• 한국건설관리학회논문집
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• 제21권3호
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• pp.3-10
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• 2020

군부대 이전사업의 소요 증가에 따라 활용되어온 기부대양여방식이 사업시행에 있어 관련제도와 법규, 사업시행자와 군 부대간의 상호이해의 부족 등의 이유로 대다수의 사업이 지연되고 있으며 개선이 요구되고 있는 상황이다. 이에 본 연구에서는 이전사업 추진 단계별 잠재적 리크스 요인 즉, 사업특성과 시행에 제약이 되는 문제를 확인하고 우선순위를 도출하여 위험요인을 분석하고자 하였다. 도출된 위험요인들 중 인허가 및 설계 단계에서의 시설기준을 초과한 요구, 사업승인 단계의 부대이전반대, 시공 및 준공단계의 시공 중 설계변경, 재산 처리단계의 기부/양여 재산에 대한 이견, 합의각서 체결단계의 시설기준의 부재가 우선적인 리스크 관리 고려대상으로 분석되었다. 본 연구는 리스크 관리의 우선순위를 제공함으로써 사업관리자가 더욱 효울적으로 사업을 추진할 있는 가이드라인을 제공할 수 있을 것으로 기대된다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7467-7472
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• 2015

Background: Breast cancer is known to be one of the most prevalent cancers among women in both developing and developed countries. The incidence of breast cancer in Pakistan has increased dramatically within the last few years and is the second country after Israel in Asia to have highest proportional cases of breast cancer. However, there are limited data for breast cancer available in the literature from Pakistan. Objectives: The study was conducted to bring to light the common clinical presentation of breast cancer and to evaluate the frequency of established risk factors in breast carcinoma patients and furthermore to compare the findings between premenopausal and postmenopausal women in Pakistan. Materials and Methods: A 6 months (from July 2012 to Dec 2012) cross sectional survey was conducted in Surgical and Oncology Units of Civil Hospital, Karachi. Data were collected though a well developed questionnaire from 105 female patients diagnosed with carcinoma of breast and analyzed using SPSS version 17. Institutional ethical approval was obtained prior to data collection. Results: Out of 105 patients, 43 were premenopausal and 62 were postmenopausal, 99 being married. Mean age at diagnosis was $47.8{\pm}12.4years$. A painless lump was the most frequent symptom, notived by 77.1%(n=81). Some 55.2% (n=58) patients had a lump in the right breast and 44.8%(n=47) in the left breast. In the majority of cases, the lump was present in upper outer quadrant 41.9% (n=44). Mean period of delay from appearance of symptoms to consulting a doctor was $5.13{\pm}4.8months$, from the shortest 1 month to the longest 36 months. Long delay (> 3 months) was the most frequent figure 41.9%. Considering overall risk factors most frequent were first pregnancy after 20 years of age (41%), physical breast trauma (28.6%), lack of breast feeding(21.9%), and early menarche <11 years (19%), followed by null parity (16.2%), consumption of high fat diet (15.2%), family history of breast cancer or any other cancer in first degree relatives (9.5% and 13.3%, respectively). Some of the less common factors were late menopause >54 years (8.6%), use of oral contraceptive pills (10.5%), use of hormone replacement therapy (4.7%),smoking (4.7%) and radiation (0.96%). Significant differences (p<0.005) were observed between pre and post menopausal women regarding history of physical breast trauma, practice of breast feeding and parity. Conclusions: A painless lump was the most frequent clinical presentation noted. Overall age at first child > 20 years, physical breast trauma, lack of breast feeding, early menarche <11 were the most frequent risk factors. Physical breast trauma, lower parity, a trend for less breast feeding had more significant associations with pre-menopausal than post-menopausal onset. Increase opportunity of disease prevention can be obtained through better understanding of clinical presentation and risk factors important in the etiology of breast cancer.

