• Title/Summary/Keyword: Decision Rule

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A Study on Medical-criminal Problem of Withdrawing Life-Sustaining Treatment (치료중단행위에 대한 의료형법적 고찰 -의학적 충고에 반한 퇴원 사례를 중심으로-)

  • Cho, In-Ho
    • The Korean Society of Law and Medicine
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    • v.9 no.1
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    • pp.319-382
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    • 2008
  • As a withdrawing care's study, the purpose of this study is searching about withdrawing care's acceptance and circumstances through Bora-mae hospital case(chapter 1). Withdrawing life-sustaining treatment has various forms. Though the meaning of euthanasia, death with dignity, natural death, physician assisted suicide are duplicated, the meaning of those are different slightly. Firstly, this study looks about the difference of the those meaning and acceptance range(condition) by withdrawing care's forms(chapter 2). Bora-mae hospital case sentenced guilty about physician who discharged incompetent patient who was after surgery by patient's wife determination. This Bora-mae case that sentenced guilty about discharge against medical advise(DAMA) that is regarded to custom has brought intensive confliction of legal, social, medical aspect, Bora-mae hospital case has many legal problems. First, as to criminal law rule 250(murder), the problem is whether discharge and withdrawing life-sustaining treatment is commission or omission. this study concluded omission(district court: omission, appeal, supreme court: commission). Because legal denounce point of discharge and medical treatment withdrawing is omission that physician who is obligatory on patient to cure. If physician's act is regarded omission, it is necessary to determine whether he has guardian status and obligation. Without guardian status and obligation, omission crime can't exist. This study decided that physician had guardian status and obligation and foundation of guardian status was pre-action or acceptance of emergency patient. Physician's medical treatment duty finished when patient(or patient's guardian) demands discharge. But when patient death is foreseen and other possible treatment does not exist, his duty of life prolonging treatment does not finish. This originate from physician's social responsibility and public status that limits patient's private liberty. This study regarded physician's action as accomplice about whether physician's discharging action is accomplice or the principal offender(district court: the principal offender, appeal, supreme court: accomplice). Though the principal offender needs criminal determination and action, there is no this common determination and functional action control of physician in Bora-mae case(chapter 3). Bora-mae hospital case partly originated from deficiency of legal, institutive system including medical security system shortage, the instruction is 1. medical security system strengthening, 2. hospital ethical committee's activity strengthening, 3. institutionalization of withdrawing life-sustaining treatment, 4. acceptance of pre-decision making system, 5. sufficient persuasion of physician for patient and faithful writing of medical paper, 6. respect for patients' self-determination and rights, 7. consciousness's changing for withdrawing life-sustaining treatment and persistent education about medical ethics(chapter 4). Considering Bora-mae case, medical sector is not the dead ground of a criminal punishment. Intervention of criminal law in medical sector give rise to ill effect, that is, excess medical examination and treatment, safeguard treatment, delay of discharge from a hospital. Because sufficient guarantee of life becomes mere empty slogan under situation that impose a burden of heavy cost to family or hospital, public and systematic solution should be given(chapter 5).

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Forecasting of Customer's Purchasing Intention Using Support Vector Machine (Support Vector Machine 기법을 이용한 고객의 구매의도 예측)

  • Kim, Jin-Hwa;Nam, Ki-Chan;Lee, Sang-Jong
    • Information Systems Review
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    • v.10 no.2
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    • pp.137-158
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    • 2008
  • Rapid development of various information technologies creates new opportunities in online and offline markets. In this changing market environment, customers have various demands on new products and services. Therefore, their power and influence on the markets grow stronger each year. Companies have paid great attention to customer relationship management. Especially, personalized product recommendation systems, which recommend products and services based on customer's private information or purchasing behaviors in stores, is an important asset to most companies. CRM is one of the important business processes where reliable information is mined from customer database. Data mining techniques such as artificial intelligence are popular tools used to extract useful information and knowledge from these customer databases. In this research, we propose a recommendation system that predicts customer's purchase intention. Then, customer's purchasing intention of specific product is predicted by using data mining techniques using receipt data set. The performance of this suggested method is compared with that of other data mining technologies.

