• 제목/요약/키워드: Evidence Based Design

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Evidence and suggestions for establishing vitamin D intake standards in Koreans for the prevention of chronic diseases

  • Kim, Jung Hyun;Park, Hyoung Su;Pae, Munkyong;Park, Kyung Hee;Kwon, Oran
    • Nutrition Research and Practice
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    • 제16권sup1호
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    • pp.57-69
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    • 2022
  • BACKGROUND/OBJECTIVES: Vitamin D is produced in the skin during sun exposure and is also ingested from foods. The role of vitamin D needs to be considered in the prevention and management of various diseases. Moreover, since the majority of Koreans spend their days indoors, becoming susceptible to the risk of vitamin D deficiency. The current study aims to prepare a basis for determining dietary reference intake of vitamin D in Korea, by reviewing the evidence against various diseases and risks. MATERIALS/METHODS: Literature published in Korea and other countries between 2014 and 2018 was prioritized based on their study design and other criteria, and evaluated using the RoB 2.0 assessment form and United States Department of Agriculture Nutrition Evidence Library Conclusion Statement Evaluation Criteria. RESULTS: Of the 1,709 studies, 128 studies were included in the final systematic analysis after screening. To set the dietary reference intakes of vitamin D based on the selected articles, blood 25(OH)D levels and indicators of bone health were used collectively. Blood vitamin D levels and ultraviolet (UV) exposure time derived from the Korean National Health and Nutrition Examination Survey were analyzed to establish the dietary reference intakes of vitamin D for each stage of the life cycle. The adequate intake levels of vitamin D, according to age and gender, were determined to be in the range of 5-15 ㎍/day, and the tolerable upper intake level was established at 25-100 ㎍/day. CONCLUSIONS: The most important variable for vitamin D nutrition is lifestyle. A balanced diet comprising foods with high contents of vitamin D is important, as is vitamin D synthesis after UV exposure. The adequate intake level of vitamin D mentioned in the 2015 Dietary Reference Intakes for Korean (KDRI) remained unchanged in the 2020 KDRI for the management of vitamin D nutrition in Koreans.

Assessment of design methods for punching through numerical experiments

  • Kotsovou, Gregoria M.;Kotsovos, Gerasimos M.;Vougioukas, Emmanuel
    • Computers and Concrete
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    • 제17권3호
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    • pp.305-322
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    • 2016
  • The work is intended to demonstrate that the loss of bond between concrete and flexural steel which led in recent years a number of flat-slab structures to punching collapse under service loading conditions is also relevant to ultimate limit-state design. It is based on a comparative study of the results obtained from numerical experiments on flat slab-column sub-assemblages. The slabs were designed for punching either in compliance with the EC2 code requirements, which do not allow for such loss of bond, or in accordance with the compressive force-path method which considers the loss of bond between concrete and the flexural reinforcement in tension as the primary cause of punching. The numerical experiments are carried out through the use of a nonlinear finite element analysis package for which, although ample published evidence of its validity exists, additional proof of its suitability for the purposes of the present work is presented.

Assessment of quantitative structure-activity relationship of toxicity prediction models for Korean chemical substance control legislation

  • Kim, Kwang-Yon;Shin, Seong Eun;No, Kyoung Tai
    • Environmental Analysis Health and Toxicology
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    • 제30권sup호
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    • pp.7.1-7.10
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    • 2015
  • Objectives For successful adoption of legislation controlling registration and assessment of chemical substances, it is important to obtain sufficient toxicological experimental evidence and other related information. It is also essential to obtain a sufficient number of predicted risk and toxicity results. Particularly, methods used in predicting toxicities of chemical substances during acquisition of required data, ultimately become an economic method for future dealings with new substances. Although the need for such methods is gradually increasing, the-required information about reliability and applicability range has not been systematically provided. Methods There are various representative environmental and human toxicity models based on quantitative structure-activity relationships (QSAR). Here, we secured the 10 representative QSAR-based prediction models and its information that can make predictions about substances that are expected to be regulated. We used models that predict and confirm usability of the information expected to be collected and submitted according to the legislation. After collecting and evaluating each predictive model and relevant data, we prepared methods quantifying the scientific validity and reliability, which are essential conditions for using predictive models. Results We calculated predicted values for the models. Furthermore, we deduced and compared adequacies of the models using the Alternative non-testing method assessed for Registration, Evaluation, Authorization, and Restriction of Chemicals Substances scoring system, and deduced the applicability domains for each model. Additionally, we calculated and compared inclusion rates of substances expected to be regulated, to confirm the applicability. Conclusions We evaluated and compared the data, adequacy, and applicability of our selected QSAR-based toxicity prediction models, and included them in a database. Based on this data, we aimed to construct a system that can be used with predicted toxicity results. Furthermore, by presenting the suitability of individual predicted results, we aimed to provide a foundation that could be used in actual assessments and regulations.

