• Title/Summary/Keyword: Shared-decision making

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Prioritizing the target watersheds for permeable pavement to reduce flood damage in urban watersheds considering future climate scenarios (미래 기후 시나리오를 고려한 도시 유역 홍수 피해 저감을 위한 투수성 포장 시설 대상 유역 우선순위 선정)

  • Chae, Seung Taek;Song, Young Hoon;Lee, Joowon;Chung, Eun-Sung
    • Journal of Korea Water Resources Association
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    • v.55 no.2
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    • pp.159-170
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    • 2022
  • As the severity of water-related disasters increases in urban watersheds due to climate change, reducing flood damage in urban watersheds is one of the important issues. This study focuses on prioritizing the optimal site for permeable pavement to maximize the efficiency of reducing flood damage in urban watersheds in the future climate environment using multi-criteria decision making techniques. The Mokgamcheon watershed which is considerably urbanized than in the past was selected for the study area and its 27 sub-watersheds were considered as candidate sites. Six General Circulation Model (GCM) of Coupled Model Intercomparison Project 6(CMIP6) according to two Shared Socioeconomic Pathway (SSP) scenarios were used to estimate future monthly precipitation for the study area. The Driving force-Pressure-State-Impact-Response (DPSIR) framework was used to select the water quantity evaluation criteria for prioritizing permeable pavement, and the study area was modeled using ArcGIS and Storm Water Management Model (SWMM). For the values corresponding to the evaluation criteria based on the DPSIR framework, data from national statistics and long-term runoff simulation value of SWMM according to future monthly precipitation were used. Finally, the priority for permeable pavement was determined using the Fuzzy TOPSIS and Minimax regret method. The high priorities were concentrated in the downstream sub-watersheds where urbanization was more progressed and densely populated than the upstream watersheds.

Product Form Alignment Method Based on the Analysis of Formative Parameter Disposition (조형변수 성향 분석에 의한 정합적 제품 형태 전개 방법)

  • 김현
    • Archives of design research
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    • v.17 no.2
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    • pp.279-288
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    • 2004
  • Corporate design activities have expanded from being exclusive and passive responsibilities to active participation in planning, marketing, technology and corporate brand image differentiation for successful business. Thus the communications between designers and other functions come to include critical decision making, information sharing, and objective reasoning. Given that design activities now have to involve various functions in product development, the styling-related design process, which is still developed by designer's intuition and experience, poses as an obstacle not just between various functions involved, but even within the design function. To overcome this obstacle and to lead more effective design decision process, a means for product form development assessment and management is necessary. This research proposes a foundation for managing and assessing product form based on the hypothesis and demonstration of discovering a system of formative factor and order a product form expresses that can be shared as an objective and logical system. As a result of this demonstration, the form as a unique visual expression and the factors related to the form and its co-relationship are examined. The factors are called formative parameters and the system is named as the product form alignment method. Based on the logic derived from the system, the process for developing an image that aligns with the predefined goal is explained. The method defines a balance between a designer's intuitive creativity and the extracted logic, which can act as a basis for designers to share design language among themselves and for communication between design and other functions. Based on this system, designers are able to align design work with the set goal, and focus and limit the range of form development, which is anticipated to result in lead-time reduction and minimizing unnecessary obstacles and mistakes.

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End-of-Life Care Practice in Dying Patients with Do-Not-Resuscitate Order: A Single Center Experience (심폐소생술 금지 동의 후 사망한 환자의 현황과 연명의료 실태 조사: 단일 의료기관 경험)