Development of Intelligent Internet Shopping Mall Supporting Tool Based on Software Agents and Knowledge Discovery Technology (소프트웨어 에이전트 및 지식탐사기술 기반 지능형 인터넷 쇼핑몰 지원도구의 개발)

  • 김재경;김우주;조윤호;김제란
    • Journal of Intelligence and Information Systems
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    • v.7 no.2
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    • pp.153-177
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    • 2001
  • Nowadays, product recommendation is one of the important issues regarding both CRM and Internet shopping mall. Generally, a recommendation system tracks past actions of a group of users to make a recommendation to individual members of the group. The computer-mediated marketing and commerce have grown rapidly and thereby automatic recommendation methodologies have got great attentions. But the researches and commercial tools for product recommendation so far, still have many aspects that merit further considerations. To supplement those aspects, we devise a recommendation methodology by which we can get further recommendation effectiveness when applied to Internet shopping mall. The suggested methodology is based on web log information, product taxonomy, association rule mining, and decision tree learning. To implement this we also design and intelligent Internet shopping mall support system based on agent technology and develop it as a prototype system. We applied this methodology and the prototype system to a leading Korean Internet shopping mall and provide some experimental results. Through the experiment, we found that the suggested methodology can perform recommendation tasks both effectively and efficiently in real world problems. Its systematic validity issues are also discussed.

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Design of Contact Scheduling System(CSS) for Customer Retention (고객유지를 위한 접촉스케줄링시스템의 설계)

  • Lee, Jee-Sik;Cho, You-Jung
    • Journal of Intelligence and Information Systems
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    • v.11 no.3
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    • pp.83-101
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    • 2005
  • Customer retention is one of the major issues in life insurance industry, in which competition is increasingly fierce. There are many things for the life insurers to do many things to retain the customers. One of those things is to make sure to keep in touch with all customers. When an insurance-planner resigned, his/her customers must be taken care of by some planner-assistants. This article outlines the design of Contact Scheduling System (CSS) that supports planner-assistants for contacting the customers. Planner-assistants are unable to share the resigned insurance-planner's experience and knowledge regarding the customer relationship management. The CSS developed by employing both Classification And Regression Tree (CART) technique and Sequential Pattern Mining (SPM) technique has a two-stage process. In the first stage, it segments the customers into eight groups by CART model. Then it generates contact scheduling information consisting of contact-purpose, contact-interval and contact-channel, according to the segment's typical contact pattern. Contact-purpose is derived by schedule-driven, event-driven, or business-rule-driven. Schedule-driven contact is determined by SPM model. In the operation of CSS in a realistic situation, it shows a practicality in supporting planner-assistants to keep in touch with the customers efficiently and effectively.

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Voice Activity Detection using Motion and Variation of Intensity in The Mouth Region (입술 영역의 움직임과 밝기 변화를 이용한 음성구간 검출 알고리즘 개발)

  • Kim, Gi-Bak;Ryu, Je-Woong;Cho, Nam-Ik
    • Journal of Broadcast Engineering
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    • v.17 no.3
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    • pp.519-528
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    • 2012
  • Voice activity detection (VAD) is generally conducted by extracting features from the acoustic signal and a decision rule. The performance of such VAD algorithms driven by the input acoustic signal highly depends on the acoustic noise. When video signals are available as well, the performance of VAD can be enhanced by using the visual information which is not affected by the acoustic noise. Previous visual VAD algorithms usually use single visual feature to detect the lip activity, such as active appearance models, optical flow or intensity variation. Based on the analysis of the weakness of each feature, we propose to combine intensity change measure and the optical flow in the mouth region, which can compensate for each other's weakness. In order to minimize the computational complexity, we develop simple measures that avoid statistical estimation or modeling. Specifically, the optical flow is the averaged motion vector of some grid regions and the intensity variation is detected by simple thresholding. To extract the mouth region, we propose a simple algorithm which first detects two eyes and uses the profile of intensity to detect the center of mouth. Experiments show that the proposed combination of two simple measures show higher detection rates for the given false positive rate than the methods that use a single feature.

