• Title/Summary/Keyword: revision

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The 5th revision of the Korean Standard Classification of Diseases (한국표준질병사인분류의 개정에 관하여)

  • OH, Hyun-Ju
    • The Journal of the Korean life insurance medical association
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    • v.27 no.1
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    • pp.21-23
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    • 2008
  • The 5th revision of Korean Classification of Diseases(KCD) became effective on January 1, 2008. It has reflected the changes made to the tenth revision of International Classification of Diseases (ICD-10) between 1998 and 2005 and the suggestions of academic and related societies in Korea. Two important alterations seem to have a major implication in the insurance industry. One would be the official introduction of a Korean version of International Classification of Diseases for Oncology, third edition(ICD-O-3). The borderline ovarian tumor is classified as a borderline neoplasm, which was classified as a malignant neoplasm in the previous edition of International Classification of Diseases for Oncology. The other would be the appearance of non-C-code malignant neoplasm for the diseases, such as polycythemia vera, newly classified as a malignant neoplasm by the current edition of International Classification of Diseases for Oncology. The National Office of Statistics(NSO) adopted the way of implementation used in the Australian Modification of International Classification of Diseases(ICD-10-AM), instead of assigning them into corresponding C code. Overall, the changes made in this revision doesn't seem to have a serious impact on the insurance industry since it has only reflected updates made to ICD-10.

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Effect of Electromagnetic Navigated Ventriculoperitoneal Shunt Placement on Failure Rates

  • Jung, Nayoung;Kim, Dongwon
    • Journal of Korean Neurosurgical Society
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    • v.53 no.3
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    • pp.150-154
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    • 2013
  • Objective : To evaluate the effect of electromagnetic (EM) navigation system on ventriculoperitoneal (VP) shunt failure rate through comparing the result of standard shunt placement. Methods : All patients undergoing VP shunt from October 2007 to September 2010 were included in this retrospective study. The first group received shunt surgery using EM navigation. The second group had catheters inserted using manual method with anatomical landmark. The relationship between proximal catheter position and shunt revision rate was evaluated using postoperative computed tomography by a 3-point scale. 1) Grade I; optimal position free-floating in cerebrospinal fluid, 2) Grade II; touching choroid or ventricular wall, 3) Grade III; tip within parenchyma. Results : A total of 72 patients were participated, 27 with EM navigated shunts and 45 with standard shunts. Grade I was found in 25 patients from group 1 and 32 patients from group 2. Only 2 patients without use of navigation belonged to grade III. Proximal obstruction took place 7% in grade I, 15% in grade II and 100% in grade III. Shunt revision occurred in 11% of group 1 and 31% of group 2. Compared in terms of proximal catheter position, there was growing trend of revision rate according to increase of grade on each group. Although infection rate was similar between both groups, the result had no statistical meaning (p=0.905, chi-square test). Conclusion : The use of EM navigation in routine shunt surgery can eliminate poor shunt placement resulting in a dramatic reduction in failure rates.

A Comparative Study on the Articles between 1982 ISC(Cargo) and 2009 ISC(Cargo) (1982 협회동맹파업약관(적하)와 2009 협회동맹파업약관(적하)의 비교 연구)

  • Kwon, O
    • International Commerce and Information Review
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    • v.12 no.3
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    • pp.335-359
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    • 2010
  • The purpose of this study is to interpret the articles revision of the 2009 ISC(Cargo) compared to the 1982. The result of this study is summarized as followings: 1) the 'clause' attached to article in 1982 ISC(Cargo) was deleted in the revision of 2009 ISC(Cargo). 2) 2009 ISC(Cargo) is characterized as the marine insurance firms' acceptance of new environment change, limitation in causation and subject-matter insured, expansion of insurance period, and limited revision. 3) The assured has a large range of choice in 2009 ISC(Cargo) even though both 1982 ISqCargo) and 2009 ISC(Cargo) would be existed further. 4) There are few studies which have a focus on the impact of the relationship between responsibility of the insurer and opportunity of the assured on rate of premium. In the future, the studies on clauses, relationship among clauses, relationship between clause and rate of premium are needed in the 2009 ICC(Air), 2009 IWC(Air Cargo), 2009 ISC(Air Cargo), 2009 IWC(sending by post) et al.

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Comparative Analysis of the Stress and Strain of Material for Revision Total Hip Replacement (고관절 재치환술시 재료의 응력과 변형률의 비교 분석)

  • Shim D.H.;Kim J.H.;Ko S.H.;Kim K.H.;Kim D.Y.;Choi M.J.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.511-512
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    • 2006
  • According to development of medical science and engineering, people has made efforts to solve tile discomfort of body accident as well as the life span. Many cases that reduce pain of a hip joint or limitation of motion using Revision Total Hip Replacement are getting increased. However it has not proved which material is the most appropriate. Scientists are still studying about materials of the artificial joint. In accordance with advance of science, the materials are Betting better. Recently, when Revision Total Hip Replacement is performed, typical materials are Ti-alloys Ceramics. We have studied materials of artificial joints and analyzed which one is better for human's body.

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Effect of stem design on contact pressure distribution of end-of-stem in revision TKR (슬관절 재전치환술용 경골삽입물 형상이 접촉압력 분포에 미치는 영향)

  • Kim Y.H.;Koo K.M.;Kwon O.S.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.179-180
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    • 2006
  • In this study, the effect of stem-end design on contact pressure and stress distribution in revision TKR was investigated using finite element method. The finite element model of tibia, including the cortical bone, the cancellous bone and canal, was developed based on CT images. The stem models with various stem lengths, diameters and frictional coefficients, and press-fit effects were considered. The results showed that the longer stem length, the stronger press-fit, the bigger stem diameter, and the higher frictional coefficient increased both peak contact pressure and the highest Von-Mises stress values. We hypothesized that peak contact pressure and Von-Mises stress distribution around the stem, may be related to the stem end pain. The results of this study will be useful to design the stem endand reduce the end-of-stem pain in revision TKR.

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Simultaneous Correction of Depressed Scar Using Dermofat Graft Harvested during Scar Revision (다발성 안면 반흔을 가진 환자의 반흔 절제술에서 얻은 진피지방을 이용한 함몰 반흔의 동시교정)

  • Cho, Min Su;Hong, Yoon Gi;Seo, Sang Won;Chang, Choong Hyun
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.787-790
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    • 2005
  • While no scar can be completely erased, most linear facial scars can result in a relatively good scar after revision. However, in case of round shaped depressed scar, the scar is often lengthened following an incisional technique. This study focuses on the technique of dermofat graft harvested from the adjacent scars for correction of depressed scars. 18 patients having multiple facial scars with a depressed scar among 375 patients who had undergone scar revision were treated from June 2003 to May 2004. Dermofat was harvested from the adjacent linear scar, then it was deepithelialized, reshaped, and grafted to the depressed scar through a small incision. Cosmetic results were generally good. Complications were overcorrection in 4 patients; hyperpigmentation occured in 1 patient. However, 13 patients were satisfied with the results. The advantages of our technique are as follows: it does not require additional operation; dermofat graft has low absorbable rate; it can maintain the volume with an adequate texture.

Functional Improvement Following Revision Surgery in a Patient with the Dual Disability of a Complicated Residual Limb and Contralateral Hemiplegia: A Case Report

  • Byun, Ki Hyun;Yang, Dong Seok;Jang, Baek Hee
    • The Journal of Korean Physical Therapy
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    • v.30 no.5
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    • pp.199-203
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    • 2018
  • The number of reported cases with dual disability is increasing for the past few decades. Currently, dual disability of lower limb amputation and motor weakness after stroke became a strong issue in public concern. The functional levels of patients have shown in the wide range from independent community ambulation to non-ambulation. Thus, it indicates that favorable outcomes for dual disability may depend upon adopted rehabilitative strategies. We present the case of a man with left below-knee amputation and severe right-sided weakness following a huge putaminal hemorrhage. He had suffered from extreme pain and misfit of the prosthetic socket and the complicated residual limb for three years prior to the stroke. Forty days post-stroke, we performed a revision surgery to resolve the complications of bony overgrowth, verrucous hyperplasia, and neuroma and applied an ankle foot orthosis (AFO). Two years post-stroke, he was able to ambulate outside his home and negotiate stairs using a cane. This is the first case with the dual disability of lower limb amputation and contralateral hemiplegia to undergo revision surgery. The results suggest that an early revision surgery and use of an AFO are crucial for achieving a higher level of mobility in such cases.

