• 제목/요약/키워드: procedures for records

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Genetic Evaluation and Selection Response of Birth Weight and Weaning Weight in Indigenous Sabi Sheep

  • Assan, N.;Makuza, S.;Mhlanga, F.;Mabuku, O.
    • Asian-Australasian Journal of Animal Sciences
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    • v.15 no.12
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    • pp.1690-1694
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    • 2002
  • Genetic parameters were estimated for birth weight and weaning weight from three year (1991-1993) data totalling 1100 records of 25 rams to 205 ewes of Indigenous Sabi flock maintained at Grasslands Research Station in Zimbabwe. AIREML procedures were used fitting an Animal Model. The statistical model included the fixed effects of year of lambing, sex of lamb, birth type and the random effect of ewe. Weight of ewe when first joined with ram was included as a covariate. Direct heritability estimates of 0.27 and 0.38, and maternal heritability estimates of 0.24 and 0.09, were obtained for birth weight and weaning weight, respectively. The total heritability estimates were 0.69 and 0.77 for birth weight and weaning weight, respectively. Direct-aternal genetic correlations were high and positive. The corresponding genetic covariance estimates between direct and maternal effects were positive and low, 0.25 and 0.18 for birth weight and weaning weight, respectively. Responses to selection were 0.8 kg and 0.14 kg for birth weight and weaning weight, respectively. The estimated expected correlated response to selection for birth weight by directly selecting for weaning weight was 0.26. Direct heritabilities were moderate; as a result selection for any of these traits should be successful. Maternal heritabilities were low for weaning weight and should have less effect on selection response. Indirect selection can give lower response than direct selection.

Construction and Operation Plan of Record Center in Central Administrative Agency : Focused on Cases of Record Center in Ministry of Justice (중앙행정기관의 기록관 건립 및 운영 방안 법무부 기록관 사례를 중심으로)

  • Lim, Jin-su
    • The Korean Journal of Archival Studies
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    • no.59
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    • pp.321-353
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    • 2019
  • As the function and role of the Record Center that manage the processing department, which is the producer of records, are very passive and limited, there are growing demands for expansion of work and organization along with change in this. In order to strengthen the function and role of the Record Center, it is necessary to enrich the substance through identification of the value of preservation and utilization of records under the Record Center, development of various tasks, and the construction of independent Record Center, etc. in addition to complementing institutional devices. In this paper, we examine the construction background and process, the remaining tasks of Record Center in Ministry of Justice, and intend to find out what matters and procedures the central administrative agency should consider when establishing the Record Center based on relevant case study.

A Study on Designing and Developing Guidelines for Evaluation of Web Oral History Archives Information System (웹 구술사료(口述史料) 아카이브 정보시스템의설계 및 평가용 가이드라인 개발에 관한 연구)

  • Choi, Eun-Ju;Lee, Jung-Yeoun
    • Journal of the Korean Society for information Management
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    • v.26 no.4
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    • pp.277-298
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    • 2009
  • This study discussed on production, procedures of collection, accessibility, copyright of archival records for designing oral history archive information system, and aimed to suggest practical standards by developing guidelines for evaluation and building of web oral history archives. For this, based on evaluation framework, guidelines for evaluation designed by researchers were applied to five domestic and foreign web oral history archives as case study analysis. Base on the results of the analysis, some possible suggestions were made for building successful web oral history archive information system in Korea.

Study on the Welding Parameters of Steel Pipes for Higher Sulfide Stress Corrosion Cracking Resistance for Field Application

  • Baek, Kwang Ki;Lee, Ho il;Lee, Chul Hwan
    • Corrosion Science and Technology
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    • v.3 no.4
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    • pp.154-160
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    • 2004
  • The Sulfide Stress Corrosion Cracking (SSCC) resistance of structural steels is one of the critical concerns for the operators, material designers, and fabricators of oil-field equipment, especially treating sour gas (H2S) containing fluids. As far as its fabricators concerned, the systematic care of welding parameters should be taken to obtain comparable SSCC resistance of their weldment to that of its base material. In this respect, every different type of welding joint design for this use should be verified to be SSCC-proof with relevant test procedures. In this study, the welding parameters to secure a proper SSCC resistance of steel pipe's weldments were reviewed on the Welding Procedure Qualification Records (WPQR), which had been employed for actual fabrication of an offshore structure for oil and gas production. Based on this review, a guideline of welding parameters, such as, heat input, welding consumable for Y.S. 65 ksi class steel pipe material is proposed in terms of the NACE criteria for SSCC resistance.

