• 제목/요약/키워드: E-Metrics

검색결과 194건 처리시간 0.024초

Impact of nonphysician, technology-guided alert level selection on rates of appropriate trauma triage in the United States: a before and after study

  • Megan E. Harrigan;Pamela A. Boremski;Bryan R. Collier;Allison N. Tegge;Jacob R. Gillen
    • Journal of Trauma and Injury
    • /
    • 제36권3호
    • /
    • pp.231-241
    • /
    • 2023
  • Purpose: Overtriage and undertriage rates are critical metrics in trauma, influenced by both trauma team activation (TTA) criteria and compliance with these criteria. Analysis of undertriaged patients at a level I trauma center revealed suboptimal compliance with existing criteria. This study assessed triage patterns after implementing compliance-focused process interventions. Methods: A physician-driven, free-text alert system was modified to a nonphysician, hospital dispatcher-guided system. The latter employed dropdown menus to maximize compliance with criteria. The preintervention period included patients who presented between May 12, 2020, and December 31, 2020. The postintervention period incorporated patients who presented from May 12, 2021, through December 31, 2021. We evaluated appropriate triage, overtriage, and undertriage using the Standardized Trauma Assessment Tool. Statistical analyses were conducted with an α level of 0.05. Results: The new system was associated with improved compliance with existing TTA criteria (from 70.3% to 79.3%, P=0.023) and decreased undertriage (from 6.0% to 3.2%, P=0.002) at the expense of increasing overtriage (from 46.6% to 57.4%, P<0.001), ultimately decreasing the appropriate triage rate (from 78.4% to 74.6%, P=0.007). Conclusions: This study assessed a workflow change designed to improve compliance with TTA criteria. Improved compliance decreased undertriage to below the target threshold of 5%, albeit at the expense of increased overtriage. The decrease in appropriate triage despite compliance improvements suggests that the current criteria at this institution are not adequately tailored to optimally balance the minimization of undertriage and overtriage. This finding underscores the importance of improved compliance in evaluating the efficacy of TTA criteria.

기후변화에 따른 법정보호종 분포 예측을 위한 종분포모델 적용 방법 검토 - Rodgersia podophylla를 중심으로 - (A Study on the Application of Modeling to predict the Distribution of Legally Protected Species Under Climate Change - A Case Study of Rodgersia podophylla -)

  • 유영재;황진후;전성우
    • 한국환경복원기술학회지
    • /
    • 제27권3호
    • /
    • pp.29-43
    • /
    • 2024
  • Legally protected species are one of the crucial considerations in the field of natural ecology when conducting environmental impact assessments (EIAs). The occurrence of legally protected species, especially 'Endangered Wildlife' designated by Ministry of Environment, significantly influences the progression of projects subject to EIA, necessitating clear investigations and presentations of their habitats. In perspective of statistics, a minimum of 30 occurrence coordinates is required for population prediction, but most of endangered wildlife has insufficient coordinates and it posing challenges for distribution prediction through modeling. Consequently, this study aims to propose modeling methodologies applicable when coordinate data are limited, focusing on Rodgersia podophylla, representing characteristics of endangered wildlife and northern plant species. For this methodology, 30 random sampling coordinates were used as input data, assuming little survey data, and modeling was performed using individual models included in BIOMOD2. After that, the modeling results were evaluated by using discrimination capacity and the reality reflection ability. An optimal modeling technique was proposed by ensemble the remaining models except for the MaxEnt model, which was found to be less reliable in the modeling results. Alongside discussions on discrimination capacity metrics(e.g. TSS and AUC) presented in modeling results, this study provides insights and suggestions for improvement, but it has limitations that it is difficult to use universally because it is not a study conducted on various species. By supporting survey site selection in EIA processes, this research is anticipated to contribute to minimizing situations where protected species are overlooked in survey results.

