• 제목/요약/키워드: Guidelines

검색결과 9,787건 처리시간 0.038초

위암 표준진료권고안 (Clinical Practice Guideline of Gastric Cancer in Korea)

  • 김재규
    • Journal of Digestive Cancer Research
    • /
    • 제4권1호
    • /
    • pp.10-16
    • /
    • 2016
  • There were no Korean evidence-based multidisciplinary guidelines for gastric cancer. Experts from related societies developed guidelines de novo to meet Korean circumstances and requirements, including 23 recommendation statements for diagnosis (n=9) and treatment (n=14) based on relevant key questions. The quality of the evidence was rated according to the GRADE evidence evaluation framework and the recommendation grades were classified as either strong or weak. The topics of the guidelines cover diagnostic modalities (endoscopy, endoscopic ultrasound, and radiologic diagnosis), treatment modalities (surgery, therapeutic endoscopy, chemotherapy, and radiotherapy), and pathologic evaluation. Major limitation of the present guideline is that there is no enough evidences in Korea. Therefore, clinical studies about gastric cancer for evidence generation should be conducted.

  • PDF

The Incidental Pancreatic Cyst: When to Worry About Cancer

  • Danielle E. Kruse;Erik K. Paulson
    • Korean Journal of Radiology
    • /
    • 제25권6호
    • /
    • pp.559-564
    • /
    • 2024
  • Incidental pancreatic cystic lesions are a common challenge encountered by diagnostic radiologists. Specifically, given the prevalence of benign pancreatic cystic lesions, determining when to recommend aggressive actions such as surgical resection or endoscopic ultrasound with sampling is difficult. In this article, we review the common types of cystic pancreatic lesions including serous cystadenoma, intraductal papillary mucinous neoplasm, and mucinous cystic neoplasm with imaging examples of each. We also discuss high-risk or worrisome imaging features that warrant a referral to a surgeon or endoscopist and provid several examples of these features. These imaging features adhere to the latest guidelines from the International Consensus Guidelines, American Gastroenterological Association (2015), American College of Gastroenterology (2018), American College of Radiology (2010, 2017), and European Guidelines (2013, 2018). Our focused article addresses the imaging dilemma of managing incidental cystic pancreatic lesions, weighing the options between imaging follow-up and aggressive interventions.

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.