• Title/Summary/Keyword: Evidence Analysis

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Development, Application and Evaluation of the Evidence-based Nursing Practice Guideline for Hemodialysis in the Patients with Risk of Bleeding (출혈위험이 있는 신부전환자의 혈액투석을 위한 근거중심 간호실무 가이드라인 개발과 적용 및 평가)

  • Kim, Su-Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.1
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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.

Preventive Strategies of Ventilator Associated Pneumonia

  • Kim, Jin-A;Kim, Keum-Soon
    • Journal of Korean Critical Care Nursing
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    • v.2 no.2
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    • pp.42-55
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    • 2009
  • Purpose: Despite numerous evidence based preventive strategies of ventilator associated pneumonia (VAP) have been introduced, the incidence rate of VAP continues in an unacceptable range. The purposes of this review were to identify risk factors and diagnosis of VAP and to introduce current evidence based preventive strategies of VAP. Methods: A comprehensive literature search using keywords, including ventilator associated pneumonia were entered into a search engine. A number of highly pertinent papers relevant to the purpose of the review were identified. The papers that discussed specific preventive strategies of VAP were selected for analysis and inclusion in this review. Results: A number of evidence based preventive strategies that nurses can implement in their clinical practice to prevent VAP were identified. Such strategies include hand washing, use of protective gloves and gowns, oral care, stress ulcer prophylaxis, avoidance of unnecessary intubation, weaning protocol, sedation vacation, use of non-invasive ventilation, semi-recumbent position, continuous aspiration of subglottic secretions, and maintenance of proper endotracheal tube cuff pressure. Staff education is essential in preventing VAP. Conclusion: Preventive strategies of VAP should be applied to daily nursing care and each critical nurse should play a functional role in preventing VAP.

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A Case Study on Statistic-Based Policy: Use of the Housing Purchase Price Indices (통계기반 정책사례 연구: 주택가격지수 통계의 구축, 개선, 활용을 중심으로)

  • Park, Jin-Woo
    • The Korean Journal of Applied Statistics
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    • v.22 no.3
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    • pp.635-651
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    • 2009
  • Democratization and advancement of a society requires the Government's commitment to evidence-based policy. Though statistic is known as one of the best available evidence, there has been only a few case studies to tell real stories about using statistics for policy making. The object of this study is to suggest some real stories about using the Housing Purchase Price Survey for some property policies. By reviewing the origin and development of the survey, we evaluate the design and analysis strategies adopted in the survey. In addition, we describe how the Housing Purchase Price Indices have been used by the Government for some property policies.

Analysis of Biological Experiment on Socheongryong-tang (Xiaoqinglong-tang) (소청룡탕 효능에 관한 기초 실험 연구 문헌 분석)

  • Kim, Jung-Hoon;Shin, Hyeun-Kyoo
    • The Journal of Korean Medicine
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    • v.33 no.3
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    • pp.54-73
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    • 2012
  • Objectives: To investigate the scientific evidence of Korean Medicine (KM), papers on Socheongryong-tang (Xiaoqinglong-tang), which is frequently used in medical clinics or hospitals of Korean medicine, were collected and analyzed. Methods: Papers were classified by the registration of domestic or international journals, the year of publication, experimental models and the subjects of biological activities. The mechanisms of biological activity in accordance with therapeutic effects of Socheongryong-tang (Xiaoqinglong-tang) were noted. Results: Among 98 papers included, 21 were published in domestic journals whereas 35 were in Chinese journals and 43 in Japanese journals. Most reported biological activities were amelioration of asthma. Socheongryong-tang (Xiaoqinglong-tang) regulated interleukin and interferon and immunoglobulin, inhibited the production of nerve growth factor, endotheliln-1, nitric oxide, toll-like receptor-4, p-Akt and increased extracellular signal regulated kinase and cyclin D1, which led to decreased bronchi inflammation and bronchoconstriction, and inhibited the proliferation of airway smooth muscle cells, mucus secretion and airway hyperresponsiveness. In addition, Socheongryong-tang (Xiaoqinglong-tang) also restored tissues injured by asthma so that respiratory function recovered. Conclusions: Amelioration of asthma by Socheongryong-tang (Xiaoqinglong-tang) is supported by objective and scientific evidence.