A Knowledge-assisted Hybrid System for effectively Supporting Personalization of a Web Customer (웹 고객의 개인화를 지원하는 지식기반 통합시스템)

  • Kim, Chul-Soo
    • The KIPS Transactions:PartB
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    • v.9B no.1
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    • pp.1-6
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    • 2002
  • Many customers consult the Internet before making purchase goods and using contents. The systems in the Internet could store a lot of data and classify the data into information to get relationship between a company and customers. To do that, let's consider a knowledge-assisted hybrid system that utilizes individually a customer's preference to make an optimal solution in the his/her decision making. The knowledge made by using the preference is employed to select an domain set appropriate to him/her business, and the process of selecting definitely provides the customer some benefits: elimination of discomfort from unknown information and reduction of costs and search time for forming an suitable domain set. To effectively adopt individual customer's preference and actively adapt change of business situation, this study propose an architecture of the system which includes rule presentations and an inference engine, and integrates a knowledge-based component into a quadratic programming component. In the experimental results, it is found that a knowledge-assisted hybrid system implemented by this idea is more flexible than existing systems in extension of knowledge about an customer's preference and goes beyond the traditional models.

Performance Comparison of Clustering using Discritization Algorithm (이산화 알고리즘을 이용한 계층적 클러스터링의 실험적 성능 평가)

  • Won, Jae Kang;Lee, Jeong Chan;Jung, Yong Gyu;Lee, Young Ho
    • Journal of Service Research and Studies
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    • v.3 no.2
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    • pp.53-60
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    • 2013
  • Datamining from the large data in the form of various techniques for obtaining information have been developed. In recent years one of the most sought areas of pattern recognition and machine learning method is created with most of existing learning algorithms based on categorical attributes to a rule or decision model. However, the real-world data, it may consist of numeric attributes in many cases. In addition it contains attributes with numerical values to the normal categorical attribute. In this case, therefore, it is required processes in order to use the data to learn an appropriate value for the type attribute. In this paper, the domain of the numeric attributes are divided into several segments using learning algorithm techniques of discritization. It is described Clustering with other data mining techniques. Large amount of first cluster with characteristics is similar records from the database into smaller groups that split multiple given finite patterns in the pattern space. It is close to each other of a set of patterns that together make up a bunch. Among the set without specifying a particular category in a given data by extracting a pattern. It will be described similar grouping of data clustering technique to classify the data.

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A Geostatistical Block Simulation Approach for Generating Fine-scale Categorical Thematic Maps from Coarse-scale Fraction Data (저해상도 비율 자료로부터 고해상도 범주형 주제도 생성을 위한 지구통계학적 블록 시뮬레이션)

  • Park, No-Wook;Lee, Ki-Won
    • Journal of the Korean earth science society
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    • v.32 no.6
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    • pp.525-536
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    • 2011
  • In any applications using various types of spatial data, it is very important to account for the scale differences among available data sets and to change the scale to the target one as well. In this paper, we propose to use a geostatistical downscaling approach based on vaiorgram deconvloution and block simulation to generate fine-scale categorical thematic maps from coarse-scale fraction data. First, an iterative variogram deconvolution method is applied to estimate a point-support variogram model from a block-support variogram model. Then, both a direct sequential simulation based on area-to-point kriging and the estimated point-support variogram are applied to produce alternative fine-scale fraction realizations. Finally, a maximum a posteriori decision rule is applied to generate the fine-scale categorical thematic maps. These analytical steps are illustrated through a case study of land-cover mapping only using the block fraction data of thematic classes without point data. Alternative fine-scale fraction maps by the downscaling method presented in this study reproduce the coarse-scale block fraction values. The final fine-scale land-cover realizations can reflect overall spatial patterns of the reference land-cover map, thus providing reasonable inputs for the impact assessment in change of support problems.

