• Title/Summary/Keyword: Government Failure

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What Can We Apply to Manage Acute Exacerbation of Chronic Obstructive Pulmonary Disease with Acute Respiratory Failure?

  • Kim, Deog Kyeom;Lee, Jungsil;Park, Ju-Hee;Yoo, Kwang Ha
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.2
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    • pp.99-105
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    • 2018
  • Acute exacerbation(s) of chronic obstructive pulmonary disease (AECOPD) tend to be critical and debilitating events leading to poorer outcomes in relation to chronic obstructive pulmonary disease (COPD) treatment modalities, and contribute to a higher and earlier mortality rate in COPD patients. Besides pro-active preventative measures intended to obviate acquisition of AECOPD, early recovery from severe AECOPD is an important issue in determining the long-term prognosis of patients diagnosed with COPD. Updated GOLD guidelines and recently published American Thoracic Society/European Respiratory Society clinical recommendations emphasize the importance of use of pharmacologic treatment including bronchodilators, systemic steroids and/or antibiotics. As a non-pharmacologic strategy to combat the effects of AECOPD, noninvasive ventilation (NIV) is recommended as the treatment of choice as this therapy is thought to be most effective in reducing intubation risk in patients diagnosed with AECOPD with acute respiratory failure. Recently, a few adjunctive modalities, including NIV with helmet and helium-oxygen mixture, have been tried in cases of AECOPD with respiratory failure. As yet, insufficient documentation exists to permit recommendation of this therapy without qualification. Although there are too few findings, as yet, to allow for regular andr routine application of those modalities in AECOPD, there is anecdotal evidence to indicate both mechanical and physiological benefits connected with this therapy. High-flow nasal cannula oxygen therapy is another supportive strategy which serves to improve the symptoms of hypoxic respiratory failure. The therapy also produced improvement in ventilatory variables, and it may be successfully applied in cases of hypercapnic respiratory failure. Extracorporeal carbon dioxide removal has been successfully attempted in cases of adult respiratory distress syndrome, with protective hypercapnic ventilatory strategy. Nowadays, it is reported that it was also effective in reducing intubation in AECOPD with hypercapnic respiratory failure. Despite the apparent need for more supporting evidence, efforts to improve efficacy of NIV have continued unabated. It is anticipated that these efforts will, over time, serve toprogressively decrease the risk of intubation and invasive mechanical ventilation in cases of AECOPD with acute respiratory failure.

An Exploratory Study for the Telecommunications Service Failure Cases in South Korea (정보통신 서비스의 실패 요인: 한국의 텔레콤 서비스시장에서의 실패사례연구)

  • 안재현;권재원;김명수;이동주;이상윤;한상필
    • Journal of the Korean Operations Research and Management Science Society
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    • v.27 no.3
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    • pp.115-133
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    • 2002
  • In this paper, 15 South Korean telecommunications service failure cases were analyzed. Through the in-depth case study, 8 factors were found to be the major causes contributing to the telecommunications service failure. They were (1) ineffective marketing, (2) poor demand forecasting due to misjudgment of customer preference, (3) failure to satisfy technical specifications, (4) loss of cost advantage due to the price cut of competing services or new entry with lower price, (5) loss of utility advantage due to the increased utility of competing services or new entry with higher utility (6) decrease of market attractiveness due to change of customer preference, (7) impact of government policy, and (8) insufficient or low quality of contents. Additional analysis was done to derive managerial implications to the new telecommunications service development strategy. The findings from the paper will provide valuable Insight to the successful Implementation of new service development and service provisioning processes.

A Study of Saemangeum Project's Sustainable Development: Focused on local governments of Jeollabukdo (새만금사업의 지속가능한 발전방안 연구: 전라북도 지자체를 중심으로)

