• 제목/요약/키워드: Meta analysis

검색결과 2,666건 처리시간 0.033초

다양한 골 이식재의 임상 효과에 대한 고찰 (A study of the clinical effects of various bone graft materials)

  • 이승범;연제영;채경준;정의원;김창성;이용근;조규성;채중규;김종관;최성호
    • Journal of Periodontal and Implant Science
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    • 제37권4호
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    • pp.719-732
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    • 2007
  • Purpose: Various bone graft materials are being used for periodontal tissue regeneration. Th materials are being developed continuously for ideal clinical effects. Therefore, it is necessary to identify the clinical characteristics of each bone graft material through comparing the various bone graft materials statistically and in doing so, proposing a more efficient bone graft material. In this study, the following results were attained through comparing the clinical effects among the bone graft materials, using the statistical method based on the clinical studies published at the department of periodontology of Yonsei hospital. Materials and Method: 6 selected studies of department of Periodontology at Yonsei University Hospital were based on clinical study of bone grafting in intrabony defects. It was compared the clinical parameters among the 6 clinical studies, using the statistical META analysis. Result: When comparing the probing depth reduction, there was a relatively great amount of decease when using the xenograft, Anorganic Bovine Derived Hydroxapatite Bone Matrix/Cell Binding Peptide(ABM/P-15: PepGen $P-15^{(R)}$) and the autogenous bone and absorbable membrane, d, 1-alctide/glycolide copolymer(GC: $Biomesh^{(R)}$). The allogfrafts showed a relatively low decrease in the probing depth and clinical attachment change. It also showed a slight decrease in the bone probing depth. The allografts showed various results according to different bone graft materials. When comparing the ABM/P-15 and bovine bone $powder(BBP^{(R)})$, ABM/P-15 showed a relatively high clinical attachment level and the bovine bone powder showed a relatively high clinical attachment level. The probing depth change and gingival recession change showed a lower value than the mean value between the two bone graft materials. The synthetic bone showed a relatively high decrease in clinical attachment level and periodontal probing depth change. There was a relatively larger amount of gingival recession when using Bioactive Glass(BG) but a relatively low bone regeneration effect was seen. Conclusion: Good restorative results of the periodontal tissue can be attained by applying the various bone graft materials being used today after identifying the accurate clinical effects.

복부비만 관련 임상시험의 국내외 연구경향 고찰 (Comparative Review of Current Clinical Trials on Abdominal Obesity)

  • 임제연;송윤경;임형호
    • 한방재활의학과학회지
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    • 제20권2호
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    • pp.63-77
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    • 2010
  • Objectives : It is known that abdominal obesity increases the possibility of cardiovascular diseases, early death, and metabolic syndrome including dyslipidemia and insulin resistance. Clinical trials have been under way to verify the effectiveness of treatment for abdominal obesity. The objective of this study is to set criteria about how effective oriental medicine and acupuncture are in abdominal obesity. Methods : I manually search "www.clinicaltrial.gov", 4 Korean medical databases and 4 Korean medical journals of abdominal obesity. Search terms used were "abdominal obesity" or "visceral obesity". In order to see detail review, searching was performed from 01, 01, 2005 to 11, 31, 2009. And I classified all the searched studies into design, intervention, purpose, end point, diseases, condition and etc. Results : 1. I could search total 67 trials in "www.clinicaltrial.gov". I found 9, 10, 13, 8, 6 clinical trial from 2005 to 2009 every year. 2. Test on both gender and adult or adult and senior have been most frequent. 3. Randomization clinical trial is 51 cases that occupied 96.2%. 38 cases use control group. 4. Body mass index(BMI) and waist circunference(WC) are major criteria of abdominal obesity clincal trial. WC, BMI, abdominal fat mass, body weight are measured at end point of abdominal obesity clincal trial. 5. I could search total 86 cases in domestic study. I found 15, 23, 23, 20, 5 cases from 2005 to 2009 every year. 6. Test on female and adult have been most frequent in domestic study. 7. Randomization clincal trial is only 2 cases that occupied 2.3%. 62 cases use control group in domestic study. 8. BMI, body fat percent, WC, visceral-subcutaneous fat ratio(VSR), waist-hip ratio(WHR) are criteria of abdominal obesity clincal trial in domestic study. WC, BMI, abdominal fat mass, body weight are measured at end point of abdominal obesity clincal trial in domestic study. Conclusions : To improve abdominal obesity study in traditional korean medicine, it is need to activate clinical trial, meta analysis, develope of clinical practice guidelines, co-works with conventional medicine and etc.

