• Title/Summary/Keyword: Evidence based design

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Evidence Based Practice in Long Term Care Settings

  • Specht, Janet K.
    • Journal of Korean Academy of Nursing
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    • v.43 no.2
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    • pp.145-153
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    • 2013
  • Purpose: The purpose of this manuscript is to discuss the need for use of evidence based practice (EBP) in LTC, the current use of evidence in long term care facilities and what we know about adoption of the use of EBP in LTC. Methods: Literature review and reporting of findings from the M-TRAIN study that was a quasi-experimental design to test the effectiveness of an intervention to increase the use of EBPs for urinary incontinence and pain in 48 LTC facilities. Results: Barriers to adopting EBPs include lack of available time, lack of access to current research literature, limited critical appraisal skills, excessive literature to review, non-receptive organizational culture, limited resources, and limited decision-making authority of staff to implement change. Strategies to promote adoption of EBP include the commitment of management; the culture of the home; leadership; staff knowledge, time, and reward; and facility size, complexity, the extent that members are involved outside the facility, NH chain membership, and high level of private pay residents. Findings from the M-TRAIN add, stability of nurse leader and congruency between the leaders perception of their leadership and the staff's perception of the leadership. Conclusion: There is clear evidence of the need and the benefits to residents of LTC and to the health care system yet adoption of EBP continues to be slow and sporadic. There is also evidence for the process of establishing best evidence and many resources to find the available EBPs. The urgent need now is finding ways to best get the EBPs implemented in LTC. There is growing evidence about best methods to do this but continued research is needed. Clearly, residents in LTC deserve the best care possible and EBPs represent an important vehicle by which to do this.

A Study on the Evidence-Based Herbal Medicine

  • Park, Jin-Han;Cho, Young-Mook;Choi, Sun-Kyung;Kim, Na-Hyun;Lee, Ki-Taeg;Hong, Seung-Heon
    • Journal of Evidence-Based Herbal Medicine
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    • v.3 no.1
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    • pp.9-18
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    • 2010
  • The use of complementary and alternative medicine (CAM) is currently widespread and appears to be growing. As an increasing proportion of the population turns to CAM therapies, whether singly or in combination with allopathic medicine, the need for quality research in this area is reinforced. Much of this research consists of clinical studies aim ed primarily at clinicians, yet challenges arising from poor methodological quality will occur w hen interpreting study findings and their implications. For clinicians to be effective consumers of the scientific literature, familiarization with the principles of evidence based medicine (EBM) is essential. The goal of this review is to introduce clinicians to the concept of critical appraisal of clinical studies and foster critical thinking when reading research articles in order to best evaluate and incorporate study findings into their daily practice.

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A Case Study on Extension Design of Seoul National University Bundang Hospital (분당 서울대학교병원 증축 설계 사례 연구)

  • Pak, Sungsine;Moon, Changho
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.3
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    • pp.27-36
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    • 2010
  • Recently general hospitals in Korea have been actively remodeled. Remodeling is required to extend the hospitals' area and to meet the new medical demand. Eventually it aims for achieving ideal healing environment. Seoul National University Bundang Hospital has also developed the schematic design to open the new hospital in 2012. This large scale of extension is the first step in its expected remodeling cycle. It is essential for the extension of hospital to create an architectural system on the basis of function, and to keep the balance with both the existing buildings and natural context simultaneously. To connect the existing hospital and the new hospital, a hospital street should be designed to make it function as a main pedestrian spine. Space design marketing of general hospital is effective in promoting the hospital image. It can be realized by emphasizing hospital identity through combining cultural program and commercial facilities. Developing hospital design should be encouraged under the EBD (Evidence Based Design) concept spread in USA.

A Design of Electronic Evidence-seizure Mechanism for the Response of Information-warfare (정보전 대응을 위한 전자적 증거포착 메커니즘 설계1))

  • Park, Myeong-Chan;Lee, Jong-Seop;Choe, Yong-Rak
    • Journal of National Security and Military Science
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    • s.2
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    • pp.285-314
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    • 2004
  • The forms of current war are diversified over the pan-national industry. Among these, one kind of threats which has permeated the cyber space based on the advanced information technology causes a new type of war. C4ISR, the military IT revolution, as a integrated technology innovation of Command, Control, Communications, Computer, Intelligence, Surveillance and Reconnaissance suggests that the aspect of the future war hereafter is changing much. In this paper, we design the virtual decoy system and intrusion trace marking mechanism which can capture various attempts and evidence of intrusion by hackers in cyber space, trace the penetration path and protect a system. By the suggested technique, we can identify and traceback the traces of intrusion in cyber space, or take a legal action with the seized evidence.

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Development of an Evidence-Based Protocol for Preventing Delirium in Intensive Care Unit Patients (중환자실 섬망예방을 위한 근거중심 간호중재 프로토콜 개발)

  • Moon, Kyoung Ja;Lee, Sun Mi
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.3
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    • pp.175-186
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    • 2010
  • Purpose: Delirium can be a highly prevalent symptom in intensive care units but it may still be under-recognized despite its relation with inclined morbidity, mortality, cost, and readmission. Therefore, this study aimed to develop a protocol that covers risk factors and non-pharmacological interventions to prevent delirium in ICU patients. Methods: This study was conducted using methodological design, and it followed the Scottish Intercollegiate Guideline Network (SIGN) guideline development steps: 1) the scope of protocol was decided (population, intervention, comparison, and outcomes); 2) guidelines, systematic reviews, and protocols were reviewed and checked using methodology checklist; 3) the level of evidence and recommendation grades was assigned; 4) the appropriateness of recommendations was scored by experts; 5) the final protocol & algorithm was modified and complemented. Results: The evidence-based delirium prevention protocol was completed that includes predisposing factors, precipitating factors and recommendations with evidenced grades. Conclusion: This protocol can be used as a guide nurses in screening patients with high risk factors of delirium as well as in intervening the patients non-pharmacologically to prevent delirium.

