• 제목/요약/키워드: Discontinuance

검색결과 69건 처리시간 0.025초

Effect of Discontinuation of Anticoagulation in Patients with Intracranial Hemorrhage at High Thromboembolic Risk

  • Jung, Hwan-Su;Jeon, Ik-Chan;Chang, Chul-Hoon;Jung, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • 제55권2호
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    • pp.69-72
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    • 2014
  • Objective : There was no abundance of data on the use of anticoagulant in patients with previous high risk of thromboembolic conditions under a newly developed intracranial hemorrhage in Korean society. The purpose of this study was to evaluate the safety of discontinuance and suggest the proper time period for discontinuance of anticoagulant among these patients. Methods : We reviewed the medical records of 19 patients who took anticoagulant because of thromboembolic problems and were admitted to our department with newly developed anticoagulation associated intracranial hemorrhage (AAICH), and stopped taking medicine due to concern of rebleeding from January 2008 to December 2012. Analysis of the incidence of thromboembolic complications and proper withdrawal time of anticoagulant was performed using the Kaplan-Meier method. Results : Our patients showed high risk for thromboembolic complication. The $CHA_2DS_2$-VASc score ranged from two to five. Thromboembolic complication occurred in eight (42.1%) out of 19 patients without restarting anticoagulant since the initial hemorrhage. Among them, three patients (37.5%) died from direct thromboembolic complications. Mean time to outbreak of thromboembolic complication was $21.38{\pm}14.89$ days (range, 8-56 days). The probability of thromboembolic complications at 7, 14, and 30 days since cessation of anticoagulation was 0.00, 10.53, and 38.49%, respectively. Conclusion : Short term discontinuance of anticoagulant within seven days in patients with AAICH who are at high embolic risk ($CHA_2DS_2$-VASc score >2) appears to be relatively safe in Korean people. However, prolonged cessation (more than seven days) may result in increased incidence of catastrophic thromboembolic complications.

고객의 CTI와 방송연계를 위한 UX기반 자동제어시스템의 구현 -콜센터 데이터를 중심으로- (Implementation of UX-based Automatic Control System for CTI and Broadcasting Linkage of Customer -Focusing on call center data-)

  • 이재용;신승중
    • 한국인터넷방송통신학회논문지
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    • 제20권2호
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    • pp.61-66
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    • 2020
  • 본 연구의 목적은 홈쇼핑 이용자가 매년 증가하고 있고 이들 고객들의 불편한 사항들도 이에 비례하여 증가하고 있는 바 고객 대기현황 데이터를 토대로 UX기반의 방송화면을 구현하여 고객불만을 낮추고 콜센터의 경영효율성을 향상하는 시스템을 구현하기 위함이다. 주목한 고객불만은 홈쇼핑상품 주문시 통화중인 경우가 많고 이에 대한 사전 안내가 부족하다는 것이다. 이에 본 제안 시스템은 고객의 주문현황을 불편함을 느끼는 정도의 고객 대기상황(20초이상, 30초이상 등)에 대해 UX상의 기준을 설정하고 자동으로 안내할 수 있는 시스템을 제안하고자 한다. 즉 고객이 콜센터로 전화해서 상담원과의 통화를 위해 대기하지 않고 주문대기가 많으면 콜센터 데이터를 기반으로 TV화면 상에 모바일 주문이나 자동주문을 할 수 있도록 하는 UX기반의 자막을 자동제어 시스템을 통해 안내할 수 있도록 제안하였다. 제안 시스템은 SK스토아 콜센터와 주조정실에 구현하여 그 효율성을 검증하였다.

