• Title/Summary/Keyword: Meta regression analysis

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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.

Effect of Lactobacillus Base Probiotics Feeding on the Growth Performance, Blood Parameters and Cecal Lactic Acid Bacteria of Broiler Chicken: Meta-analysis (Lactobacillus를 주성분으로 하는 생균제의 급여가 육계의 성장성적, 혈액성분 및 장내 유산균에 미치는 효과: 메타분석)

  • Choi, Nag-Jin;Hwang, In-Ho;Park, Chul;Kim, Dae-Cheol;Baek, Seoung-Woo;Moon, Sang-Ho;Cho, Won-Mo;Hong, Seong-Koo
    • Korean Journal of Organic Agriculture
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    • v.19 no.4
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    • pp.565-575
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    • 2011
  • Recently, the use of antibiotics to improve animal productivity in livestock industry was strictly restricted. For these reason, probiotics have been regarded as one of promising materials for an antibiotic alternative. In this study, we investigated how the probiotics influences on the performance of broiler chicken via meta-analysis. Eighteen researches from 1997 to 2010 were used for meta-analysis. The standard summary effects were calculated via fixed effect model and random effect model (Borenstein et al., 2009). Heterogeneity was calculated by using the Cochran's Q statistics (Kook et al., 2009) and publication bias was calculated via Egger's regression (Lee et al., 2011). In fixed model average daily gain, body weight serum protein content and cecal LAB showed positive effect significantly. Feed intake, feed/gain and serum cholesterol showed significant negative effect. In serum triglyceride, negative effect was found but significance was not shown. In random model, average daily gain body weight and cecal LAB showed positive effects with significance and feed/gain and serum cholesterol represented significant negative effects. Publication bias was found only in feed/gain.

Meta-Analysis of the Correlation Effects between Empowerment and Related Factors among Nurses

  • Myoung, Sungmin
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.10
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    • pp.157-164
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    • 2018
  • The purpose of this study was to investigate the effect of empowerment in nurses through a systematic literature review and meta-analysis. 23 studies were collected through a systematic process of using several databases such as NDSL, DBPIA, and KISS. Keywords included 'nurse', 'empowerment', and 'correlation' and the reviewed articles were published from 2002 to 2017. In order to estimate the effect size of correlation between empowerment, 3 variables (job satisfaction, organizational commitment, and nursing performance) were considered. Using the R program, meta-analysis was calculated by using random effects model, and effect sizes on three types were estimated. As the result, it was found, first, the effect size of correlation between job satisfaction and empowerment is .50. Second, the effect size of correlation between organizational commitment and empowerment is .45. Third, for the nursing performance and empowerment relationship, the effect of correlation is 0.50. Also, Egger's regression test, fail-safe N, trim-and-fill test, and funnel plot were showed to evaluate the results. These results highlights the need for appropriate policies of the relationship between empowerment and job satisfaction, organizational commitment and nursing performance in nurses.

Prevalence of methicillin-resistant Staphylococcus aureus in Iranian children: a systematic review and meta-analysis

  • Sarrafzadeh, Farhad;Sohrevardi, Seyed Mojtaba;Abousaidi, Hamid;Mirzaei, Hossein
    • Clinical and Experimental Pediatrics
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    • v.64 no.8
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    • pp.415-421
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    • 2021
  • Background: Antibiotic resistance is associated with longer hospitalizations, higher treatment costs, and increased morbidity and mortality rates. Purpose: This study aimed to determine the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in Iranian children. Methods: International databases, including Web of Science, PubMed, Embase, and Scopus, and Iranian databases, including Scientific Information Database (www.sid.ir), Magiran, and Iranian Database for Medical Literature (idml.research.ac.ir), were systematically searched for articles published between January 2000 and August 2019. Sources of heterogeneity were determined using subgroup analysis and meta-regression. Results: Overall, 343 studies were identified; of them, 20 were included in the meta-analysis to estimate the pooled prevalence. The pooled prevalence of MRSA was 42% (95% confidence interval [CI], 29-55) among culture-positive cases of S. aureus, 51% (95% CI, 39-62) in hospitalized children, and 14% (95% CI, 0.05-27) in healthy children. Conclusion: The overall pooled prevalence of MRSA in children was 42%. Appropriate infection control measures and effective antibiotic therapy are needed.