본태성 진전에 대한 중의학 연구동향 (A Review on Treatment of Essential Tremor in Traditional Chinese Medicine)

  • 신아리;배영롱;임재유;이승환;김상호;임정화
    • 동의신경정신과학회지
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    • 제28권2호
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    • pp.95-107
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    • 2017
  • Objectives: This study was performed to review studies on Essential Tremor (ET) in Traditional Chinese medicine (TCM). Methods: We reviewed papers in the China National Knowledge Infrastructure (CNKI) from 2007~2016. Search keywords were 原发性震颤, 特发性震颤, essential tremor and idiopathic tremor, and excluded non-clinical studies, non-related to ET or TCM studies, theses for degrees and non-Randomized Controlled Trial (RCT). The quality of the articles was assessed by Jadad scale and the Risk of Bias (RoB). Results: Thirteen studies were selected. 'Criteria for the diagnosis of ET' was most frequently used as diagnostic criteria. 'Tremor rating scale' was primarily used for outcome measurement. Meta-analysis of nine trials revealed the effective rate of acupuncture and Western medicine (WM+Acu) groups was significantly higher compared to the WM group (RR: 1.48, 95 percent CI: 1.20 to 1.82, p=0.0002, $I^2=0$ percent) and tremor rating scale was also significantly decreased in the treatment group (MD: -1.35, 95 percent CI: -2.17 to -0.54, p=0.001, $I^2=0$ percent). Also, effective rates of Electro-acupuncture (EA) and Chinese herbal medicine (CHM) groups were significantly higher than that of the WM group {(RR: 1.53, 95 percent CI: 1.22 to 1.92, p=0.0003, $I^2=0$ percent) in EA vs. WM and (RR: 1.35, 95 percent CI: 1.16 to 1.57, p<0.0001, $I^2=0$ percent) in CHM vs. WM}. However, the quality of selected clinical studies was poor. Conclusions: Treatment of ET in TCM may be more effective and safe than in Western medicine. Therefore, we hope this study will lead to further clinical research on treatment of ET in Korean medicine.

『중용』과 진화생물학의 대화 가능성 모색 (A Study of the Possibility of Interaction between the Doctrine of the Mean and Evolutionary Biology)

  • 김재경
    • 동양고전연구
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    • 제54호
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    • pp.155-182
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    • 2014
  • 이 논문은 "중용"의 "천명지위성(天命之謂性)"과 "시중(時中)", 그리고 "천지위만물육(天地位萬物育)"의 이슈가 진화생물학의 유전자, 자연선택, 종 다양성 문제와 대화 가능한지 그 가능성을 검토하고 있다. 이를 위해 먼저 성리학과 진화생물학의 유사점과 차이점을 살펴보고, "중용"과 진화생물학의 접점이 무엇인지 모색하고 있다. 이 논문은 세 가지 점에서 "중용"과 진화생물학 사이의 대화 가능성을 검토한다. 첫번째는 인간 본성에 대해 천명지위성과 유전자의 관점에서 대화 가능한지 살펴본다. 두 번째는 존재 이유의 타당성을 시중과 자연선택의 관점에서 살펴본다. 세 번째는 생물간 상호 유연 관계를 천지위만물육과 종 다양성이라는 관점에서 살펴본다. 첫 번째 모색의 소주제들은 <리와 기 vs 유전자와 운반체>의 구조적 연관성, <성선 vs 이기적 유전자의 이타성>의 판단기준, <인 의 예 지 vs 후성규칙>에서 '후천적 선험' 도출 가능성이다. 두 번째 모색의 소주제들은 <천리의 뒤집힘[번(?)] vs 돌연변이>, <변/화 vs 진화>의 시간관, <시중 vs 자연선택/적응>의 메타meta적 접근이다. 세 번째 모색의 소주제들은 <리일분수理一分殊 vs 부분과 전체>의 프랙탈 구조, < 일기一氣 vs 생물간 상호 유연>의 상동관계, <천지위 만물육 vs 생태계>와 치중화致中和의 과제이다. 이러한 모색과 제안들에 대한 후속연구는 "중용"을 둘러싼 성리학 연구의 지평 확대를 가져 올 수 있다.

