• 대한후두음성언어의학회지
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• 제32권3호
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• pp.118-123
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• 2021

The pulsed photoangiolytic 532-nm potassium-titanyl-phosphate (KTP) laser has emerged in recent years as an efficacious treatment modality for vocal fold lesions. It also has broadened the indications for other laryngeal laser surgery. Features of KTP laser that it is a fiber-based delivery system and its energy is selectively absorbed by oxyhemoglobin make it suitable for office-based laryngeal procedures. An office-based KTP laser surgery provides an alternative management option for benign laryngeal diseases and can be performed comfortably under flexible endoscopic guidance which is placed through the nose of a fully awake patient. Office-based laryngeal surgery with a KTP laser can alleviate the need for general anesthesia. However, there are some limitations to apply due to reduced visual precision and the fact that the vocal folds are moving during procedures. Clinicians should carefully weigh the advantages and disadvantages of office-based procedures before a treatment option is selected. Patient selection and standardized laser energy parameters may help in decreasing complications and improving the treatment results.

• Journal of Positioning, Navigation, and Timing
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• 제11권1호
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• pp.51-58
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• 2022

Korea Augmentation Satellite System (KASS) is a Satellite Based Augmentation System (SBAS) system under development in South Korea and aims to provide air navigation services after 2023. In order to provide reliable service, detailed design for the operation of this system is required. This paper proposes a detailed operation-based designs based on mission, architecture, operation definition of the system. For the stable operation of the system, an operation organization was designed and operation activities were classified in consideration of the architecture and function of the system. Detailed operation procedures were designed according to this classification and operation procedures related to the command and configuration of subsystem were verified on the Integration, Verification and Qualification (IVQ) platform for integrated testing and verification. The proposed operation concepts and procedures will be continuously confirmed and verified during verification, qualification and service preparation, and will be updated event after official KASS service.

• 대한후두음성언어의학회지
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• 제31권2호
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• pp.56-60
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• 2020

Vocal fold injections are usually performed with a patient wake in an office under local anesthesia. For comfortable and safe office-based procedures, thorough anesthesia and premedication should be provided to the following three regions; nasal cavity, oropharynx, and larynx. Topical lidocaine is most widely used anesthetics on office based procedure. Lidocaine has a low to intermediate potency, 45 minutes to 60 minutes' duration of action, and onset of sufficient anesthesia within 90 seconds of topical administration. Tetracaine, prilocaine, ropivacaine, and bupivacaine also have been used in the office-based procedures. Nasal decongestant, oxymetazoline, is also used for widening nasal cavity by constriction of nasal mucosa. The amount of topical and local anesthetics used in vocal fold injection rarely exceeds toxic doses. The physician should know proper anesthesia techniques and must be familiar with the safe dose and complication of all anesthetics used.

• 대한후두음성언어의학회지
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• 제29권2호
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• pp.67-69
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• 2018

The development of office-based, unsedated transnasal esophagoscopy (TNE) has proven to be a major technological advance and with time and experience the application of this technology is becoming more widespread. TNE has allowed otolaryngologists to perform a variety of diagnostic and therapeutic procedures in the office setting. Studies consistently demonstrate that the image quality and diagnostic capability of TNE is equivalent to conventional esophagoscopy. The modern TNE endoscopes offer high quality optics, air-insufflation, and irrigation capability through a 2-mm working channel, and the ability to perform biopsies and select procedures. In general, the role of TNE in the head and neck patient is three-fold : to screen for synchronous and metachronous esophageal squamous cell carcinoma (ESCC) ; to differentiate post-treatment changes/symptoms from malignancy ; and to perform certain office-based procedures. TNE offers many specific advantages to the head and neck patient that are not afforded by conventional esophagoscopy. Because of surgical and postirradiation changes, many HNSCC patients have trismus or neck stiffness preventing completion of conventional transoral esophagoscopy. Perhaps most importantly, TNE provides enhanced patient safety, increased tolerability, better practice efficiency, and cost savings. For these reasons, TNE has become a particularly useful tool in the otolaryngologist's armamentarium.

