• Childhood Kidney Diseases
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• v.25 no.2
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• pp.117-121
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• 2021

Chronic kidney disease (CKD)-mineral and bone disorder (CKD-MBD) is a common complication of CKD, often accompanied by extra-skeletal calcification in adult patients. As increased vascular calcification is predicted to increase cardiovascular mortality and morbidity, the revised Kidney Disease: Improving Global Outcomes guidelines recommend avoiding calcium-containing phosphate chelators. However, extra-skeletal calcification is less commonly noticed in pediatric patients. Here, we report our experience of such a complication in pediatric patients receiving maintenance peritoneal dialysis. Extra-skeletal calcification was noticed at the corneas, pelvic cavity, and soft tissues of the lower leg in 4 out of 32 patients on maintenance peritoneal dialysis. These patients experienced the aggravation of extra-skeletal calcifications during peritoneal dialysis, and 2 of them underwent excisional operations. It is required to monitor extra-skeletal calcifications in children on kidney replacement therapy.

• Sleep Medicine and Psychophysiology
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• v.26 no.2
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• pp.86-103
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• 2019

Objectives: The objective of this study was to develop evidence- and consensus-based clinical safety usage guidelines for sedative hypnotics using the Delphi technique. Methods: A group of 15 sleep experts from Korean Academy of Sleep Medicine were chosen for this study comprising a three-round web-based Delphi survey. The first round survey was composed of 39 questions to identify problems with sedative hypnotics usage in Korean clinical practice and the result roughly outlined what should be included in the guidelines. The second round survey was composed of 21 questions to collect specific opinions of experts on clinically important issues in prescribing sedative hypnotics, and its result provided the basis for the guidelines. A third round survey aimed to evaluate the reliability and validity of the established guidelines. Results: In the third round, all 17 items showed a median of 4 or more, with an average of 4.12 and a standard deviation of 0.32. Thus we present safety usage guidelines with 13 propositions for prescription, maintenance, and withdrawal of sedative hypnotics. Conclusion: The safety usage guidelines on sedative hypnotics developed from this study could lead to safe and effective prescription of hypnotics in clinical practice, especially for the non-experts in sleep medicine. Furthermore, the guidelines will help to improve the quality of insomnia treatment by contributing to the establishment of a safe regime for sedative hypnotics without excessive use of drugs.

• Journal of the Korean housing association
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• v.21 no.5
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• pp.93-101
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• 2010

The purpose of the study is to investigate the behaviors for ventilation to control indoor air quality and characteristics of the maintenance for ventilation equipments by multi-family housing residents. This study was conducted by the survey in the area of Seoul and Kyungki-do. The results of the study are as follows: the majority of respondents conduct ventilation once a day, below 20 minutes with opening some windows of the inside of the house. The time for ventilation is generally between 9-11 am. and 5-7 pm. Most of the wives are responsible for ventilation activities. In addition, so far building materials and furniture are not seriously considered as the source of indoor air pollution by the respondents. Their satisfaction for indoor air before and after ventilation is perceived as just the level of average. As the mechanical ventilation equipments such as a hood and an exhaust fan, half of the respondents are using them frequently. However, the ventilation equipments are not maintained well. Specially maintenance and checks for exhaust fans are hardly conducted. In conclusion, the frequency of ventilation is very limited and residents show passive attitudes about ventilation and maintenance of ventilation equipments. Therefore, for the actualization of healthy housing, educational programs and guidelines on the way of ventilation targeting the residents should be set up and a certain organization has to check periodically the performance of the ventilation equipments of each house in the multi-family housing complex.

• Journal of the Korea institute for structural maintenance and inspection
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• v.17 no.6
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• pp.153-161
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• 2013

This paper provides core standardization items and method for the building information modeling (BIM) based maintenance and management (M&M) of civil infrastructure. Value chain of the M&M and characteristics of BIM technology has been analyzed and compared. As a result, it has been revealed that the initial activity recording damage information is very similar to the BIM-based information operation. The core standardization items for generation and operation of BIM data were identified according to the M&M value chain, The identified items were categorized into common standard item and specialized items for M&M of civil infrastructure, and proper government funded organizations for each standardization items were introduced on the basis of the roles in the laws.

• Journal of Korean Clinical Nursing Research
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• v.20 no.2
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• pp.147-161
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• 2014

Purpose: This study was aimed to modify and adapt the previously developed, high-quality enteral tube feeding guidelines for the usage in clinical settings in Korea. Methods: Guideline adaptation process was undertaken according to the guideline adaptation manual version 2.0 developed by NECA (Kim, et al., 2011) and the standardized methodology for nursing practice guideline adaptation (Gu, et al. 2012). Results: The modified and adapted enteral tube feeding guidelines were consisted of 11 domains and 95 recommendations. The domains and numbers of recommendations in each domain were: 4 on general issues, 2 on enteral nutrition indication and discontinue, 6 on enteral nutrition device selection, 12 on enteral tube feeding device insertions, 3 on enteral nutrition formular and choices, 16 on enteral tube feeding start and progress, 20 on enteral tube feeding maintenance and management, 15 on monitoring enteral tube feeding administration, 10 on prevention of error, 5 on medication administration, and 2 on documentation and report. There were 16.1% of the recommendations marked as A grade, 17.8% of B grade, and 66.1% of C grade. Conclusion: The adapted enteral tube feeding nursing practice guideline is to be added to the evidence-based practice guidelines for fundamentals of nursing practice. The guideline is hoped to be disseminated to nurses nationwide in order to improve the efficiency of enteral tube feeding practice.

