• Title/Summary/Keyword: Evidence-based assessment

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A Utilization Strategy of Nursing Staff by Types of Medical Institutions - nurse staffing level of medium and small-sized hospitals (의료기관별 간호인력 활용방안-중소병원 간호사 확보를 중심으로)

  • Hong, Ji Yeon;Chae, JungMi;Song, Mi Ra;Kim, Eun Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.8
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    • pp.162-170
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    • 2017
  • This study analyzed the current situation of medium and small-sized hospital nursing staff and related policies, and identified the factors that affect staffing level to provide evidence for planning and adopting policy. By analyzing the statistical data published by public institutions such as the Ministry of Health and Welfare and Health Insurance Review and Assessment Service, the result was viewed based on the understanding of various internal and external health care environments. The number of active nurses was less than 50% of the number of licensed nurses and has decreased every year. This means that the cost-effectiveness of increases in nursing college enrollment should be reconsidered. Inpatient nursing fees by staffing grades has caused nurses to move from medium and small-sized hospitals, where there is a severe lack of staff, to more advanced general hospitals. As a result, the lack of nursing staff in medium and small-sized hospitals has worsened. In conclusion, reexamination is needed to improve effectiveness of inpatient nursing fees by staffing grades as a policy to secure the workforce of medium and small-sized hospitals. Furthermore, the tracking management system of licensed nurses must be able to solve the imbalance between demand and supply of nursing staff.

Selection of Indicator Plants to Evaluate the Effects of Agri-environmental Conservation Program: On the Rice Paddy Fields in South Korea (농업환경보전프로그램의 효과 검증을 위한 지표식물 선정: 논 생태계를 대상으로)

  • Kim, Myung-Hyun;Kim, Min-Kyeong;Choi, Soon-Kun;Eo, Jinu;Yeob, So-Jin;Bang, Jeong Hwan
    • Korean Journal of Environmental Agriculture
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    • v.40 no.3
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    • pp.169-178
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    • 2021
  • BACKGROUND: The Ministry of Agriculture, Food and Rural Affairs is promoting agri-environment conservation program to induce farmers to participate in agricultural environment improvement and conservation activities. However, assessment tools based on scientific evidence are needed to determine the effectiveness of the program objectively and quantitatively. Therefore, this study was performed to develop plant indicators in order to efficiently evaluate the effects of the agri-environment conservation program promoted by the Ministry of Agriculture, Food and Rural Affairs. METHODS AND RESULTS: The survey was conducted in five regions (Hampyeong, Boryeong, Mungyeong, Hongseong, and Sangju) participating in the agri-eonvironment conservation program. In each region, twenty paddy fields were investigated (ten paddy fields included in the program and ten paddy fields not included in the program). A total of 231 taxa vascular plants were identified in the paddy fields that were included in the agri-environment conservation program, and a total of 177 taxa were identified in the paddy fields that were not included. The average species number occurred on each field was 55.8 taxa in the fields included in the program, and 35.0 taxa in the fields not included in the program. The difference in occurring plants between two groups was found to be more higher in perennial plants than in annual plants. We selected the six groups as indicator plants through five criteria such as perennial plants and broadly occurring species, etc. to verify the effectiveness of the agri-environment conservation program: Taraxacum spp., Ixeris spp., Viola spp., Platago spp., Calystegia spp., and rare and endagered species. There was a high positive correlation between the score calculated using these indicator plants and the total number of plants species. CONCLUSION: This study suggests that it is possible to evaluate the agro-ecological environment by using indicator plants. The selected indicator plants can be effectively used to verify the effectiveness of projects such as agri-environmental conservation programs in the future.

Indoor and Outdoor Particulate Matter: The Current and Future in Monitoring, Assessment, and Management (실내 외 미세먼지 측정 및 관리 기술 동향)