경관지수와 생태계용역가치를 활용한 대구광역도시권 경관의 구조적·기능적 변화 분석 (The Structural and Functional Analysis of Landscape Changes in Daegu Metropolitan Sphere using Landscape Indices & Ecosystem Service Value)

  • 최원영;정성관;오정학;유주한
    • 한국지리정보학회지
    • /
    • 제8권4호
    • /
    • pp.102-113
    • /
    • 2005
  • 생태계는 인간, 생물 무생물적 환경의 집합체이며, 경관은 생태계가 단위지역에 나타나는 현상이다. 이러한 경관은 다양한 경관요소가 시 공간적으로 나타나는 토지 모자이크이며, 토지이용과 피복 변화는 경관의 구조를 변화시키는 주요 요인이다. 본 연구에서는 경관을 구조적 기능적 측면에서 정량화하는 경관지수와 생태계용역가치(Ecosystem Service Value: ESV)를 이용하여 대구광역도시권의 산림경관의 시 공간적 변화패턴에 관하여 분석하였다. 분석결과, 산림경관의 잠식과 파편화는 택지 및 공업단지조성 등의 대규모 개발행위 보다는 도로 등의 선형적 개발에 의해 발생되었으며, 핵심지역의 상대적 비율은 점진적으로 감소한 것으로 나타났다. 이러한 현상은 생물종의 주요 서식처가 되는 핵심지역을 감소시켜 그 건전성을 저하시킬 가능성이 있을 것으로 판단되었다. 또한 ESV가 산림경관의 면적변화와 밀접한 관계를 가지는 것을 알 수 있었다. 이러한 연구결과들은 향후 생태계를 대상으로 한 개발과 보존의 논리 사이에서 객관적인 평가의 기틀을 마련하고, 광역도시계획 등의 개발계획 수립에서 생태계 가치를 충분히 반영하기 위한 기본적인 척도로 활용 가능할 것이다.

  • PDF

도심하천 생태계의 수환경 평가를 위한 생지표 바이오마커 및 바이오인디케이터 메트릭 속성 및 다변수 생태 모형 (Multiple-biometric Attributes of Biomarkers and Bioindicators for Evaluations of Aquatic Environment in an Urban Stream Ecosystem and the Multimetric Eco-Model)

  • 강한일;강남이;안광국
    • 환경영향평가
    • /
    • 제22권6호
    • /
    • pp.591-607
    • /
    • 2013
  • 본 연구에서는 생물학적 바이오마커, 물리적 서식지 지표 및 화학적 수질지표를 종합하여 12-메트릭 생태평가 모형을 확립하였고, 도심하천에 적용하여 수생태계 평가를 실시하였다. 생태모형 적용을 위해 도심하천의 상류역의 대조군 지역($C_Z$), 중류의 전이대($T_Z$) 및 하류역의 오염지역(IZ)을 선정한 후, 모델값에 대한 계절별 변이특성을 분석하였다. DNA 손상도 분석은 혈액을 이용한 단세포 전기영동법(Single-cell gel electrophoresis, SCGE)인 Comet assay 지표에 의거한 생지표 메트릭으로 이용되었고, Tail moment, Tail DNA(%) 및 Tail length(${\mu}m$)값이 분석되었다. DNA의 손상은 하류역의 오염지역($I_Z$)에서 분명하게 나타났지만, 대조군($C_Z$) 지역에서는 그렇지 않았다. 개체군 지표로서 비만도 지수인 $C_F$ 값 분석, 체장빈도 분포 지표 및 개체 이상도(Abnormality) 지표가 생물지표로서 이용되었다. 물리적 서식지 지표는 QHEI 모델을 이용하였고, 4개 메트릭이 분석되었다. 화학적 수질지표는 부영양화 지표인 인(P)/질소(N), 화학적 산소요구량 및 전기전도도 지표가 이용되었다. 본 연구를 종합해보면, 12-메트릭 생태모형의 생지표 속성은 대조군($C_Z$)지역에 비해 오염지역($I_Z$)에서 화학적 스트레스 지표(부영양화 지표)에 아주 민감하게 반응 하는 것으로 나타났으며, 또한 이들은 부분적으로 서식지 평가지표에 의해 영향 받는 것으로 분석되었다.

