• 대한한의학원전학회지
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• 제23권4호
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• pp.39-62
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• 2010

Background : I investigated clinical research methodology of Traditional Korean Medicine(TKM) for treatment of lung cancer with Evidence Based Medicine(EBM) approach. Methods : I conducted the internet search of National Central Library, the National Assembly Library, Korea Education & Research Information Service, Korea Institute of Science and Technology Information for Korean theses and papers, and MEDLINE for the outside articles. Conclusion : In addition to outcomes of clinical trial, abundant clinician's experience and patients' preference are also considered. Pragmatic trials and quasi-experimental trials are better than clinical trials to plan clinical design of TKM for lung cancer and appropriate endpoints includes overall survival, disease-free survival, patient reporting outcome.

• KIEAE Journal
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• 제15권2호
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• pp.27-35
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• 2015

Purpose: Healthcare is on the whole a personal and critical service that consumer's use, whereas hospitalization is as a rule painful, because nature nurtures and Sun Light Luminosity for healthcare settings is considered healing. The performance and design of climate responsive buildings such as AKU requires a detailed study of attributes of climate both at micro as well as macro level. The therapeutic value of contact with nature through window view, greenery and landscape is calculated there. Method: A two prong strategy is been devised for this article, at micro level three typical morphologies are analysed by creating same environment of neighboring building on sun shading chart, radiation and temperature range. Since the analysis of local climate helps to determine the design strategies for hospital Healing Environment which is suitable for Karachi climate; in order to track the macro climatic behaviour, a considerable analysis of psychometrics chart for AKU Karachi are designed on Climate Consultant (CC) and analysed by Machine Learning. Climate Consultant proposes different design strategies suitable for Karachi. And on the other hand time wise illumination sources for clinical area which are then measured on psychrometric chart- according to singular space: multi patient admission, secondly: acute ambulatory ward, and tertiary: multi windowed space according to the mushrabiyah and sky light pattern. Result: Our findings support the hypothesis that windowed wall is 75-80% more healing wall; an accelerated evidence was found for healing at macro level if the form of the hospital is designed according to the climatologically preferences, whereas at micro level: the light resource becomes the staff attentiveness determinant. In Conclusion evidence was provided that the actual form of luminosity results consequently in satisfaction while light entering from several set of windows and other sources might be valued if design according to the healing environment. The data added on the sun shading chart to calculate rays entraining into space in patient room equal to 124416.21 Watts/ meter $m^2$ is calculated as precise healing rate-and is confirmed by questionnaire from patients belonging from each clinical stage having different illnesses.

• 한국조경학회지
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• 제51권5호
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• pp.30-43
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• 2023

그린인프라는 지속가능한 커뮤니티를 조성하는 데에 주요한 전략으로 고려되고 있다. 하지만 도시 레질리언스와 시스템의 역동성이라는 관점에서 그린인프라에 관한 연구는 아직 부족하며 이를 어떻게 물리적인 적용과 융합하는가에 관한 연구 역시 미미하다. 본 연구는 두 가지의 원인에 주목한다. 첫째는 정적변수를 고려하는 기존의 그린인프라 계획과 동적변수를 고려하는 도시모델링 연구 사이의 간극이며, 둘째는 도시모델링 연구와 조경설계 간의 정보 및 방법의 차이이다. 본 연구는 도시성장에 따른 그린인프라의 수요의 분포를 전망하며 설계의사결정을 지원하는 융합모델링을 제안한다. LEAM모델과 MCDA모델을 융합하여 그린인프라의 서비스와 사회경제적 도시변화의 관계성을 평가하고, 2050년의 그린인프라의 수요를 공간적으로 전망한다. 모델의 결과는 시카고 외곽에서의 도시화가 진행될수록 생태시스템 서비스의 질적 저하가 일어날 가능성이 있음을 말한다. 이는 경제성장에 의해 그린인프라에 대한 수요가 지리적으로 변화할 수 있음을 나타내며, 그린인프라 전략이 현재와 미래를 유동적이자 포괄적으로 고려해야 함을 제안한다. 나아가 본 연구는 스튜디오 환경에서의 생산된 정보를 학생들과 공유하여 근거기반 설계의 적용과 가능성에 관해 논의한다. 지오디자인의 관점에서 그린인프라 설계 및 계획과 도시시스템 연구의 융합을 통해 효율적인 설계의사결정을 지원함으로써 보다 탄력적인 도시환경을 조성하는데 기여하고자 한다.

