• Title/Summary/Keyword: 4-META

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The Related Factors to Workplace Bullying in Nursing: A Systematic Review and Meta-analysis (간호사간 직장 내 괴롭힘 관련변인에 대한 체계적 문헌고찰과 메타분석)

  • Kang, Jiyeon;Lee, Minju
    • Korean Journal of Adult Nursing
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    • v.28 no.4
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    • pp.399-414
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    • 2016
  • Purpose: The purpose of this study was to review and identify factors relevant to workplace bullying in nursing. Methods: Twenty-three studies that met the criteria were selected from a sample of twenty-six studies. These articles were retrieved from a central literature databases (N=13,241). The total correlational effect size (ESr) for each related factor was calculated from Fisher's Zr. A funnel plot inspection (similar to scatter plot) with a trim-and-fill method was used to assess the publication bias of the meta-analyzed studies. Results: From the systematic review, fifty-one factors were identified as having an influencing effect. Fourteen factors (five individual and nine organizational factors) were eligible for meta-analysis. The individual factors included, self-esteem (ESr=-.31), psychological capital (ESr=-.26), and marital status (ESr=-.06) which were significantly correlated with workplace bullying. Organizational factors included, organizational tolerance (ESr=.48), supervisor incivility (ESr=.47), job stress (ESr=.46), group morale (ESr=-.36), group support (ESr=-.35), supervisor leadership (ESr=-.35), group identity (ESr=-.33), and structural empowerment (ESr=-.27). These factors were significantly correlated with workplace bullying. There were no publication biases except for both individual and organizational factors. Conclusion: Organizational factors have more of an greater impact than individual factors on workplace bullying. The results of this study support the need for intervention at the organizational level.

The Lymphotoxin-α 252 A>G Polymorphism and Breast Cancer: A Meta-analysis

  • Zhou, Ping;Huang, Wei;Chu, Xing;Du, Liang-Feng;Li, Jian-Ping;Zhang, Chun
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.1949-1952
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    • 2012
  • Objective: The aim of this meta-analysis is to evaluate associations between LTA-252 A>G and breast cancer (BC). Methods: Electronic searches of several databases were conducted for all online publications. A total of 7 studies involving 4,625 BC patients and 4,373 controls were identified. Results: This meta-analysis showed no significant association between the LTA-252 A>G polymorphism and BC in overall or Caucasian populations. However, a positive association was found limited to Asian populations. Conclusion: Although there was no significant association found between the LTA-252 A>G polymorphism and BC overall, a positive association was found in Asian populations.

A Meta-analysis of the Effect of Walking Exercise on Lower Limb Muscle Endurance, Whole Body Endurance and Upper Body Flexibility in Elders (노인 걷기운동이 하지근지구력, 전신지구력과 상체유연성에 미치는 효과: 메타분석)

  • Roh, Kook-Hee;Park, Hyeoun-Ae
    • Journal of Korean Academy of Nursing
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    • v.43 no.4
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    • pp.536-546
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    • 2013
  • Purpose: The purpose of this study was to determine whether walking exercise improved physical function in elderly people using meta-analysis. Methods: Medical and nursing literature databases were searched to identify the studies on the effectiveness of walking exercise on physical function. In the databases, there were 16 articles reporting 21 interventions. Overall effect sizes for three outcome variables, elders' physical function in lower limb muscle endurance, whole body endurance and upper body flexibility, were calculated. Effects of study characteristics on outcome variables were analyzed. Results: The meta-analysis showed that walking exercise generally had positive effects on CST (chair stand test), 6MW (6 min walking), and SRT (standing or sitting reach test) with overall weighted effect sizes of 1.06, 0.41 and 0.29 respectively. This study also showed that the chronic disease status of the elders, intervention methods, and type of residence had different effects on CST, 6MW and SRT. Conclusion: The results indicate that walking exercise improves physical function in elders. Walking exercise which can be done at any time and any location is indeed a very effective exercise for elderly people.

