• Title, Summary, Keyword: Guideline

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Study on Manual of Guideline Book for Combined Medicaion of the Oriental and the Western Drugs in the Disease of the Aged (노인성질환의 한.양약 병용약물사용지침서 작성 매뉴얼에 관한 연구)

  • Jeon, Won-Kyung;Seo, Bu-Il;Han, Chang-Hyun;Kim, Dae-Jun
    • The Korea Journal of Herbology
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    • v.26 no.1
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    • pp.21-27
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    • 2011
  • Objectives : This study aimed to design manual of guideline book for combined medicaion of the oriental and the western drugs in the disease of the aged. Method : First, we collected informations about guideline book for drug medication, and we investigated wishes of professors who are working for an oriental medicine at universities. Result & Conclusion : 1. The greater part of professors recognized necessity of guideline book for combined medicaion of the oriental and the western drugs. 2. The basic stages of framing guideline book for combined medicaion of the oriental and the western drugs are as follows. The first step is planning of framing guideline book for combined medicaion of the oriental and the western drugs. The second step is organization of framing group and advisory committee for guideline book. The next steps are searching the core of items and making a searching all the literature and estimating the literature. And then, we should complete basic contents of guideline book in a row, and those must be examined thoroughly by external experts. Finally we can make public the guideline book for combined medicaion of the oriental and the western drugs. If there are reform contents in the guideline book, we can amend contents and make public the revision guideline book again. 3. We need guideline information center for combined medicaion of the oriental and the western drugs in the disease of the aged for framing, wide-spread and development of guideline book. 4. We think that the guideline information center should be composed of a steering committee, a committee of controlling informations and advisory committee for guideline book.

Development of Evidence Based Clinical Practice Guideline to Improve Quality of Critical Care Nursing (중환자 간호실무 질 향상을 위한 근거중심 임상실무지침서의 개발)

  • Park, Myong-Hwa
    • Journal of Korean Critical Care Nursing
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    • v.2 no.2
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    • pp.68-78
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    • 2009
  • Evidence based clinical practice guideline are designed to help healthcare practitioners evaluate and implement the increasing amount of evidence on best practice. Critical care area is one of the clinical sites where evidence based clinical practice guideline is needed most. This paper reviewed the definition of evidence based clinical practice guidelines, the development method of evidence based clinical practice guideline, and the current trends in guideline developing. Traditional method of guideline development is consensus based but it moves into evidence based development. Evidence based guideline is based on best available evidence and uses the strongest method to determine its effect on clinical outcomes. The current trends in guidelines is to develop the guideline at regional/national level and do subsequent modification to suit local circumstances. There is an urgent need of exploring the method of guideline development and adaptation which are appropriate for Korean clinical setting.

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Evidence-Based Practice Guideline for Surgical Treatment of Gastroesophageal Reflux Disease 2018

  • Seo, Ho Seok;Choi, Miyoung;Son, Sang-Yong;Kim, Min Gyu;Han, Dong-Seok;Lee, Han Hong
    • Journal of Gastric Cancer
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    • v.18 no.4
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    • pp.313-327
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    • 2018
  • The prevalence of gastroesophageal reflux disease (GERD) is increasing in Korea, and physicians, including surgeons, have been focusing on its treatment. Indeed, in Korea, medical treatment using a proton pump inhibitor is the mainstream treatment for GERD, while awareness of surgical treatment is limited. Accordingly, to promote the understanding of surgical treatment for GERD, the Korean Anti-Reflux Surgery Study Group published the Evidence-Based Practice Guideline for the Surgical Treatment of GERD. The guideline consists of 2 sections: fundamental information such as the definition, symptoms, and diagnostic tools of GERD and a recommendation statement about its surgical treatment. The recommendations presented 5 debates regarding fundoplication: 1) comparison of the effectiveness of medical and surgical treatments, 2) effectiveness of surgical treatment in cases of refractory GERD, 3) effectiveness of surgical treatment of extraesophageal symptoms, 4) comparison of effectiveness between total and partial fundoplication, and 5) effectiveness of fundoplication in cases of hiatal hernia. The present guideline is the first to demonstrate the efficacy of the surgical treatment GERD in Korea.

