• Title/Summary/Keyword: Consensus document

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Guidelines for Cardiovascular Magnetic Resonance Imaging from the Korean Society of Cardiovascular Imaging (KOSCI) - Part 3: Perfusion, Delayed Enhancement, and T1- and T2 Mapping

  • Im, Dong Jin;Hong, Su Jin;Park, Eun-Ah;Kim, Eun Young;Jo, Yeseul;Kim, Jeong Jae;Park, Chul Hwan;Yong, Hwan Seok;Lee, Jae Wook;Hur, Jee Hye;Yang, Dong Hyun;Lee, Bae-Young
    • Investigative Magnetic Resonance Imaging
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    • v.24 no.1
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    • pp.1-20
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    • 2020
  • This document is the third part of the guidelines for the interpretation and post-processing of cardiac magnetic resonance (CMR) studies. These consensus recommendations have been developed by a Consensus Committee of the Korean Society of Cardiovascular Imaging (KOSCI) to standardize the requirements for image interpretation and post-processing of CMR. This third part of the recommendations describes tissue characterization modules, including perfusion, late gadolinium enhancement, and T1- and T2 mapping. Additionally, this document provides guidance for visual and quantitative assessment, consisting of "What-to-See," "How-To," and common pitfalls for the analysis of each module. The Consensus Committee hopes that this document will contribute to the standardization of image interpretation and post-processing of CMR studies.

Study of Spectral Doppler Waveform Interpretation and Nomenclature in Peripheral Artery (말초 동맥 분광 도플러 파형 해석 및 명명법에 대한 고찰)

  • Ji, Myeong-Hoon;Seoung, Youl-Hun
    • Journal of the Korean Society of Radiology
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    • v.16 no.5
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    • pp.649-660
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    • 2022
  • In 1959, Satomura used spectral Doppler ultrasound to express the velocity of red blood cells according to time change, and Kato defined a zero-base line that could tell the direction of blood flow, making it possible to know the direction of blood flow. This became the basis for the widely used classifications of Triphasic, Biphasic, and Monophasic. However, the above classification has limitations that confuse users with the meaning and timing of use in a clinical environment. As a result, the American Society for Vascular Medicine (SVM) and the Society for Vascular Ultrasound (SVU) A consensus document on Doppler waveform analysis was declared by the joint committee. This study tried to review this consensus and to suggest nomenclature and modifiers that can be used in the domestic vascular ultrasound clinical field. The joint committee formed by SVM and SVU recommended that the use of the triphasic waveform and the biphasic waveform be used as a multiphasic waveform rather than being used due to the ambiguity of interpretation. In addition, it was agreed to name the hybrid-type waveform, which is a monophasic and high-resistance waveform, which has always been a problem of interpretation in a clinical environment, as an intermediate resistive waveform. In addition, in order to increase the communication efficiency between the interpreter and the sonographer, waveform analysis was classified into a main descriptor and a modifier, and it was recommended to use a single nomenclature by unifying various synonyms. It is expected that this literature review will provide accurate arterial spectral Doppler waveform interpretation and an agreed-upon nomenclature to radiologists performing vascular ultrasound examination in clinical practice, and will be utilized as basic data that can contribute to the improvement of public health.

The Value and Limitations of Guidelines, Expert Consensus, and Registries on the Management of Patients with Thoracic Aortic Disease

  • Pacini, Davide;Murana, Giacomo;Leone, Alessandro;Marco, Luca Di;Pantaleo, Antonio
    • Journal of Chest Surgery
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    • v.49 no.6
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    • pp.413-420
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    • 2016
  • Doctors are often faced with difficult decisions and uncertainty when patients need a certain treatment. They routinely rely on the scientific literature, in addition to their knowledge, experience, and patient preferences. Clinical practice guidelines are created with the intention of facilitating decision-making. They may offer concise instructions for the diagnosis, management (medical or surgical treatments), and prevention of specific diseases or conditions. All information included in the final version are the result of a systematic review of scientific articles and an assessment of the benefits and costs of alternative care options. The final document attempts to meet the needs of most patients in most circumstances and clinicians, aware of these recommendations, should always make individualized treatment decisions. In this review, we attempted to define the intent and applicability of clinical practice guidelines, expert consensus documents, and registry studies, focusing on the management of patients with thoracic aortic disease.

