• 제목/요약/키워드: Guidelines

검색결과 10,089건 처리시간 0.032초

The Value and Limitations of Guidelines, Expert Consensus, and Registries on the Management of Patients with Thoracic Aortic Disease

  • Pacini, Davide;Murana, Giacomo;Leone, Alessandro;Marco, Luca Di;Pantaleo, Antonio
    • Journal of Chest Surgery
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    • 제49권6호
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    • pp.413-420
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    • 2016
  • Doctors are often faced with difficult decisions and uncertainty when patients need a certain treatment. They routinely rely on the scientific literature, in addition to their knowledge, experience, and patient preferences. Clinical practice guidelines are created with the intention of facilitating decision-making. They may offer concise instructions for the diagnosis, management (medical or surgical treatments), and prevention of specific diseases or conditions. All information included in the final version are the result of a systematic review of scientific articles and an assessment of the benefits and costs of alternative care options. The final document attempts to meet the needs of most patients in most circumstances and clinicians, aware of these recommendations, should always make individualized treatment decisions. In this review, we attempted to define the intent and applicability of clinical practice guidelines, expert consensus documents, and registry studies, focusing on the management of patients with thoracic aortic disease.

대학도서관을 위한 정보 공정사용 지침 구성에 대한 조사 연구 (A Study on the Fair Use Guidelines for Academic Libraries)

  • 최상희
    • 정보관리학회지
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    • 제24권1호
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    • pp.367-383
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    • 2007
  • 통신기술과 정보기기의 발달로 대학에서 교육과정에 정보를 활용하는 방식이 급격히 변화하고 있어 저작권이 있는 정보를 윤리적, 합법적으로 교육 자료로 사용하게 될 경우 인지해야할 사항들이 점점 늘어나고 있다. 이 연구에서는 대학에 필요한 교육적 목적의 정보 공정사용에 관련한 저작권법과 각종 지침을 분석한 후 대학도서관에서 교육자와 학생에게 인지시켜야 할 주요 개념을 도출하여 대학도서관이 정보 공정사용 지침에 포함해야 할 주요 영역을 제시하고자 하였다. 또한 영역별로 도출된 주요 개념들이 국내 대학 도서관 사이트에서 적절하게 교육자와 학생들에게 제공되고 있는지를 조사하였다.

Review of Medical Dispute Cases in the Pain Management in Korea: A Medical Malpractice Liability Insurance Database Study

  • Kim, Yeon Dong;Moon, Hyun Seog
    • The Korean Journal of Pain
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    • 제28권4호
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    • pp.254-264
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    • 2015
  • Background: Pain medicine often requires medico-legal involvement, even though diagnosis and treatments have improved considerably. Multiple guidelines for pain physicians contain many recommendations regarding interventional treatment. Unfortunately, no definite treatment guidelines exist because there is no complete consensus among individual guidelines. Pain intervention procedures are widely practiced and highly associated with adverse events and complications. However, a comprehensive, systemic review of medical-dispute cases (MDCs) in Korea has not yet been reported. The purpose of this article is to analyze the frequency and type of medical dispute activity undertaken by pain specialists in Korea. Methods: Data on medical disputes cases were collected through the Korea Medical Association mutual aid and through a private medical malpractice liability insurance company. Data regarding the frequency and type of MDCs, along with brief case descriptions, were obtained. Results: Pain in the lumbar region made up a major proportion of MDCs and compensation costs. Infection, nerve injury, and diagnosis related cases were the most major contents of MDCs. Only a small proportion of cases involved patient death or unconsciousness, but compensation costs were the highest. Conclusions: More systemic guidelines and recommendations on interventional pain management are needed, especially those focused on medico-legal cases. Complications arising from pain management procedures and treatments may be avoided by physicians who have the required knowledge and expertise regarding anatomy and pain intervention procedures and know how to recognize procedural aberrations as soon as they occur.

