• Title/Summary/Keyword: Non-decision Making

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The incidence of unexpected delays in uploading outside radiologic images in the transfer of patients with major trauma

  • Woo, Si Jun;Kim, Yong Oh;Kim, Hyung Il
    • Journal of Trauma and Injury
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    • v.35 no.2
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    • pp.92-98
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    • 2022
  • Purpose: Critically ill patients are frequently transferred from one point of care to a hospital that can provide a higher level of care. To achieve optimal treatment within the targeted window of time necessary for time-sensitive cases like major trauma, rapid transportation and decision making are essential. Transferred patients have often undergone radiologic imaging at the referring hospital. Examining these outside images is paramount. Therefore, this study was conducted to estimate the upload time of outside images. Methods: This retrospective study was conducted from January to April 2020. Patients transferred from other hospitals with digitally recorded CDs or DVDs of radiologic or diagnostic images were included. When the patients were registered at the emergency department reception desk, the digital images were transmitted to our picture archiving and communication system using transmission software. The time of upload and the numbers of digital images were recorded. The time interval from patient registration to the time of upload was calculated. Results: The median number of images was 688 in the trauma team activation (TTA) group (688 in the TTA group, 281 in the non-TTA trauma group, and 176 in the nontrauma group, respectively; P<0.001). The median upload time was 10 minutes. The longest upload time was 169 minutes. The upload time was more than 20 minutes in 12 cases (19.4%). Conclusions: Patients with major trauma bring more images than patients with other diseases. Unexpected delays (>20 minutes) were noted in approximately 20% of cases. It is necessary to minimize this time.

Nature-based Solutions for Climate-Adaptive Water Management: Conceptual Approaches and Challenges (기후변화대응 물관리를 위한 자연기반해법의 개념적 체계와 정책적 과제)

  • Park, Yujin;Oh, Jeill
    • Journal of Korean Society on Water Environment
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    • v.38 no.4
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    • pp.177-189
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    • 2022
  • Nature-based Solutions (NbS) are defined as practical and technical approaches to restoring functioning ecosystems and biodiversity as a means to address socio-environmental challenges and provide human-nature co-benefits. This study reviews NbS-related literature to identify its key characteristics, techniques, and challenges for its application in climate-adaptive water management. The review finds that NbS has been commonly used as an umbrella term incorporating a wide range of existing ecosystem-based approaches such as low-impact development (LID), best management practices (BMP), forest landscape restoration (FLR), and blue-green infrastructure (BGI), rather than being a uniquely-situated practice. Its technical form and operation can vary significantly depending on the spatial scale (small versus large), objective (mitigation, adaptation, naturalization), and problem (water supply, quality, flooding). Commonly cited techniques include green spaces, permeable surfaces, wetlands, infiltration ponds, and riparian buffers in urban sites, while afforestation, floodplain restoration, and reed beds appear common in non- and less-urban settings. There is a greater lack of operational clarity for large-scale NbS than for small-scale NbS in urban areas. NbS can be a powerful tool that enables an integrated and coordinated action embracing not only water management, but also microclimate moderation, ecosystem conservation, and emissions reduction. This study points out the importance of developing decision-making guidelines that can inform practitioners of the selection, operation, and evaluation of NbS for specific sites. The absence of this framework is one of the obstacles to mainstreaming NbS for water management. More case studies are needed for empirical assessment of NbS.

Digital Twin Model Design And Implementation Using UBS Process Data (UBS공정 데이터를 활용한 디지털트윈 모델 설계 및 구현)

  • Park, Seon-Hui;Bae, Jong-Hwan;Ko, Ho-Jeong
    • Journal of Internet of Things and Convergence
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    • v.8 no.3
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    • pp.63-68
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    • 2022
  • Due to COVID-19, many paradigm shifts in existing manufacturing facilities and the expansion of non-face-to-face services are accelerating worldwide. A representative technology is digital twin technology. Such digital twin technology, which existed only conceptually in the past, has recently become feasible with the construction of a 5G-based network. Accordingly, this paper designed and implemented a part of the USB process to enable digital twins based on OPC UA communication, which is a standard interlocking structure, between real object objects and virtual reality-based USB process in accordance with this paradigm change. By reflecting the physical characteristics of real objects together, it is possible to simulate real-time synchronization of these with real objects. In the future, this can be applied to various industrial fields, and it is expected that it will be possible to reduce costs for decision-making and prevent dangerous accidents.

