• Title/Summary/Keyword: Shared decision making

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A Case Study on BIM-enabled Evaluation of Design Alternatives for an Actual Remodeling Project in Korea - Focusing on the Spatial Program Review in Early Phase of Design -

  • Kim, Hyunjung;Lee, Jin-Kook
    • Korean Institute of Interior Design Journal
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    • v.24 no.5
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    • pp.117-127
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    • 2015
  • This paper depicts a case study of the BIM (Building Information Modeling)-enabled evaluation of design alternatives for an actual remodeling project in Yeongwol, Korea. The increase of urban population and income followed by the growth of economy has derived massive supply of grand scale housing project in Korea since 1970s. Consequently, building remodeling became one of the feasible resolutions for renovating such old housings in these days. This paper aims to introduce a technical approach to such remodeling projects based on BIM-enabled applications focusing on quantitative analysis of design alternatives. Among the technical issues of such building remodeling projects, this paper focuses on the BIM-enabled area analysis and comparison between design alternatives to support decision-making even in early phase of remodeling design process. BIM and its variety of applications have broadly influenced the domain of AEC-FM (Architecture, Engineering, Construction, and Facility Management) within the lifecycle of buildings. As one of the applications facilitated by BIM, the automated area calculation and scenario-based comparison between alternatives can play an important role in the early phase of remodeling project. We modeled three design alternatives (buildings) and three housing modules (units) based on the actual case in Yeongwol city, Korea using a BIM design authoring tool. Nine combinatorial BIM models were demonstrated for the BIM-enabled review process described in this paper. To determine the most optimal design scenario among nine alternatives, this paper demonstrates a result of the conducted spatial program review. The main subject includes specific spatial program issues on; 1) the number of unit spaces; and 2) area of individual/grouped and private/shared spaces.

Rethinking Borders of National Systems of Innovation:Austrian Perspectives on Korea's Internationalization of Green Technologies

  • Olbrich, Philipp;Witjes, Nina
    • STI Policy Review
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    • v.5 no.2
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    • pp.65-95
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    • 2014
  • The recent decades have seen a growing rate of international cooperation in science, technology, and innovation (STI) including in the field of green technologies. However, current approaches to national systems of innovation (NSI) have not kept up with this development. International aspects are rather treated as external conditions within which policymakers operate and respond but not influence. This paper tackles this problem by applying a refined NSI concept that includes an international dimension and complements past frameworks by focusing on those Korean government policies, actors, and activities relevant for the internationalization of STI. Austria and Korea have both formulated differing strategies to acquire international leading positions in the field of innovation and the development of green technologies. In the first step, the paper assesses Korea's international activities within the field of green technologies that transcend national boundaries and establish international connections. The government has still a strong influence on selecting technology areas for strategic funding but our findings show that international STI actors have difficulties in identifying the appropriate point of contact to initiate cooperation or apply for related funding. Second, an external perspective on Korea's international collaborations in the field of green technologies is offered. Austria has tentatively identified the East Asian country as a second-priority cooperation partner for its future STI internationalization activities. Interviews with Austrian stakeholders in the field of green technologies indicate a high interest in cooperation with Korea that is facilitated by a similar business culture based on personal networks. Moreover, researchers and policymakers referred to a shared need of small countries for intelligent decision-making processes regarding potential cooperation partners abroad. However, in order to enhance awareness, visibility and demand for Korean STI cooperation in European countries, more long-term funding programs featuring a more permanent point of contact should be introduced.

Long-term outcomes of initially conservatively treated midshaft clavicle fractures

