122 research outputs found

    Robust algorithm for arrhythmia classification in ECG using extreme learning machine

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    <p>Abstract</p> <p>Background</p> <p>Recently, extensive studies have been carried out on arrhythmia classification algorithms using artificial intelligence pattern recognition methods such as neural network. To improve practicality, many studies have focused on learning speed and the accuracy of neural networks. However, algorithms based on neural networks still have some problems concerning practical application, such as slow learning speeds and unstable performance caused by local minima.</p> <p>Methods</p> <p>In this paper we propose a novel arrhythmia classification algorithm which has a fast learning speed and high accuracy, and uses Morphology Filtering, Principal Component Analysis and Extreme Learning Machine (ELM). The proposed algorithm can classify six beat types: normal beat, left bundle branch block, right bundle branch block, premature ventricular contraction, atrial premature beat, and paced beat.</p> <p>Results</p> <p>The experimental results of the entire MIT-BIH arrhythmia database demonstrate that the performances of the proposed algorithm are 98.00% in terms of average sensitivity, 97.95% in terms of average specificity, and 98.72% in terms of average accuracy. These accuracy levels are higher than or comparable with those of existing methods. We make a comparative study of algorithm using an ELM, back propagation neural network (BPNN), radial basis function network (RBFN), or support vector machine (SVM). Concerning the aspect of learning time, the proposed algorithm using ELM is about 290, 70, and 3 times faster than an algorithm using a BPNN, RBFN, and SVM, respectively.</p> <p>Conclusion</p> <p>The proposed algorithm shows effective accuracy performance with a short learning time. In addition we ascertained the robustness of the proposed algorithm by evaluating the entire MIT-BIH arrhythmia database.</p

    L-Asparaginase delivered by Salmonella typhimurium suppresses solid tumors

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    Bacteria can be engineered to deliver anticancer proteins to tumors via a controlled expression system that maximizes the concentration of the therapeutic agent in the tumor. L-asparaginase (L-ASNase), which primarily converts asparagine to aspartate, is an anticancer protein used to treat acute lymphoblastic leukemia. In this study, Salmonellae were engineered to express L-ASNase selectively within tumor tissues using the inducible araBAD promoter system of Escherichia coli. Antitumor efficacy of the engineered bacteria was demonstrated in vivo in solid malignancies. This result demonstrates the merit of bacteria as cancer drug delivery vehicles to administer cancer-starving proteins such as L-ASNase to be effective selectively within the microenvironment of cancer tissue

    Multifunctional nanoparticles as a tissue adhesive and an injectable marker for image-guided procedures

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    Tissue adhesives have emerged as an alternative to sutures and staples for wound closure and reconnection of injured tissues after surgery or trauma. Owing to their convenience and effectiveness, these adhesives have received growing attention particularly in minimally invasive procedures. For safe and accurate applications, tissue adhesives should be detectable via clinical imaging modalities and be highly biocompatible for intracorporeal procedures. However, few adhesives meet all these requirements. Herein, we show that biocompatible tantalum oxide/silica core/shell nanoparticles (TSNs) exhibit not only high contrast effects for real-time imaging but also strong adhesive properties. Furthermore, the biocompatible TSNs cause much less cellular toxicity and less inflammation than a clinically used, imageable tissue adhesive (that is, a mixture of cyanoacrylate and Lipiodol). Because of their multifunctional imaging and adhesive property, the TSNs are successfully applied as a hemostatic adhesive for minimally invasive procedures and as an immobilized marker for image-guided procedures.

