• Korean Journal of Radiology
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• v.20 no.6
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• pp.863-879
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• 2019

Hepatocellular carcinoma (HCC) can be noninvasively diagnosed on the basis of its characteristic imaging findings of arterial phase enhancement and portal/delayed "washout" on computed tomography (CT) and magnetic resonance imaging (MRI) in cirrhotic patients. However, different specific diagnostic criteria have been proposed by several countries and major academic societies. In 2018, major guideline updates were proposed by the Association for the Study of Liver Diseases, European Association for the Study of the Liver (EASL), Korean Liver Cancer Association and National Cancer Center (KLCA-NCC) of Korea. In addition to dynamic CT and MRI using extracellular contrast media, these new guidelines now include magnetic resonance imaging (MRI) using hepatobiliary contrast media as the first-line diagnostic test, while the KLCA-NCC and EASL guidelines also include contrast-enhanced ultrasound (CEUS) as the second-line diagnostic test. Therefore, hepatobiliary MR contrast media and CEUS will be increasingly used for the noninvasive diagnosis and staging of HCC. In this review, we discuss the emerging role of hepatobiliary phase MRI and CEUS for the diagnosis of HCC and also review the changes in the HCC diagnostic criteria in major guidelines, including the KLCA-NCC practice guidelines version 2018. In addition, we aimed to pay particular attention to some remaining issues in the noninvasive diagnosis of HCC.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2013.10a
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• pp.422-423
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• 2013

This study is a fundamental research for light house heritage which has historical and cultural value to be designated as cultural heritage. Therefore, the institution of designated and registered cultural heritage are to be reviewed and proper standards of choosing suitable light house heritage are to be arranged. Some elements to be considered for the proper regulation criteria are authenticity of cultural assets, assesment base and guideline of conservation and management.

• Journal of Korean Society for Quality Management
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• v.48 no.2
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• pp.257-267
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• 2020

Purpose: The purpose of this study is to define guideline for fiber-glass-resin-putty repairing method for submarine GFRP by comparing structural strength between normal GFRP and putty repaired GFRP. Methods: GFRP specimen tensile and flexural tests are conducted in accordance with ASTM D3039/3039M-17 and ASTM D790 Procedure A. The collected data was analysed whether satisfies its structural strength criteria. Furthermore, It is analysed to find dominant reason of structural strength changes. Results: The result of the study is as follows; flexural strength of GFRP is satisfied strength criteria for all test cases, but tensile strength is not satisfied its criteria for some cases which over 2 mm depth of surface damage. Conclusion: The fiberglass-resin-putty repairing method should be applied to under 2 mm depth of damage which is not affecting to roving fiber layer destruction in GREP laminate.

• Proceedings of the Korean Institute of Building Construction Conference
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• 2017.05a
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• pp.31-32
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• 2017

The Korea is conducted performance based on design according to fire fighting law in 2009, but it came out problems related to PBD consistently. Especially, there is no specific guideline or code related to evacuation safety verification. so it came out different results according to designer. This study is looking for each country criteria and suggest the basis data for Manual composition through comparison.

• Health Policy and Management
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• v.20 no.2
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• pp.1-16
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• 2010

Background : Clinical practice guidelines are an increasingly familiar part of clinical practice. Moreover, rigorously developed evidence based guidelines has been widely used. However, in Korea, some of published documents as clinical practice guidelines have shown considerable disparity in structure, contents and quality. This is mainly because there is no consensus on the definition and quality standard of clinical practice guidelines. The purpose of this study was to draw consensus on the definition and the quality standard about clinical practice guidelines. Method : We developed a questionnaire about the definition of clinical practice guidelines with inclusion criteria(23 items) and the quality standard(30 items). We selected 9 experts who had prior experience in developing and implementing guidelines. Rating methods for appropriateness of items were adopted from the RAND method. Consensus was drawn in three rounds. Results : Of the 47 items agreed, 40 items were determined to be appropriate. Clinical practice guidelines were defined as "scientifically and systematically developed statements to assist practitioners and patients on making decisions about appropriate health care for specific clinical circumstances." Narrative reviews, systematic reviews or health technology assessment without recommendations, translation of foreign guidelines, guidelines for patients only and training manuals were not considered as clinical practice guidelines. For the quality standard of clinical practice guidelines, 27 items were deemed necessary. Conclusions : The consensus on the definition with inclusion criteria and the quality standard of clinical practice guidelines carries an important meaning as the first attempt to draw a general agreement in our society. The unique achievement of the consensus reflects the current status of clinical practice guidelines that there has been a high tendency to adapt foreign guidelines. We hope efforts of this kind will continue to bring improvement in clinical practice guidelines.

• Journal of Korean Society on Water Environment
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• v.24 no.5
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• pp.592-597
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• 2008

Current water quality standard (WQS) in Korea is based on the protection of human health, not considering the protection of aquatic organisms. Most of chemicals can be toxic to ecological biota as well as human. Health of aquatic biota is closely related to the human health via food chain, therefore ecological risk based-WQS needs to be developed to protect the aquatic ecosystem. In this study, we selected the 31 chemicals in the Project entitled 'Development of integrated methodology for evaluation of water environment'. The methodology for calculating water quality criteria was derived from the Australian and New Zealand processes for deriving guideline trigger value for aquatic ecosystem. The available ecotoxicity data were collected from US EPA's ECOTOXicology Database (ECOTOX), TOX-2000 Database, European Chemicals Bureau (ECB)'s International Uniform Chemical Information Database (IUCLID) and Environmental Protection Agency (US EPA)'s report 'Ambient Water Quality Criteria (AWQC)'. The aquatic toxicity data for the Korean species were selected for risk assessment to reflect the Korean water environment. The monitoring values were calculated from the water quality monitoring data four main Korean rivers. We suggested the order of priorities of chemicals based on ecological risk assessment. We expect that these results can be useful information for establishing the WQS for the protection of aquatic ecosystem.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.29 no.2
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• pp.12-32
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• 2016

