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정맥염 발생률에 근거한 말초 정맥관의 정규교환 시기 연장에 대한 연구 (Study on Prolonging Peripheral Intravenous Catheter Indwell Time Based on Phlebitis Rate)

  • 윤희숙;박미아;박은정;최진희;김미영;임지미;이승자;이창관
    • 임상간호연구
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    • 제16권1호
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    • pp.145-153
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    • 2010
  • Purpose: The purpose of this study was to re-assess the replacement time intervals of Peripheral Intravenous Catheters (PICs) by investigating phlebitis rates according to the indwelling times of PICs. Methods: The study was conducted on 340 patients in S hospital by an IV team. After PIC insertion, IV team members evaluated once a day. The PICs were replaced every 96 hours, and let them in situ when the patients wanted to, in the absence of any sign of complications, from 97 hours to 153 hours. Results: Total phlebitis rate was 19.6%. There were no significantly different factors associated with the occurrence of phlebitis. The incidence rates of phlebitis were 12.6% and 7.0% before and after 72 hours of PIC insertion, and recorded zero after 96 hours. Conclusion: It would be recommendable to maintain PIC in situ for longer than 72 hours if there is no sign of complication such as phlebitis in close monitoring of PIC insertion site.

Near-Infrared Photopolarimetry of Large Main Belt Asteroid - (4) Vesta

  • Bach, Yoonsoo P.;Ishiguro, Masateru;Takahashi, Jun;Naito, Hiroyuki;Kwon, Jungmi;Kuroda, Daisuke
    • 천문학회보
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    • 제46권1호
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    • pp.45.1-45.1
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    • 2021
  • The polarization degree as a function of phase angle (the Sun-target-observer's angle), so-called the polarimetric phase curves (PPC), have provided priceless information on asteroids' albedos since B. Lyot (1929). Succeeding experimental works in 1970s have confirmed the Umow law: There is a universal and strong correlation between the albedo and the PPC slope (slope of the tangential line at the zero of the PPC at phase angle ~ 20 degrees). Experiments in 1990s (ref [1]), on the other hand, have demonstrated that the negative branch of PPC is dependent on the size parameter (X ~ π * particle-size / wavelength), especially when X <~5. The change in particle size changed the minimum polarization degree, location of the minimum, and the width of the negative branch (called the inversion angle). From polarimetry[2] and spectroscopy[3], large asteroids are expected to be covered with fine (<~ 10 ㎛ size) particles due to the gravity. The size parameters are X ~ 30 at the optical wavelength (λ ~ 0.5 ㎛) and X ~ 10 in near-infrared (J, H, Ks bands; λ ~ 1.2-2.2 ㎛), if the representative particle size of 5 ㎛ is considered. Accordingly, the near-infrared polarimetry has a great potential to validate the idea in ref[1]. We conducted near-infrared photopolarimetry of the large asteroid (4) Vesta using the Nishiharima Infrared Camera (NIC) at Nishi-Harima Astronomical Observatory (NHAO). NIC allows simultaneous polarimetric measurements in J, H, and Ks bands, and thus the change of PPC is obtained for three different size parameters. As a result, we found a signature of the change in the negative branch in the PPC of asteroid (4) Vesta. We will introduce our observation and the results and give an interpretation of the regolith on Vesta.

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US, China and the Russo-Ukraine War: The Conditions for Generating a Mutually Perceived Hurting Stalemate and Consequent Ceasefire In Moscow and Kyiv

