• Title, Summary, Keyword: systematic review

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Dementia Prevention Programs among Koreans: A Systematic Review (치매예방프로그램에 대한 체계적 문헌고찰 (국내문헌을 중심으로))

  • Kim, Suk-Sun;Jo, Hyun-Mi
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.89-98
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    • 2018
  • Due to the increasing global prevalence of dementia, such as Alzheimer disease, there is a growing public health concern about its prevention. The purpose of this study was to conduct a systematic review for a narrative synthesis and critical appraisal of current published research related to dementia prevention programs among Koreans. To conduct a systematic review, the data bases KoreaMed, Riss4u and 9 Nursing Journals were searched using the key words dementia prevention and cognitive function. Articles published between 2000~2014 and related to dementia prevention programs were reviewed. Two hundred-fifty references were searched but only 29 studies met our inclusion criteria to review. We found that dementia prevention programs focused on: exercise, 11 studies (37.9%); multi-therapy, 9 studies (31.0%); and cognitive enhancement activity, 4 studies(13.8%). The majority of studies (n=19, 65.5%) included adults over 65 while two studies targeted adults over 75. The current literature indicates that future research is needed to develop and provide appropriate and effective dementia prevention programs among Korean older adults.

Effects of Breastfeeding Interventions on Breastfeeding Rates at 1, 3 and 6 Months Postpartum: A Systematic Review and Meta-Analysis (모유수유중재의 산후 1, 3, 6개월 모유수유율에 대한 효과: 체계적 문헌고찰 및 메타분석)

  • Park, Seol Hui;Ryu, Seang
    • Journal of Korean Academy of Nursing
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    • v.47 no.6
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    • pp.713-730
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    • 2017
  • Purpose: This study was a systematic review and meta-analysis designed to evaluate the effects of breastfeeding intervention on breastfeeding rates. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a systematic search was conducted using eight core electronic databases and other sources including gray literature from January 9 to 19, 2017. Two reviewers independently select the studies and assessed methodological risk of bias of studies using the Cochrane criteria. The topics of breastfeeding interventions were analyzed using descriptive analysis and the effects of intervention were meta-analyzed using the Review Manager 5.2 software. Results: A total of 16 studies were included in the review and 15 were included for meta-analysis. The most frequently used intervention topics were the importance of good latch-on and frequency of feeding and determining adequate intake followed. The pooled total effect of breastfeeding intervention was 1.08 (95% CI 1.03~1.13). In the subgroup analysis, neither pre-nor post-childbirth intervention was effective on the breastfeeding rates at 1, 3, and 6 months, and neither group nor individual interventions had an effect. Only the 1 month breastfeeding rate was found to be affected by the individual intervention with the persistent strategies 1.21 (95% CI 1.04~1.40). Conclusion: Effective breastfeeding interventions are needed to help the mother to start breastfeeding after childbirth and continue for at least six months. It should be programmed such that individuals can acquire information and specific breastfeeding skills. After returning home, there should be continuous support strategies for breastfeeding as well as managing various difficulties related to childcare.

The Effects of Diabetes Management Programs using Mobile App: A Systematic Review and a Meta-Analysis (모바일 앱을 이용한 당뇨환자관리의 효과: 체계적 문헌고찰과 메타분석)

  • Kim, Hee Eon;Kim, EunJa;Kim, Gaeun
    • The Journal of the Korea Contents Association
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    • v.15 no.1
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    • pp.300-307
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    • 2015
  • The purpose of this review was to evaluate the effects of diabetes management program using mobile appllication. A systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement was conducted. Studies published between 2004 and 2014 were reviewed using the following databases: Ovid, CINAHL and Cochrane library. The keywords used were (app*OR mobile) AND (nurs* OR health* OR medic*) AND (diabet*). Selected studies were assessed for methodological quality using Scottish Intercollegiate Guidelines Network (SIGN)' Checklist. Three hundred seventy five studies were identified, All the 3 studies found mobile application as a valid strategy on clinical usefulness in diabetes management. This review provides updated evidence for app-based management program in diabetes management. Further studies are needed to increase generalizability using randomized controlled trials, enough sample size. In addition, valid measurements are needed to assess the main outcomes.

