• 제목/요약/키워드: Remains Management

검색결과 737건 처리시간 0.023초

Preoperative risk evaluation and perioperative management of patients with obstructive sleep apnea: a narrative review

  • Eunhye Bae
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제23권4호
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    • pp.179-192
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    • 2023
  • Obstructive sleep apnea (OSA) is a common sleep-breathing disorder associated with significant comorbidities and perioperative complications. This narrative review is aimed at comprehensively overviewing preoperative risk evaluation and perioperative management strategies for patients with OSA. OSA is characterized by recurrent episodes of upper airway obstruction during sleep leading to hypoxemia and arousal. Anatomical features, such as upper airway narrowing and obesity, contribute to the development of OSA. OSA can be diagnosed based on polysomnography findings, and positive airway pressure therapy is the mainstay of treatment. However, alternative therapies, such as oral appliances or upper airway surgery, can be considered for patients with intolerance. Patients with OSA face perioperative challenges due to difficult airway management, comorbidities, and effects of sedatives and analgesics. Anatomical changes, reduced upper airway muscle tone, and obesity increase the risks of airway obstruction, and difficulties in intubation and mask ventilation. OSA-related comorbidities, such as cardiovascular and respiratory disorders, further increase perioperative risks. Sedatives and opioids can exacerbate respiratory depression and compromise airway patency. Therefore, careful consideration of alternative pain management options is necessary. Although the association between OSA and postoperative mortality remains controversial, concerns exist regarding adverse outcomes in patients with OSA. Understanding the pathophysiology of OSA, implementing appropriate preoperative evaluations, and tailoring perioperative management strategies are vital to ensure patient safety and optimize surgical outcomes.

일제하 총독부 박물관 문서와 관리체계 (The Document of Museum of Chosen General Government and its systemic management of document)

  • 김도형
    • 기록학연구
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    • 제3호
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    • pp.115-137
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    • 2001
  • The Museum of Chosen General Government(MCGG) was a supreme organ to take charge of business affairs of historical remains Japanese imperial rule. The MCGG was established in Kyongbok Palace in 1915. The MCGG was changed the reorganization of the Chosen General Government(CGG) setups, the MCGG was to maintain the cultural assets, to excavate the ruins and to put on display the remains. However, the Japanese colonist took advantage of the MCGG for political purposes. They didn't use the MCGG to promote the research of Korea culture. Therefore, the MCGG was an organization to belong to the Department of Education of the CGG. In this reason, the MCGG produced the amount of public document to business affairs. Now, This document left in the Museum of Korea. We have seen the document to study the cultural policies and the cultural assets of the CGG. This document includes the abundant information for the historical remains and ruins at that time. Accordingly, this document will help to survey the archaeological research and historical research. In addition, this document will help to manage the cultural assets. What then is the advantage of this document? The first is to see the cultural policies of the CGG through this document. The Japanese colonist took advantage of Korea history, which was low-grade culture, to justify rule of the colony. Therefore, they needed collect Korean assets to verity their theory. The second is to see the administration system of the MCGG. Indeed, this document includes information of organization of the MCGG, the policies and the process of the MCGG. In substance, we can see the systemic proceedings of the MCGG. The third is to provide historical materials to the historian. This document has the persons to plan the colonial culture policy of the MCGG, and events to rule the Korea culture. Moreover, the document of the MCGG would help to inquire into the truthfulness of history and to get the national identity.

Simultaneous Equation Estimation in Finance and Corporate Financial Decision: Empirical Evidence from Pakistan Stock Exchange

  • AHMED, Wahab;KHAN, Hadi Hassan;RAUF, Abdul;ULHAQ, SM Nabeel;BANO, Safia;SARWAR, Bilal;HUDA, Shams ul;KHAN, Mirwaise;WALI, Ahmed;DURRANI, Maryam Najeeb
    • The Journal of Asian Finance, Economics and Business
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    • 제8권3호
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    • pp.11-21
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    • 2021
  • In the last few years, there is growing interest in the field of simultaneous equation estimation in finance due to the endogeneity problem caused by measurement errors, simultaneity, or omitted variables. This study aims to discuss the endogeneity problem in corporate financing decisions and investigate the interrelationship of financial decision-making such as investment decision, dividend decision, and external financing decision in Pakistan Stock Exchange (PSX) using two-stage least squares (2SLS) and generalized method of moment (GMM) estimation. The Bruech-Pagan test shows that the data has no heteroskedasticity issue and 2SLS is a better approach in the context of this study as compared to the GMM approach, and internal instruments are also sufficiently strong and valid. The three financial decision-making attributes are not jointly determined, and the dividend is influenced by one-sided investment. In the emerging stock market context, external financing and investment are not inter-related and did not affect each other. The question of whether the simultaneous equation estimation can be useful in the context of the emerging stock markets and newly-growing firms remains unanswered. The inclusive evidence shows that the theoretical link in the emerging stock market is difficult to prove like in developed stock markets.

