• 제목/요약/키워드: decision-making supporting

검색결과 287건 처리시간 0.024초

뇌졸중 편마비환자의 견관절 아탈구 예방에 관한 고찰 (Review of Prevention of Hemipelegic Shoulder Subluxation After Stroke)

  • 한진태;권오현;신형수
    • 대한물리의학회지
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    • 제2권2호
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    • pp.243-250
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    • 2007
  • Purpose : Shoulder subluxation is a very common problem in patients with hemiplegia with stroke. Prevention of the low tone subluxed shoulder has been an issue for physical therapists working with neurological patients for many years. Methods : This study reviewed the literature to definite the management and a cause of shoulder subluxation with hemiplegia patients after stroke. Various modalities have been suggested for realigning the glenohumeral joint, but their use is controversial. The purpose of this paper is to review critically the evidence base in order to inform the clinical decision-making process for physiotherapists working in neurology. Results : Literature has identified supports, strapping and functional electrical stimulation(FES) in the management of low tone shoulders. Following review of this evidence it is suggested that there is a lack of reliable and valid research evidence on which to base conclusions. The modalities with the best supporting evidence for realigning the low tone subluxed glenohumeral joint are the triangular sling, Harris hemi sling and the Rolyan humeral cuff used in a standing position and the lap board and arm trough while the patient is sitting. However, due to soft tissue adaptation with associated lack of movement, over-correction and the need for careful patient positioning these supports need to be evaluated for each patient and should be used only in appropriate situations. Conclusion : Similarly, there is a lack of evidence on the effects of long-term use to this equipment. Electrical stimulation is also thought to have potential in the treatment to subluxed low tone shoulders but additional research is required to clarify the parameters for use and the long-term effects of these forms of management.

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농촌주민의 지역사회조직 참여 실태 분석 (Socio-demographic Heterogeneity of Community Participation in Rural, Korea)

  • 박덕병;조영숙
    • 한국지역사회생활과학회지
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    • 제16권2호
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    • pp.61-73
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    • 2005
  • This study aims to examine the socio-demographic heterogeneity of community participation in rural Korea. Data was collected through interviews with 1,870 rural householders and housewives who have lived in Up or Myen as an administrative unit of rural communities, and analyzed by the SPSS/PC Win V.10 program. The statistical techniques used for this study were frequency and percentile. The major findings of this study were as follows. Firstly, the extent to which rural people have participated in community organizations were: cooperative groups, $80.8\%$; religious groups, $20.6\%$; learning groups, $12.7\%$; political groups, $9.8\%;$ civil groups $6.7\%$; and voluntary groups, $5.3\%$. Whereas the numbers were high for community participation in groups related to agricultural production, participation in civil and voluntary groups were lower. Secondly, it showed that people who lived in urbanized and high population density areas were more likely to participate in community groups. The diversity of community organizations was different according to the level of rurality. Thirdly, farm householders were more likely to participate in religious, civil and voluntary groups than non-farm householders. Fourthly, people with higher education, females, those in the 40 to 50 age groups were more likely to participate in community organizations. Fifthly, even though men are more likely to participate in political parties, women were more likely then men to agree that women should participate in political parties. This empirical study could support the results of Sundeen (1988) and Wilson and Musick (1997) in that education was related positively to community participation. In addition, we concluded that community participation in a rural development process has two main considerations: philosophical and pragmatic. This implies that there is room for government to enable and facilitate 'true' community participation. That can be done through policy reform which creates a permissive environment for community decision-making and input, in addition to simply supporting community development through financial assistance.