    Development and Verification of Time-Series Deep Learning for Drug-Induced Liver Injury Detection in Patients Taking Angiotensin II Receptor Blockers: A Multicenter Distributed Research Network Approach

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    Objectives The objective of this study was to develop and validate a multicenter-based, multi-model, time-series deep learning model for predicting drug-induced liver injury (DILI) in patients taking angiotensin receptor blockers (ARBs). The study leveraged a national-level multicenter approach, utilizing electronic health records (EHRs) from six hospitals in Korea. Methods A retrospective cohort analysis was conducted using EHRs from six hospitals in Korea, comprising a total of 10,852 patients whose data were converted to the Common Data Model. The study assessed the incidence rate of DILI among patients taking ARBs and compared it to a control group. Temporal patterns of important variables were analyzed using an interpretable time-series model. Results The overall incidence rate of DILI among patients taking ARBs was found to be 1.09%. The incidence rates varied for each specific ARB drug and institution, with valsartan having the highest rate (1.24%) and olmesartan having the lowest rate (0.83%). The DILI prediction models showed varying performance, measured by the average area under the receiver operating characteristic curve, with telmisartan (0.93), losartan (0.92), and irbesartan (0.90) exhibiting higher classification performance. The aggregated attention scores from the models highlighted the importance of variables such as hematocrit, albumin, prothrombin time, and lymphocytes in predicting DILI. Conclusions Implementing a multicenter-based time-series classification model provided evidence that could be valuable to clinicians regarding temporal patterns associated with DILI in ARB users. This information supports informed decisions regarding appropriate drug use and treatment strategies

    ํ•œ๊ตญ ๋ฐ”์ด์˜ค์˜์•ฝ์‚ฐ์—…์—์„œ์˜ ์ „๋žต์  ๊ธฐ์—…๊ฐ€์ •์‹ ์— ๋Œ€ํ•œ ์—ฐ๊ตฌ: ๊ธฐ์—…์˜ ์ฐฝ์—…ํŠน์„ฑ, ๋น„์ฆˆ๋‹ˆ์Šค ๋ชจ๋ธ, ์ƒ์กด์„ ์ค‘์‹ฌ์œผ๋กœ

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    ํ•™์œ„๋…ผ๋ฌธ (๋ฐ•์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ํ˜‘๋™๊ณผ์ • ๊ธฐ์ˆ ๊ฒฝ์˜ยท๊ฒฝ์ œยท์ •์ฑ…์ „๊ณต, 2015. 8. ๋ฐ•ํ•˜์˜.์ œ์•ฝ์‚ฐ์—…๊ณผ ๋”๋ถˆ์–ด ๋ฐ”์ด์˜ค์˜์•ฝ์‚ฐ์—…์€ ์ „์„ธ๊ณ„์ ์œผ๋กœ ๊ตญ๊ฐ€์˜ ์‹ ์„ฑ์žฅ๋™๋ ฅ์œผ๋กœ ์ฃผ๋ชฉ๋ฐ›๊ณ  ์žˆ๋‹ค. ๋‹ค๊ฐ€์˜ฌ ๋ฐ”์ด์˜ค๊ฒฝ์ œ์˜ ๊ธฐ๋Œ€ ์†์— ์„ธ๊ณ„ ๊ฐ๊ตญ์€ ๋ฐ”์ด์˜ค๊ฒฝ์ œ๋ฅผ ๋Œ€๋น„ํ•˜๊ธฐ ์œ„ํ•˜์—ฌ ์ค€๋น„ํ•˜๊ณ  ์žˆ๋‹ค. ์ด๋Ÿฌํ•œ ๊ธฐ๋Œ€์—๋„ ๋ถˆ๊ตฌํ•˜๊ณ  ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…์˜ ๋ฐœ์ „์€ ๋ฐ”์ด์˜ค๊ธฐ์ˆ  ๊ณ ์œ ์˜ ํŠน์„ฑ์œผ๋กœ๋ถ€ํ„ฐ ์•ผ๊ธฐ๋˜๋Š” ์—ฐ๊ตฌ๊ฐœ๋ฐœ์—์„œ๋ถ€ํ„ฐ ์ƒ์—…ํ™”์— ์ด๋ฅด๊ธฐ๊นŒ์ง€์˜ ๋‹ค์–‘ํ•œ ๋„์ „๋“ค์ด ์กด์žฌํ•œ๋‹ค. ์ด์— ๋Œ€ํ•˜์—ฌ ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…์€ ๋‚ด๋ถ€์ ์œผ๋กœ ์—ฐ๊ตฌ๊ฐœ๋ฐœ์ง‘์ค‘์ ์ด๋ฉด์„œ ์œ„ํ—˜๊ด€๋ฆฌ์— ํž˜์จ์•ผ ํ•˜๋ฉฐ ํˆฌ์ž์ž, ์ •๋ถ€, ๋Œ€ํ•™, ๋ณ‘์›, ํƒ€๊ธฐ์—… ๋“ฑ์˜ ์™ธ๋ถ€ ์ดํ•ด๊ด€๊ณ„์ž๋“ค๊ณผ์˜ ๋ณด์™„์  ๊ด€๊ณ„๋ฅผ ์ค‘์š”ํ•˜๊ฒŒ ๊ณ ๋ คํ•ด์•ผ ํ•œ๋‹ค. ๋”์šฑ์ด ๋ฐ”์ด์˜ค์˜์•ฝ์‚ฐ์—… ํ›„๋ฐœ๊ตญ์˜ ๊ธฐ์—…๋“ค์€ ๊ธ€๋กœ๋ฒŒ ๊ฒฝ์Ÿ์ด๋‚˜ ์‚ฐ์—…์ƒํƒœ๊ณ„์˜ ๋ฏธํก์œผ๋กœ ์ธํ•ด ์„ ์ง„๊ตญ์— ๋น„ํ•ด ๊ธฐ์—…์„ฑ์žฅ์— ๋” ๋งŽ์€ ์–ด๋ ค์›€์„ ๊ฒช๋Š”๋‹ค. ๊ทธ๋ ‡๋‹ค๊ณ  ํ›„๋ฐœ๊ตญ๋“ค์ด ์‚ฐ์—…ํ˜์‹ ์‹œ์Šคํ…œ์ด๋‚˜ ๊ตญ๊ฐ€ํ˜์‹ ์‹œ์Šคํ…œ์˜ ์ƒ์ดํ•จ์œผ๋กœ ์ธํ•ด์„œ ๋ฌด์กฐ๊ฑด ์„ ์ง„๊ตญ์˜ ์ „๋žต์„ ๋ชจ๋ฐฉํ•ด์„œ๋„ ์•ˆ ๋œ๋‹ค. ๊ทธ๋Ÿฌ๋ฏ€๋กœ ํ›„๋ฐœ๊ตญ์˜ ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…๋“ค์€ ๋ฐ˜๋“œ์‹œ ๊ทธ๋“ค์˜ ์„ฑ์žฅ์„ ์œ„ํ•œ ๊ณ ์œ ํ•œ ์ „๋žต์„ ๊ฐ€์ ธ์•ผ๋งŒ ํ•œ๋‹ค. ๋ณธ ๋…ผ๋ฌธ์€ ๋ฐ”์ด์˜ค์˜์•ฝ์‚ฐ์—…์˜ ํ›„๋ฐœ๊ตญ ์ค‘์˜ ํ•˜๋‚˜์ธ ํ•œ๊ตญ์˜ ๋ฐ”์ด์˜ค์˜์•ฝ์‚ฐ์—…์— ์ดˆ์ ์„ ๋งž์ถ”๊ณ  ์žˆ๋‹ค. ํ•œ๊ตญ์˜ ๋ฐ”์ด์˜ค์˜์•ฝ์‚ฐ์—…์€ ์•„์ง๊นŒ์ง€ ์†Œ๊ธฐ์—…์˜ ๋น„์ค‘์ด ๋†’๊ณ , ์ •๋ถ€์ฃผ๋„์ ์œผ๋กœ ๋ฐœ์ „ํ•ด์˜จ ํŠน์„ฑ์„ ๊ฐ–๋Š”๋‹ค. ๋˜ํ•œ ํ•œ๊ตญ์€ ICT ์‚ฐ์—…์˜ ๋ฐœ๋‹ฌ๋กœ ์ธํ•œ ๋ฐ”์ด์˜ค์˜์•ฝ์‚ฐ์—…๊ณผ์˜ ์—ฐ๊ณ„์„ฑ๊ณผ ๋Œ€๊ธฐ์—… ์ค‘์‹ฌ์˜ ์‚ฐ์—…๊ตฌ์กฐ๋กœ ์ธํ•œ ๋…ํŠนํ•œ ๋ฐœ์ „์ด ๊ธฐ๋Œ€๋œ๋‹ค. ์ด๋Ÿฌํ•œ ํ•œ๊ตญ ๋ฐ”์ด์˜ค์˜์•ฝ์‚ฐ์—…์˜ ํŠน์„ฑ์€ ์ฐฝ์—…๋ถ€ํ„ฐ ๊ฐ ๊ธฐ์—…๋“ค์˜ ๊ณ ์œ ํ•œ ๊ฒฝ์Ÿ์šฐ์œ„์™€ ์„ฑ์žฅ์ „๋žต์„ ๊ณ ๋ คํ•˜๋Š” ์ „๋žต์  ๊ธฐ์—…๊ฐ€์ •์‹ ์ด ํ•„์š”ํ•˜๋‹ค๋Š” ๊ฒƒ์„ ์ด์•ผ๊ธฐ ํ•œ๋‹ค. ๊ทธ ์ค‘์—์„œ๋„ ํŠนํžˆ, ๋ณธ ๋…ผ๋ฌธ์€ ์ „๋žต์  ๊ธฐ์—…๊ฐ€์ •์‹ ์˜ ํˆฌ์ž…์š”์†Œ๋กœ์จ ์ฐฝ์—…์ž๋‚˜ ์ฐฝ์—…ํŒ€์˜ ํŠน์„ฑ, ํ”„๋กœ์„ธ์Šค๋กœ์จ ๋น„์ฆˆ๋‹ˆ์Šค ๋ชจ๋ธ, ์žฅ๊ธฐ์  ๊ฒฐ๊ณผ๋กœ์จ ๊ธฐ์—…์ƒ์กด์— ๋Œ€ํ•ด ์‚ดํŽด๋ณด์•˜๋‹ค. ๊ฐ ์—ฐ๊ตฌ๋“ค์„ ์œ„ํ•˜์—ฌ, ๋ณธ ๋…ผ๋ฌธ์€ ํ•œ๊ตญ์˜ ๋ฐ”์ด์˜ค๊ฒฝ์ œ์˜ ๋ฏธ๋ž˜๋ฅผ ์œ„ํ•œ ๊ตญ๊ฐ€์ „๋žต์„ ์ˆ˜๋ฆฝํ•˜๊ธฐ ์œ„ํ•ด 2013๋…„๋„์— ์ˆ˜์ง‘๋œ ๊ณผํ•™๊ธฐ์ˆ ์ •์ฑ…์—ฐ๊ตฌ์›์˜ ๋ฐ”์ด์˜ค๋ฒค์ฒ˜ ๋ฐ์ดํ„ฐ๋ฒ ์ด์Šค๋ฅผ ์‚ฌ์šฉํ•˜์˜€๋‹ค. ์ œ 3์žฅ์˜ ์ฒซ๋ฒˆ์งธ ์—ฐ๊ตฌ๋Š” ์ฐฝ์—…์ž๋‚˜ ์ฐฝ์—…ํŒ€์˜ ํŠน์„ฑ์ด ํ•œ๊ตญ ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…์˜ ์ „๋žต๊ณผ ์„ฑ๊ณผ์— ๋ฏธ์น˜๋Š” ์ฐจ์ด์ ์— ์ฃผ๋ชฉํ•˜์˜€๋‹ค. ํŠนํžˆ, ์—ฐ๊ตฌ์กฐ์ง์—์„œ์˜ ๊ฒฝํ—˜์„ ๊ฐ€์ง„ ์ฐฝ์—…์ž์™€ ๋ชจ๊ธฐ์—…์œผ๋กœ๋ถ€ํ„ฐ ์Šคํ•€์˜คํ”„๋œ ์ฐฝ์—…๊ธฐ์—…์˜ ํŠน์„ฑ์— ์ฃผ๋ชฉํ•˜์˜€๋‹ค. ์ด ์—ฐ๊ตฌ๋Š” ์—ฐ๊ตฌ์กฐ์ง์—์„œ์˜ ๊ฒฝํ—˜์„ ๊ฐ€์ง„ ์ฐฝ์—…์ž์— ์˜ํ•ด ์„ค๋ฆฝ๋œ ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…์ด ๋” ๋†’์€ ์—ฐ๊ตฌ๊ฐœ๋ฐœ์ง‘์ค‘๋„์™€ ๋” ๋งŽ์€ ์—ฐ๊ตฌ๊ฐœ๋ฐœ์ œํœด์˜ ํŠน์„ฑ์„ ๋ณด์—ฌ์ฃผ์—ˆ๊ณ , ๋‚˜์•„๊ฐ€ ํŠนํ—ˆ๋ฅผ ํ†ตํ•ด ์‚ดํŽด๋ณธ ๊ธฐ์ˆ ํ˜์‹ ์„ฑ๊ณผ ์—ญ์‹œ ์šฐ์ˆ˜ํ•˜์—ฌ ์ด๋“ค์˜ ๊ธฐ์ˆ ์ง‘์ค‘์ ์ธ ๊ธฐ์—…ํŠน์„ฑ์„ ๋ฐœ๊ฒฌํ•  ์ˆ˜ ์žˆ์—ˆ๋‹ค. ๋ณธ ์—ฐ๊ตฌ๋ฅผ ํ†ตํ•˜์—ฌ ๋†’์€ ์—ฐ๊ตฌ๊ฐœ๋ฐœ์ง‘์ค‘๋„์™€ ๋งŽ์€ ์—ฐ๊ตฌ๊ฐœ๋ฐœ์ œํœด๊ฐ€ ๊ธฐ์ˆ ํ˜์‹ ์„ฑ๊ณผ์— ๋ฏธ์น˜๋Š” ์ง๊ฐ„์ ‘์ ์ธ ํšจ๊ณผ๋ฅผ ํ™•์ธํ•  ์ˆ˜ ์žˆ์—ˆ๊ณ , ์ถ”๊ฐ€์ ์œผ๋กœ ์žฌ๋ฌด์„ฑ๊ณผ์— ๋ฏธ์น˜๋Š” ๋ถ€์ •์ ์ธ ํšจ๊ณผ๋ฅผ ํ™•์ธํ•˜์˜€๋‹ค. ์ด๋Ÿฌํ•œ ๊ฒฐ๊ณผ๋Š” ์—ฐ๊ตฌ์กฐ์ง์—์„œ์˜ ๊ฒฝํ—˜์„ ๊ฐ€์ง„ ์ฐฝ์—…์ž์— ์˜ํ•ด ์„ค๋ฆฝ๋œ ๋…๋ฆฝ๊ธฐ์—…์ด ์•„์ง๊นŒ์ง€ ์žฌ๋ฌด์„ฑ๊ณผ ์ฐฝ์ถœ์—๋Š” ๋ฏธํกํ•˜๋‹ค๋Š” ๊ฒƒ์„ ๋ณด์—ฌ์ฃผ์—ˆ์œผ๋ฉฐ, ๊ธฐ์—…์˜ ์„ฑ์žฅ์„ ์œ„ํ•˜์—ฌ ๊ธฐ์ˆ ํ˜์‹ ๋ฟ๋งŒ ์•„๋‹ˆ๋ผ ์ด๋“ค์ด ๊ธฐ์ˆ  ์ƒ์—…ํ™”๋‚˜ ๋น„์ฆˆ๋‹ˆ์Šค ๋ชจ๋ธ์˜ ํ˜์‹ ์„ ํ†ตํ•ด ์žฌ๋ฌด์„ฑ๊ณผ๋ฅผ ์ฐฝ์ถœํ•  ์ˆ˜ ์žˆ๋„๋ก ํž˜์จ์•ผ ํ•œ๋‹ค๋Š” ๊ฒƒ์„ ๋ณด์—ฌ์ฃผ์—ˆ๋‹ค. ํŠนํžˆ ์ด๋ฅผ ์œ„ํ•ด, ์ƒ์—…ํ™” ๋Šฅ๋ ฅ์„ ๊ณ ์–‘ํ•˜๊ธฐ ์œ„ํ•œ ๊ธฐ์—…๊ฐ€ ๋˜๋Š” ๊ธฐ์—…์˜ ์ž์ฒด์ ์ธ ๋…ธ๋ ฅ๊ณผ ๊ฒฝ์˜์ง€์›์„ ์œ„ํ•œ ์ •์ฑ…์  ๋…ธ๋ ฅ์ด ํ•„์š”ํ•˜๋‹ค๋Š” ํ•จ์˜์ ์„ ์ฃผ์—ˆ๋‹ค. ๋ฐ˜๋ฉด, ๋ชจ๊ธฐ์—…์œผ๋กœ๋ถ€ํ„ฐ ์Šคํ•€์˜คํ”„๋œ ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…์€ ๋ชจ๊ธฐ์—…์œผ๋กœ๋ถ€ํ„ฐ์˜ ์ž์›๊ณผ ๋Šฅ๋ ฅ์˜ ์ง€์›์œผ๋กœ ์ธํ•ด ์ƒ์‚ฐ ๋ฐ ๋งˆ์ผ€ํŒ… ์ œํœด๊ฐ€ ํ™œ๋ฐœํ•˜์˜€๊ณ  ๋‚˜์•„๊ฐ€ ์žฌ๋ฌด์„ฑ๊ณผ์˜ ์ฐฝ์ถœ์—๋„ ๊ธ์ •์ ์ธ ์˜ํ–ฅ์„ ์ฃผ์—ˆ๋‹ค. ์Šคํ•€์˜คํ”„๋œ ๊ธฐ์—…์˜ ๋ชจ๊ธฐ์—…์€ ์ œ์•ฝ๊ธฐ์—…๊ณผ ๋Œ€๊ธฐ์—…์œผ๋กœ ๋ถ„๋ฅ˜ํ•  ์ˆ˜ ์žˆ์—ˆ์œผ๋ฉฐ, ์ œ์•ฝ๊ธฐ์—…์˜ ์ƒ์‚ฐ๊ณผ ํŒ๋งค์˜ ์ด์ , ๋Œ€๊ธฐ์—… ์ž๋ณธ์˜ ์ด์ ์ด ์Šคํ•€์˜คํ”„๋œ ๊ธฐ์—…์˜ ์ฐจ๋ณ„ํ™”๋œ ๋น„์ฆˆ๋‹ˆ์Šค ๋ชจ๋ธ์„ ๊ฐ€๋Šฅ์ผ€ ํ•˜์˜€์Œ์„ ํ™•์ธํ•˜์˜€๋‹ค. ์ด๋Ÿฌํ•œ ์ฐฝ์—…์œ ํ˜•์€ ํŠนํžˆ, ๋ฒค์ฒ˜์บํ”ผํƒˆ๊ณผ ๊ฐ™์€ ๋ชจํ—˜์ž๋ณธ์ด ๋ถ€์กฑํ•œ ํ•œ๊ตญ์  ์ƒํ™ฉ์—์„œ ํ•˜๋‚˜์˜ ๋Œ€์•ˆ์  ์ฐฝ์—…๋ชจ๋ธ์ด ๋  ์ˆ˜ ์žˆ์Œ์„ ์‹œ์‚ฌํ•˜์˜€๋‹ค. ๋ง๋ถ™์—ฌ ์žฅ๊ธฐ์ ์œผ๋กœ ์ด๋“ค์ด ์„ฑ์žฅํ•˜๊ธฐ ์œ„ํ•ด์„œ ๊ธฐ์ˆ ๋Šฅ๋ ฅ ์ œ๊ณ ๊ฐ€ ํ•„์š”ํ•˜๋‹ค๋Š” ํ•จ์˜์ ์„ ๋ฐœ๊ฒฌํ•  ์ˆ˜ ์žˆ์—ˆ๋‹ค. ์ œ 4์žฅ์˜ ๋‘๋ฒˆ์งธ ์—ฐ๊ตฌ๋Š” ํ•œ๊ตญ์˜ ๋ฐ”์ด์˜ค๊ธฐ์—…๋“ค์˜ ๋น„์ฆˆ๋‹ˆ์Šค ๋ชจ๋ธ์˜ ์œ ํ˜•์„ ํ™•์ธํ•˜๊ณ  ๊ทธ๋“ค์˜ ํŠน์„ฑ๊ณผ ์„ฑ๊ณผ๋ฅผ ๋น„๊ตํ•˜๊ณ ์ž ํ•˜์˜€๋‹ค. ๋น„๋ก ๋น„์ฆˆ๋‹ˆ์Šค ๋ชจ๋ธ์— ๋Œ€ํ•œ ์ •์˜๊ฐ€ ๋‹ค์–‘ํ•˜์ง€๋งŒ ๋น„์ฆˆ๋‹ˆ์Šค ๋ชจ๋ธ์€ ์ˆ˜์ต์ฐฝ์ถœ์„ ์œ„ํ•œ ๊ธฐ์—…์ „๋žต์˜ ๊พธ๋Ÿฌ๋ฏธ๋กœ ํ˜‘์˜์ ์œผ๋กœ ์ •์˜๋  ์ˆ˜ ์žˆ๋‹ค. ๋”ฐ๋ผ์„œ ๋ณธ ์—ฐ๊ตฌ์—์„œ๋Š” ๊ธฐ์กด์˜ ๋ฌธํ—Œ๋“ค์—์„œ ์ œ๊ณตํ•˜๋Š” ๊ธฐ์—…์˜ ๊ฐ€์น˜์‚ฌ์Šฌ, ์‚ฌ์—…๋‹ค๊ฐํ™”, ์—ฐ๊ตฌ๊ฐœ๋ฐœ์ œํœด, ์ƒ์‚ฐ ๋ฐ ๋งˆ์ผ€ํŒ… ์ œํœด์˜ ์ •๋„๋ฅผ ๋น„์ฆˆ๋‹ˆ์Šค ๋ชจ๋ธ ๋ถ„๋ฅ˜์˜ ๊ธฐ์ค€์œผ๋กœ ๊ณ ๋ คํ•˜์˜€์œผ๋ฉฐ, ํด๋Ÿฌ์Šคํ„ฐ๋ง ๋ฐฉ๋ฒ•์„ ํ†ตํ•œ ๋ถ„์„๊ฒฐ๊ณผ ํ•œ๊ตญ์˜ ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…์„ 1) ๊ฐ•ํ•œ ์ „๋žต์  ์ œํœด๋ฅผ ๊ฐ€์ง„ ๊ฐ€์น˜์‚ฌ์Šฌ ํ†ตํ•ฉ๊ตฐ, 2) ์•ฝํ•œ ์ „๋žต์  ์ œํœด๋ฅผ ๊ฐ€์ง„ ์‚ฌ์—…๋‹ค๊ฐํ™”๊ตฐ, 3) ๋น„๋‹ค๊ฐํ™” R&D ๊ธฐ์—…๊ตฐ์˜ 3๊ฐ€์ง€ ์œ ํ˜•์œผ๋กœ ๋ถ„๋ฅ˜ํ•  ์ˆ˜ ์žˆ์—ˆ๋‹ค. ๊ทธ ์ค‘์—์„œ ํ•œ๊ตญ์˜ ๋ฐ”์ด์˜ค์˜์•ฝ์‚ฐ์—…์—์„œ ๊ฐ€์žฅ ๊ฒฝ์Ÿ์šฐ์œ„์— ์žˆ๋Š” ๊ธฐ์—…๊ตฐ์€ ๊ฐ•ํ•œ ์ „๋žต์  ์ œํœด๋ฅผ ๊ฐ€์ง„ ๊ฐ€์น˜์‚ฌ์Šฌ ํ†ตํ•ฉ๊ตฐ์ด์—ˆ๋‹ค. ์ด๋“ค์€ ํ‰๊ท ์ ์œผ๋กœ ์ œํ’ˆ๊ฐœ๋ฐœ ์ด์ƒ์˜ ๊ฐ€์น˜์‚ฌ์Šฌ ํ†ตํ•ฉ๋„๋ฅผ ๋ณด์˜€์œผ๋ฉฐ ํ™œ๋ฐœํ•˜๊ณ  ๋‹ค์–‘ํ•œ ๋ชฉ์ ๊ณผ ํ˜•ํƒœ์˜ ์ „๋žต์  ์ œํœด๋ฅผ ๋ณด์—ฌ์ฃผ์—ˆ์œผ๋ฉฐ, ๊ธฐ์ˆ ํ˜์‹ ์„ฑ๊ณผ์™€ ์žฌ๋ฌด์„ฑ๊ณผ์—์„œ ํƒ€๊ธฐ์—…๊ตฐ์— ๋น„ํ•ด ์›”๋“ฑํžˆ ์šฐ์ˆ˜ํ•˜์˜€๋‹ค. ๋‘˜์งธ, ์•ฝํ•œ ์ „๋žต์  ์ œํœด๋ฅผ ๊ฐ€์ง„ ์‚ฌ์—…๋‹ค๊ฐํ™”๊ตฐ์€ ํ‰๊ท ์ ์œผ๋กœ ๋‘ ๋ถ„์•ผ ์ด์ƒ์˜ ์‚ฌ์—…๋‹ค๊ฐํ™”๋„๋ฅผ ๊ฐ€์ง€๊ณ  ์žˆ์—ˆ์œผ๋ฉฐ ์—ฐ๊ตฌ๊ฐœ๋ฐœ๊ณผ ๋งˆ์ผ€ํŒ…์„ ์œ„ํ•ด ์ „๋žต์  ์ œํœด๋ฅผ ํ™œ์šฉํ•˜๊ณ  ์žˆ์—ˆ๋‹ค. ์ด๋“ค์€ ์ƒ๋Œ€์ ์œผ๋กœ ์—ฐ๊ตฌ๊ฐœ๋ฐœํˆฌ์ž์™€ ๊ธฐ์ˆ ํ˜์‹ ์„ฑ๊ณผ์— ์ทจ์•ฝํ•˜์˜€์ง€๋งŒ ์‚ฌ์—…๋‹ค๊ฐํ™”๋ฅผ ํ†ตํ•œ ์‹œ์žฅ์ ‘๊ทผ์„ฑ ํ™•๋ณด๋กœ ์ธํ•˜์—ฌ ์žฌ๋ฌด์„ฑ๊ณผ์˜ ์ฐฝ์ถœ ์ธก๋ฉด์—์„œ ๋น„๊ต์  ์šฐ์ˆ˜ํ•˜์˜€๋‹ค. ์ด๊ฒƒ์€ ๋ชจํ—˜์ž๋ณธ์ด ๋ถ€์กฑํ•˜์—ฌ ์‚ฌ์—…๋‹ค๊ฐํ™”๋ฅผ ํ†ตํ•ด ์ฐฝ์—…๋ถ€ํ„ฐ ์ˆ˜์ต์„ ๊ณ ๋ คํ•ด์•ผ ํ•˜๋Š” ํ•œ๊ตญ ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…์˜ ํŠน์„ฑ์„ ์ž˜ ๋ณด์—ฌ์ฃผ๊ณ  ์žˆ์œผ๋ฉฐ, ํ•œํŽธ์œผ๋กœ ์ œ์•ฝ๊ธฐ์—…๋“ค๊ณผ ์˜์•ฝ์™ธ ์‹ํ’ˆ, ํ™”์žฅํ’ˆ ๋“ฑ์˜ ํƒ€๋ฐ”์ด์˜ค๊ธฐ์—…๋“ค์—๊ฒŒ ๋ฐ”์ด์˜ค์˜์•ฝ์‚ฐ์—…์˜ ๋˜ ๋‹ค๋ฅธ ์„ฑ์žฅ๊ฒฝ๋กœ๊ฐ€ ๋  ์ˆ˜ ์žˆ๋‹ค๋Š” ๊ฒƒ์„ ๋ณด์—ฌ์ฃผ์—ˆ๋‹ค. ๋งˆ์ง€๋ง‰์œผ๋กœ ๋น„๋‹ค๊ฐํ™” R&D ๊ธฐ์—…๊ตฐ์€ ํ•œ๊ตญ ๋ฐ”์ด์˜ค์˜์•ฝ์‚ฐ์—…์—์„œ ์•„์ง ์‚ฌ์—…์ดˆ๊ธฐ ๊ธฐ์—…๋“ค์˜ ์กด์žฌ๋ฅผ ๋ณด์—ฌ์ฃผ์—ˆ๋‹ค. ์ด๋“ค์€ ๊ธฐ์ดˆ์—ฐ๊ตฌ๋‹จ๊ณ„์—์„œ ๋‹จ์ผํ•œ ์‚ฌ์—…์˜์—ญ์„ ๊ฐ€์ง€๊ณ  ์žˆ์—ˆ์œผ๋ฉฐ ์•„์ง๊นŒ์ง€ ์ „๋žต์  ์ œํœด์—๋„ ์ทจ์•ฝํ–ˆ๋‹ค. ํŠนํžˆ, ์ด๋“ค์€ ์—ฐ๊ตฌ๊ฐœ๋ฐœ๊ฐ•๋„๋‚˜ ๊ธฐ์ˆ ํ˜์‹ ์„ฑ๊ณผ์˜ ์ธก๋ฉด์—์„œ ์•ฝํ•œ ์ „๋žต์  ์ œํœด๋ฅผ ๊ฐ€์ง„ ์‚ฌ์—…๋‹ค๊ฐํ™”๊ตฐ๊ณผ ์œ ์‚ฌํ–ˆ์ง€๋งŒ ์žฌ๋ฌด์„ฑ๊ณผ์˜ ์ฐฝ์ถœ์€ ๋” ์ทจ์•ฝํ–ˆ๋‹ค. ๋”ฐ๋ผ์„œ ์ด๋“ค์˜ ์„ฑ์žฅ์„ ์œ„ํ•œ ์ „๋žต๊ณผ ์ •์ฑ…์  ์ง€์›์ด ๋”์šฑ ์ ˆ์‹คํ•˜๋‹ค๊ณ  ๋ณด์—ฌ์ง„๋‹ค. ์ œ 5์žฅ์˜ ์„ธ๋ฒˆ์งธ ์—ฐ๊ตฌ๋Š” ์žฅ๊ธฐ์  ์„ฑ๊ณผ์˜ ์ฐจ์›์—์„œ ํ•œ๊ตญ ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…์˜ ์ƒ์กด์— ๋ฏธ์น˜๋Š” ์š”์†Œ๋“ค์— ์ฃผ๋ชฉํ•˜์˜€๋‹ค. ์ด ์—ฐ๊ตฌ๋Š” ๊ธฐ์—…์˜ ๋‚ด์  ํŠน์„ฑ์œผ๋กœ์จ ๊ธฐ์—…๊ฒฝ๋ ฅ์„ ๊ฐ€์ง„ ์ฐฝ์—…์ž์™€ ๋ชจ๊ธฐ์—…์œผ๋กœ๋ถ€ํ„ฐ ์Šคํ•€์˜คํ”„๋œ ๊ธฐ์—…์˜ ์ฐฝ์—…ํŠน์„ฑ, ์ฆ‰, ํƒ€๊ธฐ์—…์œผ๋กœ๋ถ€ํ„ฐ์˜ ์ฐฝ์—…ํŠน์„ฑ๊ณผ ํ”Œ๋žซํผ & ์„œ๋น„์Šค ๋ถ„์•ผ์˜ ํŠน์„ฑ์„ ๊ณ ๋ คํ•˜์˜€์œผ๋ฉฐ, ํ™˜๊ฒฝ์— ๋Œ€ํ•œ ๊ธฐ์—…์˜ ์ ๊ทน์ ์ธ ์ „๋žต์  ์„ ํƒ์„ ๊ฐ•์กฐํ•˜๋ฉฐ ์™ธ์  ํŠน์„ฑ์œผ๋กœ์จ ์ •๋ถ€์˜ ์—ฐ๊ตฌ๊ฐœ๋ฐœ ์ง€์›๊ณผ ์ „๋žต์  ์ œํœด๋ฅผ ๊ณ ๋ คํ•˜์˜€๋‹ค. ์ด๋Ÿฌํ•œ ํ†ตํ•ฉ์ ์ธ ๊ด€์ ์œผ๋กœ๋ถ€ํ„ฐ ๊ธฐ์—…๊ฒฝ๋ ฅ์„ ๊ฐ€์ง„ ์ฐฝ์—…์ž์— ์˜ํ•œ ์ฐฝ์—…ํŠน์„ฑ, ํ”Œ๋žซํผ & ์„œ๋น„์Šค ๋ถ„์•ผ์˜ ํŠน์„ฑ, ์ •๋ถ€์˜ ์—ฐ๊ตฌ๊ฐœ๋ฐœ ์ง€์›์ด ์ƒ์กด์— ๋ฏธ์น˜๋Š” ๊ธ์ •์ ์ธ ์˜ํ–ฅ์„ ํ™•์ธํ•  ์ˆ˜ ์žˆ์—ˆ๋‹ค. ํ•˜์ง€๋งŒ ์˜ˆ์ƒ๊ณผ๋Š” ๋‹ค๋ฅด๊ฒŒ ๋ชจ๊ธฐ์—…์œผ๋กœ๋ถ€ํ„ฐ ์Šคํ•€์˜คํ”„๋œ ๊ธฐ์—…์˜ ์ฐฝ์—…ํŠน์„ฑ๊ณผ ์ „๋žต์  ์ œํœด๊ฐ€ ๊ธฐ์—…์˜ ์ƒ์กด์— ๋ฏธ์น˜๋Š” ํšจ๊ณผ๋Š” ๋ถ€์ •์ ์ด์—ˆ๋‹ค. ๋˜ํ•œ ์ „๋žต์  ์ œํœด์˜ ๋™๊ธฐ์— ๋”ฐ๋ผ ์ƒ์กด์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ์„ ๋ถ„์„ํ•ด ๋ณธ ๊ฒฐ๊ณผ R&D ์ œํœด๊ฐ€ ๊ธฐ์—…์ƒ์กด์— ๋ฏธ์น˜๋Š” ์œ ์˜๋ฏธํ•œ ํšจ๊ณผ๋ฅผ ๋ฐœ๊ฒฌํ•  ์ˆ˜ ์—†์—ˆ์œผ๋ฉฐ, ๋‹จ์ง€ ์ƒ์‚ฐ ๋ฐ ๋งˆ์ผ€ํŒ… ์ œํœด๊ฐ€ ๋ฏธ์น˜๋Š” ๊ธ์ •์ ์ธ ํšจ๊ณผ๋ฅผ ํ™•์ธํ•  ์ˆ˜ ์žˆ์—ˆ๋‹ค. ์ถ”๊ฐ€์ ์ธ ์—ฐ๊ตฌ๋ฅผ ํ†ตํ•˜์—ฌ ํ•œ๊ตญ์˜ ๊ธฐ์—…ํ‡ด์ถœ์ด ํŒŒ์‚ฐ๊ณผ M&A์— ์˜ํ•ด ์ด๋ฃจ์–ด์ง€๊ณ  ์žˆ์œผ๋ฉฐ, ํŒŒ์‚ฐ์ด M&A์˜ ๊ฒฝ์šฐ๋ณด๋‹ค ๋งŽ์€ ํŠน์„ฑ์„ ํ™•์ธํ•˜์˜€๋‹ค. ํŠนํžˆ M&A์˜ ๊ฒฝ์šฐ, ๋Œ€๋ถ€๋ถ„ ์„ฑ๊ณผ๊ฐ€ ์ข‹์€ ํ”ผ์ธ์ˆ˜๊ธฐ์—…์˜ ์ธ์ˆ˜๋ฅผ ํ†ตํ•ด ์ธ์ˆ˜๊ธฐ์—…๊ณผ ํ”ผ์ธ์ˆ˜๊ธฐ์—… ๋‘ ๊ธฐ์—…๊ฐ„ ์‹œ๋„ˆ์ง€๋ฅผ ์ฐฝ์ถœํ•˜๊ณ , ๋‚˜์•„๊ฐ€ ํ”ผ์ธ์ˆ˜๊ธฐ์—…์—๊ฒŒ๋Š” ํˆฌ์žํšŒ์ˆ˜์˜ ๊ธฐํšŒ๋ฅผ ์ฃผ๋Š” ๋ชฉ์ ์ด์—ˆ๋‹ค. ํ•˜์ง€๋งŒ ์ธ์ˆ˜๊ธฐ์—…์ด ์„ฑ๊ณผ๊ฐ€ ์ข‹์ง€ ์•Š์€ ํ”ผ์ธ์ˆ˜๊ธฐ์—…์„ ํ†ตํ•ด ์šฐํšŒ์ƒ์žฅํ•˜๋ ค๋Š” ๋ชฉ์ ์„ ๊ฐ€์ง€๊ณ  M&A ํ•˜๋Š” ๊ฒฝ์šฐ๋„ ์†Œ์ˆ˜ ์กด์žฌํ•˜์˜€๋‹ค. ๋”ฐ๋ผ์„œ ๋ณธ ์—ฐ๊ตฌ์—์„œ๋Š” ์šฐํšŒ์ƒ์žฅ์„ ์œ„ํ•œ ์†Œ์ˆ˜์˜ M&A ์‚ฌ๋ก€๋ฅผ ์ œ๊ฑฐํ•˜๊ณ  ์‹œ๋„ˆ์ง€ ์ฐฝ์ถœ ๋ฐ ํˆฌ์žํšŒ์ˆ˜์˜ ๋ชฉ์ ์„ ์œ„ํ•œ M&A ์‚ฌ๋ก€๋ฅผ ๋ถ„์„๋Œ€์ƒ์— ํฌํ•จํ•˜์˜€๋‹ค. ์ด์™€ ๊ฐ™์€ ์ถ”๊ฐ€์—ฐ๊ตฌ๋ฅผ ํ†ตํ•˜์—ฌ ๋ชจ๊ธฐ์—…์œผ๋กœ๋ถ€ํ„ฐ ์Šคํ•€์˜คํ”„๋œ ๊ธฐ์—…์˜ ์ฐฝ์—…ํŠน์„ฑ๊ณผ ์ƒ์‚ฐ ๋ฐ ๋งˆ์ผ€ํŒ… ์ œํœด๊ฐ€ ํŒŒ์‚ฐ์„ ๋ง‰์„ ๋ฟ๋งŒ ์•„๋‹ˆ๋ผ M&A๋ฅผ ์ด‰์ง„ํ•˜๋Š” ํšจ๊ณผ๋„ ์žˆ์Œ์„ ๋ฐœ๊ฒฌํ•˜์˜€๋‹ค. ๋”ฐ๋ผ์„œ ์ด ์—ฐ๊ตฌ๋ฅผ ํ†ตํ•˜์—ฌ ํƒ€๊ธฐ์—…์œผ๋กœ๋ถ€ํ„ฐ์˜ ์ฐฝ์—…ํŠน์„ฑ๊ณผ ํ”Œ๋žซํผ & ์„œ๋น„์Šค ๋ถ„์•ผ์—์„œ์˜ ๋น„์ฆˆ๋‹ˆ์Šค๊ฐ€ ํ•œ๊ตญ ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…๋“ค์˜ ์ƒ์กด๋ฅ ์„ ๋†’์—ฌ ์ค„ ์ˆ˜ ์žˆ๋Š” ๊ธฐํšŒ์š”์†Œ๊ฐ€ ๋  ์ˆ˜ ์žˆ๋‹ค๋Š” ๊ฒƒ์„ ์•Œ ์ˆ˜ ์žˆ์—ˆ์œผ๋ฉฐ, ์ง€์†์ ์ธ ์ •๋ถ€์˜ ์—ฐ๊ตฌ๊ฐœ๋ฐœ ์ง€์›๊ณผ ์ƒ์‚ฐ ๋ฐ ๋งˆ์ผ€ํŒ… ์ œํœด๋ฅผ ํ†ตํ•œ ์ˆ˜์ตํ™•๋ณด๊ฐ€ ๊ธฐ์—…์˜ ์ƒ์กด์„ ์œ„ํ•ด ํ•„์š”ํ•˜๋‹ค๋Š” ํ•จ์˜์ ์„ ๋ฐœ๊ฒฌํ•  ์ˆ˜ ์žˆ์—ˆ๋‹ค. ์š”์•ฝํ•˜์ž๋ฉด, ๋ณธ ๋…ผ๋ฌธ์€ ํ•œ๊ตญ ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…์˜ ์„ฑ์žฅ์„ ์œ„ํ•˜์—ฌ ์ฐฝ์—…ํŠน์„ฑ๊ณผ ์„ฑ์žฅ์ „๋žต์„ ๊ณ ๋ คํ•œ ์ „๋žต์  ๊ธฐ์—…๊ฐ€์ •์‹ ์ด ํ•„์š”ํ•˜๋‹ค๋Š” ๊ฒƒ์„ ์ฐฝ์—…ํŠน์„ฑ, ๋น„์ฆˆ๋‹ˆ์Šค ๋ชจ๋ธ, ์ƒ์กด์— ๊ด€ํ•œ ์—ฐ๊ตฌ๋ฅผ ํ†ตํ•˜์—ฌ ๋ณด์—ฌ์ฃผ๊ณ  ์žˆ์œผ๋ฉฐ, ๊ฐ๊ฐ์˜ ์ฐฝ์—…ํŠน์„ฑ๊ณผ ์„ฑ์žฅ์ „๋žต์ด ๋น„์ฆˆ๋‹ˆ์Šค ๋ชจ๋ธ์˜ ๊ตฌ์„ฑ๊ณผ ์„ฑ๊ณผ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ์„ ํ†ตํ•ด ์ด์— ๋”ฐ๋ฅธ ๊ฒฝ์˜์ , ์ •์ฑ…์  ํ•จ์˜์ ์„ ์ œ์‹œํ•œ๋‹ค. ์ตœ๊ทผ ๋ช‡๋ช‡์˜ ํ•œ๊ตญ ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…๋“ค์ด ๊ธ€๋กœ๋ฒŒ ์‹œ์žฅ์—์„œ ์„ ์ „ํ•˜๊ณ  ์žˆ๋Š” ๊ฐ€์šด๋ฐ, ๊ฐ ๊ธฐ์—…์˜ ์ฐฝ์—…ํŠน์„ฑ์— ๋”ฐ๋ฅธ ๊ฒฝ์Ÿ์šฐ์œ„์™€ ๊ทธ๊ฒƒ์— ๋Œ€ํ•œ ์ ๊ทน์ ์ธ ํ™œ์šฉ ๋ฐ ๋„์ „, ํ•œ๊ตญ์  ์ƒํ™ฉ์—์„œ ๊ทธ๋“ค์˜ ์„ฑ์žฅ์ „๋žต์— ๋Œ€ํ•œ ๋ณธ ๋…ผ๋ฌธ์˜ ํ•จ์˜์ ๋“ค์€ ํ•œ๊ตญ ๋ฐ”์ด์˜ค์˜์•ฝ๊ธฐ์—…์˜ ์„ฑ์žฅ์„ ๋”์šฑ ๊ฐ€์‹œํ™” ์‹œํ‚ฌ ์ˆ˜ ์žˆ์„ ๊ฒƒ์ด๋ผ๊ณ  ๊ธฐ๋Œ€ํ•œ๋‹ค.Along with the pharmaceutical industry, the bio-medical industry has also come into the spotlight in most countries as a new growth engine. Many countries, including pioneers and latecomers into this industry, are striving to make adequate preparations to be a part of this forthcoming era of bio-economy. However, despite such high expectations, the bio-medical industry faces challenges in several aspects, from basic R&D to the commercialization stage, caused by the unique characteristics of the biotechnology field. Therefore, bio-medical firms should strive to become technology-intensive and manage their business risk, and consider complementary relationships with investors, government, universities, hospitals, and other firms such as other bio-medical, or pharmaceutical firms. Moreover, latecomers experience greater difficulties due to global competition and deficiency of the industrial ecosystem, than the pioneers do in this industry. Nonetheless, latecomers should not unconditionally mimic the growth strategies of pioneers, because of differences in their respective industrial ecosystem. Therefore, these latecomer countries need to define their unique strategies for growth. This dissertation focuses on the bio-medical industry in Korea, being one of the latecomers. Korea has a high distribution of small-sized entrepreneurial firms. The country has developed as a government-led latecomer in this industry. Moreover, connectivity with the development of the ICT industry and the conglomerate-oriented industrial structure of Korea are advantages enabling its industrial growth. Such context of the Korean bio-medical industry acutely reflects the need of strategic entrepreneurship to simultaneously consider their unique competitive advantages in founding and growth strategies. In particular, this dissertation emphasizes the following properties?a firms origin of entrepreneurs or entrepreneurial firms as the input, business model as the process, and a firms survival as the ultimate outcome in the view of strategic entrepreneurship. For each research, this dissertation used a database developed by a project team of the Science and Technology Policy Institute (STEPI) as part of a project launched in 2013 to formulate a national strategy for the future of bio-economy in Korea. The first study in Chapter 3 intended to demonstrate the differences in Korean bio-medical firms respective strategies and performances, depending on properties of firms origin of an entrepreneur or entrepreneurial team. Concretely, it examined the impact of the characteristics of independent venture established by entrepreneurs from research organizations and corporate venture spin-offs from the parent company on strategies and performances of the firms. This study found that bio-medical firms established by entrepreneurs from research organizations had a positive influence on R&D intensity, R&D alliance, and