• Title/Summary/Keyword: Evidence-based assessment

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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.

Korean Clinical Imaging Guidelines for Justification of Diagnostic Imaging Study for COVID-19 (한국형 COVID-19 흉부영상 진단 시행 가이드라인)

  • Kwang Nam Jin;Kyung-Hyun Do;Bo Da Nam;Sung Ho Hwang;Miyoung Choi;Hwan Seok Yong
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.265-283
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    • 2022
  • To develop Korean coronavirus disease (COVID-19) chest imaging justification guidelines, eight key questions were selected and the following recommendations were made with the evidence-based clinical imaging guideline adaptation methodology. It is appropriate not to use chest imaging tests (chest radiograph or CT) for the diagnosis of COVID-19 in asymptomatic patients. If reverse transcription-polymerase chain reaction testing is not available or if results are delayed or are initially negative in the presence of symptoms suggestive of COVID-19, chest imaging tests may be considered. In addition to clinical evaluations and laboratory tests, chest imaging may be contemplated to determine hospital admission for asymptomatic or mildly symptomatic un-hospitalized patients with confirmed COVID-19. In hospitalized patients with confirmed COVID-19, chest imaging may be advised to determine or modify treatment alternatives. CT angiography may be considered if hemoptysis or pulmonary embolism is clinically suspected in a patient with confirmed COVID-19. For COVID-19 patients with improved symptoms, chest imaging is not recommended to make decisions regarding hospital discharge. For patients with functional impairment after recovery from COVID-19, chest imaging may be considered to distinguish a potentially treatable disease.

Assessment of Fence Height to Prevent Roadkill of Water Deer(Hydropotes inermis) (고라니(Hydropotes inermis)의 로드킬(Roadkill) 방지 울타리 적정 높이 평가)

  • Park, Heebok;Woo, Donggul;Song, Eui-Geun;Lim, Anya;Lee, Bae-Keun;Jang, Ji-Deok;Park, Tae-Jin;Choi, Tae-Young
    • Journal of Environmental Impact Assessment
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    • v.27 no.2
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    • pp.232-239
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    • 2018
  • Our study aims to provide a guideline of deer-proof fence heights to prevent roadkill of water deer (Hydropotes inermis), the most frequently killed by a vehicle collision, in South Korea. With 27 water deer in deer ecology center of the National Institute of Ecology, we measured the ability of water deer to jump gradually higher fences from 0.5cm by 10cm until the deterrence rate reached 100%. Ourresultrevealed that the deterrence rate became 96.7% at the fence height of 1.5m and the rate reached 100% at the 1.8m. We believe that our result provides the fundamental information to prepare a standard of deer-proof fence height. This evidence-based standard will contribute to improving the guideline for wildlife crossing construction and management, established by Ministry of Environment Korea.

Analysis of Achievement Standards, Activities, and Assessment Items in the 2015 Revised Science Curriculum and Grade 7 Science Textbooks: Focusing on Science Core Competencies (2015 개정 과학과 교육과정에 제시된 중학교 1학년 성취기준과 과학 1 교과서에 포함된 활동과 평가 문항 분석: 과학과 핵심역량 중심으로)

  • Yun, Doun;Choi, Aeran
    • Journal of the Korean Chemical Society
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    • v.63 no.3
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    • pp.196-208
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    • 2019
  • This study analyzed achievement standards in the 2015 revised Science Education Standards as well as activities and assessment items in grade 7 science textbooks using science core competencies and subcomponents. Scientific participation and lifelong learning capacity was not involved in the achievement standards. Logical thinking of scientific thinking capacity, planning and carrying out investigation, analyzing and interpreting data, developing and using models, and constructing explanation of scientific inquiry capacity, collecting and selecting information of scientific problem solving capacity, and using various communication methods of scientific communication capacity were involved in the achievement standards. All five scientific core competencies including all subcomponents except rational decision making of scientific problem solving capacity and understanding and coordinating diverse thoughts of scientific communication capacity were involved in activities of science textbooks. All five scientific core competencies were involved in assessment items of science textbooks. Logical thinking and creative thinking of scientific thinking capacity, planning and carrying out investigation and constructing explanation of scientific inquiry capacity, identifying problems, collecting and selecting information, suggesting solutions, and performing of scientific problem solving capacity, using various communication methods, arguing based on evidence of scientific communication capacity, and being interested in science technology and society issues of scientific participation and lifelong learning capacity.

