The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on stroke management for clinical practitioners. Many countries are already well engaged in developing and releasing their own clinical practice guidelines, whereas Korean Medicine (KM) is still beginning. It will take time and effort to develop evidence-based guidelines and recommendations of KM or other traditional medicine because they are weak in the area of scientific evidence. The clinical practice guideline of Korean medicine for stroke was formulated through extensive review of published literature and consensus meeting of Korean medicine specialists. This project was supported by a grant of the Oriental Medicine R&D Project, the Ministry of Health and Welfare. Referring to guidelines developed in other countries, the experts in the subject tried to organize and develop guidelines and recommendations adequate for domestic medical circumstances. In December, 2008, a multi-disciplinary team called the Evidence Based Clinical Practice Guidelines Development Group (EBCPGsDG) for Stroke was organized. The writing committee was comprised of experts in internal medicine, acupuncture, rehabilitation, and Sasang constitution. Outside specialists and associated panels were invited for consultation. The scope of the guideline encompasses acupuncture, moxibustion and herbal medicine (including Korean medicine, traditional Chinese medicine, Kampo medicine) as interventions for stroke patients. It includes statements about ischemic stroke (I63), stroke not specified as hemorrhage or infarction (I64), and sequelae of cerebrovascular disease (I69) according to the International Classification of Disease (ICD). The committee subdivided the description of herbal medications into acute stroke management, subacute stroke management, post-stroke management, and secondary prevention of stroke. Guidelines on the practice of acupuncture and moxibustion were described in order for acute stroke management, subacute stroke management, chronic stroke management, and post-stroke rehabilitation. Clinicians who are working in the field of stroke care can adopt this guideline for their practice.
Park, Ha Jin;An, Man Sun;Cho, Nam Ho;Kim, Kyong Ju
KSCE Journal of Civil and Environmental Engineering Research
/
v.31
no.2D
/
pp.285-293
/
2011
Sewage treatment facilities are growing rapidly in quantitatively and qualitatively. However, privatization such as up-size and professionalism, etc. are insufficient, compared to global companies' cases. Infrastructure Asset management has not been applied widely despite of sewage treatment facilities are one of the most critical social infrastructure. Maintenance, repair, and rehabilitation (R&R) practices of sewage treatment facilities have been studied and infrastructures asset management techniques have been applied. Cost model which makes it possible to calculate managerial costs such as major cost, etc. needs to be developed only with project basic information when proceeding new sewage treatment facility construction and management and overseas sewage project. Effects to converse major repair cost into capital, application of sewage treatment facility's asset management, expected effects, etc. were analyzed and suggested an alternative on the improvements of legal system.
Kim, Mee-Za;Kim, Mee-Kyung;Yu, Hee-Yeong;Choi, Yong-Geun
The Journal of the Korean dental association
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v.47
no.1
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pp.31-42
/
2009
This study was conducted to investigate the effects of the public dentist's professional education for 81 dentists employed at the public health centers and dental clinics in the National hospitals. The purpose of this education was to improve public dentist's abilities to perform their duties. The 3days education was from 28 May until 30 May in 2008. The total 81 participants consisted of 8 medical position dentists, 20 employment position dentists, and 53 public health dentists. The survey provided appraisal of the education and suggestion of the development after this education. The obtained results were as followings : l. The public dental health project for the disabled people(91.4%) was a top priority. The second rank was the public dental health education project (87.6%) and the public dental health project for the aged people(86.4%) was followed. 2. The participants agreed that public dentist's professional educational programs were necessary(87.6%). 3. The participants did not have difficulties in attending this education(56.8%). 4. The participants who participated in 2008 public dentists' professional education were satisfied with this educational programs(81.4%). 5. Not only did the public dentists need the preventive dentistry programs and the treatment of the disabled people but also needed the health administrative programs and the health statistical programs in the future.
PURPOSES : Case studies of an asphalt-overlay project with a performance-based contract method were conducted on a national highway in Korea to evaluate the effect of the method on asphalt pavement maintenance. This study evaluated the procedure of the performance-based contract method. METHODS : In this study, an asphalt-pavement maintenance project for a national highway was assessed with a performance-based contract to investigate the advantage of the new contract procedures. This is the first trial applying the performance-based contract to a pavement-rehabilitation project in Korea. In the four case studies, the warranty period of the performance-based contract was designed for seven years. The research team monitored the construction site to compare the normal contract method with the performance-based contract method. The case studies' project sites were investigated after the end of the construction. RESULTS : Based on the limited case studies, the performance-based contract method could extend the service life of the asphalt pavement and reduce the pavement-maintenance budget because the quality control was well managed by the contractors. However, a few construction laws would be necessary to apply the performance-based contract method in the future. CONCLUSIONS : Using the performance-based contract, the construction company made great efforts to guarantee the warranty period and to apply the optimal maintenance method, based on the pavement distress condition. The contractor and the agency would need to understand the new performance-based contract system for it to be activated. Therefore, a proper education program for the performance-based contract system would be needed to educate the stakeholders regarding the procedures and their effects on the pavement management and maintenance.
The purpose of this study is to present implications for effective operation of domestic school-based mental health services by comparing those in Singapore the United States, Australia. Based on reviewing the public data and previous article, researchers conducted a comparative study on the background, history, goal, and managing process of overseas and domestic organizations. The result of comparison in overseas cases suggests that the foundation of school-based mental health project was laid with the national health plan and detailed frame work for implementation. It was also discussed that domestic school-based mental health project is still in introduction stage, while foreign services were delivered efficiently through the leading agency and the cooperation between government ministries and institutions were active. It suggests that cooperation between government ministries, preparation of an effective operating system, and various approaches for students, guardians and teachers are need for domestic school-based mental health project.
