• 제목/요약/키워드: Evidence Analysis

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원발성 고혈압에 대한 추나요법의 효과 : 체계적 문헌 고찰 (Chuna Manual Therapy for Essential Hypertension : A Systematic Review)

  • 임경태;황의형;김병준;박인화;허인
    • 척추신경추나의학회지
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    • 제12권1호
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    • pp.29-42
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    • 2017
  • Objectives : To determine the evidence of effectiveness and safety of Chuna manual therapy(CMT) for essential hypertension Methods : We searched 11 electronic databases(Pubmed, Web of Science, EMBASE, Cochrane Library, CAJ, KISTI, KISS, NDSL, KMBASE, RISS, DBpia) and related 2 journals up to April 2017. We included randomized controlled trials(RCTs) of testing Chuna manual therapy for hypertension patients. Results : Twenty one RCTs were eligible in our inclusion criteria. The meta-analysis of eighteen studies showed positive results for the using Chuna manual therapy for essential hypertension. Conclusions : There is favorable evidence of Chuna manual therapy for treating essential hypertension with meta-analysis. However, our systematic review has limited evidence to support Chuna manual therapy for essential hypertension because of low quality of original articles and further well-designed RCTs should be encouraged.

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류마티스 관절염에 대한 추나요법의 효과 : 체계적 문헌고찰과 메타분석 (Chuna Manual Therapy for Rheumatoid Arthritis : A Systematic Review and Meta-analysis)

  • 허인;한인식;차윤엽
    • 척추신경추나의학회지
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    • 제13권1호
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    • pp.1-10
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    • 2018
  • Objectives: To evaluate the evidence supporting the effectiveness of Chuna manual therapy for rheumatoid arthritis. Methods: We conducted a search across 9 electronic databases to find all randomized controlled clinical trials (RCTs) that used Chuna manual therapy as a treatment for rheumatoid arthritis. The methodological quality of each RCT was assessed using the Cochrane risk of bias tool. Results: Our inclusion criteria were met by 5 RCTs. The meta-analysis showed positive results for the use of Chuna manual therapy combined with oriental usual care (UC) in terms of the efficacy rate, pain, and duration of morning stiffness when compared to western UC. Positive results were also obtained in terms of the efficacy rate, when Chuna manual therapy combined with medication was compared to medication treatments alone. Conclusions: Our systematic review found encouraging, but limited evidence of Chuna manual therapy for rheumatoid arthritis. However, to obtain stronger evidence without the drawbacks of trial design and the quality of studies, we recommend a comparative research to test the effectiveness of Chuna manual therapy.

과학 공학적 실천에 의한 초등학교 과학 교과서 물질 영역의 탐구 활동 분석 (The Analysis of Inquiry Activity in the Material Domain of the Elementary Science Textbook by Science and Engineering Practices)

  • 조성호;임지영;이정아;최근창;전경문
    • 한국초등과학교육학회지:초등과학교육
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    • 제35권2호
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    • pp.181-193
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    • 2016
  • We examined the inquiry activities in the material domain of the elementary science textbooks and experimental workbooks based on 2009 revised curriculum. The analysis framework was SEP (Science and Engineering Practices) - 'Asking questions and defining problems', 'developing and using models', 'planning and carrying out investigations', 'analyzing and interpreting data', 'using mathematics and computational thinking', 'constructing explanations and designing solutions', 'engaging in argument from evidence', and 'obtaining, evaluating, and communicating information'. Sub-SEP of each grade band were also used. The results showed that the $3^{rd}{\sim}5^{th}$ grade science textbooks and workbooks mainly emphasized 'make observations and/or measurements', 'represent data in tables and/or various graphical displays', or 'use evidence to construct or support an explanation or design a solution to a problem' among around 40 sub-SEP. In the case of the inquiry activities for $6^{th}$ grade, majority of sub-SEP included were also only 'collect data to produce data to serve as the basis for evidence to answer scientific questions or test design solutions', 'analyze and interpret data to provide evidence for phenomena' or 'construct a scientific explanation based on valid and reliable evidence obtained from sources'. The type of 'asking questions and defining problems', 'using mathematics and computational thinking' or 'obtaining, evaluating, and communicating information' were little found out of 8 SEP. Educational implications were discussed.

Android & iOS 기반 스마트폰의 디지털 증거 수집 및 분석 (Collection and Analysis of the Digital Evidence for Android and iOS Smart Phones)

  • 구본인;김주영;이태림;신상욱
    • 정보보호학회논문지
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    • 제21권1호
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    • pp.167-175
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    • 2011
  • 최근 스마트폰의 등장으로 모바일 서비스가 다양한 형태로 성장하고 있다. 각 회사들은 Window Mobile, Android, iOS 등 다양한 운영체제를 탑재하여 출시하고 있지만, 현재 가장 보급이 원활하게 이루어지는 스마트폰은 Android와 iOS를 탑재한 스마트폰이 활발히 보급되고 있다. 이에 따라 스마트폰의 다양한 기능을 이용하여 각종 범죄로 연결될 수 있으며, 다양한 증거들이 남아 있을 수 있다. 본 논문에서는 디지털 포렌식(Forensic)의 관점에 따라 스마트폰에서 수집될 수 있는 증거 데이터의 위치를 파악하고, 도구를 설계해 수집된 데이터를 분석하였다. 이로 인해, 범죄사용으로 인한 스마트폰의 증거들을 수집할 때 시간을 단축시킬 수 있는 기대효과를 가져본다.

