• 제목/요약/키워드: types of evidence

검색결과 808건 처리시간 0.026초

Roles of Malaysian Online Newspapers in the Construction of Public Opinion on Rare Earth Risks

  • Hasan, Nik Norma Nik;Dauda, Sharafa
    • Asian Journal for Public Opinion Research
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    • 제8권4호
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    • pp.432-452
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    • 2020
  • This study explored the representation of risks from the controversial Lynas rare earth refining as a risk event by five Malaysian online mainstream and alternative newspapers using qualitative content analysis. The aim is to uncover the role of the news media in the social amplification and attenuation of risks within the literature evidence as those roles are still uncertain. Content analysis is used to explore the online newspapers' roles guided by the Social Amplification of Risk Framework (SARF). The representations typified environmental, financial, health, occupational, property, radioactive, and technological risks and established connections between four risk types (environmental, financial, radioactive, and health risks). Radioactive risk was repeatedly associated with other risks, suggesting that the volume and information flow focused on radioactive risk as a key ingredient for amplification. This connection shows that the nature of the relationship between risks is multidimensional, contradicting the unidirectional type found in previous studies. Alternative online newspapers amplified and attenuated more risks, thus, providing more diverse coverage than mainstream sources. Consequently, this study provides evidence that risk representation from rare earth refining in a digital news environment is multidimensional and intensified or weakened in a multi-layered pattern. The stakeholders are engaged in a contestation by positioning their narratives to oppose or support their interests, which are amplified or attenuated by the online newspapers as social amplification stations.

비디오에서 소매치기의 분류에 관한 연구 (A Study on Classification of Pickpocket in Video)

  • 이양원;신광성
    • 한국산업정보학회논문지
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    • 제17권7호
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    • pp.95-100
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    • 2012
  • 현대의 범죄는 날로 치밀해지고 있으며 수법 또한 매우 교묘하다. 범죄 중에서 절도죄인 소매치기는 대부분 붐비거나 혼잡한 곳에서 발생한다. 그러나 현재에는 인적이 드문 한적한 곳에서 더 많이 발생하고 있다. 본 논문에서는 소매치기의 수법과 종류에 대하여 알아본다. 그리고 비디오를 분류하여 현실적으로 제출하기 위하여 서있는 경우, 앉아있는 경우, 그리고 누워있는 경우로 분류한다. 이는 소매치기를 대상으로 영상 포렌식의 증거 자료로 제출하기 위하여 분류하는 것이다. 본 논문은 소매치기 예방은 물론 소매치기 범죄의 대처를 위해서 반드시 필요하다고 사료된다.

Acupuncture for Symptomatic Rotator Cuff Disease: A Systematic Review and Meta-Analysis

  • Choi, Seoyoung;Lee, Jisun;Lee, Seunghoon;Yang, Gi Young;Kim, Kun Hyung
    • Journal of Acupuncture Research
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    • 제38권1호
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    • pp.20-31
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    • 2021
  • The objective was to evaluate the effectiveness and safety of acupuncture for patients with rotator cuff diseases. There were 12 electronic databases and 3 trial registries searched up to November 30th, 2019. All randomized trials were eligible, regardless of language, date of publication, or settings. The primary outcomes were pain, shoulder function, and proportion of improved participants assessed within 12 weeks of randomization of the trial. The Cochrane risk of bias for the studies was assessed. Effects sizes were presented as a risk ratio, mean difference, or standardized mean difference with a 95% confidence intervals. Grading of Recommendations Assessment, Development and Evaluation approach was adopted to rate certainty of evidence. Of the 3,686 records screened, 28 randomized trials (2,216 participants) were included in this review. The types of acupuncture included manual acupuncture, dry needling, electroacupuncture, acupotomy, warm needle acupuncture, and fire needle acupuncture. All of the studies had an unclear or high risk of bias related to more than 1 domain. Significant benefits of acupuncture in terms of pain and shoulder function were observed in all comparisons, however, the proportion of improved participants was not described in 2 comparisons. There was substantial heterogeneity among meta-analyzed trials. No serious harm was observed. For primary outcomes, the overall certainty of evidence was very low. There was very low certainty of evidence for the benefits of acupuncture for patients with rotator cuff diseases. The safety of acupuncture remains unclear due to the incompleteness of reporting. Future well-designed randomized trials with transparent reporting are required.

