• Title/Summary/Keyword: Korean guidelines

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Association between compliance with dietary guidelines and Alzheimer's disease in Korean elderly (한국 노인의 식생활 지침 실천도와 알츠하이머형 치매의 관련성)

  • Kim, Ji Eun;Shin, Sangah;Lee, Dong Woo;Park, Joon Hyun;Hong, Eun Joo;Joung, Hyojee
    • Journal of Nutrition and Health
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    • v.48 no.3
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    • pp.221-227
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    • 2015
  • Purpose: Confronting the growing burden of dementia requires understanding the causes and predictors of dementia in order to develop preventive strategies. In Korea a large proportion (71%) of dementia is Alzheimer's disease, and the risk factors have not yet been elucidated. Dietary factors may be possible risk factors, however research on the relationship between Alzheimer's disease and dietary behaviors has been insufficient. The purpose of this study was to investigate the association between compliance with the "Dietary Guidelines for Elderly (The Ministry of Health and Welfare, 2011)" and Alzheimer's disease among Korean elderly. Methods: Elderly persons who visited a University hospital or a dementia center of Seoul and agreed to participate in the examinations were selected. Among 277 subjects, 89 Alzheimer patients were selected with diagnosis and 118 subjects were assigned to the control group. Diagnosis of Alzheimer's disease was based on Alzheimer's disease criteria of Diagnostic and Statistical manual of Mental Disorders, 4th edition (DSM-IV) and criteria of National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer's Disease and related Disorders Association (NINCDS-ADRDA). Information on the general characteristics, health related behaviors and compliance with the dietary guidelines for Korean elderly was collected by face to face interview using a structured questionnaire. Anthropometric variables were measured during the survey. Results: Total compliance score of dietary guidelines was significantly lower in the Alzheimer's disease group than in the control group (p = 0.0001). The odds ratio of Alzheimer's disease was significantly decreased in the group with the highest dietary guideline compliance score (OR = 0.47, 95 % CI = 0.18~1.09) compared to the group with the lowest compliance score. Conclusion: The results indicate that increasing compliance with the dietary guidelines could be an effective strategy to decrease the risk of Alzheimer's disease among Korean elderly.

Comparative Study of Compliance for Venous Thromboembolism Prophylaxis (American College of Chest Physicians Guideline and American College of Orthopedic Surgeons Guideline) in High Risk Patients with a Venous Thromboembolism (정맥혈전 색전증 고위험군에서 시행한 혈전색전 예방요법(American College of Chest Physicians 지침 및 American College of Orthopedic Surgeons 지침)의 준수율 비교 연구)

  • Suh, You-Sung;Nho, Jae-Hwi;Jang, Byung-Woong;Kang, Deokwon;Won, Sung-Hun
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.4
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    • pp.317-326
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    • 2019
  • Purpose: To compare and analyze the rate of prevention of two venous thromboembolism prophylaxis guidelines in patients with artificial joint arthroplasty and hip joint fracture. Proper prophylaxis for preventing thromboembolism in orthopedic surgery is significant because of this fetal complication. Materials and Methods: This study compared and retrospective analyzed the rate of prevention using the medical records and radiographs of patients who underwent orthopedic surgery from March 2009 to February 2011 according to the American College of Chest Physicians (ACCP) guidelines and from March 2012 to February 2014 according to the American Academy of Orthopedic Surgeons (AAOS) guidelines. Results: The guidelines for venous thromboembolism prophylaxis have been applied to patients with artificial joint replacement and hip joint fracture, the compliance rate of the ACCP guidelines was 56.0% before surgery, 67.0% after surgery with chemical prophylaxis, and 80.5% with mechanical prophylaxis. In addition, the compliance rate of the AAOS guidelines was 74.1% with chemical prophylaxis, and 88.3% with mechanical prophylaxis, which was higher than the ACCP guidelines. The compliance rates of mechanical and chemical prophylaxis before and after surgery of the ACCP guidelines, and the compliance rate of mechanical and chemical prophylaxis of the AAOS guidelines were compared and analyzed. The results revealed statistical significance (p<0.05) before and after total knee replacement arthroplasty and hip joint fracture internal fixation and total high risk orthopedic surgery. Conclusion: Raising the compliance rate of prophylaxis of venous thromboembolism in high risk orthopedic surgery is necessary and people should follow the guidelines for a unified direction depending on which situation they are in.

Guidelines for Performing Root Cause Analysis (근본원인분석 수행을 위한 지침)

  • Lee, Hyeon-Jeong;Choi, Eun-Young;Ock, Min-Su;Lee, Sang-Il
    • Quality Improvement in Health Care
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    • v.23 no.1
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    • pp.25-38
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    • 2017
  • Root cause analysis (RCA) is systematic process for identifying contributing factors and root causes. It detects system-level vulnerabilities and prevents them from occurring in the future. In many countries, RCA guidelines have been developed and used for these purposes, and various practical tools are suggested according to stages of RCA implementation. In Korea, adverse events occur in 7.2-8.3 percent of inpatients according to studies conducted in hospitals. However, frontline staffs are suffering from lack of knowledge about RCA implementation. This study introduces RCA guidelines that may be used in hospitals to improve the quality of medical care and patient safety.

