• Title/Summary/Keyword: 근거 중심

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The PSA Testing Debate in the U.S and Flexible Evidence-Based Medicine (미국의 PSA 진단검사 논쟁과 유연한 근거중심의학)

  • Hyun, Jae Hwan
    • Journal of Science and Technology Studies
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    • v.13 no.1
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    • pp.77-109
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    • 2013
  • The global diffusion of Evidence-Based Medicine (EBM) is changing the landscape of medicine and the healthcare system. STS scholars have shown how EBM works when put into practice. In continuing to add to the literature of previous scholars, this paper traces the historical process and debate over Prostate-Specific Antigen (PSA) testing as an early screening test for prostate cancer in the U.S. This study will reveal that both pros and cons of the testing using EBM as a crucial resources of the debate, and in the process both 'flexibly' interpret and mobilize the hierarchy of scientific evidence for EBM despite the fact the hierarchy is imagined to being scientific criteria that is rigid. Furthermore, this paper will argue that this phenomenon, for which EBM currently seems to support the cons side of PSA screening, was constructed in the context of appraisal of the value 'quality of life' in the EBM system. This case study proposes that those who study the debate of medical technology in the EBM era should contextualize and analyze EBM as part of this debate rather than simply taking EBM for granted.

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Perception of College Students toward the Fairness of Korean College Admission System: A Grounded Theory Approach (대학입시제도의 공정성에 대한 대학생들의 인식 연구: 근거이론적 접근)

  • Choe, Jong-Mook
    • The Journal of the Korea Contents Association
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    • v.16 no.12
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    • pp.562-573
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    • 2016
  • Diversification of college admission system has recently brought up the problem of system fairness. Studies on fairness of college admission system mainly focused on policy proposal or investigation of teacher's perception. Different from previous works, this study aims to analyze college students' perceptions of fairness of the current college admission system. This study used grounded theory and interviews from eleven students. Results of analysis are as follows. Causal condition proved to be frequent change in admission system happened in the course of diversifying admission criteria. The core phenomenon is fundamental unfairness in both procedural and substantive aspects of admission system. Contextual condition is information and infrastructure asymmetry among students which has a root in regional gap in Korea. Mediatory condition is advance of information technology and individual or group effort to overcome disadvantages. In conclusion, students consider that unfairness in college admission system reflects social structural problems that cannot be solved in a one-time prescription.

Hand Gesture Sequence Recognition using Morphological Chain Code Edge Vector (형태론적 체인코드 에지벡터를 이용한 핸드 제스처 시퀀스 인식)

  • Lee Kang-Ho;Choi Jong-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.9 no.4 s.32
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    • pp.85-91
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    • 2004
  • The use of gestures provides an attractive alternate to cumbersome interface devices for human-computer interaction. This has motivated a very active research area concerned with computer vision-based analysis and interpretation of hand gestures The most important issues in gesture recognition are the simplification of algorithm and the reduction of processing time. The mathematical morphology based on geometrical set theory is best used to perform the processing. The key idea of proposed algorithm is to track a trajectory of center points in primitive elements extracted by morphological shape decomposition. The trajectory of morphological center points includes the information on shape orientation. Based on this characteristic we proposed the morphological gesture sequence recognition algorithm using feature vectors calculated to the trajectory of morphological center points. Through the experiment, we demonstrated the efficiency of proposed algorithm.

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Automatic Identification of Fiducial Marks Existing on Aerial Photographs (항공사진에 포함된 사진 지표의 자동 인식)

  • Cho, Seong-Ik;Bang, Ki-In;Kim, Kyung-Ok
    • Journal of Korean Society for Geospatial Information Science
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    • v.10 no.3 s.21
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    • pp.79-87
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    • 2002
  • This paper proposes an approach of automatically identifying the center of fiducial marks using radiometric and geometric characteristics of those marks existing on aerial photographs. Candidate region surrounding a mark, based on radiometric strategy, is determined by producing a bi-level image and by applying morphological operations. Based on geometric strategy, the central location of a mark is determined by applying ${\bigtriangledown}^G$ filtering and symmetry-enhancement filtering, and by finding peak location of symmetry. Evaluation with respect to 66 cases of sub-images containing a fiducial mark showed that the central location of the mark is determined up to around one pixel difference whit it is compared to a manual inspection.

