• Clinical and Experimental Reproductive Medicine
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• 제49권2호
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• pp.142-148
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• 2022

Objective: The aim of this study was to compare the complication rates of oocyte pick-up (OPU) procedures via transvaginal ultrasonography in patients with different levels of ovarian reserve. Methods: In total, 789 patients who underwent OPU procedures for in vitro fertilization (IVF) were included in the study. Results: Individuals with normal ovarian reserve had a 2.947-fold higher risk of complications in OPU procedures than individuals with low ovarian reserve, and individuals with high ovarian reserve had a 7.448-fold higher risk of complications than individuals with low ovarian reserve. In addition, a higher number of IVF trials was associated with an increased risk of complications. Conclusion: The results of this study show that OPU has a higher risk of complications, particularly severe pain, in patients with high ovarian reserve. It is thought that complications can be reduced by preferring mild stimulation in patients with high ovarian reserve. Collecting fewer oocytes is also associated with a lower risk of complications from OPU. Even if a patient's reserve is very good, fewer and higher-quality oocytes should be targeted with the use of the lowest possible dose of drugs.

• 한국시뮬레이션학회논문지
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• 제23권4호
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• pp.163-170
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• 2014

본 연구는 DC제도에서 근로자가 회사로부터 지급받는 퇴직금 추계액을 사용하여 마련해야할 퇴직금 규모를 설정하였다. 또한 적립금 성장모형을 활용하여 자산의 수익률과 배분에 따른 시뮬레이션 결과로 추계액과 적립금 비교를 통하여 shortfall risk 발생수준을 확률적으로 연구하여 가장 적절한 자산배분포트폴리오를 알아보았다. 이를 위해 2004년부터 2013년까지 KOSPI와 종합채권수익률을 기초로 시뮬레이션 분석을 하였으며 적립금이 추계액보다 부족한 경우와 동일한 경우 2개의 시나리오를 설정하였다. 이를 통해 1기간 동안 주식과 채권의 자산배분에 따라 연금리스크가 발생하지 않을 확률을 확인하였고 연금리스크가 발생하지 않도록 DC가입자, 정부, 기업들이 노력할 것을 제안한다.

• Clinical and Experimental Reproductive Medicine
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• 제43권3호
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• pp.139-145
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• 2016

Measurements of ovarian reserve play an important role in predicting the clinical results of assisted reproductive technology (ART). The ideal markers of ovarian reserve for clinical applications should have high specificity in order to determine genuine poor responders. Basal follicle-stimulating hormone levels, antral follicle count, and serum anti-$M{\ddot{u}}llerian$ hormone (AMH) levels have been suggested as ovarian reserve tests that may fulfill this requirement, with serum AMH levels being the most promising parameter. Serum AMH levels have been suggested to be a predictor of clinical pregnancy in ART for older women, who are at a high risk for decreased ovarian response. We reviewed the prognostic significance of ovarian reserve tests for patients undergoing ART treatment, with a particular focus on the significance of serum AMH levels in patients at a high risk of poor ovarian response.

• 디지털융복합연구
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• 제14권10호
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• pp.159-166
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• 2016

최근에 대기업 위주로 편성되어 있던 공공정보화 프로젝트가 중소규모의 시스템 통합 기업으로 재편성되고 있는 상황이다. 그러나 대다수의 중소규모 기업들은 체계적인 리스크 관리에 대한 지식을 확보하지 못하고 있기에, 수익과 관련하여 많은 문제를 내포하고 있다. 이에 본 논문에서는 프로젝트 현장에서 주요하게 발생하는 리스크 요소를 제시하고, 리스크 요소별 리스크 수준과 이에 따른 비용을 측정하기 위한 모델을 제안한다. 이러한 융복합을 통하여 프로젝트 수행 중 이슈화 되는 리스크를 사전에 예측하여 프로젝트를 성공적으로 수행하기 위한 관리 체계를 제공하는 데 목적을 두고 있으며, 제안 모델을 기준으로 적정한 규모의 예비비 확보가 가능하기에 리스크 분석에 비용을 투자하지 못하는 기업들이 활용할 수 있을 것으로 기대된다.

• 한국건설관리학회논문집
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• 제23권3호
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• pp.25-35
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• 2022

본 연구의 목적은 활주로 건설공사에서 수집된 공사비 내역서, 설계변경 자료 등을 근거로 발생된 위험사건(위험항목)으로 인하여 변동된 공사금액을 산정하고 위험사건이 발생하게 된 원인에 따라 사업참여기관별로 손실비용을 분석하는 것이다. 본 연구를 수행한 결과, 위험사건은 12건이며, 증액된 총 공사금액은 726백만원으로 발주기관이 부담하여야 하는 금액은 약 52.57%, 건설사는 약 47.43%로 산정되었다. 또한, 계약금액의 직접공사비 149억원 대비 증액된 공사금액은 약 4.86%이며, 토공사로 분류된 위험사건에 따라 증액된 공사금액은 토공사의 직접공사비 대비 약 5.29% 그리고 건축공사로 분류된 위험사건에 따라 증액된 공사금액은 건축공사의 직접공사비 대비 약 4.04%에 해당하는 것으로 도출되었다.

• Journal of applied mathematics & informatics
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• 제27권5_6호
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• pp.1033-1047
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• 2009

In this paper, we consider a m-type risk model with Markov-modulated premium rate. A integral equation for the conditional ruin probability is obtained. A recursive inequality for the ruin probability with the stationary initial distribution and the upper bound for the ruin probability with no initial reserve are given. A system of Laplace transforms of non-ruin probabilities, given the initial environment state, is established from a system of integro-differential equations. In the two-state model, explicit formulas for non-ruin probabilities are obtained when the initial reserve is zero or when both claim size distributions belong to the $K_n$-family, n $\in$ $N^+$ One example is given with claim sizes that have exponential distributions.

