• Title/Summary/Keyword: scientific-evidence-based

Search Result 321, Processing Time 0.028 seconds

Analysis of Clinical Research Trends on Cold-Heat Pattern Identification in Korea - Focused on Quantitative Indicators for General People (한열변증의 국내 임상연구 동향 분석 - 일반인의 정량지표를 중심으로)

  • Yeo, Min Kyung;Lee, Young Seop
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.31 no.2
    • /
    • pp.145-152
    • /
    • 2017
  • The purpose of this study was to investigate the clinical research of Cold-Heat of pattern identification(PI) focused on quantitative indicators for general people in Korea, through the review of OASIS, KISS, DBpia, NDSL database. Ten clinical researches were analyzed in this study. These research gradually started from 2004 to 2009 but there was no research after 2010. Diagnosis of Cold-Heat PI all was done through a questionnaire, 7 or most researches had not used the intervention methods. Quantitative indicators related to the Cold-Heat PI mentioned in the selected 10 researches are seven, these indicators include heart rate variability(HRV), electroencephalogram, Yangdorak, respiratory index, electrogastrography, acoustic analysis index, western health test index. Related to the HRV were 3 researches, but correlation of significant indicators was a few levels(R=0.026-0.090). So far, studies regarding at the quantitative indicators of the prior the Cold-Heat PI were few, and the results of the study showed that low statistical precision, a lack of biological basis. Refer to the current state, in the future, we expect that research of quantitative indicators of scientific evidence-based through calculated and precise research concerning Cold-Heat PI be regarded as important in Korean Medicine.

An Integrative Literature Review on Pain Alleviation Interventions for Hospitalized Children (입원 아동 대상 통증 완화 중재에 대한 통합적 고찰)

  • Cho, Haeryun;Lee, Jungmin;Kim, Shin-Jeong
    • Child Health Nursing Research
    • /
    • v.26 no.2
    • /
    • pp.254-266
    • /
    • 2020
  • Purpose: The purpose of this study was to review pain alleviation intervention for Korean pediatric inpatients with reference to Kolcaba's Theory of Comfort. Methods: Whittemore and Knafl's integrative review methods were used. Articles published in Korean or English were identified through electronic search engines and scholarly web sites. Scientific, peer-reviewed articles published between 2006 and 2019 were included in this review. Twenty-seven articles that met the inclusion criteria were analyzed. Results: Among the 27 selected studies, three were descriptive, while 24 were interventional studies related to pain alleviation interventions. Pain alleviation interventions showed three attributes: identifying pain triggers and the child's response to pain, effective strategies for pain relief, and nurses' competence in pain management. Conclusion: The three attributes of pain alleviation interventions using the theory of comfort shown in this study were identified as important factors for obtaining evidence-based data on how to enhance the comfort of hospitalized pediatric patients. In addition, the attributes of pain alleviation interventions should be considered for hospitalized pediatric patients and their family members.

Self-evaluated knowledge of pharmacy customers in South-Estonia about the use and safety of herbal products

  • Volmer, Daisy;Lilja, John;Hamilton, David
    • CELLMED
    • /
    • v.1 no.1
    • /
    • pp.8.1-8.4
    • /
    • 2011
  • Medicinal plants and their products are popular in Estonia. There are two approaches to use of herbal products: first, that based on traditions and practical experience and, second, that supported by scientific evidence. It is important to marry these two approaches. One place where traditions and new knowledge could meet is the pharmacy. In this study we evaluated knowledge about the use and safety of herbal products of pharmacy customers in South-Estonia. A convenience sample of pharmacy customers in south Estonia (n = 196) participated in the study. Of the survey participants, 76% were frequent or occasional users of herbal products and considered these products safe (75%) and effective (73%). Herbal products were mostly (91%) consumed for prophylaxis or treatment of minor illnesses. Main information sources about herbal products were pharmacists (75%) and package information leaflets (65%). Mode of action (95%), administration (81%) and indication (77%) were the information details more frequently sought from the pharmacy about herbal products. Of the survey participants, 22% described some problems connected with the use of herbal products. Herbal products are popular in Estonia and pharmacists have an important role in counselling on these products. Despite knowledgeable use of herbal products and infrequent experience of side effects with these products, safety issues should be more stressed in the providing of information details to pharmacy customers.

