• Title/Summary/Keyword: Meta study

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Moxibustion for Benign Prostatic Hyperplasia: A Systematic Review and Meta-analysis (전립선 비대증에 대한 뜸치료의 효과 : 체계적 문헌고찰과 메타분석)

  • Bae, Go-eun;Lee, Seung-hwan;Hong, Jin-woo;Lee, In;Kim, So-yeon;Choi, Jun-young;Han, Chang-woo;Yun, Young-ju;Park, Seong-ha;Kwon, Jung-nam
    • The Journal of Internal Korean Medicine
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    • v.39 no.3
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    • pp.372-388
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    • 2018
  • Objective: This study evaluates the effectiveness and safety of moxibustion for benign prostatic hyperplasia (BPH). Methods: Using the keywords "benign prostatic hyperplasia", "benign prostatic hypertrophy", "benign prostatic enlargement", "prostatic hyperplasia", and "moxibustion", we searched papers in numerous databases, including National Discovery for Science Leaders (NDSL), Korean Traditional Knowledge Portal (KTKP), Oriental Medicine Advanced Searching Integrated System (OASIS), Research Information Sharing Service (RISS), PubMed, Embase, and CENTRAL. The search range included randomized controlled trials (RCTs). Papers not matched with inclusion criteria were excluded. The methodological quality of each RCT was assessed using the Cochrane risk-of-bias tool. Where appropriate, meta-analyses were performed. Results: Initially, 77 studies were found. Of these, 11 duplicate studies were removed and 27 were excluded following title and abstract screening. After the remaining 39 papers were scanned, 13 RCTs were selected and analyzed. Among these 13 RCTs, five compared moxibustion therapy and oral medication, seven compared moxibustion plus acupuncture therapy and oral medication, and one compared moxibustion plus acupuncture therapy and sham-moxibustion. The meta-analysis showed positive results for the use of moxibustion therapy in terms of International Prostate Symptom Score (IPSS), Quality Of Life (QOL), Maximum Flow Rate (Qmax), Prostate Volume (PV), and the efficacy rate. The meta-analysis showed positive results for the use of moxibustion plus acupuncture therapy in terms of IPSS, QOL, and the efficacy rate. Conclusions: This meta-analysis of clinical trials suggests that moxibustion is effective intreating BPH patients. The results of this study could be applied to clinical treatment of BPH. However, additional large-scale clinical researches should be conducted.

Effect of Cognitive Behavioral Therapy (CBT) for Perinatal Depression: A Systematic Review and Meta-Analysis (산전우울 임부를 위한 인지행동치료 프로그램의 효과: 체계적 문헌고찰 및 메타분석)

  • Shin, Hyeon-Hee;Shin, Yeong-Hee;Kim, Ga-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.271-284
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    • 2016
  • This study was carried out to evaluate the efficacy of CBT for perinatal depression through systematic literature review and meta-analysis. The following databases were used to search the literature: CINAHL, PubMed, EMBASE, Koreamed, Library of Korean Congress, KISS, and Korean Academic Publication Database. Keywords included 'perinatal depression,' 'pregnant women,' and 'cognitive behavioral therapy,' and the evaluated articles were published up to May 2016. Using the R program, the effect size of perinatal depression and anxiety were calculated by random-effects model. The heterogeneity of the effect size was analyzed by data moderator analysis using the meta-ANOVA. Furthermore, the funnel plot, Egger's regression test, fail-safe N, trim-and-fill test, and publication bias analysis were conducted and used to verify the results. Out of the 180 selected articles, 16 clinical trial studies were meta-analyzed. Each articles were evaluated for the risk of bias by the checklist of SIGN; the overall risk of bias was low. The effect size of CBT for perinatal depression was Hedges' g=-0.55 (95% CI: -0.76~-0.33), which was a moderate level, while for anxiety reduction, Hedges' g=-0.20 (95% CI: -0.48~-0.08) and it was not statistically significant. Heterogeneity or risk of publication bias were low. This meta-analytic study found that CBT is moderately effective in reducing perinatal depression in pregnant women.

Effect of garlic (Allium sativum L.) as a functional food, on blood pressure: a meta-analysis of garlic powder, focused on trials for prehypertensive subjects (기능성식품으로서 마늘의 혈압 개선 기능성 평가: 마늘건조분말의 준건강인 대상 연구에 대한 메타분석)

