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The Value of Calcium-scoring CT for Ischemic Cardiovascular Disease Screening (허혈성 심혈관 질환 선별을 위한 Calcium-scoring CT의 유용성)

  • Oh, Jung-Hoan;An, Sung-Min
    • Journal of radiological science and technology
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    • v.32 no.1
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    • pp.69-78
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    • 2009
  • The cardiovascular disease has been known as a common cause of death for a long time in the west. The eating habits of Asia, including Korea, have changed recently, so that this disease is also a problem in Asia now. Annual Report on the Cause of Death Statistics from 1996 to 2006 reported that the cardiovascular disease would become the number one cause of death in the next $5{\sim}10$ years. Therefore we realize that more accurate examination is required. The aim of this study was to investigate the accuracy of Calcium-scoring CT and the relationship between risk factor and quantitative scores of Calcium-scoring CT. Through this study we expect that the national public health will be improved. Seventy patients with chest pain were chosen at random. The patients were undergone both coronary CT antigraphy and Calcium - scoring CT at G hospital in Incheon from February 1 to June 30, 2008. The result of the Calcium-scoring CT showed its usefulness for Ischemic cardiovascular disease, with an accuracy similar to that of exercise/pharmacologic stress or ECG when it is difficult for a patient to exercise due to joint problems, aging or for other reasons.

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Sensitivity Assessment on Daecheong Dam Basin Streamflows According to the Change of Climate Components - Based on the 4th IPCC Report - (기후인자의 변화에 따른 대청댐유역의 유출민감도 모의평가 - 4th IPCC 보고서의 결과를 기준으로 -)

  • Jeong, Sang-Man;Seo, Hyeong-Deok;Kim, Hung-Soo;Han, Kyu-Ha
    • Journal of Korea Water Resources Association
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    • v.41 no.11
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    • pp.1095-1106
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    • 2008
  • Climate change and global warming are prevalent all over the world in this century and many researchers including hydrologists have studied on the climate change. This study also studied the impact of climate change on streamflows of a basin in Korea. The SWAT model was used to assess the impacts of potential future climate change on the streamflows of the Daecheong Dam Basin. Calibration and validation of SWAT were performed on a monthly basis for the year of 1982-1995 and 1996-2005, respectively. The impact of seven 15-year(1988-2002) scenarios were then analyzed for comparing it to the baseline scenario. Among them, scenario 1 was set to show the result of doubling $CO_2$, scenario 2-6 were set to show the results of temperature and precipitation change, and scenario 7 was set to show the result of the combination of climatologic components. A doubling of atmospheric $CO_2$ concentration is predicted to result in an maximum monthly flow increase of 11 percent. Non-linear impacts were predicted among precipitation change scenarios of -42, -17, 17, and 42 percent, which resulted in average annual flow changes in Daecheong Dam Basin of -55, -24, 25, and 64 percent. The changes in streamflow indicate that the Daecheong Dam Basin is very sensitive to potential future climate changes and that these changes could stimulate the increased period or severity of flood or drought events.

A Study on the Development of Industrial Clusters in the International Science and Business Belt through the Industrial Clustering Analysis (산업 클러스터링 분석을 통한 국제과학비즈니스벨트의 클러스터 발전 방향 연구)

  • Jung, Hye-Jin;Og, Joo-Young;Kim, Byung-Keun;Ji, Il-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.2
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    • pp.370-379
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    • 2018
  • The Korean government announced plans for the International Science Business Belt as a spatial area for promoting the linkage between scientific knowledge and commercialization in 2009. R&D and entrepreneurial activities are essential for the success of the International Science Business Belt. In particular, prioritizing the types of businesses is critical at the cluster establishment stage in that this largely affects the features and development of clusters comprising the International Science Business Belt. This research aims to predict the entry and growth of firms that specialize in four industrial clusters, including Big Science Cluster, Frontier Cluster, ICT Cluster, and Bio-Healthcare Cluster. For this purpose, we employ the Swann & Prevezer's industrial clustering model to identify sectors that affect the establishment and growth of industrial clusters in the International Science Business Belt, focusing on ICT, Bio-Healthcare and Frontier clusters. Data was collected from the 2014 Korean Innovation Survey (KIS) and University Alimi for the ICT cluster, 2014 National Bio Industry Survey and University Alimi for the Bio-Healthcare Cluster, and the 2015 National Nano Convergent Industry Survey and Annual Report of Nano Technology for the Frontier cluster. Empirical results show that the ICT service sector, bio process/equipment sector, and Nano electronic sector promote clustering in other sectors. Based on the analysis results, we discuss several policy implications and strategies that can attract relevant firms for the development of industrial clusters.