  • Lee, Gwan Bum;Kim, Hyojune;Jeon, In-Ho;Koh, Kyoung Hwan
    • Clinics in Shoulder and Elbow
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    • v.24 no.1
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    • pp.9-14
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    • 2021
  • Background: Recent studies about completely displaced midshaft clavicle fractures have reported that their nonunion/malunion rates were significantly higher in conservatively treated patients compared to surgically treated patients. The purpose of this study was to evaluate the factors associated with treatment decisions for midshaft clavicle fractures and also the factors that affect patient satisfaction with their treatment choice. Methods: We retrospectively reviewed the records of 75 patients who had been diagnosed with a midshaft clavicle fracture and were treated conservatively at a single institution between March 1, 2013, and December 31, 2014. Their medical records were reviewed to investigate the severity of the initial vertical displacement. A telephone survey was carried out to identify the presence of any patient-perceived deformity and determine if the patient eventually underwent surgery and whether the patient would prefer surgery if the injury recurred. Results: Significantly more patients with vertical displacement ≥100% (9/28) eventually underwent surgery compared to patients with vertical displacement <100% (3/32, p=0.028). Patients with vertical displacement ≥100% (13/28) were significantly more likely to prefer surgery compared to patients with vertical displacement <100% (7/32, p=0.044). Among the conservatively treated patients, nine of 32 participants with a patient-perceived deformity and one of 16 without a patient-perceived deformity responded that they would prefer to receive surgery in same situation in the future (p=0.079). Conclusions: Patients with a midshaft clavicle fracture with vertical displacement of ≥100% may eventually require surgical treatment. When conservative treatment is carried out, the long-term patient results may be unsatisfactory due to perceived residual deformities.

A Case Study on Freshcode for the Food Online Platform Business: A Focus on the Lean Start-Up (푸드 온라인 플랫폼 비즈니스 프레시코드 사례: 린 스타트업 방식을 중심으로)

  • Kim, Cha Young;Park, Cheol
    • Journal of Information Technology Services
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    • v.20 no.5
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    • pp.89-104
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    • 2021
  • Food delivery service combined with IT technology and HMR (Home Meal Replacement) are rapidly growing due to the COVID-19. Recently, the demand for salads along with HMR has increased among office workers in their 20s and 30s who are interested in health and beauty. Freshcode is a food startup with 6 years of experience that started selling salad products through O2O service. Freshcode applied for a patent for a service that collects orders from nearby areas and delivers them on the same day to a designated delivery address 'FCOSPOT' to save shipping costs. In March 2021, in recognition of the growth potential of the regular delivery service, Freshcode received an investment of 6 billion won in Series A. This study may have practical implications to early-stage startups and scale-up stage startups through a longitudinal case study on the growth of a single company. As for the research method, the lean startup methodology and lean canvas were used in the early stage of startup. In particular, the process of the build-measure and learn feedback-loop, which is the core of lean startup methodology, was applied to each major decision-making step. In the scale-up stage after 5 years, the business model canvas was used to schematize the growth as a food online O2O platform to verify continuous innovation. This case study has three main findings. First, the idea of 'FCOSPOT' was successfully implemented through the Lean Startup methodology. Second, Freshcode demonstrated the scalability of the differentiated business model of shared base delivery O2O. Third, a key factor of success was the digital integrated communication operation strategy that maximizes the experience for the created customers.

A Cross-Sectional Analysis of Breast Reconstruction with Fat Grafting Content on TikTok

  • Gupta, Rohun;John, Jithin;Gupta, Monik;Haq, Misha;Peshel, Emanuela;Boudiab, Elizabeth;Shaheen, Kenneth;Chaiyasate, Kongkrit
    • Archives of Plastic Surgery
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    • v.49 no.5
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    • pp.614-616
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    • 2022
  • As of November 2021, TikTok has one billion monthly active users and is recognized as the most engaging social media platform. TikTok has seen a surge in users and content creators, ranging from athletes to medical professionals. In the past year, content creators have utilized the app to advocate for social reforms, education, and other uses that were not previously considered. Breast cancer is the most commonly diagnosed cancer in women, with an expected 281,550 new cases of invasive breast cancer in 2021. As more individuals with breast cancer choose to undergo resection, the demand for autologous fat grafting in breast reconstruction has increased due to the natural look and feel of breast tissue. The purpose of this article is to analyze content related to breast reconstruction with fat grafting found on TikTok and recommend methods to improve patient education, care, and outcomes. We searched TikTok on November 1, 2021, for videos using the phrase "breast reconstruction with fat grafting." The top 200 videos retrieved from the TikTok search algorithm were analyzed, and all commentaries, duplicates, and nonrelevant videos were removed. Video characteristics were collected, and two independent reviewers generated a DISCERN score A total of 131 videos were included in the study. They were found to have a combined 1,871,980 likes, 41,113 comments, and 58,662 shares. The videos had an average DISCERN score of 2.16. Content creators had an overall low DISCERN score in items involving the use of references, disclosure of risks for not obtaining treatment, and support for shared decision-making. When stratified, the DISCERN score was higher for videos created by physicians (DISCERN average 2.48) than for videos created by nonphysicians (DISCERN average 1.99; p < 0.001).

