• 셀메드
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• 제6권3호
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• pp.15.1-15.4
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• 2016

Evidence based practice (EBP) is a system of applying the most current and valid high quality evidence to support clinical decision making in a healthcare setting. In the twenty five years since its inception, EBP has become the accepted benchmark for excellence in healthcare. Although the system emerged within the biomedical sciences, in the years since EBP has become normative across all healthcare modalities from dentistry, allied health to complementary and alternative medicine (CAM). Practicing evidence based medicine within any modality potentially offers the patient the best available care based on high quality evidence. Yet it is the nature of the evidence that provokes some questions about the suitability of EBP across all modalities of healthcare. The meta analysis of randomized controlled trial (RCT) stands at the pinnacle of the hierarchy of evidence in EBP. This forms a challenge to CAM due to the difficulty in reducing the elementals of a holistic naturopathic assessment of a patient into an answerable question to be tested within a RCT. On one level this makes EBP paradigmatically incompatible with CAM, yet on another level it presents the opportunity to redefine the parameters of what is considered high level evidence. EBP has become a tool, and at times a weapon wielded by governments and health insurance companies to direct healthcare funding and policy. The implications of the nature of accepted evidence are becoming far reaching. The pursuit of the best available healthcare for each individual is the focus of EBP. However, the injudicious use of this system to direct health policy is fraught with biomedical bias and dominance. This issue raises the challenge to CAM to present high level evidence according to the rules of evidence, or face the annihilation of centuries of empirical knowledge.

• 한국치위생학회지
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• 제7권2호
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• pp.123-133
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• 2007

This document is about immigrant worker who use counseling office for human rights in the Daegu Gumin Church. We researched their oral health state so that we can understand their situation and support them properly. General characteristics of study subjects, habits related to oral health, the oral examination and treatment clinic, participated in oral heath education program were studied by designed administered questionaire. And decay, filling(treatment teeth), missing tooth(lost teeth by dental-caries)was counted by oral examination, and calculated DMFT-index. This study was done from the July, 9, 2006 to Aug. 8, 2006. In a total of 289 immigrant worker, 77.9% of them were men and 22.1% of them were women. 55.7% of their salary was from 1,000,000 won to 1,500,000 won and most of them were working for a fiber industry. Many of them are living in korea for more then three years. DMFT index for men was 2.77 and for women was 4.06 so average of DMFT index was 3.06. 46.7% of them said that they are healthy in oral health state. The question for having difficulty using dental clinic in korea, 65.1% of them said "it is difficult". First reason was a communication problem and second was time. Most of them didn't have a oral health education but 85.1% of them said that they are looking forward to attending oral health education. Immigrant worker had better DMFT index then that of korean blue color worker. But still it is quite difficult for them using dental clinic in korea also cost. It is necessary to support them properly that medical insurance system, medical facilities of quality, medical insurance subscriber beside, made by their language, manual for them. At once, medical service improvement a policy is necessary for immigrant worker in korea.

• 정보처리학회논문지A
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• 제18A권6호
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• pp.241-248
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• 2011

많은 학습시스템이 학습효율을 높이기 위해 자기 주도적 학습을 적용하고 있다. 동일한 수준의 학습자라 할지라도 학습 내용을 이해하는 정도는 서로 다를 수 있다. 따라서 제공된 콘텐츠를 이해하기 어려움에도 불구하고 정해진 난이도와 학습과정에 따라 획일적으로 학습이 진행되는 방법은 효율적인 학습효과를 나타내기 어렵다. 본 논문에서는 런타임시 변화된 학습자의 수준에 적합한 학습 콘텐츠를 재구성할 수 있도록 SCORM의 기능을 확장하고, 이 확장된 SCORM을 기반으로 DCOS(Differential Contents Organization System)을 설계 및 구현하였다. DCOS는 학습자의 수준에 적합한 학습 콘텐츠를 효율적으로 재구성하기 위하여, 학습자의 수준 이외에 학습 콘텐츠의 구성단위인 학습객체 간의 관련성 및 학습 목표 달성 정도를 기반으로 콘텐츠를 재구성하도록 하였다. 각 30명의 학생이 기존 시스템과 DCOS에서 학습한 결과, DCOS에서 학습한 학습자들의 평균점수와 시스템 만족도가 전체적으로 높은 것을 알 수 있었다.

