• Title/Summary/Keyword: Group Recommendation

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

  • Han, Chang-Ho
    • The Journal of Internal Korean Medicine
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    • v.33 no.4
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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.

Evauation of Hygienic Status of High School Foodservice using ATP Bioluminescence Assay & Microorganism Test Strips (ATP Bioluminescence와 간이미생물배지를 이용한 고등학교 급식시설의 위생상태 조사연구)

  • Jang, Jae-Seon;Hwang, Seong-Hee
    • The Korean Journal of Food And Nutrition
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    • v.28 no.5
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    • pp.918-925
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    • 2015
  • An investigation was conducted to evaluate the hygienic status of 33 high school foodservice systems in Yongin city by using hygiene management guide checklist, ATP bioluminescence assay and microbe inspection petrifilm (APC, coliform group, Staphylococcus aureus) of food utensils during use. The 22 hygiene management guide checklist items about facilities, personal hygiene, food control, distribution, washing and disinfection had good grade but there were some inadequate behaviors on observation. The inspection results showed their sanitary condition met the level B of the recommendation of Korea method, it means sanitary management system get settled but more practical CCP system was needed. ATP bioluminescence assay was conducted on surface of food facilities, ATP ranged 425~2,552 RLU on gloves, 541~70,251 RLU on apron, 1,596~88,490 RLU on working desk, 1,177~263,813 RLU on sterilizer grip, 715~32,814 RLU on sterilizer shelf, 114~619,725 RLU on refrigerator grip, 677~319,007 RLU on refrigerator shelf, 71~196,725 RLU on freezer grip, 1,535~233,375 RLU on freezer shelf. APC ranged $66.7{\pm}29.0CFU$ on freezer grip, $102.1{\pm}35.9CFU$ on refrigerator grip, $45.4{\pm}28.2CFU$ on heating cabinet grip, $58.8{\pm}40.4CFU$ on sterilizer grip, the number of coliform group ranged $5.6{\pm}4.9CFU$ on freezer grip, $9.1{\pm}8.7CFU$ on refrigerator grip, $1.2{\pm}1.1CFU$ on heating cabinet grip, $4.5{\pm}4.4CFU$ on sterilizer grip. S. aureus ranged $8.0{\pm}5.6CFU$ on freezer grip, $12.2{\pm}9.6CFU$ on refrigerator grip, $2.1{\pm}1.6CFU$ on heating cabinet grip, $11.6{\pm}6.4CFU$ on sterilizer grip.

Effect of the Bean Sprouts Growth by Scanning Frequency of Diagnostic Ultrasound Probe Type and Mode Change (진단용 초음파 Probe 및 Mode 변화에 따른 초음파 주사빈도가 콩나물 발아 과정에 미치는 영향)

  • Choi, Kwanyong;Lim, Hyun Soo
    • Journal of Biomedical Engineering Research
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    • v.36 no.5
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    • pp.150-154
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    • 2015
  • Long time ultrasound scan can cause a temperature rise in human tissue and affect the physical body. This is closely connected with patients' safety. So many researchers have been studied on this matter with animals such as mammals and experimental rat, because diagnostic ultrasound has been used many types of human organ to find disease. Therefore, this study is tested on bean sprouts to search how far the tissue temperature changes because of the excessive scanning consequence from ultrasound diagnosis and frequent number of ultrasonic scanning and how much affect their growth. The United States and several European countries have restrictions for number of scanning, while South Korea does not have any limitation for using ultrasound diagnosis. Comparison was that how different condition affect its' growing. The testing group is like many pregnancy moms to have 50 minutes in B-mode and color doppler mode by linear, convex and sector probe every day for a week and the other is to scan only once during the testing period. As a result, it was confirmed that there was a significant growing difference on frequent ultrasonic scanning group compared to normal one. So the final conclusion is that there needs to have a significant limitation of ultrasound scan time and a number of inspection when having for diagnostic ultrasound and recommendation like USA and a few European countries.

Recommendation for the use of newly introduced Tdap vaccine in Korea

  • Choi, Kyong-Min;Kim, Kyung-Hyo;Kim, Yae-Jean;Kim, Jong-Hyun;Park, Su-Eun;Lee, Hoan-Jong;Eun, Byung-Wook;Jo, Dae-Sun;Choi, Eun-Hwa;Hong, Young-Jin
    • Clinical and Experimental Pediatrics
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    • v.54 no.4
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    • pp.141-145
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    • 2011
  • Pertussis is an acute respiratory infection characterized by paroxysmal cough and inspiratory whoop for over 2 weeks. The incidence of pertussis has decreased markedly after the introduction of DTwP/DTaP vaccine, but the incidence of pertussis has increased steadily among young infant and among adolescents and adults in many countries. Td vaccine was used in this age group but the increase in pertussis has lead to the development of a Tdap vaccine. The Tdap vaccine is a Td vaccine with a pertussis vaccine added and is thought to decrease the incidence and transmission of pertussis in the respective age group. In Korea, two products are approved by the KOREA FOOD & DRUG ADMINISTRATION, which are ADACEL$^{TM}$ (Sanofi-Pasteur, Totonto, Ontario, Canada) and BOOSTRIX$^{(R)}$ (GlaxoSmithKline Biologicals, Rixensart, Belgium) for those aged between 11-64. This report summarizes the recommendations approved by the Committee on Infectious Diseases, the Korean Pediatric Society.