NGN 기반환경 에서의 VoIP QoS 관리체계 모델 설계 (A Study on Designing Method of VoIP QoS Management Framework Model under NGN Infrastructure Environment)

  • 노시춘;방기천
    • 디지털콘텐츠학회 논문지
    • /
    • 제12권1호
    • /
    • pp.85-94
    • /
    • 2011
  • QoS(Quality of Service)는 ITU-T Rec. E.800에 의해 서비스를 사용하는 형태, 특성 그리고 요구 수준에 따라 사용자의 요구에 부응하여 제공할 수 있는 네트워크 서비스의 성능지표로 표현된다. VoIP(Voice Over Internet Protocol) 서비스가 광범위하게 사용되고 있지만 QoS관련 문제점은 해결해야 할 현안 과제로 인식되고 있다. 본 연구는 NGN(Next Generation Network) 기반 환경에서 VoIP QoS 보증을 위해 어떤 체계하에서 품질이 관리 되어야 하는지를 도출하기 위해 VoIP 품질측정과 시험체계 모델을 제시 한다. 프레임워크는 VoIP 기술동향, 프로토콜 분석, 품질관리 항목 도출, 품질측정 기능개발, 프레임워크 설계, 프레임워크 검증 순서로 연구를 진행 한다. 이를 위해 QoS 측정 메트릭스, 측정구간과 측정계위, 측정도구와 측정장비, 측정방법 및 측정결과분석에 대한 일련의 프로세스와 관리체계를 모델화 하여 향후 VoIP QoS 보증활동에 응용토록 한다. 통신서비스 품질은 스스로 보장되지 않으며 끊임없이 측정되고 관리될 때 에만 목표 수준의 품질 확보가 가능하다. 특히 네트워크기술 패러다임 대 전환이 전개되고 있는 이 시기적인 중요성을 볼 때 VoIP QoS 관리에 대한 연구는 앞으로 활발하게 추진되어야 할 핵심 소재 이다. 본 연구를 통해 VoIP 품질관리 프레임워크를 적용 할 경우 품질관리가 가능함을 보여주고 있다.

Water Level Prediction on the Golok River Utilizing Machine Learning Technique to Evaluate Flood Situations

  • Pheeranat Dornpunya;Watanasak Supaking;Hanisah Musor;Oom Thaisawasdi;Wasukree Sae-tia;Theethut Khwankeerati;Watcharaporn Soyjumpa
    • 한국수자원학회:학술대회논문집
    • /
    • 한국수자원학회 2023년도 학술발표회
    • /
    • pp.31-31
    • /
    • 2023
  • During December 2022, the northeast monsoon, which dominates the south and the Gulf of Thailand, had significant rainfall that impacted the lower southern region, causing flash floods, landslides, blustery winds, and the river exceeding its bank. The Golok River, located in Narathiwat, divides the border between Thailand and Malaysia was also affected by rainfall. In flood management, instruments for measuring precipitation and water level have become important for assessing and forecasting the trend of situations and areas of risk. However, such regions are international borders, so the installed measuring telemetry system cannot measure the rainfall and water level of the entire area. This study aims to predict 72 hours of water level and evaluate the situation as information to support the government in making water management decisions, publicizing them to relevant agencies, and warning citizens during crisis events. This research is applied to machine learning (ML) for water level prediction of the Golok River, Lan Tu Bridge area, Sungai Golok Subdistrict, Su-ngai Golok District, Narathiwat Province, which is one of the major monitored rivers. The eXtreme Gradient Boosting (XGBoost) algorithm, a tree-based ensemble machine learning algorithm, was exploited to predict hourly water levels through the R programming language. Model training and testing were carried out utilizing observed hourly rainfall from the STH010 station and hourly water level data from the X.119A station between 2020 and 2022 as main prediction inputs. Furthermore, this model applies hourly spatial rainfall forecasting data from Weather Research and Forecasting and Regional Ocean Model System models (WRF-ROMs) provided by Hydro-Informatics Institute (HII) as input, allowing the model to predict the hourly water level in the Golok River. The evaluation of the predicted performances using the statistical performance metrics, delivering an R-square of 0.96 can validate the results as robust forecasting outcomes. The result shows that the predicted water level at the X.119A telemetry station (Golok River) is in a steady decline, which relates to the input data of predicted 72-hour rainfall from WRF-ROMs having decreased. In short, the relationship between input and result can be used to evaluate flood situations. Here, the data is contributed to the Operational support to the Special Water Resources Management Operation Center in Southern Thailand for flood preparedness and response to make intelligent decisions on water management during crisis occurrences, as well as to be prepared and prevent loss and harm to citizens.

