• Title/Summary/Keyword: Deterioration factors

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The Risks of Transport Documents under L/C Transaction (신용장거래에서 운송서류의 위험요인에 관한 연구)

  • Park, See-Woon
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.45
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    • pp.85-109
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    • 2010
  • L/C provides the exporter and the importer with safe assurance in the exchange of goods for payment in international trade. It involves a number of parties. Although the parties may have confidence in their client, bad faith or ignorance of international banking practice by any of these parties could cause the failure of transaction, which makes international trade a risky business. Most of the risks are found in transport document, which can cause disputes. There are many factors in the risk of transport documents under L/C transaction. One most common risk factor for the beneficiary in all transport documents is even if there is no discrepancy in document, the issuing bank or the applicant refuses to pay or delay payment insisting there is a discrepancy. In some very rare cases, the beneficiary may not get paid due to unfair injunction of the local court of the applicant. For the applicant, most common risk factors are fake bill and fraud. Risks classified according to the sorts of transport documents are as follows. 1. In B/L, payment can be refused because it is regarded as charter party B/L, although there is no real charter party contract. And the applicant can bear the potential risk of the loss or deterioration of cargo through transhipment of the cargo loaded on board in container if transhipment is prohibited without excluding of UCP 600 article 20 (c). 2. In charter party B/L, the applicant may take delivery without paying when charter party B/L is signed by charterer, which can result in a big loss for the beneficiary and the negotiating bank. And risks may arise when cargo is seized because the charterer does not pay the hire. The applicant and the issuing bank are also vulnerable to a risk - Against whom should they file a suit when cargo gets damaged during transportation? 3. In multimodal transport document, which is subject to a conflict because there is a big difference in viewpoints between transport industry and banks, conflicts may also arise when L/C requires ocean B/L and accepts multimodal transport document at the same time, but does not specify the details. 4. In air waybill, where the consignee is not the issuing bank but the applicant, risks may take place to the beneficiary when the applicant takes delivery but refuses to pay asserting minor discrepancies in document. The applicant may also bear the risk when cargo may not be loaded because air waybill is a received bill. Another risk may arise when although the applicant prohibits transhipment without excluding UCP 600 article 23 (c), the cargo may be transhipped, provided that the entire carriage is covered by one and the same air waybill.

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Analysis of Radiologic Factors Affecting Longterm Surgical Results of Anterior Cervical Fusion Patients (경추 전방 유합 환자의 장기 수술 결과에 영향을 주는 방사선학적 요인 분석)

  • Choe, Il Seung;Seo, Dae Hee;Park, Sung Choon;Chae, Euy Byung;Choi, Sun Wook;Song, Kwan Young;Kang, Dong Soo
    • Journal of Korean Neurosurgical Society
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    • v.30 no.2
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    • pp.194-200
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    • 2001
  • Object : Anterior cervical discectomy and fusion is accepted as appropriate surgical intervention for disease processes of the ventral cervical spine. In some cases, however, improvement of symptom following operation develop myelopathy or rhizopathy at longterm follow-up. We studied to clarify the correlation between clinical results and plain radiologic findings at long term follow-up. Methods : A total of 86 patients who underwent anterior cervical discectomy and fusion were grouped into deteriorated and good recovery group. These two groups were compared in lateral functional roentgenograms on the cervical kyphosis and disc height at fused level, sagittal plane rotation and dynamic sagittal canal diameter at adjacent level. Results : The presence of cervical kyphosis and disc height at fused level do not correlate with long term followup results. Sagittal plane rotation of more than 20 degrees were identified in 36% of the cases in deteriorated group, whereas the same findings were identified in 15% of the cases in good group. Sagittal diameter of less than 12mm were identified in 48% of the cases in deteriorated group, whereas the same finding were identified in 8% of the cases in good group. Preoperatively, sagittal plane rotation of more than 20 degrees at adjacent level were identified in 28% of the cases in deteriorated group, whereas the same findings were identified in 13% of the cases in good group. Preoperatively sagittal diameter of less than 12mm at adjacent level were identified in 40% of the cases in deteriorated group, whereas the same finding were identified in 7% of the cases in good group. Conclusion : Large sagittal plane rotation and small dynamic sagittal diameter at adjacent level were factors that might be associated with later clinical deterioration after cervical anterior fusion.