Development of Nursing Practice Guideline for External Ventricular Drainage by Adaptation Process (수용개작을 통한 뇌실외배액 간호 실무지침 개발)

  • Jung, Won Kyung;Yi, Young Hee
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.3
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    • pp.294-304
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    • 2016
  • Purpose: This study was done to develop an evidence-based external ventricular drainage (EVD) nursing practice guideline in order to provide standardized nursing and prevent EVD related complications. Methods: We used the standardized methodology for nursing practice guideline adaptation developed by Korean Hospital Nurses Association for the guideline adaptation process in this study. Results: The newly developed EVD nursing practice guideline was adapted to the American Association of Neuroscience Nurses (AANN)'s clinical practice guideline which is 'Care of the patient undergoing intra-cranial pressure monitoring/external ventricular drainage of lumbar drainage.' There were 61 recommendations documented in the preliminary guideline all evaluated by 9 experts based on acceptability and applicability. The final practice guideline was composed of 3 domains with 57 recommendations. The three domains of nursing were the insertion, maintenance, and removal of the EVD. The number of recommendations in each domain was 8 in EVD insertions, 39 in EVD maintenance, and 10 in EVD removals. Of the 57 recommendations 3.5% were level 1, 31.5% were level 2, and 65% were level 3. Conclusion: The standardized practice guideline can improve nurses' performance and accuracy. It can also be used as the foundation for effective communication between all medical staff.

Development of IFC Modeling Extension for the Exchange and Sharing of Design Guideline Information in the Architectural Design Phase (건축 설계 단계에서 설계지침정보의 공유 및 교환을 위한 IFC 확장모델의 개발)

  • Seo, Jong-Cheol;Kim, In-Han
    • Korean Journal of Computational Design and Engineering
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    • v.13 no.5
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    • pp.352-361
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    • 2008
  • Architectural design work depends on information made from earlier phases such as feasibility study, planning, and conceptual design. This design guideline information includes design objectives, requirements, and constraints made by decision-making, and has great influence on various works of latter phases of design process. Despite of this cognition, however, the lack of design guideline information management still remains as one among the critical issues in design area. Design tools with design guideline information do not also address the issue of interoperability throughout the life-cycle of buildings. The purpose of this research is to propose a method for design guideline information management by using the IFC technology and IFC Property set (Pset) extension mechanism. The method comprises defining and mapping the practically used design guideline items and extensible IFC data model, and includes the management of relationships that exist between design guideline information and design model in the IFC data model.

Application of a Sediment Quality Index to the Masan Bay, Korea

  • Shim, Won-Joon;Hong, Sang-Hee
    • Ocean and Polar Research
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    • v.29 no.4
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    • pp.367-378
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    • 2007
  • A sediment quality index (SQI) and a mean sediment quality guideline quotient (M-SQGQ) were applied for the assessment of sediment quality in Masan Bay, Korea where metals and organic pollutants are of concern. The SQI was calculated by two functions, 'scope' (the number of variables that do not meet guideline objective) and 'amplitude' (the magnitude by which variables exceed guideline objective), with six different sediment quality guideline values from Canada, USA and Australia/New Zealand. Categorization of sediment quality was on the basis of SQI scores. The SQI values were compared with six guideline values applied as well as with the M-SQGQs. The SQI values were severely influenced by a few variables of high exceedance in the degree of non-compliance. The SQI values were very dependent on both the numbers and values of guideline variables used in index caluculation. Nevertheless, the SQI could provide integrated and simplified information from a large number of chemical data set. It is required to further evaluate protocols and guideline applied for deriving SQI and to compare it with field based sediment toxicity test and ecosystem integrity.

Adaptation of the Evidence Based Nursing Practice Guideline (근거중심 급성 뇌졸중 간호 가이드라인 수용개작)

  • Kim, Ji Hyun;Song, So Lee;Kim, Mi Kyung;Cho, Myoung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.2
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    • pp.176-191
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    • 2011
  • Purpose: This methodological study translated, adapted, and validated the evidence based guideline of RNAO (Registered Nurses Association of Ontario) in Canada, for acute stroke care to domestic circumstances. Methods: Quality of the RNAO guideline was evaluated using AGREE tool. Then the guideline was translated into Korean and a preliminary guideline was established After checking content validation by an expert group, the Korean version of the guideline was applied to clinical settings to see its applicability. Results: The RNAO guideline in Korea was deemed appropriate. The Korean version of the guideline was drawn up with 56 items in 3 areas in stroke system related nursing, nursing of acute stroke inpatients, and stroke nursing assessment. A questionnaire survey was performed on appropriateness, enforceability, and applicability of those recommendations. A total of 54 recommendations were finalized after deleting 2 items below CVI 0.7 and correcting 3 items by taking professional advices. After trial application of the guideline to 40 stroke patients hospitalized at a ward of a hospital in Seoul, its performance was improved but was not statistically significant. Conclusion: This guideline is expected to contribute to improving nursing quality by offering it as a guide to evidence based practices for acute stroke care in Korea.

