17 research outputs found

    산업 내 무역, 멕시코와 한국 자동차

    Get PDF
    학위논문 (석사)-- 서울대학교 국제대학원 : 국제학과, 2015. 2. 김종섭.The increase of Intra-Industry Trade in the world trade dynamics is opening not only the discussion about its relation with Free Trade Agreements but also its development in non Free Trade Areas and its influence on investment. According to the measurement and analysis of the Intra-Industry Trade within Free Trade areas, the behaviour of IIT with the adoption of a Free Trade Agreement between Mexico and Korea can be predicted as these trading partners have the same level of specialization in the automotive sector. The position of Mexico within NAFTA, and the trade flow in Asia with Korea as one of the main participants, offer a relevant sample of the new trends for trade. Free Trade Agreements have a relevant impact on Intra-Industry Trade specifically on the automotive sector for Mexico and Korea, considering also, that these trading partners have a significant participation in the global production in the sector. Private investment in Mexico is increasing with its levels of IIT principally because of NAFTA, but its relation with other trading partners without the scope of a Free Trade Agreement is leading to re think the advantages of achieving agreements with Asia to boost investment and trade.Table of Contents 1.INTRODUCTION..........................................................1 2. LITERATURE REVIEW.................................................4 3.METHODOLOGY.........................................................6 3.1 Research Questions.................................................6 3.2 Intra-Industry Trade..................................................7 3.3 Data Sources...........................................................8 3.4 Description of the automotive sector............................8 4. EMPIRICAL RESULTS...............................................14 5. CONCLUSION..........................................................22 Bibliography................................................................24 Appendix....................................................................25 Abstract (Korean).........................................................28Maste

    Familial hypercholesterolaemia in children and adolescents from 48 countries: a cross-sectional study

    Get PDF
    Background: Approximately 450 000 children are born with familial hypercholesterolaemia worldwide every year, yet only 2·1% of adults with familial hypercholesterolaemia were diagnosed before age 18 years via current diagnostic approaches, which are derived from observations in adults. We aimed to characterise children and adolescents with heterozygous familial hypercholesterolaemia (HeFH) and understand current approaches to the identification and management of familial hypercholesterolaemia to inform future public health strategies. Methods: For this cross-sectional study, we assessed children and adolescents younger than 18 years with a clinical or genetic diagnosis of HeFH at the time of entry into the Familial Hypercholesterolaemia Studies Collaboration (FHSC) registry between Oct 1, 2015, and Jan 31, 2021. Data in the registry were collected from 55 regional or national registries in 48 countries. Diagnoses relying on self-reported history of familial hypercholesterolaemia and suspected secondary hypercholesterolaemia were excluded from the registry; people with untreated LDL cholesterol (LDL-C) of at least 13·0 mmol/L were excluded from this study. Data were assessed overall and by WHO region, World Bank country income status, age, diagnostic criteria, and index-case status. The main outcome of this study was to assess current identification and management of children and adolescents with familial hypercholesterolaemia. Findings: Of 63 093 individuals in the FHSC registry, 11 848 (18·8%) were children or adolescents younger than 18 years with HeFH and were included in this study; 5756 (50·2%) of 11 476 included individuals were female and 5720 (49·8%) were male. Sex data were missing for 372 (3·1%) of 11 848 individuals. Median age at registry entry was 9·6 years (IQR 5·8-13·2). 10 099 (89·9%) of 11 235 included individuals had a final genetically confirmed diagnosis of familial hypercholesterolaemia and 1136 (10·1%) had a clinical diagnosis. Genetically confirmed diagnosis data or clinical diagnosis data were missing for 613 (5·2%) of 11 848 individuals. Genetic diagnosis was more common in children and adolescents from high-income countries (9427 [92·4%] of 10 202) than in children and adolescents from non-high-income countries (199 [48·0%] of 415). 3414 (31·6%) of 10 804 children or adolescents were index cases. Familial-hypercholesterolaemia-related physical signs, cardiovascular risk factors, and cardiovascular disease were uncommon, but were more common in non-high-income countries. 7557 (72·4%) of 10 428 included children or adolescents were not taking lipid-lowering medication (LLM) and had a median LDL-C of 5·00 mmol/L (IQR 4·05-6·08). Compared with genetic diagnosis, the use of unadapted clinical criteria intended for use in adults and reliant on more extreme phenotypes could result in 50-75% of children and adolescents with familial hypercholesterolaemia not being identified. Interpretation: Clinical characteristics observed in adults with familial hypercholesterolaemia are uncommon in children and adolescents with familial hypercholesterolaemia, hence detection in this age group relies on measurement of LDL-C and genetic confirmation. Where genetic testing is unavailable, increased availability and use of LDL-C measurements in the first few years of life could help reduce the current gap between prevalence and detection, enabling increased use of combination LLM to reach recommended LDL-C targets early in life

    Estudios de Caso sobre Ciencias Agropecuarias y Rurales en el siglo XXI.