Effect of Feeding Yeast Culture from Different Sources on the Performance of Lactating Holstein Cows in Saudi Arabia

  • Alshaikh, M.A.;Alsiadi, M.Y.;Zahran, S.M.;Mogawer, H.H.;Aalshowime, T.A.
    • Asian-Australasian Journal of Animal Sciences
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    • v.15 no.3
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    • pp.352-356
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    • 2002
  • One hundred-fifty lactating, multiparous cow at post-peak of lactation were used to examine the effect of dietary yeast supplementation on milk production, milk composition and ruminal fermentation. The cows were randomly allocated to three groups of fifty cows each: a control group fed on a basal diet without yeast supplementation and two groups fed on basal diets supplemented with one of two commercial sources of yeast cultures, given at the rates of 15 g/head/d ($YC_1$) and 50 g/head/d ($YC_2$), respectively, as per manufacturers' recommendation. Daily milk production was recorded for all cows, while milk samples were taken randomly from ten cows per group for two consecutive days at two-week intervals for chemical analysis of the milk. Rumen fluids were also analyzed for ammonia nitrogen and volatile fatty acids. The results indicated that cows consuming diets supplemented with yeast culture tended to decrease their dry matter intake and to increase their milk yield. Cows fed $YC_2$ supplemented diet produced more milk and 4% fat corrected milk than those fed either $YC_1$-supplemented diet or the control. The highest milk fat percentage was obtained in cows fed $YC_2$ supplemented diet while the highest percentages of protein, lactose, total solids and solids not fat were recorded in cows fed $YC_1$. Rumen ammonia nitrogen concentration decreased significantly after yeast culture supplementation. Molar proportion of volatile fatty acids did not change significantly with yeast supplementation.

A Study on the Decision-Making of Private Banker's in Recommending Hedge Fund among Financial Goods (은행 금융상품에서 프라이빗 뱅커의 전문투자형 사모펀드 추천 의사결정)

  • Yu, Hwan;Lee, Young-Jai
    • The Journal of Information Systems
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    • v.28 no.4
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    • pp.333-358
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    • 2019
  • Purpose The study aims to develop a data-based decision model for private bankers when recommending hedge funds to their customers in financial institutions. Design/methodology/approach The independent variables are set in two groups. The independent variables of the first group are aggressive investors, active investors, and risk-neutral type investors. In the second group, variables considered by private bankers include customer propensity to invest, reliability, product subscription experience, professionalism, intimacy, and product understanding. A decision-making variable for a private banker is in recommending a first-rate general private fund composed of foreign and domestic FinTech products. These contain dependent variables that include target return rate(%), fund period (months), safeguard existence, underlying asset, and hedge fund name. Findings Based on the research results, there is a 94.4% accuracy in decision-making when the independent variables (customer rating, reliability, intimacy, product subscription experience, professionalism and product understanding) are used according to the following order of relevant dependent variables: step 1 on safeguard existence, step 2 on target return rate, step 3 on fund period, and step 4 on hedge fund name. Next, a 93.7% accuracy is expected when decision-making uses the following order of dependent variables: step 1 on safeguard existence, step 2 on target return rate, step 3 on underlying asset, and step 4 on fund period. In conclusion, a private banker conducts a decision making stage when recommending hedge funds to their customers. When examining a private banker's recommendations of hedge funds to a customer, independent variables influencing dependent variables are intimacy, product comprehension, and product subscription experience according to a categorical regression model and artificial neural network analysis model.

Determination of Defined Daily Dose of Medicines using Nominal Group Technique and Analysis of Antibiotics Use in National Insurance Claim Data: Focused on Antibiotics without DDD of WHO (수정 델파이 기법을 이용한 의약품의 DDD(일일상용량) 결정과 항생제 사용량 분석: WHO 일일상용량이 없는 항생제를 중심으로)

  • Kim, Dong-Sook;Kim, Nam-Soon;Lee, Suk-Hyang
    • Korean Journal of Clinical Pharmacy
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    • v.17 no.1
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    • pp.19-32
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    • 2007
  • Objectives : It is necessary to monitor consumption of drugs in order to enhance promote appropriate use of drugs. Defined Daily Dose(DDD) of World Health Organization(WHO) has been used for evaluating the amount of medicine use. However, DDD of some drugs must be determined for drugs in Korea which are not listed by WHO. Our formulary follows ourself classification and DDD of some drugs must be determined since they exist only in Korea. This study was aimed to determine DDD value using RAND Appropriateness Methods and evaluate the amount of antibiotics use using DDD value. Methods : J01 antibiotics of WHO anatomical therapeutic chemical(ATC) classification were extracted from drug formulary. Antibiotics list without DDD was identified to determine their DDD with comprehensive review of references and recommendation of experts. defined. Review of reference was executed. of Expert panels were comprised of clinical pharmacist and clinical doctors. Modified Delphi Method was applied by survey and consensus meeting. Amount of antibiotic use was calculated by DDD/1000 inhabitants/day in the national level using health insurance claim data. Results : The result of 1 round, DDD values of 28 ingredients were determined from the first round of consensus meeting. With 2nd round meeting, 3 ingredients were deleted and DDD of 17 ingredients were decided. Analysis of antibiotic use in health insurance claim data showed 22.97 DDD/1000 inhabitants/day in 2003 year. Conclusion : This study can contribute to the establishment of DDD assignment and thus quantifying drug uses.