Objectives : The objective of this study is to develop the strategies of the psoriasis clinical trials guideline on Korean medicine by comparison between Clinical guidelines and domestic and foreign clinical trials papers of psoriasis on Korean medicine. Methods : This study is based on analysis of papers on Clinical trials guidelines, Clinical practice guideline and clinical trials about Korean medicine. The papers were searched from Pubmed, Medline, Oasis(Oriental Medicine Advanced Searching Integrated System), Korean Traditional Knowledge Portal and Google portal database. Results : A total 8 Clinical practice guidelines and 2 Clinical trials guidelines were found. Moreover, there were 15 foreign papers about clinical trials and 29 internal articles about case studies. They suggested the diagnostic strategy, classification, effective outcome measure, severity measure, precaution of combination therapy, precaution and treatment period of clinical trials, safety evaluation, patterns of Korean Medicine, clinical specific features on psoriasis.Conclusions : The criteria of every item to provide the clinical trials guideline using Korean medicine on psoriasis were developed by apply the results. If we accumulate the more clinical articles on Korean medicine, it will be great help to develop the reliable standard of that guideline.

• The Journal of Pediatrics of Korean Medicine
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• v.31 no.1
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• pp.52-62
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• 2017

Objectives The purpose of this study is to review pre-existing clinical practice guidelines for autism spectrum disorders, and refer those in developing a new practice guideline. Methods A total of 9 existing clinical practice guidelines for autism spectrum disorder developed from 2010 to 2016 were searched by Google scholar and Pubmed, and were reviewed those literatures in three parts: general, diagnosis & evaluation, and intervention. Results There were no consistency in the recommendation methods of 9 clinical care guidelines (such as the method of rating and recommendation intensity for diagnosis, evaluation, and treatment). However, in the diagnosis and evaluation section, frequently used evaluation and diagnostic tools are mentioned in most clinical practice guidelines, and the types of pharmacologic and non-pharmacological treatments that are mainly recommended in treatment are equally mentioned in most clinical practice guidelines could confirm. Conclusions 1. Some guideline recommendations are graded according to each criterion. Recommendations presented in various databases were based on systematic reviews or other literatures. The most utilized database were PsycINFO, CINAHL, Cochrane. 2. DSM-5 and ICD-10 were the most common used diagnostic criteria, and DSM-IV was used as a diagnostic standard in the guideline published before 2013. The tools used for diagnosis and evaluation were also varied. However, most recommended ones were ADI-R, ADOS-G, and DISCO. 3. Treatment was largely divided into pharmacological intervention and non-pharmacological intervention. In some guideline, the interventions were divided into pediatric and adult. Most of the pharmacological interventions were not recommended due to lack of evidence, but in cases in which specific symptoms were aimed, they recommended to seek professional help. 4. In addition to interventions, each guideline referred to supportive interventions that may be helpful in the daily life of patients with ASD, which may need to be addressed in future clinical guidelines.

• Journal of The Korea Institute of Healthcare Architecture
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• v.21 no.2
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• pp.35-43
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• 2015

Purpose: A large number of the mobility impaired have increasingly used the railway station, so the application of UD(Universal Design) on urban railway station has been interested. However, the current criteria used in domestic areas have concerned about the effective administration of railway station facilities rather than the needs of he mobility impaired. Of diverse facilities in railway station, the platform is considered as an important space due to many transportation users' riding or transfer in railway stations. Therefore, this study aims to explore the detailed criteria in adapting ideas from UD to platform within railway station. Methods: This study explores the criteria by evaluating findings from previous studies. First, all criteria related to platform in domestic and foreign areas are taken together and analyzed, and appropriate criteria first are established. Based on these, the current situation of platform facilities in railway station is evaluated. Then, the detailed criteria applicable to railway station platform are concluded, by reviewing types of the mobility impaired and principles of UD. Result: Findings from this study are as follows. First, the current criteria applied to railway station platforms lack ideas of UD, while the criteria used in foreign countries adequately reflect the ideas of UD on railway station platforms; therefore, the better criteria applicable to platform facilities in domestic railway station are necessary. Second, standard criteria used in domestic areas with newly additional criteria suggest that platform facilities should be established according to those criteria. Taken together, the better platform facilities should be provided to railway users through the application of UD to railway station platforms. Implications: For the future users in railway station platforms, the additional research on criteria of UD as well as diverse types of spaces within railway stations should have been continued.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.20 no.4
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• pp.435-442
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• 2007

Since the Ronan Point apartment collapsed in 1968, researches on the progressive collapse have been intermittently conducted, and the collapse of the World Trade Center twin towers made the researches active again. In the United States guidelines such as GSA (2003) and DoD (2005) were provided for design and analysis of building structures against the progressive collapse. In this study the progressive collapse-resisting capacity of steel moment resisting frames designed by KBC-2005 was investigated using linear elastic static analysis and linear dynamic analysis procedures suggested in the guidelines. The results showed that in accordance with the GSA guideline the moment frame designed only for gravity load turned out to be vulnerable to the progressive collapse, whereas the lateral load resisting frame designed for earthquake load satisfied the criteria for progressive collapse. However both systems sailed to satisfy the criteria of the DoD-2005 guideline.