  • PDF

건설현장 내 객체검출 정확도 향상을 위한 저조도 영상 강화 기법에 관한 연구 (A Study on Low-Light Image Enhancement Technique for Improvement of Object Detection Accuracy in Construction Site)

  • 나종호;공준호;신휴성;윤일동
    • 터널과지하공간
    • /
    • 제34권3호
    • /
    • pp.208-217
    • /
    • 2024
  • AI영상 기반 건설현장 안전관리 모니터링 시스템 개발 및 적용하는 추세에 다양한 환경변화에 따른 위험 객체 탐지 딥러닝 모델 개발에 많은 연구적 관심이 쏟아지고 있다. 여러 환경 변화요인 중 저조도 조건에서 객체 검출 모델의 정확도는 현저히 감소하며, 저조도 환경을 고려한 학습을 수행하더라도 일관적인 객체 탐지 정확도를 확보할 수 없다. 이에 따라 저조도 영상을 강화하는 영상 전처리 기술의 필요성이 대두된다. 따라서, 본 논문은 취득된 건설 현장 영상 데이터를 활용하여 다양한 딥러닝 기반 저조도 영상 강화 모델(GLADNet, KinD, LLFlow, Zero-DCE)을 학습하고, 모델별 저조도 영상 강화 성능을 비교 검증실험을 진행하였다. 저조도 강화된 영상을 시각적으로 검증하였고, 영상품질 평가 지수(PSNR, SSIM, Delta-E)를 도입하여 정량적으로 분석하였다. 실험 결과, GLADNet의 저조도 영상 강화 성능이 정량·정성적 평가에서 우수한 결과를 보여줬으며, 저조도 영상 강화 모델로 적합한 것으로 분석되었다. 향후 딥러닝 기반 객체 검출 모델에 저조도 영상 강화 기법이 전처리 단계로 적용한다면, 저조도 환경에서 일관된 객체 검출 성능을 확보할 것으로 예상된다.

Automatic Detection and Classification of Rib Fractures on Thoracic CT Using Convolutional Neural Network: Accuracy and Feasibility

  • Qing-Qing Zhou;Jiashuo Wang;Wen Tang;Zhang-Chun Hu;Zi-Yi Xia;Xue-Song Li;Rongguo Zhang;Xindao Yin;Bing Zhang;Hong Zhang
    • Korean Journal of Radiology
    • /
    • 제21권7호
    • /
    • pp.869-879
    • /
    • 2020
  • Objective: To evaluate the performance of a convolutional neural network (CNN) model that can automatically detect and classify rib fractures, and output structured reports from computed tomography (CT) images. Materials and Methods: This study included 1079 patients (median age, 55 years; men, 718) from three hospitals, between January 2011 and January 2019, who were divided into a monocentric training set (n = 876; median age, 55 years; men, 582), five multicenter/multiparameter validation sets (n = 173; median age, 59 years; men, 118) with different slice thicknesses and image pixels, and a normal control set (n = 30; median age, 53 years; men, 18). Three classifications (fresh, healing, and old fracture) combined with fracture location (corresponding CT layers) were detected automatically and delivered in a structured report. Precision, recall, and F1-score were selected as metrics to measure the optimum CNN model. Detection/diagnosis time, precision, and sensitivity were employed to compare the diagnostic efficiency of the structured report and that of experienced radiologists. Results: A total of 25054 annotations (fresh fracture, 10089; healing fracture, 10922; old fracture, 4043) were labelled for training (18584) and validation (6470). The detection efficiency was higher for fresh fractures and healing fractures than for old fractures (F1-scores, 0.849, 0.856, 0.770, respectively, p = 0.023 for each), and the robustness of the model was good in the five multicenter/multiparameter validation sets (all mean F1-scores > 0.8 except validation set 5 [512 x 512 pixels; F1-score = 0.757]). The precision of the five radiologists improved from 80.3% to 91.1%, and the sensitivity increased from 62.4% to 86.3% with artificial intelligence-assisted diagnosis. On average, the diagnosis time of the radiologists was reduced by 73.9 seconds. Conclusion: Our CNN model for automatic rib fracture detection could assist radiologists in improving diagnostic efficiency, reducing diagnosis time and radiologists' workload.