technological innovation performance. Although these represent technology-intensive characteristics, confirming direct and mediating effects among them, they were still insufficient in creating firms financial performance. This result implies that they are striving to resolve this through technology commercialization and business model innovation. In particular, it also implies the need for entrepreneurs and entrepreneurial firms to undertake efforts focusing on enhancing commercial capabilities and policies for managerial support. On the other hand, regarding spin-offs from parent companies, the origin of the firms positively affected manufacturing & marketing alliances, and financial performance. It is confirmed that the parent company mainly classified pharmaceutical companies and conglomerates, and their experiences in the manufacturing & marketing process, or managerial support like financing and consulting, enable differentiated business activities. Therefore, this study suggests that spin-off bio-medical firms can form an alternative founding model in Korea, where private investment like venture capital is deficient. In addition, this study also suggests that such companies need to make significant efforts to enhance their technological innovation capacity from the long-term perspective. The second study in Chapter 4 intended to identify the different types of business models in the Korean bio-medical industry, and compare their characteristics and performances. Although there are various definitions of a business model, it can be regarded as a bundle of strategies for profit generation, in that entrepreneurs or entrepreneur firms proactively select in their contextual circumstances. This study classifies Korean bio-medical firms with critical criteria of the business model on the levels of vertical integration, business diversification, R&D, and manufacturing & marketing alliances, by the clustering method. This study identified three types of business models in the Korean bio-medical industry1) business diversified firms with weak strategic alliances2) vertical integrated firms with strong strategic alliancesand 3) non-diversified R&D firms. Among them, the firm group with a competitive advantage in Korea is the cluster of vertical-integrated firms with strong strategic alliances. These firms showed vertical integration more than product development on average, and had robust strategic alliances for various purposes in several forms. They demonstrated excellent technological innovation and financial performance, more than any other clusters in the industry. Second, the cluster of business-diversified firms with weak strategic alliance had two or more business diversification areas on average, and had utilized a few strategic alliances for R&D and marketing. In addition, these firms have a relatively excellent financial performance by predominance in the bio-medical segment, although they have a lower level of R&D intensity and technological innovation performance than vertical integrated firms with strong strategic alliances. It shows the feature of Korean bio-medical firms that should consider their profit through business diversification at founding because of shortage of risk money, and on the other hand, the growth path for incumbents like pharmaceutical companies and biotechnology firms with core technologies related to functional food and cosmetics in Korea. Finally, non-diversified R&D firms describe the existence of infant firms within Korean bio-medical industry. These firms have a single business area in basic R&D stage of value chain, and few strategic alliances. In particular, although they are similar to business diversified firms from the perspective of R&D intensity and technological innovation performance, they are more vulnerable in terms of financial performance. Therefore, this study suggests the necessity of firms growth strategies and policy supports for their growth. The third study in Chapter 5 concentrated on