• Journal of The Korea Institute of Healthcare Architecture
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• v.22 no.3
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• pp.7-15
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• 2016

Purpose: As medicare services have gotten spreaded, clinical laboratory has been dominant position. So, it has been acted for quality control and clinical pathology accreditation. But there has been quite deficient information to evaluate working space and technical standards of medical laboratory for accreditation. This study goals to figure out accreditation standard and design guideline for clinical laboratory, and to give safe and efficient design information. Methods: This study has been searched by literature for accreditation standards and design guidelines of clinical pathology in USA, UK, and Germany. Results: Three countries have accredited based on working lab space, staff space, storage space, patient space and health and safety equipment. Design guidelines of three countries commonly have focused on worktable layout, worktable distance and module, and specific laboratory biosafety level. And USA guidelines stress on the architectural design such as design process and passage distance for escape, UK stress on the efficiency as functional work flow and construction cost, lastly Germany design guidelines stress on the operator's safety distance and workstation. Three countries have not only accreditation standards but also design guidelines for more specific quality management, separating from accrediting institute. Implications: In korea, it has been needed to make clinical laboratory design guideline for the safe and efficient environment and reliable and competitive medical service.

• Journal of Korean Society on Water Environment
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• v.33 no.5
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• pp.556-562
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• 2017

Heavy metals in water systems are being managed on the concentration-based guidelines in Korea. However, various chemicals present in water can interact with heavy metals affecting their toxicity. Such interactions are not considered in the concentration-based guidelines. This study investigated the effect of hardness and coexisting heavy metals on heavy metal toxicity to emphasize the importance of having the effect-based guidelines together with the concentration-based guidelines in water management. The toxic effects of Cd, Zn, or mixtures of Cd and Zn were studied with Daphnia magna as a test species following the standard test method at different hardness conditions (100, 200, and $300mg\;L^{-1}$ as $CaCO_3$). The toxicities of single metal solutions and mixtures showed a decreasing trend with increasing hardness, and this can be attributed to the competition between heavy metals and cations such as calcium ions ($Ca^{2+}$) that cause hardness. The predicted toxicities of the heavy metal mixtures from the single metal toxicity deviated from the measured toxicities, and the predicted toxic effects tend to be greater than the measured toxic effects suggesting that Cd and Zn are in competition. This shows the limitations of using predicted toxic effects and the needs for further studies on mixture toxicities. Overall, this study shows that the management of heavy metals in waters needs to employ the effect-based guidelines together with the concentration-based guidelines.

• Korean Circulation Journal
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• v.53 no.4
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• pp.217-238
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• 2023

The Korean Society of Heart Failure (KSHF) guidelines aim to provide physicians with evidence-based recommendations for the management of patients with heart failure (HF). After the first introduction of the KSHF guidelines in 2016, newer therapies for HF with reduced ejection fraction, HF with mildly reduced ejection fraction, and HF with preserved ejection fraction have since emerged. The current version has been updated based on international guidelines and research data on Korean patients with HF. Herein, we present Part II of these guidelines, which comprises treatment strategies to improve the outcomes of patients with HF.

• Journal of the Korean Society for information Management
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• v.41 no.3
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• pp.109-144
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• 2024

International research has actively explored and analyzed the implementation of e-learning platforms by libraries in response to the advancement of online learning models. In contrast, within Korea, while the significance and necessity of online library services and education are acknowledged, there remains a paucity of studies providing detailed methodologies for their implementation. This study aims to propose a practical e-learning platform for public libraries, detailing design guidelines and developing a prototype. Utilizing the Rapid Prototyping methodology, this study reviewed theoretical backgrounds and prior research, selecting Moodle LMS for initial design guidelines. The validity and reliability of the evaluation were assessed by experts and users. Based on the evaluation results, the final design guidelines and prototype of the e-learning platform for libraries were established. The final guidelines consist of four main functions, nine detailed functions, and forty specific instructions.

• Proceedings of the Korean Institute Of Construction Engineering and Management
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• 2007.11a
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• pp.425-430
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• 2007

Although waste management in construction industry has a significant impact on both economical and environmental issues, the current level of waste management performance in Korean construction is reported as relatively low. In this context, this study aimed to suggest the considerations for the improved construction waste management guideline, which leads to the effective waste management on a construction site. In order to reach this goal, the existing domestic construction waste management guidelines were analyzed based on the criteria of the environmental management procedure of ISO 14001. These considerations were described in three aspects such as "planning", "implementation and operation", and "checking and corrective actions".

