• Title/Summary/Keyword: GPN

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Glossopharyngeal Neuralgia

  • Jae Sung, Park;Young Hwan, Ahn
    • Journal of Korean Neurosurgical Society
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    • v.66 no.1
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    • pp.12-23
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    • 2023
  • Glossopharyngeal neuralgia (GPN) is a rare disease that must be differentiated from trigeminal neuralgia. The purpose of this article is to provide a comprehensive review of anatomy, pathophysiology, diagnostic criteria, and several options of treatment for GPN. Lessons learned through our experience of treating GPN are presented in detail, as well as cases of misdiagnosis and diagnostic pitfalls. Microvascular decompression (MVD) should be primarily considered for medically intractable GPN. Techniques employed in MVD for GPN are categorized and described. Especially, we underscore the advantages of the 'transposition' technique where insulating material is positioned 'off' the root entry zone (REZ), instead of 'on' it. We believe this 'off-the-REZ' technique can fundamentally prevent recurrence, if applicable. In addition, Gamma Knife radiosurgery can be an alternative option when a patient is ineligible for MVD, though it is categorized as a destructive procedure.

Tracing the Evolution of the Global Production Network Discourse: An Alternative to the Firm- and Industry-Centered Governance Analysis (글로벌 생산네트워크 담론의 진화: 기업 및 산업 중심 거버넌스 분석을 넘어서)

  • Lee, Jae-Youl
    • Journal of the Korean Geographical Society
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    • v.51 no.5
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    • pp.667-690
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    • 2016
  • This paper reviews the evolution process of global production network(GPN) discourse, from its origin to the recent theorization, namely GPN 2.0. In so doing, the discursive formation of global production networks is introduced in comparison with a competing discourse global commodity/value chains, with particular attention to conceptual and analytical lacunae in the latter. This article also outlines how the global production network perspective has become a useful discursive and practical tool that allows the examination of the nexus of global economy, transnational corporations, and regional development. Subsequently, a theoretical dearth in the approach is discussed in reference to key critiques, and in this context Yeung and Coe's recent theorization GPN 2.0, which is centered on casual mechanisms and network configurations is reviewed. This paper suggests that the theory adequately addresses the problem of casuality lacking in its precedented conceptual framework, and that it helps exploring the formation and evolution processes of varied production networks(including intrafirm coordination, interfirm control, strategic partnership, and extrafirm bargaining) in connection with competitive dynamics and risky environments. As a result of the theorization, the difference between GPN and the chain approaches has become more apparent, and the idea of extrafirm bargaining is particularly important in the differentiation. Extrafirm bargaining is seen to be a comprehensive networking form inclusive of such GPN 1.0 analytical concepts as value, embeddeness, and power, and research attentive to, and engaging with, the extrafirm networks is expected to help transcending the chain governance approaches' analytical excess of interfirm linkages and industry-centeredness.

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New Indicators of Global Integration Using Input-Output Analysis

  • DONGSEOK KIM
    • KDI Journal of Economic Policy
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    • v.46 no.2
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    • pp.45-74
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    • 2024
  • The import content of export (ICE) has served as an indicator of global integration for several decades. It is defined as the share of imported products embodied in exports and can be interpreted as the relative degree of the utilization of global production network (GPN) over the domestic supply chain (DSC) in terms of 'value-added.' This paper proposes two new indicators of global integration. They are defined as the ratios of imports (foreign products) to gross output (domestic products) generated by exports and can be interpreted as the relative degrees of the utilization of GPN over DSC in terms of 'production.' Both indicators are easy to compute and can be compared between years, between countries, between industries, and between groups of industries. The paper applies the new indicators to the recent edition of the OECD's Input-Output Database. Finally, the paper shows that the recent slowdown in international trade is mostly due to the decrease in the international trade of intermediate goods, with significant implications regarding the future of global integration.

Microvascular Decompression for Glossopharyngeal Neuralgia : Clinical Analyses of 30 Cases

