• Korea Journal of Hospital Management
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• v.22 no.3
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• pp.118-132
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• 2017

This study developed key elements of dental service guidelines for the disabled patients. In order to provide consumer-oriented service guidelines for the dental patients with disability, service design method was applied. Using service design method guided by the double diamond design process, this study implemented consumer survey, observation, and contextual interviews for consumers' needs assessment. And customer journey map, mind maps, and blueprints were utilized to visualize consumer needs and guidelines for dental care services for the disabled. According to the study, disabled consumers have needs for expertise of the medical staff, dental care institutions specialized on the disabled, financial support, establishment of the facilities for the disabled, comfortable atmosphere in the institutions, and communication with medical staffs. Based on the needs of the disabled, 5 key elements of the dental care services were developed: convenience, expertise, empathy, financial support, and education and management. And service design guidelines were proposed to implement key elements of dental care services for the patients with disability. This study is significant in that it is the first attempt to apply the service design technique from the consumer perspectives in the field of dental care for the disabled. Furthermore the process of this study has become a reference that can be utilized and applied to other medical institution.

• Journal of Acupuncture Research
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• v.39 no.4
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• pp.249-257
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• 2022

This study aimed to evaluate clinical practice guidelines (CPGs) for ankle sprains using the Appraisal of Guidelines for Research and Evaluation II tool, using electronic databases (GIN, PubMed, EMBASE, NCKM, CNKI, CiNii, WanFang database, RISS, and SCOPUS), to suggest strategies for improvement in the future. The search was performed on April 23, 2021 and 10 CPGs were selected for evaluation. Three CPGs were recommended without modification (Class A scores), five were recommended with modification (Class B), and two were not recommended (Class C scores). The CPG domain that received the lowest score was "applicability." The traditional medicine CPGs scored higher [Class A (n = 1) and Class B (n = 1)] than the conventional Western medicine CPGs [Class A (n = 2), Class B (n = 4), and Class C (n = 2)] and were considered to be more methodical. In the future, more research into traditional medicine is required.

• Journal of the Korean Society of Radiology
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• v.84 no.6
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• pp.1244-1256
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• 2023

In prostate cancer, the bone is the most common site of metastasis, and it is essential to evaluate metastatic bone lesions to assess the tumor burden and treatment response. Castration-resistant prostate cancer refers to the state wherein the cancer continues to progress despite a significant reduction of the sex hormone level and is associated with frequent distant metastasis. The Prostate Cancer Working Group 3 (PCWG3) released guidelines that aimed to standardize the assessment of treatment effects in castration-resistant prostate cancer using bone scintigraphy. However, these guidelines can be challenging to comprehend and implement in practical settings. The purpose of this review was to provide an overview of a specific image acquisition method and treatment response assessment for bone scintigraphy-based evaluation of bone lesions in metastatic castration-resistant prostate cancer, in accordance with the PCWG3 guidelines.

• Journal of Korean Clinical Nursing Research
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• v.15 no.1
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• pp.133-147
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• 2009

Purpose: This study was conducted to construct evidence based clinical guidelines and to develop nursing process based performance measures for prevention and management of pressure ulcers, falls and pain. Method: Clinical guidelines were drafted through a comprehensive review of relevant literature, national guidelines and hospital protocols. The proposed guidelines were reviewed by a panel of experts and 90 hospital nurses, and refined on the basis of their suggestions. Nursing process based performance measures were developed based on the clinical guidelines and content validity was examined by surveys from 90 hospital nurses. Results: All items, except timetable for position change and pressure ulcer nursing record, in the guidelines for prevention and management of pressure ulcer were appropriate. Most items, except fall risk assessment tools, were appropriate for the guidelines of fall prevention. All other items, except the purpose of pain management, were appropriate for the guidelines of pain management. Performance measures developed in this study were acceptable as a tool to evaluate quality of nursing care. Conclusion: Nursing process based performance measures provide important indicators to monitor whether necessary nursing care is implemented and can be used as the primary resources to improve quality of nursing services.

• Journal of the Korean Society of Safety
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• v.38 no.3
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• pp.43-50
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• 2023

Silicone tetrachloride (SiCl₄) leak accidents cause enormous human and environmental damage because it is highly toxic. Some handling facilities use water curtains to reduce the impact range of SiCl₄. Although the water curtain is known as one of the most efficient technologies for post-release mitigation, its effect on reducing SiCl₄ concentration needs to be investigated scientifically and quantitatively. In this study, three-dimensional computational fluid dynamics (CFD) was used to investigate the physical and chemical effects of water curtains as a release-mitigation system for SiCl₄. SiCl₄ is released and dispersed five seconds prior to the operation of the water curtain. Once the water curtain works, the SiCl₄ reacts chemically with the water and its concentration decreases rapidly; it reaches an emergency response planning guidelines level 2 (ERPG-2) of 5 parts per million (ppm) at about 570 m. We observed, however, that the physical effect of water curtains on reducing SiCl₄ concentration is insignificant when the chemical effect is eliminated. These results are crucial since they can be a scientific and quantitative basis for the 'technical guidelines for estimating the accident affected range'. In order to protect the public from chemical accidents, more toxic gas mitigation technologies need to be developed.