• Korean Journal of Construction Engineering and Management
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• v.17 no.2
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• pp.12-20
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• 2016

Along with the change of national accounting, the importance of systematic management of assets is emphasized and the awareness that the concept termed Asset Management should be introduced to the construction field too to manage facilities. The present study is a basic study for the introduction of the concept Asset Management and proposed accounting guidelines(proposal) for public building maintenance cost that can clarify maintenance cost accounting. Existing literatures and current accounting standards were examined and the actual states of maintenance cost accounting of public buildings in A metropolitan city were examined to draw problems. For the practice guidelines(proposal), the types and contents of government office building maintenance expenditures were analyzed and items that must be treated as OPEX and CAPEX were presented. Expert interviews were conducted to verify the reliability of the items presented. The practice guidelines(proposal) were applied to the public buildings in A metropolitan city to identify situations of changes in asset values and review the effects of the practice guidelines(proposal) on increases in asset values. When applied to practices, the practice guidelines(proposal) suggested in the present study are considered to increase building asset values and provide consistent financial information to help stakeholders' decision making.

• Korean Journal of Adult Nursing
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• v.28 no.4
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• pp.388-398
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• 2016

Purpose: The purposes of this study were to identify nurses' empathy, attitude and pain management for patients with dementia and the factors associated with their performance of pain management. Methods: The study design was a cross-sectional survey. The participants in the study were 114 nurses working at 12 geriatric hospitals. This study utilized the Interpersonal Reactivity Index (IRI), which measures four empathy factors. Nurses' attitudes toward pain and performance of pain management, and general and pain related characteristics were measured by self-administered questionnaires. Results: Barriers to pain management for patients with dementia were absence of guidelines, prejudice of pain in dementia, and lack of time and knowledge deficit. There was a significant positive correlation between empathic concern and attitudes, perspective-taking of empathy and pain management. There was also a correlation between empathy and pain management. Stepwise linear regression analysis indicated that the significant factors affecting the performance of pain management included perspective-taking of empathy, use of pain management in dementia guideline and attitudes toward pain. These factors explained 24.0% of variance. Conclusion: The findings from this study suggest that empathy and positive attitude are the important provider attributes which needs to be enhanced by educational programs. It is also necessary to develop and disseminate guidelines for a dementia specific pain management.

• Quality Improvement in Health Care
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• v.4 no.2
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• pp.230-240
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• 1997

Background : Hypercholesterolemia is a major independent risk factor of coronary heart disease. Practice guidelines for management of hypercholesterolemia had been made in several developed countries. This study was undertaken to assess the effect of practice guideline reminders and flow-sheets to improve the quality of management of hypercholesterolemia. Methods: Practice guideline reminders and flow-sheets based on National Cholesterol Education Program Adult Treatment Panel II guidelines, were placed on the office desks of outpatient department of family medicine at the Asan Medical Center. Before this intervention, we educated the doctors to use these reminders and flow-sheets. The charts of all patients who had cholesterol levels greater than or equal to 240 mg/dl during 4 months before and after introduction of reminders and flow-sheets, were reviewed retrospectively. We compared the performances of physicians about management of hypercholesterolemia between pre-intervention period and post-intervention period. Results: The detection rate of hypercholesterolemia in post-intervention period was increased to 83.2% compared by 71.5% in pre-intervention period. Risk factor analysis for coronary heart disease increased significantly from 16.9% to 68.7%. Adequacy of management was 19.2% in pre-intervention period and 78.0% in post-intervention period. It showed statistically significant improvement in management of hypercholesterolemia. Conclusion : This study suggested that practice guideline reminders and flow-sheets were the effective methods in improving the quality in management of hypercholesterolemia.

• The Korean Journal of Rehabilitation Nursing
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• v.14 no.1
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• pp.39-46
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• 2011

Purpose: This study was to examine the relationships between knowledge with same sub-areas of education needs and adherence to self-management guidelines, and to investigate the factors that influence adherence. Method: One hundred eleven patients with terminal stage of kidney failure were conveniently selected from a university hospital in Incheon. Results: The level of knowledge was high, with a mean score of 15.25. The level of adherence to self-management guidelines was low, with a mean score of 64.53. The patients' education needs were high. The significant influencing factors on adherence were gender, educational level, and two sub-areas of knowledge, 'exercise and daily life' and 'follow-up care and treatment'. Conclusion: Relationships between knowledge, education needs, and adherence should be further examined before developing and implementing intervention programs for adherence to treatment guideline in hemodialysis patients.

• Journal of Digital Convergence
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• v.10 no.1
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• pp.341-347
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• 2012

The study provides the direction for constructing and operating ELN(Electronic Laboratory Notebook) system for systematic record, management and reliability security of the document. Firstly, Present the standard of the system environment for writing and management of ELN. Secondly, Establish guidelines for systematic maintenance and operation of ELN system. Thirdly, Draw up guidelines of inspection whether ELN system is managed in according with the standards and procedures. Therefore, it is expected that these guidelines contribute to vitalize ELN and set foundation of application for researching and developing information in the medium and long term.