• Title/Summary/Keyword: 지침의 질

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Development of Air-Environment management guideline in Building construction process (건설사업추진단계에서의 대기환경 관리지침 개발에 관한 연구 - 군 건설사업 중심으로 -)

  • Na Duk-So;Suh Sang-Wook;Lee Chan-Sik
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2004.11a
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    • pp.376-379
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    • 2004
  • Building construction Is essential part that we get the enjoyment and promote the quality in human life. But construction process itself has an bad effect on environment: air Pollution, water Pollution, soil Pollution ,etc. These day, Air-environment management becomes very important part in Construction because Construction duration delay which is caused by civil petitions related air-environment occurs frequently. For developing the management-guideline of environment management, This study suggests an executive management-guideline based on surveying air-environmental related laws, regulations and literatures, making out important factors. With the management guideline, The Purpose of this study is to make an air-environmental management system through that Process.

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Development of Evidence-Based Nursing Practice Guideline for Prevention of Ventilator-Associated Pneumonia (인공호흡기 관련 폐렴의 예방을 위한 근거기반 간호실무지침 개발)

  • Kim, Hwa-Young;Ryu, Seang
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.630-644
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    • 2021
  • This study was conducted to develop evidence-based nursing practice guideline for the prevention of VAP. This is a methodological study to develop guideline and verify the effectiveness according to the hybrid method of the NECA. Topics and key questions were derived through literature review and interviews, and recommendations were converged and developed through guidelines review and SR and meta-analysis. This was verified through the RAND and evaluated through AGREEII. The clinical feasibility of the nursing practice guideline, consisting of 44 recommendations in 9 categories, was evaluated by 122 ICU nurses. Conclusively this evidence-based nursing practice guideline for the prevention of VAP was confirmed methodological quality and content validity and was suitable for our nursing practice environment.

Medical Data Based Clinical Pathway Analysis and Automatic Ganeration System (임상데이터기반 표준진료지침 자동 생성 시스템 분석 및 연구)

  • Park, Hanna;Bae, In Ho;Kim, Yong Oock
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.39C no.6
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    • pp.497-502
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    • 2014
  • In general, all physicians have some standardized diagnosis and treatment methods. However, there are differences in the precise order and examination depending on the hospital size, system, medical equipment, etc. To reduce this difference, the interest about standardized guidelines recently increased and a variety of research is being conducted. The uniform guideline cannot reflect the differences of each situation and environment to meet the hospitals. Therefore, standardized medical guidelines(=clinical pathway) should provide customized guidelines based on the relevant medical data to ensure the quality of the medical service and the doctor's autonomy. In this paper, we will analyze medical data made by two thyroid specialists in the same hospitals. Moreover, this paper mentions the implement of automatic generating clinical pathway system which consider its real hospital situation and result.

Critical Pathway for Spinal Stenosis Patients (척추관 협착증 환자 진료 프로세스 개발)

  • Lee, Hwan Mo;Kim, Ho Jung;Kim, Keung Nyun;Ahn, Poong Gi;Chun, Jahae;Shin, Hyun-Ju;Kim, Yang Soo;Shin, Hye Sun;Kim, In Sook;Chung, Hye Kyung;Kim, Young Ah;Chae, Hyung Ki;Park, In Young
    • Quality Improvement in Health Care
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    • v.15 no.2
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    • pp.83-86
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    • 2009
  • 연구배경: 수술적 치료가 필요한 척추관 협착증 환자들은 주로 60세 이상의 고령환자로 장기간의 입원 시 기회 감염의 증대와 불필요한 의료비의 증대를 가져오게 되며, 수술 후 환자들의 재원일수의 증가는 병원의 병상가동률을 감소시키고, 전공의에게는 불필요한 업무를 증가시킨다. 연구목적: 비용 효과면에서 최적화된 진료 지침의 개발은 불필요한 의료비의 감소 및 Hospital Induced Complication을 줄여 환자 만족도를 증진시킬 수 있으며, 각 환자에 대한 전공의 업무를 줄일 수 있다. 의료기관: 서울특별시에 소재한 2,075병상의 종합전문요양기관 연구방법: 정형외과 및 신경외과의 척추관 협착증 환자의 처방을 비교하여 최적의 표준진료지침을 개발하고 최종적으로 CP Master Program(EMR 프로그램)에 입력하여 환자에게 적용하였다. 연구결과: CP 적용 전, 후 비교를 통해 재원일수는 3.8일이 감소하였으며, 이에 따라 병상 가동률 및 진료수익이 증가했으리라고 예상되며 현재 비교 검토 중이다. 또한, CP 개발 및 CP Master Program의 사용을 통한 전공의 업무 감소에 대해 검토하고 있다.

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Quality Control of the Educational Contents based on Life Cycle (생명주기 기반 교육용 콘텐츠 질 관리)

  • Lim, Jae-Hyun;Kim, Chi-Su
    • Journal of The Korean Association of Information Education
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    • v.11 no.4
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    • pp.483-495
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    • 2007
  • In this paper, to establish a way controlling educational contents, range of contents for quality control are offered. And a life-cycle suitable for present circumstance has defined and successive quality control process has suggested supporting development and use of the contents through analyzing the life cycle of its software and previous contents. A life cycle is defined as whole process from formation of contents to its extinction. The developing process includes stages of planning, designing, manufacturing, and the applying process includes evaluation, circulation and management. Suitable quality control guidelines for each process have established and offered. Aim of this paper is also to develop a model which is applicable to developers as well as supporters who help the developing process.

