• 제목/요약/키워드: management criteria

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The Effect of Dual Task Program on Cognitive Function in Patients with Mild Cognitive Impairment in Korea: A Systematic Review and Meta Analysis (국내 경도인지장애 환자에 적용한 이중과제 프로그램이 인지기능에 미치는 효과: 체계적 문헌 고찰 및 메타분석)

  • Jae-Hun Jung
    • Journal of Industrial Convergence
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    • v.21 no.12
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    • pp.101-111
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    • 2023
  • This study conducted systematic review and meta-analysis to analyze the effectiveness of a dual-task for cognitive function in patients with MCI in Korea. A search was conducted using eight databases, and the search terms were MCI, cognition, and dual task. This study includes RCT and nonRCT published from January 2013 to July 2023. A total of 682 studies were searched, and 8 studies that fulfilled the inclusion and exclusion criteria were finally analyzed. Methodological quality was assessed with the RoB, RoBANS. The meta-analysis used CMA 4.0 ver. As a result of the analysis, the overall effect size of the dual task was medium effect size. The effect size according to the outcome variables was large for orientation and executive function, and medium effect size for global cognitive function, visuospatial function, memory, and attention. As a result of analysis according to the intervention period, the effect was greater when applied for 4 to 8 weeks, and the effect size was larger when applied for 24 to 30 sessions. This study presented clinical evidence on the effectiveness and application method of a dual-task applied to improve cognitive function in patients with MCI.

Epidemiology of cleft lip and palate charity mission surgery at Bandung Cleft Lip and Palate Center, Indonesia: a 14-year institutional review

  • Ali Sundoro;Dany Hilmanto;Hardisiswo Soedjana;Ronny Lesmana;Selvy Harianti
    • Archives of Craniofacial Surgery
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    • v.25 no.2
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    • pp.62-70
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    • 2024
  • Background: The management of cleft lip and palate aims at improving the patient's aesthetic and functional outcomes. Delaying primary repair can disrupt the patient's functional status. Long-term follow-up is essential to evaluate the need for secondary repair or revision surgery. This article presents the epidemiology of cleft lip and palate, including comprehensive patient characteristics, the extent of delay, and secondary repair at our institutional center, the Bandung Cleft Lip and Palate Center, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia. Methods: This retrospective study aimed to determine the epidemiology and recurrence rates of cleft lip and palate at the Bandung Cleft Lip and Palate Center, Indonesia, from January 2007 to December 2021. The inclusion criteria were patients diagnosed with cleft lip and/or palate. Procedures such as labioplasty, palatoplasty, secondary lip and nasal repair, and alveolar bone grafting were performed, and data on recurrence were available. Results: In total, there were 3,618 patients with cleft lip and palate, with an age range of 12 months to 67 years. The mean age was 4.33 years, and the median age was 1.35 years. Males predominated over females in all cleft types (60.4%), and the cleft lip was on the left side in 1,677 patients (46.4%). Most cases were unilateral (2,531; 70.0%) and complete (2,349; 64.9%), and involved a diagnosis of cleft lip and palate (1,981; 54.8%). Conclusion: Delayed primary labioplasty can affect daily functioning. Primary repair for patients with cleft lip and palate may be postponed due to limited awareness, socioeconomic factors, inadequate facilities, and varying adherence to treatment guidelines. Despite variations in the timing of primary cleft lip repair (not adhering to the recommended protocol), only 10% of these patients undergo reoperation. Healthcare providers should prioritize the importance of the ideal timing for primary repair in order to optimize physiological function without compromising the aesthetic results.

A Study on the Establishment and Application of Evaluation Criteria for Old Railway Station Considering the Level of Railway Service (철도 서비스수준을 고려한 노후철도역사 평가기준 마련 및 적용방안)

  • Kim, Kyung Ho;Kim, Si Gon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.44 no.1
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    • pp.101-108
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    • 2024
  • The total number of railroad stations managed in Korea is 322 (including general and wide-area railways), and a considerable number of stations are aging. In terms of the size of the existing railway station and the number of entrances, it has not been possible to secure adequate service capacity, and the demand for station improvement is increasing due to changes in surrounding conditions such as urban development. In the past, railroad stations were focused on the simple function of a connection passage in terms of maintenance or management, but in recent years, railroad stations are also changing to an atmosphere that they should be reborn as a user-centered comfortable, convenient, and safe service provision space. In this study, a case study related to the improvement of the old railway station was conducted to derive an improvement plan that meets the improvement standard of the old station, and the service level evaluation standard was developed. By introducing the concept of service level (LOS) in the development model, station congestion, station movement convenience, and station safety were selected as evaluation indicators. In addition, this development model applied an analytical stratification technique to divide various evaluation elements of each indicator into major and detailed elements and derive the relative importance of the elements by class. Priority for improvement was derived using the ratio of the number of E and F on the LOS for each facility. Based on this study, it is expected to be helpful in using it as an evaluation criterion for improving objective and equitable railway station.