  • Benedict E. DeDominicis
    • International Journal of Advanced Culture Technology
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    • 제11권4호
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    • pp.177-192
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    • 2023
  • A prerequisite for a lasting ceasefire is the emergence of a prevailing view in Moscow and Kyiv that the fighting has reached a hurting stalemate. In sum, they both lose more through continuing warfare than by a ceasefire. This study applies social identity dynamics of nationalism to this escalatory conflict. It generates findings that imply that China as a third-party great power intervening mediator can potentially play a pivotal role. Shifting the respective prevailing views in Moscow and Kyiv of their interaction from a zero-sum foundation requires proffering powerful economic and political third-party incentives. Effective inducement would facilitate national defense, development and prestige for Moscow as well as Kyiv. China arguably has the underutilized potential power capabilities necessary to alter the respective prevailing views of strategic relationships among the great powers within Moscow, Brussels and Washington. A prerequisite for success in striving effectively towards this strategic goal is cooperation with the Beijing despite skepticism from Washington. This study utilizes a process tracing methodological approach. It highlights that the foundations of the Russo-Ukraine war lie in the institutionalization within Euro-Atlantic integration of the Cold War assumption that the USSR was an imperialist revisionist actor. Russia is the USSR's successor state. Moscow's prevailing view is that Russian national self-determination was unjustly circumscribed in the multinational Soviet totalitarian Communist system. The Euro-Atlantic community is perceived as a neocolonial imperial threat by allying with post-1991 Ukrainian nationalism at Russia's expense. The study finds that acknowledging Eurasian regional multipolarity is necessary, if not sufficient, to coopt Beijing into a global political stabilization strategy. It functionally aims to promote international balancing to lessen potentials for horizontal as well as vertical escalation of the Russo-Ukrainian conflict.

Variation of Practice in Prophylactic Protocol to Reduce Prosthetic Joint Infection in Primary Hip and Knee Arthroplasty: A National Survey in the United Kingdom

  • James Morris;Lee Hoggett;Sophie Rogers;John Ranson;Andrew Sloan
    • Hip & pelvis
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    • 제35권4호
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    • pp.228-232
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    • 2023
  • Purpose: Prosthetic joint infection (PJI) has an enormous physiological and psychological burden on patients. Surgeons rightly wish to minimise this risk. It has been shown that a standardised, evidence-based approach to perioperative care leads to better patient outcomes. A review of current practice was conducted using a cross-sectional survey among surgeons at multiple centers nationwide. Materials and Methods: An 11-question electronic survey was circulated to hip and knee arthroplasty consultants nationally via the BOA (British Orthopaedic Association) e-newsletter. Results: The respondents included 56 consultants working across 19 different trusts. Thirty-four (60.7%) screen patients for asymptomatic bacteriuria (ASB) preoperatively, with 19 (55.9%) would treating with antibiotics. Fifty-six (100%) screen for methicillin-resistant Staphylococcus aureus and treat if positive. Only 15 (26.8%) screen for methicillin-sensitive S. aureus (MSSA) or empirically eradicate. Zero (0%) routinely catheterize patients perioperatively. Forty-one (73.2%) would give intramuscular or intravenous gentamicin for a perioperative catheterisation. All surgeons use laminar flow theatres. Twenty-six (46.4%) use only an impervious gown, 6 (10.7%) exhaust pipes, and 24 (42.3%) surgical helmet system. Five different antimicrobial prophylaxis regimens are used 9 (16.1%) cefuroxime, 2 (3.6%) flucloxacillin, 19 (33.9%) flucloxacillin and gentamicin, 10 (17.9%) teicoplanin, 16 (28.6%) teicoplanin and gentamicin. Twenty-two (39.3%) routinely give further doses. Conclusion: ASB screening, treatment and intramuscular gentamicin for perioperative catheterisation is routinely practiced despite no supporting evidence base. MSSA screening and treatment is underutilised. Multiple antibiotic regimens exist despite little variation in organisms in PJI. Practice varies between surgeons and centers, we should all be practicing evidence-based medicine.