A Quality-control Experiment Involving an Optical Televiewer Using a Fractured Borehole Model (균열모형시추공을 이용한 광학영상화검층 품질관리 시험)

  • Jeong, Seungho;Shin, Jehyun;Hwang, Seho;Kim, Ji-Soo
    • The Journal of Engineering Geology
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    • v.30 no.1
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    • pp.17-30
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    • 2020
  • An optical televiewer is a geophysical logging device that produces continuous high-resolution full-azimuth images of a borehole wall using a light-emitting-diode and a complementary metal-oxide semiconductor image sensor to provide valuable information on subsurface discontinuities. Recently, borehole imaging logging has been applied in many fields, including ground subsidence monitoring, rock mass integrity evaluation, stress-induced fracture detection, and glacial annual-layer measurements in polar regions. Widely used commercial borehole imaging logging systems typically have limitations depending on equipment specifications, meaning that it is necessary to clearly verify the scope of applications while maintaining appropriate quality control for various borehole conditions. However, it is difficult to directly check the accuracy, implementation, and reliability for outcomes, as images derived from an optical televiewer constitute in situ data. In this study, we designed and constructed a modular fractured borehole model having similar conditions to a borehole environment to report unprecedented results regarding reliable data acquisition and processing. We investigate sonde magnetometer accuracy, color realization, and fracture resolution, and suggest data processing methods to obtain accurate aperture measurements. The experiment involving the fractured borehole model should enhance not only measurement quality but also interpretations of high-resolution and reliable optical imaging logs.

Assessment of Climate Change Impact on Evapotranspiration and Soil Moisture in a Mixed Forest Catchment Using Spatially Calibrated SWAT Model (SWAT 모형을 이용한 미래 기후변화가 설마천 혼효림 유역의 증발산과 토양수분에 미치는 영향 평가)

  • Ahn, So Ra;Park, Geun Ae;Jang, Cheol Hee;Kim, Seong Joon
    • Journal of Korea Water Resources Association
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    • v.46 no.6
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    • pp.569-583
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    • 2013
  • This study is to evaluate the future climate change impact on hydrological components in the Seolmacheon ($8.54km^2$) mixed forest catchment located in the northwest of South Korea using SWAT (Soil and Water Assessment Tool) model. To reduce the uncertainty, the model was spatially calibrated (2007~2008) and validated (2009~2010) using daily observed streamflow, evapotranspiration, and soil moisture data. Hydrological predicted values matched well with the observed values by showing coefficient of determination ($R^2$) from 0.74 to 0.91 for streamflow, from 0.56 to 0.71 for evapotranspiration, and from 0.45 to 0.71 for soil moisture. The HadGEM3-RA future weather data of Representative Concentration pathway (RCP) 4.5 and 8.5 scenarios of the IPCC (Intergovernmental Panel on Climate Change) AR5 (Assessment Report 5) were adopted for future assessment after bias correction of ground measured data. The future changes in annual temperature and precipitation showed an upward tendency from $0.9^{\circ}C$ to $4.2^{\circ}C$ and from 7.9% to 20.4% respectively. The future streamflow showed an increase from 0.6% to 15.7%, but runoff ratio showed a decrease from 3.8% to 5.4%. The future predicted evapotranspiration about precipitation increased from 4.1% to 6.8%, and the future soil moisture decreased from 4.3% to 5.5%.

