• 한국임상약학회지
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• 제27권4호
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• pp.276-283
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• 2017

Objective: Dyslipidemia is recognized as a prominent risk factor for cardiovascular and cerebrovascular diseases but it is manageable through therapeutic and lifestyle intervention. Interpreting the latest guidelines is essential for an application of recommendation from guidelines into clinical practice. Therefore, this study aimed to compare the most recent guidelines on dyslipidemia treatment recommendations in Korea and USA. Methods: This study analyzed and compared 2015 Korean guidelines for the management of dyslipidemia, 2013 American College of Cardiology/American Heart Association (ACC/AHA) guideline and 2016 supportive guidelines from ACC. Results: A comparison was made focused on the following: target patients based on cardiovascular risk assessment, target goal, and treatment strategies including statin and non-statin therapies. Four target patient groups by risk were suggested in 2015 Korean guideline and cardiovascular risk factors were also considered for initiation of lipid lowering therapy. Titrated statin regimen was recommended by Korean guideline to reach LDL cholesterol and non-HDL cholesterol target level. In 2013 ACC/AHA guideline, four statin benefit group was introduced considering ASCVD risk and high intensity statin or intermediate intensity statin use were recommended without dose titration. 2016 update was to support non-statin therapy based on updated evidence and new consideration of ezetimibe, PCSK9-inhibitor and bile acid sequestrant was brought up. Conclusion: Guidelines are continuously updating as new and important clinical data are constantly released along with the advent of newly approved drugs for lipid disorder. This article provides resources that facilitates uptake of these recommendations into clinical practice.

• 대한한의학회지
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• 제41권2호
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• pp.80-95
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• 2020

Objectives: The purpose of this study is to assess the quality of the Journal of Korean medicine case reports. Methods: Case reports published in the Journal of Korean Medicine from January 2015 to March 2020 were selected by using Oriental Medicine Advanced Searching Integrated System (OASIS) and the journal search system of the Korean Medical Association (https://www.jkom.org). The quality of the case reports was assessed using the Consensus-based Clinical Case Reporting Guideline Development (CARE) guidelines. Results: 33 case reports were selected for the assessment. Based on the CARE guidelines, 61.54% of the case reports included necessary information, but the quality level was uneven. More than 60% of the reports were missing data regarding 'Discussion of the strengths and limitations in your approach to this case', 'Intervention adherence and tolerability', 'Timeline', 'Medical, family, and psychosocial history including relevant genetic information', 'Patient perspective or experience', 'Adverse and unanticipated events', 'Administration of intervention', and 'De-identified demographic information and other patient specific information'. In most reports of over 90%, data regarding 'Diagnostic challenges', 'Intervention adherence and tolerability', and 'Key word' were not included. Conclusions: Efforts are needed to improve the quality of case reports in the Journal of Korean Medicine, and it is necessary to develop appropriate guidelines for case reporting for the Journal of Korean Medicine. In addition, all articles submitted to the Journal of Korean Medicine are to be complied with submission instructions and CARE guidelines.

• Journal of Chest Surgery
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• 제51권4호
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• pp.231-240
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• 2018

Background: Analyses of the efficacy and safety of transcatheter aortic valve replacement (TAVR) in most countries have been based on outcomes obtained in accordance with national practice guidelines and monitoring protocols. The purpose of this study is to share our experience regarding the process for establishing guidelines and monitoring protocols for the use of TAVR in Korea, in the hopes that it may be helpful to others undergoing a similar process in their own country. Methods: The Korean guidelines for TAVR were established on June 1, 2015 in through a tri-party agreement involving the Department of Health and Welfare, the Korean Society of Thoracic and Cardiovascular Surgery and the Korean Society of Cardiology. We agreed to monitor the guidelines transparently and to exchange opinions regarding amendments or continuation of its contents after 3 years of monitoring. Results: The monitoring meetings were not held as regularly as agreed, and monitoring was also made difficult by insufficient and incomplete data. Nevertheless, during the meetings, measures to improve the monitoring process were discussed, and accordingly, an agreement was made to continue the monitoring process, with the aim of completing data collection by 2018. Conclusion: Compliance with guidelines is critical for assessing the efficacy and safety of TAVR. Moreover, the TAVR monitoring process must be properly conducted for an accurate evaluation to be made. Any country planning to introduce TAVR may encounter difficulties with regards to the optimal initiation strategy and subsequent monitoring. Nevertheless, continued efforts should be made to persuade the government and the corresponding medical societies to facilitate the optimal application of TAVR.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2003년도 학술발표회논문집(1)
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• pp.219-225
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• 2003