Development of the Critical Pathway for Cesarean Section Patient (제왕절개술 환자를 위한 Critical Pathway 개발)

  • Chung Kyung-Hee;Jang Keum-Seung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.4 no.1
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    • pp.66-80
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    • 1998
  • With the opening of healthcare market, the health care environment in Korea is anticipating a drastic change. In this Internationally open market environment, it is necessary to introduce a systematic health care plan and DRG system which offer qualitative medical services as well as reduced cost. Purpose of this study is to develop and test the critical pathway for Cesarean section patient in the way to be possible the integrated inpatient management. It was adopted the process of six phases to develop the critical pathway as the theoretical framework implemented by Johns Hopkins Hospital, Maryland, U.S.A. In the first phase, make a selection of diagnosis/procedures to develop. In the second phase, organize a development team consisted of eight expertises working in maternity nursing area. In the third phase, analyze the overall medical service offered to patient through review medical records and decided the service content and the implementation period for the Cesarean section patient. In the forth phase, make out a preliminary critical pathway after verification of expert group on content validity. In the fifth phase, validity operate to ten Cesarean section patients to test implementation in practice by using the preliminary critical pathway, In the sixth phase, defined the final critical pathway. The result of this study was as follows. 1. There were classified 8 categories as monitoring/assesment, treatment, medication, activity, diet, test, consult, education/discharge plan for vertical axis and showed hospital stayed from admission to discharge for horizontal axis of critical pathway through analysis 68 Cesarean section patients medical records. 2. After critical review 68 medical records to make out a preliminary critical pathway, hospital stays for horizontal axis were showed 6 days, mean hospital stays were 7.5 days, 2.1 days were to be taken operation after admission and 4.2 days were stayed until discharge after operation. 3. After making out a questionare in 90 items of a medical service content of eight categories and verifying the content validity of expertises, the 85 items of the preliminary critical pathway were selected by expertises agreement over 88% and modified or deleted 5 items showing agreement below 75%. 4. After verifying a validity to 10 patients for 4 weeks, hospital stays were 5.9 days. There were deleted 1 item and modified or supplemented the 9 items of the 10 items.

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Secondary Adjuvant Operation after Free Flap for Functional and Aesthetic Purposes (유리 피판술 후 기능적, 미용적 목적을 위한 2차 보완수술)

  • Ahn, Hee-Chang;Yang, Eun-Zin;Kim, Chang-Yeon
    • Archives of Reconstructive Microsurgery
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    • v.19 no.2
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    • pp.101-107
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    • 2010
  • Purpose: The free flap has been widely used as one stage reconstructive procedure the skin and soft tissue defect. The secondary adjuvant operations are often needed for better results as functional and aesthetic compartment. Therefore, we focus on the secondary adjuvant surgeries for better outcome after free flaps. Methods: One hundred ninety six consecutive patients underwent free flaps between January, 2002 and February 2009. The cases constituted ninety two male patients and one hundred four female patients. For the patients who got free flap operation, we investigated secondary adjuvant operations what type of procedures was applied according to the reconstructed sites. All clinical data were based on the patient's medical records. Results: Of one hundred ninety six patients in whom free flap was performed, a total of eighty two patients(41.8%) received the secondary adjuvant operation. Because of many patients got multiple secondary adjuvant operations, the number of the secondary adjuvant operation become one hundred fifty five cases. The most common used procedure is a liposuction, and the second one is a lipoinjection. Conclusion: As the secondary adjuvant operation like a liposuction, lipoinjection, etc., satisfaction for operative result was increased in the aspects of function and aesthetics. So the secondary adjuvant operation in free flap surgeries contributed in raising the patient's quality of life.

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Closure of Myelomeningocele Defects Using a Limberg Flap or Direct Repair

  • Shim, Jung-Hwan;Hwang, Na-Hyun;Yoon, Eul-Sik;Dhong, Eun-Sang;Kim, Deok-Woo;Kim, Sang-Dae
    • Archives of Plastic Surgery
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    • v.43 no.1
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    • pp.26-31
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    • 2016
  • Background The global prevalence of myelomeningocele has been reported to be 0.8-1 per 1,000 live births. Early closure of the defect is considered to be the standard of care. Various surgical methods have been reported, such as primary skin closure, local skin flaps, musculocutaneous flaps, and skin grafts. The aim of this study was to describe the clinical characteristics of myelomeningocele defects and present the surgical outcomes of recent cases of myelomeningocele at our institution. Methods Patients who underwent surgical closure of myelomeningocele at our institution from January 2004 to December 2013 were included in this study. A retrospective chart review of their medical records was performed, and comorbidities, defect size, location, surgical procedures, complications, and the final results were analyzed. Results A total of 14 patients underwent surgical closure for myelomeningocele defects. Twelve cases were closed with direct skin repair, while two cases required local skin flaps to cover the skin defects. Three cases of infection occurred, requiring incision and either drainage or removal of allogenic materials. One case of partial flap necrosis occurred, requiring secondary revision using a rotational flap and a full-thickness skin graft. Despite these complications, all wounds eventually healed completely. Conclusions Most myelomeningocele defects can be managed by direct skin repair alone. In cases of large defects, in which direct repair is not possible, local flaps may be used to cover the defect. Complications such as wound dehiscence and partial flap necrosis occurred in this study; however, all such complications were successfully managed with simple ancillary procedures.