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A Dynamic Behavior of Korean Internet Venture Business using SD approach -Focused on CSF of internet venture business

  • Lee, Myoung-Ho;Hoon Huh
    • 한국시스템다이내믹스학회:학술대회논문집
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    • 한국시스템다이내믹스학회 2001년도 추계학술대회발표논문집
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    • pp.3-14
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    • 2001
  • Since 1998, government-led Korean venture business boom now proceeds into the stage of market-oriented venture business growth. At such a moment, this research is to clarify the relations between the success factors of Korean venture businesses, based on domestic and foreign documentary surveys and inquiry surveys over domestic venture businesses. This research starts from the necessity to overcome the limits of the existing researches by uni-dimensional probing research into success factors of Korean venture businesses and to manifest the multi-dimensional relations between the success factors from the various viewpoints. And this research adopts System-Dynamics methodology to manifest and utilize relations among those factors, avoiding the existing metrical approaches. This research can be called a new approach to the current ecosystems of Korean venture in which whether venture businesses success in Korea is considered to depend on the list on the stock market. For this, this research implemented verification analysis through the simulations of each factor at various levels to build causality map which clarifies the causality of success factors of venture businesses through the System-Dynamics methodology and to utilize it as a way of supporting tool for decision-making of venture businesses. This research will be able to suggest the reactions depending on various internal and external situations. This research tried to manifest the causality map of each factor on the basis of inquiry surveys and documentary surveys to verify feedback among each factor by the SD methodology. This research will be a basis bolster up the still fragile substructure of venture businesses through an efficient analysis framework using the verification of SD methodology and resulting outcomes from this research.

쓰나미 재난 대응을 위한 GIS 응용모델 구축에 관한 연구 (Building GIS Application Model in Support of Tsunami Relief Effort)

  • 아샤 리야나게;이희원;이석환
    • 한국산학기술학회논문지
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    • 제14권3호
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    • pp.1489-1494
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    • 2013
  • 쓰나미라 불리는 지진해일은 드물게 일어나는 현상이지만 일어날 경우 대피할 수 있는 시간이 촉박하며, 엄청난 인명, 재산피해를 유발하므로 이에 대한 대비는 매우 중요하다. 쓰나미는 자연재해로 그 피해를 원상 복구하는것은 거의 불가능하나 조기경보체계 등을 통하여 대피함으로서 인명피해를 최소화 할 수 있다. 이러한 자연재해에 대한 피해경감과 재난관리를 위하여 GIS의 지오프로세싱 기능과 분석기능은 유용한 도구가 될 수 있다. 본 연구는 쓰나미의 경우에 있어서 GIS의 지리정보 프로세싱 기능을 이용하여 대피계획 수립에 필요한 관련정보 통합 프로세싱 모형을 구축하고자 하는데 그 목적이 있다. 쓰나미의 경우 주된 대피는 인구를 발생지역으로부터 수평적, 또는 수직적으로 이동시키는 것과 관련이 있으며, 이를 위한 대피와 대응의 과정을 4단계로 구분 하였으며, 각 단계마다 필요한 입력데이터를 정하였다. 최종모형은 이러한 4단계를 통합하여 최종모형으로 제시하였다. 본 연구에서 설정된 모델은 매 단계의 입력데이터를 달리하여 쓰나미 발생이 예상되는 해안도시에 적용할 경우 인구의 대피와 관련한 의사결정에 활용될 수 있다.

효율적인 수자원관리를 위한 범주형 확률장기예보의 예측력 평가 및 정량화 (Assessment of predictability of categorical probabilistic long-term forecasts and its quantification for efficient water resources management)

  • 손찬영;정예림;한수희;조영현
    • 한국수자원학회논문집
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    • 제50권8호
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    • pp.563-577
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    • 2017
  • 기후변화로 인해 강수의 불확실성이 증가하는 현 시점에서 효율적인 물 관리를 위한 계절예측 및 기상 예보의 활용은 필수적이다. 본 연구에서는 기상청에서 2014년 6월부터 시행하고 있는 범주형 확률장기예보를 Hit Rate, Reliability Diagram, Relative Operating Curve (ROC)의 평가지표를 활용하여 예측력을 검증하였고, 추가적으로 확률예보를 활용하여 정량적인 예측 강수량을 생산하는 기법을 제안하였다. 확률장기예보의 예측력 검증결과 최대 48%의 예측력을 갖는 것을 확인할 수 있었다. 확률예보를 활용하여 예측 강수량을 추정한 결과, 정량적으로 관측 자료와 유사하게 모의되는 것을 확인할 수 있었으며 예측 적합도 평가결과 100%의 정확도를 가진 예보의 경우 최대 0.98, 실제 예보의 경우 최대 0.71의 상관계수를 보였다. 본 연구에서 제안하는 확률예보를 활용한 예측 강수량 추출기법은 강수의 불확실성을 고려한 물 관리를 가능하게 해줄 것으로 판단되며 효율적인 수자원 장기 이수계획 및 저수지 운영의 의사결정지원 등에 활용 가능할 것으로 기대된다.