  • Kwak, Jin Sook;Kim, Ji Yeon
    • Journal of Nutrition and Health
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    • v.54 no.5
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    • pp.459-473
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    • 2021
  • Purpose: Although numerous systematic reviews or meta-analysis have reported the hypotensive effects of garlic, the application of these results in the area of functional food is limited. This is because the trials used various garlic preparations and patients with differing hypertensive intensities. To validate the use of garlic powder as a blood pressure lowering functional food, we performed the current meta-analysis, focusing on the study of prehypertensive subjects. Methods: Literature search was carried out using various database up to July 2020, including PubMed, Cochrane, ScienceDirect and Korean studies Information Service System, and each study was screened by pre-stated inclusion/exclusion criteria. We identified nine trials that met the eligibility, of which two studies with moderate or high risk of bias were excluded. Results: Meta-analysis of the seven studies revealed that an intake of garlic powder significantly lowered the systolic blood pressure (SBP) and diastolic blood pressure (DBP) by -6.0 mmHg (95% confidence interval [CI], -11.2, -0.8; p = 0.025) and -2.7 mmHg (95% CI, -5.3, -0.1; p = 0.046), respectively. Shapes of the funnel plot for both SBP and DBP seemed symmetrical, and the Egger's regression revealed no publication bias. Moreover, duration of the intervention period was inversely associated with the pooled effects of garlic powder on SBP (p = 0.019) and DBP (p = 0.019), and this result was supported by the subgroup-analysis. The daily dose of garlic powder, baseline value of each biomarker, and subject number, did not moderate the effects on SBP and DBP. Conclusion: Results of the present meta-analysis indicate that garlic powder supplements are superior to placebo for improving the BP in prehypertensive individuals.

The Effects of Nursing Educations on Anxiety, Uncertainty, Pain for Patients with Benign Tumor of Uterine: A Systematic Review and Meta-Analysis (자궁양성종양 환자의 수술 사전 교육이 불안, 불확실성, 통증에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Park, Seo-A;Kim, Gaeun;Kim, Hye-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.207-220
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    • 2021
  • This study aimed to evaluate the impact of education and counselling by nurses on anxiety, uncertainty, and pain in patients with benign uterine tumors. Electronic databases, including PubMed, OVID, CINAHL, Google Scholar, and Korean databases and were searched during January 2020. A total of 401 studies were identified of which 13 were suitable for meta-analysis. Cochrane's risk of bias tool and the R version 3.5.2 (Meta-analysis with R) program were used for analysis. The authors performed a meta-analysis of the 13 trials that met eligibility criteria. The findings in this study indicate that the effect size of nursing education for anxiety was Hedges' g=-0.89 (95% CI:-1.39 to -0.47), as indicated by a "large effect size" and the effect size of pain was Hedges' g=-0.49 (95% CI:-0.95 to -0.02) as indicated by a "moderate effect size". The effect size of uncertainty was Hedges' g=-1.38 (95% CI:-3.98 to 1.23), and it was not statistically significant. In the meta-subgroup analyses by approach intervention type, cognitive-behavioral programs, demonstration intervention, and relaxation therapy had a significant effect. The risk of publication bias was low. It may therefore be concluded that pre-operative education by nurses for patients with benign uterine tumors would affect their levels of anxiety, uncertainty, and pain.

Meta Analysis of Prior Studies on FTA (FTA 연구에 관한 메타분석)

  • Hong-Youl Kim
    • Korea Trade Review
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    • v.45 no.6
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    • pp.207-225
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    • 2020
  • Korea has studied FTA over 20 years since FTA with Chile. More than 3,000 Articles have been published in journal so far. Thus, this study aims to present the direction that should be taken by Korean FTA study by using Meta-Analysis for FTA study which has been carried on so far. Many researchers publish several articles each year, showing high quotation index and H-index. However, Korean FTA study lacks network with overseas researchers and fusion study with other sciences. 65.4% of Korean FTA study is carried on Independent research and 91.1% of them, in joint research by fewer than 2 persons. Further, the Subject of FTA study is not diverse and too uniform. Out of total studies, 24.3% of them are related to rules of origin and 15.3% of them, to China, showing that theme of study is quite partially concentrated. This is large difference with overseas FTA study. Study on rules of origin is only 1.5% in overseas. Korean FTA study needs to diversify subjects of study and to balance between academic aspect & practical aspect. When it comes to study methodology empirical analysis assumed large portion in both Korea and overseas countries. Empirical analysis assumes 18.3% in Korea and 47.3% in overseas, both of which are quite high. However, qualitative study such as FGI/AHP, in-depth interview, case analysis is quite rare in Korean FTA study. Partial concentration of countries for study subject needs to be rectified also. In Korea, countries for FTA study is China 15.3%, EU 10.0%, USA 6.3%. In overseas, China assumes only 3.7% of study subject. It is required for Korean FTA study to extend study subjects & study area by forming global study network and to extend qualitative study with microscopic study.

