• Title/Summary/Keyword: decision unit

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Participation and Influencing Factors in the Decision-Making of Life-Sustaining Treatment: A Focus on Deceased Patients with Hematologic Neoplasms

  • Jae Eun Jang;Jeong Moon Ryu;Min Hee Heo;Do Eun Kwon;Ji Yeon Seo;Dong Yeon Kim
    • Journal of Hospice and Palliative Care
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    • v.26 no.2
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    • pp.69-79
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    • 2023
  • Purpose: This study aimed to investigate the involvement of patients who died from hematologic neoplasms in the decision-making process surrounding the withdrawal of life-sustaining treatment (LST). Methods: A total of 255 patients diagnosed with hematologic neoplasms who ultimately died following decisions related to LST during their end-of-life period at a university hospital were included in the study. Data were retrospectively obtained from electronic medical records and analyzed utilizing the chi-square test, independent t-test, and logistic regression. Results: In total, 42.0% of patients participated in the decision-making process regarding LST for their hematologic neoplasms, while 58.0% of decisions were made with family involvement. Among these patients, 65.1% died in general wards and 34.9% in intensive care units (ICUs) as a result of decisions such as the suspension of LST. The period from the LST decision to death was longer when the decision was made by the patient (average, 27.15 days) than when it was made by the family (average, 7.48 days). Most decisions were made by doctors and family members in the ICU, where only 20.6% of patients exercised their right to make decisions regarding LST, a rate considerably lower than 79.4% observed in general wards. Decisions to withhold or withdraw LST were more commonly made by patients themselves than by their families. Conclusion: The key to discussing the decision to suspend hospice care and LST is respecting the patient's self-determination. If a patient is lucid prior to admission to the ICU, considerations about suspending LST should involve the patient input.

Analysis of capacity management of the intensive care unit in a hospital

  • Kim, Seung-Chul;Horowitz, Ira;Young, Karl K.;Buckley, Thomas A.
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1997.10a
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    • pp.79-82
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    • 1997
  • A hospital's intensive care unit (ICU) is a limited and critical resource whose efficient utilization of capacity impacts on both the welfare of patients and the hospital's cost effectiveness. Decisions made in the ICU affect the operations of other departments. Yet, decision making in an ICU tends to be mainly subjective and lacking in clear criteria upon which to base any given decision. The study reviews the capacity utilization of one particular ICU, that of a public hospital in Hong Kong, and develops a computer simulation model to improve both the unit's capacity utilization and the quality of care provided to its patients.

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An Analysis of Rank Correlation between the Apartment Purchase Price Decision Factor and Amenity decision Factor with cognition of the Consumer. (소비자가 인식하는 아파트 구매가격결정요인과 쾌적성 결정요인과의 순위적 관계분석)

  • 김형돈
    • Journal of the Korean housing association
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    • v.12 no.2
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    • pp.45-54
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    • 2001
  • The purpose of this research was to analyze the correlation between the Apartment Purchase Price Decision Factor and Amenity decision Factor with cognition of the Consumer. The result are as follows; 1. The correlation coefficient between the Apartment Price Decision Factor and Amenity decision Factor with cognition of the Consumer was 0.587. 2. The ranking of the purchase price factor which it prefers were analyzed orientation > sunlight > view > the rising price expectation > natural environment etc. And the ranking of the amenity were analyzed orientation > natural environment > view > sunlight > noise etc. 3. Consumer group was classified the location, sex, year of ages and unit scale. The rank correlation coefficient of (the significant was below 0.05) sex was 0.617~0.644, year of ages was 0.62~0.771 and unit scale was 0.762~0.852. This research proved the fact that the amenity correlated with the apartment purchase price decision factor, so amenity contained an economic value. And this result will be used in decision-making-process of apartment construction.

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A Study on the Categorization of Context-dependent Phoneme using Decision Tree Modeling (결정 트리 모델링에 의한 한국어 문맥 종속 음소 분류 연구)

  • 이선정
    • Journal of the Korea Computer Industry Society
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    • v.2 no.2
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    • pp.195-202
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    • 2001
  • In this paper, we show a study on how to model a phoneme of which acoustic feature is changed according to both left-hand and right-hand phonemes. For this purpose, we make a comparative study on two kinds of algorithms; a unit reduction algorithm and decision tree modeling. The unit reduction algorithm uses only statistical information while the decision tree modeling uses statistical information and Korean acoustical information simultaneously. Especially, we focus on how to model context-dependent phonemes based on decision tree modeling. Finally, we show the recognition rate when context-dependent phonemes are obtained by the decision tree modeling.

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Fast Prediction Unit Decision Using Quantized Transform Coefficient (양자화된 트랜스폼 계수를 이용한 고속 Prediction Unit 결정방법)

  • Gweon, Ryeong-Hee;Lee, Yung-Lyul
    • Journal of Broadcast Engineering
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    • v.17 no.5
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    • pp.725-733
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    • 2012
  • MPEG and VCEG have constituted a collaboration team called JCT-VC(Joint Collaborative Team on Video Coding) and have been developing the HEVC(High Efficiency Video Coding) standard. The next generation video coding standard HEVC shows higher compression rate compared with the H.264/AVC standard, but the encoder computational complexity of the HEVC encoder is significantly high. In order to reduce this computational complexity in the HEVC encoder, a fast prediction unit decision is proposed. The proposed fast prediction unit decision method reduces the encoder complexity by skipping the remaining prediction units if the current prediction unit does not have any non-zero quantized transform coefficient. The proposed method reduces the encoder computational complexity by 50.3% comparing with HM6.0 but it maintains the same level of coding efficiency.

