• Title/Summary/Keyword: Meta study

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A Systematic Review on the Causative Medicines for Stevens-Johnson Syndrome (스티븐스-존슨증후군을 유발하는 주요 의약품별 위험도에 대한 체계적 문헌고찰)

  • Kwon, Kyoung-Eun;Jung, Sun-Young;Jung, Hyun-Joo;Kim, Bong Gi;Park, Byung-Joo
    • Korean Journal of Clinical Pharmacy
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    • v.23 no.4
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    • pp.344-364
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    • 2013
  • Background: Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are immune-complex-mediated hypersensitivity reactions that predominantly involve skin and mucous membranes. Despite the low incidence, both are considered medical emergencies as the mortality rate has been estimated at 30-50%. Although as many as half of cases are idiopathic, several drugs have been implicated as main cause of SJS/TEN. This review therefore aimed to identify drugs that were potentially associated with SJS/TEN and compare the relative risk of the medications. Method: A comprehensive search was performed using MEDLINE, EMBASE and 5 Korean databases. We defined study drugs as non-steroidal anti-inflammatory drugs (NSAIDs), antibiotics, antiepileptics, and allopurinol. Only epidemiologic studies investigating associations between the above drugs and drug-induced SJS/TEN were included. Two reviewers independently selected and evaluated candidate papers and extracted odds ratios or incidence rates. Meta-analysis was performed only for drugs that were reported from 4 or more studies. Results: We found 8 case-control studies, 3 cohort studies and 1 RCT. The ranges of adjusted ORs were 0.6-34.0 for NSAIDs, 1.6-302.0 for antiepileptics, 0.3-10.0 for antibiotics and 1.0-187.0 for allopurinol. The drug with the highest incidence of SJS/TEN was carbamazepine (40 persons/1,000 DDD). Conclusion: Finally, the risk was highest in first 8 weeks after onset of treatment in all drugs.

Paulinia cupana (Guaraná) for the treatment of cancer related fatigue in patients undergoing radiation therapy or chemotherapy: a meta-analysis of three clinical trials

  • Giglio, Auro Del;Serpa, Ary;Cubero, Daniel;Riechelman, Rachel;Paschoin, Maira
    • CELLMED
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    • v.1 no.1
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    • pp.6.1-6.4
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    • 2011
  • For cancer patients undergoing radiation therapy (RT) or systemic chemotherapy (CHT), cancer-related fatigue (CRF) is a common problem that can negatively impact their quality of life. Guarana (Paullinia cupana) is a plant native to the Amazon basin that has been used as a stimulant since pre-Columbian times. PURPOSE: To evaluate the effectiveness of guarana extract on fatigue in BC patients undergoing either CHT or RT. A total of 137 cancer patients (85% with Breast Cancer) undergoing either CHT (101) or RT (36) were randomized to receive either a placebo or guarana. In all 3 studies, the guarana was given as an unmanipulated dry extract at a dose of 75 mg PO QD in the first two studies or 50 mg PO BID in the third study. Patients were crossed over to the other experimental arm, and we evaluated fatigue with the Chalder Scale in all three studies. Guarana significantly improved the The Chalder Scale Global Scores (- 0.85; 95% CI:-1.31 to -0.40; p = 0.0002); Physical Fatigue Scores (-0.44; 95% CI: - 0.74 to - 0.13; p = 0.005) and Mental Fatigue Scores (-0.93; 95% CI: - 1.14 to - 0.72; p < 0.00001). Guarana did not produce any CTCAE grades 3 or 4 toxicities in any of the studies. Guarana is an effective, cheap and non-toxic alternative for the treatment of fatigue in cancer patients undergoing treatment.

Analysis of the current situation of Affective Characteristics of Korean Students Based on the Results of PISA and TIMSS (PISA와 TIMSS 결과에 나타난 우리나라 학생의 정의적 성취 실태 분석 - 수학 교과를 중심으로 -)

  • Choe, Seung-Hyun;Park, Sangwook;Hwang, Hye Jeang
    • Journal of the Korean School Mathematics Society
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    • v.17 no.1
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    • pp.23-43
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    • 2014
  • This study aims to develop strategies for improving the affective characteristics of Korean students based on results from international achievement tests. In pursuing the goal, different research methods are employed including a) analysis of the theories and literature regarding the affective domains included in PISA and TIMSS studies; b) analysis of the current situation and needs of Korean students with respect to the affective factors based on PISA and TIMSS results; c) case studies of best practices in relation to students' affective domains in Korea and abroad; and d) development of strategies for improving and supporting Korean students' affective characteristics. Especially, this paper describes meta-analyses of the results from the previous PISA and TIMSS studies. Afterwards, it reports statistical analyses results on the relationship between students' affective achievements and educational context variables. Data from TIMSS 2011, TIMSS 2007, PISA 2006, and PISA 2003 are used for the analyses, and contextual variables are selected through rigorous statistical analyses including frequency and correlation, and expert consultation. The effects of educational contextual variables on students' affective achievement in mathematics and science are analyzed through Hierarchical Linear Model.