Analysis of Research Trends on Social Network Service: Focusing on the Korea's Studies of Twitter (소셜 네트워크 서비스의 연구경향 분석: 국내 Twitter 관련 연구 중심)

  • Ha, Byoungkook
    • Journal of Service Research and Studies
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    • v.5 no.1
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    • pp.79-89
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    • 2015
  • Recently, with the introduction of social network services, studies that try to make use of them for the various purposes have been actively investigated. In order to proceed with the research that takes advantage of social network services, it is necessary to review the relevant literature and to identify trends in researches. However, the researches of social network are massive amount, so to review the huge amount of relevant research literature is a very difficult task. Therefore, in this study, we analyze systematically the tendency of research related to social network service focusing on Twitter. Especially, we use the SLR (Systematic Literature Review) technique for systematic literature survey and analysis. For the literature survey, we select korean literature resource sites and 243 studies of literature that are surveyed. Studies and analyzes on Twitter in a variety of research studies were also using Twitter data that way beyond the simple question directly.

Home exercise program adherence strategies in vestibular rehabilitation: a systematic review

  • Gaikwad, Shilpa B.;Mukherjee, Tatri;Shah, Parita V.;Ambode, Oluwaseun I.;Johnsonb, Eric G.;Daher, Noha S.
    • Physical Therapy Rehabilitation Science
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    • v.5 no.2
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    • pp.53-62
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    • 2016
  • Objective: The aim of this systematic review was to investigate for effective strategies to improve home exercise program (HEP) adherence in vestibular rehabilitation (VR). Design: Systematic review. Methods: A systematic review was conducted to identify effective strategies used to improve HEP adherence of patients in VR. Six databases, Academic Search Premier, Cochrane Library, CINAHL, PUBMED, PsycINFO, and Web of Science were searched from their inception to December 31, 2015. The keywords used for search were 'home program', 'home intervention', 'compliance', 'adherence', 'vestibular rehabilitation', 'motion sickness', and 'motion sensitivity'. Results: A total of eight studies were selected to be included in the review. There was 95.2% agreement between the two reviewers who reviewed the studies using a quality assessment tool. The overall inter-rater agreement (${\kappa}$=0.73) showed good agreement between the reviewers. Strong evidence was identified for 3 major categories of effective HEP adherence strategies, 1) providing patient with written summary of HEP; 2) asking patient to maintain a record of HEP and symptoms; and 3) providing tele-rehabilitation in form of email and/or telephone support along with in person treatment sessions. Also, based on strong evidence, computerized technology was not found to be superior to other strategies for improving patients' HEP adherence in VR. Conclusions: The effective strategies for improving HEP in VR include written summary of exercise, maintenance of log of HEP and symptoms and tele-rehabilitation along with in person treatment sessions.

Head and Neck Cancer in Saudi Arabia: a Systematic Review

  • Alhazzazi, Turki Y;Alghamdi, Faisal T
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.4043-4048
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    • 2016
  • Background: Head and neck cancer (HNC) is the ninth most common cancer worldwide, and has a poor 5-year survival rate averaging 50%, which has not changed for decades. A high prevalence of HNC has been reported in the southwestern region of Saudi Arabia, as compared to other areas of the country. However, data in regards to HNC are scattered and not well documented. Thus, the aim of this systematic review was to gather all available and updated important information regarding HNC in Saudi Arabia, and highlight the gaps of knowledge in our country with regard to this disease. In addition, suggestions of solutions to overcome the current status and improve our future standard of care to fight HNC are also highlighted. Materials and Methods: The electronic databases PubMed and Google Scholar using English-language literature were used for this systematic review, using specific inclusion and exclusion criteria and keywords. The search was performed in April 2016 and updated in June 2016. Results: Our search revealed twenty-one studies that fulfilled our inclusion and exclusion criteria and that were conducted in Saudi Arabia. These studies investigated different aspects of HNC, including prevalence, risk factors, biomarkers, and assessed knowledge and awareness of both public and practitioners with regard to HNC. Conclusions: This review uncovered a big gap in our epidemiological data in cancer information in general, and head and neck cancer in particular. In addition, a lack of knowledge and awareness of both the public and health care practitioners hinders the early diagnosis of disease and negatively impact the prognosis, treatment and outcome. The Ministry of Health in Saudi Arabia should develop a more systematic way and adapt policies to gather cancer information in general, and head and neck cancer in particular, from all governmental and private sectors from all over the kingdom, and develop educational programs to raise the knowledge and awareness of HNC in the country.

