• Title/Summary/Keyword: Current Strategies

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Subphenotypes of Acute Respiratory Distress Syndrome: Advancing towards Precision Medicine

  • Andrea R. Levine;Carolyn S. Calfee
    • Tuberculosis and Respiratory Diseases
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    • v.87 no.1
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    • pp.1-11
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    • 2024
  • Acute respiratory distress syndrome (ARDS) is a common cause of severe hypoxemia defined by the acute onset of bilateral non-cardiogenic pulmonary edema. The diagnosis is made by defined consensus criteria. Supportive care, including prevention of further injury to the lungs, is the only treatment that conclusively improves outcomes. The inability to find more advanced therapies is due, in part, to the highly sensitive but relatively non-specific current syndromic consensus criteria, combining a heterogenous population of patients under the umbrella of ARDS. With few effective therapies, the morality rate remains 30% to 40%. Many subphenotypes of ARDS have been proposed to cluster patients with shared combinations of observable or measurable traits. Subphenotyping patients is a strategy to overcome heterogeneity to advance clinical research and eventually identify treatable traits. Subphenotypes of ARDS have been proposed based on radiographic patterns, protein biomarkers, transcriptomics, and/or machine-based clustering of clinical and biological variables. Some of these strategies have been reproducible across patient cohorts, but at present all have practical limitations to their implementation. Furthermore, there is no agreement on which strategy is the most appropriate. This review will discuss the current strategies for subphenotyping patients with ARDS, including the strengths and limitations, and the future directions of ARDS subphenotyping.

A Study on Service Industry Development Policy by Service Nature (서비스본질 기반의 서비스산업 정책방안)

  • Kim, Hyunsoo
    • Journal of Service Research and Studies
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    • v.7 no.1
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    • pp.15-26
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    • 2017
  • The current research investigates the strategies for fostering service industries from the service's nature perspectives. Because the service industry is broad and heterogeneous in nature, if service's nature is not considered in building strategies for developing service industries, it would have a limited perspective, and thus, it would be difficult to foster large growth in service industries. In addition, not considering service's nature would not encourage synergy among service sectors nor encourage innovative development among individual sectors. Therefore, we need to understand that different service sectors are all under the umbrella for service industries, and consider the service's nature. The current research considers the service's relational, bidirectional, horizontality, and harmonization nature of services, and also, intangibility, inseparability, heterogeneity, perishability were considered in suggesting strategies for fostering service industries. These results can be used to developing governmental policies for developing service industries.

Korea-India Software Industry Technological Cooperation: Projects and Strategies for Cooperation (한.인도 소프트웨어산업기술협력: 협력기술과제 및 협력방안의 탐색)

  • Suh, Sang-Hyuk
    • Journal of Korea Technology Innovation Society
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    • v.17 no.4
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    • pp.673-702
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    • 2014
  • The purpose of this paper is to examine the current status of the SW industry and technology in Korea and India, and to suggest future strategies for cooperation. To accomplish the goal, this study outlines the characteristics of the SW industry, its market size, and the current statuses of SW technologies in the two countries; and presents strategies for future cooperation by comparing the level of technology in the two countries while considering the need for vitalizing their cooperation. For comparing level of the SW industry's technology, so-called 4P evaluation (professionals, patents, papers, and products) was used, and a total of 21 projects were selected as future projects for cooperation through the analysis. In addition, the new approaches for future cooperation were presented; the exchange of manpower as a form of priority cooperation, more effort to develop and accumulate intellectual property rights to build conditions suitable for cooperation from India as well as a cooperation fund to bring continuous cooperation between the two countries.

A Study on Variation and Development of Railroad Station Zones on Incheon Metro Train Rail Line 1 (인천 1호선전철 역세권의 변화 및 개발에 관한 연구)

  • Park, Man-Hee;Ahn, Kyung-Su
    • Journal of the Korean Society of Hazard Mitigation
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    • v.9 no.3
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    • pp.27-39
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    • 2009
  • The 1st Incheon Rapid Transit Line opened in October, 1999. However, the current development plans for areas near stations do not involve plans for the both urban planning and transportation together. As the focus on only the aspect of installing a new transportation mode, the developments even make the problems such as reckless development and traffic congestion gets worse. It is required to analyse status of the current land uses and land use plans in the future and consider distribution of functions of the areas near stations and aims of development plans so as to harmonize the functions of each region in view of making balance in the whole city. The aims of developments of areas near stations has to focus on the study follows steps to find and suggest aims and strategies for the revitalization plan for areas near stations with considering the both transportation and land uses together. The plans for the areas near stations of the Incheon 1st Rapid Transit Line are analysed and then the features and rational strategies are derived. The impact is analysed as applying the development strategies derived from the step into the areas near the stations of Incheon 1st Rapid Transit line.

