• Title/Summary/Keyword: recommendations guidelines

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DEVELOPMENT OF BEST PRACTICE GUIDELINES FOR CFD IN NUCLEAR REACTOR SAFETY

  • Mahaffy, John
    • Nuclear Engineering and Technology
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    • v.42 no.4
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    • pp.377-381
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    • 2010
  • In 2007 the Nuclear Energy Agency's Committee on the Safety of Nuclear Installations published Best Practice Guidelines for the use of CFD in Nuclear Reactor Safety. This paper provides an overview of the document' contents and highlights a few of its recommendations. The document covers the full extent of a CFD analysis from initial problem definition and selection of an appropriate tool for the analysis, through final documentation of results. It provides advice on selection of appropriate simulation software, mesh construction, and selection of physical models. In addition it contains extensive discussion of the verification and validation process that should accompany any high-quality CFD analysis.

Guidelines on the Operation Phases of Manual Material Handling Tasks Through Literature Reviews

  • Lee, Kyung-Sun;Jung, Myung-Chul
    • Journal of the Ergonomics Society of Korea
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    • v.36 no.4
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    • pp.325-341
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    • 2017
  • Objective: The purpose of this study is to suggest the guidelines of operation phases to minimize injuries and musculoskeletal disorders in manual material handling (MMH) tasks through literature reviews. The guidelines are presented as the preparing phase, lifting phase, carrying phase, and lowering phase. Also, we summarized the non-numerical general guidelines for MMH tasks. Background: Manual material handling is still a main cause to musculoskeletal disorders. Method: Procedures of a literature review are classified into database selection, keyword search, title review, abstract review related to literature selection, guideline review and arrangement. A total 48 papers and books were analyzed in detail by title and abstract reviews. Results: In the preparing phase, we suggested the basic conditions in MMH, preparing procedure, clothing and protective equipment, and education. In the lifting and carrying phases, we recommended maximal acceptable weight by frequency and body posture. In the lowering phase, we suggested the lowest weight and safety body postures. Finally, we recommended general guidelines and guideline items for MMH. General guidelines are presented to suggest worker selection, technical education, and work design parts. Conclusion: We suggested the guidelines on the four operation phases of MMH tasks such as preparing, lifting, carrying, and lowering phases. Application: The findings of this study can be utilized as guidelines for proactive recommendations according to workers in MMH tasks.

A Comparison of International Guidelines for Pediatric Asthma Pharmacotherapy (대표적인 국제 소아 천식 약물요법 가이드라인에 대한 비교 연구)

  • Kwon, Tae-hyeon;Sohn, KieHo;Baek, In-hwan
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.2
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    • pp.113-118
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    • 2017
  • Objective: International institutes such as Global institute for Asthma(GINA), KAAACI(Republic of Korea), NHLBI(USA), BTS(UK) and JSA(Japan) have published guidelines for asthma treatment. The aim of this study was to compare the representatives' international guidelines of pharmacotherapy for pediatric asthma. Methods: The recommendations related to pharmacotherapy for pediatric asthma were extracted from the latest representatives' international guidelines, and comprehensive comparisons were conducted. Results: Major comparison outcomes between international guidelines were evaluated as follows: classification system on severity and pediatric age group, recommendation for inhaled corticosteroid dose, recommendation for pediatric age group of theophylline in mild asthma, and recommendation for pediatric age group of tiotropium in severe asthma. Clinical trials emphasized the adverse effects of theophylline, whereas tiotropium demonstrated beneficial actions for pediatric asthma. Therefore, theophylline was recommended for older patients with persistent asthma, and tiotropium was considered to be suitable for younger patients with severe asthma according to GINA guidelines. Conclusion: These findings address the requirement to harmonize international guidelines of pharmacotherapy in pediatric asthma. In addition, the findings suggest that KAAACI needs to update its pharmacotherapy guidelines of theophylline, tiotropium and other medicines recently approved.

