• Title/Summary/Keyword: process risk

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Legal Issues on Pharmacopunture (약침의 한방의료행위성에 대한 검토)

  • Jung, Kyu Won
    • The Korean Society of Law and Medicine
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    • v.19 no.1
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    • pp.3-20
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    • 2018
  • Pharmacopunture is a new combined method of acupunture and oriental drugs. Recently, this method is widely used to treat traffic accident patients in oriental medicine. However, there is no evidences of treatment, no information of effects and side-effects of this method, and no information of drugs used. In South Korea, western medicine and oriental medicine are regulated differently. When a new technology is invented in the area of western medicine, that method should pass several stages of clinical trials. After that processes, that method can be done as a medical practice. However, in the area of oriental medicine, there is no process like that. According to in South Korea, medical practice without license are composed of two behaviors. First type is that medical practice is done by a person who has no medical license. Second type is that medical practice is done by a person who has a medical license but the area of the license is different. Because of this reason, the distinction between the western medical practices and the oriental medical practices is very important. Medical practices are protected by license mainly because they can harm human life or body. When we invented new medical practice and try to practice it to the patients, we should consider the risk of that method whether it is western medical practice or oriental medical practice. It is not clear that the pharmcopunture which has been done is satisfied the standard of medical treatment.

Upper Gastrointestinal Bleeding in Full-Term Infants (만삭아에서 발생한 상부위장관 출혈에 대한 임상적 고찰)

  • Choi, Hyon Ju;Kim, Jae Seon;Yoon, Hye Sun;Bae, Sun Hwan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.2
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    • pp.164-171
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    • 2005
  • Purpose: The aim of this study was to evaluate the clinical characteristics, endoscopic findings and risk factors related to the upper gastrointestinal bleeding (UGIB) seen in full-term infants. Methods: A clinical analysis for 9 cases with UGIB confirmed by endoscopy was carried out retrospectively. Patients were admitted to the Department of Pediatrics, Eulji Hospital, from January to December 2003. Results: UGIB from gastric or duodenal mucosal lesions has been seen in 0.13% in newborns infants. All patients were full-term AGA neonates without asphyxic findings at birth. Hematemesis, melena or recurrent vomiting developed within $4.4{\pm}3.8days$ after birth. Vital sign and laboratory test was normal on admission. Endoscopic findings showed hemorrhagic gastritis in 6 cases and peptic ulcers in 3 cases. All patients were successfully managed by medical treatment for $18.6{\pm}5.0days$. On treatment, clinical symptoms improved within $0.9{\pm}0.3days$. Follow-up endoscopy was not performed because there was no recurrence of symptoms in all patients. Case mothers had no history of gastritis, ulcer or anti-ulcer medications before and during pregnancy. Conclusion: If the healthy full-term infants express UGIB within a few days after birth, it is necessary to take careful history of family, mother and delivery process and to practice endoscopy for mucosal lesions of the patients. A follow-up endoscopy dose not seem to be necessary if the infant is clinically well.

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Numerical studies on approximate option prices (근사적 옵션 가격의 수치적 비교)

  • Yoon, Jeongyoen;Seung, Jisu;Song, Seongjoo
    • The Korean Journal of Applied Statistics
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    • v.30 no.2
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    • pp.243-257
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    • 2017
  • In this paper, we compare several methods to approximate option prices: Edgeworth expansion, A-type and C-type Gram-Charlier expansions, a method using normal inverse gaussian (NIG) distribution, and an asymptotic method using nonlinear regression. We used two different types of approximation. The first (called the RNM method) approximates the risk neutral probability density function of the log return of the underlying asset and computes the option price. The second (called the OPTIM method) finds the approximate option pricing formula and then estimates parameters to compute the option price. For simulation experiments, we generated underlying asset data from the Heston model and NIG model, a well-known stochastic volatility model and a well-known Levy model, respectively. We also applied the above approximating methods to the KOSPI200 call option price as a real data application. We then found that the OPTIM method shows better performance on average than the RNM method. Among the OPTIM, A-type Gram-Charlier expansion and the asymptotic method that uses nonlinear regression showed relatively better performance; in addition, among RNM, the method of using NIG distribution was relatively better than others.

SEARCHING FOR THE PROPER SEATING METHOD OF SEAMLESS BANDS WITH UNIFORMLY COATED CEMENT (접착용 시멘트의 균일한 도포를 위한 교정용 밴드 장착방법의 모색)

  • Kim, Hyung-Jun;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.3
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    • pp.491-497
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    • 2006
  • Orthodontic seamless bands are frequently used in pediatric dentistry. In the process of seating bands with luting cement coated inside, not uniformed coating might bring about various problems such as enamel decalcification and/or gingivitis, and this clinical trial was made to review several band-seating methods to exclude these risks. One kind of band luting cement and one size of seamless bands were used on the resin replicas of an extracted maxillary and mandibular 1st molar with three different seating methods 1. seating the band with the luting cement coated only inside the band, 2. seating the band with the luting cement coated inside the band and on axial surfaces of the teeth, 3. seating the band with the adhesive tape on the occlusal opening of the band and the luting cement coated only inside the band. After cement was completely set, bands were peeled off from the teeth and the status of cement coating was evaluated. With this experiment more uniformed coating of the luting cement was found in latter two groups. These methods are thought more appropriate to almost completely rule out the risk of unevenly coated cement beneath the bands by conventional method.

