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"Guideline"

Review article

[English]
Lifestyle interventions for hypertension management in primary care: a narrative review
Byoungduck Han, Gyu Bae Lee, Jihyun Yoon, Yang-Hyun Kim
Ewha Med J 2025;48(4):e56.   Published online October 20, 2025
DOI: https://doi.org/10.12771/emj.2025.00850
Hypertension is one of the leading chronic diseases globally and a major contributor to cardiovascular morbidity and mortality. Despite advances in pharmacological therapy, medication alone remains limited in achieving optimal control. This review synthesizes recent hypertension management guidelines, including those from the European Society of Cardiology (ESC, 2024), American Heart Association/American College of Cardiology (AHA/ACC, 2025), Taiwan Society of Cardiology/Hypertension Society (2022), and Korean Society of Hypertension (KSH, 2018). All guidelines consistently emphasize sodium restriction, weight reduction, regular exercise, moderation of alcohol intake, smoking cessation, and adoption of healthy dietary patterns such as the Dietary Approaches to Stop Hypertension, Mediterranean, or culturally adapted diets. The ESC 2024 guideline elevates lifestyle modification to Class I, Level A, specifying targets for sodium (<2 g/day) and potassium (≥3.5 g/day). The AHA/ACC 2025 guideline provides quantitative estimates, reporting approximately 1/1 mm Hg blood pressure reduction per kilogram of weight loss, and incorporates newer strategies such as glucagon-like peptide-1 receptor agonists and bariatric surgery when lifestyle measures alone are insufficient. Taiwan’s 2022 guideline frames recommendations under the S-ABCDE (sodium restriction, alcohol limitation, body weight reduction, cigarette cessation, diet adaptation, exercise adoption) mnemonic and uniquely includes genetic factors such as ALDH2 polymorphisms. The KSH 2018 guideline emphasizes salt restriction (<6 g/day), maintaining a body mass index <25 kg/m2, and adherence to traditional Korean diets. Lifestyle modification remains the cornerstone of hypertension prevention and management, particularly in primary care. Future directions should focus on integrating these approaches with pharmacotherapy, digital health strategies, and personalized prescriptions.
  • 925 View
  • 30 Download

Guidelines

[English]
Clinical practice guidelines for the diagnosis and treatment of scabies in Korea: Part 1. Epidemiology, clinical manifestations, and diagnosis — a secondary publication
Jin Park, Soon-Hyo Kwon, Young Bok Lee, Hei Sung Kim, Jie Hyun Jeon, Gwang Seong Choi
Ewha Med J 2024;47(4):e73.   Published online October 31, 2024
DOI: https://doi.org/10.12771/emj.2024.e73

Scabies is a skin disease caused by the parasite Sarcoptes scabiei var. hominis, which is primarily transmitted via direct skin or sexual contact or, less commonly, via contact with infested fomites. In Korea, the incidence of scabies has decreased from approximately 50,000 cases per year in 2010 to about 30,000 cases per year in 2021. However, outbreaks are consistently observed in residential facilities, such as nursing homes, especially among older adults. The clinical manifestations of scabies vary based on the patient’s age, health status, the number of mites, and the route of transmission. Typical symptoms of classic scabies include intense nocturnal itching and characteristic skin rashes (burrows and erythematous papules), with a predilection for the interdigital web spaces, inner wrists, periumbilical areas, axillae, and genital areas. In contrast, older adults with immunodeficiency or neurological disorders may exhibit hyperkeratotic scaly lesions or an atypical distribution with mild to no itching (crusted scabies). The diagnosis of scabies is based on clinical symptoms and the results of diagnostic tests aimed at identifying the presence of the parasite. While a history of close contact and characteristic clinical findings suggest scabies, confirmation of the diagnosis requires detecting scabies mites, eggs, or scybala. This can be achieved through light microscopy of skin samples, non-invasive dermoscopy, and other high-resolution in vivo imaging techniques.