  • Kim, Jae-Jin;Choi, Wonsik;Kim, Jinsoo;Noh, Youngmin;Son, Youn-Suk;Yang, Minjune
    • Korean Journal of Remote Sensing
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    • v.36 no.6_3
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    • pp.1635-1641
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    • 2020
  • Air pollution is one of the most severe threats to society globally due to the rapid expansion of urbanization and industrialization. Particularly, particulate matter (PM) pollution was recently designated as a social disaster by the Korean government because of increases in public concerns and the accumulation of scientific evidence that links high levels of PM2.5 (PM smaller than 2.5 ㎛ in diameter) to a long list of adverse health effects. Atmospheric PM concentrations can also affect the indoor PM levels to which people are exposed most of the time. Thus, understanding the characteristics of indoor and ambient PM pollution based on measurements, model simulations, risk assessments, and management technologies is inevitable in establishing effective policies to mitigate social, economic, and health costs incurred by PM pollution. In this special issue, we introduce several interesting studies concerning indoor and outdoor PM from the perspective of monitoring, assessment, and management being conducted by i-SEED (School of Integrated Science for Sustainable Earth & Environmental Disaster at Pukyong National University) and SPMC (School Particulate Matter Center for Energy and Environmental Harmonization). We expect that this special issue can improve our understanding of the current and future of indoor and outdoor PM pollution, integrating the results from interdisciplinary research groups from various academic fields.

A Basic Study on 'Ruralism' Perception through Expert Group: Focusing on Delphi and AHP Analysis (전문가집단을 통해 본 '농촌다움' 인식에 관한 기초연구: 델파이와 AHP분석을 중심으로)

  • Jee Yoon Do;Ki Chun Seo;Myeong Cheol Jeong;Jin Ah Choi
    • Journal of Environmental Impact Assessment
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    • v.32 no.4
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    • pp.251-259
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    • 2023
  • This study was conducted for the purpose of the basic direction for the new regulations and categories of Ruralism changing in the new era. To this end, the results of Delphi analysis and AHP analysis by dividing it into the definition, criteria, scope and component items of Ruralism based on systematic literature review are as follows. First, through studies representing most rural areas, it was found that Ruralism was the most problematic keyword and most of the studies did not cover it as they were studying various ranges of rural areas. Second, the Delphi survey was able to derive keywords that can be used as evidence for item classification and clear concept establishment for the regulation and category setting of Ruralism. Third, through the hierarchical decision-making method, it was found that landscape factors are the most important thing in forming Ruralism as well as deriving priorities that can be a baseline for each item. This study is meaningful in providing a minimum baseline as basic data for establishing the concept of Ruralism, and it is believed that future-oriented Ruralism can be established if reviews are added from various perspectives to overcome limitations dependent on expert groups.

Analysis of biodiversity change trend on urban development project - Focusing on terrestrial species in Environmental Impact Assessment - (도시의 개발 사업에 따른 생물다양성 변화 추세 분석 - 환경영향평가의 육상 동물종을 중심으로 -)

  • Kim, Eun-Sub;Lee, Dong-Kun;Jeon, Yoon-Ho;Choi, Ji-Young;Kim, Shin-Woo;Hwang, Hye-Mi;Kim, Da-Seul;Moon, Hyun-Bin;Bae, Ji-Ho
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.26 no.6
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    • pp.21-32
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    • 2023
  • The Environmental Impact Assessment (EIA) plays a pivotal role in predicting the potential environmental impacts of proposed developments and planning appropriate mitigation measures to minimize effects on species. However, as concerns over biodiversity loss rise, there's ongoing debate about the efficacy of these mitigation plans. In this study, we utilized data from EIAs and post-environmental impact surveys to understand the trends in biodiversity during construction and operation phases. By examining 30 urban development projects, we categorized species richness indices of mammals, birds, amphibians, and reptiles into pre-construction, during construction, and post-construction operational stages. The biodiversity trends were analyzed based on the rate of change in these indices. The results revealed three distinct biodiversity change patterns: (A) An initial increase in biodiversity indices post-development, followed by a gradual decline over time; (B) a sustained increase in biodiversity as a result of mitigation measures; and (C) a continuous decline in biodiversity post-development. Furthermore, all species exhibited a higher rate of biodiversity decline during the construction phase compared to the operational phase, with mammals showing the most significant rate of change. Notably, the biodiversity change rate during operation was generally lower than during construction. In particular, mammals seemed to be most influenced by mitigation measures, displaying the smallest rate of change. This study provides empirical evidence on the efficacy of mitigation measures and deliberates on ways to enhance their effectiveness in minimizing the adverse impacts of urban development on biodiversity. These findings can serve as foundational data for addressing terrestrial biodiversity reduction.