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Base Metal's Price Hike and Chinese Economic Growth (Base Metal 가격상승과 중국의 경제성장)

  • Lee, Hyun-Bock
    • Economic and Environmental Geology
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    • v.43 no.5
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    • pp.523-528
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    • 2010
  • With the financial crisis from USA had negative impacts on the real economy, base metals price on LME was downward in 4 quarter of 2008. Following the deepest global downturn in recent history, economic growth solidified and broadened to advanced countries and simultaneously the price of base metal on LME showed a rising curve over 2009. There are three factors supported an upward tendency of base metal's price. The First factor is the US economy recovery, the second factor is the weak dollar, the third factor is the chinese base metal demand. Among the factors, the last one is a major factor. Therefore, this study analyze the factor of the movement of price of base metal with linear regression analysis. The result of analysis show that the chinese GDP growth has effect on the recent upward base metal price. Despite the result, the upward movement is difficult to be sustained without the full recovery of advanced economies.

An Analysis on Education Needs for Information Literacy Programs of Professional Secretaries (전문비서 정보활용 교육과정 개발을 위한 교육요구 분석 연구)

  • Choe, In-Sook
    • Journal of the Korean Society for Library and Information Science
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    • v.42 no.2
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    • pp.445-466
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    • 2008
  • The purpose of this study is to raise the importance of information literacy programs for professional secretaries and to present guidelines for organizing them. While the level of projects in secretaries' information service is defined as an influencing factor to the necessity of information literacy programs, the level of scholarships or secretarial science as a major is not. An analysis on education needs of secretaries recommended that curriculum should be composed of 15 topics such as: meta search engines, special search engines, boolean operators, digital libraries, usenet, information centers, internet reference sources, SDI, topic search request, document delivery service, e-journals, commercial databases, fulltext service, search strategy and general search engines.

Topomer-CoMFA Study of Tricyclic Azepine Derivatives-EGFR Inhibitors

  • Chung, Jae-Yoon;Pasha, F.A.;Chung, Hwan-Won;Yang, Beom-Seok;Lee, Cheol-Ju;Oh, Jung-Soo;Moon, Myoung-Woon;Cho, Seung-Joo;Cho, Art E.
    • Molecular & Cellular Toxicology
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    • v.4 no.1
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    • pp.78-84
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    • 2008
  • EGFR has been intensively investigated as a target to block the signal transduction pathway which stimulates cancer growth and metastasis. Studies about structure-activity relationship for tricyclic azepine derivatives were performed with topomer-CoMFA. The derived topomer-CoMFA model with steric and electrostatic field parameters based on fragment units gave reasonable statistics ($q^2$=0.561, $r^2$=0.679). The model explains why a halogen atom at the meta position of aniline is important to increases inhibitory activity. This comes from an electrostatically negative groups are favored near this region. The model also shows that there are sterically favored regions around methoxy group extended from oxazepine derivatives. The findings about steric and electrostatic effects can be utilized for designing new inhibitors.

Feasibility of Industrial by-products as a Seed Crystal of Struvite Crystallization for the Removal of Highly Concentrated Nitrogen and Phosphorus (고농도의 질소와 인제거를 위한 Struvite 정석반응의 정석재로서 산업부산물의 이용 가능성)

  • Yim, Soo-Bin
    • Journal of Korean Society on Water Environment
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    • v.26 no.4
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    • pp.664-672
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    • 2010
  • This study was performed to evaluate the feasibility of industrial by-products such as converter slag, olivine, red mud and fly ash as a seed crystal of struvite crystallization for the removal of highly concentrated $NH_4-N$ and $PO_4-P$. In the kinetic experiments, more than 90% of $NH_4-N$ and $PO_4-P$ was eliminated by struvite crystallization within 30 minutes of reaction time. The pH range in meta-stable region of struvite crystallization was found to be pH 7.0~9.0 under the Mg:N:P=1:1:1 equi-molar condition with 100 mg/L of $NH_4-N$. Total removal efficiencies of $NH_4-N$ and $PO_4-P$ by both struvite precipitation and crystallization were increased with the increase of pH. Removal efficiencies of $NH_4-N$ and $PO_4-P$ were significantly enhanced by struvite crystallization using industrial by-products as a seed crystal compared with those by struvite precipitation without seed crystal. Red mud, converter slag, olivine and fly ash enhanced the removal efficiencies of $NH_4-N$ by 40.9%, 37.7%, 28.4% and 16.4%, respectively. Removal efficiencies of $PO_4-P$ for converter slag, red mud, fly ash, olivine were increased by 3.7 times, 2.6 times, 72.4% and 68.0%, respectively. Converter slag and red mud showed higher feasibility as a seed crystal than others for the removal of highly concentrated $NH_4-N$ and $PO_4-P$. In particular, converter slag might have a high capacity of phosphorus removal.