    Get PDF
    Libro científico sobre estudios de casos en el medio agropecuario y ruralCon el advenimiento del siglo XXI y el avance de los procesos de globalización, el medio rural presenta diversos cambios económicos, sociales, políticos y culturales. Lo anterior significa que el campo es un objeto de estudio altamente dinámico, complejo e inasible. las ciencias agropecuarias y rurales, en la actualidad, requieren de un abordaje sistémico e interdisciplinario que den cuenta de la heterogeneidad de situaciones y contextos que enfrenta el campo mexicano. La presente obra agrupa 18 estudios de caso, que capturan algunas fotografías de las diversas problemáticas de la ruralidad mexicana, con lo cual se pretende dar cuenta tanto de los objetivos de estudio como de la perspectiva teórico metodológico desde que estos son abordados. lo anterior tiene que ver con el hecho de que las ciencias agropecuarias y rurales manifiestan un alto grado de observación empírica, motivo por el que los estudios de caso se convierten en la perspectiva metodológica idónea que permite ir y venir de la realidad a la teoría y viceversa para la construcción de objetos de estudio. En este volumen se aborda una gran diversidad de casos, que sintetizan la heterogeneidad de enfoques y perspectivas mediante las cuales los fenómenos agropecuarios y rurales han sido abordados en el Instituto de Ciencias Agropecuarias y Rurales de la Universidad Autónoma del Estado de México, en los últimos 30 años

    Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

    Get PDF
    Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

    Testing and Operations of a Store and Forward CubeSat for Environmental Monitoring of Costa Rica

    Get PDF
    In 2007, the Government of Costa Rica announced to the world its ambitious goal of turning into the first carbon neutral country by 2021. Following the announcement, governmental institutions, universities, NGOs and private companies have worked arduously on the creation of different initiatives to reach that goal. One innovative project is Irazu, consisting of the design, construction, launch, and operation of the first Central American satellite. The project is not just intended to enable a baseline for training scientists, engineers, and managers in the necessary skills to execute an end-to-end space project. It also aims to demonstrate a CubeSat Store and Forward (CS and F) System that enables transmission of biomass and carbon dioxide fixation data from a remote fast growth tree plantation in the lowlands of Costa Rica to a research facility for its post-processing and analysis. The Irazu project is led jointly by the Central American Association for Aeronautics and Space (ACAE) and the Costa Rica Institute of Technology (TEC). It also involves a variety of national and international stakeholders from government, academia, and industry. This paper is a continuation of previous reports on Irazu that were presented at the Workshop on Small Satellite Programs at the Service of Developing Countries over the last five International Astronautical Congresses. The project has already reached major milestones, such as the approval of the final design presented in the Critical Design Review (CDR), successful assembly of the manufactured structure and the components received from different CubeSat component providers, and successful performance during various environmental tests. The mission and satellite system architecture for a CS and F system were defined, which included the three primary components: the remote station, the spacecraft, and the ground segment. Experts from the National Aeronautics and Space Administration (NASA), Kyushu Institute of Technology (Kyutech) and Delft University of Technology (TU Delft) revised the design of Irazu. Advances in the Assembly, Integration and Testing (AI and T) phase are presented and discussed, which include the development of spacecraft components, testing of the communication link, assembly of the satellite and initial results of environmental testing. International cooperation is emphasized in this phase, because Costa Rican engineers carry out testing at the laboratories of the Kyushu Institute of Technology. Furthermore, advances in the satellite frequency coordination process and spacecraft registration for an emerging space nation are presented, as well as the lessons learned from the AI and T phase

    Administración pública y gobernanza en la segunda década del siglo XXI

    Get PDF
    La administración pública constituye una de las ciencias sociales que están en constante transformación y una de las que se encuentran íntimamente vinculadas al contexto regional, nacional y mundial, así lo constatan los cambios que ha manifestado en las tres últimas décadas, tanto en el plano nacional como en el continental. En ese lapso hemos sido testigos de la irrupción y el desarrollo de conceptos, enfoques y campos e conocimiento, tales cómo las políticas públicas o ciencias de políticas, la nueva gestión pública, el neoinstitucionalismo y recientemente el de la gobernanza, para citar a los más visibles; todos, sin embargo, indisolublemente asociados a la Administración Pública, ya sea desde una perspectiva disciplinaria o desde su acción como brazo ejecutor del Estado

    Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

    No full text
    Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19\ub78 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6\ub76 and 2\ub74 per cent respectively before, but 23\ub77 and 5\ub73 per cent, during the pandemic (both P < 0\ub7001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2

    Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study (Intensive Care Medicine, (2021), 47, 2, (160-169), 10.1007/s00134-020-06234-9)

    No full text
    The original version of this article unfortunately contained a mistake. The members of the ESICM Trials Group Collaborators were not shown in the article but only in the ESM. The full list of collaborators is shown below. The original article has been corrected
    corecore