• Title/Summary/Keyword: Risk cost

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Finger reduction of nasal bone fracture under local anesthesia: outcomes and patient reported satisfaction

  • Lee, Young-Jae;Lee, Kyeong-Tae;Pyon, Jai-Kyong
    • Archives of Craniofacial Surgery
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    • v.20 no.1
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    • pp.24-30
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    • 2019
  • Background: Closed reduction of the fracture under general or local anesthesia with elevators or forceps is widely used to treat nasal bone fractures. However, operating under general anesthesia increases the risk of morbidity and raises the cost of management. Furthermore, using forceps or elevators may cause undercorrection, new fractures, mucosal damage, and nasal hemorrhage. We therefore performed manual reduction under local anesthesia, using the little finger, to minimize the demerits of treatment under general anesthesia with forceps or elevators and aimed to assess functional and aesthetic outcomes, and patient satisfaction. Methods: Patients who visited the plastic and reconstructive surgery department between November 2016 and November 2017 with nasal bone fractures and treated by a single surgeon were prospectively followed up. Patients with simple unilateral or bilateral nasal bone fractures were treated with bedside finger reduction under local anesthesia and patients with comminuted nasal bone or septal fractures were scheduled for closed reduction under general anesthesia. Results: Of 84 patients, 28 met the inclusion criterion and underwent bedside finger reduction under local anesthesia. Twenty-seven patients (96.4%) were successfully contacted via telephone for survey. Twenty-three (85.2%) showed good and three (11.1%) showed fair results. All 27 patients (100%) were satisfied with their postoperative function and 25 (92.6%) were satisfied with their postoperative aesthetic result. Twenty-five patients (92.6%) preferred the finger reduction method under local anesthesia over closed reduction under general anesthesia. Conclusion: Finger reduction under local anesthesia in patients with mild unilateral or bilateral nasal bone fractures is an easy and efficient procedure with high patient satisfaction and favorable postoperative functional and aesthetic outcomes.

An Exploratory Study on Conceptual Framework for Project-based Supply Chain Management : Focusing on Plant Engineering Firms (프로젝트형 SCM의 개념적 틀에 관한 탐색적 연구 : 플랜트 엔지니어링 기업을 중심으로)

  • Kim, Tae Ung
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.123-135
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    • 2018
  • The objective of this paper is to investigate the issues related to the supply chain management in plant engineering industry, and propose the framework to improve the project efficiency. The preliminary case study shows that EPC's fragmented nature, lack of coordination and information sharing, and lack of proper risk and change management contribute to project delay and cost overrun. To examine the level of informatization and information sharing in supply chain, survey responses from the suppliers and subcontractors have been collected. The statistical results show that information sharing, early involvement in design process and awareness in SCM have influenced the level of collaboration, but supplier assessment and informatization have no impact on the collaboration. A conceptual model is proposed in order to facilitate the integration of design, procurement and construction functions. Implications from the study are also provided.

A Study on IoT based Forensic Policy for Early Warning System of Plant & Animal as A Subsystem of National Disaster Response and Management (국가재난형 동·식물 조기경보시스템을 위한 IOT기반의 포렌식 정책 연구)

  • Chung, Ho-jin;Park, Dea-woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.05a
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    • pp.295-298
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    • 2014
  • In recently, a climatic change(such as subtropical climate and frequent unusual high temperature) and the open-trade policies of agricultural & livestock products are increasing the outbreak risk of highly pathogenic avian influenza(HPAI) and foot and mouth disease(FMD), and accordingly the socio-economic damage and impacts are also increasing due to the cases such as damage from the last 5 times of FMD outbreak(3,800 billion won), from 10 years public control cost of Pine Wilt Disease (PWD)(238.3 billion won), and from the increased invasive pests of exotic plant like isoptera. Therefore, the establishment of new operation strategy of IoT(Internet of Things) based satellite early warning system(SEWS) for plants and animals as a subsystem of national disaster response and management system is being required, where the forensic technology & measures should be applied as a government policy to estimate the post compensation and to carry out the legal responsibility.

