• Therapeutic Science for Rehabilitation
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• v.10 no.3
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• pp.57-69
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• 2021

Objective : The purpose of this study was to identify occupational therapy guidelines for patients with stroke according to the clinical guidelines, and to investigate the quality and characteristics of the identified guidelines. Methods : This involved a review of domestic and foreign rehabilitation treatment guidelines from 2008 to 2019. These guidelines were searched using, the search terms: 'stroke', 'guideline', 'practice guideline', 'recommendation', 'protocol compliance', 'practice guideline', and 'stroke guidelines'. Results : A total of 708 papers were identified from the search. Eight guidelines met the selection criteria and were included in this review. The selected guidelines were developed in Canada, Australia, the United States, the United Kingdom, and Korea. One of the eight guidelines was occupational therapy guidelines, and the other seven were rehabilitation guidelines. The guidelines were categorized into a total of 36 topics, including 28 guidelines for stroke rehabilitation in Australia, 24 guidelines for the British and American Heart Association, and 23 guidelines for stroke rehabilitation developed in Korea. Conclusion : In this study, the guidelines for occupational therapy for existing stroke patients were identified, and the quality and characteristics of the guidelines were compared. The results of this study will provide important basic data for the development of occupational therapy guidelines for stroke in the future.

• Journal of Korean Society for Atmospheric Environment
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• v.28 no.3
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• pp.316-324
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• 2012

This research shows the improved methodology which can be applied for universities which want to set up their GHG inventories. In other words, we tried to make guideline in problems due to the unique characteristics of universities. This guideline will help university to deal with the problems they are facing: For example university has less enforcement in operational control compared to the business sector. And it also has various usage of facilities, although these facilities are not maintained by same principal agent. The difference between owner and manager is an another reason for difficulty in setting group organization. The improved and adaptable methods responding to these problems were suggested from this research. The results of this research says the new definition of function for various actors in university for quality control and quality assurance. Because the suggestions made in this research which concerns with criteria for building of universities' GHG inventories were all read by current legislation, there is an anticipation that this can be an official guideline that can be applied to the universities right away.

• Korean Journal of Clinical Pharmacy
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• v.18 no.2
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• pp.124-131
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• 2008

The impacts of guideline for digestives on physicians' prescription of GI medication Clinical practice guidelines provide benefits to physicians, patients, and researchers. It also helps doctors to make decisions in medical services. In many countries, practice guidelines lead to activities of quality improvement and are developed using evidence based methods. This research was to assess the impacts of Korean Medical Association's guideline for digestives on the change of physicians' behavior. This study was progressed as one-group pre-test post-test quasi-experimental design using health insurance claims data. The unit of analysis was institution. Data was analyzed using paired t-test for change of prescription rate before and after the distribution of practice guidelines. And the multiple regression analysis was performed to examine the independent impact of the guideline on the prescribing rate of GI medication. Prescription rates of GI medication per claim by medical institution increased significantly, 1.98%point (from 50.27% to 52.25%) and multivariate regression analysis showed significant increase in the prescription rate of GI medication after the distribution of guideline (p<0.001). In conclusion, the distribution of guideline for digestive might not have the effects on the change in provider's behavior. Furthermore, to activate the use of practice guideline, it would be necessary to educate the contents to physicians as well as to develop practice guideline.

• Journal of Environmental Impact Assessment
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• v.22 no.5
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• pp.537-546
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• 2013

In the Seoul Metropolitan Area(SMA) photochemical air pollutants, nitrogenic compound and particulate matters have increased substantially due to mobile sources, power plants and so on. Therefore 'Special Act on Seoul Metropolitan Air Quality Improvement' was enacted on 2003 in order to improve air quality in the SMA. According to the Special Act, Central and local government have developed the state implementation plan(SIP) to reduce air pollutant emissions from various local sources. One of the key elements of the SIP development is the air quality modeling since modeling results can be used to establish emissions control strategies as well as to demonstrate attainment of air quality goals for ozone, particulate matter, and so on. Air quality modeling, therefore, can be usefully utilized to investigate the effects of government's efforts according to control strategies or measures. Using the air quality model, we can determine whether the implementation plan should be revised or not. A number of questions, however, has been raised concerning accuracy, consistency and transparency of modeling results because if we do not trust modeling results, all the measures dependent on modeling becomes in vain. So, without dealing with these questions, we can not guarantee the reliability and utilizability of air quality modeling results. In this study, we tried to establish standard methodology for air quality modeling in order to ensure consistency and transparency of modeling results used in the development and evaluation of national air policy. For this purpose, we established air quality modeling guideline to provide or recommend modeling procedures, vertical and horizontal domains, input data of meteorological and air quality modeling and so on.

• The Journal of Pediatrics of Korean Medicine
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• v.38 no.1
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• pp.23-36
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• 2024

Objectives This study aimed to evaluate the quality of case reports published in the Journal of Pediatrics of Korean Medicine from May 2018 to December 2023 and compare them with case reports from January 2015 to April 2018. Methods Case reports were searched on the Journal of Pediatrics of Korean Medicine website, and the selected reports were evaluated for CARE (CAse REport) guideline. Results There were a total of nine case reports selected for evaluation. The median value evaluated as 'sufficiently' increased compared to the case reports from January 2015 to April 2018 (61.5%→70.37%). The 'Not reported' rates of item 7 'Timeline of case' and item 10d 'Adverse and unanticipated events' decreased the most. However, since the 'Not reported' rate still exceeds 50%, continuous improvement is needed. Both item 11a 'Strengths and limitations of discussion', item 1 'The word "case report" and item 10a 'Clinician and patient-assessed outcomes' were reported 100% 'sufficiently,' and the quality of reports improved. Conclusions Case reports published in the Journal of Pediatrics of Korean Medicine are generally improving in quality of reporting.

