• 제목/요약/키워드: Assessment guideline

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수용개작방법을 활용한 당뇨인의 발관리 실무지침 개발 (Development of Clinical Practice Guideline by Adaptation: Diabetic Foot Care)

  • 정인숙;박경희;송복례;심강희;한은진;홍은영;정영선;이선희;박동아;정재심
    • 임상간호연구
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    • 제21권2호
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    • pp.196-206
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    • 2015
  • Purpose: This study was done to use a guideline adaptation process to develop a Korean evidence-based diabetic foot care clinical practice guideline for diabetic foot prevention and management. Methods: The guideline adaptation process was conducted according to the guideline adaptation manual developed by the National Evidence-Based Healthcare Collaborating Agency. The process consists of three main phases, with 9 modules including a total of 23 steps. Results: The newly developed diabetic foot care clinical practice guideline consisted of an introduction, description of diabetic foot, summary of recommendations, recommendations, references, appendices, and glossary. There were 165 recommendations in 4 sections (risk assessment for diabetic foot ulcers, prevention of diabetic foot ulcers, wound assessment of diabetic foot ulcers, and management of the diabetic foot). In grading by recommendations, for A there were 30 (18.2%), B, 8 (4.8%), C, 30 (18.2%) D, 97 (58.8%). Conclusion: This guideline can be used as educational material for healthcare workers and diabetic patients. It can also be utilized as a practice guideline for healthcare workers in the hospital and community setting.

CARES 지침에 따른 동의신경정신과학회지의 증례보고에 대한 질 평가 연구 (Evaluation of the Quality of Case Reports in Journal of Oriental Neuropsychiatry Using CARES Guideline)

  • 이환성;이준엽;한지한;채한
    • 동의신경정신과학회지
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    • 제30권2호
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    • pp.59-69
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    • 2019
  • Objectives: Case report is a description of medical experience that contains a patient's information and treatments. It has been used to determine the effectiveness and side effect of the treatments. Case report can be used for medical, scientific, or educational purposes. The objective of this study was to evaluate the quality of case reports published in Journal of Oriental Neuropsychiatry from 2013 to 2017 using CARE and CARES guideline. Methods: Case reports were selected from Journal of Oriental Neuropsychiatry and their quality assessed using CARE guideline and CARES guideline. The items of CARE and CARES guideline were assessed as 'Sufficient', 'Not sufficient', 'Not reported', 'Not applicable'. The outcome was analyzed using case reports and items. Results: 26 case reports were selected. For CARE guideline, 'Sufficient' percentage was min at 22.2%, max at 46.4% with a median of 39.3%. Sum of 'Sufficient', 'Not sufficient' percentage was min at 59.3%, max at 85.7% with a median of 75.0%. Items 'Timeline', 'Diagnostic assessment', 'Follow up and outcomes', 'Informed consent' were not reported in more than 50% of all case reports. Items 'Keywords', 'Abstract', 'Introduction', 'patient information', 'Diagnostic assessment', 'Therapeutic interventions', 'Follow up and outcomes' were not sufficiently reported in more than 50% of all case reports. For CARES guideline, 'Sufficient' percentage was min at 0%, max at 50% with a median of 0%. Sum of 'Sufficient', 'Not sufficient' percentage was min at 33.3%, max at 100% with a median of 92.9%. Items of herbal prescription 'herb', 'decoction', 'use', items of acupuncture treatment 'materials', 'techniques', items of moxibustion treatment 'materials', 'techniques' were not sufficiently reported in more than 50% of all case reports. Conclusions: The reporting rate of items was good. But the quality of reporting was low. Also, particular items were not reported frequently. Therefore, there is a need to improve the quality of case reports in Journal of Oriental Neuropsychiatry.

전동식 부항기에 대한 안전성 및 성능평가 가이드라인 개발연구 (Study on Developing Assessment Guideline for Safety and Performance of Electric Cupping Apparatus)

  • 이승호;김은정;신경훈;남동우;강중원;이승덕;이혜정;이재동;김갑성
    • Journal of Acupuncture Research
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    • 제26권6호
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    • pp.101-110
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    • 2009
  • Objectives : We developed and proposed a guideline for safety and performance assessment of electric cupping apparatus(Class 2 medical device). Methods : We drafted the guideline for safety and performance assessment of electric cupping apparatus by referring the existing standards and guideline, based on online questionnaire for Korean medical doctors and measurement data from commercially available products. Physical dimension of cups and inner vacuum pressure were acquired for the measurement in order to achieve the purposes. Results : This guideline only can be applied to electric cupping apparatus for enhancing blood circulation by employing negative pressure generated by electricity. Seven items of appearance and label, operation test of pump, variation test of input electricity, vacuum level test, vacuum sustain test, cup-size dependent test, noise level test are suggested for evaluation subjects and methods required for electric cupping devices. Requirements for the design and development of electric cupping devices are suggested: vacuum level indicator, vacuum generation rate, pressure control, valve detachment stability, cup comparability, safety measure, surge protection, user friendliness, instruction for use (IFU). Conclusions : We proposed a guideline for safety and performance assessment of electric cupping apparatus to improve the quality of relating products and aid the commercialization of them, by aiming higher industrial competitiveness of the medical device sectors in Korea. Discussion with related institutes such as industry, academy and government is further required. Public hearings also need to be held prior to the establishment of a final guideline and standard.

