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Efficacy Comparison of Different Acupuncture Treatments for Hot Flashes: A Systematic Review with Network Meta-Analysis

  • Jo, Hyo Rim;Choi, Seong Kyeong;Sung, Won Suk;Kim, Eun Jung;Choi, Su Ji;Kim, Dong Il;Noh, Eun Ji
    • Journal of Acupuncture Research
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    • v.38 no.2
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    • pp.110-121
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    • 2021
  • The objective of this study was to conduct a systematic review and network meta-analysis to evaluate and compare the effectiveness of various types of acupuncture for menopausal hot flashes (HF). Randomized controlled trials (RCTs) were retrieved from 8 electronic databases, and the risk of bias was evaluated for the included studies. Pairwise meta-analysis and network meta-analysis were performed using Review Manager and R software for indirect comparison and ranking, respectively. In total, 23 RCTs (2,302 patients) were eligible for systematic review, of which 10 were included in network meta-analysis. Network meta-analysis showed manual acupuncture (MA) had the highest probability of reducing HF frequency and severity, followed by sham acupuncture (SA), electroacupuncture, usual care, or no treatment; furthermore, warm acupuncture significantly improved menopause-specific quality of life compared with MA or electroacupuncture. Compared with hormone replacement therapy, acupuncture had less efficacy in reducing HF frequency but enhanced menopause-specific quality of life. There was no significant difference between MA and SA in mitigating HF. The existing evidence showed that MA could be used for alleviating menopausal HF. However, it is recommended that more high-quality RCTs should be performed.

Factors that Affect the Confidence of Performance of Nurses at Small and Medium-sized Hospitals in the Control of Infections Caused by Multidrug-Resistant Organisms (중소병원 간호사의 다제내성균 감염관리 수행자신감에 미치는 영향요인)

  • Choi, Mi Jung;Lee, Mi Hyang;Jeong, Sun Young;Song, Min Sun
    • Journal of Home Health Care Nursing
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    • v.27 no.3
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    • pp.321-329
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    • 2020
  • Purpose: This study was conducted to assess the factors that affect the confidence of nurses at small and medium-sized hospitals in the control of infections caused by multidrug-resistant organisms and to establish basic data for the interventional strategy to improve the nurses' execution of the control of infection caused by multidrug-resistant organisms. Methods: A total of 154 nurses working at four small and medium-sized hospitals situated in City C were selected as participants of this study. Data were collected using a structured questionnaire and analyzed using the IBM SPSS 21.0 software. Results: Confidence in controlling infections caused by multdrug-resistant organisms had a positive correlation with the level of knowledge of this control and the health beliefs of the nurses. Factors that affect nurses' confidence in controlling infections caused by multidrug-resistant organisms included perceived benefits (β=.431, p<.001) and knowledge (β=.354, p<.001) with an explanatory power of 36.4%. Conclusion: It was found that the nurses have higher confidence in executing their duties with higher perceived benefits of and knowledge about the control of infections caused by multidrug-resistant organisms. As such, it is deemed necessary to establish strategies to elevate the advantages of and knowledge about infection prevention activities at the time of training/education on controlling infections caused by multidrug-resistant organisms.

Nutritional Intake and Postoperative Pulmonary Complications among Lung Cancer Patients who Underwent Pulmonary Resection (폐절제술을 받은 폐암환자의 영양섭취 상태와 수술 후 폐합병증)

  • Lee, Seon Hye;Lee, Haejung;Hyun, Sookyung;Lee, Mi Soon;Kim, Do Hyung;Kim, Yeong Dae
    • Journal of Korean Biological Nursing Science
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    • v.23 no.1
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    • pp.11-21
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    • 2021
  • Purpose: The aim of this study was to examine the nutritional intake status of the lung cancer patients who underwent pulmonary resection and to analyze the relationship between the status of the nutritional intake and the occurrence of postoperative pulmonary complications. Methods: This study was a secondary analysis to determine whether the changes in the nutritional intake after surgery were related to pulmonary complications. Data of a total of 89 patients were included in the analysis and the nutritional intake status was confirmed using a 24-hour dietary recall method. The data were analyzed by descriptive statistics, chi-square or Fisher's exact test, and ANOVA using the SPSS WIN 26.0 program and word clouds were generated using the R software program. Results: Overall, a decrease in the postoperative nutritional intake was observed in the patients who underwent pulmonary resection, except for the intake of fat. The pulmonary complications were identified to be associated with BMI and the presence of comorbidity. Twenty-three out of 74 patients with vitamin E levels below the Estimated Average Requirements developed pulmonary complications after surgery. Conclusion: Lung cancer patients who underwent pulmonary resection generally have difficulty in acquiring appropriate nutritional intake and need balanced nutritional management. Future investigations on the impact of increased vitamin E intake on postoperative pulmonary complications may provide better insight into the relationship between vitamin E intake and pulmonary complication among patients who underwent pulmonary resection.

