• Journal of Acupuncture Research
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• 제28권4호
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• pp.57-64
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• 2011

Objectives : The aim of this study is to overview the current status of Cochrane systematic review of acupuncture. Methods : Published Cochrane systematic reviews and protocols for evaluating acupuncture and/or moxibustion were searched by the terms 'acupuncture' and 'moxibustion' in Issue 1, Cochrane Library, 2011. Only reviews or protocols that regarded acupuncture or moxibustion as primary methods of intervention in their reviews were included. Data regarding first author national affiliation, intervention and disease, as well as the number of reviews or protocols that included Korean, Chinese, or Japanese databases in search strategies were obtained. Results : We found 92 hits at screening, and 59 studies were eligible for this review. Included interventions were acupuncture (n=56), auricular acupuncture (n=2), and moxibustion (n=1) for various diseases and conditions. The number of publications of Cochrane systematic reviews or protocols increased gradually from 2002 to 2011. First authors' affiliations were located in China (n=32), Australia (n=8), UK (n=7), Canada (n=4), U.S. (n=4), Germany (n=2), Norway, (n=1) and Korea (n=1). 44, four and four Cochrane reviews adopted Chinese, Korean and Japanese databases, respectively. Conclusions : Search strategies in a substantial number of Cochrane reviews or protocols for acupuncture and moxibustion heavily relied on Chinese databases. Korean databases were underused in existing Cochrane reviews and protocols, and Korean authors were much less involved in the Cochrane systematic reviews or protocols than Chinese authors. Further studies need to be conducted in order to incorporate evidence of acupuncture reported in Korean databases into the Cochrane systematic reviews.

• Journal of Acupuncture Research
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• 제41권1호
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• pp.63-68
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• 2024

Background: Facial nerve palsy presents a significant healthcare challenge, impacting daily life and social interactions. This systematic review investigates the potential utility of ultrasonography as a diagnostic tool for facial nerve palsy. Methods: Electronic searches will be conducted across various databases, including MEDLINE, EMBASE, CENTRAL (Cochrane Central register of Controlled Trials), CNKI (China National Knowledge Infrastructure), KMBASE (Korean Medical Database), ScienceON, and OASIS (Oriental Medicine Advanced Searching Integrated System), up to February 2024. The primary outcome will focus on ultrasonography-related parameters, such as facial nerve diameter and muscle thickness. Secondary outcomes will encompass clinical measurements, including facial nerve grading scales and electrodiagnostic studies. the risk of bias in individual study will be assessed using the Cochrane Risk of Bias assessment tool, while the grading of recommendations, assessment, development, and evaluations methodology will be utilized to evaluate the overall quality of evidence. Conclusion: This study aims to review existing evidence and evaluate the diagnostic and prognostic value of ultrasonography for peripheral facial nerve palsy.

• 한국도서관정보학회지
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• 제52권3호
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• pp.197-215
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• 2021

이 연구는 체계적 문헌고찰(systematic review) 연구방법을 활용하여 초등학생의 읽기이해력 향상을 위해 제공된 중재프로그램 실험연구들을 분석한 것이다. Cochrane의 핸드북을 적용하였으며, PICOTS-SD에 따라 핵심질문을 구성하였다. KCI에서 검색된 1,610건의 논문에서 포함기준과 배제기준을 적용하여, 최종 18건을 분석대상으로 선별하였다. Cochrane에서 제공하는 'RevMan5' 도구를 사용하여 비뚤림 위험을 평가하였다. 평가결과 대부분의 영역에서 비뚤림 위험도가 낮게 나타났다. 그리고 이들 논문들에 대한 정성적인 분석을 위해 자료요약표를 정리하였다. 이 결과, 중재프로그램의 유형은 다양하였으며, 고학년생을 적용대상으로 하는 경우가 많았다. 실험집단의 크기는 6명에서 29명이며, RCT 기반 연구보다 QED 기반 연구가 더 많았다. 중재시간은 40분이 가장 많았으며, 중재회기는 8회에서 24회로 나타났다. 그리고 모든 연구에서 중재프로그램은 읽기이해력 향상에 효과가 있는 것으로 나타났다.

