• 셀메드
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• 제5권3호
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• pp.16.1-16.3
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• 2015

Evidence based medicine involves using both the individual clinician's expertise and the current best available external clinical evidence from systematic research in deciding on the appropriate care for individual patients. The current approach to evidence based practice in healthcare adds a third component which is patient values. Evidence based practice is thus a triad, in which the practitioner's expertise, research evidence and the patient's values are all given consideration. The balance to be struck between them depends on the individual case. The literature indicates that complementary medicine practitioners are moving away from traditional knowledge and towards the use of evidence based practice in their clinical discussions. In the context of the daily practice of complementary medicine practitioners and their continuing development of their knowledge base of evidence based practice, this short review discusses the good and bad of a review journal article.

• 셀메드
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• 제6권3호
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• pp.15.1-15.4
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• 2016

Evidence based practice (EBP) is a system of applying the most current and valid high quality evidence to support clinical decision making in a healthcare setting. In the twenty five years since its inception, EBP has become the accepted benchmark for excellence in healthcare. Although the system emerged within the biomedical sciences, in the years since EBP has become normative across all healthcare modalities from dentistry, allied health to complementary and alternative medicine (CAM). Practicing evidence based medicine within any modality potentially offers the patient the best available care based on high quality evidence. Yet it is the nature of the evidence that provokes some questions about the suitability of EBP across all modalities of healthcare. The meta analysis of randomized controlled trial (RCT) stands at the pinnacle of the hierarchy of evidence in EBP. This forms a challenge to CAM due to the difficulty in reducing the elementals of a holistic naturopathic assessment of a patient into an answerable question to be tested within a RCT. On one level this makes EBP paradigmatically incompatible with CAM, yet on another level it presents the opportunity to redefine the parameters of what is considered high level evidence. EBP has become a tool, and at times a weapon wielded by governments and health insurance companies to direct healthcare funding and policy. The implications of the nature of accepted evidence are becoming far reaching. The pursuit of the best available healthcare for each individual is the focus of EBP. However, the injudicious use of this system to direct health policy is fraught with biomedical bias and dominance. This issue raises the challenge to CAM to present high level evidence according to the rules of evidence, or face the annihilation of centuries of empirical knowledge.

• 한국정보통신학회논문지
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• 제17권9호
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• pp.2055-2062
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• 2013

범죄 증거의 새로운 형태인 디지털 증거는 기존의 증거와 기능 및 역할에 있어서 거의 차이점이 없으며, 증거로서의 법적 인정 및 역할이 점차 증가할 것으로 예상된다. 포렌식 수사관은 다수의 증거 보유 장치(예, 컴퓨터 시스템, 저장 매체 등)에 저장되어 있는 막대한 양의 데이터로부터, 사건과 관련된 실마리를 찾기 위하여 많은 시간을 소모해야 한다. 따라서 조사 시간을 단축하기 위해서는 잠재적인 관련 증거의 중요성에 근거하여 순서화 및 순위화가 필요하다. 본 연구에서는 포렌식 조사 시에, 정확한 증거를 선정하게 함으로서 증거 분석 우선순위를 결정하는 방법을 제안한다. 제안된 방식은 증거 조사 소요시간, 증거의 가치, 증거간의 연관성 그리고 사건과 시간과의 연관성과 같은 다수의 부정확한 요소가 퍼지 집합 함수를 사용한 의사 결정에 사용되는 다기준 의사 결정에 근거한다.