선사유적의 정비·복원(1) - 구석기유적의 생태공원화 방안을 중심으로 - (Restoration of the Prehistoric Site(1) - Focused upon Restituting Paleolithic Site into an Ecological Park -)

  • 문석기;장호수
    • 한국환경복원기술학회지
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    • 제14권4호
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    • pp.67-80
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    • 2011
  • This study is focused upon developing repairing and restoration methodologies of the Paleolithic sites. The Paleolithic era is not only the remote past, which ended ten thounds years ago, but the period of much different ecological condition compared with that of these days. There have been two kinds of conservation method adopted to restoration of Paleolithic sites which are historic park and ecological park. But there left not much historic remains than ecological sources in most Paleolithic sites, restoring them into ecological park is thought to be more reasonable for the purpose of conserving sites and remains. The first step of restoring Paleolithic sites is reconstructing environmental background in which they earned a living with their own life style at that time. There are three ways of ecological restoration for prehistoric sites, which are the reclamation, the rehabilitation, and the restoration. The reclamation requires physical modification, and the rehabilitation does biological modification, but only the restoration requires improved management. Among them, the most desirable way applicable upon the Paleolithic sites restitution is the reclamation.

A Program to Treat Hepatitis B in North Korea: A Model of Antiviral Therapy in a Resource-Poor Setting

  • Lee, Alice Unah;Linton, Heidi;Kilsby, Marcia;Hilmers, David C.
    • Gut and Liver
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    • 제12권6호
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    • pp.615-622
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    • 2018
  • Despite the well-proven, safe and effective therapies for hepatitis B infection, delivery of treatment remains a significant challenge in resource-poor settings. Geopolitical and economic restrictions present additional difficulties in providing care in North Korea. However, treatment of patients with chronic hepatitis B remains a top priority for both the North Korean Ministry of Public Health and international agencies working in North Korean hepatitis healthcare facilities. Working in partnership, a path was created to institute this much-needed program. A consortium of United States and Australian humanitarian non-governmental organizations along with generous individual and corporate donors working in concert with local and national health authorities have succeeded in establishing the first hepatitis B treatment program in North Korea. The essential elements of this program include renovation of existing hepatitis hospitals, access to antiviral medications, establishment of laboratory facilities, creation of medical documentation and record-keeping, training of local health care professionals, and quarterly visits by international volunteer physicians and laboratory experts. Management and treatment decisions are made bilaterally. To date, nearly 1,500 patients have been evaluated, and over 800 have been started on long-term antiviral therapy. It is envisioned that this program will eventually be managed and funded by the Democratic People's Republic of Korea Ministry of Public Health. This program's success demonstrates a potential model for delivery of antiviral therapy for patients suffering from hepatitis B in other developing countries.

Recent Trends of Lung Cancer in Korea

  • Lee, Jae Guk;Kim, Ho Cheol;Choi, Chang-Min
    • Tuberculosis and Respiratory Diseases
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    • 제84권2호
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    • pp.89-95
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    • 2021
  • Lung cancer is one of the leading causes of cancer-related deaths in Korea. Although the smoking rate has decreased over time, the prevalence of lung cancer still remains high. In this study, we reviewed recent trends on the incidence, epidemiology, screening, diagnosis, and treatment of lung cancer in Korea by analyzing data from the national lung cancer registry and recently-published studies. Although approximately 40% of patients with non-small cell lung cancer (NSCLC) were diagnosed as stage IV, the 5-year relative survival rate improved from 11.3% (1993-1995) to 30.2% (2013-2017), possibly due to advances in methods of diagnosis and therapy. In addition, the 2019 implementation of the national lung cancer screening program with low-dose computed tomography may have also contributed to these improvements in survival rates. Recently, molecular diagnosis has become more widely used in the identification of genetic mutations in tissue specimens. Target therapy and immune checkpoint inhibitors have also been successfully used, particularly in cases of advanced NSCLC. In the future, further research on the optimal management of lung cancer remains necessary.

