• Title/Summary/Keyword: Office-based procedures

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Elevating Quality in the Public Service through 6 Sigma : Experiences of Korean Intellectual Property Office (6시그마를 통한 공공서비스 품질개선 성과:특허청의 사례 중심으로)

  • Jeong, Seon-Ung;Shin, Sang-Kon
    • Journal of Korean Institute of Industrial Engineers
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    • v.32 no.4
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    • pp.358-368
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    • 2006
  • The significance of intellectual property in the knowledge-based society has been increasing and as a result, the patent customer's demand for a top quality patent administration service has increased as well. Therefore, Korean Intellectual Property Office(KIPO) adopted 6 sigma as a tool for KIPO's innovation to improve the quality of patent administration and enhance customer satisfaction. KIPO's steadfast promotion of 6 sigma resulted in many successful outcomes such as improvement of policy and service process from customer's point view, streamlining the administrative procedures, increased work efficiency, capability enhancement of core personnel, and so on. Since 6 sigma has proved itself to be equipped with features suitable for innovation in public sector, it can be used as an extensible innovation tool to meet the challenges in rapidly changing administration environment and to achieve a competitive edge.

Premedication & Anesthesia for OPD Based Laryngeal Procedures (외래 후두 수술의 술전처치 및 마취)

  • Lee, Seung-Won;Kim, Jae-Wook;Koh, Yoon-Woo;Lee, Jun-Ho
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.20 no.1
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    • pp.11-16
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    • 2009
  • OPD based laryngeal procedures offers a new avenue to the modern laryngologist, incorporating new technology in the office setting. With the development of flexible fiberoptic endoscopes, compact video system, and short acting anesthetics and sedatives allow these procedures. The success or failure of procedures are depend on excellent topical anesthesia. An inadequately anesthetized patient is apt to be uncomfortable, anxious and hyperresponsive and therefore unlikely to tolerate the procedure. On the other hand, a patient who is well informed, reassured, and thoroughly anesthetized can complete procedures. Therefore, optimal anesthesia is obligatory for excellent surgical results. The phonosurgeon should choose the anesthetic and sedative agents based on duration of action, time of onset of action, and any medical contraindications that the patient may have. And should be familiar with the properties and interaction of the agents used, as well as the signs of toxicity.

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Imputation Methods for the Population and Housing Census 2000 in Korea

  • Kim, Young-Won;Ryu, Jeabok;Park, Jinwoo;Lee, Jaewon
    • Communications for Statistical Applications and Methods
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    • v.10 no.2
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    • pp.575-583
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    • 2003
  • We proposed imputation strategies for the Population and Housing Census 2000 in Korea. The total area of floor space and marital status which have relatively high non-response rates in the Census are considered to develope the effective missing value imputation procedures. The Classification and Regression Tree(CART) is employed to construct the imputation cells for hot-deck imputation, as well as to predict missing value by model-based approach. We compare three imputation methods which include CART model-based imputation, hot-deck imputation based on CART and logical hot-deck imputation proposed by The Korea National Statistical Office. The results suggest that the proposed hot-deck imputation based on CART is very efficient and strongly recommendable.

Update on Angiolytic Laser Laryngeal Surgery (혈관용해 레이저를 이용한 후두미세수술 최신 지견)

  • Kang, Min Seok;Lim, Jae-Yol
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.32 no.2
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    • pp.51-55
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    • 2021
  • There are several lasers available for office-based or suspension microlaryngoscopy laser procedures in the treatment of laryngeal diseases. Each has advantages and disadvantages given the depth of penetration per unit of power, absorption in water, spectral absorption characteristics, mode of delivery, safety, and cost. It is important to note that while the proper selection of indication of treatment based on a laser wavelength is critical, of equal importance is selecting the appropriate power setting, focal length (or spot size), and time of exposure. The photoangiolytic lasers precisely target hemoglobin within the microcirculation of the highly vascularized tissue and may have better hemostatic effects and preservation of surrounding normal tissue than the CO2 laser. Although the choice of laser is purely theoretical and cannot be accurately concluded which parameters of laser (wattage and pulse width) were best to use, photoangiolytic laser surgery is safe and effective for specific laryngeal lesions. In this review, indications for photoangiolytic laser procedures for various laryngeal diseases, laser settings and surgical techniques for specific laryngeal lesions including sulcus vocalis, laryngeal dysplasia, and recurrent respiratory papillomatosis will be introduced. Pros and cons of in-office laser surgery using photoangiolytic laser and flexible CO2 laser will also be addressed.

