• Journal of Korean Clinical Nursing Research
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• v.29 no.1
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• pp.75-84
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• 2023

Purpose: This study developed a protocol for nursing care after death for adult patients in hospitals. Methods: This was a methodological study to develop a care after death protocol. The preliminary protocol was developed based on a literature review, guidelines, and practice recommendations from groups of experts and clinical nurses. Content validity was evaluated by a group of experts (n=6) and nurses (n=30) in two hospitals. Results: The preliminary protocol recommendations were modified by validation and the open-question analysis results. The final protocol comprised three general recommendations and 43 recommendations in five steps that are verification and notification of a death, personal care of the body, viewing the patient, patient transfer, and documentation and self-care. Conclusion: This study result provides nurses with a consensus information on patient care after death and family support in a hospital setting. This nursing protocol is expected to improve the quality of care after death for adult patients and their families, and can be used for developing educational and emotional support for nurses to accomplish their important role.

• The Journal of Pediatrics of Korean Medicine
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• v.31 no.1
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• pp.52-62
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• 2017

Objectives The purpose of this study is to review pre-existing clinical practice guidelines for autism spectrum disorders, and refer those in developing a new practice guideline. Methods A total of 9 existing clinical practice guidelines for autism spectrum disorder developed from 2010 to 2016 were searched by Google scholar and Pubmed, and were reviewed those literatures in three parts: general, diagnosis & evaluation, and intervention. Results There were no consistency in the recommendation methods of 9 clinical care guidelines (such as the method of rating and recommendation intensity for diagnosis, evaluation, and treatment). However, in the diagnosis and evaluation section, frequently used evaluation and diagnostic tools are mentioned in most clinical practice guidelines, and the types of pharmacologic and non-pharmacological treatments that are mainly recommended in treatment are equally mentioned in most clinical practice guidelines could confirm. Conclusions 1. Some guideline recommendations are graded according to each criterion. Recommendations presented in various databases were based on systematic reviews or other literatures. The most utilized database were PsycINFO, CINAHL, Cochrane. 2. DSM-5 and ICD-10 were the most common used diagnostic criteria, and DSM-IV was used as a diagnostic standard in the guideline published before 2013. The tools used for diagnosis and evaluation were also varied. However, most recommended ones were ADI-R, ADOS-G, and DISCO. 3. Treatment was largely divided into pharmacological intervention and non-pharmacological intervention. In some guideline, the interventions were divided into pediatric and adult. Most of the pharmacological interventions were not recommended due to lack of evidence, but in cases in which specific symptoms were aimed, they recommended to seek professional help. 4. In addition to interventions, each guideline referred to supportive interventions that may be helpful in the daily life of patients with ASD, which may need to be addressed in future clinical guidelines.

• Journal of the Ergonomics Society of Korea
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• v.34 no.1
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• pp.45-62
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• 2015

Objective: The purpose of this study is to investigate the effect of personality type on human performance tool compliance in nuclear power plants (NPPs) and to propose general recommendations for an enhancement of its practical utilization. Background: Various guidelines, regulating criteria, and recommendations have been developed to prevent human errors in NPPs. Despite these efforts, the accidents sometimes caused by human errors have steadily occurred, and therefore, various human performance tools have been adopted as countermeasures against human errors. The major and inevitable contributing factors among the many hazards to human errors might be the trait and personality, which are considered to be the inner world of humans. Thus, we try to investigate the utilization of human performance tools by considering the different types of operating crew personalities, and we suggested more practical recommendations to prevent human errors according to the personality. Method: We developed the Questionnaire using the Big 6 (HEXACO) models, which are human performance tools for workers in NPPs, and individual (condition) variables to investigate the effect of personality types on human performance tools. We slightly modified them to help the survey respondents understand them better. A survey was conducted for ordinary people over the age of 20. SPSS 22.0 was used to perform a correlation analysis and a hierarchical regression analysis to find the relationship between personality types and human performance tools. Results: The utilization of human performance tools shows significant differences statistically by personality. The correlation result reveals that the types of Honesty (H), Extraversion (X), Conscientiousness (C), and Openness to experience (O) show a higher utilization of human performance tools. In hierarchical regression results, human performance tools of task preview, questioning attitude, stopping when unsure, self-checking, effective communication, and place-keeping show a higher utilization with personality types. However, the Agreeableness (A) type did not show significant differences statistically with human performance tools. Conclusion: We tried to investigate the utilization of human performance tools by considering the different types of human personality and provide more practical recommendations to prevent human errors according to the personality. These results will be able to prevent human errors owing to the characteristics (advantages and disadvantages) of personality types. Application: This information can be utilized as guidelines for proactive recommendations according to the workers' personalities for more practical human performance tools to prevent human errors in an NPP.

