• Title/Summary/Keyword: Meta study

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A Systematic Review of Breast Care for Postpartum Mothers (산욕기 산모의 유방간호에 대한 체계적 문헌고찰)

  • Song, Ji-Ah;Hur, Myung Haeng
    • Women's Health Nursing
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    • v.25 no.3
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    • pp.258-272
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    • 2019
  • Purpose: The purpose of this study was to identify nursing interventions for the postpartum breast care of mothers and determine the effectiveness of interventions for breast pain and engorgement by systematic review. Methods: Eight national and international databases were reviewed to retrieve and collect randomized controlled trial and controlled clinical trial literature published up to March 2015. Two reviewers independently selected the studies and performed data abstraction and validation. The risk of bias was assessed using Cochrane criteria. A meta-analysis of the studies was performed to analyze the data. Results: The meta-analysis showed that breast massage, along with routine breast care, resulted in a 3.52-point reduction in pain on a 10-point visual analogue scale. Meta-analysis of therapy with cold cabbage leaves and routine breast care showed a pain reduction of 0.54 points. Meta-analysis of cold cabbage leaf application in the experimental group versus cold compress therapy in the comparison group showed a pain reduction of 0.44 points. Meta-analysis of cold cabbage leaf application and routine breast care showed an engorgement reduction of 0.67 points. Conclusion: The results of the analysis of 12 articles showed that hot and cold compresses, breast massage, and cabbage application were effective for postpartum breast pain and engorgement.

Effects of Reminiscence Therapy on Depressive Symptoms in Older Adults with Dementia: A Systematic Review and Meta-Analysis (회상요법이 치매노인의 우울증상에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Kim, Kyungsoo;Lee, Jia
    • Journal of Korean Academy of Nursing
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    • v.49 no.3
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    • pp.225-240
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    • 2019
  • Purpose: The purpose of this study was to evaluate the effects of reminiscence therapy on depressive symptoms in older adults with dementia using a systematic review and meta-analysis. Methods: Randomized controlled trials (RCTs) published from January 2000 to January 2018 were searched through Research Information Sharing Service (RISS), Korean Studies Information Service System (KISS), Korean Medical Database (KMbase), KoreaMed, PubMed, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Ovid MEDLINE. Two researchers independently performed the search, selection, and coding. Comprehensive Meta-Analysis 3.0 was used for meta-analysis, and Review Manager program 5.3 was used for quality assessment. Results: Out of the 1,250 retrieved articles, 22 RCTs were selected for analysis. The overall effect size of reminiscence therapy for mitigating depressive symptoms in older adults with dementia was -0.62 (95% Cl: -0.92 to -0.31). The effect size was greater in older adults under 80, those with less disease severity, and those for whom the therapy session lasted less than 40 minutes. Conclusion: Reminiscence therapy is an effective non-pharmacological therapy to improve depressive symptoms in older adults with dementia. Because its effectiveness is also influenced by age, disease severity, and application method, it is necessary to consider treatment designs based on individual characteristics as well as methodological approaches.

The Effect of Sagunja Decoction on Functional Dyspepsia - A Systematic Review and Meta-Analysis (기능성 소화불량에 대한 사군자탕의 치료효과 - 체계적 문헌고찰과 메타분석)

  • Kim, Kyong-lim;Je, Yu-ran;Kim, Kyoung-min
    • The Journal of Internal Korean Medicine
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    • v.42 no.3
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    • pp.259-278
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    • 2021
  • Objectives: This study examines the effect of Sagunja-tang on functional dyspepsia (FD) through a systematic review and meta-analysis of a randomized controlled trial (RCT). Methods: A search for RCTs that tested the effect of Sagunja-tang on functional dyspepsia was conducted in Medline, Embase, PubMed, CENTRAL, CiNii, CNKI, NDSL, RISS, OASIS, and KISS databases on November 8, 2020, with no limit on the year of publication. A meta-analysis was performed by synthesizing the findings, including total efficiency, clinical symptom score, myosin light-chain kinase (MLCK) level (pg/mL, and gastric half-emptying time (min). RevMan 5.4.1 software was used for data analysis. The quality of the literature was evaluated using Cochrane's risk of bias (RoB) tool. Results: A total of 14 RCTs met the selection criteria. As a result of the meta-analysis, the treatment group had higher total efficacy and MLCK levels (gastric antrum, jejunum) than the control group, and the clinical symptom score and gastric half-emptying time were lower. However, due to the low quality of the included RCT and the small sample size, the results may be slightly biased.

