• 제목/요약/키워드: Consensus development

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Democratization and Politics of Trasformismo : Explaining the 1990 Three-Party Merger in South Korea

  • Kwon, Hyeokyong
    • 분석과 대안
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    • 제1권2호
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    • pp.2-12
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    • 2017
  • Research on democratic transitions has relatively ignored the question of why some countries experience a regressive form of political pacts, while others do not. This paper develops a simple game-theoretic model to explain the phenomenon of collusive pacts in the process of democratization. Trasformismo is a term that refers to a system of political exchange based on informal clientelistic politics. The existing studies of the politics of trasformismo have emphasized the timing of industrialization and the tradition of strong state as conditions of the politics of trasformismo. However, not every late industrializers and not every strong states experienced some variants of collusive political pacts in their trajectories of democratization. In this paper, I contend that the politics of trasformismo is rather a generalizable pattern of political elites' behavior under particular circumstances. By developing a simple game theoretic model, this paper suggests the conditions under which political actors are likely to collude to a regressive form of political pacts. The model shows that the likelihood of collusion to a regressive form of political pacts is a function of a set of parameters. First, a higher level of incumbency advantage in electoral competition is likely to be associated with a higher probability of collusive political pacts. Second, a higher degree of the monopoly of political representation of political parties without a close link with a variety of societal forces is likely to induce collusive behavior among politicians. Third, the ruling party leader's expectations about the likelihood of a safe extrication are related to collusive political pacts. This paper then engages in a case study of the 1990 three-party merger in South Korea. The 1990 Korean case is interesting in that the ruling party created a new party after having merged with two opposition parties. This case can be considered a result of political maneuver in a context of democratization. The case study suggests the empirical relevance of the game-theoretic model. As the game of trasformismo and the case study of the 1990 three-party merger in South Korea have shown, the collusive political pact was neither determined by a certain stage of economic development nor by a particular cultural systems. Rather, it was a product of the art of trasformismo based on party leaders' rational calculations of the expected likelihood of taking governing power.

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단순 방사선 영상기반 바이오마커를 활용한 흉·요추의 추나의학적 변위 진단 방법 (Radiograph-based Diagnostic Methods for Thoracic and Lumbar Spine Malposition in Chuna Manual Therapy Using Biomarkers)

  • 이진현;최민호;김중일;장준수;박태용
    • 척추신경추나의학회지
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    • 제18권2호
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    • pp.1-8
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    • 2023
  • Objectives This study aimed to propose biomarkers for diagnosing Chuna manual therapy (CMT) based on X-ray images in the thoracic and lumbar spines. Methods Through a literature review and expert consensus process, diagnostic biomarkers for CMT were selected based on the listing system in thoracic and lumbar radiograph anterior-posterior (AP) and lateral views. Results 1. Diagnostic biomarkers were derived from four points on the outer contour of the vertebral body in the thoracic and lumbar spine radiograph lateral view, enabling the diagnosis of flexion and extension malposition. 2. Additional diagnostic biomarkers were identified in the thoracic and lumbar radiographAP view, utilizing points on the outer contour of the vertebral body. These biomarkers facilitate the diagnosis of lateral bending. Moreover, biomarkers derived from the innermost point of the pedicle contour allow for the diagnosis of rotation malposition. 3. Furthermore, through the biomarkers proposed in this study, all malpositions of the thoracolumbar spines and complex Type I and II malpositions can be diagnosed in CMT. Conclusions The biomarkers reported in this study consist of minimal points to determine the position of the vertebral body, providing the advantage of simplicity while minimizing potential errors during the CMT diagnostic process. Further clinical research and the development of related programs should be pursued to expand the evidence for CMT.

