• Journal of Digestive Cancer Research
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• 제4권1호
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• pp.21-28
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• 2016

간세포암종은 만성 간질환과 간경변증을 동반하는 경우가 많고, 예후에 종양 인자 이외에도 잔존 간 기능이 주요한 영향을 미친다. 또한, 간세포암종에 대한 고위험인자를 가진 경우 특정한 영상 소견(예: 고혈관성)을 보이면, 조직검사 없이도 비침습적인 진단이 가능하다. 다른 고형암에서와 마찬가지로 수술적 절제, 방사선치료, 항암치료 등의 치료가 시행되기도 하지만, 간세포암종에서만 이루어진다고도 할 수 있는 간이식, 경동맥화학색전술, 고주파열치료술과 같은 치료 방법들이 시행되기도 한다. 종양의 다양성, 치료 방법의 다양성, 사회적 여건(의료 보건 체계, 의료 자원의 가용성 등) 등을 반영하며 여러 간세포암종 가이드라인들이 발표되어 왔으며, 각 가이드라인들은 여러 측면에서 유사하면서도 서로 상이하기도 하다. 본고에서는 다음의 간세포암종 진료 가이드라인들을 살펴보고, 가이드라인들의 특징과 앞으로 가이드라인에서 다루어야 할 부분 등에 대하여 논하고자 한다.

• 컴퓨터교육학회논문지
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• 제19권5호
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• pp.27-40
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• 2016

교육의 변화나 교육과정의 변화는 시대적 필요와 지식의 변화로 인한 필요에 근거한다. 본 연구는 두 가지 필요 모두를 내재한 고등학교 정보과 교육과정의 변천 분석을 통해 교육과정 총론 구성에 대한 시사점을 제공하기 위한 목적이 있다. 연구 진행에 따라 교육과정 총론의 분석을 통해 2007, 2009 개정 시기, 2015 개정 교육과정의 구성, 정보과 교육과정의 위상 변화, 그리고 정보 과목의 크기를 분석하였다. 교육과정 총론 분석을 통해 다음과 같은 측면에서 개선이 요구되었다. 첫째, 이수단위에 대한 명확성, 둘째, 진로선택과목의 타당한 구성, 셋째, 사용하는 용어에 대한 명확한 정의 등이 필요하다. 본 연구는 세계 각국에서 강조되는 SW교육의 관점을 고려하고, 교육과정 총론에서는 고등학교 정보과에 대해 어떤 편성과 운영을 제시하고 있는지를 분석했다는 점에 의의가 있다.

• Perspectives in Nursing Science
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• 제10권2호
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• pp.158-166
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• 2013

Purpose: This study was conducted to investigate patient safety regulations and guidelines in order to understand their current status, and to examine support measures to improve patient safety in Korean hospitals. Methods: The participants were the safety officers from hospitals with 200 or more beds and 112 hospitals responded to the online survey. The questions covered patient safety regulations, the performance level of patient safety activities, patient safety incident reporting systems, the dedicated professional, training, support mechanisms, and expectations of reporting systems. Results: Among preventative measures, fall prevention and hand hygiene were reported to be most widely practiced (92% and 91%, respectively). Time-out for invasive procedures showed a relatively low practice rate at 70%. Among patient care activities, transfusion, surgery and sedation, medication, and infection management were performed by 84, 74, 93 and 93% of the hospitals, respectively. Patient safety activities included patient safety committee, patient safety cooperation between decision-making bodies, patient safety workshops, seminars, lectures, and training for employees. Conclusion: Patient safety regulations and guidelines have not yet been sufficiently prepared, and a public institution such as a certification authority is of crucial importance to enforce these guidelines.

