• 제목/요약/키워드: guidelines

검색결과 10,050건 처리시간 0.033초

Inverse association of improved adherence to dietary guidelines with metabolic syndrome: the Seoul Metabolic Syndrome Management program

  • Ham, Dongwoo;Cho, YoungYun;Park, Mi-Suk;Park, Yun-Sug;Kim, Sun-Young;Seol, Hye-Min;Park, Yoo Mi;Woo, Sunok;Joung, Hyojee;Lim, Do-Sun
    • Nutrition Research and Practice
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    • 제14권6호
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    • pp.621-636
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    • 2020
  • BACKGROUND/OBJECTIVES: The Seoul Metabolic Syndrome Management (SMESY) program is a 1-yr lifestyle modification program targeting metabolic syndrome (MetS) in Seoul residents. This study investigated the associations between adherence to dietary guidelines and MetS among the SMESY program participants. SUBJECTS/METHODS: Data of 54,385 participants aged 20-64 yrs who completed the SMESY program in 2015, had information on adherence to dietary guidelines, and were not medicated for diabetes, hypertension, or dyslipidemia were analyzed. Participants underwent MetS screening and completed a lifestyle questionnaire including adherence to 10 dietary guidelines before and after participation. Participants were classified according to the number of MetS risk factors at baseline (MetS group, ≥ 3; risk group, 1-2; healthy group, none). Adherence to dietary guidelines was determined from the number of "yes" responses regarding the fulfillment of each guideline on ≥ 5 days/week. Multiple logistic regression was used to evaluate associations between newly diagnosed MetS and changes in adherence to dietary guidelines. RESULTS: In the MetS group, MetS prevalence decreased after the SMESY program (men, -41.9%p; women, -48.7%p), and all risk factors were significantly improved (P < 0.0001). All groups exhibited improved adherence to all dietary guidelines after participation (P < 0.0001). In the MetS group with positively changed adherence scores, the MetS prevalence decreased by -44.1%p for men and -49.5%p for women, whereas the prevalence in those with negative changes decreased by -38.1%p for men and -48.6%p for women. In the risk group, those with positively changed adherence scores had significantly decreased odds ratios (ORs) for newly diagnosed MetS compared with those with negative changes (OR, 0.70; 95% confidence interval [CI], 0.61-0.80 for men; OR, 0.88; 95% CI, 0.79-0.99 for women). CONCLUSIONS: The SMESY program may effectively reduce the risk of MetS among adults with risk factors by improving adherence to dietary guidelines.

건선 치료용 한약제제에 대한 임상시험 가이드라인 설명 및 제언 (Explanation and Elaboration of the Clinical Trial Guidelines for Psoriasis Using Herbal Medicine)

  • 김봉현;김관일;강세현;박중군;강동원;남혜정;김윤범;이준희;김규석
    • 한방안이비인후피부과학회지
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    • 제31권2호
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    • pp.40-59
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    • 2018
  • Objectives : We report on the contents and reviews of the guidelines for clinical trials of herbal medicine for psoriasis. Methods : After reviewing the existing reports, the guidelines were drafted by the writing committee on guidelines for Korean medicine clinical trial center in Kyung Hee university Korean medicine hospital. Since then, the guidelines have been consulted by the experts in diseases, clinical trials and pharmaceuticals. In addition, the guidelines have been certified by the Korean medicine clinical trial center association and Korean Medicine Ophthalmology & Otolaryngology & Dermatology Society. Results : The guidelines for clinical trials are divided into 8 categories: (1) general contents, (2) evaluation standards of effectiveness, (3) outcome valuables, (4) selection of study participants, (5) designs of clinical trials, (6) safety evaluations, (7) combination therapies in psoriasis treatment and (8) Korean medical considerations. Conclusions : There are 3 major contents for discussion: (1) obscurity of Korean medical considerations to differentiate from existing guidelines, (2) the absence of Korean version of PASI and DLQI, which are validity parameters and (3) realistic institutional problem using the herbal medicine.

