• Title/Summary/Keyword: Evidence base

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Study on the EDA based Statistics Attributes Discovery and Utilization for the Maritime Safety Statistics Items Diversification (해상안전 통계 항목 다양화를 위한 EDA 기반 통계 속성 도출 및 활용에 관한 연구)

  • Kang, Seong Kyung;Lee, Young Jai
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.26 no.7
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    • pp.798-809
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    • 2020
  • Evidence-based policymaking and assessments for scientific administration have increased the importance of statistics (data) utilization. Statistics can explain specific phenomena by providing numerical values and are a public resource for national decision making. Due to these inherent attributes, statistics are utilized as baseline and base data for government policy determinations and the analysis of various phenomena. However, compared to the importance, the role of statistics is limited, and statistics are often used as simple abstracts, produced mainly for suppliers, not for consumers' perspectives to create value. This study explores the statistical data and other attributes that can be utilized for policies or research to address the problems mentioned above. The baseline statistical data used in this study is from the Maritime Distress Accident Statistical Yearbook published by the South Korean Coast Guard, and other additional attributes are from text analyses of vessel casualty situation reports from the South Korean Maritime Police. Collecting 56 attributes drawn from the text analysis and executing an EDA resulted in 88 attribute unions: 18 attribute unions had a satisfactory significance probability (p-value < .05) and a strong correlation coefficient above 0.7, and 70 attribute unions had a middle correlation. (over 0.4 and under 0.7). Additionally, to utilize the extra attributes discovered from the EDA politically, a keyword analysis for each detailed strategy of the disaster Preparation basic plan was executed, the utilization availability of the attributes was obtained using a matching process of keywords, and the EDA deducted attributes were examined.

Methodological Quality Evaluation of a Meta-Analysis Study of Rehabilitation Treatment Interventions for Stroke Patients in Korea Applying AMSTAR-2: Focusing on Upper Extremity Function and Recovery of Daily Life (AMSTAR-2를 적용한 국내 뇌졸중 환자의 재활치료 중재 메타분석 연구의 방법론적 질 평가: 상지기능과 일상생활회복을 중심으로)

  • Hwang, Ho-Sung;Ham, Min-Joo
    • The Journal of the Korea Contents Association
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    • v.22 no.8
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    • pp.660-670
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    • 2022
  • This study was analyzed by applying AMSTAR-2, a methodological quality evaluation tool, to evaluate the quality of domestic meta-analysis papers on rehabilitation interventions for stroke patients. The purpose of this study is to provide guidelines for qualitative improvement of evidence-based practice and meta-analysis research by analyzing the qualitative level of the analyzed research. The literature search was conducted using the Research Information Sharing Service, Korean Medical database, and Korean studies Information Service System. Two authors searched, extracted, and reviewed literature using the keywords 'stroke' and 'meta-analysis'. As a result of the AMSTAR-2 quality evaluation of the final 18 studies, 3 studies (16.67%) were 'Moderate', 8 studies (44.44%) were 'Low', and 7 studies (38.89%) were 'Critically Low'. In future research, scientific and objective data selection and extraction process should be performed. It is expected that interest and efforts to improve the quality of meta-analysis research will continue by referring to the contents analyzed in this study as a way to improve the quality of literature.

Comparison of Blood and Alveolar Gas Composition during Rebreathing in the Dog Lung (반복호흡(反覆呼吸)을 하는 견폐(犬肺)에서의 혈액(血液) Gas와 폐포(肺胞) Gas의 비교(比較)에 관(關)하여)

  • Yu, Chang Jun
    • Korean Journal of Veterinary Research
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    • v.12 no.1
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    • pp.25-35
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    • 1972
  • The author used a dog preparation, in which either the left lung or the lower left lobe rebreathed continuously from a bag, to compare $CO_2$ and $O_2$ tensions in the rebreathed gas with those in blood entering or leaving the lung. In the 10 dogs studied, alveolar pressures for both gases were greater than in the blood; the "upstream" gradient (alveolar pulmonary arterial blood) exceeded the "downstream" gradient (alveolar-pulmonary venous blood) for both gases, but the difference was only significant for $CO_2$. The author attributed this effect to the production of $CO_2$ in lung tissue metabolism and its uptake by the blood. The difference in $CO_2$ tension between blood leaving and entering lung increased while the downstream gradient fell, an effect which was independant of the level of anesthesia. There was no evidence of a fall in base excess in blood passing through the lung, as would occur from the production of metabolic acids during anaerobic metabolism at the low levels found in the rebreathing lung in this preparation.