Meta-analysis Study on Microenvironmental Characteristics of Radon Concentration in Korea

  • Lee, Cheol Min;Lee, Jung Sub;Lee, Hye-Won
    • Journal of Environmental Health Sciences
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    • v.46 no.3
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    • pp.245-255
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    • 2020
  • Objective: The present study analyzed domestic and overseas academic journals to understand the research status and characteristics of radon concentration distribution in Korea in accordance with environmental conditions. Methods: As part of the meta-analysis, pooled average concentration was calculated using an inverse variance-weighted average of the arithmetic means and standard deviations among the investigated values. Using the obtained pooled average concentration, a Monte-Carlo simulation was performed to increase the reliability of the occurrence possibility of the calculated concentration distribution. A total of 38 research articles were selected, including 27 articles published in domestic academic journals and 11 articles published in foreign academic journals. Results: The comparison results showed differences in radon concentration distribution in accordance with regional and topographical characteristics. Conclusion: Currently, even though research into radon is steadily picking up the pace in Korea much remains to be done. Additional research is thus needed to establish a baseline for radon emissions in Korea.

A Meta-Analysis of Intervention Studies on Cancer Pain (암환자의 통증에 적용한 중재효과의 메타분석)

  • Min, Young-Chun;Oh, Pok-Ja
    • Asian Oncology Nursing
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    • v.11 no.1
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    • pp.83-92
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    • 2011
  • Purpose: This study was to analyze the characteristics and effect size of intervention studies in reference to cancer pain. Methods: In order to conduct a meta-analysis, a total of 208 studies were retrieved from search engine. And 29 studies published from 2000 to 2010 were selected upon their satisfaction with the inclusion criteria. The data was analyzed by the RevMan 5.0 program of Cochrane library. Results: 1) Intervention studies included 7 studies on reflexology (24.1%), 5 for pain management education (17.2%), 3 studies for each music therapy, spiritual care and hand massage (10.3%, respectively), and 2 studies for each hospice and horticultural therapy (6.7%, respectively). 2) The effect size of the intervention studies were high in hand massage (d=-0.98), reflexology (d=-0.74), spiritual care (d=-0.72), pain management education (d=-0.66), music therapy (d=-0.41), and horticultural therapy (d=-0.32). Conclusion: This study suggest that non-drug therapy can reduce the levels of cancer pain intensity, even though the numbers of intervention studies and randomized controlled trials are very rare.

A Meta-Analysis for the Impact of Transgenic Crop Adoption on Corn and Soybean Yield

  • Lee, Sang-Hoon;Lee, Gyeong-Bo;Hwang, Seon-Woong;Kim, Hye-Jin;Chung, Doug-Young
    • Korean Journal of Soil Science and Fertilizer
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    • v.45 no.4
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    • pp.614-621
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    • 2012
  • Although there is a broad dispute over genetically modified foods on safety, the worldwide adoption of transgenic crops is rapidly increasing. The objectives of this study were to identify trends in the effects of transgenic on crop yields and examine the effect of agricultural variables including crop type, biotech trait, tillage system, and yield environment on corn and soybean yield. A meta-analysis from the 34 peer-reviewed scientific literatures was conducted to compare the crop yield between transgenic crops and conventional varieties. Results showed that the yield of transgenic corn and soybean was strongly dependent on growing conditions. Transgenic hybrids had higher yield potential in the low crop yield environments such as high weeds and/or insect infestation, low soil water, and cool temperature conditions, while transgenic crops did not have yield advantages in high yield environments. The results from this study suggest that producers should consider the potential yield environmental conditions and possible yield reductions when producers choose crop hybrids in their fields.

Effects of Strategy Instruction in English Language Teaching: A Meta-analysis (영어교과에서의 전략 지도(Strategy Instruction)의 효과: 메타분석)

  • Lee, Je-Young
    • The Journal of the Korea Contents Association
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    • v.18 no.10
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    • pp.298-305
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    • 2018
  • The objective of this present study was to investigate the overall effects of strategy instruction on Korean students' English language learning. In order to do so, 55 individual experimental results in 46 journal articles were collected, and a meta-analysis was carried out to them. This study also analyzed the results of studies on strategy instruction according to various variables such as school types, treatment periods, and types of dependent variable. The mean effect size of strategy instruction in English language teaching is .536, which means the medium effects in general. No statistically significant differences were found among various moderators and dependent variables. Based on these results, suggestions for further research are discussed.

CEP-CFP Relationship and Its Moderators : A Meta-analysis (환경성과와 재무성과 간의 관련성과 조절요인에 관한 메타분석)

  • Yook, Keun-Hyo
    • Journal of Environmental Policy
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    • v.13 no.1
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    • pp.25-47
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    • 2014
  • We examined the heterogeneity in the financial -environmental performance nexus, carrying out a meta-analysis of 48 outcomes from 26 empirical studies. Multiple correspondence analysis (MCA) was performed in this study to facilitate the analysis of the structural relationship among an array of study characteristics. As expected, the results of analyzing the multiple studies of the general corporate environmental performance and financial performance link suggested a significant positive relationship. Some of the results of the moderator analysis suggest that empirical studies using self-reporting measurement and structural equation method benefited from environmental performance as much as or more than the archival and regression method.

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