• Title/Summary/Keyword: procedures of division

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Immediate Bilateral Breast Reconstruction with Unilateral Deep Superior Epigastric Artery and Superficial Circumflex Iliac Artery Flaps

  • Hansen, Keith S.;Gutwein, Luke G.;Hartman, Brett C.;Sood, Rajiv;Socas, Juan
    • Archives of Plastic Surgery
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    • v.43 no.5
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    • pp.457-460
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    • 2016
  • Autologous breast reconstruction utilizing a perforator flap is an increasingly popular method for reducing donor site morbidity and implant-related complications. However, aberrant anatomy not readily visible on computed tomography angiography is a rare albeit real risk when undergoing perforator flap reconstruction. We present an operative case of a patient who successfully underwent a bilateral breast reconstruction sourced from a unilateral abdominal flap divided into deep superior epigastric artery and superficial circumflex iliac artery flap segments.

Environmental Specimen Bank and Ecosystem Assessment

  • Kim, Myungjin;Kim, Jiyeon;Cho, Yongjoo;Yoo, Byungho
    • Journal of Environmental Impact Assessment
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    • v.18 no.6
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    • pp.429-434
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    • 2009
  • Environmental specimen bank (ESB) is a new tool to assess ecosystem in environmental impact assessment (EIA). ESB looks at changes in the concentration of pollutants in human and environmental specimens over long periods of time through retrospective analysis of archived samples. Korea started to design its National Environmental Specimen Bank (NESB) in 2007 and planned to launch an operational pilot project by 2010. NESB prepares five Standard Operating Procedures (SOPs) of shoots of Red and Korean pine, leaves of Mongolian oak, Pigeon's egg, and Common carp's muscle out of 14 planned specimens in 2009. ESB contributes to monitoring the effectiveness of EIA projects and policies by providing a time capsule through ecosystem assessment of representative species. This study reviews ecosystem assessment in EIA and the ESB establishment in Korea and probes NESB applications in ecosystem assessment.

Refinement and Evaluation of Korean Outpatient Groups for Visits with Multiple Procedures and Chemotherapy, and Medical Visit Indicators (한국형 외래환자분류체계의 개선과 평가: 복수시술 및 항암제 진료와 내과적 방문지표를 중심으로)

  • Park, Hayoung;Kang, Gil-Won;Yoon, Sungroh;Park, Eun-Ju;Choi, Sungwoon;Yu, Seunghak;Yang, Eun-Ju
    • Health Policy and Management
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    • v.25 no.3
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    • pp.185-196
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    • 2015
  • Background: Issues concerning with the classification accuracy of Korean Outpatient Groups (KOPGs) have been raised by providers and researchers. The KOPG is an outpatient classification system used to measure casemix of outpatient visits and to adjust provider risk in charges by the Health Insurance Review & Assessment Service in managing insurance payments. The objective of this study were to refine KOPGs to improve the classification accuracy and to evaluate the refinement. Methods: We refined the rules used to classify visits with multiple procedures, newly defined chemotherapy drug groups, and modified the medical visit indicators through reviews of other classification systems, data analyses, and consultations with experts. We assessed the improvement by measuring % of variation in case charges reduced by KOPGs and the refined system, Enhanced KOPGs (EKOPGs). We used claims data submitted by providers to the HIRA during the year 2012 in both refinement and evaluation. Results: EKOPGs explicitly allowed additional payments for multiple procedures with exceptions of packaging of routine ancillary services and consolidation of related significant procedures, and discounts ranging from 30% to 70% were defined in additional payments. Thirteen chemotherapy drug KOPGs were added and medical visit indicators were streamlined to include codes for consultation fees for outpatient visits. The % of variance reduction achieved by EKOPGs was 48% for all patients whereas the figure was 40% for KOPGs, and the improvement was larger in data from tertiary and general hospitals than in data from clinics. Conclusion: A significant improvement in the performance of the KOPG was achieved by refining payments for visits with multiple procedures, defining groups for visits with chemotherapy, and revising medical visit indicators.

