• Journal of Hospice and Palliative Care
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• v.1 no.1
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• pp.23-29
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• 1998

Purpose : Validity of WHO guideline of cancer pain management has been proven and many trials were done for resolution of inadequate management of cancer pain. We assessed the severity of pain in terminal cancer patients and patient's characteristics influencing inadequate pain management. Methods : This study was done on 100 patients who was confirmed as terminal in Seoul National University Hospital from lune 1997 to November. For getting the informations about dermographic and medical characteristics such as performance and metastasis, and drug-adjusted pain severity the patients, we reviewed the medical records and interview the patients. we assessed the adequacy of prescribed analgesics with WHO guidelines of pain management, and patient's characteristics influencing on adequacy of pain management. Results : 85.0 percent of cancer patient had pain when diagnosed as terminal cancer and 68% of patient had pain above moderate severity. 38.0 percent of those were given inadequate pain management and the greater pain severity, the less adequate(P<0.001). Sex, age, primary site of cancer, metastasis, symptoms such as depression and anxiety, and performance were not significant. Conclusion : Despite guidelines for pain management, many patients with terminal cancer received inadequate pan management. Their is a need for education about evaluation of pain and guidelines of pain management.

• Journal of Korean Society of Forest Science
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• v.105 no.2
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• pp.238-246
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• 2016

The study aims to examine Japan's National REDD+ Strategies prepared for Post-2020 and the status of its implementation by organizations in Japan, and then to suggest the potential REDD+ countermeasures against Joint Credit Mechanism (JCM) for Republic of Korea and their implications. As for the technical limitations of the guidelines of REDD+ under the JCM, it is pointed out that forests located at the place with less potential safeguard intervention tend to be selected as the target area for a project and that, as reference emission trend changes depending on the basic year of the baseline, differences could occur among the amounts of greenhouse gas emission. In addition, it is pointed out that the result of the calculation of the displacement of emissions, or leakeage, in REDD+, can have an uncertainty, since the calculation is done by just multiplying leakage area by certain coefficients, without considering the size of the leakage area. Furthermore, the lack of implementation guideline or methodologies for a project level is also pointed out as a limitation, considering that there are only some national and sub-national monitoring guidelines at present. Finally, internationally accepted guidelines for safeguard and its sub-items needed to be prepared, as current safeguard policy only includes lists without detailed items. Such things mentioned above are all related to, and can lead to the problem of double counting of items in Nested Approach etc., as well as of the distribution of credits. Therefore, Republic of Korea should take these into consideration when implementing its REDD+ projects.

• Clinical Endoscopy
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• v.55 no.6
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• pp.703-725
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• 2022

Colonoscopic polypectomy is effective in decreasing the incidence and mortality of colorectal cancer (CRC). Premalignant polyps discovered during colonoscopy are associated with the risk of metachronous advanced neoplasia. Postpolypectomy surveillance is the most important method for the management of advanced metachronous neoplasia. A more efficient and evidence-based guideline for postpolypectomy surveillance is required because of limited medical resources and concerns regarding colonoscopy complications. In these consensus guidelines, an analytic approach was used to address all reliable evidence to interpret the predictors of CRC or advanced neoplasia during surveillance colonoscopy. The key recommendations state that the high-risk findings for metachronous CRC following polypectomy are as follows: (1) adenoma ≥10 mm in size; (2) 3 to 5 (or more) adenomas; (3) tubulovillous or villous adenoma; (4) adenoma containing high-grade dysplasia; (5) traditional serrated adenoma; (6) sessile serrated lesion (SSL) containing any grade of dysplasia; (7) serrated polyp of at least 10 mm in size; and (8) 3 to 5 (or more) SSLs. More studies are needed to fully comprehend the patients most likely to benefit from surveillance colonoscopy and the ideal surveillance interval to prevent metachronous CRC.

• Journal of Korean Medicine Rehabilitation
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• v.27 no.4
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• pp.131-145
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• 2017

Objectives The purpose of this study is to understand current status of Korean Medicine treatment practice patterns for traffic injuries by web-based survey. Methods The structured questionnaire was distributed by a web based survey to 1,630 potential respondents by email from December 19th in 2016 to February 13th in 2017. All data were statistically analysed. Results The response rate was 79.4%. According to the analysis of the outcome of the survey, 88.0% of the participants felt necessity of the development of Korean medicine clinical practice guidelines (CPGs) for traffic injuries. Survey results showed cognitive degree about Korean Medicine CPGs' necessity, individual Korean medicine treatments and requirement for extending insurance coverage for patients with traffic injuries. Conclusions This survey study helps to determine current clinical practice patterns of Korea medicine treatments for traffic injuries. These results further anticipate to provide basic data for CPGs for traffic injuries.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.21 no.2
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• pp.77-85
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• 2018