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  • A case of scabies that was misdiagnosed as psoriasis
    Jun Ho Kwak, In Ho Bae, Hoon Choi, Chan-Ho Na, Min Sung Kim, Bong Seok Shin
    Journal of the Korean Society for Psoriasis.2025; 22(1): 46.     CrossRef
  • 12,620 View
  • 183 Download
  • 1 Web of Science
  • 1 Crossref
[English]
Clinical practice guidelines for the diagnosis and treatment of scabies in Korea: Part 2. Treatment and prevention — a secondary publication
Jin Park, Soon-Hyo Kwon, Young Bok Lee, Hei Sung Kim, Jie Hyun Jeon, Gwang Seong Choi
Ewha Med J 2024;47(4):e72.   Published online October 31, 2024
DOI: https://doi.org/10.12771/emj.2024.e72

Treatment should be initiated for all suspected, clinical, or confirmed cases of scabies. Patients affected should be adequately isolated, and high-risk groups with close contact histories should be treated regardless of their symptoms. Optimal treatment strategies can be selected based on age, clinical subtype, and the patient's health status. In Korea, commercially available preparations for scabies treatment include topical 5% permethrin, topical 10% crotamiton, and oral ivermectin. Topical 5% permethrin is the first-line selective treatment for both classic and crusted scabies. Alternative treatments include topical 10% crotamiton and oral ivermectin. After completing treatment, follow-up visits at 2 and 4 weeks are recommended to monitor the therapeutic response. Treatment is considered to have failed if scabies mites or burrows are detected, new clinical characteristics develop, or there is an aggravation of pruritus. Scabies itch should be adequately managed with emollients, oral antihistamines, and topical corticosteroids. Preventive measures, including personal hygiene, patient education, and environmental control, should besd implemented to reduce the transmission of scabies.

  • 15,240 View
  • 101 Download

Protocols

[English]
Reporting Guidelines for Survey Reporting (G-SURE): protocol for guideline development
Wonyoung Jung, Soo Young Kim, Sukhyun Ryu, So Yeon Ryu, Mina Ha, Bo Youl Choi
Ewha Med J 2024;47(3):e44.   Published online July 31, 2024
DOI: https://doi.org/10.12771/emj.2024.e44

Objectives: The objective of this study was to develop a reporting guideline for epidemiological survey reports, referred to as “Guidelines for Survey Reporting (G-SURE).”

Methods: To develop G-SURE, we adopted a systematic approach, starting with a detailed review of recent survey reports in Public Health Weekly Report, Eurosurveillance, and Morbidity and Mortality Weekly Report and an analysis of current reporting standards. After drafting the guidelines, our team conducted an in-depth internal evaluation to assess their effectiveness and applicability. We then refined the guidelines based on insights from external experts and potential users, particularly those with significant experience in survey reporting. The plan also includes ongoing efforts to widely share the guidelines and update them periodically, incorporating new findings and user feedback.

Results: G-SURE will provide a structured framework for reporting outbreak investigations, comprising a detailed checklist and Explanation & Elaboration documents. These will improve the transparency, consistency, and quality of public health documentation.

Conclusion: In this protocol article, we introduce G-SURE, a guideline developed to improve epidemiological survey research. G-SURE addresses the critical need for uniform reporting standards in epidemiological surveys, aiming to improve the quality and relevance of research outcomes in this area. This guideline is also designed to be a key resource for peer reviewers and editors, aiding them in efficiently assessing the thoroughness and accuracy of survey reports. By providing consistent reporting criteria, G-SURE seeks to minimize confusion and irregularities, which are often encountered in the process of scientific publication.

