• 제목/요약/키워드: Direct practice

검색결과 606건 처리시간 0.032초

Evidence based practice within the complementary medicine context

  • McLean, Lisa;Micalos, Peter Steve;McClean, Rhett;Pak, Sok Cheon
    • 셀메드
    • /
    • 제6권3호
    • /
    • pp.15.1-15.4
    • /
    • 2016
  • Evidence based practice (EBP) is a system of applying the most current and valid high quality evidence to support clinical decision making in a healthcare setting. In the twenty five years since its inception, EBP has become the accepted benchmark for excellence in healthcare. Although the system emerged within the biomedical sciences, in the years since EBP has become normative across all healthcare modalities from dentistry, allied health to complementary and alternative medicine (CAM). Practicing evidence based medicine within any modality potentially offers the patient the best available care based on high quality evidence. Yet it is the nature of the evidence that provokes some questions about the suitability of EBP across all modalities of healthcare. The meta analysis of randomized controlled trial (RCT) stands at the pinnacle of the hierarchy of evidence in EBP. This forms a challenge to CAM due to the difficulty in reducing the elementals of a holistic naturopathic assessment of a patient into an answerable question to be tested within a RCT. On one level this makes EBP paradigmatically incompatible with CAM, yet on another level it presents the opportunity to redefine the parameters of what is considered high level evidence. EBP has become a tool, and at times a weapon wielded by governments and health insurance companies to direct healthcare funding and policy. The implications of the nature of accepted evidence are becoming far reaching. The pursuit of the best available healthcare for each individual is the focus of EBP. However, the injudicious use of this system to direct health policy is fraught with biomedical bias and dominance. This issue raises the challenge to CAM to present high level evidence according to the rules of evidence, or face the annihilation of centuries of empirical knowledge.

NRCS-CN 방법을 이용한 유역평균 유효우량 산정기법의 비교·분석 (Comparative Analysis of Estimation Methods for Basin Averaged Effective Rainfall Using NRCS-CN Method)

  • 문건우;유지영;안재현;김태웅
    • 대한토목학회논문집
    • /
    • 제34권2호
    • /
    • pp.493-503
    • /
    • 2014
  • 국내 유역에서 유효우량을 산정하기 위한 방법으로 주로 유역 평균 CN을 적용하는 NRCS-CN 방법이 사용되고 있다. 본 연구에서는 국내 유역에 적절한 유역 대표 유효우량 산정법을 개발하기 위하여, 토지이용종류별 CN을 면적가중평균한 유역 대표 CN을 이용하여 산정한 유효우량(유효우량 I)과 토지이용종류별 CN을 이용하여 소구역 유효우량을 산정한 후 면적가중평균한 유효우량(유효우량 II)을 산정한 후, 관측된 강우-유출 자료를 이용하여 산정한 직접유출량과의 비교분석을 수행하였다. 본 연구 결과, 유효우량 II가 유효우량 I 보다 전반적으로 크게 산정되었으며, 이는 유효우량 I이 가지는 관측 직접유출량과의 오차를 크게 줄여주는 것이다. 또한, 본 연구에서 수행한 오차분석은 유효우량 II가 유효우량 I 보다 관측 직접유출량에 대한 높은 정확성을 가지는 것을 보여주었다.

Effects of cultivation methods on methane emission in rice paddy

  • Kim, Sukjin;Choi, Jong-Seo;Kang, Shin-gu;Park, Jeong-wha;Yang, Woonho
    • 한국작물학회:학술대회논문집
    • /
    • 한국작물학회 2017년도 9th Asian Crop Science Association conference
    • /
    • pp.319-319
    • /
    • 2017
  • Methane is the main greenhouse gas released from rice paddy field. Methane from paddy fields accounts for 11 % of the global total methane emission. The global warming potential (GWP) of methane is 25 times more than that of carbon dioxide on a mass basis. It is well known that most effective practice to mitigate methane in paddy is related to the water management during rice growing season and the use of organic matters. This study was conducted to investigate the effects of tillage and cultivation method on methane emission in paddy. Tillage (tillage and no-tillage) and cultivation methods (transplanting and direct seeding) were combined tillage-transplanting (T-T), tillage-wet hill seeding (T-W), tillage-dry seeding (T-D) and no-till dry seeding (NT-D) to evaluate methane mitigation efficiency. Daily methane emission was decreased on seeding treatments (T-W, T-D, NT-D) than transplanting treatment (T-T). Amount of methane emission during rice growing season is highest in T-T ($411.7CH_4\;kg\;ha^{-1}y^{-1}$) and lowest in NT-D treatment (89.7). In T-W and T-D treatments, methane emissions were significantly decreased by 36 and 51 % respectively compared with T-T. Methane emissions were highly correlated with the dry weight of whole rice plant ($R^2=0.62{\sim}0.93$). T-T treatment showed highest $R^2$ (0.93) among the four treatments. Rice grain yields did not significantly differ with the tillage and cultivation methods used. These results suggest that direct seeding practice in rice production could mitigate the methane emissions without loss in grain yield.