Prosthetic shoulder arthroplasty in patients 40 years or younger: outcomes stratified by diagnosis and surgery

  • Samer S. Hasan;Leslie E. Schwindel;Cassie M. Fleckenstein
    • Clinics in Shoulder and Elbow
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    • v.25 no.4
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    • pp.311-320
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    • 2022
  • Background: The outcomes of patients 50-55 years old or younger undergoing prosthetic shoulder arthroplasty (PSA) may not generalize to younger patients. We report outcomes following PSA in a consecutive series of patients 40 years or younger. We hypothesize that total shoulder arthroplasty (TSA) provides better outcome and durability than resurfacing hemiarthroplasty (RHA). Methods: Patients were stratified by diagnosis and surgical procedure performed, RHA or TSA. Active range of motion and self-assessed outcome were evaluated preoperatively and at final follow-up. Results: Twenty-nine consecutive PSAs were identified in 26 patients, comprising 9 TSAs and 20 RHAs, with a minimum of 2-year follow-up. Twelve PSAs were performed for chondrolysis. Mean active forward elevation, abduction, external rotation, and internal rotation improved significantly (p<0.001 for all). Mean pain score improved from 6.3 to 2.1, Simple Shoulder Test from 4.0 to 9.0, and American Shoulder and Elbow Surgeons score from 38 to 75 (p<0.001 for all). Patients undergoing RHA and TSA had similar outcomes; but three RHAs required revision, two of these within 4 years of implantation. Four of five patients undergoing revision during the study period had an original diagnosis of chondrolysis. Conclusions: PSA in young patients provides substantial improvement in active range of motion and patient reported outcomes irrespective of diagnosis and glenoid management. However, patients undergoing RHA, especially for chondrolysis, frequently require subsequent revision surgery, so that RHA should be considered with caution in young patients and only after shared decision-making and counsel on the risk of early revision to TSA.

Enhancing the Reliability of OTT Viewing Data in the Golden Age of Streaming: A Small Sample AHP Analysis and In-Depth Interview

  • Seung-Chul Yoo;Yoontaek Sung;Hye-Min Byeon;Yoonmo Sang;Diana Piscarac
    • International journal of advanced smart convergence
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    • v.12 no.1
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    • pp.140-148
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    • 2023
  • With the OTT media market growing rapidly, the significance of trustworthy data verification and certification cannot be emphasized enough. This study delves into the crucial need for such measures in South Korea, exploring the steps involved, the technological and policy-related considerations, and the challenges that may arise once these measures are put into place. Drawing on in-depth interviews and the analytical hierarchy process (AHP), this study surveyed various stakeholder groups, both directly and indirectly related to OTT data authentication and certification. By assessing the severity of OTT data-related issues and identifying the requirements for reliability-improvement policies, participants shared their valuable insights and opinions on this pressing matter. The survey results clearly indicate a divided opinion among stakeholders and industry experts on the reliability of OTT data, with some expressing trust while others remain skeptical. However, there was a consensus that advertising-based AVOD is more reliable than SVOD. By analyzing the priorities of authentication and verification, this study paves the way for the establishment and operation of a Korean MRC (KMRC), centered on the OTT media industry. The KMRC will serve as a vital platform for ensuring the authenticity and accuracy of OTT data in South Korea, providing businesses and industry players with a reliable source of information for informed decision-making. This study highlights the pressing need for reliable data authentication and certification in the rapidly growing OTT media market, and provides a persuasive case for the establishment of a KMRC in South Korea to meet this critical need.