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Web Accessibility Evaluation Model Development for Specific user group based on WCAG 2.0 (WCAG2.0 기반의 특정 사용자 집단을 위한 웹 접근성 평가 모델 개발)

  • Kim, Cho-Yi;Hong, So-Yeon;Kim, So-Ra;Han, Hyuk-Soo
    • Proceedings of the Korea Information Processing Society Conference
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    • 2009.11a
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    • pp.417-418
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    • 2009
  • 웹이 대중화되면서, 사용자 계층도 어린이, 노인, 장애인 등으로 다양해졌다. 인지적, 신체적 특징에 상관없이 모든 사람에게 동등한 웹 기회를 제공하고 있는가를 나타내는 지표가 웹 접근성이다. 웹 사이트들이 특정 수준의 웹 접근성을 준수하도록 유도하기 위해 W3C(World Wide Web Consourtium)의 WAI(Web Accessiability Initiative)는 웹 콘텐츠 접근성 가이드라인 WCAG (Web Content Accessibility Guideliens)를 개발하였다. 현재, WCAG2.0까지 발표된 가이드라인은, 4개의 원칙(Principle), 12개의 지침(Guideline), 그리고 61개의 성공기준(Success Criteria)으로 구성 되어 있다. 평가자들은 WCAG2.0에서 제시하는 성공 기준에 맞춰, 웹 사이트가 웹 접근성을 어느 수준으로 준수하고 있는지 평가한다. 하지만, WCAG2.0을 기준으로 웹 사이트를 평가할 경우, 성공기준의 준수여부는 평가가 가능하지만, 특정 사용자 집단의 특성을 반영한, 우선순위가 포함되지 않아, 특정 사용자 집단을 위한 개선 사항을 도출하는데 어려움이 있다. 이에, 본 논문에서는 이러한 점을 고려하여 WCAG2.0 기반의, 특정 사용 집단을 위한 웹 접근성 평가 모델을 제안한다. 사용자 특성에 따라 성공지침들의 중요도가 달라 질 수 있으므로, AHP 기법을 활용하여 성공지침들의 상대적 중요도를 평가하고, 우선순위화 하였다. 평가 모델의 효용성을 입증하기 위해, 특정 사용집단으로 노인 집단을 선정하여, 웹 접근성 평가 모델을 개발하였다.

Research on Concept of Guideline for Traffic Management in the Case of Disaster Events under a u-T Environment (u-T 환경하에서의 재난/재해시 교통관리지침 개념 정립에 관한 연구)

  • Yoon, Jae Yong;Jeon, Jong Soo;Kwon, Young Hyuk;Lee, Eui Eun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.4D
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    • pp.331-338
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    • 2010
  • In the case of Korea, research on traffic management is insufficient to cover the increasing incidence of disaster. Furthermore, many of the traffic management manual does not touch up on how to administer/manage in case of disaster, except for the one made by 'Korea Expressway Corporation.' In response to this issue, this research is based on a thesis to establish concept of guideline for traffic management in the case of an disaster. In order to achieve this goal, there has been an analysis of the American's manual, molded and changed to be Korea-specific. In the future, based on the u-T circumstances are established, traffic management will become much more efficient. This paper presents important details and ways of management for each step of an disaster event: prevention, preparation, response and restoration.

A Study on the Status and Direction of the Nursing Hospital Certification System (요양병원 인증제도의 현황과 방향에 대한 연구)

  • Park, Jong-won
    • Journal of Venture Innovation
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    • v.5 no.1
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    • pp.145-154
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    • 2022
  • This study briefly compares the first-cycle certification of nursing hospitals with the second-cycle certification, reviews the changes and achievements of the second-cycle certification and the third-cycle certification, and examples of challenges and solutions in the process of preparing the third-cycle certification. In this study, it is suggested as follows. First, in order to see the practical effect of certification intended by the government, the exhibition is prepared in a short period of time before certification. Second, after the implementation of the nursing hospital certification system, research on the hospital performance of the medical institution certification system is insufficient in terms of quality and quantity. Therefore, in order to see the effect on the certification system, various research support is also required so that research on this can be actively conducted. Third, design certification standard guidelines from a long-term perspective so that the standard guidelines for certification do not change significantly, and certify not only the guidelines but also individual standards and forms that can be used by medical institutions. Fourth, in the four-cycle certification, accurate and realistic guidelines for infection control and quarantine ward operation support should be developed. The importance of managing infectious diseases will be highlighted in the future due to COVID-19. Fifth, medical institutions can improve the quality of medical care in nursing hospitals and have competitiveness if their daily activities, not short-term certification preparation, are carried out in accordance with certification standards, which affects performance. Sixth, when preparing for certification, nursing hospital officials have problems in organizing documents or processing administratively in the short term as in the past. This is also based on the certification criteria for the usual business process.