선진국의 일차의료부문의 통합의료 - 일차보건의료체계에서의 한의학에 주는 함의 - (Use of Integrative Medicine among primary care patients in Western counties - Its implication for traditional Korean medicine in primary care system -)

  • 한동운
    • 대한예방한의학회지
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    • 제16권1호
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    • pp.1-13
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    • 2012
  • The objective of this study is to discuss the role of integrative medicine (IM) in contemporary health care settings, and how and which factors affect and facilitate the success of IM in terms of the integration of complementary and alternative medicine (CAM) and conventional medicine in primary health care (PHC). IM is meant to provide the best possible health care, for both patient and physician. The way of IM use in the developed countries presents various ways that IM can be provided, and it appears that strategies have been successfully developed to facilitate integration. Although few of the barriers to the integration of CAM and conventional medicine have been resolved, concerns over the legitimacy of CAM in health care (e.g., safety, biomedical evidence, and efficacy) are being overcome by the use of evidence-based practice in IM delivery. There are dominant models of IM that have been developed. The model types signify different levels of equity between CAM and conventional medicine in regard to the power, autonomy, and control held by each. However, the factors common to all IM models, whether describing CAM as supplementary or complementary to conventional medicine, is the concept of a health care model that aspires to be client-centred and holistic, with focus on health rather than disease as well as mutual respect among peer practitioners. Finally, this study concluded that the growth and viability of traditional Korean medicine(TKM) depend on evidence-based practices and identifying the successful influences on the integration of TKM and conventional medicine for recognition of its inherent value in PHC. Some recommendations for the integration of TKM and conventional medicine were suggested.

Which anchorage device is the best during retraction of anterior teeth? An overview of systematic reviews

  • Yassir, Yassir A.;Nabbat, Sarah A.;McIntyre, Grant T.;Bearn, David R.
    • 대한치과교정학회지
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    • 제52권3호
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    • pp.220-235
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    • 2022
  • Objective: To evaluate the available evidence regarding the clinical effectiveness of different types of anchorage devices. Methods: A comprehensive literature search of different electronic databases was conducted for systematic reviews investigating different anchorage methods published up to April 15, 2021. Any ongoing systematic reviews were searched using PROSPERO, and a grey literature search was undertaken using Google Scholar and OpenGrey. No language restriction was applied. Screening, quality assessment, and data extraction were performed independently by two authors. Information was categorized and narratively synthesized for the key findings from moderate- and high-quality reviews. Results: Fourteen systematic reviews were included (11 were of moderate/high quality). Skeletal anchorage with miniscrews was associated with less anchorage loss (and sometimes with anchorage gain). Similarly, skeletal anchorage was more effective in retracting anterior teeth and intruding incisors and molars, resulting in minor vertical skeletal changes and improvements in the soft tissue profile. However, insufficient evidence was obtained for the preference of any anchorage method in terms of the duration of treatment, number of appointments, quality of treatment, patient perception, or adverse effects. The effectiveness of skeletal anchorage can be enhanced when: directly loaded, used in the mandible rather than the maxilla, used buccally rather than palatally, using dual rather than single miniscrews, used for en-masse retraction, and in adults. Conclusions: The level of evidence regarding anchorage effectiveness is moderate. Nevertheless, compared to conventional anchorage, skeletal anchorage can be used with more anchorage preservation. Further high-quality randomized clinical trials are required to confirm these findings.

