• 제목/요약/키워드: Guidelines

검색결과 9,725건 처리시간 0.04초

Middle East Consensus Statement on the Prevention, Diagnosis, and Management of Cow's Milk Protein Allergy

  • Vandenplas, Yvan;Abuabat, Ahmed;Al-Hammadi, Suleiman;Aly, Gamal Samy;Miqdady, Mohamad S.;Shaaban, Sanaa Youssef;Torbey, Paul-Henri
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제17권2호
    • /
    • pp.61-73
    • /
    • 2014
  • Presented are guidelines for the prevention, diagnosis, and treatment of cow's milk protein allergy (CMPA) which is the most common food allergy in infants. It manifests through a variety of symptoms that place a burden on both the infant and their caregivers. The guidelines were formulated by evaluation of existing evidence-based guidelines, literature evidence and expert clinical experience. The guidelines set out practical recommendations and include algorithms for the prevention and treatment of CMPA. For infants at risk of allergy, appropriate prevention diets are suggested. Breastfeeding is the best method for prevention; however, a partially hydrolyzed formula should be used in infants unable to be breastfed. In infants with suspected CMPA, guidelines are presented for the appropriate diagnostic workup and subsequent appropriate elimination diet for treatment. Exclusive breastfeeding and maternal dietary allergen avoidance are the best treatment. In infants not exclusively breastfed, an extensively hydrolyzed formula should be used with amino acid formula recommended if the symptoms are life-threatening or do not resolve after extensively hydrolyzed formula. Adherence to these guidelines should assist healthcare practitioners in optimizing their approach to the management of CMPA and decrease the burden on infants and their caregivers.

융합시대의 이러닝 콘텐츠 개발대가 산정 가이드라인의 실효성에 관한 인식 연구 (A Study on Awareness to Effectiveness of the Cost Estimation Guidelines for e-Learning Content Development in Era of Convergence)

  • 노규성
    • 디지털융복합연구
    • /
    • 제13권11호
    • /
    • pp.7-14
    • /
    • 2015
  • 본 연구 목적은 이러닝 콘텐츠 개발 대가 산정 가이드라인 활용 활성화 정책의 근거를 제시하는 것이다. 이를 위해 이러닝 콘텐츠 개발 대가 산정 가이드라인(대가기준과 혼용)의 실효성에 대한 산업계 임직원들에 대한 설문 등을 통해 조사하고 이를 통계적으로 분석하였다. 분석 결과, 콘텐츠 사업 수주후 손실을 본 경험 기업과 수주를 포기한 경험 기업 등이 대가기준의 실효성에 대해 상대적으로 부정적인 인식을 가지고 있다. 그런가 하면 콘텐츠 전문기업은 대가기준의 실효성에 대해 상대적으로 긍정적인 인식을 가지고 있다. 결론적으로, 본 연구는 이러닝 콘텐츠 개발대가 산정기준(가이드라인)이 권고, 제정 고시를 넘어 수발주 현장에 정착되고 나아가 이러닝 산업 발전에 큰 기여토록 하는 제도적 장치를 정부가 가능한 한 빨리 마련할 것을 권고하였다.

회귀곡선을 이용한 단시간 노출에 대한 AEGL의 적용 (Apply AEGL for Short Time Exposure Using Regression Curve)

  • 이현진;정태준;이향직;정창모;고재욱
    • 한국가스학회지
    • /
    • 제21권5호
    • /
    • pp.77-82
    • /
    • 2017
  • 노후화 된 공정설비와 공장의 규모 확대 등 유해화학물질 사용량이 증가하고 있으며, 2013년부터 지속적으로 누출에 의한 사고가 발생하는 것을 확인할 수 있다. 장외영향평가에서 누출에 대한 끝점 농도는 ERPG 2로 나타내며, 안전보건공단의 가이드에서 시간에 따라 7분 미만에서 10분의 AEGL 2, 7분 이상 25분 미만일 때는 30분의 AEGL 2값을 사용한다. 기준이 되는 끝점 농도가 시간에 따라 모호하게 사용되고 있어, 사고 발생 시 문제를 야기할 것으로 생각이 된다. 이에 본 연구에서 회귀곡선을 통해 1~10분 사이의 AEGL 값을 도출하고, 동 시간의 Probit function의 0% Lethality 데이터와 비교하였으며, AEGL 결과 값을 사용하여 보다 명확한 시간에 따른 독성누출 평가에 활용될 것으로 생각된다.

