• Title/Summary/Keyword: recommendations guidelines

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Current Guidelines on the Management of Dyslipidemia (이상지질혈증의 국내 및 국외 치료 가이드라인 비교)

  • Choi, Yunjeong;Lee, Song;Kim, Ju Young;Lee, Kyung Eun
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.4
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    • pp.276-283
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    • 2017
  • Objective: Dyslipidemia is recognized as a prominent risk factor for cardiovascular and cerebrovascular diseases but it is manageable through therapeutic and lifestyle intervention. Interpreting the latest guidelines is essential for an application of recommendation from guidelines into clinical practice. Therefore, this study aimed to compare the most recent guidelines on dyslipidemia treatment recommendations in Korea and USA. Methods: This study analyzed and compared 2015 Korean guidelines for the management of dyslipidemia, 2013 American College of Cardiology/American Heart Association (ACC/AHA) guideline and 2016 supportive guidelines from ACC. Results: A comparison was made focused on the following: target patients based on cardiovascular risk assessment, target goal, and treatment strategies including statin and non-statin therapies. Four target patient groups by risk were suggested in 2015 Korean guideline and cardiovascular risk factors were also considered for initiation of lipid lowering therapy. Titrated statin regimen was recommended by Korean guideline to reach LDL cholesterol and non-HDL cholesterol target level. In 2013 ACC/AHA guideline, four statin benefit group was introduced considering ASCVD risk and high intensity statin or intermediate intensity statin use were recommended without dose titration. 2016 update was to support non-statin therapy based on updated evidence and new consideration of ezetimibe, PCSK9-inhibitor and bile acid sequestrant was brought up. Conclusion: Guidelines are continuously updating as new and important clinical data are constantly released along with the advent of newly approved drugs for lipid disorder. This article provides resources that facilitates uptake of these recommendations into clinical practice.

Updates of Nursing Practice Guideline for Intravenous Infusion (정맥주입요법 간호실무지침 개정)

  • Gu, Mee Ock;Cho, Yong Ae;Eun, Young;Jung, Ihn Sook;Kim, Hyun Lim;Yoon, Hee Sook;Kim, Eun Hyun;Yoon, Ji Hyun;Chang, Hee Kyung
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.3
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    • pp.361-375
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    • 2017
  • Purpose: This study was conducted to update the existing nursing practice guideline for intravenous infusion guidelines according to the evidence-based practice guideline in South Korea. Methods: Guideline update process was performed using 22 steps according to the manuals developed by NICE and SIGN. Results: Updated nursing practice guidelines for the intravenous infusion were consisted of 23 domains and 322 recommendations. The number of recommendations in each domain were 4 for general instruction, 12 for vascular access device selection, 20 for site selection, 9 for insertion, 54 for stabilization, 21 for maintaining patency, 4 for blood sampling, 33 for exchange and removal, 28 for add-on device selection, 28, 72 for infusion related complications, 56 for infusion therapies, 7 for education, and 2 for documentation and report. There were 15.9% of A, 30.2% of B, 53.9% of C in terms of grade recommendations. A total of 178 (51.6%) recommendations were newly developed and 24 previous recommendations have been deleted. Conclusion: Updated nursing practice guideline for intravenous infusion was expected to be an evidence-based practice guideline for intravenous infusion in South Korea. This guideline is suggested to be disseminated to clinical nursing settings nationwide to improve the efficiency of intravenous infusion practice.

