• Title/Summary/Keyword: Meta-Approach

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Analytical Approach to the Literature of Cupping Therapy

  • Koran, Serhat;Irban, Arzu
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.3
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    • pp.1-14
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    • 2021
  • PURPOSE: This study aims to reveal the prevalence, therapeutic efficacy and undesirable side effects of cupping therapy all over the world from past to present. METHODS: This meta-analysis is based on the data obtained by scanning the keyword "cupping therapy" from the Pub-Med system, which is an international database. The date range has been set as 1950-2019. Local databases were not included. Cupping therapy studies combined with other complementary therapies such as acupuncture, moxa and hirudotherapy are also included in the meta-analysis. RESULTS: A total of 381 scientific studies were found on cupping therapy. Of these studies 127 wererandomized controlled trials (RCSs). Cupping treatment has been found effective in studies of painful conditions such as herpes zoster pain, fibromyalgia, back pain, neck pain, headache and acute injury pain. In addition, the effectiveness of cupping therapy was found to be high in studies related to bone / muscular system diseases such as osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, gout, carpal tunnel syndrome, cervical spondylosis. In addition, cupping treatment is also promising in studies on skin diseases, neurological diseases, respiratory system diseases and cardiovascular system diseases. CONCLUSION: Recently, there has been an increase in the number of RCSs related to cupping therapy. The vast majority of this increase has been made in European and American countries rather than in Far Eastern countries. Studies on cupping therapy, which have been and will be carried out in the future, will provide evidence-based indication of whether cupping therapy is effective. and it will allow more patients to benefit from this treatment, which has a very low rate of side effects and complications.

Workplace bullying among Korean registered nurses: A meta-aggregation of qualitative studies (국내 간호사의 직장 내 괴롭힘 경험: 질적 메타 종합연구)

  • Park, Eun-Jun;Kang, Hyunwook;Ko, Ji Woon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.4
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    • pp.450-468
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    • 2023
  • Purpose: This study aimed to conduct a qualitative synthesis of workplace bullying experiences among nurses in Republic of Korea. Methods: Following the PRISMA guideline, a literature search was conducted using seven domestic and three international databases. Studies published in Korean or English from inception to December 31, 2022 were included. A meta-aggregation approach suggested by the Joanna Briggs Institute was used to synthesize the research findings. Results: Fourteen studies were included in this review. As a result of a data analysis of the selected studies, 199 subthemes and supporting illustrations were identified and grouped into 36 related categories. Based on the subthemes and categories, five synthesized findings were developed: (1) the individual and organizational causes of workplace bullying; (2) the various types of physical violence and psychological harassment; (3) the negative impact of workplace bullying and its effect on self-growth; (4) active and passive coping efforts in dealing with bullying; and (5) strategies for preventing bullying incidents. Conclusion: Based on the synthesized findings, four recommendations were made: (1) improving the challenging working conditions for nurses; (2) enhancing educational programs for new nursing graduates; and (3) promoting proactive responses from nursing managers in conjunction with an expansion of resilience training for nursing students. Finally, to address the issue of workplace bullying, (4) multi-center and multi-level research involving nursing organizations needs to be conducted.

Treatment outcome and long-term stability of orthognathic surgery for facial asymmetry: A systematic review and meta-analysis

  • Yoon-Ji Kim;Moon-Young Kim;Nayansi Jha;Min-Ho Jung;Yong-Dae Kwon;Ho Gyun Shin;Min Jung Ko;Sang Ho Jun
    • The korean journal of orthodontics
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    • v.54 no.2
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    • pp.89-107
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    • 2024
  • Objective: This systematic review aimed to provide a comparative analysis of the treatment outcomes, including hard and soft tissues, postoperative stability, temporomandibular disorders (TMD), and quality of life (QoL), in patients with facial asymmetry who underwent orthognathic surgery. Methods: The primary objective was to address the question, "How do different factors related to surgery affect the outcomes and stability of orthognathic surgery in the correction of facial asymmetry?" A meta-analysis was conducted on the outcome parameters, such as skeletal, dental, and soft tissue symmetry, TMD, QoL, and relapse, using the Hartung-Knapp-Sidik-Jonkman method for random-effects models. Subgroup analyses were conducted considering surgery-related factors such as surgical techniques (one-jaw vs. two-jaw), use of the surgery-first approach, utilization of computer simulation, and analytical methods employed to evaluate asymmetry (2D vs. 3D). Results: Forty-nine articles met the inclusion criteria. The metaanalysis demonstrated a significant improvement in the symmetry of hard and soft tissues. The subgroup analysis indicated that the treatment outcomes showed significant improvement, regardless of the factors related to surgery. Changes in TMD signs and symptoms varied according to the surgical technique used. Quality of life improved in the facial, oral, and social domains. Skeletal relapse was observed during the follow-up. Conclusions: Our findings support the positive outcomes of orthognathic surgery in the treatment of facial asymmetry in terms of skeletal and soft tissue improvements, stability, relief of TMD symptoms, and enhancement of QoL. However, most of the included studies showed a low certainty of evidence and high heterogeneity.

