• 제목/요약/키워드: national guidelines

검색결과 3,120건 처리시간 0.028초

한국 성인의 식생활 지침 실천도와 이상지혈증의 관련성 (Association between Compliance with Dietary Guidelines and Dyslipidemia among Koreans)

  • 홍소영;이계희;이홍수;이명숙;지선하;정효지
    • Journal of Nutrition and Health
    • /
    • 제40권8호
    • /
    • pp.745-752
    • /
    • 2007
  • While metabolic syndrome(MS) is rapidly expanding and dietary pattern, the known risk factor of MS, goes through heavy transition to western diet, not many researches have been done on the association between dyslipidemia and dietary factors in Korean adults. The purpose of this study was to investigate the association between compliance with dietary guidelines and dyslipidemia among Koreans. The subjects of 399 adults who visited health examination center were classified into dyslipidemia(n=180) and control(n=219). Diagnosis of dyslipidemia was based on NCEP-ATPIII criteria(triglyceride>=150mg/d, HDL-C<50mg/dl for male, HDL-C<40mg/dl for female). A questionnaire based interview was done to collect information on compliance with dietary guidelines, general characteristics and health related behaviors. Anthropometric variables were measured during the survey. Mean compliance score of dietary guideline was significantly lower in dyslipidemia group than in control. It was associated negatively with waist circumference and positively with serum HDL-cholesterol(p<0.05). Risks of dyslipidemia were significantly decreased in the group with highest dietary guideline score, high serum triglyceride levels(OR=0.484, 95% CI=0.268-0.875), abdominal obesity(OR=0.296, 95% CI=0.159-0.553), and dyslipidemia(OR=0.481, 95% CI=0.266-0.869). These results indicated that increasing compliance with dietary guidelines could be an effective strategy to lower the risk of dyslipidemia among Koreans.

한국형 그랜트 지원방식 도입에 따른 선정평가 효율화를 위한 정량적 가이드라인 수립에 관한 연구 (Establishing the Supplementary Quantitative Guidelines for Successful Establishment of NRF Grant Funding Mechanism on Basic Research)

  • 서옥이;박귀순;신숙경;이성종;이원근;이윤희
    • 기술혁신학회지
    • /
    • 제16권2호
    • /
    • pp.424-443
    • /
    • 2013
  • 교육과학기술부와 한국연구재단은 창의적 도전적 연구를 적극 장려하고자 2012년 기초연구사업 중점 추진방향으로 '한국형 그랜트' 지원 방식을 도입하였으며, 이에 따라 연구자가 추후 과제 신청시 기존 연구수행 성과를 집중적으로 평가 받게 되었다. 이에, 선정평가에서 과제관리 및 종료평가에 이르는 전주기적 성과관리 시스템의 필요성이 크게 대두되었다. 본 연구에서는 전주기적 성과관리 시스템의 첫 단계로 분야별 연구실적의 정량적 가이드라인를 제시하여 연구역량평가의 보조적 수단으로 사용할 방안을 도출하고자 하였다. 그 결과, 상위그룹 간 비교 시에는 순위보정영향력지수(Ranked Normalized Impact Factor, rnIF), 하위그룹 간 비교 시에는 영향력지수(Impact Factor, IF) 또는 rnIF를 정량가이드라인으로 제안하였다. SCI급 논문 수는 동일 분류 내 위상비교 또는 동일 위상내 분류별 비교 등에 사용할 것을 제안하였다.

  • PDF

혈액투석실 간호사의 근거중심 혈액투석간호에 대한 지식과 수행도 (Knowledge and Adherence to Evidence Based Practice Guidelines for Hemodialysis among Nurses in Dialysis Units)

  • 주혜숙;박명화
    • 디지털융복합연구
    • /
    • 제16권7호
    • /
    • pp.277-288
    • /
    • 2018
  • 본 연구는 투석실에서 간호사들 사이의 혈액 투석에 대한 실무 지침에 근거한 지식 수준과 수행도를 조사하는 서술연구로서 자기기입식 설문지를 사용하여 데이터를 수집했다. 표본은 한국의 3개 지역에 위치한 혈액 투석실의 간호사 173명으로 구성되었다. 자료 분석은 SPSS / WIN 20.0 으로 t-test, ANOVA 및 Scheff's 분석을 수행했다. 투석실 간호사의 약 98.8 %는 주로 투석회의나 심포지움에서 교육을 받았다. 근거중심실무에 대한 지식 점수는 평균 15.77 (23 개 중)로 나타났으며, 8년 이상의 경력자, 석사 학위 및 3차병원에서 일하는 간호사들이 유의하게 높은 점수를 보였다. 혈액 투석에 대한 국제적으로 인정되는 근거중심실무지침이 있음에도 불구하고 지침에 대한 실제 준수는 경험, 교육 수준 및 병원 유형에 따라 다르게 보였다. 이 연구의 결과는 혈액 투석 간호사에 대한 지식 향상 및 근거중심실무지침 활용을 위한 전략 개발에 대한 추가 연구를 위한 기본 데이터가 될 수 있다.