Trends in adherence to dietary recommendations among Korean type 2 diabetes mellitus patients

  • Park, Kyong
    • Nutrition Research and Practice
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    • v.9 no.6
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    • pp.658-666
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    • 2015
  • BACKGROUND/OBJECTIVES: The current study examined trends in adherence to dietary recommendations and compared the levels of adherence between diagnosed and undiagnosed subjects with type 2 diabetes mellitus (T2DM) in Korea over the past 14 years. SUBJECTS/METHODS: Data were collected from the 1998-2012 Korea National Health and Nutrition Examination Surveys (KNHANES). Diagnosed diabetes was defined as giving a positive response to questions about awareness of the disease, a physician's diagnosis of diabetes, or medical treatment for diabetes, whereas undiagnosed diabetes was defined as having a fasting glucose level ${\geq}126mg/dl$. Assessment of adherence level was based on 6 components of dietary guidelines, considering meal patterns and intake levels of calories, carbohydrates, vegetable/seaweed, sodium, and alcohol. The participants received 1 point if they met the criteria for each of the 6 components, and the total possible score ranged from 0 to 6 points. Multivariate generalized linear regression was performed, taking into account the complex survey design. RESULTS: Among all diabetic patients aged 30 years or older, the proportion of diagnosed diabetes increased dramatically, from 40.9% in 1998 to 75.9% in 2012 (P for trend < 0.001). The overall adherence levels to dietary recommendations were low and did not significantly differ between diagnosed and undiagnosed subjects with T2DM for all survey years. Several improvements were observed, including increased adherence to maintaining sufficient vegetable/seaweed consumption (increased from 0.12 to 0.16 points) and limiting sodium intake (increased from 0.12-0.13 points to 0.19-0.24 points; P for trend < 0.001), while adherence to maintaining moderate alcohol consumption decreased. CONCLUSIONS: Analysis of data collected by the KNHANES indicates that Korean T2DM patients have poor adherence to dietary recommendations and maintenance of a healthy lifestyle, regardless of disease awareness. This finding suggests that development of practical, evidence-based guidelines is necessary and that provision and expansion of educational programs for T2DM patients is critical after diagnosis.

Effects of a GAISE-based teaching method on students' learning in introductory statistics

  • Erhardt, Erik Barry;Lim, Woong
    • Communications for Statistical Applications and Methods
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    • v.27 no.3
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    • pp.269-284
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    • 2020
  • This study compares two teaching methods in an introductory statistics course at a large state university. The first method is the traditional lecture-based approach. The second method implements a flipped classroom that incorporates the recommendations of the American Statistical Association's Guidelines for Assessment and Instruction in Statistics Education (GAISE) College Report. We compare these two methods, based on student performance, illustrate the procedures of the flipped pedagogy, and discuss the impact of aligning our course to current guidelines for teaching statistics at the college level. Results show that students in the flipped class performed better than students in traditional delivery. Student questionnaire responses also indicate that students in flipped delivery aligned with the GAISE recommendations have built a productive mindset in statistics.

IT Manager Behavior in Crisis Response: Understanding Crisis Cases Using Recommendations from the Crisis Management Literature

  • Tommi Tapanainen;Olivier Lisein;Ryuichi Hosoya;Taro Kamioka
    • Asia pacific journal of information systems
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    • v.29 no.1
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    • pp.144-164
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    • 2019
  • In their role as stewards of organizational information technology (IT), IT managers participate in crisis management activities. While much has been said about the power of technology in improving preparation for emergencies, the behavior of IT managers in crisis situations is not well understood. This paper addresses IT manager actions during the crisis response effort, when appropriate actions need to be taken at short notice. Recognizing that few guidelines exist for IT managers in these situations, we use recommendations from the crisis management literature in analyzing five earthquake cases from Japan and Taiwan. We identify several recommendations from this set for IT managers, which are related mainly to communications and leadership behaviors, suggesting that the IT manager role is a vital one in crisis response. The research additionally shows that recommendations from the crisis management literature have value also when applied to IT managers. Finally, we conclude on several ways that our understanding of IT manager crisis response could be developed by future research.

