• 한국간호교육학회지
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• 제16권1호
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• pp.150-155
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• 2010

Purpose: The purpose of this study is to develop evidence-based nursing practice guidelines for hemodialysis in the renal failure patients with risk of bleeding and to evaluate the guidelines by applying it to the practice. Method: Referring to the SIGN, the first draft for guidelines was developed based on the advices and recommendations obtained from the procedure of critical literature analysis. Then, the draft was modified by the procedures of the expert group evaluation and pilot application to the practice. The final draft was evaluated by the expert group using AGREE instrument. Result: The first draft of guidelines was developed through 8 stages of process and was evaluated by seven experts in terms of the appropriateness, applicability, and effectiveness using a 9 point scale. The mean score of 11 items was 7.90 or above. The quality of the final draft was evaluated by 5 experts using the AGREE instrument. The mean standard score was 73.0% or above in the 19 items. Conclusion: The clinical guidelines developed by this research can be utilized as systematic and scientific guidelines for hemodialysis in the renal failure patients with risk of bleeding. In addition, the research can contribute to improving care services.

• 보건교육건강증진학회지
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• 제32권1호
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• pp.67-76
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• 2015

Objectives: This study performed to verify Korea National Health and Examination Survey(KNHAES) to monitor recommended physical activity(PA) and to propose an monitoring tools for evidence-based PA projects. Methods: The characteristics of the Global Physical Activity Questionnaire(GPAQ) and its reliability and validity were overviewed based on the current scientific evidence in the field of PA. Relevant articles were identified through multiple sources including PubMed, Science Direct, Scopus, CINAHL, ASP, RISS4U, and KISS. Results: The GPAQ has strong points over the Short Form of International Physical Activity Questionnaire(IPAQ-SF) as a monitoring tool to meet recommended PA levels for three domains separately and reflecting a better understanding about walking. Its reliability and validity also were reported as acceptable in existing studies overall. Some limitations of this questionnaire, however, need to be addressed to improve its quality. Conclusions: For monitoring of evidenced-based physical activity projects, we considered that it is able to be provided an opportunity for in-depth discussion among academic experts and policy-makers about the necessity of complements for KNHAES and applying new tools, and it could be the basis for development of physical activity monitoring tool in the future.

• 한국과학교육학회지
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• 제34권4호
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• pp.349-357
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• 2014

이 연구의 목적은 수업시간에 이루어지는 과학 실험의 의미를 고찰하고 실험 수업의 개선 방향을 알아보는 것이다. 이를 위하여 교과서, 교사 인식, 실제 수업 사례를 분석하여 탐구 요소가 과학 실험 수업에 얼마나 포함되어 있으며 그 수준은 어떠한지 알아보았다. 22명의 교사를 대상으로 한 설문지를 통해 교사의 인식을 알아보았으며, 중학교 3학년 2개 학급의 2차시 수업을 분석하였다. 연구 결과, 문제제시, 증거수집, 현상설명 및 기존 과학지식의 연결은 대부분의 교과서에서 제시되었으나, 의사소통 및 정당화 요소는 많지 않았다. 또한 제시된 수준은 주로 교사 주도적이었다. 교사들은 의사소통 및 정당화 단계가 매우 중요하다고 생각하였으나, 실제 실험 수업에 이를 반영하지는 못하는 것으로 나타났다. 실제 실험 수업에서 학생들은 시간의 대부분을 증거수집에 할애하였으며, 실험 결과인 증거를 기반으로 현상을 설명하거나 기존 지식과 연결하는 활동, 그리고 의사소통 및 정당화의 활동은 거의 하지 못하였다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권1호
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• pp.15-24
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• 2017