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Total Deformity Angular Ratio as a Risk Factor for Complications after Posterior Vertebral Column Resection Surgery

  • Lee, Byoung Hun;Hyun, Seung-Jae;Han, Sanghyun;Jeon, Se-Il;Kim, Ki-Jeong;Jahng, Tae-Ahn;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.61 no.6
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    • pp.723-730
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    • 2018
  • Objective : The aim of the present study was to identify whether the deformity angular ratio (DAR) influences the occurrence of complications after posterior vertebral column resection (PVCR) and to establish the DAR cut-off value. Methods : Thirty-six consecutive patients undergoing PVCR from December 2010 to October 2016 were reviewed. The relationships between the total, sagittal, and coronal DAR and complications were assessed using receiver operator characteristics curves. The patients were divided into two groups according to a reference value based on the cut-off value of DAR. Demographic, surgical, radiological, and clinical outcomes were compared between the groups. Results : There were no significant differences in the patient demographic and surgical data between the groups. The cut-off values for the total DAR (T-DAR) and the sagittal DAR (S-DAR) were 20.2 and 16.4, respectively (p=0.018 and 0.010). Both values were significantly associated with complications (p=0.016 and 0.005). In the higher T-DAR group, total complications (12 vs. 21, p=0.042) and late-onset complications (3 vs. 9, p=0.036) were significantly correlated with the T-DAR. The number of patients experiencing complications (9 vs. 11, p=0.029) and the total number of complications (13 vs. 20, p=0.015) were significantly correlated with the S-DAR. Worsening intraoperative neurophysiologic monitoring was more frequent in the higher T-DAR group (2 vs. 4) than in the higher S-DAR group (3 vs. 3). There was no difference in neurological deterioration between the groups after surgery. Conclusion : Both the T-DAR and the S-DAR are risk factors for complications after PVCR. Those who had a T-DAR >20.2 or S-DAR >16.4 experienced a higher rate of complications after PVCR.

A Study on the Determinants of the Incidence and the Transition of Older Adult Disability: Findings from the Korea Longitudinal Study of Aging(KLOSA) (노년기 장애발생과 장애정도의 변화에 미치는 영향요인 연구: KLOSA 1차와 2차 자료를 중심으로)

  • Koo, Bonmi;Seok, Jae Eun
    • 한국노년학
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    • v.32 no.4
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    • pp.993-1011
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    • 2012
  • The purpose of this study is to investigate the factors associated with the incidence and the transition of disability among Korean older adults. Samples consist of 1,454(42.7%) men and 2,032(58.3%) women aged 65 and over who participated in the 1st and 2nd wave of the Korea Longitudinal Study of Aging: KLOSA. To estimate the level of disability, ADL and IADL disability indexes are used. As the results, major risk factors for ADL/IADL disability incidence include injury, vision problem, cognitive function, depression, health behavior, socioeconomic characteristics and age. Among the normal older adults, the odds ratio of having dementia symptoms at 2nd wave(2008) are 2.0 times greater for the older adults who have less cognitive function than those who don't have at 1st wave(2006). Among the older adults with chronic diseases, the odds ratio of having disability at 2nd wave are 1.8 times greater for the older persons who have depression than those who don't have at 1st wave. Secondly, concerning the predictors affecting the disability transition among the disabled older adults at 1st wave, the likelihood of remaining at the same level or deteriorating the level of IADL disability, as compared with improving the level, is associated with having less instrumental support or being older. These results indicate that it is necessary to prefer multilevel intervention in order not only to prevent the incidence of disability, but also to prolong the deterioration of disability in the older adults.

Image Optimization of Fast Non Local Means Noise Reduction Algorithm using Various Filtering Factors with Human Anthropomorphic Phantom : A Simulation Study (인체모사 팬텀 기반 Fast non local means 노이즈 제거 알고리즘의 필터링 인자 변화에 따른 영상 최적화: 시뮬레이션 연구)

  • Choi, Donghyeok;Kim, Jinhong;Choi, Jongho;Kang, Seong-Hyeon;Lee, Youngjin
    • Journal of the Korean Society of Radiology
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    • v.13 no.3
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    • pp.453-458
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    • 2019
  • In this study we analyzed the tendency of the image characteristic by changing filtering factor for the proposed fast non local means (FNLM) noise reduction algorithm with designed Male Adult mesh (MASH) phantom through Geant4 application for tomographic emission (GATE) simulation program. To accomplish this purpose, MASH phantom for human copy was designed through the GATE simulation program. In addition, we acquired degraded image by adding Gaussian noise with a value of 0.005 using the MATALB program in MASH phantom. Moreover, in degraded image, the FNLM noise reduction algorithm was applied by changing the filtering factors, which set to 0.005, 0.01, 0.05, 0.1, 0.5, and 1.0 value, respectively. To quantitatively evaluate, the coefficient of variation (COV), signal to noise ratio (SNR), and contrast to noise ratio (CNR) were calculated in reconstructed images. Results of the COV, SNR and CNR were most improved in image with a filtering factor of 0.05 value. Especially, the COV was decreased with increasing filtering factor, and showed nearly constant values after 0.05 value of the filtering factor. In addition, SNR and CNR were showed that improvement with increasing filtering factor, and deterioration after 0.05 value of the filtering factor. In conclusion, we demonstrated the significance of setting the filtering factor when applying the FNLM noise reduction algorithm in degraded image.

