• Title/Summary/Keyword: review procedures

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Current issues on a standard for surrogate pregnancy procedures

  • Ha, Jung-Ok
    • Clinical and Experimental Reproductive Medicine
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    • v.39 no.4
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    • pp.138-143
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    • 2012
  • While Korea does not have any legal statement on surrogacy, treatments are carried out in practice. As a result, every Institutional Review Board (IRB) of each fertility clinic faces an ethical predicament in reviewing each case. There is a need to arrange the institutions' own standards of surrogate pregnancy procedures before the establishment of national or professional regulation. This article examines the legal, social, and medical issues of surrogacy to help IRBs to judge their cases.

Comparative Analyses of the Clinical Characteristic and Medical Cost against Surgical Procedures for Intertrochanteric Fracture in the Elderly Patients (노인의 대퇴전자간 골절의 수술적 방법에 따른 임상적 특성 및 의료비용 비교)

  • Choi, Mi-Na
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.2
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    • pp.199-207
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    • 2007
  • Purpose: Clinical characteristics and medical cost were analyzed according to the surgical procedures for intertrochanteric fracture in aged patients to assess the appropriateness of treatment expense and to find possibility of reducing the medical cost. Method: Variable for the statistical analysis were; the clinical characteristics, medical cost according to the surgical procedures, the treatment success rate, the total medical expense, and the average expense per case. SAS Package Version 8.02. was used to analyze the relevant data. Results: Operative procedures differ significantly according to the gender and by the location of institution. Only significant clinical variables according to the operative procedure were duration of general anesthesia and amount of blood transfusion. Average cost per treatment was the highest in the bipolar hemiarthroplasty followed by the gamma nail and hip compressing screw. Average cost for bipolar hemiarthroplasty was significantly higher than other surgical procedures. Conclusions: The difference in hospital costs for treatment of intertrochanteric fracture originates from the utilized surgical procedures, mostly by the materials used. The method of surgical treatment should be carefully determined by the purpose of the surgery, in order to improve the quality of medical care and also to reduce the hospital cost.

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Review of National Diagnostic Reference Levels for Interventional Procedures

  • Lee, Min Young;Kwon, Jae;Ryu, Gang Woo;Kim, Ki Hoon;Nam, Hyung Woo;Kim, Kwang Pyo
    • Progress in Medical Physics
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    • v.30 no.4
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    • pp.75-88
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    • 2019
  • Diagnostic reference level (DRL) is employed to optimize the radiation doses of patients. The objective of this study is to review the DRLs for interventional procedures in Korea and abroad. Literature review was performed to investigate radiation dose index and measurement methodology commonly used in DRL determination. Dose area product (DAP) and fluoroscopy time within each major procedure category were systematically abstracted and analyzed. A wide variation was found in the radiation dose. The DAP values and fluoroscopy times ranged 0.01-3,081 Gy·㎠ and 2-16,878 seconds for all the interventional procedures, 8.5-1,679 Gy·㎠ and 32-5,775 seconds for the transcatheter arterial chemoembolization (TACE), and 0.1-686 Gy·㎠ and 16-6,636 seconds for the transfemoral cerebral angiography (TFCA), respectively. The DRL values of the DAP and fluoroscopy time were 238 Gy·㎠ and 1,224 seconds for the TACE and 189 Gy·㎠ and 686 seconds for the TFCA, respectively. Generally, the DRLs of Korea were lower than those of other developed countries, except for the percutaneous transluminal angioplasty with stent in arteries of the lower extremity (LE PTA and stent), aneurysm coil embolization, and Hickman insertion procedures. The wide variation in the radiation doses of the different procedures suggests that more attention must be paid to reduce unnecessary radiation exposure from medical imaging. Furthermore, periodic nationwide survey of medical radiation exposures is necessary to optimize the patient dose for radiation protection, which will ultimately contribute to patient dose reduction and radiological safety.

Alternative practices of achieving anaesthesia for dental procedures: a review

  • Angelo, Zavattini;Polyvios, Charalambous
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.2
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    • pp.79-88
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    • 2018
  • Managing pain and anxiety in patients has always been an essential part of dentistry. To prevent pain, dentists administer local anaesthesia (LA) via a needle injection. Unfortunately, anxiety and fear that arise prior to and/or during injection remains a barrier for many children and adults from receiving dental treatment. There is a constant search for techniques to alleviate the invasive and painful nature of the needle injection. In recent years, researchers have developed alternative methods which enable dental anaesthesia to be less invasive and more patient-friendly. The aim of this review is to highlight the procedures and devices available which may replace the conventional needle-administered local anaesthesia. The most known alternative methods in providing anaesthesia in dentistry are: topical anaesthesia, electronic dental anaesthesia, jet-injectors, iontophoresis, and computerized control local anaesthesia delivery systems. Even though these procedures are well accepted by patients to date, it is the authors' opinion that the effectiveness practicality of such techniques in general dentistry is not without limitations.

