• 제목/요약/키워드: Consensus Meeting

검색결과 42건 처리시간 0.03초

중풍환자에 대한 일차 한의임상진료 가이드라인 (Clinical Practice Guideline of Korean Medicine for Stroke : Preliminary Guideline and Recommendation)

  • 한창호
    • 대한한방내과학회지
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    • 제33권4호
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    • pp.347-366
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    • 2012
  • The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on stroke management for clinical practitioners. Many countries are already well engaged in developing and releasing their own clinical practice guidelines, whereas Korean Medicine (KM) is still beginning. It will take time and effort to develop evidence-based guidelines and recommendations of KM or other traditional medicine because they are weak in the area of scientific evidence. The clinical practice guideline of Korean medicine for stroke was formulated through extensive review of published literature and consensus meeting of Korean medicine specialists. This project was supported by a grant of the Oriental Medicine R&D Project, the Ministry of Health and Welfare. Referring to guidelines developed in other countries, the experts in the subject tried to organize and develop guidelines and recommendations adequate for domestic medical circumstances. In December, 2008, a multi-disciplinary team called the Evidence Based Clinical Practice Guidelines Development Group (EBCPGsDG) for Stroke was organized. The writing committee was comprised of experts in internal medicine, acupuncture, rehabilitation, and Sasang constitution. Outside specialists and associated panels were invited for consultation. The scope of the guideline encompasses acupuncture, moxibustion and herbal medicine (including Korean medicine, traditional Chinese medicine, Kampo medicine) as interventions for stroke patients. It includes statements about ischemic stroke (I63), stroke not specified as hemorrhage or infarction (I64), and sequelae of cerebrovascular disease (I69) according to the International Classification of Disease (ICD). The committee subdivided the description of herbal medications into acute stroke management, subacute stroke management, post-stroke management, and secondary prevention of stroke. Guidelines on the practice of acupuncture and moxibustion were described in order for acute stroke management, subacute stroke management, chronic stroke management, and post-stroke rehabilitation. Clinicians who are working in the field of stroke care can adopt this guideline for their practice.

WRC-2000 회의의 71 GHz 이상 대역의 주파수 재분배 최종 결과 (FINAL RESULTS OF THE REARRANGEMENT OF THE FREQUENCY BANDS ABOVE 71 GHz IN WRC-2000)

  • 정현수;이황재;정희창;배석희;강상선;정애리;한석태
    • 천문학논총
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    • 제15권1호
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    • pp.61-86
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    • 2000
  • Radio astronomy, on its part, requires 'quiet zones' to be able to receive incoming cosmic signals unaffected by interference to enable astronomers and others learn about universe. The agenda item 1.16 of WRC-2000 contains a number of issues relevant for radio astronomy, but some of them are more important than others. The preparations for WRC-2000 have reached a close-to-final stages, with a number of proposals to this agenda item submitted to the ITU by many countries and groups of countries, like APT, CEPT and CITEL. There is no clear preference to anyone of these proposals since their differences are only minor. However, several points remain to be solved in the APT and CITEL. Fortunately, the preparation went very well, and consensus was reached on allocations above 71 GHz and three resolutions. The radio astronomy has obtained about 100 GHz of new spectrum allocations in bands above 71 GHz. In addition, a new resolution was approved by plenary meeting of WRC-2000. It deals with the consideration by a future WRC of sharing and compatibility issues between passive and active services in adjacent bands particularly with the space services (downlinks) into radio astronomy above 71 GHz. Therefore, in future, there should be a need for studies to be made to determine if and under what conditions sharing is possible, given that modifications were made on the basis of requirements known now and that little was known of requirements and implementation plans for active services in bands above 71 GHz.

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스웨덴 훼르셸 생태마을의 주민참여 실태에 관한 사례연구 (A Case Study on Residents' Involvement in Sk$\"{a}$rk$\"{a}$ll Ecovillage in Sweden)