Analysis of social factors influencing authenticity of suicide for patient who attempt to suicide in emergency department: Retrospective study based Post-suicidal Care Program data (응급실로 내원한 약물중독 자살시도자의 자살 진정성에 미치는 사회적 요인 분석: 응급실 기반 자살 시도자 관리시스템 자료를 이용한 후향적 연구)

  • Ji, Jae-Gu;Kim, Yang-Weon;Kang, Ji-Hun;Jang, Yun-Deok
    • Journal of The Korean Society of Clinical Toxicology
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    • v.19 no.1
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    • pp.8-16
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    • 2021
  • Purpose: This study was conducted to analyze the social factors influencing the 'authenticity of suicidal ideation' based post-suicidal care programs in emergency departments (EDs). Methods: This retrospective study was an analysis using the data of patients who had attempted suicide and visited the ED in tertiary urban hospitals from January 1, 2016, to December 31, 2018. The variables examined included gender, age, history of previous psychiatric disease, suicide method, and the number of previous attempts. Univariate and multivariate logistic regression analyses were conducted to identify factors influencing the registration rate for the community-based post-suicide care program. Results: Overall,1,460 suicides were analyzed, 177 (1.16%) showed a high authenticity of suicide. The social factors influencing the authenticity of suicide intent were the unmarried status of men and women, joblessness, history of mental illnesses, more than two previous suicide attempts, the influence of alcohol, and an attempt to commit suicide after midnight more specifically between 24:00 to 6:00 hours in the morning (p<.05). The factors influencing the severity of the condition of high authenticity suicide patients were low Glasgow coma scores (12 points or less), lactate levels, and oxygen saturation observed in the patients who were admitted to the intensive care unit for treatment and died (p<.05). Conclusion: The need for evidence-based preventive measures and early assessment tools at the emergency medicine level is emphasized to reduce the rate of suicide attempts. If the results of this study are used in the management of suicide prevention, the evaluation of the authenticity of suicide intent will be more likely to be made at the emergency medicine level, allowing the severity to be assessed earlier.

Microbial Forensics: Comparison of MLVA Results According to NGS Methods, and Forensic DNA Analysis Using MLVA (미생물법의학: 차세대염기서열분석 방법에 따른 MLVA 결과 비교 및 이를 활용한 DNA 감식)

  • Hyeongseok Yun;Seungho Lee;Seunghyun Lim;Daesang Lee;Sehun Gu;Jungeun Kim;Juhwan Jeong;Seongjoo Kim;Gyeunghaeng Hur;Donghyun Song
    • Journal of the Korea Institute of Military Science and Technology
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    • v.27 no.4
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    • pp.507-515
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    • 2024
  • Microbial forensics is a scientific discipline for analyzing evidence related to biological crimes by identifying the origin of microorganisms. Multiple locus variable number tandem repeat analysis(MLVA) is one of the microbiological analysis methods used to specify subtypes within a species based on the number of tandem repeat in the genome, and advances in next generation sequencing(NGS) technology have enabled in silico anlysis of full-length whole genome sequences. In this paper, we analyzed unknown samples provided by Robert Koch Institute(RKI) through The United Nations Secretary-General's Mechanism(UNSGM)'s external quality assessment exercise(EQAE) project, which we officially participated in 2023. We confirmed that the 3 unknown samples were B. anthracis through nucleic acid isolation and genetic sequence analysis studies. MLVA results on 32 loci of B. anthracis were analysed by using genome sequences obtained from NGS(NextSeq and MinION) and Sanger sequencing. The MLVA typing using short-reads based NGS platform(NextSeq) showed a high probability of causing assembly error when a size of the tandem repeats was grater than 200 bp, while long-reads based NGS platform(MinION) showed higher accuracy than NextSeq, although insertion and deletion was observed. We also showed hybrid assembly can correct most indel error caused by MinION. Based on the MLVA results, genetic identification was performed compared to the 2,975 published MLVA databases of B. anthracis, and MLVA results of 10 strains were identical with 3 unkonwn samples. As a result of whole genome alignment of the 10 strains and 3 unknown samples, all samples were identified as B. anthracis strain A4564 which is associated with injectional anthrax isolates in heroin users.