의료기기 이상사례 보고에 대한 국내 이해관계자의 관점 차이 (Perspective Diversity of Domestic Stakeholders on Medical Device Adverse Event Reporting)

  • 이예진;윤치호;최수정;강영준;김진국;권범선;이유경;남기창
    • 대한의용생체공학회:의공학회지
    • /
    • 제40권5호
    • /
    • pp.171-178
    • /
    • 2019
  • This study was conducted to observe the differences in perspective of medical device adverse events and report exchange for domestic stakeholders. The post-market surveillance of medical device not only improves the usability and functionality of the device but also identifies new or growing risks caused by the device. APEC (Asia-Pacific Economic Cooperation) have established and operated post-market surveillance systems for medical devices based on IMDRF (International Medical Device Regulators Forum) and GHTF (Global Harmonization Task Force) guidelines. However, there are significant gaps in many aspects. It is essential to apply harmonized guidelines internationally but also to interpret and apply the guidelines consistently to report and exchange medical device adverse event in domestic. This study retrospectively analyzed the results of surveys conducted by providing examples of the adverse events and guidelines for post-market surveillance. The results of the study showed that there was a considerable difference in the judgment on the phase of using medical device for patient. In the case of medical device adverse event, different opinions shown according to knowledge and experience. Education and training are needed to have a harmonized perspective on the reporting and exchanging international guidelines of the adverse event for domestic stakeholders.

체외막산소화장치 적용 중환자를 위한 근거기반 간호 프로토콜 개발 및 효과 평가 (Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients)

  • 김수미;김철규
    • 대한간호학회지
    • /
    • 제53권3호
    • /
    • pp.275-294
    • /
    • 2023
  • Purpose: This study aimed to develop an evidence-based extracorporeal membrane oxygenation (ECMO) nursing protocol for critically ill patients receiving ECMO treatment by using an adaptation process, and to verify the effects of the protocol. Methods: The protocol was developed according to the adaptation guidelines. A non-randomized controlled trial was conducted to test the protocol's effects. Data were collected between April 2019 and March 2021. The differences in physiological indicators and complication rates between the two groups were investigated using a chart review to evaluate patient outcomes. The nurses' outcome variables were evaluated using a questionnaire. Results: First, after reviewing 11 guidelines by appraisal of the guidelines for research and evaluation collaboration II, 5 guidelines with a standardization grade of over 50 points were selected. An ECMO nursing protocol was developed based on these guidelines. Second, there were no statistically significant differences in physiological indicators between the two groups of patients. However, the experimental group showed a statistically significant decrease in the infection rate (p = .026) and pressure injury rates (p = .041). The levels of satisfaction with ECMO nursing care, and empowerment and performance of the nurses who used the ECMO nursing protocol were higher than those of nurses who did not (p < .001). Conclusion: This protocol may help prevent infections and pressure injuries in patients, and improve nurses' satisfaction and empowerment. The nursing protocol developed for critically ill patients receiving ECMO treatment can be utilized in evidence-based nursing practice.

녹색건축물 디자인가이드라인과 녹색건축 인증 비교를 통한 외피계획요소에 관한 연구 - 공공기관 지방이전 건축물을 중심으로 - (Comparison of the Building Envelope Design Elements between Green Building Design Guidelines and Green Building Certification Criteria - Focus on public institution relocation projects -)

  • 김소영;황성필;오준걸
    • KIEAE Journal
    • /
    • 제14권4호
    • /
    • pp.61-68
    • /
    • 2014
  • Due to rapid climate changing and the need for energy conservation, environment friendly initiatives have emerged, and regulations to support establishment of green structures in construction have been legislated and enacted. In this study, the supporting of green build method act for rapid climate change and energy conservation. Using green build method, protecting surrounding ecosystem and developing green building continuously, I suggest alternative for protection of the environment. Identifies Envelope Design Elements among various construction Green Building Design Guidelines. Green buildings that we extract the Green Building envelope design from Design Guideline, select the object building through the green buildings examples of public institution relocation projects. Since then analyzes the planned schematic design and Green Envelope Design Elements and Green Building Certification(G-SEED). So, that future directions for planning correlation of Green Building and Design Guidelines about Green Design Elements Can be presented.

신종인플루엔자 감염학생의 스트레스와 자가치료지침 수행 (Stress and Self Care Guideline Adherence in Students with Influenza A (H1N1))

  • 박진희;강정희;김인자
    • 한국간호교육학회지
    • /
    • 제17권2호
    • /
    • pp.277-286
    • /
    • 2011
  • Purpose: This study examined levels of stress and adherence to self care guidelines in elementary and middle school students who were infected with the influenza A (H1N1) virus in 2009. Method: A total of 649 students from J city participated in the survey. Stress was measured with the Impact of Event Scale-Revised which was developed by Weiss and Marmar (1997) and translated by Eun and colleagues (2005). Adherence to self care guidelines was measured with the scale developed by the authors based on the self care recommendations from Korea Centers for Disease Control and Prevention. Result: Levels of stress and adherence to self care guidelines were higher in elementary school students. However, the severity of participants' stress was less than moderate. The adherence level was significantly different depending on status of taking an antiviral agent, health education and self care education regarding the virus infection. Conclusion: Findings suggest that effects of health education under the national crisis situation due to influenza A (H1N1) virus pandemic were helpful. More in-depth study is needed to understand and to improve middle school students' self care behaviors.