Prevalence of Sarcopenia Among the Elderly in Korea: A Meta-Analysis

  • Choo, Yoo Jin;Chang, Min Cheol
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.2
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    • pp.96-102
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    • 2021
  • Objectives: Sarcopenia is a common disease in the elderly population that causes disability, poor quality of life, and a high risk of death. In the current study, we conducted a meta-analysis to report basic knowledge about the prevalence of sarcopenia in the elderly in Korea. Methods: We searched for articles in the MEDLINE, Cochrane Library, Embase, and Scopus databases published until December 28, 2020. Studies investigating the prevalence of sarcopenia in elderly Koreans aged ≥65 years were included. The methodological quality of the studies was evaluated using the Newcastle-Ottawa scale. Publication bias was evaluated using the Egger test and funnel plots. Results: In total, 3 studies and 2922 patients were included in the meta-analysis. All 3 studies used the European Working Group on Sarcopenia in Older People criteria for the diagnosis of sarcopenia. The total prevalence of sarcopenia was 13.1-14.9% in elderly men and 11.4% in elderly women. Conclusions: This meta-analysis is the first to estimate the pooled prevalence of sarcopenia in elderly Koreans, and its findings suggest that sarcopenia is common in this population. Therefore, attention should be paid to the prevention and control of sarcopenia.

A systematic review and meta-analysis of flipped learning among university students in Korea: Self-directed learning, learning motivation, efficacy, and learning achievement (국내 대학생에게 적용한 플립러닝의 체계적 고찰 및 메타분석 - 자기주도학습, 학습동기, 효능감, 학업성취도를 중심으로 -)

  • Kim, Shin Hyang;Lim, Jong Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.1
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    • pp.5-15
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    • 2021
  • Purpose: This study aimed to provide a systematic review and meta-analysis of research on flipped learning effects applied to university students. Methods: The random effect model was applied to 21 papers to calculate the effect size. To verify the moderation effect, a meta regression analysis and meta ANOVA were performed. Publication bias was verified through a funnel plot, and then an Egger's regression test was conducted. Results: The overall average effect size was .69 (95% CI: .51-.87), showing a median effect size, which was statistically significant. The outcome variables were in the order of learning motivation (Hedges' g=.83), self-directed learning (Hedges' g=.78), learning achievement (Hedges' g=.66), and efficacy (Hedges' g=.50), which were statistically significant. Conclusion: Flipped learning was found to be statistically significant in improving self-directed learning, learning motivation, efficacy, and learning achievement amng university students. It is suggestd that this method be actively applied in university education.

Lived Experiences in the Life World of Korean Emerging Adults with Foster Care Backgrounds: A Qualitative Meta-Synthesis (자립준비청년의 생활세계 속 실존 체험에 관한 질적 메타분석)

  • Boram Choi;Jaerim Lee
    • Human Ecology Research
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    • v.62 no.2
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    • pp.279-294
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    • 2024
  • The purpose of this study was to synthesize and interpret the findings of previous qualitative studies that investigated the lived experiences of Korean emerging adults who aged out of the foster care system. Based on our selection criteria, we extracted and analyzed 14 papers that were published between 2010 to 2023. Our meta-synthesis found that the emerging adults' life world consisted of seven domains: family experience, life tasks, education and work, financial issues, home and family, interpersonal relationships, and psychological and emotional issues. We restructured the emerging adults' lived experiences using van Manen's concepts of lived time, lived space, lived things, lived self-other, and lived body. Our meta-synthesis revealed that these emerging adults experienced multidimensional difficulties due to shortcomings of formal and informal social support after aging out of the foster care system. Their difficulties accumulated in their interaction with lived time. Based on the level of their accumulated difficulties, we categorized the emerging adults into stable, struggling, and isolated groups. However, it is important to note that many of them adapted to their own life world and strived to move forward. This qualitative meta-synthesis provides a comprehensive understanding and new interpretation of emerging adults who transition from foster care to independent living in the context of Korea.

