• Title/Summary/Keyword: guidelines of repair

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International regulatory considerations pertaining to the development of stem cell-based veterinary medicinal products

  • Jeon, Byung-Suk;Yi, Hee;Ku, Hyun-Ok
    • Journal of Veterinary Science
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    • v.22 no.1
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    • pp.6.1-6.6
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    • 2021
  • Stem cell-based products (SCPs) are an emerging field of veterinary medicine that focuses on the regeneration, repair, or replacement of damaged tissues or organs. However, there are some issues in applying the traditional regulatory guideline for the approval of SCPs as veterinary medicinal products. This article describes the positions of Korea, US, and EU regarding SCPs, and compares the regulatory guidelines of each country for their safety evaluation. Although there are some differences in the regulatory guidelines, similar considerations in identifying the quality of SCPs and their safety has adopted. Overall, these guidelines need to be harmonized among countries.

A Study on the Development of the Repair Standards for Underground Pipelines Carrying Natural Gas (도시가스 매설배관 보수기준 개발에 관한 연구)

  • Ryou, Young-Don;Lee, Jin-Han;Jo, Young-Do
    • Journal of the Korean Institute of Gas
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    • v.20 no.4
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    • pp.33-43
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    • 2016
  • Grinding, weld deposition, type A sleeve, type B sleeve, composite sleeve, hot tapping and clamp are used as the method to repair the buried pipelines in the United States, UK and Europe. In the event of defect to the pipeline, they have repaired the pipeline through the fitness-for-service assessments. In addition, they have guidelines for the possible repair methods to apply to each type of damage, which is occurred due to the 3rd party construction or corrosion. According to the KGS FS551, Safety Validation in Detail including ECDA(External Corrosion Direct Assessment) as one method of integrity management should be carried out for the old pipeline which supply natural gas as the middle pressure in Korea. Where a defect on the pipelines is found, on the result of Safety Validation in Detail, the pipelines should be repaired or replaced by new piping. However, there are no guidelines or regulations regarding the repair and reinforcement of pipeline, so that, cutting the damaged pipeline and replacing it as a segment of new pipe is the only way in Korea until now. We have suggested pipeline repair methods including type A, B sleeve, composite sleeve, after the survey of foreign repair method and standards including the method of United States and the United Kingdom, and after analysis of the results on pipeline repair test including type A, type B sleeve and composite sleeve.

A Survey on Procedural Sedation and Analgesia for Pediatric Facial Laceration Repair in Korea

  • Dongkyu Lee;Hyeonjung Yeo;Yunjae Lee;Hyochun Park;Hannara Park
    • Archives of Plastic Surgery
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    • v.50 no.1
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    • pp.30-36
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    • 2023
  • Background Most children with facial lacerations require sedation for primary sutures. However, sedation guidelines for invasive treatment are lacking. This study evaluated the current status of the sedation methods used for pediatric facial laceration repair in Korea. Methods We surveyed one resident in each included plastic surgery training hospital using face-to-face interviews or e-mail correspondence. The health care center types (secondary or tertiary hospitals), sedation drug types, usage, and dosage, procedure sequence, monitoring methods, drug effects, adverse events, and operator and guardian satisfaction were investigated. Results We included 45/67 hospitals (67%) that used a single drug, ketamine in 31 hospitals and chloral hydrate in 14 hospitals. All health care center used similar sedatives. The most used drug administered was 5 mg/kg intramuscular ketamine (10 hospitals; 32%). The most common chloral hydrate administration approach was oral 50 mg/kg (seven hospitals; 50%). Twenty-two hospitals (71%) using ketamine followed this sequence: administration of sedatives, local anesthesia, primary repair, and imaging work-up. The most common sequence used for chloral hydrate (eight hospitals; 57%) was local anesthesia, administration of sedatives, imaging work-up, and primary repair. All hospitals that used ketamine and seven (50%) of those using chloral hydrate monitored oxygen saturation. Median operator satisfaction differed significantly between ketamine and chloral hydrate (4.0 [interquartile range, 4.0-4.0] vs. 3.0 [interquartile range, 3.0-4.0]; p <0.001). Conclusion The hospitals used various procedural sedation methods for children with facial lacerations. Guidelines that consider the patient's condition and drug characteristics are needed for safe and effective sedation.

