• 약학회지
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• 제57권2호
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• pp.150-159
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• 2013

A study was performed to identify current drug shortages, assess impact of drug shortages on public hospitals and patients, and investigate needs of pharmacists for a drug shortage list. An e-mail survey was sent to the pharmacists of 13 national public hospitals. Total 61.5% of public hospitals has 10 or fewer drugs a year in short supply. Shortages involved mood drugs, anti-tumor drugs, analgesics, antibiotics and etc. in 2012. Among them 75.0% was prescription drugs and the other 25.0% was non-prescription drugs. 79.2% was domestic products and 20.8% was imported drugs. Only 12.5% was injections. Less than 3 pharmacists usually spent within 3 hours managing one drug shortage. Since a single item for a certain medicine may raise risk of drug shortages, it's needed to consider developing manuals, laying up medicine stocks and holding plural medicines for drug shortages in public hospitals. Main information resources of drug shortages are wholesalers or manufacturers. But the information appeared to be not only inadequate but also too late for appropriate activities. A survey of pharmacists revealed that overall 84.6% of respondents were in need of the drug shortage list. They expected it to be conducted to take proper measures for the drug shortage and to improve patient healthcare outcome and convenience. This study will contribute to improving public health by promoting stable supply of drugs and repairing the information delivery system.

• 농촌계획
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• 제23권4호
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• pp.111-126
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• 2017

This study analyzes the impacts of agricultural water shortages in Korea using a combined top-down and bottom-up model. A multi-region multi-output agricultural sector model with detailed descriptions of production technologies and water and land resource constraints has been combined with a standard CGE model. The impacts of four different water shortage scenarios were simulated. It is shown that an active adaptation of crop choices occurs in even the regions with relatively abundant water resources in order to respond to the change in relative output prices caused by water shortages. We found that although the losses in production values are not quite large despite water shortages due to the price feedbacks, the loss in GDP is substantial. We show that our combined approach has advantages in deriving region and product specific production effects as well as the overall GDP loss effect of water shortages.

• 보건행정학회지
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• 제34권2호
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• pp.106-119
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• 2024

의약품 부족은 전 세계적으로 보건학적 위험을 초래할 수 있는 문제이다. 본 연구의 목적은 미국, 캐나다, 일부 유럽 국가에서 국가의 의약품 부족에 대응하는 정책을 비교하고, 시사점을 도출하고자 하였다. 본 연구는 'drug shortage'와 'stock-out'와 같은 키워드를 사용하여 검색엔진과 구글학술검색을 통해 검색된 보고서 및 논문들을 검토하였다. 미국은 의약품 제조 중단에 대한 보고시스템을 구축하고, 의약품 공급망 관리의 중요성을 강조하고 있다. 또한 의약품 부족에 대한 대응체계를 마련하고자, 정부부처와 민간기관 간 의약품 부족 테스크포스를 설립했다. 캐나다는 중앙 및 지방 정부, 민간 부문의 대표를 참여시켜 의약품 부족에 관한 이해관계자 운영위원회를 설립하고, 의약품 부족 문제에 대해 단계적 접근방식을 채택하고 있다. 유럽의약품청(European Medicines Agency)은 2019년 유럽 경제 지역(European Economic Area)의 의약품 부족 커뮤니케이션에 대한 지침을 발표하였다. 외국에서는 의약품 부족을 모니터링하고 적시에 대응하기 위해 다양한 이해관계자 간의 의사소통에 중점을 두고 있다는 점을 확인하였다. 국내에서도 의약품 수급불안정 문제가 지속되는 만큼, 전담조직을 구성하고 가이드라인을 마련하며, 정부, 제약사, 의약품 유통사 등 민간부문의 협의와 조정을 통해 문제를 개선하는 것이 필요하다.

• 품질경영학회지
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• 제17권2호
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• pp.149-157
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• 1989

A one-upper warehouse n-lower retailer inventory model is discussed. The probability distribution of demand for a given perod is independent. The inventory holding cost is proportional to the number of unsold units and the cost of shortages is proportional to the number of shortages. In the event of a shortage, units are redistributed with a cost proportional to the number of units from the retailers which are a surplus at the end of the period. The optimum stock levels are obtained and the effects of redistribution are analized.

• 한국물환경학회지
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• 제31권4호
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• pp.418-427
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• 2015

This study was carried out to evaluate the performance of a lab-scale novel septic tank system for improving the conventional septic tank in the developing countries of water shortages. The lab-scale novel septic tank system consists of sepetic tank, aeration tank with HBC-ring, and sand filter. Optimum HRT was reguired about 1.5days to get a total COD removal efficiency of 90%, COD, BOD and SS removal efficiency was about 70%, 60%, and 85% in sepetic tank only. The structure of sepetic tank with two stages results in the high removal efficiency of organic matter. When sepetic tank, aeration tank, and sand filter were more than HRT 1.5days, 18hrs, and 12hrs, respectively, final effluent was less than 20 mg/L of BOD, 14 mg/L of SS, so that there is a high potential of its use for reusing water in flush toilet. There is no significant effect of HRT change on nutrient removal. Total nitrogen removal efficiency was about 40%, final effluent was 30~40 mg/L of TN, total phosphorus removal efficiency was about 11~25%, final effluent was 9~12 mg/L of TP. Because there is very small amounts of organic nitrogen and phosphorus in effluent, it was possible to reuse water for agricultural use.

• Korean Journal of Radiology
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• 제24권11호
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• pp.1043-1045
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• 2023

• 대한산업공학회지
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• 제2권1호
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• pp.79-83
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• 1976

This paper deals with a computer simulation for the stochastic inventory system in which the decision rules are associated with the problem of forecasting uncertain demand, lead time, and amount of shortages. The model consists of mainly three parts; part I$\cdots$the model calculates the expected demand during lead time through the built-in subrou tine program for random number generator and the probability distribution of the demand, part II$\cdots$the model calculates all the possible expected shortages per lead time period, part III$\cdots$finally the model calculates all the possible total inventory cost over the simulation period. These total inventory costs are compared for searching the optimal inventory cost with the best ordering quantity and reorder point. An application example of the simulation program is given.

• 한국태양광발전학회지
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• 제4권1호
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• pp.28-34
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• 2018

Botswana is a middle-income developing country in Southern Africa with an economy mainly reliant on mineral resources, particularly diamonds. Other sectors of the economy like energy are trailing behind in this country's development. For a long time, Botswana has been relying on imported energy from her neighboring countries. Due to this great dependence, the country has had little control over sufficiency of energy supply, especially during times of shortages in the neighboring countries. As a result, Botswana came up with a number of initiatives over the years to ensure security of supply and self-sufficiency in the energy sector. However, even with the efforts made, currently Botswana is still not self-sufficient and is facing challenges of energy shortages mainly in the power sector. This paper therefore, seeks to review the various policy instruments that have been adopted in Botswana from 1996 to date, identify challenges that come with them and make recommendations on the identified challenges.

• Korean Journal of Radiology
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• 제24권12호
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• pp.1176-1178
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• 2023

• Korean Journal of Radiology
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• 제24권10호
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• pp.936-937
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• 2023