WHO Treatment Guidelines for Drug-Resistant Tuberculosis, 2016 Update: Applicability in South Korea

  • Jeon, Doosoo
    • Tuberculosis and Respiratory Diseases
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    • v.80 no.4
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    • pp.336-343
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    • 2017
  • Despite progress made in tuberculosis control worldwide, the disease burden and treatment outcome of multidrug-resistant tuberculosis (MDR-TB) patients have remained virtually unchanged. In 2016, the World Health Organization released new guidelines for the management of MDR-TB. The guidelines are intended to improve detection rate and treatment outcome for MDR-TB through novel, rapid molecular testing and shorter treatment regimens. Key changes include the introduction of a new, shorter MDR-TB treatment regimen, a new classification of medicines and updated recommendations for the conventional MDR-TB regimen. This paper will review these key changes and discuss the potential issues with regard to the implementation of these guidelines in South Korea.

Guidelines for Tall Buildings Development

  • Al-Kodmany, Kheir
    • International Journal of High-Rise Buildings
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    • v.1 no.4
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    • pp.255-269
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    • 2012
  • Tall buildings' implementation has often lacked urban design and architectural guidance. There are many examples of tall buildings that have been inappropriately located, designed, and built, and consequently dissatisfaction with high-rise development is wide-spread. This paper attempts to provide extensive urban and architectural guidelines in order to manage cityscape and to ensure safe and healthy living. Through recommendations on design and layout of tall buildings and open spaces the guidelines seek enhancing the visual experience, improving the microclimate conditions, and fostering active social life. These guidelines help in providing enjoyable urban experiences through the examination of spatial relationships, human scale, genius loci, perceptual characteristics, local identity, built heritage, economic activities, and social life.

The Electromagnetic Fields, Exposure Limits and Regulations (긴급제언: 전자파 환경, 인체보호기준과 규제 -세계보건기구(WHO) 휴대폰, 무선주파수를 발암가능물질(2B)로 분류-)

  • Moon, Hank
    • Journal of the Korean Professional Engineers Association
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    • v.44 no.5
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    • pp.31-35
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    • 2011
  • The WHO/International Agency for Research on Cancer(IARC) has classified radiofrequency electromagnetic fields as possibly carcinogenic to humans(Group 2B), based on an increased risk for glioma, a malignant type of brain cancer, associated with wireless phone use on 31, May 2011. It takes 10 years after announcing the electric magnetic as possibly carcinogenic to humans(Group 2B) and 14 years after starting research project. It is too late as mentioned, too weak in terms of the same class to 'pickles & coffee' and too little in terms of using words 'more studies required'. The guidelines on human exposure to electromagnetic fields have been developed to provide guidance to identify the safety of exposure to electromagnetic fields. On the recent recommendations of safety guidelines, there has been discussion on possible chronic effects of electromagnetic fields with much lower or no threshold. This paper riviews the global trends of safety guidelines and has suggested the new guidelines for protecting the human health, wildlife and insects.

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Development, Application and Evaluation of the Evidence-based Nursing Practice Guideline for Hemodialysis in the Patients with Risk of Bleeding (출혈위험이 있는 신부전환자의 혈액투석을 위한 근거중심 간호실무 가이드라인 개발과 적용 및 평가)

  • Kim, Su-Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.1
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    • pp.150-155
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    • 2010
  • Purpose: The purpose of this study is to develop evidence-based nursing practice guidelines for hemodialysis in the renal failure patients with risk of bleeding and to evaluate the guidelines by applying it to the practice. Method: Referring to the SIGN, the first draft for guidelines was developed based on the advices and recommendations obtained from the procedure of critical literature analysis. Then, the draft was modified by the procedures of the expert group evaluation and pilot application to the practice. The final draft was evaluated by the expert group using AGREE instrument. Result: The first draft of guidelines was developed through 8 stages of process and was evaluated by seven experts in terms of the appropriateness, applicability, and effectiveness using a 9 point scale. The mean score of 11 items was 7.90 or above. The quality of the final draft was evaluated by 5 experts using the AGREE instrument. The mean standard score was 73.0% or above in the 19 items. Conclusion: The clinical guidelines developed by this research can be utilized as systematic and scientific guidelines for hemodialysis in the renal failure patients with risk of bleeding. In addition, the research can contribute to improving care services.