Effects of Manual Therapy on Obstructive Sleep Apnea: Study Protocol for a Systematic Review (폐쇄성 수면무호흡증에 대한 수기요법의 효과: 체계적 문헌고찰을 위한 프로토콜)

  • Jiwon Park;Kwan-Il Kim
    • Journal of Korean Medicine Rehabilitation
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    • v.34 no.3
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    • pp.65-74
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    • 2024
  • Objectives This study aims to establish a protocol for a systematic review to evaluate the effectiveness and safety of manual therapy (MT) for obstructive sleep apnea (OSA). Methods We will conduct a search for relevant randomized controlled trials using seven databases, including MEDLINE/PubMed, Embase, and the Cochrane Central Register of Controlled Trials. The study includes patients with OSA treated with MT. Comparators include all other treatments excluding MT. The primary outcome is the apnea-hypopnea index; secondary outcomes include mean peripheral oxygen saturation, snoring index, quality of sleep, quality of life, peak nasal inspiratory flow, and adverse events. Results Two independent researchers will select studies based on inclusion criteria and extract necessary data. Risk of bias (RoB) will be assessed using the Cochrane RoB 2.0 tool. Meta-analysis will be conducted if there are two or more studies with the same outcome measure; otherwise, a qualitative analysis will be performed. Subgroup analysis will be conducted based on the type of MT, and evidence certainty will be evaluated using the Grading of Recommendations Assessment, Development, and Evaluation approach. Conclusions This study will evaluate the effect of MT on OSA. By systematically reviewing various MTs, it aims to refine application methods in clinical practice and provide a foundation for future research.

A 4D Process for Service Oriented Software Development (서비스 기반 소프트웨어 개발을 지원하는 4D 프로세스)

  • Park, Joon-Seok;Moon, Mi-Kyeong;Nam, Tae-Woo;Yeom, Keun-Hyuk
    • Journal of KIISE:Software and Applications
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    • v.35 no.11
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    • pp.653-660
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    • 2008
  • Recently, Service-oriented computing is the emerging computing paradigm. In this paradigm, we require the practical process model to support service oriented software development. The well-known development methods e.g., Unified Software Development Process, UML components have been proposed focused on component. So, these methods cannot support service-oriented computing concepts such as service definition, binding and composition concepts using Business Process Execution Language (BPEL). Also, a few proposed service-oriented approach, for example Service Oriented Unified process (SOUP), and Service Oriented Modeling and Architecture (SOMA) have appeared. However, these approaches do not explicitly represent detailed guideline, artifacts and approach. Therefore, in this paper we propose a practical and simple process model to support service oriented software development. Also, we explicitly represent process model and artifact using Software Process Engineering Metamodel (SPEM) which is proposed by OMG. By using our approach, it can enhance systematization and effectiveness for service-oriented software development.

The Optimization of One-way Car-Sharing Service by Dynamic Relocation : Based on PSO Algorithm (실시간 재배치를 통한 카쉐어링 서비스 최적화에 관한 연구 : PSO 방법론 기반으로)

  • Lee, Kun-Young;Lee, Hyung-Seok;Hong, Wyo-Han;Ko, Sung-Seok
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.39 no.2
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    • pp.28-36
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    • 2016
  • Recently, owing to the development of ICT industry and wide spread of smart phone, the number of people who use car sharing service are increased rapidly. Currently two-way car sharing system with same rental and return locations are mainly operated since this system can be easily implemented and maintained. Currently the demand of one-way car sharing service has increase explosively. But this system have several obstacle in operation, especially, vehicle stock imbalance issues which invoke vehicle relocation. Hence in this study, we present an optimization approach to depot location and relocation policy in one-way car sharing systems. At first, we modelled as mixed-integer programming models whose objective is to maximize the profits of a car sharing organization considering all the revenues and costs involved and several constraints of relocation policy. And to solve this problem efficiently, we proposed a new method based on particle swarm optimization, which is one of powerful meta-heuristic method. The practical usefulness of the approach is illustrated with a case study involving satellite cities in Seoul Metrolitan Area including several candidate area where this kind systems have not been installed yet and already operating area. Our proposed approach produced plausible solutions with rapid computational time and a little deviation from optimal solution obtained by CPLEX Optimizer. Also we can find that particle swarm optimization method can be used as efficient method with various constraints. Hence based on this results, we can grasp a clear insight into the impact of depot location and relocation policy schemes on the profitability of such systems.

Design Optimization of a RC Building Structure using an Approximate Optimization Technique (근사최적화 기법을 이용한 RC 빌딩의 구조 최적설계)

  • Park, Chang-Hyun;Ahn, Hee-Jae;Choi, Dong-Hoon;Jung, Cheul-Kyu
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.24 no.2
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    • pp.223-233
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    • 2011
  • A design optimization problem was formulated to minimize the volume of an RC building structure while satisfying design constraints on structural displacements under vertical, wind and seismic loads. We employed metamodel-based design optimization using design of experiments, metamodeling and optimization algorithm to circumvent the difficulty of the automation of structural analysis procedure. Especially, we proposed a design approach of repetitive design optimizations by stages with changing the side constraint values on design variables and limit values on design constraints until a satisfactory design result was obtained. Using the proposed design approach, the volume of the RC building structure has been reduced by 53.3 % compared to the initial one while satisfying all the design constraints. This design result clearly shows the validity of the proposed design approach.