  • Kim, Gang-Hoon
    • Korean System Dynamics Review
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    • v.11 no.4
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    • pp.25-59
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    • 2010
  • The Korean government has operated various mega-development projects in order to help nation progress into the future. However, many problems and concerns have been raised on the mega-projects' delay and failure in South Korea. Moreover, there are many technical and executive problems; such as trial and error of development work, failure of validity test, complicated decision-making processes, and so on. With these concerns and problems to mega-development projects, finding a sustainable development from mega-projects is becoming a new issue in the field of mega-development projects. Therefore, the main purpose of this study is to investigate whether or not most mega-development projects conducted by the government exactly corresponds with sustainable development (such as environmental soundness, economic efficiency and social equity) focusing on Saemangeum project. Using causal loop analysis, this study gives some significant results to us. First, for environmental soundness, both central and local government should ensure water-purity control system for farming, industry, leisure, and others. Second, for economic efficiency, both governments not only have to secure a budget for completion of infrastructure of the Saemangeum project but also support financial assistance to Saemangeum project. Third, for social equity, three local governments (i.e., Gunsan, Gimje, and Buan) should stop debate and conflict with regard to an administrative district of Saemangeum region. Finally, most politicians should not use Saemangeum project for political means. Rather, they should recognize the project as a motive power for economic development of Jeollabukdo.

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A Study on Legislative Conflict for Se -Jong City (세종시 설치를 위한 입법갈등에 관한 연구)

  • Kim, Yong-Chul
    • Journal of Digital Convergence
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    • v.12 no.1
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    • pp.71-80
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    • 2014
  • This study focus on the legislative conflict for Se-Jong City In case of this paper, the law of administration agency centered is based on the conflict of legislative conflict present government at that time suggested the amendment of that legal status because of so many inefficiency and negative effects regardless of opponent asserts. Here there were a deep various political interests fundamentally both of sides. Legislative conflict here affects the regional conflict among the benefits and indirect benefits or nothing in any area. As the result, political interest deeply which was connected in politics influenced the big national issues, not to amend as a result government failure will be come.

Development of a Bi-Directional Security Light Control System based on Low-Bandwidth Wireless Sensor Network (저대역 센서 네트워크 기반의 양방향 보안등 관제 시스템 개발)

  • Lee, Ho-Gun;Lee, Sang-Ho;Lee, Suk-Gyu;Choi, Jeong-Won
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.24 no.10
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    • pp.58-66
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    • 2010
  • This paper shows an implementation and management result of wireless networks based security light control system, which performs a great role in protection of pedestrians and prevention of crime. Conventional security light units have severe limits in confirmation and inspection of security light unit failure, like wilful damage by someone or failure by influence of other equipment or failure by spontaneous heat-increase, and so on. In addition, local government offices are responsible for maintenance of security light units and as a matter of fact, most of civil complaints are about security light units. It is an obvious that the existing security light maintenance system reaches the limit and the security light maintenance problem is a difficulty of local government. Therefore, efficient security light control system is needed, which enables central control and intelligent maintenance. Moreover, the system has to be easy to control and has to be stable. In this study, wireless sensor network based security light control system is implemented, which is independent of programming language and platform, and which is simple to control and extend the system. The proven protocols, HTTP and SOAP, are utilized in order to improve the system reliability. This paper shows the excellence of our proposed system by implementing and operating it in real environment.

The Causes of Hanjin Shipping's Collapse: Is it Market Failure or Policy Failure? (한진해운 파산의 원인: 시장실패인가 정책실패인가?)

  • Lee, Tae-Hwee
    • Journal of Korea Port Economic Association
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    • v.39 no.4
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    • pp.97-106
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    • 2023
  • Most scholars and media viewed the cause of the bankruptcy of Hanjin Shipping, which once boasted the world's seventh largest company, as management failure or CEO risk. However, in this study, the cause of Hanjin Shipping's bankruptcy was considered to be the collective action of ship investment from a behavioral economics perspective, and it was pointed out that the Korean government's inflexible fleet expansion policy was the background for this collective action. In short, the cause of Hanjin Shipping's bankruptcy was the purchase of ships during the boom period, and the root cause of the purchase of ships during the boom period was pointed out as 'collective action in which one feels safe only by following the actions of others.' In addition, in order to achieve the goal of 'shipping competitiveness = fleet size' set by our government, a policy was implemented to encourage ship purchases during recessions and even boom times, and this policy signaled to the market that 'now is a good time to buy ships'. It can be pointed out that was given.