A Clinical Study of Surgically Treated 194 Cases of the Thyroid Cancer (외과적 절제술로 치험한 갑상선암 194예의 임상적 고찰)

  • Lee Suk-Jae;Kim Sung-Bae;Kim Sang-Hyo
    • Korean Journal of Head & Neck Oncology
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    • v.18 no.1
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    • pp.50-55
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    • 2002
  • Objectives: Thyroid cancer is the most common endocrine malignancy with favorable histologic and prognostic characteristics. Total or near total thyroidectomy has been used as a standard surgical procedure. The aims of this study are to determine the extent of resection of thyroid gland and to find the influencing factors of lymph node metastasis. Materials and Methods: The authors reviewed the records of 194 patients of thyroid cancer surgically treated at Department of General Surgery, Inje University Busan Paik Hospital from January, 1996 to December, 2000. Pathologic classifications, surgical procedures, and lymph node metastasis were analyzed. Results: There were 163 women and 31 men. The age ranged from 12 to 79 years old (mean age 43.2 years). The histological classifications of 194 cases revealed papillary cancer in 171 cases (88.1%), follicular cancer in 17 cases (8.8%), undifferentiated cancer in 3 cases (1.6%), medullary cancer in 2 cases (1.0%) and mixed cancer in 1 case (0.5%). Among the 194 patients, lobectomy was perfomed in 31 patients, subtotal thyroidectomy in 30 patients, near total thyroidectomy in 82 patients and total thyroidectomy in 51 patients. In the subgroup of papillary carcinoma 141 cases with lymph node dissection, lymph node metastasis had no statistical significance according to sex, age and primary tumor size. Conclusions: The mainly performed surgical procedures were total thyroidectomy and near total thyroidectomy. In thyroid cancer surgery, the extent of resection was influenced by age, differentiation and primary tumor size. The lymph node dissection should be decided by lymph node metastasis identified by preoperative radiologic evaluation or intraoperative lymph node findings.

Unplanned Reoperation Rate at a Government-Designated Regional Trauma Center in Gangwon Province

  • Kim, Minju;Kim, Seongyup
    • Journal of Trauma and Injury
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    • v.34 no.1
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    • pp.39-43
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    • 2021
  • Purpose: Determining appropriate ways to assess health care quality within the National Health Insurance System is of interest to both the Korean government and the medical community. However, in the trauma field, the number of indicators used to evaluate surgical quality is limited. Using data collected over 5 years at Wonju Severance Christian Hospital Trauma Center in Korea, this study aimed to determine whether the unplanned reoperation rate in the field of trauma surgery could be used to assess the quality of an institution's surgical care. Methods: In total, 665 general surgical procedures were performed at the Trauma Center in 453 patients with abdominopelvic injuries from January 2015 to December 2019. Data were collected from the Trauma Center's data registry and medical records, and included information regarding patients' demographic characteristics, the type of index operation, and the reason for unplanned reoperations. Results: A total of 453 index operations were evaluated. The proportion of patients with an Injury Severity Score (ISS) >15 was 48-70% over the 5-year period, with an unplanned reoperation rate of 2.1-9.3%. Patients had an average ISS score of 17.5, while the average Abbreviated Injury Scale Score was 2.87. Unplanned reoperations were required in about 7% of patients. The most common complications requiring reoperation were recurrent bleeding (26.9%), wound problems (26.9%), intestinal infarction (15.4%), and anastomosis site leakage (7.7%). The procedures most frequently requiring unplanned reoperations were bowel surgery (segmental resection, primary repair, enterostomy, etc.) (24.5%) and preperitoneal pelvic packing (10.6%). Conclusions: The proportion of reoperations was confirmed to be affected by injury severity.

Shape and anatomical relationship of the mental foramen to the mandibular premolars in an Indian sub-population: a retrospective CBCT analysis

  • Komal Sheth;Kulvinder Singh Banga;Ajinkya M. Pawar;James L. Gutmann;Hyeon-Cheol Kim
    • Restorative Dentistry and Endodontics
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    • v.47 no.1
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    • pp.1.1-1.13
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    • 2022
  • Objectives: This study assessed the shape and anatomical relationship of the mental foramen (MF) to mandibular posterior teeth in an Indian sub-population. Materials and Methods: In total, 475 existing cone-beam computed tomography records exhibiting 950 MFs and including the bilateral presence of mandibular premolars and first molars were assessed. Images were evaluated 3-dimensionally to ascertain the position, shape, and anatomical proximity of MFs to mandibular teeth. The position and shape of MFs were measured and calculated. The Pythagorean theorem was used to calculate the distance between the root apex of the mandibular teeth and the MF. Results: MFs exhibited a predominantly round shape (left: 67% and right: 65%) followed by oval (left: 30% and right: 31%) in both males and females and in different age groups. The root apices of mandibular second premolars (left: 71% and right: 62%) were closest to the MF, followed by distal to the first premolars and mesial to the second premolars. The mean vertical distance between the MF and the nearest tooth apex calculated on sagittal sections was 2.20 mm on the right side and 2.32 mm on the left side; no significant difference was found according to sex or age. The distance between the apices of the teeth and the MF was ≥ 4 mm (left; 4.09 ± 1.27 mm and right; 4.01 ± 1.15 mm). Conclusions: These findings highlight the need for clinicians to be aware of the location of the MF in treatment planning and while performing non-surgical and surgical endodontic procedures.