• Journal of Korean Society of Water and Wastewater
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• v.34 no.6
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• pp.411-423
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• 2020

To remove phosphorus from the effluent of public wastewater treatment facilities, hundreds of enhanced phosphorus treatment processes have been introduced nationwide. However, these processes have a few problems including excessive maintenance cost and sludge production caused by inappropriate coagulant injection. Therefore, the optimal decision of coagulant dosage and automatic control of coagulant injection are essential. To overcome the drawbacks of conventional phosphorus removal processes, the integrated sedimentation and dissolved air flotation(SeDAF) process has been developed and a demonstration plant(capacity: 100 ㎥/d) has also been installed. In this study, various jar-tests(sedimentation and / or sedimentation·flotation) and multiple regression analyses have been performed. Particularly, we have highlighted the decision-making algorithms of optimal coagulant dosage to improve the applicability of the SeDAF process. As a result, the sedimentation jar-test could be a simple and reliable method for the decision of appropriate coagulant dosage in field condition of the SeDAF process. And, we have found that the SeDAF process can save 30 - 40% of coagulant dosage compared with conventional sedimentation processes to achieve total phosphorus (T-P) concentration below 0.2 mg/L of treated water, and it can also reduce same portion of sludge production.

• Convergence Security Journal
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• v.23 no.1
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• pp.89-95
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• 2023

In order to help reduce the medical expenses of patients with auto insurance accidents, this study predicted the treatment period, which is the most important factor in the medical expenses of patients in their 40s and 50s, and analyzed the factors affecting the treatment period. To this end, a mechine learning model using five algorithms such as Decision Tree was created, and its performance was compared and analyzed between models. There were three algorithms that showed good performance including Decison Tree, Gradient Boost, and XGBoost. In addition, as a result of analyzing the factors affecting the prediction of the treatment period, the type of hospital, the treatment area, age, and gender were found. Through these studies, easy research methods such as the use of AutoML were presented, and we hope that the results of this study will help policies to reduce medical expenses for automobile insurance accidents.

• Proceedings of the Korean Society of Agricultural Engineers Conference
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• 1999.10c
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• pp.783-788
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• 1999

In this study, a decision support system (DSS) was developed to calculate optimal wastetreatment cost, treatment level and treatment quantity of various pollutants for applying for in rural basin. The DSS includes a gegraphic informatino system (GIS), relational database system (RDBS), water quality models(Loading function , WASP5), watershed pollution load calculation module(SPLC), optimal water quality management plan to satisfy the water quality regulations. The system can be modified by user to trace the optimal condition for decision. The effort was conducted to apply the developed DSS to select the for optimal water quality management plan small rural basin called Kwanri Stream.

• Journal of Trauma and Injury
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• v.23 no.2
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• pp.113-118
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• 2010

Purpose: Prolonged stay in the emergency department (ED), which is closely related with the time interval from the ED visit to a decision to admit, might be associated with poor outcomes for trauma patients and with overcrowding of the ED. Therefore, we examined the factors affecting the delay in the decision to admit severe trauma patients. Also, a multidisciplinary department system was preliminarily evaluated to see if it could reduce the time from triage to the admission decision. Methods: A retrospective observational study was conducted at a tertiary care university hospital without a specialized trauma team or specialized trauma surgeons from January 2009 to March 2010. Severe trauma patients with an International Classification of Disease Based Injury Severity Score (ICISS) below 0.9 were included. A multivariable logistic regression analysis was used to find independent variables associated with a delay in the decision for admission which was defined as the time interval between ED arrival and admission decision exceeded 4 hours. We also simulated the time from triage to the decision for admission by a multidisciplinary department system. Results: A total of 89 patients were enrolled. The average time from triage to the admission decision was $5.2{\pm}7.1$ hours and the average length of the ED stay was $9.0{\pm}11.5$ hours. The rate of decision delay for admission was 31.5%. A multivariable regression analysis revealed that multiple trauma (odds ratio [OR]: 30.6, 95%; confidence interval [CI]: 3.18-294.71), emergency operation (OR: 0.55, 95%; CI: 0.01-0.96), and treatment in the Department of Neurosurgery (OR: 0.07, 95%; CI: 0.01-0.78) were significantly associated with the decision delay. In a simulation based on a multidisciplinary department system, the virtual time from triage to admission decision was $2.1{\pm}1.5$ hours. Conclusion: In the ED, patients with severe trauma, multiple trauma was a significant factor causing a delay in the admission decision. On the other hand, emergency operation and treatment in Department of Neurosurgery were negatively associated with the delay. The simulated time from triage to the decision for admission by a multidisciplinary department system was 3 hours shorter than the real one.

• Journal of Korean Clinical Nursing Research
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• v.16 no.3
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• pp.85-98
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• 2010

Purpose: This study was aimed to investigate the awareness and attitudes towards withdrawal of the life-sustaining treatment among nurses, physicians, and the families of intensive care unit (ICU) patients in general hospitals. Methods: The data were collected using a questionnaire from 80 ICU nurses, 80 physicians, and 80 families of ICU patients in general hospitals. Data were collected from February 22nd to May 31st, 2010. Rusults: ICU nurses, physicians, and families of ICU patients felt that objective and ethical guidelines were needed in making a decision to withdraw the life-sustaining treatment. The main reason for withdrawal of the life-sustaining treatment was found that the patients could not recovered despite many efforts. The role of nurses in decision making process on withdrawal of the life-sustaining treatment was considered very positive from the view of physicians and family members. The most important role of nurses for those patients in ICU was found to try their best to care for the patients. Conclusion: ICU nurses should play a major coordinating role in communication among patients, their families, and medical teams. Also, an appropriate roles of nurses in the process of the withdrawal of the life-sustaining treatment should be established.