공공도서관의 지위별 규모와 지역적 특성에 따른 공간 면적 기준에 관한 연구 (A Study on the Guideline of Area of Space Size according to Size of position and Regional characteristics of Public Libraries)

  • 이철재;윤지원;이민
    • 한국실내디자인학회논문집
    • /
    • 제26권2호
    • /
    • pp.92-100
    • /
    • 2017
  • In order to improve the functions of libraries in each region, it is necessary to establish the guideline of area of space size according to size and region. Therefore, this study aims to present the guideline of area of space size of public libraries for the revision of the manual of 2013. The study findings are as follows. First, the theoretical and preceding studies have raised a need to present the guidelines on the areas of public libraries nationwide since the guidelines of areas presented in Gyeonggi Province have been derived from the provincial libraries of Gyeonggi only. It is also necessary to analyze and verify the guidelines of areas of public libraries nationwide in Korea based on the guidelines of areas for Gyeonggi Province. Second, I have analyzed the areas of public libraries nationwide. I have conducted comparative analysis and verification in comparison with the areas in Gyeonggi Province through the ${\pm}5%$ error range presented in the existing manual, which has led to the conclusion that the guidelines of areas in Gyeonggi Province are within the error range and thus are applicable to public libraries nationwide. Third, I have presented the five different types of guidelines of areas. This study is expected to facilitate accelerating the decision-making and policy establishment as part of the construction and remodeling plans. In the future, however, more detailed studies on libraries bigger than $5,000m^2$ is needed.

주요 국가별 보건의료시설 가이드라인의 체계 비교 및 시사점 연구 - 미국, 호주, 영국을 중심으로 (A Study on the Comparison of System and Implications of Health Care Facility Guidelines by Major Countries - Focused on US, Australia, UK)

  • 이승지;김미애
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
    • /
    • 제26권3호
    • /
    • pp.27-35
    • /
    • 2020
  • Purpose: A solid system in the process of establishing guidelines can increase social acceptance and utilization. The paper aims to comparatively analyze the system in which guidelines for health care facilities in the US, Australia, and the UK and suggest implications for Korea. Method: It conducted literature analysis of the system in the framework of composition, governance, and procedure for the Facility Guidelines Institute's Guideline for US, Australia's Australasian Health Facility Guidelines for Australia, and Health Building Notes for UK. Results and Implications: First, in terms of composition, the guidelines for health care facilities can be divided into composition by space and composition by issue. It is proposed to establish a system that space and issues are clearly separated, such as Australia's AusHGF, and complete it step by step. Second, in terms of governance, despite the fact that the medical supply is privately oriented, the medical system is controlled by the government in Korea. Therefore, it is suggested to form a separate organization in the public sector that establishes, researches, and revises the guideline that will serve as a focal point for experts in various fields to participate. Third, in terms of procedure, it is suggested to establish a guideline that reflects the experiences and demands of consumers by clearly organizing procedures including collecting opinions.

Multiple pregnancy after single or multiple embryo transfer performed according to Korean guidelines

  • Han, E Jung;Kim, Seul Ki;Lee, Jung Ryeol;Jee, Byung Chul;Suh, Chang Suk;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
    • /
    • 제42권4호
    • /
    • pp.169-174
    • /
    • 2015
  • Objective: To assess compliance with Korean guidelines for embryo transfer, the possible reasons for non-compliance, and multiple pregnancies according to each specific condition in compliant cycles. Methods: A single-institution, retrospective study was conducted of 256 fresh in vitro fertilization cycles during 2012-2014. To assess compliance with Korean guidelines, the maximum recommended number of embryos transferred (according to criteria of age, transfer day, and presence of favorable conditions) was compared with the actual number of embryos transferred. Clinical pregnancy rate (PR) was assessed as the percentage of pregnant women resulting from each set of transfer conditions, including the number of embryos transferred. The multiple pregnancy rate (MPR) was calculated as the percentage of pregnant women with a multifetal pregnancy. Results: The compliance rate with the Korean guidelines was 96.5% (247/256). Non-compliance occurred in nine cycles owing to poor embryo quality, repeated implantation failure, or hostile endometrium. In compliant cycles, the PR was 31.2% (77/247), and the MPR was 27.3% (21/77; 20 twins and one triplet). Higher MPR was noted in two types of transfer conditions: transfer of three cleavage embryos in women aged 35-39 years with favorable conditions (66.7%; primarily from those aged 35-37 years) and transfer of two blastocysts in women aged ${\geq}40$ years with favorable conditions (50%). Conclusion: Under the Korean guidelines, compliance rate was high in our center. Multiple pregnancies occurred primarily in group with favorable conditions. In high-risk groups for multiple pregnancies, reducing number of embryos transferred should be considered than suggested in the guideline.