Properties of Ternary or Quaternary High Strength Concrete Using Silica Fume & Meta Kaolin (실리카퓸과 메타카올린을 사용한 다성분계 고강도콘크리트의 특성)

  • Park, Cho-Bum;Kim, Ho-Su;Jeon, Jun-Young;Kim, Eun-Kyum;Ryu, Deug-Hyun
    • Journal of the Korea Concrete Institute
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    • v.20 no.3
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    • pp.307-315
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    • 2008
  • In this study, it is investigated the properties of high strength concrete using mineral admixture, on the purpose of use of meta kaolin for the substitutive materials to silica fume which is so expensive. The plain mixtures are 3 degrees which are ordinary portland cement, blast furnace slag cement and OPC included fly ash 20%, and silica fume and meta kaolin are substituted for the each plain mixtures in the range of 20%. The results of experiment showed as follows. In case of silica fume was only used, the viscosity and slump flow of fresh concrete were much decreased, on the contrary air content increased. But as usage of meta kaolin increased, to being increase the viscosity of fresh concrete, slump flow increased and air content and usage of super-plasticizer were decreased. Accordingly the workabilities of concrete were against tendency between silica fume and meta kaolin. The compressive strength, velocity of ultrasonic pulse and unit weight were increased according to usage of meta kaolin, the properties of hardened concrete were judged that they are affected with air content of fresh concrete, so it is very important to control air content of high strength concrete. Therefore, the use of meta kaolin is prospected to the substitutive material of silica fume, in case of using silica fume and meta kaolin, it is judged that the optimum usage of silica fume and meta kaolin is about 10% respectively, considering workability and strength of concrete.

The study on the retrieval effectiveness of meta-search engine on the internet (인터넷상의 메타탐색엔진의 검색효율성 비교연구)

  • 김성희
    • Journal of Korean Library and Information Science Society
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    • v.27
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    • pp.457-483
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    • 1997
  • This study was intended to compare the effectiveness of the Savvy search and Metacrawler in terms of the total number of relevant documents retrieved, precision, recall, and the number of deadlines. In addition, this study measured whether the Meta-search engine and general web search engines retrieved different web documents. As a result, Savvy search produced a higher precision and recall as compared with motacrawler search engine while the metacrawler had lower deadlines ration than savvy search, Also, Meta search engine was more effective than the general web search engine, The results show that the hybrid methodology of integrating a variety of web search engines can help solve retrieval effectiveness problems on the Internet.

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A Meta-Analysis of Utility Weights for Stroke (뇌졸중의 효용가중치에 대한 메타분석)

  • Heo, Ji-Haeng;Chung, Kyu-Hyuk;Lee, Eui-Kyung
    • YAKHAK HOEJI
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    • v.53 no.5
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    • pp.265-273
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    • 2009
  • The aims of this study are to conduct meta-analysis for obtaining pooled estimates of the utility weight for stroke and to explore the study design characteristics that determine the utility weight for stroke. Medline (Pubmed), CEA Registry (Tufts Medical Center), and KERIS (Korea Education & Research Information Service) were searched to find out the literature that reported quality of life with stroke. Patient characteristics, utility weights and standard errors were extracted and stratified by severity, study method, respondent and country. All estimates were measured on a 0 to 1 scale with 0 representing the death and 1 representing the perfect health. The pooled estimates of the utility weight were 0.627 for total stroke, 0.756 for mild stroke, 0.631 for moderate stroke, and 0.389 for severe stroke (p=0.0001). Non-patients showed significantly lower utility weights than patients for severe (p=0.0122) stroke.

A Meta-analysis of the Variables related to the Emotional Labor of Nurses (간호사의 감정노동과 관련된 변인의 메타분석)

  • Kim, Sin Hayng;Ham, Younsuk
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.3
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    • pp.263-276
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    • 2015
  • Purpose: The study was done to verify the effect size of the variables related to the emotional labor of nurses. Methods: A total of 47 article on variables related to the emotional labor of nurses and published from 2006 to 2014 were used for the meta-analysis. Results: Variables with the largest effect size related to emotional labor were identified as the variables of work task, organization and individual characteristics in descending order of effect size. The sub-factors with the greatest effect size in the work task variable were exhaustion and work commitment, while for organization variables, intention to change jobs had the largest effect size. For individual characteristics, physical symptoms had the largest effect size. Conclusion: The results of this study are meaningful as the first study to integrate research results on variables related to the emotional labor of Korean nurses, providing practical data for the management of emotional labor.