• 한국IT서비스학회지
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• 제19권3호
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• pp.57-73
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• 2020

The proportion of digital evidence in criminal cases has increased, while at the same time, the spread of the Internet has made it easy to delete information that is stored in another place and thus, the Internet is being used to delete online criminal evidence. To respond quickly and effectively to cybercrime, 29 countries signed the Convention on Cybercrime in 2001 through the Council of Europe. Article 16 of the Convention relates to the expedited preservation of stored computer data and requires signatories to adopt legislative measures to enable its competent authorities to order expeditious preservation of specified computer data where there are grounds to believe that the data is particularly vulnerable to loss or modification. More than 60 countries have joined the Convention since 2001 and have made efforts to improve their legal system in line with it. The United States legislated 18 U.S.C. § 2703(f) to preserve electronic evidence pending the issuance of a court order. The German Code of Criminal Procedure §§ 94~95 allows prosecution authorities to seize evidence or issue production orders without court control in urgent circumstances. A custodian shall be obliged to surrender evidence upon a request that evidence be preserved, and non-compliance results in punishment. Japan legislated the Criminal Procedure Act § 197(3) and (4) to establish a legal base for requesting that electronic records that are stored by an ISP not be deleted. The Korean Criminal Procedure Act § 184 outlines procedures for the preservation of evidence but does not adequately address the expeditious preservation of digital evidence that may be vulnerable to deletion. This paper analyzes nine considerations, including request subjects, requirements, and cost reimbursement to establish directions to improve the legal system for the expedited preservation of digital evidence. A new method to preserve online digital evidence in urgent cases is necessary.

• 인터넷정보학회논문지
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• 제11권4호
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• pp.129-141
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• 2010

디지털 컴퓨팅 환경에서 가질 수 있는 기기의 오류에 의해 오작동과 악의적인 침해가 발생할 수 있다. 이러한 침해행위는 개인의 사생활을 위협하는 치명적인 요소로 작용한다. 이러한 침해행위에 대한 법적 대응을 위해 침해증거 확보 기술과 관리기술을 세계적으로 연구하고 있다. 침해행위에 대한 증거확보기술은 사건발생 시점을 기준으로 증거 대상시스템을 압수하여 법정에서 증거자료로 활용한다. 그러나 수집된 증거물은 증거물 수집, 증거물 분석, 법정의 영역에서 변조 및 손상에 위험성을 가질 수 있다. 즉, 증거물의 무결성과 대상시스템에서 수집된 증거물이 맞는지에 대한 신뢰성에 문제점을 갖는다. 본 논문에서는 디지털 컴퓨팅 환경에서 시스템의 오작동 및 침해증거를 보호하여 컴퓨터 포렌식스를 지원할 수 있도록, 디지털 증거물의 무결성 및 신뢰성 보증을 위한 기법을 제안한다. 제안한 기법으로는 피해시스템, 증거수집, 증거 관리, 법정(제3의 신뢰기관)의 각 개체간에 상호 인증을 통해 증거물을 관리하고 증거물이 법정에서 법적 효력을 발휘할 수 있도록 접근 통제 보안 모델을 제안하여 안전한 증거물 관리 정책을 수립한다.

• 한국임상보건과학회지
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• 제3권4호
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• pp.476-489
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• 2015

Purpose. The purpose of this study was to investigate the evidence-based pain management knowledge, performance and Evidence-Based Practice(EBP) attitude of nurses at small-medium sized hospitals. Methods. The sample of this study were 214 nurses. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression using SPSS/Win 21.0 Results. Evidence-based pain management knowledge score averaged $3.95{\pm}0.43$, with significant differences depending on clinical experiences. Performance score averaged $3.77{\pm}0.51$. EBP attitude score averaged $3.21{\pm}0.57$, and significant differences were evident depending on hospital division and clinical setting. Evidence-based pain management knowledge and EBP attitude were significant predictors of evidence-based pain management performance. Conclusions. This result indicates that education and training programs to facilitate evidence-based pain management knowledge, performance, and EBP attitude are needed among nurses.

