• 제목/요약/키워드: Evaluation of Value at Risk

검색결과 125건 처리시간 0.032초

개정된 가이드라인에 따른 아세트아미노펜 급성 중독환자 치료 기준의 검증 (Evaluation of Cut-off Values in Acute Acetaminophen Intoxication Following the Revised Guideline of the United Kingdom)

  • 박성진;차경만;소병학;김형민;정원중
    • 대한임상독성학회지
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    • 제16권2호
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    • pp.68-74
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    • 2018
  • Purpose: In 2012, a revised guideline for acute acetaminophen overdose was proposed in the UK, recommending that the treatment threshold should be lowered to 100 mcg/ml at 4 hours after ingestion without risk stratification of hepatotoxicity. However, the poison centers in some developing countries do not have laboratory resources to provide serum drug levels in time. The primary aim of the study is to evaluate the cut-off value of reported dose per kilogram to determine when N-acetylcysteine treatment is warranted under the revised guideline. Methods: Data were collected retrospectively from the toxicology registry of an urban emergency medical center between 1st January 2010 and 30th June 2017. Inclusion criteria were single acute overdose of more than 75 mg/kg in 15 hours from ingestion and over 14 years of age. Subgroups were created by 25 mg/kg increments of reported dose, then sensitivity, specificity, positive predictive value and negative predictive value were calculated for the cut-off values of 100 mg/kg, 125 mg/kg, 150 mg/kg and 175 mg/kg for toxic serum level over '100-treatment line'. Results: A total of 99 patients were enrolled in the study; 24 patients showed toxic serum levels (24.2%). Zero of 17 patients with an ingestion dose under 100 mg/kg showed toxic level (0%), and 0 of 15 under 125 mg/kg (0%), 2 of 14 under 150 mg/kg (14.3%), and 4 of 12 under 175 mg/kg (33.3%) had toxic levels. The higher the ingested dose per kilogram of weight, the higher the frequency of the toxic serum concentration on the first test (${\chi}^2$ test for trend, ${\chi}^2=22.66$, p-value<0.001) and the sensitivity of each value was 100%, 100%, 92% and 76%. Conclusion: In acute single acetaminophen intoxication, the ingestion dose of 100 mg/kg of weight will be useful in determining the need for the N-acetylcysteine antidote in the indigent laboratory environment.

ESG 경영을 위한 변화 및 대응 전략 검토 (Review of change and response strategies for ESG management)

  • 최유화
    • 문화기술의 융합
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    • 제9권3호
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    • pp.75-79
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    • 2023
  • ESG 경영이란 기업 가치를 평가할 때 철저한 투자자 관점을 고려하는 것을 의미하는 것이며, 기업의 경영활동과 관련된 위험 및 기회요인을 파악함에 있어 환경, 사회, 지배구조는 지속적이고 전략적인 모니터링 이슈이다. 즉, 비즈니스 관계에서 가치 창출의 관점이 반영된다. ESG 경영은 지속적인 비즈니스 가치 창출과 계약 관계에서의 투자 리스크 및 비즈니스 거래의 철저한 관리를 근본 목적으로 하며, ESG 경영은 재무적 가치에 대한 '건전한 약속이행'을 위한 엄격하고 투명한 기준이며, 기업가치와 연계된 투자자의 요구사항이기도 하다. 현재 한국 기업들이 가장 많이 경험하고 있는 분야는 투자자 IR 및 글로벌 영업 및 마케팅 부서에서 'ESG에 대한 정보 수집이 필요하고 유지관리가 우선시 되어야 한다'는 인식이며, 이에 대한 일차적인 필요성이 대두되고 있다. 또한 준법경영을 수행하는 법무사무국, 환경안전부서, 인사부서 등에서 관련 실무를 수행하므로 정보 통합 및 관리 체계를 제대로 구축하기 위해서는 조직차원의 명확성이 선행되어야 하며, 궁극적으로 ESG 관리는 기업 프로세스 차원의 리스크 관리, 공시 및 커뮤니케이션 등 새로운 시장 기회를 확보하는 범위를 포괄하고 있다. 따라서 새로이 대두되는 ESG경영에 대한 관심과 대응 방법에 있어서도 재무적 수익에 대한 기업가치 제고 노력뿐만아니라 비재무적 차원의 리스크 관리를 병행하여 지속가능환 수익이 창출되도록 검토와 이행을 반복하여야 할 것이다.