Neuropathic Pain Related with Spinal Disorders: A Systematic Review

  • Song, Kwang-Sup;Cho, Jae Hwan;Hong, Jae-Young;Lee, Jae Hyup;Kang, Hyun;Ham, Dae-Woong;Ryu, Hyun-Jun
    • Asian Spine Journal
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    • v.11 no.4
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    • pp.661-674
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    • 2017
  • Systematic literature review. To review the evidence from high-quality studies regarding the treatment of neuropathic pain originating specifically from spinal disorders. In general, treatment guidelines for neuropathic pain cover all its various causes, including medical disease, peripheral neuropathy, and cancer. However, the natural history of neuropathic pain originating from spinal disorders may differ from that of the pain originating from other causes or lesions. An expert research librarian used terms related to neuropathic pain and spinal disorders, disc herniation, stenosis, and spinal cord injury to search in MEDLINE, Embase, and Cochrane CENTRAL for primary research from January 2000 to October 2015. Among 2,313 potential studies of interest, 25 randomized controlled trials (RCTs) and 21 systematic reviews (SRs) were included in the analysis. The selection was decided based on the agreement of two orthopedic surgeons. There was a lack of evidence about medication for radiculopathy arising from disc herniation and stenosis, but intervention procedures, including epidural block, showed positive efficacy in radiculopathy and also limited efficacy in spinal stenosis. There was some evidence based on the short-term follow-up regarding surgery being superior to conservative treatments for radiculopathy and stenosis. There was limited evidence regarding the efficacy of pharmacological and electric or magnetic stimulation therapies for neuropathic pain after spinal cord injury. This review of RCTs and SRs with high-quality evidence found some evidence regarding the efficacy of various treatment modalities for neuropathic pain related specifically to spinal disorders. However, there is a need for much more supportive evidence.

Oral carcinoma cuniculatum, an unacquainted variant of oral squamous cell carcinoma: A systematic review

  • Farag, Amina Fouad;Abou-Alnour, Dalia Ali;Abu-Taleb, Noha Saleh
    • Imaging Science in Dentistry
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    • v.48 no.4
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    • pp.233-244
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    • 2018
  • Purpose: Oral carcinoma cuniculatum is a rare well-differentiated variant of oral squamous cell carcinoma. The purpose was to systematically review its unique features to differentiate it from other variants as verrucous carcinoma, papillary squamous cell carcinoma and well-differentiated squamous cell carcinoma. Materials and Methods: A systematic review was performed using MEDLINE, Dentistry and Oral Sciences Source and PubMed databases and any existing articles related to the research subject missed in the search strategy to screen ones reporting cases occurring exclusively in the oral cavity in English literature. Variables analyzed included clinical, etiologic, imaging, histopatholgical features, treatment, follow-up and survival rates. Results: From 229 hits, 17 articles with 43 cases were included in the systematic review. Clinically it showed a female predilection with pain and/or ulceration of a relatively long duration and exudation being the most common symptoms. Histologically, it showed more endophytic features comprising well-differentiated squamous epithelium with absent or minimal cytological atypia and multiple keratin filled crypts or cuniculus. Inflammatory stromal reaction and discharging abscesses were reported in most of the cases. Bone destruction was predominant in most imaging features. Complete surgical resection with a safety margin was the treatment of choice in most of the cases with few recorded recurrence cases. Conclusion: Apprehensive knowledge of oral carcinoma cuniculatum unique features is essential to avoid its misdiagnosis and provide proper treatment especially for recurrent cases.

Chinese Medicine including Chuna Manual Therapy for Osteoarthritis : A Systematic Review (골관절염에 대한 추나요법을 포함한 중의학치료의 효과 : 체계적 문헌 고찰)

  • Kim, Han-Kyul;Gwon, Tae-U;Kim, Byung-Jun
    • The Journal of Korea CHUNA Manual Medicine for Spine and Nerves
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    • v.13 no.1
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    • pp.11-21
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    • 2018
  • Objectives: To evaluate the evidence supporting the effectiveness and safety of Chinese medicine, including Chuna manual therapy, for the treatment ofosteoarthritis. Methods: We conducted a search of 8 electronic databases(Pubmed, Web of Science, EMBASE, Cochrane Library, CAJ, KISTI, NDSL, and RISS) to find all randomized controlled clinical trials that discuss Chuna manual therapy forosteoarthritis till May 2018. Results: Our inclusion criteria selected 7eligible RCTs involving 633 participants. The meta-analysis of 6 studies showed positive results for the useof Chinese medicine, including Chuna manual therapy, for treating knee osteoarthritis. There was no evidence of worsening symptoms or any adverse events. Conclusions: Our systematic review found favorable evidence regardingthe effectiveness of Chinese medicine, including Chuna manual therapy, for treating knee osteoarthritis. However, our systematic review had several limitations owingto the low quality of original articles andadditionalclinical trials would be necessary for stronger evidence.