• 한국콘텐츠학회논문지
• /
• 제18권4호
• /
• pp.89-98
• /
• 2018

알츠하이머와 같은 치매 유병률의 세계적인 증가추세로 치매예방에 대한 정부의 관심이 증가하고 있다. 본 연구의 목적은 최근 국내에서 발표된 치매예방프로그램 논문을 수집, 분석, 종합하여 체계적으로 문헌고찰하기 위한 것이다. 체계적인 문헌고찰을 위하여, 자료검색은 KoreaMed, Riss4u 및 9개의 간호학회지에 게재된 논문을 대상으로 하였고 '치매예방'과 '인지기능'을 키워드로 전체검색 하였다. 2000년부터 2014년 사이에 게재된 치매예방 연구논문을 대상으로 하였다. 총 250편의 연구 논문이 검색되었고 자료선정기준에 따라 최종 29편의 논문이 선별되었다. 치매예방프로그램의 종류를 분석한 결과, 운동프로그램이 전체 29편 중 11편(37.9%), 통합프로그램 9편(31.0%), 그리고 인지강화프로그램 4편(13.8%)이었다. 대부분의 연구(19편, 65.5%)는 65세 이상 노인을 대상으로 하였고 75세 이상 노인을 대상으로 한 연구는 2편이었다. 본 연구결과를 토대로 후기노인에 대한 효과적인 치매예방과 적절한 중재를 제공하기 위한 치매예방프로그램의 개발이 필요하다.

• 대한간호학회지
• /
• 제45권5호
• /
• pp.627-640
• /
• 2015

Purpose: The objective of this systematic review was to assess the effects of family support programs on caregiving burden, depression, and stress in family caregivers of people with dementia. Methods: A literature search was conducted of electronic databases to identify randomized controlled studies with family support programs done between 2000 and 2014. Studies published in English and/or Korean were included for the analysis with search strategies adapted from the Cochrane Dementia and Cognitive Improvement Group. Studies were rated for quality assessment by two independent reviewers using the appraisal checklist developed by Cochrane Reviews and Dissemination. Of 8,334 articles identified in the literature search, full texts of 76 articles that met the inclusion criteria were reviewed and 38 were found to include relevant outcomes. Results: Results from selected studies were pooled in statistical meta-analysis using Review Manager Software and heterogeneity between combined studies was assessed using the Chi-square test. Meta-analysis showed that the effect sizes of family caregiver support programs were small to medium for categories of caregiving burden (Hedge's g= - 0.17, 95% CI= - 0.30~ - 0.04), depression (Hedge's g= - 0.30, 95% CI= - 0.40~ - 0.20), and stress (Hedge's g= - 0.39, 95% CI= - 0.52~ - 0.25). Conclusion: The review results indicate that a support programs can assist family caregivers in reducing their psycho-emotional distress.

• 환경영향평가
• /
• 제21권6호
• /
• pp.903-916
• /
• 2012

We need to use aesthetic landscape assessment(ALA) as the means of riparian buffer zone(RBZ) management. This study verified the political validity of designation policy of RBZ and land purchase policy. The purpose of this study was to propose RBZ landscape management strategies through ALA of RBZ in Gyeongan Stream for the better attractive and healthy riparian landscapes. The natural type landscape units(LUs) covered 40.9% of the entire area and the cultivated land type LUs covered 20.58%. Landscape assessment consisted of landscape quality and landscape integration assessment. The criteria for assessing landscape quality(LQ) were naturalness, interest, uniqueness, and landscape function. LQ was ranked into five grades using a matrix. The landscape integration assessment consisted of an inner integration assessment in each LU and outer integration assessment among LUs. To review the propriety of designating the riparian area and the riparian ecological belt, differences in ecological appraisal and aesthetic valuation were reviewed through a t-test, Oneway ANOVA, and logistic analysis. The results of ALA, 29.15% of the entire area scored at grade 1 in LQ, while 31.95% scored at grade 5, indicating that grade 5 areas occupied a high share. Surveyed areas were divided into designated RBZ and undesignated RBZ. Results indicated that designated RBZ scored grade 1 in LQ took up 33.2% of the total, significantly higher than the 23.3% taken up by undesignated RBZ. When examined according to buffer distance, grade 1 areas within 50m took up 50.2% of the total area, lower than the 32.7% at buffer distances of 500m-1km. Results indicated a 1% statistically significant difference. Accordingly, analysis was undertaken for the expansion of designation of the riparian area and the selection of appropriate land for formation of a riparian ecological belt, and was designated at priority 1 and 2 for land purchase. This study can also contribute to the formation of a riverine eco-belt through discovery of design factors for upgrading the ecology, aesthetics, and landscape of the riparian area and application in determining land purchase priorities.

