• 동의신경정신과학회지
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• 제24권spc1호
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• pp.23-36
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• 2013

Objectives : The purpose of this guideline is to show the evidence-based guidelines of diagnosis and evaluation of Hwabyung by the synthesis and organization of existing research contents. Methods : We investigated the existing research on the concept of Hwabyung. Further, we investigated the diagnostic tools, self-diagnostic method, symptoms assessment tools, oriental medical diagnostic methods, treatment evaluation tools and other testing methods of Hwabyung. Results : There was a Hwabyung diagnostic interview schedule (HIBDS) in the standardized measure for the diagnosis of Hwabyung. In the symptoms assessment tools of Hwabyung, there was a self-report measurement tool of Hwabyung and measurement tool of Hwabyung to be evaluated by the interviewer. In the oriental medical diagnostic method, there was an instrument of pattern identification for Hwabyung. In the treatment assessment tool, there was an instrument of oriental medical evaluation for Hwabyung. In addition, MMPI, SCL-90R, Zung's self-rating anxiety scale (SAS), Zung's self-rating depression scale (SDS), State-Trait Anger Expression Inventory (STAXI) and etc. can be used for the diagnosis and assessment of Hwabyung. Conclusions : We expect 'Clinical Guidelines for the Treatment of Hwabyung' to be useful for the diagnosis and assessment of Hwabyung.

• 한국환경보건학회지
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• 제46권4호
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• pp.423-432
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• 2020

Objectives: In this study, we analyzed the current state of delivery containers and packages and established handling guidelines to safely transport delivery containers and packages for use in research, testing, and examination reagents. Methods: Handling guidelines were revised in such categories as maintenance of the handling facilities, storage, loading and unloading, containers and packages, transportation, etc. In addition, we analyzed the current state of domestic sales for hazardous chemicals used for research, testing, and examination reagents, and investigated the handling guidelines related to delivery transportation in the USA, EU, and Japan by chemical property. Results: There are 6,160 companies selling hazardous chemicals. Among them, the 476 companies selling reagents for use in research, testing, and examination were investigated. Total amounts handled reached 425,000 tons, contributing to 0.2% of the total. For delivery transportation, internal containers and packaging was specified for chemical properties as follows: within 1 L for flammable gas, within 5 L for flammable liquid, and within 18 L for others. In addition, the maximum size of the outer package was set within 130 cm for total length, width, and height, and no dimension of the packaging could exceed 60 cm. Sixty-four hazardous chemicals with explosiveness or acute inhalation toxicity were prohibited for delivery transportation. Conclusion: Specified handling guidelines for inner and outer containers as well as packaging were regulated for delivery transportation of hazardous chemicals used for reagents. In addition, 64 hazardous chemicals were prohibited for delivery transportation. These are designed to prevent transportation accidents involving hazardous chemicals for reagents and thus protect the safety and health of transporters who handle hazardous chemicals.

• 환경영향평가
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• 제9권1호
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• pp.13-24
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• 2000

This paper presents a study of water quality model applications in environmental impact statements which were submitted during recent years in Korea. Most of the applications have reported that the development projects would have significant impacts on the water quality, especially, of streams and rivers. The water quality models, however, were hardly used as an impact prediction tool. Even in the cases where models were used, calibration and verification studies were not performed and thus the predicted results would not be reliable. These poor model applications in environmental impact assessment can be attributable to the fact that there were no available model application guidelines as well as no requirements by the review agency. In addition, the expected waste loads were improperly estimated in most cases, especially in non-point sources, and the predicted parameters were not good enough to understand water quality problems expected from the proposed plans. The effects of mitigation measures were not analyzed in most cases. Again, these can be attributed to no formal guidelines available for impact predictions until now. A brief guideline is described in this paper, including model selection, calibration and verification, impact prediction, and analysis of effects of mitigation measures. The results of this study indicate that the model application should be required to overcome the current improper predictions of environmental impacts and the guidelines should be developed in detail and provided.

