• Title/Summary/Keyword: Korean guidelines

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WHO Treatment Guidelines for Drug-Resistant Tuberculosis, 2016 Update: Applicability in South Korea

  • Jeon, Doosoo
    • Tuberculosis and Respiratory Diseases
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    • v.80 no.4
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    • pp.336-343
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    • 2017
  • Despite progress made in tuberculosis control worldwide, the disease burden and treatment outcome of multidrug-resistant tuberculosis (MDR-TB) patients have remained virtually unchanged. In 2016, the World Health Organization released new guidelines for the management of MDR-TB. The guidelines are intended to improve detection rate and treatment outcome for MDR-TB through novel, rapid molecular testing and shorter treatment regimens. Key changes include the introduction of a new, shorter MDR-TB treatment regimen, a new classification of medicines and updated recommendations for the conventional MDR-TB regimen. This paper will review these key changes and discuss the potential issues with regard to the implementation of these guidelines in South Korea.

Clinical Year in Review 2014: Critical Care Medicine

  • Lee, Jeong Moon;Lee, Heung Bum
    • Tuberculosis and Respiratory Diseases
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    • v.77 no.1
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    • pp.6-12
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    • 2014
  • Severe sepsis is the most common cause of death among critically ill patients in non-coronary intensive care units. In 2002, the guideline titled "Surviving Sepsis Campaign" was published by American and European Critical Care Medicine to decrease the mortality of severe sepsis and septic shock patients, which has been the basis of the treatment for those patients. After the first revised guidelines were published on 2008, the most current version was published in 2013 based on the updated literature of until fall 2012. Other important revised guidelines in critical care field such as 'Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit' were revised in 2013. This article will review the revised guidelines and several additional interesting published papers of until March 2014, including the part of ventilator-induced lung injury and the preventive strategies.

International regulatory considerations pertaining to the development of stem cell-based veterinary medicinal products

  • Jeon, Byung-Suk;Yi, Hee;Ku, Hyun-Ok
    • Journal of Veterinary Science
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    • v.22 no.1
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    • pp.6.1-6.6
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    • 2021
  • Stem cell-based products (SCPs) are an emerging field of veterinary medicine that focuses on the regeneration, repair, or replacement of damaged tissues or organs. However, there are some issues in applying the traditional regulatory guideline for the approval of SCPs as veterinary medicinal products. This article describes the positions of Korea, US, and EU regarding SCPs, and compares the regulatory guidelines of each country for their safety evaluation. Although there are some differences in the regulatory guidelines, similar considerations in identifying the quality of SCPs and their safety has adopted. Overall, these guidelines need to be harmonized among countries.

Commentary on the new 2022 European Society of Human Reproduction and Embryology (ESHRE) endometriosis guidelines

  • Eun Hee Yu;Jong Kil Joo
    • Clinical and Experimental Reproductive Medicine
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    • v.49 no.4
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    • pp.219-224
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    • 2022
  • Endometriosis is a prevalent benign illness defined by the presence of endometrial glands and stroma outside of the uterine cavity, primarily on the ovary, pelvic peritoneum, and rectovaginal septum, resulting in a variety of symptoms, including dysmenorrhea and infertility. Traditionally, prolonged medical therapy has been needed in most cases since a conservative approach to surgery has usually been taken, especially in young women. In 2022, new European Society of Human Reproduction and Embryology (ESHRE) guidelines were published that present different directions for diagnosis and treatment from the past. Furthermore, the guidelines for the diagnosis and management of endometriosis are more precise and applicable than in previous editions. Thus, referring to the representative changes in the new guidelines and important updates will be beneficial for the diagnosis and management of endometriosis. This paper provides a brief overview of these developments.