상호매체성의 이론과 그 적용 - 피터 그리너웨이의 <프로스페로의 서재>를 중심으로 (A Theory of Intermediality and its Application in Peter Greenaway's )

  • 박기현
    • 비교문화연구
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    • 제19권
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    • pp.39-77
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    • 2010
  • The cinema of Peter Greenaway has consistently engaged questions of the relationship between the arts and particularly the relations of image and writing to cinema. When different types of images are correlated and merged with each other on the borders of painting, photography, film, video and computer animation, the interrelationships of the distinct elements cause a shift in the notion of the whole image. This analysis proposes to articulate the complex relationship between the 'interartial' dimension and the 'intermedial' dimension in Peter Greenaway's film, (1991). If the interartiality is interested in the interaction between various arts, including the transition from one to another, the intermediality articulates the same type of relationship between two or more media. The interactional relationship is the same on both sides; on the contrary, the relationship between art and media does not show the same symmetry. All art is based on one or more media - the media is a condition existence of art - but no art can't be reduced to the status of media. This suggests that if the interartiality always involves the intermediality, this proposal may not be reversed. First, we analyse a self-conscious investigation into digital art and technology. Prosospero's Books can be read as a daring visual essay that self-consciously investigates the technical and philosophical functions of letters, books, images, animated paintings, digital arts, and the other magical illusions, which have been modern or will be post-modern media to represent the world. Greenaway uses both conventional film techniques and the resources of high-definition television to layer image upon image, superimposing a second or third frame within his frame. Greenaway uses the frame-within-frame as the cinematic equivalent of Shakespeare's paly-within-play : it offer him the possibility to analyse the work of art/artist/spectator relationship. Secondly, we analyse the relationship between the written word, oral word and the books. Like the written word, the oral word changes into a visual image: The linguistic richness and nuances of Shakeaspeare's characters turn into the powerful and authoritative, but monotone, voices of Gielgud-Prospero, who speaks the Shakespearean lines aloud, shaping the characters so powerfully through his worlds that they are conjured before us. Specially each book is placed over the frame of the play's action, only partially covering the image, so that it gives virtually every frame at least two space-time orientations. Thirdly, we try to show how Peter Greenaway uses pictorial references in order to illustrate the context of the Renaissance as well as pictorial techniques and language in order to question the nature of artistic representation. For exemple, The storm is visualised through reference to Botticelli's : the storm of papers swirling around the library is constructed to look like a facsimili copy of Michelangelo's Laurentiana Library in Florence. Greenaway's modern mannerism consists in imposing his own aesthetic vision and his questioning of art beyond the play's meta-theatricality: in other words, Shakespeare''s text has been adapted without being betrayed.

비형식과학교육과 포괄적학습성과의 메타연구: 최근 10년간의 발표논문을 중심으로 (A meta-study of Informal Science Learning and Generic Learning Outcomes: Focusing on published papers in the last 10 years)

  • 조익형;유연우;나관식
    • 디지털융복합연구
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    • 제19권9호
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    • pp.33-42
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    • 2021
  • 비공식적 환경에서의 과학 교육이 매우 중요함에도 불구하고 비형식 과학교육(ISL)과 그 영향에 대한 경향 분석 연구가 부족한 것이 현실이다. 이에 본 논문의 목적은 ISL의 교육적 효과와 활용 방안에 대해 알아보고, 향후 ISL 연구 방향에 대한 지침을 주는데 있다. 이 연구는 2010년부터 2019년까지 발표된 특정 ISL 관련 논문을 분류하고, 비형식 교육의 효과 측정에 사용되는 GLO의 각 요소와 비교 분석하였다. 분석된 자료는 SPSS, Chi-Square를 통해 부분별로 적합도를 확인했다. 결론적으로 연구자들은 'GLO'의 5가지 성과지표 중 '지식과 이해'와 '태도 및 가치'를 추구하기 위해 ISL을 활용하고 있는 것으로 나타났다. 반면에 '기술'과 '즐거움, 영감 및 창의성'에는 가장 적은 기대를 하는 것으로 나타나서, 향후 이러한 부분에서의 보완이 요구된다. 또한 이 연구를 통해 다양한 교육 종사자들에게 비형식 과학교육 관련 프로그램 개발과 향후 연구를 위한 방향을 제시하고자 한다.

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

  • 배지민;이명수;최지원;양기영;김건형
    • Korean Journal of Acupuncture
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    • 제36권1호
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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.

