• Title/Summary/Keyword: RevMan

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A step-by-step guide to Meta-analysis with dichotomous outcomes using RevMan in dental research (치의학 연구에서 RevMan을 이용한 이분형 결과변수를 분석하기 위한 메타분석의 단계적 안내)

  • Park, Su-Hyeon;Lim, Hoi-Jeong
    • The Journal of the Korean dental association
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    • v.56 no.1
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    • pp.18-40
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    • 2018
  • Meta-analysis is a statistical method that combines the results of individual studies on the same topic. This method is becoming popular, due to providing the combined result that individual studies cannot provide and giving a more precise result. Despite meta-analysis having such significance, there were few Korean guides for the use of the Review Manager (RevMan) software. This study will provide a step-by-step guide, using orthodontic mini-screw as a dental example, to help researcher carry out meta-analysis more easily and accurately.

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Pharmacopuncture for Acute peripheral facial paralysis: A systematic review and meta-analysis of randomized controlled trials

  • Choi, Min-Sun;Kim, Dong Il;Jang, Su Hee
    • The Journal of Korean Medicine
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    • v.36 no.2
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    • pp.8-20
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    • 2015
  • Objectives: This study aims to evaluate the efficacy of pharmacopuncture in the treatment of acute peripheral facial paralysis (APFP) through a meta-analysis of randomized controlled trials to assess the clinical evidence for pharmacopuncture as a treatment for PFP. Methods: Literature was searched using databases. The search terms used were "pharmacopuncture," "sweet BV," "apipuncture," "apitoxin," "injection acupuncture," and "herbal acupuncture" in English and "bongchim," "bongyakchim," and "yakchim" in Korean. The RevMan 5.2 program was used for meta-analysis. Results: In all, 1902 studies were screened and the full texts of 219 articles were reviewed. Of these, nine studies were included in the systematic review and nine studies were included in the meta-analysis. Treatments utilizing bee venom, sweet bee venom (SBV), Soyeom, Calculus Bovis Fel Ursi Moschus (BUM), Hominis Placenta, and Suseunghwagang (SSHG) were observed in nine RCTs. In the forest plot, the diamond favors the PA treatment against the control treatment. (95% CI: 0.34 [0.08, 0.60], Z = 2.57, P = 0.01), which Our meta-analysis in RevMan 5.2 confirmed the significant efficacy of PA in treating APFP. Conclusion: Our systematic review and meta-analysis suggest that treatments using Soyeom, bee venom, and BUM are effective in APFP and they reduce the duration of postauricular pain occurring at the acute stage of APFP. However, due to small effect size, further investigation is needed.

Systematic Review of an Intervention Program for the Improved Reading Comprehension of Elementary School Students (초등학생의 읽기이해력 향상 중재프로그램에 대한 체계적 문헌고찰)

  • Joo, So-Hyun;Lee, Soo-Sang
    • Journal of Korean Library and Information Science Society
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    • v.52 no.3
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    • pp.197-215
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    • 2021
  • This study analyzed experimental studies of intervention programs provided to improve reading comprehension of elementary school students using a systematic review research method. Cochrane's handbook was applied, and key questions were formulated according to the PICOTS-SD. The inclusion and exclusion criteria were applied to 1,610 papers searched in KCI, and the final 18 cases were selected for analysis. The risk of bias was evaluated using the 'RevMan5' tool provided by Cochrane. As a result of the evaluation, the risk of bias was low in most areas. And for the qualitative analysis of these papers, a data summary table was prepared. As a result, the types of intervention programs were diverse, and in many cases, upper grade students were applied. The size of the experimental group ranged from 6 to 29, and there were more QED-based studies than RCT-based studies. The most mediation time was 40 minutes, and the number of mediation sessions was 8 to 24. And in all studies, the intervention programs were found to be effective in improving reading comprehension.

Effects of Jakyakkamchobuja-tang on Rheumatoid Arthritis in Rat Model: Systemic Review and Meta-Analysis (류마티스 관절염 백서 모델에서 작약감초부자탕의 효과: 체계적 문헌고찰 및 메타분석)

  • Che-Yeon Kim;Sang-Hyun Lee;Man-Suk Hwang
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.3
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    • pp.79-96
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    • 2023
  • Objectives This study was designed to review the effect of Jakyakkamchobuja-tang on rat model with rheumatoid arthritis. Methods We used seven databases (PubMed, EMBASE, Cochrane CENTRAL, China National Knowledge Infrastructure, Oriental Medicine Advanced Searching Integrated System, Korean studies Information Service System, National Digital Science Library) from their inception to May 2023 without language restrictions. Systematic Review Centre for Laboratory Animal Experimentation's tool was used to evaluate the risk of bias. RevMan software (V5.4) was used for the meta-analysis. Results Five studies were selected following our inclusion criteria. The arthritis index decreased significantly (standardized mean difference=-2.06; 95% confidence interval=-3.07 to -1.04; p<0.0001) in Jakyakkamchobuja-tang group. Also, serum cytokines in serum and paw swelling degree decreased in Jakyakkamchobuja-tang group. Conclusions Jakyakkamchobuja-tang may be effective in treating rheumatoid arthritis. Although there is a limitation that the design of drug dosage varies between papers, it can be expected to be applied as an alternative to Western medicine, and it is believed to contribute to the standardization of herbal treatment for rheumatoid arthritis.