Exploring the Role of Preference Heterogeneity and Causal Attribution in Online Ratings Dynamics

  • Chu, Wujin;Roh, Minjung
    • Asia Marketing Journal
    • /
    • 제15권4호
    • /
    • pp.61-101
    • /
    • 2014
  • This study investigates when and how disagreements in online customer ratings prompt more favorable product evaluations. Among the three metrics of volume, valence, and variance that feature in the research on online customer ratings, volume and valence have exhibited consistently positive patterns in their effects on product sales or evaluations (e.g., Dellarocas, Zhang, and Awad 2007; Liu 2006). Ratings variance, or the degree of disagreement among reviewers, however, has shown rather mixed results, with some studies reporting positive effects on product sales (e.g., Clement, Proppe, and Rott 2007) while others finding negative effects on product evaluations (e.g., Zhu and Zhang 2010). This study aims to resolve these contradictory findings by introducing preference heterogeneity as a possible moderator and causal attribution as a mediator to account for the moderating effect. The main proposition of this study is that when preference heterogeneity is perceived as high, a disagreement in ratings is attributed more to reviewers' different preferences than to unreliable product quality, which in turn prompts better quality evaluations of a product. Because disagreements mostly result from differences in reviewers' tastes or the low reliability of a product's quality (Mizerski 1982; Sen and Lerman 2007), a greater level of attribution to reviewer tastes can mitigate the negative effect of disagreement on product evaluations. Specifically, if consumers infer that reviewers' heterogeneous preferences result in subjectively different experiences and thereby highly diverse ratings, they would not disregard the overall quality of a product. However, if consumers infer that reviewers' preferences are quite homogeneous and thus the low reliability of the product quality contributes to such disagreements, they would discount the overall product quality. Therefore, consumers would respond more favorably to disagreements in ratings when preference heterogeneity is perceived as high rather than low. This study furthermore extends this prediction to the various levels of average ratings. The heuristicsystematic processing model so far indicates that the engagement in effortful systematic processing occurs only when sufficient motivation is present (Hann et al. 2007; Maheswaran and Chaiken 1991; Martin and Davies 1998). One of the key factors affecting this motivation is the aspiration level of the decision maker. Only under conditions that meet or exceed his aspiration level does he tend to engage in systematic processing (Patzelt and Shepherd 2008; Stephanous and Sage 1987). Therefore, systematic causal attribution processing regarding ratings variance is likely more activated when the average rating is high enough to meet the aspiration level than when it is too low to meet it. Considering that the interaction between ratings variance and preference heterogeneity occurs through the mediation of causal attribution, this greater activation of causal attribution in high versus low average ratings would lead to more pronounced interaction between ratings variance and preference heterogeneity in high versus low average ratings. Overall, this study proposes that the interaction between ratings variance and preference heterogeneity is more pronounced when the average rating is high as compared to when it is low. Two laboratory studies lend support to these predictions. Study 1 reveals that participants exposed to a high-preference heterogeneity book title (i.e., a novel) attributed disagreement in ratings more to reviewers' tastes, and thereby more favorably evaluated books with such ratings, compared to those exposed to a low-preference heterogeneity title (i.e., an English listening practice book). Study 2 then extended these findings to the various levels of average ratings and found that this greater preference for disagreement options under high preference heterogeneity is more pronounced when the average rating is high compared to when it is low. This study makes an important theoretical contribution to the online customer ratings literature by showing that preference heterogeneity serves as a key moderator of the effect of ratings variance on product evaluations and that causal attribution acts as a mediator of this moderation effect. A more comprehensive picture of the interplay among ratings variance, preference heterogeneity, and average ratings is also provided by revealing that the interaction between ratings variance and preference heterogeneity varies as a function of the average rating. In addition, this work provides some significant managerial implications for marketers in terms of how they manage word of mouth. Because a lack of consensus creates some uncertainty and anxiety over the given information, consumers experience a psychological burden regarding their choice of a product when ratings show disagreement. The results of this study offer a way to address this problem. By explicitly clarifying that there are many more differences in tastes among reviewers than expected, marketers can allow consumers to speculate that differing tastes of reviewers rather than an uncertain or poor product quality contribute to such conflicts in ratings. Thus, when fierce disagreements are observed in the WOM arena, marketers are advised to communicate to consumers that diverse, rather than uniform, tastes govern reviews and evaluations of products.