Prospects of Fertilizer Demand based on Recent Consumption (최근(最近)의 비료소비면(肥料消費面)에서 본 비료수요전망(肥料需要展望))

  • Park, Young-Dae
    • Korean Journal of Soil Science and Fertilizer
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    • v.9 no.3
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    • pp.149-163
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    • 1976
  • In Korea, the ever-increasing population has become a serious problem and the decreasing of cultivated lard area per person has become a major concern. Therefore, today we are implementing a green revolution using miracle varieties which require more fertilizer. The increased use of fertilizer along with development and adoption of high yielding varieties is the key to carrying out this green revolution. Fertilizer consumption in Korea is mainly influenced by agricultural techniques, fertilizer prices and government policies for increasing food production. If there are no special change, such as a cataclysm or an exhaustion of resources, it is quite clear that the fertilizer demand will increase to the near maximum ceiling point of optimum levels for crops in the year 2000. Fertilizer demand is not the amount of fertilizer that will be used by the farmer, but the actual optimum amount of plant nutrients required for maximum production. In this report, two alternative strategies are consideded in forecasting the future feitilizer demands. Alternative I is projected by reviewing consumption amounts over the last 10 years (1966~75) in Korea. The annual rate of increase in fertilizer consumption for the last 10 years was approximately 8.7% (table 1). Plant nutrient consumption rates in later years have been more balanced, and also fertilizer consumption per total acreage is considerably higher in Korea than in other countries (table 11), consequently the rate of increase in the future is expected to decline. Looking at the long term projections, the average annual rate of increase is expected to be 7% for 1976~80, 2.5% for 1981~90, 1.5% for 1991~2000. Thus, total projected fertilizer demands are estimated at 1,208,000M/T by 1980, 1,547,000M/T by 1990, 1,795,000M/T by 2000 (table 16). Alternative II is based on projected optimum fertilizer levels for crops and on increased crop acreage. The government recommended fertilizer rate has increased by a factor of 0.99 to 5.49 over the past twelve years depending on the specific crops (table 4). Levels of fertilizer demand recommended by government (table 7) in 1976 are still low compared with actual optimum fertilizer demands for crops (table 5). Therefore, future incaeases in fertilizer usage are anticipated. Thus, total projected fertilizer demands are estimated at 1,229,000M/T by 1980, 1,493,000M/T by 1990 and 1,898,000M/T by 2000(table 16).

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Impacts of Implementation of Patient Referral System in terms of Medical Expenditures and Medical Utilization (의료전달체계 정책효과 분석)

  • Jung, Sang-Hyuk;Kim, Han-Joong
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.1 s.49
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    • pp.207-223
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    • 1995
  • A new medical delivery system which regulated outpatient department(OPD) use from tertiary care hospitals was adopted in 1989. Under the new system, patients using tertiary care hospital OPD without referral slip from clinics or hospitals could not get any insurance benefit for the services received from the tertiary care hospital. This study was conducted to evaluate the Patient Referral System(PRS) with respect to health care expenditures and utilization. Two data sets were used in this study. One was monthly data set(from January 1986 to December 1992) from the Annual Report of Korea Medical Insurance Corporation(KMIC). The other was monthly joint data set composed of personal data of which 10% were selected randomly with their utilization data of KMIC from January 1988 to December 1992. The data were analyzed by time-series intervention model of SAS-ETS. The results of this study were as follows: 1. There was no statistically significant changes in per capita expenditures following PRS. 2. Utilization episodes per capita was increased statistically significantly after implementation of PRS. The use of clinics and hospitals increased significantly, whereas in tertiary care hospitals the use decreased significantly immediately after implementation of PRS and increased afterwards. 3. Follow-up visits per episode were decreased statistically significantly after implementation of PRS. The decrease of follow-up visits per episode were remarkable in clinics and hospitals, whereas in tertiary care hospitals it was increased significantly after implementation of PRS. 4. There was no statistically significant changes in prescribing days per episode following PRS. Futhermore, clinics and hospitals showed a statistically significant decrease in prescribing days per episode, whereas in tertiary care hospital it showed statistically significant increase after implementation of PRS. 5. Except high income class, the use of tertiary care hospitals showed statistically significant decrease after implementation of PRS. The degree of decrease in the use of tertiary care hospitals was inversely proportional to income. These results suggest that the PRS policy was not efficient because per capita expenditures did not decrease, and was not effective because utilization episodes per capita, follow-up visits per episode. and prescribing days per episode were not predictable and failed to show proper utilization. It was somewhat positive that utilization episodes per capita were decreased temporarily in tertiary care hospitals. And PRS policy was not appropriate because utilization episodes per capita was different among income groups. In conclusion, the PRS should be revised for initial goal attainment of cost containment and proper health care utilization.

