• Title/Summary/Keyword: benefits of avoidance

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Implementation of Enhanced Recovery after Surgery (ERAS) Program in Perioperative Management of Gastric Cancer Surgery: a Nationwide Survey in Korea

  • Jeong, Oh;Kim, Ho Goon
    • Journal of Gastric Cancer
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    • v.19 no.1
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    • pp.72-82
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    • 2019
  • Purpose: Despite its clinical benefits, enhanced recovery after surgery (ERAS) is less widely implemented for gastric cancer surgery. This nationwide survey investigated the current status of the implementation of ERAS in perioperative care for gastric cancer surgery in South Korea. Materials and Methods: This survey enrolled 89 gastric surgeons from 52 institutions in South Korea. The questionnaire consisted of 24 questions about the implementation of the ERAS protocols in the management of gastric cancer surgery. The survey was carried out using an electronic form sent via email. Results: Of the 89 gastric surgeons, 58 (65.2%) answered that they have knowledge of the concept and details of ERAS, 45 (50.6%) of whom were currently applying ERAS for their patients. Of the ERAS protocols, preoperative education (91.0%), avoidance of preoperative fasting (68.5%), maintenance of intraoperative normothermia (79.8%), thromboprophylaxis (96.5%), early active ambulation (64.4%), and early removal of urinary catheter (68.5%) were relatively well adopted in perioperative care. However, other practices, such as avoidance of preoperative bowel preparation (41.6%), provision of preoperative carbohydrate-rich drink (10.1%), avoidance of routine abdominal drainage (31.4%), epidural anesthesia (15.9%), single-dose prophylactic antibiotics (19.3%), postoperative high oxygen therapy (36.8%), early postoperative diet (14.6%), restricted intravenous fluid administration (53.9%), and application of discharge criteria (57.3%) were not very well adopted for patients. Conclusions: Perioperative management of gastric cancer surgery is largely heterogeneous among gastric surgeons in South Korea. Standard perioperative care based on scientific evidence needs to be established to improve the quality of surgical care and patient outcomes.

The Structural Relationships among Information Security Threat Factors and Information Protection Behavior of the FinTech Services: Focus on Theoretical Perspectives of Technology Threat Avoidance and Health Protective Behaviors (핀테크(FinTech) 서비스의 정보보안 위협요인과 개인정보보호행위와의 구조적 관계에 관한 연구: 기술위협회피와 건강행동이론 관점에서)

  • Bae, Jae Kwon
    • The Journal of Information Systems
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    • v.26 no.3
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    • pp.313-337
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    • 2017
  • Purpose Financial technology, also known as FinTech, is conceptually defined as a new type of financial service which is combined with information technology and other traditional financial services like payments, investments, financing, insurance, asset management and so on. Most of the studies on FinTech services have been conducted from the viewpoint of technical issues or legal and institutional studies, and few studies are conducted from the health belief perspectives and security behavior approaches. In this regard, this study suggest an extended information protection behavior model. Design/Methodology/Approach The Health Belief Model (HBM), the Protection Motivation Theory (PMT), and the Technology Threat Avoidance Theory (TTAT) were employed to identify constructs relevant to information protection behavior of FinTech services. A new extended information protection behavior model in which the influence factors of information protection behavior (i.e., perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, subjective norms) affect perceived threats and perceived responsiveness positively, leading to information protection behavior of FinTech users eventually. This study developed an extended information protection behavior model to explain the protection behavior intention in FinTech users and collected 272 survey responses from the mobile users who had experiences with such mobile payments and FinTech services. Findings The finding of this study suggests that the influence factors of information protection behavior affect perceived threats and perceived responsiveness positively, and information protection behavior of FinTech users as well.

Union Substitution Strategy and Human Resource Management by Non-Unionized Valero Energy Co. (비노조기업 Valero Energy의 노조대체전략과 인적자원관리)

  • Lee, Jeonghyun
    • Korean Journal of Labor Studies
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    • v.24 no.2
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    • pp.409-441
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    • 2018
  • This study is a case study about the Valero Energy Corporation, the largest American independent refinery company, examining the characteristics of human resource management as a union avoidance strategy. The main research questions here are whether union substitution strategy differs clearly from union suppression strategy in the context of Valero Energy. Since the establishment in 1980, the Valero had maintained non-union tradition. The typical examples of human resource management in the non-unionized American companies are easily found in the Valero, such as strong CEO leadership, manpower policy emphasizing corporate culture and teamwork, direct communication between company and individual employees, no lay-off policy and no outsourcing policy of HRM, salary level around average of industry and best level of fringe benefits in the industry, non-union tradition and well-functioned alternative dispute resolution system and so on. Until now, based on tremendous growth and profitability, the company have applied union substitution method adopted by good companies as concrete method of union avoidance strategy instead of union suppression method that marginal enterprise prefers.

