• Title/Summary/Keyword: Release Guideline

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Status of Blood Products Release at a General Hospital in Gyeonggi-Do (경기도 일개 종합병원에서 혈액제제 출고 현황)

  • Choi, Ho-Keun;Choi, Kyung-Suk
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.1
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    • pp.73-77
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    • 2022
  • Blood products (BPs) can only be obtained through blood donation and hence represent a finite resource. BPs should therefore be used conservatively. However, BPs are being used indiscriminately without evidence. The purpose of this study was to evaluate the reasons for the use of BPs and their appropriateness. The investigation was carried out based on hemoglobin levels. Data were obtained from Nov 1, 2020, to Oct 31, 2021, from a hospital's OCS/EMR systems. The BPs were dispensed in 21,303 cases, and the number of hemoglobin levels >7.0 g/dL or higher among red blood cell drugs used by each treatment department was 1,173 (>7.0 g/dL). The misuse of blood transfusions is increasing social costs, with the adequacy of transfusion becoming increasingly important. Hence, each medical institution should review the transfusion guideline evaluation index, check the status of the release of BPs, and institute educational programs covering transfusion guidelines and continually evaluate their adequacy.

Decline in Extractable Veterinary Antibiotics in Chicken Manure-Based Composts during Composting (계분을 원료로 한 퇴비의 퇴비화 과정 중 동물용 항생물질 농도저감)

  • Kwon, Soon-Ik;Jang, Yeon-A;Kim, Kye-Hoon;Kim, Min-Kyeong;Jung, Goo-Bok;Hong, Seung-Chang;Chae, Mi-Jin;So, Kyu-Ho;Kim, Kwon-Rae
    • Korean Journal of Soil Science and Fertilizer
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    • v.45 no.4
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    • pp.628-634
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    • 2012
  • Release of veterinary antibiotics (VSs) to agricultural environment through application of animal manure and/or animal manure-based composts to soils is of concern. The current study was conducted to examine decline of VAs during composting the chicken manure. For this, antibiotics free chicken manure (20 kg) and sawdust (10 kg) were added to the bench-scale composting apparatus and then the mixed material was spiked simultaneously with three VAs (chlortetracycline, CTC; sulfamethazine, SMZ; tylosin, TYL) at two different levels (10 and $20mg\;kg^{-1}$). Then the decline of VAs was determined using Charm II system during 53 composting period. For comparison, composting only chicken manure was included at VAs concentration of $10mg\;kg^{-1}$. During composting, the concentration of all three different VAs declined below the prospective guideline values ($0.8mg\;kg^{-1}$ for CTC, $0.2mg\;kg^{-1}$ for SMZ, and $1.0mg\;kg^{-1}$ for TYL) except CTC at $20mg\;kg^{-1}$ spiking when the chicken manure was composted together with sawdust. Interestingly, CTC at $10mg\;kg^{-1}$ spiking appeared to be declined under the guideline value without sawdust while SMZ was resistant to be declined without sawdust. Unlike CTC and SMZ, TYL showed immediate decline right after spiking TYL to composting materials regardless the spiking concentration and existence of sawdust. Appropriate composting procedure of chicken manure was able to decline the residual VAs in the manure below the prospective guideline value and the importance of organic substances on this decline was perceived.

Clinical Practice Guidelines for the Medical and Surgical Management of Primary Intracerebral Hemorrhage in Korea

  • Kim, Jeong Eun;Ko, Sang-Bae;Kang, Hyun-Seung;Seo, Dae-Hee;Park, Sukh-Que;Sheen, Seung Hun;Park, Hyun Sun;Kang, Sung Don;Kim, Jae Min;Oh, Chang Wan;Hong, Keun-Sik;Yu, Kyung-Ho;Heo, Ji Hoe;Kwon, Sun-Uck;Bae, Hee-Joon;Lee, Byung-Chul;Yoon, Byung-Woo;Park, In Sung;Rha, Joung-Ho
    • Journal of Korean Neurosurgical Society
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    • v.56 no.3
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    • pp.175-187
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    • 2014
  • The purpose of this clinical practice guideline (CPG) is to provide current and comprehensive recommendations for the medical and surgical management of primary intracerebral hemorrhage (ICH). Since the release of the first Korean CPGs for stroke, evidence has been accumulated in the management of ICH, such as intracranial pressure control and minimally invasive surgery, and it needs to be reflected in the updated version. The Quality Control Committee at the Korean Society of cerebrovascular Surgeons and the Writing Group at the Clinical Research Center for Stroke (CRCS) systematically reviewed relevant literature and major published guidelines between June 2007 and June 2013. Based on the published evidence, recommendations were synthesized, and the level of evidence and the grade of the recommendation were determined using the methods adapted from CRCS. A draft guideline was scrutinized by expert peer reviewers and also discussed at an expert consensus meeting until final agreement was achieved. CPGs based on scientific evidence are presented for the medical and surgical management of patients presenting with primary ICH. This CPG describes the current pertinent recommendations and suggests Korean recommendations for the medical and surgical management of a patient with primary ICH.