  • Yoon, Sang Eun;Nam, Eun Mi;Lee, Soon Nam
    • Journal of Hospice and Palliative Care
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    • v.21 no.2
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    • pp.51-57
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    • 2018
  • Purpose: End-of-life (EoL) decisions are challenging and multifaceted for patients and physicians. This study was aimed to explore how EoL care is practiced for patients with a do-not-resuscitate (DNR) order. Methods: We retrospectively analyzed medical records of patients who died after agreeing to a DNR order in 2016 at a university hospital. Characteristics including cause of death, intensity of EoL care, and other factors were reviewed and statistically analyzed. Results: Of total 375 patients, 170 patients (45.3%) died with malignancies, and 205 patients (54.6%) with other causes involving the central nervous system (19.2%), pulmonary (14.7%), cardiologic (6.7%) and infectious (6.4%) conditions. Both the cancer and non-cancer patient groups showed a short duration from DNR to death (median 3 days vs 2 days, P=0.629). An intensive care group comprising patients who received one or more intensive treatments such as ventilator (n=205) showed a higher number of non-cancer patients and a shorter duration from DNR to death than a group that withheld treatment before DNR (P<0.05). Conclusion: EoL decisions were made very late by both cancer and non-cancer patients. About half of the patients did not have cancer, and two-thirds of them decided DNR during intensive treatment. To make a good EoL decision, a shared decision making with patients should be done at an earlier stage.

Confirmatory Analysis of Perception and Preference Scales for Work Characteristics among Korean Nurses (중환자실 근무환경 특성에 대한 간호사의 인지도와 선호도 도구 검증)

  • ;;Barbara Daily
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.215-224
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    • 1999
  • The study was conducted to centum the construct of individual perception and preference for work characteristics as personal factors influencing Korean nurses' job satisfaction. The subjects of the study were 231 nurses who are currently working in intensive care units and have been for a minimum of 6 months. The study used the Staff Perception and Preference Scale(Song et al., 1997) to measure the individual's perception and preference on the technical. practice. and management components of the ideal work environment. The Korean version of the Staff Perception and Preference Scale consists of 16 items on perception and 13 on preference with each item related on a scale from 1(not at all) to 4(a great deal). Psychometric testing revealed that the preference and perception scale is internally consistent with Chronbach's alphas of .83 for perception scale arid .80 for preference scale. The subscales of the perception and preference scale also showed acceptable reliability for the early stage of the development of the instruments with Chronbach alphas of .62-.76 and .69-.83 respectively. Criterion-related validity of the scale was tested by examining correlations with individual growth need that is conceptually close to individual preference. but not to individual perception. Individual growth need was significantly related to individual preference(r=.63, p<.05), but the correlation with the perception scale was not significant. A separate factor analysis for the each of perception and preference scales was performed with a three-factor loading solution based on a previous study. The results on the staff perception scale confirmed with varimax rotation that the items were cleanly and strongly loaded on technique. practice and management components, which together explained 50.7% of the variance. The factor analysis on the staff preference scale also yielded a three factor solution that explained 56.7% of the variance. but items on technique and management components were loaded together. This phenomena may due to the current nursing delivery system in Korea where nurses never experience either shared governance nor case management, and as a results they may not be able to consider management roles as their potential extended roles. Therefore, more efforts should be given to enhance nurses' autonomy and decision making in the technique, practice and management components of their work environment. Meanwhile, there is a need for continuously confirming and developing tools for individual perception and preferences to effectively enhance job satisfaction among Korean nurses through innovative work environments.

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Information Sharing and Group Learing Using Electronic Communication Media (전자매체를 통한 정보공유와 공동학습)

  • Lee Jee-Yeon;So Mae-Sil;Paik Woojin
    • Journal of the Korean Society for Library and Information Science
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    • v.39 no.3
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    • pp.105-119
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    • 2005
  • With the introduction of Internet-based education such as online learning and virtual campuses. there are increased interests and demands for electronically delivering educational contents in comparison to the traditional educational methods. Our preilminary study showed that approximately $50\%$ of virtual groups formed online for the scope of collaborative learning encountered harriers that prevented them from forming an effective learning team and making satisfactory progress toward reaching the learning objectives. In this study, we asked the undergraduate students. who were the members of the online learning team, to work on the given discussion topics through the use of emails and threaded discussion boards. Then. we investigated the roles played by two electronic communication medium during the virtual discussion with respect to the learning outcome. We also studied how information was shared amongst the virtual learning team members. The results of our study showed that the email based online learning had the advantage of individualized and friendly information transfer. However. it also caused certain difficulty in exchanging ideas due to the one-sided nature of the email-based communication. On the other hand, the threaded discussion board provided easier information sharing and broadcasting. which enabled active participation by the virtual team members. However. It also had the disadvantage of difficulty in accurate information conveyance and duplication of the posted information. In summary, our study results showed that there was a high correlation between the characteristics of the electronic communication medium and the decision that the online learners made regarding which medium to use. There was a high correlation between the type of the electronic communication medium and the online learners' experiences in using these media.

