• 제목/요약/키워드: Alternative methods

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코로나19 팬데믹 동안 간호대학생의 대체실습경험이 간호전문직관에 미치는 영향 (Impacts of alternative clinical practice on nursing professionalism in nursing students during the COVID-19 pandemic)

  • 신민지;김지수;옥나윤
    • 한국간호교육학회지
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    • 제30권2호
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    • pp.140-148
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    • 2024
  • Purpose: This study aimed to examine the impacts of alternative clinical practice on nursing professionalism in nursing students during the coronavirus disease 2019 (COVID-19) pandemic. Methods: A cross-sectional study was used for this study. Data were collected from 178 junior and senior nursing students from December 28, 2022 to January 6, 2023. The nursing students' characteristics, nursing professionalism, clinical competence, extent of alternative clinical practice, and satisfaction with alternative clinical practice were self-reported through an on-line survey. Multiple linear regressions were conducted to examine the impacts of alternative clinical practice on nursing professionalism along with the confounding variables. Results: The nursing students reported that they performed alternative clinical practice for more than half of their clinical practice throughout 2022. The extent of alternative clinical practice (β=-.11, p=.028), satisfaction with content (β=.14, p=.045), and evaluation of the alternative clinical practice (β=.17, p=.007) were found to have impacted nursing professionalism. These variables explained 55.6% of the variance in nursing professionalism. Conclusion: The study results suggest that the alternative nursing practice could impact nursing students' professionalism. However, it would be possible to develop nursing professionalism if the students' satisfaction with the alternative clinical practice were increased. Nurse educators need to improve the content and evaluation methods of alternative clinical practice to promote nursing professionalism during the implementation of such alternative clinical practice.

Behaviors of Providers of Traditional Korean Medicine Therapy and Complementary and Alternative Medicine Therapy for the Treatment of Cancer Patients

  • Yu, Jun-Sang;Kim, Chun-Bae;Kim, Ki-Kyong;Lee, Ji-Eun;Kim, Min-Young
    • 대한약침학회지
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    • 제18권1호
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    • pp.27-35
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    • 2015
  • Objectives: In Korea, cancer is one of the most important causes of death. Cancer patients have sought alternative methods, like complementary and alternative medicine (CAM) together with Western medicine, to treat cancer. Also, there are many kinds of providers of CAM therapy, including providers of Korean oriental medicine therapy. The purpose of this study is to identify the behaviors of Korean oriental medicine therapy and CAM therapy providers who treat cancer patients and to provide background knowledge for establishing a new policy with the management and quality control of CAM. Methods: Structured and well organized questionnaires were made, and 350 persons were surveyed concerning the providers of CAM or Korean oriental medicine. The questionnaires were collected and analyzed. Results: The questionnaires (182) were collected. The questionnaires identified a total of 73 known providers, such as medicinal professionals or other providers of CAM suppliers, 35.6% of whom had had experience with treating cancer patients (52.6% vs. 29.6%). The treatment methods were a little different: alternative therapy and nutritional therapy being preferred by medicinal professionals and mind body modulation therapy and alternative therapy being preferred by other CAM providers. Four patients (7.4%) experienced side effects, and 6 patients (12.5%) experienced legal problems. As the method for managing the therapy, CAM providers, medicinal professionals, and other CAM providers had different viewpoints. For example, some CAM providers stated that both legislation and an official education on CAM or a national examination were needed as a first step to establish the provider's qualifications and that as a second step, a license test was needed for quality control. To the contrary, medicinal professionals stated that a license test was needed before legislation. Conclusion: Adequate management and quality control of CAM providers is thought to involve both education and legislation.