• Pediatric Infection and Vaccine
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• v.18 no.1
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• pp.1-14
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• 2011

Tuberculosis is a disease with high morbidity and mortality in children worldwide. Despite the decrease in the incidence of tuberculosis in Korea, more than 30,000 new patients are diagnosed each year. Active tuberculosis is less frequent in children compared to adults but the risk of miliary tuberculosis and CNS tuberculosis is much higher. The diagnosis of tuberculosis in children and adolescents is difficult due to the nonspecific symptoms upon presentation. Diagnostic work up is based on the confirmation of tuberculosis infection by tuberculin skin test, abnormal radiologic findings, and contact with an adult with active tuberculosis. Anti-tuberculosis medications are prescribed according to the drug susceptibility of the index patient. Latent tuberculosis infection plays an important role in adult tuberculosis by reactivation. Thus, it is critical to accurately diagnose latent tuberculosis in children to prevent reactivation in adulthood. Korean guidelines for diagnosis and treatment of tuberculosis in children and adolescents provide evidence based recommendations in the optimal diagnosis and treatment for active and latent tuberculosis in children and adolescents based on the current Korean situation.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.6
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• pp.2597-2606
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• 2014

Background: There is a scarcity of information about the proportion of the adult Saudi population that meet the recommended guidelines of physical activity (PA) to reduce cancer risk. Moreover, their awareness about the role of PA in cancer prevention is unclear. Objectives: This cross-sectional study aimed at estimating the proportion of adult Saudis meeting the PA guidelines, specifically those recommended by American Cancer Society (ACS) for cancer prevention, and to assess the public awareness about the role of PA in cancer prevention. Materials and Methods: Using a multistage sampling method, 2,127 adult Saudis of both genders were recruited from 6 urban and 4 rural primary health care centers in Al Hassa, Saudi Arabia. Participants were personally interviewed to gather information about their sociodemographic characteristics, searching activity about PA and cancer, and the time spent in leisure time PA (moderate and vigorous)/week using the Global Physical Activity Questionnaire with show cards. Finally, items about the role of PA in cancer risk reduction were inquired. Results: Of the included participants, 11.6% met the recommendations for cancer prevention (${\geq}45$ minutes of moderate-vigorous PA activity/${\geq}5$ days/week or 225 minutes/week). Multivariate regression showed that being male (AOR=1.49, CI=1.09-2.06), <20 years of age (AOR=3.11, CI=2.03-4.76), and unemployed (AOR=2.22, CI=1.57-3.18) were significant predictors for meeting PA recommendations for cancer prevention. Only 11.4% of the sample indicated correctly the frequency and duration of PA required for an average adult to be physically active and while >70% of them indicated the role of PA in prevention of hypertension, coronary heart disease and lowering elevated blood cholesterol, only 18.6% and 21.7% correctly mentioned the role of PA in reducing colon and breast cancer risk, respectively. Poor knowledge was found among those with less than college education and aged ${\geq}50$ years. The level of knowledge was significantly positively correlated with total leisure time PA of the participants. Conclusions: A minority of adult Saudis in Al Hassa was aware about the role of PA in cancer prevention and engaged in sufficient LTPA for cancer risk reduction benefits, highlighting the need for public health actions to include policies and programs that address factors deterring their participation in LTPA and increasing their awareness with remedies to manage the prevalent misconceptions.

• Journal of the Ergonomics Society of Korea
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• v.30 no.1
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• pp.161-168
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• 2011

Objective: The aim of this study is to review the ISO(the International Organization for Standardization) standards recommendations on a human error tolerant control room design. Background: ISO TC(Technical Committee) 159 published a variety of international standards on design of mental and physical work, design of displays and controls, and workstation layout design. A proper edition of these standards can be a good resource for a human error tolerant control center design guidelines. Method: Recommendations of ISO TC 159 standards were grouped into arrangement of control suite, layout of control room, layout and dimensions of workstations, design of displays and controls, environmental design, alarm, automation, management system design, procedure and training. Results: It was found that some standards on the design of supervisory control and data acquisition(SCADA), alarm, automation, layout, workload management, and environment can be used for human error prevention guidelines in the control center design. Conclusion: ISO TC 159 standards were not sufficient to cover all the ergonomics area of control center design. Application: Designers can have technical aids from these ISO standards to improve ergonomic performance of their control center.