A Study on the Establishment of Corporate and Product Image Alignment (기업 이미지에 정합적(整合的)인 제품 이미지 구축 방법)

  • Kim, Hyun
    • Archives of design research
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    • v.14 no.4
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    • pp.77-85
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    • 2001
  • In order to sustain competitive advantage through strategic product differentiation in global market, this research aims to establishment of strategic design conditions for domestic manufacturing firms through the means of product image alignment and positioning, using visual character of product as the foundation for establishing corporate image. Case studies on how globally successful multinational companies manage design strategy and corporate culture uniformly for coherent product image management are reviewed. To establish product image alignment methodology for manufacturing firms, the criteria for product image positioning and aligned product image development process are developed in three stages. First, in image positioning stage, it is important to set the direction for corporate image and design strategy by identifying consumer needs through market trends analysis and forecasting as well as comparative positioning of the analysis results of the firms's own corporate image and that of the competitor's. Second, in awareness building stage, before building the product image alignment, firm-wide shared awareness of differentiated corporate and product image, establishment of designer's role as the consolidated manager of product image, sharing form language, and building the infrastructure for defining form information should be preceded. Third, in managing the aligned product image stage, the condition for setting up image information management guideline, management of decision making process for arriving at logical decisions on product form, development of guideline for increasing efficiency and its evaluation system, and co-development of related design should be induced. Further research on the product image alignment with corporate image should be conducted through various empirical studies on image and form, building an information system of related design language, and continuous assessment and management of applied solutions.

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Why do Customers Write Restaurant Reviews on Facebook?: An Examination into Five Motivations and Impacts of them on Perceptual Changes caused by Memory Reconstruction (왜 외식소비자들은 페이스북에 후기를 작성하는가?: 후기작성 동기와 그 동기가 기억재구성으로 인해 끼친 인식변화에 대한 고찰)

  • Noh, Jeonghee;Jun, Soo Hyun
    • The Journal of the Korea Contents Association
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    • v.14 no.8
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    • pp.416-430
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    • 2014
  • As the online word-of-mouth(WOM) using SNS has significant influence on consumer decision-making, the hospitality industry including the restaurant industry has actively used SNSs as one of major marketing tools. While researchers have focused on impacts of the online WOM, there is little research on motivations to provide WOM and its impacts on the WOM providers. The purpose of this study is to examine whether sharing the restaurant experience on Facebook, the representative SNSs, can change customer satisfaction and intentions to revisit and recommended and whether the type of motivations to share the restaurant experiences on Facebook affects customer satisfaction and intentions to revisit and recommend. The total of 260 college students volunteered to participate in this study. They first visited a restaurant and completed surveys twice before and after sharing their restaurant experience on Facebook. According to the study results, the levels of satisfaction, intention to revisit and intention to recommend after sharing the restaurant experience were found to be higher than before sharing the experience. This study also found that people who shared their restaurant experience for nostalgia were more likely to be satisfied with the restaurant services and have a higher level of intentions to revisit and recommend the restaurant. Theoretical and managerial implications as well as limitations and future research directions are discussed.

A Plan for a Prompt Disaster Response System Using a 3D Disaster Management System Based on High-Capacity Geographic and Disaster Information (고용량 지리정보 및 재난 정보 기반 3차원 재난 관리 시스템을 활용한 신속한 재난 대응 체계 방안 제시)