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유럽공동체 국가들의 환경정책에 관한 연구 -환경영향평가제도를 중심으로 비교분석 (A Study on the Environmental Policy Community Countries in European A Comparative Analysis of Environmental Impact Assessment)

  • 조해용;강순국
    • 한국환경과학회지
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    • 제6권4호
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    • pp.293-302
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    • 1997
  • Environmental problems emerged as common global Problems awaiting solution. Active collaborative efforts are required of nations and communities In order to solve environmental problems effectively. International collaboration occurs much more commonly these days than before. and European Community(EC) mumber countries are no exceptions. EC has established and executed the five-year programs on Environmental Policy Implementation, which explicated basic principles for enoronmental policy development, stance 1973. EC programs tend to emphasize that the direction of the policies should reflect a change from a remedial approach to a preventive approach. Those pro- grams have brought an awareness of the Importance of Environmental Impact Assessment(EIAI to EC member countries. France Installed an EIA system In 1976, which was the first among member countries. Several other member countries also established a system. EC decided that a common guideline was necessary. and therefore formulated the "European Community Guideline for Environmental Impact Assessment" In 1985. All member countries were required to legislate an EIA system within three years, according to the Guideline. This study will conduct a comparative analysis of the current EIA systems of different EC member counties. The findings of this study will provide helpful Information on how to Improve the efficacy of the Korean system.an system.

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동적 건물에너지 시뮬레이션을 이용한 G-SEED 에너지성능 평가지침 도입 방안에 관한 기초연구 (A Study on Development of New Assessment Method for the Energy Performance in G-SEED using Dynamic Building Energy Simulation Programs)

  • 김기한;채창우;조동우
    • 대한건축학회논문집:구조계
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    • 제34권10호
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    • pp.27-35
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    • 2018
  • In this paper, a fundamental study for developing and introducing a new assessment method of the 'Energy Performance' in G-SEED that uses dynamic building energy simulations was conducted by comparing and analyzing the corresponding issues of domestic and foreign green building certification systems. The most significant part of the new assessment method to be developed was a development of a modeling guideline for a reference building using dynamic building energy simulations. In this paper, the composition and detailed contents of the guideline was created to comply with domestic energy codes. In addition, one of the most influential part of the result in the simulations, the 24-hour building operation schedule for a reference building, was created considering the equity with the ECO2 program that is the evaluation tool of one of the current assessment methods in the "Energy Performance". In order to improve the completeness of this guideline, it is necessary to continue the process of supplementation in the future, however, this paper is expected to be of great significance as the beginning of the research.

통증관리 근거중심 가이드라인의 국내 타당성 검증 - 복부수술 환자를 대상으로 - (Validation of a Translated Guideline on Pain Assessment and Management: Focused on Abdominal Surgery Patients)

  • 홍성정;이은주
    • 임상간호연구
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    • 제18권1호
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    • pp.159-170
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    • 2012
  • Purpose: This study was designed to examine the validity of the evidence-based guideline on pain developed by Registered Nurses Association of Ontario(RNAO) translated into Korean based on the experts' opinions. Methods: The panel consisted of experts of 60 registered nurses in surgical units, medical doctors and nursing managers who were experts in pain assessment and management. The validity of translated RNAO guideline was evaluated in terms of appropriateness, applicability, and utilization in current practice. Appropriateness and applicability of each recommendation were measured with 9 point scale, whereas utilization was measured by yes/no question. Data were analyzed by mean, standard deviation, and percent. The experts' opinions were analyzed by content analysis method. Results: In general, most of the recommendations in the guideline received above 7 point in appropriateness and applicability. However, above 20% of recommendations showed less than 50% of utilization rates in current practice. Conclusion: The reasons for low utilization of recommendations in current practice are in need for investigation. This study can be used for the development of guideline more acceptable in Korean health care settings and improve the quality of care for the abdominal surgery patients suffering from pain in Korea.

친환경 근린주구 인증제도 개발을 위한 국내외 인증제도 비교연구 : 탄소를 중심으로 (A Comparative Research of Assessment System Development for Low Carbon and Sustainable Neighborhood)

  • 신은미;이병호;신성우
    • KIEAE Journal
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    • 제13권3호
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    • pp.21-26
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    • 2013
  • Recently, as the concern over environmental problem has been serious all over the world, carbon has become a key issue to mitigate the problem. In the field of Architecture, various sustainable assessment systems and LCCO2 assessment strategies have been developed, guiding low carbon building while planning. However, assessment system for low carbon neighborhood, which can be more efficient strategy, is still in the stage of research. In this paper, as a research for low carbon assessment system and planning guideline for neighborhood, scope meeting domestic condition has been set and sustainable assessment system for neighborhood, which is similar to low carbon concept, have been compared. LEED-Neighborhood Development, BREEAM-Communities, CASBEE-Urban Development, and GBCC-Apartment Houses were used for comparison. As a result, it is found that those systems has many differences in judging system, aggregating method, scope of evaluation, and relations with a building assessment system. The concern about carbon is not insufficient yet. Finally, assessment system for low carbon neighborhood, which is not only for establishing the plan, but also for giving guideline at the very first state of the plan, should be developed as fast as passible. With the result of this paper, establishment of assessment criteria and the way to measure quantitative $CO_2$ should be studied forward.

