• Title/Summary/Keyword: Korean national guidelines

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Effect of Evidence-based Clinical Practice Guidelines for Promotion of Postoperative Nausea and Vomiting of Patients with Laparoscopic Hysterectomy (복강경 수술 환자의 수술 후 오심과 구토 관리를 위한 근거중심 실무 가이드라인 적용 효과)

  • Lee, Sung-Hee;Hong, Sung-Jung;Kim, Hwa Sun;Jeon, Younghoon
    • Korean Journal of Adult Nursing
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    • v.27 no.5
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    • pp.481-492
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    • 2015
  • Purpose: The purpose of this study was to examine the effects of the evidence-based clinical practice guidelines on Postoperative Nausea and Vomiting (PONV). Methods: The research design was a non-equivalent control group with a non-synchronized design. The participants were the patients undergoing gynecologic laparoscopy. Data were collected from July, 2014 through January, 2015. The participants in the experimental group (n=35) received an assessment of risk factors of PONV, aroma therapy, and P6 acupressure method as recommended in the guidelines. Those in the control group (n=35) received usual nursing care. Data were analyzed by mean, standard deviation, t-test, ${\chi}^2$-test using SPSS/WIN 19.0 program. Results: The occurrence of nausea and vomiting, the level of nausea and vomiting, and the need for antiemetic medicine in the experimental group were significantly less than those in the control group after surgery. The levels of postoperative pain and the amounts of time for nursing activities in the experimental group were significantly reduced than those in the control group after surgery. The levels of satisfaction were significantly higher in the experiment group than that of the control group. Conclusion: The evidence-based guidelines is recommended for nursing practice as a guidance for managing PONV and helping the recovery of patients after laparoscopic surgery.

Development of Evidence-based Guidelines for Nursing Home's Infection Control in Korea (한국형 노인요양시설 근거중심 감염관리 가이드라인 개발)

  • Park, Yeon-Hwan;Lee, Seong Hyeon;Yi, Yu Mi;Lee, Chi Young;Lee, Min Hye
    • Journal of muscle and joint health
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    • v.25 no.2
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    • pp.135-147
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    • 2018
  • Purpose: The purpose of this study was to develop evidence-based guidelines for infection control in nursing homes in Korea (ENIK). Methods: Three steps were planned for the development which were developing a draft and testing the content validity. First, the draft was based on evidence and developed through focus group interviews with nurses in nursing homes, a comprehensive review of international guidelines and literature, and systematic reviews of interventions for infection control and outbreaks in long-term care facilities. Clinical applicability was established through reviews of nursing records and job assignments in one nursing home. The final step consisted of experts evaluating the content validity. The ENIK was revised to fit Korean nursing homes. Results: The ENIK consisted of recommendations in 9 compositions and a one-page practical algorithm. The principles of infection control were presented by statements and specific strategies were recommended in resident care programs. The infection control practical algorithm was organized into 3 steps: screening at admission, prevention, and control at the early stage. The practice to control infection was composed of a 5-step process. Conclusion: The ENIK will contribute to improving the competency of infection control practice because it provides standardized practice and is tailored to Korean nursing homes.

Analysis of Existing Guidelines and Controlled Clinical Trials for Development of [Guideline of Clinical Trials with Herbal Medicinal Products for Colorectal Cancer] (결장직장암 한약제제 임상시험 가이드라인 개발을 위한 한약제제 대조군 임상시험 고찰)

  • Park, Eunjoo;Seong, Sin;Kim, Sungsu;Kim, Jinsung;Park, Jae-Woo;Ko, Seok-Jae;Han, Gajin
    • The Journal of Korean Medicine
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    • v.40 no.1
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    • pp.124-152
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    • 2019
  • Objectives: This study aimed to ascertain what should be considered in the "Guideline for Clinical Trials with Herbal Medicinal Products for Colorectal Cancer" by analyzing the existing guidelines and clinical trials. Methods: The development committee searched guidelines for herbal medicinal products for colorectal cancer that have already been developed. Then, clinical trials for colorectal cancer using herbal medicine were searched. The searched trials were analyzed in terms of inclusion and exclusion of participants, intervention, comparator, outcomes and trial design. Then, we compared the results of our analysis with the regulations and guidelines of the Ministry of Food and Drug Safety in order to identify the issues we will have to consider when making the "Guideline for Clinical Trials with Herbal Medicinal Products for Colorectal Cancer". Several guidelines for anti-tumor agents and clinical trials with herbal medicinal products were searched on the national institution homepage. In addition, 12 articles were searched using a combination of the following search terms: 'colorectal neoplasms', 'herbal medicine', 'Medicine, Korean traditional', 'Medicine, Chinese Traditional', 'medicine, East Asian medicine', 'medicine, Kampo', etc. Results: The characteristics of participants were various, such as people with medical histories of surgeries or recurrent cancers or who complained of chemotherapy-induced side effects. The types of interventions were also various and included decoctions, powders, intravenous fluids, intraperitoneal injections and gargles. Comparators used included placebos and conventional treatments. The outcome measurements used in the studies were quality of life, symptom score, tumor response, and survival duration, etc. Safety was evaluated by recording adverse events. Conclusions: Findings were made by reviewing existing guidelines and comparing them with clinical trials for colorectal cancer and herbal medicinal products. These results will be utilized in the development of the "Guideline for Clinical Trials with Herbal Medicinal Products for Colorectal Cancer".