Optimization of Heavy-Duty Diesel Engine Operating Parameters Using Micro-Genetic Algorithms (유전알고리즘을 이용한 대형 디젤 엔진 운전 조건 최적화)

  • Kim, Man-Shik;Liechty, Mike P.;Reitz, Rolf D.
    • Transactions of the Korean Society of Automotive Engineers
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    • v.13 no.2
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    • pp.101-107
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    • 2005
  • In this paper, optimized operating parameters were found using multi-dimensional engine simulation software (KIVA-3V) and micro-genetic algorithm for heavy duty diesel engine. The engine operating condition considered was at 1,737 rev/min and 57 % load. Engine simulation model was validated using an engine equipped with a high pressure electronic unit injector (HEUI) system. Three important parameters were used for the optimization - boost pressure, EGR rate and start of injection timing. Numerical optimization identified HCCI-like combustion characteristics showing significant improvements for the soot and $NO_X$ emissions. The optimized soot and $NO_X$ emissions were reduced to 0.005 g/kW-hr and 1.33 g/kW-hr, respectively. Moreover, the optimum results met EPA 2007 mandates at the operating point considered.

Efficacy of probiotics for managing infantile colic due to their anti-inflammatory properties: a meta-analysis and systematic review

  • Shirazinia, Reza;Golabchifar, Ali Akbar;Fazeli, Mohammad Reza
    • Clinical and Experimental Pediatrics
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    • v.64 no.12
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    • pp.642-651
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    • 2021
  • Background: Infantile colic (IC) is excessive crying in otherwise healthy children. Despite vast research efforts, its etiology remains unknown. Purpose: Most treatments for IC carry various side effects. The collection of evidence may inform researchers of new strategies for the management and treatment of IC as well as new clues for understanding its pathogenesis. This review and meta-analysis aimed to evaluate the efficacy and possible mechanisms of probiotics for mananaging IC. Methods: Ten papers met the study inclusion and exclusion criteria, and the meta-analysis was conducted using Review Manager (RevMan) software and a random-effects model. Results: This meta-analysis revealed that probiotics are effective for treating infantile colic, while the review showed that this efficacy may be due to their anti-inflammatory effects. Conclusion: Probiotics may be an important treatment option for managing infantile colic due to their anti-inflammatory properties.

The Effects of Auricular Acupressure on Sleep Disorder in The Elderly: A Systematic Review and Meta-analysis (이압요법이 노인의 수면 장애 개선에 미치는 효과에 대한 체계적 문헌고찰 및 메타분석)

  • Jang, Minjin;Park, Hyojung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.116-126
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    • 2020
  • This study analyzed the effects of auricular acupressure on improving sleep disorders of the elderly. The data was collected from domestic and foreign databases. The keywords were 'auricular,' 'sleep,' 'insomnia, and so on. RoB and RoBANS were used to evaluate the risk of bias in the selected literature. Meta-analysis was performed using RevMan 5.3. Seven of 386 studies were selected. Regarding the sleep score, those studies with an intervention period of less than four weeks showed WMD of 25.66 (95% CI; 20.18 to 31.14), which was significantly higher than that of the control group. Similarly, the studies with an intervention period longer than four weeks had significantly higher WMD than that of the control group, and the former exhibited WMD of 8.59 (95% CI: 6.26 to 10.92). In contrast, sleep satisfaction was significantly higher in the studies with a maintenance period of three days or less, which resulted in SMD of 13.37 (95% CI: 5.29 to 21.45). The score in the studies with a maintenance period longer than four days was significantly higher than that of the control group with SMD of 2.27 (95% CI: 1.82 to 2.72). Auricular acupressure was effective in alleviating sleep disorders among the elderly in terms of both sleep quality and sleep satisfaction.

