• Title/Summary/Keyword: evidence-based

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Mediating Effect of Innovative Behavior on the Relationship between Awareness of Nursing Manager's Leadership type in General Hospital Nurses and Future Use of Evidence-based Practice (종합병원 간호사의 간호관리자 리더십 유형 인식과 근거기반실무 적용의도와의 관계: 혁신행동의 매개효과)

  • Cho, Hyang-Sun;Kim, Yun-Hee;Kim, Hyo-Youn
    • Journal of the Korea Convergence Society
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    • v.10 no.11
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    • pp.511-521
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    • 2019
  • This study was conducted to examine the mediating effect of innovative behavior in the relationship between nurse manager's leadership and nurses' future use of evidence-based practice. Participants were 183 nurses working at general hospitals with over 500 beds in Korea. Nurse manager's transformational leadership was positively correlated with innovative behavior and nurses' future use of evidence-based practice. Innovative behavior showed partial mediating effects in the relationship between nurse manager's leadership and nurses' future use of evidence-based practice. These findings suggest that in order to enhance nurses' future use of evidence-based practice, the educational strategies to promote nurses' innovative behavior should be developed and provided in nursing field.

Clinical reliability of zirconium abutment in implant restorations in the English and Korean literature

  • Yu, Su-Been;Song, Bong-Gyu;Cheon, Kyeong-Jun;Kim, Ju-Won;Kim, Young-Hee;Yang, Byoung-Eun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.40
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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.

Forest Biomass Utilization for Energy Based on Scientifically Grounded and Orthodox (산림바이오매스에너지에 관한 과학적 근거에 따른 통설적 접근)

  • Seung-Rok Lee;Gyu-Seong Han
    • New & Renewable Energy
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    • v.20 no.1
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    • pp.145-174
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    • 2024
  • Addressing climate change necessitates evidence-based policies grounded in science. The use of forest biomass for energy production is based on a broad scientific consensus at the international level. However, some environmental groups in South Korea are opposing this system of energy production. Through this study, the authors aim to reduce unnecessary confusion and foster an atmosphere conducive to meaningful evidence-based policies. We have classified the issue into eight categories: biological carbon cycle, carbon debt, nature-based solutions, air emissions, cascading principles and sustainability certification, forest environmental impacts, climate change litigation, and the behavior of environmental groups and public perception. Consequently, the following key points were derived: (1) the actions of some environmental groups seem to follow a similar pattern to denialist behavior that denies climate change and climate science; (2) the quality of evidence for campaigns that oppose the use of forest biomass for energy production is low, with a tendency to overgeneralize information, high uncertainty, and difficulty in finding new claims.; (3) most of the public believes that forest biomass energy is necessary, and the governments of major countries are aware of its importance. Significantly, Forest biomass for energy is based on an overwhelming level of scientific consensus recognized internationally.

The Effects of the Argument-Based Claim and Evidence Writing Approach: Focus on High School Chemistry (논의를 강조한 주장과 증거 글쓰기 수업 적용의 효과: 고등학교 화학 I을 중심으로)

  • Jo, Hui;Choi, Aeran
    • Journal of the Korean Chemical Society
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    • v.59 no.1
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    • pp.69-77
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    • 2015
  • The purpose of this study was to examine changes in student writings of claim and evidence after group and class discussions; changes in students' critical thinking; and students' perceptions on an argument-based claim and evidence writing approach. Seventy two grade 11 students from two classes of a high school located in Seoul participated in ten chemistry activities using the argument-based claim and evidence writing approach. Claim scores for 9 topics and evidence scores for 10 topics significantly improved after group discussion. There were also statistically significant differences in claim scores for 7 topics and evidence scores for 10 topics after class discussion. Participant students responded to an open-ended survey that group discussion helped them to figure out the problem context and class discussion guided them to provide with more sufficient evidence. There were also statistically significant increases in sub-scores of the Cornell Critical Thinking Test after the intervention.