  • 최정신
    • 가정과삶의질연구
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    • 제28권6호
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    • pp.19-34
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    • 2010
  • This study aims to describe actual condition of residents' involvement of Sk$\"{a}$rk$\"{a}$ll ecovillage in Sweden by in-depth interviews with five residents. This study, hopefully, could contribute to offer useful information for forming ecovillage, as well as awakening about ecovillage movement to the public in Korea. The interviews were fulfilled during spring of 2010 in G$\"{o}$teborg and Sk$\"{a}$rk$\"{a}$ll ecovillage in Sweden. The results are as follows: 1) In terms of overall residents' involvement by self-evaluation everybody agrees with that residents' involvement was quite excellent during forming stage of the village, while it has been notably decreased now in running stage. It reveals there is a gap between ideology and reality. 2) Concerning decision making method, they use majority decision instead of consensus, since only 9 households of 20 are residing there all year around, it is hardly possible to assemble all the residents in the meeting. In Accordance with problematic conflicts in the village recently, development of socialization with others and education of communication skill for residents probably could be helpful to resolve conflicts among residents in long term. 3) In terms of evaluation of ecovillage movement in Sk$\"{a}$rk$\"{a}$ll ecovillage, it is the fact that many residents live less self-sufficiently, more energy consumed than the ideology pursuits. Also, they live with close connections with conventional society. Nevertheless, the efforts they are willing to practice 3R principles (Recycle, Reuse, Reduction) have to be highly respected, if we consider its educational influence to environmental movement for the conventional society.

호텔 공간디자인의 상징적 인식구조체계에 관한 연구 (A Study on the Symbolic Recognition Structure System of Space Design of a Hotel)

  • 김정아;김억
    • 한국실내디자인학회논문집
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    • 제17권4호
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    • pp.92-101
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    • 2008
  • A new paradigm of design lays stress on the world of metaphysical concepts, and various attempts are being made to give meaning to psychological values. Hotel is a memorable place to remind of a special moment in one's life such as travel, marriage, meeting and so on. It also contains even more symbolism than other spaces as it is the place where the most primary and private act takes place apart from one's residence. As a result, it is also possible to communicate the message which a designer intends to convey through the user's recognition in the form of various symbolic expressions in space design. The designer communicates a meaning into a space through a symbolic system and creates a mutual consensus by means of the understanding structure of "designer-space-user". The user's diverse interpretations through a symbol are based on epistemology and consist of the primary, the secondary and the tertiary recognition structure system in the aspect of their contents. The primary structure depends on sensual perception, impressive idea and transcendental recognition based on metaphysical and perceptional association. The secondary structure includes casualty, continuous deduction and rational(integral) recognition. Finally, the tertiary structure is sublimation to the transcendental mental world beyond the boundary of emotion and it is classified into fundamental recognition structure on an object and archetypical recognition structure on an ego. These characteristics can derive systematic understandings and diverse interpretations on the symbol from the space of a hotel through the frame of analysis based on the artistic form of monosemous, polysemous and multidimensional frameworks and symbols. The framework of this analysis includes all the cases, and various methods which haven't been attempted in practice are presented. Therefore this study is not just a simple analysis of space but rather it will serve as a methodological tool for design that allows for various attempts of symbolic design concepts in the recognition structure system.

Analyzing Machine Learning Techniques for Fault Prediction Using Web Applications

  • Malhotra, Ruchika;Sharma, Anjali
    • Journal of Information Processing Systems
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    • 제14권3호
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    • pp.751-770
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    • 2018
  • Web applications are indispensable in the software industry and continuously evolve either meeting a newer criteria and/or including new functionalities. However, despite assuring quality via testing, what hinders a straightforward development is the presence of defects. Several factors contribute to defects and are often minimized at high expense in terms of man-hours. Thus, detection of fault proneness in early phases of software development is important. Therefore, a fault prediction model for identifying fault-prone classes in a web application is highly desired. In this work, we compare 14 machine learning techniques to analyse the relationship between object oriented metrics and fault prediction in web applications. The study is carried out using various releases of Apache Click and Apache Rave datasets. En-route to the predictive analysis, the input basis set for each release is first optimized using filter based correlation feature selection (CFS) method. It is found that the LCOM3, WMC, NPM and DAM metrics are the most significant predictors. The statistical analysis of these metrics also finds good conformity with the CFS evaluation and affirms the role of these metrics in the defect prediction of web applications. The overall predictive ability of different fault prediction models is first ranked using Friedman technique and then statistically compared using Nemenyi post-hoc analysis. The results not only upholds the predictive capability of machine learning models for faulty classes using web applications, but also finds that ensemble algorithms are most appropriate for defect prediction in Apache datasets. Further, we also derive a consensus between the metrics selected by the CFS technique and the statistical analysis of the datasets.