Power Control Algorithm with Finite Strategies: Game Theoretic Approach (게임이론을 이용한 유한 전략 집합을 갖는 전력제어 알고리즘)

  • Kim, Ju-Hyup;Jang, Yeon-Sik;Lee, Deok-Joo;Hong, Een-Kee
    • Journal of Advanced Navigation Technology
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    • v.13 no.1
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    • pp.87-96
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    • 2009
  • The purpose of this paper is to analyze the power control problem in wireless communications with game theoretic approach. The major contribution of the present paper is that we formulated the problem as a game with a finite number of strategies while most of the previous game theoretic power control literatures modeled with continuous game in which there are infinite number of strategies. It should be noted that the closed-loop power control would be performed in a discrete manner, power up or down from the present level of power with fixed power control step size. We model the current closed-loop power control scheme with the famous Prisoner's dilemma model and show that the power-up strategy is Nash equilibrium. That is, every mobile tries to increase their power and approach to their maximal power. Thus, the outcome of current power control (Nash equilibrium) is inefficient. In order to attain efficient power control for the environment where ICI(Inter-Cell Interference is severe, we developed a new payoff function in which the penalty mechanism is introduced and derived conditions under which power-down becomes Nash equilibrium strategy for all players. Furthermore we examined the trajectory of equilibrium power when the power control game will be played repeatedly.

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Naval Arms Race in Northeast Asia (동북아 해군력 군비경쟁)

  • Kim, Duk-ki
    • Strategy21
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    • s.43
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    • pp.125-174
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    • 2018
  • The purpose of this paper is to analyze the status of naval arms race in Northeast Asia. To this end, the scope of the research was limited to national security strategies, maritime strategies and naval strengthening of the United States, China, Russia and Japan. The major powers' active maritime strategies and naval arms race give some strategic implications to the Republic of Korea Navy as follows. First, China and Japan, unlike the past, are actively using submarines in offshore waters including the Korean Peninsula. Therefore, the ROK Navy must successfully promote the Jangbogo-III-class submarine, which is currently constructed, and get a nuclear-powered submarine and P-8 MPA capable of long-range and long-time operations to enhance ASW capability. Second, North Korea's current building submarines capable of loading SLBMs and SLBMs are a new threat to the ROK Navy. The current building KAMD, which focuses on terminal phase defense, cannot effectively respond to North Korea's SLBMs and should be converted to a multi-layered defense system including SM-3 at a mid-course phase. Third, as China militarizes the South China Sea, the instability of the South China Sea is growing. Therefore, the ROK Navy should strengthen its maritime cooperation with the regional countries such as Japan and ASEAN navies to protect SLOC. In conclusion, the ROK Navy needs to build a strong naval power to keep in mind that the 21st century naval rivalry in Northeast Asia is accelerating. The navy must do one's best to protect national strategic and vital interests by strengthening cooperation with regional countries. South Korea is also accelerating its defense reforms in accordance with the pattern of future warfare and the ROK Navy do one's best to have a balanced naval capability capable of actively operating in the offshore waters.

A GIS Approach towards the Evaluation of the Urban Residential Environment and to Zoning for Management (GIS를 이용한 도시주거환경의 평가 및 정비지구 유형화)

  • 오규식;이왕기;정연우
    • Spatial Information Research
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    • v.4 no.2
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    • pp.121-130
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    • 1996
  • Current management endeavors towards the urban residential environment lack in specific evaluation criteria and relevant strategies. This study attempts to systematically evaluate the quality of the residential environment and to zone areas that need improvement. In the case of the Changshin -dong area, three steps were performed in GIS analyses. First, the quality of residential en¬vironment was evaluated in terms of four environmental objectives-- i.e. safety, health, convenience, and amenity. Second, for the areas that do not satisfy any of the four requirements above, zonig was conducted in terms of housing quality, infrastructure, and housing density. Finally, relevant strategies for improvement were assigned to those areas. The approach presents a shift from a current method that manily relys on experts' intuition or biased judgement, to a more systematic and logical one. Such an approach is expected to be useful for establishing other urban developmental strategies.