Acupuncture Trials for Peripheral Facial Palsy in Republic of Korea: A Systematic Review (국내 말초성 안면마비의 침 임상시험에 대한 체계적 고찰)

  • Lee, Cham Kyul
    • Journal of Acupuncture Research
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    • v.30 no.3
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    • pp.51-59
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    • 2013
  • Objectives : This study was designed to evaluate clinical evidence of acupuncture treatment for peripheral facial palsy in South Korea. Methods : All process was independently proceeded by two investigators. Literature search was performed in 9 databases from their inception to February 2013. Searched reports was twice excluded for title, abstract and body. And then, data extract and analysis was done before assessing risk of bias by Cochrane Handbook. Results : 10 randomized controlled trials(RCT) were finally included. 4 RCT handled postauricular pain with facial palsy. All articles at least used in combination with two treatments. Interventions like pharmacopuncture, electroacupuncture, scalp acupuncture etcetera were conducted as treatment to evaluate efficacy, and some study reported advantageous effects of treatment group compared to baseline or control group. Adverse events didn't referd to in any studies. In assessing risk of bias, indefinite and uncertain information made all included trials to have a high risk of bias. Conclusions : Because of methodological deficit, there is no sufficient evidence to allow any conclusion about the efficacy of acupuncture for peripheral facial palsy. Therefore, well designed trials with high quality is needed from now on.

Analysis of Biological Experiment on Immunoactivity of Sipjeondabo-tang (십전대보탕의 면역활성에 관한 기초 실험 연구 문헌 분석)

  • Kim, Jung Hoon;Shin, Hyeun Kyoo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.5
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    • pp.641-649
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    • 2012
  • To investigate scientific evidence for the use of a Korean Medicine (KM), the papers regarding Sipjeondabo-tang (Shiquandabu-tang) frequently used in Korean medical clinics and hospitals were collected and analyzed. The papers were classified as being from domestic or international journals and by the year of publication. The mechanisms of immuno-activity Sipjeondabo-tang (Shiquandabu-tang) were researched. Among 41 papers, 4 were published as Korean papers whereas 7 were as Chinese papers and 40 were as Japanese papers. Sipjeondabo-tang (Shiquandabu-tang) regulated the productions of Th1 cytokines such as interleukin-2 (IL-2) and interferon-${\gamma}$ (IFN-${\gamma}$), and Th2 cytokines such as IL-4, IL-5, IL-6, IL-12 improving the function of immune organ including bone marrow, spleen, liver, thymus and peyer's patch. It also modulated the releases of immunoglobulin-G (IgG) and IgM. Thus, Sipjeondabo-tang (Shiquandabu-tang) balanced the Th1/Th2 immune responses as well as T/B cell. The regulation of immunoactivity could be speculated as an objective and scientific evidence of Sipjeondabo-tang (Shiquandabu-tang).

Digital Evidence Collection Procedure for Hardware Unique Information Collection (하드웨어 고유 정보 수집에 대한 디지털 증거 수집 절차)

  • Pak, Chan-ung;Lee, Sang-jin
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.28 no.4
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    • pp.839-845
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    • 2018
  • Sensitive data is encrypted and stored as privacy policy is strengthened through frequent leakage of personal information. For this reason, the cryptographically owned encrypted data is a very important analysis from the viewpoint of digital forensics. Until now, the digital evidence collection procedure only considers imaging, so hardware specific information is not collected. If the encryption key is generated by information that is not left in the disk image, the encrypted data can not be decrypted. Recently, an application for performing encryption using hardware specific information has appeared. Therefore, in this paper, hardware specific information which does not remain in file form in auxiliary storage device is studied, and hardware specific information collection method is introduced.

