• Title/Summary/Keyword: critical review

Search Result 2,110, Processing Time 0.033 seconds

Summary of the Chronic Obstructive Pulmonary Disease Clinical Practice Guideline Revised in 2014 by the Korean Academy of Tuberculosis and Respiratory Disease

  • Yoon, Hyoung Kyu;Park, Yong-Bum;Rhee, Chin Kook;Lee, Jin Hwa;Oh, Yeon-Mok;Committee of the Korean COPD Guideline 2014
    • Tuberculosis and Respiratory Diseases
    • /
    • v.80 no.3
    • /
    • pp.230-240
    • /
    • 2017
  • Chronic obstructive pulmonary disease (COPD) results in high morbidity and mortality among patients both domestically and globally. The Korean clinical practice guideline for COPD was revised in 2014. It was drafted by the members of the Korean Academy of Tuberculosis and Respiratory Diseases, as well as participating members of the Health Insurance Review and Assessment Service, Korean Physicians' Association, and Korea Respiration Trouble Association. This revised guideline covers a wide range of topics, including the epidemiology, diagnosis, assessment, monitoring, management, exacerbation, and comorbidities of COPD in Korea. We drafted a guideline on COPD management by performing systematic reviews on the topic of management with the help of a meta-analysis expert. We expect this guideline will be helpful medical doctors treating patients with respiratory conditions, other health care professionals, and government personnel in South Korea.

Critical Design Status of the G-CLEF Flexure Control Camera

  • Oh, Jae Sok;Park, Chan;Kim, Kang-Min;Chun, Moo-Young;Yu, Young Sam;Lee, Sungho;Kim, Jihun;Szentgyorgyi, Andrew;Podgorski, William;Evans, Ian;Mueller, Mark;Uomoto, Alan;Crane, Jeffrey;Hare, Tyson
    • The Bulletin of The Korean Astronomical Society
    • /
    • v.42 no.2
    • /
    • pp.56.4-57
    • /
    • 2017
  • The GMT-Consortium Large Earth Finder (G-CLEF) is the very first light instrument of the Giant Magellan Telescope (GMT) to be commissioned in 2022. The instrument is a fiber feed, optical band echelle spectrograph that is capable of extremely precise radial velocity measurement. Korea Astronomy and Space Science Institute (KASI) has been involved in the development of the G-CLEF as one member of the international consortium consisted of five astronomical institutes including Smithsonian Astrophysical Observatory (SAO), Observatories of the Carnegie Institution of Washington (OCIW). It is scheduled to have KASI side Critical Design Review in December 2017. In this presentation we will report the recent progress on the critical design activities for the G-CLEF Flexure Control Camera (FCC).

  • PDF

An Image-guided Radiosurgery for the Treatment of Metastatic Bone Tumors using the CyberKnife Robotic System

  • Cho, Chul-Koo
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.13 no.1
    • /
    • pp.14-21
    • /
    • 2007
  • Bone is a common site for metastatic spread from many kinds of malignancies. The morbidity associated with this metastatic spread can be significant, including severe pain. When it comes to spinal metastasis, occupying nearly 40% of skeletal metastases, the risks of complications, such as vertebral body collapse, nerve root impingement, or spinal cord compression, are also significant. Because of the necessity of preserving the integrity of the spinal column and the proximity of critical structures, surgical treatment has limitations when durable local control is desired. Radiotherapy, therefore, is often used as an adjunct treatment or as a sole treatment. A considerable limitation of standard radiotherapy is the reported recurrence rate or ineffective palliation of pain, either clinically or symptomatically. This may be due to limited radiation doses to tumor itself because of the proximity of critical structures. CyberKnife is an image-guided robotic radiosurgical system. The image guidance system includes a kilovoltage X-ray imaging source and amorphous silica detectors. The radiation delivery device is a mobile X-band linear accelerator (6 MV) mounted on a robotic arm. Highly conformal fields and hypofractionated radiotherapy schedules are increasingly being used as a means to achieve biologic dose escalation for body tumors. Therefore, we can give much higher doses to the targeted tumor volume with minimizing doses to the surrounding critical structures, resulting in more effective local control and less severe side effects, compared to conventional fractionated radiotherapy. A description of this technology and a review of clinical applications to bone metastases are detailed herein.

