• 한국지구과학회지
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• 제42권1호
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• pp.118-131
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• 2021

본 연구의 목적은 중학교 영재 학생들이 수행한 증거 기반 추론의 특징을 조사하는 것이었다. 연구를 위한 자료는 수도권에 위치한 한 대학교의 영재 교육원에서 중학교 영재 학생들이 비대면 방식으로 진행한 탐구 과제를 통해 수집되었다. 학생들에게 수성의 최대 이각을 관측한 자료를 제공하고 이 자료를 이용하여 수성의 공전 궤도를 작도하게 하였다. 또, 작도 전에 수성의 궤도에 대한 자신의 가설을 진술하게 하였으며 작도 결과를 증거로 삼아 수성 궤도의 모양을 추론하게 하였다. 학생들이 제출한 보고서의 내용을 분석하여 수성의 공전 궤도 모양에 관한 판단 유형을 5가지로 분류하고 가설 및 증거에 관한 추론 유형을 4가지로 분류한 후, 판단 유형에 따른 증거 기반 추론의 특징을 정리하였다. 분석 결과를 토대로, 증거 기반 추론에서는 증거에 대한 적절한 해석이 중요하고, 이론과 증거의 조화가 핵심적인 역할을 하며, 복수의 가설을 상정하는 것이 유리할 수 있음을 논의하였고, 지구과학 교육을 위한 시사점을 제안하였다.

• 성인간호학회지
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• 제28권1호
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• pp.83-94
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• 2016

Purpose: The purpose of this study was to explore how knowledge management of hospital and nurses' beliefs and competences on evidence-based practice can affect evidence-based decision making. Methods: In this descriptive study, a total of 184 nurses who were working in the five general hospitals participated. The data were collected through a self-administered questionnaire in September, 2014. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and step-wise multiple regression with SPSS/WIN Statistics 21.0 program. Results: Evidence-based decision making was correlated with EBP beliefs (r=.55, p<.001), EBP competence (r=.57, p<.001), and knowledge management (r=.50, p<.001). Hierarchical regression analysis showed that EBP beliefs (${\beta}=.18$, p=.005), EBP competence (${\beta}=.37$, p<.001), organizational knowledge management (${\beta}=.27$, p<.001) explained 48.6% of evidence based decision making (p<.001). Conclusion: The study results indicated that evidence-based practice competences, organizational knowledge management, and evidence-based practice beliefs were important factors on evidence-based decision making. In order to improve evidence-based practice among nurses through organizational knowledge management, EBP beliefs and competence at individual level need to be considered and incorporated into any systemic training of EBP.

• 대한한의학회지
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• 제44권3호
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• pp.189-200
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• 2023

Objectives: The purpose of this study is to analyze the current state of quantitative literature evidence for the prescription of 56 herbal medicines covered by health insurance that have been studied in Korea for the past 30 years, to evaluate the reliability of the evidence, and to find out the research direction of herbal medicine prescription in the future. Methods: 56 kinds of herbal medicine prescriptions were searched in domestic literature search databases OASIS, DBpia, and overseas PubMed, classified into chemistry, toxicity, cells, animals, clinical cases, and clinical trial studies, and built into an EBM pyramid structure. Results: When classified according to research contents, there were 61 cases (7.5%) of physicochemical analysis to identify constituent substances, 80 cases (9.8%) of toxicity evaluation, and 672 cases (82.7%) of efficacy evaluation. The efficacy evidence was classified according to the evidence-based medical pyramid structure: 196 cell trials (29.1%), 372 animal trials (55.4%), 89 case and case reporting series (13.3%), 7 comparative case studies (1.1%), and 8 randomized control clinical trials (1.2%). In the pyramid composition, the basis for the validity of 56 kinds of herbal medicines prescribed was 568 cases (84.5%) in cell and animal units, which could not be said to be highly reliable. There was no relationship between the ranking of quantitative literature evidence for herbal medicine prescriptions and the ranking of salary administration. Conclusions: In an era that continues to require scientific evidence for herbal medicine, traditional herbal medicine should secure the basis for safety validity even for the 10th most frequent prescription among 56 herbal medicine prescriptions for consumers. In particular, traditional herbal medicine should increase the quantitative and qualitative level of case reports on related herbal medicine prescriptions, focusing on each clinical society, and move toward comparative case studies and randomized clinical trial so that traditional herbal medicine is positioned as Evidence-based medicine.