• The Journal of the Korean dental association
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• v.57 no.6
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• pp.326-332
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• 2019

Extraction treatment has been used for a long time to treat crowding or lip protrusion patients and still extraction decision is the most difficult and important decision during diagnosis and treatment planning. If the amount of crowidng is severe, premolar extraction is often considered. Because of their location, premolar extractions would seem to allow for the most straightforward relief of crowding and the improvement of soft tissue profile. But patients and their parents often prefer nonextraction approach if possible and such a preference gives us serious question about the boundary of nonextraction treatment. Because Orthodontic Mini-Implant (OMI) become popular these days, distalization of posterior teeth can be obtained easily without patient's compliance. For this reason, many orthodontists are trying to treat crowding patient with nonextraction than before. But sometime, unexpected side effects are observed including unesthetic profile, impaction of second molar and long treatment time. All the tools for space gaining - extraction, arch expansion, molar distalization and interproximal enamel reduction - have their limitations and indications. Possible side effects and limitations should be carefully considered during the treatment planning. Although Korean patients usually require extraction more often than US or European patients, more knowledge about the tools for space gaining would help us to decrease the rate of extraction and the problems during treatment of crowding patients.

• Journal of Korean Medicine Rehabilitation
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• v.28 no.4
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• pp.59-69
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• 2018

Objectives This is one of the manuals of East-west integrative medicine which was created by the Committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. The purpose of this manual is to support clinical decision making and communication during the rehabilitation of patients after lumbar spine surgery. Methods The drafting was done by two rehabilitation specialists in Korean Medicine. After a rehabilitation specialist in western medicine reviewed the draft and exchanged their ideas, a revised version that reflects the goal of consultation was made. Then the Committee agreed to adopt the manuals through the process of review and feedback in addition to face-to-face discussions. Results This manual describes clinical decision making for rehabilitation after lumbar microdiskectomy, interbody fusion, and kyphoplasty. Therefore it contains the schedule of rehabilitation treatment through the surgical technique, general goal of the rehabilitation by phase, scales for outcome measure and postoperative infection management. Conclusions The proposal of this manual has a significance for it provides information about decision making process and contents of treatment in one medical institution for East-west integrative rehabilitation treatment after lumbar spine surgery.

• Journal of Korean Medicine Rehabilitation
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• v.28 no.1
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• pp.109-120
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• 2018

Objectives This is one of the manuals of East-west integrative medicine which was created by the Committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. The purpose of this manual is to support clinical decision making and communication during the rehabilitation of patients after shoulder surgery. Methods The drafting was done by two rehabilitation specialists in Korean medicine. After a rehabilitation specialist in western medicine reviewed the draft and exchanged their ideas, a revised version that reflects the goal of consultation was made. Then the Committee agreed to adopt the manuals through the process of review and feedback in addition to face-to-face discussions. Results This manual describes clinical decision making for rehabilitation after arthroscopic rotator cuff repair, SLAP repair, and arthrolysis. Therefore it contains the schedule of rehabilitation treatment through the surgical technique, general goal of the rehabilitation by phase, guide for patients and postoperative infection management. Conclusions The proposal of this manual has a significance for it provides information about decision making process and contents of treatment in one medical institution for East-west integrative rehabilitation treatment after shoulder surgery.

• Journal of Families and Better Life
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• v.27 no.5
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• pp.69-76
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• 2009

This study aimed to develop cognitive-behavioral group counseling program for social problem-solving and career decision-making self-efficacy in incoming university freshman and to examine its efficacy through pre- and post-test. The program included cognitive restructuring, problem-solving and social skill training. The program consisted of 12 weekly sessions, approximately 1.5~2 hours in duration. Pre- and post-tests were administered to both a treatment group(n=48) and a control group(n=48). The collected data were statistically analyzed through ANCOVA. The main results of the study were as follows : The students in the treatment group showed a significant increase in both social problem-solving and career decision-making self-efficacy in comparison with those in the control group.

• Journal of Sasang Constitutional Medicine
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• v.22 no.3
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• pp.87-97
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• 2010

1. Objectives: In SCM, a personal Sasang constitution must be determined accurately before any Sasang treatment. The purpose of this study is to develop an objective method for classification of Sasang constitution. 2. Methods: We collected samples from 5 centers where SCM is practiced, and applied two-stage decision tree analysis on these samples. We recruited samples from 5 centers. The collected data were from subjects whose response to herbal medicine was confirmed according to Sasang constitution. 3. Results: The two-stage decision tree model shows higher classification power than a simple decision tree model. This study also suggests that gender must be considered in the first stage to improve the accuracy of classification. 4. Conclusions: We identified important factors for classifying Sasang constitutions through two-stage decision tree analysis. The two-stage decision tree model shows higher classification power than a simple decision tree model.