영가철/바이오 복합처리제를 이용한 질산성 질소 오염 지하수의 현장 지중정화 적용성 평가 (Field Assessment of in Situ Remediation of NO3--contaminated Ground Water Using Zero-valent Iron/Bio Composite Media)

  • 주완호;장윤영
    • 환경영향평가
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    • 제30권1호
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    • pp.35-48
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    • 2021
  • 본 연구에서는 예산군에 위치한 질산성 질소 오염 지하수 부지를 대상으로 오염지하수의 지중정화현장 적용성 평가를 수행하고자, 영가철/바이오 환경정화소재를 이용한 Injected PRB(Permeable Reactive Barrier)와 관측정을 현장 오염지하수부지에 적용하고 주요 정화지표에 대한 변화를 모니터링하였다. 질산성질소, 아질산성질소, 암모니아성질소, 철 이온, TOC, 탁도 등의 항목 등을 조사하고 미생물 분석을 실시하여 지중정화기술의 현장 적용성을 평가하였다. 연구대상 부지는 농경지역으로 북쪽 경계는 하천이 서쪽에서 동쪽으로 흐르며 하천 경계를 형성하고 남쪽은 불투수 경계로 이루어져 있다. 질산성질소는 전반적으로 지하수 흐름과 유사하게 하천으로 흐르는 것으로 분석되었다. 모델링 결과, 약 3년에서 5년정도 경과 후 안정 상태로 도달하는 것으로 판단되었다. 이는 추가적인 오염원 유입이 없는 현재 상태만 고려한 것으로 지속적 오염이 유입된다면 오염범위 및 안정화 기간이 증가할 수 있다. 모니터링 결과, PRB설치 전, 후 철 이온, TOC, 탁도 값이 큰 차이를 보이지 않아 PRB의 음용수 관정 영향은 없는 것으로 판단되어 해당 지중정화기술의 지중 주입 적합성을 확인하였다. 질산성질소는 PRB 설치 42일 차까지 5 mg/L보다 낮은 농도가 유지되었으나 84일 차부터 PRB 내부의 질산성질소 제거 유효 기간이 끝나 원래의 농도를 회복하였다. PRB 설치 후 아질산성 질소와 암모니아성 질소의 검출은 PRB에 의한 질산성 질소의 환원에 의한 감소를 보여주었으며, 미생물 분석 결과 종 다양성이 증가하고 탈질 미생물을 포함하고 있는 Betaproteobacteria Class 군집이 크게 증가한 결과는 질산성 질소가 생물학적 환원작용에 의한 정화 가능성도 보여주었다.

Systematic influence of different building spacing, height and layout on mean wind and turbulent characteristics within and over urban building arrays

  • Jiang, Dehai;Jiang, Weimei;Liu, Hongnian;Sun, Jianning
    • Wind and Structures
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    • 제11권4호
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    • pp.275-289
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    • 2008
  • Large eddy simulations have been performed within and over different types of urban building arrays. This paper adopted three dimensionless parameters, building frontal area density (${\lambda}_f$) the variation degree of building height (${\sigma}_h$), and the staggered degree of building range ($r_s$), to study the systematic influence of building spacing, height and layout on wind and turbulent characteristics. The following results have been achieved: (1) As ${\lambda}_f$ decrease from 0.25 to 0.18, the mean flow patterns transfer from "skimming" flow to "wake interference" flow, and as ${\lambda}_f$ decrease from 0.06 to 0.04, the mean flow patterns transfer from "wake interference" flow to "isolated roughness" flow. With increasing ${\lambda}_f$, wind velocity within arrays increases, and the vortexes in front of low buildings would break, even disappear, whereas the vortexes in front of tall buildings would strengthen and expand. Tall buildings have greater disturbance on wind than low buildings do. (2) All the wind velocity profiles and the upstream profile converge at the height of 2.5H approximately. The decay of wind velocity within the building canopy was in positive correlation with ${\lambda}_f$ and $r_s$. If the height of building arrays is variable, Macdonald's wind velocity model should be modified through introducing ${\sigma}_h$, because wind velocity decreases at the upper layers of the canopy and increases at the lower layers of the canopy. (3) The maximum of turbulence kinetic energy (TKE) always locates at 1.2 times as high as the buildings. TKE within the canopy decreases with increasing ${\lambda}_f$ and $r_s$ but the maximum of TKE are very close though ${\sigma}_h$ varies. (4) Wind velocity profile follows the logarithmic law approximately above the building canopy. The Zero-plane displacement $z_d$ heighten with increasing ${\lambda}_f$, whereas the maximum of and Roughness length $z_0$ occurs when ${\lambda}_f$ is about 0.14. $z_d$ and $z_0$ heighten linearly with ${\sigma}_h$ and $r_s$, If ${\sigma}_h$ is large enough, $z_d$ may become higher than the average height of buildings.