Para-aminosalicylic acid(PAS)가 포함된 처방으로 치료한 다제내성 결핵환자에서 치료경과 중 균음전 후 PAS 중단시 재발율에 관한 조사 (A Retrospective Study for Relapse Rate According to the Discontinuance of Para-aminosalicylic acid(PAS) after Bacteriological Conversion during the Course of Chemotherapy for Multidrug- Resistant Tuberculosis(MDR-TB))

  • 박승규;김병주;신동옥;전병률
    • Tuberculosis and Respiratory Diseases
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    • 제60권2호
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    • pp.180-186
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    • 2006
  • 배경: 다제내성 결핵환자에서 이차약제로 구성된 처방 복약시 특히 PAS는 심한 위장장애 등의 부작용으로 환자의 치료순응도 저하에 중요한 요인이 되므로 균음전 후 PAS를 처방에서 제외한 경우의 치료경과 특히, 치료종결 후 재발율에 대한 조사를 통해 치료경과 중에 적절한 시점에 처방에서 PAS제외 가능성에 대하여 평가하고자 하였다. 방법: 2000년 1월 1일부터 2001년 12월 31일 동안에 국립마산결핵병원에서 입원 혹은 외래치료를 받았던 452명의 다제내성 결핵환자 중에서 처방에 PAS가 포함된 194명 중 심한 위장장애 등의 부작용 때문에 PAS를 중단한 환자 중 균음전 후 PAS를 제외한 처방을 12개월 이상 유지할 수 있었던 42명을 대상으로 임상적 특성 및 치료종결 후 재발율을 분석하였다. 결과: 대상환자의 남녀성비는 2.5:1, 평균나이는 56.2세였다. 1.2회의 과거치료력이 있었으며, 사용한 약제는 평균 3.9제였다. 내성약제수는 평균 4.3제였으며 처방에 포함된 감수성약제수는 평균 3.9제였다. 치료가 시작된 후 균음전시기는 평균 2.3개월째였으며, PAS 중단 시기는 균음전 후 평균 6개월째였다. 31.6개월의 추구관찰 기간 중 재발환자는 없었다. 결론: 새로운 항결핵제의 개발이 요원하고, 다제내성 결핵에 사용가능한 약제가 제한된 현 상황에서 치료순응도 개선방안을 강구하는 것은 치료효율을 높일 수 있는 최선의 방법 중 하나라고 생각되며, 다제내성 결핵환자에서 PAS가 포함된 처방으로 균음전이 되고 환자가 PAS복약에 따른 부작용을 호소하여 치료순응도가 나빠질 것으로 염려가 되면 균음전 후 6개월 즈음에는 PAS를 처방에서 제외할 수 있을 것으로 판단되었다.

A Qualitative Study on Risk Reduction Behaviors in Purchase Process of the Counterfeit of Fashion Luxury Brands - Focused on Risk Reduction Behaviors on Psychological Risk Perceptions -

  • Kim, Il
    • 패션비즈니스
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    • 제9권3호
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    • pp.22-36
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    • 2005
  • This research is to classify psychological risk perceptions in purchases process at counterfeit at fashion luxury brands, into a risk perception on purchase activity itself and a risk perception on the post-purchase situation, and to analyze types and characteristics at risk reduction behaviors to reduce each risk perception. In this research a qualitative method was employed, and research-related data were collected and analyzed through in-depth interviews. Results were shown that risk reduction behaviors at psychological risk perception on purchase activity itself included rationalization of purchase, accompanied purchase, reduction and discontinuance of purchase, and that risk reduction behaviors of psychological risk perception on the post-purchase situation included information search, establishment of selection criteria, establishment of marginal limit, selective purchase, planned and compared purchase, and reduction and discontinuance of purchase. Previous researches suggested brand loyalty, selection of famous brands, utilization of information agents by marketers, pre-purchase usage and guaranteed purchase, but these risk reduction methods were not utilized, this probably being interpreted as a result of characteristics of counterfeit. In addition, risk reduction behavior of one type tended to reduce risk perception of several other types, and risk reduction behaviors of various types were utilized to reduce a certain type's risk perception. Not only types of risk perception but also levels of risk perception appeared to have exerted influence to risk reduction behaviors.

