• 고신대학교 의과대학 학술지
• /
• 제33권3호
• /
• pp.297-306
• /
• 2018

Objectives: Identification of axillary metastases in breast cancer is important for staging disease and planning treatment, but current techniques are associated with a number of adverse events. This report evaluates the diagnostic accuracy of superparamagnetic iron oxide (SPIO)-enhanced magnetic resonance imaging (MRI) techniques for identification of axillary metastases in breast cancer patients. Methods: We performed a meta-analysis of previous studies that compared SPIO enhanced MRI with histological diagnosis after surgery or biopsy. We searched PubMed, Ovid, Springer Link, and Cochrane library to identify studies reporting data for SPIO enhanced MRI for detection of axillary lymph node metastases in breast cancer until December 2013. The following keywords were used: "magnetic resonance imaging AND axilla" and "superparamagnetic iron oxide AND axilla". Eligible studies were those that compared SPIO enhanced MRI with histological diagnosis. Sensitivity and specificity were calculated for every study; summary receiver operating characteristic and subgroup analyses were done. Study quality and heterogeneity were also assessed. Results: There were 7 publications that met the criteria for inclusion in our meta-analysis. SROC curve analysis for per patient data showed an overall sensitivity of 0.83 (95% Confidence interval (CI): 0.75-0.89) and overall specificity of 0.97 (95% CI: 0.94-0.98). Overall weighted area under the curve was 0.9563. Conclusions: SPIO enhanced MRI showed a trend toward high diagnostic accuracy in detection of lymph node metastases for breast cancer. So, when the breast cancer patients has axillary metastases histologically, SPIO enhanced MRI may be effective diagnostic imaging modality for axillary metastases.

• Journal of Chest Surgery
• /
• 제55권6호
• /
• pp.442-451
• /
• 2022

Background: This meta-analysis was conducted to evaluate the effect of fractional flow reserve (FFR) on clinical outcomes after coronary artery bypass grafting (CABG). Methods: Five online databases were searched for studies that (1) enrolled patients who underwent isolated CABG or CABG with aortic valve replacement and (2) demonstrated the effect of an FFR-guided strategy on major adverse cardiac events (MACE) after surgery based on a randomized controlled trial or adjusted analysis. MACE included cardiac death, acute myocardial infarction (MI), and repeated revascularization. The primary outcomes were all MACE outcomes and a composite of all-cause death and MI, and the secondary outcomes were the individual MACE outcomes. Publication bias was assessed using a funnel plot and the Egger test. Results: Six articles (3 randomized and 3 non-randomized studies: n=1,027) were selected. MACE data were extracted from 4 studies. The pooled analyses showed that the risk of MACE was not significantly different between patients who underwent FFR-guided CABG and those who underwent angiography-guided CABG (hazard ratio [HR], 0.80; 95% CI, 0.57-1.12). However, the risk of the composite of death or MI was significantly lower in patients undergoing FFR-guided CABG (HR, 0.62; 95% CI, 0.41-0.94). The individual MACE outcomes were not significantly different between FFR-guided and angiography-guided CABG. Conclusion: FFR-guided CABG might be beneficial in terms of the composite outcome of death or MI compared with angiography-guided CABG although data are limited.

• Clinics in Shoulder and Elbow
• /
• 제26권3호
• /
• pp.296-301
• /
• 2023

Background: A supervised physiotherapy program (SPP) is a standard regimen after surgical rotator cuff repair (RCR); however, the effect of a home-based exercise program (HEP), as an alternative, on postoperative functional recovery remains unclear. Therefore, the purpose of this meta-analysis was to compare the functional effects of SPP and HEP after RCR. Methods: We searched electronic databases including Central, Medline, and Embase in April 2022. The primary outcomes included the Constant score, American Shoulder and Elbow Surgeons score, University of California Los Angeles shoulder score, and pain score. Secondary outcomes included range of motion, muscle strength, retear rate, and patient satisfaction rate. A meta-analysis using random-effects models was performed on the pooled results to determine the significance. Results: The initial database search yielded 848 records, five of which met our criteria. Variables at 3 months after surgery were successfully analyzed, including the Constant score (mean difference, -8.51 points; 95% confidence interval [CI], -32.72 to 15.69; P=0.49) and pain score (mean difference, 0.02 cm; 95% CI, -2.29 to 2.33; P=0.99). There were no significant differences between the SPP and HEP. Other variables were not analyzed owing to the lack of data. Conclusions: Our data showed no significant differences between SSP and HEP with regard to the Constant and pain scores at 3 months after RCR. These results suggest that HEP may be an alternative regimen after RCR. Level of evidence: I.

