• Title/Summary/Keyword: Secondary analysis

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The Effectiveness and Safety of Acupuncture for Recovery of Patients with Vertebral Compression Fractures: A Systematic Review and Meta-analysis (척추 압박 골절 환자의 회복에 대한 침 치료의 유효성 및 안전성 평가: 체계적 문헌 고찰과 메타분석)

  • Bae, Ji min;Lee, Myeong su;Choi, Ji won;Yang, Gi young;Kim, Kun hyung
    • Korean Journal of Acupuncture
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    • v.36 no.1
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    • pp.1-18
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    • 2019
  • Objectives : The purpose of this study was to evaluate the effectiveness and safety of acupuncture treatment for recovery of patients with vertebral compression fracture(VCF). Methods : We searched ten English and Chinese and seven Korean database up to April 2018. Randomised controlled trials(RCTs), quasi-RCTs, non-radomised Controlled Trials(CCTs) were eligible. Quasi-RCTs and CCTs were assessed only for safety assessment. Pain and adverse events were primary outcome of this review. Quality of life, dysfunction, patient satisfaction, incidence of new vertebral compression fracture were regarded as secondary outcomes. The risk of bias was assessed by two independent authors using the Cochrane risk of bias tool. Level of evidence was tabulated using the GRADE methods. Results : Of 1656 screened, 15 RCTs, 1 quasi-RCT and 3 CCTs were included. Number of participants per study ranged from 45 to 135. Most of the studies had unclear or high risk of bias and considerable heterogeneity in terms of type of intervention, comparison and time-points for outcome measurement. Compared to usual care alone, acupuncture combined with usual care showed short-term favorable results for pain relief in patients with VCF(5 studies, n=252, MD -1.05 point on a 0 to 10 point scale, 95% CI -1.45 to -0.65, $I^2=74%$). Four studies reported mild and temporary adverse events, and no serious adverse events were reported. One study descriptively reported that acupuncture was effective for improving quality of life without providing numerical outcomes. There were no reports of patient satisfaction and incidence of new VCF. Conclusions : Level of evidence is very low for the effectiveness and safety of acupuncture for pain, harms and other clinical outcomes in patients with VCF. Included studies suffered from incomplete reporting, high or unclear risk of bias and substantial heterogeneity between studies. Future high-quality RCTs are needed to assess whether acupuncture is beneficial for recovery of patients with VCF.

Generation of a transgenic pig expressing human dipeptidylpeptidase-4 (DPP-4) (Human dipeptidylpeptidase-4(DPP-4) 발현 형질전환 돼지의 생산)

  • Chung, Hak Jae;Sa, Soo Jin;Baek, Sun Young;Cho, Eun Suek;Kim, Young Shin;Hong, Jun Ki;Cho, Kyu Ho;Kim, Ji Youn;Park, Mi Ryung;Kim, Kyung Woon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.9
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    • pp.306-314
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    • 2019
  • As dipeptidyl peptidase-4(DPP-4) inhibitors are used widely as a secondary treatment for type 2 diabetes because they tend to be well tolerated with minimal side effects, the human DPP-4(hDPP-4) gene was injected into a pig zygote through micro-injection, and 1-cell stage fertilized embryos were then transplanted surgically into the oviduct. Three pigs were fertilized with hDPP-4 genes and produced sixteen piglets, in which one male piglet was identified to be transgenic. Finally, transgenic pigs showing hDPP-4 gene expression in the tail were produced. Western blot and RT-PCR analysis confirmed that the hDPP-4 is expressed strongly in the membrane cells of the transgenic pig, and that the hDPP-4 gene appears in various tissues and tails. This suggests that the expression vector is normally expressed in transgenic pigs. These results are anticipated to be a model animal to check the endocrine function for insulin resistance that occurs in a hDPP-4 transgenic pig and to increase its value for use as a material in newly developed medicines.