A Study on Multi-Object Data Split Technique for Deep Learning Model Efficiency (딥러닝 효율화를 위한 다중 객체 데이터 분할 학습 기법)

  • Jong-Ho Na;Jun-Ho Gong;Hyu-Soung Shin;Il-Dong Yun
    • Tunnel and Underground Space
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    • v.34 no.3
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    • pp.218-230
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    • 2024
  • Recently, many studies have been conducted for safety management in construction sites by incorporating computer vision. Anchor box parameters are used in state-of-the-art deep learning-based object detection and segmentation, and the optimized parameters are critical in the training process to ensure consistent accuracy. Those parameters are generally tuned by fixing the shape and size by the user's heuristic method, and a single parameter controls the training rate in the model. However, the anchor box parameters are sensitive depending on the type of object and the size of the object, and as the number of training data increases. There is a limit to reflecting all the characteristics of the training data with a single parameter. Therefore, this paper suggests a method of applying multiple parameters optimized through data split to solve the above-mentioned problem. Criteria for efficiently segmenting integrated training data according to object size, number of objects, and shape of objects were established, and the effectiveness of the proposed data split method was verified through a comparative study of conventional scheme and proposed methods.

Electronic Cigarette or Vaping Product Use-Associated Lung Injury: A Case Report (전자담배 관련 급성 폐 손상: 증례 보고)

  • Jiyun Lim;Bo Da Nam;Jung Hwa Hwang;Yang-Ki Kim;Eunsun Oh;Eun Ji Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1581-1588
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    • 2021
  • Electronic cigarette (e-cigarette) or vaping product use-associated lung injury (EVALI) has emerged as a social issue as e-cigarette use is rapidly increasing worldwide and is related to many deaths in the United States. To our knowledge, this is the first case report of EVALI in South Korea of a 24-year-old man with acute respiratory symptoms and a history of e-cigarette use. Chest CT revealed diffuse bilateral ground-glass opacities with subpleural sparing, airspace consolidation, and centrilobular micronodules as typical patterns of EVALI with organizing pneumonia and diffuse alveolar damage. Infection was excluded with meticulous laboratory examinations, and the patients' illnesses were not attributed to other causes. EVALI was diagnosed by meeting the diagnostic criteria with consistent clinico-radiologic findings through a multidisciplinary approach. Radiologists should have good knowledge of EVALI radiologic findings and play a cardinal role in the proper diagnosis and management of EVALI.

Numerical Analysis of the Stability of a High-Strength Joint Buried Pile Retaining Wall Method (수치해석을 이용한 고강도 결합 매입말뚝 흙막이 공법의 안정성 검토에 관한 연구)

  • Hyeok Seo;Yeongpan Ha;Junyoung Choi;Kyungho Park;Daehyeon Kim
    • The Journal of Engineering Geology
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    • v.34 no.2
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    • pp.249-262
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    • 2024
  • Retaining walls are widely used in the construction of underground structures. This study reviews the stability of the high-strength joint buried pile method at a site in Korea. [Consider giving details of the location.] The method is assessed by considering the amount of ground settlement, as calculated by finite element analysis and measured at the site. Comparison of the measured and numerical results confirmed the method's stability and field applicability. Settlement of 13.42~13.65 mm was calculated for seven cross-sections [The Abstract should be comprehensible without reference to the main text. The labels A-A' to G-G' should not be introduced here without explanation.] using numerical analysis, and the measured settlement reached a maximum of 2.00 mm. The observed differences and variations [Please state what differed/varied.] did not exceed the design expectations in any section. Instruments installed at the back of the excavation area were used to assess the conditions. An underground gradient meter recorded a cumulative horizontal displacement of between -0.40 and 0.60 mm, and an underground water meter recorded slight displacements of between -0.21 and 0.28 m compared with the initial measurements. A surface settlement meter observed very little movement, with a maximum of -2.00 mm compared with the initial measurement, thereby confirming the establishment of a stable state within the management criteria.

