• 한국IT서비스학회지
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• 제3권2호
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• pp.53-64
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• 2004

For many reasons, SI(Systems Integration) projects can fail. Sometimes, they can result in considerable financial losses to the organizations that undertake them. These projects are abandoned or redirected. However, the cost of project abandonment or redirection can represent a tremendous waste of organizational resources. By managing failure factors carefully, project managers can prevent projects from failing. Types of project failure can be categorized into escalation and de-escalation. Project escalation is that, as projects progress, the project scopes keep increasing. Project de-escalation is that, as projects progress, the project scopes keep decreasing. This study examine relative importance of risk factors that cause project escalation and de-escalation.

• 응용통계연구
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• 제27권7호
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• pp.1115-1123
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• 2014

제 1상 임상시험의 주목적은 시험약의 독성을 평가하여 부작용을 최소화하고 안전하게 투여할 수 있는 적정 용량인 최대허용용량(Maximum Tolerated Dose; MTD)의 추정이다. 기존에 최대허용용량 추정 방법에는 SM방법(Storer, 1989; Korn 등, 1994), ATD방법(Simon 등, 1997) 그리고 DM방법(Dixon과 Mood, 1948) 등이 있다. 본 논문에서는 초기 가속 단계를 적용하여 약효가 없는 낮은 용량에 많은 피험자들이 배정되는 점을 보완하고, 이 초기 가속 단계로 빠르게 용량을 증가함으로 인해 떨어진 안전성을 개선하기 위해 용량감량을 허용하는 방법을 적용시켜 MTD 를 추정하는 방법을 제안하였다. 기존의 방법들과 본 논문에서 제안한 방법을 모의실험을 통해 비교하였다.

• Korean Circulation Journal
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• 제52권4호
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• pp.304-319
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• 2022

Background and Objectives: De-escalation of dual-antiplatelet therapy through dose reduction of prasugrel improved net adverse clinical events (NACEs) after acute coronary syndrome (ACS), mainly through the reduction of bleeding without an increase in ischemic outcomes. Whether the benefits of de-escalation are sustained in highly thrombotic conditions such as ST-elevation myocardial infarction (STEMI) is unknown. We aimed to assess the efficacy and safety of de-escalation therapy in patients with STEMI or non-ST-segment elevation ACS (NSTE-ACS). Methods: This is a pre-specified subgroup analysis of the HOST-REDUCE-POLYTECH-ACS trial. ACS patients were randomized to prasugrel de-escalation (5 mg daily) or conventional dose (10 mg daily) at 1-month post-percutaneous coronary intervention. The primary endpoint was a NACE, defined as a composite of all-cause death, non-fatal myocardial infarction, stent thrombosis, clinically driven revascularization, stroke, and bleeding events of grade ≥2 Bleeding Academic Research Consortium (BARC) criteria at 1 year. Results: Among 2,338 patients included in the randomization, 326 patients were diagnosed with STEMI. In patients with NSTE-ACS, the risk of the primary endpoint was significantly reduced with de-escalation (hazard ratio [HR], 0.65; 95% confidence interval [CI], 0.48-0.89; p=0.006 for de-escalation vs. conventional), mainly driven by a reduced bleeding. However, in those with STEMI, there was no difference in the occurrence of the primary outcome (HR, 1.04; 95% CI, 0.48-2.26; p=0.915; p for interaction=0.271). Conclusions: Prasugrel dose de-escalation reduced the rate of NACE and bleeding, without increasing the rate of ischemic events in NSTE-ACS patients but not in STEMI patients.

• 한국건설관리학회논문집
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• 제20권3호
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• pp.3-11
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• 2019

시설공사는 도로, 철도 등 기간시설과 주거, 사무 공간 등의 다양한 인프라를 구축하는 행위로써 주문제작방식으로 시행되는 산업의 특성 상 대부분 장기간이 소요된다. 장기간에 걸쳐 공사가 진행되는 동안 공사를 구성하는 원재료 가격이 등락이 발생한다. 따라서 공사비 등락 또한 필연적으로 발생하게 된다. 공사비의 등락은 곧 시공사의 이익 및 정부의 예산지출의 효율성에 민감하게 맞물린다. 따라서 요구되는 공사품질 확보와 효율적인 예산지출 위해서는 합리적으로 공사비를 조정하여 적정한 수준의 시공비가 유지되도록 해야 한다. 이러한 문제의 해결을 위한 완충제도가 물가변동으로 인한 계약금액 조정제도(Escalation/De-Escalation)이다. 본 연구에서는 효율적인 계약금액 조정방법의 제안을 위하여 품목조정방식을 기반으로 지수조정방법을 접목한 방법을 제안하였다. 또한, 물가변동 조정과 관련된 국가계약법령 및 계약예규에 반영되지 못한 사항들을 조사하여 법적으로 성문화하도록 제안하였다.