A Study on Developing Procedures of Archival Contents for Local History Education of Secondary Education in Busan (기록물을 활용한 지역사 교육콘텐츠 개발 방안 부산광역시 중등학교 교육을 중심으로)

  • Doh, Yun-Jee
    • The Korean Journal of Archival Studies
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    • no.36
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    • pp.69-119
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    • 2013
  • The local history research started from the 1960's postmodernism neted in the local history as the subject of diversity instead of National history. The local is being magnified as a new research theme among history scholar. In these circumstances, the local history research shows sign of activity and the movement that used in various ways at education has become more active. Compared to the contents business of local history, development of education contents what serviced for student is insufficient. Therefore, this research suggests development plan of local history education contents using archives which efficient tool of history education. Students can grow the ability of historical inquiry, thinking, insight through archives-assisted learning. Also, self-learning is possible instead of a lecture by teacher. This research shows a development of archival contents for local history education though literature research, abroad case analysis, focus group interview with history teachers. Concepts of the local history, local history education, education contents are examined at literature research. Local history education of the State Archives of the United States of America, the United Kingdom, Australia web site is analyzed. These state archives have been providing the web based service of archival contents for local history education for a long time. With these theoretical background, carry out a focus group interview with middle school history teachers. It draw conclusion that 14 category and 35 subcategory and these are reflected in the development of archival contents for local history education.

E-Governance Practices in Developing Countries. Its Benefits and Challenges. -The Case of Pakistan- (개발도상국의 전자정부 시행에 따른 장점과 문제 -파키스탄 중심으로-)

  • Aftab, Muhammad
    • Industry Promotion Research
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    • v.4 no.1
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    • pp.79-86
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    • 2019
  • The quality of service delivery by governments to their citizens is a subject of concern in the contemporary society. E-governance is a critical aspect that is transforming government operation and service delivery to citizens and other bodies through application of information technology. This research explores the state of e-governing focusing on nations that are developing with special attention to Pakistan. The difficulties and benefits encountered are identified. The results are vital for implementers of e-governing systems in these countries. The methodology applied entails a secondary research that involves analysis and synthesis of literature relating the research topic. The results reveal that Pakistan has made incredible steps in setting up e-governance systems with growth in internet use and access of data from a digital platform. The findings reveal that e-government is associated with multiple benefits including enhanced quality of services, cost efficiency in service provision, enhance transparency and elimination of corruption, provide the basis for eradication of poverty, boost economic stability of a country, and provide room for direct democracy. The research also found that developing countries experience challenges in form of financial constraints, poor ICT infrastructure, illiteracy on e-government, political consensus constraints, legal obstacles, social and cultural constraints. E-government has the capability to transform the quality of governance provided by governments, and policymakers and implementers should address the constraints that act as a hindrance to its implementation.

Secondary Fermented Extract of Chaga-Cheonggukjang Attenuates the Effects of Obesity and Suppresses Inflammatory Response in the Liver and Spleen of High-Fat Diet-Induced Obese Mice

  • Na, Ha Gyoon;Park, Yuna;Kim, Min-Ah;Lee, Jin Woo;So, Gyeongseop;Kim, Sung Hyeok;Jang, Ki-Hyo;Kim, Mi-Ja;Namkoong, Seung;Koo, Hyun Jung;Lee, Sung Ryul;Sohn, Eun-Hwa
    • Journal of Microbiology and Biotechnology
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    • v.29 no.5
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    • pp.739-748
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    • 2019
  • Cheonggukjang and chaga mushrooms have numerous health benefits, and have been used in alternative medicine. Therefore, a powder mixture of 98: Cheonggukjang and 2: Chaga extracts was fermented with Lactobacillus acidophilus KCTC3925 (FCC) and its anti-obesity effects in high-fat diet (HFD)-induced obese mice were determined. Five-week-old male ICR mice were fed a normal diet or HFD in the presence or absence of 3% and 5% FCC by weight (n = 10 per group). After 12 weeks, the mice were sacrificed, and the serum and tissue samples were collected for analysis. Body weight and epididymal fat pad weight were significantly lowered in the 3% and 5% FCC groups compared with those in the HFD control group (p < 0.01). FCC supplementation suppressed serum triglyceride and increased serum HDL-C levels (p < 0.01). Serum GOT, GPT, and leptin levels, hepatic COX-2 mRNA expression, and splenic COX-2 and IL-4 mRNA expression were significantly higher in the HFD groups than in the control group (p > 0.05); however, except for splenic IL-4 levels, the increases were significantly attenuated by FCC supplementation. Expression of ICAM-1, an aortic inflammatory marker, was significantly increased in the HFD group; this effect was suppressed in the 3% FCC group (p < 0.01) but not in the 5% FCC group. FCC suppressed the body weight and epididymal fat pad weight gain, as well as inflammatory responses in the liver and spleen of HFD-fed mice. Thus, FCC supplementation will be beneficial for the treatment of obesity-related effects.

