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Intracranial Pressure and Cerebral Blood Flow Monitoring after Bilateral Decompressive Craniectomy in Patients with Acute Massive Brain Swelling (급성 중증 뇌종창 환자의 양측성 감압개두술 후 뇌압 및 뇌혈류 측정)

  • Yoo, Do-Sung;Kim, Dal-Soo;Huh, Pil-Woo;Cho, Kyoung-Suck;Park, Chun-Kun;Kang, Joon-Ki
    • Journal of Korean Neurosurgical Society
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    • v.30 no.3
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    • pp.295-306
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    • 2001
  • Objectives : The management of massive brain swelling remains an unsolved problem in neurosurgical field. Despite newly developed medical and pharmacological therapy, the mortality and morbidity due to massive brain swelling remains high. According to many recent reports, surgical decompression with dura expansion is superior to medical management in patients with massive brain swelling. We performed surgical treatment on the first line of treatment, and followed medical management in case with refractory increased intracranial pressure(ICP). To show the quantitative effect of decompressive surgery on the intracranial pressure, we performed ventricular puncture and checked the ventricular ICP continuously during the decompressive surgery and postoperative period. Materials and Methods : Fifty-one patients with massive brain swelling, undergoing bilateral decompressive craniectomy with dura expansion, were studied in this study. In all patients, ventricular puncture was performed at Kocher's point on the opposite side of massive brain swelling. The ventricular pressure was monitored continuously, during the bilateral decompression procedures and postoperative period. Results : The initial ventricular ICP were varied from 13mmHg to 112mmHg. Immediately after the bilateral craniectomy, mean ventricular ICP decreased to $53.1{\pm}15.8%$ of the initial ICP(ranges from 5mmHg to 87mmHg). Dura opening decreased mean ICP by additional 36.7% and made the ventricular pressure $16.4{\pm}10.5%$ of the initial pressure (ranges from 0mmHg to 28mmHg). Postoperatively, ventricular pressure was lowered to $20.2{\pm}22.6%$(ranged from 0mmHg to 62.3mmHg) of the initial ICP. The ventricular ICP value during the first 24 hours after decompressive surgery was found to be an important prognostic factor. If ICP was over 35mmHg, the mortality was 100% instead of additional medical(barbiturate coma therapy and hypothermia) treatments. Conclusion : Bilateral decompression with dura expansion is considered an effective therapeutic modality in ICP control. To obtain favorable clinical outcome in patients with massive brain swelling, early decision making on surgical management and proper patient selection are mandatory.

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Matching Algorithms using the Union and Division (결합과 분배를 이용한 정합 알고리즘)

  • 박종민;조범준
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.8 no.5
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    • pp.1102-1107
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    • 2004
  • Fingerprint Recognition System is made up of Off-line treatment and On-line treatment; the one is registering all the information of there trieving features which are retrieved in the digitalized fingerprint getting out of the analog fingerprint through the fingerprint acquisition device and the other is the treatment making the decision whether the users are approved to be accessed to the system or not with matching them with the fingerprint features which are retrieved and database from the input fingerprint when the users are approaching the system to use. In matching between On-line and Off-line treatment, the most important thing is which features we are going to use as the standard. Therefore, we have been using “Delta” and “Core” as this standard until now, but there might have been some deficits not to exist in every person when we set them up as the standards. In order to handle the users who do not have those features, we are still using the matching method which enables us to make up of the spanning tree or the triangulation with the relations of the spanned feature. However, there are some overheads of the time on these methods and it is not sure whether they make the correct matching or not. Therefore, I would like to represent the more correct matching algorism in this paper which has not only better matching rate but also lower mismatching rate compared to the present matching algorism by selecting the line segment connecting two minutiae on the same ridge and furrow structures as the reference point.

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.