• 대한한방내과학회지
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• 제40권6호
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• pp.1101-1111
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• 2019

Objective: The purpose of this study was to investigate quality of reporting acupuncture intervention for mild cognitive impairment (MCI) based on the STRICTA and CONSORT guidelines Methods: We searched for randomized controlled trial studies of acupuncture treatment for MCI in the MEDLINE (PubMed) database. Once the online search was completed, studies were selected manually by the inclusion criteria, and the selected studies were evaluated by STRICTA and CONSORT guidelines. Results: Five studies were included. The most frequently selected points for acupuncture treatment of MCI were on the head, such as GV20, EX-HN1, GV24, and GB20. By STRICTA guidelines, all items from STRICTA were reported except three items on the checklist. By CONSORT guidelines, apart from six items which were not available, quality assessment was performed with 31 items. Eighteen items were reported by 80% of the studies. Four items were reported by 40% of the studies and another four items were reported by 20% of the studies. One item was not reported in all studies. Conclusion: Most items were reported by STRICTA guidelines, whereas many items were insufficiently reported based on CONSORT guidelines. This needs to be considered in future RCTs of acupuncture treatment for MCI.

• 생태와환경
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• 제38권3호통권113호
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• pp.281-288
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• 2005

폐수배출시설별 BAT 평가제도는 폐수특성을 고려한 배출시설별 배출허용기준 설정, 오염총량관리기본계획 및 시행계획에 따른 오염부하삭감 가능량 산정, 신규오염물질에 대한 배출허용기준 산정 등 효율적인 산업폐수관리를 위해서 도입할 필요가 있다. 본 연구에서는 외국사례와 국내 폐수배출시설들의 현황 등을 조사하여 국내여건에 적합한 BAT 평가방안을 제시하였다. 본 평가절차의 핵심은 폐수배출시설별 처리시설에 대한 환경인자, 경제적 수용가능성, 기술적 인자 및 경제성 등을 객관성 있고 전문적인 판단이 가능토록 한데 있다. 본 BAT 평가방안은 처리수준에 근거한 폐수배출시설별 배출허용기준마련 및 오염총량관리를 위한 기초 자료로 활용할 수 있으며, 신규오염물질 및 유해오염물질의 배출허용기준 마련 등 정책적${\cdot}$법적 제도개선에 유용하게 활용할 수 있을 것으로 사료된다.

• Toxicological Research
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• 제17권
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• pp.219-225
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• 2001

The basic structure for assessment of potential health risks from environmental chemicals is widely agreed upon, but many of the details of risk assessment procedures differ among practitioners. Government regulatory agencies typically have guidelines or standard procedures for their risk assessments, established to ensure consistency and comparability, to set standards for adequacy, and to embody underlying tenets. In setting and updating such guidelines, each agency takes into account not only the prevailing thinking about appropriate procedures, but also its own goals and responsibilities and the precedents it has set for itself in past analyses. This results in variations in methods, and consequently in characterization of risks, among regulatory assessments, even when they are based on the same data. As a result, adopting existing assessments from a variety of regulatory bodies needs to be done with caution. This paper examines some of the variants in risk assessment approaches among American federal regulatory agencies and relates them to the variations in regulatory responsibilities of those groups. Comparisons to international practices are also drawn. The impact on development of world-wide risk standards is discussed.

• 기본간호학회지
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• 제19권1호
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• pp.87-97
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• 2012

Purpose: This study was done to evaluate nursing guidelines for patients with acute stroke, developed by adapting the guidelines of Registered Nurses Association of Ontario, Canada to clinical settings on a large scale and evaluating the effectiveness as a research study. Method: The general characteristics of the 319 patients and the effectiveness of guideline application were evaluated in terms of structure, process, and outcome using questionnaires on the guidelines application with reference to the medical records of patients with acute stroke hospitalized on a ward of the stroke center of S General Hospital in Seoul. Results: Structures as a guidance system for assessment were consistent with the recommendations. With respect to the process of the guidelines, for items on nursing assessment, improved performance was found to be statistically significant. For outcomes of the guidelines, complications occurred in 8 patients (5.3%) prior to application of the guidelines and 11 patients (6.5%) after application of the guidelines, but this result was not statistically significant (p=.841). Conclusion: The results of the study indicate that for the effectiveness of the guidelines, accessibility to the guidelines and effectiveness of quality improvement need to be evaluated, in addition to complications of a stroke.

