• 디지털융복합연구
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• 제18권7호
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• pp.331-337
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• 2020

본 연구의 목적은 국내 간호사의 재난간호 경험을 탐색한 질적연구의 결과를 메타합성 하여 그 현상에 관한 이해를 하기 위해 시도되었다. 연구방법은 질적 메타합성연구로, Thomas와 Harden의 방법으로 분석하였는데 이는 개별 연구에 관한 질평가 탐색, 분석을 위한 자료 추출, 결과를 메타합성 하는 단계로 분석하였다. 연구 결과 5가지 합성 주제로 나타났다. 1)불안과 두려움으로 시작되는 재난간호, 2)재난간호 과정 : 고립과 단절 속에 외로움과 부담감 마저 느끼는 분위기, 3)재난간호 과정 : 열악하고 다양한 부족한 환경 속에 처함, 4) 재난간호 과정 : 소진되지만 버티고 극복해냄. 5)재난간호 이후 : 사명감과 자긍심을 넘어선 발전을 위한 도약. 따라서 본 연구는 향후 간호사의 재해간호 프로그램 및 교육 프로그램 개발과 적용에 유용한 기초자료가 되리라 본다.

• 대한예방한의학회지
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• 제26권2호
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• pp.11-24
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• 2022

Objectives : This study was designed to investigate the effect of Banhahubak-tang on gastroesophageal reflux disease(GERD) through a systematic review and meta-analysis of randomized controlled trials(RCTs). Methods : RCTs using Banhahubak-tang on GERD was searched in databases such as EMBASE, PubMed, MEDLINE, CENTRAL, CNKI, KISS, RISS, ScienceON, and OASIS. RCTs published up to October 8th, 2021 were included. Meta-analysis was performed by synthesizing outcome data, including Total Effectiveness Rate (TER), Reflux Symptom Index(RSI), Reflux Finding Score(RFS), and Incidence of Adverse Reactions. RevMan 5.4 software was used for data analysis. The Cochrane collaboration bias risk assessment scale was used to evaluate the methodological quality of the included studies. Results : Ten RCTs met the inclusion criteria. The total effective rate was the most commonly used outcome measure. The meta-analysis revealed that the TER in the experimental group was higher than that of the control group(N=2, RR:1.22, 95% CI:1.09 to 1.36, P=0.0004, I²=0%)(N=6, RR:1.22, 95% CI:1.14 to 1.32, P<0.00001, I²=0%)(N=8, RR:1.22, 95% CI: 1.14 to 1.30, P<0.00001, I²=0%). On the other hand, RSI(N=2, MD : -4.29, 95% CI: -4.71 to -3.86, I²=94%), RFS(N=2, MD : -3.28, 95% CI: -3.71 to -2.85, I²=96%), and Incidence of Adverse Reactions(N=5, RR: 0.32, 95% CI: 0.17 to 0.61, I²=0%) in the experimental group were lower than that of the control group. Conclusion : Treatment with Banhahubak-tang was found to be effective on GERD. However the results might be biased because of the poor quality and small sample size of the included RCTs.

• 대한통합의학회지
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• 제10권3호
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• pp.37-52
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• 2022

Purpose : The purpose of this meta-analysis was to evaluate the effects of electrical stimulation on patients with non-specific low back pain. Methods : Domestic databases were gathered from studies that conducted clinical trials associated with electrical stimulation and its impact on pain of non-specific low back patients. A total of 681 studies were identified, with 12 studies satisfying the inclusion data. The studies consisted of patient, intervention, comparison, outcome, and study design (PICO-SD). The search outcomes were items associated with low back pain. Cochrane risk of bias 2 (RoB 2) was used to evaluate the quality of 12 randomized controlled trials. Effect sizes (Hedges's g) in this study were computed as the corrected standard mean difference (SMD). A random-effect model was used to analyze the effect size because of the high heterogeneity among the studies. Egger's regression and 'trim-and-fill' tests were carried out to analyze the publication bias. Cumulative meta-analysis and sensitivity analysis were conducted to analyze the effect according to the sample size and the consistency of the effect size. Results : The following factors had a large overall effect size (Hedges's g=1.28, 95 % CI=.20~2.36) involving electrical stimulation on non-specific low back pain. The subgroup analysis all showed a statistical difference in the types of study design, electrical stimulation, and assessment tool. No statistically significant difference was found in the meta-regression analysis. Publican bias was found in the data. Conclusion : The findings in this study indicate that electrical stimulation interventions have a positive effect on patients with non-specific low back pain. However, due to the low quality of studies and publication bias, the results of our study should be interpreted cautiously.