Apply AEGL for Short Time Exposure Using Regression Curve (회귀곡선을 이용한 단시간 노출에 대한 AEGL의 적용)

  • Lee, Hyunjin;Jeong, Taejun;Lee, Hyang-Jig;Jeong, Changmo;Ko, Jae-Wook
    • Journal of the Korean Institute of Gas
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    • v.21 no.5
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    • pp.77-82
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    • 2017
  • Thus, chemicals are managed under 9 related central government department and 16 relevant laws with program such as Process Safety Management and Offsite Consequence Analysis in korea. Guidelines for set the endpoint concentration for chemcals based on the ERPG-2 (Emergency Response Planning Guidelines-2) and AEGL-2 (Acute Exposure Guidelines Level-2). but ERPG and AEGL do not describe exposure for less than 10 minutes. because of this, each guidelines define criteria differently for short time less than 10 minutes exposure. This indefinite exposure criteria would give rise to a confusion in the chemical plants, and potentially lead to a critical decision making error when accidents happen. In an effort to apply guidelines with evenly-distributed initial time frame, AEGL concentrations within 10 minute exposure time were evaluated by examining statistical regression curves. The results were in good agreement with those from the Probit Function based on each AEGL grade to explain 3 different threshold levels of exposure effects. Resultant re-enforced guidelines for endpoint chemical concentrations are, therefore, to provide powerful tool to assess and manage the risk associated with any potential chemical accidents at an early stage.

A Study on the Guideline of Area of Space Size according to Size of position and Regional characteristics of Public Libraries (공공도서관의 지위별 규모와 지역적 특성에 따른 공간 면적 기준에 관한 연구)

  • Lee, Chul-Jae;Yun, Ji-Won;Lee, Min
    • Korean Institute of Interior Design Journal
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    • v.26 no.2
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    • pp.92-100
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    • 2017
  • In order to improve the functions of libraries in each region, it is necessary to establish the guideline of area of space size according to size and region. Therefore, this study aims to present the guideline of area of space size of public libraries for the revision of the manual of 2013. The study findings are as follows. First, the theoretical and preceding studies have raised a need to present the guidelines on the areas of public libraries nationwide since the guidelines of areas presented in Gyeonggi Province have been derived from the provincial libraries of Gyeonggi only. It is also necessary to analyze and verify the guidelines of areas of public libraries nationwide in Korea based on the guidelines of areas for Gyeonggi Province. Second, I have analyzed the areas of public libraries nationwide. I have conducted comparative analysis and verification in comparison with the areas in Gyeonggi Province through the ${\pm}5%$ error range presented in the existing manual, which has led to the conclusion that the guidelines of areas in Gyeonggi Province are within the error range and thus are applicable to public libraries nationwide. Third, I have presented the five different types of guidelines of areas. This study is expected to facilitate accelerating the decision-making and policy establishment as part of the construction and remodeling plans. In the future, however, more detailed studies on libraries bigger than $5,000m^2$ is needed.

Effect of Water Hardness on Toxicity of Cadmium and Zinc (수계 내 경도가 Cd와 Zn 독성에 미치는 영향)

  • Yoon, Sung Ho;Ha, Hong Joo;Lee, Sung Jong;Jho, Eun Hea
    • Journal of Korean Society on Water Environment
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    • v.33 no.5
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    • pp.556-562
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    • 2017
  • Heavy metals in water systems are being managed on the concentration-based guidelines in Korea. However, various chemicals present in water can interact with heavy metals affecting their toxicity. Such interactions are not considered in the concentration-based guidelines. This study investigated the effect of hardness and coexisting heavy metals on heavy metal toxicity to emphasize the importance of having the effect-based guidelines together with the concentration-based guidelines in water management. The toxic effects of Cd, Zn, or mixtures of Cd and Zn were studied with Daphnia magna as a test species following the standard test method at different hardness conditions (100, 200, and $300mg\;L^{-1}$ as $CaCO_3$). The toxicities of single metal solutions and mixtures showed a decreasing trend with increasing hardness, and this can be attributed to the competition between heavy metals and cations such as calcium ions ($Ca^{2+}$) that cause hardness. The predicted toxicities of the heavy metal mixtures from the single metal toxicity deviated from the measured toxicities, and the predicted toxic effects tend to be greater than the measured toxic effects suggesting that Cd and Zn are in competition. This shows the limitations of using predicted toxic effects and the needs for further studies on mixture toxicities. Overall, this study shows that the management of heavy metals in waters needs to employ the effect-based guidelines together with the concentration-based guidelines.