A New Triterpenoid Saponin from Pulsatilla cernua

  • Fan, Wenhao;Liu, Jianyu;Gong, Yixia;Ma, Jing;Zhou, Nan;Xu, Yongnan
    • Natural Product Sciences
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    • v.19 no.2
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    • pp.150-154
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    • 2013
  • A new oleanane-type triterpenoid saponin together with six known saponins were isolated from the roots of Pulsatilla cernua. Their structures were elucidated on the basis of spectroscopic data, including 2D NMR spectra and chemical evidence. Compounds 1 and 6 are reported from this genus for the first time.

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

  • Cho, Seongho;Lim, Jiyeong;Lee, Junga;Choi, GeunChang;Jeon, Kyungmoon
    • Journal of Korean Elementary Science Education
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    • v.35 no.2
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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.

A Study on the Design and Implementation of an Digital Evidence Collection Application on Windows based computer (윈도우 환경에서의 증거 수집 시스템 설계 및 구현에 관한 연구)

  • Lee, SeungWon;Roh, YoungSup;Han, Changwoo
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.23 no.1
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    • pp.57-67
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    • 2013
  • Lately, intrusive incidents (including system hacking, viruses, worms, homepage alterations, and data leaks) have not involved the distribution of an virus or worm, but have been designed to acquire private information or trade secrets. Because an attacker uses advanced intelligence and attack techniques that conceal and alter data in a computer, the collector cannot trace the digital evidence of the attack. In an initial incident response first responser deals with the suspect or crime scene data that needs investigative leads quickly, in accordance with forensic process methodology that provides the identification of digital evidence in a systematic approach. In order to an effective initial response to first responders, this paper analyzes the collection data such as user usage profiles, chronology timeline, and internet data according to CFFPM(computer forensics field triage process model), proceeds to design, and implements a collection application to deploy the client/server architecture on the Windows based computer.

Evidence-based approaches for establishing the 2015 Dietary Reference Intakes for Koreans

  • Shin, Sangah;Kim, Subeen;Joung, Hyojee
    • Nutrition Research and Practice
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    • v.12 no.6
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    • pp.459-468
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    • 2018
  • BACKGROUND/OBJECTIVES: The Dietary Reference Intakes for Koreans (KDRIs), a set of reference intake values, have served as a basis for guiding a balanced diet that promotes health and prevents disease in the general Korean population. In the process of developing DRIs, a systematic review has played an important role in helping the DRI committees make evidence-based and transparent decisions for updating the next DRIs. Thus, the 2015 KDRI steering committee applied the systematic review framework to the revision process of the KDRIs. The purpose of this article is to summarize the revision process for the 2015 KDRIs by focusing on the systematic review framework. MATERIALS/METHODS: The methods used to develop the systematic review framework for 2015 KDRIs followed the Agency for Healthcare Research and Quality and the Tufts Evidence-based Practice Center. The framework for systematic review of the 2015 KDRIs comprised of the 3 following steps: (1) development of an analytic framework and refinement of key questions and search terms; (2) literature search and data extraction; and, (3) appraisal of the literature and summarizing the results. RESULTS: A total of 203,237 studies were retrieved through the above procedure, with 2,324 of these studies included in the analysis. General information, main results, comments of reviewers, and results of quality assessment were extracted and organized by study design. The average points of quality appraisals were 3.0 (range, 0-5) points for intervention, 6.1 (0-9) points for cohort, 6.0 (3-9) points for nested case-control, 5.4 (1-8) points for case-control, 14.6 (0-22) points for cross-sectional studies, and 7.0 (0-11) points for reviews. CONCLUSIONS: Systematic review helped to establish the 2015 KDRIs as a useful tool for evidence-based approach. Collaborative efforts to improve the framework for systematic review should be continued for future KDRIs.

A Green Logistics Network Design to Increase Responsiveness to Eco-Friendly Consumers

  • Eungoo KANG
    • The Journal of Industrial Distribution & Business
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    • v.14 no.11
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    • pp.1-9
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    • 2023
  • Purpose: The industrial sector, especially in developed countries, is seen as the primary threat to sustainability. As a result, contemporary organizations prioritize establishing sustainable business practices. This sustainability can be achieved by organizations being concerned with their external environments, which is referred to as going green. This study aims to provide a green logistics network design to explain how to attract green consumers. Research design, data and methodology: This study conducted a comprehensive process to obtain textual dataset in the current literature and finally the author could collect total 26 relevant prior studies to achieve the purpose of the study. All dataset was thoroughly screened and selected for the high-degree of validity. Results: Based on the intensive literature review, the author insists that the four findings presented in this study will be useful as they provide evidence of the importance of technology in achieving global sustainability.in the situation we face that technology has become an important part of human life. Conclusions: This study provides meaningful insights into the environmental strategies that organizations across the world can implement to achieve a green supply chain based on the solutions in this study. The strategies presented in this study are evidence-based and have been tested through different studies.