• Childhood Kidney Diseases
• /
• 제24권1호
• /
• pp.1-13
• /
• 2020

Immunoglobulin (Ig)A vasculitis nephritis (IgAVN), also referred to as Henoch-Schönlein purpura nephritis, is a relatively benign disease in children. However, two 24-year European cohort studies have reported high sustained rates of hypertension, severe proteinuria, and renal dysfunction in patients with IgAVN. Notably, the incidence and exacerbation rates of proteinuria, hypertension, and renal dysfunction during pregnancy were high even in women who recovered from IgAVN before pregnancy. Patients with IgAVN need lifelong care. Trials have been performed to investigate early biomarkers and genes associated with poor prognosis to identify high-risk patients in whom IgAVN may progress to severe renal disease. Urinary IgA/cr, IgM/cr levels, and HLAB35 and angiotensinogen gene expression were shown to be predictors of progression of IgAVN to severe renal dysfunction. The 2019 Single Hub and Access point for paediatric Rheumatology in Europe (SHARE) initiative group published guidelines for pediatric IgAVN, following the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines established in 2012. Compared with the KDIGO guidelines, the SHARE guidelines recommend earlier corticosteroid administration in cases of mild proteinuria (>0.5 g/d). Clinical trials of targeted budesonide delivery to the distal ileum, monoclonal antibody targeting C5, eculizumab and anti-CD20 monoclonal antibody administration, among others are currently underway in patients with IgA nephropathy. It is expected that newer therapeutic agents would become available for IgAVN in the near future. This review summarizes IgAVN with emphasis on recently published literature, including possible preventive strategies, predictive biomarkers for progression of IgAVN, and various treatments.

• 한국기록관리학회지
• /
• 제20권1호
• /
• pp.27-46
• /
• 2020

한국의 기록관리교육은 대학원마다 교육과정의 편차가 커서 기록관리 교과과정의 변화에 관한 필요성은 꾸준히 제기되어 왔다. 본 연구에서는 외국의 기록관리 교육지침서와 인증기준을 비교 분석하여 우리나라 기록관리 교육지침서 개발을 위한 핵심범주와 요소를 도출하였다. 지침서는 서문, 사명과 목표, 교육내용, 행정적 요소, 결론으로 구성되며, 기록물관리 전문요원이 배워야 할 교육내용의 핵심 지식범주는 ① 레코드와 아카이브의 본질, ② 선별, 평가, 수집, ③ 정리 및 기술, ④ 보존, ⑤ 정보서비스와 접근, ⑥ 아웃리치, 지도, 옹호, ⑦ 관리와 행정, ⑧ 사회적, 문화적 시스템, ⑨ 법적, 재정적 시스템, ⑩ 정보기술로 도출되었다. 향후 지식범주는 학계와 현장의 기록물관리전문요원의 의견을 적극 반영할 필요가 있으며 이를 통해 대학원 교과과정을 개선해 나가야 할 것이다.

• 임상간호연구
• /
• 제29권1호
• /
• pp.42-55
• /
• 2023

Purpose: This study was conducted to update nursing practice guidelines for intravenous infusion published in 2017. Methods: The guideline update process was carried out using 22 steps developed by NICE and SIGN. It was agreed to update domains related to central venous infusion therapy. Contents related to peripheral infusion would be updated later. Results: Updated guidelines for central venous infusion therapy consisted of 6 domains and 195 recommendations. The number of recommendations by domain was 11 for general instruction, 14 for central vascular access devices (CVAD) and add-on devices, 13 for nursing management before insertion of CVAD, 30 for management during insertion of CVAD, 51 for management after insertion of CVAD, and 76 for complications. A grade was 29 (14.9%), B grade was 87 (44.6%), and C grade was 79 (40.5%) in the strength of recommendations. A total of 37 (19.0%) recommendations were newly developed and 23 (12.3%) previous recommendations have been modified. The newly developed recommendations were mainly related to the infection control methods. Conclusion: The updated guideline is focused on safe maintenance of central venous infusion therapy. Through this guideline, it is hoped to minimize the occurrence of complications and improve the standardization and efficiency of nursing practice.

