• 제목/요약/키워드: evidence

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보육현장 아동학대에 대한 근거기반 맞춤형 개입 모델 개발 및 적용: 다학제간 협력적 연계 시스템을 중심으로 (The Application of Customized Evidence-based Counseling for Abused Preschool Children in Day Care Centers: Focusing on the Multidisciplinary Cooperative Linking System)

  • 이경숙;박진아
    • 한국보육지원학회지
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    • 제16권1호
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    • pp.1-20
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    • 2020
  • Objective: The purpose of this study was to explore the application of the multidisciplinary model, which is customized evidence-based counseling for abused preschool children done by a day care center teacher. Methods: The participants were 16 preschool children which were abused by a day care center teacher and their parents. The data were analyzed by using the Wilcoxon Signed-rank test. Results: The multidisciplinary cooperative service model based on customized evidence-based counseling for abused preschool children, their parents, and day care center teachers was developed. Based on this model, customized evidence-based Post-Traumatic Stress Disorder (PTSD) emergency intervention was provided to preschool children abused by a day care teacher in Incheon. The multidisciplinary cooperative emergency intervention service proved to be effective in reducing emotional and behavioral problems of abused preschool children and enhancing the mental health of parents. Conclusion/Implications: The results of this study indicated that the customized evidence-based counseling for abused preschool children done by a day care center teacher using the multidisciplinary cooperative linkage system would be effective, and that child abuse prevention by day care center teachers and intervention services should be provided systematically at the national level.

우리나라 디지털 증거수사의 효율성 증진방안 (Efficiency Improvement about Digital Evidence Investigation in Korea)

  • 강맹진;김정규
    • 한국콘텐츠학회논문지
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    • 제7권2호
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    • pp.180-190
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    • 2007
  • 최근 각종사건 수사에 디지털 증거의 효용성이 증대되고 있다. 디지털 저장매체가 실생활에 폭넓게 사용됨에 따라 유죄입증이 가능한 결정적 증거가 디지털 형태로 남겨져 있는 경우가 빈번하게 발생하고 있기 때문이다. 현재 세계 각국의 수사기관들은 디지털 증거의 효용성을 극대화하기 위한 노력에 많은 관심을 기울이고 있다. 우리나라에서는 디지털 증거의 신뢰성 보증 모델 등에 관한 연구가 컴퓨터 공학, 형사법학 분야 등을 중심으로 꾸준하게 진행되어 왔다. 그러나 수사기관의 수사기법이 신종 범죄를 쫓아가는 상황에서 수사기관의 입법상, 기법상 공백은 발생할 수 밖에 없는 한계를 겪을 수 밖에 없다. 우리나라는 현재 디지털 증거에 관한 명확한 법규가 마련되어 있지 않고 전문 수사 인력이 부족한 실정으로 디지털 수사의 입법적 흠결 보완과 수사기관의 조직개편 등이 요구되고 있다. 본문에서는 날로 전문화되고 다양화되는 각종 사이버 범죄의 효율적 대응을 위한 핵심적 단서인 디지털 증거를 효율적으로 수사하기 위한 방안에 대해 논의하였다.

초등학생의 '증거' 사용에 따른 '과학적 정당화' 활동의 분석 (Analysis of Elementary Students' Scientific Justification Activities based on Evidence)

  • 장신호;정수진
    • 한국초등과학교육학회지:초등과학교육
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    • 제29권4호
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    • pp.414-426
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    • 2010
  • For this study, inquiry-based learning program was developed for promoting elementary students' scientific justification activities based on their uses of scientific evidences. The program was applied to the 5th grade science class to examine the types of evidences and major features of scientific justification activities. Analysis of the data showed that the evidences used by students were classified into knowledge-based evidence, experience-based evidence and authority-based evidence. As for students' justification features, this study reports three major cases: a case evolving evidence and justification to become more valid and logical, as inquiry activities progressed, other case maintaining less valid and illogical evidence and justification, and final case revealing passive and reluctant participation in the inquiry activities. Overall, students' participation in scientific justification process became more valid and relevant, while there were some students who were unable to make the relevant relations between evidences and claims they made. The educational implications were discussed to consider more effective ways to improve the scientific classroom environment through social knowledge construction.