청구보증상 지급메커니즘에 따른 실무상 유의점 (A Study on the Payment Mechanism of Independent Guarantee -focusing on matters that the relevant parties involved should know-)

  • 오원석;김필준;이운창
    • 무역상무연구
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    • 제46권
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    • pp.133-158
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    • 2010
  • Independent guarantee is a creation of the need from the both sides, i.e. the applicant (principal debtor) and the beneficiary (creditor). The former used to have to deposit cash in favor of the beneficiary in case of his default, which laid a burden on his liquidity while the latter still wanted to have the equivalent to cash. Independent guarantee satisfied the both parties by freeing the applicant of a deposit and maintaining the beneficiary's right at the same time. The fact that independent guarantee has three payment mechanisms is not widely known to the public. They are (i) payment on first demand, (ii) payment upon submission of third-party documents, (iii) payment upon submission of an arbitral or court decision. From the applicant's point of view, the order in his favor is (iii), followed by (ii) and (i). As there shouldn't be a case where one party is at a disadvantage against the other, useful insight is being sought for the benefit of the applicant. First, the applicant can offer his intention to provide a payment mechanism (ii) or (iii) rather than (i) if he must deliver it. Second, if the beneficiary still wants to have (i) and the applicant is in a position not to reject it, the latter should thoroughly check any provisions that may work against him later. Third, the applicant could use counterbalancing provisions in underlying contract to cope with protective clauses in the guarantees. Forth, the applicant should review the beneficiary's sincerity to prevent unfair calling risks. The applicant may use an ECA(Export Credit Agency) in his country to which he can transfer not only unfair calling risks, but also political risks. On the other hand, a bank needs to keep the following advice in mind. The foremost important thing for the bank not to forget is that it provides a guarantee as a service provider, not as a responsible party for the feasibility of the project, etc. Credit risk of the applicant should require the greatest attention when issuing a guarantee: the bank should look into the possibility that it can procure immediate reimbursement from its customers after payment to the beneficiary. Second, the applicant's ability to complete the project should be reviewed by checking its track records, techniques and reputation, etc. Third, the bank may also use an ECA to cover the beneficiary's unfair calling risks as well as political risks. In the case of Korea, as Korea Export Insurance Corporation(KEIC) can cover all the risks mentioned above, the bank could use its service called 'Export Bond Insurance.' What's better for the bank is that ECA cover can enhance the bank's asset quality by putting it zero on its risk weighted asset.

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효율적 거래포트폴리오의 선택에 의한 국제간 전자상거래방식의 전략적 활용방안 (Portfolio Efficient Transaction Choice Strategies based on the Global Electronic Commerce)