Component based Self-Directed E-Learning System using Item Revision Difficulty (문항교정난이도를 이용한 컴포넌트 기한의 자기 주도적 E-Learning 시스템)

  • Jeong, Hwa-Young
    • Journal of Internet Computing and Services
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    • v.7 no.6
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    • pp.131-141
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    • 2006
  • In many papers, item difficulty does apply to the E-Learning system for advance learning effect. But there have to need item revision difficulty for more correct item difficulty. Also, there have to support self-directed learning process which learner can make plan and operate learning progress. In this research, I developed self-directed E-Learning system using item revision difficulty. For efficiency of system development, il is implemented and composited by component based development. In the applied result, it was able to support more correct item revision difficulty to learner. And I displayed efficiency of operation the component based self-directed learning system.

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A study on the efficient management of the railway safety regulation which uses system engineering tools. (SE도구를 이용한 철도안전규정의 효율적 관리 방안)

  • Hong Seon-Ho;Wang Jong-Bae;Cho Yuen-Ok;Hong Yong-Ki;Park Ok-Jung
    • Proceedings of the KSR Conference
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    • 2004.10a
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    • pp.250-257
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    • 2004
  • Typical railway systems are composed of the various sub-systems, such as tracks, structures, electricity supplying systems, signal systems and vehicles. The roles of the sub-systems are clarified in the railway regulations in terms of their whole life cycle, as like design, operation and disposal stages. The regulations express clearly the basic specifications and requirements that need to accomplish their own performance and also state the standards and procedures for the normal operations and emergency conditions. In this paper the current railway regulation systems are analyzed and average revision periods are presented as the results of the analysis on revision history of railway safety regulations. This paper also presents the requirements for national safety standards based on Railway Safety Act and the necessity of application of system computer aided system engineering (CASE) tool for the improvement of legislation tasks. By exemplifying the cases of high speed rail system and Japanese cases that had developed softwares for supporing regulation revision management, the methodologies was studied for reconstruction of railway safety regulation system. As the results, it was presented such as the considerations for actual implementation and systematic safety regulation revision.

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$SR^2DBS$: 시간 지원 데이터베이스 시스팀에 관한 연구

  • Kim, Gwang-Hun;Gang, Tae-Gyu;Kim, In-Su
    • ETRI Journal
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    • v.11 no.2
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    • pp.120-136
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    • 1989
  • 최근의 데이터 베이스 응용분야에 있어서 시간에 따른 정보의 변화를 유지관리할 필요성이 대두되고 대용량의 기억장치 가격의 급속한 감소와 함께 이의 이용 기술이 향상되면서 시간주기에 따라 실세계의 상태에 대한 변경과정을 표현하는 시간 즉, 데이터의 변경이력을 지원하는 데이터베이스(Terporal Database)에 관심이 집중되고 있으며, 이러한 요구를 만족시키기 위한 여러 방법들이 연구되고 있다. 일반적으로 시간 지원 데이터베이스 모델은 지원되는 시간의 형태에 따라 Static, Static Rollback, Historical, Temporal, Revision 데이터베이스 모델로 나뉘어진다. 본 논문에서는 시간 및 변경이력을 지원하기 위한 데이터베이스 모델과 이를 위한 데이터베이스 시스템의 주요 설계 Issue들에 관하여 조사분석한 다음, Static Rollback 데이터베이스 모델을 기본으로 하는 "$SR^2DBS$: 시간 지원 데이터베이스 시스팀"의 설계 및 구현에 관하여 기술하였다. $SR^2DBS$은 기존의 관계형 데이터 베이스 시스팀"의 모델을 시간 애트리뷰트를 추가시킴으로서 데이터 베이스의 변경이력관리를 가능케 한 Direct Manipulation Database Processing System으로 데이터베이스의 현상태 뿐만 아니라 시간에 따른 변경이력에 대해서 Screenoriented Relation Browsing & Editing 기능을 제공하며, 다음과 같은 특징을 갖는다. - Screen oriented Processing - Directi-Manipulation of Objects - Object & Revision History of Interest Visibility - Rapid Reversible Actions - Transaction Time & Revision Number Supporting - Roll-back Query Supporting - Han-gul Data Supporting - Two level Storage Structure(Current Version & History Versions)

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