• Journal of Acupuncture Research
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• 제39권4호
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• pp.249-257
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• 2022

This study aimed to evaluate clinical practice guidelines (CPGs) for ankle sprains using the Appraisal of Guidelines for Research and Evaluation II tool, using electronic databases (GIN, PubMed, EMBASE, NCKM, CNKI, CiNii, WanFang database, RISS, and SCOPUS), to suggest strategies for improvement in the future. The search was performed on April 23, 2021 and 10 CPGs were selected for evaluation. Three CPGs were recommended without modification (Class A scores), five were recommended with modification (Class B), and two were not recommended (Class C scores). The CPG domain that received the lowest score was "applicability." The traditional medicine CPGs scored higher [Class A (n = 1) and Class B (n = 1)] than the conventional Western medicine CPGs [Class A (n = 2), Class B (n = 4), and Class C (n = 2)] and were considered to be more methodical. In the future, more research into traditional medicine is required.

• 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.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권2호
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• pp.109-120
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• 2022

Purpose: While regurgitation is a common and often benign phenomenon in infants and younger children, it can also be a presenting symptom of gastroesophageal reflux disease (GERD). If untreated, GERD can lead to dangerous or lifelong complications. Clinical practice guidelines (CPGs) have been published to inform clinical diagnosis and management of pediatric GERD, but to date there has been no comprehensive review of guideline quality or methodological rigor. Methods: A systematic literature search was performed, and a total of eight CPGs pertaining to pediatric GERD were identified. These CPGs were evaluated using the Appraisal of Guidelines for Research and Evaluation instrument. Results: Three CPGs were found to be "high" quality, with 5 of 6 domains scoring >60%, one "average" quality, with 4 of 6 domains meeting that threshold, and the remaining four "low" quality. Conclusion: Areas of strength among the CPGs included "Scope and Purpose" and "Clarity and Presentation," as they tended to be well-written and easily understood. Areas in need of improvement were "Stakeholder Involvement," "Rigor of Development," and "Applicability," suggesting these CPGs may not be appropriate for all patients or providers. This analysis found that while strong CPGs pertaining to the diagnosis and treatment of pediatric GERD exist, many published guidelines lack methodological rigor and broad applicability.

• 재활치료과학
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• 제10권3호
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• pp.57-69
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• 2021

목적 : 본 연구는 임상지침 중 뇌졸중 환자의 작업치료를 다룬 지침을 확인하고, 확인된 지침들의 질과 특성에 대해 알아보고자 하였다. 연구방법 : 본 연구는 2008년부터 2019년까지 국내·외의 재활 치료 지침을 살펴보았으며, 검색어는 'stroke', 'guideline', 'practice guideline', 'recommendation', 'protocol compliance', 'practice guideline', '뇌졸중 가이드라인', '뇌졸중 지침' 등으로 하였다. 결과 : 검색을 통해 총 708편의 논문이 검색되었고, 자료 선정 기준에 부합한 지침 8편을 최종적으로 선정하였다. 선정된 논문은 캐나다, 미국, 영국, 한국, 호주 등에서 개발한 지침이었으며. 8개의 지침 중 1개는 작업치료 지침이었고, 나머지 7개는 재활치료 지침이었다. 지침에서 다룬 내용을 총 36개의 주제로 분류하였으며, 이 중 호주 뇌졸중 재활치료 지침은 28개, 영국과 미국심장협회(AHA)의 지침은 24개, 한국에서 개발한 뇌졸중 재활치료 지침은 23개 등의 내용을 포함하고 있었다. 결론 : 본 연구에서는 기존의 뇌졸중 환자를 위한 작업치료 지침을 확인하고, 지침들의 질과 특성을 비교해 보았다. 이는 추후 뇌졸중 작업치료 지침 개발을 위한 중요한 기초자료가 될 수 있을 것으로 사료된다.

• Structural Engineering and Mechanics
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• 제22권2호
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• pp.223-240
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• 2006

Taking into account the geometrical and material nonlinearities, an ultimate behavior of reinforced concrete cooling tower shell in hyperbolic configuration is presented. The design wind pressures suggested in the guidelines of the US (ACI) and Germany (VGB), with or without the effect of internal suction, are employed in the analysis to examine the qualitative and quantitative characteristics of each design wind pressure. The geometrical nonlinearity is incorporated by the Green-Lagrange strain tensor. The nonlinear features of concrete, such as the nonlinear stress-strain relation in compression, the tensile cracking with the smeared crack model, an effect of tension stiffening, are taken into account. The biaxial stress state in concrete is represented by an improved work-hardening plasticity model. From the perspective of quality of wind pressures, the two guidelines are determined as highly correlated each other. Through the extensive analysis on the Niederaussem cooling tower in Germany, not only the ultimate load is determined but also the mechanism of failure, distribution of cracks, damage processes, stress redistributions, and mean crack width are examined.