Evidence-Based Practice in Neurological Physical Therapy (1) -Applying EBP to Clinical Decision Making- (신경계물리치료에서의 근거중심실기(1) -임상의사결정과정에 EBP 적용하기-)

  • Lee, Moon-Kyu;Lim, Jae-Heon;Kim, Tae-Yoon
    • PNF and Movement
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    • v.14 no.3
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    • pp.157-176
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    • 2016
  • Purpose: The purpose of this study was to share an experience about processes and lessons learned to execute evidence-based practice (EBP) in neurological physical therapy. Methods: The most important thing in applying EBP to practice is to search, find, and appraise the existing evidence. Many evidence databases are available, such as CENTRAL, PEDro, PUBMED, and EMBASE. However, the knowledge represented in these databases is not always perfect. The practice model is a set of processes to resolve client problems. Therapists should make hypothesis-focused decisions through EBP. Integrating clinical reasoning and evidence is most important when it comes to the execution of EBP. Results: The process of EBP consisted of following: coming up with clinical questions, followed by searching for, appraising, evaluating, and integrating evidence. To integrate EBP into practice, it is necessary to consider clinical expertise, patient value and preferences, as well as research wth the best evidence. We provided an example of a clinical case with a stroke patient to show how this process and framework concerning clinical reasoning through evidences can be integrateds. During this process, we also utilized information technology to improve EBP ability. Conclusion: We should recognize what manner of information is needed to resolve eash patient's problem, and we should search for this information efficiently. Then, we should judge the value of the information obtained as it applies, to the clinical setting.

Evidence Based Practice in Long Term Care Settings

  • Specht, Janet K.
    • Journal of Korean Academy of Nursing
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    • v.43 no.2
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    • pp.145-153
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    • 2013
  • Purpose: The purpose of this manuscript is to discuss the need for use of evidence based practice (EBP) in LTC, the current use of evidence in long term care facilities and what we know about adoption of the use of EBP in LTC. Methods: Literature review and reporting of findings from the M-TRAIN study that was a quasi-experimental design to test the effectiveness of an intervention to increase the use of EBPs for urinary incontinence and pain in 48 LTC facilities. Results: Barriers to adopting EBPs include lack of available time, lack of access to current research literature, limited critical appraisal skills, excessive literature to review, non-receptive organizational culture, limited resources, and limited decision-making authority of staff to implement change. Strategies to promote adoption of EBP include the commitment of management; the culture of the home; leadership; staff knowledge, time, and reward; and facility size, complexity, the extent that members are involved outside the facility, NH chain membership, and high level of private pay residents. Findings from the M-TRAIN add, stability of nurse leader and congruency between the leaders perception of their leadership and the staff's perception of the leadership. Conclusion: There is clear evidence of the need and the benefits to residents of LTC and to the health care system yet adoption of EBP continues to be slow and sporadic. There is also evidence for the process of establishing best evidence and many resources to find the available EBPs. The urgent need now is finding ways to best get the EBPs implemented in LTC. There is growing evidence about best methods to do this but continued research is needed. Clearly, residents in LTC deserve the best care possible and EBPs represent an important vehicle by which to do this.

Qualitative Assessment and Development of Level of Evidence and Strength of Recommendation Models in the Field of Physical Therapy in Korea (국내 물리치료분야에 대한 질적 평가와 근거 수준 및 권고 등급 모형 개발 방안)

  • Sung-Hyoun Cho;Jeong-Woo Lee
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.2
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    • pp.231-242
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    • 2023
  • Purpose : This study aimed to identify ways to improve the quality of physical therapy research and ultimately review the current situation to improve evidence-based decision-making in physical therapy. Methods : For better evidence-based decision-making in physical therapy, researchers should review the quality assessment of articles in more detail and report their findings for valid and appropriate level of evidence and strength of recommendations. The level of evidence affects how well the findings are derived from well-designed literature. The evaluation of the evidence focuses primarily on the study design and the degree of bias that may compromise the validity of the findings. The final recommendation is based on a combination of the study design and literature quality. To uncover gems of information in each paper, a risk of bias assessment should be performed after the literature has been initially selected. Results : Researchers should consider the complexity of the intervention, appropriate grouping, and calculation of effect sizes for the intervention. Researchers conducting systematic reviews should provide a detailed description of the quality assessment performed and present a detailed analysis of their interpretation of the results. The results of systematic reviews and meta-analyses should be interpreted with caution and include a risk of bias assessment. Guidelines for the level of evidence and strength of recommendations should be developed and utilized more broadly to improve reporting practices in physical therapy. Conclusion : Researchers should be knowledgeable about the strengths and limitations of each study design and methodology. In the future, researchers will also need to improve their ability to critically evaluate their findings, given the potential for their results to influence clinical practice.

