• Title/Summary/Keyword: rehabilitation priority

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Rehabilitation Priority Decision Model for Sewer Systems (하수관거시스템 개량 우선순위 결정 모형)

  • Lee, Jung-Ho;Park, Moo-Jong;Kim, Joong-Hoon
    • Journal of the Korean Society of Hazard Mitigation
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    • v.8 no.6
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    • pp.7-14
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    • 2008
  • The main objective of sewer rehabilitation is to improve its function while eliminating inflow/infiltration (I/I). If we can identify the amount of I/I for an individual pipe, it is possible to estimate the I/Is of sub-areas clearly. However, in real, the amount of I/I for an individual pipe is almost impossible to be obtained due to the limitation of cost and time. In this study, I/I occurrence of each sewer pipe is estimated using AHP (Analytic Hierarch Process) and RPDM (Rehabilitation Priority Decision Model for sewer system) was developed using the estimated I/I of each pipe to perform the efficient sewer rehabilitation. Based on the determined amount of I/I for an individual pipe, the RPDM determines the optimal rehabilitation priority (ORP) using a genetic algorithm for sub-areas in term of minimizing the amount of I/I occurring while the rehabilitation process is performed. The benefit obtained by implementing the ORP for rehabilitation of sub-areas is estimated by the only waste water treatment cost (WWTC) of I/I which occurs during the sewer rehabilitation period. The results of the ORP were compared with those of a numerical weighting method (NWM) which is the decision method for the rehabilitation priority in the general sewer rehabilitation practices and the worst order which are other methods to determine the rehabilitation order of sub-areas in field. The ORP reduced the WWTC by 22% compared to the NWM and by 40% compared to the worst order.

Development of a Decision Making Model for Efficient Rehabilitation of Sewer System (효율적인 하수관거 개량을 위한 의사결정모형의 개발)

  • Lee, Jung-Ho;Jun, Hwan-Don;Joo, Jin-Gul;Kim, Joong-Hoon
    • Journal of Korea Water Resources Association
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    • v.41 no.2
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    • pp.127-135
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    • 2008
  • The objective of sewer rehabilitation is to improve its function while eliminating inflow/infiltration (I/I) and insufficient carrying capacity (ICC). Such rehabilitation efforts, however, have not been particularly successful due to a lack of sewer data and unsystematic field practices. The present study aimed to solve these problems by developing a decision making model consisting of two models: the rehabilitation weighting model (RWM) and the rehabilitation priority model (RPM). In RWM, the I/I of each pipe in a drainage district is estimated according to various defects, with each defect given an individual weighting factor using an analytic hierarchy process (AHP). RPM determines the optimal rehabilitation priority (ORP) using a genetic algorithm (GA). The developed models can be used to overcome the problems associated with unsystematic practices and, in practice, as a decision making tool for urban sewer system rehabilitation.

An Investigation Study on the Role and Performance Ability of Physical Therapists in the Community Care System for Elderly

  • Lee, Sang-Yeol;Choi, Su-Hong;Ha, Kyung-Jin;Rhee, Min-Hyung
    • The Journal of Korean Physical Therapy
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    • v.32 no.4
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    • pp.266-271
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    • 2020
  • Purpose: A survey was conducted to investigate the role, priority, and awareness of physical therapists in the community care system for the elderly. Methods: Nine hundred ninety-three physical therapists were invited to an online survey from 1st to 30th June 2020. Results: While the awareness of physical therapists for the community care system for the elderly was found to be low, the role priority and performance ability were found to be high. Fall training scored the highest for the job duties of physical therapists, and functional training scored the highest for the performance ability of physical therapists. For the role priority by the education status regarding the community care system, the participants who received the education program showed higher scores in the performance ability than those who did not. For the role priority and performance ability according to the education levels, higher education levels resulted in higher scores in both outcomes. Regarding the clinical experience, low scores were found in the participants with less than five years of experience. Conclusion: Physical therapy establishes itself as an essential area of expertise in the community care system for the elderly. Therefore, these results can be utilized in developing a model for Korean community care for the elderly.

Derived of agenda priority for research and development with physical therapy technology (물리치료 기술 개발 방향 정립을 위한 세부 연구 분야 우선순위 도출)

  • Kim, Hyeong Geun;Ha, Hyun Geun;Bae, Young-Hyeon
    • Journal of Korean Physical Therapy Science
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    • v.29 no.1
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    • pp.15-29
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    • 2022
  • Background: The purpose of this study was to suggest agenda priorities for research and development with physical therapy technology. Design: Cross-sectional study. Methods: A survey was consecutively done to 62 experts working in physical therapy research areas to investigate the priority of the categories. Paired T-tests and Importance-Performance Analysis using SPSS 21.0 package were conducted to find the differences between importance and satisfaction of the categories and the order of priority. Results: In results, it was developed that the research and development with physical therapy technology were divided with 18 categories. And the importance were significantly higher than satisfaction in 18 categories. Specifically, categories about assistive technology and robot rehabilitation were found to be on the high importance and lower performance quadrant. Conclusion: In sum, this study was meaningful in finding usage categories of research and development with physical therapy technology and investigating Importance-Performance differences for deriving research and development with physical therapy technology.

