• Title/Summary/Keyword: Funnel effect

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Effect of Cognitive Behavioral Therapy (CBT) for Perinatal Depression: A Systematic Review and Meta-Analysis (산전우울 임부를 위한 인지행동치료 프로그램의 효과: 체계적 문헌고찰 및 메타분석)

  • Shin, Hyeon-Hee;Shin, Yeong-Hee;Kim, Ga-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.271-284
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    • 2016
  • This study was carried out to evaluate the efficacy of CBT for perinatal depression through systematic literature review and meta-analysis. The following databases were used to search the literature: CINAHL, PubMed, EMBASE, Koreamed, Library of Korean Congress, KISS, and Korean Academic Publication Database. Keywords included 'perinatal depression,' 'pregnant women,' and 'cognitive behavioral therapy,' and the evaluated articles were published up to May 2016. Using the R program, the effect size of perinatal depression and anxiety were calculated by random-effects model. The heterogeneity of the effect size was analyzed by data moderator analysis using the meta-ANOVA. Furthermore, the funnel plot, Egger's regression test, fail-safe N, trim-and-fill test, and publication bias analysis were conducted and used to verify the results. Out of the 180 selected articles, 16 clinical trial studies were meta-analyzed. Each articles were evaluated for the risk of bias by the checklist of SIGN; the overall risk of bias was low. The effect size of CBT for perinatal depression was Hedges' g=-0.55 (95% CI: -0.76~-0.33), which was a moderate level, while for anxiety reduction, Hedges' g=-0.20 (95% CI: -0.48~-0.08) and it was not statistically significant. Heterogeneity or risk of publication bias were low. This meta-analytic study found that CBT is moderately effective in reducing perinatal depression in pregnant women.

The Effect of Psychological Intervention for Pain Reduction in Osteoarthritis Patients : A Meta-analysis (골관절염 환자의 통증 감소를 위한 심리적 중재의 효과 : 메타분석)

  • Lee, Chun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.109-117
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    • 2019
  • This study was conducted to provide for the development of psychological interventions through meta-analysis of the effects of psychological intervention for pain reduction in patients with osteoarthritis. R version 3.5.1 program was used to identify the effectiveness of psychological mediating by December 30, 2018, while the Korean and foreign literature published by PubMed, EMBASE, Ovid-MEDLINE, CINAHL, and Korean databases were searched. As a result, 12 studies with a total of 1,847 participants were analyzed in a total of 1,822 literature. The results showed that the overall effect size of psychological intervention for pain reduction in osteoarthritis patients was small effect -0.31(95% CI: -0.50, -0.11, p<.001). In the moderator analysis, the effect size showed a significant difference depending on the intervention type, intervention duration and the intervention provider. The funnel plot analysis was used to analyze the publication bias, and it was visually asymmetric but not asymmetric after the egger's regression test (bias = -3.24, p = .077). The results of this study suggest a standard of efficacy for psychological interventions to improve pain symptoms, which is a major symptom of osteoarthritis, although the number of studies included in the meta-analysis is low and has provided a clinical basis during intervention and intervention providers.

Effects of Cognition Improvement Programs on Normal Elderly in Korea: A Systematic Review and Meta-Analysis (국내 노인의 인지기능 향상 프로그램의 효과연구: 체계적 문헌고찰과 메타분석)

  • Kim, Kyoungyun;Lee, Eunjoo
    • 한국노년학
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    • v.37 no.2
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    • pp.431-444
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    • 2017
  • This study identified effect size of cognition improvement programs developed for normal elderly in Korea. By searching four databases, 9,624 studies published from 2000 to 2016 were identified. Finally, 14 studies which satisfied the inclusion criteria were selected for meta-analysis. Quality assessment of included studies was conducted using controlled trial checklist of Scottish Intercollegiate Guidelines Network. R version 3.3.2 (2016-10-31) with "meta" and "metafor" package was used to calculate effect sizes, identify the reasons of heterogeneity, and check publication bias. Total effect size of cognition improvement program was middle (SMD=0.759, p<.001, $I^2=34%$). For heterogeneity, moderator analysis was executed and combined program with exercise had the largest effect size (SMD=1.231, p<.001, $I^2=40.8%$). Publication bias was exist by funnel plot and Egger 's regression test, but trim and fill analysis showed that there was no serious error to reverse study results. Therefore, Combined program with exercise for the normal elderly was expected to improve the cognitive function of the normal elderly.