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Consideration of Urgent Facing Strategies for the Designation of Customs Free Zone of Incheon City (인천항 관세자유지역 지정시 당면과제 고찰)

  • 박창호;이기철;노흥승;여기태
    • Journal of Korea Port Economic Association
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    • v.17 no.2
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    • pp.183-204
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    • 2001
  • This study is intended for the development of urgent facing strategies for the designation of a CFZ(Customs Free Zone) in Incheon city. First, it analyzes the current status of the Incheon CFZ. Next, it suggests several strategies for successfully growing the CFZ of Incheon City. Finally, it develops and proposes a method for establishing an integrated management system for the effective management of the CFZ. The key findings of this study are as follows: First, the CFZ should provide state-of-the-art movement of port logistics, create new added value caused by the movement of logistics, and provide other public support. The Incheon CFZ should be developed in three stages: an inducement stage in 2002-2005, a growth stage in 2005-2008, and an implementation stage in 2008-2011. Second, The parties responsible for the management of the CFZ would be as follows: for the port area, the Ministry of Maritime and Fisheries; for the back space of CFZ, Incheon City; and for port management, port management companies. However, a committee for CFZ management is strongly suggested for the improved efficiency and effectiveness of CFZ management. Furthermore, additional regulations ensuring the role of local government will likely be necessary for the sucessful designation and sustainable management of the CFZ. Third, For the creation of additional revenue, reformation of the current laws of the CFZ are recommended in the area of business administration. Fourth, A strategic marketing plan that supports the successful management of the companies of the CFZ will be a key component in the success of the CFZ. Thus, the new marketing plan should be developed in the near future based on case studies of other CFZs. Fifth A method for an integrated CFZ management system was developed and suggested for the comprehensive and transparent management of port logistics.

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Current Status and Vitalizing Strategies of Advanced Practice Nurses in Korea (한국 전문간호사제도의 현황과 활성화 전략)

  • Seol, Miee;Shin, Yong Ae;Lim, Kyung Choon;Leem, Chosun;Choi, Jeong Hwa;Jeong, Jae Sim
    • Perspectives in Nursing Science
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    • v.14 no.1
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    • pp.37-44
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    • 2017
  • Purpose: This study aimed to provide information on the developmental process and current status of Advanced Practice Nurses (APN) and to suggest ways for activating APN roles in Korea. Methods: We reviewed literatures to explore domestic and international trends related to the roles, practice settings, scope of practice, regulatory policies, and political environment of APN. Results: Interest in the APN role has been gaining ground worldwide. While the roles of APN in the USA, Taiwan and Japan have been changed in terms of legislation and institutional regulations, the role of APN in 12 fields except for APN in home care has not been legislated since qualification was specified in Korean Medical Law. Many problems were found in vitalizing APN roles: absence of legal regulations on the scope of practice or health insurance coverage for APN, increase the number of medical support staffs who are not qualified, and a disagreement regarding the qualification field and practical field. Conclusion: This study presents snapshots and vitalizing strategies of practice, and regulation for APN to develop their unique roles in Korea. The tasks and duties of APN should be identified specifically to fulfill their roles. In terms of national health insurance policy APN's Nursing care should be reimbursed just as nursing care of APN in home care.

Development of Strategies to Improve the National Nutrition Survey System (국가 영양조사에서 가구 방문 조사 체계의 개선 방안)

  • yang, Narae;Lee, Seungmin;Lim, Youngsuk;Park, Haeryun;Kim, Kirang
    • Korean Journal of Community Nutrition
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    • v.23 no.5
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    • pp.444-455
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    • 2018
  • Objectives: The current survey environment is changing and participation rates in national nutrition surveys are decreasing. Therefore, the purpose of this study was to develop strategies for improving the nutrition survey system in the Korea National Health and Nutrition Examination Survey (KNHANES). Methods: To develop an alternative system for conducting the KNHANES nutritional survey, we conducted focus group interviews with stakeholders of the survey, SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis, and expert reviews. In addition, spatial analysis of potential sites for conducting surveys instead of relying on household visits was performed, and the perception of nutritional surveys in the population eligible for KNHANES was evaluated. Results: Based on the results of the focus group interviews, SWOT analysis, and expert reviews, we propose two options for survey sites: vehicles specifically prepared for nutritional surveys and public facilities such as community service centers or public health centers. Among public facilities, community service centers were found to be more appropriate sites than public health centers because they were considered more accessible. About 90% of respondents would participate in the survey in public facilities and about 74% would in vehicles. Conclusions: Conducting national nutrition surveys in specially designed vehicles and public facilities could be a viable alternative to home visits. Next, the validity of these newly proposed nutrition survey methods needs to be compared to the results of the current national nutrition survey.