모바일결제서비스의 시스템품질 특성이 이용자 저항의도에 미치는 영향 (A Study on the Influence of System Quality Characteristics of Mobile Payment Service on Discontinuance Intention)

  • 최상민;송광석
    • 품질경영학회지
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    • 제46권3호
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    • pp.625-640
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    • 2018
  • Purpose: The scale of a market of mobile payment which was insignificant is explosively being improved by development of various communications technology and achieving rapid diffusion of smart phone. According to this phenomenon, new method of financial dealings through a mobile can be seen as a new paradigm that leads to a change of existing payment work and also recognized as an innovation of information technology. Methods: but a study regarding whether the use of mobile payment service takes an important role as an influencial factor is still insufficient. This study was based on the model of innovation resistance by Ram(1987) and established a hypothesis and a model to confirm how four factors (usability, security, economic feasibility, responsiveness) influence to innovation resistance and the intention of discontinuous use. Results: usability, security were found to be significant predictor variables of innovation resistance to use mobile payment system, but economic feasibility, responsiveness were not found to be significant predictor variables. Conclusion: Providing gave a theoretical foundation for future research in that it presents the variables to consider new forms of mobile payment services, the mobile payment services will need to show a differentiated strategy and traditional marketing strategy.

광주.전남지역 여성기업의 장애요인에 관한 연구 (A Study on the Trouble Factors of Female-Owned Businesses in Kwangju-Cheonnam Region)

  • 김경조;최진배;김태훈
    • 한국경제지리학회지
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    • 제11권4호
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    • pp.527-548
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    • 2008
  • 여성기업에는 장애요인이 존재하며, 이는 여성기업의 성장을 저해하는 것으로 알려져 있다. 이 글은 여성기업의 장애요인으로 일과 가정생활의 균형, 경력단절 등에 초점을 맞추면서 이들이 여성기업의 성장에 어떤 영향을 미치는지 검토하는데 그 목적이 있다. 분석결과에 따르면 이들 장애요인이 자본의 축적, 경력 등에 영향을 미치고 나아가 이들 요인들이 상호작용하여 여성기업은 주로 서비스업에 진출하고 기업규모도 소규모로 되기 쉽다.

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고칼륨혈증으로 이뇨제 중단된 소변빈삭 환자의 한방치험 1례 (A Case Report of Urinary Incontinence with Discontinuance of Diuretics for Hyperkalemia)

  • 최은영;현진오;신원용;강아미;김용형;한이수;김학재;최흥민;임성우
    • 대한한방내과학회지
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    • 제27권3호
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    • pp.745-750
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    • 2006
  • Spironolactone reduces potassium excretion in renal collecting ducts and causes hyperkalemia. A 66-year-old female with urinary incontinence had to discontinue diuretics for hyperkalemia. After treatment with Jesaengsinkihwan-gagambang. she reduced urinary incontinence and her total urine volume was increased. BUN decreased from 32.2 to 16 and creatinine decreased from 1.5 th 0.9. So. we report one case of urinary incontinence with discontinuance of diuretics for hyperkalemia treated with Jesaengsinkihwan-gagambang.

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소셜네트워크서비스(SNS)사용의 부정적 감정과 사용중단의도에 관한 연구 (A Study on the Negative Emotion of Using Social Networking Services and Its Discontinuance Intention)