로트의 신뢰성 보증 샘플링검사 방식에 대한 연구 (Study on the sampling inspection method for reliability assurance of lot)

  • 백재욱
    • 산업진흥연구
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    • 제8권1호
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    • pp.111-117
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    • 2023
  • 품질관리를 위한 샘플링검사 방식은 산업계에서 많이 제안되어왔다. 하지만 시간을 염두에 둔 품질인 신뢰성에 대한 샘플링검사 방식은 상대적으로 덜 제시되었으며, 일목요연하게 요약한 문헌도 그리 많지 않은 편이다. 이에 여기에서는 신뢰성 시험 중 대상 제품의 신뢰성 평가척도값이 목표로 하는 값을 만족하는지 확인하기 위한 신뢰성 적합시험의 설계에 대하여 설명한다. 이를 위해 먼저 소비자와 생산자가 모두 만족할 수 있는 조건은 무엇인지 OC곡선의 측면에서 살펴보면서 원하는 수준의 생산자위험과 소비지위험을 만족하는 샘플링검사가 무엇인지 알아본다. 이어서 신뢰성 샘플링검사 방식은 계수형과 계량형의 두 가지 방식이 있으므로 이들에 대해 살펴본다. 구체적으로 계수형 신뢰성 샘플링검사 방식은 대상 제품 중 n개의 시험품을 샘플링하여 일정 기간인 T시간 동안 시험하여 고장발생수가 c개 이하이면 합격시키는 형태이고, 계량형 신뢰성 샘플링검사 방식은 n개의 시험품을 미리 정한 기준의 시험시간 동안 시험하여 얻어진 시험 데이터를 이용하여 MTBF와 같은 신뢰성 평가척도값을 계산한 후 이 값이 일정 기준을 만족하면 합격시키는 형태이다. 계수형이든 계량형 신뢰성 샘플링검사이든 검사표를 이용할 수도 있다.

Neutrophil to Lymphocyte Ratio - Not an Independent Prognostic Factor in Patients with the Myelodysplastic Syndrome

  • Akinci, Sema;Silay, Kamile;Ulas, Arife;Guney, Tekin;Hacibekiroglu, Tuba;Basturk, Abdulkadir;Akinci, Muhammed Bulent;Alkan, Afra;Dilek, Imdat
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권24호
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    • pp.10883-10885
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    • 2015
  • Purpose: Neutrophil-to-lymphocyte ratio (NLR) was evaluated as a potential prognostic factor in patients with myelodysplastic syndrome (MDS). Materials and Methods: Between December 2009 and April 2014, 14 female (35%) and 26 male (65%) MDS patients who were followed up in our hematology clinic were included in the study for NLR during diagnosis. Division was into two groups according to the NLR, and the correlation with mortality was evaluated. The prognostic significance of NLR regarding treatment outcome was also evaluated with adjustment for known confounding risk factors. Results: The mortality rate of the patient group was 55%, and median survival was 18 months. There was no significant correlation between mortality and NLR at a median value of 1.8 (p=0.75). Thrombocytopenia was observed to increase mortality (p=0.027), and there was a significant correlation between mortality and pancytopenia (p=0.017). Conclusions: This first study of NLR and mortality did not show any significant correlation. In centres with limited access to genetic evaluation for the presence of pancytopenia and/or thrombocytopenia at the time of diagnosis, a platelet level less than $50{\times}10^9/l$ may be poor prognostic markers in MDS patients.

Simultaneous Analysis of 13 Pesticides in Groundwater and Evaluation of its Persistent Characteristics