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A Study on Healing Environments and Evidence-Based Design - Focused on Healthcare Environments in the United States - (치유환경 연구문헌 고찰 및 근거중심디자인(Evidence-Based Design) 활성화에 관한 연구 - 미국 치유환경 연구사례를 중심으로 -)

  • Park, Jin Gyu Phillip
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.17 no.1
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    • pp.41-50
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    • 2011
  • This paper assesses the evidence of the built environments' impact on patients' and staff's well-being. It also introduces evidence-based design (EBD) and discusses barriers and solutions for promoting EBD. EBD is an informed approach to design by improving design decisions based on best available knowledge. Designers should provide psychologically and physically supportive environments to promote occupants' well-being. There is increasing evidence that a poorly designed environment elicits negative feelings and stress. Better design will lead to better outcomes especially when it applied to a vulnerable population such as patients, children, and the elderly. Due to high demands of promoting patients' health, healthcare providers and professional designers have been searching for evidence to create healing environments. EBD has been well received in healthcare facilities design and is expanding to other types of environmental design such as educational and commercial design. Design firms should consider EBD as a value-added component of design to meet current and future challenges. It is important for designers to realize that engaging in EBD is not a rejection of creativity, but a means by which to scrutinize their design projects. With critical literature reviews on healing environments, there is sufficient evidence that well-designed environments can promote patients' and medical staff's health outcomes.

Cognitive Processing Therapy as a First-line Treatment for Post-Traumatic Stress Disorder (인지처리치료: 외상후 스트레스 장애의 일차 치료)

  • Jin-Hee, Choi;Hyung-Seok, So;Soonjo, Hwang;Ji-Woo, Suk;Hayun, Choi;Seung-Hoon, Lee;EunYoung, Lee
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.80-98
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    • 2022
  • Posttraumatic stress disorder (PTSD) is well known to have a limited response to drug treatment. Many recently published clinical care guidelines recommend trauma-focused psychotherapies such as cognitive processing therapy (CPT) and prolonged exposure therapy (PE) as first-line treatment and medication such as serotonin reuptake inhibitors and venlafaxine as second-line treatment. Current review introduces the session composition and contents of CPT and presents various CPT studies that show therapeutic effect for civilian and veterans/military with PTSD. In order for clinicians to help effectively patients with PTSD, it is necessary to learn and actively use evidence-based trauma-focused psychotherapies including CPT and PE.

A Systematic Review of Effects on Sensory Integration Intervention Based on Vestibular-Proprioceptive System for Children in Korea (아동의 전정-고유감각 중심의 감각통합중재 효과에 대한 체계적 고찰: 국내연구를 중심으로)

  • Park, Youngju;Kong, In-Joo
    • The Journal of Korean Academy of Sensory Integration
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    • v.13 no.2
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    • pp.53-61
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    • 2015
  • Objective : The purpose of this study was to investigate the effects on sensory integration interventions for korean children which focused on vestibular - proprioceptive system. Methods : Authors systematically searched published studies in DBpia, KISS and RISS databases from August to September 2015. Key words in the search were 'sensory integration intervention', 'sensory integration therapy' and 'vestibular-proprioceptive'. By using the inclusion and exclusion criteria, we selected seven studies for further analyses examining level of evidence and methodological qualities. Information for the analyses were on study designs, participants, interventions, outcome measures and results. Results : Grade IV rated evidence was found from five studies, and Grade III and Grade V rated evidence was found from one for each study. The methodological levels of the quantitative studies were 'fair' (2) and 'poor' (5). Subjects for the studies were developmental delay (5), Asperger Syndrome (1), and not specific diagnosis (2). Single-subject design was most frequently used and motor area were most frequently evaluated. The interventions used the studies showed positive effects on outcome measures. Conclusion : This study presented the summary of sensory integration intervention based on vestibular-proprioceptive system for Korean children. More studies with high level of evidence and various study designs need to be followed.