• Neonatal Medicine
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• 제16권1호
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• pp.10-17
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• 2009

The immature neonatal brain is susceptible to the development of seizures. Seizures occur in 1% to 5% of infants during the neonatal period. Neonatal seizures are most commonly associated with serious acute illnesses, such as hypoxic-ischemic encephalopathy, birth trauma, metabolic disturbances, or infections. Thus, newborn infants with seizures are at risk for neonatal death and survivors are at risk for neurologic impairment, developmental delay, and subsequent epilepsy. Experimental data have also raised concerns about the potential adverse effects of the currently used anticonvulsants in neonates on brain development. Therefore, in the management of neonatal seizures, confirmatory diagnosis and optimal, but shorter, duration of anticonvulsant therapy is essential. Nevertheless, there has been substantial progress in understanding the developmental mechanisms that influence seizure generation and responsiveness to anticonvulsants. The currently used therapies have limited efficacy and the treatment of neonatal seizures has not significantly changed in the past several decades, This review includes an overview of current approaches to the treatment of neonatal seizures.

• 한국경영과학회지
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• 제28권1호
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• pp.63-77
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• 2003

Group buying is one of the most popular transaction patterns on the internet at least in Korea. Nevertheless, it is hard to find academic researches for it in view of consumer behavior. In this paper, we analyze factors which determine consumer's attitude toward and intention of participation in Internet group buying by comparison of Internet individual one. For this purpose, we propose “lowering price”, “decreasing risk” and “reducing transaction cost” as relative advantages and "lack of product assortment" and "delay of time" as relative disadvantages over individual buying on the Internet. For empirical test, Internet users who have some experiences of individual buying but not group ones on the Internet are surveyed and analyzed. In result, a satisfying model fitness for structural equation model is derived and most hypotheses except the relationship between "decreasing risk" and "attitude toward Internet group buying" are accepted. Our results provide not only academic contribution by suggestion of a research framework but also practical insight by discussion of diverse features in Internet group buying.verse features in Internet group buying.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2017년도 추계 학술논문 발표대회
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• pp.187-188
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• 2017

Korean government is trying to adopt 'CM at Risk(CMR)' method to solve some problems of traditional project delivery method such as cost increase, delay, low quality. Pre-construction service(PCS) is a project management methodology of CMR and BIM is the best tool for efficient PCS execution. PCS is consisted of several main items such as Target costing, Cost trending, GMP, Design optimization, Constructability review and Productivity. The purpose of this research is to analyse contractor's PCS application case result and to find improvement items.

• 대한치과의사협회지
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• 제49권3호
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• pp.153-158
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• 2011

Oral precancerous lesion is a morphologically altered tissue in which oral cancer is more likely to occur than is apparently normal counterpart. As dentists always do oral examination and dental treatment, with fundamental knowledge and attention of this lesion, it is relatively easy to find one. If followed by proper treatment and management, it is possible to minimize its oral cancer progression, or at least delay it. Even if it were to progress to oral cancer, very early detection is possible. However, no specific biomarkers are present at the moment that could reveal oral precnacerous lesion that is high risk of oral cancer progression. Since early detection of oral cancer followed by treatment could show good prognosis with just a simple ablative surgery. Dentists should also instruct people to avoid risk factor related oral cancer progression and take natural compound having anticancer effect. Hereby, As a primary care givers, dentists play an important role in prevention of oral cancer.

• Journal of Chest Surgery
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• 제25권10호
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• pp.1098-1101
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• 1992

Esophageal achalasia is a disease with characteristic disorder of esophageal motility. Also, this disorder is known to be predisposing factor of malignancy. Although the incidence of esophageal cancer in patients with achalasia varies widely, the incidence hed been reported from l% to 29% in many articles. It is known that delay in management of achalasia is believed to increase the risk of malignant degeneration. We experience a case with esophageal cancer complicating longstanding esophageal achalasia.