  • Song, Dahee;Park, Sunhwa;Jeon, Sang-Ho;Kim, Ki-In;Hwang, Jong Yeon;Kim, Moonsu;Jo, Hun-Je;Kim, Deok-hyun;Lee, Gyeong-Mi;Kim, Hye-Jin;Kim, Tae-Seung;Chung, Hyen Mi;Kim, Hyun-Koo
    • 한국토양비료학회지
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    • 제50권5호
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    • pp.434-451
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    • 2017
  • For this study, groundwater samples for 3 years from 2011 through 2013 were collected at 106 groundwater monitoring site in Korea. These groundwater samples were analyzed for 13 pesticides such as cabofuran, pentachlorobenzene, hexachlorobenzene, simazine, atrazine, lindane (gamma-HCH), alachlor, heptachlor, chlordane (total), endosulfan (1, 2), dieldrin, endrin, 4,4-DDT. The objectives of this study were to determine the detection frequency and their concentrations of 13 pesticides and evaluate the health risk level considering ingestion, inhalation, and skin contact using concentrations of 13 pesticides in groundwater samples. An analysis was used for the simultaneous determination for 13 pesticides using GC-MS. GC-MS was performed on HP-5ms, using helium ($1ml\;min^{-1}$) as carrier gas. The average recoveries of the pesticides were from 92.8% to 120.8%. The limits of detection (LODs) were between $0.004{\mu}g\;L^{-1}$ and $0.118{\mu}g\;L^{-1}$ and the limits of quantification (LOQs) were between $0.012{\mu}g\;L^{-1}$ and $0.354{\mu}g\;L^{-1}$. 106 groundwater wells were selected. 54 wells were from well to monitor background groundwater quality and 52 wells were from well to monitor groundwater quality in industrial or contamination source area. Eight pesticides including pentachlorobenzene, lindane (Gamma-HCH), heptachlor, chlordane (total), Endosulfan (1, 2), dieldrin, endrin, and 4,4-DDT were not detected in groundwater samples. The detection frequency for hexachlorobenzene, alachlor, carbofuran and simazine was 23.4%, 11.4%, 7.3%, and 1.0%, respectively. Atrazine was detected once in 2011. The average concentrations were $0.00423{\mu}g\;L^{-1}$ for carbofuran, $0.000243{\mu}g\;L^{-1}$ for alachlor, $0.00015{\mu}g\;L^{-1}$ for simazine, and $0.00001{\mu}g\;L^{-1}$ for hexachlorobenzene. The detection frequency of hexachlorobenzene was high, but the average concentration was low. In the contaminated groundwater, the detection frequency for hexachlorobenzene, alachlor, carbofuran, simazine and atrazine was 26.1%, 21.3%, 7.1%, 1.9% and 0.3%, respectively. In the uncontaminated groundwater, detection frequency for hexachlorobenzene, carbofuran and alachlor were 20.2%, 7.5%, and 1.9% respectively. Simazine and atrazine were not detected at uncontaminated groundwater wells. According to the purpose of groundwater use, atrazine was detected for agricultural groundwater use. Hexachlorobenzene showed high detection frequency at agricultural groundwater use area where the animal feeding area and golf course area were located. Alachlor showed more than 50% detection frequency at cropping area, pollution concern river area, and golf course area. Atrazine was detected in agricultural water use area. By land use, the maximum detection frequency of alachlor was found near an orchard. For human risk assessment, the cancer risk for the 5 pesticides was between $10^{-7}$ and $10^{-10}$, while the non-cancer risk (HQ value) was between $10^{-4}$ and $10^{-6}$. For conclusion, these monitoring study needs to continue because of the possibility of groundwater contamination based on various purpose of groundwater use.

무선 센서 네트워크 시스템을 이용한 실시간 저수지 댐의 상태평가 시스템 (Real-time Reservoir Dam Status Evaluation System Using Wireless Sensor Network System)

  • 유찬호;김승욱;황정순;나기혁;유광호
    • 한국지반환경공학회 논문집
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    • 제19권12호
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    • pp.41-46
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    • 2018
  • 무선 센서 네트워크 시스템은 종래의 계측기술이 가지는 한계인 집중계측방법이 가지는 단점을 보완하여 시설물 전체의 거동을 확인할 수 있다는 장점으로 구조물의 안전진단 및 계측, 물 관리 시스템 그리고 댐 구조물에 대한 관리시스템에 까지 폭넓게 제안되고 있다. 그러나 계측과 동시에 시설물의 상태평가가 가능한 연구는 미진한 실정이다. 본 연구에서는 이러한 기존의 기술적 단점을 개선하기 위하여 시설물의 거동을 파악함과 동시에 안전 등에 대한 상태평가가 가능하도록 무선 센서 네트워크 시스템을 제안하였다. 저수지 댐 시설에 대한 지반공학적 위험인자를 사전에 평가하고, 시설물의 파괴를 유발하는 인자에 대한 한계값을 설정함으로써 위험인자를 측정함과 동시에 인자별로 한계상태를 즉시 평가할 수 있는 시스템을 제안하였다. 본 연구에서는 저수지댐에 대한 표준단면을 이용하여 침투 및 비탈면 활동에 대한 수치해석을 수행하였고, 응력-간극수압 연동 유한차분 수치해석을 수행하여 저수지 댐 구조물에 대한 한계변위를 설정함으로써 즉시 상태평가가 가능하고 측정값을 이용해 회귀분석 함으로써 한계값에 도달하는 시간을 예측할 수 있음으로써 재난, 재해를 사전에 인지할 수 있는 시스템을 제안하였다.