Concept of Information Architecture on Digital TV based on User Thought (사고 유형에 기초한 디지털 TV 채널 정보구조의 구상)

  • Hyun, Hye-Jung;Ko, Il-Ju
    • Journal of the Korea Society of Computer and Information
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    • v.15 no.9
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    • pp.77-85
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    • 2010
  • As various convergency products have been actively developed, the study on user interface has been conducted a lot, and for more specific direction, users' experience-oriented user interface from user-oriented studies is recently developed. Such a tendency aiming to focus on product development to express users' emotion, the next step in the user-oriented development had difficulties in an objective approach, so the data based on previous users' experiences were presented as the basic data to establish user interface design process with grounds and design direction, and therefore it is available to show more specific and objective grounds. From this perspective, such psychological variables showing users' experiences like age and job are studied through surveys of users at the development of products, and products according to the variables are released. On the other hand, the products considering psychological difference distinguishing users' experiences as the cultural cap are not progressed yet. Despite the understanding of cultural difference, its decisive grounds are hard to distinguish like age, and job. Therefore, the cognitive concept about how to design menu information structure according to accident types that can be considered regarding user interface design among theoretical backgrounds about cultural difference. As the category according to the range of things among accident types, it is divided into analytical type and relational type to conduct a test on similarity and relations about the representative digital TV's menu information of the convergency product. As the result, analytical type and relational type showed difference and this study aims to use menu information concept considering this difference as explanatory variables of the users' experience-oriented development.

가족정책의 성 통합적 재구조화: 노동 주체의 관점에 근거한 일과 가족의 양립을 중심으로

  • Yun, Hong-Sik
    • 한국사회복지학회:학술대회논문집
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    • 2005.04a
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    • pp.469-492
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    • 2005
  • 본 논문은 성 통합적 관점에서 가족정책의 재구조화에 대한 논의를 전개함으로써 몇 가지 주목할 만한 결론에 도달했다. 첫째는 가족정책의 관점이 노동하는 주체의 관점에 섰을 때 일과 가족 양립의 문제가 특정성의 문제가 아닌 보편적 시민의 문제가 된다는 점이다. 즉 허구적 믿음에 근거한 공 사적영역의 분리를 (성별구분 없이) 노동하는 주체의 관점에서 통합시킬 때 공적가치인 정의의 문제와 사적가치인 보살핌의 대림이 해소될 수 있다는 것이다. 둘째는 노동주체로서 남성과 여성의 통합성과 현실적 문제로써 여성과 남성의 차이에 근거한 '이해'의 상이함을 반영하기 위해서는 가족정책의 틀은 가족 구성원이 노동하는 장소에 따라 구분해야 한다는 것이다. 셋째는 가족정책의 틀에 따라 가족정책을 가족영역과 시장영역으로 나누었을 때 가족정책의 내용은 가족구성원이 노동권과 부모권(모성권+부성권)을 실현하는데 장애가 되는 요인들을 완화 제거하는 정책이어야 한다는 것이다. 마지막으로 가족정책의 방향은 여성과 남성이 생계부양과 보살핌의 책무를 함께 나누게 하는 것이다. 이는 노동하는 주체의 관점에서 허구적인 공 사적영역의 분리를 통합시켜 내는 것으로, 궁극적인 가족정책의 지향점이라고 할 수 있는 보편적 일과 가족 양립을 실현하는 길이라는 것이다.

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The Effects of Work-Family Conflicts and Family-Work Conflicts on Organizational Commitment of Service Industry Employees in China: Focused on the moderating effects of job autonomy (중국 서비스 구성원의 직장-가정 갈등과 가정-직장 갈등이 조직몰입에 미치는 영향 -직무자율성의 조절효과를 중심으로-)

  • Chi, Chao;Jin, Chunhua
    • Journal of Digital Convergence
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    • v.20 no.3
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    • pp.85-92
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    • 2022
  • This research emphasized that the importance of work-family conflict elements such as time-based conflict, strain-based conflict, behavior-based conflict and verify the effects of these three elements on organizational commitment through the moderating effects of Job autonomy. The research results are as follows. First, behavioral-based conflict, a element of work-family conflict, was found to have a negative effect on organizational commitment, but time-based conflict and strain-based conflict were verified to have no effect. Second, strain-based conflict and behavior-based conflict, which are elements of family-work conflict, were found to have a negative effect on organizational commitment, but time-based conflict was verified to have no effect. Third, job autonomy had a moderating effect in the relationship between behavior-based conflict and organizational commitment. Fourth, as a result of verifying the moderating effects of job autonomy in the relationship between family-work conflict and organizational commitment, it was found that job autonomy had moderating effects in the relationship between strain-based conflict, behavior-based conflict and organizational commitment.