Clinical and Laboratory Standards Institute의 항생제 감수성 검사 소위원회 회의 소개 (Introduction of Clinical and Laboratory Standards Institute Antibiotic Susceptibility Testing Subcommittee Meeting)

  • 장철훈
    • Annals of Clinical Microbiology
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    • 제21권4호
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    • pp.69-74
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    • 2018
  • 진단검사의학은 신속하고 정확한 체외검사 결과를 제공함으로써 임상의사가 환자를 진료하는 데 도움을 주는 전문 분야이다. 정확한 검사 결과를 제공하기 위해서는 검사에 관련된 모든 요소의 표준화가 필요하다. Clinical and Laboratory Standards Institute (CLSI)는 1968년에 표준화를 하는 데에 모두가 동의할 수 있는 공식적인 절차를 마련하기 위해 만들어졌고, 현재까지 임상검사실, 연구용 검사실을 포함한 많은 종류의 검사실 전 분야에 대해서 표준과 지침을 출판하여, 전 세계의 많은 검사실들이 표준화를 위해 이를 이용하고 있다. CLSI의 항생제 감수성 검사 소위원회(AST SC)는 6개의 상설 부서와 필요에 따라 만들어지는 많은 특설 부서로 구성되어 있다. AST SC의 구성원들은 소위원회에 제안된 내용을 검토하여 연 2차례 열리는 회의에서 제안 내용을 반영할지 여부를 결정함으로써 문서의 개정이 이루어진다. 이 회의는 등록한 사람은 누구나 참여할 수 있으므로, 우리 학회원들도 회의에 참여하여 표준 혹은 지침 문서의 생산에 능동적인 역할을 하기를 기대한다.

선거제도 개편을 통한 러시아 정치 엘리트의 지배력 유지 전략 (The Strategy of Russia's Political Elites to Maintain Dominance Through the Overhaul of Electoral System)

  • 김시헌;장세호
    • 분석과 대안
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    • 제7권1호
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    • pp.7-43
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    • 2023
  • 본 연구는 2014년 선거법 개정 사례를 통해 러시아의 정치 엘리트가 지배력을 유지하고 강화하는 일련의 전략을 규명하고 있다. 당시 새롭게 도입된 혼합형 선거제도는 표면적으로 봤을 때 '민주주의의 증진'에 대한 대중의 요구를 수용한 듯 보였다. 하지만 러시아의 집권세력은 2016년과 2021년 총선에서 혼합형 선거제도 자체에 내재된 선거결과의 왜곡 요소를 극대화하여 승리했다. 따라서 선거법 개정이 집권 여당인 통합러시아의 권력 유지를 위한 수단이었는지, 아니면 민주주의를 위한 도약이었는지 분석하는 것이 본 연구의 목적이다. 연구 결과 2014년 선거법 개정은 2008년부터 본격화된 엘리트 내부 분열과 대중적 저항에 대한 정책적 대응이었다고 판단된다. 즉, '경쟁의 최소화'와 '권력의 안정적인 재생산'을 위한 수단일 뿐이었음이 확인되었다.

The Current State and Legal Issues of Online Crimes Related to Children and Adolescents

  • Hyoung-ryul Kim
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제34권4호
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    • pp.222-228
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    • 2023
  • There are two categories of online crimes related to children and adolescents: those committed by adolescents and those committed against children and adolescents. While recent trends in criminal law show consensus on strengthening punishment in cases of crimes against children and adolescents, there are mixed stances in cases of juvenile delinquency. One perspective emphasizes strict punishment, whereas the other emphasizes dispositions aligned with human rights. While various forms of online crime share the commonality in that the main part of the criminal act occurs online, they can be categorized into three types: those seeking financial gain, those driven by sexual motives, and those engaged in bullying. Among these, crimes driven by sexual motives are the most serious. Second-hand trading fraud and conditional (sexual) meeting fraud fall under the category of seeking financial gain and occur frequently. Crimes driven by sexual motives include obscenity via telecommunication, filming with discrete cameras, child and adolescent sexual exploitation material, fake video distribution, and blackmail/coercion using intimate images/videos ("sextortion"). These crimes lead to various legal issues such as whether to view vulgar acronyms or body cams that teenagers frequently use as simple subcultures or crimes, what criteria should be applied to judge whether a recorded material induces sexual desire or shame, and at what stage sexual grooming becomes punishable. For example, sniping posts, KakaoTalk prisons, and chat room explosions are tricky issues, as they may or may not be punished depending on the case. Particular caution should be exercised against the indiscriminate application of a strict punishment-oriented approach to the juvenile justice system, which is being discussed in relation to online sexual offenses. In the punishment case of online crime, juvenile offenders with a high potential for future improvement and reform must be treated with special consideration.

