• Journal of Acupuncture Research
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• v.38 no.2
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• pp.96-109
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• 2021

The purpose of this study was to evaluate the effectiveness and safety of acupotomy for the treatment of patients with knee osteoarthritis. There were 9 databases searched to retrieve randomized controlled trials until August 3, 2019 regarding acupotomy versus conventional Western medicine, conventional Western medicine treatment with and without acupotomy, and Korean medicine treatment with and without acupotomy, and meta-analysis was performed. Of 303 potentially relevant studies retrieved, 43 were systematically reviewed. All studies were conducted in China. Effective rate, visual analogue scale, and Western Ontario and McMaster Universities Osteoarthritis index were used as the evaluation scales. The Ashi point was selected most frequently. In all studies, the intervention group was more effective than the control group. Meta-analysis revealed that acupotomy showed statistically significant beneficial results. Although acupotomy had a beneficial effect on knee osteoarthritis, the risk of bias of the included studies was not low. The majority of the results from the evaluation scales used were highly heterogeneous (> 50%) which reduced confidence in the estimation of effect, or had a small sample size. Further clinical research and development is required in the future.

• The Journal of Internal Korean Medicine
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• v.42 no.3
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• pp.385-402
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• 2021

Objective: This study confirms the safety and efficacy of Banhasasim-tang (BST) against cough through systematic review and meta-analysis. Methods: PubMed, Cochrane, ScienceDirect, Wiley online library, OASIS, KISS, NDSL, RISS, Science and Technology Society Village, DBpia, CNKI, J-STAGE, and CiNii were used as search engines. The search period was from the start of search engine support to June 30. 2020. And search language was not limited. Cochrane's risk of bias (RoB) tool was used to evaluate the quality of the studies. A meta-analysis of the total effective rate (TER), cough symptom score, and spirometry results was performed using the Review Manager program. Results: 6 studies were finally selected. The group using BST showed significant symptom relief, as the odds ratio (OR) value of TER was 5.56 times higher (95% CI: 3.50, 8.82, P<0.0001) compared to the control groups. The reported adverse effects did not occur in the intervention group. In addition, the cough symptom score and spirometry results showed that BST was more effective than Western medicine alone. Conclusion: BST can be expected to relieve cough, and it can be applied to chronic cough that is not treated with existing treatments. However, due to the low quality of the selected articles, additional high-quality RCTs will be required in the future.

• Journal of Korean Traditional Oncology
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• v.25 no.2
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• pp.23-36
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• 2020

Objective: This study was aimed to report the therapeutic effects of herbal medicine on chemotherapy-induced peripheral neuropathy (CIPN). Methods: The prior studies were searched from the databases included PubMed, Cochrane Library, EMBASE, CNKi, CiNii, KISS, NDSL, KMBASE, and OASIS until September 2020. The main search keywords were chemotherapy, peripheral neuropathy, and herbal medicine, and only randomized controlled trials that analyzed the therapeutic efficacy of herbal medicine were included. The Cochrane's Risk of Bias was used for assessment of the risk of bias and the Review Manager 5.3 program was used for meta-analysis. Meta-analyses were grouped by the administration routes of herbal medicines (oral administration or topical use). Results: Nine studies with a total of 563 participants were included. Compared with usual care, the effective rate was higher in oral administrated herbal medicine (RR 1.67, 95% CI 1.25 to 2.23; p<0.001, I2=31%). In addition, topical herbal medicine showed an significantly higher effective rate than placebo (RR 2.20, 95% CI 1.52 to 3.18; p<0.001, I2=0%) and usual care (RR 2.24, 95% CI 1.74 to 2.89; p<0.001, I2=66%). There was no severe adverse effect in all participants. Conclusions: Herbal medicine appears to improve neuropathy caused by chemotherapy in cancer patients more than conventional therapy of CIPN. However, as there is heterogeneity between the included studies and a lack of blinding, further well-designed researches are more needed.