Relationship between the Ancient Silk Road and High-technology Machine in Producing Kyung-Geum (고대 실크로드와 고조선 경금 제직기의 연관성 고찰)

  • Kim, Ji-Su;Na, Young-Joo
    • Science of Emotion and Sensibility
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    • v.23 no.4
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    • pp.117-142
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    • 2020
  • This study aims to look for the main transport road of the ancient Silk Road and to add to the hidden history of silk, where little is known about the weaving technology of the beautiful silk of GoJoseon. The research was through the analysis of relics of empirical data and analyzed the secondary data collected from books, papers, and photos of artifacts. The research questions are as follows: First, investigates the environment of silk production for GoJoseon KyungGeum and the correlation between ancient Silk Road and the East region. Second, examines the advanced weaving technology of KyungGeum in GoJoseon. The findings of the study are as follows: It is possible to infer the production period of silk in GoJoseon through jade silkworms from the Hongsan Dong-Yi culture of 4500 BC. KyungGeum pieces were excavated in Louran, Astana and Niya of the Xinjiang Autonomous Region and Noin-Ula of Mongolia, and the oldest KyungGeum was found in JoYang, one of the capitals of GoJoseon near Balhae Bay. KyungGeum was invented in the 11th century BCE here. It became the brocade and damask of the West, which were delivered through steppe road before the 5~6th century BCE. The production of KyungGeum was possible through the advanced loom which is GoJoseon's horizontal square 'Jewharu' loom combined with a high level of weaving skill. This can't be made through the slant loom of China nor vertical loom of the West Asia. Based on these results, it is suggested to continue the research on the history of ancient silkroad.

Review of Non-invasive Interventions for Drooling Problems in Children With Cerebral Palsy: Trends and Analysis of Interventions for Drooling (신경발달장애 아동의 침흘림치료를 위한 비침습적 중재방법에 관한 고찰: 경향 및 중재방법 분석)

  • Jeon, Joo young;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.10 no.2
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    • pp.37-51
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    • 2021
  • Objective : The purpose of this study was to analyze non-invasive treatments and drooling assessment methods in children with cerebral palsy and developmental disabilities, who drool. Methods : This study searched two hundred papers published in 2005-2019. Forty-four papers were selected based on their abstract and title, and ten papers were finally selected following a secondary search. Results : The PEDro Scale of the selected papers was high with an average of seven points. As a result of analyzing the overall trends, the study participants were primarily patients with cerebral palsy, and recently, the therapeutic intervention of oral sensory exercise was more actively studied than behavioral modification. Studies of behavioral modification and oral sensory exercise intervention methods were found to have differences in participant age and, cognitive level, number of participants, research design, treatment time, and duration. Studies to confirming the frequency and severity of the drooling measurement method were found to be the main factor. Conclusion : This study analyzed typical behavioral modification and oral sensory exercise interventions as examples of non-invasive therapeutic interventions for children with cerebral palsy and developmental disabilities and provided information to help select appropriate therapeutic intervention methods when planning non-invasive therapy using behavioral modification and oral sensory exercise therapy.