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2017년도 제48회 춘계학술대회논문집
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• pp.258-265
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• 2017

고속추진체계의 시험평가에는 많은 비용과 시간이 필요하므로 시험자료의 양은 항상 부족하고, 설사 있더라도 지상시험 환경이 실제 비행조건과 일치하는 경우가 드물다. 이러한 이유로 설계자들은 설계결과에 대한 불확실성을 정량적인 확률로 제시하는데 어려움을 가지고 있다. 본 논문에서는 Evidence 기법을 이용하여, 시험자료 대신 개발자들의 경험과 공학적인 지식을 바탕으로 불확실성을 모델링하는 방법을 연구하였다. 연소효율은 이중연소램제트 엔진의 초기설계단계에서 가장 예측하기 어려운 변수중의 하나이다. 유사분야의 경험을 가진 설계자들이 이 값을 제시하는 것으로 가정하여 이중연소램제트 엔진의 설계결과에 대한 불확실성을 산출하였다. 나아가 흡입구와 연소기 출구면적으로 설계변수로, 추력성능과 thermal choking의 가능성을 제약함수로 하는 신뢰성 최적설계를 수행함으로써 시스템의 안전성을 확보하면서 최적의 성능을 얻을 수 있는 설계기법을 탐색하였다.

• Clinical and Experimental Pediatrics
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• 제64권1호
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• pp.3-11
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• 2021

There is a growing body of literature on the adverse health effects of ambient air pollution. Children are more adversely affected by air pollution due to their biological susceptibility and exposure patterns. This review summarized the accumulated epidemiologic evidence with emphasis on studies conducted in Korea and heterogeneity in the literature. Based on systematic reviews and meta-analyses, there is consistent evidence on the association between exposure to ambient air pollution and children's health, especially respiratory health and adverse birth outcomes, and growing evidence on neurodevelopmental outcomes. Despite these existing studies, the mechanism of the adverse health effects of air pollution and the critical window of susceptibility remain unclear. There is also a need to identify causes of heterogeneity between studies in terms of measurement of exposure/outcome, study design, and the differential characteristics of air pollutants and population.

• 간호행정학회지
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• 제21권2호
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• pp.143-153
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• 2015

Purpose: The aim of this study was to describe competency in evidence-based practice (EBP) among clinical nurses and to explore critical thinking disposition (CTD) and organizational culture (OC) as possible predictors for competency in EBP. Also this study was conducted to identify baseline data for purpose of developing evidence-based OC to ensure safety of patients and to improve quality of nursing services in clinical setting. Methods: With a descriptive correlation study design, a competency in EBP questionnaire was administered to a convenience sample of nurses (N=393) from a single general hospital in Gyeonggi Province. Results: The overall mean score for competency in EBP was $3.03{\pm}0.53$. Factors influencing competency in EBP were education (${\beta}=0.23$, p<.001), attendance at lectures on EBP (${\beta}=0.18$, p<.001), intellectual eagerness & healthy skepticism (${\beta}=0.27$, p<.001) among CTD, and hierarchy-oriented OC (${\beta}=0.14$, p=.005), which explained about 35% of the total variance. Conclusion: Critical thinking and competency in EBP should be part of nursing education especially for undergraduate students as well as strengthening clinical practice by activation of EBP. The results of this study that hierarchy-oriented OC, is a significant predictor for competency in EBP is difficult to accept. Its seemed to require further exploration.

• 간호행정학회지
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• 제23권1호
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• pp.63-75
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• 2017

Purpose: This study was conducted to adapt the standardized evidence-based nursing protocol using the IPC (intermittent pneumatic compression) intervention to prevent venous thromboembolism in surgical patients. Further, an investigation was done to measure knowledge on prevention of venous thromboembolism, surrogate incidence of venous thromboembolism and to assess IPC compliance in the study patients compared with those in surgical patients who underwent IPC intervention due to previous clinical experience. Methods: An analysis was done of the nine modules suggested by National Evidence-based Healthcare Collaborating Agency (NECA) in the adaptation manual of the clinical practice guideline for protocol adaptation. A nonequivalent control group post test design as a quasi-experiment was used to verify the effect of the IPC protocol. Results: There was a significant difference in knowledge of prevention of venous thromboembolism, IPC application time after intervention and the number of IPC applications between the experimental group (n=50) using the IPC nursing protocol and the control group (n=49). However, the symptoms of deep vein thrombosis and pulmonary thromboembolism were not observed in either the experimental group or the control group after the intervention. Conclusion: Results confirm that the standardized IPC nursing protocol provides effective intervention to prevent venous thromboembolism in surgical patients.