A Study on the Verification Method for KASS Control Station

  • Kim, Koontack;Won, Dae Hee;Park, Yeol;Lee, Eunsung
    • Journal of Positioning, Navigation, and Timing
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    • v.10 no.3
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    • pp.221-228
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    • 2021
  • The Korea Augmentation Satellite System (KASS) is a Korean Satellite Based Augmentation System (SBAS) that has been under development since 2014 with the goal of providing Approach Procedure with Vertical guidance (APV)-I Safety of Life (SoL) services. KASS Control Station (KCS) is a subsystem that controls and monitors KASS systems. It also serves to store data generated by KASS. KCS has now completed detailed design and implementation and verification is in progress. This paper presents verification procedures and verification items for KCS verification activities and presents management measures for defects occurring during the verification phase.

Evaluation and treatment of facial feminization surgery: part II. lips, midface, mandible, chin, and laryngeal prominence

  • Dang, Brian N.;Hu, Allison C.;Bertrand, Anthony A.;Chan, Candace H.;Jain, Nirbhay S.;Pfaff, Miles J.;Lee, James C.;Lee, Justine C.
    • Archives of Plastic Surgery
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    • v.49 no.1
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    • pp.5-11
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    • 2022
  • Facial feminization surgery (FFS) refers to a set of procedures aimed at altering the features of a masculine face to achieve a more feminine appearance. In the second part of this two-part series, assessment and operations involving the midface, mandible, and chin, as well as soft tissue modification of the nasolabial complex and chondrolaryngoplasty, are discussed. Finally, we provide a review of the literature on patient-reported outcomes in this population following FFS and suggest a path forward to optimize care for FFS patients.

Asymptomatic Isolate Tricuspid Regurgitation with Chordae Tendineae Rupture Caused by Blunt Chest Injury

  • Kim, Min Hee;Kang, Hyun Jae;Jung, Byung Chun;Lee, Bong Ryeol;Jung, Ho Jin;Lee, Jun Young;Bae, Soo Hyun;Shin, Dong Woo
    • Journal of Yeungnam Medical Science
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    • v.30 no.2
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    • pp.112-115
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    • 2013
  • The incidence and importance of tricuspid valve regurgitation after a blunt chest injury has risen with the increase in the number of automobile accidents and steering wheel traumas. This kind of injury has been reported more frequently in the last decade because of the better diagnostic procedures and understanding of the pathology. However, tricuspid valve regurgitation following a blunt chest injury can still be easily missed because most patients do not show symptoms at the time of the trauma. A 55-year-old male patient presented himself at our facility after suffering a chest injury from an automobile accident. His transthoracic echocardiography (TTE) revealed severe tricuspid valve regurgitation due to the prolapse of his anterior valve leaflet. We report a case of asymptomatic tricuspid regurgitation that developed after a blunt chest injury.

Preliminary Design of Korea's First mobile SLR system

  • Jo, Jung-Hyun;Seo, Yoon-Kyung;Lee, Jin-Young;Yim, Hong-Seo;Lim, Hyung-Chul;Park, Eun-Seo;Park, Jang-Hyun;Park, Jong-Uk
    • Bulletin of the Korean Space Science Society
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    • 2010.04a
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    • pp.36.2-36.2
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    • 2010
  • Followed the System Design Review (PDR) of a mobile SLR (Satellite Laser Ranging) system, a successful preliminary design review was finished in 2009. With the completion of this mobile SLR system, KASI (Korea Astronomy and Space Science Institute) can perform a series of test observation and calibration/validation procedures. After the operation performance of the whole system reaches the nominal design, a regular scheduled observation will be executed. However, the project has been disturbed by the frequent change of working staff, budget profile, and plan as well as the inexperienced man power. In this study, the contents and the issues of PDR are briefly reviewed and several items of SLR system are suggested. This mobile SLR system will push Korea's Space Geodetic study further and will make us jump to another step to the Space Science in Korea.