• 한국언론정보학보
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• 제31권
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• pp.167-192
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• 2005

IMC 실행을 촉진시키기 위한 방법은 무엇인가? 이러한 의문에 답하기 위한 하나의 접근방법은 IMC 성장을 저해하는 기업의 내/외적 문제점들을 찾아내어 해결하는 것이다. 본 연구는 탐색적 요인분석을 통해 8개의 방해요인(조직구조문제, 부서간 이기주의, 데이터베이스 미흡, 효율성분석의 어려움, 고객중심 커뮤니케이션 인식부족, 대행사의존증가, 대행사의 전문성결여, 예산삭감우려)을 추출하였으며, 이들 요인들 중 IMC 실행정도에는 조직구조문제와 고객중심 커뮤니케이션 인식부족에 대한 해소가 그리고 IMC에 대한 유용성지각에는 부서간 이기주의, 고객중심 커뮤니케이션 인식부족, 예산삭감우려에 대한 해소가 유의미한 영향을 미친다는 것을 밝혀냈다. 조직의 규모(예, 매출액 및 마케팅 커뮤니케이션 비용)에 따른 IMC 실행정도의 차이는 존재하지 않았지만 IMC에 대한 유용성지각에 있어서는 고 매출액 집단이 저 매출액 집단에 비해 보다 긍정적인 것으로 나타났다. 결과에 근거하여 이론적 및 실무적 함의가 논의되었다.

• 대한치과기공학회지
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• 제20권1호
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• pp.121-138
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• 1998

With 1002 students around 8 colleges nationwide joining, the survey was on their knowledge before entering their school, and thereafer, the degree of their satisfaction in their major and professors & lectures. 1. When they chose their major, the most influential was their parents and relatives, the largest number of 435(43.5%) replied, About the motivation for selection their jajor, 454(45.4%) answered the most it seemed to be a bright future specialty. On that question, more freshmen(51.0%) answered theyu expected good trend than sophomores and juniors and more women students(48.8%) did so than men ones.(P<.05) 2. While 619(61.8%) were familiar with major before applying, only 68(6.85%) knew their major very well at that time. More freshmen(62.5%) applied in the state of well-knowing what their major is than sophomores and juniors did.(P<.01) More women students(40.9%) applied not knowing it than the counterpart. About the time for choice, 795(79.5%) answered the most one of application days. More women students(81.0%) chose their major during the application time(P<.01) 3. The satisfaction survey shows 438(43.8%) are satisfied and 165(16.5%) are not. More men students(47.2%) are satisfied.(P<.01) The factor their satisfaction is their major come together with aptitude(44.7%), 196ppl), and the dissatisfaction factor is the difficulty of the theory and practice.(30.8%, 171ppl) 4. If they could change their major, 454(46.6%) wouldn't do so, while 541(54.4%) would shift their major to other fields. More freshmen(49.5%) wouldn't change than sophomores and juniors. Neither did more men students(4938%) than women. Within the same grade, there's no meaninful difference.(P<.01) 5. On the satisfaction in the lectures of the professors of their major, 464(46.5%) said the lecutres are excellent, 102(10.2%), they are not. About the lectures of the liberal subjects, 193(19.4%) said are excellent, 365(36.6%) are not.

• 한국초등과학교육학회지:초등과학교육
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• 제33권4호
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• pp.773-783
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• 2014

In National Curriculum of Science revised in 2007, the Free Inquiry was newly introduced to increase students' interest in science and to foster creativity by having students make their own question and find answer by themselves. The purpose of the study was to analyze characteristics, in cognitive domain, appeared in the processes of performing the Free Inquiry activities applying a brain-based evolutionary science teaching and learning principles. For this study, 106 fifth grade students participated, and they performed individually Free Inquiry activities. In order to characterize of the diversifying, estimating-evaluating-executing, and extending-applying activities in cognitive domain (C-DEF), the Free Inquiry diary constructed by the students, observations by a researcher, and interviews with the students were analyzed both quantitatively and qualitatively. The major results of this study were as follows: First, at C-D step, many students (71.5%) had difficulty in searching the meanings of their results and the contents of interpretations were at the level of simple description of their results. A few students (15.2%) derived interpretations based on causal relationships between specific variable and result. Also, the tendency that the numbers of interpretation about meaning of their results were increased as the scores of science attitude and achievement was appeared. Second, at C-E step, the students showed tendency of considering facts exactly explaining inquiry topic and being appliable to daily life rather than objectivity or accuracy of scientific knowledge. Third, at C-F step, there were three types of extension and application: simple repetition (8.2%), extension (64.0%), and upward application (17.6%) types. Based on these findings, implications for supporting appropriate interpretation, evaluation, and application of inquiry results are discussed.

• Preventive Nutrition and Food Science
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• 제16권4호
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• pp.283-290
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• 2011