ICT 기반 교량 생애주기 관리시스템 개발 (Development of Bridge Life-Cycle Management System based on Information and Communication Technology)

  • 박경훈;선종완
    • 한국산학기술학회논문지
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    • 제17권10호
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    • pp.13-20
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    • 2016
  • 교량은 지속적인 규모의 증가와 노후화의 확대로 인해 전산화된 관리 체계가 요구되었다. 국내외 교량관리시스템(Bridge Management System; BMS) 개발 동향 및 기능의 비교, 고찰을 통해 생애주기 관리가 가능한 ICT (Information and Communication Technology) 기반 교량 관리 체계를 제안하였다. BMS는 인터넷과 모바일이 결합된 운영 체계에 GIS 기능과 객체 기반 정보 관리 체계를 바탕으로 개발되었다. BMS는 교량의 생애주기 동안 발생되는 모든 정보의 객체 기반 정보화를 수행하여, 생애주기 성능 변화와 소요 예산의 추정을 바탕으로 중장기 관리 전략과 단기 관리 계획의 수립을 지원한다. 실제 공용중인 교량 약 6천 개소에 대한 생애주기 관리 전략 수립을 통해 의사 결정 지원을 위한 유용한 지식 정보를 도출하였다. 전국의 모든 도로교량에 적용 가능하도록 개발된 BMS는 정확한 이력 관리를 통한 성능 유지, 합리적인 예산 관리를 통한 비용 절감, 현장 정보 수집의 편의성 및 신뢰성 증진을 위해 실제적, 실용적으로 활용될 수 있을 것으로 판단된다.

Panel Session toward Improved Communication and Engagement with the Public after the Fukushima Daiichi Nuclear Power Plant Accident: Study Reports and Discussion with Specialists from Relevant Fields

  • Yoshida, Hiroko;Kuroda, Yujiro;Kono, Takahiko;Naito, Wataru;Sakoda, Akihiro
    • Journal of Radiation Protection and Research
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    • 제46권3호
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    • pp.134-142
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    • 2021
  • Background: From 2018 to 2020, the Expert Study on Public Understanding after the Fukushima Daiichi Nuclear Power Plant Accident (the Expert Study Group) identified and analyzed activities designed to promote public understanding of science and radiation since the Fukushima accident, and held discussions on how to achieve public understanding in the situation where public confidence has been lost, and how experts should prepare for dealing with the public. This panel session was held at the 53rd meeting of the Japan Health Physics Society on June 30, 2020. Materials and Methods: First, three subgroup (SG) leaders reported their research methods and results. Then, two designated speakers, who participated as observers of the Expert Study Group, commented on the activities. Next, the five speakers held a panel discussion. Finally, the rapporteur summarized. Results and Discussion: SG leaders presented reports from researchers and practitioners in health physics and environmental risks who provided information after the Fukushima accident. During the discussion, experts in sociology and ethics discussed the issues, focusing on the overall goals of the three groups, local (personal) and mass communication, and ethical values. Many of the activities instituted by the experts after the accident were aimed at public understanding of science (that is, to provide knowledge to residents), but by taking into account interactions with residents and their ethical norms, the experts shifted to supporting the residents' decision-making through public engagement. The need to consider both content and channels is well known in the field of health communication, and overlaps with the above discussion. Conclusion: How to implement and promote the public engagement in society was discussed in both the floor and designated discussions. Cooperation between local communities and organizations that have already gained trust is also necessary in order to develop relationships with local residents in normal times, to establish an information transmission system, and to make it work effectively.