A Study on Medical Fee System of the convalescent hospital -Focused on the case of patient group adjustment - (요양병원 수가제도에 대한 소고 -환자군 조정 판결을 중심으로 -)

  • Kwon, Hye Ok
    • The Korean Society of Law and Medicine
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    • v.18 no.2
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    • pp.195-218
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    • 2017
  • The increase in medical expenses for convalescent hospitals is increasing abnormally, which puts enormous burden on the National health insurance finances. This is a phenomenon that has been associated with the social phenomenon of rapid aging. The fact that the convalescent hospitals are paid the fixed amount per day for hospitalization became the incentive for some hospitals to use the patients as means of making money. And these hospitals intend to get regular care or take medicines at other hospitals in order to reduce medical expenses, even when the medical fee is paid. In order to prevent such financial leaks, the Health Insurance Review and Assessment Service adjusted the patient group for inpatients in a hospital with the above behavior, and then cut the cost of medical care benefits. However, Above decision was canceled by the court on the grounds that there was no basis rule. However, based on the above case, I think that it can be an opportunity to draw up the problem and to improve of the Medical Fee System of hospital. The modified medical fee system can strengthen the medical function of the convalescent hospital. In addition, it seems reasonable to exclude admission for "physically disabled group". Even if admission is allowed for the physically disabled group due to social needs, it should be excluded from the National health insurance for the fianacial soundness and the sustainability of the system.

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Problems on the Door to Door Application of International Air Law Conventions (국제항공운송협약의 Door to Door 운송에의 적용에 관한 문제점)

  • CHOI, Myung-Kook
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.78
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    • pp.1-29
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    • 2018
  • This article demonstrates that both the Warsaw Convention Systemand the Montreal Convention are not designed for multimodal transport, let alone for "Door to Door" transport. The polemic directed against the "Door to Door" application of the Warsaw Convention systemand the Montreal Convention is predominantly driven by the text and the drafting philosophy of the said Contentions that since 1929 support unimodalism-with the rule that "the period of the carriage by air does not expend to any carriage by land, by sea or by inland waterway performed outside an airport" playing a profound role in restricting their multimodal aspirations. The drafters of the Montreal Convention were more adventurous than their predecessors with respect to the boundaries of the Montreal Convention. They amended Art. 18(3) by removing the phrase "whether in an aerodrome or on board an aircraft, or, in the case of landing outside an aerodrome, in any place whatsoever", however, they retained the first sentence of Art. 18(4). The deletion of the airport limitation fromArt. 18(3) creates its own paradox. The carrier can be held liable under the Montreal Convention for the loss or damage to cargo while it is in its charge in a warehouse outside an airport. Yet, damage or loss of the same cargo that occurs during its surface transportation to the aforementioned warehouse and vice versa is not covered by the Montreal Convention fromthe moment the cargo crosses the airport's perimeter. Surely, this result could not have been the intention of its drafters: it certainly does not make any commercial sense. I think that a better solution to the paradox is to apply the "functional interpretation" of the term"airport". This would retain the integrity of the text of the Montreal Convention, make sense of the change in the wording of Art. 18(3), and nevertheless retain the Convention's unimodal philosophy. English courts so far remain loyal to the judgment of the Court of Appeal in Quantum, which constitutes bad news for the supporters of the multimodal scope of the Montreal Convention. According the US cases, any losses occurring during Door to Door transportation under an air waybill which involves a dominant air segment are subject to the international air law conventions. Any domestic rules that might be applicable to the road segment are blatantly overlooked. Undoubtedly, the approach of the US makes commercial. But this policy decision by arguing that the intention of the drafters of the Warsaw Convention was to cover Door to Door transportation is mistaken. Any expansion to multimodal transport would require an amendment to the Montreal Convention, Arts 18 and 38, one that is not in the plans for the foreseeable future. Yet there is no doubt that air carriers and freight forwarders will continue to push hard for such expansion, especially in the USA, where courts are more accommodating.

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