The Meaning and Usefulness of Simulation Method for Business Process Reengineering -Focused on the Korean Supreme Court BPR Project (1994-2003)-

  • Hong, Sung-wan;Roh, Tae-hoon;Kang, Sung-min;Lee, Jung-woo;Kang, Ga-na
    • Proceedings of the Korea Society for Simulation Conference
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    • 2001.10a
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    • pp.170-202
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    • 2001
  • Simulation is used to reduce a risk involved in the new project and decision-making in an organization and to save cost and time by forecasting different situations. The objectives of this research are to acknowledge the need of simulation through the real life sample and to encourage the use of the simulation method in the future consulting project by continuously making the necessary improvements. This research analyzed the effectiveness of the simulation based on the sample use of simulation method in 1994 and 1997 for the BPR project of certification issuance process at the Supreme Court. In order to evaluate the value of the proposed simulation model, we examined the gap, which existed between the simulation result and the operational data collected by visiting the actual sites where AROS (Automated Registry Office System: automation system developed by LG-EDS Systems) is being utilized. We also identified the causes for the existing gap. According to the analysis result, (1) the gap came from the status change of thinking that the concentration of certification issuance request has eased after the computerization, (2) the gap existed in the operational process because they failed to consider the situational factors of each registry office in the simulation model, and (3) lastly the gap came from the difficulty of formulating the mathematical model for predicting the complex and diverse behavior pattern of individuals requesting the certification issuance. In order to narrow the existing gaps, we made a proposal to improve the certification issuance process where software of certification issuance vending machine was upgraded in order to help the people to use the service conveniently, more part time workers were hared when there was a overload of certification issuance request, and the quality of the certification Issuance vending machine is improved, In this research, we examined an efficient way of resource allocation based on the simulation conducted in 1994 and 1997. By reflecting changes since the simulation of 1994 and allocating the clerk and machine based on the predicted results of the simulation, we maximized the efficiency of the certification issuance process. In conclusion, this research examined the future usability of simulation method based on the analysis result and identified the key issues to consider when using the simulation method in the future consulting project.

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Improvement Measures of Pollutants Unit-Loads Estimation for Paddy Fields (논으로부터 배출되는 영양물질 오염부하량 원단위 산정 방법 개선 방안 검토)

  • Jung, Jae-Woon;Yoon, Kwang-Sik;Choi, Woo-Jung;Choi, Woo-Young;Joo, Seuk-Hun;Lim, Sang-Sun;Kwak, Jin-Hyeob;Lee, Soo-Hyung;Kim, Dong-Ho;Chang, Nam-Ik
    • Journal of Korean Society on Water Environment
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    • v.24 no.3
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    • pp.291-296
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    • 2008
  • Pollutant unit load developed by Ministry of Environment (MOE) in 1995 has been a tool commonly used for water quality management and environmental policy decision. In spite of the convenience of the method in application, the shortcoming of the method has been criticized especially for nonpoint source pollution from paddy field. In this paper the estimation procedures of pollutant unit load from paddy field in the major river basins (Han, Nakdong, Geum, and Youngsan river) were investigated, and some suggestions of improvement measures of the unit-load estimation were made. The investigation showed that the distributions of rainfall, run-off, and run-off ratio, which are the most important factors affecting discharge amount of pollutants, were not similar among river basins. Such differences seemed to result in a greater unit loads estimation at Han river and at Nakdong river watersheds compared to the others. Therefore, it is not likely to be rationale to compare unit load among the watersheds without consideration of such differences. We conclude that estimation of unit-load through an intensive monitoring of pollutant discharge is crucial for better estimation of unit-load. When such an intensive monitoring is not easy due to labor and expense restriction, we suggest that unit-load should be estimated based on the storm-events which is a representative rainfall-runoff event of the area.

Pedestrian Multi-Agent Model in College Town Streets (대학촌 가로의 보행환경 개선을 위한 보행자 멀티에이전트(Pedestrian Multi-Agent) 모델링)