• 성인간호학회지
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• 제27권5호
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• pp.481-492
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• 2015

Purpose: The purpose of this study was to examine the effects of the evidence-based clinical practice guidelines on Postoperative Nausea and Vomiting (PONV). Methods: The research design was a non-equivalent control group with a non-synchronized design. The participants were the patients undergoing gynecologic laparoscopy. Data were collected from July, 2014 through January, 2015. The participants in the experimental group (n=35) received an assessment of risk factors of PONV, aroma therapy, and P6 acupressure method as recommended in the guidelines. Those in the control group (n=35) received usual nursing care. Data were analyzed by mean, standard deviation, t-test, ${\chi}^2$-test using SPSS/WIN 19.0 program. Results: The occurrence of nausea and vomiting, the level of nausea and vomiting, and the need for antiemetic medicine in the experimental group were significantly less than those in the control group after surgery. The levels of postoperative pain and the amounts of time for nursing activities in the experimental group were significantly reduced than those in the control group after surgery. The levels of satisfaction were significantly higher in the experiment group than that of the control group. Conclusion: The evidence-based guidelines is recommended for nursing practice as a guidance for managing PONV and helping the recovery of patients after laparoscopic surgery.

• Journal of the Korean Data and Information Science Society
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• 제27권2호
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• pp.451-461
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• 2016

본 연구의 목적은 400병상 이상 종합병원에 근무하는 간호사들의 비판적 사고성향, 간호과정 수행능력과 근거기반실무역량 수준을 파악하고, 비판적 사고성향, 간호과정 수행능력과 근거기반실무역량과의 관계를 파악하여 근거기반실무역량 향상을 위한 기초 자료를 제공하고자 시도되었다. 본 연구는 서술적 상관관계 연구로 종합병원에 근무하는 262명의 간호사를 대상으로 자기기입식 설문지를 통해 조사하였다. 수집된 자료는 SPSS 21.0을 사용하여 통계 분석하였다. 본 연구의 결과 간호사의 비판적 사고성향과 간호과정 수행능력과 근거기반실무역량은 중정도 이상의 수준이었고 간호사의 근거기반실무역량은 비판적 사고성향 (r=.42, p <.001), 간호과정 수행능력 (r=.58, p <.001)과 정적인 상관관계를 나타냈다. 위계적 회귀분석 결과 비판적 사고성향 (${\beta}=.34$, p <.001)과 간호과정 수행능력 (${\beta}=.57$, p <.001)은 근거기반실무역량에 유의한 영향요인으로 나타났다. 이러한 연구결과를 통해서 간호사의 근거기반실무역량 향상을 위해서 간호사의 비판적 사고성향과 간호과정 수행능력의 향상을 위한 전략이 요구되어진다.

• Perspectives in Nursing Science
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• 제15권1호
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• pp.41-48
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• 2018

Purpose: The purpose of this study was to identify the latest evidence for interventions involving adolescent newlyweds, and the feasibility of premarital coaching (PMC). Methods: A narrative literature review design carried out through related studies was used for the present literature review. A diverse search from several databases was performed to create a critical appraisal and to develop a more integrated model for the PMC program. Studies that empirical, written in English, peer-reviewed, and published during 2008~2017 were included. Results: Six articles were selected for the review. The principal findings identified three major themes including underage period as a high-risk for marriage, development tasks of the newly married spouse, parenting self-efficacy and the psycho-educational approach of PMC to enhance parenting knowledge, skills, and readiness. Conclusion: It was found that content of PMC as the preparation of underage married couples were formulated based on coaching technic, various spouse and parenting educations, and adjusted based on couples's preferences. Rigorous studies with measurement of long-term retentions are needed.