• 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.

• 무역학회지
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• 제42권2호
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• pp.345-367
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• 2017

본 연구는 국제상업회의소(ICC)가 제정한 "BPO 고객약정을 위한 ICC 가이드라인"을 BPO의 활성화 차원에서 소개하였다. 본 ICC 가이드라인은 은행과 그 거래고객 간에 BPO의 약정과정에 필요한 가이드라인을 지원하는 것이다. 따라서 본 연구는 ICC 가이드라인을 소개함으로써 BPO에 대한 많은 관심과 이해를 증진시키고 BPO의 발전과 정착에 기여하고자 한다. 본 연구는 본 가이드라인의 내용을 중심으로 이미 발표된 BPO 관련 선행 연구와 자료 등을 통하여 문헌 연구하였다.

• 한국BIM학회 논문집
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• 제13권2호
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• pp.47-57
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• 2023

The purpose of this study is to propose a guideline to help the client and bidder operate the BIM project in the domestic road field. As BIM design is mandatory in the construction field, documents disclosed by the ordering agency must essentially include procedures and step-by-step requirements to support BIM. The purpose of this study is to propose the structure and components of the guidelines that practitioners need practically by utilizing the currently announced road field guidelines. The guidelines are analyzed based on the procurement documents that were pre-emptively shared overseas, and supplemented according to the domestic situation. Furthermore, the effectiveness of the revised guidelines is confirmed through expert consultation. This study aims to contribute to creating an environment in which construction practitioners who have no experience in BIM project can efficiently carry out BIM projects.

• 대한한방내과학회지
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• 제44권3호
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• pp.506-522
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• 2023

COVID-19 is an acute infectious disease caused by SARS-CoV-2 that has infected more than 700 million people around the world and left many deaths. In Korea and China, Korean medicine and Traditional Chinese Medicine were used to treat COVID-19, and the key element between them was herbal medicine. Clinical guidelines for herbal medicine have been published in Korea and China. In this review, the Korean and Chinese guidelines were compared and analyzed. This review was based on the latest revised clinical guidelines. The Korean guidelines covered all three guidelines published by The Association of Korean Medicine and The KM Professor Council of Internal Medicine of the Respiratory System. The Chinese guideline was published by the China National Health Commission. Based on research trends, a comprehensive comparison was made of the suggested prescriptions for each severity of COVID-19. It is expected that this review will be used as a reference for the treatment of COVID-19 or new infectious diseases in the future.

• 국제학술발표논문집
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• The 6th International Conference on Construction Engineering and Project Management
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• pp.602-603
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• 2015

Despite all efforts to reduce construction disaster, construction site accident rate has steadily increased in Korea since 2008. As a different approach from traditional research, there is a growing issue about design for safety concept to prevent construction disaster. The notion is that construction worker's safety need to be considered at design phase, not only at construction phase. Globally, the notion has been noted that to improve the safety of the worker and used in practice. However, in Korea, most of safety management guidelines are limited to construction phase. From recent statistics, only 1.4 percent of designer feel responsible for safety accident at construction site. In this circumstance, this research find out safety guidelines through literatures reviews and practical experience of safety management in other country which apply design for safety concept. Selected guidelines are verified by survey which is evaluated with risk, function, cost, time and aesthetic view categories. Through the survey, define guidelines which could be effectively applied in Korea. By using proposed safety guidelines for design phase, preventing construction accident and improving designer's recognition of safety issue at design phase are expected.

• 한국조경학회지
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• 제39권4호
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• pp.1-10
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• 2011