2024 Consensus Statement on Coronary Stenosis and Plaque Evaluation in CT Angiography From the Asian Society of Cardiovascular Imaging-Practical Tutorial (ASCI-PT)

  • Cherry Kim;Chul Hwan Park;Bae Young Lee;Chan Ho Park;Eun-Ju Kang;Hyun Jung Koo;Kakuya Kitagawa;Min Jae Cha;Rungroj Krittayaphong;Sang Il Choi;Hwan Seok Yong;Sung Min Ko;Sung Mok Kim;Sung Ho Hwang;Nguyen Ngoc Trang;Whal Lee;Young Jin Kim;Jongmin Lee;Dong Hyun Yang
    • Korean Journal of Radiology
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    • v.25 no.4
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    • pp.331-342
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    • 2024
  • The Asian Society of Cardiovascular Imaging-Practical Tutorial (ASCI-PT) is an instructional initiative of the ASCI School designed to enhance educational standards. In 2021, the ASCI-PT was convened with the goal of formulating a consensus statement on the assessment of coronary stenosis and coronary plaque using coronary CT angiography (CCTA). Nineteen experts from four countries conducted thorough reviews of current guidelines and deliberated on eight key issues to refine the process and improve the clarity of reporting CCTA findings. The experts engaged in both online and on-site sessions to establish a unified agreement. This document presents a summary of the ASCI-PT 2021 deliberations and offers a comprehensive consensus statement on the evaluation of coronary stenosis and coronary plaque in CCTA.

The Complementary Study for Operational Concept Document(OCD) and Operational Requirements Document(ORD) using MND-AF (MND-AF를 활용한 운용개념기술서(OCD) 및 운용요구서(ORD)에 대한 보완 연구)

  • Cha, Seung Hun;Jang, Jae Duck;Lee, Hye Jin;Choi, Sang Wook;Yoo, Jae Sang
    • Journal of the Korean Society of Systems Engineering
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    • v.16 no.2
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    • pp.118-130
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    • 2020
  • Modern weapon systems are composed of complex systems(System of Systems) and require a complex and advanced operational concept that performs missions through interoperability with various weapon systems. In order to derive the operational concept of the weapon system that the military wants to acquire (i.e., single mission, component operation, Joint and Alliance operations), it is necessary to identify the system related to the weapon system, environmental factors and restrictions of the weapon system to be developed. Through the derivation of the operational concept, the weapon system acquisition agency can reasonably and accurately extract various and complex requirements. In this paper, we propose a complementary method of using MND-AF to OCD and ORD required in weapon system acquisition process. MND-AF can increase the understanding and consensus of business stakeholders (users, acquirers, developers, etc.) by showing the results of weapon system analysis from various perspectives. We compare the items in the standard form of OCD and ORD with the MND-AF outputs.

Ethnobotanical Study of Medicinal Plants used by Indigenous People in Wolchulsan National Park, Korea (한국 월출산 국립공원 지역민들이 이용하는 약용식물에 대한 민족식물학적 연구)

  • Song, Mi-Jang
    • The Korea Journal of Herbology
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    • v.34 no.6
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    • pp.1-23
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    • 2019
  • Objectives : The purpose of this study was to document the use of medicinal plants in traditional practices and to analyze and evaluate medicinal traditional knowledge of indigenous people in Wolchulsan National Park. Methods : Data were collected through interviews, informal meetings, open and group discussions, and observations guided by semi-structured questionnaires. Data were analyzed via quantitative analysis of use value (UV), informant consensus factor (ICF) and fidelity level (FL), and network analysis. Results : A total of 580 methods of usage recorded in this study were classified into 55 families, 95 genera, and 104 species. Plants with the highest recorded UVs were Glycine max (L.) Merr., Leonurus japonicus Houtt., and Artemisia princeps Pamp.. The informant consensus factor about using medicinal plants ranged from 0.55 to 0.92, which showed a high level of agreement among the informants on respiratory system disorders and pains. There were 22 species of plants with a fidelity level of 100 %, after eliminating the plants that were mentioned only once from the analysis. Finally, using network analysis, Glycine max (L.) Merr. and Artemisia princeps Pamp. were defined as species with meaningful medicinal use, while lumbago and leg pain were defined as significant ailments in the study area. Conclusions : This study highlights the diversity and importance of medicinal traditional knowledge for communities of Wolchulsan National Park, Korea. The results of this study will provide basic data for phytochemical and pharmaceutical studies, such as new medicines and therapies.