Comparative Review of Pharmacological Treatment Guidelines for Bipolar Disorder (양극성 장애의 약물치료 가이드라인 비교)

  • Seoyeon Chin;Hyoyoung Kim;Yesul Kim;;Bo-young Kwon;Boyoon Choi;Bobae Lee;Jiye Lee;Chae-Eun Kwon;Yeongdo Mun;Kaveesha Fernando;Ji Hyun Park
    • Korean Journal of Clinical Pharmacy
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    • v.33 no.3
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    • pp.153-167
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    • 2023
  • Objective: Bipolar disorder displays a spectrum of manifestations, including manic, hypomanic, depressive, mixed, psychotic, and atypical episodes, contributing to its chronic nature and association with heightened suicide risk. Creating effective pharmacotherapy guidelines is crucial for managing bipolar disorder and reducing its prevalence. Treatment algorithms grounded in science have improved symptom management, but variations in recommended medications arise from research differences, healthcare policies, and cultural nuances globally. Methods: This study compares Korea's bipolar disorder treatment algorithm with guidelines from the UK, Australia, and an international association. The aim is to uncover disparities in key recommended medications and their underlying factors. Differences in CYP450 genotypes affecting drug metabolism contribute to distinct recommended medications. Variances also stem from diverse guideline development approaches-expert consensus versus metaanalysis results-forming the primary differences between Korea and other countries. Results: Discrepancies remain in international guidelines relying on meta-analyses due to timing and utilized studies. Drug approval speeds further impact medication selection. However, limited high-quality research results are the main cause of guideline variations, hampering consistent treatment conclusions. Conclusion: Korea's unique Delphi-based treatment algorithm stands out. To improve evidence-based recommendations, large-scale studies assessing bipolar disorder treatments for the Korean population are necessary. This foundation will ensure future recommendations are rooted in scientific evidence.

Consensus on definition and quality standard of clinical practice guideline using RAND method (RAND 방법으로 합의한 임상진료지침의 정의와 질 평가 기준)

  • Ji, Seon-Mi;Kim, Soo-Young;Sheen, Seung-Soo;Heo, Dae-Seog;Kim, Nam-Soon
    • Health Policy and Management
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    • v.20 no.2
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    • pp.1-16
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    • 2010
  • Background : Clinical practice guidelines are an increasingly familiar part of clinical practice. Moreover, rigorously developed evidence based guidelines has been widely used. However, in Korea, some of published documents as clinical practice guidelines have shown considerable disparity in structure, contents and quality. This is mainly because there is no consensus on the definition and quality standard of clinical practice guidelines. The purpose of this study was to draw consensus on the definition and the quality standard about clinical practice guidelines. Method : We developed a questionnaire about the definition of clinical practice guidelines with inclusion criteria(23 items) and the quality standard(30 items). We selected 9 experts who had prior experience in developing and implementing guidelines. Rating methods for appropriateness of items were adopted from the RAND method. Consensus was drawn in three rounds. Results : Of the 47 items agreed, 40 items were determined to be appropriate. Clinical practice guidelines were defined as "scientifically and systematically developed statements to assist practitioners and patients on making decisions about appropriate health care for specific clinical circumstances." Narrative reviews, systematic reviews or health technology assessment without recommendations, translation of foreign guidelines, guidelines for patients only and training manuals were not considered as clinical practice guidelines. For the quality standard of clinical practice guidelines, 27 items were deemed necessary. Conclusions : The consensus on the definition with inclusion criteria and the quality standard of clinical practice guidelines carries an important meaning as the first attempt to draw a general agreement in our society. The unique achievement of the consensus reflects the current status of clinical practice guidelines that there has been a high tendency to adapt foreign guidelines. We hope efforts of this kind will continue to bring improvement in clinical practice guidelines.

Commentary on Soft Ground TBM Tunnel Face Support Calculation Methods (연약지반 TBM 터널 막장지보 계산방법 해설)

  • Jee, Warren Wangryul;Yoo, Jung Hyun
    • Tunnel and Underground Space
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    • v.28 no.2
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    • pp.186-192
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    • 2018
  • The German Tunnelling Committee (DAUB) recently published new recommendations for face support calculations; Zdenek Zizka and Markus Thewes of Ruhr University Bochum actively discuss and explain these new recommendations where these recommendations are intended to assist in choosing between various calculation methods which are also dependent on ground conditions. The guidelines also discuss important scientific approaches with face stability calculations, mainly those due to earth pressure and groundwater pressure on the tunnel face. This paper aims to explain these recommendations through Zdenek Zizak and Markus Thewes's discussion on these Tunnel Face Support Calculation Methods.