• 제목/요약/키워드: advance decision

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Decision Tree Model for Predicting Hospice Palliative Care Use in Terminal Cancer Patients

  • Lee, Hee-Ja;Na, Im-Il;Kang, Kyung-Ah
    • Journal of Hospice and Palliative Care
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    • 제24권3호
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    • pp.184-193
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    • 2021
  • Purpose: This study attempted to develop clinical guidelines to help patients use hospice and palliative care (HPC) at an appropriate time after writing physician orders for life-sustaining treatment (POLST) by identifying the characteristics of HPC use of patients with terminal cancer. Methods: This retrospective study was conducted to understand the characteristics of HPC use of patients with terminal cancer through decision tree analysis. The participants were 394 terminal cancer patients who were hospitalized at a cancer-specialized hospital in Seoul, South Korea and wrote POLST from January 1, 2019 to March 31, 2021. Results: The predictive model for the characteristics of HPC use showed three main nodes (living together, pain control, and period to death after writing POLST). The decision tree analysis of HPC use by terminal cancer patients showed that the most likely group to use HPC use was terminal cancer patients who had a cohabitant, received pain control, and died 2 months or more after writing a POLST. The probability of HPC usage rate in this group was 87.5%. The next most likely group to use HPC had a cohabitant and received pain control; 64.8% of this group used HPC. Finally, 55.1% of participants who had a cohabitant used HPC, which was a significantly higher proportion than that of participants who did not have a cohabitant (1.7%). Conclusion: This study provides meaningful clinical evidence to help make decisions on HPC use more easily at an appropriate time.

다중 공정계획을 가지는 정적/동적 유연 개별공정에 대한 의사결정 나무 기반 스케줄링 (Decision Tree based Scheduling for Static and Dynamic Flexible Job Shops with Multiple Process Plans)

  • 유재민;도형호;권용주;신정훈;김형원;남성호;이동호
    • 한국정밀공학회지
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    • 제32권1호
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    • pp.25-37
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    • 2015
  • This paper suggests a decision tree based approach for flexible job shop scheduling with multiple process plans. The problem is to determine the operation/machine pairs and the sequence of the jobs assigned to each machine. Two decision tree based scheduling mechanisms are developed for static and dynamic flexible job shops. In the static case, all jobs are given in advance and the decision tree is used to select a priority dispatching rule to process all the jobs. Also, in the dynamic case, the jobs arrive over time and the decision tree, updated regularly, is used to select a priority rule in real-time according to a rescheduling strategy. The two decision tree based mechanisms were applied to a flexible job shop case with reconfigurable manufacturing cells and a conventional job shop, and the results are reported for various system performance measures.

사전연명의료의향서 작성 동기에 관한 연구 (A Study on the Motivation to Write Signing Advance Medical Directives)

  • 장경희;강경희;김두리;임효남;김광환
    • 한국산학기술학회논문지
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    • 제20권10호
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    • pp.243-249
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    • 2019
  • 본 연구의 목적은 호스피스 완화의료와 임종과정에 있는 환자에게 최선의 이익을 보장하고 자기결정을 존중하여 인간으로서의 존엄과 가치를 보호하기 위하여 S시 소재의 C 기독교 종교시설을 방문하여 사전연명의료의향서를 작성한 노인을 대상으로 사전연명의료의향서 작성의 동기를 알아보기 위해 시행되었다. 조사 기간은 2019년 7월 1일부터 10일간 진행하였다. 연구 결과 사전 연명의료 의향서 작성 동기에 관해 4개 주제와 8개의 하위주제가 도출되었다. 주제는 '자식들을 위해서', '고통스러울 것 같아서', '내 삶을 잘 정리하고 싶어서', '필요성을 느껴서' 등의 4가지 주제가 도출되었으며, 하부주제로 '자식들 고생시키고 싶지 않아서', '자식들에게 의료비 부담주고 싶지 않아서', '고통에 대한 두려움이 있어서', '고통스러워하는 가족의 임종을 돌본 경험이 있어서', '편안한 마음을 위해서', '자기결정권의 중요성을 느껴서', '그전부터 알고는 있었지만 이번에 결심하게 되어서', '정보를 처음 알게 되었는데 결심하게 되어서'였다. 본 연구결과는 노인들의 좋은 죽음을 위한 웰다잉 교육 프로그램 개선과 사전연명의료의향서 작성을 위한 효과적 제도를 보완하기 위한 기초자료가 될 수 있다는 점에서 의의가 있다.

