• Title/Summary/Keyword: Meta-analyses

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Herbal Medicine for the Treatment of Non-Erosive Reflux Disease: A Systematic Review and Meta-Analysis Protocol

  • Minjeong Kim;Chaehyun Park;Jae-Woo Park;Jinsung Kim;Seok-Jae Ko
    • The Journal of Internal Korean Medicine
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    • v.44 no.6
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    • pp.1176-1185
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    • 2023
  • Introduction: Non-erosive reflux disease (NERD) is the most common subtype of gastroesophageal reflux disease (GERD). This study aims to synthesize evidence on the efficacy and safety of various herbal medicines for the treatment of NERD. Methods and analysis: Ten electronic databases will be examined: MEDLINE (via PubMed), Cochrane Central Register of Controlled Trials, Embase, Allied and Complementary Medicine Database, China National Knowledge Infrastructure Database, Citation Information by Nii, Korean Medical Database, Korean Studies Information Service System, National Digital Science Library, and Oriental Medicine Advanced Searching Integrated System. All randomized controlled trials published from inception to May 2023 that meet the eligibility criteria will be selected. Two independent researchers will extract data, such as publication year, study design, intervention details, outcome measures, main results, and adverse events. The risk of bias and quality of evidence will be assessed, and subgroup analyses will be performed according to the type of control intervention and herbal medicine. The analysis process will be conducted using Review Manager 5.4 software. Discussion: This review will present a summary and rationale for herbal medicine's effectiveness in treating NERD. The findings of this review can help those who want to apply herbal medicine to the treatment of NERD.

A Meta-Analysis of the Life Satisfaction-Related Variables for Women from Multicultural Families (다문화가정 여성의 생활만족도 관련 변인 메타분석)

  • Gong, Eun-Hwa;Sin, Yu-Kyung
    • The Journal of the Korea Contents Association
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    • v.16 no.8
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    • pp.756-765
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    • 2016
  • In order to investigate variables related to the life satisfaction of women from the multi-cultural families, this study collected relevant studies and applied meta-analysis. As a result, it was found, first, their life satisfaction was between the small effect size and the moderate effect size, on the basis of the relevant variables and Cohen's standards(1992). Second, of the sub variables of their individual characteristic variable, Korean proficiency and nationality acquisition were found to be the small effect size. Third, of the sub variables of their psychological variable and multiple culture-related variable, the effect sizes of self-esteem and the receptive attitude towards multiple cultures were found to be between the moderate effect size and the large effect size. Fourth, the sub variables of their social support variable were found to be generally highly correlated with their life satisfaction. Fifth, the sub variables of daily life and spouse-related variables showed very low levels of effect size overall. This study suggested conclusions and limitations of the research based on the results of the above analyses.

Quantitative Assessment of the Effects of MMP-2 Polymorphisms on Lung Carcinoma Risk

  • Guo, Xiao-Tong;Wang, Jun-Feng;Zhang, Lin-You;Xu, Guang-Quan
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2853-2856
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    • 2012
  • Background: Previous studies assessing associations between matrix metalloproteinase 2 (MMP-2) polymorphisms and lung cancer risk reported conflicting results. A meta-analysis was therefore performed to derive a more precise estimation. Method: Case-control studies assessing associations between MMP-2 C735T and C1306T polymorphisms and lung cancer risk were included. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were estimated. Results: 7 studies with a total of 3,189 lung cancer cases and 3,013 controls were finally included into this meta-analysis. Overall, the MMP-2 C735T polymorphism was associated with lung cancer risk under the homozygote model (CC versus TT: OR =1.44, 95% CI = 1.03-2.02, $I^2$ = 0%), while the MMP-2 C1306T polymorphism also associated demonstrated links with all four models (all P values less than 0.05). Subgroup analyses by race suggested obvious associations between MMP-2 C735T and C1306T polymorphisms and lung cancer risk in Asians but not in Caucasians. There was no evidence for publication bias. Conclusion: Currently available evidence supports teh conclusion that MMP-2 C735T and C1306T polymorphisms influence susceptibility to lung cancer in Asians.