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아동의 발열관리: 현황 및 과학적 근거 (Childhood Fever Management: Current Practice vs Evidence)

  • 김진선
    • Child Health Nursing Research
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    • 제22권2호
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    • pp.126-136
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    • 2016
  • Purpose: The purposes of this review were to address misconceptions of childhood fever and fever management practice among parents and health care providers, and to identify the scientific evidences against such misconceptions and practices. Methods: Journal databases and clinical guidelines from 2000 to 2015 were searched. The search terms were fever, fever management, misconception, myth, fiction, fact, fever phobia, child, antipyretics, tepid bath, alternating use/combined use of antipyretics, and physical cooling method. Results: There are significant gaps between current concepts and practices, and the scientific evidence. Misconceptions and unrealistic concerns about childhood fever still exist among parents and even health care providers, worldwide. The evidences suggest that antipyretics should be given carefully with the aim of relieving discomfort or pain rather than decreasing the temperature itself. Alternating use of antipyretics should be discouraged due to the risk of confusion and error. Antipyretics do not prevent febrile convulsions. Moreover, the scientific evidence does not support tepid sponge massage. Conclusion: Evidence-based childhood fever management interventions should be targeted toward parents and health care providers. By adopting an evidence-based approach to nursing interventions, pediatric nurses can ensure children receive appropriate and safe fever management.

임상간호사의 근거기반실무 신념과 연구 관련 행동의도에 따른 온 요법 간호 (Heat Application According to Nurse's Belief on Evidence-Based Practice and Behavioral Intention Related to Research)

  • 윤수경;신용순
    • 기본간호학회지
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    • 제23권3호
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    • pp.264-274
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    • 2016
  • Purpose: This study was done to compare heat applications by nurses in accordance to belief in evidence-based practice and behavior intention related to research. Methods: A cross-section survey design was used. Participants were 228 nurses from 5 institutions who completed the research questionnaire. Data were collected during July and August 2015. Results: The nurses reported that duration of heat applications was 2.5 minutes to 90 minutes. Frequently used heat application devices, in order of frequency, were rubber bag, gel pack and red clay pack. Most of the nurses (78%) responded that advice from colleagues was the most frequently used basic evidence for heat application. There was a statistically significant difference for the necessity of heat application practice guidelines between the high evidence-based practice belief cluster and the low cluster ($x^2$=15.39, p<.001). Conclusion: There were difficulties in providing consistent nursing interventions because of practical differences and absence of evidence-based guidelines for heat application. The researchers recommend that basic studies with various instruments be conducted and proper practice guidelines developed for heat application.

Is Axillary Dissection Necessary for Breast Cancer in Old Women? A Meta-analysis of Randomized Clinical Trials

  • Zhang, Pei-Zhen;Chong, Le;Zhao, Ye;Gu, Jing;Tian, Jin-Hui;Yang, Ke-Hu
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권2호
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    • pp.947-950
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    • 2013
  • Background: We performed this meta-analysis to assess the effectiveness and safety of axillary dissection in old women. Methods: The Cochrane Library, PubMed, EMBASE and Chinese Biomedical Literature Database were searched and all randomized controlled trials of axillary dissection in old women (at least 60 years old) were considered. Meta-analyses were completed using RevMan5.1. Results: Three eligible randomized controlled trials (RCTs) including 5,337 patients were considered. There was weak evidence in favour of axillary dissection (AD) in old women. The meta-analysis showed that the overall survival (OS) after 1, 3, 5 and 7 years and the disease free survival (DFS) after 1, 3 and 5 year were not statistically significantly different between AD and no AD groups. However, there was a difference in the 7 year DFS. Conclusions: Axillary dissection did not provide survival benefit to the old women with breast cancer analysed. Therefore, axillary dissection is not well-indicated in old women with breast cancer.

서울지역 패밀리레스토랑 외식고객의 가치인지에 미치는 물리적 증거 영향 (The Influence of Physical Evidence on Perception of Eating-out Customer's Value at Family Restaurants in Seoul)

  • 윤태환;형도윤
    • 한국식품조리과학회지
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    • 제24권3호
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    • pp.367-374
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    • 2008
  • The principal objective of this study was to determine the influence of physical evidence's performance on perception of value at family restaurants in Seoul. Frequency analysis, t-test, ANOVA, reliability analysis, factor analysis, multiregression analysis were employed to analyze the data. The physical evidence was divided into 3 factors. Factor 1, 'matters related to appearances and decoration'; and Factor 3, matters related to atmosphere' differed significantly with monthly pocket money. However, all factors differed significantly by partner. Additionally, all factors positively(+) influenced customer's perception of value. In particular, factor 1, 'matters related to appearances and decoration' was the most positive factor. As a result, physical evidence can be regarded as efficient marketing tactic by which the intangible factors of restaurant-business may be removed. Therefore, food-service companies should endeavor to manage physical evidence ideally as a means of reducing the negative characteristics of service toward customers and inducing customers perceptions of value at family restaurants.

