• 제목/요약/키워드: Guidelines

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비인두암의 한의학적 진료 지침 개발을 위한 기초 연구 (A Preliminary Study for Development of Clinical Practice Guidelines of Korean Medicine for Nasopharyngeal Cancer)

  • 이종훈;강세영;유화승
    • 대한한방내과학회지
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    • 제37권3호
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    • pp.516-528
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    • 2016
  • Objectives: The purpose of this study is to present clinical practice guidelines for nasopharyngeal cancer (NPC).Methods: Data related to western and oriental medical treatment of NPC were collected using various search engines such as Google Scholar, KIOM OASIS, PUBMED, and the library of Woosuk University.Results: In recent studies, applying combined oriental and western medicine has been shown to improve survival, quality of life, and immune function and to decrease side effects with respect to NPC. However, there still is no objective and systematic clinical guideline for NPC, so we have proposed one. This study will be meaningful in establishing clinical practice guidelines of Korean medicine for NPC.Conclusion: Further studies related to Korean medicine are needed to develop more advanced clinical practice NPC guidelines.

간호사의 임상실무지침서 사용현황과 근거중심 임상실무지침서 요구도 조사 (Nurses' Usage of Clinical Practice Guideline and Demand of Evidence Based Clinical Practice Guideline)

  • 하미숙;박명화
    • 성인간호학회지
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    • 제18권4호
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    • pp.582-592
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    • 2006
  • Purpose: The purpose of this study was to offer the baseline data for developing a systematic and high quality of clinical practice guideline by exploring how nurses utilize clinical guidelines and what they need for. Method: This study has been done with 242 nurses of a university hospital in Daegu using a self-administered questionnaire. The instrument used in this study was developed by researchers based on the results of the previous studies. Data analysis was done with SPSS 11.0 Program. Results: Nurses felt that clinical guidelines were not sufficiently disseminated to update their clinical knowledge education. Nurses showed the strong demand for developing clinical practice guidelines with the newest and systematic evidence. However, a relatively low number of nurses knew evidence-based nursing and evidence-based clinical guidelines. Conclusion: It is necessary to develop an educational program for evidence-based nursing and an evidence-based nursing clinical practice guideline for nurses and to explore the strategies for development and dissemination of evidence-based clinical practice guidelines to solve the urgent and frequent clinical problems.

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어린이를 고려한 무장애공간 계획기준 및 적용실태 연구 - 어린이 재활병원의 외래부 공용공간을 중심으로 - (Research on the Design Guidelines and Implementations of Barrier-free Space for Children - Focused on the Common Spaces of the Outpatient Clinics in Pediatric Rehabilitation Hospitals -)

  • 조민정
    • 한국실내디자인학회논문집
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    • 제25권4호
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    • pp.113-124
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    • 2016
  • This research examines domestic and oversea's barrier-free design guidelines provided exclusively for children and their implementations in the common spaces of the outpatient clinics in two pediatric rehabilitation hospitals in Seoul. Based on literature review, a checklist was developed to compare various barrier-free design guidelines in consideration of children's accessibility in space. In addition, four spatial areas in the outpatient clinics of the two hospitals were investigated based on the checklist. As a result, the domestic and Japanese guidelines were aiming primarily to all user groups regardless of ages. Whereas in other oversea's guidelines, a number of barrier-free design standards exclusive for children were found in the facility items such as handrail, sink, urine, toilet, water fountain, chair, table, shelve, and so on, throughout the indoor waiting and sanitary spaces. Concerning implementations, most of the items in the indoor passage, waiting, and sanitary spaces of the two hospitals were not sufficiently facilitated enough to meet with the barrier-free design standards exclusive for children. As such, it is recommended to review and improve the current domestic barrier-free design guideline to accommodate various physical and spatial needs of children in all age groups and regardless of disability types, in the design of a pediatric rehabilitation hospital in the future.