Identifying, Measuring, and Ranking Social Determinants of Health for Health Promotion Interventions Targeting Informal Settlement Residents

  • Farhad Nosrati Nejad;Mohammad Reza Ghamari;Seyed Hossein Mohaqeqi Kamal;Seyed Saeed Tabatabaee
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.4
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    • pp.327-337
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    • 2023
  • Objectives: Considering the importance of social determinants of health (SDHs) in promoting the health of residents of informal settlements and their diversity, abundance, and breadth, this study aimed to identify, measure, and rank SDHs for health promotion interventions targeting informal settlement residents in a metropolitan area in Iran. Methods: Using a hybrid method, this study was conducted in 3 phases from 2019 to 2020. SDHs were identified by reviewing studies and using the Delphi method. To examine the SDHs among informal settlement residents, a cross-sectional analysis was conducted using researcher-made questionnaires. Multilayer perceptron analysis using an artificial neural network was used to rank the SDHs by priority. Results: Of the 96 determinants identified in the first phase of the study, 43 were examined, and 15 were identified as high-priority SDHs for use in health-promotion interventions for informal settlement residents in the study area. They included individual health literacy, nutrition, occupational factors, housing-related factors, and access to public resources. Conclusions: Since identifying and addressing SDHs could improve health justice and mitigate the poor health status of settlement residents, ranking these determinants by priority using artificial intelligence will enable policymakers to improve the health of settlement residents through interventions targeting the most important SDHs.

Application of AHP-PROMETHEE to determine areal and linear priorities for sewer rehabilitation projects (하수관로의 면단위 및 선단위 정비 우선순위 결정을 위한 AHP-PROMETHEE기법의 적용)

  • Ahn, Hosung;Yoo, Soonyu;Lee, Taehoon;Park, Kyoohong
    • Journal of Korean Society of Water and Wastewater
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    • v.34 no.4
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    • pp.289-301
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    • 2020
  • Since sewer rehabilitation program requires long construction period and enormous capital investment, determination of rehabilitation priorities is important with systematic planning considering appropriate evaluation parameters. In this research, we applied PROMETHEE(Preference Ranking Organization METHod for Evaluations) known as very objective and scientific multi-criteria decision-making analysis, using the weights determined by AHP(Analytic Hierarchy Process) for the selected sewer evaluation items to calculate the rehabilitation priorities for each sewer sub-catchment in basin Gusan 1 of Seoul. Preference functions and preference thresholds were estimated for each criterion of ratio of lack of hydraulic capacity of sewers, defect ratio, ratio of sewers with velocity less than its minimum criteria, and density of sewers in the sub-catchment. As a result, it was found that region d had the first priority among four sub-catchments. For each and every sewer located in region d, we could also rank sewers to be rehabilitated urgently.

Importance-performance Analysis of Patients' and Nurses' perspectives on Rehabilitation Nursing Services (중요도-수행도 분석을 활용한 입원 환자 재활간호서비스에 대한 환자와 간호사의 인식 비교)

  • Kim, Kyoung Jin;Lee, Eun Jeung;Bang, Gyu Won;Lee, Yoon Ju
    • The Korean Journal of Rehabilitation Nursing
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    • v.19 no.1
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    • pp.43-54
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    • 2016
  • Purpose: This study attempted to understand patients' and nurses' perspectives on the priority of rehabilitation nursing services using Importance-Performance Analysis (IPA). Methods: This study used descriptive research design. Data were collected from 121 patients and 144 nurses using self-reported questionnaires. Statistical analysis included an independent t-test, analysis of variance (ANOVA), and IPA conducted using SPSS/WIN 21.0 version. Results: There were no statistical differences between the patients' and nurses' mean scores on perceptions of the importance (t=-0.83, p=.409) and performance (t=-0.32, p=.751) of rehabilitation nursing services. The IPA matrix showed a difference between patients and nurses in terms of their perceived priority of nursing services. Regarding the perception of patients, "helping a patient to continue to practice bedside physiotherapy and occupational therapy", "providing information on the proper care agency and community resources", and "providing education for the prevention of complications" fell in the "concetrate here" area (2nd quadrant). Conclusion: The results showed that the priorities of patients and nurses did not match in terms of some of the rehabilitation nursing services. Thus, rehabilitation nursing services need to be provided based on the patients' needs. Allocation of resources for the service items that fell in the "concentrate here" area of the IPA need be reconsidered for the quality in nursing care.