On the Adjustment of Weight of Multiple Decision Making Group Problems (다수 의사결정 그룹 문제의 가중치 조정에 관한 연구)

  • Yeo Ki-Tae;Ryu Hyung-Geun;Lee Hong-Girl
    • Journal of Navigation and Port Research
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    • v.29 no.1 s.97
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    • pp.59-64
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    • 2005
  • MDMG(Multiple Decision-Making Group) problems comprise those of UDMG(Unit Decision-Making Group) which contradict each other. For the evaluation problem of port competitiveness, it has the complicated evaluation characteristics of multi-strata-complex and multi-attributes. Especially, it becomes typical MDMG problems in the evaluation which a great number of decision makers such as shipping companies, freight forwarders, logistics companies and researchers participate in This evaluation of complex problems needs the compensated process of weight which rationally unites heterogeneous preferences of each of groups. In this respect, the purpose of this study is to remove the uncertainty of the UDMG using the theory of DS (Dempster-Shafer) and present the integrated weight through the level process.

Fast HEVC Encoding based on CU-Depth First Decision (CU 깊이 우선 결정 기반의 HEVC 고속 부호화 방법)

  • Yoo, Sung-Eun;Ahn, Yong-Jo;Sim, Dong-Gyu
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.49 no.3
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    • pp.40-50
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    • 2012
  • In this paper we propose the fast CU (Coding Unit) mode decision method. To reduce computational complexity and save encoding time of HEVC, we divided CU, PU (Prediction Unit) and TU (Transform Unit) decision process into two stages. In the first stage, because $2N{\times}2N$ PU mode is mostly selected among $2N{\times}2N$, $N{\times}2N$, $2N{\times}N$, $N{\times}N$ PU modes, proposed algorithm uses only $2N{\times}2N$ PU mode deciding depth of each CU in the LCU (Largest CU). And then, proposed method decides exact PU and TU modes at the depth level which is decided in the first stage. In addition, early skip decision rule is applied to the proposed method to obtain more efficient computational complexity reduction. The proposed method reduces computational complexity of the HEVC encoder by simplifying a CU depth decision method. We could obtain about 50% computational complexity reduction in comparison with HM 3.3 HEVC reference software while bitrate compressed by the proposed algorithm increases only 2%.

The neighborhood size and frequency effect in Korean words (한국어 단어재인에서 나타나는 이웃효과)

  • Kwon You-An;Cho Hye-Suk;Nam Ki-Chun
    • Proceedings of the KSPS conference
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    • 2006.05a
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    • pp.117-120
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    • 2006
  • This paper examined two hypotheses. Firstly, if the first syllable of word play an important role in visual word recognition, it may be the unit of word neighbor. Secondly, if the first syllable is the unit of lexical access, the neighborhood size effect and the neighborhood frequency effect would appear in a lexical decision task and a form primed lexical decision task. We conducted two experiments. Experiment 1 showed that words had large neighbors made a inhibitory effect in the LDT(lexical decision task). Experiment 2 showed the interaction between the neighborhood frequency effectand the word form similarity in the form primed LDT. We concluded that the first syllable in Korean words might be the unit of word neighborhood and play a central role in a lexical access.

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Performance Improvement of Multiple Observer based FDIS using Fuzzy Logic (퍼지논리를 이용한 다중관측자 구조 FDIS의 성능개선)

  • Ryu, Ji-Su;Lee, Kee-Sang
    • The Transactions of the Korean Institute of Electrical Engineers A
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    • v.48 no.4
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    • pp.444-451
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    • 1999
  • A diagnostic rule-base design method for enhancing fault detection and isolation performance of multiple obsever based fault detection isolation schemes (FIDS) is presented. The diagnostic rule-base has a hierarchical framework to perform detection and isolation of faults of interest, and diagnosis of process faults. The decision unit comprises a rule base and a fuzzy inference engine and removes some difficulties of conventional decision unit which includes crisp logic with threshold values. Emphasis is placed on the design and evaluation methods of the diagnostic rult-base. The suggested scheme is applied to the FDIS design for a DC motor driven centrifugal pump system.

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Tactical Fire Direction Automation for Command and Control of Artilliary Battalion Unit (대대급 화력(포병 부대)의 지휘통제(C2)를 위한 전술적 사격지휘 자동화 절차)

  • Ahn, Myong-Hwan;Ji, Jae-Kyung;Cho, Hyun-Ho;Sin, Chul-Soo;Park, Young-Woo;Lee, Teuc-Soo;Kim, Tae-Yeong
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.35 no.11B
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    • pp.1738-1747
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    • 2010
  • This report shows the analysis and design of tactical decision automation procedure and the result of core algorithm. Expecially scheme of analysis and design includes result of tactical decision supporting procedure analysis for target engagement to fire in refer to AFATDS. Tactical decision automation procedure has three phases like target analysis, target priority, fire unit decision, fire method and attack method. Target analysis creates base information to decide priorities and attack methods through target activity, size and protection status. Target priority and fire unit decision judge target priority and fire unit with unit status and operation mission basis of target priority. Fire unit and Attack method decide fire style according to the kind of fire and ammunition for effective firing achievement. Finally, we show the effective tactical decision automation procedure through making the algorithm of priority and air control.