The Funeral Rites for Queen Wongyeong during Early Joseon and the Characteristics Thereof (조선 초기 원경왕후 상장례(喪葬禮) 의식과 그 특징)

  • Yang, Jung-hyun
    • Journal of Korean Historical Folklife
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    • no.45
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    • pp.7-50
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    • 2014
  • This study focuses on the funeral rites for Queen Wongyeong during the early Joseon period as part of a review of the changes in the state funeral system and ceremonial procedures. Conducted by the king in his role as chief mourner, the state funeral for King Taejong's wife Queen Wongyeong that emerged during the 2nd year of King Sejong marked the first example recorded in the sillok (Annals of the Joseon Dynasty) of the three year-mourning rite being applied. In terms of the clothing for the state funeral, the significance of Jolgok (a rite conducted on the 100th day following the day of death) was emphasized, while the existing yeokwolje (period of wearing mourning clothes, one month was equated with one day) was abandoned. The existing temporary office system for state funerals was reorganized into a three-office system consisting of the Binjeon dogam (Office for Chapel of Rest), Gukjang dogam (Office for Funeral Rites), and Salleung dogam (Office for the Establishment of Royal Tombs). Buddhism-related rites greatly decreased and were increasingly regulated. The ceremonial procedures were also modified in accordance with the rites directly conducted by the king during the three-year mourning period. The basic pattern of the ceremonial procedure consisted of kneeling / wailing - salute - kneeling/ wailing, and, based on the wuje (rites to console the deceased), was divided into 'make offerings to the deceased' (奠, jeon) and 'hold a memorial service for the deceased' (祭, je). This reflected the differing perceptions of jeon (奠) and je (祭) following the establishment of auspicious rites (gillye) during the reign of King Taejong. In short, the state funeral for Queen Wongyeong provides materials with which to analyze the establishment of the funeral rites and ceremonial procedures designed based on the actual three-year mourning period observed by the king, study the ritual ceremonies conducted during the ancient period, as well as foster an understanding of ancient systems.

Office-Based Mitomycin-C Application to Prevent Postoperative Laryngeal Stenosis (술 후 후두협착을 예방하기 위한 외래에서의 Mitomycin-C의 반복 국소적용)

  • Jang, Jeon-Yeob;Lee, Gil-Joon;Son, Young-Ik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.20 no.1
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    • pp.36-41
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    • 2009
  • Background and Objectives: Topical administration of mitomycin-C (MMC) has been reported to reduce or delay scar formation in airway surgery. However, it is not infrequent to experience recurrent stenosis or adhesion of operative wound even after a meticulous MMC application during the laryngeal surgery. Therefore we aimed to evaluate the effectiveness of repeated postoperative MMC applications and the technical feasibility of MMC applications to the laryngeal wound at an outpatient clinic. Methods: We reviewed medical records of 13 consecutive patients who received office-based MMC applications after laryngeal airway surgery at Samsung Medical Center, Seoul, Korea. The patients were grouped into 3 categories according to the site of surgical wound and the purpose of MMC application; group I : supraglottic stenosis (n=5), group II : cordectomy and arytenoidectomy site granulation prevention (n=3), Group III : laryngeal web prevention (n=5). Outcomes in each group and adverse effects of repeated MMC applications were evaluated. Results: Office-based MMC application was successfully performed one to four times with a week interval for each patient. No significant complications were observed except slightly decreased mucosal wave in one female patient who received 4 times of MMC application at the anterior commissure of vocal fold. Repeated MMC applications at the outpatient clinic resulted in wide or acceptable supraglottic airway in group I, clean wound healing without granulation formation in group II, and negligible or no web formation at the anterior commissure in group III. Conclusion : Office-based topical administration of MMC to the larynx was technically feasible. Postoperative repeated MMC applications were effective to reduce recurrent stenosis or adhesion of supraglottic structures, to prevent granuloma formation after laser arytenoidectomy and glottic web formation after anterior commissure resection.

