• 제목/요약/키워드: general guideline

검색결과 549건 처리시간 0.031초

Introducing the general management of glomerular disease from a pediatric perspective based on the updated KDIGO guidelines

  • Seon Hee Lim
    • Childhood Kidney Diseases
    • /
    • 제27권2호
    • /
    • pp.55-63
    • /
    • 2023
  • In 2021, a new chapter on the general management of glomerulonephritis (GN) was added to the Kidney Disease: Improving Global Outcomes (KDIGO). It emphasizes the importance of early general management of GN for improving long-term kidney outcomes and prognosis. The chapter introduces the management of glomerular diseases in 18 subchapters. Here, kidney biopsy for the diagnosis and evaluation of kidney function and the management of complications, such as hypertension, infection, and thrombosis, are presented. Moreover, the adverse effects of glucocorticoids and immunosuppressive therapy, which are commonly used drugs for glomerular disease, are mentioned, and a guideline for drug selection is presented. Each subtheme focused on items reflecting the interpretation of the "practice points" of the expert working group are introduced. In this review of the general treatment for GN in the KDIGO guidelines, excluding pregnancy and reproductive health, we focused on and compared various references pertaining to pediatric GN management.

2018 Korean Guideline of Atrial Fibrillation Management

  • Joung, Boyoung;Lee, Jung Myung;Lee, Ki Hong;Kim, Tae-Hoon;Choi, Eue-Keun;Lim, Woo-Hyun;Kang, Ki-Woon;Shim, Jaemin;Lim, Hong Euy;Park, Junbeom;Lee, So-Ryoung;Lee, Young Soo;Kim, Jin-Bae;KHRS Atrial Fibrillation Guideline Working Group
    • Korean Circulation Journal
    • /
    • 제48권12호
    • /
    • pp.1033-1080
    • /
    • 2018
  • Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in the general population. The Korean Heart Rhythm Society organized a Korean AF Management Guideline Committee and analyzed all available studies regarding the management of AF, including studies on Korean patients. This guideline is based on recent data of the Korean population and the recent guidelines of the European Society of Cardiology, European Association for Cardio-Thoracic Surgery, American Heart Association, and Asia Pacific Heart Rhythm Society. Expert consensus or guidelines for the optimal management of Korean patients with AF were achieved after a systematic review with intensive discussion. This article provides general principles for appropriate risk stratification and selection of anticoagulation therapy in Korean patients with AF. This guideline deals with optimal stroke prevention, screening, rate and rhythm control, risk factor management, and integrated management of AF.

뜸 임상시험 가이드라인 개발 연구 (Development of the General Guideline for Clinical Trial of Moxibustion)

  • 김혜수;김소연;유정은;이은정;김영일;정인철
    • 동의생리병리학회지
    • /
    • 제31권4호
    • /
    • pp.233-237
    • /
    • 2017
  • In this study, we report on the procedure of developing a guideline for clinical research protocol using moxibustion. Systematic review of the literature about moxibustion was conducted as a preliminary study to make basic content. Review and consulting by experts from each field was conducted to improve the quality. And we made checklist by arranging keypoint of this guideline. This guideline, Moxibustion Randomized Controlled Clinical Trial Guideline(MOXRATE), aims to be a guide for future researchers in planning clinical study using moxibustion as an intervention. MOXRATE also reports on an ethical issues.

수용개작방법을 활용한 전신마취 수술 후 폐합병증 예방 간호실무지침 개발 (Development of the Nursing Practice Guidelines for Preventing Postoperative Pulmonary Complications using the Guideline Adaptation Process)

  • 최진주;김현정;강혜민;추희영;김경숙
    • 임상간호연구
    • /
    • 제27권2호
    • /
    • pp.187-198
    • /
    • 2021
  • Purpose: This study aimed to develop an evidence-based nursing practice guideline for preventing postoperative pulmonary complications (PPCs). Methods: The guideline adaptation process was conducted through the 24 steps based on the guideline adaptation manual of Korean Hospital Nurses Association. Results: The newly developed guideline to prevent PPCs consisted of four domains and 30 recommendations. The number of recommendations in each domain was 7 for assessment of PPCs, 17 for nursing interventions to prevent PPCs after general anesthesia, 4 for education (intended for patients and medical staff), and 2 for monitoring and recording. Conclusion: The developed guidelines will contribute in standardization of nursing practice and PPCs prevention and management. We recommend the dissemination and utilization of these guidelines nationwide to improve the quality of postoperative pulmonary complication prevention.

A Design Guideline of Sign System Based on DPD Concept in Traditional Heritage Villages

  • Noh, Hwang-Woo;Kitagawa, Keiko;Yoo, Jae-Soo;Park, Sun-Gyu;Oh, Sang-Hoon;Min, Byung-Won;Oh, Yong-sun
    • 한국콘텐츠학회:학술대회논문집
    • /
    • 한국콘텐츠학회 2015년도 춘계 종합학술대회 논문집
    • /
    • pp.19-20
    • /
    • 2015
  • Sign system currently used for traditional heritage villages in Korea does not have any well-defined concept and method so that somewhat improper signs can be developed like for general urban or tourism area. In this paper, we present a new method or guideline of sign system based on DPD(disaster prevention design) concept for our traditional heritage villages. We can enhance both safety of residents and satisfaction of visitors throughout this guideline. According to our investigations on the heritage villages, sign systems in Korea are mainly developed for tourism, on the other hand, sign development in Japan mainly focuses on prevention or protection against big disasters like earthquakes. Considering residents and their safety, we can submit a proper guideline to develop sign system for our traditional heritage villages based on the concept of DPD which can be applied to each space. Asan 'Oeam Village' and Beppu 'Onsen Village' are used as application sites compared between Korea and Japan.