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Design and Implementation of Chronic Disease Risk Analysis System according to Personalized Food Intake Preferences (개인 식품섭취 선호도에 따른 만성질환 발생 위험도 분석 시스템 설계 및 구현)

  • Jeon, So Hye;Kim, Nam Hyun
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.3
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    • pp.147-155
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    • 2014
  • While variety of content on the internet has increased with the development of IT and person's needs about suitable information are increasing rapidly, studies for personalized service have been actively performed. In the study, we proposed the Hypertension and Diabetes risk analysis system according to personal food intake preference using the analysis method of buying preferences in product recommendation system. For the analysis of food intake preference, the Pearson correlation coefficient is used to calculate similarity weights between each reference analysis data and sample data and then reference data should be grouping into the similarity weights and calculating risk of hypertension and diabetes each group. To evaluate the significance of this system, 1,021 subjects are applied the system. Hypertension and diabetes groups' risk is significant higher than normal group statistically so, it is confirmed that food intake preference and the diseases were relevant. In this paper, we verify the validity of hypertension and diabetes risk analysis system using a personal food intake preference.

Comparing Chewable and Manual Toothbrushes for Reducing Dental Plaque: A Pilot Study

  • Jeong, Moon-Jin;Shin, Hye-Sun;Jeong, Soon-Jeong;Lim, Do-Seon
    • Journal of dental hygiene science
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    • v.17 no.3
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    • pp.267-274
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    • 2017
  • This study aimed to compare the effectiveness of chewable toothbrush and manual toothbrush and provide basic data for recommendation of the chewable toothbrush in specific groups and situations. A total of 20 subjects participated in this study (rolling method, 10; non-rolling method, 10). After professional prophylaxis, participants used the manual toothbrush to brush their teeth for 3 minutes. After a 7-day wash-out period, participants used the chewable toothbrush according to the manufacturer's instructions. Pre- and post-plaque indexing of the teeth was performed. The dental plaque index was assessed using the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI) for amount of plaque and Silness-Loe Plaque Index (SLPI) for plaque thickness. The difference between pre- and post-dental plaque index was analyzed using a paired t-test and the Wilcoxon signed-rank test. The Mann-Whitney U test was also used to compare the dental plaque index reduction rates. The dental plaque index differed significantly between the chewable toothbrush and the manual toothbrush. The TMQHPI reduction rate was significantly different between the rolling and non-rolling method groups for the manual toothbrush but not the chewable toothbrush. The difference in SLPI reduction rate between the rolling and non-rolling method groups was significant for the manual toothbrush but not for the chewable toothbrush. Differences in the dental plaque index reduction rates between the chewable and manual toothbrushes were not significant in the non-rolling method group. The results of this study showed higher reduction rates in dental plaque with manual toothbrush use than with chewable toothbrush use. However, the non-rolling method group did not show statistically significant differences according to toothbrush type. The present study showed that a chewable toothbrush can be an alternative to a manual toothbrush for individuals who have difficulty using the generally recommended rolling method.

Female University Students' HPV-related Knowledge and Influencing Factors on HPV Vaccination (여대생의 인유두종 바이러스 예방접종 여부에 영향을 미치는 요인)

  • Bang, Kyung-Sook;Sung, Su-Mi;Koo, Bo-Yeon;Kim, Min-Ji;Kim, Yu-Na;Kim, Jin-Sook;Ryu, Su-Mi
    • Asian Oncology Nursing
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    • v.11 no.3
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    • pp.186-192
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    • 2011
  • Purpose: The primary prevention for cervical cancer, the human papilloma virus (HPV) vaccination, has been available in South Korea and its importance has been emphasized publicly. The purpose of this study was to investigate the knowledge regarding HPV vaccination and identify the factors associated with HPV vaccination in female university students. Methods: A sample of 200 women among university students in Seoul was asked to answer a questionnaire on HPV-related knowledge and attitude, and influencing factors on HPV vaccination. Results: Among the respondents, 12.0% were HPV vaccinated. Overall HPV-related knowledge was low, and knowledge was not different between the vaccinated and unvaccinated groups. The vaccinated group demonstrated a higher score on the knowledge about the place where people could receive HPV vaccination and the cost of the vaccination than that of the unvaccinated group. The major influencing factor on vaccination was the parent's recommendation and the major barrier for vaccination was the cost of the vaccination. Conclusion: A broadened public campaign is recommended to increase the knowledge and positive attitude towards HPV vaccination for university female students as well as their parents.