• 제목/요약/키워드: Development Guideline

검색결과 1,537건 처리시간 0.027초

뇌졸중후 요저류에 대한 침치료 임상진료지침 (Clinical Practice Guideline for acupuncture in Post-stroke urinary retention)

  • 이지원;이의주;신병철;이명수;임성민;조충식;문상관
    • 대한한의학회지
    • /
    • 제37권1호
    • /
    • pp.1-9
    • /
    • 2016
  • Objectives: Objectives : This study is aimed to develop a Clinical Practice Guideline (CPG) on acupuncture treatment for the patients with Post-stroke Urinary Retention; PSUR. Methods: Experts committee, consisting of stroke or methodology specialists, searched Medline, EMBASE, Cochrane Library, China National Knowledge Infrastructure, and 19 Korean medicine journals. The search terms were selected to screen the randomized controlled trials (RCTs) or systematic reviews for the effectiveness of acupuncture on PSUR compared with placebo or conventional group. Levels of evidence and grades of recommendations were appraised based on Recommendations for Development of Clinical Practice Guideline in Korean Medicine. Results & Conclusions: 4 RCT were included to build the CPG. There was a strong evidence to support the effectiveness of acupuncture treatment for PSUR. The moderate evidence was presented that over 3 times a week of the acupuncture should be performed over 4 weeks on the acupoints, such as SP6, CV3, CV6, CV4, SP9, BL28, BL23, BL22, KI3 or BL67, for 15-30 minutes. 20-140Hz frequency and 10-20 minutes of treatment is suggested if electro-acupuncture treatment is performed with. It was also suggested that the procedure should begin at the acute stage just after the vital signs of the patients are stabilized. Finally, there was a moderate evidence to support safety of acupuncture treatment for PSUR.

신한옥형 공공건축물 단지형 디자인가이드라인의 계획 방향: 공동주택단지 내 부대복리시설을 중심으로 (The Planning of Design Guideline for New-Hanok-Style Public Buildings: Focusing on the Welfare Facilities in Apartment Complex)

  • 조은길;김영훈;김원천;박준영
    • 토지주택연구
    • /
    • 제10권4호
    • /
    • pp.1-12
    • /
    • 2019
  • The purpose of this study is to set the direction of development of the design guideline of the New-Hanok-Style public building in apartment complex and to use it as basic data for future architecture plans. The existing Hanok architecture standards and guidelines were analyzed and the characteristics of New-Hanok-Style Public Building in apartment complex were applied. The planning direction of the design guideline was derived. First, although the criteria and guidelines related to the Hanok produced and distributed were classified differently according to the purpose of production, the details and contents were similar. Second, the general planning criteria items were divided into layout, external space plan, building plan, and performance plan. Third, the elements of 'creative inheritance of traditional architecture' and 'modern building technology', which are the characteristics of New-Hanok-Style Public Building, were applied. In addition, we analyzed elementary welfare facility guidelines and applied elements such as layout type and zoning setting. Fourth, a special planning standard for applying the building system required for the New-Hanok-Style Public Building in apartment complex was added. In the future, it is expected to revitalize New-Hanok-Style Public Building containing the unique identity(genetic factor; DNA) of the nation by developing and disseminating relevant building standards, design guidelines, and maintenance manuals.

침구임상시험 가이드라인 개발과정에서 IRB의 윤리적·과학적 지적사항 사례 조사 연구 (Review of Ethical and Scientific Aspects of Acupuncture Clinical Trials Pointed Out by Institutional Review Board a Part of Development Process of the Acupuncture and Moxibustion Clinical Research Guideline)

  • 임정태;이승훈;한가진;김은정;서병관;김태훈;이승덕;김종욱;유아미;남동우;이준희
    • Journal of Acupuncture Research
    • /
    • 제32권2호
    • /
    • pp.11-21
    • /
    • 2015
  • Objectives : To improve quality of clinical research for acupuncture and moxibustion, a guideline for clinical research protocol is needed. While developing a guideline for acupuncture and moxibustion clinical research, we reviewed the ethical and scientific aspects of protocols pointed out by the institutional review board. This will offer practical assistance to the researchers. Methods : Ethical and scientific aspects of acupuncture and moxibustion research protocols reviewed by Kyung Hee University Korean Medicine Hospital Institutional Review Board were gathered and reviewed. Results : Ethical and scientific aspects of protocol review was reported. Conclusions : The example of review will be helpful for new researchers when developing acupuncture and moxibustion clinical research protocol.