• Journal of Korean Clinical Nursing Research
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• v.22 no.3
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• pp.265-275
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• 2016

Purpose: The purpose of this study was to develop an evidence-based guideline for fever management for critically ill adult patients after a brain injury. Methods: Development of the guideline process was done according to the De Novo development Korean Medical Guideline Information Center (KoMGI) and consists of 12 steps. Results: This developed guideline included 3 domains and 19 recommendations. The number of recommendations for each domain was 7 on measuring temperature, 9 on managing fever, and 3 on managing shivering. The level of evidence was as follows: 58% were at level I, and 42% at level II. Of the recommendations, 58% were graded as A, 37% as B, and 5% as C. Conclusion: These findings indicate that this guideline can be used as a guide for nursing in critically ill adult patients with brain injury. This guideline can also contribute to improvements in the quality of nursing care for critically ill adult patients with brain injury.

• Journal of The Korea Institute of Healthcare Architecture
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• v.24 no.2
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• pp.7-14
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• 2018

Purpose: The outbreak of Middle East Respiratory Syndrome(MERS) in KOREA has brought up the demands for ventilation guideline and regulations for healthcare facilities since most of the infection was spreaded inside healthcare facility. Currently KOREA has no ventilation guideline or regulations covering entire section of healthcare facility. The purpose of this study is to investigate current ventilation methods in KOREA healthcare facilities to in future, propose ventilation guideline. Methods: Research of foreign counties ventilation guideline and regulation for healthcare facilities were conducted for reference. Field investigation with survey of 21 healthcare were conducted to identify the ventilation system and operating methods. Additionally survey for healthcare workers were conducted to observe the recognition related to ventilation system in healthcare facility. Results: The result showed that most of foreign countries ventilation guideline and regulation suggests similar items to reduce the spread of infection and maintain good indoor air quality. The investigation results indicated that fixed guideline for ventilation in healthcare facility were required due to different ventilation operating methods. Survey result of healthcare workers has told us that ventilation guideline and regulation is needed to prevent further infection. Implications: Absence of ventilation guideline and regulations for healthcare facility in KOREA is an urgent issue.

• Journal of Environmental Impact Assessment
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• v.2 no.2
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• pp.55-58
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• 1993

After establishing the EIA(Environmental Impact Assessment) act in the Federal Republic of Germany there still remain methodical and substantial deficits. So nearly every environmental impact study went to be a matter of experiments. The requirement for standardization of data sampling and evaluation has permanently been increasing. This is meant to ensure quality standards for the assessment of environmental impacts as well as to maintain reliability required by the projecting company. Such a harmonization is of special importance because of the strongly accelerated expansion of traffic infrastructure caused by the reunification of Germany. That is why the guideline "EIA carried out" for the German Railways company is in process of development This guideline, focussing on practical demands, comprises impacts of railways, adequate sets of indicators, feasible tools for the prognosis and evaluation of environmental reactions. "EIA carried out" will be introduced not only as a manual but also through workshops and pilot studies.

• International Journal of Quality Innovation
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• v.7 no.2
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• pp.97-124
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• 2006

The purpose of this research is to create an expert risk-based piping system inspection model. The proposed system includes a risk-based piping inspection system and a piping inspection guideline system. The research procedure consists of three parts: the risk-based inspection model, the risk-based piping inspection model, and the piping inspection guideline system model. In this research procedure, a field plant visit is conducted to collect the related domestic information (Taiwan) and foreign standards and regulations for creating a strategic risk-based piping inspection and analysis system in accordance with the piping damage characteristics in the petrochemical industry. In accordance with various piping damage models and damage positions, petrochemical plants provide the optimal piping inspection planning tool for efficient piping risk prediction for enhancing plant operation safety.

• Quality Improvement in Health Care
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• v.3 no.2
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• pp.36-51
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• 1997

Background : Clinical practice guidelines define "systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances" and help to improve patient care. The purpose of this study is to develop a clinical practice guideline for the most effective diagnoses and treatments of benign prostatic hyperplasia based on patient preference and clinical need. Methods : For this research project, extensive literature searches (208 articles) were conducted. As well, critical reviews and syntheses (meta-analysis) were used to evaluate empirical evidence and significant outcomes of the BPH literature. Questionnaires about clinical practice for BPH patients were distributed and consensus meetings were undertaken to grasp variations in clinical practice and to reach agreement on the guideline's development. The guideline was promoted under the sponsorship of the Korean Medical Association and the Korean urological Cancer. Society. For the task, the Benign Prostatic Hyperplasia Guideline Panel was composed of multidisciplinary experts in the field. Results : BPH is a disease that affects a patient's quality of life. This Clinical Practice Guideline was developed for the typical man over age 50 with symptoms of prostatism, but with no significant medical morbidities such as diabetes or other known causes of voiding dysfunction, such as urethral stricture or neurogenic bladder. The guidelines detail the relative benefits and obstacles associated with all diagnostic and treatment approaches, including watchful waiting. Conclusion : This guideline provides a cornerstone for our medical association. It represents the most current scientific knowledge regarding the development, diagnosis, and treatment of BPH. It will be revised and updated as needed.