• 제목/요약/키워드: recommendations

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An overview of the national immunization policy making process: the role of the Korea expert committee on immunization practices

  • Cho, Hee-Yeon
    • Clinical and Experimental Pediatrics
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    • 제55권1호
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    • pp.1-5
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    • 2012
  • The need for evidence-based decision making in immunization programs has increased due to the presence of multiple health priorities, limited human resources, expensive vaccines, and limited funds. Countries should establish a group of national experts to advise their Ministries of Health. So far, many nations have formed their own National Immunization Technical Advisory Groups (NITAGs). In the Republic of Korea, the Korea Expert Committee on Immunization Practices (KECIP), established by law in the early 1990s, has made many important technical recommendations to contribute to the decline in vaccine preventable diseases and currently functions as a NITAG. It includes 13 core members and 2 non-core members, including a chairperson. Core members usually come from affiliated organizations in internal medicine, pediatrics, obstetrics, microbiology, preventive medicine, nursing and a representative from a consumer group, all of whom serve two year terms. Non-core members comprise two government officials belonging to the Korea Centers for Disease Control and Prevention (KCDC) and the Korea Food and Drug Administration. Meetings are held as needed, but at least twice a year, and sub-committees are formed as a resource for gathering, analyzing, and preparing information for the KECIP meetings. Once the sub-committees or the KCDC review the available data, the KECIP members discuss each issue in depth and develop recommendations, usually by a consensus in the meeting. The KECIP publishes national guidelines and immunization schedules that are updated regularly. KECIP's role is essentially consultative and the implementation of their recommendations may depend on the budget or current laws.

근거기반 임상실무지침: 장루간호 (Evidence-Based Nursing Practice Guideline: Ostomy Care)

  • 이윤진;박현숙;김민경;서희원;이미주;원은애;조가나
    • 임상간호연구
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    • 제26권2호
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    • pp.154-163
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    • 2020
  • Purpose: The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline. Results: It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge. Conclusion: The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients' outcomes.

임상 전문간호사 운영 효과 분석 (A Study on Operation-Effectiveness Analysis of Clinical Nurse Specialists : Focused on Patient Satisfaction and Expected Profit)

  • 모진아;임지영
    • 가정간호학회지
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    • 제18권1호
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    • pp.13-19
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    • 2011
  • Purpose: The aim of this study was to evaluate patient satisfaction and indirect marketing effects (recommendation, hospital re-visit intention) and additionally to calculate the expected incomes by clinical nurse specialists (CNS). Methods: Sixty-six patients who had lower varicose vein removal surgery performed at two general hospitals from August 1 to November 30, 2008, were recruited. The effects were evaluated by degree of patient satisfaction, the number of personal recommendations given, rate of hospital re-visit intention, and indirect marketing effects. Indirect marketing effects were calculated as the total cost of surgery multiplied by the score of other variables. Results: The patient satisfaction score was 0.82 for CNS and 0.43 for general nurses (GN). The number of personal recommendations given was 2.5 for CNS and 1.1 for GN. The rate of hospital re-visit intention was 0.31 for CNS and 0.21 fot GN. The ratio of expected incomes between CNS and GN is 2.07 to 1. Conclusion: We found that when a CNS serves a patient, satisfaction, number of personal recommendations, hospital re-visit intention, and indirect marketing effects were higher than those of GN. These results show that CNS have dominant roles and functions and that the effects of CNS employment can be measured using economics parameters.

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Atmospheric Stability Evaluation at Different Time Intervals for Determination of Aerial Spray Application Timing