Mask-wearing Characteristics an COVID-19 in Indoor and Outdoor Environments in Seoul in 2020 (2020년 코로나바이러스감염증-19 유행 상황에서 서울시 다중이용 시설 및 실외에서의 마스크 착용 행태)

  • Kang, Sohyun;Guak, Sooyoung;Bataa, Altangerel;Kim, Donghyun;Jung, Youngdeok;Shin, Jiyoon;Lee, Kiyoung
    • Journal of Environmental Health Sciences
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    • v.46 no.6
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    • pp.750-756
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    • 2020
  • Objectives: After coronavirus disease 2019 (COVID-19) was declared a pandemic, the South Korean government announced guidelines on wearing masks to prevent its spread. The guidelines have changed depending on the severity of the spread of COVID-19. This study aimed to identify mask-wearing behaviours to counter the spread of COVID-19 in indoor and outdoor environments. Methods: The type of mask worn and proper wearing were observed in cafés, supermarkets, underground shopping malls, and streets in Seoul. Behavioral assessment was repeated in August at social distancing levels 1 and 2, in October at social distancing level 1, and in November after the mask mandates. Results: In August, 22.1% of subjects in cafés, 90.8% in supermarkets, 91.8% in underground shopping malls, and 83.6% on outdoor streets wore masks properly. In October, the proportion of correct wearers increased in all locations. After masks became mandatory in November, about 97% of users of supermarkets, underground shopping malls, and streets wore masks properly. In cafés, the proportion of proper wearers was 61.5% with both social distancing level 2 in August and the mandate in November. The number of KF-certified mask wearers continued to increase from August to November. Conclusion: This study investigated mask-wearing behaviors to counter COVID-19 through observations in indoor and outdoor places in Seoul. Mask-wearing behavior was different depending on the place and the government guidelines in place. The results could be used for evaluation of the current guidelines for COVID-19.

Telemedicine Protocols for the Management of Patients with Acute Spontaneous Intracerebral Hemorrhage in Rural and Medically Underserved Areas in Gangwon State : Recommendations for Doctors with Less Expertise at Local Emergency Rooms

  • Hyo Sub Jun;Kuhyun Yang;Jongyeon Kim;Jin Pyeong Jeon;Sun Jeong Kim;Jun Hyong Ahn;Seung Jin Lee;Hyuk Jai Choi;In Bok Chang;Jeong Jin Park;Jong-Kook Rhim;Sung-Chul Jin;Sung Min Cho;Sung-Pil Joo;Seung Hun Sheen;Sang Hyung Lee
    • Journal of Korean Neurosurgical Society
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    • v.67 no.4
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    • pp.385-396
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    • 2024
  • Previously, we reported the concept of a cloud-based telemedicine platform for patients with intracerebral hemorrhage (ICH) at local emergency rooms in rural and medically underserved areas in Gangwon state by combining artificial intelligence and remote consultation with a neurosurgeon. Developing a telemedicine ICH treatment protocol exclusively for doctors with less ICH expertise working in emergency rooms should be part of establishing this system. Difficulties arise in providing appropriate early treatment for ICH in rural and underserved areas before the patient is transferred to a nearby hub hospital with stroke specialists. This has been an unmet medical need for decades. The available reporting ICH guidelines are realistically applicable in university hospitals with a well-equipped infrastructure. However, it is very difficult for doctors inexperienced with ICH treatment to appropriately select and deliver ICH treatment based on the guidelines. To address these issues, we developed an ICH telemedicine protocol. Neurosurgeons from four university hospitals in Gangwon state first wrote the guidelines, and professors with extensive ICH expertise across the country revised them. Guidelines and recommendations for ICH management were described as simply as possible to allow more doctors to use them easily. We hope that our effort in developing the telemedicine protocols will ultimately improve the quality of ICH treatment in local emergency rooms in rural and underserved areas in Gangwon state.