A Meta-analysis of Factors Related to Organizational Effectiveness of Healthcare Employees (의료기관 종사자의 조직효과성 관련요인에 관한 메타분석)

  • Song, Myung-Gyu;Kim, Won-Joong
    • The Korean Journal of Health Service Management
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    • v.10 no.4
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    • pp.37-50
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    • 2016
  • Objectives : The aim of this meta-analysis was to draw overall conclusions on the correlation between the organizational effectiveness (OE) of healthcare employees and related factors by summarizing recent studies and to provide a baseline for future research. Methods : A literature search for original articles published from 2005 to 2014 including doctoral theses and KCI journal articles was done in KERIS' RISS, etc. in a systematic manner. From 77 studies which met the inclusion criteria 190 effect sizes (ESs) were calculated for the analysis. A meta-analysis was done with CMA 3 (Biostat company, USA). Results : The overall ES was moderate for all, positively and negatively related factors. For all related factors, job characteristics, group-leader relations, personal and organizational characteristics had a moderate ES. The ES for work experiences was small. Conclusions : Although the results of this study were meaningful it is necessary to perform follow-up analyses (1) based on a longer data period and more articles, (2) including moderating variables with higher explanatory power and (3) adopting a study model with more specific and simplified variables.

Effect of Vitamin D on Muscular Strength in Postmenopausal Women: A Meta-Analysis (비타민D 보충 요법이 폐경 후 여성 근력에 미치는 효과: 메타분석)

  • Kang, Purum;Kim, Jeehyoung;Kim, Myung Jin
    • Journal of Korean Biological Nursing Science
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    • v.21 no.4
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    • pp.239-248
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    • 2019
  • Purpose: Postmenopausal women are a unique population with high risk for the degeneration of muscle. The aim of the present meta-analysis was to accurately evaluate the effects of vitamin D on muscular strength in postmenopausal women. Methods: A review was conducted using electronic databases, including PubMed, EMBASE, Ovid Medline, CINAHL complete, and the Cochrane Library from inception through 19 March 2019. Included studies were selected by two independent reviewers. The meta-analysis were performed using Review Manager 5.3 software. Results: A total of nine randomized controlled clinical trials were included in this review. Vitamin D interventions led to no changes in the upper limb muscle strength (mean difference -0.16, 95% CI: -1.09 to 0.77), lower body muscle strength (standard mean difference 0.08, 95% CI: -0.11 to 0.26), and back/hip muscle strength (standard mean difference 0.06, 95% CI: -0.05 to 0.17). Conclusion: Pooled results from eight studies indicated that supplementation of vitamin D did not increase muscle strength in postmenopausal women. Apparently, the present review suggests that supplementation of vitamin D alone had no didn't show any beneficial effects on muscle strength in postmenopausal women.

Erector spinae plane block for spinal surgery: a systematic review and meta-analysis

  • Liang, Xiao;Zhou, Weilong;Fan, Yuchao
    • The Korean Journal of Pain
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    • v.34 no.4
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    • pp.487-500
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    • 2021
  • Background: Although the erector spinae plane block has been used in various truncal surgical procedures, its clinical benefits in patients undergoing spinal surgery remain controversial. The aim of this meta-analysis was to evaluate the clinical benefits of erector spinae plane block in patients undergoing spinal surgery. Methods: We searched the Cochrane Library, PubMed, EMBASE, and China National Knowledge Infrastructure for randomized controlled trials comparing the erector spinae plane block with a nonblocked control for spinal surgery. Results: Twelve studies encompassing 696 subjects were included in our systematic review and meta-analysis. We found that the erector spinae plane block decreased postoperative pain scores and opioid consumption in the postoperative and intraoperative periods. Moreover, it prolonged the time to the first rescue analgesic, reduced the number of patients who required rescue analgesia, and lowered the incidence of postoperative nausea and vomiting. However, it did not exhibit efficacy in decreasing the incidence of urinary retention and itching or shortening the length of hospital stays, or the time to first ambulation. Conclusions: Erector spinae plane block improves analgesic efficacy among patients undergoing spinal surgery compared with nonblocked controls; however, there is insufficient evidence regarding the benefits of erector spinae plane block for rapid recovery.

Arthroscopic Excision of Medial Knee Plica: A Meta-Analysis of Outcomes

  • Gerrard, Adam Daniel;Charalambous, Charalambos P.
    • Knee surgery & related research
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    • v.30 no.4
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    • pp.356-363
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    • 2018
  • Purpose: A meta-analysis was performed to assess the outcomes following surgical intervention for medial knee plica. Materials and Methods: A literature search of Medline, EMBASE, CINAHL and Cochrane CENTRAL was performed using relevant key words. The primary outcome was patient-reported postoperative scores of "good" and "excellent". Meta-analyses were performed using a random effects model. Results: The literature search identified 731 articles. After removing duplicates and those not meeting the inclusion criteria, 12 articles reporting on a total of 643 knees were included for analysis, and of these, 7 articles including 235 knees were used for meta-analysis. The overall rate of good and excellent outcomes following surgery was estimated at 84.2% (95% confidence interval [CI], 72.8-91.4). In those cases that had non-surgical therapy prior to surgery, the rate of good and excellent outcomes of surgery was estimated at 76.1% (95% CI, 60.1-87). Conclusions: Arthroscopic surgical management of symptomatic medial knee plica results in favourable outcomes. Our results suggest that arthroscopic surgical excision should be considered as a treatment modality in patients with pathological medial plica disease of the knee either as a first-line treatment or when symptoms have not responded to non-surgical interventions. Level of Evidence: IV.