• 한국임상약학회지
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• 제33권4호
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• pp.221-241
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• 2023

Background: The purpose of this systematic review was to investigate the effects of digital therapeutics for insomnia on sleep disorders and mental health improvement compared to the control group. Methods: Following the guidelines on systematic review(PRISMA, NECA), a literature search was conducted through PubMed, Cochrane Library, EMBASE, RISS, KISS, and KoreaMed using keywords. The Cochrane Risk of Bias Tool and Review Manager version 5.3 were used for risk of bias and effect size assessment. Results: Thirty eight RCT met criteria for inclusion. When compared against three control conditions, the digital therapeutics for insomnia was an effective intervention for improvement sleep disorders and mental health in comparison to waiting list and Patient-directed care with some intervention by medical staff. However, digital therapeutics for insomnia were no more effective than face-to-face CBT-I control group. Conclusion: The efficacy of digital therapeutics for insomnia was evaluated differently depending on the control group. Therefore, in phase 3 clinical trials for efficacy evaluation, it is necessary to review whether the control group has been properly established.

• Physical Therapy Rehabilitation Science
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• 제9권1호
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• pp.55-65
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• 2020

Objective: The most important goal of hippotherapy is to improve function, gait, and balance. The purpose of this study was to investigate the effects of hippotherapy on function, gait, and balance of children with cerebral palsy (CP). Design: A systematic review and meta-analysis. Methods: We've searched the PubMed, EMBASE, and Cochrane Library CENTRAL databases for English experimental studies published up until September 2018. To analyze the effects of hippotherapy on the function, gait, and balance of children with cerebral palsy, the systematic review and meta-analysis were performed on Patient/Participants/Population Problem, Intervention, Comparison, Outcome with Timing, Setting Study Design. Papers retrieved from the database were removed from the literature management database. Methodological quality evaluation was evaluated using Cochrane's risk of bias. Data was analyzed using the Revman 5.3 program of the Cochrane library. Results: In this study, we found that the effect size of hippotherapy, denoted as d, was -3.82, and that hippotherapy had the most effect on gait, but no statistical significant difference was observed. We also found no significant difference in function and balance after hippotherapy. It was found from the funnel plot that there was no publication bias as the plot was symmetrically distributed around the dotted line. Conclusions: There are many unclear studies and a lack of randomized controlled trials (RCTs) in this research area. More RCTs on the effects of hippotherapy on children with CP should be conducted in the future.

• 대한한방내과학회지
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• 제43권4호
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• pp.559-566
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• 2022

서론: 본 체계적 문헌 고찰의 프로토콜 논문은 간암의 한약 치료에 대한 효과와 안전성의 근거를 제시하는 것을 목표로 한다. 방법: 본 체계적 문헌 고찰은 간암에 한약 치료에 대한 무작위 대조 임상시험을 포함할 것이다. 오직 무작위 대조 임상시험 유형의 임상 연구만 포함할 것이다. 시험군의 한약 치료는 한약을 사용한 모든 제형을 포함할 것이며, 대조군은 다른 치료, 플라시보 치료, 서양의학적 치료 등을 포함할 것이다. 다음 11개의 데이터베이스를 활용하여 검색할 것이다: the Cochrane Database of Systematic Reviews, MEDLINE, EMBASE, AMED, CINAHL, Chinese database(CNKI), 그리고 다섯 개의 한국데이터베이스(OASIS, DBpia, RISS, KISS, and NDSL). 연구의 선정, 데이터 추출 및 분석 등의 업무는 3명의 연구자가 독립적으로 수행할 것이다. 비뚤림 위험 평가를 포함한 연구의 질적 평가는 Cochrane risk-of-bias assessment tool을 사용할 것이다. 결과: 본 간암에 대한 한약 치료의 체계적 문헌 고찰은 최신의 근거를 요약적이고 분석적으로 제공할 것이다. 결론: 간암의 한약 치료에 대한 효과와 안전성의 근거를 제시할 것이며, 이는 종양학이나 한의학과 보완·대체의료 분야의 종사자들에게 유용한 정보를 제공할 것이다.