Perception to the dietary guidelines for Koreans among Korean adults based on sociodemographic characteristics and lifestyle (한국 성인의 인구사회학적 특성 및 생활습관에 따른 식생활지침 인식수준)

  • Yejin Yoon;Soo Hyun Kim;Hyojee Joung;Seoeun Ahn
    • Journal of Nutrition and Health
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    • v.56 no.6
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    • pp.742-755
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    • 2023
  • Purpose: This study aimed to investigate the perceptions of the dietary guidelines for Koreans (DGK) among Korean adults based on sociodemographic and lifestyle factors. Methods: A total of 514 Korean adults aged 19-64 years completed a self-administered online questionnaire assessing their perceptions of DGK, sociodemographic and lifestyle factors, and subjective assessments regarding the importance of 11 nutrients and 16 food groups. The differences in the perceptions of DGK according to the characteristics of the participants were analyzed using t-tests or ANOVA. Additionally, the differences in the subjective assessments of nutrients and food groups according to the perceptions of DGK were examined using t-tests. Results: The awareness of DGK was significantly higher among participants aged 50-64 years, living in single-person households, who were physically active, with a lower frequency of eating out, and with a higher interest in dietary information (p < 0.05 for all). The understanding of DGK was significantly higher among participants aged 19-29 years, females, individuals who were under or normal weight, non-smokers, those who self-evaluated their diet as healthy, and those with a high interest in dietary information (p < 0.05 for all). Additionally, the applicability of DGK was significantly higher among participants aged 50-64 years, who were physically active, who self-evaluated their diet as healthy, and who had a high interest in dietary information (p < 0.05 for all). Participants with a higher perception of DGK tended to attribute greater importance to most nutrients and food groups compared to those with a lower perception level. However, processed meat and foods, beverages, and alcoholic drinks consistently received lower importance ratings compared to other nutrients and food groups, regardless of the perception level. Conclusion: This research suggests that the perceptions of DGK among Korean adults may vary depending on sociodemographic and lifestyle factors. Consequently, there is a need to customize and diversify the methods for providing dietary guidelines.

원유의 세균학적 질:법적요구와 지불제도 - EU와 IDF 회원국 현황 -

  • 손봉환
    • Journal of the korean veterinary medical association
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    • v.33 no.4
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    • pp.222-234
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    • 1997
  • 유질은 성분과 위생상태로 결정되어 진다. 질/위생은 사람건강 보호와 적정소비에 대한 관점에서 보면 장점인 영양적 중요성에서 오는 욕망을 이르키는 성질과 일정범위의 좋은점 사이에 원유변화와 만나게되는 것이 필요하다. 높은 질/위생적 원유에 대한 가치의 주요 평가는 : - 부패미 생물의 낮은 수 - 유방염 병원성균이 포함된 병원성군이 없거나 대단히 낮은 수 - 가능한 한 멀리 피할 것은 잔류와 오염 그리고 또는 최고잔류한계(Maximum Residue linits. )이하를 지킬 것. 우유내 부패세균은 다음 군에서 주요 우유성분에 대한 공격의 그들 주요점에 의하여 세분할 수 있다. - 당분해(Glycolytes) - Streptococci, lactobacill; - 단백질 분해(Proteolytes) - Pseudomonads, Enterobacteriaceae, Aerobic sporeformer - 지방분해(Lipolytes) - Pseudomonads, Micncocci, Aeromonads, Coryneb acteria 원유내 부패세균의 존재와 분열은 우유성분 변화와 생산품의 질에 영향을 줄 것이다. 더구나 원유의 맛은 역의 영향이 될 것이며 열 안정성 세균성 효소는 생산품에서 계속적으로 작용된다. 특히 오랜 저장시에 그러하다. 그리고 안정성, cream의 맛과 UHT 우유에 나쁜 영향을 준다. 이 병원성 세균을 고전적 미생물과 최근 발견된 미생물이 포함된다. 현재는 Salmonella, 병원성 E. Coli 균주, Listeria monocytogenes, Campylobacter Jejuni, Yersinia enterocolitica, Staphylococcm aureu는 대단히 중요하다. 원유의 세균학적 질과 지불제도에 대한 법적요구는 우유위생지침 92/94 EEC와 IDF설문 2893/A(전문가모임 A8군)의 결과를 기준으로 설명되었다. IDF Nr. 305/1995는 농장 지불제도에 관한 정보가92/93년 동안 IDF국가들 사이 차이나는 실제적 위치가 실려있다. 지불제도의 차이나는 현상은 보고의 초점과 연관 유질, 위생적 질, 우유시료채취, 수집방법론 그리고 여러가지 지불공식과 관계된 조사는 논쟁이 있었다. 현재 있는 자료를 제시한 몇 나라는 1992년에 응용한 것이고, 기타는 그후 응답으로 1993년과 1994년에 있던 것이 제시되었다. 식품위생에서 법적인 요구는 HACCP제도가 더욱더 추가로 포함된다. 더우기 위험분석은 위생과 질에 관련시켜 모든 연결결정에 대하여는 과학적 근거가 있어야 한다.

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