중환자실 간호사의 유치도뇨관, 중심정맥관 및 인공호흡기 감염관리에 대한 지식과 수행도 (Knowledge and Performance Level of Infection Control Guidelines on Indwelling Urinary Catheter, Central Venous Catheter and Ventilator Among Intensive Care Nurses)

  • 하현정;박정하;김명희
    • 한국산학기술학회논문지
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    • 제17권6호
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    • pp.113-120
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    • 2016
  • 본 연구의 목적은 유치도뇨관, 중심정맥관 및 인공호흡기 감염관리지침에 대한 중환자실 간호사의 지식과 수행도 정도를 파악하고자 하였다. 대상자는 2개의 상급종합병원과 3개의 종합병원의 중환자실에서 근무하는 간호사 175명이다. 자료수집은 2013년 7월 1일부터 7월 31일까지로, 수집된 자료는 SPSS 18.0 통계 프로그램을 사용하여 기술통계, t-test, ANOVA로 분석하였다. 각 지식수준은 유치도뇨 관리관(평균 0.87점), 중심정맥관(0.82점), 인공호흡기(0.82점)순으로 나타났으며, 수행도는 유치도뇨 관리관(평균 4.18점), 인공호흡기(4.04점)중심정맥관(4.07점)순이었다. 지식과 수행도에서는 유치도뇨관(r=.72, p<.00), 중심정맥관(r=.54, p<.001), 및 인공호흡기(r=.30, p<.001) 감염관리간 순 상관관계를 나타냈다. 유치도뇨관 감염관리지침에 대한 지식과 수행도는 성별, 최종학력, 근무경력, 담당환자 수, 병원규모, 세미나 참석 여부에 따라 통계적으로 유의한 차이가 있었다. 중심정맥관 감염관리지침에 대한 지식과 수행도는 최종학력, 근무경력, 담당환자 수, 병원규모, 세미나 참석 여부에 따라 통계적으로 유의한 차이가 있었다. 인공호흡기 감염관리지침에 대한 지식은 근무경력에 따라 통계적으로 유의한 차이가 있었다. 본 연구결과를 기초로 감염관리지침에 대한 지식과 수행을 향상 시킬 수 있는 교육 및 훈련 프로그램이 개발되어야 할 것이다.

노인 낙상 예방을 위한 운동 가이드라인의 적절성과 적용가능성 (Assessment of Applicability of Guidelines for Fall Prevention Exercise of Elderly People)

  • 이선희;은영;박원숙;신계영;전미양;임경춘;이인옥;최희권;김민주;배선형;최미경;박정하;정재희;이은남;이경숙
    • 근관절건강학회지
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    • 제24권3호
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    • pp.227-237
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    • 2017
  • Purpose: The purpose of this study is to analyze the suitability and applicability of the recommendations for the exercise intervention program in fall prevention guidelines for the elderly. Methods: We searched systematically RISS, KISS, National Assembly Library, KoreaMed, and KM base for Korean guidelines and used OVID-MEDLINE, EMBASE, Cochrane library, Trip database, GIN, NGC, WHO, and CDC for international guidelines including fall prevention exercises for the elderly until August 2016. Results: A total of 11 guidelines were selected as the result of the literature search. After evaluating the quality of guidelines, 9 guidelines were used to analyze the recommendations. A total of 19 recommendations were derived from 9 guidelines. Of 19 recommendations, 12 recommendations were considered to be appropriate and applicable. As a result, we recommend for the elderly to do a single type of balance exercise, strength exercise, aerobic exercise or multiple forms of exercise for 20~30 minutes per a day, 2~3 days or more than 3 days per a week, and consistently for more than 10 weeks. Conclusion: To prevent falls in the elderly, it is important for the elderly to perform a regular balance, strength, or aerobic exercise for 20~30 minutes per a day, 2~3 days per a week.