Assessment of Damage for the Three­Storied Stone Pagoda of Bulguksa Temple in Gyeongju (경주 불국사 삼층석탑(석가탑)의 손상도 평가)

  • Lee, Gemma
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.9
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    • pp.299-305
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    • 2019
  • As the damage factors of the three­storey stone pagoda of the Bulguksa Temple in Gyeongju could cause a reduction in the historical and artistic value and accelerate the deterioration of the stone, an appropriate solution is needed. The aim of stone conservation is to conserve the original shape and convey originality from the ancestors to their descendants. This procedure includes a record of the condition, being available in the future. In particular, the damage assessment could be used in conservational research, educational data, conservational treatment, and preventive data. As a result of quantitative damage assessment, biological damage indicated 159 %, chemical damage 114 %, and physical damage 16 %. The west direction revealed 95 % because of the amount of sunshine, moisture, and expansion of rock. Complex factors and high range damage were observed on the foundation and body of the pagoda. Since the top of pagoda was restored in the 1970s, the state presented a good condition. By doing this, the number of organisms could be reduced by cleaning and the physical damage could be minimized by bonding. On the other hand, continuous monitoring will be needed because there is a possibility of reforming the damage in the future.

The Effects of Forest Healing Anti-aging Program on Physical Health of the Elderly: A Pilot Study (산림치유 항노화 프로그램이 노인의 신체적 건강에 미치는 효과: 예비연구)

  • Baek, Ji-Eun;Shin, Ho-jin;Kim, Sung-Hyeon;Kim, Jae Yeon;Park, Sujin;Sung, Si-Yoon;Cho, Hwi-young;Hahm, Suk-Chan;Lee, Min-Goo
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.2
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    • pp.81-90
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    • 2021
  • PURPOSE: Aging causes a decrease in muscle mass and a change in posture, which reduces motor function and makes it difficult to perform daily activities independently. As these factors are closely related to the deterioration of the quality of life, it is very important to prevent and manage negative changes in the musculoskeletal system. Forest healing is a nature therapy course that maintains and promotes health using various environmental factors in a forest. The purpose of this study was to identify the effects of the forest healing anti-aging programs on the physical health of the elderly. METHODS: Ten elderly people participated in this study, as part of a forest healing anti-aging program for two days. Functional fitness, muscle strength, gait function, and balance were evaluated before and after the program. RESULTS: The number of arm curls, chair stands, and steps in a 2-min walk significantly increased (p < .05). 8-feet up & go time was significantly decreased (p < .05). Biceps brachii, quadriceps femoris, and calf muscle strength were significantly increased (p < .05). Gait velocity and cadence were significantly increased (p < .05). Step length, stride length, step time, swing time, stance time, and cycle time were significantly decreased (p < .05). Reaching distance in the lateral directions was significantly increased (p < .05). CONCLUSION: The forest healing anti-aging program improves the physical health of the elderly.

A Study on the Calculation of Load Resistance Factor of over Tension Anchors by Optimization Design (최적화 설계를 통한 과긴장 앵커의 하중-저항계수 산정 연구)

  • Soung-Kyu Lee;Yeong-Jin Lee;Yong-Jae Song;Tae-Jun Cho;Kang-Il Lee
    • Journal of the Korean Geosynthetics Society
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    • v.22 no.4
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    • pp.17-26
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    • 2023
  • To consider the risk of damage and fracture of P.C strands, the existing post-maintenance system alone has the limitations, hence it is necessary to quantitatively evaluate and predict the deterioration, durability and safety of facilities and establish a reasonable maintenance system considering the asset value of facilities. Therefore, it is worth considering a preventive maintenance plan that allows proactive measures to be taken before a major defect occurs in the temporary anchor. This study devised a preventive over tension method, reviewed its effectiveness through design and field tests, by calculating the resistance factors by performing a reliability-based optimization design. At this time, the over tension anchor method was evaluated using the ratio of the residual tension force after the fracture of P.C strands to the effective tension force before the fracture of P.C strand, followed by the resistance factor calculated by the optimal solution for each random variables using Excel solver and applying it to the limit state equations. As a result of the study, if the over tension ratio is 125% to 130%, the remaining strands showed a high resistance effect even after the fracture of P.C strand. As a result of the optimization design, it was found that it is appropriate to apply the load factor (γ) of 1.25, and the resistance factors of Φ1, Φ2, Φ3 as 0.7, 0.5, 0.6.