하천 친수공간 평가·관리체계 개선을 위한 국내 법제도 분석 (Analysis of Legislation and Guidelines on Riverfront Assessment and Management System in Korea)

  • 이형숙
    • 농촌계획
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    • 제24권3호
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    • pp.97-104
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    • 2018
  • Riverfront plays an important role as accessible and inclusive public space for residents, and a riverfront development and management has become a social and environmental issue. The purpose of this study is to analyze Korean legislation and guidelines applied in a riverfront assessment process to identify any legislative problems. To this end, major laws, regulations, national river management plans, and various guidelines related to river management were reviewed. The followings are the suggestions proposed for future improvement. First, clear and consistent definitions on riverfront areas and its spatial range are required across the laws. Also, recreational activities and facilities in riverfront should be categorized and listed for possible development and maintenance. Second, it is necessary to develop an objective and unified riverfront assessment system. Also, guidelines for surveying and evaluating the conditions and potentials of riverfront should be developed. Third, efforts should be made to revise related laws and guidelines to enable comprehensive and systematic approach in design, planning, implementation, maintenance of riverfront. Improving the related legislations and streamlining an riverfront assessment process can help create environmentally-friendly riverfront spaces and mange them efficiently.

A Study on the Development of Guidelines on Visiting Nursing Services for the Management of Hypertension Patients in the Rural Areas of Korea

  • Jung, Moon-Hee;Han, Myung-Hwa-Han
    • Korean Journal of Health Education and Promotion
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    • 제2권1호
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    • pp.133-145
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    • 2000
  • This study aims to develop some guidelines on visiting nursing services for the management of hypertension patients at home in the rural areas of Korea. Firstly, in-depth interviews were given to the eight staff in charge of visiting nursing services in the rural health centers from June 1, 1999 to August 30, 1999. And then, their five patients with hypertension were under participatory observation. At the same time, literature review was conducted. Through those methods, some preliminary items were derived and the initial guidelines were drawn up. They were referred to ten experts, so that their validity was tested with Delphi Technique. Through the verification of their validity, they were complemented into the final ones. The total number of the items in the final guidelines was 22. By areas, they could be categorized as follows; eight items as skilled nursing care, five as general nursing care, three as guidance for diet, two as guidance for exercise, one as hospice care, and one as connection with social welfare services. By methods of activities, 13 items were classified as assessment, two as intervention, two as demonstration, and 17 as explanation. On the basis of the guidelines, nursing services are recommended to be divided and performed; general nursing activities by nurse aids and skilled nursing activities by public health nurses.

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치과진료실에서 주사바늘 찔림 사고 예방을 위한 가이드라인 연구 (A Study on the Guidelines for Preventing Needlestick Injuries in Dental Offices)

  • 전정미;임순연;조영식
    • 치위생과학회지
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    • 제15권3호
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    • pp.247-253
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    • 2015
  • 치과진료실은 주사바늘 찔림 사고가 빈번하게 일어나고 있으며 그로 인한 혈액매개성 질환에 노출 위험이 높은 곳이다. 이에 본 연구에서는 조사한 자료들을 토대로 주사바늘 찔림 사고 예방 감염관리지침(안)을 제안하였다. 치과진료실에서의 치과 보건 의료인들에게 실질적인 예방대책으로 사료되나 주사바늘 찔림 사고 예방 안전 기구와 장비의 도입 및 사용법 숙지가 필요하다.

안전한 매선요법 시술을 위한 멸균, 소독 및 무균법 (Disinfection, Sterilization and Aseptic Technique for Thread Embedding Acupuncture)

  • 윤영희;손재웅;고성규;최인하
    • 한방안이비인후피부과학회지
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    • 제29권1호
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    • pp.103-112
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    • 2016
  • Objective : Thread embedding acupuncture has become popular as a minimally invasive treatment for facial wrinkles and laxity. However, there is little published clinical practice guidelines about disinfection, sterilization and aseptic technique for thread embedding acupuncture. This study is to introducing a specific guidelines about disinfection, sterilization and aseptic technique for thread embedding acupuncture.Method : We reviewed internal regulations and guidelines about hospital infection, and Traditional Korean medicine doctors, nurses, and director of central supply room discussed in depth and established a regulation of disinfection, sterilization and aseptic technique for thread embedding acupuncture.Result : The regulation of disinfection, sterilization and aseptic technique for thread embedding acupuncture consisted of ① management of supplies, ② guidelines of disinfection, sterilization, and reuse, ③ aseptic technique for thread embedding acupuncture.Conclusion : Microbial management is an essential element of medical care and quality. Traditional Korean medicine doctors will care for disinfection, sterilization, and this should not neglect to comply with the procedures and guidelines in the medical field as well as to understand the aseptic techniques.