Are Biomarkers Predictive of Anthracycline-Induced Cardiac Dysfunction?

  • Malik, Abhidha;Jeyaraj, Pamela Alice;Calton, Rajneesh;Uppal, Bharti;Negi, Preety;Shankar, Abhishek;Patil, Jaineet;Mahajan, Manmohan Kishan
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.2301-2305
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    • 2016
  • Background: The early detection of anthracycline- induced cardiotoxicity is very important since it might be useful in prevention of cardiac decompensation. This study was designed with the intent of assessing the usefulness of cardiac troponin T (cTnT) and NT- Pro BNP estimation in early prediction of anthracycline induced cardiotoxicity. Materials and Methods: In this prospective study histologically proven breast cancer patients who were scheduled to receive anthracycline containing combination chemotherapy as a part of multimodality treatment were enrolled. Baseline cardiac evaluation was performed by echocardiography (ECHO) and biomarkers like cardiac troponin T (cTnT) and N terminal- pro brain natriuretic peptide (NT- Pro BNP). All patients underwent cTnT and NT- Pro BNP estimation within 24 hours of each cycle of chemotherapy and were followed up after 6 months of initiation of chemotherapy. Any changes in follow up ECHO were compared to ECHO at baseline and cTnT and NT- Pro BNP levels after each cycle of anthracycline-based chemotherapy. Results: Initial data were obtained for 33 patients. Mean change in left ventricular diastolic diameter (LVDD) within 6 months was $0.154{\pm}0.433cms$ (p value=0.049). Seven out of 33 patients had an increase in biomarker cTnT levels (p value=0.5). A significant change in baseline and follow up LVDD was observed in patients with raised cTnT levels (p value=0.026) whereas no change was seen in ejection fraction (EF) and left atrial diameters (LAD) within 6 months of chemotherapy. NT- Pro BNP levels increased in significant number of patients (p value ${\leq}0.0001$) but no statistically significant change was observed in the ECHO parameters within 6 months. Conclusions: Functional monitoring is a poorly effective method in early estimation of anthracycline induced cardiac dysfunction. Estimation of biomarkers after chemotherapy may allow stratification of patients in various risk groups, thereby opening window for interventional strategies in order to prevent permanent damage to the myocardium.

방사면역 측정법에 의한 25-OH-VitD와 25-OH-VitD3의 비교 평가 (Comparative Evaluation of 25-OH-VitD and 25-OH-VitD3 by Radioimmunoassay)

  • 이영지;박지혜;임수연;천준홍;이선호
    • 핵의학기술
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    • 제24권1호
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    • pp.33-38
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    • 2020
  • 비타민D는 체내에서 칼슘 대사를 조절하여 뼈의 건강을 유지하며, 세포의 증식 및 분화의 조절, 면역 기능 등에 관여하는 중요한 역할을 한다. 부족 시 구루병, 골다공증의 위험이 높아지고 심혈관계 질환, 당뇨병, 일부 암 등의 발병 위험이 증가하는 것으로 보고되고 있다. 특히 한국은 비타민D 부족의 인구 비율이 매우 높은 국가 중 하나이다. 따라서 비타민D 부족의 진단 및 치료를 위해 혈중 25-OH-VitD 또는 25-OH-VitD3의 정확한 측정이 요구된다. 이에 본원에서 시행하고 있는 25-OH-VitD와 25-OH-VitD3검사를 비교 평가하여 비타민D에 대한 정확한 진단 및 치료에 기여하고자 한다. 25-OH-VitD와 25-OH-VitD3의 결과를 전향적으로 측정하여 상관성, 재현성, 모집단 분포율을 구하였다. 또한 2017년 4월에서 2019년 6월까지 서울아산병원 핵의학과 혈액검사실에서 측정한 내부정도관리와 대한핵의학기술학회에서 주관하는 2018년 상반기, 하반기 외부정도관리(기관간 숙련도 평가)에 참여한 결과를 비교하였다. 그 결과 97개의 검체를 대상으로 25-OH-VitD는 25-OH-VitD3 × 0.9 + 0.3 (R >0.9)로 강력한 양의 상관관계를 보였다. 반복 측정을 통한 재현성 평가 결과 평균 diff(%) 값은 7.7%, 7.4%로 모두 우수한 성적을 나타내었다. 또한 모집단 분포를 비교한 결과 통계적으로 유의한 차이를 보이지 않았다(p>0.05). 2017년 4월에서 2019년 6월까지 서울아산병원 핵의학 혈액검사실에서 측정한 내부정도관리 결과값은 평균(CV%) 6.2%, 6.8%을 나타내었다. 2018년 상반기 외부정도관리(기관간 숙련도 평가) 수행도 평가 결과 Z 값이 25-OH-VitD는 저, 중, 고농도에 대해 -1.10, -1.00, -0.90이며 25-OH-VitD3는 0.22, 0.47, 1.10이고 하반기 수행도 평가 결과는 각각 -0.80, -0.30, -0.10과 -0.01, 1.50, 1.30으로 모두 Z ≤ 2.0의 적합한 결과를 얻었다. 방사면역 측정법에 의한 25-OH-VitD와 25-OH-VitD3 검사의 비교 평가 결과 상관성, 재현성, 모집단 분포율, 내부정도관리, 외부정도관리(기관간 숙련도 평가) 모두 우수한 성적을 보였다. 따라서 혈액 내 25-OH-VitD 또는 25-OH-VitD3로 단독 측정이 가능한 방사면역 측정법은 비타민D 부족에 대한 스크리닝 검사로 적합한 것으로 사료된다.