• 임상간호연구
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• 제29권3호
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• pp.296-311
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• 2023

Purpose: This study aimed to identify factors related to the workload of intensive care unit nurses through a systematic literature review and meta-analysis to provide basic data to explore the direction of development of nursing staffing standards. Methods: This study involved quantitative studies about nurses working in intensive care units related to nursing workload published in English or Korean since 2000. Search terms included 'intensive care unit', 'nursing workload', and their variations. Databases such as RISS, DBpia, MEDLINE(PubMed), CINAHL, PsycINFO, and Web of Science were utilized. Quality assessment was conducted using the Joanna Briggs Institute's Critical Appraisal Checklist for Analytical Cross-Sectional Studies. JAMOVI software facilitated the analysis of effect sizes, employing a meta-analysis approach for 7 studies with correlational or regression data. Results: From 16 studies on the workload of intensive care unit nurses, a total of 20 patient and nurse-related factors were identified. Patient-related factors included severity of illness, length of stay, and age. Meta-analysis was conducted for three patient-related factors: age, severity of illness measured by SAPS 3, and length of stay. Only severity of illness measured by SAPS 3 was significantly associated with nurse workload (Zr=0.16, p<.001, 95% CI=0.09-0.24). Conclusion: In previous studies, the characteristics of intensive care units and patients varied across studies, and a variety of scales for measuring workload and severity of illness were also used. Sustained research reflecting domestic intensive care unit work environments and assessing the workload of intensive care unit nurses should be imperative.

• 산업융합연구
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• 제21권10호
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• pp.111-120
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• 2023

본 연구는 PBL-SIM 교육을 이수한 간호대학생의 메타인지와 회복탄력성이 임상추론능력에 미치는 영향을 살펴보기 위한 서술적 조사연구이다. PBL-SIM 교육을 경험한 간호학과 4학년 141명을 연구 대상으로 하였으며, 2021년 9월부터 12월까지 설문지를 적용하여 자료수집 하였다. 수집된 자료는 SPSS 21.0 프로그램을 사용하여 기술통계, 상관분석 및 위계적 회귀분석을 진행하였다. 연구 결과, 메타인지(r=.78, p<.001)와 회복탄력성(r=.81, p<.001)은 임상추론능력과 유의한 양의 상관관계를 보였다. 간호대학생의 임상추론능력에 영향을 주는 요인으로는 교육 참여의 자신감, 메타인지 및 회복탄력성이었으며, 이들은 임상추론능력을 75%의 높은 수준으로 설명하였다(F=32.74, p<.001). 간호대학생의 임상추론능력을 향상하기 위해서는 자신감, 메타인지 및 회복탄력성과 같은 내적 요인을 시뮬레이션 교육과정에 반영할 것을 제언한다.

• Journal of Nutrition and Health
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• 제36권5호
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• pp.515-527
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• 2003

Objectives： A meta-analysis of the literatures was conducted to evaluate the cost-effectiveness of medical nutrition therapy by dietitians. Methods : The 30 studies were identified from a computerized search of published research on MEDLINE, Science-Direct and the PQD database until May, 2002 and a review of reference lists. The main search terms were“dietitian”,“dietary intervention”,“nutrition intervention”, “cost”,“cost-effectiveness”and“cost-benefit analysis”. The subgroup analysis was performed by publication year, study design, intervention provider, type of patient (in/out-patient) and type of cost (total cost/direct cost). Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. Results : The 30 studies were identified using the electric database search and bibliographies. The 17 trials were eligible for inclusion criteria, then the systematic review and a meta-analysis were conducted on effectiveness and cost-effectiveness of medical nutrition therapy. The quality of the studies was evaluated using the quality assessment tool for observational studies. The quality score was 0.515 $\pm$ 0.121 (range : 0.279-0.711, median : 0.466). The meta-analysis of 17 studies based on the random effect model showed that medical nutrition therapy was highly effective in treating the diseases (effect size 0.3092 : 95% confidence interval 0.2282-0.3303). The vote-counting method, one of meta-analysis methods, was applied to evaluate the cost-effectiveness of medical nutrition therapy conducted by dietitians. Two criteria (method 1, method 2) for voting were used. The calculated p-values for method 1 (more conservative method) and method 2 (less conservative method) were 0.1250 and 0.0106, respectively. Medical nutrition therapy by dietitians was significantly cost-effective in the method 2. Conclusion. This meta-analysis showed that the effectiveness of medical nutrition therapy was statistically significant in treating disease (effect size 0.3092), and that the cost-effectiveness of medical nutrition therapy was statistically significant in the method 2 (less conservative method) of vote counting. (Korean J Nutrition 36(5): 515~527, 2003)

• 한국재료학회지
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• 제20권9호
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• pp.488-493
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• 2010