the internal and external survival factors of Korean bio-medical firms from the long-term performance perspective. The characteristics of an entrepreneur with experience in other firms and spin-offs of a parent firm, or alternately, the characteristics of firms that originated from other firms, and the business property of platform & service segment were considered internal factors. The governments R&D funding and strategic alliances were considered external factors emphasizing a firms proactive strategic choice of its environment. From such an integrated view, the factors?firms origin by an entrepreneur with career in other firm, platform & service segment, and government R&D funding?positively influenced the survival of Korean bio-medical firms. However, against the expectation, the factors?firms origin by spin-offs of a parent firm, and strategic alliances?negatively influenced the survival of these firms. In addition, it is not confirmed significant effect of R&D alliances on firms survival, but found the effect of manufacturing & marketing alliances on it. Furthermore, through additive research, firm exits in Korea resulted from bankruptcy, and mergers and acquisitions (M&A), and this study confirmed that cases of bankruptcy are more than M&A cases in Korea. In particular, in cases of M&A, the most motivated creation of synergy between the acquirer and target and payback of target bio-medical firm, and there are M&A events for backdoor listing of an acquirer as a minority. Therefore, this study eliminated cases of M&A events for backdoor listing, and only included events for creating synergy for both, and payback of target. Through it, this study found that the properties of a firms origin by spin-off firms and strategic alliances prevent their bankruptcy, and promote M&A events in the Korean bio-medical industry. Consequently, the properties of a firms origin from other firms, and business property in the platform & service segment are opportunities for survival. Further, sustainable government R&D funding and securing profit though manufacturing & marketing alliances are required for their survival in Korean bio-medical industry. In sum, this dissertation argued the necessity of strategic entrepreneurship to simultaneously consider their unique competitive advantage at founding and growth strategies. This was accomplished through three studies on firms origin, business model, and survival. In addition, the study contributes to understanding the managerial and policy implications on business model and performance depending on the type of firms origin and growth strategies. Amidst propagation of some Korean bio-medical firms in the global market, this dissertation expects to be visible the growth of Korean bio-medical firms.Abstract i Contents viii List of Tables xi List of Figures xii Chapter 1. Introduction 1 1.1 Research Background 1 1.1.1 The Bio-economy Era and Biotechnology Industry 1 1.1.2 Bio-medical Industry 4 1.2 Problem Statement 8 1.3 Research Purpose, Question and Outline 11 1.4 Research Contributions 16 1.5 Research Structure 18 Chapter 2. Theoretical Background 19 2.1 Strategic Entrepreneurship 19 2.1.1 Economic Importance and Origin of Entrepreneurship 19 2.1.2 Current State of Entrepreneurship in Economics 22 2.1.3 Emergence of Strategic Entrepreneurship 24 2.2 Strategic Entrepreneurship for Korean Bio-medical Firm 27 2.2.1 Context of Korean Bio-medical Industry 27 2.2.2 Three Studies in Strategic Entrepreneurship for Growth of Korean Bio-medical Firm 32 Chapter 3. Influence on Business Strategies and Performances of Korean Bio-medical Firms Origin 42 3.1 Introduction 42 3.2 Theories and Hypotheses 44 3.2.1 R&D, Business Strategies, and Performances of Bio-medical Firms 45 3.2.2 Independent Bio-medical Venture Established by Entrepreneurs from Research Organizations 47 3.2.3 Corporate Bio-medical Venture by Spin-off 51 3.3 Methods 56 3.3.1 Data 56 3.3.2 Definition of Variables 59 3.3.3 Analytical Method 65 3.4 Results and