인삼(Panax ginseng) 항암 효과에 관한 문헌고찰 - 실험연구와 역학연구 결과를 중심으로 - (The Cancer-Preventive Potential of Panax ginseng - A Review of Human and Experimental Evidence -)

  • 김준연;이덕희;윤택구;;;신해림
    • Journal of Preventive Medicine and Public Health
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    • 제33권4호
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    • pp.383-392
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    • 2000
  • Objective : We have reviewed the potential cancer preventive and other relevant properties of Panax ginseng C. A. Meyer, which has been traditionally used as a natural tonic in oriental countries. Data identification and study selection: Publications on Panax ginseng and its relation to cancer were obtained from the Medline database (1983-2000) and by checking reference lists to find earlier reports. The reports cover experimental models and human studies on cancer-preventive activity, carcinogenicity and other beneficial or adverse effects. In addition, possible mechanisms of chemoprevention by ginseng were also considered. Results : Published results from a cohort and two case-control studies in Korea suggest that the intake of ginseng may reduce the risk of several types of cancer. When ginseng was tested in animal models, a reduction in cancer incidence and multiplicity at various sites was noted. Panax ginseng and its chemical constituents have been tested for their inhibiting effect on putative carcinogenesis mechanisms (e.g., cell proliferation and apoptosis, immunosurveillance, angiogenesis); in most experiments inhibitory effects were found. Conclusion : While Panax ginseng C. A. Meyer has shown cancer preventive effects both in experimental models and in epidemiological studies, the evidence is currently not conclusive as to its cancer-preventive activity in humans. The available evidence warrants further research into the possible role of ginseng in the prevention of human cancer and carcinogenesis.

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진보당 형사사건기록에 대한 기록학적 고찰 (Study of the Progressive Party Case Records through the Lens of Archival Science)

  • 이주영;전현수
    • 기록학연구
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    • 제77호
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    • pp.109-150
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    • 2023
  • 이 글은 진보당 형사사건기록을 역사적 관점으로 해석하는 기존 연구 동향과는 달리 경찰-검찰-재판으로 연결되는 하나의 완결된 유기적인 기록군, 즉 기록의 생애주기적 관점 속에서 진보당 형사사건기록이 기록의 속성을 어떻게 나타내고 있는지 기록학적 시각으로 새롭게 분석한 것이다. 먼저 생산기관별로 편철된 기록물의 형태와 기관별로 주요하게 생산된 사건기록이 무엇인지 출처별 특성을 기관별로 위임된 법령을 통해 살펴보았다. 이후 경찰·검찰·특무대에서 생산한 수사기록과 기소 이후 재판과정에서 생산된 공판기록을 살펴보면서 기록이 가지는 특성에 대해 평가하였다. 특히 진보당 형사사건기록이 가지는 증거로서 불충분한 지점과 위법성에 대해 기록 특성의 관점으로 접근하여 형사소송법의 증거력 이전에 기록이 증거로서 효력을 가지는 기록학적 속성인 신뢰성, 진본성, 무결성 모두를 가지지 못하는 기록임을 증명했다.

혈액투석실 간호사의 근거중심 혈액투석간호에 대한 지식과 수행도 (Knowledge and Adherence to Evidence Based Practice Guidelines for Hemodialysis among Nurses in Dialysis Units)

  • 주혜숙;박명화
    • 디지털융복합연구
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    • 제16권7호
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    • pp.277-288
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    • 2018
  • 본 연구는 투석실에서 간호사들 사이의 혈액 투석에 대한 실무 지침에 근거한 지식 수준과 수행도를 조사하는 서술연구로서 자기기입식 설문지를 사용하여 데이터를 수집했다. 표본은 한국의 3개 지역에 위치한 혈액 투석실의 간호사 173명으로 구성되었다. 자료 분석은 SPSS / WIN 20.0 으로 t-test, ANOVA 및 Scheff's 분석을 수행했다. 투석실 간호사의 약 98.8 %는 주로 투석회의나 심포지움에서 교육을 받았다. 근거중심실무에 대한 지식 점수는 평균 15.77 (23 개 중)로 나타났으며, 8년 이상의 경력자, 석사 학위 및 3차병원에서 일하는 간호사들이 유의하게 높은 점수를 보였다. 혈액 투석에 대한 국제적으로 인정되는 근거중심실무지침이 있음에도 불구하고 지침에 대한 실제 준수는 경험, 교육 수준 및 병원 유형에 따라 다르게 보였다. 이 연구의 결과는 혈액 투석 간호사에 대한 지식 향상 및 근거중심실무지침 활용을 위한 전략 개발에 대한 추가 연구를 위한 기본 데이터가 될 수 있다.

