• Title/Summary/Keyword: Burden of Failure

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Mental Health Issues in Solid-Organ Transplant Recipients; Pre-, Peri-, and Post-Transplant Phases (고형장기이식 환자의 정신건강: 이식의 시기별 이슈)

  • Yeonjin Jung;Jee In Kang
    • Anxiety and mood
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    • v.19 no.2
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    • pp.37-47
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    • 2023
  • This review article explores the psychological characteristics, comorbid mental disorders, and psychosocial assessments throughout the solid organ transplant journey, spanning the pre-transplant, peri-transplant, and post-transplant phases for transplant recipients. The psychological burden and anxiety in the pre-transplant phase are high for organ failure patients with complex physical difficulties who are deciding to undergo transplantation and are on the waiting list. The pre-transplant psychosocial evaluation covers various aspects, including the patient's readiness, awareness of, and commitment to transplant treatment, medical compliance, psychopathological conditions such as cognitive function and personality disorders, lifestyle factors, including substance abuse, as well as various psychosocial factors like social support. During the peri-transplant phase, mental health problems such as postoperative delirium should be carefully recognized and addressed. After transplantation, it is essential to assist patients in coping with the various stressful experiences they encounter, manage psychiatric symptoms such as depression, anxiety, and insomnia, and improve treatment adherence and quality of life during long-term care for the transplanted organ. Managing psychiatric problems in post-transplant patients requires a deep understanding of immunosuppressant medications and a keen awareness of associated risks, including adverse effects and potential drug interactions. This comprehensive review emphasizes the significance of proactive mental health care and psychosocial evaluation, highlighting the necessity of a multidisciplinary approach to enhance the quality of life and overall success of transplant patients throughout all phases of transplantation.

Principle of Insurance or a Social Right? : Centering on the Development of Individual Learning Accounts in Korea (보험원리인가 사회적 권리인가? : 우리나라 계좌제 훈련의 발전과정을 중심으로)

  • Jang, Sinchul
    • Journal of Practical Engineering Education
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    • v.12 no.1
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    • pp.187-202
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    • 2020
  • Can job training be considered a social right? Who must bear the costs of individual job training? This paper studies these two issues by examining the Korean Individual Learning Accounts (ILA) revised in 2020 and proposes future policy directions. Although there is no explicit legal provision stipulating job training as a lawful right in Korea, such absence does not negate the government's role of providing vulnerable people, etc with necessary training. Korean ILA heavily depends on the Skills Development Scheme under the Employment Insurance System which succeeded the past mandatory training levy system and it becomes harder to maintain principle of insurance because of sizable volume of atypical workers who are not insured. For future policy directions, it is desirable to increase the burden of general budget and self-financing as they are below 30% combined and the coverage of the ILA needs to be steadily expanded to all economically active people. Also, labor-management should step up joint efforts to stimulate the use of already existing policies such as paid training leave and request for reduction of working hours.

The Public Choice Analysis of Korean Mobile Telecom Policy (이동통신정책의 공공선택 분석)

  • Shin, Jin
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.19 no.3
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    • pp.493-499
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    • 2015
  • In Korea mobile phone subscribers exceeded 1 million people in 1995, and ten million people in 1998. Prevalence of the mobile phone increased dramatically over 110% compared to the population. Almost every family members including children uses more than one mobile terminal. Mobile phone is obviously more necessary good than washer, vacuum cleaner and passenger car. Our daily life are conveniently positioned with mobile communication, but communication related costs including the price of the device and service charges become a big burden on the household. But the government does not seem to do the right role at the right time to prevent the market failure to maximize consumer welfare and social welfare through supporting fair competition. This principal-agent problem issues of mobile communication policies will be understood in perspective of public choice against joint use of the mobile communication network, number portability, separation of phone distribution and phone service, network neutrality, mobile phone subsidy since the early 1990s when mobile phone service was introduced in Korea.

The Public Choice Analysis of Korean Mobile Telecom Policy (이동통신 정책의 공공 선택 분석)

  • Shin, Jin;Park, Dea-Woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.10a
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    • pp.917-920
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    • 2014
  • In Korea mobile phone subscribers exceeded 1 million people in 1995, and ten million people in 1998. Prevalence of the mobile phone increased dramatically over 110% compared to the population. And all family members including children and students use one or two mobile terminal. Mobile phone is obviously necessary good more than washer, vacuum cleaner, passenger car. Our daily life with mobile communication are conveniently positioned, but communication related costs including the price of the device has become a big burden on the household. But the government does not seem to do the right role at the right time to prevent the failure of the market to further maximize consumer welfare and social welfare through fair competition. This principal-agent problems exist especially in perspective of joint use of the mobile communication network, number portability, separation of phone distribution and phone service and network neutrality among in mobile communication policies since the early 1990s up to now.