Spatial analysis of water shortage areas in South Korea considering spatial clustering characteristics (공간군집특성을 고려한 우리나라 물부족 핫스팟 지역 분석)

  • Lee, Dong Jin;Kim, Tae-Woong
    • Journal of Korea Water Resources Association
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    • v.57 no.2
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    • pp.87-97
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    • 2024
  • This study analyzed the water shortage hotspot areas in South Korea using spatial clustering analysis for water shortage estimates in 2030 of the Master Plans for National Water Management. To identify the water shortage cluster areas, we used water shortage data from the past maximum drought (about 50-year return period) and performed spatial clustering analysis using Local Moran's I and Getis-Ord Gi*. The areas subject to spatial clusters of water shortage were selected using the cluster map, and the spatial characteristics of water shortage areas were verified based on the p-value and the Moran scatter plot. The results indicated that one cluster (lower Imjin River (#1023) and neighbor) in the Han River basin and two clusters (Daejeongcheon (#2403) and neighbor, Gahwacheon (#2501) and neighbor) in the Nakdong River basin were found to be the hotspot for water shortage, whereas one cluster (lower Namhan River (#1007) and neighbor) in the Han River Basin and one cluster (Byeongseongcheon (#2006) and neighbor) in the Nakdong River basin were found to be the HL area, which means the specific area have high water shortage and neighbor have low water shortage. When analyzing spatial clustering by standard watershed unit, the entire spatial clustering area satisfied 100% of the statistical criteria leading to statistically significant results. The overall results indicated that spatial clustering analysis performed using standard watersheds can resolve the variable spatial unit problem to some extent, which results in the relatively increased accuracy of spatial analysis.

In-Situ Gamma Spectrometry Research Analysis and Radiation Efficiency Sensitivity Evaluation (감마핵종 In-Situ 측정 연구 동향 분석 및 방사능 측정 효율 민감도 평가)

  • Hyun Jun Na;Hyeok Jae Kim;Seong Yeon Lee;Min Woo Kwak;Kwang Pyo Kim
    • Journal of Radiation Industry
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    • v.17 no.1
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    • pp.1-9
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    • 2023
  • Since a large amount of radioactive waste is expected to be generated due to permanent shutdown of many nuclear power plants, it is necessary to prepare efficient management methods for radioactive waste. Therefore, there is a need for a based study to apply the In-Situ gamma spectrometry, which can simplify the measurement procedure. The purpose of this study is to analyze research cases of In-Situ gamma spectrometry and to analyze the sensitivity of measurement according to influencing factors on In-Situ gamma spectrometry. Research cases of five institutions, including the CERN and the Imperial College Reactor Centre (ICRC), were selected as the institutions to be investigated. Research on the In-Situ gamma spectrometry was conducted on the satisfaction of the acceptance criteria for radioactive waste and the analysis of residual radioactivity in the site. In-Situ Objective Counting System (ISOCS) was used as a major measuring device. Sampling and computer code were used to verify the analysis results. For evaluation of measuring sensitivity according to influencing factors on In-Situ gamma spectrometry, the thickness of the measurement target, the distance between the detector and the target, the angle of the collimator, and the contamination location were performed using ISOCS's Geometry Composer. In every case, based on 122 keV, the efficiency decreased as the energy increased in the high energy region, and the efficiency decreased as the energy decreased in the low energy region. As the target thickness increased, the efficiency decreased, and as the distance between target and detector increased, the efficiency decreased. As the distance between contamination and detector increased, the efficiency decreased, and as the angle of the collimator increased, the measurement efficiency increased. However, when simulating the measurement situation using Geometry Composer, the background is not considered, and the probability of incident in the background increases as the angle increases, so further research needs to be conducted in consideration of these. This study can be utilized when applying the In-Situ gamma spectrometry of radioactive waste clearance in the future.

Improvement of Certification Criteria based on Analysis of On-site Investigation of Good Agricultural Practices(GAP) for Ginseng (인삼 GAP 인증기준의 현장실천평가결과 분석에 따른 인증기준 개선방안)