Integrated Platform on the Basis of Heterogeneous Data to Support the Establishment of an Innovative Ecosystem for National High-Performance Computing: Focusing on Life Science & Public Health Area (국가 초고성능컴퓨팅 혁신 생태계 구축 지원을 위한 이종데이터 기반 통합 플랫폼: 생명·보건분야를 중심으로)

  • Do-Yeon Lee;Myoung-Ju Koh;Jae-Gyoon Hahm;Keun-Hwan Kim
    • Journal of the Korean Society of Industry Convergence
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    • v.26 no.1
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    • pp.1-14
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    • 2023
  • To secure national future competitiveness, the Korean government announced the 『National Ultra-High Performance Computing (HPC) Innovation Strategy (2021.5.28.)』 and set three innovation strategy goals throughout establishing an innovation ecosystem. This study presented a heterogenous data-based strategic support framework that allowed to understand both the current status of domestic & foreign R&D areas and domestic industrial economy areas in terms of strategic fields related to ultra-high performance computing, and the empirical research was conducted in the life science and public health area. The HPC innovation ecosystem platform based on the connection of heterogeneous data (domestic R&D project-technology-industry-overseas R&D project) presented in this study provided useful and essential information that allowed establishing a specific action plan for the national HPC innovation strategy and contributing to vitalizing the innovation ecosystem. Since the evidence-based policy assumes that a more reasonable consensus is reached through a non-biased decision- making process among stakeholders, the proposed platform may contribute to enhancing policy momentum by increasing legitimacy and trust of planning of the national HPC strategy.

Short-term Scheduling Optimization for Subassembly Line in Ship Production Using Simulated Annealing (시뮬레이티드 어닐링을 활용한 조선 소조립 라인 소일정계획 최적화)

  • Hwang, In-Hyuck;Noh, Jac-Kyou;Lee, Kwang-Kook;Shin, Jon-Gye
    • Journal of the Korea Society for Simulation
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    • v.19 no.1
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    • pp.73-82
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    • 2010
  • Productivity improvement is considered as one of hot potato topics in international shipyards by the increasing amount of orders. In order to improve productivity of lines, shipbuilders have been researching and developing new work method, process automation, advanced planning and scheduling and so on. An optimization approach was accomplished on short-term scheduling of subassembly lines in this research. The problem of subassembly line scheduling turned out to be a non-deterministic polynomial time problem with regard to SKID pattern’s sequence and worker assignment to each station. The problem was applied by simulated annealing algorithm, one of meta-heuristic methods. The algorithm was aimed to avoid local minimum value by changing results with probability function. The optimization result was compared with discrete-event simulation's to propose what pros and cons were. This paper will help planners work on scheduling and decision-making to complete their task by evaluation.

Effects and Challenges of Cluster Curriculum of Gyeonggi-do Province in Korea: High School Students' Participation Experience in Health (고등학교 클러스터 교육과정의 성과 및 과제: 보건 교과목 고등학생의 참여경험)

  • Yang, Hye Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.105-112
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    • 2022
  • This study is a qualitative study that analyzes the achievements and tasks of the cluster curriculum through the experiences of high school students who participated in the health cluster curriculum. As a result of the study, topics such as "Best Choice in a Competitive Environment," "Change in Health Perception," "Desire to Experience Various Health Worlds," "Limits in Non-regular Curriculum Operation," and "Feel Good Imagination" were derived. Through this study, students who participated in the cluster curriculum changed their perception of health positively, and confidence in career setting and career decision-making was improved through acquiring information on health care. However, supplementing the curriculum content in the specialized fields of health care, including classes and practice, was found to be a task to be improved. It is suggested that policy alternatives for career education should be developed by sharing the achievements and tasks raised in this study.

Impact of Government Business to Investors Reference Point (정부 주도사업이 투자자 의사결정 준거점에 미치는 영향)

  • HeeJong Chun;DaeMyeong Cho
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.19 no.1
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    • pp.23-31
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    • 2024
  • The paper investigates the influence of government-led projects on investors' decision-making reference points, using Prospect Theory and Human Capital Theory. It empirically explores whether government initiatives shift investors' reference points, offering insights for private investments in government-backed ventures. The study, spanning from May 2017 to May 2022, compares 51 companies involved in Korea's 'New Deal' policy to 49 non-participating companies. It considers founders' human capital elements such as past startup experience, technical and managerial industry experience, education level, and graduate school reputation. The analysis reveals that only the reputation of the founder's graduate school has a significant negative effect, implying a conservative approach by investors towards government-led projects. This highlights the need for investors to consider the founder's social capital and the impact of government support on venture growth and public offering pace.