• 과학기술학연구
• /
• 제13권1호
• /
• pp.77-109
• /
• 2013

현재 의료체계의 주된 변화로 근거중심의학(Evidence-based Medicine: EBM)의 전지구적확산을 꼽을 수 있다. 최근 STS 연구들은 EBM이 실제 의학 실행 속에서 어떻게 사용되고 작동하는지에 대한 검토를 수행했는데, 이 글은 이러한 맥락 속에서 전립선암 특이항원(Prostate-specific Antigen: PSA) 의 조기진단 검사 도구 사용 여부를 둘러싸고 미국에서 벌어진 논쟁을 추적한다. 본 연구는 EBM이 PSA 검사 조기진단의 지지자와 반대자 양측에서 논쟁의 자원으로 이용되었으며, 그 과정에서 '확고한 과학적 기준'을 제시할 것으로 기대되던 EBM의 과학적 증거 위계가 행위자들의 의도에 따라 사실상'유연하게' 해석되고 동원되었음을 보일 것이다. 나아가, 이 글은 현재 EBM이 PSA 검사 반대자를 지지하는 것처럼 보이는 일은 삶의 질이라는 가치가 EBM의 체계 내에 주요한 변수로 부상하는 역사적 맥락에 의해 만들어진 결과임을 드러낼 것이다. 본 사례 연구는 EBM 시대에 의료기술에 관한 논쟁을 검토하는 연구자들이 EBM이라는 대상을 주어진 것으로 간주하기 보다는 논쟁 속에서 맥락화하여 논쟁과 함께 분석해야 함을 시사한다.

• 한국수자원학회논문집
• /
• 제30권2호
• /
• pp.107-118
• /
• 1997

한국수자원공사가 수행한 중국 산서성 태원시 용수공급원인 분하강 상류 저수지 시스템은 매우 복잡하다. 이곳 저수지 시스템은 여러개의 저수지가 직렬로 연결될 계획이며, 운영에서도 여러 가지 목적이나 평가항목을 고려하는 다목적, 다기준 시스템이 될 것이다. 이 시스템에서 주요 저수지 운영목적은 용수부족과 저수지 퇴사량 최소화이나 황하도수사업이라는 대규모 펌핑 시스템과 연계 운영이 필요하다. 황하도수계획에서의 용수개발비는 저수지를 통한 개발비 보다 비싼 편이며, 2020년경의 필요 도수량은 자체 유역으로부터 지표수 공급량의 두배에 이를 것으로 전망된다. 본 연구에서는 분하 상류 저수지 시스템과 황하도수 시스템의 연계 운영문제를 해결하기 위하여 펌핑-저수지 시스템 최적화 모형을 개발하였다. 연구내용은 황하도수계획과 저수지 시스템의 연계 가능성을 입증하고 황하도수계획을 하나의 저수지화하여 실제 저수지 시스템과 연계하는 방법을 제시하고 있다. 또한 개발된 모형을 이용하여 여러 가지 기존의 저수지 운영목적을 만족시키면서 황하도수량 최소화에 대한 실제 적용 예를 제시하고 있다.

• 한국태양에너지학회 논문집
• /
• 제31권1호
• /
• pp.68-77
• /
• 2011

The concern of green building has been increased with an environmental problem or a rising oil price by industrialization. Therefore offices, schools and some buildings are expected to acquire the green building certification increasingly, but the information such as a process of green building certification, the state of certificated buildings, a score as specific clauses on green building certification is to seek. For not only school facilities make an effect to an student's learning achievement, but is the place where adolescents in a period of growth almost spend their life, eco-friendly school facilities is absolutely required. For this reason, systematizing the information related with the green building certification is to be needed in school field as well Therefore the effort to systematize certification management of eco-friendly school and provide information of certificated building, certification application procedure and sources related with certification for convenience is needed. Also reference material to decrease an inefficient time and expenses and to systematize certification evaluation is be able to beneficial. On the study, for such as the purpose above-mentioned, as the appraisal standard with 12 selected schools randomly is arranged. Based on the assessed scores table, features or something in common as a cause of the score change between preliminary and main certification is to be classified and anaylized.