The Meta-Analysis on Effects of Python Education for Adolescents (청소년 대상 파이썬(Python) 활용 교육의 효과에 대한 메타분석)

  • Jang, Bong Seok;Yoon, So Hee
    • Journal of Practical Engineering Education
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    • v.12 no.2
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    • pp.363-369
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    • 2020
  • This study intends to examine effects of python education for adolescents. 6 primary studies were chosen through careful search process and investigated through meta-analysis. Research findings were as follows. The total effect size was 0.684. Second, the effect sizes of dependent variables were academic achievement 0.871, cognitive domain 0.625, and affective domain 0.428 in order. Third, for cognitive domain, the effect sizes were self-efficacy 0.833, problem-solving 0.283, computing thinking 0.276, and coding competency 0.251 in order. Fourth, for affective domain, the effect sizes were learning interest 0.560 and programming interest 0.417 in order. Fifth, regarding school level, the effect sizes were middle school 0.851, high school 0.585, and college 0.435 in order. Finally, for subject areas, the effect sizes were mathematics 1.057, design 0.595, information 0.585, and software 0.28 in order.

Clinical Effects of Zinc Supplementation in Patients Hospitalized with COVID-19: A Systematic Review and Meta-analysis (코로나바이러스감염증-19로 입원한 환자들에 대한 아연의 임상적 효과: 체계적 문헌고찰 및 메타분석)

  • Park, Hye Won;Lee, So Yeon;An, Sook Hee
    • Korean Journal of Clinical Pharmacy
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    • v.31 no.2
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    • pp.136-144
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    • 2021
  • Background: Zinc is known for modulating antiviral and antibacterial immunity and regulating inflammatory response. This study aimed to examine the effect of zinc supplementation on clinical outcomes of hospitalized COVID-19 patients through systematic literature review and meta-analysis. Methods: PubMed/Medline, Embase, and Cochrane library databases were searched for studies comparing zinc supplement group versus control group for clinical outcomes of COVID-19 up to November 3, 2020. The search results were updated on February 9, 2021. The meta-analysis was performed by RevMan 5.4 software. Results: Total 4 studies were included in this systematic review. The zinc administered group had a significantly lower mortality rate compared with the control group (odds ratio [OR] 0.63, 95% confidence interval [95% CI] 0.53-0.75, p<0.001), with significantly higher discharge rate (OR 1.32, 95% Cl 1.15-1.52, p<0.001). However, there were no significant differences in the intensive care unit admission rate (OR 1.07, 95% Cl 0.26-4.48, p=0.92), mechanical ventilation rate (OR 0.80, 95% Cl 0.45-1.41, p=0.44), and length of hospital stay (mean difference 0.75, 95% Cl -0.64 to 2.13, p=0.29) between the two groups. Conclusion: The meta-analysis of zinc administration showed positive clinical effects on the discharge rate and mortality of COVID-19 hospitalized patients. However, large-scale randomized controlled trial should be conducted for zinc to be considered as one of the adjuvant treatments.

Structural relationships among work-family balance, resilience, job satisfaction, parenting self efficacy, and happiness of double income couples with 3-5 years old child(ren) (유아기 맞벌이 부부의 일-가족균형, 회복탄력성이 행복에 미치는 영향: 직무만족도와 양육효능감의 매개효과)

  • Ha, Kwaenam;Jung, Min-Ja
    • Journal of Family Relations
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    • v.22 no.1
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    • pp.111-134
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    • 2017
  • Objective: The purpose of this study is to verify the structural relationships among work-family balance, resilience, job satisfaction, parenting self-efficacy and happiness of double income couples with 3~5 years child(ren). Method: This study distributed structured self-reported questionnaires and used the data of 229 couples with 3~5 years child(ren) for an analysis. A confirmatory factor analysis was conducted for checking the measurement unity and a structural equation model was performed to reveal the structural relationship using AMOS software. Results: In a structural relationships among work-family balance, resilience, job satisfaction, parenting self-efficacy and happiness, a total of 13 paths appeared significant. The influence of the husband on the wife was more significant than that of the wife on the husband, and resilience was found to have a strong influence on the happiness of wife and husband. The work-family balance was different for wife and husband. Conclusion: These results suggest that it is necessary to develop various programs and approaches for the development of resilience to promote their happiness. As a policy direction in the future, with a goal of a shift to the paradigm, 'raising children together,' an institutional support should be prepared for the concretization of the formation and practice of the value of co-parenting children.