• Land and Housing Review
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• v.10 no.4
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• pp.1-12
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• 2019

The purpose of this study is to set the direction of development of the design guideline of the New-Hanok-Style public building in apartment complex and to use it as basic data for future architecture plans. The existing Hanok architecture standards and guidelines were analyzed and the characteristics of New-Hanok-Style Public Building in apartment complex were applied. The planning direction of the design guideline was derived. First, although the criteria and guidelines related to the Hanok produced and distributed were classified differently according to the purpose of production, the details and contents were similar. Second, the general planning criteria items were divided into layout, external space plan, building plan, and performance plan. Third, the elements of 'creative inheritance of traditional architecture' and 'modern building technology', which are the characteristics of New-Hanok-Style Public Building, were applied. In addition, we analyzed elementary welfare facility guidelines and applied elements such as layout type and zoning setting. Fourth, a special planning standard for applying the building system required for the New-Hanok-Style Public Building in apartment complex was added. In the future, it is expected to revitalize New-Hanok-Style Public Building containing the unique identity(genetic factor; DNA) of the nation by developing and disseminating relevant building standards, design guidelines, and maintenance manuals.

• Journal of the Korea Institute of Building Construction
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• v.10 no.6
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• pp.97-107
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• 2010

This study outlines a successful and effective plan for repairing water-leakage cracks in concrete structures. The lack of adequate solutions for water-leakage cracks often results in unnecessarily high repair costs, and as such this remains a problem that requires constant attention. Unfortunately, despite the availability of a vast number of different materials and methods, it is often difficult to attain a perfect waterproof sealing The reason for the difficulties in the repair of water-leakage cracks can be attributed to an insufficient knowledge and understanding of the negative factors (i.e., chemical and physical (mechanical) conditions) that cause water-leakage cracks, and of the properties of the repair materials and methods. In this study, guidelines and methods for the selection of adequate materials for the repair of water-leakage cracks in concrete structures were developed for countries that do not already have general guidelines on this subject, and for local regulatory authorities elsewhere.

• Journal of Korean Clinical Nursing Research
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• v.29 no.3
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• pp.211-222
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• 2023

Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline for indwelling urinary catheterization (IUC). Methods: The guideline have been revised in 22 steps based on international standards. The quality of the practice guidelines to be used for revision was evaluated using the Appraisal of Guidelines for Research and Evaluation II. The evaluation of the content appropriateness and applicability of the draft recommendations of the revised practice guidelines was performed using the RAND/UCLA Appropriateness Method, a decision-making method developed by the RAND Corporation. Four guidelines were used for the revision. Results: The updated nursing practice guideline for IUC consisted of 9 domains and 134 recommendations. The numbers of recommendations in each domain were: 4 Assessment, 20 Equipment, 11 Catheter insertion, 52 Catheter maintenance, 4 Catheter and drainage bag change, 9 Catheter removal, 22 Complications management, 5 Education and consult, and 7 Hospital support. The recommended grade was 8.2% for A, 38.1% for B, and 53.7% for C. Among these, the major revision was done in 11 recommendations (8.2%). A total of 29 recommendations (21.6%) were newly added. 30 (22.4%) recommendations had minor revisions such as changes or addition for some words or sentences, and 13 (9.7%) recommendations were deleted. Conclusion: Revised nursing practice guideline is expected to serve as an evidence-based practice guideline for IUC in Korea. This guideline will provide health care providers, patients, and caregivers with information to help manage IUC, leading to improved patient outcomes.

• Journal of Korean Society for Geospatial Information Science
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• v.13 no.1 s.31
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• pp.89-96
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• 2005

As the number of the municipalities which have finished the phase I of their GIS system development projects increases, it is very natural that GIS system operation and maintenance rather than development itself has been a more important concern for these municipalities. It seems to me that these phenomena will be amplified as time goes by, and this is the right time for a series of proper guidelines regarding the GIS system maintenance to be supplied to the related municipalities. The subject which is called as 'GIS maintenance' is surely a very comprehensive area. It has been also founded that the necessity is widely agreed among the concerned people working for the municipalities which have already finished their first GIS projects. Nevertheless, it has been investigated that the studies done up to now in this area is in a very infant state from the quality and also quantity points of views. This paper, therefore, makes one of the very initial trials for the systematical GIS maintenance. Among the areas of GIS maintenance, the GIS database maintenance has been selected as the first trial area because of its natural characteristics of the basic element composing IS(Information System). For this, the present conditions of a variety of municipalities have been investigated as far as GIS maintenance is concerned, and the results are analyzed to produce a series of useful outcomes in terms of facing problems and accompanied plans. For each problem, a solution is defined and for each solution a detailed action plan (item) is derived. For each of the two kinds of GIS data given which are the fundamental map and the underground facilities map, an effective GIS data maintenance plan is suggested for the concerned municipalities.

• Korean Journal of Construction Engineering and Management
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• v.20 no.6
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• pp.44-56
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• 2019

Recently, the paradigm of SOC investment has shifted from new construction to maintenance. This shift became more important for the highway system because it is as one of the most important SOC. In Korea, highway maintenance costs are about 20% of the total annual highway construction budget, which is about two-thirds of developed countries. In addition, establishing standardized guidelines for the highway maintenance operation is not in place. Therefore, in order for domestic road construction and maintenance technology to secure competitiveness in the global construction market, it is urgent to improve the management capacity for maintenance as well as the technology and management capacity. This study examines highway maintenance practices in OECD countries such as North America, Europe, Australia, New Zealand, and Japan to identify core elements of highway maintenance practice. It is imperative to establish a comprehensive management system based upon asset management principle. Even if the budget for the highway construction is reduced, investment in maintenance needs to be maintained.