• Journal of the Korean Data and Information Science Society
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• 제28권2호
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• pp.271-286
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• 2017

본 논문은 우리나라 생명보험산업의 장수리스크에 대한 자연헤지가 충분히 이루어지고 있는가를 평가해 보았다. 연금보험과 종신보험 준비금 계산 시 사망률 모형으로는 Lee-Carter 모형을 적용하였다. 사망률 개선 시나리오로는 연금보험과 종신보험 사망률이 모두 10%와 20% 개선되는 경우, 50세 이하 저연령 사망률은 10% 개선되고, 50세 이상 고연령 사망률은 20% 개선되는 경우, 마지막으로 연금보험 사망률은 20% 개선되지만 종신보험 사망률은 10% 개선되는 등 네 가지 시나리오를 살펴보았다. 분석결과 연금보험과 종신보험에 동일한 사망률 충격을 가하는 경우와 고연령의 사망률 개선이 저연령에 비해 빠르게 나타나는 경우 모두 연금보험과 종신보험 준비금의 합은 감소하는 것으로 나타났다. 네 번째 시나리오에서만 전체 준비금은 증가하였으나, 이 경우에도 연금보험 준비금 증가의 60% 이상이 자연헤지에 의해 상쇄하는 것으로 나타났다. 따라서 우리나라 생명보험산업의 장수리스크는 자연헤지를 통해 충분히 관리되고 있다고 판단된다.

• 산업경영시스템학회지
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• 제39권1호
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• pp.17-24
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• 2016

Many organizations have transformed their business in order to survive and compete in the future. They generate projects by creating a vision, using strategies and objectives with funds aligning strategies and make efforts to complete them successfully because project success leads to business success. All projects have triple constraints such as scope, time, and cost to be completed. Project cost performance is a key factor to achieve project goals and which is mostly related with risks among various cost drivers. Projects require a cost estimation method to complete them within their budget and on time. An accurate budget cannot be estimated due to the uncertainties and risks. Thus some additional money should be funded in addition to the base budget as a contingency reserve for identified risks and a management reserve for unidentified risks. While research on contingency reserve for identified risks included in project budget baseline have been presented, research on management reserve for unidentified risks included in total project budget is still scarce. The lack of research on estimation method and role of the management reserve have made project managers little confidence to estimate project budget accurately with reasonable basis. This study proposes a practical model to estimate budgets including contingency and management reserves for not only project cost management but also to keep the balance of organization's total funds to maximize return on investments for project portfolio management. The advantages of the proposed model are demonstrated by its application to construction projects in Korea and the processes to apply this model for verification are also provided.

• 전기학회논문지
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• 제63권10호
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• pp.1328-1336
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• 2014

This paper proposes Power System Health Index(PSHI) newly. The paper describes several kind of power system health indices based on two main categories, which are adequacy and security. In adequacy, four kinds of health indices of Frequency, Voltage, Reserve(Operating Reserve Power and Frequency Regulation Reserve Power) and Overload of lines and transformers are proposed. In security, four kinds of health indices of Voltage(154kV, 345kV and 765kV), Overload of lines and transformers, Power flow constraint among areas and SPS are proposed. All indices are mapped with three domains, which are indicated as Health, Margin and Risk, defined with expert interview. While domains of health, margin and risk is defined similar with the conventional well being analysis of power system. The criterion of the domains is proposed using an interview with expert operators and practical reliability codes in Korea. The several kinds of health index functions, which are linear ratio, piecewise linear ration and reverse ratio function etc. are developed in this paper. It will be expected that the developed health indices can help operators to control power system more successfully and also prevent power system from accident as like as black out in future because operator can make a decision immediately based on more easily visual information of system conditions from too much indices acquisition of complex power system.

• Journal of Trauma and Injury
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• 제37권1호
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• pp.67-73
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• 2024

Purpose: Posttraumatic stress disorder (PTSD) is prevalent and is associated with protracted recovery and worse outcomes after injury. This study compared PTSD prevalence using the PTSD Checklist for DSM-5 (PCL-5) with the prevalence of PTSD risk using the Injured Trauma Survivor Screen (ITSS). Methods: Adult trauma patients at a level I trauma center were screened with the PCL-5 (sample 1) at follow-up visits or using the ITSS as inpatients (sample 2). Results: Sample 1 (n=285) had significantly fewer patients with gunshot wounds than sample 2 (n=45) (8.1% vs. 22.2%, P=0.003), nonsignificantly fewer patients with a fall from a height (17.2% vs. 28.9%, P=0.06), and similar numbers of patients with motor vehicle collision (40.7% vs. 37.8%, P=0.07). Screening was performed at a mean of 154 days following injury for sample 1 versus 7.1 days in sample 2. The mean age of the patients in sample 1 was 45.4 years, and the mean age of those in sample 2 was 46.1 years. The two samples had similar proportions of female patients (38.2% vs. 40.0%, P=0.80). The positive screening rate was 18.9% in sample 1 and 40.0% in sample 2 (P=0.001). For specific mechanisms, the positive rates were as follows: motor vehicle collisions, 17.2% in sample 1 and 17.6% in sample 2 (P>0.999); fall from height, 12.2% in sample 1 and 30.8% in sample 2 (P=0.20); and gunshot wounds, 39.1% in sample 1 and 80.0% in sample 2 (P=0.06). Conclusions: The ITSS was obtained earlier than PCL-5 and may identify PTSD in more orthopedic trauma patients. Differences in the frequency of PTSD may also be related to the screening tool itself, or underlying patient risk factors, such as mechanism of injury, or mental or social health.