  • Moon, Tae-Heon;Han, Soo-Chel;Sung, Han-Uk;Jeong, Kyeong-Seok
    • Journal of the Korean Association of Geographic Information Studies
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    • v.9 no.2
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    • pp.194-205
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    • 2006
  • The purpose of this study is to develop a pedestrian multi-agent model and simulation system using multi-agent theory, which may be utilized as a planning support system for building a comfort and safe environment of pedestrian street. Differing from existing pedestrian models, however, every single pedestrian was regarded as an individual agent in the model. Multiple agents like multiple pedestrians in the street then maintain their own characteristics and respond to surrounding environment. In addition their moving behavior are made by their own decision rules that they have or had acquired through the interactive communications or learning between agents like real world. After verifying the model validation, as the $R^2$ between the predicted value and observed value was up to 0.781, the developed model was applied to Gazwa district within Gyeongsang university village. The simulation system was developed by Flash MX action scripts and the physical environment of the streets was configured with the digital map and ArcGis within computer virtual space. The attribute data of buildings such as type and size of commercial business were collected through the field survey and combined with physical features. Then the effect of the variation of building attractiveness and the occurrence of street events to pedestrian environment were simulated. Through the experiments this study could make suggestions to improve pedestrian environment.

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A case study on the conditions of direct transport for the preferential tariff treatment through Korea-EU FTA(Free Trade Agrement) (한.EU FTA하에서 협정관세적용을 위한 직접운송 요건의 충족여부에 관한 사례연구)

  • Han, Sang-Hyun
    • International Commerce and Information Review
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    • v.15 no.2
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    • pp.207-232
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    • 2013
  • FTA(Free Trade Agreement) of South Korea and European Union(EU) took effect from July 1, 2011. Korea signed a contract FTA with the European Union by first among Asian country, and Korea EU FTA is evaluated that it is wide, comprehensive and high level FTA. Therefore, Korea EU FTA will become FTA that dimension is high, and FTA fermentation with the European Union may activate the Korean economy through extension of export. By the way, in Korea EU FTA, the stipulations on import and export clearance system is different compared with other FTA. Therefore, exporter and importers should compare thoroughly on essential factor of origin standard and preferential tariff which is set in FTA Agreement. In this study, I analyzed 'conditions of direct transport' that is prescribed in article 13 of Korea EU FTA. Particular, I analyzed recently example of appeal for review that decision is made in the Korea Customs Service(KCS). Laying stress on counter measure of business, conclusion in this study is as following. First, companies must understand correctly a single consignment and a single transport document under Korea EU FTA. Second, companies must not analyze wrong 'conditions of direct transport'. Third, when simplicity transshipment or temporary custody is consisted, companies must secure documentary evidence as soon as possible. Fourth, in case goods pass third country, companies must understand uprightly 'a single consignment'. Finally, companies should keep in mind to truth that European Union and EFTA are different FTA.

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A Study on the Design Value Analysis Methodology for Bridge Structure Using Reliability Analysis (신뢰성 해석을 이용한 교량구조물의 설계VA기법 연구)

  • Kim, Seong-Il;Lee, Kwang-Mo;Choi, Suk-Won;Jung, Jun-Hwa;Kim, Seong-Il
    • Korean Journal of Construction Engineering and Management
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    • v.10 no.1
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    • pp.114-125
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    • 2009
  • In this study, a design value analysis technique that considered stochastic LCC and stochastic performance evaluation was proposed, and by introducing the concept of reliability analysis, a decision making that secured reliability was supported. The results of this study, which was carried out according to the above objectives and methods, are summarized as follows: 1) The design value analysis procedures and value state function, improved in order to carry out a reliable analysis when evaluating alternate proposals that were extracted after the function definition was complete, were formalized, and in order to secure consistency and efficiency for value evaluation procedures, an evaluation index scheme was proposed; 2) Database collection and analysis were done for a bridge's LCC analysis. As for the collection scope of data, literature of previous research done on a bridge's LCC analysis was used as the basis for analysis, and for securing reliability regarding analysis results and dealing with uncertainty of collected data, the MCS technique was applied; 3) Weights and evaluation ranks for performance evaluation of each of the alternate proposals, as well as LCC analysis model, analysis period, discount rate, user expense, safety inspection and safety diagnosis expense conditions for LCC analysis were proposed. Lastly, a feasibility study was done and conclusion was made about "OO grand bridge and connecting road construction work execution design" project centered on value analysis execution case.