Diagnosis of Helicobacter pylori Infection in Children and Adolescents in Korea

  • Seo, Ji-Hyun;Park, Ji-Sook;Rhee, Kwang-Ho;Youn, Hee-Shang
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.4
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    • pp.219-233
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    • 2018
  • Helicobacter pylori plays an important role in the pathogenesis of chronic gastritis, peptic ulcer disease, gastric cancer, and gastric mucosa-associated lymphoid tissue lymphoma. In Korea, the guidelines for the diagnosis and treatment of H. pylori infection in adults were revised in 2013. The European Helicobacter and Microbiota Study Group and Consensus panel released the fifth edition of the Maastricht Consensus Report for the management of H. pylori infection in 2015, and the European Society of Paediatric Gastroenterology, Hepatology and Nutrition and the North American Society of Paediatric Gastroenterology, Hepatology and Nutrition released the updated joint guidelines for children and adolescents in 2016. Considering these recommendations and recent progress in our research and that of other research teams, this study aimed to discuss the diagnostic strategies for H. pylori infection in children and adolescents.

An analysis of the 2016 government guidelines for teaching of Japan and the outline of the 2015 revised curriculum of Korea (2016년에 공표한 일본의 학습지도요령과 2015 개정 교육과정 총론의 구성 분석)

  • Kim, JaMee;Lee, WonGyu
    • The Journal of Korean Association of Computer Education
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    • v.20 no.4
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    • pp.1-14
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    • 2017
  • The purpose of this study was to compare the composition of the government guidelines for the educational curriculum of Japan announced in 2016 with the outline of the 2015 revised educational curriculum of Korea. To compare the composition of the national level curricula of the two countries, the composition systems and content details were analyzed along with the trends of emphasis placed on informatics education. The analysis indicated that as for the Japanese government's guidelines, it was suggested that the causes of revisions, and purposes and methods of fulfilling goals be added, and thus the appropriateness of the guidelines was emphasized. As for Korea's revised curriculum, a gap caused by segmental development of the outline and details of the curriculum were found in addition to errors in curricular composition and direction setting which were carried out without consideration to the transition time required or changes of subjects. To ensure sufficiency of the curricular contents and education reflecting the situations of each time phase, the necessity to improve the overall curricular framework was suggested. This study holds significance as it provides the introspective insight that the goals and directions of education cannot be set properly when the curricular framework is established without recognition of the contents.

A Comparison Study on Curriculum Contents between FAO Technical Guidelines and Korean Fisheries Management (FAO 수산 가이드라인과 국내 수산경영학 교과와 내용 구성의 비교 연구)

  • Lee, Dong-Ho
    • The Journal of Fisheries Business Administration
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    • v.47 no.3
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    • pp.93-110
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    • 2016
  • Most of the changes that make paradigm shift have been involved international level problems related to environment, resource and structure problems in these days. Resolving those common issues the United Nations Food and Agriculture Organization(UN FAO) has played most important role in fisheries with publishing the series of the technical guidelines for responsible fisheries papers. The guidelines for responsible fisheries have introduced for applying the concept of sustainable development with considering overall changes in fisheries domains. And also have objectives that establishing the discipline of fisheries worlds. Although these papers are remarkable, there is still few research or education contents of them in Korea. Fisheries business administration is a kind of social science that influenced by environmental, social changes so called paradigm shift. So one of the most important thing that has the education of sustainable development is accommodation or adaptation of them with grasping the phenomenon continuously. The aims of this study are exploring the FAO's the technical guidelines for responsible fisheries documents and contents of college's fisheries business administration and finding out the overall systematic topics and themes of fisheries business administration education. The result of this study shows that the contents of fisheries business administration did not including the concept of responsible fisheries even were out of date in using statistical data. And there is some missing issues that including fisheries policy, resource management, and related law should be enhanced. This study suggests the framework of fisheries business administration with comparing analysis on FAO's document and college's course of study in Korea. The proposed framework of major topics of fisheries business administration that still needed to be improved should be a milestone of understanding and debating the core factors of fisheries business administration education and research.