• 디지털융복합연구
• /
• 제12권9호
• /
• pp.201-207
• /
• 2014

클라우드 환경에서 기업은 의사결정이나 기업의 정책을 결정하기 위해 데이터 통합 및 분석이 필요하다. 그러나 이 환경에서 새로운 시스템이 추가되면 데이터 통합 측면에서 기존 시스템이 가진 이질적인 특성 때문에 많은 비용과 시간이 필요로 하게 된다. 따라서 본 논문에서 멀티 데이터베이스 서비스를 위하여 DBaaS 허브 시스템을 제안한다. 이러한 DBaaS는 서로 다른 데이터베이스를 요구할 수도 있으며, 연관성이 있는 서비스를 위하여 데이터를 통합해야할 필요가 있다. DBaaS의 데이터 상호운용성 문제를 해결하기 위해 온톨로지를 이용한 메타 쿼리를 제안한다. 메타 쿼리는 실제 데이터에 접근하기 위한 쿼리가 아닌 상위의 쿼리이다. 이는 실제 데이터베이스에 접근할 때 온톨로지를 통하여 변환된 질의로 접근함으로써 데이터 통합을 기할 수 있다. 또한 메타 데이터를 이용하여 문서 지향 데이터베이스 시스템을 구축한다.

• 대한음성학회:학술대회논문집
• /
• 대한음성학회 2003년도 10월 학술대회지
• /
• pp.61-64
• /
• 2003

In this paper, we introduce a new description method of annotation information of speech database. As one of structured description methods, XML based description which has been standardized by W3C will be applied to represent metadata of speech database. It will be continuously revised through the speech technology standard forum during this year

• 한국전자거래학회:학술대회논문집
• /
• 한국전자거래학회 2001년도 International Conference CALS/EC KOREA
• /
• pp.191-207
• /
• 2001

■ The 1/sup st/ Driver: Electronic Documents ■ EDI via VAN ■ Limited use of electronic processing ■ The 2/sup nd/ Driver: Internet Infrastructure ■ Web/EDI, HTTP, FTP, MIME ■ Open network ■ The 3/sup rd/ Driver: XML ■ Enables the definition of platform-independent protocols for the exchange of data ■ Business Processes and Documents in XML format ■ XML/EDI ■ XML message exchange: SOAP(omitted)

• Asian-Australasian Journal of Animal Sciences
• /
• 제24권4호
• /
• pp.573-586
• /
• 2011

Along with the recent changes in animal feed supply circumstances, many enzyme and probiotic feed supplements have been introduced and applied to pigs and chicken diets. Therefore, both selection of the appropriate feed supplements and their proper supplementation becomes critical to justify the supplementation. Meta-analysis was proposed as an appropriate tool to assess the large amount of relevant information. In this review, reliable data from recent publications was compounded then analyzed to determine the best practice of effective enzyme supplementation from the perspectives of animal species, age, characteristics of feed, target substrates, optimum multi enzymes combination and intended objectives. The results of the analysis suggested pratical methods of probiotic supplementation regarding intestinal microbiota, physiological limitation of probiotics, maximization of the probiotic benefit and synergism with prebiotic supplements.

• 한국정보시스템학회지:정보시스템연구
• /
• 제23권3호
• /
• pp.143-164
• /
• 2014

This study draws on status quo bias theoretic perspective as a meta-theoretic lens to explain why individuals have resists to adopt smart devices for their tasks. More specifically, we attempted to examine the relationships among user's resist, perceived usefulness and individual productivity in the smart work context. By employing the status quo bias theoretic perspective, we develop and test our research model by using a survey data from 235 individual users. We demonstrate that satisfaction on the current state influence users' resist, and also the users' resist is mediated by perceived usefulness on individual productivity. From the status quo bias view, this study presents an alternative meta-theoretical lens in order to understand individuals' resist in the smartwork context.

• Journal of the Korean Statistical Society
• /
• 제32권4호
• /
• pp.425-448
• /
• 2003

Meta-analysis refers to quantitative methods for combining results from independent studies in order to draw overall conclusions. We consider hierarchical models including selection models under a skewed heavy tailed error distribution proposed originally by Chen et al. (1999) and Branco and Dey (2001). These rich classes of models combine the information of independent studies, allowing investigation of variability both between and within studies, and incorporate weight function. Here, the testing for the skewness parameter is discussed. The score test statistic for such a test can be shown to be expressed as the posterior expectations. Also, we consider the detail computational scheme under skewed normal and skewed Student-t distribution using MCMC method. Finally, we introduce one example from Johnson (1993)'s real data and apply our proposed methodology. We investigate sensitivity of our results under different skewed errors and under different prior distributions.

• 아동학회지
• /
• 제25권3호
• /
• pp.41-57
• /
• 2004

The subjects in this study were 442 5th and 6th grade school children in Seoul. Data were analyzed by Pearson's correlation, Stepwise Multiple Regression, and MANOVA. The principal findings were that worry, depression, and trait anxiety were positively related to meta-cognitive knowledge, particularly, meta-worry, positive beliefs about worry, negative beliefs about worry, lower appraisal about cognitive competence, and cognitive self-consciousness. These traits were also positively related to such metacognitive regulation strategies as worry displacement, self punishment, reappraisal, and social control. Metacognition influenced worry, depression, and trait anxiety; groups having more problems worry, depression, and trait anxiety showed high scores in metacognitive knowledge and metacognitive regulation strategies.