지속가능경영을 위한 학교급식 영양사의 지식, 태도, 실천 가이드라인 콘텐츠 개발 (Development of the Contents of the Guideline for Dietitians' Knowledge, Attitudes and Practices (KAP) for Sustainable Management at School Foodservice)

  • 이나영
    • 한국식생활문화학회지
    • /
    • 제32권6호
    • /
    • pp.513-526
    • /
    • 2017
  • The purpose of this study is to identify the guideline's contents for dietitians' knowledge, attitudes, and practices (KAP) for the sustainability management at school foodservice. The contents for the guideline were determined by the Delphi technique of two rounds. The Delphi panels of experts were consisted of sixteen school dietitians and fourteen professors of food and nutrition with more than 10 years of experiences by convenience sampling method. Based on the literature, knowledge, attitudes, and practices required for dieticians were classified into menu management, procurement, food production, facility and energy management, waste management, personnel management, and nutrition education. Data were analyzed using SPSS for Windows version 24 and EXCEL to calculate descriptive statistics, content validity ratio, degree of agreement, and degree of convergence. As a result of the second round, the validity scores of 'knows eco-friendly certification standards and labeling systems (4.53 point)' in the knowledge category, and 'tries to purchase local agricultural products (4.87 point)' in the attitude category were the highest. From that round in the practice category, the validity scores of 'plan menus for students' health', 'purchases eco-friendly food', and 'conserves energy in pre-processing and cooking process' were the highest with 4.73 point. Applying the criteria for securing the validity of the contents, the contents of 25 knowledge items, 20 attitude items and 30 practice items were confirmed. The findings of the study can be used to develop the guideline for dietitians required for the sustainability management.

갱년기장애 진단기기 사용에 대한 지침 개발 : 문헌검토 및 설문조사 (Development of a Guideline for the Application of Diagnostic Devices for Menopausal Syndrome: Literature Review and Questionnaire Survey)

  • 백선은;박은지;김동일;이인선;유정은
    • 대한한방부인과학회지
    • /
    • 제30권3호
    • /
    • pp.65-78
    • /
    • 2017
  • Objectives: This study was aimed to develop a guideline for the application of diagnostic devices for menopausal syndrome. Methods: We conducted a literature review and a questionnaire survey on diagnostic devices including Digital Infrared Thermal Imaging (DITI), pulse diagnosis device, Heart Rate Variability (HRV), body composition analyzer, Yangdorak. Results: We retrieved some clinical values for usage of devices from the articles. Especially, DITI was useful to identify the pattern of body temperature distribution. The respondents answered that they diagnosed menopausal syndrome by using body composition analyzer (62.3%), DITI (60%), HRV (60%), pulse diagnosis device (45.7%), Yangdorak (34.3%). The respondents answered that they don't use diagnostic devices when they diagnosed menopausal syndrome because of absence of device, cost, difficulty of interpretation, substitution of another diagnostic method. After experts survey, it was recommended to use DITI, HRV, body composition analyzer. There was no consensus on the use of pulse diagnosis device, Yangdorak in diagnosing menopausal syndrome. Conclusions: We developed a guideline for the application of diagnostic devices for menopausal syndrome.

섬유보강 고강도 콘크리트 구조설계지침(안)의 저감계수에 대한 신뢰도 분석 (Reliability Analysis of Reduction Factor for Structural Design Guideline(draft) of Fiber Reinforced High Strength Concrete)

  • 김아량;최정욱;백인열
    • 한국건설순환자원학회논문집
    • /
    • 제9권1호
    • /
    • pp.100-108
    • /
    • 2021
  • 이 연구의 목적은 최근 국내에서 개발된 섬유보강 고강도 콘크리트 설계지침(안)의 저감계수를 적용하여 확보하는 설계의 신뢰도지수를 분석하는 것이다. 설계지침(안) 개발을 위하여 수행된 재료실험 및 부재실험 데이터를 수집하여 재료강도 통계특성 및 부재강도 해석식에 대한 통계특성을 구한다. 재료통계특성과 설계지침(안)의 부재 해석식을 적용한 시뮬레이션을 수행하고 해석식의 통계특성과 종합하여 단면강도에 대한 통계특성을 산출한다. 국내 도로교설계기준과 콘크리트구조기준의 하중조합을 적용한 신뢰도분석을 수행하였으며, 설계지침(안)에서 제시한 재료 및 부재에 대한 저감계수를 적용한 설계는 목표신뢰도 지수를 만족함을 확인하였다.

입원환자의 급성 악화 신속대응 가이드라인 개발 (Development of Guidelines for Raid Response to Acute Deteriorating of Hospitalized Patients)

  • 이하늬;박정숙
    • 한국콘텐츠학회논문지
    • /
    • 제22권10호
    • /
    • pp.359-373
    • /
    • 2022
  • 본 연구는 입원환자들의 급성 악화 시 신속한 대응을 위한 근거 기반 가이드라인을 개발하고자 수행되었다. 가이드라인 개발을 위해 기존의 가이드라인을 검색하였고, 총 13편이 선정되어 가이드라인에 대한 Appraisal of guidelines for research and evaluation (AGREE II) 도구를 활용한 질 평가, 최신성 평가, 권고 내용 비교표를 통한 내용 및 권고안의 근거평가, 권고의 수용성 및 적용성 평가를 수행하였다. 본 가이드라인은 신속대응체계의 개념 모형에 따라 관리, 인식, 활성화, 대응, 평가에 대한 권고로 구성되어 있다. 전문가 16명에게 가이드라인 초안의 적절성, 적용 가능성, 효과성에 대한 평가와 적용 여부에 대한 검토를 통해 최종적인 평가 결과를 반영하여 130개의 권고를 확정하였다. 가이드라인의 실무 적용성 평가를 위해 임상 현장에서 신속대응 업무를 수행하는 간호사를 대상으로 실무 적용성을 파악한 결과, 가이드라인에 대한 전체 실무 적용성 평균은 5점 만점에 4.41±0.78점으로 지침 내용에 대한 실제 임상 업무에서의 적용성이 높은 것으로 나타났다.