A meta-analysis of parental factors on psychological & social maladjustment of school-aged children (부모요인이 학령기 아동의 심리·사회적 부적응에 미치는 영향에 대한 메타분석)

  • Kim, Dae-Kwang;Kim, Yeong-Hee
    • Journal of Family Relations
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    • v.22 no.1
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    • pp.63-85
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    • 2017
  • Objectives: The purpose of this study was to conduct a meta analysis of the previous studies on parental factors related to psychological and social maladjustment of school children and to examine the moderate effects of publication year using the meta-regression analysis. Method: Subjects of studies was academic journals and thesis published on 1996-Feb. 2016. Final result of selection was 353(122 journal articles, 231 master's thesis & dissertations) and total number of sampling was 126,776 school children. Results: Parental factors had medium effect sizes on psychological and social maladjustment of school children. Parental risk factors had bigger effect size than protective factors on children's maladjustment. There were a tendency that effect size of some parental factors were increased as publish year went by. Conclusions: Attachment, positive communication, and positive marital relationship were major protective factors which had reduced maladjustment of children. Psychological control and negative marital relationship were the strongest risk factors. The impact on parental factors on maladjustment of children were getting stronger recently.

Factors Related to Positive Psychological Capital among Korean Clinical Nurses: A Systematic Review and Meta-Analysis (국내 임상간호사의 긍정심리자본 관련 요인: 체계적 문헌고찰 및 메타분석)

  • Lee, Byung Yup;Jung, Hyang Mi
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.3
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    • pp.221-236
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    • 2019
  • Purpose: The purpose of this study was to systematically review and identify factors relevant to the positive psychological capital of clinical nurses. Methods: These was no limit on year of publication. Articles related to Korean clinical nurses were retrieved from computerized database using a manual search. A systematic review was conducted based on the PRISMA flow. The total correlational effect size (ESr) for each related factor was calculated from Fisher's Zr. Funnel plots, fail-safe numbers, and Egger regression tests were used to evaluate publication bias in meta-analysis studies. The correlational effect size of 25 studies was analyzed through meta-analysis using Comprehensive Meta-Analysis software 3.0 (CMA). Results: The review included 25 studies. In the systematic review, 14 demographic factors and 46 organizational factors were found to be influential. Eleven factors (6 demographic factors and 5 organizational factors) were appropriate for meta-analysis. The overall effect size was .26. The demographic total correlation effect size of related factors was .20 and the total effect size of organization was .46. Organizational commitment (ESr=.38) and job satisfaction (ESr=.54) were statistically positively related variables. Negative variables were burnout (ESr=-.61), turnover intention (ESr=-.41) and workplace bullying (ESr=-.33). The total effect size of the organizational factors was larger than the demographic total effect size. There was no publication bias except for demographic variables. Conclusion: Organizational factors and adjustable variables have a significant impact on positive psychological capital. The results of this study support the need for development of interventions focusing on organizational factors.

An Exploratory Meta Analysis of Library Economic Valuation Studies (도서관의 경제적 가치측정 연구의 탐색적 메타분석)

  • Chung, Hye-Kyung;Ko, Young-Man;Shim, Won-Sik;Pyo, Soon-Hee
    • Journal of the Korean Society for Library and Information Science
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    • v.43 no.4
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    • pp.117-137
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    • 2009
  • This study aims to grasp how to understand the difference in return on investment (ROI) or the cost-benefit ratio in forty-two domestic and overseas studies of library valuation, using a meta-analytical review method. Meta-analysis, a quantitative analysis on the findings of previous studies, was conducted to gather the general findings and lessons from prior empirical research. The results of meta-regression analysis indicate that the pattern of findings is consistent with our expectations regarding the effect of benefit scope and per capita GDP included in the ROI figure. This study appears to be the first meta-analytical review conducted on library valuations and the findings provide strong implications for the policy-making process.

A Study on the Efficiency Analysis of IT Service Companies Using Meta Frontier and the Determinants of Efficiency Using Tobit Model (Meta Frontier를 이용한 국내 IT서비스기업의 효율성 분석 및 Tobit 모형을 이용한 효율성 결정요인 분석에 대한 연구)