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Suggesting Online Whiteboard Tool Concepts for the Convergence Process of Online Collaboration (온라인 협업의 수렴과정 개선을 위한 온라인 화이트보드 툴 콘셉트 제안)

  • Wu Seok Lim;Sang Hoon Jeong
    • Smart Media Journal
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    • v.12 no.11
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    • pp.198-210
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    • 2023
  • After COVID-19, team's collaborations are conducted online using whiteboard tools as remote working increases. In order to understand the problems of the convergence process using online whiteboard tools, an observation study comparing online and offline collaboration and a focus group interview were conducted. In addition, a questionnaire was conducted to confirm the found problem, and a solution idea was proposed. through in-depth interviews, we validate the proposed ideas. The convergence process of collaboration using online whiteboard tools had problems ; "excessive amount of information", "shift of view", "role of facilitator". To solve the problems, we proposed the idea of classifying each stage of the collaboration process, providing a navigator, and facilitator request system window. This paper proposed an idea that can effectively help the convergence process directly related to decision-making during the online collaboration process through analysis of advantages and problems of online and offline collaboration.

Clinicoradiological Characteristics in the Differential Diagnosis of Follicular-Patterned Lesions of the Thyroid: A Multicenter Cohort Study

  • Jeong Hoon Lee;Eun Ju Ha;Da Hyun Lee;Miran Han;Jung Hyun Park;Ji-hoon Kim
    • Korean Journal of Radiology
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    • v.23 no.7
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    • pp.763-772
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    • 2022
  • Objective: Preoperative differential diagnosis of follicular-patterned lesions is challenging. This multicenter cohort study investigated the clinicoradiological characteristics relevant to the differential diagnosis of such lesions. Materials and Methods: From June to September 2015, 4787 thyroid nodules (≥ 1.0 cm) with a final diagnosis of benign follicular nodule (BN, n = 4461), follicular adenoma (FA, n = 136), follicular carcinoma (FC, n = 62), or follicular variant of papillary thyroid carcinoma (FVPTC, n = 128) collected from 26 institutions were analyzed. The clinicoradiological characteristics of the lesions were compared among the different histological types using multivariable logistic regression analyses. The relative importance of the characteristics that distinguished histological types was determined using a random forest algorithm. Results: Compared to BN (as the control group), the distinguishing features of follicular-patterned neoplasms (FA, FC, and FVPTC) were patient's age (odds ratio [OR], 0.969 per 1-year increase), lesion diameter (OR, 1.054 per 1-mm increase), presence of solid composition (OR, 2.255), presence of hypoechogenicity (OR, 2.181), and presence of halo (OR, 1.761) (all p < 0.05). Compared to FA (as the control), FC differed with respect to lesion diameter (OR, 1.040 per 1-mm increase) and rim calcifications (OR, 17.054), while FVPTC differed with respect to patient age (OR, 0.966 per 1-year increase), lesion diameter (OR, 0.975 per 1-mm increase), macrocalcifications (OR, 3.647), and non-smooth margins (OR, 2.538) (all p < 0.05). The five important features for the differential diagnosis of follicular-patterned neoplasms (FA, FC, and FVPTC) from BN are maximal lesion diameter, composition, echogenicity, orientation, and patient's age. The most important features distinguishing FC and FVPTC from FA are rim calcifications and macrocalcifications, respectively. Conclusion: Although follicular-patterned lesions have overlapping clinical and radiological features, the distinguishing features identified in our large clinical cohort may provide valuable information for preoperative distinction between them and decision-making regarding their management.

An Study on the Public Records Management Act and Special Archives in Korea (공공기록물관리법과 특수기록관리제도에 관한 고찰)

  • Youn, Eunha
    • The Korean Journal of Archival Studies
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    • no.79
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    • pp.169-203
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    • 2024
  • The records managed in special archives are core records of our society produced and managed by actual power players in the decision-making process. The Public Records Management Act stipulates that the transfer period of non-public records under its jurisdiction may be extended to 30 years after the end of the year of production only to special archives, and that the transfer period may be extended if it is necessary to continue to use them for business performance even after 30 years. In order to understand the exceptional procedures and implementation of this special records management system, an analysis of not only the meaning of special records but also the characteristics, scope, and types of special records must be preceded. In addition, the implementation method of the special records maintained by the institution must be analyzed. It also needs to be reviewed. Therefore, this paper first analyzed the transfer status of special records revealed in the National Archives' white paper and statistical data and examined the types, categories, and characteristics of special records and special archives. Second, we reviewed the establishment of special archives by 2023 and changes in operating methods according to the organizational system.