• 한국초등과학교육학회지:초등과학교육
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• 제29권4호
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• pp.414-426
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• 2010

For this study, inquiry-based learning program was developed for promoting elementary students' scientific justification activities based on their uses of scientific evidences. The program was applied to the 5th grade science class to examine the types of evidences and major features of scientific justification activities. Analysis of the data showed that the evidences used by students were classified into knowledge-based evidence, experience-based evidence and authority-based evidence. As for students' justification features, this study reports three major cases: a case evolving evidence and justification to become more valid and logical, as inquiry activities progressed, other case maintaining less valid and illogical evidence and justification, and final case revealing passive and reluctant participation in the inquiry activities. Overall, students' participation in scientific justification process became more valid and relevant, while there were some students who were unable to make the relevant relations between evidences and claims they made. The educational implications were discussed to consider more effective ways to improve the scientific classroom environment through social knowledge construction.

• 대한한의학회지
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• 제39권4호
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• pp.30-39
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• 2018

Introduction: The aim of this study protocol is to share and disclose the methodology used to develop an evidence-based clinical practice guideline (CPG) of therapeutic interventions used in Korean medicine for patients with stroke. Methods: The CPG development process will consist of two phases. In phase I, a development committee will be established, and they will decide the key questions to be answered. A systematic review and meta-analysis will be performed to answer these key questions by searching relevant randomized controlled trials and systematic reviews. Draft recommendations will be developed according to the evidence level and recommendation grades primarily determined using the GRADE methodology. Panels comprised of external experts will be formed, and surveys and a face-to-face meeting will be conducted to reach a consensus on the recommendations. A preliminary guideline will be created after final review by the development committee. In phase II, we will conduct clinical trials and economic analysis to supplement the lack of evidence found in the phase I. Conclusion: The CPG is expected to help doctors practicing Korean medicine in clinics or hospitals with making decisions based on the most reliable evidence, ultimately leading to the provision of optimal care for patients with stroke.

• The Korean Journal of Pain
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• 제34권3호
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• pp.346-368
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• 2021

Background: Recalcitrant disc herniation may result in chronic lumbar radiculopathy or sciatica. Fluoroscopically directed epidural injections and other conservative modalities may provide inadequate improvement in some patients. In these cases, percutaneous neurolysis with targeted delivery of medications is often the next step in pain management. Methods: An evidence-based system of methodologic assessment, namely, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was used. Multiple databases were searched from 1966 to January 2021. Principles of the best evidence synthesis were incorporated into qualitative evidence synthesis. The primary outcome measure was the proportion of patients with significant pain relief and functional improvement (≥ 50%). Duration of relief was categorized as short-term (< 6 months) and long-term (≥ 6 months). Results: This assessment identified one high-quality randomized controlled trial (RCT) and 5 moderate-quality non-randomized studies with an application of percutaneous neurolysis in disc herniation. Overall, the results were positive, with level II evidence. Conclusions: Based on the present systematic review, with one RCT and 5 non-randomized studies, the evidence level is II for percutaneous neurolysis in managing lumbar disc herniation.