임상연구방법론에서 귀무가설과 대립가설, 귀류법에 대한 고찰과 한방이비인후과에서 베이지안 통계학의 활용 (A Study on Null Hypothesis and Alternative Hypothesis, Reduction to Absurdity and Application of Bayesian Statistics in Korean Medicine Otolaryngology)

  • 남승표;배재민;권강
    • 한방안이비인후피부과학회지
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    • 제32권4호
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    • pp.41-61
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    • 2019
  • Background : The current medical statistics used in clinical research are the results of Fisher's significance test and the Neyman-Pearson hypothesis test, which were combined by psychologists. Also, in the philosophical background, it is related to Popper's falsificationism based hypothesis-deductive method and reduction to absurdity. Objectives : This study was designed to find complementary and alternative methods of null hypothesis and alternative hypothesis used for the clinical research methodology of Korean medicine otolaryngology. Methods : The body of this paper was divided into seven part. These are historical background, hypothesis test, hypothesis test method used in the design of clinical study, falsificationism and reduction to absurdity, problem and alternative method of the Neyman-Pearson hypothesis test, diagnosis example of sinusitis differentiation syndromes by Bayesian statistics. Through this process, we found out problems of frequentist statistics and suggested alternative methods. Result & Conclusion : As a solution to the problems of the null hypothesis and the alternative hypothesis, there are effects size, confidence interval, Bayesian statistics and Lakatos methodology of scientific research programmes.

생태지향형 초등대안학교의 지속가능발전교육을 위한 발전방안 연구 (A Study on the Development Direction for the Education for Sustainable Development of the Ecologically-oriented Alternative Elementary School)

  • 신지연;최돈형
    • 한국환경교육학회지:환경교육
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    • 제25권2호
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    • pp.272-289
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    • 2012
  • The purpose of this study is to compare and analyze the educational philosophy, goal, method, content, and environment of ecologically-oriented alternative elementary schools and suggest several practical methods for alternative education. Both ecologism and alternative education pursue sustainable values. The educational content of ecologically-oriented alternative elementary schools, analyzed from the view of sustainable development, focuses most on the natural resources, biodiversity, and sustainable food production, and also include human rights, peace and security, unification, cultural diversity, and health food in terms of the social sustainability and sustainable production and consumption concerning economic sustainability. This study should help environmental education become establish its possibility and position as alternative education and be recognized of its educational value. Furthermore, based on the cases of ecologically-oriented alternative elementary schools that are becoming 'garden of environmental education' as sustainable development education, it should lead to 'education communicating with environmental education at schools'.

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수요 특성이 계층적 수요예측법의 퍼포먼스에 미치는 영향 : 해군 수리부속 사례 연구 (The Impact of Demand Features on the Performance of Hierarchical Forecasting : Case Study for Spare parts in the Navy)

  • 문성민
    • 경영과학
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    • 제29권1호
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    • pp.101-114
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    • 2012
  • The demand for naval spare parts is intermittent and erratic. This feature, referred to as non-normal demand, makes forecasting difficult. Hierarchical forecasting using an aggregated time series can be more reliable to predict non-normal demand than direct forecasting. In practice the performance of hierarchical forecasting is not always superior to direct forecasting. The relative performance of the alternative forecasting methods depends on the demand features. This paper analyses the influence of the demand features on the performance of the alternative forecasting methods that use hierarchical and direct forecasting. Among various demand features variability, kurtosis, skewness and equipment groups are shown to significantly influence on the performance of the alternative forecasting methods.

랜덤화 블록 계획법에서 순서대립가설에 대한 비모수검정법 (Nonparametric Method for Ordered Alternative in Randomized Block Design)

  • 강유향;김동재
    • 응용통계연구
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    • 제27권1호
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    • pp.61-70
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    • 2014
  • 랜덤화 블록 계획법은 동질적인 실험단위를 묶어 여러 개의 블록으로 나눈 후, 각 블록의 실험단위에 처리를 적용하는 방법이다. 랜덤화 블록 계획법에서 Jonkckheere (1964)와 Terpstra (1952), Page (1963) 그리고 Hollander (1967) 등이 순서대립가설의 다양한 방법을 제안하였다. 특히, 블록 내 순위합의 가중치를 주는 방법으로 Page (1963) 검정법이 있다. 본 논문에서는 Page 검정을 확장하여 순서대립가설에 새로운 비모수적 방법론을 제안하였다. 또한, 몬테카를로 모의시험 연구를 통해 제안된 방법과 이전의 방법들의 검정력을 비교하였다.