Update in asthma management (천식치료의 최신지견)

  • Lee, Hae Ran
    • Clinical and Experimental Pediatrics
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    • v.49 no.6
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    • pp.581-588
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    • 2006
  • Asthma is a chronic inflammation of the airway associated with increased bronchial hyperresponsiveness that leads to recurrent episodes of cough, wheezing, breathless, chest tightness. According the recent studies, repeated airway inflammation leads to structural changes so called 'airway remodeling' and associated with decreased pulmonary function. Airway remodeling begins form the early stage of asthma and the early diagnosis and management is very important to prevent airway remodeling. Medication for asthma can be classified into acute symptom reliever and chronic controller. Short acting beta2 agonist is a well-known reliever that reduced asthma symptoms within minutes. Controllers should be taken daily as a long-term basis to control airway inflammation. Inhaled corticosteroid(ICS) is the most effective controller in current use. However, in some patients ICS monotherapy is not sufficient to control asthma. In those cases, other medications such as long acting beta2 agonist, leukotriene modifier or sustained-release theophylline should be added to ICS, which called Add-on-Therapy. Combination inhaler devices are easy to use. Oral leukotriene modifier has a good compliance especially in children. Finally, as asthma is a chronic disease, the development of on-going partnership among health care professionals, the patients, and the patients' family is necessary for the effective management of asthma.

A Study on the Evaluation of Oil-adsorption Characteristics and Policy Guideline of Oil Snare (오일스네어에 대한 오일 흡착기준 정립 및 고시방향 연구)

  • Jin, Y.M.;You, J.Y.;Choi, S.S.;Joo, A.R.;Lee, J.H.;Lee, Soon-Hong
    • Journal of the Korean Society of Safety
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    • v.34 no.6
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    • pp.22-28
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    • 2019
  • In South Korea, the enact of Korean Coast Guard Act-1 manages physical and chemical oil-dispersants. Oil snare, which is made of polypropylene, is newly added to the aforementioned act, and it has advantage on the ease of recovery compare to other adsorbents. This study synthesized bunker B-oil with diesel-oil and bunker C-oil to perform an adsorption test based on three samples which were manufactured in South Korea. As a result, adsorption test revealed 5.2 g/g more adsorption than the previous results from the act. Additional toluene test revealed that all the samples satisfied 90.0%, however coloured samples could release its pigment on the marine environment. Thus, colorless samples are recommended on the risk management of marine accidents. The study on the basic direction of the calculation of the test items and the standard value for the quality control of the oil snare was also carried out.

Development of a Self-Diagnostic Measurement Index for ISO 26000 Social Responsibility

  • Lee, Myung-Goo;Cho, Han-Jin
    • Land and Housing Review
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    • v.2 no.4
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    • pp.325-344
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    • 2011
  • On November 1, 2010, the release of ISO 26000 was announced. ISO 26000 does not require 3rd party verification. But even though it is a standard that is voluntarily adopted, because the international standard for social responsibility can be applied as a trade barrier or business condition between countries, it cannot be ignored. So it is clear that we need to be alerted and prepared for this. This paper offers to help with such needs through organizations by developing an index that organizations can use to understand their current situation and diagnose themselves. This paper conducts a comparative analysis between the 7 core subjects and issues of ISO 26000, the existing indexes used by national institutions and the guideline for sustainable management report, the GRI, with the goal of developing a self-diagnostic index that organizations can utilize in order to diagnose their level of social responsibility. It is divided into the 7 core subjects with 181 measurement issues. There are 7 quantitative issues and 164 qualitative issues. The core subjects, excluding governance, are each alloted 14 points, while governance is alloted with 16 points, for a total score of 100 points. This paper is significant in that it is the first index to make self-diagnostic possible.

Toward the Effective Utilization of Usage Statistics for the Management of Electronic Journals (전자저널 관리를 위한 이용통계의 효과적 활용 방안)

  • Kim, Sung-Jin
    • Journal of Information Management
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    • v.41 no.4
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    • pp.69-91
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    • 2010
  • Libraries are encountering hostile conditions around journal licensing such as limited budget, the high price of packages, and vendor-led negotiation. They need to collect and analyze usage data of electronic journals to develop electronic journal collection appropriate for their own circumstances. The purpose of this study is to suggest an practical guideline for librarians' analysis of electronic journal usage statistics. For this, the study reviewed related previous studies and examined current state on usage statistics provided from COUNTER release 3 compliant vendors. Finally this study proposed five core statistics including full-text article request per journal, journal using rate, price per full-text article request, most use group, and low use group, and further discussed how to use them effectively for the electronic journal management.