  • Huang, Yanbo;Thomson, Steven J.
    • Journal of Biosystems Engineering
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    • 제41권4호
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    • pp.337-341
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    • 2016
  • Purpose: Evaluation of atmospheric conditions for proper timing of spray application is important to prevent off-target movement of crop protection materials. Susceptible crops can be damaged downwind if proper application procedure is not followed. In our previous study, hourly data indicated unfavorable conditions, primarily between evening 18:00 hrs in the evening and 6:00 hrs next morning, during clear conditions in the hot summer months in the Mississippi delta. With the requirement of timely farm operations, sub-hourly data are required to provide better guidelines for pilots, as conditions of atmospheric stability can change rapidly. Although hourly data can be interpolated to some degree, finer resolution for data acquisition of the order of 15 min would provide pilots with more accurate recommendations to match the data recording frequency of local weather stations. Methods: In the present study, temperature and wind speed data obtained at a meteorological tower were re-sampled to calculate the atmospheric stability ratio for sub-hour and hourly recommendations. High-precision evaluation of temperature inversion periods influencing atmospheric stability was made considering strength, time of occurrence, and duration of temperature inversion. Results and Discussion: The results indicated that atmospheric stability could be determined at different time intervals providing consistent recommendations to aerial applicators, thereby avoiding temperature inversion with minimal off-target drift of the sprayed liquid.

The Influence of Public Welfare and Audit Findings on Audit Opinion: Empirical Evidence from Provincial Data in Indonesia

  • YAYA, Rizal;IRFANA, Siti Syifa;RIYADH, Hosam Alden;SOFYANI, Hafiez
    • The Journal of Asian Finance, Economics and Business
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    • 제8권4호
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    • pp.181-191
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    • 2021
  • The aim of the study is to empirically investigate and analyze the influence of public welfare, audit findings, and follow-up of audit recommendations on audit opinion with the disclosure level of financial reports as an intervening variable using agency theory and signaling theory. To achieve this purpose, a quantitative research method was employed. Population of this study is Provincial Government Financial Reports in Indonesia for fiscal years 2016 to 2018. There were 84 financial reports that met the criteria of purposive sampling. The data were gathered from the websites of the Audit Board of the Republic of Indonesia and the Indonesian Central Bureau of Statistics. In this study, the hypothesis-testing tool is path analysis using the Statistical Package for Social Sciences version 15. Based on the multiple regression analysis, the results show that audit findings, public income, and the disclosure level of financial reports significantly influenced audit opinion. Besides, the follow-up of audit recommendations and public health significantly influenced audit opinion through the disclosure level of financial reports. This study suggests that, in order to have better audit opinion, local governments need to improve public welfare, follow-up audit finding, and disclose more details in financial report.

The extent of the role of internal control of Northern Borders University in maintaining the non-waste of public money

  • Oweis, Khaled Adnan
    • International Journal of Computer Science & Network Security
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    • 제21권6호
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    • pp.187-199
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    • 2021
  • The research aims to measure the control procedures' effectiveness, followed by the University of Northern Borders employees. A questionnaire was developed and distributed to the target sample of financial and auditing affairs employees at the university, where the researcher followed the existing descriptive-analytical approach. The researcher relied on the field survey, and statistical analysis (spss) was used. The researcher has found that the control procedures used are highly efficient in reducing public money waste. The researcher has presented recommendations that may contribute to developing the work of oversight in combating waste of public money. These recommendations include: Increase the interaction between the General Oversight Office and the internal oversight departments at the University of Northern Borders, the incentives provided to the oversight and accounting staff for their efforts to combat public money waste. It encourages them to maintain public money and work to obliging employees to undertake training courses periodically to develop their skills and rehabilitate them in line with modern control procedures. Also, more studies and scientific research on the waste of public money and types of administrative and financial Corruption and the law in all state sectors and reach conclusions and recommendations will help decision-makers amend laws and regulations to serve the public benefit of the university and the state.

Distribution of Knowledge through Online Learning and its Impact on the Intellectual Potential of PhD Students

  • Dana KANGALAKOVA;Aisulu DZHANEGIZOVA;Zaira T. SATPAYEVA;Kuralay NURGALIYEVA;Anel A. KIREYEVA
    • 유통과학연구
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    • 제21권4호
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    • pp.47-56
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    • 2023
  • Purpose: the research aims to analyze the impact of the distribution of knowledge through online learning on the intellectual potential of PhD students and produce recommendations for policy to improve intellectual capacity. During the literature review, it was determined that a large number of studies examined the impact of online learning on the quality of education at different levels. Research design, data and methodology: the research methodology is based on subjective assessment and studying the students' opinions. The basis of the study was a comprehensive analysis of primary data obtained through a sociological survey of PhD students. 324 respondents from humanitarian, medical and natural faculties participated in the survey. Results: the study revealed that online learning helps increase students' intellectual potential. PhD students had a positive attitude towards the transition from traditional education to online learning. It should be noted that, according to the results, the most popular gadgets were laptops and smartphones, which were characterized by high mobility and ease of use. Based on the obtained results, recommendations were developed for the formation of online learning with a focus on increasing students' intellectual potential. Conclusions: based on the results of the assessment of educational and innovative potential, policy recommendations and further research in this area were proposed.