Purpose: Korea is expected to enter an aged society in 2018 and then a super-aged society in early 2025. The country's aging is progressing faster than any other country in the world. However, the foundation of the elderly friendly industry is weak, and measures at the government level are urgently needed. Especially, housing problems of the elderly are one of the most urgent measures to be taken. Korea does not have the minimum residential area standard for the elderly, and the current general minimum residential area standard is based on the survey of the housing situation without scientific evidence. Therefore, both standards need to be revised as soon as possible based on scientific evidence. Methods: The minimum residential area standard has been calculated following Karl H. E. Kroemer's Min or Max design also being called as-single cut and dual cut theory- as the maximum population value and minimum population value theory of Ernest J. McCormick. Therefore there is a need for a formula made using a few key factors, such as corresponding dimension, practical dimension, clearance, spare dimension, integrated dimension. These elements can be defined and used as formulas to calculate minimum residential area standards. Results: Assuming the results of the spatial variability in this study showed that it is possible to raise the standard of living in a terms of sustainable minimum size for the young, old and all residents. Implications: The government should set a minimum residential area standard with scientific grounds and set up a policy improving the life of people who live in an needy residential environment.

• 한국과학교육학회지
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• 제28권8호
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• pp.937-954
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• 2008

'과학적 사고의 신장'은 과학교육의 중요한 목표 중의 하나임에도 불구하고, 과학교사가 과학적 사고를 어떻게 개념화하는지에 대한 경험적 연구가 부족하다. 이에, 본 연구에서는 4명의 예비 중등 과학교사가 과학적 사고를 어떻게 정의하고, 토론에서 동료 상호작용을 통해 개인적 개념을 어떻게 정교해 가는지를 탐색하였다. 연구 결과로서 첫째, 과학적 사고에 대한 개인적 개념 스펙트럼을 제시하고 둘째, 소집단 및 전체 토론을 통해 가장 논쟁이 활발했던 세 가지 논제에 대하여 개념의 구성과 정교화 과정을 조명하였다. 과학적 사고와 관련된 세 가지 논제는 일상적 대 과학적 사고, 과학지식과 과학적 사고의 관계, 논리적 체계와 증거의 관계를 다룬다. 본 연구 결과를 토대로 예비 과학 교사교육에 대한 논의와 향후 연구에 대한 제언을 하였다.

• 대한한방내과학회지
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• 제33권4호
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• pp.347-366
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• 2012

The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on stroke management for clinical practitioners. Many countries are already well engaged in developing and releasing their own clinical practice guidelines, whereas Korean Medicine (KM) is still beginning. It will take time and effort to develop evidence-based guidelines and recommendations of KM or other traditional medicine because they are weak in the area of scientific evidence. The clinical practice guideline of Korean medicine for stroke was formulated through extensive review of published literature and consensus meeting of Korean medicine specialists. This project was supported by a grant of the Oriental Medicine R&D Project, the Ministry of Health and Welfare. Referring to guidelines developed in other countries, the experts in the subject tried to organize and develop guidelines and recommendations adequate for domestic medical circumstances. In December, 2008, a multi-disciplinary team called the Evidence Based Clinical Practice Guidelines Development Group (EBCPGsDG) for Stroke was organized. The writing committee was comprised of experts in internal medicine, acupuncture, rehabilitation, and Sasang constitution. Outside specialists and associated panels were invited for consultation. The scope of the guideline encompasses acupuncture, moxibustion and herbal medicine (including Korean medicine, traditional Chinese medicine, Kampo medicine) as interventions for stroke patients. It includes statements about ischemic stroke (I63), stroke not specified as hemorrhage or infarction (I64), and sequelae of cerebrovascular disease (I69) according to the International Classification of Disease (ICD). The committee subdivided the description of herbal medications into acute stroke management, subacute stroke management, post-stroke management, and secondary prevention of stroke. Guidelines on the practice of acupuncture and moxibustion were described in order for acute stroke management, subacute stroke management, chronic stroke management, and post-stroke rehabilitation. Clinicians who are working in the field of stroke care can adopt this guideline for their practice.

• 한국환경보건학회지
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• 제42권6호
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• pp.465-477
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• 2016

Objectives: This review examined the scientific evidence regarding the impact of climate change on food safety. Methods: The impact of climate change on food safety was assessed based on a survey of related publications reported in the past 20 years. The terms used for literature selection reflect three aspects: climate change; food; and food safety. Results: Climate change is expected to affect the key elements of food production - water and climate. These impact on food safety through many different pathways. Directly, food shortages according to the population grovoth result in a food security/food supply problem, These relationships are commonly understood. The indirect impacts include an increase in food-borne diseases and pathogens, increased mycotoxin production, and increased risk of pesticide residues in foods due to greater use of pesticides in response to warming and increased precipitation and the accompanying diseases in certain crops. Field studies and statistical and scenario analyses were performed to provide evidence. However, quantification of these relationships is still lacking. Conclusion: Adaptation measures at the local and community levels are essential since the pressures from weather and climate events may differ according to region and sector. It is recommended that we go beyond empirical observations of the association between climate change and food safety and develop more scientific explanations. We also need to explore alternative materials for bioenergy demands in order to improve sustainability.