The World Commission on Dams (WCD) in November 2000 published "Dams and Development" as its only and final report. The report proposed "internationally acceptable criteria and standards" Despite the (act that the WCD itself did not regard the report as a blue print, many NGO's strongly support the report and the guidelines, and demand that they be adopted in their current form by funding organizations. The WCD recommendations and guidelines were found to have several "generic" problems, and the proposed guidelines appear unable to be applied as they stand. The authors assume that only several of these guidelines are operational and many of these are either too experimental or theoretical to be put into use. Furthermore, some seemingly "ready for operation" guidelines still need to be enhanced to be really operational in the real world. About 2,000 large dams were constructed in Japan after the Second World War. Various principles and mechanisms were then developed to better address the issues related to involuntary resettlement. The knowledge accumulated through large dam construction projects in Japan may be applied to other countries. The aim of this paper is to identify the lessons, out of the experiences gained in Japan through large dam construction projects in the past, which could be applicable for future large dam construction projects in other nations. The socio-economic settings as well as legal frameworks in Japan may differ other nation. Nevertheless, the following aspects of the experiences gained in Japan are found to be both applicable and useful for future large dam construction projects abroad: (a) Integrity of community in the negotiation process, (b) Provision of alternative occupations, (c) Funding mechanism in the post-project period, (d) Measures needed during planning process, and (e) Making resettlers "shareholders". These lessons may prove useful to enhance the WCD guidelines.

• 대한한방내과학회지
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• 제40권6호
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• pp.1101-1111
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• 2019

Objective: The purpose of this study was to investigate quality of reporting acupuncture intervention for mild cognitive impairment (MCI) based on the STRICTA and CONSORT guidelines Methods: We searched for randomized controlled trial studies of acupuncture treatment for MCI in the MEDLINE (PubMed) database. Once the online search was completed, studies were selected manually by the inclusion criteria, and the selected studies were evaluated by STRICTA and CONSORT guidelines. Results: Five studies were included. The most frequently selected points for acupuncture treatment of MCI were on the head, such as GV20, EX-HN1, GV24, and GB20. By STRICTA guidelines, all items from STRICTA were reported except three items on the checklist. By CONSORT guidelines, apart from six items which were not available, quality assessment was performed with 31 items. Eighteen items were reported by 80% of the studies. Four items were reported by 40% of the studies and another four items were reported by 20% of the studies. One item was not reported in all studies. Conclusion: Most items were reported by STRICTA guidelines, whereas many items were insufficiently reported based on CONSORT guidelines. This needs to be considered in future RCTs of acupuncture treatment for MCI.

• 한국항해항만학회지
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• 제36권3호
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• pp.189-196
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• 2012

최근의 몇몇 사례를 통해 국내에서도 플로팅 건축물의 확산 가능성에 대한 논의가 시작되고 있으나 국내에서는 아직 플로팅 건축계획과 관련되어 참고할 만한 가이드라인이나 규정이 제정된 바가 없다. 이 연구는 플로팅 건축물 상부시설에 대한 계획 지침을 구성하는 것을 목표로 하였다. 기존 국내외 지침 중 플로팅 건축물 상부시설 계획에 참조가 될 수 있는 지침을 선택하고 관련 구성 항목 및 구성 체계에 대하여 분석하였다. 이를 통해 이 연구와 직접적으로 연관된 지침 구성 항목을 추출할 수 있었다. 이렇게 추출된 항목을 유사한 내용을 중심으로 분류하여 몇 가지의 범주로 구분하고 각각의 내용을 비교 분석하였다. 이상과 같이 분석된 지침 구성 항목과 체계, 그 내용을 토대로 플로팅 건축물 상부시설에 대한 계획 지침 구성 체계를 제안하였고, 구성 항목 및 주된 규정 내용을 검토하였다.

• 대한안전경영과학회지
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• 제12권3호
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• pp.53-60
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• 2010

Texts and icons are used to deliver the safety and health information on pesticide labels. This study surveyed the standards or guidelines regarding the presentation formats of texts and icons used in pesticides. Also, the text and icon formats being used in the 50 pesticide products in Korea were investigated in the aspects of size, font (texts only), color. From the guideline survey, it was found that while the guidelines for the text fonts and colors in pesticides were suggested, there was no detailed guidelines about the text size. For the icon presentation, it was regulated that the icon size for the pesticides should be larger than $7mm{\times}7mm$, and this size was equivalent to the size when the reading distance of 28 ㎝ was applied to other two guidelines. From the sample survey of the 50 pesticides, it was found that the small text size being used in the 50 pesticides was 1mm (3pt), and this size was considered to be very difficult to be read, particularly by old people. The minimum size of the texts for the toxicity of the pesticide, the very important safety information, was found to be 1.5 mm, which is considered to be very uncomfortable to be read. The size of icons were varied from 2 to 12 mm, and the total average size was 4.6 mm. The 149 icons from a total 187 icons (80%) were smaller than the icon presentation guideline ($7mm{\times}7mm$), and the reason for the small icon size might be the small area of the label of the pesticides. Thus, more detailed guidelines for the text size and more practical guidelines for the size of icons are required.