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Studies on the Geology and Geochemistry in the Beonam Mine, Korea (전북 번암광산의 지질과 지화학적 연구)

  • Chung, Jae-Il;Na, Choon-Ki;Lee, Young-Up;Jeon, Seo-Ryeong;Kim, Seon-Young
    • Economic and Environmental Geology
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    • v.28 no.6
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    • pp.623-633
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    • 1995
  • The Beonam deposits which is located in south-western part of Sobaeksan massif are emplaced along $N20{\sim}30^{\circ}E$ trending fissures in Precambrian Sobaeksan gneiss complex. Surrounding granites are inferred to be differentiated and formed from calc-alkaline magma which was generated from remelting or partial melting of the crustral material having igneous composition. The Sr isotope data of ore minerals showing significantly low initial Sr value relative to those of surrounding granite batholiths suggest that the ore-bearing fluid formed the Beonam Au-Ag mine are isotopically distinct from those of the wall rocks, and it indicates that there is no evidence of genetic relationship between ore-bearing fluids and surrounding granites, although further study should be needed. The results of paragenetic studies suggest three stages of hydrothermal mineralization; stage I: base-metal sulfides stage, stage II: late base-metal sulfides, electrum and silver-bearing sulfosalts stage, stage III: minor silverbearing minerals, barren quartz and carbonates stage. The temperature, salinity and pressure of the Beonam deposits estimated from mineral assemblage, chemical composition, fluid inclusion and sulfur isotope geothermometry are as follows; stage I: $200{\sim}315^{\circ}C$, 3.5~6.5 NaCl eq. wt%, 0.28~0.61 Kbar, stage II: $150{\sim}235^{\circ}C$, 4.5~7.4 NaCl eq. wt%, 0.11~0.15 Kbar. The estimated oxygen and sulfur fugacity during first stage mineralization, based on phase relation of associated minerals, range from $10^{35.1}{\sim}10^{-39.7}$ atm. and $10^{-11.0}{\sim}10^{-13.4}$ atm., respectively. All these evidences suggest that the Beonam deposits are polymetallic meso-epithermal ore deposits.

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Church Architectural Amenities Improvement Program for the Aged (고령자를 위한 교회건축 편의시설 개선방안)

  • Lee, Jong-Hee;Kim, Ju-Yeon
    • Korean Institute of Interior Design Journal
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    • v.19 no.6
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    • pp.206-213
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    • 2010
  • This study, for church architectural amenities for the aged, with a base of 'laws on securing promotion of convenience for the disabled, aged, and pregnant women,' would like to propose improvement program after figuring out church worker (priest)'s willingness for amenities improvement, request of the aged church members, and level of request by different ages of the aged church members and total number of church members. The scope of geographical range for the study is limited to Northern side of Han River in Seoul and the churches with its own building having 500 to 3,000 people attending services, and implementation range, with a base of laws on promotion of convenience, separates specific items into mediation facility, interior facility, sanitary facility, and other facilities. The study selected 40 workers in church and 339 aged church members as subjects. As analysis method for the study, we have measured reliance level of questions by performing reliance test on each question, and performed frequency analysis in order to observe church worker's willingness to improve and request level of the aged church members. And, in order to find out the difference on opinion by the aged church members and total number of church members, we have performed "One way ANOVA," that verifies average difference. For evidence analysis we have verified all of them in attention level of p<.05, and for statistics analysis we have analyzed them using SPSSWIN 12.0 program. We are proposing improvement program based on study and analysis as next: First, since most of church workers have strong willingness to improve amenities we have learned that it is very optimistic to see improvements on church's amenities in the future. Second, since the aged church members' level of request was high on 3 of mediation facilities, elevators, and restrooms, it is desirable to improve mainly with these facilities. Third, the result on level of request for facilities based on the total number of church members revealed that the churches with 1,000-2,000 members have the highest level of request. Thus, we feel that the churches with 1,000-2,000 members should try harder to improve compared with churches with different number of members. Fourth, since the level of request on church amenities by different age group showed that the age group with 65-70 had the highest level of request on all facilities, except elevators, there are needs to apply the opinions of this age group more in depth based on this result.

Geology and Mineralization in Hidalgo State, Mexico (멕시코 이달고주의 지질 및 광화작용)

  • Oh, Il-Hwan;Heo, Chul-Ho
    • Journal of the Mineralogical Society of Korea
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    • v.31 no.1
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    • pp.57-65
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    • 2018
  • The geology of Hidalgo state in Mexico is formed by a Precambrian metamorphic rock base which discordantly supports a strong Paleozoic sedimentary rock sequence. Triassic-Jurassic and Cretaceous sedimentary rocks overlie the above-mentioned rocks at a discordant angle. These Mesozoic rocks are in turn covered by a Cenozoic structure which is marine at its base. At the top, the structure changes to andesitic and basaltic composition volcanic rocks. And, a great variety of mineral deposits, both metallic and nonmetallic, is present in Hidalgo state. The host rocks of these deposits are also very varied in age from Mesozoic to Tertiary. Mineralization age corresponds to Tertiary in 90% of the area. Hidalgo state occupies as an important place in national silver and manganese production. Main mineral deposits correspond to argentiferous veins hosted in sedimentary rocks. Following in order of importance are lead and zinc, as well as some small iron deposits. There is evidence of tin and molybdenum mineralization, but these deposits have not been exploited because of their low grade and volume. And, Hidalgo state has different types of nonmetallic mineral deposits such as sedimentary, hydrothermal, metamorphic and volcanic origins.