  • PDF

경종조건에 따른 벼 이형주의 발생양상과 특성 (Occurrence and Characteristics of Off-type Rice as affected by Cultural Practice)

  • 김동관;권오도;신해룡;진일두;정병관
    • 한국작물학회지
    • /
    • 제46권6호
    • /
    • pp.429-433
    • /
    • 2001
  • 경종조건에 따른 벼 이형주의 발생양상과 특성은 다음과 같다. 1.벼 이형주의 발생량은 종자의 자가 채종년수가 증가할수 록 많았고, 직파재배 포장에서 이앙재배 포장보다 2배 가량 많았다. 2. 재배벼의 재배포장에 장립적미와 단립적미를 인위적으로 산파 하였을 때 담수표면산파 재배에서 기계이앙 재배보다 발생량이 많고 간장이 길고 주당 유효경수가 많았으며, 장립적미가 단립적미보다 이런 특성들을 많이 지녔다. 3. 이앙재배 포장에서 이형주가 재배벼의 포기 밖에서 발생하는 비율은 농가관행재배의 경우 0∼6%인 반면, 장립적미와 단립적미를 인위적으로 산파하였을 때는 70.6∼91.1% 이기 때문에 농가포장에서 발생하는 이형주군의 대부분은 종자흔입에 의해 발생하는 것으로 보아진다.

  • PDF

Accuracy of orthodontic movements with 3D printed aligners: A prospective observational pilot study

  • Marco Migliorati;Sara Drago;Tommaso Castroflorio;Paolo Pesce;Giovanni Battista;Alessandra Campobasso;Giorgio Gastaldi;Filippo Forin Valvecchi;Anna De Mari
    • 대한치과교정학회지
    • /
    • 제54권3호
    • /
    • pp.160-170
    • /
    • 2024
  • Objective: Owing to the availability of 3D software, scanners, and printers, clinicians are encouraged to produce in-office aligners. Recently, a new direct-printing resin (Tera Harz TC-85DAC) has been introduced. Studies on its mechanical characteristics and biological effects have been published; however, evidence on its efficacy in orthodontic treatment remains scarce. This pilot study aimed to investigate the accuracy of teeth movement achieved with direct-printed aligners. Methods: Seventeen patients (eight males and nine females) with a mean age of 27.67 ± 8.95 years, presenting with dental rotations < 30° and spaces/crowding < 5 mm, were recruited for this study. The teeth movement was planned starting from a T0 digital dental cast. The 3D direct-printed aligners were produced using Tera Harz TC-85DAC resin. Once the orthodontic treatment was completed, a final digital cast was obtained (T1). The planned teeth positions were then superimposed onto the T0 and T1 digital models. The differences between the programmed movements and the achieved overall torque, tip, rotation, and transverse dimensions were assessed using the paired t test or Wilcoxon's signed rank test. Results: The overall accuracies for torque, tip, and rotation were 67.6%, 64.2%, and 72.0%, respectively. The accuracy of the change in transverse diameter was 99.6%. Conclusions: Within the limits of the present pilot study (difficulties with abnormally shaped teeth and use of attachments), it can be concluded that 3D printed aligners can be successfully printed in-house and utilized for mildly crowded cases, with a comparable accuracy of tooth movement to that of other aligners.

부모-자녀간 의사소통과 남녀 청소년의 낙관성이 갈등대처방식에 미치는 영향 (The Effects of Parent-Adolescent Communication and Adolescent Optimism on Conflict-Coping Styles)

  • 서해인;신나나
    • 아동학회지
    • /
    • 제37권5호
    • /
    • pp.65-82
    • /
    • 2016
  • Objective: The main purpose of this study was to examine the direct and indirect effects of parent-adolescent communication (through adolescent optimism) on adolescent conflict-coping styles. Methods: A total of 337 high school students participated in this study. They completed questionnaires about communications with their parents and their own optimism and conflict-coping styles. Data were analyzed using t-tests, correlations, and SEM. Results: Neither father- nor mother-adolescent communication had direct effects on adolescent conflict-coping styles. However, mother-adolescent communication had an indirect effect on conflict-coping styles, mediated by adolescent optimism. Adolescents who had open communication with mothers displayed higher levels of optimism, which led to more positive conflict-coping styles. In addition, multigroup analyses revealed that there were significant gender differences in direct and indirect effects. For boys, mother-adolescent communication directly influenced adolescent conflict-coping styles; however, father-adolescent communication did not directly or indirectly affect adolescent conflict-coping styles. For girls, neither father- nor mother-adolescent communication had direct effects on conflict-coping styles; only optimism had a significant effect on conflict-coping styles. Conclusion: The findings from this study suggest that communication with mothers and fathers have different effects on adolescents' conflict-coping styles. These findings have implications for future research and practice by emphasizing the importance of parent-adolescent communication and optimism in designing conflict-coping programs for adolescents.

