• Title/Summary/Keyword: Guideline Change

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The Impacts of Guideline for Digestives on Physicians' Prescription of GI medication (소화기관용약제 처방지침이 의사의 소화기관용약 처방률에 미치는 효과분석)

  • Kim, Dong-Sook;Park, Choon-Seon;Jang, Sun-Mee
    • Korean Journal of Clinical Pharmacy
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    • v.18 no.2
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    • pp.124-131
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    • 2008
  • The impacts of guideline for digestives on physicians' prescription of GI medication Clinical practice guidelines provide benefits to physicians, patients, and researchers. It also helps doctors to make decisions in medical services. In many countries, practice guidelines lead to activities of quality improvement and are developed using evidence based methods. This research was to assess the impacts of Korean Medical Association's guideline for digestives on the change of physicians' behavior. This study was progressed as one-group pre-test post-test quasi-experimental design using health insurance claims data. The unit of analysis was institution. Data was analyzed using paired t-test for change of prescription rate before and after the distribution of practice guidelines. And the multiple regression analysis was performed to examine the independent impact of the guideline on the prescribing rate of GI medication. Prescription rates of GI medication per claim by medical institution increased significantly, 1.98%point (from 50.27% to 52.25%) and multivariate regression analysis showed significant increase in the prescription rate of GI medication after the distribution of guideline (p<0.001). In conclusion, the distribution of guideline for digestive might not have the effects on the change in provider's behavior. Furthermore, to activate the use of practice guideline, it would be necessary to educate the contents to physicians as well as to develop practice guideline.

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The Analysis of Greenhouse Gases Emission of Cropland Sector Applying the 2006 IPCC Guideline (2006 IPCC 지침을 적용한 농경지 온실가스 배출량 분석)

  • Park, Seong Jin;Lee, Chang Hoon;Kim, Myung Sook
    • Journal of Climate Change Research
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    • v.9 no.4
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    • pp.445-452
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    • 2018
  • The field of agriculture, forestry, and other land-use (AFOLU) is concerned with greenhouse emissions of agriculture (crop and livestock), as is the field of land-use, land-use change, and forestry (LULUCF). The 1996 IPCC guideline and the 2006 IPCC guideline are used in combination for calculation of greenhouse gas emission from the agricultural sector, and the 2003 IPCC guideline is used for that from the land-use sector. In this research, we analyzed GHG emissions of the cropland sector in AFOLU based on the 2006 IPCC guideline. The results showed that GHG emissions of 1990 was $-504Gg{\cdot}CO_2-eq$, while that of the last year was $2,871Gg{\cdot}CO_2-eq$. Compared with the 2003 methodology, total emissions according to the 2006 IPCC was lower except in 1997 and 2003. This trend is due to difference of analyzed emission sources, lower default values, and global warming potential by the 2006 IPCC. The results are estimated using limited data at the Tier 1 level and the first issue to be solved is the activity data from the land-use change matrix. Although this result should be improved, it can be used as the basis for calculating GHG emissions of the AFOLU sector.

Estimation of Economics thorough Prediction of Methane Generation using IPCC Guideline from C Sanitary Landfill (IPCC가이드라인을 이용한 중소도시 C위생매립장의 메탄가스 발생량 예측을 통한 경제성 평가)

  • Lee, Sang-Woo;Park, Seo-Yun;Chang, In-Soo;Kang, Byung-Wook;Park, Sang-Chan;Yeon, Ik-Jun
    • 한국신재생에너지학회:학술대회논문집
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    • 2011.05a
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    • pp.189.1-189.1
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    • 2011
  • Global warming effect was intensified due to rapid growth of fossil fuel consumption caused by urbanization and industrialization. Various efforts was being done to solve the problems leading to anomaly climate such as flood, downpour, heavy snow. As a results of international efforts for management of global warming, Kyoto Protocol, which was passed in Kyoto, Japan in 1997, designated $CO_2$, $CH_4$, $N_2O$, HFCs, PFCs, $SF_6$ as a global warming gases. And IPCC(Intergovernmental Panel on Climate Change) suggested IPCC guideline for systematic establishment of national greenhouse gas inventory. Among five categories in IPCC guideline, the representative emission source of waste category is SWDS(solid waste disposal site). The concentrative research should progress for effective management of greenhouse gas related with waste. In this study, Tier1 and Tier2 methods which was suggested by 2006 IPCC(Intergovernmental Panel on Climate Change) guideline, was used to predict methane generation from C sanitary landfill located in Chungju area. To predict methane generation from C sanitary landfill, all factors were defaults values that were provided by 2006 IPCC guideline and Korea emission factors for Tier1 and Tier2 method. And economics of generated methane was estimated. From the predicted result using IPCC guideline, the methane generation was persistingly increased over a 9-year period(2000 ~ 2008). Aggregated amount of methane generation was about 3,017ton and 3,170ton predicted by Tier1 and Tier2, respectively. From the results of estimated economic value gained by generated methane from the C sanitary landfill for ten years from now(2010 ~ 2020), the profit was about 2.39 ~ 2.76 hundred million won.