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Current Limiting and Recovery Characteristics of Two Magnetically Coupled Type SFCL with Two Coils Connected in Parallel Using Dual Iron Cores (이중철심을 이용한 병렬연결된 자기결합형 초전도한류기의 전류제한 및 회복특성)

  • Ko, Seok-Cheol;Lim, Sung-Hun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.717-722
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    • 2016
  • In this paper, in order to support the peak current limiting function depending on the intensity of the fault current at the early stage of failure, a two magnetically coupled type superconducting fault current limiter (SFCL) is proposed, which includes high-Tc superconducting (HTSC) element 1, where the existing primary and secondary coils are connected to one iron core in parallel, and HTSC element 2, which is connected to the tertiary winding using an additional iron core. The results of the experiments in this study confirmed that the two magnetic coupling type SFCL having coil 1 and coil 2 connected in parallel using dual iron cores is capable of having only HTSC element 1 support the burden of the peak current when a failure occurs. The reason for this is that although HTSC element 1 was quenched and malfunctioned because the instantaneous factor of the initial fault current was large, the current flowing to coil 3 did not exceed the critical current, which would otherwise cause HTSC element 2 to be quenched and not function. In order to limit the peak current upon fault through the sequential HTSC elements, the design should allow it to have the same value as the low value of coil 1 while having coil 3 possess a higher self-inductance value than coil 2. In addition, a short-circuit simulation experiment was conducted to examine and validate the current limiting and recovery characteristics of the SFCL when the winding ratio between coil 1 and coil 2 was 0.25. Through the analysis of the short-circuit tests, the current limiting and recovery characteristics in the case of the additive polarity winding was confirmed to be superior to that of the subtractive polarity winding.

FIRE PROPAGATION EQUATION FOR THE EXPLICIT IDENTIFICATION OF FIRE SCENARIOS IN A FIRE PSA

  • Lim, Ho-Gon;Han, Sang-Hoon;Moon, Joo-Hyun
    • Nuclear Engineering and Technology
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    • v.43 no.3
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    • pp.271-278
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    • 2011
  • When performing fire PSA in a nuclear power plant, an event mapping method, using an internal event PSA model, is widely used to reduce the resources used by fire PSA model development. Feasible initiating events and component failure events due to fire are identified to transform the fault tree (FT) for an internal event PSA into one for a fire PSA using the event mapping method. A surrogate event or damage term method is used to condition the FT of the internal PSA. The surrogate event or the damage term plays the role of flagging whether the system/component in a fire compartment is damaged or not, depending on the fire being initiated from a specified compartment. These methods usually require explicit states of all compartments to be modeled in a fire area. Fire event scenarios, when using explicit identification, such as surrogate or damage terms, have two problems: (1) there is no consideration of multiple fire propagation beyond a single propagation to an adjacent compartment, and (2) there is no consideration of simultaneous fire propagations in which an initiating fire event is propagated to multiple paths simultaneously. The present paper suggests a fire propagation equation to identify all possible fire event scenarios for an explicitly treated fire event scenario in the fire PSA. Also, a method for separating fire events was developed to make all fire events a set of mutually exclusive events, which can facilitate arithmetic summation in fire risk quantification. A simple example is given to confirm the applicability of the present method for a $2{\times}3$ rectangular fire area. Also, a feasible asymptotic approach is discussed to reduce the computational burden for fire risk quantification.

Smart Wireless Intrusion Detection System Implementation for SOHO Environment (SOHO환경을 위한 스마트 무선 침입 탐지 시스템 구현)

  • Kim, Cheol-Hong;Jung, Im Y.
    • The Journal of the Korea Contents Association
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    • v.16 no.10
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    • pp.467-476
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    • 2016
  • With the development of information technology, Small office Home office(SOHO) is picking up. SOHO generally uses Wi-Fi. The wireless LAN environment using 802.11 protocol is easily affected by DoS attacks. To deal with these threats, there is Wireless Intrusion Detection System(WIDS). However, legacy products of WIDS cannot be easily used by SOHO because they are expensive and require management burden. In this paper, Smart WIDS for SOHO is proposed and implemented on Raspberry Pi2. And, it provides the interface for attack detection notice to android smart phone. Smart WIDS detects Masquerading DoS and Resource Depletion DoS based on IEEE 802.11 so that we notice the attempt of cracking Pre-shared Key(PSK), Man-In-The-Middle(MITM), and service failure.