  • PDF

Concept Analysis of Post Intensive Care Syndrome (집중치료 후 증후군에 관한 개념분석)

  • Kang, Ji yeon;Won, Youn Hui
    • Journal of Korean Critical Care Nursing
    • /
    • v.8 no.2
    • /
    • pp.55-65
    • /
    • 2015
  • Purpose: The purpose of this study was to identify the attributes, antecedents, and consequences of post-intensive care syndrome. Methods: The study was conducted in accordance with Walker and Avant's conceptual analysis process. We searched the Medline, ProQuest, Google scholar, NANET (Korean National Assembly Library), and RISS (Korean Education and Research Information Service) databases resulting in 29 studies for in-depth review. Results: The attributes of post-intensive care syndrome include (1) new or worsening impairment persisting after discharge, (2) physical impairment, (3) psychological impairment, (4) cognitive impairment, and (5) symptom experience. The antecedents of the concept include a critical condition that requires intensive care, stressful events, immobility, sedation, delirium, insomnia, frailty, and invasive procedures. The consequences of post-intensive care syndrome are increased dependency in activities of daily life, decreased social interaction, delayed return to previous occupation, decreased quality of life, familial post-intensive care syndrome, and readmission/death. Conclusion: The concept of post-intensive care syndrome has multifaceted and integrative features. Further research needs to be conducted to develop a measurement tool that reflects the attributes of the concept and to develop multidisciplinary interventions to prevent post-intensive care syndrome.

A Study on Considerations for Implementations of Production Information Systems (생산정보시스템의 도입시 고려 사항에 관한 연구)

  • Hong, Soon-Goo;Kim, Na-Rang;Kim, Jong-Weon
    • Journal of Korea Society of Industrial Information Systems
    • /
    • v.13 no.4
    • /
    • pp.132-138
    • /
    • 2008
  • Small and medium-sized manufacturing companies have introduced production information systems such as pop and MES to improve their productivity. However, there has been little research on this field This study provides answers for 3 following critical questions for successful implementation of production information systems based on the literature review and case studies. First, do investments on this system bring the positive performance? Second, what are the critical success factors that should be managed? Third, how long does it take to obtain its performance? This paper suggests some implications for the practitioners.

  • PDF

Seeking a Critical Paradigm in Library and Information Science Research (문헌정보학 연구에 있어서 비판적 패러다임의 모색)

  • Chang, Duk-Hyun
    • Journal of the Korean Society for Library and Information Science
    • /
    • v.36 no.4
    • /
    • pp.245-264
    • /
    • 2002
  • Library and information science(LIS) research has been dominated by functionalistic orientation as one of the postulates of positivism. As a result, it has often been criticized that LIS research does not take into account the social, cultural, political, and economic contexts on which the theories and the practices of LIS are based. In this regard, this paper seeks to establish and apply critical inquiry through a review of the relevant aspects of critical theory and application of those insights to current research and practice in LIS. Connections of LIS research to relevant political, social and economic issues are particularly stressed.

Development of the Forensic Nursing Competency Scale for Nurses (간호사의 법의간호 역량 측정도구 개발)

  • Jo, Na Young;Kim, Min Hye;Lee, Yun Mi
    • Journal of Korean Critical Care Nursing
    • /
    • v.13 no.3
    • /
    • pp.24-40
    • /
    • 2020
  • Purpose : This study aims to develop the Forensic Nursing Competency Scale suitable to South Korea. Methods : The initial items were generated through literature review and interviews. Items were evaluated by experts for content and face validity. By conducting a pilot test, 74 measurement items were developed. In total, 333 copies of the questionnaire were analyzed regarding the validity and reliability of the study. Data were analyzed using SPSS 23.0 program and AMOS 18.0 program. Results : The study selected 53 questions after testing the content, face, and construct validity of the scale. The final 53 questions were composed of 15 sub-components in eight domains. These eight domains encompassed nursing practice, communication, critical thinking, human caring and relationships, evidence management, active information collection, professional development, and knowledge integration. Conclusions : In order to verify the effectiveness of the scale, future studies need to compare the forensic nursing competency in two groups to assess differences in these competency. Moreover, it is necessary to develop a forensic nursing educational program and validate its effectiveness by using this scale.