The Bethesda System 2001의 최신지견 (The Bethedsa System 2001 Workshop Report)

  • 홍은경;남종희;박문향
    • 대한세포병리학회지
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    • 제12권1호
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    • pp.1-15
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    • 2001
  • The Bethesda System (TBS) was first developed in 1988 for the need to enhance the communication of the cytopathologic findings to the referring physician in unambiguous diagnostic terms. The terminology used in this reporting system should reflect current understanding of the pathogenesis of cervical/vaginal disease so the framework of the reporting system should be flexible enough to accommodate advances in medicine including virology, molecular biology, and pathology. Three years after the Introduction of TBS, the second Bethesda workshop was held to set or amend diagnostic criteria for each categories of TBS. TBS 1991 is now widely used. The third Bethesda workshop, The Bethesda System 2001 Workshop, was held in National Cancer institute Bethesda, Maryland from April 30 to May 2, 2001. Again, the goals of this workshop were to promote effective communication and to clarify in reporting cervical cytopathology results to clinicians and to provide with the information to make appropriate decisions about diagnosis and treatment. Nine forum groups were made and there were Web-based bulletin board discussions between October, 2000 and the first week of April, 2001. On the basis of bulletin board comments and discussions, the forum moderators recommended revised terminologies in the Workshop. Hot discussions were followed after the presentation by forum moderators during the workshop. Terminologies confusing clinicians and providing no additional informations regarding patient management were deleted in the workshop to clarify the cervicovaginal cytology results. Any informations related to the patient management were encouraged to add. So 'Satisfactory for evaluation but limited by...' of 'Specimen Adequacy' catergory was deleted. Terminology of 'Unsatisfactory' was further specified as 'Specimen rejected' and 'Specimen processed and examined, but unsatisfactory'. Terminologies of 'Benign Cellular Change' and 'Within Normal Limits' were combined and terminology was changed to 'Negative for intraepithelial lesion or malignancy'. In General categorization, category 'Other' was newly inserted and the presence of 'Endometrial cells' in women over 40 years old can be checked. Although the category 'Benign Cellular Change' was deleted, the organisms or reactive changes of this category can be listed in the descriptive diagnoses. Terminologies of ASCUS and AGUS were changed to atypical squamous cell and atypical glandular cell, respectively. Diagnostic term of 'Adenocarcinoma in situ', which is highly reproducible with reliable diagnostic criteria, was newly Inserted. The category of hormonal evaluation was deleted. Criteria for liquid-based specimen were discussed. Reporting by computer-assisted cytology was discussed and terminology for automated review was newly inserted. This is not the final edition of Bethesda 2001. The final document can be prepared before the ASCCP meeting in which Consensus Guidelines for the Management on Cytology Abnormalities and Cervical Precursors will develop in September 2001.

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심미 증례 환자의 효과적인 상담 전략 (Effective consultation strategy for patients of aesthetic case)

  • 김주미
    • 대한심미치과학회지
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    • 제22권1호
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    • pp.74-82
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    • 2013
  • 현대사회는 TV나 인터넷 등 대중매체의 노출과 스마트 폰 보급으로 급성장한 SNS 등을 통해 이미지에 대한 지각이 신체관련 소비행동에까지 영향을 미치고 있으며 그로 인해 본인이 가지고 있는 콤플렉스에 대한 개선을 원하는 심미 증례 환자의 수요 역시 증가하고 있습니다. 심미적인 치료를 희망하는 환자군은 일반진료를 받는 환자군에 비해 더욱 적극적인 성향을 보이며, 이미지 개선에 대한 기대와 함께 기능적인 문제, 결과에 대한 만족도 등의 두려움을 가지고 있습니다. 심미 증례 환자의 상담에 있어서 가장 기본은 환자본인이 심미치료를 통해 개선하고 싶은 포인트가 어떤 것인지를 술자와 상담자가 정확하게 인지하는 것에서부터 출발합니다. 환자의 관점에서 시작되는 상담은 의학적인 분야의 접근을 통해 합의 즉 이상적인 것과 자연스러움의 균형점을 찾는 방식으로 진행됩니다. 초기 상담부터 각 진료단계별 상담 process를 구축하고 단계별 상담 내용을 정확하게 기재하여 술자 및 진료staff이 공유하며, 초기상담부터 Maintenance care까지 일관성 있는 정책을 운영하여 환자에게 무리한 기대를 주고 공감하지 못하는 결과로 실망을 초래하는 상담이 아닌 진정한 소통이 바탕이 되어 환자, 술자, 진료staff이 만족할 수 있는 결과를 이끄는 상담이 가능해 집니다. 심미 증례의 유형별 case를 통해 환자와의 공감을 바탕으로 한 심미 증례 환자의 효과적인 상담전략을 소개합니다.