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Mitral Valve Replacement : A Report of 238 cases (승모판막 대치이식술 238예 보고)

  • Lee, Yung-Kyoon;Yang, Gi-Min
    • Journal of Chest Surgery
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    • v.13 no.4
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    • pp.422-434
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    • 1980
  • Since 1968 up to the end of October 1980, 448 valves were replaced in 354 patients in Seoul National University Hospital. There were 238 mitral, 38 aortic, 7 tricuspid, 45 aortic with mitral, 23 tricuspid with mitral, and 3 triple valve replacement aortic mitral and tricuspid cases. Annual increase of mitral valve replacement cases and decrease of operative maortality were remarkable. Recently operative mortality of mitral valve replacement is about 5%. Sex ratio of mitral valve replacement is almost equal and there were 12 cases of pediatric patients (5%) among 238 cases, and patients under the age of 20 years were 34 (14.3%). Mitral valve replacement was done for 199 single mitral, 38 double valve and one triple valve lesions. Among 238 mitral valve replacement paients left atrial thrombus in 23(9.7%), atrial fibrillation in 132 (55.5%), and reoperation after blind mitral commissurotomy in 12(5%) cases were noted. In recent cases bioprosthetic valves, mainly lonescu-shiley valve were utilized to overcome the difficulties of postoperative late complications in anticoagnuation, especially for the rural patients and pediatric cases, in addition to the hemodynamic advantages of lonesocu valve. Among 354 patients 16 cases were congenital heart anomaly related, 5 ventricular septal defect related aortic and 4 Ebstein related tribuspid valve replacement cases. There were 2 congenital anomaly related mitral valve replacements, one for congenital mitral insufficiency of 7 years old boy and one for corrected transposition of the great vessels associated with mitral insufficiency. Among total 354 valve replacements 49 operative deaths (13.3%) were noted and in 238 mitral valve replacement 24 operative deaths occurred (10.1%). In 39 patients among 354 total valve replacements late complications were found. In 238 mitral valve replacement cases late complications were noted in 26 patients, among whom 16 cases expired. Main late complications were thrombe-embolism, subacute becteerial endocarditis, arrythmia cerebral hemorrhage due to unsatisfactory anticoagulation, and congestive heart failure in the incipient period of valve replacement were also noted. In mitral valve replacement cases long-term survival rate was 83.2% who showed marked clinical improvement. Ther were no evidences of calcification during the 2 years follow-up period for the lonescu-valve replacement cases among 19 pediatric patients. In conclusion 238 cases of mitral valve replacement were done with 24 operative deaths and 26 late complication cases among whom 16 expired. The long term survival was 83.2% of the cases. In pediatric cases in place of coumadin anticoagulation Persantin **** 75 and aspirin were administered after valve replacement. In adult cases who have difficulaties with coumadin anticoagulation and for those even with bioprosthetic heart valve replacement who needs long-term or permanent anticoagulation persantin 75 and aspirin combination regimen were administered with antisfactory results.

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Preliminary Report on the Ecology of the Penguins Observed in the Cold Years and a Less Cold Year in the Vicinity of King Sejong Station, King George Island off the Antarctic Peninsula (남극 세종기지에서 추운 해와 덜 추운 해에 관찰된 펭귄들의 생태에 관한 1차보고)