• 융합경영연구
• /
• 제9권5호
• /
• pp.15-25
• /
• 2021

Purpose: In the Korean railway infrastructure process, contractors and operators are involved at a later stage, which results in significant inefficiency. This study examines the benefits of early stakeholder involvement in Korean railway infrastructure projects and provides practical guidelines. Design, data and methodology: Literatures and foreign cases are analyzed. Building on the new product development model, we derive propositions explaining the relationship between early stakeholder involvement and the performance of Korean railway infrastructure project. Results: Major propositions include that early involvement of contractor has a positive effect on the project performance by shortening the infrastructure construction period and that early involvement of railway operator has a positive effect on the project performance by improving the effectiveness of railway infrastructure. Four requirements for the success of early stakeholder involvement are addressed. Conclusions: This study suggests that early stakeholder involvement shortens the construction period and improves railway infrastructure effectiveness. Academic contribution is to present the framework on railway infrastructure projects as holistic interactions among stakeholders. Practical contribution is to provide railway policy makers and other business practitioners with policy guidelines to improve railway infrastructure project process and to recommend an open access to relevant data.

• 한국기록관리학회지
• /
• 제5권1호
• /
• pp.107-136
• /
• 2005

쌍방향적 정보의 교류와 접근을 가능하게 하는 정보기술의 발달을 배경으로 등장한 전자정부와 이를 지원하기 위해 제정된 전자정부법은 온라인을 통해 정부 정보를 적극적으로 제공할 것을 규정하고 있다. 이는 공공기관의 기록관리 환경에 많은 변화를 가져왔을 뿐만 아니라, 국민들이 정부정보로 접근하는 것을 더욱 확고하게 보장하였다. 공공기관이 온라인으로 정보자원을 정확하고 효율적으로 제공하도록 하는 한편, 정부가 제공하는 각종 정보자원 국민들이 편리하고 빠르게 찾을 수 있도록 돕기 위해서는 이를 지원하는 공공인프라의 구축과 함께 전자정부 메타데이터의 개발이 필요하다. 우리나라의 경우 아직 표준화된 전자정부 메타데이터는 없지만 'GILS Core 엘리먼트'가 이와 유사한 기능을 하고 있다. 하지만 GILS Core 엘리먼트는 기술 대상으로 기록을 고려하지 않은 채 개발되어 많은 문제점을 가지고 있다. 따라서 본 논문에서는 온라인으로 제공되는 정부 정보자원의 대부분을 차지할 기록의 특성을 고려하여 전자정부 메타데이터 표준을 제안하였다.

• 보건의료산업학회지
• /
• 제13권4호
• /
• pp.9-17
• /
• 2019

Objectives: The purpose of this study is to explore the developmental direction of the hospital management field that contributes to the academic and practical development of the health care industry and to establish its identity by using the Korean Journal of Health Service Management. Methods: A total of 156 papers were analyzed from April 2007 to December 2018. Frequency analysis and descriptive statistics were performed using SPSS 25.0. Results: The volume of articles published in the hospital management field was decreasing and the ratio was relatively low due to the nature of the journal. The disposition of the papers in the hospital management field excessively focused on the organizational behavior field, and research in the management field that was difficult to access was decreasing. In addition, about 83% of the participants were drawn from hospitals. Conclusions: It is necessary to present guidelines for publication of theses so that a managerial approach can be made rather than an approach to industrial psychological theory verification.

• 한국의학물리학회지:의학물리
• /
• 제28권4호
• /
• pp.197-206
• /
• 2017

We develop guidelines for the quality assurance of radiation treatment planning systems (TPS) by comparing and reviewing recommendations from major countries and organizations, as well as by analyzing the AAPM, ESTRO, and IAEA TPS quality assurance guidelines. We establish quality assurance items for acceptance testing, commissioning, periodic testing, system management, and security, and propose methods to perform each item within acceptable standards. Acceptance includes tests of hardware and network environments, data transmission, software, and benchmarking as specified by the system supplier, and apply the IAEA classification criteria. Commissioning includes dosimetric and non-dosimetric items for assessing TPS performance by applying the AAPM classification criteria and the latest technical items from the IAEA. Periodic quality assurance tests include daily, weekly, monthly, yearly, and occasional items by applying the AAPM classification criteria. System management and security items include the state and network connectivity of TPS, periodic data backup, and data access security. The guidelines for TPS quality assurance proposed in this study will help to improve the safety and quality of radiotherapy by preventing incidents related to radiotherapy.