• Journal of the Korea Society of Computer and Information
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• v.26 no.8
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• pp.165-172
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• 2021

The purpose of this meta-analysis was to determine the efficacy of proprioceptive neuromuscular facilitation training on Gait. We included all randomized controlled trials assessing the efficacy of proprioceptive neuromuscular facilitation training on gait ability control in patients after stroke. This study was conducted according to the PRISMA guideline. CINAHL, PubMed and RISS were searched for studies published up to December 2020, and all randomized controlled trails assessing PNF intervention were included. This analysis included only randomized controlled trials. A total of 12 studies were selected from 1475 records obtained from the databases. The meta-analysis was performed using the R software. The overall intervention effect was moderate (standardized mean difference (SMD): 0.67, 95% confidence interval (CI): 0.50-0.84). Additionally, Gait rite (SMD: 0.69), 10m walking test (SMD: 0.59) had medium effect sizes. These findings indicate that PNF is an effective intervention for improving gait ability in patients stroke.

• Journal of Preventive Medicine and Public Health
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• v.55 no.1
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• pp.37-48
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• 2022

Objectives: Depression is a frequent complication of type 2 diabetes mellitus. This study aimed to investigate the relationship between low social support and risk for depression in people with type 2 diabetes through a meta-analysis. Methods: PubMed, ProQuest, SpringerLink, ScienceDirect, Scopus, the Cochrane Library, Embase, and Google Scholar were searched for English-language articles published up to 2021. Pooled adjusted odds ratios (aORs) were calculated using a random-effect model with 95% confidence intervals (CIs). Heterogeneity was evaluated by using the Cochrane Q test and I² statistics. The risk of publication bias was estimated using a funnel plot, the Egger test, and the Begg test. The Joanna Briggs Institute Critical Appraisal Tools were used to assess the quality of evidence and the risk of bias. Results: Eleven studies were included in this meta-analysis, containing a total of 3151 people with type 2 diabetes mellitus. The pooled analysis showed that people with type 2 diabetes mellitus who had low social support had twice as high a risk of depression as those with high social support (aOR, 2.02; 95% CI, 1.51 to 2.70; p<0.001). A random-effect model was used because the heterogeneity was high (I² = 87%). Conclusions: Low social support was found to increase the risk of depression among people with type 2 diabetes mellitus. Further investigation into factors that may moderate this relationship is required.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.20 no.6
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• pp.33-43
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• 2021

A60 class bulkhead penetration piece is a fire resistance system installed on a bulkhead compartment to protect lives and to prevent flame diffusion in a fire accident on a ship and offshore plant. This study focuses on the approximate optimization of the fire resistance design of the A60 class bulkhead penetration piece using a multi-island genetic algorithm. Transient heat transfer analysis was performed to evaluate the fire resistance design of the A60 class bulkhead penetration piece. For approximate optimization, the bulkhead penetration piece length, diameter, material type, and insulation density were considered discrete design variables; moreover, temperature, cost, and productivity were considered constraint functions. The approximate optimum design problem based on the meta-model was formulated by determining the discrete design variables by minimizing the weight of the A60 class bulkhead penetration piece subject to the constraint functions. The meta-models used for the approximate optimization were the Kriging model, response surface method, and radial basis function-based neural network. The results from the approximate optimization were compared to the actual results of the analysis to determine approximate accuracy. We conclude that the radial basis function-based neural network among the meta-models used in the approximate optimization generates the most accurate optimum design results for the fire resistance design of the A60 class bulkhead penetration piece.

• Journal of Industrial Convergence
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• v.20 no.9
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• pp.71-79
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• 2022

This study comprised a systematic review and meta-analysis to determine how digital health care to relieve depression of the elderly. The CINAHL, Embase, Medline, DBpia, KERIS, KISS and RISS were used. As a result of the systematic search, a total of 4,071 studies were assessed and six studies were ultimately selected based on the inclusion and exclusion criteria. Of these, a total of five studies were available for meta-analysis; the effect size was calculated. The effect size of digital health care was statistically significant in reducing depression(SMD=-4.73, 95% CI -7.44 to -2.01, Z=3.41, p=.0007). Since only web-based programs are included in the analysis among types of digital health care, we suggest that we consider ways to reduce depression in the elderly by applying various digital health care in the future.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.21 no.4
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• pp.167-189
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• 2022