Effect of Cognitive Improvement Programs for Mild Cognitive Impairment in Korean Elderly: A Meta-Analysis (한국 경도인지장애 노인을 위한 인지기능 향상 프로그램의 효과: 메타분석)

  • Kim, Kyoungyun;Lee, Eunjoo
    • Korean Journal of Adult Nursing
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    • v.29 no.2
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    • pp.177-189
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    • 2017
  • Purpose: A meta-analysis was conducted to identify the effect of cognitive improvement programs for the elderly with mild cognitive impairment (MCI) in Korea. Methods: Five databases, as well as relevant reference lists, of studies published from 2000 to 2016, were searched. Fourteen studies were identified. Quality assessments of included studies were conducted using the Scottish Intercollegiate Guidelines Network checklist. An R program was used to analyze effect sizes and to identify possible sources of heterogeneity among studies. The potential for publication bias was investigated using a funnel plot, Egger's regression test and sensitivity analysis. Results: The total effect size was large (Standardized Mean Difference [SMD]=1.44, 95% CI: 1.11~1.77), with cognition based intervention (SMD= 1.77, 95% CI: 1.26~2.29) and exercise intervention (SMD=1.13, 95% CI: 0.82~1.44). Statistically significant moderators were identified intervention type by meta-ANOVA analyses. Finally, no significant evidence of publication bias was found. Conclusion: There is clear evidence that cognitive improvement programs can greatly enhance cognition in elderly with MCI. Future research should examine the effects of non-pharmacological interventions targeting elderly populations with mild-to-severe cognitive impairment in order to develop and enhance the effectiveness of cognitive improvement programs in Korea.

Meta-Analysis of Spiritual Intervention Studies on Biological, Psychological, and Spiritual Outcomes (영적중재의 신체적, 심리적, 영적 효과크기에 대한 메타분석)

  • Oh, Pok-Ja;Kim, Young-Hyun
    • Journal of Korean Academy of Nursing
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    • v.42 no.6
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    • pp.833-842
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    • 2012
  • Purpose: The purpose of this study was to evaluate the effectiveness of spiritual intervention studies by examining biological, psychological, and spiritual outcomes. Methods: From electronic databases 2522 studies were retrieved, of which 21 studies met the inclusion criteria. These studies had 1411 participants. Two authors independently extracted data from the selected studies and assessed the methodological quality. The data were analyzed using the RevMan 5.1 program of the Cochrane library. Results: Overall effect size of spiritual intervention on spiritual and psychological (depression and anxiety) outcomes were moderate (d= -0.65 to d= -0.76, p<.001). The effects on biological outcomes (pain and functional status) ranged from -0.51 to -0.39, respectively. No publication bias was detected as evaluated by a funnel plot. Spiritual intervention had a moderate effect on psychological and spiritual outcomes and a smaller effect on biological outcomes. Conclusion: The results of this study suggest that spiritual intervention can relieve depression and anxiety. Further randomized controlled trials studies are needed to evaluate the effects of spiritual intervention on biological outcomes.

Influential Factors of Digital Customer Experiences on Purchase in the 4th Industrial Revolution Era - Focusing on Moderated Mediating Effects of Digital Self Efficacy- (4차 산업혁명시대의 디지털 고객경험과 구매간 영향관계 - 디지털 자기효능감의 조절된 매개효과를 중심으로-)

  • Jung, Sang Hee;Chung, Byoung Gyu
    • Journal of Venture Innovation
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    • v.3 no.1
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    • pp.101-115
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    • 2020
  • In the era of the 4th Industrial Revolution customers living began to come out, not inside the purchase funnel. Due to the diversity of product selection and the increase in digital channels, the way customers search for information and purchase it is changing innovatively. So, the customer journey in the digital age is much more complicated than the traditional funnel model suggests. Unlike many previous studies, this study was conducted for 1,200 customers in four product groups of fashion, automobile, cosmetics, and online shopping malls. As a result of the study, we investigated how digital self-efficacy plays a role in purchasing in a series of processes in which digital experience affects customer satisfaction and finally affects purchase. As a theoretical implication, as a result of introducing and testing digital self efficacy as moderated mediation effect. the digital self-efficacy between customer satisfaction and customer loyalty were determined to play a moderated mediation effect role. As a practical implication, it was necessary to actively utilize digital marketing for customers with high digital self-efficacy, but it was suggested that customers with low digital self-efficacy need to be careful about digital marketing fatigue.

