• 제목/요약/키워드: evidence-based reasoning

검색결과 42건 처리시간 0.027초

노인요양시설 간호사의 치매환자 통증확인 유형 (A Study on the Types of Pain Identification by Nurses for Nursing Home Patients with Dementia)

  • 이수정;장성옥
    • 기본간호학회지
    • /
    • 제17권4호
    • /
    • pp.508-519
    • /
    • 2010
  • Purpose: This study was done to identify the types of pain identification made by nurses caring for patients with dementia in nursing homes. Method: To collect the Q-population, 12 nurses working in nursing homes were interviewed. From the collected data, 69 statements were derived and eight patterns of pain identification were categorized. Thirty statements were derived as the Q-sample. Thirty nurses were sampled as the P-sample. The 30 Q-cards with Q-statements were Q-sorted by the P-sample. The results of the Q-sorting were coded and analyzed using the PC QUANL program. Results: Five types of pain identification were identified by nurses for patients with dementia living in nursing homes; Type 1 was named "estimating based on verbal expressions". Type 2 was named "reasoning through physical symptoms". Type 3 was named "confirming pain based on nonverbal expressions being consistent with conditions of physical function". Type 4 was named "empathizing with vocal expressions". Type 5 was named "confirming by comparison with objective pain indicators one by one". Conclusions: The results of this study indicate that comprehensive understanding of pain identification by nurses could help improve the assessment of pain in patients with dementia.

자동차를 통한 대기오염물질의 배출에 따른 민법상 불법행위책임의 성립 여부: 대법원 2014. 9. 4. 선고 2011다7437 판결을 중심으로 (Review of a Tort Case regarding Liability for the Production of Air Pollutant-emitting Vehicles: Supreme Court Decision 2011Da7437, Decided on September 4, 2014)

  • 이선구
    • 한국환경보건학회지
    • /
    • 제42권6호
    • /
    • pp.375-384
    • /
    • 2016
  • Objectives: This paper analyzes the intersection of tort law and environmental health in a recent court decision. Methods: This paper analyzes Supreme Court Decision 2011Da7437, Decided on September 4, 2014 and related lower court decisions. Results: The plaintiffs sought financial compensation from the defendants, arguing that air pollutants in gases emitted by vehicles produced by the defendants had caused them to acquire respiratory diseases. The district court highlighted the need to mitigate the burden of proof for the plaintiffs, but proceeded to review whether the plaintiffs proved the actual toxicity levels of the air pollutants, whether the defendant's vehicles were the main source of the emissions, the plaintiff's level of exposure to the pollutants, and causation between the emissions and the injury. By doing so, the district court required the plaintiffs to prove both indirect and direct facts of causation, increasing burden of proof for plaintiffs. The appellate court upheld the district court's decision, adding that the defendant's conduct did not constitute an illegal act because it did not violate the emissions standards set by environmental law. The Supreme Court upheld the appellate court's decision, reasoning that the epidemiological evidence cannot establish a direct causation for diseases that lack specificity. Conclusion: This case demonstrates that discussions in environmental health have significance in tort lawsuits. For each fact that the plaintiffs and defendants attempted to prove, environmental health research studies were offered as evidence. In addition, the courts decided the legality of the defendant's conduct based on emission standards set by environmental law.

Audit Quality and Stock Return Co-Movement: Evidence from Vietnam

  • PHAM, Chi Bich Thi;VU, Thu Minh Thi;NGUYEN, Linh Ha;NGUYEN, Dung Duc
    • The Journal of Asian Finance, Economics and Business
    • /
    • 제7권7호
    • /
    • pp.139-147
    • /
    • 2020
  • This paper aims to explore the relationship between the quality of the audit and the level of stock return co-movement in the context of the Vietnamese emerging market. The empirical study is designed based on the quatitative method and deductive approach. The panel dataset includes 256 listed firms from different industries,with 1115 firm-year observations on Ho Chi Minh City Stock Exchange for the period from 2014 to 2018. In the research, we built the econometric regression model, using stock return synchronicity and audit quality as the dependent and independent variable, respectively. Some control variables are also added to the econometric regression models as they are well-documented in prior research to have an effect on stock price synchronicity. To improve the accuracy of the regression coefficients, beside the Ordinary Least Squares, we employ the Random Effects Model and the Fixed Effects Model for better statistical analysis of panel data set. The results show that the quality of the audit is positively correlated to stock price synchronicity. This finding suggests that stock returns of companies with higher quality of the audit are more synchronous with the market. Results for other control variables also support our reasoning for the main findings.