  • 김기선
    • 통상정보연구
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    • 제3권2호
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    • pp.1-16
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    • 2001
  • 본 연구는 국제 간의 무역거래에 있어 전자상거래 방식이 거래의 주체들이 선택하는 거래방식 포트폴리오 내에서 어떻게 조화되고 결정되는지, 그리고 이를 전략적으로 운용하기 위한 일반화 가능한 논리는 무엇인지를 다음과 같이 분석하고 있다. 첫째, 기대효용극대화 모형에 입각한 비교정태 분석을 통해 위험회피자로서의 효용을 갖는 거래 주체들은 총 거래 자산에 대한 한계기대효용이 영(零)이 될 때까지의 금액을 전자상거래 방식에 배분하는 거래 포트폴리오를 구성한다. 둘째, 거래 주체의 기대 효용을 극대화할 수 있는 최적 거래 포트폴리오는 본 연구가 준용하고 있는 평균-분산 모형에 의한 효율적 거래선과 자신의 위험 회피도를 반영하는 평균-분산 무차별 곡선이 접하는 점에서 결정된다. 셋째, 국제간 전자 상거래 방식의 가치는 Rf거래방식의 수익률과 리스크 프레미엄의 두 요소에 의해서 결정되어 질 수 있는 바, 거래하고자 하는 총 부와 전자상거래 방식의 수익률이 정(正)의 상관관계가 있을 때에는 전자상거래 방식이 선택되기 위해서는 자신의 리스크를 상쇄하고도 남을 만큼의 매력도, 즉 Rf거래방식보다 더 높은 기대 수익률이 보장되어야한다. 넷째, 반면에 거래하고자 하는 총 부와 부(負)의 상관관계가 있을 때에는 수익률의 포기가 전제가 되므로 전자상거래 방식이 국제 무역거래방식에서 주된 거래조건으로 자리매김하기 위해서는 필연적으로 안정적 거래보증의 기능이 거래 주체들에게 수긍되어야 한다. 끝으로, 국제간 전자상거래 방식의 리스크 분석과 그 규모 결정 여부에 대한 궁극적 해답은 선택된 거래 포트폴리오내에서 거래되는 총 부의 수익률에 전자상거래 방식이 어느 정도 영향을 주느냐는 척도, 즉 공분산 리스크로 평가되어야 한다.

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가산자료모형을 기초로 한 통행행태의 한계효과분석 (Marginal Effect Analysis of Travel Behavior by Count Data Model)

  • 장태연
    • 대한교통학회지
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    • 제21권3호
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    • pp.15-22
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    • 2003
  • 교통수요예측의 통행발생단계에서 일반적으로 선형회귀모형이 활용되고 있다. 이러한 선형회귀모형은 여러가지 방법론적 한계성과 실용적 지속성을 가지지 못하는 경향을 보인다. 첫째, 종속변수로 이용되는 통행발생의 경우 비음정수(non-negative integer : 0, 1, 2 등)의 이산분포특징을 보이나, 선형회귀모형에서는 종속변수가 연속확률분포 인 정규분포의 특징을 가진 것으로 가정한다. 둘째, 모형이 자료측정에 적용되었을 때 음(-)의 결과를 산정 할 수 있으며, 독립변수의 증감에 따라 결과 값을 너무 높게 혹은 낮게 예측하는 경우가 있다 셋째, 예측된 값이 정상적인 범위 내에 있을 지라도 예측된 통행수만을 제시 할 뿐, 통행발생빈도에 대한 이산확률분포는 제공하지 않는다. 이같은 한계점을 극복하기 위해 주로 활용되어온 가산자료모형이 포와송모형이다. 그러나 포와송모형의 경우 자료의 평균과 분산이 동일하다는 가정하에 활용되고 있어 자료상에 과산포가 존재할 경우 오차를 과소평가 할 경향이 높아 모형의 신뢰성에 문제가 발생됨으로 기타 다른 가산자료모형의 적용을 고려해야한다. 연구에서는 과산포검정을 통해 통행발생빈도상에 과산포 존재를 밝혀내고 포와송모형의 부적합함을 제시하였으며 Vuong 검정을 통해 최적의 모형을 선정하였다. 선정된 모형을 대상으로 우도비검정과 Theil 부등계수에 의해 모형의 신뢰도와 정확성을 조사하였다. 최종적으로 가구의 사회경제적 속성의 변화에 따른 통행발생의 변화를 측정하기 위한 민감도 분석을 실시하였다.