• 약학회지
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• 제47권4호
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• pp.244-251
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• 2003

Asthma is a chronic inflammatory disease of the airway and the prevalence rate is increasing. As the burden of asthma to the society is significant due to the increasing hospital admissions and emergency visits, National Heart, Lung and Blood Institute (NHLBI, USA) and World Health Organization (WHO) have developed comprehensive guidelines to help clinicians and patients make appropriate decisions about asthma care. The aim of study was to analyze the pattern of asthma prescriptions based on the national asthma guidelines for the patients visiting primary health care providers. Prescription data for asthma were obtained from the Korean National Health Insurance claims database of January 2002. Ten percent of the primary health care providers were sampled based on their specialty areas, and 20％ of the claim cases were randomly chosen. Study results showed that prescription rate for oral beta-2 agonists was 44.3％, and that for oral theophylline was 46.9％. Oral steroids were prescribed for the 28.2％ of the claims. Utilization of inhalers was low for both bronchodilators (20.3％, beta-2 agonists inhalers), and steroids (8.4％ steroids inhalers). Bronchodilators were more preferred to the longterm anti-inflammatory controllers among the primary health care providers. Prescription rate for antibiotics was 46.0％ for asthmatic patients. Also gastrointestinal drugs were prescribed for 59.0％, antitussives 65.3％, antihistamines 25.3％ and analgesics 29.4％, respectively. This study presented that the prescribing pattern of the primary health care providers for the asthma was quite different from the national and international guidelines. More efforts need to be made to reduce the gap between the present pattern of asthma prescription and the guidelines.

• Design & Manufacturing
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• 제6권2호
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• pp.59-63
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• 2012

In various industries, tactile recognition has been one of the important ways in displaying information because peoples like to touch and feel. Especially, how much the tactile information is efficiently recognizable is crucial for visually impaired persons in their daily lifes. However, existing design guidelines are insufficient to lead good tactile recognition. In this study, an experiment was performed to investigate proper tactile shapes (relievo / intaglio vs. filled / unfilled), sizes and depths for efficient tactile recognition. Moreover, this study scrutinized whether the recognition speed or error was varied depending on the type of displayed symbols (open vs. closed types) in tactile. The experimental results revealed that the 'relieve-filled' shape type was more rapidly recognizable than the other shapes, and the 'closed' type symbols (e.g., ${\square }$. ${\bigcirc}$) were more robustly recognizable than the 'open' type symbols (e.g, +, ^). Several design guidelines were presented based on the results. These guidelines can be applied to the design of tactile buttons in the devices that users should control them without visual attention, such as car steering wheels or MP3 players.

• Journal of Nutrition and Health
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• 제48권3호
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• pp.221-227
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• 2015

우리나라의 노인 대상으로 식생활지침 실천도 점수에 따른 치매 유병률의 차이를 분석한 결과, 치매 노인군이 정상노인군에 비해 나이가 유의하게 많았고, 성, 체격, 그리고, 식사속도, 식사를 거르는 횟수, 편식 등 식생활 특성에는 정상 노인군과 유의한 차이가 없었다. 식생활지침 세부 실천지침 중에서 다양한 식품군 섭취, 규칙적이고 안전한 식사, 음주, 가벼운 운동부분에서 치매노인군의 실천도가 정상노인군에 비해 낮았고, 그 외의 문항에서는 유의한 차이가 없었다. 식생활지침 실천도 점수가 높을수록 치매 유병률이 낮은 경향을 보였다. 요약하면 어르신을 위한 식생활지침의 실천도가 높을수록 알츠하이머형 치매의 위험이 감소하므로, "어르신을 위한 식생활지침 (보건복지부, 2011)" 실천도를 높이는 것이 알츠하이머형 치매 예방에 도움이 될 수 있으며, 향후 알츠하이머형 치매 예방을 위한 식생활 지침의 기초자료로 활용할 수 있을 것으로 사료된다.

• Journal of Gastric Cancer
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• 제14권2호
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• pp.87-104
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• 2014

Although gastric cancer is quite common in Korea, the treatment outcome is relatively favorable compared to those in western countries. However, there are currently no Korean multidisciplinary guidelines for gastric cancer. Experts from related societies developed guidelines de novo to meet Korean circumstances and requirements, including 23 recommendation statements for diagnosis (n=9) and treatment (n=14) based on relevant key questions. The quality of the evidence was rated according to the GRADE evidence evaluation framework: the evidence levels were based on a systematic review of the literature, and the recommendation grades were classified as either strong or weak. The applicability of the guidelines was considered to meet patients' view and preferences in the context of Korea. The topics of the guidelines cover diagnostic modalities (endoscopy, endoscopic ultrasound, and radiologic diagnosis), treatment modalities (surgery, therapeutic endoscopy, chemotherapy, and radiotherapy), and pathologic evaluation. An external review of the guidelines was conducted during the finalization phase.