A Study on the Benefit Estimation of MMC VSC-HVDC System (MMC VSC-HVDC의 경제성평가에 관한 연구)

  • Sun, Hwi-il;Park, Seong-Mi;Yoo, Dong-Wook;Park, Sung-Jun
    • Journal of the Korean Society of Industry Convergence
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    • v.23 no.1
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    • pp.65-71
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    • 2020
  • Recently, interest in the DC transmission is rapidly increasing worldwide. In many countries and leading companies are prior to the aggressive development of HVDC technology and application. Especially, VSC-HVDC system has been widely applied to transfer power at long distance between power plant and power consumption area. Therefore in this paper, we analyzed the benefit-cost of VSC-HVDC system which has more advantages than existing transmission system. The proposed system is MMC(Modular Multilevel Converter) VSC-HVDC system that have stability of Power Grid, interconnect Large-scale New Power Generation Plants by prevents Blackout. And MMC VSC-HVDC system Reduced the loss importing foreign systems. And the benefits were calculated in four stages, and the costs were applied to the actual project. By evaluating the various avoidance costs compared to the benefit-cost, it was confirmed that MMC VSC-HVDC system was advantageous in system stability and economic and social benefits.

A Simple Speech/Non-speech Classifier Using Adaptive Boosting

  • Kwon, Oh-Wook;Lee, Te-Won
    • The Journal of the Acoustical Society of Korea
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    • v.22 no.3E
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    • pp.124-132
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    • 2003
  • We propose a new method for speech/non-speech classifiers based on concepts of the adaptive boosting (AdaBoost) algorithm in order to detect speech for robust speech recognition. The method uses a combination of simple base classifiers through the AdaBoost algorithm and a set of optimized speech features combined with spectral subtraction. The key benefits of this method are the simple implementation, low computational complexity and the avoidance of the over-fitting problem. We checked the validity of the method by comparing its performance with the speech/non-speech classifier used in a standard voice activity detector. For speech recognition purpose, additional performance improvements were achieved by the adoption of new features including speech band energies and MFCC-based spectral distortion. For the same false alarm rate, the method reduced 20-50% of miss errors.

A Novel Depth Measurement Technique for Collision Avoidance Mobile Robot (이동로봇의 장애물과의 충돌방지를 위한 새로운 3차원 거리 인식 방법)

  • 송재홍;나상익;김형석
    • Proceedings of the IEEK Conference
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    • 2002.06d
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    • pp.291-294
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    • 2002
  • A simple computer vision technology to measure the middle-ranged depth with mono camera and plain mirror is proposed The proposed system is structured wiか the rotating mirror in front of the fixed mono camera In contrast to the previous stereo vision system in which the disparity of the closer object is larger than that of the distant object, the pixel movement caused by the rotating mirror is bigger for the pixels of the distant object in the proposed system Being inspired by such feature in the proposed system the principle of the depth measurement based on the relation of the pixel movement and the distance of object have been investigated. Also, the factors to influence the precision of the measurement are analysed The benefits of the proposed system are low price and less chance of occlusion. The robustness for practical usage is an additional benefit of the proposed vision system.

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정보시스템 도입 규모추정을 위한 용량산정 방식에 관한 연구

  • Na, Jong-Hoe;Chon, Gwang-Don;Jeong, Hae-Yong
    • Proceedings of the Korea Association of Information Systems Conference
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    • 2005.12a
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    • pp.307-313
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    • 2005
  • According to the Policy for ' e-Korea construction ' of Korean government, investment of information system during the Past decay are dramatically increasing. More than a half of this investment is cost of hardware infrastructure. So, accurate hardware sizing are essential for higher efficiency of investment. Accurate hardware sizing benefits are generally viewed in toms of the avoidance of excess equipment and lost opportunity costs by not being able to support business needs. Unfortunately, however, little research effort to make the hardware sizing methodology are doing. We propose a sizing method for information system in public sector. This method is determinated empirical study that are gathering and analyzing cases, making method and reviewing expert. Finally we are proposed calculating method for hardware components that is CPU, memory, internal and external disk according to the application system type which is OLTP, Web, WAS. Our study certainly will act as a catalyst for higher investment-efficiency of the future information programs in public sector.