BIM-based Lift Planning Workflow for On-site Assembly in Modular Construction Projects

  • Hu, Songbo;Fang, Yihai;Moehler, Robert
    • International conference on construction engineering and project management
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    • 2020.12a
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    • pp.63-74
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    • 2020
  • The assembly of modular construction requires a series of thoroughly-considered decisions for crane lifting including the crane model selection, crane location planning, and lift path planning. Traditionally, this decision-making process is empirical and time-consuming, requiring significant human inputs. Recently, research efforts have been dedicated to improving lift planning practices by leveraging cutting-edge technologies such as automated data acquisition, Building Information Modelling (BIM) and computational algorithms. It has been demonstrated that these technologies have advanced lift planning to some degree. However, the advancements tend to be fragmented and isolated. There are two hurdles prevented a systematic improvement of lift planning practices. First, the lack of formalized lift planning workflow, outlining the procedure and necessary information. Secondly, there is also an absence of a shared information environment, enabling storages, updates and the distribution of information to stakeholders in a timely manner. Thus, this paper aims to overcome the hurdles. The study starts with a literature review in combination with document analysis, enabling the initial workflow and information flow. These were contextualised through a series of interviews with Australian practitioners in the crane-related industry, and systematically analysed and schematically validated through an expert panel. Findings included formalized workflow and corresponding information exchanges in a traditional lift planning practice via a Business Process Model and Notation (BPMN). The traditional practice is thus reviewed to identify opportunities for further enhancements. Finally, a BIM-based lift planning workflow is proposed, which integrates the scattered technologies (e.g. BIM and computational algorithms) with the aim of supporting lift planning automation. The resulting framework is setting out procedures that need to be developed and the potential obstacles towards automated lift planning are identified.

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Palliative Care for Adult Patients Undergoing Hemodialysis in Asia: Challenges and Opportunities

  • Wei-Min Chu;Hung-Bin Tsai;Yu-Chi Chen;Kuan-Yu Hung;Shao-Yi Cheng;Cheng-Pei Lin
    • Journal of Hospice and Palliative Care
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    • v.27 no.1
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    • pp.1-10
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    • 2024
  • This article underscores the importance of integrating comprehensive palliative care for noncancer patients who are undergoing hemodialysis, with an emphasis on the aging populations in Asian nations such as Taiwan, Japan, the Republic of Korea, and China. As the global demographic landscape shifts towards an aging society and healthcare continues to advance, a marked increase has been observed in patients undergoing hemodialysis who require palliative care. This necessitates an immediate paradigm shift to incorporate this care, addressing the intricate physical, psychosocial, and spiritual challenges faced by these individuals and their families. Numerous challenges impede the provision of effective palliative care, including difficulties in prognosis, delayed referrals, cultural misconceptions, lack of clinician confidence, and insufficient collaboration among healthcare professionals. The article proposes potential solutions, such as targeted training for clinicians, the use of telemedicine to facilitate shared decision-making, and the introduction of time-limited trials for dialysis to overcome these obstacles. The integration of palliative care into routine renal treatment and the promotion of transparent communication among healthcare professionals represent key strategies to enhance the quality of life and end-of-life care for people on hemodialysis. By embracing innovative strategies and fostering collaboration, healthcare providers can deliver more patient-centered, holistic care that meets the complex needs of seriously ill patients within an aging population undergoing hemodialysis.

Assessment of Water Use Vulnerability Considering Climate and Socioeconomic Changes in Han River Watershed (기후 및 사회·경제 변화를 고려한 한강 유역의 물이용 취약성 평가)

  • Park, Hyesun;Kim, Heey Jin;Chae, Yeora;Kim, Yeonjoo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.37 no.6
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    • pp.965-972
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    • 2017
  • Assessment of vulnerability of water use to climate change include a variety of climate change scenarios. However, in most future vulnerability studies, only the climate change scenarios are used and not the future scenarios of social and economic indicators. Therefore, in this study, we applied the Representative Concentration Pathway (RCP) climate change scenario and Shared Socioeconomic reference Pathway (SSP) developed by IPCC to reflect the future. We selected indicators for estimating the vulnerability of water use, and indices were integrated with a multi-criteria decision making approach - Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS). The indicator data utilized national statistics and reports, social and economic scenarios, and simulated results from the Soil and Water Assessment Tool (SWAT) model which reflects climate change scenario. Finally, we derived the rankings of water use vulnerability for the short-term future (2020) and mid-term future (2050) within the Han River watershed. Generally, considering climate change alone and considering climate change plus social and economic changes showed a similar spatial distribution. In the future scenarios, the watershed rankings were similar, but showed differences with SSP scenario in some watersheds. Therefore, considering social and economic changes is expected to contribute to more effective responses to climate change.