Genetic radiation risks: a neglected topic in the low dose debate

  • Schmitz-Feuerhake, Inge;Busby, Christopher;Pflugbeil, Sebastian
    • Environmental Analysis Health and Toxicology
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    • 제31권
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    • pp.1.1-1.13
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    • 2016
  • Objectives To investigate the accuracy and scientific validity of the current very low risk factor for hereditary diseases in humans following exposures to ionizing radiation adopted by the United Nations Scientific Committee on the Effects of Atomic Radiation and the International Commission on Radiological Protection. The value is based on experiments on mice due to reportedly absent effects in the Japanese atomic bomb (A-bomb) survivors. Methods To review the published evidence for heritable effects after ionising radiation exposures particularly, but not restricted to, populations exposed to contamination from the Chernobyl accident and from atmospheric nuclear test fallout. To make a compilation of findings about early deaths, congenital malformations, Down's syndrome, cancer and other genetic effects observed in humans after the exposure of the parents. To also examine more closely the evidence from the Japanese A-bomb epidemiology and discuss its scientific validity. Results Nearly all types of hereditary defects were found at doses as low as one to 10 mSv. We discuss the clash between the current risk model and these observations on the basis of biological mechanism and assumptions about linear relationships between dose and effect in neonatal and foetal epidemiology. The evidence supports a dose response relationship which is non-linear and is either biphasic or supralinear (hogs-back) and largely either saturates or falls above 10 mSv. Conclusions We conclude that the current risk model for heritable effects of radiation is unsafe. The dose response relationship is non-linear with the greatest effects at the lowest doses. Using Chernobyl data we derive an excess relative risk for all malformations of 1.0 per 10 mSv cumulative dose. The safety of the Japanese A-bomb epidemiology is argued to be both scientifically and philosophically questionable owing to errors in the choice of control groups, omission of internal exposure effects and assumptions about linear dose response.

논의기반 탐구 과학수업의 학급 논의 활동에서 나타나는 중학생들의 인식론적 사고의 특징 및 변화 (Characteristics and Changes of Epistemic Thinking in Middle School Students on Class-Argument Activities in an Argument-Based Inquiry(ABI) Science Class)

  • 박지연;정도준;남정희
    • 대한화학회지
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    • 제64권1호
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    • pp.38-48
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    • 2020
  • 이 연구는 논의기반 탐구 과학수업의 학급 논의 활동에서 나타나는 중학생들의 인식론적 사고의 특징을 알아보고자 5개 주제에 대한 논의기반 탐구 과학수업의 수업 동영상 및 활동지를 수집하여 분석하였다. 연구 결과, 학생들이 학급 논의 과정에서 지식의 원천으로 사용한 증거의 출처로는 실험 자료를 활용한 유형이 가장 많이 나타났으며, 활동 방식에 따라서 개인적인 경험에 기반을 둔 유형과 과학 원리를 증거로 활용하는 유형이 추가로 나타났다. 또한 학급 논의에서 주제에 따른 지식 정당화의 수준 차이는 비슷하게 나타났으나, 주장 정당화의 하위 평가 요소 중 주장 타당성, 증거 타당성 및 논의과정 요소 사용의 수준은 높았지만 반박 타당성의 수준은 낮게 나타났다. 마지막으로 학급 논의 전후의 주장 변화를 분석한 결과, 주장변경 유형은 잘못된 주장의 정정 유형, 불명확한 내용의 명료화 유형, 개념의 확장 유형으로 분류할 수 있었으며, 이 중 잘못된 주장을 정정하는 유형이 가장 높은 비율로 나타났고, 개념의 확장 유형, 불명확한 내용의 명료화 유형의 순서가 차례대로 나타났다.