The recent increase of colon, breast, and prostate cancer incidence in Korea has been attributed to a diet pattern change to a more Western style, in which the foods eaten are higher in protein and fat. Whether high protein intake itself stimulates tumor cell growth and exacerbates disease status has been investigated, however, many epidemiological studies have inconsistent results between meat intake and the risk of certain cancers. These inconsistent results are partly because of the difficulty of studying the effects of just the meat intake. Other factors, such as overall meal context, could not be completely excluded in the study. To address the question of whether high protein itself is independently associated with carcinogenesis, we initiated ICR mice with 200 nmol ($50{\mu}g$) 7,12-dimethylbenz[a]anthracene (DMBA) and fed animals either a normal diet (ND, 14% casein) or a high protein diet (HPD, 50% casein) for 15 weeks with 12-O-tetradecanoylphorbol-13-acetate (TPA) promotion in two-stage skin carcinogenesis protocol. There was no significant difference between ND and HPD group in food intake and body weight throughout the experiment. However, tumor multiplicity of the HPD group was decreased by 75.5% compared to that of the ND group. In addition, HPD inhibited skin hyperplasia and epidermal cell proliferation. Western analyses with whole skin lysates showed that HPD inhibited TPA-induced Akt (S473), S6K (T389), 4E-BP1 (Thr 37/46) and Erk1/2 (Thr202/Tyr204) phosphorylation as well as COX-2 expression. Taken together, these data suggest that a high protein diet has an anticarcinogenic effect by inhibiting the TPA-induced Akt signaling pathway.

• 대한치과기공학회지
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• 제32권3호
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• pp.241-253
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• 2010

Purpose: The purpose of this study was to analyze the career barriers of students studying dental technology in D-College. Methods: This study targeted 490 college students studying Dental Technology in D-College. The survey about career barriers on this study consisted of 45 questions and was scored with 5-points per question. The corrected data was analyzed by SAS V8 for Windows. Results: The difference analysis of career barriers shows that differences exist depending on gender(p<.01) and serving military service(p<.05). Especially, female students(2.69) and male students(2.65) who didn't serve the military are more susceptible to career barriers. In the sub factors of career barriers, differences exist depending on and in order of gender, serving military service, experience studying one more year to enter the college, day and night, the affiliation of highschool graduated from, and hometown. The correlation between the sub factors of career barriers and perception of career barriers manifested 'Lack of self assurance'(0.84), 'Sense of physical inferiority'(0.76), 'Relationship with other important people'(0.73) and 'Lack of information on occupation' in order. Conclusion: In the factors affecting non-decision on the career, 'Lack of self assurance'(=0.2465) is the highest in terms of influence, followed by 'Difficulty in interpersonal relations’(=0.1801) and 'Lack of information on occupation' (=0.1391).

• 의학교육논단
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• 제16권1호
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• pp.42-49
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• 2014

The purposes of this study were to identify and analyze students' attitudes and satisfaction to the portfolio process and assessment for the Introduction to Clinical Medicine course at Ewha Womans University School of Medicine in Seoul, Korea. The subjects consisted of 64 medical school students. Questionnaires consisting of 20 5-point Likert-type items were developed, including three question domains: 1) orientation, 2) portfolios in general, 3) individualized feedback. The mean and median were found and frequency analysis was performed to identify the common characteristics of the participants. A major finding was that 54.7% of the respondents felt that the self-reflection involved in building the portfolio was a valuable learning experience. Plus, the majority of respondents perceived that the individualized feedback had a positive tone and its contents were specific, practical, and constructive. The students perceived that building and writing portfolios heightened their understanding of exit learning outcomes and enhanced their reflective thinking and self-directed learning skills. Meanwhile, some students perceived that there was too much paperwork in the portfolio process and that the process was time consuming. Furthermore, 32.8% of the respondents said that they had difficulty establishing their learning strategies by themselves and self-directing their learning during the portfolio process. In conclusion, it is expected that building a portfolio can help students not only to enhance their ability to accumulate and use their personal learning resources but also to develop the professional qualities required by doctors, such as self-directed learning, self-reflection, lifelong learning, team work, organizational skills, time management and prioritization, and professional thinking and behavior.

• 한국초등과학교육학회지:초등과학교육
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• 제20권1호
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• pp.59-73
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• 2001

The National Science Fairs has been held in every year for the promotion of science and technology and scientific civil life. The purpose of this study is to survey the current problems in National Science Fairs by making up a question and to improve them. The study makes up a questionnaires about the existing Science Fairs to the teachers who have submitted their works to the Science Fairs and suggest the ways of improvement. The result of questionnaires is that little availability of reference materials, difficulty of paying proper attention to regular classes because of frequent travels, and absence of experimental devices and experimental rooms are perceived as major obstacles in preparing for the exhibition. Respondents teacher also pointed out some problems with the current organization of the exhibition; non-voluntary selection process for the potential authors, separation of research content from regular teaching materials, unrealistically high standard, low participation rate of teachers, so many exhibited works, lack of professionalism in the screening process. The majority however, agreed that the exhibition event should be continuously done, after remedial measures have been taken about the problems. First, the side of science education is emphasized in a purpose of the science fairs to let activity related to science fair be closely connected with school education. Second, students have to be divided according to grade. Third, research level have to be set not too higher than regular instruction content. Fourth, hand book related to science fairs have to be manufactured and spread. Fifth, data of local science fair have to be arranged. Sixth, judging section have to be subdivided and people related to science education have to be included to a judge. Seventh, excellent works have to be support to participate in ISEF.