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Engineering Characteristics of Liquid Filler Using Marine Clay and In-situ Soil (해양점토와 현장토를 활용한 유동성 채움재의 공학적 특성)

  • Oh, Sewook;Bang, Seongtaek
    • Journal of the Korean GEO-environmental Society
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    • v.21 no.9
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    • pp.25-32
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    • 2020
  • The underground utilities installed under the ground is an important civil engineering structure, such as water supply and sewerage pipes, underground power lines, various communication lines, and city gas pipes. Such underground utilities can be exposed to risk due to external factors such as concentrated rainfall and vehicle load, and it is important to select and construct an appropriate backfill material. Currently, a method mainly used is to fill the soil around the underground utilities and compact it. But it is difficult to compact the lower part of the buried pipe and the compaction efficiency decreases, reducing the stability of the underground utilities and causing various damages. In addition, there are disadvantages such as a decrease in ground strength due to disturbance of the ground, a complicated construction process, and construction costs increase because the construction period becomes longer, and civil complaints due to traffic restrictions. One way to solve this problem is to use a liquid filler. The liquid filler has advantages such as self-leveling ability, self-compaction, fluidity, artificial strength control, and low strength that can be re-excavated for maintenance. In this study, uniaxial compression strength test and fluidity test were performed to characterize the mixed soil using marine clay, stabilizer, and in-situ soil as backfill material. A freezing-thawing test was performed to understand the strength characteristics of the liquid filler by freezing, and in order to examine the effect of the filling materials on the corrosion of the underground pipe, an electrical resistivity test and a pH test were performed.

People Participation Towards Opisthorchis viverrini Prevention and Control in Chaiyaphum Province, Northeastern Thailand

  • Phongsiripapat, Rutjirapat;Chimplee, Kanokporn;Rujirakul, Ratana;Kaewpitoon, Soraya;Keawpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.1
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    • pp.177-181
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    • 2016
  • This cross-sectional descriptive and qualitative study was aimed to study the people participation and their approaches toward the human carcinogenic liver fluke, Opisthorchis viverrini, prevention and control in Ban Chaun sub-district administrative organization (BCSAO) and Bamnet Narong sub-district municipality (BNSM), Bamnet Narong district, Chaiyaphum Province, Thailand between June 2013 and February 2014. Participants were purposive selected, included chiefs of sub-district administrative organizations, sub-district municipalities, sub-district health promotion hospitals (SHPHs), heads of village, and a further sample was selected with a multi-stage random sampling for public health volunteers, and villagers. The pre-designed questionnaire contained items for individualized status and the participatory steps of sharing ideas, decision-making, and planning, procession, evaluation, and mutual benefit, for the project O. viverrini prevention and control (POPC). In-depth interviews were used for collection of need approaches to POPC. With 375 participants who completed the questionnaire, it was found that people had a high level regarding to participate in the POPC, particularly in the process stage ($\bar{X}=3.78$, S.D. = 0.56), but the lowest level was found in sharing ideas, decision making, and planning step ($\bar{X}=3.65$, S.D. = 0.63). By comparison, participant status and organization did not significantly differ with people participation. In each step, Ban Chaun sub-district had a high level of participation in the step of sharing ideas, decision making, and planning toward POPC, more than Bamnet Narong sub-district municipality (t=2.20, p=0.028). Approaches for POPC in Ban Chaun sub-district and Bamnet Narong sub-district municipality included requirements for budget support, annual campaigns for liver fluke prevention and control, campaign promotion, risk group observation, home visiting, community rules regarding reducing raw fish consumption in their communities, and a professional public health officer for working in their communities, BCSAO, BNSM, and SHPH, for O. viverrini prevention and control. This study indicates that people realize that eradication of the liver fluke needs a continuous people participation for O. viverrini prevention and control in their communities.