  • GANG, Su-Myung;KIM, Do-Ryeong;CHOUNG, Yun-Jae;PARK, Ju-Sung;KIM, Jin-Man;JO, Myung-Hee
    • Journal of the Korean Association of Geographic Information Studies
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    • v.19 no.1
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    • pp.180-196
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    • 2016
  • To minimize the damage from disasters, various aspects of prevention, preparation, and response, etc. are being managed. Even though prevention and preparation are well conducted, irresistible calamities such as natural disasters may cause unexpected damage. Therefore, a system that can share the identical disaster information based on prompt disaster management and prediction must be developed and constructed for integrated disaster management. Especially, for a prompt disaster response, the same information needs to be shared between the related organization and the disaster prevention personnel such as on-site officials. Recent disaster management systems use high-capacity geographic information or other various factors for accurate disaster predictions. In case of using a recently constructed or researched 3D GIS, the system may not be used in some cases due to conflicts with hardware, etc. Thus, even though response information is secured using prediction simulation in advance, it is essentially difficult in some cases to share the common information when the system cannot be utilized or the extension of the corresponding data cannot be read. Therefore, this study aims to construct a system for dealing with disasters that shares the same prompt and accurate information in compliance with common data formats. The system is expected to reduce the existing disaster response time and minimize human and physical damage by assisting decision making through prompt responses.

Considering Households' Occupation and Their View towards Forest Conservation (가구 생업과 그에 따른 삼림보호 인식에 관한 고찰)

  • Panta, Menaka;Kim, Kye-Hyun;Lee, Chol-Young
    • Journal of Korea Spatial Information System Society
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    • v.11 no.3
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    • pp.73-78
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    • 2009
  • 100 households' survey was carried out in 2007 in Chitwan to foresee the people's livelihood and their insight into the forest conservation. This analysis revealed that households' was mainly survived with multiple livelihood categories where 98% citizens belong to food crops and 92% to livestock husbandry. The households' income shared by agriculture (crop and livestock), forest and remittance was 37% and 20% respectively. Results further showed that income distribution was somehow equal with Gini coefficient 0.25 than with the 0.37 of landholdings size. But, average per capita income of households was lower than the national standard with 33% of households below the poverty thresholds and 0.0945 poverty gap index. Similarly, 85% respondents assured for the current degraded status of forest and 83% of households for not participated in forest management activities due to low awareness in 82% households. These findings shows the forest assets could be unduly degraded in the past and forest availability which is extracting from the remaining forest is also decreasing in the area. Thus, tendency of forest dependency has been shifting to the small scale farming, other livelihood sources such as local business and services. This information could be useful in planning and decision-making process in searching of better alternative for the local livelihood as well as sustainable forest conservation strategy.

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Environmental Controversy and the Role of Science - The Case of Saemangeum Reclamation Project in Korea (새만금 논쟁과 과학기술의 역할)

  • Cho Hong-Sup
    • Journal of Science and Technology Studies
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    • v.4 no.1 s.7
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    • pp.1-30
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    • 2004
  • In this paper, I have attempted to show how the environmental controversy surrounding the Saemangeurn Reclamation Project in Korea has been framed as narrow scientific debates. First of all, science, or specifically the Expert Review Pane, has played dual roles in the controversy. On the one hand, it has contributed to illuminating the future environmental impacts of reclamation, by so doing, to providing a momentum to reconsider the project. This has significant meaning that environmental concerns successfully checked the symbolic national project of developmental era through adopting a joint-investigation scheme that guaranteed participation of environmental groups on an equal footing with the government. On the other hand, by limiting the scope and participants of discussion, it fundamentally blocked the possibilities of public debates and deliberative decision-making with full considerations of the political, social, and cultural aspects of the controversy. I have shown that this is due to the realist belief shared by both the developers and the environmentalists in Korea that 'proper' science would disclose the truth. Environmental groups, in particular, were naive in evaluating the role of scientific expertise in the controversy and neglected the political role of the Expert Review Pane as a ritual. In opposition to the realist argument, I have shown through the analysis of the water quality debates concerning the future fresh water lakes that scientific 'facts' were not discovered but constructed through complex negotiations, conflicts, and compromises among related actors. The framing of the controversy as an experts' debate has resulted in the exclusion of an important actor from the discussion. Little attention has been paid throughout the controversy to the very people who have lived in the Saemangeum area for generations and will lose their livelihood all together soon. About 20,000 fishermen are living on the Saemangeum tidal flats.

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