A COMPARATIVE STUDY OF CAUSES AND EFFECTS OF PROJECT DELAYS AND DISRUPTIONS IN CONSTRUCTION PROJECTS IN THE SOUTH AFRICAN CONSTRUCTION INDUSTRY

  • Oshungade, Oluwaseun O.;Kruger, Deon
    • Journal of Construction Engineering and Project Management
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    • v.7 no.1
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    • pp.13-25
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    • 2017
  • Construction projects have been observed to have problems of project delays and disruptions and the South African construction industry is not an exception. This research identified causes and effects of project delay and disruption through a desktop study. Subsequently, a questionnaire was designed and used to conduct a survey to obtain the views of the three main construction project participants - clients, consultants, and contractors. The questionnaire contains 48 causes and 13 effects of project delay and disruption identified from the desktop study. This research identified sixteen most important causes of project delay and disruption and five most important effects of delay and disruption. Sixteen most important causes were: (1) strikes, (2) rework due to errors during construction, (3) shortage of materials in market, (4) suspension of work by the client, (5) poor communication between the parties, (6) ineffective planning and scheduling of project, (7) delays in issuing working drawings, (8) mistakes and discrepancies in design documents, (9) shortage of labours and equipment, (10) delay in decision making process by the client, (11) unforeseen ground conditions, (12) unclear and inadequate details in drawing, (13) inadequate contractor's experience, (14) delay in approving changes in the scope of works, (15) delay in material delivery and (16) unacceptable quality of materials. The five major effects include: (1) create stress on contractors, (2) cost overrun, (3) time overrun, (4) poor quality of work due to rush, and (5) disputes. Furthermore, the result of this research was compared with the result of previous studies conducted in other regions of Africa in terms of causes and effects of project delay and disruption. The research concludes that numerous causes and effects of delay and disruption are limited to South African construction projects based on the comparison. The causes limited to South African construction projects include: (1) strikes, (2) suspension of work by the client (3) mistakes and discrepancies in design documents (4) delay in approving changes in the scope of works and (5) unacceptable quality of materials, while the two major effects limited to South African construction projects includes: (1) create stress on contractors and (2) poor quality of work. In conclusion, some recommendations were made in order to minimise the causes of delay and disruption identified.

Physical Therapy Clinical Practice and Documentation for Pusher Syndrome in Stroke Patients: Case Report (밀기증후군을 가진 뇌졸중 환자에 대한 임상 실기와 문서화: 사례보고)

  • Hwang, Ki-Kyeong;Song, Su-Young;Doo, Yeong-Taek;Yoon, Se-Won;Lee, Jeong-Woo
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.9 no.1
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    • pp.41-49
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    • 2011
  • This study purposes to conduct visual feedback and body posture control training on stroke patients with pusher syndrome in order to reduce their pusher syndrome. This study also examines changes resulting from the training and applies the guidelines necessary for documentation of patient/customer management. The participant for this study was one patient with pusher syndrome. The study progressed from a medical examination of the subject followed by evaluation, diagnosis, prognosis, intervention and treatment plan, and finally re-examination in order of precedence. Problems in the participant's functional activities, difficulties in changes from sitting postures into standing postures, and maintaining standing postures were determined as primary restrictions on activities and the improvement of these activities was set up as a goal through discussions with the patient. Interventions were mainly implemented to reduce the pusher syndrome with visual feedback provided using mirrors and exercises focusing on leaning in order to maintain posture while sitting. Changes from supine postures to sitting postures and the degree of changes in maintaining standing postures were compared between before and after the intervention by measuring times in the same environment and the degree of pusher syndrome was measured using the SCP tool. The process of this clinical practice was documented. The SCP score that indicates the degree of changes in the participant's pusher syndrome changed from 3.75 points to 0.8 point indicating a decrease in pushing. Among functional activities, posture changes from sitting postures to standing postures and maintaining standing postures were improved. In addition, since the patient could maintain standing postures, the patient could walk indoors. In this case study, mirrors and body posture control training used as interventions to relieve pusher syndromes can be easily applied in clinics to examine the form of functional recovery. The results indicated that these intervention methods were effective and thus it is thought that the results can be used as basic data to utilize these intervention methods diversely. In addition, the documentation of patient/client management was applied as actual documentation in Korean and based on the results, we could show decision making processes for patients' functional goals and objectively explain problems, prognoses and changes made through the interventions.