Appraising the Interface Features of Web Search Engines Based on User-defined Relevance Criteria (이용자정의형 적합성 기준을 토대로 한 웹검색엔진 인터페이스 평가)

  • Kim, Yang-Woo
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.22 no.1
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    • pp.247-262
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    • 2011
  • Although research has shown a significant amount of work identifying various dimensions of relevance along with exhaustive lists of relevance criteria, there seem to have been less effort to apply the findings to improve actual systems design. Based on this assumption, this paper investigates to what extent those relevance criteria have been incorporated into the interface features of major commercial Web search engines, suggesting what can/should be done more. Before stepping into the actual system features, this paper compares recent relevance research in Information Science with other human factor studies both in Information Science and its neighboring discipline (HCI), as an attempt to identify studies that are conceptually similar to the relevance research, but not named as such way. Similarities and differences between these studies are presented. Recommendations suggested to support applicable interface features include: 1) further personalization of interface designs; 2) author-supplied meta tags for the Web contents; and 3) extensions of beyond-topical representations based on link structure.

Analysis of Recent Trends in Clinical Research Publications on Acupuncture and Moxibustion Studies (침구 임상연구 논문동향 분석)

  • Park, Ji-Eun;Oh, Dal-Seok;Shin, Seon-Hwa;Choi, Jun-Yong;Koo, Chang-Mo;Kim, Ae-Ran;Jung, So-Young;Han, Kyung-Ju;Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
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    • v.13 no.2 s.20
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    • pp.101-112
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    • 2007
  • Objective : This study was aimed to review the trend of clinical research articles of acupuncture and moxibustion from the year of 1995 to 2006. Methods : The retrieving and analyzing period were from January 1995 to July 2006. Articles were collected by retrieving Pubmed database. Search terms were as follows; 'Acupuncture', 'Acupuncture & Meridian', 'Moxibustion'. After reviewing articles by our pre-defined criteria, Correlation was assessed qualitatively between contents of the final selected articles and those of Korea Institute of Oriental Medicine. Results : The number of acupuncture research articles have increased with higher rate since the year of 2000. In the field of medical devices, the articles were sparsely existed. The percentage of clinical acupuncture research articles was 75%. However, in the category of Korean investigators' researches, it was 46%. Publications by Korean investigators were concentrated to several specific journals of which their impact factor were below 1 point. Conclusion : There needs more qualifying studies in acupuncture studies which are represented by impact factor in Journal Citation Reports. It is necessary to research and develop the medical devices quantatively rating the outcome of acupuncture trials. The secondary research, such as, systematic reviews, meta-analysis, would be a key approach to evaluate the effectiveness and safety of acupuncture treatments. Moxibustion research would be noticeable in regard to its historical effectiveness and its variable indications.

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Endovascular Treatment with Intravenous Thrombolysis versus Endovascular Treatment Alone for Acute Anterior Circulation Stroke : A Meta-Analysis of Observational Studies

  • Kim, Chul Ho;Jeon, Jin Pyeong;Kim, Sung-Eun;Choi, Hyuk Jai;Cho, Yong Jun
    • Journal of Korean Neurosurgical Society
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    • v.61 no.4
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    • pp.467-473
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    • 2018
  • Objective : The aim of this study was to determine outcome of ischemic stroke patients in the anterior circulation treated with endovascular treatment (EVT) with intravenous thrombolysis (IVT) versus EVT alone group. Methods : A systemic literature review was performed using online database from January 2004 to January 2017. Primary outcomes were successful recanalization seen on finial angiography and good outcome at three months. Secondary outcomes were mortality and the development of symptomatic intracranial hemorrhage (S-ICH) after the procedure. A fixed effect model was used when heterogeneity was less than 50%. Egger's regression test was used to assess publication bias. Results : Five studies were included for final analysis. Between EVT with IVT and EVT alone group, successful recanalization (odds ratio [OR] 1.467, p=0.216), good clinical outcome at three months (OR 1.199, p=0.385), mortality (OR 0.776, p=0.371), and S-ICH (OR 1.820, p=0.280) did not differ significantly. Egger's regression intercept with 95% confidence interval (CI) was 1.99 (95% CI -2.91 to 6.89) in successful recanalization and -0.27 (95% CI -6.35 to 5.80) in good clinical outcome, respectively. Conclusion : The two treatment modalities, EVT with IVT and EVT alone, could be comparable in treating acute anterior circulation stroke. Studies to find specific beneficiary group for EVT alone, without primary IVT, are needed further.