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The socioeconomic impact of Korean dental health insurance policy on the elderly: a nationwide cohort study in South Korea

  • Seo, Hyewon;Lee, Bo-Ah;Lim, Hyunsun;Yoon, Joon-Ho;Kim, Young-Taek
    • Journal of Periodontal and Implant Science
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    • v.49 no.4
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    • pp.248-257
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    • 2019
  • Purpose: The purpose of this retrospective study was to investigate the relationships of types of dental insurance coverage in Korea with sociodemographic characteristics and the prevalence of systemic and oral diseases, as well as to evaluate the socioeconomic impact of Korean dental insurance policies. Methods: Sample cohort data from 2006 to 2015 were obtained from the National Health Insurance Service. Patients were divided into 2 groups. The exposed group comprised patients who received insurance benefits for complete dentures, removable partial dentures, and implant care, while the control group comprised patients who did not receive these benefits. The type of insurance coverage and the prevalence of systemic and oral diseases were compared between the 2 groups. Results: Patients who received benefits in the form of complete dentures, removable partial dentures, and implants had similar sociodemographic characteristics in terms of sex, age, income quintile, and type of insurance coverage to the control group. The prevalence of hypertension, anemia, renal disease, rheumatoid arthritis, osteoporosis, asthma, and cerebral infarction was higher in the exposed group than in the control group (P<0.05). The prevalence of periodontal diseases and dental caries was also higher in the exposed group. Conclusions: Korean dental health insurance policy has been beneficial for the medical expenses of low-income and elderly people suffering from a cost burden due to systemic diseases. However, since there is a tendency to avoid invasive interventions in older patients due to the high risk of systemic diseases, insurance coverage of dentures may be more helpful from a socioeconomic perspective than coverage of dental implant treatments.

A Study on Analysis Model for Weapon Acquisition Alternatives (국방 무기체계 획득방안 연구 방법론 제안)

  • Lee, Ji-Young
    • Journal of Convergence for Information Technology
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    • v.9 no.6
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    • pp.91-96
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    • 2019
  • Recently, it is expected for requirement for more scientific research of weapon systems acquisition alternatives with reliability and objectivity. For these needs, study on methodology of weapon systems acquisition alternatives is but on-going, but it is still in its early stages and is unprofessional. We compared general decision making methods, government development program decision making methods, methodologies of weapon systems acquisition alternatives research such as AHP, ANP, KAAM and proposed AHP as weapon acquisition analysis. This study guarantees objectivity and derives scientific research results reliability by analyzing and comparing comprehensive elements such as cost, effectiveness, deployment schedule, program management risk. Further study on AHP weight and other decision making methods is needed considering category of weapon systems and program characteristics.

Fitness System for Correcting Real-time Posture Using Smart Mirror (스마트 거울을 활용한 실시간 자세교정 피트니스 시스템)

  • Seo, Jae-sic;Shin, Min-ho;Moon, Mi-kyeong
    • Journal of IKEEE
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    • v.23 no.1
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    • pp.74-79
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    • 2019
  • As the desire for healthcare increases due to the ageing population and the well-being boom, interest in fitness is increasing. People go to the fitness center to exercise, but many people do not know how to exercise, so they often make the order of exercise and the exercise posture wrong. This not only reduces the effectiveness of the exercise, but also increases the risk of injury. This paper describes the development process of fitness system using smart mirror. This system allows people to follow the motion by themselves in front of the smart mirror, and if the exercise posture goes wrong, in real time it checks and corrects for the wrong point. By using this system, people will be able to exercise by themselves in the right posture without the help of a trainer. Also, as a result, people will be able to exercise at any time they want without the constraint of time commitment with a trainer and the cost will be reduced.

