• 제목/요약/키워드: Guideline

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OECD test guideline 420 고정용량 급성경구독성시험법에 대한 고찰 (Review Newly Adopted OECD Acute Oral Toxicity Test Guideline 420)

  • 정용현;유일재
    • Toxicological Research
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    • 제17권3호
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    • pp.195-201
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    • 2001
  • The OECD acute toxicity guideline has been revised recently to protect animal welfare. The GLP authority of the Ministry of Environment, the National Institute for Environmental Research, recommended GLP laboratories in Korea to ufo the revised acute toxicity guideline. This study was carried out to optimize newly adopted OECD test guideline 420 (TG 420). Bisphenol A was selected for test chemical. Following TG420, Bisphenol A was classified as class 5/unclassified group. The revised TG 420 was very effective test in minimizing animal number and classifying chemicals. The method, however had short-coming in evaluation of test results statistically because the test had no control group, and the test should be stopped when animals were dead at the lowest dose or alive at the highest dose. TG 420 required at Least 20 animals to complete the test, but it could result in producing unused animals that need to sacrifice.

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한국형 우울증 진료지침 개발 및 적용연구 - 우울증 진료지침 개발의 국내외 현황과 개발방향 - (Korean Clinical Practice Guideline for the Treatment of Depressive Disorders - The Present State and Future Direction of Development -)

  • 임세원;이민수
    • 생물정신의학
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    • 제13권1호
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    • pp.11-18
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    • 2006
  • Depressive disorder is one of well-known major public health problems in Korea. The socioeconomic burden of depression is growing bigger and bigger. Therefore, the Korean government decided to establish the clinical research center for depression for better care of patients with depression. One of the major task of the center is the development of Korean clinical practice guideline for depressive disorders. This guideline should reflect the clinical situation in Korea and meet Korean physicians' needs. In addition, it should be feasible and easy to use. We reviewed the present status of the guideline development in Korea and other countries, and introduces the scope, method, and goals of Korean clinical practice guideline for depression.

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수용개작방법을 활용한 간헐도뇨 간호실무지침 개발 (Development of Nursing Practice Guideline on Intermittent Urinary Catheterization by Using Remake Process)

  • 정인숙;정재심;서현주;홍은영;박경희;정영선;최은경;권경민;유양숙;이연희
    • 임상간호연구
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    • 제22권3호
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    • pp.285-293
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    • 2016
  • Purpose: The purpose of this study was aimed to develop evidence-based nursing practice guideline for preventing intermittent urinary catheterization (IUC) related complications using guideline remake process. Methods: Guideline remake process was conducted according to guideline adaptation manual developed by Gu et al (2012) which consisted of three main phases and 9 modules including a total of 24 steps. Results: Newly developed IUC guideline consists of introduction, overview of intermittent catheterization, summary of recommendations, recommendations, references, and appendices. There were 50 recommendations in 5 sections including assessment, equipments, catheterization, complications management, and education/consult. Three recommendations (6%) were graded A, and five (10%) and 41 recommendations(82%) were B and C, respectively. Conclusion: The IUC remade-guideline was developed based on evidence-based nursing and therefore, this guideline is recommended to be disseminated and utilized by nurses nationwide to improve the quality of care for IUC and to decrease the IUC related complications.

수용개작방법을 활용한 당뇨인의 발관리 실무지침 개발 (Development of Clinical Practice Guideline by Adaptation: Diabetic Foot Care)

  • 정인숙;박경희;송복례;심강희;한은진;홍은영;정영선;이선희;박동아;정재심
    • 임상간호연구
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    • 제21권2호
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    • pp.196-206
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    • 2015
  • Purpose: This study was done to use a guideline adaptation process to develop a Korean evidence-based diabetic foot care clinical practice guideline for diabetic foot prevention and management. Methods: The guideline adaptation process was conducted according to the guideline adaptation manual developed by the National Evidence-Based Healthcare Collaborating Agency. The process consists of three main phases, with 9 modules including a total of 23 steps. Results: The newly developed diabetic foot care clinical practice guideline consisted of an introduction, description of diabetic foot, summary of recommendations, recommendations, references, appendices, and glossary. There were 165 recommendations in 4 sections (risk assessment for diabetic foot ulcers, prevention of diabetic foot ulcers, wound assessment of diabetic foot ulcers, and management of the diabetic foot). In grading by recommendations, for A there were 30 (18.2%), B, 8 (4.8%), C, 30 (18.2%) D, 97 (58.8%). Conclusion: This guideline can be used as educational material for healthcare workers and diabetic patients. It can also be utilized as a practice guideline for healthcare workers in the hospital and community setting.