Decision-Making in Transcatheter Edge-to-Edge Repair: Insights into Atrial Functional Mitral Regurgitation

  • Kim, Joon Bum
    • Journal of Chest Surgery
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    • v.54 no.6
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    • pp.449-453
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    • 2021
  • The 2020 American College of Cardiology focused update on the mitral regurgitation (MR) pathway provides an excellent summary of the decision-making trees in the treatment of severe MR, in which 2 main branches of the flowchart are suggested depending on whether MR is primary or secondary. Surgery is suggested as preferable over transcatheter edge-to-edge repair (TEER) in primary MR that needs intervention. The decision-making for secondary MR generally prioritizes TEER over surgery according to the guidelines, but further stratification is necessary based on the pathophysiologic mechanisms of MR. TEER is probably the more suitable option in secondary MR caused by left ventricular dysfunction or dilatation, given the high perceived surgical risks, despite the lack of sufficient evidence in support of overt clinical benefits from surgical therapy in these patients. In atrial functional MR associated with atrial fibrillation (AF), however, concomitant ablation of AF seems to be a desirable option, as it has been demonstrated to be a key factor leading to improved survival, reduced stroke risk, and more durable mitral and tricuspid function in patients undergoing mitral surgery. Therefore, atrial functional MR requiring intervention may be best treated by surgical therapy that combines mitral repair and AF ablation in the majority of patients. This particular issue, however, needs further research to obtain scientific evidence to guide optimal management strategies.

A Study on Home Improvement Policy for the Vulnerable Families - Focused on Jeonnam Area - (사회취약계층 주택개보수사업 개선방향연구 - 전남지역의 농어촌주거를 중심으로 -)

  • Lee, Jae-Hong;Cheon, Deuk-Youm
    • Journal of the Korean housing association
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    • v.25 no.4
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    • pp.73-82
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    • 2014
  • This study is to grasp the vulnerable families selected by the laws and qualification criteria on housing reformation and repair project of the Ministry of Land, Transportation and Maritime Affairs, the procedures of housing improvement projects, and the roles of superintendents, focusing on rural living and housing environment improvement. After the regional characters, housing style and structure of the recipients (the selected vulnerable families), and construction companies were closely examined by items and year, the results and problems of housing reformation and repair were diagnosed, compared and analyzed. On the basis of the results, the overall guidelines and directions of housing environment improvement for vulnerable families were suggested. Hopefully, these suggestions will be helpful for the kind of project in the future.

Study on Guidelines for Using Therapeutic Modalities According to Injury Phases of Soft Tissue (치료적 방법을 연부조직 손상단계에 따라 사용하기 위한 지침에 관한 연구)

  • Kwon Won-An;Kim Sik_hyun;Jun Kyong-hee
    • The Journal of Korean Physical Therapy
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    • v.12 no.3
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    • pp.497-507
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    • 2000
  • This study was performed to understanding on guidelines for using therapeutic modalities according to injury phases of soft tissue. Clinical decisions on how and when therapeutic modalities may be used should be based on recognition of signs and symptoms. as well as some awareness of the time frames associated with the various phases of the Healing process. The physical therapist must have a sound understanding of that process in terms of the sequence of the various process of healing stage. The results of this study are as follows: 1. Once an acute injury has occured, the healing process consists of the imflammatory response phase, the fibroblastic-repair phase, and the maturation-remodeling phase and can impede by various pathologic factors. 2. Modality use in the initial acute injury phase and the inflammatory response phase should be directed toward limiting the amount of swelling and reducing pain. 3. Modality use in the Fibroblastic repair phase may be change from cold to heat. The purpose of heat is to increase circulation to the injured area to promote healing. 4. During the Maturation-Remodeling phase, some type of heating modalities, ultrasound, or short wave and microwave diathermy should be used to increase circulation to the deeper tissue. In this phases, physical therapists must control training and conditioning habits to allow the injury to heal sufficiently.

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Biomechanical and postural analysis of machine repair tasks with relatively high complaints of low back pain (정비작업에 대한 인체역학적 부하 및 작업자세 평가)

  • 정민근;최경임;송영웅;이인석;이명수;임종호
    • Journal of the Ergonomics Society of Korea
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    • v.16 no.3
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    • pp.49-60
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    • 1997
  • Although the tasks are being mechanized or automated today, many tasks are still performed manually in several industrial settings. Manual materials handling and improper sorking postures are known to be a major cause of low back injuries, which are one of the major problems in the economic and public health aspects. In this study, two machine repair shops of a manufacturing company in Pohang were recommended by the company health care center to investigate the potential risk factors that may cause low back injuries. Five machine repair tasks were selected from each machine repair shop, which are accountable for relatively high complaints of low back pain. The purpose of this study is to quantitatively evaluate the hazards of the tasks, and finally to recommend the improved methods and guidelines for safe work practices. In order to accomplish this goal, the questionnaire study and ergonomic evaluations were carried out and the results were analyzed. For most of the tasks under study, workers were found to be exposed to relatively high biomechanical stresses in low back, mainly due to the heaby objects handled and the improper working postures.

