• 대한불안의학회지
• /
• 제14권2호
• /
• pp.53-62
• /
• 2018

Objective : The Korean Association of Anxiety Disorders developed Korean guidelines for treatment of panic disorder (PD) 2018. In this paper, we discussed the consensus among psychiatrists, regarding initial and maintenance treatment strategies for pharmacological treatment of PD in Korea. Methods : Based on current treatment guidelines published by the American Psychiatric Association, the National Institute for Clinical Excellence, and the Canadian Psychiatric Association, we developed questionnaires pertinent to initial and maintenance treatment strategies for pharmacological treatment of PD. Seventy-two experts in PD answered questionnaires. We classified expert opinions into three categories, first, second, and third-line treatment strategies, by analyzing the 95% confidence interval. Results : Antidepressants, benzodiazepine anxiolytics, and cognitive-behavioral therapy (CBT) were recommended as treatments of choice (ToC), and first-line strategies for initial treatment of PD. Escitalopram, paroxetine, sertraline, and venlafaxine were preferred from among many anti-panic drugs. Mean starting dose of anti-panic drugs for initial treatment of PD was relatively lower, than that for other psychiatric illnesses such as major depressive disorder. In the case of maintenance treatment of PD, antidepressants and CBT were selected as ToC and first-line strategies. Patients were typically examined every four weeks during treatment, to review effectiveness and side effects of the drug. Pharmacotherapy was generally continued for one year or more. Conclusion : This study provides information about consensus among Korean experts regarding pharmacological treatment strategies for patients with panic disorder.

• 한국지하수토양환경학회지:지하수토양환경
• /
• 제20권6호
• /
• pp.8-18
• /
• 2015

Pollutants such as heavy metals and explosives originating from the military operational ranges can be migrated to adjacent surface water body or offsite soil, and can affect to local residents and aquatic ecosystem. Therefore, Korea Ministry of the National Defense has established various guidelines for environmental management including the installation of pollutant migration prevention facilities (PMPFs) and monitoring methodologies for heavy metals in the operational range soil and effluent and sediment of PMPFs. However, current guidelines neither address the explosive compounds such as 2, 4, 6-trinitrotoluene (TNT) and hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX) nor suggest detailed environmental investigation protocol. This paper introduces the new “Environmental Management Manual for Military Firing Ranges”, which includes the environmental criteria for explosives as well as the detailed investigation protocol for the affected environmental media including soil, effluent and sediment of PMPFs.

• 대한치과의사협회지
• /
• 제58권8호
• /
• pp.496-504
• /
• 2020

The osseointegrated implants react biomechanically in a different pattern to occlusal force, due to lack of the periodontal ligament unlike the natural teeth. The implants show markedly less movement and limited tactile sensitivity compared with the natural teeth. The implant occlusion concept aims to avoid overloading on the implants and to direct occlusal loads along the longitudinal axis of the implants, in order to compensate for the different biomechanics of the implants. Although many guidelines and theories on implant occlusion have been proposed, few have provided strong supportive evidence. Moreover, the outcome of treatment often quite successful in spite of different concepts of occlusion and there is an increasing tendency to doubt about the strict theoretical implant-specific occlusion concept. The purpose of this article is to review the previous reports about the concept of implant occlusion and discuss clinical occlusal considerations in implant rehabilitations.

• Journal of Korean Dental Science
• /
• 제15권2호
• /
• pp.181-189
• /
• 2022

Molar incisor malformation (MIM) has been introduced as a new type of dental anomaly. Currently, the morphological and histological characteristics of MIM are known; however, its etiology has not been clearly identified. To date, the long-term prognosis of first permanent molars (FPM) affected by MIM has rarely been reported, and few treatment guidelines have been established. The purpose of this case report was to present guidelines for the extraction of FPM affected by MIM, depending on the presence of the third molar. In patients with a third molar, spontaneous mesial shift of the posterior molars might be induced by extracting the FPM at an appropriate time, that is, when the second permanent molar is at an early furcation stage of the tooth. However, it is recommended that FPM be preserved for as long as possible if a third molar does not exist. When an FPM needs to be extracted, it is suggested to consider space maintenance.

• Korean Journal of Radiology
• /
• 제24권6호
• /
• pp.482-497
• /
• 2023

Sonazoid, a second-generation ultrasound contrast agent, was introduced for the diagnosis of hepatic nodules. To clarify the issues with Sonazoid contrast-enhanced ultrasonography for the diagnosis of hepatocellular carcinoma (HCC), the Korean Society of Radiology and Korean Society of Abdominal Radiology collaborated on the guidelines. The guidelines are de novo, evidence-based, and selected using an electronic voting system for consensus. These include imaging protocols, diagnostic criteria for HCC, diagnostic value for lesions that are inconclusive on other imaging results, differentiation from non-HCC malignancies, surveillance of HCC, and treatment response after locoregional and systemic treatment for HCC.