정신장애인의 공공후견서비스 활동 경험과 과제 -권익옹호의 관점에서 (Experience and Task of Public Guardianship Service Activity for the mentally disabled -in Perspectives of advocacy)

  • 김효정;박인환;최윤영
    • 융합정보논문지
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    • 제9권5호
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    • pp.228-235
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    • 2019
  • 본 연구의 목적은 정신장애인의 공공후견서비스 사업이 당사자의 의사결정을 지원하고 권익옹호를 하는 제도로서 역할을 하고 있는지 그 경험과 과제를 탐구하는 것이다. 연구방법은 Strauss와 Corbin(1998)의 근거이론을 이용하여 공공 후견법인 후견업무 실무자 11명을 대상으로 전문가인터뷰를 실시하고, 과정분석과, 유형분석 등을 통해 실천모형을 제시하였다. 연구결과로는 정신장애인의 공공후견서비스를 통해, 후견의 권리옹호의 가능성과 시설의 긍정적인 태도변화 및 정신장애인의 권리회복을 위한 방향성 확립 등이 도출되었다. 공공후견법인 종사자들은 후견인에 대한 과도한 권한 부여나 업무 과정에서의 여러 어려움을 경험하지만 정신장애인들의 권리를 옹호하고 자기결정권을 지원할 수 있는 경험을 하였다. 본 연구를 통해 후견서비스의 필요성과 확대의 당위성을 제시하였다.

기술지주회사 연구동향과 기업성과 향상을 위한 제언 : Project Management Office(PMO) 도입을 중심으로 (Research Trends of Technology Holding Companies and Suggestions for improving Corporate Performance : Focusing on the introduction of PMO)

  • 이강오;이찬호
    • Journal of East Asia Management
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    • 제4권1호
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    • pp.53-77
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    • 2023
  • Modern company faces an uncertain future and a competitive environment and are seeking new technologies and creative products to ensure the corporate growth and survival in the market through continuous innovation. "University Industry Cooperation(UIC)" is a point of contact for overcoming the crisis faced by companies and universities in this era and a cooperation platform for mutual prosperity. As a subsidiary of a university, "Technology Holding Company(THC)" is attracting attention as a new window for UIC in Korea. The role of THC is to establish and foster the business opportunities of their subsidiaries and to return investment profits to the university ecosystem again. But recently, the life cycle of technology is getting shorter, and the development cost is steadily increasing. In particular, with the increase of hybrid projects based on convergence and combination, the risk of conducting research(R&D) and new product development(NPD) projects is gradually increasing. A PMO refers to a project management organization that can contribute to improving the success rate of projects with increasing uncertainty by supporting project visibility and appropriate decision-making. The purpose of this study is to raise a research question on whether THC's corporate performance can be improved when "Project Management System(PMO Service)" is introduced into the subsidiary incubation system of THC. This study proposes several research methods to identify the relationship between the introduction of PMO and the corporate performance of THC.

INTEGRATION OF SSM AND IDEF TECHNIQUES FOR ANALYZING DOCUMENT MANAGEMENT PROCESSES

  • Vachara Peansupap;Udtaporn Theingkuen
    • 국제학술발표논문집
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    • The 3th International Conference on Construction Engineering and Project Management
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    • pp.725-731
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    • 2009
  • Construction documents are recognized as an essential component for making a decision and supporting on construction processes. In construction, the management of project document is a complex process due to different factors such as document types, stakeholder involvement, document flow, and document flow processes. Therefore, inappropriate management of project documents can cause several impacts on construction work processes such as delay or poor quality of work. Several information and communication technologies (ICT) were proposed to overcome problems concerning document management practice in construction projects. However, the adoption of ICT may have some limitation on the compatibility of specific document workflow. Lack of understanding on designing document system may cause many problems during the use and implementation phase. Thus, this paper proposes the framework that integrates Soft System Methodology (SSM) concept and Integrated Definition Modeling Technique (IDEF) for analyzing document management system in construction project. Research methodology is classified as the case study. Five main construction building projects are selected as case studies. The qualitative data related to problems and processes are collected by interviewing construction project participants such as main contractors, owners, consultants, and designers. The findings from case study show the benefits of using SSM and IDEF. The use of SSM can help identify the problems in managing construction document in rich picture view whereas IDEF can illustrate the document flow in construction project in details. In addition, the idea of integrating these two concepts can be used to identify the root causes of process problems at the information level. As the results, this idea can be applied to analyze and design web-based document management system in the future.

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