• Dementia and Neurocognitive Disorders
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• v.21 no.4
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• pp.107-116
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• 2022

Attention is being paid to diagnosis and treatment of mild cognitive impairment (MCI) because early diagnosis and preventive management can slow down the progression of Alzheimer's disease. In particular, in the present era, the use of biomarkers for predicting conversion into dementia is permitted in medical practice. Therefore, authors aimed to propose additional considerations when updating guidelines for the management of MCI, including predictable biomarkers, revising treatment option after additional clinical trials for cholinesterase inhibitors, and detailed regimes for lifestyle interventions. After reviewing 3 patients with MCI by detailed evaluation, we realized that cholinesterase inhibitors were not recommended. In addition, regular exercise and cognitive training were only possible recommendations for patients according to current guidelines, although all 3 patients had evidence of β-amyloid accumulation and related neurodegeneration. Furthermore, caregivers for all 3 patients were worried whether patients could keep doing regular exercise and cognitive training by themselves and asked about the economic training system which monitors patients so that they can keep training. Therefore, we propose that guidelines for managing MCI need to be updated in the present era when the use of biomarkers for predicting conversion into dementia is permitted in medical practice.

• Journal of The Korea Institute of Healthcare Architecture
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• v.27 no.3
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• pp.27-37
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• 2021

Purpose: The purpose of this study is to compare the changes in hospital accreditation evaluations, the changes in hospital building design guidelines, and the development of design indicators for reducing medical accidents in the state-of-the-art healthcare providers. Methods: The changes and tools were carefully investigated and compared that had been taken place and used in the building certification standards, design guidelines, and patient safety design standards to reduce accidents in the United States and the United Kingdom. Results: First, medical accidents are recognized as multiple defense layers rather than personal ones, and a public reporting and learning system is created, reporting the accidents in question publicly and suggesting ways to improve them based on the data at a time. Second, for the accreditation institute that secures the service quality of medical institutions, detailed standards for patient safety are continuously updated with focus on clinical trials. The United States is in charge of the private sector, but on the other hand the United Kingdom is in charge of the public sector. Third, the design guidelines are provided as web-based tools that complement various guidelines for patient safety, and are improved and developed as well. Fourth, detailed approaches are continuously developed and provided to secure patient safety and reduce medical accidents through appropriate research, evidence-based design and strict evaluations. Implications: When medical institutions make efforts to strength patient safety methods through valid design standards, accidents are expected to decrease, whereby hospital finances are also to be improved. A higher level of medical quality service will sure be secured through comprehensive certification evaluation.

• Proceedings of the KSR Conference
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• 2005.11a
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• pp.27-31
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• 2005

In order to guarantee the safety of railway, the Railway Safety Law (RSL) and ordinances have been enforced. In RSL, the quality certification is required to guarantee the safety and performance of railway components. Therefore, in this investigation, the detailed guidelines and main contents for the enforcement of quality certification for railway components will be suggested, and the detailed items including the procedures, subjects, management, etc., will be addressed.

• Journal of Korean Neurosurgical Society
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• v.65 no.2
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• pp.255-268
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• 2022

Objective : Chronic subdural hematoma (CSDH) is a common disease in neurosurgical departments, but optimal perioperative management guidelines have not yet been established. We aimed to assess the current clinical management and outcomes for CSDH patients and identify prognostic factors for CSDH recurrence. Methods : We enrolled a total of 293 consecutive patients with CSDH who underwent burr hole craniostomy at seven institutions in 2018. Clinical and surgery-related characteristics and surgical outcomes were analyzed. The cohort included 208 men and 85 women. Results : The median patient age was 75 years. Antithrombotic agents were prescribed to 105 patients. History of head trauma was identified in 59% of patients. Two hundred twenty-seven of 293 patients (77.5%) had unilateral hematoma and 46.1% had a homogenous hematoma type. About 70% of patients underwent surgery under general anesthesia, and 74.7% underwent a single burr hole craniostomy surgery. Recurrence requiring surgery was observed in 17 of 293 patients (5.8%), with a median of 32 days to recurrence. The postoperative complication rate was 4.1%. In multivariate analysis, factors associated with CSDH recurrence were separated hematoma type (odds ratio, 3.906; p=0.017) and patient who underwent surgery under general anesthesia had less recurrence (odds ratio, 0.277; p=0.017). Conclusion : This is the first retrospective multicenter generalized cohort pilot study in the Republic of Korea as a first step towards the development of Korean clinical practice guidelines for CSDH. The type of hematoma and anesthesia was associated with CSDH recurrence. Although the detailed surgical method differs depending on the institution, the surgical treatment of CSDH was effective. Further studies may establish appropriate management guidelines to minimize CSDH recurrence.