경험개치대소비자대전자내용적인지개치적중개영향(经验价值对消费者对电子内容的认知价值的中介影响): 중국살독연건시장(中国杀毒软件市场) (The Mediating Effect of Experiential Value on Customers' Perceived Value of Digital Content: China's Anti-virus Program Market)

  • Jia, Weiwei;Kim, Sae-Bum
    • 마케팅과학연구
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    • 제20권2호
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    • pp.219-230
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    • 2010
  • 数字内容在给公司带来机遇和挑战的同时也极大的改变了我们的生活. 创意企业整合视频, 图片, 文本和数据进行数字化过的音频, 开发新产品或服务, 创作数字经验推广自己的品牌. 大多数有关数字内容的文献是关于基本概念或者营销的发展. 其实, 比起普通产品或服务的传统价值链, 数字内容产业似乎有更多的潜在价值. 因为相当多的数字内容是免费的, 价格, 作为信息的质量或价值的指标, 不是必须被感知的(Rowley 2008). 很显然, 当前数字内容的主题是 "价值" 和关于消费者对数字内容的感知价值的研究. 本文讨论了体验价值在消费者评估数字内容时的优势. 本文在对数字内容 "价值" 的理解方面有两个不同但是相关的贡献. 第一, 基于数字内容与普通产品和服务的比较, 本文提出了两个关键特点使得体验战略适合数字内容: 无形和接近于零的再造成本. 最重要的是, 基于对公司的理想化的价值和客户的感知价值之间的差异的讨论, 本文强调了数字内容的价格和定价与普通产品和服务的不同. 无形的结果是, 价格可能并不反映顾客感知价值. 另外, 数字内容的成本处在发展阶段可能非常高但再造会大幅缩水. 而且, 由于前面提到的价值鸿沟, 这个价格政策改变因不同的数字内容而不同. 例如, 平价战略通常用于电影和音乐(Magiera 2001;Netherby 2002), 而有持续的需求的数字内容如在线游戏和杀毒软件的问题牵涉到一个更复杂的效用和极具竞争力的价格水平. 数字内容企业必须探索各种各样的策略来克服这个缺口. 对于广告, 形象, 口碑等常用的市场战略和他们对顾客感知价值的影响的研究变得至关重要. 中国数字内容产业正变得越来越国际化, 并引起了具有各自竞争优势的国家和地区的关注. 2008-2009中国数字内容产业年度发展报告(CCIDConsulting 2009)表明, 在国内需求和政府政策的大力支持下, 中国数字内容产业在2008年保持了大约30%的快速增长, 表明了这个产业在明显的初期扩张阶段. 在中国, 需要更新的杀毒软件和其他软件程序使用季度定价政策. 用户可以免费下载试用版, 用6个月或一年. 如果他们更久的使用, 连续的付款方式是必要的. 他们在试用阶段检测数字内容的优良度, 决定是否要付继续使用. 对于中国的音乐和电影工业的发展战略, 体验最初没有被广泛的应用, 虽然其他国家的公司注意到体验的重要性并探索了相关的战略(如客户在下载前有好几秒可以免费听听音乐). 由于上述原因, 杀毒软件在中国可以代表数字内容产业而且在中国杀毒市场探索了体验价值在顾客的数字内容感知价值中的优势. 为了提高调查数据的可靠性, 该研究集中在那些有使用杀毒软件经验的人群. 实证结果显示, 体验价值对顾客对数字内容的感知价值有积极的影响. 换句话说, 因为数字内容是无形的, 再造成本几乎为零, 客户的评估是根据他们的体验. 另外, 形象和口碑不产生积极的影响, 只对体验价值有影响. 这就是说, 数字内容价值链不同于普通产品或服务. 体验价值有显著的优势并调节形象和口碑对感知价值的作用. 这个研究结果有助于了解为什麽在发展中国家存在免费的数字内容下载. 客户只有通过体验它才可以感知数字内容的价值. 这也是为什么政府如此扶持发展数字内容. 其他发展中国家在起步阶段的数字内容企业可以借鉴这里的建议. 另外, 基于体验战略的优势, 公司应该更努力投资于客户的体验. 由于数字内容的特点和价值鸿沟的存在, 顾客只有经历了他们真正想要的才能感知更多的无形的数字内容的价值. 而且, 因为再造成本近乎为零, 公司可以使用体验战略, 以提高客户对数字内容的理解.