Trends in the Prevalence of Health Risk Behaviors among Korean Adolescents, 2005-2009: The Korea Youth Risk Behavior Web-based Survey (청소년건강행태온라인조사 자료를 활용한 국내 청소년 건강행태 동향 분석)

  • Kim, Keon-Yeop;Park, Soon-Woo;Kim, Jong-Yeon;Bae, Ji-Suk;Lee, Won-Kee;Jeong, Seong-Hwa;Kim, Ki-Su;Kim, Yeon-Hee;Park, Sun-Min
    • Korean Journal of Health Education and Promotion
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    • v.29 no.1
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    • pp.13-25
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    • 2012
  • Objectives: The aim of this study was to measure secular trends in health risk behaviors among middle and high school students in Korea between 2005 and 2009 by using data from the Korea Youth Risk Behavior Web-based Survey(KYRBS). Methods: The analyses were performed using data from the 2005, 2006, 2007, 2008, and 2009 KYRBS, which included a nationally representative sample of middle and high school students. A total of 34 health behavior indices were used for the assessment of secular trends in health risk behaviors. Logistic regression models were used to identify statistically significant secular trends in health risk behaviors, after adjusting for gender and grade. Linear and higher-order time variables were simultaneously entered into the statistical models. Results: There was evidence of small, but statistically significant increasing or decreasing trends in certain health risk behaviors. Secular trends in health risk behaviors varied by gender. Conclusions: This study indicates that between 2005 and 2009, changes in health risk behaviors among Korean adolescents were generally small, but represented statistically significant increases or decreases. Further research should explore why certain health risk behaviors are increasing or decreasing and what types of interventions are most effective.

Current Guidelines on the Management of Dyslipidemia (이상지질혈증의 국내 및 국외 치료 가이드라인 비교)

  • Choi, Yunjeong;Lee, Song;Kim, Ju Young;Lee, Kyung Eun
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.4
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    • pp.276-283
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    • 2017
  • Objective: Dyslipidemia is recognized as a prominent risk factor for cardiovascular and cerebrovascular diseases but it is manageable through therapeutic and lifestyle intervention. Interpreting the latest guidelines is essential for an application of recommendation from guidelines into clinical practice. Therefore, this study aimed to compare the most recent guidelines on dyslipidemia treatment recommendations in Korea and USA. Methods: This study analyzed and compared 2015 Korean guidelines for the management of dyslipidemia, 2013 American College of Cardiology/American Heart Association (ACC/AHA) guideline and 2016 supportive guidelines from ACC. Results: A comparison was made focused on the following: target patients based on cardiovascular risk assessment, target goal, and treatment strategies including statin and non-statin therapies. Four target patient groups by risk were suggested in 2015 Korean guideline and cardiovascular risk factors were also considered for initiation of lipid lowering therapy. Titrated statin regimen was recommended by Korean guideline to reach LDL cholesterol and non-HDL cholesterol target level. In 2013 ACC/AHA guideline, four statin benefit group was introduced considering ASCVD risk and high intensity statin or intermediate intensity statin use were recommended without dose titration. 2016 update was to support non-statin therapy based on updated evidence and new consideration of ezetimibe, PCSK9-inhibitor and bile acid sequestrant was brought up. Conclusion: Guidelines are continuously updating as new and important clinical data are constantly released along with the advent of newly approved drugs for lipid disorder. This article provides resources that facilitates uptake of these recommendations into clinical practice.

A Study of Student Perspectives on Web-Based Learning Technology in Merchandising Courses (머천다이징 교과과정에서 인터넷을 기반으로한 학습테크롤로지에 대한 대학생들의 시각에 관한 연구)

  • Lee, Kyu-Hye;Stoel, Leslie
    • Journal of the Korean Society of Clothing and Textiles
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    • v.30 no.12 s.159
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    • pp.1788-1799
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    • 2006
  • Assessment of the implementation of a web-based courseware technology application across a merchandising program over a two-year period provides empirical evidence that students believe the technology was easy to use and useful. Results also show that the use of the application was not a hard-ship for the students in terms of time or access, that students in lower class ranks who had not had technology enhanced courses previously were more satisfied with the technology than upper class students, and that perceptions of the technology and satisfaction with it increase with experience using the technology.

Trends in adherence to dietary recommendations among Korean type 2 diabetes mellitus patients