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  • 「주간 건강과 질병」 보고 지침 개발
    수영 김, 석현 유, 소연 류, 선 허, 미나 하, 보율 최, 원영 정
    Public Health Weekly Report.2025; 18(9): 399.     CrossRef
  • 1,675 View
  • 21 Download
  • 1 Crossref
[English]
Establishing the Guidelines for Recommendation Reporting (G-RECO): a study protocol for developing reporting guidelines for disease prevention recommendations
Wonyoung Jung, Sukhyun Ryu, So Yeon Ryu, Mina Ha, Bo Youl Choi, Soo Young Kim
Ewha Med J 2024;47(3):e43.   Published online July 31, 2024
DOI: https://doi.org/10.12771/emj.2024.e43

Objectives: The objective of this study was to develop the Guidelines for Recommendation Reporting (G-RECO) for use in the Public Health Weekly Report (PHWR) in Korea, aiming to improve the standardization, scientific accuracy, and practical applicability of recommendation reports in clinical practice guidelines.

Methods: The methodology of this study aligned with the EQUATOR Network standards. A multidisciplinary research committee was formed, comprising experts in various relevant fields. The development process included a comprehensive literature review, analysis of existing guidelines, and formulation of a structured G-RECO framework with 21 key items. This was supplemented with Explanation & Elaboration documents for each item. The draft underwent rigorous revisions and evaluations by both internal and external experts.

Results: By November 2023, significant progress had been made in developing a detailed G-RECO checklist and accompanying E&E documents. These tools are designed to guide authors in clear and consistent reporting of recommendation reports. The team is poised to finalize and publish the checklist and E&E documents by December 2024.

Conclusion: The G-RECO guidelines represent a significant advancement in the formalization and standardization of recommendation reports for the PHWR. They are expected to improve the quality of research and publications in clinical practice guidelines, contributing to the evolution of the field and enriching public health discourse. The guidelines, with their comprehensive nature and user-friendly design, will become an invaluable resource for researchers, editors, and peer reviewers in public health and epidemiology.

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  • 「주간 건강과 질병」 보고 지침 개발
    수영 김, 석현 유, 소연 류, 선 허, 미나 하, 보율 최, 원영 정
    Public Health Weekly Report.2025; 18(9): 399.     CrossRef
  • 878 View
  • 4 Download
  • 1 Crossref
[English]
Developing Guidelines for Surveillance Reporting (G-SIRE): protocol for guideline development
Wonyoung Jung, Sukhyun Ryu, So Yeon Ryu, Mina Ha, Bo Youl Choi, Soo Young Kim
Ewha Med J 2024;47(3):e42.   Published online July 31, 2024
DOI: https://doi.org/10.12771/emj.2024.e42

Objectives: Surveillance reporting, which is integral to public health and safety, involves the systematic collection, analysis, and dissemination of data crucial for various health and security scenarios. Despite its importance, standardized Guidelines for Surveillance Reporting (G-SIRE) are lacking, leading to inconsistencies and affecting data reliability and comparability. To address this gap, this study aimed to develop the G-SIRE, tailored to improve the clarity, transparency, and consistency of surveillance reports, thereby increasing the accuracy and usability of surveillance data for better public health outcomes.

Methods: The methodology adhered to the EQUATOR Network standards, employing a multidimensional approach with a diverse expert team. The process included forming a research committee of multidisciplinary experts, conducting a thorough literature review of recent surveillance report publications, reviewing existing reporting guidelines, and developing a new set of guidelines. Continuous updates and revisions are planned to keep the guidelines relevant and effective.

Results: Significant progress has been made as of November 2023 in developing comprehensive reporting guidelines for surveillance reports. A detailed checklist and Explanation & Elaboration documents have been formulated, which are anticipated to be finalized and published by December 2023.

Conclusion: The G-SIRE guidelines signify a major advancement in standardizing surveillance. They provide a structured approach that increases scientific accuracy, transparency, and practical applicability in this domain. The guidelines are expected to improve the quality of surveillance reporting significantly, contributing to the advancement of public health research and discourse.