성인 남성근로자의 체중감소행동 변화단계에 따른 식생활 지침 실천 양상 및 건강신념 비교 (Comparison of practice of dietary guidelines and health beliefs according to stage of weight loss behavior change among male workers)

  • 송수정;안홍석;길진모
    • Journal of Nutrition and Health
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    • 제46권3호
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    • pp.276-284
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    • 2013
  • This study compared levels of health and dietary behavior practices and health beliefs according to the stage of weight loss behavior change of Korean male workers. A self-administered survey questionnaire was collected from 411 male adult workers residing in Seoul, Kyeonggi, Chungcheong region. Practices of health related behavior, including smoking, drinking, exercise, work related physical activity, and dietary behavior according to dietary guidelines were evaluated. In addition, the levels of perceived benefit, perceived barrier, perceived susceptibility, perceived seriousness, and perceived cue to action from the health belief model were measured according to the stages of weight loss behavior change. Significant differences in BMI, level of daily exercise, and practices of dietary behavior according to dietary guidelines were observed among stages of weight loss behavior change. Subjects who were in action/maintenance stage showed a more desirable level of health behavior and health belief model variables, except perceived barrier. Based on the findings of this study, it is suggested that subjects with different stages of behavior change need an appropriate specific nutrition education method and material for improvement of nutrition education efficacy.

청소년의 술, 담배, 기타 약물남용 예방을 위한 적극적인 부모역할 모델 (An Appropriate Parent Role Model for Alcohol, Tobacco and Other Drug Abuse Prevention in Adolescence)

  • 범진필
    • 한국임상약학회지
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    • 제13권1호
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    • pp.18-28
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    • 2003
  • An appropriate parent role model for alcohol, tobacco and other drug abuse prevention in adolescence was designed as part of a comprehensive effort to reduce the use of alcohol, tobacco and other drugs by underage youth. The content of the model offers a new and positive chemical health model. The model calls for development of a set of guidelines that can provide the framework for examining alcohol, tobacco and other drug use. The actions of adults in the community, especially parents, are very important factors in whether or not youth use chemicals. So these guidelines can be used to assist parents and other adults with questions such as, what can we say to young people about using alcohol, tobacco or other drugs except that it's against the law? At what age and times are discussions appropriate? What can we do to make our community a healthier place in which young people can make better decisions about alcohol, tobacco and other drug use? The model acknowledges and affirms the legal and appropriate use of alcohol and other drugs as well as supports the decision not to drink. It encourages participants to consider their own guidelines for using and not using alcohol and other drugs. The guidelines can also be used as the basis for early intervention when use is illegal, unhealthy or risky. It is important to note that the model affirms healthy and appropriate use as well as nonuse.

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모델기반 사회기반시설 유지관리를 위한 BIM 가이드라인 고찰 (A Study on BIM Guidelines for Model-based Infrastructure Management)

  • 김봉근;김지원;지승구;서종원
    • 한국BIM학회 논문집
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    • 제2권2호
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    • pp.10-16
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    • 2012
  • 본 연구는 토목분야 사회기반시설물의 유지관리체계에 BIM 기술을 도입하기 위해 필요한 사항을 도출하는 것을 그 목적으로 한다. 이를 위해 국내외 BIM 가이드라인 현황을 조사하였으며, 각 가이드라인에서 언급된 내용의 유사성을 기준으로 건축분야에서 다루는 BIM 가이드라인에 대한 공통의 프레임워크를 도출하여 토목분야에서 준비가 필요한 항목들을 분류하였다. 또한 건축분야 BIM 가이드라인에서 언급된 시설물 유지관리에 관한 관점과 토목분야 시설물 유지관리에 관한 관점을 상호 비교하였다. 이러한 분석 내용을 바탕으로 토목분야 사회기반시설물 유지관리에 BIM 기술을 도입하기 전 준비되어야 하는 사항을 응용모델의 발굴, 표준화, 그리고 제도정비로 구분하여 제시하였다.

Estimation of Optimum Tug Capacity for VLCC and Its Application to VLCC Terminal in Gwang-Yang Harbor

  • In-Yong GONG;Lee, Chang-Min;Chan-Su-YANG;Lee, Han-Jin
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 2004년도 Asia Navigation Conference
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    • pp.3-13
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    • 2004
  • The total tug capacity needed for berthing/de-berthing operations of a ship may vary depending on the ship type, size, loading conditions, and environmental circumstances. Traditionally, total tug capacity is determined based on the local guidelines of port authorities or on the rule of thumb. However, the social demands for the enhancement of ship safety at harbor and the economical demands for the cost-effectiveness of tug usage makes it necessary for port authorities to develop more reasonable and detailed guidelines on tug usage which takes various conditions into account. In this paper, the method to estimate the optimum tug capacity of VLCC is suggested by considering various ship conditions such as its size, loading conditions, and environmental circumstances such as wind, wave, tidal currents, and geographical characteristics of a terminal. This method is applied to a VLCC terminal located in Gwang-Yang Harbor of Korea and the results are compared with the local guidelines of the harbor, which shows that there may be a room for the amendment of local guidelines on tug usage.