  • Park, Kyong
    • Nutrition Research and Practice
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    • v.9 no.6
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    • pp.658-666
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    • 2015
  • BACKGROUND/OBJECTIVES: The current study examined trends in adherence to dietary recommendations and compared the levels of adherence between diagnosed and undiagnosed subjects with type 2 diabetes mellitus (T2DM) in Korea over the past 14 years. SUBJECTS/METHODS: Data were collected from the 1998-2012 Korea National Health and Nutrition Examination Surveys (KNHANES). Diagnosed diabetes was defined as giving a positive response to questions about awareness of the disease, a physician's diagnosis of diabetes, or medical treatment for diabetes, whereas undiagnosed diabetes was defined as having a fasting glucose level ${\geq}126mg/dl$. Assessment of adherence level was based on 6 components of dietary guidelines, considering meal patterns and intake levels of calories, carbohydrates, vegetable/seaweed, sodium, and alcohol. The participants received 1 point if they met the criteria for each of the 6 components, and the total possible score ranged from 0 to 6 points. Multivariate generalized linear regression was performed, taking into account the complex survey design. RESULTS: Among all diabetic patients aged 30 years or older, the proportion of diagnosed diabetes increased dramatically, from 40.9% in 1998 to 75.9% in 2012 (P for trend < 0.001). The overall adherence levels to dietary recommendations were low and did not significantly differ between diagnosed and undiagnosed subjects with T2DM for all survey years. Several improvements were observed, including increased adherence to maintaining sufficient vegetable/seaweed consumption (increased from 0.12 to 0.16 points) and limiting sodium intake (increased from 0.12-0.13 points to 0.19-0.24 points; P for trend < 0.001), while adherence to maintaining moderate alcohol consumption decreased. CONCLUSIONS: Analysis of data collected by the KNHANES indicates that Korean T2DM patients have poor adherence to dietary recommendations and maintenance of a healthy lifestyle, regardless of disease awareness. This finding suggests that development of practical, evidence-based guidelines is necessary and that provision and expansion of educational programs for T2DM patients is critical after diagnosis.

Eddy Kinetic Energy in the East Sea Estimated from Topex/Poseidon Altimeter Measurements

  • Cho Kwangwoo;Cho Kyu-Dae
    • Fisheries and Aquatic Sciences
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    • v.5 no.3
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    • pp.219-228
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    • 2002
  • Based on the five-year (October 1992 through September 1997) Topex/Poseidon altimeter measurements, we describe the statistical characteristics of the eddy variability in the East Sea in terms of sea surface height anomaly, slope variability, and eddy kinetic energy (EKE). The sea surface height anomalies in the East Sea are produced with standard corrections from Topex/Poseidon measurements. In order to eliminate the high frequency noise in the sea surface height anomaly data, the alongtrack height anomaly data was filtered by about 40 km low-pass Lanczos filter based on Strub et al. (1997) and Kelly et a1. (1998). We find that there exists a distinct spatial contrast of high eddy variability in the south and low eddy energy in the north, bordering the Polar Front. In the northwestern area $(north\;of\;39^{\circ}N\;and\;west\;of\;133^{\circ}E)$ from the Polar Front where the eddies frequently appear, the EKE is also considerabel. The high kinetic energy in the southern East Sea reveals a close connection with the paths of the Tsushima Warm Current, suggesting that the high variability in the south is mainly generated by the baroclinic instability process of the Tsushima Warm Current. This finding is supported by other studies (Fu and Zlontnicki, 1989; Stammer, 1997) wh.ch have shown the strong eddy energy coupled in the major current system. The monthly variation of the EKE in both areas of high and low eddy variability shows a strong seasonality of a high eddy kinetic energy from October to February and a relatively low one from March to September. The sequential pattern of wind stress curl shows resemblance with those of monthly and seasonal EKE and the two sequences have a correlation of 0.82 and 0.67, respectively, providing an evidence that wind stress curl can be the possible forcing for the monthly and seasonal variation of the EKE in the East Sea. The seasonality of the EKE also seems to correlate with the seasonality of the Tsushima Warm Current. There also exists the large spatial and interannual variabilities in the EKE.

Objective and Subjective Socioeconomic Position and Current Smoking Among Korean Adolescents

  • Ko, Min Jung;Lee, Eun Young;Kim, Kirang
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8877-8881
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    • 2014
  • Background: Despite social gradients in adult smoking, the effects of socioeconomic position (SEP) on adolescent smoking is not well understood. This study examined effects of subjective SEP as well as the objective SEP on smoking among Korean adolescents. Materials and Methods: Data were obtained from the 2012 Korea Youth Risk Behavior Web-based Survey, a nationally representative sample of middle and high school students (38,221 boys; 35,965 girls). SEP was assessed by the Family Affluence Scale (FAS) and the self-rated household economic status. Relationships between SEP and smoking were analyzed by multivariate logistic regression. Results: The low perceived SEP for either the high or low FAS grade was related to an elevated likelihood of smoking in both genders. A significantly higher risk of smoking was found in boys of low perceived SEP in middle school (odds ratio [OR] 1.50; 95% confidence interval [CI] 1.28-1.77 for high FAS, OR 1.55; 95% CI 1.21-1.98 for low FAS), and of low perceived SEP and high FAS in high school (OR 1.13; 95% CI 1.02-1.26). Among girls, an elevated risk of smoking was observed in middle school group with low perceived SEP and low FAS (OR 2.01; 95% CI 1.44-2.79) and in the high school group of low perceived SEP, regardless of FAS level (OR 1.34; 95% CI 1.14-1.57 for high FAS, OR 1.31; 95% CI 1.04-1.65 for low FAS). Conclusions: The relationship of subjectively perceived SEP with smoking is as important as objective SEP and more significant in Korean high school adolescents.