병원 진단검사의학부의 공간구조와 설비기준에 대한 조사 - 미국, 영국, 독일을 중심으로 - (A Study on the Space Organization and Facility Equipment of Medical Laboratory - focusing on the USA, UK and Germany -)

  • 김영애
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
    • /
    • 제22권3호
    • /
    • pp.7-15
    • /
    • 2016
  • Purpose: As medicare services have gotten spreaded, clinical laboratory has been dominant position. So, it has been acted for quality control and clinical pathology accreditation. But there has been quite deficient information to evaluate working space and technical standards of medical laboratory for accreditation. This study goals to figure out accreditation standard and design guideline for clinical laboratory, and to give safe and efficient design information. Methods: This study has been searched by literature for accreditation standards and design guidelines of clinical pathology in USA, UK, and Germany. Results: Three countries have accredited based on working lab space, staff space, storage space, patient space and health and safety equipment. Design guidelines of three countries commonly have focused on worktable layout, worktable distance and module, and specific laboratory biosafety level. And USA guidelines stress on the architectural design such as design process and passage distance for escape, UK stress on the efficiency as functional work flow and construction cost, lastly Germany design guidelines stress on the operator's safety distance and workstation. Three countries have not only accreditation standards but also design guidelines for more specific quality management, separating from accrediting institute. Implications: In korea, it has been needed to make clinical laboratory design guideline for the safe and efficient environment and reliable and competitive medical service.

한국성인의 식품소비행동과 식생활 자기평가에 관한 비교연구 (A Comparative Study on Food Behavior with Self-Evaluation of Dietary Life for Korean Adults)

  • 박재홍;유소이
    • 한국지역사회생활과학회지
    • /
    • 제20권2호
    • /
    • pp.145-156
    • /
    • 2009
  • The purpose of this study was to explore socio-economic factors as determinants of food behavior and self-evaluation on meeting dietary guidelines. The data were derived from the KNHANES collected in 2007. A multidimensional framework of the determinants of food behavior was used, including age, gender, region, occupation, education, income and nutritional knowledge. The determinants of food behavior and self-evaluation were estimated by ordered logistic regression models. Food behavior was measured by dietary diversity scores including six food groups, which were cereals, vegetables, meats, fruits, milk, and oils. Self-evaluation on meeting dietary guidelines was based on responses from questionnaires for implementing Korean dietary guidelines. In general, the respondents who fulfilled all criteria were few. There were some differences between dietary diversity scores and self-evaluation on meeting dietary guidelines. Age, gender, and educational level showed effect on food behavior and self-evaluation. For dietary diversity scores, the individuals who were younger male, graduated from college were more likely to consume more various foods. The individuals who were older female, graduated from high school were more likely to meet dietary guidelines. Occupation was associated only with self-evaluation. Age and gender were associated with food behavior as well as self-evaluation. Income and marital status were associated only with dietary diversity scores. Reading food label and occupation were associated only with self-evaluation. The food behavior of married individuals was less in line with the dietary diversity scores than singles. In conclusion the differences between objective measure and subjective measure on individuals' diet showed more efforts like segmented nutritional education would be needed to increase the quality of dietary life.

  • PDF

암성통증관리지침 적용 전후 긴급진료실 내원 환자의 통증관리 비교 (Comparison of Pain Management between before and after the Application of Guidelines in Cancer Emergency Room)

  • 원영화;김연희;박정윤
    • 종양간호연구
    • /
    • 제12권3호
    • /
    • pp.230-236
    • /
    • 2012
  • Purpose: This study was to investigate the effect of the application of cancer pain management guidelines on pain management among patients in Cancer Emergency Room. Methods: This study was a retrospective descriptive study. Before application, data were collected by analyzing the Electronic Medical Record in Cancer Emergency Room in September, 2011, and after application in February, 2012. The subjects of this study consisted of 231 patients (pre-application group 83, post-application group 148), who stayed over 24 hours and complained of pain higher than Numeric Rating Scale score 4. The post-test was conducted after educating the nurses about the application of the pain management guidelines in the Electronic Medical Record. Results: This survey showed that, as the cancer pain management guidelines were applied for cancer patients with above moderate pain, the pain intensity decreased, the number of patients reaching the treatment goal score increased. Furthermore, the estimated time to reach the treatment goal decreased significantly. Conclusion: Pain intensity of the cancer patients was decreased through regular pain assessments by nurses and the medication of analgesics according to the cancer pain management guidelines. Therefore, it is necessary to develop the pain management program and to provide the physicians and nurses with intensive education about the pain management guidelines for systematic and effective pain management.