간호대학생의 보완대체요법에 대한 태도 및 교과목 개설희망 종류 (Nursing Students' Attitude towards Complementary and Alternative Therapies and Their Curriculum Expectations Regarding It)

  • 정명실
    • 한국간호교육학회지
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    • 제18권2호
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    • pp.188-196
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    • 2012
  • Purpose: The purpose of this study was to identify attitudes of nursing students in terms of complementary and alternative therapies and to find out what curriculums they prefer. Methods: Data was collected through 283 participants from a nursing school by self-report questionnaires that were constructed to include scales. The scales were made as a measurement to search the attitudes of nursing students regarding complementary and alternative therapies. In addition, to find out some of the curriculum that are preferred by them. The data was analyzed using t-test and ANOVA with SPSS/WIN 18.0. Results: Students' attitudes of complementary and alternative therapies were positive. Students' attitudes of complementary and alternative therapies differed depending on factors like one's religion, experiences and education. Some of the curriculum that nursing students wished to be opened related to complementary and alternative therapies turned out to be massage therapy, art therapies that include music and dancing, medication therapy and aroma therapy. Conclusion: In order for nursing students to be able to apply these complementary and alternative therapies at the field after graduation while they are working as a registered nurse, constant effort should be accomplished in establishing complementary and alternative therapies as regular curriculum at University.

최근린사상법을 활용한 금강서해유역 녹지네트워크 구축에 관한 연구 (Establishment of a Forest Network in the Western Geum River Basin using the Nearest Feature Model)

  • 장갑수
    • 한국조경학회지
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    • 제35권5호
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    • pp.56-63
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    • 2007
  • This study used the nearest feature model to connect forest patches within the western Geum River Basin. Due to many different forest patch sizes, 3 alternative methods were tested to determine the best way to establish an ecological network with forest patches. Alternative 1 used all forest patches to determine whether patches were large enough. Alternative 2 used forest patches over 10 ha in size. Alternative 3 used natural conservation indices to select forest patches containing better qualities in the natural conservation level. As a result 635 out of 724 patches of over 10 ha were selected for comparison. Alternative 1 showed that forest patches of less than 10 ha were outliers interrupting the establishment of the ecological network. They generated an unnecessary ecological network to link core areas to comparison features. The ecological network was improved by using forest patches greater than 10 ha in size(Alternative 2). Each comparison feature was much more hierarchically connected to core areas in Alternative 2 than in Alternative 1. Forest patches filtered by natural conservation indices were useful for obtaining the best ecological network. Alternative 3 clearly showed the connections in the ecological network between core areas and forest.

알레르기 비염의 대체의학적 치료에 관한 최근 논문경향 분석 - Entrez Pubmed 위주 (Systemic review : The study on alternative medicine for allergic rhinitis in Entrez Pubmed)

  • 김자혜;신상호;김미보;고우신;윤화정
    • 한방안이비인후피부과학회지
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    • 제20권1호통권32호
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    • pp.239-249
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    • 2007
  • Background : Allergic rhinitis is the most frequently occuring immunological disorder. It affects men, women and children and represents significant cost in terms of suffering and loss of productivity. Objective & Methods : We referred to the information through Entrex Pubmed from 2004 to 2007 January about alternative medicine for allergic rhinitis, 9 treatises. Results : About 9 treatises, 2 treatises were for the acupuncture treatment, I treatise was for the acupuncture and chinese herbal medicine, 2 treatises were for the single substance(butterbur, soy sauce ingredients), 1 treatise was for the homeopathic preparation, 1 treatise was for the ayur-veda herbal treatment, 1 treatise was for the ultraviolet light phototherapy, 1 treatise was for the systematic review of alternative medicine. Except 2 treatises for the acupuncture treatment, 6 treatises used the double-blind, randomized, placebo-controlled methods. As a result, we found 5 treatises that treat group had more improvement than control group, 3 treatises that treat group had no difference control group on effect significantly. 1 review article exhibited the most of alternative medical literatures were inadequate methodologically and therapeutic efficacy alternative treatment for allergic rhinitis was not supported by currently available evidence. Conclusion : We found that treatises about the alternative medicine for allergic rhinitis were more and more published. We were supposed that many internal treatises were published adequately by methodology to prove Korean medical treatment effects for allergic rhinitis.

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