• Title/Summary/Keyword: Meta-synthesis

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Effectiveness of low-level laser therapy on recovery from neurosensory disturbance after sagittal split ramus osteotomy: a systematic review and meta-analysis

  • Firoozi, Parsa;Keyhan, Seied Omid;Kim, Seong-Gon;Fallahi, Hamid Reza
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.41.1-41.11
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    • 2020
  • Background: Orthognathic surgery such as bilateral sagittal split ramus osteotomy (BSSRO) for the treatment of mandibular deformities is one of the most common procedures in maxillofacial operations that may lead to neurosensory disturbance. In this study, we aimed to evaluate the effectiveness of low-level laser therapy (LLLT) on augmenting recovery of neurosensory disturbance of inferior alveolar nerve (IAN) in patients who underwent BSSRO surgery. Methods: A comprehensive literature search was conducted by two independent authors in PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, Embase, and Google Scholar electronic databases. Besides, a manual search of all textbooks and relevant articles were conducted. Searches took place in August 2020 and were limited to published and peer-reviewed articles from 2000 to 2020. All analysis was performed using the comprehensive meta-analysis (CMA) and the STATA MP (version:16) software. The weighted mean difference (WMD) using the inverse variance method and the standard mean difference (SMD) was considered for continuous variables. Results: Seventy-four papers were retrieved after removing duplicate studies and finally, eight studies were assessed for qualitative synthesis and five for meta-analysis. Totally, 94 patients were included in the meta-analysis. Based on the meta-analysis, it was shown that LLLT was not effective in a short interval (0 to 48 h) after surgery, but in a period of more than 1 month after surgery, the positive results of treatment can be observed strikingly. Also, LLLT side/group showed no significant difference in some aspects of neurosensory recovery such as thermal sensation compared to the placebo side/group. Conclusions: The meta-analysis of randomized controlled trials revealed that LLLT generally improves IAN sensory disturbance caused by BSSRO. Further high-quality clinical trials with longer follow-up periods and larger sample sizes are recommended.

A Meta-analysis of Relationship between Perceived Risk to Criterion Variable on E-commerce (전자상거래 연구에서 인지된 위험과 종속변수 관계에 관한 메타분석)

  • Nam, Soo-Tai;Kim, Do-Goan;Jin, Chan-Yong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2015.05a
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    • pp.191-193
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    • 2015
  • Recently, with the economy and the information communication technology developed, the e-commerce market grows continuously. A meta-analysis refers to a statistical literature synthesis method from the quantitative results of many known empirical studies. We conducted a meta-analysis and review of between perceived risk to criterion variable on e-commerce researches. This study focused a total of 25 research papers that established causal relationships in between perceived risk to criterion variable on e-commerce published in Korean academic journals during 2000 and 2014. The result of the meta-analysis might be summarized that the effect size in the path from perceived risk to the criterion variable with the effect size -0.251. Based on these findings, several theoretical and practical implications were suggested and discussed with the difference from previous researches.

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Effectiveness of Education Program Using Video Recording and Feedback on Skill Competency for Students of Majors in Health Care: A Meta-Analysis (동영상 촬영과 피드백을 이용한 실습교육이 보건의료전공 대학생의 술기수행능력에 미치는 효과: 메타분석)

  • Shin, Yun Hee;Kim, Sun Kyung;Kim, Hyunjoo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.2
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    • pp.120-133
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    • 2018
  • Purpose: A meta-analysis was conducted to evaluate effectiveness of education programs using video recording and feedback in the improvement of competency in clinical skills for health care majors. Methods: Six databases were searched and inclusion criteria were randomized controlled trials (RCTs) or non-randomized controlled trials (NRTs) reporting level of skill competency using numerical measurements. Data analysis and synthesis were performed using Comprehensive Meta-Analysis software and Revman program. Results: Of 1,568 records, 11 studies met inclusion criteria. Statistically significant effectiveness of education programs using video recording and feedback was identified. A low risk of bias was detected among both RCTs and NRTs. Meta-analysis showed that the intervention groups had more effective improvements in skill competency (standardized mean difference [SMD]: 0.74; 95% CI: 0.33~1.16). Results of subgroup analysis showed higher effects when interventions dealt with one skill, used self-reflection with expert feedback, and included instruction from instructor in the education programs. Conclusion: Findings suggest that schools for health care majors should actively adopt video and feedback based skill training allowing educators to design effective programs. Potential is higher for students to achieve higher competency when they train with one skill at a time, use of instruction and receive feedback from experts.