A Study to define the range of sample size for setting Intensive Care Unit(ICU) facility guidelines - Focused on analysis of guidelines and present of ICUs facilities by general hospitals size (중환자실 시설기준 작성을 위한 기본시설 수준 설정 연구 - 국내·외 시설기준 및 국내 종합병원 병상규모 별 시설 현황분석을 기초로 하여)

  • Yoon, Hyung Jin;Cho, Jun Young
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.3
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    • pp.47-56
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    • 2017
  • Purpose : This study is a basic research to establish guidelines for healthcare facility in Korean healthcare market. As a first step, it is a main purpose for making beginning point of ICU guideline to set a basic level of ICU facility size and quality by analysis current ICU facilities and existed domestic guidelines : law, criteria of healthcare insurance review and assessment service, credit of Korea institute for healthcare accreditation. Methods : First of all, the all requirements of existed guidelines are put together and summarized. The summary is compared with that of US, UK, and Australia to know its quality difference with international market. In addition, all hospitals in Korean market are classified based on total bed number and ICU bed number to know the most occupied facility size range in the market. Second of all, by comparing 15 ICUs' current setting of the public general hospital, a general condition of ICU facility would be extracted based on function, floor area per bed, services Results : 72.8% of hospitals in Korea are belonging below 500 beds hospital. Among them 200-299 beds hospitals occupied 35.3% and are shown as the most occupied hospital size. As 15 public general hospitals are analyzed, it is clear that the more bed size and services the more ICU area per bed. As a result it is sure that the 300~500 bed may be a clear line as a general ICU condition whose function and bed number relatively consistent in the range. Implications : to keep the qualified medical environment and contemporary hospital trend, the guideline as a minimum requirement keep naturally out from current healthcare settings and should reflect their limit to reconcile with the new trend in the market.

Case Study on the Effluent Guidelines of Foreign Cases for the Development of Hazardous Noxious Substances (HNS) from Marine Industrial Facilities Management Guidelines, Korea: Focusing on the US EPA Guidelines (국내 해양산업시설의 위험유해물질 배출 관리 지침개발을 위한 국외 사례 검토: US EPA 배출지침을 중심으로)

  • Ki-young Choi;Chang-joon Kim;Young-Il Kim;Won-Soo Kang;Moonjin Lee
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.spc
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    • pp.44-49
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    • 2022
  • It is necessary to establish a marine environment management system in Korea for hazardous noxious substances (HNS) effluent from marine industrial facilities because the Marine Environment Management Act primarily focuses on pollution control from vessels and offshore man-made structures. In this study, we investigated the effluent guidelines of foreign cases focusing on the US Environmental Protection Agency (US EPA), which provides detailed information on the action levels and establishing principles for the industrial wastewater discharge of HNS. Based on the review, we also considered appropriate options for establishing new guidelines for Korea.

A Study on Needs Analysis for the Reference Service Model and Guidelines at the National Level: A Focus on the National Library of Korea Case (국가적 수준의 참고정보서비스 모형 및 가이드라인 요구분석 사례 연구 - 국립중앙도서관을 중심으로 -)

  • Chae, Hyun Soo;Chun, Jung Hyun;Lee, Jee Yeon
    • Journal of the Korean Society for Library and Information Science
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    • v.56 no.1
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    • pp.221-252
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    • 2022
  • The study aims to derive major factors from the results of needs analysis to develop the reference service model and guidelines at the national level. The literature review and case study enabled investigation of the considerations to develop the reference service model and guidelines. The Needs Analysis revealed librarians' and users' needs about the reference service. The major factors and implications derived from the analysis suggest the directions of the National-level reference service model and guidelines development process. This study has significance because it presented the implications and the development process of the reference service model and guidelines for domestic libraries, and directly contributed to the development of the reference service model and guidelines for the National Library of Korea.