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프로바이오틱스 안전성 문제 개선을 위한 안전성 평가방법의 제안 (Suggestion of a Safety Evaluation Procedure to Improve Probiotic Safety)

  • 김세정;윤요한;오세종
    • Journal of Dairy Science and Biotechnology
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    • 제38권2호
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    • pp.99-111
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    • 2020
  • Probiotics are actively being studied for their efficacious anticancer, anticholesterol, and antidiabetic properties. As novel probiotic strains are being developed continuously, new strain-specific safety issues may be reported. Therefore, a procedure for the safety evaluation of probiotic strains is needed. In this study, we investigated the current status of domestic and foreign guidelines for the evaluation of safety of probiotics and suggested a general probiotic safety evaluation process. In other countries, the guidelines for probiotic evaluation are provided and managed separately. However, in Korea, general guidelines are provided regarding the use of functional ingredients, and specific guidelines for the use of probiotics are lacking. A review step based on the characteristics of the probiotics has been introduced in the procedure for safety evaluation of probiotics. Additionally, it has been suggested that the safety evaluation process should consider the results of the functional and genomic analysis for strain identification. Moreover, the factors to be evaluated are presented separately for the notified and non-notified strains. The suggested evaluation procedure may ensure the safety of probiotics, thereby promoting enhanced utilization of probiotics as functional products.

마을숲 복원에 관한 연구 - 전북 진안군 동향면 능금리 능길 마을을 사례로 - (A Study on the Restoration of Neunggil Village Forests in Jinan)

  • 박재철;김병섭;윤성호;박선미
    • 농촌계획
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    • 제10권3호
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    • pp.27-32
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    • 2004
  • The purpose of this study is on identifying the restoration guidelines of supplementary village grove and villageside forest in case of Neunggil village in Jinan county of Korea. These forests were managed very well before industrialization by village residents in order to obtain fuels and organic fertilizers traditionally. But recently, these forests were abandoned by using natural gas, oil and chemical fertilizer. Therefore, species diversity of these forests was downward and traditional rural landscape was lost. Accordingly, this study suggested the restoration guidelines of these forests through restoring the relationship between man and nature. For this, vegetation map was made by quadrat method. And management guidelines of these forests were suggested by the analysis of vegetation map. Also, for the restoration of supplementary village grove, Miyawiki professor's method of Yokohama university through introducing potential natural vegetation was suggested.

건축턴키공사 입찰안내서의 문제점과 개선방안에 관한 연구 - 클레임예방을 중심으로 - (The Study on Problems in Bidding Guideline and Suggestion for Improvement in Architectural Turnkey project in Construction - Focused on Preventing Claim-)

  • 윤준선
    • 한국중재학회지:중재연구
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    • 제15권3호
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    • pp.303-324
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    • 2005
  • Turnkey project in construction which accounts for about $10\%$ of the total annual construction orders in the nation is expected to grow in size as an effort to strengthen international competitiveness and improve quality of construction work. However, problems of turnkey project in construction raise concern for many possible cases of possible claims. Based on the understanding that bidding guidelines which plays a critical role in turnkey project in construction actually contain some unequal clauses and causes for problems which undermine development of turnkey construction and further create possible cases of claims, the paper aims to identify and analyze the unequal clauses and problems contained in the guidelines in order to make suggestions for improvement. Among all the turnkey construction orders that has been placed since 2000 when domestic turnkey project in construction became relatively formulated, 13 constructions costing more than 50 billion won were selected for this study since their construction scale were large enough that the bidding guidelines for them were regarded as containing little difference among one another. In order to enhance construction technology and to prevent claims while trying to achieve the original purpose of Turnkey system, the parties involved in or schedule to take part in Turnkey project including ordering institution, Construction Company and Design Company should make an effort to have more reasonable bidding guidelines drawn up.

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