Pediatric Mechanical Circulatory Support

  • Wilmot, Ivan;Lorts, Angela;Morales, David
    • Journal of Chest Surgery
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    • v.46 no.6
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    • pp.391-401
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    • 2013
  • Mechanical circulatory support (MCS) in the pediatric heart failure population has a limited history especially for infants, and neonates. It has been increasingly recognized that there is a rapidly expanding population of children diagnosed and living with heart failure. This expanding population has resulted in increasing numbers of children with medically resistant end-stage heart failure. The traditional therapy for these children has been heart transplantation. However, children with heart failure unlike adults do not have symptoms until they present with end-stage heart failure and therefore, cannot safely wait for transplantation. Many of these children were bridged to heart transplantation utilizing extracorporeal membranous oxygenation as a bridge to transplant which has yielded poor results. As such, industry, clinicians, and the government have refocused interest in developing increasing numbers of MCS options for children living with heart failure as a bridge to transplantation and as a chronic therapy. In this review, we discuss MCS options for short and long-term support that are currently available for infants and children with end-stage heart failure.

Land Price in Korea: Land Speculation and Market Failure (한국의 지가: 토지투기와 시장실패)

  • 이진순
    • Journal of the Korean Regional Science Association
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    • v.8 no.1
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    • pp.1-29
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    • 1992
  • The major purpose of this paper is to examine two closely related issues. An attempt is made here to examine internationally high land price in Korea from the perspectives of market fundamentals (MF) and bubble theory, respectively. Another theoretical issue, whether land speculation can result in market failure, is also examined. It has been concluded that the primary causes for the rapid increases in land prices in Korea, could be found in the perspective of MF. (1) The financial intermediaries has been controlled by the government since 1960s. Real Interest rates in the commercial banks has been controlled at the level of zero or sometimes negative; scarce financial resources has been rationed by the government. The governmental control of the bands has also resirained the development of securities market. Money, which can not find the appropri opportunity for saving in financial market, moves to land market. (2) Socially created land value, based on rapid economic gorwth and big public investment, has been appropriated mainly by the private: The effective tax rate of land holding tax has been under 0.02 percent; Real Estate Capital Galns Tax has, in fact, affected few persons, mainly because examptions and preferential taxation have been widely permitted. (3) The government has ploaced severe limitations on rural-to-urban land conversion, although the demand for urban uses has repidly grown. All factors above caused the cyclical land speculation. This, in turn, created the myth that land prices will inevitably continue to rise. Based on the myth, the growing bubble in land price has been created. This is the secondary reason for high land price relative to income in Korea. It is also shown that it is possible that speculation in land results in market failure because land is fixed in quantity and can be used for production and speculation purposes simultaneously.

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Medullary Infarction Presenting as Sudden Cardiac Arrest: Report of Two Cases and Review of the Literature (급성 심정지로 나타난 연수경색)

  • Lee, Eung-joon;Choo, Il-yeon;Ha, Sue Young;Kwon, Hyung-min
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.310-313
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    • 2018
  • The causes of sudden death after medullary infarction involve arrhythmia, central respiratory failure, and dysautonomia. Sudden cardiac arrest in a medullary infarction is uncommon. Most of these cases experienced sudden cardiopulmonary arrest within 2 weeks from stroke onset as the extent of lesion increased. Here, we report two cases of medullary infarction presenting as sudden cardiac arrest. These cases indicate that medullary infarction could be one of the causes of sudden cardiac arrest.

RELIABILITY TEST DESIGN Of REMANUFACTURED STEERING GEAR OIL SEAL

  • Gafurov, Alisher;Jung, Do-Hyun;Song, Hyun-Seok
    • Proceedings of the Korean Reliability Society Conference
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    • 2011.06a
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    • pp.265-270
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    • 2011
  • This paper describes a reliability/durability test of the remanufactured steering gear units. There used to be government restrictions to remanufacture certain types of automotive components regarding safety of passengers. Nevertheless, scientific approach to sustainability and remanufacturing process provided solid evidence of highly beneficial sides of reusing the products. Failure mode analysis of the steering gear unit is performed and main failure is found out. The unit is remanufactured by fixing the failure and its quality is assessed through designing a new sequence of loading events. Oil leakage is witnessed as a possible failure and its volume is measured. Conclusions based on laboratory condition durability test are given at the end.

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