Impact of viewing conditions on the performance assessment of different computer monitors used for dental diagnostics

  • Hastie, Thomas;Venske-Parker, Sascha;Aps, Johan K.M.
    • Imaging Science in Dentistry
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    • v.51 no.2
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    • pp.137-148
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    • 2021
  • Purpose: This study aimed to assess the computer monitors used for analysis and interpretation of digital radiographs within the clinics of the Oral Health Centre of Western Australia. Materials and Methods: In total, 135 computer monitors(3 brands, 6 models) were assessed by analysing the same radiographic image of a combined 13-step aluminium step wedge and the Artinis CDDent 1.0® (Artinis Medical Systems B.V.®, Elst, the Netherlands) test object. The number of steps and cylindrical objects observed on each monitor was recorded along with the monitor's make, model, position relative to the researcher's eye level, and proximity to the nearest window. The number of window panels blocked by blinds, the outside weather conditions, and the number of ceiling lights over the surgical suite/cubicle were also recorded. MedCalc® version 19.2.1 (MedCalc Software Ltd®, Ostend, Belgium, https://www.medcalc.org; 2020) was used for statistical analyses(Kruskal-Wallis test and stepwise regression analysis). The level of significance was set at P<0.05. Results: Stepwise regression analysis showed that only the monitor brand and proximity of the monitor to a window had a significant impact on the monitor's performance (P<0.05). The Kruskal-Wallis test showed significant differences (P<0.05) in monitor performance for all variables investigated, except for the weather and the clinic in which the monitors were placed. Conclusion: The vast performance variation present between computer monitors implies the need for a review of monitor selection, calibration, and viewing conditions.

The Meta-Analysis on Effects of Arduino-Based Education for Secondary School Students (중·고등학생 대상 아두이노 활용 교육의 효과에 대한 메타분석)

  • Jang, Bong Seok
    • Journal of Industrial Convergence
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    • v.19 no.3
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    • pp.61-65
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    • 2021
  • This study aimed to analyze effects of Arduino-based education for secondary school students through meta-analysis. Prior studies including journal articles and theses were selected through rigorous review. The researcher calculated the overall effect size and effect sizes by categorical variables. Research findings are as follows. First, the total effect size of Arduino-based education was 0.537. Second, the effect sizes by type of dependent variables were the affective domain 0.849 and the cognitive domain 0.479. Third, the effect sizes by school level were the middle school 0.796 and the high school 0.474. Fourth, the effect sizes by subject areas were music 1.255, science 0.562, technology 0.443, and information 0.429. Fifth, the effect sizes by types of programming were the graphic-based programming 0.543 and the text-based programming 0.376.

The Effect of Kinesio Taping on Pain, Muscle Strength and Balance Control Ability by Age Group: A Literature Review

  • Lee, So-Jeong;Lee, Dongyeop;Hong, Ji-Heon;Yu, Jae-Ho;Kim, Jin-Seop;Kim, Seong-gil
    • The Journal of Korean Physical Therapy
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    • v.33 no.3
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    • pp.142-147
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    • 2021
  • Purpose: The purpose of this study is to objectively and systematically investigate the effect of Kinesio taping by organizing and analyzing the research results using effect size. Methods: A total of 1,000 papers was searched, and 100 of them were selected the first time. Afterward, the effects of taping were analyzed and classified papers that studied balance, muscle strength, and pain, and finally 34 papers were selected. The effect size was calculated using the Effect Size Calculators (University of Colorado, USA) program. Statistical analysis was performed by using PASW Statistics software version 23.0 (IBM Co., Armonk, NY, USA). Descriptive statistics were used to obtain the effect size and confidence interval for each group. Results: In a study related to balance control ability, the effect size was 1.519 in the young subjects group (20-39 years old), and the effect size in the elderly group (65 years or older) was 0.360. In a study related to muscle strength, the effect size was 0.469 in the group of young subjects and 0.250 in the middle-aged group (40-65 years old), and the effect size of the elderly group was 0.848. In the study related to pain control, the effect size was 0.469 in the young group, the effect size of the middle-aged group was 0.972, and the effect size of the elderly group was 1.040. Conclusion: Kinesio taping differed in the degree of effect according to the age group of the subjects, but it was effective in balance control ability, muscle strength, and pain.

Development and Application of Artificial Intelligence Education Program for Secondary School Students using Self-Driving Cars (자율주행 자동차를 이용한 중등 학생 대상 인공지능 교육 프로그램 개발 및 적용)

  • Ryu, Hyein;Lee, Jeonghun;Cho, Jungwon
    • Journal of Digital Convergence
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    • v.19 no.7
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    • pp.227-236
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    • 2021
  • This study aims to develop an AI education program for secondary school students to help understand AI and to provide an experience of solving real-life problems by using AI, and to analyze the effectiveness of education. The education program based on the AI education system for K-12 developed in the previous study was composed of a total of 12 lessons by selecting the self-driving cars, which is emerging as a recent issue among real life problems, as the main topic. Classes were conducted for secondary school students who had experience in software education, and the effectiveness of education and class satisfaction were analyzed. As a result of the analysis, it was confirmed that the understanding of AI and the sense of AI efficacy were improved, and the class satisfaction was high in all items such as educational content, fun in class, difficulty of class, and interest in AI. Based on these results, implications for AI education for secondary students were proposed.