• Psychiatry investigation
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• 제15권12호
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• pp.1188-1202
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• 2018

Objective This study protocol aims to determine, using a rigorous approach in patients with bipolar disorder (BD) and non-seasonal major depressive episode (MDE), the characteristics of bright light therapy (BLT) administration (duration, escalation, morning and mid-day exposures) depending on the tolerance (hypomanic symptoms). Methods Patients with BD I or II and treated by a mood stabilizer are eligible. After 1 week of placebo, patients are randomized between either morning or mid-day exposure for 10 weeks of active BLT with glasses using a dose escalation at 7.5, 10, 15, 30 and 45 minutes/day. A further follow-up visit is planned 6 months after inclusion. Patients will be included by cohorts of 3, with at least 3 days of delay between them, and 1 week between cohorts. If none meet a dose limiting toxicity (DLT; i.e hypomanic symptoms), the initiation dose of the next cohort will be increased. If one patient meet a DLT, an additionnal cohort will start at the same dose. If 2 or 3 patients meet a DLT, from the same cohort or from two cohorts at the same dose initiation, the maximum tolerated dose is defined. This dose escalation will also take into account DLTs observed during the intra-subject escalation on previous cohorts, with a "Target Ceiling Dose" defined if 2 DLTs occured at a dose. Discussion Using an innovative and more ergonomic device in the form of glasses, this study aims to better codify the use of BLT in BD to ensure a good initiation and tolerance.

• Korean Circulation Journal
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• 제52권4호
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• pp.320-323
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• 2022

• 디자인학연구
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• 제5권1호
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• pp.7-20
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• 1992

Since 80th, in the monetary markets due to the escalation of creditable promptness dealing of financial goods, Korea monetary business has been confronted with structual contradictions. The first like a men power reduction, inorder to meet and satisfying with cost reduction policy of the holding firms and secondly, escalation and expention of business networks or facilities inorder to meet and satis~'ing with customers continuously seeking for prompt, acurate, and helpfulness service nearly like one similar to a door to door service. Accordingly, the firms eventually poured mere sweaty money into procuring such devices for upgrading. On the contrary, however, regardless the escalation monetary expenditure may be, inorder to promote quality of the same devices are keen necessary because present days customer groups were tended to receives ample service almost like door to door service without moving too$$\mu$h apart from the immediate spot where they belongs tl or veryspot of where actually they spend instead of deep consideration of natures, quality or sttractiveness of service medias what they can received from. Under the present circumstance, the financial business firms, however, would highly suffering and recei\ulcornerves pressures from imblalance natures ofincoming and out go of the business budget due to excessive inc1ease of managerial expences. For these reasons, therefor, in order to solves, compensates, improves, and developes most effective fina\ulcornerncial service for customers can use under most pleasant environment, the establishment of adequate standardization of such service devices based on the foregoing environmental circumstances. This analytical study, therefor, mainly aimed and emphasized based on pre- estimatimation of proper de\ulcornervlopment and use of the unattended servicing devices such as Cash Dispenser and Auto Teller Machine bygeneralization, automating. and innovation of design to meet compactness and door to door like convenient service for customers which can be achieved by performing constant comparative analysis and continual study toward development of such devices those of which produced by Five (5) major domestic producers aro~nd the country.

• The Journal of Asian Finance, Economics and Business
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• 제7권12호
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• pp.21-31
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• 2020

This study investigates the dynamic effects of economic development, international cooperation, electricity consumption, and political risk on the escalation of CO₂ emission in Vietnam. We adopted autoregressive distributed lag model and Granger causality method to examine the interaction between CO₂ and various economic and political factors, including foreign direct investment, trade openness, economic growth, manufacture, electricity consumption, and political risk in Vietnam since the economic revolution in 1986. The findings reflect opposite influence between these factors and the level of CO₂ in the intermediate and long-term durations. Accordingly, foreign direct investment and CO₂ emission have a bidirectional relationship, in which foreign direct investment accelerates short-term CO₂ emission, but reduces it in the long run through an interactive mechanism. Moreover, economic development increases the volume of CO₂ emission in both short and long run. There was also evidence that political risk has a negative effect on the environment. Overall, the findings confirm lasting negative environmental effects of economic growth, trade liberalization, and increased electricity consumption. These factors, with Granger causality, mutually affect the escalation of CO₂ in Vietnam. In order to control the level of CO₂, more efforts are required to improve administrative transparency, attract high-quality foreign investment, and decouple the environment from economic development.

• Safety and Health at Work
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• 제12권3호
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• pp.289-295
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• 2021

Workplace violence (WPV) is an increasing cause of concern around the globe, and healthcare organizations are no exception. Nurses may be subject to all kinds of workplace violence due to their frontline position in healthcare settings. The purpose of this systematic review is to identify and consider different interventions that aim to decrease the magnitude/prevalence of workplace violence against nurses. The standard method by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA, 2009) has been used to collect data and assess methodological quality. Altogether, twenty-six studies are included in the review. The intervention procedures they report on can be grouped into three categories: stand-alone trainings designed to educate nurses; more structured education programs, which are broader in scope and often include opportunities to practice skills learned during the program; multicomponent interventions, which often include organizational changes, such as the introduction of workplace violence reporting systems, in addition to workplace violence training for nurses. By comparing the findings, a clear picture emerges; while standalone training and structured education programs can have a positive impact, the impact is unfortunately limited. In order to effectively combat workplace violence against nurses, healthcare organizations must implement multicomponent interventions, ideally involving all stakeholders.

• 한국IT서비스학회지
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• 제3권2호
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• pp.65-84
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• 2004

This research analyzes the causes of delay and resulting additional expenses on the IS project in the public sector, and then proposes some solutions to the problem. Through a field study, the research found that the causes include employer's attitude, the leadership and risk management ability of the project manager, and qualifications of project members. In order to avoid those problems, the project manager should secure various communication channels and good relationship between the employee and the contractor.