The Effect of Less Invasive Methods with VATS in the Management of Descending Necrotizing Mediastinitis (하행성 괴사성 종격동염의 치료에서의 비디오 흉강경을 이용한 저침습적 방법의 효용성)

  • 민호기;심영목;김진국
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.630-633
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    • 2002
  • Although the incidence of descending necrotizing mediastinitis(DNM) is low, this is a serious disease because it"s mortality have been reported to be as high as 40∼50%. Currently, many authors have emphasized aggressive surgical approaches rather than medical treatment alone. We report good results in 2 DNM patients treated by less invasive approach with video-assisted thoracoscopic surgery, Less invasive methods with video-assisted thoracoscopic surgery can reduce hospital stay and morbidity if effective drainage can be achieved in selected DNM patients.

An Experimental Study on the Impedance of the Machinery Foundation and the Cabin Noise in Cruise Ship (여객선 객실소음과 장비 받침대 임피던스에 관한 실험적 연구)

  • Kim, Kuk-Su;Kim, Nho-Seong;Rhee, Wook;Kwak, Dong-Hee
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2011.10a
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    • pp.513-518
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    • 2011
  • In cruise ships, it is inevitable to arrange the cabins near by the noisy areas, such as ventilation fan, HVAC machinery and funnel casing etc. The noise is propagated to the cabins by way of mount, foundation and deck. The transmitted noise to cabin is affected by mount and foundation structure. It is well-known that most of the structure-borne noise can be reduced by the flexible mount. However, when the foundation of machinery is designed inappropriately, it can make noise problems in cabins. In this paper, the effect of foundation on noise reduction is studied through the numerical analysis and mock up test. The dynamic performance of foundation is investigated from the viewpoint of the impedance and noise reduction in cabin.

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Numerical Simulation on the Heat Transfer and Smoke Flow Phenomena and Evacuation in the Road funnel Fires (도로터널내부 화재시의 열전달 및 연기거동에 따른 피난안전성평가에 관한 수치적 연구)

  • Min Dong-Ho;Son Bong-Sei
    • Fire Science and Engineering
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    • v.19 no.1 s.57
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    • pp.87-92
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    • 2005
  • In this paper, numerical simulation are conducted to predict the characteristics of the heat transfer and smoke flow and evacuation in the road tunnel. Fire source are used about 30 MW and the turbulent flow characteristics are considered by standard k-epsilon turbulent model. The effect of transient thermal behavior and disaster prevention can be used for designing the road tunnel.

Flowing and Setting Properties of High Flowing$\cdot$High Strength Concrete using Blast-Furnace Slag according to the Chemical Agent (고로슬래그 미분말을 사용한 고유동고$\cdot$강도 콘크리트의 혼화제에 따른 유동 및 응결 특성)

  • Kim, Yong-Ro;Shim, Jae-Hyung;Kang, Suk-Pyo;Kim, Sang-Yun;Baik, Chul;Kim, Moo-Han
    • Proceedings of the Korea Concrete Institute Conference
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    • 2000.10b
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    • pp.1242-1247
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    • 2000
  • Results from a study on the effect of the chemical agent on the flowing and setting properties of high flowing.high strength concrete using blast-furnace slag are presented in this paper. The flowing and setting properties of concrete are investigated by slump, slump-flow, flowing velocity, L-flow, velocity of V-funnel, L-spatial passability and setting time. In addition, kinds of chemical agent were composed of naphthalene type, of naphthalene and melamine and melamine type. The results indicate that dispersive capacity can be increased by naphthalene composition. Also, it shows that viscosity and early strength can be increased by melamine composition.

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