• 대한한의학회지
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• 제31권6호
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• pp.21-28
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• 2010

Objective: This study was undertaken to systematically assess and summarize the effects of acupuncture on cortisol secretion. Materials and methods: We searched articles published up to May 2010 in six electronic databases (PubMed, Cochrane Library, KISS, KISTI, DBPIA, Kyobo Scholar). Randomized clinical trials (RCTs) which met all the inclusion criteria were reviewed. Eight RCTs were finally selected for this systematic review and assessed by three reviewers. The risk of bias was also estimated by using the Cochrane criteria. Results: Six RCTs reported no distinct difference of cortisol levels between control and experimental groups. Two RCTs reported significant differences of cortisol levels between groups; one reported the acupuncture group with markedly higher concentrations of cortisol while the other reported the opposite result. Conclusion: There are some difficulties in clearly identifying the effects of acupuncture on cortisol levels in this systematic review due to inconsistent results. Therefore, more rigorous trials with larger scales need to be conducted to clarify the effects of acupuncture on cortisol levels.

• Safety and Health at Work
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• 제8권2호
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• pp.130-142
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• 2017

Background: Osteoarthritis of the knee is considered to be related to knee straining activities at work. The objective of this review is to assess the exposure dose-response relation between kneeling or squatting, lifting, and climbing stairs at work, and knee osteoarthritis. Methods: We included cohort and case-control studies. For each study that reported enough data, we calculated the odds ratio (OR) per 5,000 hours of cumulative kneeling and per 100,000 kg of cumulative lifting. We pooled these incremental ORs in a random effects meta-analysis. Results: We included 15 studies (2 cohort and 13 case-control studies) of which nine assessed risks in more than two exposure categories. We considered all but one study at high risk of bias. The incremental OR per 5,000 hours of kneeling was 1.26 (95% confidence interval 1.17-1.35, 5 studies, moderate quality evidence) for a log-linear exposure dose-response model. For lifting, there was no exposure dose-response per 100,000 kg of lifetime lifting (OR 1.00, 95% confidence interval 1.00-1.01). For climbing, an exposure dose-response could not be calculated. Conclusion: There is moderate quality evidence that longer cumulative exposure to kneeling or squatting at work leads to a higher risk of osteoarthritis of the knee. For other exposure, there was no exposure dose-response or there were insufficient data to establish this. More reliable exposure measurements would increase the quality of the evidence.

• 한국콘텐츠학회논문지
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• 제19권3호
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• pp.396-404
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• 2019

본 연구의 목적은 체계적 문헌고찰을 통해 월경곤란증에 관한 요가의 효과를 확인하는 것이다. 자료수집은 체계적 문헌고찰 보고지침(preferred reporting items for systematic reviews and meta-analysis[PRISMA])에 따라 진행하였다. 분석대상 논문은 1966년부터 2018년 11월까지 CINAHL, Cochrane Library, Embase, CycINFO, PubMed 및 KoreaMed 등 전자데이터베이스와 "footnote chasing"를 통해 최종 7편이 추출되었다. 주요 결과는 요가를 적용한 실험군에서 대조군에 비해 생리통 강도 및 기간, 스트레스, 삶의 질, 우울, 불안 및 분노 등에서 유의하게 감소되었고, 생리통 유발인자인 호모시스테인, 성선자극 호르몬, 여포자극호르몬, 황체형성호르몬, 프로락틴 등이 유의하게 감소하는 것으로 보고되었다. 이러한 결과는 요가가 월경곤란증의 완화를 위한 적절한 중재방법임을 암시한다.

• 한방재활의학과학회지
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• 제27권3호
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• pp.71-79
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• 2017

Objectives To determine the effectiveness of Tuina for temporomandibular joint disorder. Methods We searched 10 electronic databases (Pubmed, CNKI, EMBASE, Cochrane Library, KISS, KISTI, NDSL, RISS, KMBASE, DBpia) up to May 2017. We included randomized controlled trials (RCTs) using Tuina for temporomandibular joint disorder. The methodological quality of each RCT was assessed by the Cochrane risk of bias tool. Results 14 RCT studies were eligible in our review. 14 studies were divided into 4 groups, and meta-analysised. The meta-analysis of 6 studies showed favorable results for the use of Tuina. High risk of bias were observed in 9 studies. Conclusions Although there are favorable results with meta-analysis, our systematic review are highly dependent on the single source of Chinese electrical database, CNKI. Now limited evidence is available to support Tuina for temporomandibular joint disorder and further well-designed RCTs should be encouraged.