• 성인간호학회지
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• 제17권3호
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• pp.411-424
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• 2005

Purpose: The purpose of this study was to develop and evaluate e-EBPP(Evidence-based Practice Protocol) system for nursing care for patients with dementia to facilitate the best evidence-based decision in their dementia care settings. Method: The system was developed based on system development life cycle and software prototyping using the following 5 processes: Analysis, Planning, Developing, Program Operation, and Final Evaluation. Result: The system consisted of modules for evidence-based nursing and protocol, guide for developing protocol, tool for saving, revising, and deleting the protocol, interface tool among users, and tool for evaluating users' satisfaction of the system. On the main page, there were 7 menu bars that consisted of Introduction of site, EBN info, Dementia info, Evidence Based Practice Protocol, Protocol Bank, Community, and Site Link. In the operation of the system, HTML, JavaScript, and Flash were utilized and the content consisted of text content, interactive content, animation, and quiz. Conclusion: This system can support nurses' best and cost-effective clinical decision using sharable standardized protocols consisting of the best evidence in dementia care. In addition, it can be utilized as an e-learning program for nurses and nursing students to learn use of evidence based information.

• International Journal of Internet, Broadcasting and Communication
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• 제13권3호
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• pp.124-129
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• 2021

As the 4th industrial era is in full swing, the public's interest in related technologies such as artificial intelligence, big data, and block chain is increasing. As artificial intelligence technology is used in various industrial fields, the need for research methods incorporating artificial intelligence technology in related fields is also increasing. Evidence collection among digital forensic investigation techniques is a very important procedure in the investigation process that needs to prove a specific person's suspicions. However, there may be cases in which evidence is damaged due to intentional damage to evidence or other physical reasons, and there is a limit to the collection of evidence in this situation. Therefore, this paper we intends to propose an artificial intelligence-based evidence collection system that analyzes numerous image files reported by citizens in real time to visually check the location, user information, and shooting time of the image files. When this system is applied, it is expected that the evidence expected data collected in real time can be actually used as evidence, and it is also expected that the risk area analysis will be possible through big data analysis.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제29권1호
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• pp.21-28
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• 2023

Purpose: Evidence-based design is the process of making design decisions based on reliable research to achieve the best results, so it is important to accumulate reliable evidence through research. Therefore, the purpose of this study is to present new evidence by applying the evidence-based design process to improve the digital signage for each room spaces in hospitals and verifying its effectiveness. Method: Through the 8-step process of evidence-based design, improved digital signage for each room spaces are installed. It conducted surveys and statistical analysis to prove hypotheses by linking design and research. Results: The hypotheses established in the study are: 1) improvement in the readability of digital signage is correlated with patient satisfaction; 2) Improving the intuitiveness of digital signage correlates with patient satisfaction; 3) Improving the sufficiency of digital signage correlates with patient satisfaction. As a result of satisfaction analysis and correlation analysis, all of the above hypotheses were proven. Implications: Although the hospital sign system is the element that patients rely on most intuitively in the long journey of reception, waiting, examination, and treatment, there is insufficient evidence to refer to or apply it when designing. It is necessary to expand future research to expand the evidence that can be applied to hospital sign design.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제40권
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• pp.26.1-26.10
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• 2018

Background: This study aimed to evaluate the mechanical, biological, and esthetic stability of a zirconium abutment according to evidence-based dentistry. Main text: An electronic search was performed. Domestic studies were found using the keywords "zirconia abutments" and "zirconium abutment" in KMbase, KoreaMed, and the National Assembly Library, and international studies were found using the same keywords in PubMed. All identified studies were divided by evidence level from the viewpoint of the research type utilizing the evidence-based review manual. A total of 102 domestic studies (with Korean language) were found, and 9 of these studies were selected. In these nine studies, 3 had evidence level 3 and 6 had evidence level 4. A total of 97 international studies (with English language) were found, and 19 were selected. Among these 19 studies, 5 had evidence level 2 and 7 had evidence level 3, whereas the remainder had evidence level 4. According to the studies, zirconium abutments are mechanically, biologically, and esthetically stable, but the evidence level of these studies is low, and the follow-up duration is no longer than 5 years. Conclusions: All examined studies verified the mechanical stability of zirconium abutments for a period no longer than 5 years. Therefore, a long-term clinical observation is needed. Zirconium abutments are thought to be biologically stable, but they are not superior to titanium abutments. As the esthetic stability of such abutments had a low evidence level in the studies that examined here, a much higher evidence level is needed.