Discussions 69 3.5 Sub-Conclusion 81 Chapter 4. Business Models in Korean Bio-medical Industry 87 4.1 Introduction 87 4.2 Business Model and Bio-medical Industry 90 4.2.1 The Concept of Business Model 90 4.2.2 Business Model in Bio-medical Industry 92 4.3 Methods 99 4.3.1 Data 99 4.3.2 Analytical Method 100 4.4 Results and Discussions 108 4.4.1 Grouping of Korean Bio-medical Firms 108 4.4.2 The Characteristics and Performances of Each Cluster 116 4.5 Sub-Conclusion 125 Chapter 5. The Factors of Korean Bio-medical Firms for Survival 129 5.1 Introduction 129 5.2 Theories and Hypotheses 132 5.2.1 Origins from Other Firm 134 5.2.2 Business Property in Platform & Service Segment 137 5.2.3 Government R&D Funding 139 5.2.4 Strategic Alliance 142 5.3 Methods 145 5.3.1 Data 145 5.3.2 Analytical Method 146 5.4 Results and Discussions 155 5.5 Sub-Conclusion 165 Chapter 6. Overall Conclusion 171 6.1 Summary of Results 171 6.2 Managerial and Policy Implications 178 6.3 Limitations and Future Research 187 Bibliography 191 Abstract (Korean) 230Docto

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    Precision medicine is an approach to disease treatment and prevention that seeks to maximize effectiveness by taking into account individual variability in genes, environment, and lifestyle. The medical paradigm has been changed with the emergence of precision medicine and many companies with business related to precision medicine should cooperate with other companies. The purpose of this study is to analyze the alliance portfolio factors that affect firmsโ€™ innovation performance. This study examined whether the diversity factors of the alliance portfolio and alliance management capability influenced its innovation performance. Additionally, we investigated the moderate effects of participation of research organizations in the alliance portfolio. As a result, there was an inverted U-shaped relationship between the industry diversity of the portfolio and innovation performance; therefore, the participation of research organizations in the alliance portfolio showed a positive effect. Additionally, the value governance diversity changed to have a positive effect by interacting with research organizations. This study provides information on the alliance portfolio factors that affect the innovation performance of precision medicine companies

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    R&amp;D project valuation is important for effective R&amp;D portfolio management through decision making, related to the firmโ€™s R&amp;D productivity, sustainable management. In particular, scholars have emphasized the necessities of capturing option value in R&amp;D and developed methods of real option valuation. However, despite suggesting various real option models, there are few studies on simultaneously employing mean-reverting stochastic process and Markov regime switching to describe the evolution of cash flow and to reflect time-varying parameters resulting from changes of economic environment. Therefore, we suggest a mean-reverting binomial lattice model under Markov regime switching and apply it to evaluate clinical development with project cases of the pharmaceutical industry. This study finds that decision making can be different according to the regime condition, thus the suggested model can capture risks caused by the uncertainty of the economic environment, represented by regime switching. Further, this study simulates the model according to rate parameter from 0.00 to 1.00 and risk-free interest rates for regimes 1 and 2 from ( r 1 = 4%, r 2 = 2%) to ( r 1 = 7%, r 2 = 5%), and confirms the rigidity of the model. Therefore, in practice, the mean-reverting binomial lattice model under Markov regime switching proposed in this study for R&amp;D project valuation contributes to assisting company R&amp;D project managers make effective decision making considering current economic environment and future changes
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