Cognitive Behavioral Therapy for Primary Insomnia: A Meta-analysis (만성 일차성 불면증 환자에게 적용한 인지행동중재의 효과: 메타분석)

  • Kim, Ji-Hyun;Oh, Pok-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.407-421
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    • 2016
  • This paper reports a meta-analysis of sixteen studies that evaluated the efficacy of cognitive behavioral therapy (CBT) for persistent primary insomnia. PubMed, Cochrane Library, EMBASE, CINAHL and several Korean databases were searched between January 2015 and June 2015. The main search strategy involved the terms that indicate CBT-I (Cognitive Behavioral Therapy-Insomnia) and presence of insomnia. Methodological quality was assessed using Cochrane's Risk of Bias. Data were analyzed by the RevMan 5.3 program of Cochrane Library. Sixteen clinical trials met the inclusion criteria, resulting in a total of 1503 participants. Stimulus control, sleep restriction, sleep hygiene education, and cognitive restructuring were the main treatment components. CBT-I was conducted for a mean of 5.4 weeks, 5.5 sessions, and an average of 90 minutes per session. The effects of CBT-i on total sleep time (d=-0.31), sleep onset latency (d=-0.29), awakening time after sleep onset (d=-0.55), sleep efficiency (d=-0.70), insomnia severity (d=-0.77) and sleep belief (d=-0.64) were significant. Overall, we found a range from small to moderate effect size. CBT-I also was effective for anxiety (d=-0.30) and depression (d=-0.35). The findings demonstrate that CBT-I interventions will lead to the improvement of both sleep quality and quantity in patients with insomnia.

Systematic review for economic benefit of poison control center (중독관리센터의 경제적 효과에 대한 체계적 고찰)

  • Han, Eunah;Hwang, Hyuna;Yu, Gina;Ko, Dong Ryul;Kong, Taeyoung;You, Je Sung;Choa, Minhong;Chung, Sung Phil
    • Journal of The Korean Society of Clinical Toxicology
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    • v.19 no.1
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    • pp.1-7
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    • 2021
  • Purpose: The purpose of this study was to conduct a systematic review to investigate the socio-economic benefits of the poison control center (PCC) and to assess whether telephone counseling at the poison control center affects the frequency of emergency room visits, hospitalization, and length of stay of patients with acute poisoning. Methods: The authors conducted a medical literature search of the PubMed, EMBASE, and Cochrane Library databases. Two reviewers evaluated the abstracts for eligibility, extracted the data, and assessed the study quality using a standardized tool. Key results such as the cost-benefit ratio, hospital stay days, unnecessary emergency room visits or hospitalizations, and reduced hospital charges were extracted from the studies. When meta-analysis was possible, it was performed using RevMan software (RevMan version 5.4). Results: Among 299 non-duplicated studies, 19 were relevant to the study questions. The cost-benefit ratios of PCC showed a wide range from 0.76 to 36 (average 6.8) according to the level of the medical expense of each country and whether the study included intentional poisoning. PCC reduced unnecessary visits to healthcare facilities. PCC consultation shortened the length of hospital stay by 1.82 (95% CI, 1.07-2.57) days. Conclusion: The systematic review and meta-analysis support the hypothesis that the PCC operation is cost-beneficial. However, when implementing the PCC concept in Korea in the future, it is necessary to prepare an institutional framework to ensure a costeffective model.

Effects of Music Therapy on Cognitive function and Agitation, Anxiety and Depression in Dementia Elderly: a Systematic Review and Meta-analysis of Randomized Controlled Trials (음악요법이 치매노인의 인지기능, 초조행동, 불안 및 우울에 미치는 효과: 체계적 고찰 및 메타분석)

  • Chai, Gong Ju;Lee, Mi-Kyung;Nam, Eun Sook;Lee, Ho Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.520-530
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    • 2021
  • Objectives: This study aimed to identify the effects of music therapy on cognitive function, agitation, anxiety and depression in the elderly with dementia. Method: A comprehensive literature search was performed on PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar and PsycINFO, for the period 2010 to 2019. In the meta-analysis, the standardized mean difference (Hedges' g) and 95% confidence interval were calculated as summary measure, and the random effect model and inverse variance method were applied using the RevMan 5.4 program. A total of 13 studies were included; all were determined to be acceptable, based on the Cochrane collaboration's tool for assessing risk of bias. Results: The effect size (Hedges' g) was 0.31 (95% CI: -0.02, 0.65) for cognition and -0.03 (95% CI: -0.17, 0.11) for agitation behavior as the primary outcomes, and 0.61 (95% CI: -1.17, -0.05) for anxiety and -0.44(95% CI: -0.88, 0.00) for depression as the secondary outcomes. Subgroup analysis by type of music intervention revealed that combined music therapy has a significantly increasing beneficial effect on cognition of dementia patients (g=0.45[95% CI: 0.03, 0.87]). Conclusion: Music therapy was determined to exert beneficial effects in reducing anxiety and depression, and combined music therapy demonstrated improved cognitive functions in elderly patients with dementia.