Meta-Analysis of Social Psychological Factors related to Quality of Life in Stroke Patients (뇌졸중 환자의 삶의 질과 관련된 사회 심리적 요인에 대한 메타분석)

  • Yang, Young-Ok;Kim, Minju;Park, Kyung-Yeon
    • Research in Community and Public Health Nursing
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    • v.29 no.4
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    • pp.510-519
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    • 2018
  • Purpose: The purpose of this meta-analysis isto identify social psychological factors related to quality of life and estimate the effect sizes of the factors among patients with strokes. Methods: Thirteen studies with a total of 1,814 patients published from the earliest records to January 8, 2017 were selected through a systematic process of searching the literature, and evaluated against influencing factors of quality of life and their effect sizes. Pooled effect sizes were calculated using the random effect model. Meta-analysis was conducted by R software. Results: The following influencing factors had a strong association with quality of life with stroke: depression (r=-.50; 95% CI: -0.63~-0.46), activities of daily living (r=.46; 95% CI: 0.35~0.56), and social support (r=.40; 95% CI: 0.24~0.53). Conclusion: The findings confirm that depression, activities of daily living and social support are associated with quality of life among patients with stroke survivors. We recommend that any intervention program to improve the quality of life with stroke patients consider addressing these modifiable influencing factors.

Systematic Literature Review and Meta-Analysis on the Effect of Exercise Intervention Programs on Blood Lipids in Obese Adolescents in Korea according to Sex (국내 비만 청소년을 대상으로 실시한 운동 중재 프로그램의 혈중지질 효과에 대한 체계적 문헌고찰과 메타분석: 성별 차이 분석)

  • Kim, Juri;Lee, Mikyoung
    • Journal of the Korean Society of School Health
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    • v.34 no.2
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    • pp.87-97
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    • 2021
  • Purpose: The authors used a meta-analysis approach to investigate the effects of exercise on gender-specific triglyceride (TG) and high-density lipoprotein cholesterol (HDL-C) in obese adolescents. Methods: This study is a systematic review and meta-analysis study to confirm the effect of exercise intervention according to gender for obese adolescents. PICO were obese a adolescents, exercise intervention, comparative intervention (control and general group),TG and HDL-C. Results: The group of obese male adolescents showed a statistically significant decrease of 51.72 in TG (n=175, MD=-51.72; 95% CI -52.44 to -51.00).There was a statistically significant increase of 4.44 in HDL-C (n=175, MD=4.44; 95% CI 3.79 to 5.10) in the group of obese male adolescents. Conclusion: Triglyceride and high-density lipoprotein cholesterol were analyzed to determine the effect of exercise interventions in obese adolescents according to gender differences. The results of this study can be used as basic data for the design of future exercise intervention studies, subjects, exercise methods, and intervention periods.

Soccer league optimization-based championship algorithm (SLOCA): A fast novel meta-heuristic technique for optimization problems

  • Ghasemi, Mohammad R.;Ghasri, Mehdi;Salarnia, Abdolhamid
    • Advances in Computational Design
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    • v.7 no.4
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    • pp.297-319
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    • 2022
  • Due to their natural and social revelation, also their ease and flexibility, human collective behavior and teamwork sports are inspired to introduce optimization algorithms to solve various engineering and scientific problems. Nowadays, meta-heuristic algorithms are becoming some striking methods for solving complex real-world problems. In that respect in the present study, the authors propose a novel meta-innovative algorithm based on soccer teamwork sport, suitable for optimization problems. The method may be referred to as the Soccer League Optimization-based Championship Algorithm, inspired by the Soccer league. This method consists of two main steps, including: 1. Qualifying competitions and 2. Main competitions. To evaluate the robustness of the proposed method, six different benchmark mathematical functions, and two engineering design problem was performed for optimization to assess its efficiency in achieving optimal solutions to various problems. The results show that the proposed algorithm may well explore better performance than some well-known algorithms in various aspects such as consistency through runs and a fast and steep convergence in all problems towards the global optimal fitness value.