Association between Sleep Quality and Psychologic Factors among University Students in Korea (한국인 대학생에서 수면의 질과 정서적 요인에 관한 상관관계)

  • Kang, Jin-Kyu;Lim, Hyun-Dae;Lee, You-Mee
    • Journal of Oral Medicine and Pain
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    • v.33 no.3
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    • pp.257-267
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    • 2008
  • The mentophysical disease causes diseases in digestive, respiratory, circulating systems, including chronic pain, through combined reactions from different individual characteristics, mental stress and temperamental factors. The most common symptom related to orofacial area is pain and the contributive factors include biological, behavioral, environmental, social, emotional, recognitive factors. These factors affect the course of the symptom according to individual's character and human nature. In pain, sleep acts as a contributive factor, and pain could bring about sleep disturbance and vice versa. Deterioration of sleep quality would act as a factor that aggravates mental stress. Therefore, relatively accurate and simple mental examinations and sleep quality test should be carried out for the patients with symptoms related to orofacial area. This study evaluated the mental state in relation to the sleep quality which could affect orofacial pain. The number of poor sleeper was 18 in male subjects, and 1 in female subjects and PSQI global index was higher in male($6.11{\pm}2.38$) than female($4.67{\pm}2.18$). SCL-90-R index showed no sex difference. Poor sleeper showed significantly high value in SOM, O-C, I-S, ANX, PHOB, PSY, GSI, PST. When SCL-90-R T scores were compared according to sleep quality, higher the subjective sleep quality score, O-C and I-S showed significant increase. As sleep disturbances score increased, PAR, PSY, PST showed statistically significant increase. In comparison of SCL-90-R T score according to daytime dysfunction, statistically significant increase in DEP, ANX, HOS, PHOB, PAR, GSI was observed. Therefore, the quality of sleep and psychological status have a high correlation. This is likely to influence chronic pain in the orofacial field. As a result, clinicians treating orofacial pain should evaluate the sleep quality and psychological status of the patient. Further studies of larger sample sizes including various age, occupation, and pain groups are necessary in order to apply the results to clinical practice.

Clinical Characteristics, Prognostic Factors and Influence of Prophylaxis in Children with Pneumocystis jirovecii Pneumonia (소아 주폐포자충 폐렴의 임상양상, 위험인자 및 예방요법의 효과 연구)

  • Kim, Seohee;Yoo, Reenar;Sung, Hungseop;Lee, Jina
    • Pediatric Infection and Vaccine
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    • v.23 no.1
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    • pp.31-39
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    • 2016
  • Purpose: The aim of this study was to investigate the prognostic factors for Pneumocystis jirovecii pneumonia (PCP) and to evaluate the influence of PCP prophylaxis in pediatric patients. Methods: From January 2002 to April 2015, patients aged <18 years with a diagnosis of confirmed PCP at our institute were reviewed retrospectively. Clinical characteristics and outcomes were compared according to the groups with or without PCP prophylaxis. Risk factors associated with PCP-related death were analyzed by logistic regression analysis. Results: During study period, a total of 24 patients were diagnosed with PCP by immunofluorescence assay and/or PCR. The median age of the patients was 5 years (range, 3 months-18 years) and 23 (96%) had immunocompromised conditions including hematologic disorders with or without hematopoietic stem cell transplantation (n=15), solid organ transplantation (n=4), and primary immune deficiency (n=4). Most common presenting symptoms were tachypnea and cough (92%, each). At the time of diagnosis, 79% (19/24) and 25% (6/24) suffered from respiratory failure and multi-organ dysfunction syndrome (MODS), respectively. Mechanical ventilation was required in 8 (33%) patients and 5 (21%) patients died of PCP. Multivariate analysis showed that MODS at initial presentation was an indicator of poor prognosis (OR, 17.1 [95% CI 1.13-257.67]; P=0.04). Compared to the patients without PCP prophylaxis, the frequency of MODS at diagnosis, need for mechanical ventilation and length of hospital days were significantly less common in the children who received PCP prophylaxis. Conclusions: MODS at presentation was a significant predictor for poor outcome and PCP prophylaxis could alleviate the clinical courses of pediatric PCP. Prospective study will be mandatory to determine the risk factors for development and deterioration of PCP in children.