Progresses of Climate Change Sciences in IPCC Assessment Reports (IPCC WGI 평가보고서 주요내용 비교를 통한 기후변화에 관한 과학적 진보)

  • Kwon, Won-Tae;Koo, Gyo-Sook;Boo, Kyung-On
    • Atmosphere
    • /
    • v.17 no.4
    • /
    • pp.483-492
    • /
    • 2007
  • The objective of this study is to describe scientific progresses in understanding of climate change in the Intergovernmental Panel on Climate Change (IPCC) assessment reports, contributed by Working group I. Since 1988, IPCC's four assessment reports showed significant improvements in understanding of observed climate change, drivers of climate change, detection and attribution of climate change, climate models, and future projection. The results are based on large amounts of observation data, sophisticated analyses of data, improvements of climate models and the simulations. While the First Assessment Report (FAR) in 1990 reported that a detectable anthropogenic influence on climate has little observational evidence, the Fourth Assessment Report (AR4) reported that warming of the climate system is unequivocal and is very likely due to human influences. It is also noted that anthropogenic warming and sea level rise would continue for centuries due to the time scales associated with climate processes and feedbacks, even if greenhouse gas were to be stabilized.

Evaluation model for scientific research performance based on journal articles (연구성과의 질 제고를 위한 논문평가 모형개발)

  • Lee, Hyuck-Jai;Yeo, Woon-Dong;Lee, Sang-Pil
    • Journal of Korea Technology Innovation Society
    • /
    • v.9 no.3
    • /
    • pp.538-557
    • /
    • 2006
  • The interest in performance evaluation of public R&D has been dramatically increased. Many tries have been made to measure and to evaluate the quality of research performance. Quantitative indicators are considered increasingly important for this purpose. The most widely used are the number of research articles, citations and Impact Factors. However, such indicators are strongly discipline-dependent, and hence they should be used with careful attention. In this study we tried to provide quantitative evidence on the latent problems of discipline-dependent indicators. We also tried to provide a set of quantitative indicators for evaluating publications as a result of research activities. We put our focus on the quantitative indicators reflecting the characteristics on disciplines and provided several indicators with guideline on their usage.

  • PDF

A Conceptual Approach to Evaluating the Reliability of a Climate Change Adaptation System

  • Park, ChangKeun;Cho, Dongin
    • Asian Journal of Innovation and Policy
    • /
    • v.9 no.1
    • /
    • pp.36-55
    • /
    • 2020
  • Climate change is one of the most discussed issues in international for a today. Evaluating the effect of climate change at a regional level and setting up an appropriate policy to address the issues associated with climate change require a proper evaluation process on the climate change and adaptation projects already implemented. Although various evaluation approaches to climate change adaptation programs have been proposed, it is rare to find a proper systematic approach to evaluating the reliability of those climate change adaptation programs. In the current situation regarding the system to evaluate climate change adaptation programs, the purpose of this study is to suggest a theoretical and standardized evaluation system on the reliability of climate change adaptation schemes. The new approach suggested in this paper will be appropriate when requiring a confidence level for adaptation programs that are specially localized and categorized. Using various quantitative and qualitative evaluation methods with the inherent reality mechanism, we provide a conceptual framework to measure the reliability of climate change adaptation programs with a flexible adjustment process. With the proposed framework, it is possible to provide the level of confidence on the results collected from the evaluation systems and construct a standardized, system-wide assessment procedure toward climate change adaptation policies. By applying this approach based on scientific evidence on the reliability of climate change adaptation policies, appropriate and efficient climate change adaptation programs will be properly designed for and implemented in Korea.

Scientific Evidence for the Addictiveness of Tobacco and Smoking Cessation in Tobacco Litigation

  • Roh, Sungwon
    • Journal of Preventive Medicine and Public Health
    • /
    • v.51 no.1
    • /
    • pp.1-5
    • /
    • 2018
  • Smokers keep smoking despite knowing that tobacco claims many lives, including their own and others'. What makes it hard for them to quit smoking nonetheless? Tobacco companies insist that smokers choose to smoke, according to their right to self-determination. Moreover, they insist that with motivation and willpower to quit smoking, smokers can easily stop smoking. Against this backdrop, this paper aims to discuss the addictive disease called tobacco use disorder, with an assessment of the addictiveness of tobacco and the reasons why smoking cessation is challenging, based on neuroscientific research. Nicotine that enters the body via smoking is rapidly transmitted to the central nervous system and causes various effects, including an arousal response. The changes in the nicotine receptors in the brain due to continuous smoking lead to addiction symptoms such as tolerance, craving, and withdrawal. Compared with other addictive substances, including alcohol and opioids, tobacco is more likely to cause dependence in smokers, and smokers are less likely to recover from their dependence. Moreover, the thinning of the cerebral cortex and the decrease in cognitive functions that occur with aging accelerate with smoking. Such changes occur in the structure and functions of the brain in proportion to the amount and period of smoking. In particular, abnormalities in the neural circuits that control cognition and decision-making cause loss of the ability to exert self-control and autonomy. This initiates nicotine dependence and the continuation of addictive behaviors. Therefore, smoking is considered to be a behavior that is repeated due to dependence on an addictive substance, nicotine, instead of one's choice by free will.