• Safety and Health at Work
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• 제14권1호
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• pp.124-130
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• 2023

The increase in the number of fatal electric accidents over the years has escalated the demand for specialized forensic engineers to determine their relevant technical causes. Likewise, the complexities associated with identifying the causes of electrocution accidents have prompted the General Department of Forensic Science and Criminology at Dubai Police to adopt a new methodology to diagnose electrocution accidents, consisting of an approach that involves medico-legal examination, electrical diagnosis of the evidence, and trace evidence analysis. This paper will discuss the application of the adopted method in further detail by unfolding two case reports. The first report outlines a case in which a worker got electrocuted at a construction site while attempting to turn on a lamp. The second case report involves the death of a technician in a workshop after trying to disconnect a washing machine from its plug. The methodology was utilized during the investigation of both cases, which were attended by the appointed forensic engineers and showed promising results.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제30권2호
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• pp.7-14
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• 2024

Purpose: This study aims to examine the trends in healthcare architecture research by analyzing papers published in KIHA (Journal of the Korea Institute of Healthcare Architecture) and HERD (Health Environments Research and Design Journal) in the USA. The analysis categorizes these papers into Evidence-Based Design (EBD) and non-EBD research from a comparative perspective. Methods: A systematic literature review was conducted on 370 papers published in KIHA and 399 papers published in HERD from 2007 to 2022. The research trends were analyzed based on the researchers' fields of study, research focus, and research attributes. Results: The findings indicate that HERD involves researchers from 43 different fields, whereas KIHA involves researchers from 16 fields, indicating less diversity. HERD predominantly includes interdisciplinary and empirical studies, while KIHA primarily features theoretical and single-discipline studies. Papers in HERD generally demonstrate a higher level of evidence compared to those in KIHA. Implications: Direct comparisons should be approached with caution due to the differing contexts of healthcare architecture research in the two countries. The methodological efforts in HERD and the functional analysis results in KIHA provide valuable references for the future direction of healthcare architecture research. Expanding collaborative and interdisciplinary research involving various professionals is essential to advance the field.

• 한국지형학회지
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• 제21권4호
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• pp.133-147
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• 2014

애추와 같이 인간의 접근이 쉽지 않은 지형의 현장조사에서는 시간과 비용을 절약하기 위해 실제 현장조사 전에 대상 지형자원의 범위를 줄이는 방법이 요구된다. 본 연구에서는 대상 지형자원의 현장조사 범위를 줄이기 위해 기존 지형의 위치와 기타 GIS 정보 사이의 관계를 확률로 표현하는 자료유도형(target-driven) 공간통계기법인 Weight of Evidence 기법을 적용하였다. Weight of Evidence 기법을 적용하기 위해 애추와 관련된 지형요소를 선정한 후 지형요소와 GIS 정보의 상관관계 분석 결과를 근거로 우도비를 산출하였다. 각각의 주제도에 대한 경우의 수를 산정한 후, SRC 및 AUC 방법을 이용하여 애추 분포 가능지수가 가장 큰 조합을 찾았다. 애추 분포 가능지수가 가장 큰 주제도의 조합은 사면향도와 지질도, 경사도, 토지피복도, 유효토심도, 토양배수도의 조합으로, 애추 분포 가능지 면적비가 74.47%로 나타나 상당히 높은 정확도를 보였다.

• 성인간호학회지
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• 제17권3호
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• pp.411-424
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• 2005

Purpose: The purpose of this study was to develop and evaluate e-EBPP(Evidence-based Practice Protocol) system for nursing care for patients with dementia to facilitate the best evidence-based decision in their dementia care settings. Method: The system was developed based on system development life cycle and software prototyping using the following 5 processes: Analysis, Planning, Developing, Program Operation, and Final Evaluation. Result: The system consisted of modules for evidence-based nursing and protocol, guide for developing protocol, tool for saving, revising, and deleting the protocol, interface tool among users, and tool for evaluating users' satisfaction of the system. On the main page, there were 7 menu bars that consisted of Introduction of site, EBN info, Dementia info, Evidence Based Practice Protocol, Protocol Bank, Community, and Site Link. In the operation of the system, HTML, JavaScript, and Flash were utilized and the content consisted of text content, interactive content, animation, and quiz. Conclusion: This system can support nurses' best and cost-effective clinical decision using sharable standardized protocols consisting of the best evidence in dementia care. In addition, it can be utilized as an e-learning program for nurses and nursing students to learn use of evidence based information.