Issues Related to the Updated 2014 Korean Guidelines for Tuberculosis

  • Park, Jae Seuk
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.1
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    • pp.1-4
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    • 2016
  • Tuberculosis (TB) remains a major public health problem in South Korea. The Joint Committee for the Development of Korean Guidelines for Tuberculosis published the Korean Guidelines for Tuberculosis in 2011 to provide evidence-based practical recommendations to health care workers caring for patients with TB in South Korea. After reviewing recent national and international scientific data on TB, the committee updated the Korean guidelines for TB in 2014. This article presents some practical issues related to the 2014 updated guidelines: namely use of the Mycobacterium tuberculosis-polymerase chain reaction assay and the Xpert MTB/RIF assay in the diagnosis of TB, as well as medical treatment for patients with multidrug-resistant TB.

관찰 및 추천에 의한 영재교육대상자 선발방식 분석 - 2011학년도 대학부설 과학영재교육원 입학전형을 중심으로 -

  • Kwon, Ern-Gun;Jo, In-Seo
    • East Asian mathematical journal
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    • v.28 no.2
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    • pp.215-232
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    • 2012
  • The methods of selection through observations and recommendations were introduced in the process of recruiting new students for the science education institutes for the gifted attached to 25 universities recently. This paper itemized the methods of screening through observations and recommendations. This paper also analyzed the problems with the methods and attempted to create plans for their improvement. The methods of selection through observations and recommendations led to the positive results that students' usual activities and attitudes in the classroom were reflected on the evaluation and that the cost of their private lessons was also reduced. However, the methods showed a few problems that need to be corrected. We point out problems occurring with examining their documents for submission and interviews. It was not easy to grade candidates' gifts, creativity, potential and development within the contents of the documents and the limited time of conducting interviews. On the plans for the developments of the implemented methods of selection through observations and recommendations, we have several suggestions. The chances for teachers' in-service training of learning the methods of selection through observations and recommendations need to be expanded. The interview needs to be enhanced and to have the same weight as the document screening. To secure the continuity of the education for the gifted, the clear guidelines from the Ministry of Education, Science, Technology along with the cooperation of the education institutes for the gifted are essential.

Treatment Guidelines of Sepsis and Septic Shock (패혈증과 패혈쇼크의 치료 지침)

  • Lee, Heung Bum;Moon, Hee
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.6
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    • pp.491-498
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    • 2009
  • Severe sepsis and septic shock are major healthcare problems with high mortality, ranging from 20% to 60%, affecting millions of individuals around the world each year. The speed and appropriateness of therapy administered in the initial hours after severe sepsis develops have an important impact on the outcome. In 2004, an international guideline that the bedside clinician could use to improve the outcomes in severe cases of sepsis and septic shock was published. Several landmark studies recently demonstrated that therapeutic strategies may reduce mortality substantially. The "Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock: 2008", using a new evidence-based methodology system for assessing the quality of evidence and the strength of the recommendations, was updated. The revised version is based on an updated search into 2007. Evidenced-based recommendations regarding the acute management of sepsis and septic shock are the first step toward improving the outcomes of critically ill patients. We review the treatment guidelines of sepsis and septic shock.

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

  • Choi, Jin Ju;Kim, Hyeon Jeong;Kang, Hye Min;Chu, Hee Young;Kim, Kyeong Sug
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.187-198
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    • 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.

Constituents Analysis of Guidelines for Public Library Space (공공도서관 공간운영을 위한 기준 도출에 관한 연구)

  • Kim, Sun-Ae
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.19 no.2
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    • pp.85-105
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    • 2008
  • The purpose of this study is to provide guidelines and recommendations on the process of planning and designing library space and it also reflects on developments which should be considered when planning new library space. The methodology of estimating library space needs of IFLA, a guide for public library building in New South Wales of Australia, and the recommendations for academic libraries in French were analysed. The results given throughout theses guidelines and recommendations are able to develop the guide for public library space in Korea. The guide suggested defines six broad types of library space; collection area, readers and library users, library staff, conference, meeting and cultural space, mechanical and support services, additional services areas. It is import to remember however that each library building and the service it provides is unique and should reflect the needs and aspiration of its community.