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Validation of Bulk Analysis with Simulated Swipe Samples Containing Ultra-Trace Amounts of Uranium and Plutonium Using MC-ICP-MS

  • Lim, Sang Ho;Han, Sun-Ho;Park, Jong-Ho;Park, Ranhee;Lee, Min Young;Park, Jinkyu;Lee, Chi-Gyu;Song, Kyuseok
    • Mass Spectrometry Letters
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    • v.6 no.3
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    • pp.75-79
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    • 2015
  • Suitable analytical procedures for the bulk analysis of ultra-trace amounts of uranium and plutonium have been developed using multi-collector inductively coupled mass spectrometry (MC-ICP-MS). The quantification and determination of the isotopic ratios of uranium and plutonium in three simulated swipe samples, a swipe blank, and a process blank were performed to validate the analytical performance. The analytical results for the simulated swipe samples were in good agreement with the certified values, based on the measurement quality goals for the analysis of bulk environmental samples recommended by the International Atomic Energy Agency (IAEA)

Recent advances in transcatheter treatment of congenital heart disease (선천성 심질환에 대한 중재적 치료술의 최근 진전)

  • Choi, Jae Young
    • Clinical and Experimental Pediatrics
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    • v.49 no.9
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    • pp.917-929
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    • 2006
  • Over the last several decades there has been a remarkable change in the therapeutic strategy of congenital heart disease. Development of new tools and devices, accumulations of experience, technical refinement have positively affected the outcome of interventional treatment. Many procedures including atrial septostomy, balloon valvuloplasty, balloon dilation of stenotic vessel with or without stent implantation, transcatheter occlusion of abnormal vascular structure, transcatheter closure of patent arterial duct and atrial septal defect, are now performed as routine interventional procedures in many institutes. In diverse conditions, transcatheter techniques also provide complementary and additive role in combination with surgery. Intraoperative stent implantation on stenotic vessels, perventricular device insertion, and hybrid stage 1 palliative procedure for hypoplastic left heart syndrome have been employed in high risk patients for cardiac surgery with encouraging results. Transcatheter closure of ventricular septal defect has been performed safely showing comparable result with surgery. Investigational procedures such as percutaneous valve insertion and valve repair are expected to replace the role of surgery in certain group of patients in the near future. Continuous evolvement in this field will contribute to reduce the risk and suffering from congenital heart disease, while surgery will be still remained as a gold standard for significant portion of congenital heart disease.

Korea Pathfinder Lunar Orbiter (KPLO) Operation: From Design to Initial Results

  • Moon-Jin Jeon;Young-Ho Cho;Eunhyeuk Kim;Dong-Gyu Kim;Young-Joo Song;SeungBum Hong;Jonghee Bae;Jun Bang;Jo Ryeong Yim;Dae-Kwan Kim
    • Journal of Astronomy and Space Sciences
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    • v.41 no.1
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    • pp.43-60
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    • 2024
  • Korea Pathfinder Lunar Orbiter (KPLO) is South Korea's first space exploration mission, developed by the Korea Aerospace Research Institute. It aims to develop technologies for lunar exploration, explore lunar science, and test new technologies. KPLO was launched on August 5, 2022, by a Falcon-9 launch vehicle from cape canaveral space force station (CCSFS) in the United States and placed on a ballistic lunar transfer (BLT) trajectory. A total of four trajectory correction maneuvers were performed during the approximately 4.5-month trans-lunar cruise phase to reach the Moon. Starting with the first lunar orbit insertion (LOI) maneuver on December 16, the spacecraft performed a total of three maneuvers before arriving at the lunar mission orbit, at an altitude of 100 kilometers, on December 27, 2022. After entering lunar orbit, the commissioning phase validated the operation of the mission mode, in which the payload is oriented toward the center of the Moon. After completing about one month of commissioning, normal mission operations began, and each payload successfully performed its planned mission. All of the spacecraft operations that KPLO performs from launch to normal operations were designed through the system operations design process. This includes operations that are automatically initiated post-separation from the launch vehicle, as well as those in lunar transfer orbit and lunar mission orbit. Key operational procedures such as the spacecraft's initial checkout, trajectory correction maneuvers, LOI, and commissioning were developed during the early operation preparation phase. These procedures were executed effectively during both the early and normal operation phases. The successful execution of these operations confirms the robust verification of the system operation.