Increased Sister Chromatid Exchange in Peripheral Blood Lymphocytes from Humans Exposed to Pesticide: Evidence Based on a Meta-analysis

  • Yang, Hai-Yan;Liu, Jing;Yang, Si-Yu;Wang, Hai-Yu;Wang, Ya-Dong
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.22
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    • pp.9725-9730
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    • 2014
  • Background: Sister chromatid exchange (SCE) in human peripheral blood lymphocytes is one of the most extensively studied biomarkers employed to evaluate genetic damage subsequent to pesticide exposure. Objective: To estimate the pooled levels of SCE in human peripheral blood lymphocytes among population exposed to pesticide. Materials and Methods: Meta-analysis on the association between SCE frequency and pesticide exposure was performed with STATA 10.0 software package and Review Manager 5.0.24 in this study. Results: The overall means of SCE were 7.88 [95% confidence intervals (95%CI): 6.71-9.04] for exposure group and 6.05 (95%CI: 5.13-6.95) for controls, respectively. There was statistically significant difference in the SCE frequency in human peripheral blood lymphocytes between pesticide-exposed groups and control groups, and the summary estimate of weighted mean difference was 1.69 (95%CI: 1.01-2.38). We also observed that pesticide-exposed population had significantly higher SCE frequency than control groups among smokers, nonsmokers, pesticide applicator, pesticide producer, other exposure population and Asian population in stratified analyses. Conclusions: Data indicate that the SCE frequency in human peripheral blood lymphocytes might be an indicator of early genetic esffects for pesticide-exposed populations.

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.

A Study on Production Mechanism of Meta-Knowledge for Effectively Managing Contents and Models (컨텐츠 및 모델의 효과적 관리를 위한 메타-지식 생성 메커니즘 연구)

  • Kim, Chul-Soo
    • The KIPS Transactions:PartB
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    • v.8B no.5
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    • pp.441-446
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    • 2001
  • On global interconnectivity, the activation of real-time and worldwide contents will permeate and impact all aspects of day-to-day life well throughout this century. In managing contents and models, we too will see the impact of this rapidly changing environment. The real time availability of contents pertaining to a companys supply chain through means of the Internet and mobile networks(e.g., the IMT-2000) will necessitate a change in decision-making processes for effective management of contents and models. To increase the availability of many contents and models, a management system should have adaptive function in proving adequate content and model for companies. In the respect of management of contents and models, this paper discusses a production mechanism of meta-knowledge for effectively managing contents and models. Through two experimental analyses with the production mechanism, it is proven that the system enabling adaptive contents and models provision goes beyond existing ones in view of efficiency of management of contents and models in the wire and wireless networks.

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Multiple Sexual Partners as a Potential Independent Risk Factor for Cervical Cancer: a Meta-analysis of Epidemiological Studies

  • Liu, Zhi-Chang;Liu, Wei-Dong;Liu, Yan-Hui;Ye, Xiao-Hua;Chen, Si-Dong
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.3893-3900
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    • 2015
  • It's known that having multiple sexual partners is one of the risk factors of human papillomavirus (HPV) infection which is a major cause of cervical cancer. However, it is not clear whether the number of sexual partners is an independent risk factor for cervical cancer. We identified relevant studies by searching the databases of MEDLINE, PubMed and ScienceDirect published in English from January 1980 to January 2014. We analyzed those studies by combining the study-specific odds ratios (ORs) using random-effects models. Forty-one studies were included in this meta-analysis. We observed that the number of sexual partners was associated with the occurrence of non-malignant cervical disease (OR=1.82, 95%CI 1.63-2.00) and invasive cervical carcinoma (OR=1.77, 95%CI 1.50-2.05). Subgroup analyses revealed that the association remained significant after controlling for HPV infection (OR=1.52, 95%CI 1.21-1.83 for non-malignant disease; OR=1.53, 95%CI 1.30-1.76 for invasive cervical carcinoma). We found that there was a non-linear relation of the number of sexual partners with both non-malignant cervical disease and invasive cervical carcinoma. The risk of both malignant and non-malignant disease is relatively stable in women with more than 4-7 sexual partners. Furthermore, the frequency-risk of disease remained significant after controlling for HPV infection.The study suggested that h aving multiple sexual partners, with or without HPV infection, is a potential risk factor of cervical cancer.