• 한국지하수토양환경학회지:지하수토양환경
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• 제28권6호
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• pp.33-44
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• 2023

A risk assessment on the heavy metals including arsenic (As), cupper (Cu), lead (Pb), and zinc (Zn) was investigated by setting exposure routes in agricultural fields. Moreover, the factors requiring improvement in risk assessment were also discussed through a review of the dermal absorption slope factor (SF_abs) and total amount of suspended particles (TSP) in the current risk assessment guidelines. Assessment results show that the total cancer risk (TCR) of As through crop and soil ingestion was 1.51E-03 in adults and 6.37E-4 in children, which indicated a carcinogenic risk (exceeding 1E-05). On the other side, the harzard index (HI) was 3.37 in adults and 1.41 in children, which was evaluated as having a non-carcinogenic risk (>1). The carcinogenic purification targets for As were calculated to be 6.84 mg/kg in adults and 6.86 mg/kg in children, while the non-carcinogenic purification targets were calculated to be 13.43 mg/kg for adults and 22.54 mg/kg for children. When applying SF_abs 61 of the current guidelines, it appears that there is a carcinogenic risk even though the As exposure concentration is below the area of concern 1 standard (25 mg/kg), which suggestes that additional research on this factor is required for the risk assessment. In order to apply the measured suspended particle concentration to risk assessment, TSP should be derived from PM10 using an appropriate correlation equation. As a result, it is suggested to improve the risk assessment guidelines so that the mesured PM10 value measured in the field can be used directly.

• 환경영향평가
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• 제28권3호
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• pp.312-331
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• 2019

해상최종처리장은 육상에서의 폐기물 처리 공간 부족 문제 해소와 친환경적인 해양공간 조성 및 개발을 목적으로 육 해상 폐기물 소각재 등 안정화된 무기성 고형 폐기물을 해상에서 최종 매립하는 폐기물 처리장을 의미한다. 본 연구의 목적은 현재까지 국내 조성 사례가 없는 해상최종처리장의 건설 시 해양환경에 어떠한 영향을 미치는지를 조사 예측 평가하고 환경영향에 대한 저감과 피해를 최소화하여, 사업 초기단계에서부터 충분한 환경적 고려가 반영된 해상최종처리장 건설 환경영향평가 가이드라인을 마련하고자 한다. 이를 위하여 국내 외 유사사례 환경영향평가서 및 기존 환경영향평가 가이드라인 사례 분석과 포럼 운영을 통한 전문가 검토 및 합의과정을 거쳐 해상최종처리장 건설에 특화된 가이드라인을 도출하였다. 국내 유사사례 환경영향평가서 검토를 위해서 총 17건의 준설토 투기장 및 발전소 회처리장 조성사업 환경영향평가서(2005~2016년)를 대상으로 해양 동 식물 및 해양수질 및 해양저질, 해양물리 항목의 조사현황을 분석하고 문제점과 개선안을 도출하였다. 본 가이드라인을 통해 과학적이고 체계적인 절차에 따라 환경영향평가가 수행될 수 있도록 지원함으로써 해양환경 피해를 최소화하고, 사업과 관련한 협의기간 단축 및 사회적 갈등 해소와 제반 경제적 비용 절감 등에 기여하고자 하였다.

• 성인간호학회지
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• 제28권5호
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• pp.546-558
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• 2016

Purpose: This study aimed at the effectiveness to investigate the performance of evidence-based pain assessment and management guidelines. Methods: Participants were 140 nurses at the med-surgical units. Data were collected in early July, 2014 using Registered Nurses Association of Ontario (RNAO) guideline (2007) revised and validated by Hong and Lee (2012) and analyzed by descriptive statistics, t-test, ANOVA using SPSS/WIN18.0. Results: The score of performance of pain assessment guideline was higher than the score of pain management. Categories with high score were pain screening, parameter of pain assessment, documentation, assessment of opioids side-effects, and record of pain caused intervention. Categories with low score were comprehensive pain assessment, multidisciplinary communication, establishing a plan for pain management, consultation and education for patients and their families, and education for nurse. Non-pharmacological management was the lowest one. Conclusion: Assessing and managing pain is a complex phenomenon. It might be useful if institutions host training programs to ensure that nurse are better able to understand and implement pain assessment and management. Since non-pharmacological management is less likely to be used by nurses it may be helpful to include these methods in a training program.