패밀리 레스토랑에서의 브랜드 증거 형성 요인이 브랜드 만족과 고객 애호도에 미치는 영향 (Effects of Constructs of Brand Evidence on Brand Satisfaction and Customer Loyalty in the Family Restaurant)

  • 하동현;김시현
    • 동아시아식생활학회지
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    • 제20권3호
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    • pp.458-472
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    • 2010
  • In the service industry brand was getting more importance in marketing and brand should be researched more. So the purpose of this study was to identify the causal relationships of 'constructs of brand evidence-brand satisfaction-feelings-brand satisfaction-customer loyalty'. In this research constructs of brand evidence were brand image, price (value for money), servicescapes, core service, employee service, and self-image congruence. This research used family restaurants settings using a sample of customers visiting and enjoying menus at family restaurant stores of Youngnam province. A total of 222 questionnaires were analyzed with SPSS/PC+12.0 and LISREL8.30. Empirical results were that firstly, price, core service and employee service affected brand satisfaction and secondly, employee service, core service, servicescape affected postive feelings and thirdly, brand evidence constructs except self-image congruence influenced negative feelings and lastly, brand satisfaction influenced customer loyalty. On the basis of these findings, family restaurant manager should pay much attention to constructs of brand evidence and use these variables to appeal to and understand target market.

화학 탐구 맥락에서 중등 과학 교사가 제시한 주장과 증거 분석 (An Analysis of Written Claim and Evidence Produced by Secondary Science Teachers in a Context of Chemistry Inquiry)

  • 김다은;최애란
    • 대한화학회지
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    • 제61권6호
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    • pp.359-368
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    • 2017
  • 본 연구에서는 중등 과학 교사가 화학 탐구 맥락의 결과를 해석하여 제시하는 주장과 증거의 수준이 어떠한지 알아보고자 하였다. 본 연구에 참여한 53명의 과학 교사가 화학 탐구의 결과를 해석하여 제시한 주장과 증거를 분석한 결과 3가지 문항 중에서 여러 개념이 통합된 화학 주제의 경우 1-2수준의 주장과 증거가 상당수 있었고, 화학 교과서에 명시적으로 제시된 화학 개념과 직접 관련된 내용의 경우 3-4수준의 주장과 증거가 많았다. 본 연구의 결과는 과학 탐구의 핵심인 논증, 즉 주장과 증거 제시에 대하여 과학 교사가 적절한 지식과 이해를 함양할 수 있도록 현장 과학 교사 교육이 필요함을 시사한다.

웹기반 체온 관리 근거중심 간호실무 가이드라인이 위절제술 환자의 체온, 전율, 체온 불편감, 체온 관리 만족도에 미치는 효과 (Use of Web-Based Evidence-based Clinical Practice Guidelines for Patients following Gastrectomy: Effects on Body Temperature, Shivering, Perceived Thermal Comfort, and Satisfaction with Temperature Management)

  • 홍성정;이은주
    • 기본간호학회지
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    • 제21권2호
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    • pp.112-122
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    • 2014
  • Purpose: The purpose of this study was to examine the effects on body temperature, shivering, and perceived thermal comfort of web-based evidence-based practice guideline for patients undergoing gastrectomy. Methods: Eighty patients scheduled for gastrectomy were recruited and assigned to the control or experimental group by sequential order. Before collecting data from the experimental group, a systematic educational program on evidence-based guidelines was provided to the nurses as well anesthesiologists. Data were analyzed using t-test and repeated measured ANOVA. Results: The experimental group showed higher body temperature from the induction of anesthesia until four hours after surgery compared to the control group. In addition, the levels of thermal comfort as well as satisfaction with thermal management were significantly higher in the experiment group. Conclusion: Use of evidence-based guidelines was effective in maintaining body temperature, lowering sensitivity to shivering, and promoting perceived thermal comfort. Therefore, adoption of evidence-based interventions in nursing practice is recommended.