The intensive habitats loss of natural organisms as a consequence of anthropogenic activities has lead to the use of alternative habitats for species conservation. We reviewed the current status of alternative habitats and suggest the improvement of alternative habitats. Most of alternative habitats regarded in this study are not following the pre-arranged consultation at environmental impact assessment. These alternative habitats are rendered useless due to the insufficient consideration of ecological characteristics of species and lack of detailed plans. A number of alternative habitats are influenced by disturbance such as environmental pollution and construction. Post-monitoring of alternative habitats are needed to estimate immigration rate of species. Post management is also needed to assess the status of population stability. Overall, low effectiveness of alternative habitats is presented in this study. According to the status survey, methods for improvement of alternative habitats are required such as detailed guidelines, establishment of post-monitoring system, improvement of habitat restoration techniques, and guidelines for management and operation of alternative habitats.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.16 no.1
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• pp.73-89
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• 2021

Objectives We conducted an online survey to understand the current status of Korean Medicine clinical practice related to carpal tunnel syndrome (CTS) to develop the CTS Korean Medicine Clinical Practice Guidelines (CPG). Methods A thoroughly reviewed questionnaire was distributed by e-mail to 21,719 Korean Medicine doctors between March 26 and April 30, 2021. All raw data were arranged and analyzed systematically. Results The response rate among the doctors was 4%. Of the respondents, 82.1% responded that it is necessary to develop the CTS Korean Medicine CPG. We also obtained data related to the specific diagnosis, treatment, and prognosis management methods used at various treatment sites for patients with CTS. Conclusions This online survey will be helpful in developing the CTS CPG, which will contribute to the standardization of guidelines and improvements in the reliability of Korean Medicine. Our findings will provide valuable data and resources for future clinical studies on CTS.

• Journal of Gastric Cancer
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• v.23 no.1
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• pp.146-158
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• 2023

Endoscopic resection (ER) is widely performed for early gastric cancer (EGC) with a negligible risk of lymph node metastasis (LNM) in Eastern Asian countries. In particular, endoscopic submucosal dissection (ESD) leads to a high en bloc resection rate, enabling accurate pathological evaluation. As undifferentiated EGC (UD-EGC) is known to result in a higher incidence of LNM and infiltrative growth than differentiated EGC (D-EGC), the indications for ER are limited compared with those for D-EGC. Previously, clinical staging as intramucosal UD-EGC ≤2 cm, without ulceration, was presented as 'weakly recommended' or 'expanded indications' for ER in the guidelines of the United States, Europe, Korea, and Japan. Based on promising long-term outcomes from a prospective multicenter study by the Japan Clinical Oncology Group (JCOG) 1009/1010, the status of this indication has expanded and is now considered 'absolute indications' in the latest Japanese guidelines published in 2021. In this study, which comprised 275 patients with UD-EGC (cT1a, ≤2 cm, without ulceration) treated with ESD, the 5-year overall survival (OS) was 99.3% (95% confidence interval, 97.1%-99.8%), which was higher than the threshold 5-year OS (89.9%). Currently, the levels of evidence grades and recommendations for ER of UD-EGC differ among Japan, Korea, and Western countries. Therefore, a further discussion is warranted to generalize the indications for ER of UD-EGC in countries besides Japan.

• Journal of Preventive Medicine and Public Health
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• v.13 no.1
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• pp.97-104
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• 1980

A few years ago a WHO Expert Committee stated: 'Smoking related diseases are such important causes of disability and premature death in developed countries that the control of cigarette smoking could do more to improve health and prolong life in these countries than any other single action in the whole field of preventive medicine.' (WHO TRS 568/1975) Indeed, so serious have been the consequences of smiting in the developed countries of North America and Europe that they could not be ignored. Let us look at the action taken in some of these countries. We may then be able to draw up some guidelines for the formulation of a national anti-smoking policy-guidelines applicable both to countries which already are experiencing the dreadful consequances of long-established and wide-spread smoking habits, and applicable also to countries where the 'smoking epidemic' is only noly beginning to bring its burden of disability and early death.

• Journal of Dairy Science and Biotechnology
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• v.14 no.1
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• pp.33-42
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• 1996

Food-borne illnesses remain a world-wide public heath problem, Codex food standards, codes of practice and other guidelines protect consumers from unsafe food. Codex Alimentarius helps to reach this goal by combining consumer protection with food production and trade. Codex provides reassurance to anyone anywhere that foods produced according to its codes of hygienic practice and complying with its standards are safe and nutritious and offer adequate health protection. The Codex Alimentarius Commission is a science-based, international organization. Its standards, guidelines and recommendations are recognized world-wide for their vital role in protecting the consumer and facilitation international trade. At the same time they allow food producers, processors and traders access to markets by breaking down artificial nontariff barriers to trade.

• Korean Management Science Review
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• v.11 no.2
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• pp.207-235
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• 1994

Regarding the study in innovation/R&D programs evaluation, twelve cases from the U.S ., U. K., Germany, France, Sweden, Australia, Japan, and EC are analyzed, and its implications to Korean situation are investigated. From the analysis of the cases, some valuable guidelines for Korea are developed. Some of the guidelines are: the evaluation must be treated as an integral part of the Government supported programs, specialists in evaluation should be raised, the long-term effects and non-economic/social effects should also be included in the evaluation, various efforts to acquire more exact and versatile information necessary for quality evaluation should be made, and additional effort is required for the evaluation to be actualized.