• 한국비블리아학회지
• /
• 제28권2호
• /
• pp.245-271
• /
• 2017

연속간행물이 공공도서관 장서로서 차지하는 중요성과 이용 빈도에 비하여 공공도서관현장에서의 연속간행물 관리에 대한 관심은 상대적으로 미흡한 편이다. 본 연구의 목적은 공공도서관의 연속간행물 장서관리 실태를 조사하여 문제점을 진단하고 개선방안을 제시하는 데 있다. 이를 위해 문헌연구와 국내 8개 지역 대표도서관 및 3개 해외 도서관의 장서관리 정책 사례 조사, 경기도 지역 31개 공공도서관을 대상으로 한 온라인 설문조사 등을 실시하였으며, 조사 결과를 토대로 구독 종수 및 범위의 확대, 접근점 개선 및 관리지침의 수립 필요성 등을 제안하였다.

• International Journal of Contents
• /
• 제11권1호
• /
• pp.41-51
• /
• 2015

Management systems for electronic library have been developed on the basis of Client/Server or ASP framework in domestic market for a long time. Therefore, both service provider and user suffer from their high cost and effort in management, maintenance, and repairing of software as well as hardware. Recently in addition, mobile devices like smartphone and tablet PC are frequently used as terminal devices to access computers through the Internet or other networks, sophisticatedly customized or personalized interface for n-screen service became more important issue these days. In this paper, we propose a new scheme of integrated management system for electronic library based on SaaS and Web Standard. We design and implement the proposed scheme applying Electronic Cabinet Guidelines for Web Standard and Universal Code System. Hosted application management style and software on demand style service models based on SaaS are basically applied to develop the management system. Moreover, a newly improved concept of duplication check algorithm in a hierarchical evaluation process is presented and a personalized interface based on web standard is applied to implement the system. Algorithms of duplication check for journal, volume/number, and paper are hierarchically presented with their logic flows. Total framework of our development obeys the standard feature of Electronic Cabinet Guidelines offered by Korea government so that we can accomplish standard of application software, quality improvement of total software, and reusability extension. Scope of our development includes core services of library automation system such as acquisition, list-up, loan-and-return, and their related services. We focus on interoperation compatibility between elementary sub-systems throughout complex network and structural features. Reanalyzing and standardizing each part of the system under the concept on the cloud of service, we construct an integrated development environment for generating, test, operation, and maintenance. Finally, performance analyses are performed about resource usability of server, memory amount used, and response time of server etc. As a result of measurements fulfilled over 5 times at different test points and using different data, the average response time is about 62.9 seconds for 100 clients, which takes about 0.629 seconds per client on the average. We can expect this result makes it possible to operate the system in real-time level proof. Resource usability and memory occupation are also good and moderate comparing to the conventional systems. As total verification tests, we present a simple proof to obey Electronic Cabinet Guidelines and a record of TTA authentication test for topics about SaaS maturity, performance, and application program features.

• 보건교육건강증진학회지
• /
• 제28권1호
• /
• pp.115-130
• /
• 2011

Objective: This study aimed to introduce Health Impact Assessment using the case of a HIA on 2008 Dream Start Project in Cheongju. Methods: We followed the typical procedure of HIA recommended by the Merseyside Guidelines on HIA. In scoping, the steering committee decided 5 key domains of child health to be assessed: prenatal care, vaccination, nutrition, access to health care, and child abuse and also the methods of collecting the evidence. The HIA appraisal team collected information from various sources including literature, community survey, and focus group interviews. The HIA appraisal team also synthesized the collected information in terms of the nature of health impacts and equity and made recommendations accordingly. Results: Positive impacts were expected in prenatal care, vaccination, and nutrition, while negative impacts were expected in access to health care. The impact of Dream Start on child abuse was uncertain. Several recommendations were made and submitted to the Dream Start team for their consideration. About 2 years later, we found many of them were implemented in 2009 Dream Start project. Conclusion: HIA was found to be applicable and effective to make decision makers in the welfare sector consider health in their work.