• 한국조경학회지
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• 제24권4호
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• pp.39-58
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• 1997

This study aims to find out differences between designer's design guidelines and user's actual behavior about play facilities of children playground in multifamily housing site by using the method of Post-Occupancy Evaluation. Korea National Housing Cooperation developed the 18 play facilities and constructed them into children' playground of Bun-dong and Junggae-dong housing site in Seoul. The results are as follows: First, user's behaviors which differed from designer's guidelines were influenced by mechanical and technical problems rather than design. Second, users adjusted their brahvior to play facilities which have a little operational problems. Third. users tried to make dangrous activity instead of designer's guidelines based on the safety. It infers that users want to make creative activities from play facilities. Fourth. designers should have developed play facilities for infants and youth. Fifth. users liked to play more complicated play facilities rather than single facility.

• 융복합기술연구소 논문집
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• 제11권1호
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• pp.25-28
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• 2021

Recently, the fire safety of road tunnels has been important issues in South Korea. However, proper fire safety regulations has not made for road tunnels. Due to geographical challenges in South Korea, road tunnels should be constructed to secure stable traffic flows. In the Guidelines for Installing and Managing Disaster Prevention Facilities of Road Tunnels (NFSC 603), main target vehicles are passenger cars. This guidelines cannot support big fires from larger vehicles such as cargo, oil trucks. In this study, fire safety for a road tunnel in port area was analyzed with fire dynamics theory under cargo truck fire scenario. Sujunsan road tunnel in Busan city was chosen as a target tunnel, which links between Busan port and highways to increase cargo shipping. The results show the limitations of present guidelines (NFSC 603) for road tunnel from large fire situations.

• 국제초고층학회논문집
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• 제1권3호
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• pp.195-201
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• 2012

Today, a great effort to develop PBSD procedure to be utilized in Korea is given by domestic structural engineers, academics, and governmental organizations. After Great East Japan Earthquake (2011) took place, lots of clients in Korea became to concern of their buildings so that requests of seismic performance evaluation and seismic rehabilitation for existing buildings have been gradually increased. Such interests in seismic events initiated a rapid development of a series of guidelines for seismic performance evaluation and seismic performance enhancement. For new buildings, however, design guidelines for PBSD are yet well prepared in Korea and prescriptive design methods are dominant design procedure still. Herein, seismicity demands used in seismic performance evaluation and some important design parameters in NLRH are introduced. Some project examples for seismic performance evaluation and rehabilitation applying passive energy dissipation devices are also described in the latter part of paper.

• 한국조경학회지
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• 제34권5호
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• pp.14-23
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• 2006

Recently there have been great interest in the street landscapes, and numerous studies have been investigating shaping processes of urban landscapes, legal systems for scenery management, landscape preference and evaluation techniques. However, there are only few studies investigating how planting types influence on street landscape evaluation and how the relationships among street landscapes are. This study aims to make a guidelines which can be used for securing afforestation in urban settings and improving urban environment. In specific, the results of this study can provide guidelines for urban street design and the base knowledge for identifying appropriate requirements for better street landscapes. We identify factors which make shape certain images of street landscape, and draw physical factors influencing on visual appropriateness through visual landscapes evaluation process. To evaluate landscapes according to planting types, on-the-spot survey at 14 streets in Gang-Nam district were made. The district is under executing street improving projects and shows the most satisfying planting types. To evaluate street landscapes which people experience during their walking, 100m of continuous streets are chosen. The survey sites exclude streets with irregular pattern, are adjacent to large urban parks or are used as parking spaces in part. We evaluated 9 street landscapes classified into 1-line-planting, 2-line-planting and 3-line-planting on the basis of the location of planting and the planting methods.

• 한국구조물진단유지관리공학회 논문집
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• 제22권4호
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• pp.27-36
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• 2018

현재 적용되고 있는 평가체계는 1996년 개정되어 이후 4차례 개정을 실시하였으나, 구조적 안전성의 확보 목표에 국한된 평가체계로 인해 장기적 관점의 성능저하 예측 및 예산투입을 위한 우선순위 의사결정의 근거로 활용하기에는 부족하다. 따라서, 본 연구에서는 델파이 기법과 AHP기법을 활용하여 기존 도로터널의 여러 구조형식 중 재래식(ASSM) 터널의 성능평가에 적합한 평가체계를 새롭게 제시하고자 한다. 국 내외의 기존 평가체계 및 평가항목을 검토한 결과, 도출가능한 평가항목이 한정적인 것으로 판단되어 기존에 적용되고 있는 항목에 대한 폐쇄적인 설문과 새로운 항목 도출을 위한 개방형 설문을 병행하여 설문조사를 실시하였다. 조사한 설문결과를 내용타당도 검증을 거쳐 재래식(ASSM)터널에 적합한 성능평가인자를 도출하였으며, AHP기법을 활용하여 도출된 평가항목에 대한 가중치를 산정한 후 구조물의 특성에 맞는 성능평가 체계를 새롭게 제시하여, 향후 성능평가 세부지침 수정 및 보완 시 참고자료로 활용될 수 있도록 하고자 한다.