한국형 우울증 임상진료지침 개발(II) (Korean Clinical Practice Guideline for the Treatment of Depressive Disorder(II))

  • 강이헌;김수영;이민수
    • 생물정신의학
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    • 제13권4호
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    • pp.219-225
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    • 2006
  • Depression has been causing huge direct and indirect losses to people's health because of its high prevalence, various clinical patterns, drug reaction and diverse courses different among individuals, but its treatment has not been systematic but dependent on individual clinicians' experience and knowledge. To correct this problem, it has been highly necessary to develop clinical guidelines defined as "systematically developed statements to assist practitioners' and patients' decisions about appropriate healthcare for specific clinical circumstances." Currently, countries throughout the world are making efforts to establish evidence-based guidelines among different levels of guidelines and to evaluate and test them. Although such efforts have been unsatisfactory in Korea because of several constraints including lack of high-quality RCT, the Korean Depression Clinical Practice Guideline has started to develop evidence-based guidelines, which are established through strictly designed processes. Thus, the present study purposed to review methods adopted in the development processes and to present the processes of developing the evidence-based guidelines clearly and transparently.

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초등학교 컴퓨터 교과서의 분석을 통한 컴퓨터 교육의 활성화 방안에 관한 연구 (A Study on the Elementary Computer Education Invigorating Policy based on Analysis of the Computer Textbooks)

  • 정인기
    • 정보교육학회논문지
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    • 제14권1호
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    • pp.53-60
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    • 2010
  • 2005년 12월에 정보통신기술교육 운영지침의 개정안이 발표되었으나 아직도 학교 현장에서는 이와 같은 개정안의 내용에 따라 제대로 교육이 실시되고 있지 않다. 그것은 개정안의 내용을 담고 있는 교과서의 내용이 충실하지 못한 것도 하나의 원인이라고 할 수 있다. 본 논문에서는 2006년 6월 이후에 출판된 초등학교 컴퓨터 교과서를 분석하였다. 분석한 결과 많은 교과서가 정보통신기술교육 운영지침 개정안의 내용을 제대로 반영하지 않은 것으로 나타났다. 특히, "정보 처리의 이해"와 "종합 활동" 영역의 내용이 상대적으로 부실한 것으로 나타났다. 따라서 초등 컴퓨터 교육의 활성화를 위해서는 교과서 검정의 충실화, 컴퓨터 교육 전문가의 참여, 상세한 교육과정의 개발, 교사 연수의 실시 등이 꼭 필요하다.

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Towards guidelines for design of loose-laid roof pavers for wind uplift

  • Mooneghi, Maryam Asghari;Irwin, Peter;Chowdhury, Arindam Gan
    • Wind and Structures
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    • 제22권2호
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    • pp.133-160
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    • 2016
  • Hurricanes are among the most costly natural hazards to impact buildings in coastal regions. Building roofs are designed using the wind load provisions of building codes and standards and, in the case of large buildings, wind tunnel tests. Wind permeable roof claddings like roof pavers are not well dealt with in many existing building codes and standards. The objective of this paper is to develop simple guidance in code format for design of loose-laid roof pavers. Large-scale experiments were performed to investigate the wind loading on concrete roof pavers on the flat roof of a low-rise building in Wall of Wind, a large-scale hurricane testing facility at Florida International University. They included wind blow-off tests and pressure measurements on the top and bottom surfaces of pavers. Based on the experimental results simplified guidelines are developed for design of loose-laid roof pavers against wind uplift. The guidelines are formatted so that use can be made of the existing information in codes and standards such as American Society of Civil Engineering (ASCE) 7-10 standard's pressure coefficients for components and cladding. The effects of the pavers' edge-gap to spacer height ratio and parapet height to building height ratio are included in the guidelines as adjustment factors.