  • PDF

오운선수작위엄고대언인영득금패(奥运选手作为广告代言人赢得金牌), 비새중화비새후적고표개격상양(比赛中和比赛后的股票价格上扬) (Olympic Advertisers Win Gold, Experience Stock Price Gains During and After the Games)

  • Tomovick, Chuck;Yelkur, Rama
    • 마케팅과학연구
    • /
    • 제20권1호
    • /
    • pp.80-88
    • /
    • 2010
  • 相当多的调查目的是为了证明股东资产值和一些市场战略之间的关系. 之前的研究包括关于股票价格表现和广告之间的关系, 顾客服务学, 新产品介绍, 研究与开发, 名人转让, 品牌感知, 品牌价值评估, 公司名称变化, 以及运动相关的赞助者地位. 另一个据调查可以对股东资产值产生影响的因素是内含特殊体育事件的电视广告, 例如超级杯. 调查指出以超级杯为题材做了广告的公司股票价值都有所提升. 报告给出广告投资和股东价值提升之间的关系, 作为既普通又特殊的事件, 令人吃惊的是调查关注的奥林匹克运动会的相关广告投资以及之后的效果对股东价值的影响效果较小. 然而调查结果显示奥林匹克运动会的主办地却备受关注, 另外所受关注的是赛事的电视广播进行期间广告的财政稳固. 著名的包括Peters (2008), Pfanner (2008), Saini (2008), and KellerFay Group (2009). 这篇论文提出了有关在2000, 2004以及2008年夏季奥林匹克运动会期间在美国国家广播中进行过电视广告宣传的客户的研究.以下为所验证的五个假设: 假设一: 2008, 2004和2000年在美国电视广播中播放奥运广告的公司股票价格在同期比斯坦普500股票价格指数表现要好. 假设二: 奥运相关股票价格比斯坦普500股票价格指数在整个广告播放期间都表现的更好, 播放期间是指从奥运开始前的周一到当年年底. 假设三: 奥运相关股票价格比斯坦普500股票价格指数长期都表现的更好, 长期是指从奥运开始前的周一第二年的年中. 假设四: 在没有奥运会的期间, 奥运相关股票价格和斯坦普500股票价格指数间没有明显差异. 假设五: 在美国电视广播中播放奥运广告的公司的当年年报比其他非奥运年份要好. 本研究记录在过去三届奥运会期间做广告公司的股票价格(北京奥运, 雅典好运, 悉尼奥运). 我们通过Google和电视网络(例如NBC)来确定这些广告. NBC在过去的三届奥运会获得了在美国转播权. 我们使用互联网来确定这些做过广告的品牌的母公司. 股票价格是通过使用Yahoo财经频道来获得的. 本文所使用的所有的信息都是被公开的信息. 总共有117个奥运广告在2008, 2004和2000年在美国播放. 细节可以从图例1中获得. 结果表明这些奥运相关股票在奥运期间以及奥运前期比斯坦普500股票价格指数表现要好. 相同的结果也可以在奥运开始以后到当年年底, 以及之后半年的记录中获得. 价格压力, 信号理论, 高收视率, 以及企业的刺激战略都对这一个结果有着贡献. 论文最后为广告商和研究者提出了建议并对以后的研究提出了方向.