• 한국농촌건축학회논문집
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• 제20권2호
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• pp.1-9
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• 2018

The purpose of this study was to develop guidelines for sustainability of back-to-farm community village in 4 aspects; social environment, maintenance and management, regional environment, and economic environment. These 4 aspects, which count for sustainability, based on the comprehensive comparative analysis about items that field survey and literature suggested. Conclusions of guideline are of the following. The guidelines on social environment are developed by 3 items; resident participation and activity, village leader, decision making in village and person in charge of operation. The guidelines on maintenance and management are developed by 5 items; village operation system, village regulation, transparency of management, village operation expenses, and management type. The guidelines on regional environment are developed by 2 items; support by central and local government, and area projects and connection to regional resources. The guideline on economic environment is not developed due to low demands of based production facilities and income increase facilities.

• Korean Journal of Acupuncture
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• 제27권2호
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• pp.1-11
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• 2010

Objectives : The aim of the study is to explain the general guidelines of the WHO standard acupuncture point locations (APLs). Understanding the general guidelines will enable experts to make the clear use of the standard APL for education, research and practice. Methods : In the beginning of development of the standard APL, experts made general guidelines to draw mutual agreements of the three nations (Korea, China, and Japan) on the standard APL. The guidelines include point locating methods, syntax of descriptive sentences, landmarks on body surface, reference acupuncture points, usage of anatomical terminology, and proportional bone measurements. Results : We found that there are some considerable problems in practical use of the APLs due to the strict application of anatomical terms, even on accessory phrases such as region of body in the sentence of each description. Conclusions : We hope that the study helps readers expand the understanding of the newly developed standard APLs resulting from increased application of acupuncture points. Also, it would be a reference to revise the WHO standard APLs in the future.

• 시큐리티연구
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• 제20호
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• pp.95-117
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• 2009

9${\cdot}$11 테러이후 전 세계적으로 "테러방지법"의 입법필요성이 제기되고 있으나 우리나라는 아직까지 이렇다 할 결과물을 만들어내지 못하는 상황에 있다. 현재 정부는 테러의 위협에 대비하기 위하여 "국가대테러활동지침"(대통령훈령 제47호, 1982. 1. 21 제정)에 근거하여 관계기관 간 업무를 분담하고 협력체계를 구축하여 대테러 업무를 수행하도록 하고 있다. 그러나 이러한 규정은 대통령 훈령으로서 국가긴급상황에 대처하는에 많은 한계를 내포하고 있다. 따라서 이 연구는 각국의 테러방지법안과의 비교를 통해 우리나라의 테러대응을 위한 유일한 근거규정인 "국가대테러활동지침"이 테러 개념에 대한 정확한 범위을 설정하지 못하고 있으며, 테러대응 기구로서의 테러대책회의와 테러대책상임위원회의 운영상의 문제점, 또한 테러정보통합센터의 문제점 및 테러범죄에 대한 예방적 조치의 결여와 대테러관련 수사상의 문제점 등을 지적하였다. 이러한 문제점을 보완하기 위한 향후 "국가대테러활동지침"의 입법방향으로 "국가대테러활동지침"의 제정 목적을 현재의 테러대응 환경에 맞게 재설정하고, 테러 및 대테러 활동의 개념을 명확히 하고, 테러대응 조직체계를 일원화 하며 테러대책 상임위원회 의장의 당연직화 및 테러예방을 위한 개인정보 열람 등 테러관련정보 수집권한의 강화와 테러 관련자 및 자금에 대한 신고체계의 보완을 골자로 향후 테러 대응을 위한 규정을 개선하여야 한다고 제시하고 있다.