The Research on the Painted Lead Glaze Pottery in the Northern Qi Dynasty in China (중국 북제(北齊) 채회유도(彩繪釉陶) 시론)

  • Kim, Ji-Hyun
    • Korean Journal of Heritage: History & Science
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    • v.50 no.4
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    • pp.20-37
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    • 2017
  • It is called the "Painted lead glaze pottery" that is painted green, brown, yellow over white or light yellow glazed base among glazed pottery in the Northern Qi Dynasty. Even though the white glazed pot painted green with three ears and the yellow glazed jar painted green with long neck is found in the Fan-cui Tomb in Honghetun Village, Anyang City, Henan Province in 1971, these potteries were not focused in academic circles. While the white glazed pottery found with them was thought as the earliest evidence of the white porcelain that the date is clear, it has constantly been discussed so far. In this paper, focused on the painted lead glaze pottery, the materials from tombs and kiln sites are organized, and based on them, the decoration feature and production technique is analyzed. The emergence time of this pottery is checked by the date of tombs and the social value of this pottery is considered by the position of the buried person. The painted lead glaze pottery of the Northern Qi Dynasty has independent character such as porcelain clay, twice firing burning and painting technique over glazed base. This character emerged from several glazed potteries in the Northern Wei Dynasty and it continued to the Northern Qi Dynasty. At last, the white painted lead glazed pottery appeared. The painted lead glaze pottery was formed by the combination of a shape of the ceramic in Southern China and painting technique after the Northern Wei Dynasty in Northern China.

Characteristics of the Oropharyngeal Swallowing Impairment in Stroke Patient using the Modified Barium Swallowing Impairment Profile (MBSImP에 따른 뇌졸중 환자의 삼킴 장애 양상 분석)

  • Im, Ikjae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.36-44
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    • 2019
  • Swallowing impairment is a frequent complication following stroke. The characteristics of swallowing impairment with stork patient can facilitate identification of individuals at risk of dysphagia would be of great helpful. The present study examined oropharyngeal swallowing impairment with subacute stroke patients using the Modified Barium Swallowing Impairment Profile(MBSImP). The 49 consecutive patients with the supratentorial stroke met inclusion criteria for the present study. A retrospective review was performed of patients who underwent the videofluoroscopic swallowing study(VFSS). Of Stroke patients, 95.9% exhibited abnormal function of lip closure. 98% and 57.1 % shown abnormal tongue function and lingual motion, respectively. Oral residue was present in 51% and delayed pharyngeal response was present in 89.9%. In addition, abnormal laryngeal and hyoid excursion was seen in 42.9% and 87.8%, respectively. Abnormal function of soft palate elevation was present in 18.4% and abnormal epiglottic movement was seen in 4.1%. 30.6% of 30.6% of these patients exhibited abnormal laryngeal closure. All of the stroke patients(100%) in this study exhibited abnormal pharyngeal stripping wave and pharyngoesophageal segment opening. Abnormal tongue base retraction and oral reside were present 91.8%, respectively. The results suggest that stroke patient is more likely to exhibit reduced swallowing functions including lip closure, tongue control, initiation of pharyngeal swallow, anterior hyoid motion, tongue base retraction, pharyngeal residue and pharyngoesophageal contraction. Therefore, these data could provide valid and precise information regarding physiological evidence to delineate symptoms of dysphagia in this stroke cohort. Future studies should explore the bolus effect in the swallowing impairment.