Kim, Youn Kwon;Kim, Hong Suck;Seo, In Seok;Kim, Byung Goon;Han, In Sun;Kim, Jin Sang
Journal of Korean Society of Water and Wastewater
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v.22
no.6
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pp.647-655
/
2008
Sewer Rehabilitation Project (SRP) is planed, designed and constructed to perform its intended performance as sewerage delivery systems. Recently, a subject of performance evaluation methodology development for SRP has become a great deal of concern among researchers in Korea. From the view point of Sewage Treatment Plant (STP), however, the estimation of improvement efficiency for SRP is in lack of reliability due to the fact that affections for the treatment efficiency and operating condition are not reflected on SRP design and construction. In this study, statistical methodology was used in the analysis of data, which are taken during 1,186 days ($1^{st}$ Jan. 2005 - $31^{th}$ Mar. 2008) from the influent, effluent and operating conditions of full-scale STP($25,000m^3/d$). Then the effect of SRP on the influent characteristics and operating conditions changing was compared and evaluated. Results from the statistical evaluation show that SRP causes characteristic changes in influent and exerts a significant effect especially on the performance of STP.
The purpose of this study is to identify the overall effect of Family Hope Partner Project conducted by the Korean Association for Children with Leukemia and Cancer (KACLC) for pediatric cancer patients and their families and provide empirical basic data for the support of them. For this purpose, this study applied a qualitative research methodology as follows; 6 parents and 5 children who used the service for more than one year through the Family Hope Partner Project participated in the interviews. The interviews were conducted from June to July 2016, and the collected data were analyzed through the processes of qualitative analysis. The results of this study are as follows. Pediatric cancer patients and their families who were previously confronted with problems such as a 'barrier of severe pain' and 'swirling anxiety and exhaustion' experienced multi-dimensional effects, thanks to the intervention of 'a genuine master serving as a stepping stone toward their recovery and growth', who were linked to the pediatric cancer patients through Family Hope Partner Project. In other words, they experienced positive effects such as 'support for overall rehabilitation of pediatric patients', 'improvement of family relations', 'relief of needs for social relations', and 'liberation from pressure'. The results of this study were meaningful, in that it substantially corroborated the multidimensional effects of the Family Hope Partner Project, and presented the development direction of the Family Hope Partner Project, which was the first of its kind at home and abroad initiated by the Korean Association for Children with Leukemia and Cancer (KACLC) for pediatric cancer patients and their families.
KSCE Journal of Civil and Environmental Engineering Research
/
v.35
no.1
/
pp.217-227
/
2015
This study conducted case studies in order to suggest the improvement of GDP (Gross Domestic Product) deflator method which is adopted on calculating fluctuation rate on BTL (Build-Transfer-Lease) sewer rehabilitation projects in Jeju. As a result, because GDP deflator method calculates fluctuation rate by each quarterly, the fluctuation rate of GDP deflator method is higher than it of index adjustment rate method. And GDP deflator method cannot reflect real price because of applying fixed index in whole construction cost for calculating fluctuation rate. Especially, the notification day - the base point influences fluctuation rate and fluctuation amount strongly in GDP deflator method.
This research was to find out the effectiveness of the horticultural therapy program based on the therapeutic factors and the most meaningful experiences of the clients. For this purpose "Green harmony" program focused on harmony through horticulture was implemented. It is based on the preposition that holistic health is promoted with harmonious relationships with oneself, other people, community and nature. The program has three-fold structure: In innermost it deals with the task of the late adolescent, i.e., self identity, secondly the experience of communication and solidarity in the group, and finally extension of interest to the community. For the therapeutic intervention, questions using the metaphor of the activity were given to the clients for the establishment of self-identity, while group activity and the donation of the works let the second and third purpose accomplished. Outdoor activity, 'Tire garden project', has provided the clients with chances of the contact with nature, cooperation with other group members, and a contest to provoke enthusiasm. Also recycling and greening of the community were possible by utilizing old tires for the containers and by donating the final works to the community. For the evaluation of the result, the effect of the program on the stress of the college students was tested, and the most meaningful experiences during the participation to the program were asked to identify the therapeutic factors acknowledged by clients. "Green harmony" program has brought positive effects on the stress of the clients in spite of relatively short period of five weeks. The clients has acknowledged plant/nature contact and interactions between group members for the most meaningful experiences. This research suggests "Green harmony" horticultural therapy program based on the therapeutic factors is highly applicable for the general populations.
Journal of the Korea Academia-Industrial cooperation Society
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v.16
no.4
/
pp.2807-2817
/
2015
The purpose of this study is to draw out implications and directions for improvements on national public rental housing policy by examining SF's public rental housing policy and conditions for low income households, and analyzing 'multilateral considerations for residents and communities' and 'concrete case and policy for support' which are discovered in process of re-development of large-scale public housing revitalization. The results were as follows: First of all, HOPE SF ensures to involve resident as participant in entire project considering exist communities and resettlement of resident. Secondly, HOPE SF supported to enhance the lives of existing residents and their community through integrated support system. Thirdly, HOPE SF collaborated with various participants as partner of city's rehabilitation, thus, invite community opinion to build a sense of cohesion. And for last, HOPE SF tried to create a new financial model for sustainable and practicable rehabilitation.
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