A Mechanism for Securing Digital Evidences of Computer Forensics in Smart Home Environment (스마트홈 환경에서 컴퓨터 포렌식스의 디지털 증거 무결성 보증 메커니즘)

  • Lee, Jong-Sup;Park, Myung-Chan;Jang, Eun-Gyeom;Choi, Yong-Rak;Lee, Bum-Suk
    • The Journal of Information Technology
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    • v.10 no.3
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    • pp.93-120
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    • 2007
  • A Smart Home is a technically expanded from home network that gives us a comfortable life. But still there is a problem such as mal function of devices and intrusions by malicious parties since it is based on home network. The intrusion by malicious parties causes a critical problem to the individual's privacy. Therefore to take legal actions against to the intruders, the intrusion evidence collecting and managing technology are widely researched in the world. The evidence collecting technology uses the system which was damaged by intruders and that system is used as evidence materials in the court of justice. However the collected evidences are easily modified and damaged in the gathering evidence process, the evidence analysis process and in the court. That's why we have to prove the evidence's integrity to be valuably used in the court. In this paper, we propose a mechanism for securing the reliability and the integrity of digital evidence that can properly support the Computer Forensics. The proposed mechanism shares and manages the digital evidence through mutual authenticating the damaged system, evidence collecting system, evidence managing system and the court(TTP: Trusted Third Party) and provides a secure access control model to establish the secure evidence management policy which assures that the collected evidence has the corresponded legal effect.

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The Effect of Multiple Energy Detector on Evidence Theory Based Cooperative Spectrum Sensing Scheme for Cognitive Radio Networks

  • Khan, Muhammad Sajjad;Koo, Insoo
    • Journal of Information Processing Systems
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    • v.12 no.2
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    • pp.295-309
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    • 2016
  • Spectrum sensing is an essential function that enables cognitive radio technology to explore spectral holes and resourcefully access them without any harmful interference to the licenses user. Spectrum sensing done by a single node is highly affected by fading and shadowing. Thus, to overcome this, cooperative spectrum sensing was introduced. Currently, the advancements in multiple antennas have given a new dimension to cognitive radio research. In this paper, we propose a multiple energy detector for cooperative spectrum sensing schemes based on the evidence theory. Also, we propose a reporting mechanism for multiple energy detectors. With our proposed system, we show that a multiple energy detector using a cooperative spectrum sensing scheme based on evidence theory increases the reliability of the system, which ultimately increases the spectrum sensing and reduces the reporting time. Also in simulation results, we show the probability of error for the proposed system. Our simulation results show that our proposed system outperforms the conventional energy detector system.

Evidence-based Treatment of Acute Lateral Ankle Sprain (근거에 기반한 급성 발목관절 외측 염좌의 치료)

  • Cho, Byung-Ki
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.4
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    • pp.135-144
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    • 2018
  • Acute lateral ankle sprain, which is the most common musculoskeletal injury, can be treated effectively with appropriate evidence-based initial care using PRICE (protection, rest, ice, compression, and elevation) and functional rehabilitation. Many systemic reviews reporting a high-level of evidence supporting the clinical usefulness and necessity of primary surgical repair for acute lateral ankle sprain have been insufficient. Regardless of the severity of ligament complex injuries, the surgical treatment for acute lateral ankle sprain without concomitant pathologies is not recommended and should be considered only in young professional athletes with complete ligament rupture (grade III) and severe instability.