A Facial Chuna Manual Therapy for Peripheral Facial Nerve Palsy

  • Park, Yu-Kyeong;Lee, Cho In;Lee, Jung Hee;Lee, Hyun-Jong;Lee, Yun-kyu;Seo, Jung-Chul;Kim, Jae Soo
    • Journal of Acupuncture Research
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    • v.36 no.4
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    • pp.197-203
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    • 2019
  • The purpose of this study was to investigate useful manual therapy techniques for peripheral facial nerve palsy and to propose guidelines to be applied for current manual therapy techniques. Several databases were searched to find manual therapies for facial palsy. These therapies included cervical, and temporomandibular joint chuna manual therapy, proprioceptive neuromuscular facilitation, neuromuscular re-education, facial exercise, and mime therapy. Both cervical, and temporomandibular joint chuna manual therapy release nerve compression, helping blood circulation and nerve conduction. Proprioceptive neuromuscular facilitation uses irradiation, bilateral activation, and eccentric facilitation to improve muscle power and symmetry. Neuromuscular re-education, as a retraining tool for facial movement patterns, enhances neuromuscular feedback. Facial exercise helps the patient continuously move and massage facial muscle themselves. Mime therapy aims to develop a conscious connection between the use of certain muscles and facial expressions. The use of facial chuna manual therapy for peripheral facial nerve palsy can stimulate the proprioceptive neuromuscular receptors in the face. Peripheral facial nerve palsy has 4 phases; progress phase, plateau phase, recovery phase, and sequelae phase. Each phase needs different treatments which include relaxation, assistance, resistance, origin-insertion extension, and nerve pathway expansion.

Consideration for Classification of Pathogens in Aquatic Animals (수산생물병원체의 등급 마련에 관한 고찰)

  • Cho, Miyoung;Min, Eun Young;Choi, Hye Sung;Jung, Sung Hee
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.54 no.5
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    • pp.585-595
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    • 2021
  • Even though most of aquatic animal pathogens are considered opportunistic and many pose a low direct risk to personnel, all personnel working with aquatic pathogens and facilities using these organisms must comply with the regulation to prevent the release of the pathogen into the environment and causing disease in aquatic animals. First of all, in order to establish a biosafety system for aquatic pathogen, the list of microorganisms that can infect aquatic animals and humans should be drawn up according to the microorganisms encountered within national boundaries. Second, risk assessment guideline for diseases of livestock and aquatic environment is desperately needed. Third, microorganisms should be classified into risk group based on their potential impact on human and aquatic environment. Fourth, facilities handling aquatic pathogens should ensure that these pathogens are securely contained and safely handled for experimental or commercial development purposes. In conclusion, classification is based on the pathogenicity, mode of transmission and host range of the aquatic microorganisms, availability of effective preventative measures and treatments. Furthermore, risk group of aquatic pathogens should be correlated with physical containment facility requirements according to domestic characteristics.

Study on the Development of Auto Releasing New Danger Mark Buoy (자동이탈식 위험표시부표 개발에 관한 연구)

  • Gug, Seung-Gi;Park, Hye-Ri
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2016.05a
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    • pp.20-21
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    • 2016
  • Aids to Navigation (AtoN) is marine traffic safety facility to facilitate the safe and efficient movement of shipping and enhance the protection of the marine environment by the regulation or guideline of The International Association of Marine Aids to Navigation and Lighthouse Authorities (IALA). By IALA NAVGUIDE, the term "New Danger" is defined as newly discovered hazards not yet shown in nautical documents and includes naturally occurring obstructions such as sandbanks or rocks or man-made dangers such as wrecks. 'New Dangers' should be appropriately marked using Lateral, Cardinal, Isolated Danger marks or by using the Emergency Wreck Marking Buoy. However, the Emergency Wreck Marking Buoy has difficulties with implementation conditions in terms of speed and accuracy to install the buoy. In case of sinking accidents, it is difficult immediately to install the Emergency Wreck Marking Buoy because of weather conditions, marine environments and accident position. This paper studies Auto Releasing New Danger Mark Buoy on the deck which can be automatically to release from the deck of a vessel and float in the water and quickly install the accident position in case of sinking accidents. The buoy will be to reduce the risk of navigation and prevent secondary collisions.

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