  • Yoon, Deok-Hoon;Nam, Ki-Woong;Oh, Soh-Young;Kim, Ga-Bin
    • Journal of Food Hygiene and Safety
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    • v.34 no.1
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    • pp.40-51
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    • 2019
  • Ginseng has a unique production system that is different from those used for other crops. It is subject to the Ginseng Industry Act., requires a long-term cultivation period of 4-6 years, involves complicated cultivation characteristics whereby ginseng is not produced in a single location, and many ginseng farmers engage in mixed-farming. Therefore, to bring the production of Ginseng in line with GAP standards, it is necessary to better understand the on-site practices of Ginseng farmers according to established control points, and to provide a proper action plan for improving efficiency. Among ginseng farmers in Korea who applied for GAP certification, 77.6% obtained it, which is lower than the 94.1% of farmers who obtained certification for other products. 13.7% of the applicants were judged to be unsuitable during document review due to their use of unregistered pesticides and soil heavy metals. Another 8.7% of applicants failed to obtain certification due to inadequate management results. This is a considerably higher rate of failure than the 5.3% incompatibility of document inspection and 0.6% incompatibility of on-site inspection, which suggests that it is relatively more difficult to obtain GAP certification for ginseng farming than for other crops. Ginseng farmers were given an average of 2.65 points out of 10 essential control points and a total 72 control points, which was slightly lower than the 2.81 points obtained for other crops. In particular, ginseng farmers were given an average of 1.96 points in the evaluation of compliance with the safe use standards for pesticides, which was much lower than the average of 2.95 points for other crops. Therefore, it is necessary to train ginseng farmers to comply with the safe use of pesticides. In the other essential control points, the ginseng farmers were rated at an average of 2.33 points, lower than the 2.58 points given for other crops. Several other areas of compliance in which the ginseng farmers also rated low in comparison to other crops were found. These inclued record keeping over 1 year, record of pesticide use, pesticide storages, posts harvest storage management, hand washing before and after work, hygiene related to work clothing, training of workers safety and hygiene, and written plan of hazard management. Also, among the total 72 control points, there are 12 control points (10 required, 2 recommended) that do not apply to ginseng. Therefore, it is considered inappropriate to conduct an effective evaluation of the ginseng production process based on the existing certification standards. In conclusion, differentiated certification standards are needed to expand GAP certification for ginseng farmers, and it is also necessary to develop programs that can be implemented in a more systematic and field-oriented manner to provide the farmers with proper GAP management education.

A Methodology of Customer Churn Prediction based on Two-Dimensional Loyalty Segmentation (이차원 고객충성도 세그먼트 기반의 고객이탈예측 방법론)

  • Kim, Hyung Su;Hong, Seung Woo
    • Journal of Intelligence and Information Systems
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    • v.26 no.4
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    • pp.111-126
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    • 2020
  • Most industries have recently become aware of the importance of customer lifetime value as they are exposed to a competitive environment. As a result, preventing customers from churn is becoming a more important business issue than securing new customers. This is because maintaining churn customers is far more economical than securing new customers, and in fact, the acquisition cost of new customers is known to be five to six times higher than the maintenance cost of churn customers. Also, Companies that effectively prevent customer churn and improve customer retention rates are known to have a positive effect on not only increasing the company's profitability but also improving its brand image by improving customer satisfaction. Predicting customer churn, which had been conducted as a sub-research area for CRM, has recently become more important as a big data-based performance marketing theme due to the development of business machine learning technology. Until now, research on customer churn prediction has been carried out actively in such sectors as the mobile telecommunication industry, the financial industry, the distribution industry, and the game industry, which are highly competitive and urgent to manage churn. In addition, These churn prediction studies were focused on improving the performance of the churn prediction model itself, such as simply comparing the performance of various models, exploring features that are effective in forecasting departures, or developing new ensemble techniques, and were limited in terms of practical utilization because most studies considered the entire customer group as a group and developed a predictive model. As such, the main purpose of the existing related research was to improve the performance of the predictive model itself, and there was a relatively lack of research to improve the overall customer churn prediction process. In fact, customers in the business have different behavior characteristics due to heterogeneous transaction patterns, and the resulting churn rate is different, so it is unreasonable to assume the entire customer as a single customer group. Therefore, it is desirable to segment customers according to customer classification criteria, such as loyalty, and to operate an appropriate churn prediction model individually, in order to carry out effective customer churn predictions in heterogeneous industries. Of course, in some studies, there are studies in which customers are subdivided using clustering techniques and applied a churn prediction model for individual customer groups. Although this process of predicting churn can produce better predictions than a single predict model for the entire customer population, there is still room for improvement in that clustering is a mechanical, exploratory grouping technique that calculates distances based on inputs and does not reflect the strategic intent of an entity such as loyalties. This study proposes a segment-based customer departure prediction process (CCP/2DL: Customer Churn Prediction based on Two-Dimensional Loyalty segmentation) based on two-dimensional customer loyalty, assuming that successful customer churn management can be better done through improvements in the overall process than through the performance of the model itself. CCP/2DL is a series of churn prediction processes that segment two-way, quantitative and qualitative loyalty-based customer, conduct secondary grouping of customer segments according to churn patterns, and then independently apply heterogeneous churn prediction models for each churn pattern group. Performance comparisons were performed with the most commonly applied the General churn prediction process and the Clustering-based churn prediction process to assess the relative excellence of the proposed churn prediction process. The General churn prediction process used in this study refers to the process of predicting a single group of customers simply intended to be predicted as a machine learning model, using the most commonly used churn predicting method. And the Clustering-based churn prediction process is a method of first using clustering techniques to segment customers and implement a churn prediction model for each individual group. In cooperation with a global NGO, the proposed CCP/2DL performance showed better performance than other methodologies for predicting churn. This churn prediction process is not only effective in predicting churn, but can also be a strategic basis for obtaining a variety of customer observations and carrying out other related performance marketing activities.