Analysis of Singapore's BIM tender documents for the development of infrastructure BIM guidelines in Korea (국외 BIM 발주지침 분석을 통한 국내 토목 분야 BIM 가이드라인 개발 방향 제시에 관한 연구 - 싱가폴 토목 사업 과업지시서를 중심으로-)

  • Koo, Bon-Sang;Ok, Hyun;Yu, Young-Su;Jung, Rae-Kyu
    • Journal of KIBIM
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    • v.8 no.2
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    • pp.19-28
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    • 2018
  • Recent increase in the interest and adoption of BIM for infrastructure projects has created a need for formal BIM guidelines in the civil engineering domain. Currently a BIM guideline has been developed in Korea exclusively for the road sector. However, the guideline has gaps in the specification of how BIM models should be generated, managed and applied for maximum effect in projects. This study reviewed the guidelines and tender documents of Singapore to determine potential improvements to adopt in Korea. Results showed that Korea's guideline should focus more on process integration as to stipulating BIM deliverables, encourage a common data environment, clearly distinguish between compulsory and selective BIM applications, and require data and models that can be leveraged in the operation phase of the facility.

A Review on the Vibration Exposure Limits in Korea

  • Park, Hee Sok
    • Journal of the Ergonomics Society of Korea
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    • v.34 no.3
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    • pp.217-222
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    • 2015
  • Objective:The objective of this study is to review the exposure limits in the legislation, guidelines, and standards for human vibration in Korea. Background: There have been relatively less interests in vibration than other risk factors in Korea. However, the importance of vibration is increasing as industry and everyday life are more mechanized. Method: Various enforcements were examined including legislation, guidelines, and standards for whole-body vibration and localized vibration. Results: No exposure limits were found in legislation, guidelines, and standards for the human vibration in Korea. Conclusion: It is important to introduce new duties regarding vibration risks to the general duties. Further studies are expected on the vibration exposure limits appropriate for Korean people and job conditions. Application: The results from this study would be of help to induce more interests in human vibration to the occupational health and safety professionals of Korea.

Analysis of Safety Distance and Maximum Permissible Power of Resonant Wireless Power Transfer Systems with Regard to Magnetic Field Exposure

  • Park, Young-Min;Byun, Jin-Kyu
    • Journal of Magnetics
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    • v.20 no.4
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    • pp.450-459
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    • 2015
  • In this paper, the safety distances and maximum permissible power (MPP) of resonant wireless power transfer systems are defined and derived with regard to human exposure to electromagnetic field (EMF). The definition is based on the calculated induced current density and electric field in the standard human model located between the transmitting and receiving coil. In order to avoid the adverse health effects such as stimulation of nerve tissues, the induced current and electric field must not exceed the basic restriction values specified in EMF safety guidelines. The different combinations of diameters of the coils and the distance between the two coils are investigated and their effects are analyzed. Two versions of EMF safety guidelines (ICNIRP 1998 and ICNIRP 2010) are used as bases for safety distance calculation and the difference between the two guidelines are discussed.

A Study on Product Liability Risk Financing Guidelines (제조물 책임 리스크 자금조달에 대한 일반적 지침 연구)

  • 이동하;오근태;김명수
    • Journal of Applied Reliability
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    • v.2 no.2
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    • pp.99-112
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    • 2002
  • Risk financing is defined as the methods applied to fund risk treatment and the financial consequences of risk. It is a major component of the transfer of risk and the retention of risk which are, in turn, parts of the risk treatment process. This study applied the general guidelines on risk financing to product liability risk. Product liability risk occurs when potential defects in the process of design, production, and distribution lead to accidents resulting in fatal, financial, and environmental loss. Risk on product liability may be financed in many different ways, each of which may be used singularly or in combination. The most popular and recommendable way suggested in the guidelines is the retention or use of reserves, transfer, credit or insurance.

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Comparing standards and guidelines of long-term care facilities based on physical environment and manpower in Korea, Japan, USA, and Australia (노인요양시설의 시설·인력 기준 비교 연구)

  • Chin, Young-Ran;Lee, Hyo Young
    • Health Policy and Management
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    • v.22 no.3
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    • pp.403-426
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    • 2012
  • The purpose of this study is to compare the standards and guidelines of long-term care facilities based on the physical environments and human resources in Korea, Japan, USA, and Australia. Ultimately, this study suggests the directions for amendments of long-term care service or running of the facilities in Korea. For achieving this purpose, we reviewed the homepage of national health departments, reports and articles of long-term care service, and acts related with long-term care in each country. This comparisons were carried in terms of physical environments, human resources by long-term care related acts and legal sanctions as means of quality control. This study implies that long-term care service guidelines or standards should be revised for developing the quality of our long-term care services.

Pneumothorax

  • Choi, Won-Il
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.3
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    • pp.99-104
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    • 2014
  • Pneumothorax-either spontaneous or iatrogenic-is commonly encountered in pulmonary medicine. While secondary pneumothorax is caused by an underlying pulmonary disease, the spontaneous type occurs in healthy individuals without obvious cause. The British Thoracic Society (BTS, 2010) and the American College of Chest Physicians (ACCP, 2001) published the guidelines for pneumothorax management. This review compares the diagnostic and management recommendations between the two societies. Patients diagnosed with primary spontaneous pneumothorax (PSP) may be observed without intervention if the pneumothorax is small and there are no symptoms. Oxygen therapy is only discussed in the BTS guidelines. If intervention is needed, BTS recommends a simple aspiration in all spontaneous and some secondary pneumothorax cases, whereas ACCP suggests a chest tube insertion rather than a simple aspiration. BTS and ACCP both recommend surgery for patients with a recurrent pneumothorax and persistent air leak. For patients who decline surgery or are poor surgical candidates, pleurodesis is an alternative recommended by both BTS and ACCP guidelines. Treatment strategies of iatrogenic pneumothorax are very similar to PSP. However, recurrence is not a consideration in iatrogenic pneumothorax.