혈액투석실에서 근무하는 간호사의 특성이 근거기반 혈액투석간호지식과 수행정도에 미치는 영향 (The Effects of Characteristics of Nurses on Knowledge and Nursing Performance Evaluation of Evidence Based Hemodialysis Nursing Practice in Hemodialysis Unit Nurses)

  • 이희수;정은숙;최경아;유승오
    • 임상간호연구
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    • 제22권2호
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    • pp.225-237
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    • 2016
  • Purpose: The purpose of this study was to identify the effects of characteristics of nurses on knowledge and nursing performance of evidence based hemodialysis nursing practice among hemodialysis unit nurses. Methods: The participants were 180 nurses working in hemodialysis unit for more than 6 months in 23 private and general hospitals in Seoul and Gyeonggido. Data were collected from March 30th to April 15t in 2016 and were analyzed using stepwise regression analysis, descriptive statistics, t-test and ANOVA. Results: Nurses' knowledge on evidence based hemodialysis nursing practice was $15.87{\pm}4.52$ out of 23 points. Type of hospitals working in and adherence to evidence based hemodialysis guidelines were significant factors to knowledge and these two factors explained 30.0%. Nurses' nursing performance on evidence-based hemodialysis nursing practice was 4.52 out of 5 points. The performace level was significantly related to total nurisng career and necessity of hemodialysis nursing education and these two factors explained 8.0%. Conclusion: A development of guideline and continuing education is necessary for improving knowledge and performance of evidence based hemodialysis nursing practice.

한의학에서 근거중심진료와 표준화의 필요성 - 2008, 2011, 2014년 한방의료이용실태조사(보건복지부)중 소비자의견을 중심으로 - (The Need for Evidence-Based Treatment and Standardization in Korean Medicine - Focusing on Consumer Opinions from the Ministry of Health and Welfare's Survey on Usage of Korean Medicine (2008, 2011, and 2014) -)

  • 성안젤라동민;허승;오현호;이정준;박성준;이선동
    • 대한예방한의학회지
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    • 제20권3호
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    • pp.31-43
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    • 2016
  • Objectives : It focuses on what the consumers expected Korean medicine to improve on, and analyzes patients' impressions. Methods : This research is based on the Ministry of Health and Welfare's Survey on Usage of Korean Medicine (2008, 2011, and 2014) and was new analysis for our research objective. Results : The general consensus among the consumers was uncertainty of effectiveness, expensive costs, side effects, need for expertise, lack of scientific evidence, expansion of diseases treated, and improvement of equipment. Consumers distrusted Korean medicine due to its uncertainty of its effectiveness, expensive costs, side effects, and lack of scientific evidence for its effectiveness, and avoided using Korean medicine. Conclusions : These results seem to be a combination of the Korean medicinal doctors treating patients not based on evidence but on their individual experiences, lack of health insurance for Korean medicine resulting in expensive costs, lack of research on toxicity and safety of Korean medicine, and lack of scientific and clinical studies for evidence-based research. To solve these problems, the Korean medicine community needs to standardize treatments based on evidence, and look to Chinese medicine for possible solutions.

스마트그리드 환경에서 공증기관을 이용한 디지털 증거 수집 기법 (Digital Evidence Acquisition Scheme using the Trusted Third Party in Smart Grid Infrastructure)

  • 조영준;최재덕;김신규;서정택
    • 정보보호학회논문지
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    • 제23권2호
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    • pp.319-328
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    • 2013
  • 세계 주요 국가들은 전력수요 증가, 환경오염 등의 문제를 해결하기 위해 자국의 전력망을 스마트그리드로 변경하기 위한 노력을 기울이고 있다. 국내에서도 스마트그리드 도입을 위한 다방면의 연구가 진행되고 있다. 그러나 양방향 통신을 적용한 스마트그리드에는 기존 IT에 존재하는 사이버 위협이 적용되어, 국가적 차원에서 사회적 경제적 혼란을 야기할 수 있는 사이버 테러의 위험도 증가하고 있다. 이러한 사이버 공격에 대응하기 위해 사이버 침해사고 발생 시 이에 대한 조사와 이를 분석하고 재발 방지를 위한 노력이 필수적이다. 침해사고에 대응하기 위한 디지털 증거 수집에 대한 연구는 그간 꾸준히 진행되고 있으나 스마트그리드 환경에 적합한 디지털 증거 수집 방안에 대한 연구는 아직까지 미흡하다. 본 논문에서는 스마트그리드 환경에서 필요한 증거 수집 요구사항과 기존까지 연구된 디지털 증거 수집 방안을 분석하여 스마트그리드 환경에 적합한 디지털 증거 수집 기법에 대해 제안한다.