사상의학 임상증례 보고를 위한 가이드라인 개발연구 (Development of guideline for reporting CAse REport for Sasang medicine (CARES))

  • 이슬;김소형;한상윤;이용재;이정윤;배나영;채한
    • 사상체질의학회지
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    • 제30권3호
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    • pp.74-94
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    • 2018
  • Introduction The case report provides pivotal basis for clinical research and education, however systematically organized guideline for reporting case report was not properly applied and it tackled the development of traditional medicine in Korea. The purpose of this study was to implement guideline for reporting CAse REport(CARE guideline) incorporating unique characteristics of Sasang medicine with the help of examples and explanations. Methods and Results The guideline for reporting CAse REport for Sasang medicine(CARES guideline) including diagnosis of traditional medicine and treatment with acupuncture and medical herbs was suggested, and practical examples explaining details of each CARES items were provided. Discussion and Conclusion This study would provide foundation for consensus-based and common CARE guideline for traditional Korean medicine. And, the CARES guideline would provide clinical platform for developing refined Sasang type differentiation technique using reported biopsychosocial and clinical type-specific features and realistic cases for Problem Based Learning courses as evidence-based education.

근거기반 구강간호 실무지침 개정 (Updates of Nursing Practice Guideline for Oral Care)

  • 조용애;이선희;김경숙;임효민;김태희;최미영;서현주;박효선;왕금현;김찬희;최희경
    • 임상간호연구
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    • 제26권2호
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    • pp.141-153
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    • 2020
  • Purpose: This study aimed to update the previously published nursing practice guideline for oral care. Methods: The guideline were updated according to the manuals developed by National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN), and a Handbook for Clinical Practice Guideline Developer Version 1.0. Results: Updated nursing practice guideline for oral care was consisted of 10 domains and 79 recommendations. The number of recommendations in each domain were: 5 general issues, 2 oral care indications, 9 oral assessment, 16 general oral care, 12 oral care for critically ill patients, 16 oral care for cancer patients, 12 oral care for cancer patients with oral complications, 5 oral care education, 1 oral care referral, and 1 documentation and report. In terms of grades for recommendations, 11.4% was grade A, 17.0% was grade B, and 68.2% was grade C. Twelve new recommendations were developed and 7 previous recommendations were deleted. Conclusion: Updated nursing practice guideline for oral care is expected to serve as an evidence-based practice guideline for oral care in South Korea. It is recommended that this guideline be spread to clinical nursing settings nationwide to improve the effectiveness of oral care practice.

CARES 지침에 따른 동의신경정신과학회지의 증례보고에 대한 질 평가 연구 (Evaluation of the Quality of Case Reports in Journal of Oriental Neuropsychiatry Using CARES Guideline)

  • 이환성;이준엽;한지한;채한
    • 동의신경정신과학회지
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    • 제30권2호
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    • pp.59-69
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    • 2019
  • Objectives: Case report is a description of medical experience that contains a patient's information and treatments. It has been used to determine the effectiveness and side effect of the treatments. Case report can be used for medical, scientific, or educational purposes. The objective of this study was to evaluate the quality of case reports published in Journal of Oriental Neuropsychiatry from 2013 to 2017 using CARE and CARES guideline. Methods: Case reports were selected from Journal of Oriental Neuropsychiatry and their quality assessed using CARE guideline and CARES guideline. The items of CARE and CARES guideline were assessed as 'Sufficient', 'Not sufficient', 'Not reported', 'Not applicable'. The outcome was analyzed using case reports and items. Results: 26 case reports were selected. For CARE guideline, 'Sufficient' percentage was min at 22.2%, max at 46.4% with a median of 39.3%. Sum of 'Sufficient', 'Not sufficient' percentage was min at 59.3%, max at 85.7% with a median of 75.0%. Items 'Timeline', 'Diagnostic assessment', 'Follow up and outcomes', 'Informed consent' were not reported in more than 50% of all case reports. Items 'Keywords', 'Abstract', 'Introduction', 'patient information', 'Diagnostic assessment', 'Therapeutic interventions', 'Follow up and outcomes' were not sufficiently reported in more than 50% of all case reports. For CARES guideline, 'Sufficient' percentage was min at 0%, max at 50% with a median of 0%. Sum of 'Sufficient', 'Not sufficient' percentage was min at 33.3%, max at 100% with a median of 92.9%. Items of herbal prescription 'herb', 'decoction', 'use', items of acupuncture treatment 'materials', 'techniques', items of moxibustion treatment 'materials', 'techniques' were not sufficiently reported in more than 50% of all case reports. Conclusions: The reporting rate of items was good. But the quality of reporting was low. Also, particular items were not reported frequently. Therefore, there is a need to improve the quality of case reports in Journal of Oriental Neuropsychiatry.