First Clinical Experience about RapidArc Treatment with Prostate Cancer in Ajou University Hospital (아주대학교병원에서의 전립선암에 대한 래피드아크 치료)

  • Park, Hae-Jin;Kim, Mi-Hwa;Chun, Mi-Son;Oh, Young-Teak;Suh, Tae-Suk
    • Progress in Medical Physics
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    • v.21 no.2
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    • pp.183-191
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    • 2010
  • In this study, the patient with localized prostate cancer who had previously been treated at Ajou University Hospital was randomly selected since March, 2009. we performed IMRT and 2RA plans and the same dose objectives were used for CTVs, PTVs, rectum, bladder, and femoral head of the respective plans. Arc optimizations and dose calculations were performed using Eclipse versions 8.6. In this paper, we evaluated the performance of IMRT and RA plans to investigate the clinical effect of RA for prostate cancer case. In our comparison of treatment techniques, RA was found to be superior to IMRT being better dose conformity of target volume. As for the rectum and bladder, RA was better than IMRT at decreasing the volume irradiated. RA has the ability to avoid critical organs selectively through applied same dose constraints while maximally treating the target dose. Therefore, this result suggests that there should be less rectal toxicity with RA compared with IMRT, with no compromise in tumor margin. These findings, which show more favorable rectal, bladder, and femoral head DVHs with RA, imply that should not result in excess risk of toxicity when this technique is used. Many experiences with RA have shown not only dosimetric advantage, but also improved clinical toxicity when comparing with IMRT. The main drawbacks of RA are the more complex and time-consuming treatment planning process and the need for more exact physics quality assurance (QA).

A study on the Rationalization of Safety Management through the Analysis of Accident Cause and Occurrence Principles for Safety Accidents in the Construction Industry -Focused on Burial, Conflagration, Explosion, Burn- (건설업 안전사고의 원인과 사고발생원리의 분석을 통한 안전관리 합리화 방안의 고찰 -매몰(埋沒), 화사(火事), 폭렬(爆裂), 화상(火傷)을 대상으로-)

  • Kim, Jin-Ho
    • Journal of the Korea Institute of Building Construction
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    • v.10 no.3
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    • pp.99-111
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    • 2010
  • In recent years, the number of high-rise building construction projects has grown, and the number of construction safety accidents has also been increasing. Therefore, the objective of this study is to propose plans to prevent accidents by systematically organizing accident principles and developing a tree diagram for the process of safety accidents that occur in the construction industry. This study aims to show the diverse characteristics of construction accidents based on KOSHA's annual reports on safety accidents(burial, conflagration, explosion, burn) from 1993 to 2009. To achieve these objectives, in this study we first examined the risk factors for burial, conflagration, explosion, and burn. We then systematically organized the classification viewpoint of accident causes, and suggested a methodology for the rationalization of safety management through an analysis of the primary causes of accidents by work type. The results of this study based on this methodology can be divided into three areas: 1)the types of facilities were divided into 43 categories by analyzing the information of KOSHA's annual reports; 2)the causes of burial, conflagration, explosion, and burn were divided into 63types; 3)the types of work were divided into 29 categories.

Determination of Key Elements Using FTA/FMEA Safety Techniques for Precedent Research Stage of Defense R&D Programs (국방 선행연구단계에서 안전분석 기법 FTA/FMEA의 활용을 통한 핵심요소의 결정)

  • Choi, Se Keun;Kim, Young-Min;Lee, Jae-Chon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.50-61
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    • 2018
  • A precedent defense project study was carried out in the early stage of the project to support efficient determination of the acquisition method of the determined weapons system. A precedent study in the early stage of the project has been neglected, but lack of performance and increased costs are continuing problems. In a precedent study on a number of items within a limited time frame, expected risks during project implementation were not identified and reduced by failing to review the key review element in depth. Therefore, in this paper, we studied the application of the FTA/FMEA technique used in the system safety analysis process to identify key factors to be considered when carrying out the defense research project. The methodology for the development of the key review items was established through the improvement of the FTA/FMEA technique in order to meet specific conditions and given conditions. Based on the results of this study, we redefined core key factors in the precedent study stage, thereby eliminating unnecessary and anticipated risks that may arise in the future project management aspects of the defense project. It is anticipated that this will reduce costs and time in terms of the lifecycle of the weapon system and promote stable operation of the project through reduction of risk.

A study on the Diminishing Manufacturing Source and Material Shortages Management and Cost Analysis based on Pilot Application of the Guided Weapons (부품단종관리 방안 및 유도무기 시범적용을 통한 비용분석)

  • Park, Kwang-Hyo;Shim, Bo-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.390-398
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    • 2020
  • To solve the problem of frequent component failure in guided weapons, a process of component failure in developed countries was investigated and analyzed. The suitability of component control, including risk assessment, analysis of operational impact, and the establishment of response measures, was also demonstrated. In addition, the economic effects of component control were presented by estimating the costs incurred if component control is performed in advance, after-sales, and non-management. DMSMS problems refer to losses or impending losses of an item, raw material, or software manufacturer or supplier. A problem with the discontinuation of parts occurs when the manufacturer or supplier ceases to produce and support the necessary parts, materials, or software, or when the supply of raw materials is no longer possible. Hence, it is important to recognize that failure to all parts of the system can occur.