  • 박경자;유일;이윤희
    • 지식경영연구
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    • 제15권2호
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    • pp.89-106
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    • 2014
  • As an empirical study on the psychological side effects of using Social Networking Services (SNS), this study aims to identify the reality of negative emotion of using SNS and to predict its consequences. To this end, a measurement tool was developed through literature review, in-depth interview with users and expert review to induce negative emotional factors that can arise while using SNS. An exploratory factor analysis was performed for a total of 24 measurement items, which then were divided into the following 6 factors: 'concern over privacy,' 'burden from undesired connection,' 'relative deprivation,' 'a sense of alienation,' 'concern over reputation' and 'negative feeling about simple relationship.' Also, the relationship between the 6 negative emotional factors and psychological dissonance was analyzed. The results indicate that all the factors, except relative deprivation and a sense of alienation, affect psychological dissonance. It was also found that psychological dissonance, which implies a conflicting condition from using SNS, significantly affects the behavior that possibly reduces and limits the use of SNS. In other words, the users who have experienced psychological dissonance respond passively by avoiding the use of SNS to resolve the dissonance. The results of this study provide the base for explaining the psychological side effects of using SNS, which have been understood at a phenomenal level, such as 'Facebook depression' or 'SNS stress.' In addition, this study is of significance as it helps understand the psychological mechanism by identifying the relationship between negative emotion and use behavior with the theory of cognitive dissonance.

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모바일 패션 앱의 지각된 유용성과 위험 및 행동의도 -중국인 유학생 초점집단 면접 조사- (Perceived Usefulness and Risks and Behavioral Intentions of Mobile Fashion Apps -Focus Group Interviews with Chinese Students Studying in Korea-)

  • 홍희숙;순위;이승은
    • 한국의류학회지
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    • 제44권2호
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    • pp.255-272
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    • 2020
  • This exploratory study investigated Chinese consumers' perceived usefulness and risks of fashion apps and identified reasons for continuance and discontinuance intentions. This study conducted focus group interviews with a convenience sample of 13 Chinese students majoring in fashion in Korea. Based on interviewee responses, this study identified five attributes leading the perceived usefulness of mobile fashion apps (ubiquity and convenience, multi-media information, personalization, interactivity between consumers, and immediateness) and sub elements related to the five attributes. Five types of perceived risk (privacy risk, security risk, product risk, loss of future opportunity, and time risk) were identified in relation to Chinese consumers' use of fashion apps. The important role of live streaming services was uniquely identified by Chinese fashion app users. Usefulness of location-based information provided by mobile fashion apps were differently perceived according to respondents' use purpose, and augmented reality services provided by the apps were related to entertainment rather than usefulness. This study provides meaningful insights into Chinese consumers' perceptions of fashion apps and important app attributes that influence their continuance and discontinuance intentions. The findings from this study lend preliminary implications for future researchers and fashion businesses interested in the Chinese app market.

핀테크 지급결제 서비스 사용중단의도 영향요인 연구: Y대학 재학생을 중심으로 (The Study on the Factors Affecting Discontinuance Intention of FinTech Payment Service: Focusing on Y University Students)

  • 장은진;황신해;김정군
    • 디지털융복합연구
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    • 제20권3호
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    • pp.117-129
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    • 2022
  • 본 연구는 가치기반수용모형을 기반으로 핀테크 지급결제 서비스 사용자의 사용중단의도에 영향을 미치는 요인을 실증 검증하였다. 디지털 기기에 익숙하고 지급결제 서비스에 대한 거부감이 없고 서비스 접근성이 높은 20대 대학생을 대상으로 설문을 진행하였다. SPSS와 SmartPLS를 이용하여 총 148부의 설문지를 분석한 결과, 핀테크 지급결제 서비스 사용자의 사용중단에 영향을 미치는 요인으로 지각된 혜택, 복잡성, 보안에 대한 우려가 유의한 영향을 보였다. 이 중 지각된 혜택이 가장 큰 영향을 보였다. 본 연구결과를 바탕으로 핀테크 제공 기업들은 사용자와의 장기적인 관계 유지를 위한 노력으로 지속적인 혜택 제공, 다양한 사용 가능성 확보를 위한 시스템 개선, 보안에 대한 사용자의 부정적 인식 감소를 위한 서비스 환경을 구축할 수 있을 것이다. 최근 고령층의 서비스 사용이 증가하면서 향후 연구에서는 다양한 연령층을 대상으로 확대할 필요성이 있다.