Cultural Management to Control Weedy Rice in Paddy Field

  • Kim, Sang-Yeol;Son, Yang;Park, Sung-Tae;Kim, Ho-Yeong
    • 한국작물학회지
    • /
    • 제45권4호
    • /
    • pp.232-236
    • /
    • 2000
  • To obtain a basic information on the development of effective control strategies for weedy rice in direct seeding rice cultivation, occurrence patterns of weedy rice as influenced by different cultural practices such as cultivation method, water management, seeding time, and tillage were investigated in field or pot experiments. High occurrence of weedy rice was observed in a continuous direct seeding paddy field as compared to machine transplanted one. Based on the percent of weedy rice panicle over three years trial, high ridged dry seeding was highest with 36.9%, followed by wet seeding with 30.9%, water seeding with 14.6% and machine transplanting rice with 0.8%, indicating 97.8% reduction in weedy rice occurrence by machine transplanting rice as compared with high ridged dry seeding. Germination of weedy rice was promoted to 83-94 % when rice panicle was flooded from September 30 to October 10 for 6 days and 74-88% for 9 days on October 20. Weedy rice occurrence was also substantially reduced by delayed seeding on June 10 and intensive tillage. The results suggest that machine transplanting rice be more effective cultural practice than flooding treatment, delayed seeding and intensive tillage when weedy rice problem occurs in direct seeded paddy field.

  • PDF

Effects of Ditching on Seedling Stand in Wet Direct Seeding Rice Culture

  • Back, Nam-Hyun;Kang, Si-Yong;Kim, Sang-Su;Kwon, Tae-Oh
    • 한국작물학회지
    • /
    • 제46권1호
    • /
    • pp.47-52
    • /
    • 2001
  • In order to develop more stable seedling stand method in wet direct rice seeding culture, the effect of making the drainage ditches was studied in both methods of broadcast seeding on floody paddy surface and puddled-soil drill seeding. In a broadcast seeding on floody paddy surface, the ditching after seeding using a tractor or small ditch maker improved the seedling stand, and reduced the floating seedling and herbicide injury by accelerating the drainage. Suitable ditching time was at 2 days after seeding (DAS) for the tractor and at 3 DAS for the ditch maker. In the puddled-soil drill rice seeding culture, the ditching before seeding with a ditch maker at 3 days after draining effectively improved the seedling stand due to quick draining through well formed the seeding furrows. In the puddled-soil drill seeding, seedling stand number showed higher in both ditching plots synchronized with seeding compared with both only draining treatment at 1 DAS without ditching and the flooding plot condition for 6 DAS. And the suitable ditching depth was 6 cm, as considered the ditching status and drained status. These results suggest that the ditching in wet direct rice seeding is an resonable practice for improving the seedling stand through the accelerating drainage of field.

  • PDF

남성 근로자들의 구강건강, 구강건강영향지수 및 전신건강 지수의 관련성 (Relationship between the oral Health, oral health impact profile-14 and total health index of male workers)

  • 강현경;장경애
    • 한국치위생학회지
    • /
    • 제13권1호
    • /
    • pp.13-20
    • /
    • 2013
  • Objectives : This research is performed to arrange oral health improvement program and improve the quality of life by raising total health index of male workers. The relationship between the oral health, oral health index and total health index of workers are investigated through the direct or indirect effects based on structural equational modeling. Methods : Total 272 people who work in Gyeong-Nam province participated in this survey. Results : Oral health knowledge has an meaningful direct effects on the oral health practice with ${\gamma}$=.259 and dietary pattern with ${\gamma}$=.224. Total health index has indirect relationship with the oral health index with ${\beta}$=.141 and dietary pattern has direct relationship with the oral health index with ${\beta}$=.315. The oral health index has direct relationship with total health index with ${\beta}$=.454. Conclusions : Our research shows that there is meaningful relationship between the oral health, oral health index and total health index of workers. The systematic and continuous programs for oral health should be transferred to workers for the raise of oral health and the quality of the life.

Distribution of Competitiveness and Foreign Direct Investment using Autoregressive Distributed Lag Model

  • PHAM, Huong Thi Thu;PHAM, Nga Thi
    • 유통과학연구
    • /
    • 제20권8호
    • /
    • pp.1-8
    • /
    • 2022
  • Purpose: Research on attracting foreign direct investment (FDI) plays an important role in helping provinces attract more FDI projects. However, with local competition, FDI enterprises also have to consider their investment. This study evaluates the provincial competitiveness to attract FDI in Thai Nguyen province, a province of Vietnam. In which provincial distribution of competitiveness is measured through nine indicators. Research design, data, and methodology: The study collects data (FDI and the provincial competitiveness index) from 2006 to 2020. The study uses Autoregressive Distributed Lag (ARDL) to text the impact of distribution of competitivenes on foreign direct investment. With time-series, the ARDL is suitable for data analysis. Results: The regression results indicate that the competition index of market entry and informal costs negatively impact attracting FDI into the province; The human resource training quality index has a positive effect on FDI. The results show that FDI enterprises pay much attention to business establishment procedures, hidden costs, and quality of human resources in the province. Conclusions: At the same time, in terms of practice, the results of this study, the authors also offer solutions to help improve the ability to attract FDI into Thai Nguyen province. The significant provincial competitiveness indicators should be taken into account for improvement first.