  • Kim, Mi Kyung;Park, Jae Sung;Ahn, Young Hwan
    • Journal of Korean Neurosurgical Society
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    • v.60 no.6
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    • pp.738-748
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    • 2017
  • Objective : We present our experience of microvascular decompression (MVD) for glossopharyngeal neuralgia (GPN) and evaluate the postoperative outcomes in accordance with four different operative techniques during MVD. Methods : In total, 30 patients with intractable primary typical GPN who underwent MVD without rhizotomy and were followed for more than 2 years were included in the analysis. Each MVD was performed using one of four different surgical techniques : interposition of Teflon pieces, transposition of offending vessels using Teflon pieces, transposition of offending vessels using a fibrin-glue-coated Teflon sling, and removal of offending veins. Results : The posterior inferior cerebellar artery was responsible for neurovascular compression in 27 of 30 (90%) patients, either by itself or in combination with other vessels. The location of compression on the glossopharyngeal nerve varied; the root entry zone (REZ) only (63.3%) was most common, followed by both the REZ and distal portion (26.7%) and the distal portion alone (10.0%). In terms of detailed surgical techniques during MVD, the offending vessels were transposed in 24 (80%) patients, either using additional insulation, offered by Teflon pieces (15 patients), or using a fibrin glue-coated Teflon sling (9 patients). Simple insertion of Teflon pieces and removal of a small vein were also performed in five and one patient, respectively. During the 2 years following MVD, 29 of 30 (96.7%) patients were asymptomatic or experienced only occasional pain that did not require medication. Temporary hemodynamic instability occurred in two patients during MVD, and seven patients experienced transient postoperative complications. Neither persistent morbidity nor mortality was reported. Conclusion : This study demonstrates that MVD without rhizotomy is a safe and effective treatment option for GPN.

Severe Pain Attack Associated with Neurocardiogenic Syncope Induced by Glossopharyngeal Neuralgia: Successful Treatment with Carbamazepine and a Permanent Pacemaker -A Case Report-

  • Kim, Seung-Ho;Han, Kyung-Ream;Kim, Do-Wan;Lee, Jae-Woo;Park, Ki-Bum;Lee, Ji-Young;Kim, Chan
    • The Korean Journal of Pain
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    • v.23 no.3
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    • pp.215-218
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    • 2010
  • Glossopharyneal neuralgia (GPN) is generally considered to be a pain disease. However, it can be also be a life-threatening cardiac cause of syncope. Neuralgia in the throat and neck can trigger severe bradycardia up to the point of asystole, which can progress to cardiac syncope with or without seizures. A 65 year-old male patient diagnosed with glossopharyngeal neuralgia complained of severe paroxysmal pain in his right chin and ear followed by bradycardia, aystole and syncope. We report a case successfully treated with a permanent pacemaker and carbamazepine in a patient with GPN who had syncopal attacks preceded by paroxysms of pain.

Estimation of Demand for and Proper Capacity of Ro-Ro Berths in Korea-Japan Trade (한일간 Ro-Ro 부두 수요 및 적정 규모 추정)

  • Kim, Yul-Seong;Lee, Kyung-Nam;Kang, Dal-Won
    • Journal of Korea Port Economic Association
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    • v.31 no.3
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    • pp.107-120
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    • 2015
  • International logistics systems for cross-border trading aim not only to reduce costs and time, but also to maximize added value. For accuracy of shipping time, cost reduction, rapidity, and safety improvement, demand for Ro-Ro shipping as a global supply chain operating system has increased. To anticipate these demands, this study estimates the optimal demand and scale of Ro-Ro berth construction by analyzing shipping volumes between Korea and Japan. Based on Ro-Ro shipping speeds and distances between Korea and Japan, the shipping volume (container and general cargo) of Busan port is sorted into two separate zones. After analyzing the ratio of items that have great potential benefits from using Ro-Ro shipping, we estimate possible shipping volumes using Ro-Ro berth provision. The results reveal that two berths for 20,000t vessels are additionally required to accommodate the estimated volume. Results suggest the construction of an exclusive Ro-Ro berth in Busan port. This would not only accommodate the demand between Korea and Japan, but also provide a way to avoid the lean-to-one-side port policy.

Global Production Network and Coupling Strategy of IT Industrial Clusters in Dongguan, China (중국 동관 IT 산업 클러스터의 글로벌 생산 네트워크 및 커플링 전략)

  • Lee, Sang-Bin;Sung, Eul-Hyun;Yeom, Myung-Bae
    • Journal of the Korea Convergence Society
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    • v.8 no.7
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    • pp.39-46
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    • 2017
  • Dongguan City of Guangdong province, one of the core areas of the Pearl River Delta, has also pursued economic development through the geographical advantage close to Hong Kong. In the early 1980s, small and medium-sized multinational corporations related to home appliances industry from Hong Kong invested to the Dongguan area and set up a production factory. In the mid-1990s, as Taiwanese PC manufacturers invested, local industrial clusters have developed in Dongguan with core of the IT, PC components and electronic industries. The case of the IT industrial cluster in Dongguan is a typical example of the development of Chinese manufacturing industry after the reform of China. This paper focused on the coupling strategy case of Dongguan City industrial cluster in Guangdong province, and theoretically compared the endogenous growth factor analysis(NMID) of regional industrial development with the regional differentiation of industry based on external linkage with global production network(GPN).