• 한국재난정보학회 논문집
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• 제14권3호
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• pp.271-279
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• 2018

연구목적: 본 연구는 재난재해로 인하여 발생한 이재민 거주성을 향상시키기 위한 실내 실 외 임시주거시설의 성능 가이드라인을 도출하는 것을 목적으로 한다. 연구방법: 재난재해 대응체계 및 선행연구를 분석하고, 국내 실정에 맞는 성능 가이드라인의 도출을 위하여 임시주거시설 현장조사와 임시주거시설 이용자 인터뷰를 진행하여 성능 항목을 설정하였다. 연구결과: 살내 외 임시주거시설의 성능은 크게 기술성, 환경성, 사회성으로 분류되었으며, 각각의 성능 가이드라인을 제시하였다. 도출된 성능 가이드라인은 실내/실외의 특성상 일부 유사하게 나타났으나 대체로 유사하였다. 결론: 본 연구에서 이재민 거주성 향상을 위하여 제시된 성능 가이드라인을 실질적으로 적용하여 개선을 진행하고, 결과의 피드백을 통한 지속적인 개선이 요구된다.

• 한국의료질향상학회지
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• 제25권1호
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• pp.52-65
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• 2019

Purpose: Outbreaks resulting from medication injections have recently been on the rise in Korea despite various established guidelines. The objective of this study was to assess the degree to which healthcare professionals are aware of safe injection practice guidelines and to account for the adherence to and the deviation from safe injection guidelines formulated by healthcare providers. Methods: In November 2016, a cross-sectional anonymous questionnaire covering general characteristics of injections, patient safety culture, awareness of safe injection practices, and adherence to and barriers to safe injection guidelines was issued to healthcare providers who administer medication injections or manage and supervise these injections (N=550). Multivariate logistic regression analysis via enter method was performed to define the influencing factors of adherence of safe injection practices. Results: On average, respondents adhere to 17 of the 24 guidelines. Multivariate logistic regression found that those who were more likely to adhere to safe injection guidelines either underwent a patient safety training experience within the last year, provided care in a setting characterized by a highly developed patient safety culture, or were employed as physicians or nurses, as opposed to some other type of care provider. Barriers to safe injection guidelines were attributable to; thoughts of waste to discard leftover medicine, provisions that made adherence cumbersome, a weak culture of compliance, and insufficient amounts of injectable medicine, products, and education. Conclusions: The results of this study indicate that controllable factors like training experience of healthcare providers and patient safety culture were positively associated with adherence to safe injection practices. It was suggested that the training of healthcare providers on safe injection practices be a continuous process to promote patient safety. Additionally, there should be an increased focus on developing and implementing policies to improve patient safety culture from a prevention rather than post-management perspective.

• 한국융합학회논문지
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• 제12권5호
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• pp.85-91
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• 2021

본 연구는 치매환자에게 적합한 인지 프로그램 실무지침을 개발하는 과정에서의 효과성을 검증하는 절차를 기술한 방법론적 연구이다. 근거중심의 임상진료지침 신규개발 방법에 기초하여 국내 치매환자용 인지프로그램 실무지침 예비 권고안을 개발하였다. 이후, 효과검증을 위해 전문가 내용타당도 및 실무자 현장 적용성 검증을 수행하였다. 실무지침은 최종 4개 유형으로 구성하였으며 구성항목의 내용타당도는 0.87-1점을 나타냈다. 현장 적용성의 하위항목에서는 적절성이 3.95-4.34점, 적용가능성이 3.57-4.27점, 효과성예측이 3.84-4.22점이었다. 전문가 내용타당도 및 현장 적용성 예측 조사를 통해 본 연구에서 개발한 실무지침이 임상에 종사하는 치매 인지프로그램 관리자의 중재 계획수립과 임상 근거로 활용할 수 있음을 확인하였다. 추후 연구에서는 치매환자에게 최적의 치료적 활동을 제시하기 위한 근거중심의 실무지침 개발연구가 더욱 활성화되어야 할 것이다.