2021 Korean Thyroid Imaging Reporting and Data System and Imaging-Based Management of Thyroid Nodules: Korean Society of Thyroid Radiology Consensus Statement and Recommendations

  • Eun Ju Ha;Sae Rom Chung;Dong Gyu Na;Hye Shin Ahn;Jin Chung;Ji Ye Lee;Jeong Seon Park;Roh-Eul Yoo;Jung Hwan Baek;Sun Mi Baek;Seong Whi Cho;Yoon Jung Choi;Soo Yeon Hahn;So Lyung Jung;Ji-hoon Kim;Seul Kee Kim;Soo Jin Kim;Chang Yoon Lee;Ho Kyu Lee;Jeong Hyun Lee;Young Hen Lee;Hyun Kyung Lim;Jung Hee Shin;Jung Suk Sim;Jin Young Sung;Jung Hyun Yoon;Miyoung Choi
    • Korean Journal of Radiology
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    • v.22 no.12
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    • pp.2094-2123
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    • 2021
  • Incidental thyroid nodules are commonly detected on ultrasonography (US). This has contributed to the rapidly rising incidence of low-risk papillary thyroid carcinoma over the last 20 years. The appropriate diagnosis and management of these patients is based on the risk factors related to the patients as well as the thyroid nodules. The Korean Society of Thyroid Radiology (KSThR) published consensus recommendations for US-based management of thyroid nodules in 2011 and revised them in 2016. These guidelines have been used as the standard guidelines in Korea. However, recent advances in the diagnosis and management of thyroid nodules have necessitated the revision of the original recommendations. The task force of the KSThR has revised the Korean Thyroid Imaging Reporting and Data System and recommendations for US lexicon, biopsy criteria, US criteria of extrathyroidal extension, optimal thyroid computed tomography protocol, and US follow-up of thyroid nodules before and after biopsy. The biopsy criteria were revised to reduce unnecessary biopsies for benign nodules while maintaining an appropriate sensitivity for the detection of malignant tumors in small (1-2 cm) thyroid nodules. The goal of these recommendations is to provide the optimal scientific evidence and expert opinion consensus regarding US-based diagnosis and management of thyroid nodules.

Treatment Guidelines for Community-acquired Pneumonia in Korea: An Evidence-based Approach to Appropriate Antimicrobial Therapy (지역사회획득 폐렴의 치료지침 권고안)

  • Song, Jae-Hoon;Jung, Ki-Suck;Kang, Moon Won;Kim, Do Jin;Pai, Hyunjoo;Suh, Gee Young;Shim, Tae Sun;Ahn, Joong Hyun;Ahn, Chul Min;Woo, Jun Hee;Lee, Nam Yong;Lee, Dong-Gun;Lee, Mi Suk;Lee, Sang Moo;Lee, Yeong Seon;Lee, Hyukmin;Chung, Doo Ryeon
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.4
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    • pp.281-302
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    • 2009
  • The successful treatment of community-acquired pneumonia requires appropriate, empirical antimicrobial therapy. The etiology and antimicrobial susceptibility of major pneumonia pathogens can differ by country. Therefore, the ideal treatment guidelines for community-acquired pneumonia should be based on the studies performed in each country. We developed a treatment guideline for community-acquired pneumonia for immunocompetent adults in Korea. This guideline was developed by the joint committee of the Korean Society for Chemotherapy, the Korean Society of Infectious Diseases, and the Korean Academy of Tuberculosis and Respiratory diseases.

Improvement of Attention and Short-term Memory of Mild Dementia Using iPad Applications: A Single Case Study (아이패드를 이용한 경도 치매 노인의 주의집중력과 단기 기억력 증진 : 단일대상연구)

  • Hwangbo, Seung Woo;Kim, Moon-Young;Kim, Jongbae;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.7 no.3
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    • pp.47-58
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    • 2018
  • Objective : This study was conducted to investigate the effects of iPad applications on improvement of attention and short-term memory in mild dementia. Methods : A single-case experimental study using A-B-A design was conducted. A total of 20 sessions, including 5 each for baseline phase A and A' and 10 for the intervention phase, were provided to the subject. Interventions were only provided during the intervention phase and were iOS-based iPad applications named "Memorado-Moving Balls" and "Circles." "Fit Brains-Matching Pairs" and "Fit-Brains-Spot the Difference" were used for each session to evaluate attention and short-term memory. MMSE-K, K-TMT-e A and B, and DST assessment tools were used pre- and post-intervention to assess attention and memory. Result : Fit Brains scores indicated improvement in both attention and memory during the intervention phase. K-TMT-e A showed 3 increased correct points and 3 reduced error points, and B showed 7 increased correct points and 2 reduced error points in post-tests, but the DST and MMSE-K showed no meaningful change. Conclusion : This single-case study identified improvements in attention and short-term memory in a person with mild dementia using iPad applications. Further studies regarding different applications and larger samples with long-term designs are necessary.