수업지도안 분석을 통한 수학교사의 수업설계역량(Pedagogical Design Capacity) 탐색 (Exploring Teachers' Pedagogical Design Capacity: How Mathematics Teachers Plan and Design Their Mathematics Lessons)

  • 김구연;전미현
    • 한국수학교육학회지시리즈A:수학교육
    • /
    • 제56권4호
    • /
    • pp.365-385
    • /
    • 2017
  • This study aims to explore mathematics teachers' pedagogical design capacity. For this purpose, we googled and collected 327 lesson plans for middle-school mathematics and investigated how mathematics teachers plan and design their mathematics lessons through the format and structures, objectives and mathematical tasks, anticipation for students' thinking, and assessment and technology use. The findings from the data analysis suggest as follows: a) all the lesson plans are structured in a very similar way; b) the lesson plans seem to be based on the textbooks exclusively, that is, the mathematical tasks and flow is strictly followed and kept in the lesson plans in the way the textbooks suggested; c) the lesson plans do not include any evidence of what teachers anticipate for students' thinking and would do to resolve the students' issues; and d) the lesson plans do not contain any specific plans to assess students' thinking processes and reasoning qualitatively, and not intend to use technology in order to promote effective teaching and meaningful understanding.

『소문(素問)·맥요정미론(脈要精微論)』의 촌구(寸口) 육부정위(六部定位)에 대한 고찰 (A Study on the Wrist Pulse Six Positions Correlation in the Maiyaojingweilun Chapter of the Huangdineijing)

  • 張祐彰;南杰
    • 대한한의학원전학회지
    • /
    • 제34권3호
    • /
    • pp.101-123
    • /
    • 2021
  • Objectives : To examine the six positions correlation[六部定位] principle that is the basis of the wrist pulse diagnosis in the Neijing. Methods : The basis for argument was established by correcting an interpretation error of the theory of chi (尺) skin diagnosis. In order to accomplish this, the annotations of Yang Shangshan and Wangbing were investigated first, after which the specific meaning and methodology of the chi diagnostic method as written in many chapters of the Neijing were examined. The evidence and reasoning for the six positions correlation[六部定位] was looked into, in relation to Wangbing's annotation of the chapter, Maiyaojingweilun. The theoretical basis of the six positions correlation was searched throughout the entire Neijing, based on the correlation between Liuhe and the six positions, the five elements inter-supporting theory embedded in the six positions correlation as a diagnosis model that integrates zhangfu and meridians/channels, and the meaning of the spacial concepts used when describing the tactile technique within the chapter. Lastly, contents related to the five zhang channels within the Neijing were reviewed, to determine whether the six positions correlation was applied in wrist pulse taking Results & Conclusions : Some interpretations of the verse on matching the positions in the Maiyaojingweilun chapter of the Neijing are erroneous, while the argument that the three positions[cun-guan-chi] cannot be found in the Neijing is false as well. The wrist pulse taking in the Neijing is precisely based on the three positions correlation that divides the cun-guan-chi positions into three, and the correlation verse in the Maiyaojingweilun chapter clearly suggests the principle of matching the zhangfu and meridian/channels to the six positions of the cun-guan-chi of both left and right.

An Empirical Study on Emotional Intensity and the Influence of Product Involvement in the Context of the Integrative Framework

  • Pradip Hira, Sadarangani;Sanjaya S., Gaur
    • 마케팅과학연구
    • /
    • 제12권
    • /
    • pp.99-119
    • /
    • 2003
  • A model is proposed for the role of emotional intensity of a web site, and the moderating influence of product involvement, in the Integrative Framework of persuasion (Meyers-Levy and Malvaiya 1999). The model also appropriately operationalizes the constructs emotional intensity of a web site and product involvement The three routes to persuasion, Central, Peripheral, and Experiential correspond to high, moderate, and low involvement (Meyers-Levy and Malaviya 1999). The involvement construct is measured from message recipients using the Personal Product Inventory (Pill, which was developed to capture the concept of product involvement (Zaichkowsky 1985). The conceptualization of the Personal Product Inventory is a contextrree measure that also has robust psychometric properties when applied to advertisements (Zaichkowsky 1994). The propositions highlight the expected importance of emotional intensity of a web site. The moderating influence of product involvement is also proposed. Specifically, what this work proposes is that the emotional intensity of a product site has a larger impact on attitude change under low product involvement, as opposed to moderate product involvement. Support for this reasoning can be found in the persuasion literature (Petty et al 1986). The Petty et al (1986) frame work is a dual process descriptive and predictive frame work in the area of altitude formation and change. Recently, Myers Levy and Malaviya (1999) have proposed a tri-process framework. This is in tum based on the dual process model of Petty et al. (1986). The study outlined in this paper aims to deepen the Meyers Levy and Malaviya (1999) and frame work. The propositions outlined in the model are empirically tested using a repeated measures experimental design. The emotional intensity is measured using a scale that is based on experts judgments. Using a paired comparison t-test two sites are determined to be of high and low emotional intensity. The model is tested using a repeated measures experimental design. The first independent variable Emotional Intensity of the site is manipulated. The Second independent variable, Personal Product Inventory is measured. While, the dependent variable, product altitude change will also be measured. Utilizing Analysis of Variance (ANOVA) the data is analyzed using SPSS. The results suggest that besides the rational content of messages their emotional content can also influence attitude change. Specifically, it is proposed that the manipulation of emotional intensity of a product Web site has a greater impact on product altitudes under high and low product involvement conditions, rather than moderate product involvement. However, the results for product involvement as a continuous variable has a p value of 0.09. Further, the results for three levels of product involvement were far from significant. For two levels of product involvement also, the results were insignificant, the p value approached 0.20. This evidence indicates that it is premature to conclude that there are three routes to persuasion. A caveat, however, must be added, in that the manipulations may not have been strong enough to test the proposed hypotheses. Further, undoubtedly, there is unequivocal evidence the emotional intensity of a product Web site, as measured here, has a direct impact on product attitudes.