  • Chang, Soon-Keun
    • Ocean and Polar Research
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    • v.26 no.1
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    • pp.87-101
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    • 2004
  • This paper delineated the ecology including movement (departure from the rookery and returning to the rookery), egg-laying, and hatch of the penguins occurred in the cold years and a less cold year in the vicinity of King Sejong Station, King George Island off the Antarctic Peninsula. The years of 1988, 1991, 1992, and 1995 were selected as cold years and the year of 2001 was selected as a less cold year based on the mean annual temperature of the years. Gentoo Penguin (Pygoscelis papua) left their rookery in May, meanwhile some remained around the station. They returned in middle-September in the less cold .year, and returned in late-September to early-October in the cold years. Chinstrap Penguin (Pygoscelis antarctica) left their rookery in early-April in the cold years as well as in the less cold year without exception. They returned to the rookery in late-October to early-November in cold years, meanwhile in early-October in the less cold year. This difference in the returning of this bird seems to be related with the exposed sea water, i.e., sea ice condition to feed in the sea. The global warming will lead to the appearance of birds which breed in the Sub-Antarctic. For example, one pair of King Penguin (Aptenodytes patagonicus) was observed in the Maxwell Bay in austral summer. And a pair of snide-like bird was recently observed for the first time in November 2001 at the penguin rookery located in the Barton Peninsula, King George Island. And it will also lead to the disappearance of an Emperor Penguin (Aptenodytes forsteri) which appeared in the full winter when Maxwell Bay and Marian Cove were frozen. It seems that the behaviour of the penguins observed around the station shows the complex effects of the ecology of the birds in combination with the natural environments, which include feeding strategy and areas, animal Instincts, exposed terrain related to weather conditions, and globa1 warming. It is necessary to take further observation and carry out systematic researches on the birds including penguins around the station which show the ecology of the birds as well as the environmental changes.

A Study on the Retailer's Global Expansion Strategy and Supply Chain Management : Focus on the Metro Group (소매업체의 글로벌 확장전략과 공급사슬관리에 관한 연구: 메트로 그룹을 중심으로)

  • Kim, Dong-Yun;Moon, Mi-Jin;Lee, Sang-Youn
    • Journal of Distribution Science
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    • v.11 no.12
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    • pp.25-37
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    • 2013
  • Purpose - The structure of retailing has changed as retailers develop markets in response to business environment changes. This study aims to analyze the general situation of retailers in order to predict future global strategy using case studies of overseas expansion strategy and the Metro Group's global strategy. Research design, data, and methodology - The backgrounds to the new retail business model and retailer classification are analyzed as theoretical data. In addition, the key success point of the Metro Group's "cash and carry" strategy is analyzed as is the Metro Group's global CFAR (collaborative planning, forecasting, and replenishment) strategy. Finally, the plan for cooperation and precise forecasting under the Metro Group's supply chain management are analyzed from the promotion environment viewpoint. Related materials analyzed included the 2012 annual report, the Metro Group's web page, and a video interview with the executive in charge of global strategy and the new market development department. Some data were revised to avoid disrupting essential aspects of the case studies. Results - The important finding was that the Metro Group could be a world-class retail company with its successful global expansion strategy. The Metro Group's global strategy's primary goal is to have a leading business position in Eastern and Western Europe. The "cash and carry" strategy is highest priority in its overseas expansion strategy. Moreover, the Metro Group has standardized product planning capacity, which could be applied in various countries with different structural and cultural backgrounds. This is the main reason that the Metro Group could rapidly become successful in the Eastern Europe and Asian markets through its structural overseas expansion strategies. In addition, the Metro Group emphasizes the importance of supply chain management. Conclusions - First, retailers should create additional value through utilizing the domestic market, market power, and economies of scale to launch a global strategy to maximize benefits from diversification. Second, the political, economic, and cultural background of the target country needs to be understood to successfully implement the overseas expansion strategy. Third, the main factor of successful cooperation with a local partner is how quickly the company gains total understanding of the business resources and core competence of its partner. All organizations should focus on the achievement of goals in order to successfully operate the partnership. Fourth, retailers should improve their business, financial and organizational structure. Moreover, the work processes and company culture should also be improved to respond strongly in the competitive global market. Fifth, the essential point of a successful retail business is the control capacity of its branding and format. The retailer could avoid forecasting errors through supply chain management by perfectly distributing the actual amount of its inventory. In addition, the risks along the supply chain are effectively shared between the supply chain partners. Finally, the central tendency of the market is to gain in strength with this taking place across all parts of the business.