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Development of maintenance concept and procedures for KASS (KASS 유지보수 정의 및 절차 개발)

  • Minhyuk Son;Youngsun Yun;ByungSeok Lee
    • Journal of Advanced Navigation Technology
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    • v.26 no.6
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    • pp.373-379
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    • 2022
  • KASS (korea augmentation satellite system) is an SBAS (satellite based augmentation system) that must ensure the performance of aviation service in accordance with the International Civil Aviation Organization's SARPs (standards and recommended practices) Annex 10 - Aeronautical Telecommunications. In order to guarantee the target service performance, the operating system must be operated, maintained and managed stably, and a maintenance system must be established for this purpose. From the maintenance point of view, the KASS subsystems were developed to consist of replacement units, and the maintenance organization and procedures to manage those subsystems and units were defined. In addition, the maintenance task for each the replacement unit was developed to ensure the availability performance required for the successful KASS operation, and the developed tasks were verified to sufficiently cover the activities to maintain the previously defined replacement units. The maintenance tasks developed through this study will be continuously verified in the actual operation preparation process prior to the full-scale provision of aviation services in the end of 2023, and will be updated accordingly.

Office-Based EMG-Guided Botox Injection to Cricopharyngeus Muscle in ENT Clinic (근전도유도하 윤상인두근 보톡스 주입 술의 유용성)

  • Kim, Hyun-Sung;Chung, Eun-Jae;Rho, Young-Soo;Park, Dong-Sik
    • Korean Journal of Bronchoesophagology
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    • v.19 no.1
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    • pp.19-24
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    • 2013
  • Objective The objective was to evaluate changes in swallow safety and dietary status after the transcutaneous injection of botulinum toxin into the upper esophageal sphincter in a series of outpatients with dysphagia. Methods Patients who were at risk for aspiration and who had an unsuccessful trial of swallowing therapy were admitted to the study. All patients showed significant pooling of fluids in the pyriform sinus. All patients were treated in the office; none had previous esophageal dilatation. The upper border of the cricoid cartilage was identified using standard electromyogram procedures and botulinum toxin was injected. Outcomes were assessed using the penetration-aspiration scale, NIH swallowiwng safety score, patients' short-term and long-term subjective impressions of their ability to swallow, and change in dietary status. Results Ten patients underwent an instrumental evaluation of swallowing function. Of the 10 patients, 9 showed an overall improvement in their ability to take an oral diet safely. The penetration-aspiration scale, NIH swallowiwng safety score, patients' short-term and long-term subjective impressions of their ability to swallow, and change in dietary status were significantly improved after office-based botox injection. Conclusion Office-based EMG guided botox injection to the cricopharyngeus muscle is a simple, safe, and effective tool for dysphagia patients. Injection of Botox in the office should be considered when the dysphagia pattern is aspiration after swallow.

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Practical Algorithms on Lunar Reference Frame Transformations for Korea Pathfinder Lunar Orbiter Flight Operation

  • Song, Young-Joo;Lee, Donghun;Kim, Young-Rok;Bae, Jonghee;Park, Jae-ik;Hong, SeungBum;Kim, Dae-Kwan;Lee, Sang-Ryool
    • Journal of Astronomy and Space Sciences
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    • v.38 no.3
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    • pp.185-192
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    • 2021
  • This technical paper deals the practical transformation algorithms between several lunar reference frames which will be used for Korea pathfinder lunar orbiter (KPLO) flight operation. Despite of various lunar reference frame definitions already exist, use of a common transformation algorithm while establishing lunar reference frame is very important for all members related to KPLO mission. This is because use of slight different parameters during frame transformation may result significant misleading while reprocessing data based on KPLO flight dynamics. Therefore, details of practical transformation algorithms for the KPLO mission specific lunar reference frames is presented with step by step implementation procedures. Examples of transformation results are also presented to support KPLO flight dynamics data user community which is expected to give practical guidelines while post processing the data as their needs. With this technical paper, common understandings of reference frames that will be used throughout not only the KPLO flight operation but also science data reprocessing can be established. It is expected to eliminate, or at least minimize, unnecessary confusion among all of the KPLO mission members including: Korea Aerospace Research Institute (KARI), National Aeronautics and Space Administration (NASA) as well as other organizations participating in KPLO payload development and operation, or further lunar science community world-wide who are interested in KPLO science data post processing.

Transnasal Esophagoscopy (경비 식도 내시경)

  • Park, Young-Hak;Choi, Ji-Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.20 no.1
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    • pp.31-35
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    • 2009
  • Transnasal Esophagoscopy allows the upper aerodigestive tract, from the nasal cavity to the gastric cardia to be examined in the outpatients department. It is well tolerated by patient with topical anesthesia alone and no sedation or patient preparation is required. The technique is easily learned and performed in the otolaryngologist and highly cost efficient. It is a useful tool for accurate diagnosis and can be used in a variety of office-based procedures.

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