  • PDF

통증관리 근거중심 가이드라인의 국내 타당성 검증 - 복부수술 환자를 대상으로 - (Validation of a Translated Guideline on Pain Assessment and Management: Focused on Abdominal Surgery Patients)

  • 홍성정;이은주
    • 임상간호연구
    • /
    • 제18권1호
    • /
    • pp.159-170
    • /
    • 2012
  • Purpose: This study was designed to examine the validity of the evidence-based guideline on pain developed by Registered Nurses Association of Ontario(RNAO) translated into Korean based on the experts' opinions. Methods: The panel consisted of experts of 60 registered nurses in surgical units, medical doctors and nursing managers who were experts in pain assessment and management. The validity of translated RNAO guideline was evaluated in terms of appropriateness, applicability, and utilization in current practice. Appropriateness and applicability of each recommendation were measured with 9 point scale, whereas utilization was measured by yes/no question. Data were analyzed by mean, standard deviation, and percent. The experts' opinions were analyzed by content analysis method. Results: In general, most of the recommendations in the guideline received above 7 point in appropriateness and applicability. However, above 20% of recommendations showed less than 50% of utilization rates in current practice. Conclusion: The reasons for low utilization of recommendations in current practice are in need for investigation. This study can be used for the development of guideline more acceptable in Korean health care settings and improve the quality of care for the abdominal surgery patients suffering from pain in Korea.

화병 임상진료지침 개발 연구 (1) - 목적과 개발 전략 및 절차 - (Development of Clinical Practice Guideline for Hwabyung (1) - Purpose, Development Strategy and Procedure -)

  • 김종우;정선용;조성훈;황의완;김보경
    • 동의신경정신과학회지
    • /
    • 제20권2호
    • /
    • pp.143-152
    • /
    • 2009
  • Objectives : Hwabyung is one of well-known mental health problems like depression in Korea and it's concept is generated from oriental medicine. We suggest that clinical practice guideline should reflect the Hwabyung's characteristics, clinical environment and Oriental medical doctor's need. Methods : We use the general development method of clinical practice guideline and also apply the oriental medicine's properties. Results : We need to refer to the western psychiatric field, especially the clinical guideline of depression. And we should base on the clinical survey and trial with the selected core subject considering oriental medicine's character. Conclusions : From this development, we expect the application of proper clinical decision by medical team, the objectification of oriental medicine, and the improvement of medical quality in the clinical field of oriental medicine.

  • PDF

국내병원 간호사의 인수인계 실무표준, 표준지침 및 표준화된 항목 개발에 대한 연구 (Development of Nursing Handoff Practice Guideline and Standards for Korean Hospital)

  • 김은만;유미;이향열;고지운;조의영;김을순
    • 임상간호연구
    • /
    • 제20권1호
    • /
    • pp.1-14
    • /
    • 2014
  • Purpose: Addressing current status of nursing handoff provides information as to where to change practice for improvement in patient care. The aim of this study was to develop nursing a handoff practice guideline and standardsfor Korean hospitals. Methods: A questionnaire was used to collect data in a cross-sectional survey with 207 head nurses and 697 nurses working in general hospitals. Results: The practice guideline consisted of 2 items on purpose of handoff, 5 items on policy, 3 on environment, 5 on process, 7 on content, 3 on evaluation, and 1 on the function of education, for a total 26 of items. Standard instruction was developed related to Patients, Assessment, Situation, Safety concerns, Background, Actions, and Recommendations. Conclusion: The findings of this study indicate that the guideline can be applied in real nursing practice to improve the effectiveness of handoff procedures. It can be used to guide nurses to follow the standardized content, which presents patient details clearly. The guideline provides consistency and structure for the information that is handed over.

중환자부 시설기준 수립을 위한 가이드라인 조사·분석연구 - 미국, 영국, 호주 사례를 중심으로 (A Study on the Architectural Design Guideline for Intensive Care Unit - Focused on Cases of The US, The UK and Australia)

  • 윤우용;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
    • /
    • 제21권4호
    • /
    • pp.17-25
    • /
    • 2015
  • Purpose: At the moment, There is a facility standard for intensive care units on the Korea medical services Act. However, the contents of regulation are so limited and difficult to apply. Therefore, it is necessary to draw up the guideline to complement the regulation for efficient operation of intensive care units. This study aims to suggest basic data for guideline of intensive care units. Methods: 2 Methods have been used in this paper. 1) Comparative analysis between the national regulation of Korea with the design standard of the United States America, the United Kingdom and Australia. 2) A literature survey about operation method for intensive care unit, focused on materials published in intensive care medicine society of each country. Results: In comparison with guideline of abroad cases, additional supplement are required, with regard to item such as operation environment, size, nursing manpower ratio, bed space area, space program of intensive care units for healing environment. Implications: This study is a basic research for guideline of intensive care unit, and need to be followed by further study using various perspectives and methods.

Performance and Robustness of Discrete Perturbation Observer

  • Sangjoo Kwon;Chung, Wan-Kyun;Youngil Youm
    • 제어로봇시스템학회:학술대회논문집
    • /
    • 제어로봇시스템학회 2001년도 ICCAS
    • /
    • pp.31.5-31
    • /
    • 2001
  • In conventional perturbation estimators such as disturbance observers(DOB) [1, 2] or time-delayed controllers(TDC) [3{5}, the low pass filter(so-called Q-filter) plays an important role in the stability and performance. However, a general design guideline or analysis for the Q-filter has not been researched yet. In this paper, a guideline for the design of discrete Q-filter is suggested in terms of the analysis of the relationship between the filter parameters and stability performance robustness in discrete-time domain. The analysis clarifies the discrete-time effect of the perturbation estimator and provides a transparent relationship between performance and robustness depending ...

  • PDF