been processed to 490 college students studying Dental Technology in D-college. Questionnaire consists of major selection confidence sheet (14 items) and career decision confidence sheet (18 items) and was scored with 5-points per question. The collected data was analyzed by the statistical program: SAS V8 for Windows. To test for significance on each item, p < 0.05 has been decided as a standard. Results: The analysis of result about the level of confidence on major selection has valid difference by genders, serving military service or not, experience of studying one more year to enter the college or not, making career decision and grade. The analysis of result about career decision has valid difference by gender, serving military service, career decision, day and night course, age and native place. Conclusion: We develop the career advice program and manage it effectively, the confidence on the major selection and pride about its faculty will be high to dental technology students.