Ergonomic Design of Medic Work Table (MWT) for Medical Technologist

  • Choi, Kyeong-Hee;Lee, Sung-Yong;Lee, Jun-Hyub;Kong, Yong-Ku
    • 대한인간공학회지
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    • 제35권6호
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    • pp.595-609
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    • 2016
  • Objective: The purpose of this study was to develop and validate the guidelines for Medic Work Table (MWT) based on the anthropometric data of medical technologists. Background: Users' anthropometric data such as sitting height, sitting elbow height, knee height, and so on are significant factors for designing comfortable and useful furniture. Thus, many guidelines for different types of desks and chairs based on the users' anthropometric data have been suggested to many researchers. However, few researches have been conducted to provide design guidelines for MWT for blood collecting task. Medical technologists often use their upper extremities to perform blood collecting task with high repetitions. These repeated motions could be a critical factor in the prevalence rate of Work-related Musculoskeletal Disorders (WMSDs). Therefore, a study on ergonomic design of MWT would be essential in preventing the WMSDs and improving the quality of the working environment of medical technologists. Method: This study suggested design guidelines for ergonomic MWT by focusing on the heights of the upper side and underside, depths of the inside and outside, and width of MWT through anthropometric studies and literature reviews. Afterwards, a new MWT was made using the suggested design guidelines for this study. Five healthy medical technologists participated to evaluate the original MWT and new MWT. All participants took part in the range of motion (ROM) test, electromyography (EMG) muscle activity test, and usability test to validate the suggested guidelines in this study. EMG signals of related muscles (Flexor Carpi Ulnaris, Extensor Carpi Ulnaris, Deltoid Anterior, and Biceps Branchii) were recorded through the surface electromyography system from both the original MWT and the new MWT. The ROM test of the shoulder and elbow flexion was also assessed using motion sensors. Results: The newly designed MWT showed decreased ROMs of the shoulder and elbow up to 22% and 18% compared to the original MWT. The muscle activities in the new MWT also showed a decrease of 13% in Anterior Deltoid, 6% in Biceps Brachii, 5% in Flexor Carpi Ulnaris, and 8% in Extensor Carpi Ulnaris muscle groups, compared to the original MWT. In the usability test, the satisfaction score of the new MWT was also 56.1% higher than that of the original MWT. Conclusion: This study suggested guidelines for designing MWT and validating the guidelines through qualitative and quantitative analyses. The results of motion analysis, muscle activity, and usability tests demonstrated that the newly designed MWT may lead to less physical stress, less awkward posture, and better physical user interface. Application: The recommended guidelines of the MWT would be helpful information for designing an ergonomic MWT that reduces physical loads and improves the performance of many medical technologists.

노동부고시와 KS 규격에 의거한 사무용 의자와 책상의 인간공학적 분석 (Ergonomic analysis of office chairs and desks against Ministry of Labor Notification and Korean Standards)

  • 이윤근;박희석;김대성
    • 한국산업보건학회지
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    • 제19권1호
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    • pp.16-24
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    • 2009
  • This research aims to measure and analyze the dimensions of typical office chairs and desks sold in domestic market, and to suggest the modifications of national guidelines considering Korean peoples' body characteristics. The scope of this study was limited to the desktop type of computer jobs, excluding laptop environment. The dimensions of 24 different office chairs and 7 tables were measured, and their dimensions were analyzed against the Ministry of Labor (MOL) Notification and Korean Standards (KS). At the same time, the data from the Size Korea was also considered. As a result, the KS guidelines were overall fulfilled by the measured products, while the MOL Notification was not. It was found that the guidelines on the chair height, seat pan depth, lumber support height, and armrest height need to be modified. Some inconsistencies between the MOL Notification and KS were also found. It is suggested that the required dimensions specified by both guidelines should be unified.

AHP를 이용한 개량형 정보 표시 평가 항목의 중요도 선정에 관한 연구 (The Selection of Human factors Evaluation Criteria for Information Display on VDT using AHP)

  • 차우창;장성필
    • 산업경영시스템학회지
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    • 제27권1호
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    • pp.109-120
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    • 2004
  • In large scale complex system such as a nuclear power plant, it is important to select guidelines and/or checklist to evaluate the system performance, especially human performance for visual information while the number of evaluation items of the guidelines and checklist is voluminous. This paper presents the methodology and experiment for the relative weights or priority selection of evaluation items on the advanced information display of main control room in a nuclear power plant. To summarize this, 1) many human factors guidelines of Visual Display Terminal(VDT) displays are collected, 2) the collected guidelines are integrated and unified based on some rules in a way to avoid confusion or errors about work performances of operator groups, 3) using the unified guidelines, the more important items are defined when the advanced information indexes are applied by using the Analytic Hierarchy Process(AHP). For employing the AHP, the decisions and response of many human factors evaluation specialists in this field are collected to get the priority order of the evaluation items of VDT. The result of this paper will be applied for the evaluation of the usability of next generation of nuclear power plant which is focused on the visual information display on VDT.