Ontology and Sequential Rule Based Streaming Media Event Recognition (온톨로지 및 순서 규칙 기반 대용량 스트리밍 미디어 이벤트 인지)

  • Soh, Chi-Seung;Park, Hyun-Kyu;Park, Young-Tack
    • Journal of KIISE
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    • v.43 no.4
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    • pp.470-479
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    • 2016
  • As the number of various types of media data such as UCC (User Created Contents) increases, research is actively being carried out in many different fields so as to provide meaningful media services. Amidst these studies, a semantic web-based media classification approach has been proposed; however, it encounters some limitations in video classification because of its underlying ontology derived from meta-information such as video tag and title. In this paper, we define recognized objects in a video and activity that is composed of video objects in a shot, and introduce a reasoning approach based on description logic. We define sequential rules for a sequence of shots in a video and describe how to classify it. For processing the large amount of increasing media data, we utilize Spark streaming, and a distributed in-memory big data processing framework, and describe how to classify media data in parallel. To evaluate the efficiency of the proposed approach, we conducted an experiment using a large amount of media ontology extracted from Youtube videos.

Meta-analysis of Factors Influencing Job Stress of Occupational Therapist in Korea (국내 작업치료사의 직무스트레스에 영향을 미치는 변수에 대한 메타분석)

  • Shim, Sun-Hwa;Kim, Eun-Joo;Park, Eun-Young
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.1
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    • pp.1-15
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    • 2020
  • Objective : The purpose of this study is to investigate the factors affecting occupational therapist's job stress through meta-analysis. Methods : In order to achieve the purpose of the study, 15 studies that examined job stress of occupational therapists were selected for analysis. The general characteristics of individual papers and the magnitude of the effect of related variables on job stress were calculated. The effect size of related variables on job stress and sub-factors (Fisher z) were calculated. Results : The results were found that the effect size on job stress was not significant in the variables of education level, salary and age. The largest effect size was found to be turnover intention (ES=1.161). There was no significant effect size in sub-factors of interpersonal conflict, organization system and insufficient job control. There was a significant effects in physical environment, lack of reward, job insecurity, job demand and occupational climate. Conclusion : The results of this study were suggested that an approach depending on sub-factors is needed to reduce job stress of occupational therapists. Satisfaction, burnout, and self-efficacy, which are psychological factors, are considered to be needed a program for psychological empowerment in order to reduce the job stress of the occupational therapist with a medium effect size according to individual sub-factors.

Meta-analysis on Methane Mitigating Properties of Saponin-rich Sources in the Rumen: Influence of Addition Levels and Plant Sources

  • Jayanegara, Anuraga;Wina, Elizabeth;Takahashi, Junichi
    • Asian-Australasian Journal of Animal Sciences
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    • v.27 no.10
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    • pp.1426-1435
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    • 2014
  • Saponins have been considered as promising natural substances for mitigating methane emissions from ruminants. However, studies reported that addition of saponin-rich sources often arrived at contrasting results, i.e. either it decreased methane or it did not. The aim of the present study was to assess ruminal methane emissions through a meta-analytical approach of integrating related studies from published papers which described various levels of different saponin-rich sources being added to ruminant feed. A database was constructed from published literature reporting the addition of saponin-rich sources at various levels and then monitoring ruminal methane emissions in vitro. Accordingly, levels of saponin-rich source additions as well as different saponin sources were specified in the database. Apart from methane, other related rumen fermentation parameters were also included in the database, i.e. organic matter digestibility, gas production, pH, ammonia concentration, short-chain fatty acid profiles and protozoal count. A total of 23 studies comprised of 89 data points met the inclusion criteria. The data obtained were subsequently subjected to a statistical meta-analysis based on mixed model methodology. Accordingly, different studies were treated as random effects whereas levels of saponin-rich source additions or different saponin sources were considered as fixed effects. Model statistics used were p-value and root mean square error. Results showed that an addition of increasing levels of a saponin-rich source decreased methane emission per unit of substrate incubated as well as per unit of total gas produced (p<0.05). There was a decrease in acetate proportion (linear pattern; p<0.001) and an increase in propionate proportion (linear pattern; p<0.001) with increasing levels of saponin. Log protozoal count decreased (p<0.05) at higher saponin levels. Comparing between different saponin-rich sources, all saponin sources, i.e. quillaja, tea and yucca saponins produced less methane per unit of total gas than that of control (p<0.05). Although numerically the order of effectiveness of saponin-rich sources in mitigating methane was yucca>tea>quillaja, statistically they did not differ each other. It can be concluded that methane mitigating properties of saponins in the rumen are level- and source-dependent.