제조산업에서 공급기업 발굴을 위한 온톨로지 (Ontology for Supplier Discovery in Manufacturing Domain)

  • 정기욱;이재훈;고인영;주재구;조현보
    • 산업공학
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    • 제25권1호
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    • pp.31-39
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    • 2012
  • Discovering the suppliers capable of manufacturing the parts that satisfy buyer requirements via current online market places remains difficult due to semantic differences between what the suppliers can produce and what the buyer wants to acquire. One of the promising approaches to overcome the semantic difference is to adopt an ontology to describe the suppliers' manufacturing capabilities and the buyer requirements that range widely from manufacturing costs to eco-friendly design. Such an ontology dedicated to supplier discovery has yet to be developed. MSDL(Manufacturing Service Description Language) provides the basis for defining terms and their relationships in the ontology. Thus, the objective of this paper is to extend MSDL into a new ontology suitable for supplier discovery in mold manufacturing industry. In addition, a new ontology development method for supplier discovery will be proposed. Finally prototype demonstrations are provided to show a feasibility of the proposed ontology in mold manufacturing domains.

반부패경영시스템 인증(ISO 37001)에 대한 국내 기업의 기대 및 인지도 연구 (A Study on the Expectation and Awareness of Anti-Bribety Management Systyem Certification in Korea)

  • 전병호
    • 디지털산업정보학회논문지
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    • 제16권2호
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    • pp.95-104
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    • 2020
  • Bribery is one of the world's most destructive and challenging issues. Yet despite efforts on national and international levels to tackle bribery, it remains a significant issue. Recognizing this, ISO has developed a new standard to help organizations fight bribery and promote an ethical business culture, which is "ISO 37001 - Anti-bribery Management Systems" in 2016. ISO 37001 can provide the tools and systems to greatly reduce the risk and help organizations deal with it effectively if it does arise. It is a flexible tool, which can be adapted according to the size and nature of the organization and the bribery risk it faces. After enforcing the Improper Solicitation and Graft Act, Korean government standardized ISO 37001, one of the Business Ethics of Global Standard, harmonizing International Standards into Korean Industrial Standards (KS) in 2017. It is meaningful in that Korean companies have localized regulation which applies to global standard anti-bribery management systems. Only about 100 organizations, however, have adopted ISO 37001 so far. The primary purpose of this paper is to examine the expectation and awareness of ISO 37001. Results show that still many organizations lack of awareness of ISO 37001 and it is implicated that much promotion and education will be necessary. This study has originality and value in that it can provide the guidelines for activation of ISO 37001.

Advances in Management of Hepatocellular Carcinoma

  • Intaraprasong, Pongphob;Siramolpiwat, Sith;Vilaichone, Ratha-korn
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권8호
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    • pp.3697-3703
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    • 2016
  • Hepatocellular carcinoma (HCC) is the most frequent type of malignant liver tumor and a high impact health problem worldwide. The prevalence of HCC is particularly high in many Asian and African countries. Some HCC patients have no symptoms prior to diagnosis and many of them therefore present at late stage and have a grave prognosis. The well-established causes of HCC are chronic hepatitis B virus (HBV) or chronic hepatitis C virus (HCV) infection or alcoholic cirrhosis and nonalcoholic steatohepatitis. The Barcelona Clinic Liver Cancer (BCLC) Staging System remains the most widely used for HCC management guidelines. To date, the treatments for HCC are still very challenging for physicians due to limited resources in many parts of the world, but many options of management have been proposed, including hepatic resection, liver transplantation, ablative therapy, chemoembolization, sorafnib and best supportive care. This review article describes the current evidence-based management of HCC with focus on early to advance stages that impact on patient overall survival.

조직 내 분석지 생성 영향 요인에 관한 탐색적 사례 연구 (An Exploratory Case Study on the Factors Affecting the Analytical Knowledge Creation in the Organization)

  • 이재환;김영걸
    • 지식경영연구
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    • 제2권1호
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    • pp.25-44
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    • 2001
  • There are two types of organizational knowledge in terms of its creation process: experiential and analytical knowledge. The experiential knowledge is created by repetitive experiences of an individual or team through task execution, while the analytical knowledge is acquired by analyzing accumulated data or information in the organization. The experiential knowledge often remains tacit or implicit in the organization because it is primarily acquired at an individual or team level. Therefore, the issue on the experiential knowledge is to share it actively within the organization. On the other hand, the analytical knowledge is explicit in its nature since it is extracted from data or information. Thus, it is important to guide a systematic creation of the analytical knowledge rather than encourage to share it. The current trend of "knowledge management" mainly focuses on the experiential knowledge - know-how, idea, case, etc - and neglects another important knowledge in the organization. i. e., analytical knowledge. This paper tries to shed a new light on the "knowledge management" arena by introducing rather new perspective in the concept of knowledge. The purpose of this study is to identify the factors affecting the analytical knowledge creation in the organization. We conducted an exploratory case study of three companies with a previously defined research framework and found some critical factors for the analytical knowledge creation. They are "organizational resource", "effectiveness of feedback process", "data source management", and "experimental mind set". Finally, we proposed research model and propositions regarding the analytical knowledge creation in the organization.

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