Parametric study of shear capacity of beams having GFRP reinforcement

  • Vora, Tarak P.;Shah, Bharat J.
    • Advances in concrete construction
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    • 제13권 2호
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    • pp.183-190
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    • 2022
  • A wide range of experimental bases and improved performance with different forms of Fiber Reinforced Polymer (FRP) have attracted researchers to produce eco-friendly and sustainable structures. The reinforced concrete (RC) beam's shear capacity has remained a complex phenomenon because of various parameters affecting. Design recommendations for the shear capacity of RC elements having FRP reinforcement need a more experimental database to improve design recommendations because almost all the recommendations replace different parameters with FRP's. Steel and FRP are fundamentally different materials. One is ductile and isotropic, whereas the other is brittle and orthotropic. This paper presents experimental results of the investigation on the beams with glass fiber reinforced polymer (GFRP) reinforcement as longitudinal bars and stirrups. Total twelve beams with GFRP reinforcement were prepared and tested. The cross-section of the beams was rectangular of size 230 × 300 mm, and the total length was 2000 mm with a span of 1800 mm. The beams are designed for simply-supported conditions with the two-point load as per specified load positions for different beams. Flexural reinforcement provided is for the balanced conditions as the beams were supposed to test for shear. Two main variables, such as shear span and spacing of stirrups, were incorporated. The beams were designed as per American Concrete Institute (ACI) ACI 440.1R-15. Relation of VExp./VPred. is derived with axial stiffness, span to depth ratio, and stirrups spacing, from which it is observed that current design provisions provide overestimation, particularly at lower stirrups spacing.

기본간호학 교과서의 근거기반 도뇨관련 요로감염 예방 실무지침에 대한 반영 현황 (Reflected Status of Evidence-Based Guideline on Fundamental Nursing Textbooks for Prevention of Catheter-Associated Urinary Tract Infections)

  • 김윤희;장금성;정경희;최자윤;양진주;박순주;박현영;류세앙
    • 한국콘텐츠학회논문지
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    • 제17권7호
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    • pp.344-357
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    • 2017
  • 본 연구는 근거기반 실무지침에 대한 간호학 교과서의 반영 현황을 분석하기 위한 것이다. 연구대상은 2012년 3월부터 2017년 3월까지 출간된 기본간호학 교과서 14개로써 이론서 7개와 실습서 7개로 구성되었고, 근거기반 실무지침은 5개의 도뇨관련 요로감염예방 실무지침으로부터 포괄적으로 수렴하여 91개 권고문항으로 구성되었다. 근거기반 실무지침에 대한 기본간호학 이론서와 실습서의 총 반영률은 각각 23.0%와 15.2%이었다. 이론서에 반영률이 가장 높은 영역은 도뇨관 유지 영역이었고 실습서는 도뇨관 삽입 영역이었다. 반영률이 50%이상인 개별 권고문항은 총 91개 중 16개이었고 이중 도뇨관 유지에 관한 권고문항이 8개(50.0%)로 확인되었다. 마지막으로 교과서에 반영은 되었지만 상반되게 기술된 개별 권고문항은 총 9개 이었고, 요실금 관리를 위한 도뇨, 도뇨관의 정기적 교환, 도뇨관 제거 전 방광훈련과 회음부 간호의 순이었다. 향후 기본간호학 교과서를 개정할 때 오류내용이 우선 교정되어야 하고 근거기반 실무지침 권고내용에 대한 반영을 확대하기 위한 노력이 필요하다.

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.