• Journal of the Korea Institute of Military Science and Technology
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• v.18 no.3
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• pp.316-325
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• 2015

This paper describes the design guide and its assessment process to be applied to the launcher vehicle exterior design. A launcher vehicle design is required to meet three kinds of design attributes; symbolic quality, usability, and aesthetic quality. The launcher vehicles referred to in this paper are assessed by the elements in the guidelines. A set of assessment process and methods is derived to evaluate how well the three design attributes are applied in the actual launch vehicle design. An example of assessment is shown at the last part of this paper. By this way designers can take various criteria into account integratively and select the final design. High design satisfaction and pride of the operators and the nation can be assured in the end.

• Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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• 2002.04a
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• pp.291-294
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• 2002

The Environmental Site Assessment System(ESAS) in Korea which became effective as of 2002 is very similar to the ASTM standard practice in United States. Unlike the United States, however, we do not have Phase I ESA, enough environmental professionals with approved training and practical experiences, and detailed guidelines for a governmental action. As a result of comparison the ESAS with the ASTM standard practice, the ASTM standard practice is focused on the Innocent Landowner Defense and has a difference in data search process as well as legal and methodological ways from the ESAS. Therefore, the Transaction Screen Process in ASTM E-1528 standard practice is suggested to reduce the risk potentially produced under on-site assessment and to achieve efficient on-site assessment. In addition, social and executive supports are discussed to more activate on-site assessment. In near future this study is expected to be standardized more in detail with activation of on-site assessment and it is also expected to increase the role and responsibility of environmental professionals considerably.

• Journal of the Korea institute for structural maintenance and inspection
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• v.5 no.4
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• pp.205-213
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• 2001

The condition assessment of bridges is one of the important procedures in the safety evaluation of the structures. The current inspection guideline is rather ambiguous and vague so that the inspection results based on the existing guidelines are highly subjective and varing from person to person and even day to day for a given person. It is therefore, necessary to improve the current inspection criteria in order to provide consistent results in safety assessment. To circumvent possible inconsistencies in inspection and rating of bridge components, the revised criteria have been proposed in this study. The proposed guideline and criteria may be efficiently used for the realistic and consistent assessment of bridge structures.

• Journal of Environmental Impact Assessment
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• v.21 no.1
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• pp.209-218
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• 2012

In this study, suitable types and measures of Wildlife Crossing Structures (WCS) for mammals of Korea were analyzed to suggest basic information for design guidelines of WCS. In order to find the types and measures, we conducted field surveys on 79 WCS and literature reviews on 159 WCS. The results of our study were as follows; Small-medium sized carnivores usually use all measures of wildlife underpass, meanwhile large sized herbivores as water deer need lager measures than 0.7 Openness Index(OI). Furthermore, we found that wildlife overpasses were usually used at the measure of 6.8 m width by every mammal. Therefore, we concluded that the proper measures should be lager than 0.7 OI for underpass and 7 m width for overpass.

• 대한예방의학회:학술대회논문집
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• 1994.02a
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• pp.23-56
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• 1994

Recent criticisms of the conduct and use of risk assessment by regulatory agencies have led to a wide range of proposed remedies, including changes in regulatory statutes and the development of new methods for assessing risk. The mandate to this Committee was more limited. Our objective was to examine whether alterations in institutional arrangements or procedures, particularly the organizational separation of risk assessment from regulatory decision-making and the use of uniform guidelines for inferring risk from available scientific information, can improve federal risk assessment activities. Before undertaking to determine whether organizational and procedural reforms could improve the performance and use of risk assessment in the federal government, the Committee examined the state of risk assessment and the regulatory environment in which it is performed. In this chapter, we define risk assessment and differentiate it from other elements in the regulatory process, analyze the types of judgments made in risk assessment, and examine its current government context. Because one chronic health hazard, cancer, was highlighted in the Committee's congressional mandate and has dominated public concern about public health risks in recent years, most of our report focuses on it. Furthermore, because activities in four agencies--the Environmental Protection Agency (EPA), the Food and Drug Administration (FDA), the Occupational Safety and Health Administration (OSHA), and the Consumer Product Safety Commission (CPSC)--have given rise to many of the proposals for changes in risk assessment practices, our review focuses on these four agencies. The conclusions of this report, although directed primarily at risk assessment of potential carcinogens as performed by these four agencies, may be applicable to other federal programs to reduce health risks.