S/W 벤처기업의 특성별 경영 현황분석 (An Analysis of the Whole Area of Business Administration by the Characteristics in the Software Venture Business)

  • 손성호;한계섭
    • 한국정보시스템학회지:정보시스템연구
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    • 제10권1호
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    • pp.323-352
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    • 2001
  • Venture business plays a great role in creating national competitive power in every country. In particular, software venture business can mostly belong to manufacturing business, and takes the top seat of core industry as the basis of globalization, informatization and localization as well as the driving force of national competitive power. However, software venture business still has some risks in the whole area of business administration including the process of business starting. There are also problems to be solved in such areas as manager's ability, leadership, talent, level of technical development, marketing channel, recruiting of marketing specialists, financial plan and fund raising. In this respect, this study divides 102 software venture businesses into two; business in the stage of growth and matured business through the analysis of questionnaire and analyzes their present managerial conditions according to their characteristics after classifying them into four categories such as general management, technical development, marketing, finance and accounting. Therefore, this study attempts to provide the basic data useful for business activities of software venture business from now on. The results are as follows; First, it can be judged that software venture businesses make efforts for their technical development in their character, and that they make a great investment in research and development. Consequently, it can be believed that this kind of investment must be continued in the future. Second, it can be seen that they are not much interested in marketing and its manpower. In fact, software venture businesses develop products technically at the risk of their life, while marketing plays an important role in the continuity of business. Thus, it is necessary for them to invest in the supplement of manpower in marketing. Third, it is observed that they generally have some difficulties in raising money from outside. By the way, it. is believed that this problem will be solved by appealing to the persons interested such as investors and creditors, if evaluation system would be developed more exquisitely so that their accounting and technical value may be appraised.

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Simple and rapid colorimetric detection of African swine fever virus by loop-mediated isothermal amplification assay using a hydroxynaphthol blue metal indicator

  • Park, Ji-Hoon;Kim, Hye-Ryung;Chae, Ha-Kyung;Park, Jonghyun;Jeon, Bo-Young;Lyoo, Young S.;Park, Choi-Kyu
    • 한국동물위생학회지
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    • 제45권1호
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    • pp.19-30
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    • 2022
  • In this study, a simple loop-mediated isothermal amplification (LAMP) combined with visual detection method (vLAMP) assay was developed for the rapid and specific detection of African swine fever virus (ASFV), overcoming the shortcomings of previously described LAMP assays that require additional detection steps or pose a cross-contamination risk. The assay results can be directly detected by the naked eye using hydroxynaphthol blue after incubation for 40 min at 62℃. The assay specifically amplified ASFV DNA and no other viral nucleic acids. The limit of detection of the assay was <50 DNA copies/reaction, which was ten times more sensitive than conventional polymerase chain reaction (cPCR) and comparable to real-time PCR (qPCR). For clinical evaluation, the ASFV detection rate of vLAMP was higher than cPCR and comparable to OIE-recommended qPCR, showing 100% concordance, with a κ value (95% confidence interval) of 1 (1.00~1.00). Considering the advantages of high sensitivity and specificity, no possibility for cross-contamination, and being able to be used as low-cost equipment, the developed vLAMP assay will be a valuable tool for detecting ASFV from clinical samples, even in resource-limited laboratories.