무기체계 시험평가에 M&S 적용방안 (A Study on the Application of M&S in the T&E of Weapon Systems)

  • 최석철;김성규
    • 한국군사과학기술학회지
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    • 제7권4호
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    • pp.44-52
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    • 2004
  • The test and evaluation(T&E) of weapon systems is a significant activity in the decision-making process of defense acquisition program, providing the data of trade-off analysis, risk reduction and readiness to advance to next phase of development for the decision-maker. Currently, the modeling and simulation(M&S) is being a critical method in the test and evaluation of weapon systems. Therefore in this paper we review the current status of the test and evaluation for the defense acquisition program in Korea, and suggest an application of M&S in the T&E of weapon systems.

라프셋 이론이 적용에 의한 ID3의 개선 (Improvement of ID3 Using Rough Sets)

  • 정홍;김두완;정환묵
    • 한국지능시스템학회:학술대회논문집
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    • 한국퍼지및지능시스템학회 1997년도 추계학술대회 학술발표 논문집
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    • pp.170-174
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    • 1997
  • This paper studies a method for making more efficient classification rules in the ID3 using the rough set theory. Decision tree technique of the ID3 always uses all the attributes in a table of examples for making a new decision tree, but rough set technique can in advance eleminate dispensable attributes. And the former generates only one type of classification rules, but the latter generates all the possibles types of them. The rules generated by the rough set technique are the simplist from as proved by the rough set theory. Therefore, ID3, applying the rough set technique, can reduct the size of the table of examples, generate the simplist form of the classification rules, and also implement an effectie classification system.

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공원학교 및 소공원 계획 방향에 관한 연구 (Study on Planning Direction of Park-School and Small Park in School)

  • 김형돈;양현오
    • 교육녹색환경연구
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    • 제8권2호
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    • pp.22-39
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    • 2009
  • The purpose of this study was to analyze the school location and site planning direction for land use planning of public land development. And this research proposed the direction of small park in school. So this research present the implication on urban planning and design for architecture, park-school complex. This study perform the relationship analysis on location of school and park. The result follows as this : 1) land use planning : Location and space of park-school must be checked in advance. Schools and parks are placed together. The park is located south of the school. 2) school site planning : Small field for dynamic activity is needed in school. The character of small park in school is relationship of educational programs. 3) management : CCTV is installed at school. Bright lights are placed in school. This result will be used in decision-making-process of land use planning, public land development construction, urban design and city policy.

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회사영업 및 경영의사결정지원을 위한 회사계획 및 모델화시스템에 관한 연구 (A Study on Planning and Modeling System for Corporate Decision-Making)

  • 이정록
    • 산업경영시스템학회지
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    • 제8권12호
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    • pp.49-63
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    • 1985
  • This paper is focused on the introduction of the types of models and explanation of the fundamental concepts and theory for development and use of the corporate planning and modeling system. Nowadays, a great deal of companies have been or experimenting with some form of a corporate planning and modeling system to support managerial and strategic decision making. From previous studies it was noted that most applications have tended to be financially based. This trend will probably continue. However, with the software and hardware currently available it is likely that companies will move more toward integrated models that link marketing, production, as will as financial areas. More emphasis will undoubtedly be placed on the use of econometric modeling, since this subelement of the overall planning and modeling process is closely tied to the market place and the economy. At any rate, wherever the development of corporate planning and modeling system is directed, clear understanding for the fundamental concepts and elements of the system is settled in advance in order to develope and use it.