Prerequisite for Korean Advance Directives: From the View of Healthcare Providers (한국형 사전의료의향서의 구성 요건: 의료인을 중심으로)

  • Kim, Shin-Mi;Hong, Sun-Woo;Eun, Young;Koh, Su-Jin
    • Journal of Korean Academy of Nursing
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    • v.42 no.4
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    • pp.486-495
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    • 2012
  • Purpose: The purpose of this study was to explore the main prerequisite for Korean Advance Directives [KAD] to ensure their better use. Methods: Data were collected from two focus group interviews and individual email responses. Study participants were 5 doctors and 6 nurses. All interview data were transcribed and analyzed using qualitative content analysis. Results: Three main themes emerged; establishing a philosophy of KAD, protocol to practice KAD, and the KAD document itself. A philosophy is needed to ensure individual needs, consensus to practice AD and identify principle agents. The core of protocol was found to be as follows; 1) process, 2) premise, 3) procedure, 4) contextual preparation, 5) timing, 6) feasibility. Component and feasibility need to be established for the document itself. Conclusion: For a positive acceptance of KAD in Korean society, a culture sensitive, reality based, and user friendly AD needs to be developed.

Indications for Lung Transplantation and Patient Selection

  • Son, Joohyung;Shin, Changwon
    • Journal of Chest Surgery
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    • v.55 no.4
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    • pp.255-264
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    • 2022
  • Globally, thousands of patients undergo lung transplantation owing to end-stage lung disease each year. As lung transplantation evolves, recommendations and indications are constantly being updated. In 2021, the International Society for Heart and Lung Transplantation published a new consensus document for selecting candidates for lung transplantation. However, it is still difficult to determine appropriate candidates for lung transplantation among patients with complex medical conditions and various diseases. Therefore, it is necessary to analyze each patient's overall situation and medical condition from various perspectives, and ongoing efforts to optimize the analysis will be necessary. The purpose of this study is to review the extant literature and discuss recent updates.

Introduction of Clinical and Laboratory Standards Institute Antibiotic Susceptibility Testing Subcommittee Meeting (Clinical and Laboratory Standards Institute의 항생제 감수성 검사 소위원회 회의 소개)

  • Chang, Chulhun L.
    • Annals of Clinical Microbiology
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    • v.21 no.4
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    • pp.69-74
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    • 2018
  • Laboratory medicine is a specialized division that supports physicians in the care of patients by providing rapid and accurate in vitro diagnostic tests. Standardization of every component of a specific test is essential for producing accurate results. The Clinical and Laboratory Standards Institute (CLSI) was founded to develop a formal consensus process for standardization in 1968, and has been publishing standards and guidelines covering all aspects of clinical, research, and other laboratory work. CLSI guidelines are widely used around the world for standardization. The CLSI antimicrobial susceptibility testing subcommittee (AST SC) consists of 6 standing and many ad hoc working groups. Members of the AST SC review submitted proposals and suggestions, decide on approving these submissions in face-to-face meetings held twice a year, and revise CLSI documents accordingly. As these face-to-face meetings are open to anyone who registers to attend, I strongly encourage the members of our Society to attend and actively participate in document development.

Multilayer Knowledge Representation of Customer's Opinion in Reviews (리뷰에서의 고객의견의 다층적 지식표현)

  • Vo, Anh-Dung;Nguyen, Quang-Phuoc;Ock, Cheol-Young
    • Annual Conference on Human and Language Technology
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    • 2018.10a
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    • pp.652-657
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    • 2018
  • With the rapid development of e-commerce, many customers can now express their opinion on various kinds of product at discussion groups, merchant sites, social networks, etc. Discerning a consensus opinion about a product sold online is difficult due to more and more reviews become available on the internet. Opinion Mining, also known as Sentiment analysis, is the task of automatically detecting and understanding the sentimental expressions about a product from customer textual reviews. Recently, researchers have proposed various approaches for evaluation in sentiment mining by applying several techniques for document, sentence and aspect level. Aspect-based sentiment analysis is getting widely interesting of researchers; however, more complex algorithms are needed to address this issue precisely with larger corpora. This paper introduces an approach of knowledge representation for the task of analyzing product aspect rating. We focus on how to form the nature of sentiment representation from textual opinion by utilizing the representation learning methods which include word embedding and compositional vector models. Our experiment is performed on a dataset of reviews from electronic domain and the obtained result show that the proposed system achieved outstanding methods in previous studies.

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