• 사상체질의학회지
• /
• 제26권3호
• /
• pp.213-223
• /
• 2014

Objectives This study was aimed to develop the clinical practice guideline for Soyangin symptomatology. It discussed the principle and method of application of clinical practice guideline for Soyangin symptomatology which focuses on symptomatology, not disease. Methods Based on the previous guidelines, we assessed the guidelines by Appraisal of Guidelines for Research and Evaluation (AGREE II). After AGREE II assessment, we chose and revised the clinical practice guideline. Member of writing committee reviewed and examined "Donguisusebowon" and many articles for developing clinical practice guidelines. Draft of clinical practice guideline was reviewed by advisory committee and approved by Society of Sasang Constitutional Medicine. Results & Conclusions By researching and discussing the Soyangin symptomatology, we establish the evaluation criteria for diagnosis including classification, definition and develop diagnostic algorithm and treatment assessing tool.

• Child Health Nursing Research
• /
• 제25권4호
• /
• pp.435-448
• /
• 2019

Purpose: The purpose of this study was to review sexual abuse prevention education program for Korean elementary school students. Methods: Whittemore and Knafl's integrative review methods were used and Gough's weight of evidence was employed as a quality appraisal tool. Articles published in Korean or English were identified through electronic search engines and scholarly web sites using three keywords: "elementary school student", "sexual abuse", and "prevention education". Peer-reviewed articles published between 2000 and 2018 were included in this review. Results: Twelve articles met the inclusion criteria and were appraised as being high-quality. Among the 12 selected studies, seven were descriptive, while five were intervention studies. Sexual abuse prevention education programs were effective in improving perceptions, knowledge, attitudes, and preventive behaviors among elementary school students. However, deficiencies were found in the variety of educational methods, utilization of experts, and standardization of the content of sexual abuse prevention education. Conclusion: We need to provide various educational methods that are appropriate for specific developmental stages, and the sexual abuse prevention content should draw upon the current sexual education program administered to this population. Furthermore, parents and trained teachers or school health teachers should be included to provide effective education programs for elementary students.

• 여성건강간호학회지
• /
• 제28권3호
• /
• pp.174-186
• /
• 2022

Purpose: This study aimed to investigate the effects of virtual reality used in maternal-child nursing clinical practicums on nursing students' competencies through a systematic review. Methods: The inclusion criteria were peer-reviewed papers in English or Korean presenting analytic studies of maternal-child nursing practicums using virtual reality. An electronic literature search of the Cochrane Library, CINAHL, EMBASE, ERIC, PubMed, and Research Information Sharing System databases was performed using combinations of the keywords "nursing student," "virtual reality," "augmented reality," "mixed reality," and "virtual simulation" from February 4 to 15, 2022. Quality appraisal was performed using the RoB 2 and ROBINS-I tools for randomized controlled trials (RCTs) and non-RCTs, respectively. Results: Of the seven articles identified, the RCT study (n=1) was deemed to have a high risk of bias, with some items indeterminable due to a lack of reported details. Most of the non-RCT studies (n=6) had a moderate or serious risk of bias related to selection and measurement issues. Clinical education using virtual reality had positive effects on knowledge, skills, satisfaction, self-efficacy, and needs improvement; however, it did not affect critical thinking or self-directed learning. Conclusion: This study demonstrated that using virtual reality for maternal-child nursing clinical practicums had educational effects on a variety of students' competencies. Considering the challenges of providing direct care in clinical practicums, virtual reality can be a viable tool that supplements maternal-child nursing experience. Greater rigor and fuller reporting of study details are required for future research.

• Clinics in Shoulder and Elbow
• /
• 제26권2호
• /
• pp.162-168
• /
• 2023

Background: Reverse shoulder arthroplasty (RSA) has evolved continuously over recent years, with expanded indications and better outcomes. YouTube is one of the most popular sources globally for health-related information available to patients. Evaluating the reliability of YouTube videos concerning RSA is important to ensure proper patient education. Methods: YouTube was queried for the term "reverse shoulder replacement." The first 50 videos were evaluated using three different scores: Journal of the American Medical Association (JAMA) benchmark criteria, the global quality score (GQS), and the reverse shoulder arthroplasty-specific score (RSAS). Multivariate linear regression analyses were conducted to determine the presence of a relationship between video characteristics and quality scores. Results: The average number of views was 64,645.78±264,160.9 per video, and the average number of likes was 414 per video. Mean JAMA, GQS, and RSAS scores were 2.32±0.64, 2.31±0.82, and 5.53±2.43, respectively. Academic centers uploaded the highest number of videos, and surgical techniques/approach videos was the most common video content. Videos with lecture content predicted higher JAMA scores whereas videos uploaded by industry predicted lower RSAS scores. Conclusions: Despite its massive popularity, YouTube videos provide a low quality of information on RSA. Introducing a new editorial review process or developing a new platform for patients' medical education may be necessary. Level of evidence: Not applicable.