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치위생(학)과 학생들의 현장실습 전·후에 대한 만족 정도와 실습 후 진로의사 및 행동과의 관계 (Relationship between career decision/ behavior and the pre-/post satisfaction of dental hygiene students in field practice)

  • 성미경;황세현;장경애
    • 한국치위생학회지
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    • 제17권2호
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    • pp.271-281
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    • 2017
  • Objectives: This study was conducted to promote the value of field practice courses by installing an efficient field practice program through understanding the relationship between career decision/ behavior and the pre-/post satisfaction of dental hygiene students in field practice. Methods: The subjects of the study were students in Gyeongnam and Busan majoring in dental hygiene, from which 218 questionnaires were obtained from 23 November 2015 to 30 July 2016. Results: In terms of career decision/ behavior, the post-satisfaction scores in ideas about their major, about whether it was helpful to selecting their speciality and positive impression of dental hygienists, interest and understanding in training course were significantly lower than the pre-satisfaction scores (p<0.05). Relationship between satisfaction in field training and career decision/ behavior following the field training, pre-/post-satisfaction on site-training content (r=0.371, p<0.01), pre-/post satisfaction in training instructions (r=0.267, p<0.01), and pre-/post-satisfaction in the training sites (r=0.436, p<0.01) were all proportionally correlated to the after-training career decision and behavior. Conclusions: It is necessary for training instructors to maintain close relationships with the students in field practice program courses. In advance, it is expected to promote students' satisfaction in field practice and serve as a starting point where students can build self-esteem as a future dental hygienist by positively influencing their career decisions and behaviors.

기업 물류망 최적 설계 및 운영을 위한 알고리즘 설계 및 소프트웨어 구현 사례 (A case study on algorithm development and software materialization for logistics optimization)

  • 한재현;김장엽;김지현;정석재
    • 대한안전경영과학회지
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    • 제14권4호
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    • pp.153-168
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    • 2012
  • It has been recognized as an important issue to design optimally a firm's logistics network for minimizing logistics cost and maximizing customer service. It is, however, not easy to get an optimal solution by analyzing trade-off of cost factors, dynamic and interdependent characteristics in the logistics network decision making. Although there has been some developments in a system which helps decision making for logistics analysis, it is true that there is no system for enterprise-wise's on-site support and methodical logistics decision. Specially, E-biz process along with information technology has been made dramatic advance in a various industries, there has been much need for practical education closely resembles on-site work. The software developed by this study materializes efficient algorithm suggested by recent studies in key topics of logistics such as location and allocation problem, traveling salesman problem, and vehicle routing problem and transportation and distribution problem. It also supports executing a variety of experimental design and analysis in a way of the most user friendly based on Java. In the near future, we expect that it can be extended to integrated supply chain solution by adding decision making in production in addition to a decision in logistics.

비대면 수업환경에서 공감능력, 진로결정 자기효능감이 간호대학생의 학습몰입에 미치는 영향 (The Effect of Empathy and Career decision-making self-efficacy on Learning flow of Nursing Students in Non-face-to-face Classes)

  • 박미화
    • 디지털융복합연구
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    • 제19권12호
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    • pp.587-595
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    • 2021
  • 본 연구는 팬데믹으로 인한 비대면 수업환경에서 간호대학생의 공감능력과 진로결정 자기효능감이 학습몰입에 미치는 영향을 파악하고자 시도된 서술적 조사연구이다. 연구 대상자는 간호대학생 165명이며, 2021년 5월 10일부터 6월 30일까지 설문조사하였고, 수집된 자료는 SPSS WIN 21.0을 이용하여 분석하였다. 연구 결과 공감능력과 진로결정 자기효능감, 공감능력과 학습몰입, 진로결정 자기효능감과 학습몰입은 유의한 정적 상관관계가 있었으며, 학습몰입에 유의한 영향을 미치는 변수는 전공만족도와 진로결정 자기효능감으로 설명력은 22.7 %이다. 이상의 결과를 바탕으로 비대면 수업환경에서의 전공만족도와 진로결정 자기효능감 향상을 위한 방안마련이 필요하며 이를 위한 추가적인 연구를 제언한다.