GNSS 가강수량 추정시 건조 지연 모델에 의한 복원 정밀도 해석 (Retrieval Biases Analysis on Estimation of GNSS Precipitable Water Vapor by Tropospheric Zenith Hydrostatic Models)

  • 남진용;송동섭
    • 한국측량학회지
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    • 제37권4호
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    • pp.233-242
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    • 2019
  • GNSS를 이용한 가강수량 복원에 있어서 가중 평균 기온과 더불어 천정 건조 지연 모델은 가강수량의 정확도에 중요한 매개변수 중 하나이다. 천정 습윤 지연은 천정 건조 지연 모델의 오차가 축적되는 경향을 가지고 있으므로, 천정 건조 지연의 편의량은 GNSS 가강수량의 정확도에 영향을 미치게 된다. 본 연구에서는 Saastamoinen, Hopfield 및 Black의 세 가지 천정 건조 지연 모델을 이용하여 GNSS 가강수량을 산출하고 라디오존데 가강수량과의 정확도를 비교하였다. 그리고 이 과정에서 가강수량 산출에 필요한 가중 평균 기온을 한국형 가중 평균 기온 모델과 라디오존데로부터 실제로 관측한 가중 평균 기온을 각각 적용하여 다르게 평가하였다. 이를 위해 국내 상시관측소 5개소의 1년 분량의 GNSS 관측데이터를 취득한 후 천정 건조 지연 모델별로 가강수량을 산출하고 정밀도를 분석하였다. 분석 결과, 한국형 가중 평균 기온 모델에 기반하여 복원한 GNSS 가강수량이 라디오존데의 가중 평균 기온을 적용한 것보다 편의량이 작은 것으로 확인되었다. 또한, GNSS 기상에서 널리 적용하고 있는 Saastamoinen 모델은 우리나라 관측소의 위도나 고도에 의한 편의량이 발생하여 가장 유효한 모델이 아닐 가능성이 있음을 확인하였다.

Korean Guidelines for Diagnosis and Management of Interstitial Lung Diseases: Part 2. Idiopathic Pulmonary Fibrosis

  • Lee, Sang Hoon;Yeo, Yoomi;Kim, Tae-Hyung;Lee, Hong Lyeol;Lee, Jin Hwa;Park, Yong Bum;Park, Jong Sun;Kim, Yee Hyung;Song, Jin Woo;Jhun, Byung Woo;Kim, Hyun Jung;Park, Jinkyeong;Uh, Soo-Taek;Kim, Young Whan;Kim, Dong Soon;Park, Moo Suk;Korean Interstitial Lung Diseases Study Group
    • Tuberculosis and Respiratory Diseases
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    • 제82권2호
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    • pp.102-117
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    • 2019
  • Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive fibrosing interstitial pneumonia, which presents with a progressive worsening dyspnea, and thus a poor outcome. The members of the Korean Academy of Tuberculosis and Respiratory Diseases as well as the participating members of the Korea Interstitial Lung Disease Study Group drafted this clinical practice guideline for IPF management. This guideline includes a wide range of topics, including the epidemiology, pathogenesis, risk factors, clinical features, diagnosis, treatment, prognosis, and acute exacerbation of IPF in Korea. Additionally, we suggested the PICO for the use of pirfenidone and nintendanib and for lung transplantation for the treatment of patients with IPF through a systemic literature review using experts' help in conducting a meta-analysis. We recommend this guideline to physicians, other health care professionals, and government personnel in Korea, to facilitate the treatment of patients with IPF.

게임을 읽는 머리, 스포츠 지능이 존재하는가? 스포츠 수행과 관련된 인지기능에 관한 문헌고찰 (Does sports intelligence, the ability to read the game, exist? A systematic review of the relationship between sports performance and cognitive functions)

  • 용타위 아차랏;박진한;우민정
    • 한국융합학회논문지
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    • 제12권3호
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    • pp.325-339
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    • 2021
  • 연구의 목적은 문헌고찰을 통해 스포츠 관련 인지기능과 이를 효과적으로 측정할 수 있는 검사도구를 제안하고, 스포츠 지능 연구의 기초를 마련하는 것이다. 문헌고찰은 체계적 문헌고찰과 메타분석 지침인 PRISMA 연구법에 근거하여 수행되었다. 게재년도 2008-2020년으로 검색기준 설정 후, 키워드를 통해 검색된 총 429편 중 본 연구의 문헌선택 기준을 충족한 45편이 최종 분석되었다. 고찰된 논문 결과를 요약하면, 선수들은 비선수보다 특정 인지기능이 우수하고, 스포츠 전문성이 높을수록 해당 인지기능이 더 높았으며, 종목에 따라 인지기능에 차이가 있는 것으로 나타났다. 45편에 대한 종합적 분석결과, 스포츠 수행과 관련된 주요 인지기능은 실행기능(억제능력, 인지유연성), 정보처리속도, 공간능력, 주의력으로 요약된다. 각 인지기능 측정을 위한 검사도구로 억제능력은 정지신호과제, 인지유연성은 설계유연성검사, 정보처리는 단순반응검사와 선택반응검사, 공간능력은 심적회전검사, 주의력은 주의연합검사가 적절하다.