Impact of Caspase-8 (CASP8) -652 6N Del and D302H Polymorphisms on Prostate Cancer in Different Ethnic Groups

  • Zhang, Cheng-Dong;Li, Hong-Tao;Liu, Kun;Lin, Zhi-Di;Peng, Qi-Liu;Qin, Xue;He, Min;Wu, Hua;Mo, Zeng-Nan;Yang, Xiao-Li
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7713-7718
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    • 2014
  • Background: Despite evidence suggesting roles for caspase-8 (CASP8) -652 6N del and D302H polymorphisms in prostate cancer (PCa), the association of these polymorphisms with PCa risk remains inconclusive. Therefore, a meta-analysis was performed to more precisely estimate the association of CASP8 -652 6N del and D302H polymorphisms with PCa susceptibility. Materials and Methods: A comprehensive literature search was conducted to identify all case-control studies of CASP8 D302H and -652 6N del polymorphisms and PCa risk. Odds ratios (ORs) and 95% confidence intervals (CIs) were used to assess the strength of the association and the precision of the estimate, respectively. Results: Nine -625 6N del studies and 4 D302H studies were included. CASP8 -652 6N del and D302H polymorphisms were not significantly associated with PCa risk in the overall analyses. However, in the subgroup analysis stratified by ethnicity, -625 6N del was significantly associated with PCa risk in the East Asian and Indian populations under the recessive model. Furthermore, the subgroup analysis strongly suggested that D302H was associated with lower PCa risk in the Non-Indian population under the dominant model. Conclusions: In our meta-analysis, ethnic-specific differences were evident in the association of CASP8-625 6N del and D302H polymorphisms with PCa risk.

Pharmacopuncture for Stroke: An Overview of Meta-Analyses (뇌졸중의 약침 치료에 대한 메타분석의 통합적 고찰)

  • Kim, Mikyung;Han, Chang-ho
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1081-1100
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    • 2019
  • Objectives: This study is an overview of the meta-analysis and systematic review of randomized controlled trials investigating the clinical effectiveness and safety of pharmacopuncture for patients with stroke. Methods: Core electronic databases were searched from their inception to 21 May 2019. A measurement tool to assess systematic reviews (AMSTAR 2) was applied to screen high-quality studies. The results of these studies were summarized, and additional meta-analysis was conducted. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was used to evaluate the certainty of evidence. Results: Sixteen studies met eligibility criteria. Four were excluded owing to insufficiency of AMSTAR 2 or low data reliability. The finally selected 12 studies were about pharmacopuncture using either a single herb extract, such as Dengzhan xixin, Sanch, Ginkgo biloba, or Acanthopanax, or a mixture of herbs, such as Compound danshen, Shenxiong, Xingnaojing, or Mailuoning. Most of the patients were from China, with acute ischemic stroke. All the studies using a pharmacopuncture versus a non-pharmacopuncture design reported the significant superiority of pharmacopuncture on every outcome measure. On the other hand, in a few studies, pharmacopuncture was inferior to active control in improving neurological deficit. Few studies reported adverse events. Conclusions: It is difficult to apply the results of this study directly to Korea, because the level of evidence is generally low and the clinical settings and social acceptance of pharmacopuncture therapy differ in Korea and China. Further studies are warranted to confirm the domestic applicability of evidence generated in China and to create evidence that supports the domestic situation.

A Meta-Analysis on the Variables Related with Job Satisfaction of Social Workers (사회복지사의 직무만족 영향 요인에 관한 메타분석)

  • Jin, Hyemin;Park, Byungsun
    • Korean Journal of Social Welfare
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    • v.65 no.3
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    • pp.107-130
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    • 2013
  • This study conducted a meta-analysis on the studies related with job satisfaction of social workers. For data analysis, journals, theses, and dissertations published between 1990 and 2013 were reviewed systematically. Through this process, this study calculated average effect size of each variable and explored moderator variables. The study results were as follows. First, this study significantly identified 27 variables related with job satisfaction of social workers. Second, the results indicated that large effect size variables included empowerment, organizational climates, supervision, relationship with boss, leadership, social support, work environment, reward system factor, self-esteem, work autonomy. Third, moderator analyses were conducted utilizing characteristics of organization. Moderate effects were identified in the following variables including role conflict, specialization, recognition, promotion, relationship with peer, supervision. Finally, the implications of the study findings were discussed.

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