글로벌생산체계에서 중국 동관(東莞)지역의 역할과 IT·전자산업클러스터의 발전

  • Lee, Sang-Bin
    • Korea and Global Affairs
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    • v.1 no.1
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    • pp.153-176
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    • 2017
  • 중국 경제성장에 핵심적 역할을 해왔던 광동성(廣東省) 동관시(東?市)는 지리적으로 근접해 있는 홍콩을 이용하여 줄곧 경제발전을 추구해 왔다. 1980년대 초반은 홍콩으로부터 가전산업 관련 중소 다국적 기업이 동관지역에 진출하여 생산 공장을 세우고, 그 후 1990년 중반에는 대만의 PC제조업체의 진출이 잇따르면서 현재 동관에는 정보통신산업과 PC부품 및 전자산업 중심으로 지역 산업클러스터가 발전해 왔다. 동관시 산업클러스터 사례는 개혁개방이후 중국 제조업 산업의 발전뿐만 아니라, 글로벌 시대에 해외직접투자와 아시아지역 후-후발산업국가에서의 지역경제의 성장 및 산업발전과정의 연구에 대한 이론적 시사점을 줄 수 있는 지역적 사례 중의 하나다. 본 연구는 광동성 동관시 지역산업클러스터의 사례를 중심으로 이론적으로는 지역산업발전의 내생적 성장요인 분석(NMID) 혹은 글로벌 생산네트워크와의 외부적 연계성을 기초로 하는 산업의 지역적 분화(GPN)에 대한 이 두 관점을 상호 비교하고, 글로벌 생산체계에서 공간적으로 현재 동관시 지역이 가지고 있는 산업클러스터의 위치와 역할을 설명하였다. 또한 산업적인 측면에서 생산네트워크 접근틀과 제도적 역량이라는 이론적 관점을 활용하여 중국 동관시 지역산업과 기업들이 보유하고 있는 상대적 경쟁력을 분석하였다.

Combined Hyperactive Dysfunction Syndrome of the Cranial Nerves

  • Yang, Kyung-Hoon;Na, Joon-Ho;Kong, Doo-Sik;Park, Kwan
    • Journal of Korean Neurosurgical Society
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    • v.46 no.4
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    • pp.351-354
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    • 2009
  • Objective : Combined hyperative dysfunction syndrome (HDS) defined as the combination of HDSs such as trigeminal neuralgia (TN). hemifacial spasm (HFS) and glossopharyngeal neuralgia (GPN), which mayor may not occur simultaneously on one or both sides. We reviewed patients with combined HDS and demonstrated their demographic characteristics by comparing them with those of patients with a single HDS. Methods : Between October 1994 and February 2006, we retrospectively studied a series of 1,720 patients who suffered from HDS and found 51 patients with combined HDSs. We analyzed several independent variables in order to evaluate the prevalence and etiologic factors of combined HDS. Results : The combined HDS group accounted for 51 of 1,720 (2.97%) patients with HDS; 27 cases of bilateral HFS, 10 cases of bilateral TN and 14 cases of HFS with TN. Their mean age was 52.1 years (range, 26-79 years). There were 5 men and 46 women. Seven patients had synchronous and 44 patients metachronous onset of HDSs. By comparison of combined and single HDS groups, we found that age and hypertension were closely associated with the prevalence of combined HDS (p<0.05). Conclusion : This study revealed that combined HDS was very rare. Hypertension and age might be the most important causative factors to evoke combined HDS.

Effects of the ESD Protection Performance on GPNS(Gate to Primary N+ diffusion Space) Variation in the NSCR_PPS Device (NSCR_PPS 소자에서 게이트와 N+ 확산층 간격의 변화가 정전기 보호성능에 미치는 영향)

  • Yang, Jun-Won;Seo, Yong-Jin
    • Journal of Satellite, Information and Communications
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    • v.10 no.4
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    • pp.6-11
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    • 2015
  • The ESD(electrostatic discharge) protection performance of PPS(PMOS pass structure) embedded N-type silicon controlled rectifier(NSCR_PPS) device with different GPNS(Gate to Primary $N^+$ Diffusion Space) structure was discussed for high voltage I/O applications. A conventional NSCR_PPS standard device with FPW(Full P-Well) structure and non-CPS(Counter Pocket Source) implant shows typical SCR-like characteristics with low on-resistance(Ron), low snapback holding voltage(Vh) and low thermal breakdown voltage(Vtb), which may cause latch-up problem during normal operation. However, our proposed NSCR_PPS devices with modified PPW(Partial P-Well) structure and optimal CPS implant demonstrate the improved ESD protection performance as a function of GPNS variation. GPNS was a important parameter, which is satisfied design window of ESD protection device.