환경영향평가 협의 시 대체서식지 조성을 위한 가이드라인 마련 (A Study on the Guidelines for Creating Alternative Habitats through Environmental Impact Assessment)

  • 심윤진;박용수
    • 한국환경복원기술학회지
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    • 제22권5호
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    • pp.69-79
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    • 2019
  • The purpose of this study is to suggest a guideline that can be used as a standard for consultation and review by environmental impact assessment consultation and review practitioner to enhance the practical effectiveness of creating alternative habitats. The consultation stage of environmental impact assessment was significantly divided into 1) preparation of draft environmental impact assessment reports and gathering of consensus thereon, 2) preparation of environmental impact assessment reports and consultation thereon, 3) follow-up survey of environmental impacts(under construction) and 4) follow-up survey of environmental impacts(in operation). And it was suggested that the procedures of creating alternative habitat by each consultation stage were linked in order of 1) planning, 2) designing, 3) construction, and 4) post-monitoring and maintenance. The basic principles were also proposed for each stage of consultation on environmental impact assessment and procedure for the creation of alternate habitats. Then, issues and methods to be reviewed by the consulting agency and review agency of environmental impact assessment were presented in detail. The guideline of this study provides important information not only to environmental impact assessment consultation and review practitioner, but also to developers and environmental impact assessment agents who plan, construct, and manage alternative habitats.

심사원을 위한 경량화 테스트 성숙도 모델을 위한 평가 가이드 연구 (The Assessment Guideline of the Simplified Test Maturity Model (TMM) for An Assessor)

  • 장우성;김기두;손현승;박보경;김영철
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제6권8호
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    • pp.379-384
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    • 2017
  • 현실 소프트웨어 비즈니스 환경에서 많은 벤처/중소기업의 소프트웨어의 사용 범위가 넓어지고 품질에 대한 검증이 요구되고 있다. 소프트웨어 품질 검증은 제품과 프로세스 품질이다. 그리고 현실에 맞게 전체 조직보다는 테스트 조직의 성숙도(Test Maturity Model)에 초점을 둔다. 하지만 기존 모델은 국내 벤처/중소기업에게 적용이 부적합한 부분이 존재한다. 이를 위해 테스트 성숙도 모델의 경량화를 제안한다. 우리의 경량 모델은 기존 테스트 성숙도 모델과 테스트 프로세스 개선(TPI Next) 모델을 기반으로 재정의된 모델이다. 하지만 대부분 모델은 성숙도 레벨을 정의하고, 레벨을 달성하기 위한 목표 및 세부 활동만 제공할 뿐이다. 평가단을 위한 평가 가이드 및 정형화된 평가 절차가 존재하지 않는다. 그렇기 때문에 심사위원과 기업이 정형화된 심사 과정 및 평가를 진행하기 어렵다. 본 논문은 경량화된 테스트 성숙도 모델의 평가 가이드를 제안한다. 평가를 위한 진단 절차를 정의와 평가 가이드, 그리고 평가 절차 및 절차별 활동과 산출물의 정의한다. 이 평가 가이드는 심사 위원에게는 정형화된 심사가 가능하게 하고, 자체 평가 가이드는 자체 테스트 조직에 심사 준비를 좀더 빠르고 바르게 진행하게 한다.

실리콘겔 인공유방의 기계적 및 물리화학적 특성에 대한 연구 (Study for Mechanical and Physicochemcial Properties of Silicone Gel Filled Mammary Implants)

  • 백홍;장동혁;송정민;이승영;서무엽;박길종;맹은호
    • 대한의용생체공학회:의공학회지
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    • 제33권2호
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    • pp.89-97
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    • 2012
  • The purpose of this study is to develop the guideline of the physicochemical and mechanical properties evaluation for silicone gel filled breast implants. First of all, the use and development status for silicone gel filled breast implants were investigated, and then, standard and criteria about performance evaluation established by the international organizations such as ASTM, FDA guidance and ISO were examined. To evaluate the mechanical properties, data research and testing for breaking strength, elongation, tensile set, joint intensity, silicone gel cohesion, weight loss from heating, static rupture resistance, impact resistance test, fatigue test, and gel bleed were performed. On the other hand, to evaluate the physicochemical properties, volatile matter, extent of cross linking, heavy metals, and extractable were analyzed. In this study, results for general function, mechanical properties and physicochemical properties were examined and reviewed for the accordance with international standard, and objective and standardized guideline was provided.