베이즈주의에서의 증거 개념 (Bayesian concept of evidence)

  • 이영의
    • 논리연구
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    • 제8권2호
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    • pp.33-58
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    • 2005
  • 오래된 증거의 문제는 가설이 제안되기 이전에 이미 알려진 증거는 그 가설을 입증할 수 없다는 문제를 제기한다. 오래진 증거의 문제는 베이즈적 입증 개념에 심각한 문제를 제기하는데 그것은 관련 학자들의 많은 노력에도 불구하고 여전히 미해결의 상태로 남아있다. 이 글의 목적은 오래된 증거의 문제가 베이즈적 입증 개념에 대한 심각한 오해에서 비롯되었다는 점을 보임으로써 그 문제를 해결하는 것이다. 먼저 논의의 출발점인 오래된 증거의 문제가 분석되고 이어서 베이즈주의자들이 그 문제를 해갈하기 위해서 제안한 두 가지의 대표적 입장이 비판적으로 검토된다. 이러한 과정을 통하여 오래된 증거의 문제에 대한 기존의 논의들에서 공통적으로 발견되는 오해, 즉 설명과 예측의 맥락에서 나타나는 입증의 비대칭성이 무시되는 현상이 지적된다. 마지막으로 입증의 비대칭성을 이용하여 두 종류의 구별되는 베이즈적 입증 개념이 제시되고 오래된 증거의 문제에서 가정된 입증은 진정한 입증이 아니라는 점이 주장된다.

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Developing a Framework for the Implementation of Evidence Collection System: Focusing on the Evaluation of Information Security Management in South Korea

  • Choi, Myeonggil;Kang, Sungmin;Park, Eunju
    • Journal of Information Technology Applications and Management
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    • 제26권5호
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    • pp.13-25
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    • 2019
  • Recently, as evaluation of information security (IS) management become more diverse and complicated, the contents and procedure of the evidence to prepare for actual assessment are rapidly increasing. As a result, the actual assessment is a burden for both evaluation agencies and institutions receiving assessments. However, most of them reflect the evaluation system used by foreign government agencies, standard organizations, and commercial companies. It is necessary to consider the evaluation system suitable for the domestic environment instead of reflecting the overseas evaluation system as it is. The purpose of this study is as follows. First, we will present the problems of the existing information security assessment system and the improvement direction of the information security assessment system through analysis of existing information security assessment system. Second, it analyzes the technical guidance for information security testing and assessment and the evaluation of information security management in the Special Publication 800-115 'Technical Guide to Information Security Testing and Assessment' of the National Institute of Standards and Technology (NIST). Third, we will build a framework to implement the evidence collection system and present a system implementation method for the '6. Information System Security' of 'information security management actual condition evaluation index'. The implications of the framework development through this study are as follows. It can be expected that the security status of the enterprises will be improved by constructing the evidence collection system that can collect the collected evidence from the existing situation assessment. In addition, it is possible to systematically assess the actual status of information security through the establishment of the evidence collection system and to improve the efficiency of the evaluation. Therefore, the management system for evaluating the actual situation can reduce the work burden and improve the efficiency of evaluation.

아동의 말초정맥주사 관리를 위한 근거기반 간호 프로토콜 개발 (Development of an Evidence-Based Nursing Protocol for Management of Peripheral Catheters in Children)

  • 최희강;강미정;강현주;김은혜;방경숙
    • 임상간호연구
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    • 제22권1호
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    • pp.56-67
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    • 2016
  • Purpose: The purpose of this study was to develop an evidence-based nursing protocol for peripheral intravenous catheter management in hospitalized children. Methods: The preliminary protocol of this study was developed based on domestic and foreign guidelines, research, a survey and an analysis of medical records in a university hospital. It is a methodological research to develop evidence-based nursing protocol of peripheral intravenous catheter management verified by content validity by a group of specialists and users. Results: The specialists' verification of validity in the preparatory protocol had a CVI level of 0.94 and the propriety and conveniency of users had an average of $3.0{\pm}0.52$. The final evidence-based nursing protocol was composed of 5 areas (education, dressing and fixation, maintenance and replacement, observation and record, and coping to complication) with 46 specific recommendations. Conclusion: Based on domestic and foreign research and guidelines verified by specialists and users, the findings in this study provide a simple, applicable and evidence-based nursing protocol for peripheral intravenous catheter management in hospitalized children. By the clinical application of this protocol, nurse tasks in managing peripheral intravenous catheter can be performed with more scientific evidence and be standardized.