A Meta-analysis and Review of External Factors based on the Technology Acceptance Model : Focusing on the Journals Related to Smartphone in Korea (기술수용모델 선행요인에 관한 문헌적 고찰 및 메타분석)

  • Nam, Soo-Tai;Shin, Seong-Yoon;Jin, Chan-Yong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.18 no.4
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    • pp.848-854
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    • 2014
  • A Meta-analysis refers to a statistical literature synthesis method from the quantitative results of many known empirical studies. We conducted a meta-analysis and review of external factors based on the technology acceptance model for Smartphone-related researches. This study surveyed 106 research papers that established causal relationships in the technology acceptance model published in Korean academic journals during 2008 and 2013. The result of the meta-analysis might be summarized that the playfulness has the highest effect size in the path from external factors to the perceived usefulness, with the effect size(0.536). Also the self efficacy showed the highest effect size(0.626) in the path from external factors to the perceived ease of use. Based on these findings, several theoretical and practical implications were suggested and discussed with the difference from previous researches.

A Meta-analysis of Relationship among Satisfaction, Trust, and Loyalty in E-commerce (전자상거래 연구에서 만족, 신뢰 그리고 충성도 간에 관계에 관한 메타분석)

  • Nam, Soo-Tai;Yang, Ki-Seol;Jin, Chan-Yong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.19 no.7
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    • pp.1711-1718
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    • 2015
  • A Meta-analysis refers to a statistical literature synthesis method from the quantitative results of many known empirical studies. Recently, the convergence of knowledge-based society and, information telecommunication technologies has a rapid impact on politics, economics and various fields. A meta-analysis was conducted to identify the relationships among satisfaction, trust, and loyalty in e-commerce studies. A total of 57 research papers published in Korean academic journals during 2002 and 2013 were reviewed and the causal relationships among satisfaction, trust, and loyalty in e-commerce were established. The result of the meta-analysis might be summarized that the highest effect size (r =. 591) was in the path from the satisfaction to the trust. The second biggest effect size (r =. 554) was found in the path between the satisfaction to the loyalty. The third biggest effect size (r =. 552) was found in the path between the trust to the loyalty. By the way, the smallest effect size (r =. 484) was found in the path between the trust to the satisfaction.

A Meta-analysis of Relationship between Perceived Value, Risk and Behavioral Intention on E-commerce (전자상거래 연구에서 인지된 가치, 위험 및 행위의도 관계에 대한 메타분석)

  • Nam, Soo-tai;Kim, Do-Goan;Jin, Chan-yong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.05a
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    • pp.165-168
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    • 2014
  • A Meta-analysis refers to a statistical literature synthesis method from the quantitative results of many known empirical studies. Recently, the convergence of knowledge-based society and information telecommunication technologies has a rapid impact on politics, economics and various fields. We conducted a meta-analysis and review of between perceived value, risk and behavioral intention on e-commerce researches. This study focused a total of 25 research papers that established causal relationships in between perceived value, risk and behavioral intention on e-commerce published in Korean academic journals during 2000 and 2014. The result of the meta-analysis might be summarized that the effect size in the path from the perceived value to the behavioral intention with the effect size 0.508. Also, it showed that the effect size in the path from perceived value to the behavioral intention with the effect size -0.251. Based on these findings, several theoretical and practical implications were suggested and discussed with the difference from previous researches.

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A Meta-analysis of Relationship between Satisfaction, Trust and Loyalty on E-commerce (전자상거래 연구에서 만족, 신뢰 및 충성도 관계에 대한 메타분석)

  • Nam, Soo-tai;Kim, Do-Goan;Jin, Chan-yong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.05a
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    • pp.194-196
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    • 2014
  • A Meta-analysis refers to a statistical literature synthesis method from the quantitative results of many known empirical studies. Recently, the convergence of knowledge-based society and e-commerce, information telecommunication technologies has a rapid impact on politics, economics and various fields. We conducted a meta-analysis and review of between satisfaction, trust and loyalty on e-commerce researches. This study focused a total of 57 research papers that established causal relationships in between satisfaction, trust and loyalty on e-commerce published in Korean academic journals during 2002 and 2013. The result of the meta-analysis might be summarized that the highest effect size in the path from the satisfaction to the trust with the effect size(0.591). Based on these findings, several theoretical and practical implications were suggested and discussed with the difference from previous researches.