• 스트레스연구
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• 제26권4호
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• pp.259-267
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• 2018

본 연구는 독거노인의 인지기능과 삶의 만족도에 영향을 미치는 위험요인을 탐색하고자 하였다. 전국표본추출로 실시된 2014년도 노인실태조사 원시자료 중에서 만 65세 이상인 독거노인 2,449명의 자료를 분석하였다. 인지기능의 위험요인은 고령과 사별경험, 무학력, 운동 안함, 낮은 사회문화 활동만족도로 확인되었다. 삶의 만족도 위험요인은 이혼/미혼/별거경험, 무학력, 미취업, 부정적 건강평가와 우울진단, 운동 안함, 정서적 학대, 경제적 학대, 재정적 방임 경험과 낮은 인지기능 수준으로 확인되었다. 이는 고령의 사별한 독거노인 대상의 적극적인 인지기능 검사 및 강화 프로그램, 사회문화활동 참여를 위한 네트워킹, 우울 예방과 운동 및 건강증진 프로그램, 노인학대 예방을 위한 사회적 노력이 필요함을 시사해준다.

• 대한치과의사협회지
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• 제57권10호
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• pp.613-622
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• 2019

The vitamin K antagonist (VKA), cumadin, or warfarin, is the only antithrombotic drug that can be orally administered and has excellent effective for decades. However, it is cumbersome to periodically inspect the prothrombin time (PT) order to maintain adequate concentrations that do not cause bleeding, takes a few days to indicate therapeutic effects, gets affected by several factors such as food and drugs etc, and narrow in the therapeutic range. Although recently in development, the non-vitamin K antagonist anticoagulants(NOACs) exhibit a rapid onset of action and have relatively short half- lives compared to Coumadin. Because of these pharmacokinetic properties, it is possible to modify an individual's anticoagulation status quite rapidly, minimizing the period where the anticoagulation activity is therapeutically suboptimal. And the short half -lives of these drug allow for the relatively rapid reduction of their anticoagulation effects. There are currently no published clinical trials specifically assessing the bleeding risks associated with dental procedures for patients taking the NOACs. It is not necessary to interrupt NOAC medication for dental procedures that are likely to cause bleeding, but which have a low risk of bleeding complications. Because the bleeding risk for these procedures is considered to be low, the balance of effects is in favour of continuing the NOAC treatment without modification, to avoid increasing the risk of a thromboembolic event. The patients should be advised to miss(apixaban or dabigatran) or delay(rivaroxaban) a dose of their NOAC prior to dental procedures that are likely to cause bleeding and which have a higher risk of bleeding complications. Because the risk of bleeding complications for these procedures is considered to be higher, the balance effects is in favour of missing or delaying the pretreatment NOAC dose. The interruption is only for a short time to minimize the effect on thromboembolic risk.

• 한국안전학회지
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• 제39권2호
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• pp.38-43
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• 2024

Recently, with the expanding market for electronic devices and electric vehicles, secondary battery usage has been on the rise. Lithium-ion batteries are particularly popular due to their fast charging times and lightweight nature compared to other types of batteries. A secondary battery consists of four components: anode, cathode, electrolyte, and separator. Generally, the positive and negative electrode materials of secondary batteries are composed of an active material, a binder, and a conductive material. Acetylene Black (AB) is utilized to enhance conductivity between active material particles or metal dust collectors, preventing the binder from acting as an insulator. However, when recycling waste batteries that have been subject to high usage, there is a risk of fire and explosion accidents, as accurately identifying the characteristics of Acetylene Black dust proves to be challenging. In this study, the lower explosion limit for Acetylene Black dust with an average particle size of 0.042 ㎛ was determined to be 153.64 mg/L using a Hartmann-type dust explosion device. Notably, the dust did not explode at values below 168 mg, rendering the lower explosion limit calculation unfeasible. Analysis of explosion delay times with varying electrode gaps revealed the shortest delay time at 3 mm, with a noticeable increase in delay times for gaps of 4 mm or greater. The findings offer fundamental data for fire and explosion prevention measures in Acetylene Black waste recycling processes via a predictive model for lower explosion limits and ignition delay time.