• 해양환경안전학회지
• /
• 제28권3호
• /
• pp.423-429
• /
• 2022

Ship reporting systems are used to exchange information between ship and shore. To realize the digital ship reporting concept, the International Maritime Organization (IMO) recently developed revised guidelines and descriptions of Maritime Service for ship reporting systems in the context of e-navigation. To improve the existing ship reporting system, each Administration should follow the IMO guidelines for ship reporting system. The purpose of this paper is to identify follow-up measures to be taken by the Korean Government as a member State according to the recently developed IMO guidelines in the context of e-navigation, and to present the considerations for the implementation of follow-up measures in Korea. In this study, a ship reporting system in Korea was investigated to identify the considerations for the digital ship reporting system. Consequently, a digital reporting system and digital traffic clearance were proposed and considerations for ship reporting system are presented. This paper is expected to be helpful for the safe operation of ships by presenting the considerations necessary for the implementation of an automated and standardized ship reporting system.

• 간호행정학회지
• /
• 제20권1호
• /
• pp.128-143
• /
• 2014

Purpose: Effective literature searching is essential to support evidence-based nursing. The aim of this study was to present our recent systematic search experience to identify guidelines in PubMed for prevention of catheter-associated urinary tract infections. Methods: Five approaches to the literature search via PubMed were employed. The searches were restricted to items published from 1980 to 2010, for patients admitted to hospital, and in the English language. The search results were compared using the number of records and relevant items, and the sensitivity and precision of each search strategy. Results: The individual approaches retrieved 19-141 of records and 3-6 of relevant items. Sensitivity ranged from 37.5% to 75.0% with the highest values for simple searches and a search combining MeSH terms and free textwords with a methodological search filter. Precision varied from 4.3% to 21.7% and the highest precision was found for MeSH terms with limits feature. Conclusion: The simple search in PubMed is an appropriate way for nurses in a busy clinical practice to search the literature for evidence. However, several approaches using MeSH terms, free textwords, limits feature or methodological search filters are also required to have more efficient and better informed search results.

• 한국도서관정보학회지
• /
• 제45권2호
• /
• pp.139-157
• /
• 2014

국가기록원은 소장기록물의 저작권을 보호하기 위하여 현재 '소장기록물 저작권 운영지침'과 '열람실 운영규정'을 마련하여 운영 중이다. 그러나 국가기록원 '소장기록물 저작권 운영지침'과 '열람실 운영규정'은 저작권법의 준용 또는 국가기록원 내부의 저작권 관리 원칙만을 규정하고 있을 뿐 소장기록물에 대한 기록물 유형별 저작권 문제는 제시하지 못하고 있다. 이미 수집된 소장기록물의 이용 활성화를 위해서는 기록의 각 유형별 저작물의 판단 기준이나 원칙을 제시하여, 이용자들이 쉽게 저작권 문제에 접근할 수 있도록 별도의 상세한 세부지침이 마련되어야 하며, 향후 소장기록물 수집을 위해서도 저작재산권이나 저작인격권에 대한 세부사항을 규정할 필요가 있다. 본 연구는 이를 위한 사전분석이다. 향후 소장기록물과 관련된 저작권 측면의 활발한 논의와 운영 방안이 모색되어야 할 것이다.

• 간호행정학회지
• /
• 제21권1호
• /
• pp.64-76
• /
• 2015

Purpose: To implement evidence-based nursing, it is important to know where and how to find the best available evidence. This study was conducted to identify the results of a search from Ovid MEDLINE and to compare the results from Ovid MEDLINE with those from PubMed MEDLINE. Methods: Four different approaches via Ovid MEDLINE were used to search for guidelines on preventing catheter-associated urinary tract infections. Outcomes of this study were the number of records and relevant literature, and the sensitivity and precision of the search methods via Ovid MEDLINE. Results: The number of retrieved items ranged 23 to 6,005 and that of relevant studies, 5 to 8 of 8. Simple searches resulted in the highest sensitivity of 100.0%. When using MeSH terms and limits feature, the precision was highest (21.7%) among four approaches for literature searches. Simple searches in Ovid had higher sensitivity and lower precision than those in PubMed. Conclusion: Simple searches in Ovid may be inefficient for busy clinicians compared to PubMed. However, to ensure a comprehensive and systematic literature search, using Ovid MEDLINE in addition to PubMed is recommended.

• 생태와환경
• /
• 제38권3호통권113호
• /
• pp.281-288
• /
• 2005

폐수배출시설별 BAT 평가제도는 폐수특성을 고려한 배출시설별 배출허용기준 설정, 오염총량관리기본계획 및 시행계획에 따른 오염부하삭감 가능량 산정, 신규오염물질에 대한 배출허용기준 산정 등 효율적인 산업폐수관리를 위해서 도입할 필요가 있다. 본 연구에서는 외국사례와 국내 폐수배출시설들의 현황 등을 조사하여 국내여건에 적합한 BAT 평가방안을 제시하였다. 본 평가절차의 핵심은 폐수배출시설별 처리시설에 대한 환경인자, 경제적 수용가능성, 기술적 인자 및 경제성 등을 객관성 있고 전문적인 판단이 가능토록 한데 있다. 본 BAT 평가방안은 처리수준에 근거한 폐수배출시설별 배출허용기준마련 및 오염총량관리를 위한 기초 자료로 활용할 수 있으며, 신규오염물질 및 유해오염물질의 배출허용기준 마련 등 정책적${\cdot}$법적 제도개선에 유용하게 활용할 수 있을 것으로 사료된다.