• Tuberculosis and Respiratory Diseases
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• 제81권2호
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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.

• 한국경영과학회지
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• 제27권3호
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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.

• 한국시스템다이내믹스연구
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• 제11권4호
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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.

• 디지털융복합연구
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• 제12권1호
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• pp.71-80
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• 2014

본 연구에서는 세종시 설치의 입법갈등에 관한 문제를 주제로 하여 그 원인과 정치적 입법상의 문제점을 분석해 보고자 하였다. 세종시 설치과정에서 많은 국가적 행정비능률성과 사회적 자원배분의 비형평성등이 이미 입법과정에서 제기된 상황이라 이러한 공공갈등은 더욱 심화 되어 나타났다. 여기에 각 정당과 정치이익주체들의 조직 또는 개인적 이익과 연계되면서 세종시의 입법갈등은 지역갈등으로 더욱 확대되었다. 결국 정치적 이익이 연계되어 있는 사회잇슈의 경우 이를 사전에 해소 할 수 있는 입법장치의 필요성이 있다는 것이 본 논문이 시사하는 연구의 정책적 함의이다.

• 조명전기설비학회논문지
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• 제24권10호
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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.

• Journal of Dental Anesthesia and Pain Medicine
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• 제24권5호
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• pp.351-360
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• 2024

Background: This study aimed to evaluate and compare the efficacy of oral premedication with ibuprofen on the anesthetic efficacy of inferior alveolar nerve block (IANB) using 2% lignocaine and 1:100000 epinephrine in tobacco-chewing (TC) and non-tobacco-chewing (NTC) patients with symptomatic irreversible pulpitis (SIP) during nonsurgical endodontic intervention (NEI). Methods: This multicenter, prospective, double-blind, two-arm parallel-group randomized controlled trial involving 160 patients was conducted for a period of 9 months. The patients were classified into the study (TC patients) and control (NTC patients) groups, which were subdivided into two subgroups 1 hour before the procedure based on oral premedication with tab ibuprofen 600 mg. Nicotine dependence was assessed using the Modified Fagerstrom Tolerance Nicotine Scale. Patients were administered an IANB injection of 2% lignocaine containing epinephrine 1:100000 after premedication. Pulpal anesthesia before NEI was confirmed using electric pulp testing and cold spraying. Patients rated their pain on the 10-point visual analog scale (VAS) during NEI thrice at the dentin, pulp, and instrumentation levels. No pain at each level indicated the success of anesthesia. Results: The success and failure rates did not differ between the premedication and non-premedication subgroups in the TC or NTC groups (P > 0.05). However, the success rate was higher in the premedication subgroup of the NTC group (52.5%) than in the TC group (45%). Most patients with premedication experienced failure at the instrumentation level, whereas patients in the non-premedication group experienced pain at the dentin level. Failure rates of IANB did not differ significantly at different levels between the groups (P > 0.05). The mean VAS scores differed significantly at the dentin level in both groups, with lower values in the premedication group (P < 0.05). Conclusions: The efficacy of ibuprofen premedication with IANB during NEI did not differ significantly between the TC and NTC patients with SIP. The effect of premedication was more significant in the NTC group than in the TC group. A causal relationship between nicotine consumption and the success of premedication could not be established, and further studies are required to validate the results of the present study.

• 한국항만경제학회지
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• 제39권4호
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• pp.97-106
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• 2023

한 때 세계 7위의 규모를 자랑하던 한진해운 파산 원인을 두고 대부분의 학자와 언론은 경영의 실패나 CEO 리스크로 바라보았다. 그러나 이 연구에서는 한진해운을 파산하게 한 원인을 행동경제학 관점에서 선박 투자의 군중집단행동에 있다고 바라보았고, 이 군중집단행동이 생기게 된 배경으로 우리 정부의 유연하지 못한 선대 확충 정책이 있었음을 지적하였다. 요컨대 한진해운 파산 원인은 호황기 선박 매입에 있었고 호항기 선박 매입의 근본 원인으로 '타인을 행동을 쫓아서 행동해야만 안심을 하는 군중집단행동'을 지적하였다. 또한, 우리 정부가 설정한 '해운경쟁력 = 선대 규모'라는 목표를 달성하기 위해 불황기와 심지어 호황기에도 선박 매입을 유도하는 정책을 펼쳤고, 이 정책이 시장으로 하여금 '지금 선박을 사도 좋은 시기'라는 신호를 주었음을 지적할 수 있다.

• Journal of Chest Surgery
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• 제46권6호
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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.

• 지역연구
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• 제8권1호
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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.

• 대한신경과학회지
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• 제36권4호
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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.