복합재 샌드위치 구조의 개선된 확률론적 설계 및 신뢰성 기반 최적설계 (Advance Probabilistic Design and Reliability-Based Design Optimization for Composite Sandwich Structure)

  • 이석제;김인걸;조우제;설창원
    • Composites Research
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    • 제26권1호
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    • pp.29-35
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    • 2013
  • 복합재료 샌드위치 구조는 굽힘 강성을 향상시키고 복합재 적층판에 비해 30% 이상의 무게를 절감할 수 있다. 그러나 일반 금속에 비해 제작과정에서 발생되는 재료물성의 불확실성이 많이 내재되어 있으므로 신뢰성 기반 확률론적 설계방법이 요구된다. 본 논문에서는 안전계수를 이용한 고전적인 설계 방법이 구조물의 안전을 보장하지 않는다는 확률론적 증거를 제시하기 위하여 단순화된 복합재 샌드위치 동체에 대해 PMS(Probabilistic Margin of Safety)를 계산하였다. 이 과정에서 CMCS(Crude Monte-Carlo Simulation)에 의해 계산된 확률밀도함수를 이용하였다. 더 나아가 신뢰성 기반 최적설계를 수행하고 효율적인 계산을 위해 RBDO-MPDF(RBDO by Moving PDF) 방법을 제시하였다. 본 논문의 결과는 구조물의 신뢰성을 보장하기 위한 개선된 설계 방법과 효율적인 신뢰성 기반 최적설계 방법 연구에 유용할 것이다.

생태학적 접근으로 본 노인 주거환경계획지침에 관한 연구 (A Study on Design Directives for the Elderly Housing Environment -based on an ecological approach-)

  • 홍형옥;우정민
    • 한국실내디자인학회논문집
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    • 제19호
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    • pp.114-120
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    • 1999
  • By taking an ecological approach, The purpose of this thesis was to 1. analyze the existing literary work about design directives for the elderly housing. 2. case study about actual housing conditions of elderly people, 3. grasp the level of satisfaction and level of requirement about housing environment by Korean elderly, 4. by integrating the above three, provide foundational data arranging the appropriate housing design directives pertaining to Korea's actual circumstances. The major findings in this study were surmmarized as follows. (1) From the six literary works, 27 items as Microsystem, 1,249 items as Mesosystem, and 330 items as Exosystem were founded and there was no evidence of directives for Macrosystem. (2) As a result of the case study, there appeared a substantial difference between actual conditions of housing environment for the Korean elderly and the design directives perceived in the literary works. (3) The level of satisfaction and for the Korean elderly housing environment were founded differently in each directives. (4) By ecological approach for the Korean elderly housing environment design directives as follows. In microsystem (13 items) in mesosystem(83 items), in exosystem(24 items), in macrosystem(15 items), 135 items in total were suggested as design directives for Korean Elderly housing environment.

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보건복지부 만성질환관리 수가시범사업 평가를 위한 질적연구 : 고혈압, 당뇨환자 초점집단면접을 중심으로 (Qualitative Analysis of ICT based Health Care Management for Chronic Disease Patients)

  • 권유림;김희선;유빛나;김윤수;이민정
    • 한국보건간호학회지
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    • 제32권2호
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    • pp.235-248
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    • 2018
  • Purpose: This qualitative study examined the participation in ICT-based management from the perspectives of patients with chronic diseases. This study was conducted as one of several studies evaluating the effectiveness of chronic disease management in the Ministry of Health and Welfare. Methods: Focus group interviews were used as its guiding methodology. Group interviews with 16 patients were carried out using semi-structured interview questions developed from a literature review and discussion with researchers. Content analysis was used to analyze the data. Results: A total of 11 sub-themes were extracted through a comparison of the concepts and semantic analysis, and finally, four themes were derived: "Satisfied with systematic management of health care", "Leading in health care", "Understanding the pattern of blood pressure and blood sugar change" and "Adherence to existing health care habits". Conclusion: This study is meaningful in that it used qualitative analysis through FGI to evaluate the effects of an ICT-based chronic disease management project. Based on this study, a mixed-method design study and an intervention study among patients with metabolic syndrome is proposed.

Collaboration in a Web-Based Learning Environment: Opportunities and Challenges

  • HAN, Seungyeon
    • Educational Technology International
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    • 제9권2호
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    • pp.123-142
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    • 2008
  • The purpose of this study was to examine how computer conferencing might facilitate collaborative learning for students to engage in meaningful discussion. The participants in this study consisted of the instructor and the students in a graduate level course. Different sources of evidence were used to triangulate the data: in-depth interviews, content analysis of transcripts of discussion, and other archival data including course syllabus, presentation materials, and lecture notes. Participants perceived web-based learning as collaborative process, providing opportunities to share the idea, respect and evaluate different perspectives, and co-construct new insights. Analysis of the data revealed several challenges related collaboration in a web-based learning environment: absence of a sense of community, technical problems, adaptability to different types of learner, and managing the discussion. The data also indicated that a variety of strategies were used to facilitate learning: building a sense of community, technical support, developing instructional methodologies, class size, and design of the content.