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Periodontal health status, oral microbiome, white-spot lesions and oral health related to quality of life-clear aligners versus fixed appliances: A systematic review, meta-analysis and meta-regression

  • Ana Sandra Llera-Romero;Milagros Adobes-Martin;Jose Enrique Iranzo-Cortes;Jose Maria Montiel-Company;Daniele Garcovich
    • The korean journal of orthodontics
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    • v.53 no.6
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    • pp.374-392
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    • 2023
  • Objective: Assess and evaluate the different indicators of oral health-related quality of life (OHRQoL) among patients treated with clear aligners (CAs) versus those treated with conventional fixed orthodontics (FAs). Methods: An electronic search was performed on the database is Web of Science, Scopus, and Embase databases. Randomized and non-randomized control trials, cross-sectional, prospective cohort and retrospective trials were included. Quality was assessed with risk of bias tool and risk of bias in non-randomised studies. Meta-analyses were performed with random effects models, estimating the standardized and non-standardized mean differences, odds ratio and risk ratio as the measure of effect. The effect on time was determined using a meta-regression model. Results: Thirty one articles were included in the qualitative synthesis and 17 in the meta-analysis. CAs had a significantly lower negative impact on QoL, with an "important" effect size, while the influence of time was not significant. Periodontal indicators plaque index (PI), gingival index (GI), probing depth (PD), and bleeding on probing show significantly better values in patients treated with CAs, with moderate to large effect sizes. PI and GI have a significant tendency to improve over time. In microbiological indicators, CAs present a lower biofilm mass without differences in the percentage of patients with high counts of Streptococcus mutans and Lactobacilli bacteria. The risk of white spot lesion onset is ten times lower in carriers of CAs. Conclusions: Patients wearing CAs show better periodontal indicators, less risk of white spot development, less biofilm mass and a better QoL than patients with FAs.

Factors Associated With Failure of Health System Reform: A Systematic Review and Meta-synthesis

  • Mahboubeh Bayat;Tahereh Kashkalani;Mahmoud Khodadost;Azad Shokri;Hamed Fattahi;Faeze Ghasemi Seproo;Fatemeh Younesi;Roghayeh Khalilnezhad
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.2
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    • pp.128-144
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    • 2023
  • Objectives: The health system reform process is highly political and controversial, and in most cases, it fails to realize its intended goals. This study was conducted to synthesize factors underlying the failure of health system reforms. Methods: In this systematic review and meta-synthesis, we searched 9 international and regional databases to identify qualitative and mixed-methods studies published up to December 2019. Using thematic synthesis, we analyzed the data. We utilized the Standards for Reporting Qualitative Research checklist for quality assessment. Results: After application of the inclusion and exclusion criteria, 40 of 1837 articles were included in the content analysis. The identified factors were organized into 7 main themes and 32 sub-themes. The main themes included: (1) reforms initiators' attitudes and knowledge; (2) weakness of political support; (3) lack of interest group support; (4) insufficient comprehensiveness of the reform; (5) problems related to the implementation of the reform; (6) harmful consequences of reform implementation; and (7) the political, economic, cultural, and social conditions of the society in which the reform takes place. Conclusions: Health system reform is a deep and extensive process, and shortcomings and weaknesses in each step have overcome health reform attempts in many countries. Awareness of these failure factors and appropriate responses to these issues can help policymakers properly plan and implement future reform programs and achieve the ultimate goals of reform: to improve the quantity and quality of health services and the health of society.

The Effectiveness of Bojungikgi-tang and its modifications on Chronic Fatigue Syndrome: A Systematic Review And Meta-analysis (만성피로증후군에 대한 보중익기탕과 그 변방의 효과 : 체계적인 문헌고찰)

  • Nam, Donghyun
    • The Journal of Korean Medicine
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    • v.41 no.1
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    • pp.93-106
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    • 2020
  • Objectives: The aim of this review is to ascertain whether Bojungikgi-tang and its modifications is more effective than non-specific management in chronic fatigue syndrome (CFS). Methods: We collected clinical trials to investigate the effects of Bojungikgi-tang and non-specific management on general symptoms, fatigue, and sleep quality in CFS patients. The databases used for data retrieval were Pubmed, Central Cochrane, CNKI, VIP, CiNii, OASIS, RISS, and Koreamed. We performed selection/exclusion process from the found records according to prespecified criteria, and assessed the final included trials according to the Cochrane risk of bias tool. The included studies were classified on the basis of interventions in experimental group. Results: Seven randomized controlled trials (476 participants) were eligible and their results were synthesized in the meta-analysis. The synthesis showed a substantial effect of Bojungikgi-tang (relative risk 0.20 [95% CI 0.13 to 0.31], Z=7.44, P<0.00001; I2=0%) and combination of Bojungikgi-tang and Sosiho-tang (relative risk 0.15 [95% CI 0.08 to 0.28], Z=5.85, P<0.00001; I2=0%) compared with non-specific management on improvement of general symptoms. However, we could not find sufficient clinical research records to determine their effects of improvement on fatigue and sleep quality. Conclusions: Bojungikgi-tang and its modifications are more effective than non-specific management for improvement of general symptoms in CFS post-treatment.