A Repository Utilization System to optimize maintenance of IIoT-based main point Utilities (IIoT 기반한 핵심유틸리티의 유지보수 최적화를 위한 공동 활용 시스템)

  • Lee, Byung-Ok;Lee, Kun-Woo;Kim, Young-Gon
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.21 no.5
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    • pp.89-94
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    • 2021
  • Recently, manufacturing companies are introducing many intelligent production processes that apply IIoT/ICT to improve competitiveness, and a system that maintains availability, improves productivity, and optimizes management costs is needed as a preventive measure using environmental data generated from air ejectors. Therefore, in this study, a dedicated control board was developed and LoRa communication module was applied to remotely control it to collect and manage information about compressors from cloud servers and to ensure that all operators and administrators utilize common data in real time. This dramatically reduced M/S steps, increased system operational availability, and reduced local server operational burden. It dramatically reduced maintenance latency by sharing system failure conditions and dramatically improved cost and space problems by providing real-time status detection through wired and mobile utilization by maintenance personnel.

Effects of Personal Characteristics, Business Capabilities and Start-up Motivation on Start-up Satisfaction: Focusing on the Moderating Effect of Venture Startups and General Startups (개인특성, 사업역량 및 창업동기가 창업만족도에 미치는 영향 : 벤처창업기업과 일반창업기업의 차이를 중심으로)

  • Kim, Hyong-sok;Chung, Byoung-gyu
    • Journal of Venture Innovation
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    • v.6 no.1
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    • pp.35-57
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    • 2023
  • The purpose of this study was to analyze the moderating effect of venture start-up and general start-up based on what kinds of entrepreneurs' personal characteristics, business capabilities, and start-up motivation factors affecting start-up satisfaction. This study conducted an online survey of companies who received credit guarantee for start-ups from KCGF(Korea Credit Guarantee Fund), and finally collected 320 survey data. And it conducted statistical analyses such as frequency analysis, factor analysis, reliability analysis, correlation analysis, regression analysis, etc. using SPSS 24.0 statistics program. The results of the study were as follows. First, it is tested that creativity, one of entrepreneurs' characteristics, had a positive effect(+) on start-up satisfaction. Second, it is found that the failure burden, one of entrepreneurs' characteristics, had a negative effect(-) on start-up satisfaction. Third, experiences, one of entrepreneurs' characteristics, had not a significant effect on start-up satisfaction. Fourth, it was analyzed that business capabilities such as technology research and development, marketing, networking, and financing had a positive effect(+) on start-up satisfaction. Fifth, it is tested that the economic and self-realization motivation had a positive effect(+) on start-up satisfaction. Sixth, start-up satisfaction had a positive effect(+) on business performances. Last, it was analyzed that venture start-ups had a more positive effect than general start-up in the creativity, technology research and development, and the self-realization of start-up motivation affecting start-up satisfaction. And, it was found that venture start-ups have a less negative effect than general start-up in the failure burden affecting start-up satisfaction.

Medulloblastoma: Radiotherapy Result with Emphasis on Radiation Dose and Methods of Craniospinal Treatment (후두와 선량 및 전중추신경계 치료방법을 중심으로 한 수아세포종의 방사선치료 성적)

  • Kim Il Han;Ha Sung Whan;Park Charn Il;Cho Byung-Kyu
    • Radiation Oncology Journal
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    • v.6 no.2
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    • pp.183-194
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    • 1988
  • Twenty five patients with histologically proven medulloblastoma received craniospinal radiotherapy (CSRT) at the Seoul National University Hospital from 1979 to 1984. The extent of tumor removal was biopsy only in 2 patients, partial in 18, and near total in 5. With orthogonal technique of CSRT, mainly 55Gy was delivered to the posterior fossa (PF), 40Gy to whole brain (WB), and 30Gy to whole spine (WS). And with AP; PA technique, 50Gy to PF, 45-50Gy to WB, and 36 Gy to WS. Complete remission was obtained in $84\%$ of patients. Among 21 CR's 10 failures were observed, thus total failure rate was $56\%$ (14/25). Of 14 faiure 13 had the primary failure, 11 failed in primary site alone, 1 failure was combined with ventricular seeding, and another 1 was combined with neck node metastasis. There was 1 isolated spinal failure. Actuarial overall survival rates at 3 and 5 years were $75\%$ and $54\%$, and disease-free survival rates were $58\%$ and $36\%$, respectively. Better 5 year disease-free survival was noted in patients with 55 Gy to the posterior fossa than those with 50Gy $(62\%\;vs\;17\%,\;p<0.05)$, in patients treated with orthogonal technique than those treated with AP:PA technique $(87\%\;vs\;12\%,\;p<0.05)$, and in patients with near total removal than those with partial or less removal of tumor $(56\%\;vs\;30\%,\;N.S.)$ Re-irradiation was not satisfactory No severe late sequelae was noted among the survivors. For the higher control of medulloblastoma, dose to posterior fossa should be at least 55Gy with orthogonal CSRT to small tumor burden. And dose reduction in the subarachnoidal spaces might be safe, but optimal dose to the subarchnoidal spaces should be determined by the thorough tumor staging before radiotherapy.

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