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The Study on Hardware Sizing Method Based on the Calculating (계산에 기초한 하드웨어 도입 규모산정 방식 연구)

  • Ra, Jong-Hei;Choi, Kwang-Don;Jung, Hae-Yong
    • Journal of Information Technology Services
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    • v.5 no.1
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    • pp.47-59
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    • 2006
  • According to the policy for "e-Korea construction" of Korean government, Investment of information system during the past decade are dramatically increasing. More than a half of this investment is cost of hardware infrastructure. So, accurate hardware sizing are essential for higher efficiency of investment. Accurate hardware sizing benefits are generally viewed in terms of the avoidance of excess equipment and lost opportunity costs by not being able to support business needs. Unfortunately, however, little research effort to make the hardware sizing methodology are doing. We propose a sizing method for information system in public sector. This method is determinate empirical study that are gathering and analyzing cases, making method and reviewing expert. Finally we are proposed calculating method for hardware components that is CPU, memory, internal and external disk according to the application system type which is OLTP, Web, WAS. Our study certainly will act as a catalyst for higher investment-efficiency of the future information programs in public sector.

A Pilot Study of the Effectiveness of a Session of Group Cognitive Behavioral Therapy for Patients with Panic Disorder (공황장애에서 1회기 집단인지행동치료의 효능 ; 예비 연구)

  • Jahng, Eun-Jin;Jeong, Young-Eun;Seo, Ho-Jun;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.5 no.1
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    • pp.36-41
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    • 2009
  • Objectives : The purpose of this pilot study was to investigate the potential clinical benefits a single group session of cognitive behavioral therapy in the treatment of patients with panic disorder. Methods : The study participants were 18 patients (14 males, 4 females; mean age=38.9 years), all of whom were assessed as meeting the DSM-IV-TR criteria for panic disorder. All participants attended one two-hour session of structured group cognitive behavioral therapy (CBT). Clinical symptoms was assessed before and eight weeks after the single therapy session using the Panic Disorder Severity Scale (PDSS). Results : Eight weeks after a single session of group CBT significant improvements were found in panic attack frequency, distress during panic attacks, severity of anticipatory anxiety, agoraphobic fear/avoidance, panic-related sensation fear/avoidance, impairment in work functioning, impairment in social functioning. Conclusions : One session of group CBT appears to be an effective treatment of panic disorder by reducing the severity of all symptoms assessed on the PDSS. An attempt should be made to replicate the findings of this pilot study in a larger and controlled, comparative clinical trial.

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Vicarious Trauma and Posttraumatic Growth in Emergency Workers, Subway Operators, and Child Protective Service Workers (응급구조원, 지하철 승무원, 아동보호전문기관 사회복지사의 대리 외상과 외상 후 성장)

  • Rhee, Young Sun;Lee, So Rae;Joo, Sung A;Ko, Young Bin;Kim, Ye Jin;Han, In Young
    • Korean Journal of Social Welfare Studies
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    • v.43 no.1
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    • pp.249-273
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    • 2012
  • Certain professionals face repeated exposure to traumatic events throughout their career. Although typically linked to pathological outcomes, research has identified sustained positive benefits and posttraumatic growth (PTG) as consistent posttrauma outcomes in occupational exposed to trauma. This study investigated the association of occupation, subjective psychological distress to a traumatic event, and demographic characteristics with posttraumatic growth in emergency workers (firefighters, rescue, and ambulance personnel), subway operators, and child protective service workers. The study led to the following conclusions: First, all three groups are risk groups of PTSD, especially, subway operators demonstrated the highest degree. Child protective service workers demonstrated the highest degree of PTG and emergency workers and subway operators followed respectively. Second, vicarious trauma and PTG were significantly correlated, in particular, invasion and avoidance were more highly correlated. Third, multivariate analysis revealed that occupation, invasion, avoidance, religion, and sex were significantly associated with PTG. Discussion addresses the need to serve mental health service and to apply concept of PTG for occupations exposed to trauma.