  • Shin, Minsoo;Park, Jiyong
    • Journal of Information Technology Services
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    • v.16 no.4
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    • pp.15-31
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    • 2017
  • This study analyzes 45 Korea IT service companies from 2012 to 2016 using DEA analysis. Large enterprises, medium enterprises and small and medium enterprises (SMEs). CCR model and BCC model were used for efficiency analysis. Among the various analytical objects, the decision objects which yield the maximum output with minimum input are compared with other analysis objects. The relative inefficiency was measured through this, and Technical Efficiency (TE), Pure Technology Efficiency (PTE), Scale Efficiency (SE), scale profit, reference frequency were analyzed. Also, we analyzed the Technology Gap Ratio (TGR), which is the distance between production function and Meta-Frontier for each firm, using Meta-Frontier analysis. Finally, the Tobit model is used to analyze the sources of efficiency and inefficiency. The inputs are assets, capital, and employees, and the output factor is sales. The analysis shows that large firms are achieving technological achievements more efficiently than small and medium enterprises. As a result, medium-sized enterprises and SMEs can improve efficiency overall through efficient operation of workforce and appropriate combination of inputs such as assets and capital. Also, as a result of the influence factor analysis, it was found that the ratio of the managed asset ratio and the management cost ratio were significant factors influencing the efficiency of the IT service companies. This study suggests the efficiency analysis using DEA for many Korea IT service companies. Inefficient parts of each company are classified according to size and technology. Also, we identify the most efficient companies and analyze the causes of those companies whose profits are lower than their size.

A Meta-Analysis on Effects of Infant's Sociality Development in Forest Experience Activities (숲 체험 활동이 유아의 사회성 발달의 효과에 관한 메타분석)

  • Chan-Woo Kim;Duk-Byeong Park
    • Journal of Agricultural Extension & Community Development
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    • v.29 no.4
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    • pp.225-250
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    • 2022
  • This study aims to examine the effects of infant's social development forest experience activities through meta-analysis. The final nine studies(total of 165 in the experimental group and 159 in the control group) were selected as a method of systematic review. Meta-analysis on overall effect size estimation, chi-square test, significance analysis, publication bias analysis, and subgroup analysis was performed using the R program. The overall effect size of 9 studies was 1.59, indicating a large effect size. As a result of subgroup analysis of the sub-factors of sociality, autonomy showed the largest effect size at 1.47, the adjusted effect size of cooperation was 1.34, the effect size adjusted for peer interaction was 1.29, and the adjusted effect size for perspective-taking ability was 0.97. All were found to have a statistically significant effect. To analyze the moderating effect, a meta-regression analysis was conducted on the participation period(4, 5~6, 7~8weeks), the number of sessions(6~10, 11~15, 16~20), the frequency per week(1, 2, 5), and the participation time(40, 60, 90, 120, 150min), but there was no statistical difference. Although not statistically significant, the effect size was larger when the participation period was 4 weeks, the number of sessions was 16 to 20, the frequency was 2 times per week, and the participation time was 40 minutes. This results can be usefully utilized by policy makers and forest commentators related to the vitalization of forest education through forest experience activities.

The Effects of Balloon-Guide Catheters on Outcomes after Mechanical Thrombectomy in Acute Ischemic Strokes : A Meta-Analysis

  • Ahn, Jun Hyong;Cho, Steve S.;Kim, Sung-Eun;Kim, Heung Cheol;Jeon, Jin Pyeong
    • Journal of Korean Neurosurgical Society
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    • v.62 no.4
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    • pp.389-397
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    • 2019
  • Objective : Mechanical thrombectomies with balloon-guide catheters (BGC) are thought to improve successful recanalization rates and to decrease the incidence of distal emboli compared to thrombectomies without BGC. We aimed to assess the effects of BGC on the outcomes of mechanical thrombectomy in acute ischemic strokes. Methods : Studies from PubMed, EMBASE, and the Cochrane library database from January 2010 to February 2018 were reviewed. Random effect model for meta-analysis was used. Analyses such as meta-regression and the "trim-and-fill" method were additionally carried out. Results : A total of seven articles involving 2223 patients were analyzed. Mechanical thrombectomy with BGC was associated with higher rates of successful recanalization (odds ratio [OR], 1.632; 95% confidence interval [CI], 1.293-2.059). BGC did not significantly decrease distal emboli, both before (OR, 0.404; 95% CI, 0.108-1.505) and after correcting for bias (adjusted OR, 1.165; 95% CI, 0.310-4.382). Good outcomes were observed more frequently in the BGC group (OR, 1.886; 95% CI, 1.564-2.273). Symptomatic intracranial hemorrhage and mortality did not differ significantly with BGC use. Conclusion : Our meta-analysis demonstrates that BGC enhance recanalization rates. However, BGC use did not decrease distal emboli after mechanical thrombectomies. This should be interpreted with caution due to possible publication bias and heterogeneity. Additional meta-analyses based on individual patient data are needed to clarify the role of BGC in mechanical thrombectomies.