The Study on Forensic Techniques of Chromebook (크롬북 포렌식 기법에 관한 연구)

  • Yoon, Yeo-Kyung;Lee, Sang-Jin
    • Journal of Digital Forensics
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    • v.12 no.3
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    • pp.55-70
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    • 2018
  • With the diversification of mobile devices, the development of web technologies, and the popularization of the cloud, an internet-centric web OS that is not dependent on devices has become necessary. Chromebooks are mobile devices in the form of convertible laptops featuring a web OS developed by Google. These Web OS mobile devices have advantages of multi-user characteristics of the same device and storage and sharing of data through internet and cloud, but it is easy to collect and analyze evidence from the forensic point of view because of excellent security and easy destruction of evidence not. In this paper, we propose an evidence collection procedure and an analysis method considering the cloud environment by dividing the Chromebook, which is a web OS mobile device popularized in the future, into user and administrator modes.

The Connectedness between COVID-19 and Trading Value in Stock Market: Evidence from Thailand

  • GONGKHONKWA, Guntpishcha
    • The Journal of Asian Finance, Economics and Business
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    • v.8 no.7
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    • pp.383-391
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    • 2021
  • This study examines the connectedness between the number of COVID-19 cases in Thailand and trading value among investors in the Stock Exchange of Thailand. Daily data of COVID-19 cases and trading value were sourced from the Thailand ministry of public health and the Stock Exchange of Thailand, from January 12, 2020 to May 11, 2021. This study applies a multiple linear regression analysis to explain the relationship between variables. Empirical evidence clearly shows that the volatility of trading value was affected by COVID-19's new, confirmed, and deaths cases within the first pandemic period more than during the second pandemic period. Nevertheless, during the third pandemic period there is no evidence that the new, confirmed, and deaths cases significantly influenced trading value. Furthermore, the results show that COVID-19's new and deaths cases have a negative coefficient that indicated the trading value-buy/sell decreased in response to COVID-19's new and deaths cases, whereas the confirmed COVID-19 cases have a positive coefficient that indicated the trading value-buy/sell increased in response to COVID's confirmed cases. In summary, this study suggests that the number of COVID-19 cases have a significant impact on the trading value in the short term more than in the intermediate and long term.

Is There Therapeutic Evidence for PNF? (고유수용성신경근촉진법의 치료적 근거는?)

  • Woo, Young-Keun
    • PNF and Movement
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    • v.12 no.2
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    • pp.51-61
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    • 2014
  • Purpose: This study aimed to review articles related to PNF and easily provide information to readers who have difficulty reading papers or using PNF in clinics without a background in statistical knowledge. Methods: We used PubMed to collect papers on international studies and we conducted a search on April 28, 2014. Keywords used for the PubMed search were "PNF" and "Proprioceptive Neuromuscular Facilitation". The search results identified 765 papers that had been published since 1954. To target the papers for review, we selected 66 papers, excluding papers that were not published in online journals and papers that were written in a second language. Results: The reviewed papers consisted of studies that addressed basic principles and procedures, combined with other interventions, including PNF stretching concepts, and other diseases with PNF concepts. The articles related to basic procedures and principles reported on optimal contraction intensity, patterns, and irradiation. The articles related to stretching and strengthening reported on stretching the hamstring muscles in healthy subjects, in combination with other interventions such as neuromobilization, clinical massage, kinesio taping, and water immersion. The articles related to specific diseases reported on stroke, low back pain, athletic injury, total knee replacement, etc. Conclusion: In the 66 articles reviewed for this study, there was little evidence that PNF has therapeutic value. However, in future research on the application of PNF, investigators could conduct a more in-depth analysis of this topic and present more objective and useful information on the therapeutic benefits of PNF.