본 연구는 경관법 제정 이후 경관법에 의한 경관계획 관련지침과 경관계획의 내용을 분석하여 경관계획 진행사항과 문제점을 파악하고, 이에 대한 개선방안을 제안하고자 하였다. 경관계획의 특정을 살펴보기 위해 경관계획 수립 시 기초가 되는 경관계획수립지침과 경관계획보고서를 비교 분석하였다. 경관계획수립지침 분석은 실제 경관계획을 수립한 전문가를 대상으로 설문조사를 실시하였으며, 중요도-성취도 분석기법을 활용하여 각 단계별 지침 내용의 유효성과 현실적용 정도 등을 분석하였다. 경관계획보고서 분석은 법정계획으로 기본경관계획이 이미 수립된 자치단체 중 광역시, 시, 군별로 각 2곳을 선정하여 총 6개의 경관계획 보고서를 경관계획수립지침을 기준으로 분석하였다. 본 연구의 결과는 다음과 같다. 경관자원조사 및 분석단계는 가장 체계화된 틀로 진행되고 있었으나, 지나치게 세분화되어 실제 경관계획 시 도움이 되지 못하고 있는 부분이 있었다. 반면, 경관구조분석은 경관구조분석에 대한 다양한 접근방법과 기법 등의 구체적 방안 제시가 필요한 것으로 파악되었다. 경관기본구상단계는 기존의 현황조사 결과와 상위계획 등을 반영하여 지역특성에 맞는 지자체 아이엔티티의 확립이 필요하며, 경관계획수립지침에서도 보다 구체적인 지침이 필요한 것으로 파악되었다. 경관기본계획단계는 지자체 간의 수준의 차이가 가장 큰 것으로 나타나서, 경관계획수립지침에서 계획 내용에 대한 구체적인 지침이 필요한 것으로 보인다. 경관계획수립지침 상 경관자원조사 및 분석단계에서는 '경관자원조사 종합 및 과제도출'과 기본경관계획단계의 '조망점 계획'이 추가되는 것이 필요한 것으로 판단된다.

• 대한한방내과학회지
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• 제37권1호
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• pp.90-108
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• 2016

Objectives: This study aimed to learn what should be considered in the Guidelines of Clinical Trials with Herbal Medicinal Products for Gastroesophageal Reflux Disease (GERD) by analyzing the existing guidelines and clinical trials.Methods: The development committee searched the existing guidelines for herbal medicinal products or GERD. Then, clinical trials related to GERD using herbal medicine were selected. The chosen trials were analyzed in terms of their inclusion and exclusion of participants, intervention, comparators, outcome, and trial design. Then, we compared the results of the analysis according to the regulations and guidelines of the Ministry of Food and Drug Safety to suggest the issues that we will have to consider when developing the Guidelines of Clinical Trials with Herbal Medicinal Products for Gastroesophageal Reflux Disease (GERD).Results: As a result, few guidelines for GERD and clinical trials with herbal medicinal products were located in the national institution homepage. In addition, 8 articles were found using the following combination of search terms: “Gastroesophageal reflux disease”, “GERD”, “herbal medicine”, “herbal therapy”, “Korean Medicine”, “Traditional Chinese Medicine”, and “TCM”. Even though all trials had their own unique research questions, all studies were performed using a randomization method. Most trials included participants with reflux esophagitis, but two trials targeted proton pump inhibitor-refractory GERD. The type of intervention varied, such as decoction, granules, and capsules. Additionally, individualized herbal medicines were used in two studies. Comparators were diverse, such as placebo, Western medicine, and electro-acupuncture. The most frequently used outcome for efficacy was the effectiveness rate. In addition, the outcome for evaluating quality of life, esophageal mucosa and pressure, esophageal acid reflux, and recurrence rates were used. Safety was investigated by recording adverse events and carrying out laboratory tests.Conclusions: We identified some issues by reviewing the existing guidelines and comparing them with clinical trials for GERD and herbal medicinal products. These results will be utilized for developing the Guidelines of Clinical Trials with Herbal Medicinal Products for Gastroesophageal Reflux Disease (GERD).

• 한국조경학회지
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• 제39권2호
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• pp.18-28
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• 2011

본 연구는 현상설계제도의 운영 개선과 설계의 질적 제고를 위해 지침과 출품작의 내용관계를 상호 비교한 것이다. 연구대상 환경은 서울 외곽 그린벨트에서 최근 이루어진 항동 보금자리주택지구 조경현상설계로서, 그 설계지침과 이에 상응되는 입상작 3점의 내용관계를 비판적 안목에서 분석하였다. 연구 결과, 설계의 단초를 형성하는 원론 및 개념화 단계지침에서 작품의 전개방향을 미리 규정하는 측면이 다수 발견되었으며, 지침구성에 있어서도 내용적 가이드라인과 표현에 관한 지침이 비위계적으로 혼재하고 있었다. 지침의 이러한 구조양상은 응모안의 내용형식과 다음과 같이 연결된다. 즉, 설계전개방향과 관련된 지침이 지나치게 규정적이고 그 분량이 많아, 설계관점이 전체적으로 획일화되는 경향을 야기하고 있다. 이러한 점은 동시대의 가치를 반영하는 것처럼 보이는 현상설계 출품작에서 대안적 변화의 가능성을 읽기 어려운 까닭이 된다. 아울러 작품의 변별적 우수성을 드러내야 하는 현상설계의 속성상, 네이밍(naming)에 편승케하여 의미의 과잉을 야기하는 요인으로도 작용하고 있었다. 반면, 이와 대조적으로, 설계의 자율성이 보장되거나 심지어 당해 지침이 결여된 상태에서 응모안의 내용적 차별성과 변별성이 드러나고 있었다. 이러한 점은 현상설계 발주 당시 대상지의 여건과 환경특성, 그리고 요구되는 목표 등을 보다 면밀하게 감안하는 별도의 노력을 통해 지침의 내용과 구조형식이 마련되어야 할 것이라는 점을 잘 보여준다.