한국의 초고령사회를 대비한 최소주거면적 기준의 인체측정학적 방법 연구 - Karl H. E. Kroemer의 인체측정학적 데이터 적용 방법 - (A Study on the Anthropometrical Method of Minimum Residential Space Standard for the Super-Aged Society of Korea - by Anthropometrical Data Application Methods of Karl H. E. Kroemer -)

  • 이호성
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제23권1호
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    • pp.15-24
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    • 2017
  • Purpose: Korea is expected to enter an aged society in 2018 and then a super-aged society in early 2025. The country's aging is progressing faster than any other country in the world. However, the foundation of the elderly friendly industry is weak, and measures at the government level are urgently needed. Especially, housing problems of the elderly are one of the most urgent measures to be taken. Korea does not have the minimum residential area standard for the elderly, and the current general minimum residential area standard is based on the survey of the housing situation without scientific evidence. Therefore, both standards need to be revised as soon as possible based on scientific evidence. Methods: The minimum residential area standard has been calculated following Karl H. E. Kroemer's Min or Max design also being called as-single cut and dual cut theory- as the maximum population value and minimum population value theory of Ernest J. McCormick. Therefore there is a need for a formula made using a few key factors, such as corresponding dimension, practical dimension, clearance, spare dimension, integrated dimension. These elements can be defined and used as formulas to calculate minimum residential area standards. Results: Assuming the results of the spatial variability in this study showed that it is possible to raise the standard of living in a terms of sustainable minimum size for the young, old and all residents. Implications: The government should set a minimum residential area standard with scientific grounds and set up a policy improving the life of people who live in an needy residential environment.

성인 ADHD를 위한 작업치료 중재에 대한 체계적 고찰 (A Systematic Study on Occupational Therapy Interventions for Adult Attention Deficit Hyperactivity Disorder)

  • 박주영
    • 대한통합의학회지
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    • 제10권3호
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    • pp.257-266
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    • 2022
  • Purpose : This systematic review examined evidence published 2000-2021 for occupational therapy interventions for adult Attention Deficit Hyperactivity Disorder (adult ADHD). Methods : In order to find out the studies on the effect occupational therapy intervention on individuals with adult ADHD, studies published from 2000 to February 2022 were searched on Google Academic Search. The keywords used were "adult ADHD" AND "Occupational therapy". A total of 785 studies were searched, and from these, 3 studies were selected based on the application of the selection and exclusion criteria. The included studies comprised of 1 Quasi-experimental design study(one group pre-post test) and 2 randomized controlled trials design studies. The included studies were analyzed in PICO(patients, intervention, comparison, outcomes). Results : As a result of analysing the subjects of the included studies, subjects diagnosed with adult ADHD or classified as high-risk group in Adult ADHD Self-Report Scale test, the number of subjects was 97, and the average age was about 33 years old. Occupational therapy intervention methods for adult ADHD include Tailored Intervention, Computerized Cognitive Training, and Cognitive-Functional Intervention. The Adult ADHD Self-Report Scale was the most used to check the symptoms of ADHD, and the COPM was used the most to measure the effects of occupational therapy interventions. The dependent variables of occupational therapy intervention were occupational performance, quality of life, executive function (behavioral regulation, metacognition), self-regulation function, stress management, and sustained attention. The effect of the intervention was statistically significant in 78.5% of the total. Conclusion : It is expected that the results of this study can be used as basic data for evidence-based practice for occupational therapists to apply adult ADHD interventions. In the field of occupational therapy in Korea, research on various interventions that can improve the occupational performance of adults ADHD should be conducted.

백워드 수업설계에 기초한 고등학교 「기술·가정」교과 '가족생활 설계' 영역의 체제적 수업개발 (Systematic Development of Instruction for Family Life Planning of High School Curriculum for Technology and Home Economics Based on Backward Design)

  • 유세종;이연숙
    • Human Ecology Research
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    • 제56권1호
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    • pp.33-54
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    • 2018
  • This study devised an instruction that applies the content factors of Family Life Planning to backward design by exploring the fundamental concepts of backward design and the structure of developing a systematic instruction. Furthermore, it was conducted to improve the developed instruction by examining its validity with the help of experts and to find the method of applying it to the curriculum. The lesson design of this study was as follows. 1) Making a unit outline, 2) Identifying the expected results (Shaping the objectives), 3) Deciding acceptable evidence (Planning evaluation), 4) Making a detailed blueprint for class tasks, 5) Planning learning experience, 6) Making a learning experience plan per time, 7) Checking the lesson design. Second, experts participated in this study for the internal validity test about the process of the systematic lesson development of Family Life Design based on a backward design. The results were shown to be valid because the average was 3.7 out of a perfect score 4 and the CVI of all was over 0.9. The result of the IRA was also score 1, meaning that most of the experts agreed on the results of the test. The details of the lesson design were clear at every stage and the tasks and the results of each stage were specific. This study included most of the necessary stages for a backward design.