• YAKHAK HOEJI
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• v.57 no.2
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• pp.150-159
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• 2013

A study was performed to identify current drug shortages, assess impact of drug shortages on public hospitals and patients, and investigate needs of pharmacists for a drug shortage list. An e-mail survey was sent to the pharmacists of 13 national public hospitals. Total 61.5% of public hospitals has 10 or fewer drugs a year in short supply. Shortages involved mood drugs, anti-tumor drugs, analgesics, antibiotics and etc. in 2012. Among them 75.0% was prescription drugs and the other 25.0% was non-prescription drugs. 79.2% was domestic products and 20.8% was imported drugs. Only 12.5% was injections. Less than 3 pharmacists usually spent within 3 hours managing one drug shortage. Since a single item for a certain medicine may raise risk of drug shortages, it's needed to consider developing manuals, laying up medicine stocks and holding plural medicines for drug shortages in public hospitals. Main information resources of drug shortages are wholesalers or manufacturers. But the information appeared to be not only inadequate but also too late for appropriate activities. A survey of pharmacists revealed that overall 84.6% of respondents were in need of the drug shortage list. They expected it to be conducted to take proper measures for the drug shortage and to improve patient healthcare outcome and convenience. This study will contribute to improving public health by promoting stable supply of drugs and repairing the information delivery system.

• Journal of Korean Society of Rural Planning
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• v.23 no.4
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• pp.111-126
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• 2017

This study analyzes the impacts of agricultural water shortages in Korea using a combined top-down and bottom-up model. A multi-region multi-output agricultural sector model with detailed descriptions of production technologies and water and land resource constraints has been combined with a standard CGE model. The impacts of four different water shortage scenarios were simulated. It is shown that an active adaptation of crop choices occurs in even the regions with relatively abundant water resources in order to respond to the change in relative output prices caused by water shortages. We found that although the losses in production values are not quite large despite water shortages due to the price feedbacks, the loss in GDP is substantial. We show that our combined approach has advantages in deriving region and product specific production effects as well as the overall GDP loss effect of water shortages.

• Health Policy and Management
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• v.34 no.2
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• pp.106-119
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• 2024

Drug shortage is a persistent phenomenon that poses a public health risk worldwide and occurs due to a range of causes. The purpose of this study is to review key policies to prepare for and respond to drug shortages in selected countries, such as the United States, Canada, and some European countries in order to draw implications. This study reviewed the reports and articles derived from search engines and Google Scholar by using keywords such as drug shortage and stock-out. Over the last decade or so, the United States have strengthened requirements on advance notification for disruption and interruption of drug manufacturing, established the Inter-agency Drug Shortages Task Force to promote the communication and coordination of responses, and expedited drug regulatory processes. Similarly, Canada established the Multi-Stakeholder Steering Committee on drug shortages by involving representatives from central and local governments and private sectors. Canada also adopted a tiered approach to the communication of drug shortages based on the assessment of the severity of the shortage problem and released a detailed information guide on communication. In 2019, the joint task force between the European Medicines Agency and the Heads of Medicines Agencies issued guidelines on drug shortage communication in the European Economic Area. The countries reviewed in this paper focus on communication across different stakeholders for the monitoring of and timely response to drug shortages. The efforts to protect public health from the negative impact of the drug shortage crisis would require multi-sectorial and multi-governmental coordination and development of guidelines.

• Journal of Korean Society for Quality Management
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• v.17 no.2
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• pp.149-157
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• 1989

A one-upper warehouse n-lower retailer inventory model is discussed. The probability distribution of demand for a given perod is independent. The inventory holding cost is proportional to the number of unsold units and the cost of shortages is proportional to the number of shortages. In the event of a shortage, units are redistributed with a cost proportional to the number of units from the retailers which are a surplus at the end of the period. The optimum stock levels are obtained and the effects of redistribution are analized.

• Journal of Korean Society on Water Environment
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• v.31 no.4
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• pp.418-427
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• 2015

This study was carried out to evaluate the performance of a lab-scale novel septic tank system for improving the conventional septic tank in the developing countries of water shortages. The lab-scale novel septic tank system consists of sepetic tank, aeration tank with HBC-ring, and sand filter. Optimum HRT was reguired about 1.5days to get a total COD removal efficiency of 90%, COD, BOD and SS removal efficiency was about 70%, 60%, and 85% in sepetic tank only. The structure of sepetic tank with two stages results in the high removal efficiency of organic matter. When sepetic tank, aeration tank, and sand filter were more than HRT 1.5days, 18hrs, and 12hrs, respectively, final effluent was less than 20 mg/L of BOD, 14 mg/L of SS, so that there is a high potential of its use for reusing water in flush toilet. There is no significant effect of HRT change on nutrient removal. Total nitrogen removal efficiency was about 40%, final effluent was 30~40 mg/L of TN, total phosphorus removal efficiency was about 11~25%, final effluent was 9~12 mg/L of TP. Because there is very small amounts of organic nitrogen and phosphorus in effluent, it was possible to reuse water for agricultural use.

• Korean Journal of Radiology
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• v.24 no.11
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• pp.1043-1045
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• 2023

• Journal of Korean Institute of Industrial Engineers
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• v.2 no.1
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• pp.79-83
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• 1976

This paper deals with a computer simulation for the stochastic inventory system in which the decision rules are associated with the problem of forecasting uncertain demand, lead time, and amount of shortages. The model consists of mainly three parts; part I$\cdots$the model calculates the expected demand during lead time through the built-in subrou tine program for random number generator and the probability distribution of the demand, part II$\cdots$the model calculates all the possible expected shortages per lead time period, part III$\cdots$finally the model calculates all the possible total inventory cost over the simulation period. These total inventory costs are compared for searching the optimal inventory cost with the best ordering quantity and reorder point. An application example of the simulation program is given.

• Bulletin of the Korea Photovoltaic Society
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• v.4 no.1
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• pp.28-34
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• 2018

Botswana is a middle-income developing country in Southern Africa with an economy mainly reliant on mineral resources, particularly diamonds. Other sectors of the economy like energy are trailing behind in this country's development. For a long time, Botswana has been relying on imported energy from her neighboring countries. Due to this great dependence, the country has had little control over sufficiency of energy supply, especially during times of shortages in the neighboring countries. As a result, Botswana came up with a number of initiatives over the years to ensure security of supply and self-sufficiency in the energy sector. However, even with the efforts made, currently Botswana is still not self-sufficient and is facing challenges of energy shortages mainly in the power sector. This paper therefore, seeks to review the various policy instruments that have been adopted in Botswana from 1996 to date, identify challenges that come with them and make recommendations on the identified challenges.

• Korean Journal of Radiology
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• v.24 no.12
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• pp.1176-1178
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• 2023

• Korean Journal of Radiology
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• v.24 no.10
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• pp.936-937
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• 2023