제품 및 서비스 개선을 위한 기술기회 발굴: 특허와 상표 데이터 활용 (Enhancing Existing Products and Services Through the Discovery of Applicable Technology: Use of Patents and Trademarks)

  • 박서인;이지호;이승현;윤장혁;손창호
    • 산업경영시스템학회지
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    • 제46권4호
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    • pp.1-14
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    • 2023
  • As markets and industries continue to evolve rapidly, technology opportunity discovery (TOD) has become critical to a firm's survival. From a common consensus that TOD based on a firm's capabilities is a valuable method for small and medium-sized enterprises (SMEs) and reduces the risk of failure in technology development, studies for TOD based on a firm's capabilities have been actively conducted. However, previous studies mainly focused on a firm's technological capabilities and rarely on business capabilities. Since discovered technologies can create market value when utilized in a firm's business, a firm's current business capabilities should be considered in discovering technology opportunities. In this context, this study proposes a TOD method that considers both a firm's business and technological capabilities. To this end, this study uses patent data, which represents the firm's technological capabilities, and trademark data, which represents the firm's business capabilities. The proposed method comprises four steps: 1) Constructing firm technology and business capability matrices using patent classification codes and trademark similarity group codes; 2) Transforming the capability matrices to preference matrices using the fuzzy function; 3) Identifying a target firm's candidate technology opportunities using the collaborative filtering algorithm; 4) Recommending technology opportunities using a portfolio map constructed based on technology similarity and applicability indices. A case study is conducted on a security firm to determine the validity of the proposed method. The proposed method can assist SMEs that face resource constraints in identifying technology opportunities. Further, it can be used by firms that do not possess patents since the proposed method uncovers technology opportunities based on business capabilities.

Development and validation of a clinical phantom reproducing various lesions for oral and maxillofacial radiology research

  • Han-Gyeol Yeom;Jo-Eun Kim;Kyung-Hoe Huh;Won-Jin Yi;Min-Suk Heo;Sam-Sun Lee
    • Imaging Science in Dentistry
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    • 제53권4호
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    • pp.345-353
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    • 2023
  • Purpose: The objective of this study was to propose a method for developing a clinical phantom to reproduce various diseases that are clinically prevalent in the field of dentistry. This could facilitate diverse clinical research without unnecessarily exposing patients to radiation. Materials and Methods: This study utilized a single dry skull, which was visually and radiographically examined to evaluate its condition. Existing lesions on the dry skull were preserved, and other relevant lesions were artificially created as necessary. These lesions were then documented using intraoral radiography and cone-beam computed tomography. Once all pre-existing and reproduced lesions were confirmed by the consensus of 2 oral and maxillofacial radiologists, the skull was embedded in a soft tissue substitute. To validate the process, cone-beam computed tomography scans and panoramic radiographs were obtained of the fabricated phantom. All acquired images were subsequently evaluated. Results: Most lesions could be identified on panoramic radiographs, although some sialoliths and cracked teeth were confirmed only through cone-beam computed tomographic images. A small gap was observed between the epoxy resin and the bone structures. However, 2 oral and maxillofacial radiologists agreed that this space did not meaningfully impact the interpretation process. Conclusion: The newly developed phantom has potential for use as a standardized phantom within the dental field. It may be utilized for a variety of imaging studies, not only for optimization purposes, but also for addressing other experimental issues related to both 2- and 3-dimensional diagnostic radiography.

농촌다움 보전을 위한 농촌 경관 관리체계의 시사점 -영국의 AONB 제도 사례를 중심으로- (Study on the Rural Landscape Management System for Preserving Rural Identity -Focusing on the AONBs of England-)

  • 김도은;정해준;강동진;손용훈
    • 농촌계획
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    • 제30권2호
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    • pp.51-68
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    • 2024
  • Since 1949, the UK has implemented a national land planning strategy to sustain rural areas, emphasizing the concept of 'Natural Beauty.' This involves designating "Areas of Outstanding Natural Beauty (AONB)" as a political approach to conserving rural landscapes and fostering a societal consensus on environmental conservation. AONB adopts an integrated and systematic approach to achieve harmony between the environment and human activities. This study investigates the implications of the AONB rural landscape management approach through case studies of the Cotswolds Conservation Board and Cannock Chase Joint Committee. It examines the legislative designation and supporting processes of AONB, analyzing the governance system to clarify the roles of authorities in policy decision-making. AONB's system revolves around joint committees or conservation boards of local authorities responsible for establishing, implementing, and monitoring management plans. The planning process involves a harmonious management plan system reflecting regional demands, including regular forums. AONB serves as a powerful tool for local residents to engage in the development of their region through stewardship. The study suggests that understanding the AONB model could provide a foundation for developing rural landscape conservation and spatial management plans tailored to Korea's context in the future.