Geopolymer is a term covering a class of synthetic aluminosilicate materials with potential use in a number of areas, but mainly as a replacement for Portland cement. In this study, geopolymers with fly ash and meta kaolin were prepared using KOH as an alkali activator and water glass. The effect of water glass on the microstructures and the compressive strength of the geopolymer was investigated. As the amount of water glass increased, the dissolved inorganic binder particles in the geopolymers increased due to polymerization, resulting in a dense microstructure. The meta kaolin-based geopolymer showed a better extent of polymerization and densification than that of the fly ash-based geopolymer. XRD data also suggested that polymerization in meta kaolin-based geopolymers should be active resulting in the formation of an amorphous phase with an increasing amount of water glass. The compressive strength of the geopolymer was also dependent on the amount of water glass. The compressive strength of the geopolymers from both fly ash and meta kaolin increased with an increasing amount of water glass because water glass improved the extent of polymerization of the inorganic binder and resulted in a dense microstructure. However, the addition of water glass to the geopolymer did not seem to be effective for the improvement of compressive strength because the meta kaolin-based geopolymer mainly consisted of a clay component. For this reason, the fly ash-based geopolymer showed a higher value of compressive strength than the meta-kaolin geopolymer.

• 한국치위생학회지
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• 제20권2호
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• pp.221-232
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• 2020

Objectives: The aim of this study was to suggest a method for training students majoring in dental hygiene with a sense of professionalism by identifying meta-cognition, efficient learning strategies, and self-directedness necessary to become a spontaneous, self-controlled learner. Methods: A survey was conducted on 316 students majoring in dental hygiene, and collected data were analyzed using SPSS, version 23.0. A post-hoc analysis was performed using descriptive statistics, t-test, analysis of variance, and Duncan's multiple range test, and Pearson's correlation coefficient was used to assess the relationship among meta-cognition, learning strategy, and self-directedness. Results: The meta-cognition, learning strategy, and self-directedness scores of students majoring in dental hygiene were 3.25, 3.08, and 3.12, respectively. Meta-cognition was significant because the grade was lower, and the previous semester grade and major satisfaction were higher. Learning strategy was significant because the previous semester grade and major satisfaction were higher among general high school students. Self-directedness was significantly low in students whose self-conviction score was below 2.0 in terms of the previous semester grade and significantly high with high self-satisfaction. Conclusions: Instructors at the dental hygiene department should acknowledge the importance of meta-cognition, find various teaching methods to improve learning strategy, and encourage students to participate in class by enhancing self-directedness in learning.

• Communications for Statistical Applications and Methods
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• 제18권1호
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• pp.57-69
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• 2011

질병에 대한 새로운 진단검사 방법이 의학 연구자들에 의해 끊임없이 개발되고 있으며, 기존 진단검사 방법과 새로운 진단검사 방법을 비교하는 연구논문이 계속 출간되어 누적되고 있다. 메타분석법으로 다수 연구논문의 결과를 종합하여 정확성이 높은 진단검사에 대해 객관적인 결론을 내리게 된다. 이와같이 출간된 두 진단검사를 비교하는 각 연구논문은 각각 질병을 가진 개체와 질병을 가지지 않은 개체에 두 검사를 모두 실시하여 한 쌍의 민감도와 특이도를 구하여 비교한다. 이러한 연구논문의 결과를 종합하는 메타분석은 동일 개체에 실시한 두 검사로 인해 한 쌍의 민감도간의 연관성과 한 쌍의 특이도 간의 연관성을 고려한 메타분석법을 본 논문에서 제시한다. 논문예제 자료와 모의시험으로 메타분석 검정통계량의 효율성을 평가한다.

• 한국습지학회지
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• 제11권1호
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• pp.49-64
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• 2009

홍수나 가뭄 등 극한 사상을 예측하여 재해에 대비하거나 또는 수자원을 효율적으로 관리, 배분하기 위하여 강우-유출 모형이 이용되고 있다. 그러나 많은 수문학자들은 강우-유출 모형이 가질 수밖에 없는 불확실성에 대하여 언급하였다. 실제 유역에 내린 강우는 증발과 증산, 차단, 침투 등 여러 과정을 거쳐 유출로 이어지는데, 모형에서는 이러한 복잡한 물리적 과정을 단순화하여 표현하였으므로 불확실성이 반드시 존재할 수밖에 없는 것이다. 따라서 모형으로부터의 모의 결과를 신뢰할 수 있는지를 정량적으로 판단하는 과정이 이루어져야 한다. 본 논문에서는 현재까지 강우-유출 모형의 불확실성을 평가한 선행 연구 중 Montanari와 Brath(2004)가 제시한 Meta-Gaussian 기법을 이용하여 강우-유출 모형 모의 결과에 대한 불확실성을 검토하였다. 이 기법은 모형 오차의 확률 분포형으로부터 신뢰구간의 상한계와 하한계를 추정하는 방법으로 수문모형의 전역적 불확실성(Global Uncertainty)을 정량화할 수 있다. 본 논문에서는 동일한 강우사상에 대한 물리적 기반의 분포형 모형인 $Vflo^{TM}$ 모형과 개념적 준 분포형 모형인 HEC-HMS 모형으로부터 모의된 유출량을 Meta-Gaussian 기법을 적용하여 불확실성을 분석하였다.