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Updates of Nursing Practice Guideline for Pressure Injury (욕창간호 실무지침 개정)

  • Park, Kyung Hee;Kim, Jung Yoon;Park, Ok Kyoung;Park, Joo Hee;Lee, Yun Jin;Hwang, Ji Hyeon
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.1
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    • pp.67-79
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    • 2019
  • Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline in management of pressure injury in South Korea. Methods: The update process underwent the 22 steps according to the update method based on the international standards. Results: The updated nursing practice guideline for pressure injury consists of 4 domains and 436 recommendations. The numbers of recommendations in each domain were 25 for hospital policies, 51 for assessment, 350 for prevention and management, and 10 for education. There were 2.5% of A, 13.3% of B, 84.2% of C in terms of grading of recommendations. Among these, the major revision was done in 32 recommendations (7.4%). A total of 299 recommendations (68.6%) were added newly. Minor revisions, such as change or addition of some words, were also made in 25 recommendations(5.7%). No change was made in 80 recommendations (18.3%) compared to the previous ones. Conclusion: The nursing practice guideline for pressure injury has been updated. This updated guideline can be used as educational materials for both healthcare workers and patients with pressure injury.

The Analysis of the Change Process of Fisheries Track's High School Curriculum: Focusing on the 5th-7th Revised National Curriculum (수산계열 고등학교 교육과정의 변천과정 분석 - 제5차에서 제7차 교육과정을 중심으로 -)

  • Park, Chang-Un;Ju, Dong-Beom
    • Journal of Fisheries and Marine Sciences Education
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    • v.22 no.1
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    • pp.25-37
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    • 2010
  • This study was attempted to analyze the change process of fisheries track's high school curriculum related with the 5th-7th revised national curriculum. To accomplish this goal, the nature and goals of fisheries track's high school were reviewed. First, it was found that the fisheries track's high school was classified into three groups; high school for special goal, characterization, and industry. And the goal of fisheries track's high school was designated to harmonize the general education and vocational education in high school goal. Second, the legal basis and system of national curriculum in fisheries track's high school were discussed. The legal basis of national curriculum in fisheries track's high school was prescribed to the 'Elementary and Secondary Education Act'. The system of national curriculum was composed the general guideline and subjects. Third, the change process of fisheries track's high school national curriculum was discussed. The system of decision, general guideline, and subjects in fisheries track's high school national curriculum were seemingly to be studied on the basis of the autonomy or diversity. In conclusion, the concrete content of fisheries track's high school national curriculum was not changed compared to the 5th-7th revised curriculum.

Methodology of CO2 Emission Factor Verification and Quantitative Assessment in Ethylene Product Processes (에틸렌 생산에서의 CO2 국가배출계수 검증 및 정량평가 방법론)

  • Youk, Soo Kyung;Jeon, Eui-Chan;Yoo, Kyung Seun
    • Journal of Climate Change Research
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    • v.9 no.1
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    • pp.69-74
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    • 2018
  • The purpose of this study is to suggest the methodology of $CO_2$ Emission Factor Verification and Quantitative Assessment in Ethylene Product Processes. At first, this study compare the IPCC (Intergovernmental Panel on Climate Change) 1996 Guideline and 2006 Guideline. And analyse methodology for estimating $CO_2$ emission and $CO_2$ emission factor in Ethylene product process. Also analyse cases of estimating $CO_2$ emission factor based on material balance. Methodology of $CO_2$ Emission Factor Verification and Quantitative Assessment are following the categories proposed by GIR (Greenhouse Gas Inventory and Research Center). There are total 12 factors in 8 categories and give 5 or 10 points according to their importance. Also this study suggests necessary data of document to meet the conditions. The result would help estimate accuracy Greenhouse Gas Inventory. Also contribute to establish policy on environmental assessment, air conservation, etc.

Updates of Nursing Evidence-Based Practice Guideline for Indwelling Urinary Catheterization (근거기반 유치도뇨간호 실무지침 개정)

  • Park, Kyung Hee;Choo, Hee Jung;Seo, Hyun Ju;Hong, Hae Kyung;Lee, Joohyun;Lim, Kyung Choon
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.211-222
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    • 2023
  • Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline for indwelling urinary catheterization (IUC). Methods: The guideline have been revised in 22 steps based on international standards. The quality of the practice guidelines to be used for revision was evaluated using the Appraisal of Guidelines for Research and Evaluation II. The evaluation of the content appropriateness and applicability of the draft recommendations of the revised practice guidelines was performed using the RAND/UCLA Appropriateness Method, a decision-making method developed by the RAND Corporation. Four guidelines were used for the revision. Results: The updated nursing practice guideline for IUC consisted of 9 domains and 134 recommendations. The numbers of recommendations in each domain were: 4 Assessment, 20 Equipment, 11 Catheter insertion, 52 Catheter maintenance, 4 Catheter and drainage bag change, 9 Catheter removal, 22 Complications management, 5 Education and consult, and 7 Hospital support. The recommended grade was 8.2% for A, 38.1% for B, and 53.7% for C. Among these, the major revision was done in 11 recommendations (8.2%). A total of 29 recommendations (21.6%) were newly added. 30 (22.4%) recommendations had minor revisions such as changes or addition for some words or sentences, and 13 (9.7%) recommendations were deleted. Conclusion: Revised nursing practice guideline is expected to serve as an evidence-based practice guideline for IUC in Korea. This guideline will provide health care providers, patients, and caregivers with information to help manage IUC, leading to improved patient outcomes.