실무형 인재 양성을 위한 반도체 부트캠프 프로그램 운영 방안 탐색 (Exploring Ways to Operate a Semiconductor Boot Camp Program to Cultivate Practical Talent)

  • 정효정;황윤자
    • 실천공학교육논문지
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    • 제16권3_spc호
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    • pp.379-389
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    • 2024
  • 본 연구는 반도체 기업의 인력난을 해소하여 인재 육성과 산업 성장의 선순환 체계를 구축하기 위해 대학의 반도체 부트캠프 운영 전략을 제시하고자 하였다. 이를 위해 반도제 분야 전문가 18명에게 설문 및 면담 조사를 수행하고 이를 분석하였다. 분석 결과, 부트캠프의 필요성은 '다양한 기업수요에 부응', '현장 투입이 가능한 인재 양성'에 대한 공감대가 높았으며, 프로그램 목표에 대한 의견으로 '이공 분야 전공의 졸업 예정자, 졸업생 대상 교육을 통한 실무역량 강화'와 '각 단위 공정에 대한 전문지식을 갖춘 전문인재 양성'에 대한 동의 정도가 가장 높았다. 반도체 부트캠프 교육과정은 현장 체험·이론·실습 교육 후 현장 실무 프로젝트를 수행하는 방식이 가장 적합한 것으로 나타났다. 본 연구가 반도체 분야 부트캠프를 대학교육에서 효과적으로 운영하기 위한 전략을 수립하기 위한 기초자료로 활용되기를 기대한다.

Updated guidelines for prescribing opioids to treat patients with chronic non-cancer pain in Korea: developed by committee on hospice and palliative care of the Korean Pain Society

  • Minsoo Kim;Sun Kyung Park;Woong Mo Kim;Eunsoo Kim;Hyuckgoo Kim;Jun-Mo Park;Seong-Soo Choi;Eun Joo Choi
    • The Korean Journal of Pain
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    • 제37권2호
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    • pp.119-131
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    • 2024
  • There are growing concerns regarding the safety of long-term treatment with opioids of patients with chronic non-cancer pain. In 2017, the Korean Pain Society (KPS) developed guidelines for opioid prescriptions for chronic non-cancer pain to guide physicians to prescribe opioids effectively and safely. Since then, investigations have provided updated data regarding opioid therapy for chronic non-cancer pain and have focused on initial dosing schedules, reassessment follow-ups, recommended dosage thresholds considering the risk-benefit ratio, dose-reducing schedules for tapering and discontinuation, adverse effects, and inadvertent problems resulting from inappropriate application of the previous guidelines. Herein, we have updated the previous KPS guidelines based on a comprehensive literature review and consensus development following discussions among experts affiliated with the Committee on Hospice and Palliative Care in the KPS. These guidelines may assist physicians in prescribing opioids for chronic non-cancer pain in adult outpatient settings, but should not to be regarded as an inflexible standard. Clinical judgements by the attending physician and patient-centered decisions should always be prioritized.

해외 주요국의 국방AI 현황 연구 (A study on the current status of defense AI in major foreign countries)

  • 이지은;이지선;류종수
    • 한국국방기술학회 논문지
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    • 제5권1호
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    • pp.19-24
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    • 2023
  • 신기술의 발전으로 인해 미래 전장의 모습은 지금과는 크게 달라질 것으로 예상된다. 특히 AI와 로봇이 전장의 주역으로 참여하고 이들의 성능이 고도화될 경우 전쟁 결과는 예측하기 어려워질 것이다. 이에 미국, 중국을 비롯한 주요 국가들은 인공지능(AI)을 국가 경쟁력과 미래전의 양상을 바꿀 수 있는 핵심기술 및 게임체인저로 판단하고 관련기술 선점과 AI무기체계 개발에 국가 차원의 총력을 기울이고 있으며, 따라서 세계 각국은 국방AI를 추진하기 위한 전략 수립과 정책 마련은 물론 관련 조직 신설 등 인프라 확충에도 적극적으로 나서고 있다. 우리 군도 육군이 조직과 업무수행체계 면에서 가장 선도적으로 국방AI를 추진하고 있으나, 이를 국방 차원에서 통합적으로 관리하고 조정통제하는 거버넌스 부재로 어려움과 혼란을 겪고 있는 것이 현실이다. 최근 국방AI센터(가칭) 창설의 필요성에 대한 공감대가 형성되고 있는 가운데 연구자는 미국, 영국, 호주 등 해외 주요국의 국방AI 추진현황을 분석하고 국방AI 정책 수립에 관한 몇 가지 시사점을 제시하고자 한다.