Frameless Fractionated Stereotactic Radiaton Therapy in Recurrent Head & Neck Cancers (국소재발된 두경부종양의 무고정틀 정위적 분할방사선치료)

  • Kim In-Ah;Choi Ihl-Bhong;Jang Ji-Young;Kang Ki-Mun;Jho Seung-Ho;Kim Hyung-Tae;Lee Kyung-Jin;Choi Chang-Rak
    • Korean Journal of Head & Neck Oncology
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    • v.14 no.2
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    • pp.156-163
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    • 1998
  • Background & Objectives: Frameless fractionated stereotactic radiotherapy(FFSRT) is a modification of stereotactic radiosurgery(SRS) with radiobiologic advantage of fractionation without losing mechanical accuracy of SRS. Local recurrence of head and neck cancer at or near skull base benefit from reirradiation. Main barrier to successful palliation is dose limitation secondary to normal tissue tolerance. We try to evaluate the efficacy and safety of FFSRT as a new modality of reirradaton in these challenging patients. Materials & Methods: Seven patients with recurrent head & neck cancer involving at or near skull base received FFSRT from September 1995 to November 1997. Six patients with nasopharyngeal cancer had received induction chemotherapy and curative radiation therapy. One patient with maxillary sinus cancer had received total maxillectomy and postoperative radiation therapy as a initial treatment. Follow-up ranged from 11 to 32 months with median of 24 months. Three of 7 patients received hyperfractionated radiation therapy(1.1-1.2Gy/fraction, bid, total 19.8-24Gy) just before FFSRT. All patients received FFSRT(3-5Gy/fraction, total 15-30Gy/5-10fractions). Chemotherapy(cis-platin $100mg/m^2$) were given concurrently with FFSRT in four patients. Second course of FFSRT were given in 4 patients with progression or recurrence after initial FFSRT. Because IF(irregularity factor; ratio of surface area of target to the surface area of sphere with same volume as a target) is too big to use conventional stereotactic RT using multiple arc method for protection of radiation damage to critical normal tissue, all patients received FFSRT with conformal method using irregular static ports. Results: Five of 7 patients showed complete remission in follow-up CT &/or MRI. Three of these five patients who developed marginal, in-field, and out-field recurrences, respectively. Another one of complete responders has been dead of G-I bleeding without evidence of local recurrence. One partial responder who showed progressive disease 15 months after initial FFSRT has received additional FFSRT, and then he is well-being with symptomatic improvement. One minmal responder who showed progression of locoregional disease 9 months after $1^{st}$ FFSRT has received 2nd FFSRT, and then he is alive with stable disease. Five of 7 case had showed direct invasion to skull base and had complaint headache and various symptoms of cranial nerve involvement. Four of these five case showed improvement of neurologic symptoms after FFSRT. No significant neurologic complicaltion related to FFSRT was observed during follow-up periods. Tumor volumes were ranged from 3.9 to 50.7 cc and surface area ranged from 16.1 to $114.9cm^2$. IF ranged from 1.21 to 1.74. The average ratio of volume of prescription isodose shell to target volume was 1.02 that indicated the improvement of target coverage and dose distribution with FFSRT with conformal method compared to target coverage with FFSRT with multiple arc method. Conclusion: Our initial experience suggests that FFSRT with conformal method was relatively effective and safe modality in the treatment of recurrent head and neck cancer involving at or near skull base. Treatment benefit included good palliation of symptoms and reasonable radiographic response. However, more experience and additional follow-up are needed to better assess its ultimate role in treating these challenging patients.

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Effects of Cognitive Behavioral Therapy on Attention Deficit Hyperactivity Disorder among School-aged Children in Korea: A Meta-Analysis (한국 학령기 ADHD 아동을 위한 인지행동중재의 효과 연구: 메타분석)

  • Park, Wan-Ju;Park, Shin-Jeong;Hwang, Sung-Dong
    • Journal of Korean Academy of Nursing
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    • v.45 no.2
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    • pp.169-182
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    • 2015
  • Purpose: This study was a meta-analysis designed to identify effects of Cognitive Behavioral Therapy (CBT) interventions in alleviating main symptoms of Attention Deficit Hyperactivity Disorder (ADHD) among school-aged children in Korea. Methods: Examination of several databases including Research Information Sharing Service, Korean Studies Information Service System, Data Base Periodical Information Academic and hand-searched article references, resulted in identification of 1,298 studies done between 2000 and 2013 of which 21 met the inclusion criteria. Comprehensive Meta-Analysis version 2.0 was used to analyze effect sizes, explore possible causes of heterogeneity, and check publication bias with a funnel plot and its trim-and-fill analysis. Results: Overall effect size of CBT intervention was large (g=1.08) along with each outcome of self-control (g=1.26), lack of attention (g=1.02), social skills (g=0.92), and hyperactivity (g=0.92). For heterogeneity, moderator analysis was performed, but no significant differences were found between the RCT (Randomized Controlled Trials) group and the NRCT (Non RCT) group. Also, meta-regression was performed using sample size, number of sessions, and length of session as predictors, but no statistically significant moderators were found. Finally, a funnel plot along with trim-and-fill analysis was produced to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, there is clear evidence that CBT intervention has significant positive effects on the main symptoms of school-aged children suffering ADHD. Further research is needed to target diverse age groups with ADHD along with more RCT studies to improve the effectiveness of the CBT intervention.