• Archives of Plastic Surgery
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• 제46권3호
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• pp.189-197
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• 2019

There has been an exponential increase in plastic surgery cases over the last 20 years, surging from 2.8 million to 17.5 million cases per year. Seventy-two percent of these cases are being performed in the office-based or ambulatory setting. There are certain advantages to performing aesthetic procedures in the office, but several widely publicized fatalities and malpractice claims has put the spotlight on patient safety and the lack of uniform regulation of office-based practices. While 33 states currently have legislation for office-based surgery and anesthesia, 17 states have no mandate to report patient deaths or adverse outcomes. The literature on office-base surgery and anesthesia has demonstrated significant improvements in patient safety over the last 20 years. In the following review of the proceedings from the PRS Korea 2018 meeting, we discuss several key concepts regarding safe anesthesia for office-based cosmetic surgery. These include the safe delivery of oxygen, appropriate local anesthetic usage and the avoidance of local anesthetic toxicity, the implementation of Enhanced Recovery after Surgery protocols, multimodal analgesic techniques with less reliance on narcotic pain medications, the use of surgical safety checklists, and incorporating "the patient" into the surgical decision-making process through decision aids.

• 대한후두음성언어의학회지
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• 제20권1호
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• pp.17-20
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• 2009

Office based injection laryngoplasty for voice and swallow disorders is increasing steadily. In recent years, the application of injection laryngoplasty is extended to inject medicine, such as cidofovir or botox. The reason why office based injection laryngoplasty is increasing in popularity is several potential advantages when compared with other procedures. It can avoid surgical scar and is easily performed with local anesthesia. However, injection can be performed in a variety of settings, depending on several factors, including the goal of the procedure, patient comfort and anatomy, and physician skill. In this article, we describe indication of injection laryngoplasty and discuss about various techniques for procedure.

• 한국안전학회지
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• 제34권3호
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• pp.75-82
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• 2019

The purpose of this study was to evaluate the effectiveness of a vibration feedback system in improving two safe seating postures of office workers. In addition, the relative effectiveness of positive and negative feedback procedures was examined. Participants were four office workers. The dependent variables were the percentages of time participants spent in the safe sitting postures including shoulder, back, and overall body positions during the experimental sessions. A multiple-baseline design counterbalanced across participants was adopted. For two participants, the negative procedure was introduced first after baseline and positive procedure was introduced in the next phase. For the other two participants, the sequence of introducing the positive and negative feedback procedures was reversed. The result showed that the vibration feedback system, regardless of the type of the procedure, was effective in improving the safe sitting postures for all participants. However, the difference between the two procedures was not clearly shown. The benefits of the automated observation and vibration feedback system in workers' safety were discussed.

• KIEE International Transactions on Power Engineering
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• 제2A권4호
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• pp.160-165
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• 2002

This paper describes a proposed performance criteria and evaluation procedures for transmission system planning in Korea. Performance criteria of the transmission system are expected to be used as a guideline for investment into a transmission network. Moreover, performance evaluation procedures, which are based on current practices and widely accepted theories, are suggested to achieve fair and acceptable results.

• 대한음성언어의학회:학술대회논문집
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• 대한음성언어학회 2009년도 제30차 학술대회
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• pp.41-41
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• 2009

• 한국BIM학회 논문집
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• 제12권4호
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• pp.93-103
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• 2022

As the design environment of domestic infrastructure facilities shifts from a traditional co-work office system to a virtual digital co-work office, a CDE collaboration platform is required to build a digital co-work office suitable for the domestic design environment. In addition, a number of large multinational projects requiring collaboration from domestic and foreign construction companies are ordered, and procedures for performing tasks based on international standards such as ISO 19650 are required, so preparation for domestic designers is required. Therefore, this study aims to derive CDE requirements for the development of an ISO 19650-based CDE collaboration platform suitable for domestic design environments, and derived Korean CDE requirements based on ISO 19650 series and overseas CDE cases.