A Study on Transferring Electronic Records from Record Production System to Record Management System Using Cloud Storage (클라우드 저장소를 활용하여 기록생산시스템에서 기록관리시스템으로 전자기록물을 이관하는 방안에 관한 연구)

  • Kim, Ju Young;Kim, Soon-Hee
    • Journal of Korean Society of Archives and Records Management
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    • v.19 no.2
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    • pp.1-24
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    • 2019
  • In this study, we propose a logical transfer method of records using cloud storage to solve the integrity problem of digital component, which is generated when electronic records are transferred from the electronic record production system to the record management system. This method, which produces electronic records using cloud storage from the production stage and transfers them to the archives, has the following advantages. First, as a record management method, it can be effectively applied in public institutions by utilizing cloud computing technology, which has been the trend recently. Second, unlike the existing method of copying and physically transferring electronic records, the proposed method can reduce various risk factors that may occur in the transfer of electronic records by logically transferring the storage. Third, the method can prevent errors of the digital component according to the physical transfer of the electronic record; hence, the integrity of the electronic record can be guaranteed. Fourth, administrative power and cost that are wasted because of the electronic transfer of electronic records can be reduced.

Improvement of Safety Management and Plan by Comparison Analysis of Construction Technology Promotion Act(CTPA) and Occupational Safety and Health Act(OSHA) in Construction Field (건설기술진흥법과 산업안전보건법 비교분석을 통한 건설업 안전관리 및 계획의 개선방안)

  • Kim, Si Ouk;Yoon, Young Geun;Oh, Tae Keun
    • Journal of the Korean Society of Safety
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    • v.36 no.4
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    • pp.37-46
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    • 2021
  • According to the Korean Statistical Information Service, the number of fatal occupational accidents per 100,000 workers is the highest in Korea, among all the OECD countries. The safety of construction workers is managed by the construction technology promotion act (CTPA) and the occupational safety and health act (OHSA). A review of the current safety management laws is required to improve them for the construction industry, where the numbers of accidents and deaths are constantly increasing. Accordingly, the aim of this study was to identify the problems in unclear business areas through comparison and analysis of the CTPA and OHSA guidelines and establish effective site-dependent construction safety management plans. The overlapping safety and health management terms and tasks of organizations were derived along with identifying the overlapping items of the safety management and hazard and risk prevention plans. Based on these results, several improvements for the design stage, safety cost, and safety education have been suggested in this paper. In addition, an improved model based on the integration and an optimized compromise between these two laws for safety management in areas where many accidents have occurred in recent years has been reported here.

Design and Verification of Addressable Automatic Fire Detection System for Existing Apartments (기존아파트의 적용성을 고려한 주소형 자동화재탐지설비의 설계 및 검증)

  • An, Hyunsung
    • Land and Housing Review
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    • v.13 no.4
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    • pp.105-114
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    • 2022
  • Non-fire activated fire alarms caused by such actions as cigarette smoke, cooking, and high humidity are fire safety risk factors. In such instances, it is important to quickly locate and replace the actuated detector. However, it is difficult to locate those detectors because most do not have an address function. While new apartments can incorporate addressable fire alarm detectors, in existing apartments there are limitations in converting over to addressable detectors due to cost and power line issues. This study developed an efficient address function for fire alarms in existing apartments. The newly developed system consists of the existing receiver, and a proposed addressable repeater and detector. Utilizing an experimental setup, the performance of the proposed address monitoring system was confirmed to be stable and compatible with the receiver and existing detectors.

A Conceptual Design and Feasibility Analysis of a Window Cleaning Device (유리창 청소장치의 개념 디자인 및 경제적 타당성 예측)

  • Kim, Kyoon-Tai;Jun, Young-Hun
    • Journal of the Korea Institute of Building Construction
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    • v.20 no.6
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    • pp.537-543
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    • 2020
  • The window cleaning works are manpower-dependent and are performed in an unstable posture at high altitude, so that there is a risk of falling. Therefore, there is an urgent need to improve the safety of workers. In this study, a conceptual design was proposed for the cleaning of exterior windows of a building, and the economic feasibility of the proposed conceptual model was analyzed. The proposed model is designed to avoid protrusions such as window frames, and to be able to respond even if the shapes of the upper and lower parts are different. As a result of analyzing the economic feasibility of the designed conceptual model, the benefit cost ratio was 4.48, which was significantly higher than 1. Therefore, the economic feasibility of the proposed window cleaning device is expected to be sufficient. The results analyzed in this paper will be used in the development and marketing of the window cleaning device.