혈액투석 환자의 기능부전 도관관리 실무지침개발 (Development of a Practice Guideline for Catheter Dysfunction in Hemodialysis Patients)

  • 이경미;김미연;홍진영;조용애;양원지
    • 임상간호연구
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    • 제22권2호
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    • pp.238-247
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    • 2016
  • Purpose: This study was done to develop an evidence-based practice guideline for catheter dysfunction in hemodialysis patients. Methods: Development of the guideline process was done according to the De Novo development version 1.0 by NECA which consists of 12 steps. Results: The developed guideline consisted of 5 domains and 14 recommendations. The number of recommendations for each domain were: 3 on catheter dysfunction assessment, 1 on conservative management of catheter dysfunction, 7 on drug management of catheter dysfunction, 1 on catheter function test and 2 on maintenance management. Of the recommendations, 7.15% were marked as A grade, 52.85% of B grade, and 50% of C grade. Conclusion: Findings in this study indicate that this guideline can be added to the evidence-based practice guidelines for fundamentals of practice and that this guideline can be disseminated to nurses nationwide in order to improve the care of hemodialysis patients with catheter dysfunction.

도서관에서의 복제 및 전송에 관한 저작권 지침 개발 연구 (A Study on Development of the Copyright Guideline on Reproduction and Transmission in Libraries)

  • 홍재현;정경희;이호신
    • 한국도서관정보학회지
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    • 제36권1호
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    • pp.505-525
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    • 2005
  • 본 연구는 도서관 등이 저작권이 있는 저작물을 이용하여 복제 및 전송에 의해 합법적으로 정보자원을 개발$\cdot$서비스할 수 있도록 $\lceil$도서관에서의 복제 및 전송에 관한 저작권 지침$\rfloor$을 개발하는데 목적을 두었다. 이를 위하여 먼저 현행 저작권법의 도서관 면책 규정과 저작권 보상에 관한 선행 연구와 2005년 저작권법 개정안을 검토하였다. 본 연구가 제시한 지침의 도입 부분에서는 도서관 등에서의 복제 및 전송에 관한 저작권 지침의 목적과 의의를 밝혔고, 이 지침에서 사용하는 용어에 대해 정의를 내렸다. 이 지침의 본문 부분에서는 도서관 실무자에게 필요한 복제 및 전송에 관한 도서관 면책 규정과 저작권 보상에 관한 사항을 총체적으로 담아낸 가이드라인을 구체적으로 제시하였다.

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소도시 경관 가이드라인 설정 특성에 관한 연구 - 전라남도 기본경관계획 수립 지자체 사례를 대상으로 - (A Study on the Characteristics of the Establishment of a Small Town Landscape Guideline - Focused on Local Governments in Jeollanam-do Establishing the Basic Landscape Plan -)

  • 김윤학;박성진
    • 한국농촌건축학회논문집
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    • 제16권1호
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    • pp.1-8
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    • 2014
  • This study investigated the characteristics of the establishment of an architectural guideline which is an important element of a urbanscape plan in basic landscape plans established by four local governments(a county level) in Jeollanam-do since the enactment of the landscape law. The results were as follows. The guideline for landscape plan elements was closely associated with shapes, materials, harmony, and coherence. For the detailed guideline for landscape plan elements, an architectural guideline on the arrangement, height, facade, and roof shapes of buildings, which is one of important elements related to urbanscape, was similar in local governments, showing a standard and uniform tendency. It indicates the limitation of forming urbanscape to enhance local identity and unique features and complementary contents are needed. The color guideline was classified into base color, sub color, and accent color in consideration of local features. In particular, natural material color was commonly used for base and sub color in all local governments. Therefore, it is necessary to develop unique material color and distinctive local color for each region.