  • PDF

학생들의 탐구 학습을 돕기 위한 교사의 과학적 개념 설명 방식: 초등학교 5, 6학년 지구과학 영역을 중심으로 (Elementary School Teachers' Scientific Explanation to Support Students' Inquiry: Focusing on 5th and 6th Grade Earth Science Curriculum)

  • 서예원;고현덕;박경원
    • 한국초등과학교육학회지:초등과학교육
    • /
    • 제28권2호
    • /
    • pp.161-177
    • /
    • 2009
  • This study aims to explore how teachers construct scientific explanation during instructional practices to help students' scientific inquiry. Before investigating teachers' classroom practices, elementary school science curriculum was examined to identify scientific concepts, particularly in earth science. Then, a total of six teachers' scientific explanation in actual teaching practices was analysed focusing on a) explanation of scientific concepts; b) rationale for scientific explanation; c) connection between scientific explanation and everyday explanation. The findings are as follows. First, the science curriculum provides $1{\sim}2$ main scientific concepts per unit, which are mostly appeared in the unit title. Those concepts and sub-concepts are not explicitly described but embedded in students' inquiry activities. Second, the teachers explain scientific concepts and discuss the rationale behind the scientific explanation, but rarely connect scientific explanation to everyday explanation. Also, the level of scientific explanations is low remaining level 1 or 2, not reaching 3, the highest level. Based on the results, the study suggests a) teachers need to provide explicit and clear explanations about scientific concepts; b) teachers are required to connect scientific explanation and everyday explanation; c) the level of teachers scientific explanation should be elevated by using an evidence, reasoning and claim, the components of scientific explanation as well as introducing new scientific concepts and inquiry activities.

  • PDF

과학관련 사회쟁점(SSI) 수업의 소집단 토론과 전체 학급 토론에서 나타나는 특징 (The Characteristics of Group and Classroom Discussions in Socioscientific Issues Classes)

  • 김민환;남혜인;김성훈;노태희
    • 한국과학교육학회지
    • /
    • 제38권2호
    • /
    • pp.135-145
    • /
    • 2018
  • 이 연구에서는 SSI 토론 수업에서 이루어지는 소집단 토론과 전체학급 토론의 논증활동을 분석하였다. 경기도에 소재한 고등학교에 재학중인 1학년 학생 27명을 대상으로 원자력 발전을 주제로 한 SSI 토론 수업을 진행하였다. 수업을 관찰 및 녹화하였고, 수업을 모두 마친 이후 일부 학생을 대상으로 반구조화된 면담을 실시하였다. SSI 맥락에서 이루어지는 논증활동을 분석하기 위해 개발된 선행 연구의 분석틀을 수정 보완하여 사용하였다. 연구 결과, 다양한 관점의 고려, 증거에 기반한 추론, 지속적인 탐구와 회의적 사고와 관련된 담화요소는 소집단 토론보다 전체 학급 토론에서 더욱 높은 비율로 등장하였고, 도덕 윤리적 민감성을 고려한 담화요소는 토론 전반에서 거의 등장하지 않았다. 전체 학급 토론에서는 새로운 근거와 정보 및 자료가 다양하게 등장하였다. 학생들은 자신의 주장을 관철하는 것에만 집중하여 다른 의견을 공감 및 인정하지 못하였고, 이에 따라 합의를 이루기 위한 담화요소도 거의 나타나지 않았다. 또한 학생들은 전체 학급토론을 경쟁적인 분위기로 인식하여 상대방의 주장 또는 근거에 적극적으로 반박하였고, 논증활동의 수준 또한 전체 학급 토론이 높은 것으로 나타났다. 소집단 토론은 편안한 분위기에서 이루어져 명료화와 추가정보 및 증거 요구가 활발하게 이루어졌으나 전체 학급 토론은 진지하고 엄숙한 분위기에서 주장 또는 근거의 타당성에 대한 의문제기가 활발히 이루어졌다. 이러한 연구 결과를 바탕으로 SSI 토론 수업을 효과적으로 진행하기 위한 방안을 논의하였다.