경작지 내 소규모 수림의 경관생태적 특성 분석 (A Character Analysis of the Woodland in Cultivated Areas in point of Landscape Ecology)

  • 조현주;나정화
    • Current Research on Agriculture and Life Sciences
    • /
    • 제26권
    • /
    • pp.17-22
    • /
    • 2008
  • This research put most emphasis on setting the guidelines for improvement through character analysis of landscape ecology to cope with ecological malfunction of the woodland surrounded in cultivated areas. The results are as follows. 1) As a result of character analysis of the woodland in cultivated area in point of landscape ecology in five case sites, the size of case site 3 is the largest as $3,000m^2$ and it is shown that a colony of pine trees which is valuable in terms of ecological, scientific, historic and cultural senses. 2) As a result of analysis on expansibility of woodland in cultivated area, case site 1 is 0.25, the lowest, flexibility is 4, the highest. In order to improve ecological function in woodland, it is regarded that maintaining curve form rather than straight one. 3) As a result of analysis of morphological diversity, case site 5 shows 1.3, the highest. However, the condition of vegetation and emergence frequency of species indicates low value degree. 4) Based on the result of analysis of landscape ecological character like above, the number of guidelines for the woodland in cultivated area is three and vegetation is four.

  • PDF

주거환경 개선을 위한 농촌주택 진단 체크리스트 제안 (Proposal of Diagnostic Checklist for Rural Housing Improvement)

  • 김소라;김상범;김용균
    • 농촌계획
    • /
    • 제29권4호
    • /
    • pp.165-173
    • /
    • 2023
  • When addressing rural housing issues, it is crucial to consider various aspects and adopt a tailored approach that takes into account the local characteristics and specific needs. Providing guidelines for different stakeholders, whether residents themselves or experts involved in decision-making, is essential for effective management and improvements. In this study, an in-depth analysis of the housing situation in the target area where the rural housing improvement project was implemented was conducted. This involved engaging with residents from three villages through in-depth interviews to gain insights into their perspectives and needs. As a result, a set of housing improvement guidelines were developed, which are specific to each stakeholder group and are tailored to address the criteria of safety, aesthetics, and living environment. These guidelines facilitate informed decision-making by residents and experts alike, ensuring that improvements align with the unique circumstances of each situation, promoting a more holistic and effective approach to addressing rural housing challenges.

한국 청소년의 신체활동, 좌식행동, 식이행동에 대한 가이드라인 실천 패턴 및 상호관련성 (Patterns and Interrelationships for Meeting Guidelines of Physical Activity, Sedentary, and Dietary Behavior in Korean Adolescents)

  • 김재우;공성아;이온;김연수;윤이화;김신아;최보율
    • 한국지역사회생활과학회지
    • /
    • 제20권3호
    • /
    • pp.413-421
    • /
    • 2009
  • The purpose of this study was to analyze the patterns and the interrelationships for meeting guidelines of three health behaviors including physical activity(PA), sedentary behavior(SB), and dietary behavior(DB) for Korean adolescents using 2007 KYRBS(Korea Youth Risk Behavior Survey) data. A cross-sectional design was used to assess 73392 middle-high school students. PA(moderate physical activity${\geqq}$5times/week, or vigorous ${\geqq}$3times/week), SB(watching TV, computer, DVD, video, etc. < 3 hr/day), and DB(servings of fruits ${\geqq}$1 times/day, or vegetables ${\geqq}$ 3 times/day) were categorized into two levels (meeting guidelines or not). Chi-squared tests were conducted to compare the prevalence of students not meeting these three health behaviors between boys and girls, and logistic linear regression was used to determine the interrelationships of three health behaviors. Students meeting guidelines for PA, SB, and DB were 31.0%(boys 42.6%, girls 18.0%), 74.7%(boys 75.4%, girls 74.0%), and 38.5%(boys 38.6%, girls 38.4%), respectively. In addition, there were significant differences between both genders for PA and SB (PA; $x^2(1)$=35175.11, p<.0001, SB; $x^2(1)$=19.44, p<.0001). Only 10.9% of students met all three guidelines and 12.4% did not meet all three. Pattern that simultaneously did not meet PA and DB were high in both boys(27.1%) and girls(37.2%). Students who did not meet DB were at greater risk of not meeting PA(Boys; OR 1.49, 95% CI 1.43 to 1.55, Girls; OR 1.42, 95% CI 1.34 to 1.50), and not meeting SB(Boys; OR 1.41, 95% CI 1.34 to 1.48, Girls; OR 1.36, 95% CI 1.29 to 1.43) compared with students who met DB. The findings of this study supported further evidence for the need of a multiple behavior approach considering gender and interrelationships among three behaviors.

  • PDF