• Steel and Composite Structures
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• v.20 no.2
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• pp.357-378
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• 2016

The progressive collapse phenomenon in structures has been interested by civil engineers and the building standards organizations. This is particularly true for the tall and special buildings ever since local collapse of the Ronan Point tower in UK in 1968. When initial or secondary defects of main load carrying elements, overloads or unpredicted loads occur in the structure, a local collapse may be arise that could be distributed through entire structure and cause global collapse. One is not able to prevent the reason of failure as well as the prevention of propagation of the collapse. Also, one is not able to predict the start point of collapse. Therefore we should generalize design guides to whole or the part of structure based on the risk analysis and use of load carrying elements removal scenario. There are some new guides and criteria for elements and connections to be designed to resist progressive collapse. In this paper, codes and recommendations by various researchers are presented, classified and compared for steel structures. Two current design methods are described in this paper and some retrofitting methods are summarized. Finally a steel building with special moment resistant frame is analyzed as a case study based on two standards guidelines. This includes consideration of codes recommendations. It is shown that progressive collapse potential of the building depends on the removal scenario selection and type of analysis. Different results are obtained based on two guidelines.

• Proceedings of the Korea Concrete Institute Conference
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• 2003.05a
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• pp.433-438
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• 2003

Structural steel/composite beams provide a viable alternative for coupling individual reinforced concrete wall piers. Well-established guidelines for shear links in eccentrically braced steel frames form the basis of current design guidelines. However, these provisions ignore the effects of nominally reinforced concrete encasement which typically surrounds the coupling beam, and are based on overly conservative assumed deformation demand. A coordinated analytical research program at here has focused on response of steel/composite coupling beams, their connections to reinforced concrete walls, and overall behavior of composite coupled wall systems. Using the results from this study, guidelines for proper design and detailing of steel/composite coupling beams and beam-wall connections have been developed. This paper summarizes the research program, and highlights the basic concepts, important findings, and recommendations.

• Korean Institute of Interior Design Journal
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• no.23
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• pp.74-84
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• 2000

The objective of this study is to develop the evaluation checklist in the public interior spaces for the elderly and the Disabled people. The propriety and intensity of three architectural codes and two standards were examined by comparing with each other and the score was made according to the value. Findings revealed that Korean accessibility code had more mandatory items than others. The essential items to the handicapped's behaviour should be preserved, but less important things could be reconsidered. Also Korean code stressed the vertical moving equipments. But Swedish code had obligatory items in fire refugees facilities, and American code emphasized the corridor and sanitary facilities. Therefore, American and Swedish mandatory items and recommendations which were not addressed in Korean code and guidelines should be considered to apply to ours by investigating a user's problems and adaptation. This research can be used as a basic checklist for public spaces by users as well as guidelines of final design.

• Tuberculosis and Respiratory Diseases
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• v.76 no.3
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• pp.99-104
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• 2014

Pneumothorax-either spontaneous or iatrogenic-is commonly encountered in pulmonary medicine. While secondary pneumothorax is caused by an underlying pulmonary disease, the spontaneous type occurs in healthy individuals without obvious cause. The British Thoracic Society (BTS, 2010) and the American College of Chest Physicians (ACCP, 2001) published the guidelines for pneumothorax management. This review compares the diagnostic and management recommendations between the two societies. Patients diagnosed with primary spontaneous pneumothorax (PSP) may be observed without intervention if the pneumothorax is small and there are no symptoms. Oxygen therapy is only discussed in the BTS guidelines. If intervention is needed, BTS recommends a simple aspiration in all spontaneous and some secondary pneumothorax cases, whereas ACCP suggests a chest tube insertion rather than a simple aspiration. BTS and ACCP both recommend surgery for patients with a recurrent pneumothorax and persistent air leak. For patients who decline surgery or are poor surgical candidates, pleurodesis is an alternative recommended by both BTS and ACCP guidelines. Treatment strategies of iatrogenic pneumothorax are very similar to PSP. However, recurrence is not a consideration in iatrogenic pneumothorax.