도서관의 이용패턴과 서비스품질이 정보화성과지각 및 만족에 미치는 영향 (The Effects of Use Patterns and Service Quality on Performance and Use Satisfaction on Library Information System)

  • 정형식;염승엽
    • 마케팅과학연구
    • /
    • 제18권4호
    • /
    • pp.217-244
    • /
    • 2008
  • 전자정보기술의 발달로 인해 도서관 서비스제공은 정보화시스템에 대한 의존 비중이 커져가고 있다. 이러한 상황의 변화에 따라 본 연구는 이용자의 도서관 정보화에 대한 성과지각과 정보화를 통한 이용 만족은 전반적 만족에 중요한 선행요인이 될 것으로 추론하였다. 뿐만 아니라 기존 연구는 대체로 도서관의 서비스제공측면에서 이용자의 인식이나 만족을 조사하였으나 본 연구는 시각을 달리하여 이용자측면에서 단순 열람목적의 일반적 이용과, 전문정보구득 목적의 전문적 이용패턴이 정보화 성과지각에 어떻게 다르게 영향을 미치는지에 대해서 조사하였다. 또한 서비스품질차원이 정보화성과지각과 이용만족에 미치는 영향을 조사하였다. 마지막으로 서비스품질차원이 정보화성과지각과 이용만족에 미치는 영향을 확인하였다. 본 연구의 실증분석 결과는 첫째, 도서관 이용자의 열람 등 일반적 목적 이용이 정보화성과지각에 영향을 미치는지 검증하고자 하였으나 유의한 수준에 미치지 못했다. 둘째, 도서관 이용자의 특정 정보구득 등 전문적 목적의 이용이 정보화성과지각에 유의한 정의 영향을 미쳤다. 셋째, 일반적 서비스품질인 상호작용품질, 결과품질, 물리적환경품질 차원은 정보화성과지각에 유의한 영향을 미쳤으나 정보화이용만족에는 유의하지 않았다. 마지막으로, 도서관 이용자의 정보화성과지각과 정보화이용만족이 전반적인 만족을 선행하고 있음을 밝혔다. 이를 통해 도서관의 정보화시스템을 어떻게 이용자중심으로 체계화하여 발전시킬 것인지에 대해 심층적인 고찰이 필요함을 확인하였다.

  • PDF

알코올 사용 장애자의 언어 작업 기억과 관련된 뇌의 보상 기전: fMRI 연구 (fMRI evidence of compensatory mechanisms during a verbal working memory task in individuals with alcohol use disorders)

  • 박미숙;손선주;박지은;음영지;김숙희;유인규;손진훈
    • 한국감성과학회:학술대회논문집
    • /
    • 한국감성과학회 2009년도 춘계학술대회
    • /
    • pp.101-104
    • /
    • 2009
  • This study investigated compensatory mechanisms in the brain during a verbal working memory task among people with Alcohol Use Disorders (AUD). A total of 21 college male students participated in the study: eleven AUD participants and 10 normal controls. Study participants were asked to complete the Korean version of the Wechsler Adult Intelligence Scale-III (K-WAIS-III) prior to the fMRI experiment. Verbal 0-back and 2-back tasks were used to assess brain activities of the participants' verbal working memory. Brain scanning was performed on Siemens SONATA 1.5T Scanner while participants were performing the 0-back and 2-back tasks. Within the AUD group, participants with greater dependency to alcohol (based on DSM-IV criteria) in the past 1 year showed lower mean score on the 'Similarities' of the K-WAIS-III (r=-0.63, p<0.05, N=11). The more participants experienced alcohol withdrawal symptoms in the past 1 year, the lower the score they received on the K-WAIS-III 'Picture Arrangement' (r=-0.69, p<0.05, n=11). The fMRI regression results showed that individuals who present greater degree of alcohol dependency symptoms are likely to show greater brain activation in the bilateral middle frontal gyri (BA 9) during the verbal working memory task. The degree of alcohol withdrawal symptoms were associated with increased brain activation in the left superior and middle frontal gyri (BA8), left precentral gyrus (BA 6), and left inferior parietal lobule (BA 40). The study findings showed that the degree of alcohol abuse/dependence and withdrawal symptoms were associated with decreased cognitive function and increased activations in brain regions particularly important for abstract reasoning (BA 9), central executive (BA 9), or spatial storage (BA 40) during a working memory task. Therefore, these results could support previous studies suggesting that the neural system of people with ADD may adopt a brain compensatory mechanism to maintain normal level of cognitive functions.

  • PDF