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Liberation from Mechanical Ventilation in Critically Ill Patients: Korean Society of Critical Care Medicine Clinical Practice Guidelines

  • Tae Sun Ha;Dong Kyu Oh;Hak-Jae Lee;Youjin Chang;In Seok Jeong;Yun Su Sim;Suk-Kyung Hong;Sunghoon Park;Gee Young Suh;So Young Park
    • Tuberculosis and Respiratory Diseases
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    • 제87권4호
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    • pp.415-439
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    • 2024
  • Background: Successful liberation from mechanical ventilation is one of the most crucial processes in critical care, because it is the first step through which a respiratory failure patient begins to transition out of the intensive care unit, and return to normal life. Therefore, when devising appropriate strategies for removing mechanical ventilation, it is essential to consider scientific and systematic approaches, as well as the individual experiences of healthcare professionals. Recently, numerous studies have investigated methods and tools to identify when mechanically ventilated patients are ready to breathe on their own. The Korean Society of Critical Care Medicine therefore provides these recommendations to clinicians for liberation from the ventilator. Methods: Meta-analyses and comprehensive syntheses were used to thoroughly review, compile, and summarize the complete body of relevant evidence. All studies were meticulously assessed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) method, and the outcomes were presented succinctly as evidence profiles. These evidence syntheses were discussed by a multidisciplinary committee of experts in mechanical ventilation, who then developed and approved the recommendations. Results: Recommendations for nine questions on ventilator liberation about Population, Intervention, Comparator, and Outcome (PICO) are presented in this document. This guideline presents seven conditional recommendations, one expert consensus recommendation, and one conditional deferred recommendation. Conclusion: We developed these clinical guidelines for mechanical ventilation liberation to provide meaningful recommendations. These guidelines reflect the best treatment for patients seeking liberation from mechanical ventilation.

Development and validation of novel simple prognostic model for predicting mortality in Korean intensive care units using national insurance claims data

  • Ah Young Leem;Soyul Han;Kyung Soo Chung;Su Hwan Lee;Moo Suk Park;Bora Lee;Young Sam Kim
    • The Korean journal of internal medicine
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    • 제39권4호
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    • pp.625-639
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    • 2024
  • Background/Aims: Intensive care unit (ICU) quality is largely determined by the mortality rate. Therefore, we aimed to develop and validate a novel prognostic model for predicting mortality in Korean ICUs, using national insurance claims data. Methods: Data were obtained from the health insurance claims database maintained by the Health Insurance Review and Assessment Service of South Korea. From patients who underwent the third ICU adequacy evaluation, 42,489 cases were enrolled and randomly divided into the derivation and validation cohorts. Using the models derived from the derivation cohort, we analyzed whether they accurately predicted death in the validation cohort. The models were verified using data from one general and two tertiary hospitals. Results: Two severity correction models were created from the derivation cohort data, by applying variables selected through statistical analysis, through clinical consensus, and from performing multiple logistic regression analysis. Model 1 included six categorical variables (age, sex, Charlson comorbidity index, ventilator use, hemodialysis or continuous renal replacement therapy, and vasopressor use). Model 2 additionally included presence/absence of ICU specialists and nursing grades. In external validation, the performance of models 1 and 2 for predicting in-hospital and ICU mortality was not inferior to that of pre-existing scoring systems. Conclusions: The novel and simple models could predict in-hospital and ICU mortality and were not inferior compared to the pre-existing scoring systems.