Multiple-Case Studies of Hand-on Breast Massage Techniques used by Breastfeeding Experts (산후 유방 마사지 손기술에 대한 다중사례분석)

  • Park, Hyunsoon;Cho, Insook;Kim, Min-Kyeong
    • Women's Health Nursing
    • /
    • v.23 no.3
    • /
    • pp.155-165
    • /
    • 2017
  • Purpose: The aim of this study was to understand the hand-on breast massage techniques used by well-known experts in breastfeeding clinics. Methods: A qualitative multiple-case design was applied that involved a feasibility test. Four experts sampling qualitative data collected by observing participants and in individual interviews were analyzed by content analysis, linking data to the propositions, and cross-case pattern matching. This study explored differences within and between cases, and the possibilities of replicating findings across cases. Thirty-nine postpartum women participated voluntarily in the feasibility test, which investigated the usability of four massage techniques. Results: The four techniques showed considerable similarities in terms of the application of stimulation to the breast base and increased flexibility of the wired flexible body, which was the core mechanism underlying the techniques. The breast management strategies were consistent with existing practice guidelines with the exception of using cold cabbage to control engorgement pain. There was insufficient scientific evidence for supporting the massage techniques used by the experts. All of the techniques showed 100% education completeness, but application rates were higher for self-control-oriented techniques. Conclusion: The massage techniques applied by experts in breastfeeding were based on hypotheses and self-control techniques are feasible to apply in practice.

Student Research in Basic Medical Education: Why Do We Say Student Research? (의학교육기관의 학생연구: 왜 우리는 학생연구를 말하는가?)

  • Park, Won Kyun
    • Korean Medical Education Review
    • /
    • v.17 no.2
    • /
    • pp.57-59
    • /
    • 2015
  • Student research has been proposed as an educational strategy to fulfill the current requirements in basic medical education (BME) and to compatible with the self-directed development of professionalism. It is commonly accepted that the goals of student research are to develop the competencies of critical, reflective, and self-directed thinking; problem-solving; and creativity; as well as to acquire the skills necessary to search for information and analyze the literature; to cultivate the talent of mastering a specialized field through deeply intensified learning; and to establish close relationships between students and supervisors. To successfully implement student research, authorities on BME should to plan the procedure for the student research projects and allocate personal and material resources adequately in order to provide the opportunity for self-evaluation and reflection through the completion of daily records, to develop the habit of consistently evaluating one's own study, and to maintain a collegial relationship between students and supervisors by offering the proper feedbacks in a timely and consistent manner. In conclusion, despite several obstacles and difficulties in the establishment of successful student research projects, student research could provide students the motivation to develop themselves into expert academic researchers, and play a role in educating students to help solve patients' problems based on scientific evidence in the future.

Protective Effects of Seonpyejeongcheon-tang on Elastase-Induced Lung Injury in Mice (Elastase 매개성 폐조직 손상에 대한 선폐정천탕(宣肺定喘湯)의 보호효과)

  • Yoon, Jong-Man;Park, Yang-Chun
    • The Journal of Internal Korean Medicine
    • /
    • v.31 no.1
    • /
    • pp.84-101
    • /
    • 2010
  • Objectives : This study aimed to evaluate the protective effects of Seonpyejeongcheon-tang (SJT) on elastase-induced lung injury. Materials and Methods : The extract of SJT was treated to A549 cells and an elastase-induced lung injury mouse model. Then, various parameters such as cell-based cytoprotective activity and histopathological findings were analyzed. Results : SJT showed a protective effect on elastase-induced cytotoxicity in A549 cells. This effect was correlated with analysis for caspase 3 levels, collagen and elastin contents, protein level of cyclin B 1, Cdk1, and Erk1/2, and gene expression of TNF-$\alpha$ and IL-$1{\beta}$ in A549 cells. SJT treatment also revealed a protective effect on elastase-induced lung injury in mouse model. This effect was evidenced via histopathological findings, including immunofluoresence stains against elastin, collagen, and caspase 3, and protein levels of cyclin B1, Cdc2, and Erk1/2 in lung tissue. Conclusion : These data suggest that SJT has pharmaceutical properties on lung injury. This study thus provides scientific evidence for the efficacy of SJT for clinical application to patients with chronic obstructive pulmonary disease.