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  • 「주간 건강과 질병」 보고 지침 개발
    수영 김, 석현 유, 소연 류, 선 허, 미나 하, 보율 최, 원영 정
    Public Health Weekly Report.2025; 18(9): 399.     CrossRef
  • 1,360 View
  • 11 Download
  • 1 Crossref
[English]
Reporting Guidelines for Community Outbreak Investigation Reporting (G-CORE): protocol for guideline development
Wonyoung Jung, Sukhyun Ryu, So Yeon Ryu, Mina Ha, Bo Youl Choi, Soo Young Kim
Ewha Med J 2024;47(3):e41.   Published online July 31, 2024
DOI: https://doi.org/10.12771/emj.2024.e41

Objectives: Outbreak reports are essential for documenting the spread of and responses to disease outbreaks. However, there is a lack of standardized reporting guidelines that encompass broader perspectives on outbreaks. We aimed to develop a universal reporting guideline applicable to diverse outbreak reports and community epidemic interventions, the “Guidelines for Community Outbreak Investigation Reporting (G-CORE).”

Methods: G-CORE is designed to address the challenges in documenting various outbreak scenarios, including infectious diseases and non-infectious environmental hazards. The development of G-CORE involved a structured process, including a comprehensive literature review of recent outbreak reports from leading journals and an analysis of existing reporting guidelines. The process also involved project registration with the EQUATOR Network and collaboration with experts in various fields. Following the initial drafting, an internal (team) review was conducted to evaluate the guidelines' robustness and relevance. Subsequently, the guidelines underwent revision based on feedback from external experts and potential users, including authors with experience in outbreak reporting. The project also includes plans for widespread dissemination and periodic revisions to adapt to developments and user feedback.

Results: G-CORE will provide a structured framework for reporting outbreak investigations, comprising a detailed checklist and Explanation & Elaboration documents.

Conclusion: G-CORE establishes a new standard in outbreak reporting, facilitating comprehensive, clear, and actionable public health communications. Its development marks a significant advance in the documentation and management of public health outbreaks.

Citations

Citations to this article as recorded by  
  • 「주간 건강과 질병」 보고 지침 개발
    수영 김, 석현 유, 소연 류, 선 허, 미나 하, 보율 최, 원영 정
    Public Health Weekly Report.2025; 18(9): 399.     CrossRef
  • 1,804 View
  • 10 Download
  • 1 Crossref
Original Article
[English]
Management of Cavernous Angiomas
Kyu-Mann Shin, Jun-Hyeok Song
Ihwa Ŭidae chi 1996;19(2):205-212.   Published online July 24, 2015
DOI: https://doi.org/10.12771/emj.1996.19.2.205
Objective

The purpose of this study is to evaluate the clinical informations(symptoms, pathophysiologic phenomena, other associated vascular malformation and outcome) in order to define the guide of the management.

Material & Methods

The authors reviewed the 54cases which were diagnosed by the high-resolution MRI and supplemented by computed tomography, from 1991 to 1996. The patho-physiologic phenomena of the CMs were classified into three groups by the finding of MRI. Surgical outcome was analysed according to the type of lesions, clinical variables, and indication of surgical management.

Results

The mean patient age was 33.2 years, and the locations of CMs are in the cere-brum in 38 cases, basal ganglia/thalamus in 5 cases, brain stem in 16 cases, orbit in 2 cases and the spinal cord in 1case. Symptomatic hemorrhage were 25 patients(46%), seizure reported 16 patients(30%) and focal neurologic deficit 7(13%). Incidental cases were founded in 6 patients(11%) and their main complaints were headache. In 71% of the patients, the lesions were solitary and multiple in 29%. The 7 patients had coexisting venous angiomas. The A group had 24 patients(44%), B group 16 patients(30%) and the C group 14 patients(26%). Twenty nine patients who were asymptomatic or incidentally discovered lesions(6 patients) were treated conservatively. Twenty five patients(15 hemorrhage, 8 patients of intractable seizure and 2 patients of progressive neurologic deficits) underwent surgery.

Conclusion

This study suggest that surgical extirpation of the lesions is an effective management in accessible lesions, overt hemorrhage, medical intractable epilepsy and pro-gressive worsening focal neurologic deficits.

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