Critical Success Factors for Project Management Information System in Construction

  • Lee, Seul-Ki;Yu, Jung-Ho
    • Journal of Construction Engineering and Project Management
    • /
    • v.1 no.1
    • /
    • pp.25-30
    • /
    • 2011
  • With a focus on different aspects of PMIS in construction projects, various sets of critical success factors (CSFs) have been suggested in the literature such as IS Success Model by various researchers. It is crucial to explore the relative importance and groupings of these factors. This paper aims to identify CSFs associated with Project Management Information System (PMIS) in construction projects, and explore their ranking and underlying relationship. CSFs for PMIS identified through a literature review, and consolidated by interviews and pilot studies with professionals in construction industry. A questionnaire instrument was sent out to experienced users (Construction Manager and Constructor) in Korea, and 253 completed questionnaires were retrieved. To increase the generalizability of the results, the respondents were spread across construction site. Using factor analysis and considering the high importance of the factor, CSFs were grouped into three dimensions. All these three groupings and their relationship were included in a framework for successful PMIS in construction projects. These findings help to clarify what the high prioritized factors are, and could also be used as an assessment tool to evaluate the performance of PMIS and thus help to identify areas for improvement.

An Empirical Study on the Critical Success Factors of Business to Business e-Procurement System (B2B 전자조달시스템의 핵심성공요인(CSF) 도출을 위한 실증분석)

  • Lee, Sang-Jin;Shin, Seoung-Man
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
    • /
    • v.47
    • /
    • pp.239-260
    • /
    • 2010
  • The purpose of this study would like to investigate the critical success factors of the e-procurement which means on-line purchase of goods and services for organizations. This action represents one of the largest expense items in a firm's cost structure. In order to draw CSFs of e-procurement system, we have surveyed questionnaire to the related firms. The basic variables used in this survey are taken from many precedent researches in relation to the e-procurement. On the other hand, the research data is collected from companies which had used the MRO e-marketplace. Through factor analysis of those data, four-factor resulted as follows: (1) factor one suggests the rationalization of the firm's management of its suppliers; (2) factor two calls for redesigning affected business processes and influencing end-user/employee procurement-related behaviors; (3) factor three refers to carefully orchestrating an e-procurement technology planning process with one's suppliers and using intelligence in designing the software and mining the data it produces; and (4) factor four relates to selecting an e-procurement solution and/or simultaneously participating in a number of electronic environments supporting e-procurement. In conclusion, these four factors are regarded as critical success factors for the application of e-procurement system and then suppliers should take care the effective planning of e-procurement structure.

  • PDF

The Treatment of Adult Respiratory Distress Syndrome (ARDS) Using Extracorporeal Membrane Oxygenation (ECMO) (성인 호흡곤란 증후군에 있어 체외막 산소화 장치를 이용한 치료)

  • Kim, Go-Woon;Choi, Eun-Young;Hong, Sang-Bum
    • Tuberculosis and Respiratory Diseases
    • /
    • v.72 no.1
    • /
    • pp.1-7
    • /
    • 2012
  • Extracorporeal Membrane Oxygenation (ECMO) support to tissue oxygenation has been shown to improve survival in patients with life threatening respiratory distress syndrome or cardiac failure. Extracorporeal life support such as ECMO, including extracorporeal $CO_2$ removal ($ECCO_2R$), is used as temporary support until successful recovery of organs. A recently published multicentre randomized controlled trial, known as the CESAR (conventional ventilation or extracorporeal membrane oxygenation for severe adult respiratory failure) trial, was the first trial to demonstrate the utility of ECMO in acute respiratory distress syndrome (ARDS). During the 2009 influenza A (H1N1) pandemic, there were many reports of patients with severe ARDS related to H1N1 infection treated with ECMO. These reports revealed a high survival rate and effectiveness of ECMO. In this review, we explain the indication of ECMO clinical application, the practical types of ECMO, and complications associated with ECMO. In addition, we explain recent new ECMO technology and management of patients during ECMO support.