Improving visualization in shoulder arthroscopy

  • Emily R. McDermott;David J. Tennent;Daniel J. Song
    • Clinics in Shoulder and Elbow
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    • v.26 no.4
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    • pp.455-461
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    • 2023
  • Arthroscopic shoulder procedures are one of the most common procedures used to restore function through minimally invasive techniques. With the demand for shoulder arthroscopic procedures comes the need for safe, effective, and efficient surgery that maximizes patient outcomes while minimizing complications. Many variables contribute to visualization in shoulder arthroscopy including vascular anatomy, blood pressure control, arthroscopic pump systems, turbulence control, epinephrine, and tranexamic acid. Furthermore, patient positioning can have a dramatic effect on visualization with both the beach chair position and lateral decubitus positioning having various strengths and weaknesses depending on the intended procedure being performed. The purpose of this review is to examine the benefits and complications reported in the literature for improving visualization in shoulder arthroscopy.

On the Construction of Initial Basis in the Simplex Method (단체법에서 효과적인 초기기저의 설정)

  • 임성묵;김기태;박순달
    • Korean Management Science Review
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    • v.17 no.2
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    • pp.13-20
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    • 2000
  • In this research, we compare and analyze the two initial basis construction procedures: LPAKO’s procedure proposed by Seo et. al. and symbolic crash procedure proposed by Maros et. al.. Based on the analysis, we present a new procedure which complements the previous procedures. The new procedure shows superiority to the previous procedures with respects to the optimality of initial basis. Also, the linear basis Also. the initial basis constructed by the new procedure reduces the number of simplex iterations.

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Bootstrap Median Tests for Right Censored Data

  • Park, Hyo-Il;Na, Jong-Hwa
    • Journal of the Korean Statistical Society
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    • v.29 no.4
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    • pp.423-433
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    • 2000
  • In this paper, we consider applying the bootstrap method to the median test procedures for right censored data. For doing this, we show that the median test statistics can be represented by the differences of two sampler medians. Then we review to the re-sampling methods for censored dta and propose the test procedures under the location translation assumption and Behrens-Fisher problem. Also we compare our procedures with other re-sampling method, which is so-called permutation test through an example. Finally we show the validity of bootstrap median test procedure in the appendix.

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Procedures for Detecting Multiple Outliers in Linear Regression Using R

  • Kwon, Soon-Sun;Lee, Gwi-Hyun;Park, Sung-Hyun
    • Proceedings of the Korean Statistical Society Conference
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    • 2005.11a
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    • pp.13-17
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    • 2005
  • In recent years, many people use R as a statistics system. R is frequently updated by many R project teams. We are interested in the method of multiple outlier detection and know that R is not supplied the method of multiple outlier detection. In this talk, we review these procedures for detecting multiple outliers and provide more efficient procedures combined with direct methods and indirect methods using R.

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BRIEF REVIEW OF LATEST DIRECT NUMERICAL SIMULATION ON POOL AND FILM BOILING

  • Kunugi, Tomoaki
    • Nuclear Engineering and Technology
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    • v.44 no.8
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    • pp.847-854
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    • 2012
  • Despite extensive research efforts, the mechanism of the nucleate boiling phenomena is still not clear. A direct numerical simulation of the boiling phenomena is one of the promising approaches in order to clarify its heat transfer characteristics and discuss their mechanism. Therefore, many DNS procedures have been developed based on recent highly advancing computer technologies. This brief review focuses on the state of the art in direct numerical simulation of the pool boiling phenomena over the past two decades. In this review, the fundamentals of the boiling phenomena and the bubble departure and micro-layer models are briefly introduced, and then the numerical procedures for tracking or capturing interface/surface shape such as the front tracking method, level set method, volume of fluid treatments, and other methods (Lattice Boltzmann method, phase-field method and so on) are briefly reviewed.

A Study of the Product Safety Review for the Food Industry: Safety Review Process - Case study - (식품안전을 위한 제품안전 검토 절차(PSR-Logic)에 관한 연구 - 사례 연구)

  • Hyun One-Soon;Lee Yong-Soo;Jung Soo-Il
    • Journal of the Korea Safety Management & Science
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    • v.7 no.5
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    • pp.85-96
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    • 2005
  • The purpose of the research is to discuss the product safety procedures for the food industry The producer and supplier of the products should satisfy the increasing consumer safety needs. To develop and produce safe products, the food industry must rigorously perform potential hazard findings and very thorough risk analysis to detect even the very minute potential danger. The ultimate product liability rests with the consumer safety and the manufacturer's capability which competes in the market places. This is especially important in the food industry. However, small to medium sized food producing companies are facing challenges in this area due to their overall capabilities. Therefore this research presents safety procedures which are relatively simple to implement.