• 대한한방내과학회지
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• 제33권4호
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• pp.347-366
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• 2012

The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on stroke management for clinical practitioners. Many countries are already well engaged in developing and releasing their own clinical practice guidelines, whereas Korean Medicine (KM) is still beginning. It will take time and effort to develop evidence-based guidelines and recommendations of KM or other traditional medicine because they are weak in the area of scientific evidence. The clinical practice guideline of Korean medicine for stroke was formulated through extensive review of published literature and consensus meeting of Korean medicine specialists. This project was supported by a grant of the Oriental Medicine R&D Project, the Ministry of Health and Welfare. Referring to guidelines developed in other countries, the experts in the subject tried to organize and develop guidelines and recommendations adequate for domestic medical circumstances. In December, 2008, a multi-disciplinary team called the Evidence Based Clinical Practice Guidelines Development Group (EBCPGsDG) for Stroke was organized. The writing committee was comprised of experts in internal medicine, acupuncture, rehabilitation, and Sasang constitution. Outside specialists and associated panels were invited for consultation. The scope of the guideline encompasses acupuncture, moxibustion and herbal medicine (including Korean medicine, traditional Chinese medicine, Kampo medicine) as interventions for stroke patients. It includes statements about ischemic stroke (I63), stroke not specified as hemorrhage or infarction (I64), and sequelae of cerebrovascular disease (I69) according to the International Classification of Disease (ICD). The committee subdivided the description of herbal medications into acute stroke management, subacute stroke management, post-stroke management, and secondary prevention of stroke. Guidelines on the practice of acupuncture and moxibustion were described in order for acute stroke management, subacute stroke management, chronic stroke management, and post-stroke rehabilitation. Clinicians who are working in the field of stroke care can adopt this guideline for their practice.

• Preventive Nutrition and Food Science
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• 제17권4호
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• pp.254-260
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• 2012

This study surveyed dietary intake and adherence to the Korean national dietary guidelines in Korean adolescents. To elucidate basic data for use in nutrition education, which aims to improve adolescent compliance with the national dietary guidelines and to increase the intake of dietary fiber, we evaluated the sources of fiber in adolescent diets. This study included 182 male and 212 female students from 2 middle schools in the Jeonju province. From November 15~20, 2011, we surveyed the students for general characteristics, adherence to the Korean national dietary guidelines, and dietary intake. Dietary fiber intake was $16.57{\pm}6.95$ g/day for male students and $16.14{\pm}7.11$ g/day for female students. The food groups that contributed most to dietary fiber intake were (in descending order) cereals, vegetables, seasoning, and fruits. The fiber-containing food items consumed most were cabbagekimchi, cooked rice, instant noodles, and cabbage. Based on adherence to the Korean national dietary guidelines, the vegetable-based intake of dietary fiber in groups 1 (score 15~45), 2 (score 46~52), and 3 (score 53~75) were $4.41{\pm}2.595$ g/day, $4.12{\pm}2.692$ g/day, and $5.49{\pm}3.157$ g/day, respectively (p 0.001). In addition, the total intake of dietary fiber varied significantly among the three groups (p 0.001) as follows: Group 1, $14.99{\pm}6.374$ g/day; Group 2, $15.32{\pm}6.772$ g/day; and Group 3, $18.79{\pm}7.361$ g/day. In this study, we discovered that adherence to the Korean national dietary guidelines correlates with improved intake of dietary fiber. Therefore, marketing and educational development is needed to promote adherence to the Korean national dietary guidelines. In addition, nutritional education is needed to improve dietary fiber consumption through the intake of vegetables and fruits other than kimchi.