An Overview of Time Estimation in the Appraisal of Completeness for Software

  • Kim, Yukyong
    • 한국소프트웨어감정평가학회 논문지
    • /
    • 제16권1호
    • /
    • pp.21-26
    • /
    • 2020
  • The completeness appraisal of software is performed in various forms, such as assessing the completion level in the development process, calculating the defect rate, estimating the development cost, and calculating the redevelopment cost. Along with this, the problem that is often dealt with is estimation of the development time. Even in a dispute over completeness due to delays in software development, issues of calculating an appropriate development time required to develop a delivery software or a development time required for change requests are often included in the appraisal request. In this paper, we introduce the procedure and method for estimating the appropriate project time of software development so that the appraiser can be applied to the appraisal work for determining the completeness. The method is based on the manual for calculating the appropriate project period of software development project.

초기 치매 노인의 일상생활 참여 촉진을 위한 보호자 지침의 개발: 델파이 조사를 중심으로 (Development of Caregiver Guideline for Participation in Activities of Daily Living for the Elderly with Early Dementia: Focusing on the Delphi Survey)

  • 김서은;구슬기;박상미;김정란
    • 한국노년학
    • /
    • 제37권2호
    • /
    • pp.461-474
    • /
    • 2017
  • 본 연구는 치매를 조기에 관리하기 위한 중재 방법의 일환으로, 초기 치매 노인을 위해 보호자가 일상생활에서 쉽게 적용할 수 있는 전문적 중재 내용을 포함한 초기 치매 노인의 일상생활 참여를 촉진할 수 있는 보호자 지침을 개발하는데 목적이 있다. 델파이 기법을 활용한 연구의 절차는 총 3단계로 진행하였다. 첫 단계는 1차 조사로, 외국의 치매 관련 협회나 정부부처에서 발행한 초기 치매노인의 일상생활 참여 촉진 가이드 전략과 관련된 보고서 자료를 수집하여 지침 항목을 추출하여 번안 및 재구조화 한 후 3개 영역, 128개 항목의 초안을 마련하였다. 두 번째 단계는 2차 조사로, 전문가 16인의 내용타당도 검증 및 항목 삭제, 영역 재분류, 내용 통합, 번역체 수정 등의 작업을 거쳤다. 세 번째 단계는 지침의 완성 단계로, 완성된 지침은 8개 영역, 68개 항목으로 구성되었다: 환경수정 및 보조도구, 일상생활, 건강관리, 의사소통, 심리 정서적지지, 여가활동, 사회참여, 일반적 지침. 또한, 모든 항목은 각 영역 내에서 중요도 값이 높은 순서로 항목을 배치하였다. CVR 평균값은 0.81, 안정도 평균값은 0.15, 합의도 평균값은 0.79이다. 즉, 최종 지침 항목에 대한 델파이 의견이 안정되고, 합의되는 경향의 값을 보였다. 그리고 15명의 델파이 조사에서 CVR은 0.49이상, 안정도는 0.5미만인 경우 더 이상의 델파이 조사를 하지 않아도 되기 때문에 추가적인 조사를 실시하지 않았다. 본 연구에서 개발된 초기 치매 노인의 일상생활 참여 촉진을 위한 보호자 지침은 지역사회에서 거주하는 초기 치매 노인의 독립성을 돕기 위해 보호자 교육용으로 안내하기에 실제적이고, 구체적인 내용을 담은 기초자료로 활용될 것이고, 보호자의 부담을 줄일 것으로 기대한다. 마지막으로, 제한점과 후속연구를 위한 제안점을 논의하였다.

새로운 CAD/CAM 블록의사용 : PICN and RNC (Novel CAD/CAM hybrid blocks: PICN and RNC)

  • 고경호
    • 대한치과의사협회지
    • /
    • 제56권3호
    • /
    • pp.167-174
    • /
    • 2018
  • The development of dental materials has widened the scope of materials by changes in processing methods. CAD/CAM processing enables the use of zirconia as a dental material. Recent esthetic materials development has been made. For aesthetic purposes, a block for CAD/CAM processing by mixing polymer and ceramic materials are fabricated. However there is no guideline of how these materials should be used in actual clinical practice. Mechanical properties, wear and clinical studies were reviewed.

  • PDF