In the case of SAE autonomous driving levels 2 and 3, since complete autonomous driving is impossible, the take-over process is essential, and take-over time(TOT) is the most important factor in determining the safety of the autonomous driving system. Accordingly, research on TOT is being actively conducted, but each research is independently conducted and general conclusions that integrate various research results are required. Therefore, in this study, the factors affecting TOT were analyzed using meta-analysis, which integrates the results of individual studies and presents an integrated opinion. As a result of meta-analysis, a total of 10 influencing factors were selected, and most of them were related to the non-driving related task(NDRT) type. In addition, implications for the future research direction of take-over and NDRT were presented.

• Clinical and Experimental Pediatrics
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• v.65 no.1
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• pp.35-46
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• 2022

Background: The growing prevalence of overweight and/or obese children is an important public health problem in both developed and developing countries. Although the association of obesity between parents and their children is well known, its underlying mechanisms are not well established. Purpose: This meta-analysis examined parent-child (PC) relationships in obesity and identified factors such as world region and country income level that may influence this relationship. Methods: We identified all related studies published between January 1, 2015 and May 31, 2020 by conducting a literature search using the MeSH terms "obesity," "overweight," "body mass index," "parent," "child," "associate," and "relate" in the PubMed database in English. Results: The meta-analysis of 23 studies that reported an odds ratio (OR) for parent and child obesity associations found a significant association between parents and children who were overweight or obese (pooled OR, 1.97; 95% confidence interval, 1.85-2.10). A meta-regression analysis was used to examine the sources of interstudy heterogeneity. The association between parent and child obesity was higher in Asia than in Europe and the Middle East and higher in high-income countries than in middle-or low-income countries. In addition, a higher association between parent and child obesity was found when both parents were obese than when only the father or mother was obese. This study from multiple countries indicates a significant PC relationship in weight status that varies according to PC pair type, parent and child weight statuses, world region, and country income level. Conclusion: These results demonstrate that the risk of childhood obesity is greatly influenced by parental weight status and indicate that parents could play an important role in preventing child obesity.

• Animal Bioscience
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• v.35 no.12
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• pp.1881-1891
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• 2022

Objective: The present study aimed to quantify the effects of fermented soybean meal (FSBM) on broiler chickens' performance by employing a meta-analysis approach. Methods: A total of 16 studies were included in the database after being systematically selected using a PRISMA protocol. Hedges' g effect size was used to quantify pooled standardized mean difference (SMD) using random-effects models at 95% confidence intervals (95% CI). Publication bias among studies was computed with Egger's test and visualized using funnel plots. Results: Results indicated that dietary FSBM inclusion increased final body weight (BW) (SMD = 0.586, 95% CI: 0.221 to 0.951, p = 0.002) of broiler chickens, particularly in starter period (SMD = 0.691, 95% CL: 0.149 to 1.233, p = 0.013) while in the finisher period, the effect was weaker (SMD = 0.509, 95% CI: 0.015 to 1.004, p = 0.043). Average daily gain (ADG), feed intake (FI), and feed conversion ratio (FCR) were not affected with FSBM inclusion when compared to control. Subgroup analysis revealed that FI increased in starter period (SMD = 0.582, 95% CI: 0.037 to 1.128, p = 0.036). When considering types of microorganism as moderating variables in the subgroup analysis, we found that Aspergillus oryzae, mixed probiotics+bromelain protease, Bacillus subtilis, and Lactobacillus bacteria significantly increased ADG and FI (p<0.01). Additionally, either Bacillus subtilis+protease or Bacillus subtilis alone decreased FCR (p<0.001). However, meta-regression analysis showed that levels of FSBM inclusion had no effects on final BW (p = 0.502), ADG (p = 0.588), FI (p = 0.861), and FCR (p = 0.462). Conclusion: Substituting SBM in broiler chickens' diet with FSBM improved BW of broiler chickens, especially in the starter period whereas the effects on ADG, FI, and FCR were mostly dependent on microbial strains used for fermentation.