Analysis of Causes of and Solutions to the Stack Effect by Vertical Zoning of High-rise Buildings (초고층 건축물 수직조닝별 연돌효과의 원인 및 해결 방안 분석)

  • Shin, Sang Wook;Ryu, Jong Woo;Jeong, Hee Woong;Kim, Dae Young
    • Journal of the Korea Institute of Building Construction
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    • v.21 no.5
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    • pp.483-493
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    • 2021
  • Urban overcrowding has created an explosive supply and demand for high-rise buildings. High-rise buildings are contributing to enhancing the image of the city by serving as focal points, but due to the stack effect, malfunction of elevator doors, difficulties in opening and closing the doors and windows of the outer wall, smoke and odors spreading to the upper floors, noise, energy loss, fire and pollutants have been causing various unexpected problems such as rapid spread of fire. This study classified high-rise buildings according to their vertical zoning, analyzed the causes of and solutions to the stack effect, and derived design and construction methods. Through the initial plan to block the outside air and securing airtightness through precise construction, we sought ways to secure the airtightness inside and outside the building by actively blocking the airflow from the lower floors. In addition, the facility solution can be a measure to reduce the specific phenomena caused by the stack effect, but it should only be applied to the minimum extent because the potential for secondary damage is high. This study emphasized the need for systematic stack effect management by suggesting design and construction measures for each vertical zoning of the causes and countermeasures of the stack effect. It is expected that this study will be helpful not only for design and construction, but also for building maintenance.

Evaluation of Concrete Materials for Desulfurization Process By-products (황부산물의 콘크리트 원료 활용 가능성 평가)

  • Park, Hye-Ok;Kwon, Gi-Woon;Lee, Kyeong-Ho;Kim, Moon-Jeong;Lee, Woo-Weon;Ryu, Don-Sik;Lee, Jong-Gyu
    • Journal of the Korea Organic Resources Recycling Association
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    • v.28 no.4
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    • pp.15-22
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    • 2020
  • The landfill gas produced in landfill is generally made up of methane(CH4) and carbon dioxide(CO2) of more than 90%, with the remainder made up of hydrogen sulfide(H2S). However, separate pre-treatment facilities are essential as hydrogen sulfide contained in landfill gas is combined with oxygen during the combustion process to generate sulfur oxides and acid rain combined with moisture in the atmosphere. Various desulfurization technologies have been used in Korea to desulfurize landfill gas. Although general desulfurization processes apply various physical and chemical methods, such as treatment of sediment generation according to the CaCO3 generation reaction and treatment through adsorbent, there is a problem of secondary wastes such as wastewater. As a way to solve this problem, a biological treatment process is used to generate and treat it with sludge-type sulfide (S°) using a biological treatment process.In this study, as a basic study of technology for utilizing the biological treatment by-products of hydrogen sulfide in landfill gas, an experiment was conducted to use the by-product as a mixture of concrete. According to the analysis of the mixture concrete strength of sulfur products, the mixture of sulfur by-products affects the strength of concrete and shows the highest strength value when mixing 10%.

High Performance Separator at High-Temperature for Lithium-ion Batteries (고온 싸이클 성능이 우수한 리튬 이차전지 분리막)

  • Yoo, Seungmin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.789-793
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    • 2021
  • A lithium secondary battery is the most promising candidate for future energy storage devices. On the other hand, the battery capacity decreases gradually due to the small amount of water and decomposition of the salts during the charging and discharging process, which deteriorates at high temperatures. Many researchers focused on increasing the cycling performance, but there have been few studies on the fundamental problem that removes water and HF molecules. In this study, silane molecules that are capable of absorbing water and HF molecules are introduced to the separator. Firstly, silica-coated amino-silane (APTES, 3-aminopropyltriethoxysilane) was synthesized, then the silica reacted with epoxy-silane, GPTMS ((3-glycidyloxypropyl)trimethoxysilane). A ceramic-coated separator was fabricated using the silane-coated silica, which is coated on porous polyethylene substrates. FT-IR spectroscopy and TEM analysis were performed to examine the chemical composition and the shape of the silane-coated silica. SEM was performed to confirm the ceramic layers. LMO half cells were fabricated to evaluate the cycling performance at 60 ℃. The cells equipped with a GPTMS-silica separator showed stable cycling performance, suggesting that it would be a solution for improving the cycling performance of the Li-ion batteries at high temperatures.