Aging-Friendly Outdoor Exercise Environmental Design Guideline With Universal Design (유니버설디자인을 적용한 고령친화형 운동환경 디자인 가이드라인)

  • Lee, Yeunsook;Ahn, Changhoun;Lee, Dongjoo
    • KIEAE Journal
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    • v.12 no.4
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    • pp.47-57
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    • 2012
  • The purpose of this study is to develop an aging friendly guideline aging friendly outdoor exercise environment in Universal design aspect. The aim for this guideline is to suggest a creative method to cope with forthcoming aging society and meet the various demands of all park users. Documentary survey and field survey were used to extract notion of universal design and aging friendly design; based from the extracted notions three types of exercise environment were suggested, Small scale, Medium scale and Large scale. The significant of this guideline is as fallow: First, negative aspects of aging friendly design can be eliminated by adopting universal design; therefore the guideline can have social integration aspect. Second, reflected needs of residents can be suggested on the guideline; and it was extracted from documentary survey, PPP UD checklist and field survey. Third, classifying universal design and aging friendly design in one guideline can enhance ability to manage various composition of population. Fourth, by studying young child and old people's likeness and parallel resemblance, design guideline for forthcoming aging society can be suggested. Fifth, from three developed exercise environments, the guideline can be applied into different conditions of location. Sixth, canopy type design model can be very useful for old people.

Email survey in obtaining basic data for the development of clinical practice guideline for infertility in Korean Medicine (불임증 임상진료 지침 개발의 기초 자료 확보를 위한 전자우편 설문 조사)

  • Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.23 no.4
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    • pp.80-94
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    • 2010
  • Purpose: This survey was done in order to determine Korean medical doctors (K.M.D)' expertise on clinical practice guideline for infertility and the degree of concordance with the guideline. Methods: The questionnaires were distributed via e-mail to all members of Korean Medical Doctors Society and Korean Gynecology Society from August $30^{th}$ to September $1^{st}$ in 2010. Two hundred sixty nine of completed questionnaires were analyzed through two groups, members of the Gynecology Society and nonmembers of the Gynecology Society. Results: According to the analysis of the outcome of the survey done by 99 members of the Korean Gynecology Society and 170 non-members, two-thirds of the participants had prior information of the clinical practice guideline. 63.6 percent of the participants feel strong necessity of the development of Korean medical infertility clinical practice guideline. Seventy percent of the participants are willing to participate in developing or reviewing a clinical guideline. On the question in active utilization and concordance to the guideline once the Korean medical infertility guideline is developed, 44% answered they would while 34.6% said they would utilize the guideline after some modifications. On the prospect of the impact of the development and application of Korean medical clinical practice guideline for infertility, majority of the participants marked positively that the standardization of clinical practice for infertility will lead to the nation's participation with the Nation's Support Work and that the development will somewhat contribute to the standardization of the clinical practice. Conclusions: The survey confirmed high demand of the clinical practice guidelines for infertility and the degree of concordance for infertility amongst Korean Medical doctors.

The Guideline for Management of Software Project and Its Application (소프트웨어 사업 관리를 위한 지침과 적용방안)

  • Yoo, Cheon-Soo;Lee, Sang-Ho;Sim, Seung-Bae;Cho, Sung-Rim;Song, Ki-Ho;Hur, Jung
    • Journal of Information Technology Services
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    • v.8 no.1
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    • pp.125-142
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    • 2009
  • The Ministry of Information and Communication announced "The Guideline for Management of Software Project" in October 2006. The public employees(acquirer) have to manage software projects with this guideline. The guideline was based on the International standard(ISO/IEC 12207) and IEEE standard(IEEE/EIA 12207), and was developed by considering the domestic software industry environment. The guideline can help to establish a software acquisition process for appropriate management of software projects, and the process can increase the management productivity of software projects. This study provides the explanation about the guideline with terms of 5W1H(who(user), what(summary), when(time to apply), where(domain of application), why(objective), how(method of use)) for understanding of the guideline.