• Journal of KIBIM
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• v.12 no.4
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• pp.116-127
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• 2022

Building Information Modeling, which was applied mainly in the construction sector, is expanding to the road sector, and the government recently recommends preparing individual application guidelines considering the characteristics of detailed fields such as railways, ports, and complexes through BIM implementation guidelines. Compared to general construction projects, a lot of the works such as signals, electricity, and power, and the railway BIM 2030 roadmap has been presented to apply BIM to railway construction projects that require business consultation and work environment review with various local governments, and pilot projects are in operation. Unlike a general building, in which the construction begins after the detailed design is completed, in the railway project, the detailed design of other works proceeds along with the roadbed construction. Because construction and design work together, railways need to coordinate detailed engineering interfaces such as trajectories, signals, and power, and the application of BIM in design interface coordination has the advantage of maximizing the effectiveness of pre-review. Overseas railway construction projects actively used BIM to adjust design interfaces and had a collaboration process to modify BIM models and create construction details from the revised models through regular meetings with suppliers. Therefore, this study aims to derive the factors necessary for establishing a BIM collaboration environment based on a survey of practitioners as a preliminary step for establishing the BIM collaboration process of the railway construction project.

• Journal of The Korean Association of Information Education
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• v.14 no.1
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• pp.53-60
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• 2010

The "Information and Communication Technology Education Guidelines" were revised in December, 2005. However, the revised guidelines are not propagated in the elementary school. One of the reasons is that the textbook is not faithful to the revised guidelines. We analyzed the elementary computer textbooks published on and after June 2006. In the result, the contents of many textbooks are not based on the "Information and Communication Technology Education Revised Guidelines". Especially, "Understanding of the Information Processing" and "Comprehensive Activities" areas are not faithful to the revised guidelines. Therefore, the systematization of the textbook screening system, participation of the computer education expert, development of the detailed curriculums, and training of the elementary teachers are essentials for invigorating of the elementary computer education.

• Journal of the Korean Institute of Educational Facilities
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• v.20 no.6
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• pp.3-10
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• 2013

The purpose of this research is to understand the basic correlation between CPTED based 'Safe School Guidelines' and the physical properties of Korean elementary schools. Fundamentally, the guidelines are consisted with phrases that contain a detailed explanation of how the spaces within the school campuses should be and which aspects have to be avoided. Furthermore, the guidelines categorized among the several areas in school are grouped by CPTED elements such as 'Natural Surveillance', 'Territorial Integrity' and 'Natural Access'. The mission of the researchers was to check the applicability of these guidelines for each school samples and investigate which of the categories or subcategories have strong correlation with the current school crime rates. With these results, a new outline of CPTED guideline exclusive to Korean elementary schools will be obtained which can be applied on earlier stages for future school projects.

• Korean Journal of Construction Engineering and Management
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• v.14 no.5
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• pp.131-143
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• 2013

There is the difference of criteria to apply guidelines among the project participants and to depend on the purpose of utilizing BIM models, although modeling criteria are basically provided through BIM guidelines. Therefore, it is quite important to check compliance with guidelines to raise quality of the BIM model. But Quality Checking (QC) items and method for BIM model modeled in accordance with guidelines is not provided. This study suggested QC items and Rule Specifications(RS) for automatic QC. First of all, QC items were derived by analyzing domestic BIM guidelines and a process for structuring natural language is conducted by utilizing flowchart and pseudocode. So, by combining them, RS was suggested. Finally, RS-based case study was conducted by implementing automatic QC process with solibri model checker$^{TM}$. This study will contribute to the improvement of design quality and completeness of BIM model including huge data of 3 dimension. Furthermore, it is necessary to develop BIM guidelines according to the use case and to provide detailed process and standard for QC of BIM model.

• Korean Journal of Clinical Pharmacy
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• v.16 no.2
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• pp.123-130
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• 2006

The study was aimed to recommend the ways for improving regulatory system of quasi-drugs in governmental authority by comparing with other countries. According to the regulations, the scope of quasi-drugs includes 3 categories of 1) the health aids made of textile, rubber and paper, 2) the health aids which have very minimal effects or no any effects on humans, and 3) disinfectants and pesticides. In US, these quasi-drugs in Korea are classified into 5 categories of medical device, cosmetics, OTC drugs, dietary supplements and pesticides. To improve quasi-drugs administration in Korea, it is concluded that several measures should be implemented : 1) establish clear criteria for classifying into quasi-drugs and more detailed guidelines on designation of quasi-drugs, 2) reform current regulations to meet 3-categories characteristics, supplement detailed guidelines on quasi-drugs administration for effective application process, and update relevant regulations for efficacy, safety and quality, 3) update quasi-drug monographs, 4) re-evaluate current classification of individual quasi-drugs, 5) develop comprehensive list by ingredients, 6) reform post-marketing management system for safety and quality, 7) strengthen the review agency function by increasing the number of experts, 8) develop the database for quasi-drugs for effective information management.

• Journal of Soil and Groundwater Environment
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• v.20 no.6
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• pp.8-18
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• 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.