• Asian Pacific Journal of Cancer Prevention
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• 제13권6호
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• pp.2429-2435
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• 2012

Methyl isocyanate may have a role in cancer etiology, although the link is unclear. There is evidence in the literature that it can induce cancer in animals but the carcinogenic potency is weak. Pheochromocytoma of adrenal medulla and acinar cell tumors of pancreas have been observed in methyl isocyanate exposed animals. Conversely, emerging data from population-based epidemiological studies are contradictory since there is no evidence of such cancers in methyl isocyanate exposed humans. Recently, we reported a high prevalence of breast and lung cancers in such a population in Bhopal. In vitro findings appearing in the latest scientific literature suggest that genomic instability is caused by methyl isocyanate analogs in lung, colon, kidney, ovary epithelial cells, and that hepatocytes may undergo oncogenic transformation, have obvious implications. The conflicting information prompted us to present this update over the last three decades on methyl isocyanate-induced cancers after an extensive literature search using PubMed. While the pertinent literature remains limited, with a scarcity of strong laboratory analyses and field-epidemiological investigations, our succinct review of animal and human epidemiological data including in vitro evidences, should hopefully provide more insight to researchers, toxicologists, and public health professionals concerned with validation of the carcinogenicity of methyl isocyanate in humans.

• 보건교육건강증진학회지
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• 제29권4호
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• pp.1-13
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• 2012

Objectives: By analysing the recent trends of published papers in the Korean Journal of Health Education and Promotion, this study aims to identify and discuss some challenging issues, and to provide recommendations for quality improvement of the research papers. Methods: One hundred and sixty five papers published between 2009 and 2011 were examined and categorized according to selected standards. Results are displayed in frequencies and percentages. Results: The volume of articles published has increased by two-folds in three decades since the publication of the first issue. More than 90% of the papers were original articles. Cross-sectional research design was most frequently applied, while only 11.5 % of the articles were intervention studies. For cross-sectional research articles, limitation in generalizability of the study findings was mentioned as one of the major issues, in relation with the frequent use of convenient sampling methods and lack of theoretical evidence in inclusion of variables. Consideration of internal and external validity of the study, utilization of scientific evaluation design and mixed evaluation methods were recommended for intervention research to improve the quality of the research results. Conclusion: To serve as a key resource for evidence-based practices in health promotion, more strict scientific research criteria should be applied to the articles published in the Korean Journal of Health Education and Promotion.

• Environmental Analysis Health and Toxicology
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• 제29권
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• pp.11.1-11.7
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• 2014

Objectives South Korea's air quality standards are insufficient in terms of establishing a procedure for their management. The current system lacks a proper decision-making process and prior evidence is not considered. The purpose of this study is to propose a measure for establishing atmospheric environmental standards in South Korea that will take into consideration the health of its residents. Methods In this paper, the National Ambient Air Quality Standards (NAAQS) of the US was examined in order to suggest ways, which consider health effects, to establish air quality standards in South Korea. Up-to-date research on the health effects of air pollution was then reviewed, and tools were proposed to utilize the key results. This was done in an effort to ensure the reliability of the standards with regard to public health. Results This study showed that scientific research on the health effects of air pollution and the methodology used in the research have contributed significantly to establishing air quality standards. However, as the standards are legally binding, the procedure should take into account the effects on other sectors. Realistically speaking, it is impossible to establish standards that protect an entire population from air pollution. Instead, it is necessary to find a balance between what should be done and what can be done. Conclusions Therefore, establishing air quality standards should be done as part of an evidence-based policy that identifies the health effects of air pollution and takes into consideration political, economic, and social contexts.