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A Study on the Methodology of Excavated-Costumes - With a Focus on the Cases of Excavated Costumes from the Grave of Nor Su-ham(1516~1573)'s Family - (출토복식 보수방법에 관한 고찰 - 경주노씨 수함(1516~1573)공(公) 일가(一家) 출토복식 사례를 중심으로 -)

  • Chung, Young-Ran;Song, Mi-Kyung
    • Journal of the Korean Society of Costume
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    • v.63 no.7
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    • pp.65-78
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    • 2013
  • This study aims to suggest the methodology for conservation of excavated costumes especially repair and restoration process. Early excavated costumes had not attracted attention from the field of academia and the public. So not many scholars, organization and society participated in the excavations but as its value has gotten more recognition, there has been a reversal in trend. And so many organizations have taken part in it. Excavating includes conservation processes such as washing, repair and restoring, and then it is published by reports or books after the process is complete. However the method of conservation has varied depending on the institution. In particular, repair and restore methods do not include anything specific details, and often times, only has descriptions of the before and after state, and so a more unified method needs to be suggested and shared. This study defined 'Conservation', 'Repair' and 'Restoration' and then applied it to the short history of Korean excavated-costumes. Then it suggested ways to repair and restore excavated-costumes in terms of construction, textile, and damage by the unpublished cases of excavated-costumes of Noh Su-ham(1516~1573)'s Family. It was also referred to repair and restoration process such as shaping correction, dyeing, supporting, sewing and after treatment by texts and pictures. Other contents such as a list of relics and its details, will be published through a report or a book. The whole process of conservation was in progress based on the ethical guidelines of conservation, 'Minimum intervention' and 'Reversibility'.

A Comparative Study of Abdominal Aortic Aneurysm: Endovascular Aneurysm Repair versus Open Repair

  • Bae, Miju;Chung, Sung Woon;Lee, Chung Won;Song, Seunghwan;Kim, Eunji;Kim, Chang Won
    • Journal of Chest Surgery
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    • v.50 no.4
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    • pp.263-269
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    • 2017
  • Background: Endovascular aneurysm repair (EVAR) has dramatically changed the management of abdominal aortic aneurysms (AAAs) as the number of open aneurysm repairs have declined over time. This report compares AAA-related demographics, operative data, complications, and mortality after treatment by open aneurysm repair or EVAR. Methods: We retrospectively reviewed 136 patients with AAAs who were treated over an 8-year time period with open aneurysm repair or EVAR. Results: The mean age of the EVAR group was higher than that of the open repair group (p=0.001), and hospital mortality did not differ significantly between groups (p=0.360). However, overall survival was significantly lower in the EVAR group (p=0.033). Conclusion: Although EVAR is the primary treatment modality for elderly patients, it would be ideal to set slightly more stringent criteria within the anatomical guidelines contained in the instructions for use of the EVAR device when treating younger patients.

Dual repair of traumatic flank hernia using laparoscopic and open approaches: a case report

  • Heo, Yoonjung;Kim, Dong Hun
    • Journal of Trauma and Injury
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    • v.35 no.1
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    • pp.46-50
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    • 2022
  • Traumatic flank hernia (TFH) is rare and prone to recurrence, which makes appropriate treatment challenging. No current guidelines define the optimal timing and method of repair. Meanwhile, recent advances in laparoscopic techniques are reshaping the options for the treatment of TFH. A dual approach that utilizes both laparoscopic and open methods has not previously been reported. Herein, we present the successful treatment of TFH after blunt trauma. A 46-year-old male patient underwent elective herniorrhaphy on hospital day 3, in which laparoscopic implantation of a sublay mesh and extracorporeal implantation of an onlay mesh were performed. Such techniques may be appropriate and result in feasible outcomes in hemodynamically stable patients with large TFH who are strongly suspected of having bowel herniation or concomitant intraperitoneal injuries. Larger studies are needed to assess the long-term results.