Optimization Model for Sewer Rehabilitation Using Fast Messy Genetic Algorithm (fmGA를 이용한 하수관거정비 최적화 모델)

  • Ryu, Jae-Na;Ki, Beom-Joon;Rark, Kyoc-Hong;Lee, Cha-Don
    • Journal of Korean Society of Water and Wastewater
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    • v.18 no.2
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    • pp.145-154
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    • 2004
  • A long-term sewer rehabilitation project consuming an enormous budget needs to be conducted systematically using an optimization skill. The optimal budgeting and ordering of priority for sewer rehabilitation projects are very important with respect to the effectiveness of investment. In this study, the sewer rehabilitation optimization model using fast-messy genetic algorithm is developed to suggest a schedule for optimal sewer rehabilitation in a subcatchment area by modifying the existing GOOSER$^{(R)}$ model having been developed using simple genetic algorithm. The sewer rehabilitation optimization model using fast-messy genetic algorithm can improve the speed converging to the optimal solution relative to GOOSER$^{(R)}$, suggesting that it is more advantageous to the sewer rehabilitation in a larger-scale subcatchment area than GOOSER.

Prioritization in the Policy of Integrated Medicine that Uses the Delphi Method and Analytic Hierarchy Process (델파이 기법과 AHP기법을 사용한 통합의료정책 우선순위 수립 연구)

  • Park, Youn Ok;Son, Chi Hyoung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.1
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    • pp.66-71
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    • 2015
  • The purpose of the study is to establish priorities in integrated medicine policy. Delphi method was used in conducting a survey on integrated medicine specialists regarding the policies of integrated medicine and actions. For specialists in integrated medicine, total 17 persons selected included scholars who performed minimum one study on integrated medicine, medical staff who performing integrated medical service at institutions that implemented integrated medical care or those who were involved in creating or implementing policies on integrated medicine. The first Delphi-method survey conducted from Apr. 14 through 18, while the second survey was carried out from Apr. 21 through 25. To prioritize the policies based on the results of the mini Delphi-method survey, Analytic Hierarchy Process(AHP) was performed for 15 persons answered to mini Delphi-method from May 2 through 16, 2014. From the Delphi-method survey, four policies and 16 actions were obtained. AHP showed the first priority placed on 'Building the Infrastructure of Industrialization in the Integrative medicine' of the 4 policies and 'Developing new diagnostic and treatment instruments' was given the highest priority of the 16 actions. For implementation of integrated medicine policy, the 4 policies and the 16 actions found in this research require government support and should be urgently implemented according to its priority.

Case Study of Investment Adequacy Analysis After Implementing Master Plan on Sewerage Rehabilitation (하수도정비기본계획 시행 후의 투자적정성 분석에 관한 사례 연구)

  • Park, Kyoo-Hong;Kang, Byong-Jun;Lym, Byeong-In;Knag, Man-Ok;Park, Joo-Yang;Kim, Sung-Tae;Park, Wan-Kyu
    • Journal of Korean Society of Water and Wastewater
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    • v.29 no.4
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    • pp.503-510
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    • 2015
  • The objective of this study is to analyze the investment adequacy of the projects implemented according to the master plan on sewerage rehabilitation at Seoul. The planned and actually implemented ratio of invested money on sewage treatment plants (STPs) to sewers were compared in two temporal periods. Though the planned ratio of investment on STPs to sewers was 50:50 (in 2009-2020), the actual implemented ratio in 2009-2013 was 34:66. Until 2020, the greater investment ratio on STPs to sewers should be made considering the necessity of coping with stricter legal compliance on advanced treatment, stormwater treatment and so on. The priority of the planned and partially implemented projects among four STPs and at each STP was evaluated. Considering only the performance indicator of reduced load of BOD, T-N, T-P per the capacity of each STP facility, the performance among four STPs was shown as Jung-Rang>Tan-Cheon>Seo-Nam>Nan-Ji. The reverse order of the performance results in the past may be considered for future investment priority, but the efficiency of operation implemented at each STP, deteriorated status of each STP, investment in the past and so forth should also be considered. As for the priority of projects conducted within each STP, projects related to legal compliance (such as advanced tertiary treatment, stormwater treatment, etc.) have highest priority. Odor-related project and inhabitant-friendly facility related projects (such as building park on STPs, etc.) has lower priority than water quality related projects but interactivity with end-users of sewerage should also be important.