온라인 디지털자료의 납본 가이드라인에 관한 연구 (A Study on Legal Deposit Guidelines for Online Digital Materials)

  • 곽승진;김정택;박옥남;최재황
    • 한국문헌정보학회지
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    • 제47권3호
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    • pp.161-179
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    • 2013
  • 본 연구의 목적은 온라인 디지털자료의 망라적 수집과 보존 그리고 접근을 지속적으로 보장하기 위하여 온라인 디지털자료의 납본에 대한 국내 외 법령 및 사례를 참고하고, 국내의 납본 이해 당사자인 저작권 소유 유관 단체 및 기업, 이용자, 그리고 납본 관련 전문가의 자문을 수렴하여 온라인 디지털자료의 납본 가이드라인을 제시하는데 있다. 본 연구에서는 납본기관이 납본 받아야 할 범위를 규정한 납본 범위에서 납본 불이행 시 납본주체에 대한 제재까지 총 14개의 가이드라인을 제시하였다.

제외국의 식품안전관련 미생물 정량기준 가이드라인 (Guidelines for Microbiological Standards of Food in Foreign Countries)

  • 이미선;우건조;박종석;이동하;오상석
    • 한국식품위생안전성학회지
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    • 제19권3호
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    • pp.140-150
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    • 2004
  • It has been recognized that international food standards should be considered for a long time. The Codex Alimentarius programme initiated in the early 1960s has received valuable background documentation from the ICMSF (International Commission on Microbiological Specification for Foods) and also from ISO(the International Organization for Standardization). There has been a considerable move towards international harmonization of standards and methods of analysis. Many foreign countries recommend the guidelines for food microbiological standards quantitatively. To complement microbiological limits and tolerance levels for permissible number of defective samples, allowances should be made for sampling and other variations in laboratory methods. It may be necessary for guidelines of domestic food microbiological standards to be established so that the domestic food standards can be harmonized with foreign food standards. Food safety related microbiological guidelines of ICMSF, EU (European Union), UK (United Kingdom), China (Hong Kong) and Japan were reviewed and shown in examples.

사용자혜택 이론에 따른 신혼·육아가구 맞춤형 주택계획가이드 라인의 특성 연구 (User Benefit Characteristics of Customized Housing Design Guideline for Childcare Families)

  • 이연숙;안소미;박재현
    • 한국실내디자인학회논문집
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    • 제25권5호
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    • pp.63-70
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    • 2016
  • Modern society is suffering from the phenomena of low-fertile, ultra-aging, and low-growth. On this social flow, most social classes undergo vulnerable situation and their overall housing and living condition have difficulties. So far many housing guidelines for diverse population were developed, recently, inclusive 'Customized Housing Design Guideline for Childcare Families' in terms of maintaining family and society has been completed. The purpose of this study is to analyze User Benefit Characteristics of 'Customized Housing Design Guideline for Childcare Families'. The research subjects are essential 140 guidelines appropriate to children's development and parents' care. The research method is contents analysis and the analysis criterion are 4 concepts of the User Benefit Criteria- 'Behavioral Facilitation (BF)', 'Physiological Maintenance (PhM)', 'Perceptual Maintenance (PM)', 'Social Facilitation (SF)'. 3 people inter-raters reliability was established. Altogether, the guidelines were rated in the order of PhM>PM>BF>SF, and these characteristics are similar as common universal design guidelines. This showed the supportability of spatial characteristics in the guidelines related to user's special behaviors. Also, the results show the importance of outdoor space planning for safe social interactions. The supportable characteristics of 'Customized Housing Design Guideline for Childcare Families' could be expected to efficiently apply for new housing development in the future.