• Title/Summary/Keyword: Systematic Review Analysis

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Comparison of healing assessments of periapical endodontic surgery using conventional radiography and cone-beam computed tomography: A systematic review

  • Sharma, Garima;Abraham, Dax;Gupta, Alpa;Aggarwal, Vivek;Mehta, Namrata;Jala, Sucheta;Chauhan, Parul;Singh, Arundeep
    • Imaging Science in Dentistry
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    • 제52권1호
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    • pp.1-9
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    • 2022
  • Purpose: This systematic review aimed to compare assessments of the healing of periapical endodontic surgery using conventional radiography and cone-beam computed tomography (CBCT). Materials and Methods: This review of clinical studies was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. All articles published from 1990 to March 2020 pertaining to clinical and radiographic healing assessments after endodontic surgery using conventional radiography and CBCT were included. The question was "healing assessment of endodontic surgery using cone-beam computed tomography." The review was conducted by manual searching, as well as undertaking a review of electronic literature databases, including PubMed and Scopus. The studies included compared radiographic and CBCT assessments of periapical healing after periapical endodontic surgery. Results: The initial search retrieved 372 articles. The titles and abstracts of these articles were read, leading to the selection of 73 articles for full-text analysis. After the eligibility criteria were applied, 11 articles were selected for data extraction and qualitative analysis. The majority of studies found that CBCT enabled better assessments of healing than conventional radiography, suggesting higher efficacy of CBCT for correct diagnosis and treatment planning. A risk of bias assessment was done for 10 studies, which fell into the low to moderate risk categories. Conclusion: Three-dimensional radiography provides an overall better assessment of healing, which is imperative for correct diagnosis and treatment planning.

음악 중재 프로그램이 ADHD 아동에 미치는 효과에 대한 융복합 연구 -체계적 문헌고찰 및 메타분석- (Convergence Study on the Effect of Music Mediation Program on Children with ADHD -Systematic Review and Meta-Analysis-)

  • 조미란;박혜영
    • 디지털융복합연구
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    • 제17권10호
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    • pp.497-507
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    • 2019
  • 본 연구의 목적은 국내에서 ADHD 아동을 대상으로 실시된 음악 중재 프로그램의 효과를 체계적 문헌고찰과 메타분석을 통해 검증하는 것이다. 이를 위해 2000년부터 2019년 6월까지 출판된 논문 1,856편 가운데 선정기준에 부합하고 대조집단이 있는 실험연구 9편을 분석하였다. 일반적 특성, 음악 중재 특성, 연구별 목표 및 평가도구의 네가지 기준으로 체계적 문헌고찰을 실시한 결과, 대부분의 논문이 음악 활동, 목표, 평가도구를 각각 2가지 이상 사용하였으며, 특히 사회성과 주의집중력 향상을 위한 논문의 비중이 높았다. 메타분석 결과, 전체는 중간효과크기로 나타났으며, 주의력결핍과 사회성은 효과크기가 낮은 반면, 문제행동은 중간효과크기로 나타났다. 이는 ADHD 아동을 위한 음악 중재에서 표준화된 평가도구 사용의 중요성을 밝힌 것과, 음악 중재를 개발하는 데에 중요한 기초자료로 활용될 수 있다는 점에서 의의를 갖는다.

극저주파 자기장의 소아백혈병 발생 위험 고찰 (Review on the Association between Exposure to Extremely Low Frequency-Magnetic Fields (ELF-MF) and Childhood Leukemia)

  • 박동욱
    • 한국환경보건학회지
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    • 제49권2호
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    • pp.57-65
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    • 2023
  • Background: The association between exposure to extremely low frequency-magnetic fields (ELF-MF) and childhood leukemia has been controversial. There is a need to clarify this relationship by summarizing key conclusions from systematic review articles. Objectives: The major aim of this study is to summarize key conclusions from systematic review articles on the association between exposure to ELF-MF and childhood leukemia based on childhood exposure to ELF-MF, proximity from childhood household to high voltage cables, and parental occupational exposure to ELF-MF. Methods: This study was conducted through a brief literature review focusing on systematic, meta-analysis, and pooled analysis methods. We conducted a literature search in PubMed using the key words "ELF-MF" and "childhood leukemia" singly or combined. Results: In 2002, the World Health Organization (WHO)'s International Agency for Research on Cancer (IARC) reviewed two manuscripts to conduct pooled analysis and concluded that there is a significant association between exposure to >0.3 μT or 0.4 μT and childhood leukemia. We found a total of four manuscripts for systematic or pool analysis that have been published since the IARC's conclusion. They consistently concluded that there was a significant association between exposure to >0.4 μT and childhood leukemia compared to ELF-MF exposure to below 0.1 μT. The proximity of children's households to high voltage cable lines and occupational exposure by their parents to ELF-MF during certain periods prior to or during pregnancy were inconsistently associated with childhood leukemia. The study found that many EU countries have implemented precautionary policies to prevent potential childhood leukemia due to exposure to ELF-MF. Conclusions: This study recommends implementing a precautionary policy that includes legal exposure limits for ELF-MF to minimize exposure to ELF-MF.

Risk factors for anticoagulant-associated gastrointestinal hemorrhage: a systematic review and meta-analysis

  • Fuxin Ma;Shuyi Wu;Shiqi Li;Zhiwei Zeng;Jinhua Zhang
    • The Korean journal of internal medicine
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    • 제39권1호
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    • pp.77-85
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    • 2024
  • Background/Aims: There may be many predictors of anticoagulation-related gastrointestinal bleeding (GIB), but until now, systematic reviews and assessments of the certainty of the evidence have not been published. We conducted a systematic review to identify all risk factors for anticoagulant-associated GIB to inform risk prediction in the management of anticoagulation-related GIB. Methods: A systematic review and meta-analysis were conducted to search PubMed, EMBASE, Web of Science, and Cochrane Library databases (from inception through January 21, 2022) using the following search terms: anticoagulants, heparin, warfarin, dabigatran, rivaroxaban, apixaban, DOACs, gastrointestinal hemorrhage, risk factors. According to inclusion and exclusion criteria, studies of risk factors for anticoagulation-related GIB were identified. Risk factors for anticoagulant-associated GIB were used as the outcome index of this review. Results: We included 34 studies in our analysis. For anticoagulant-associated GIB, moderate-certainty evidence showed a probable association with older age, kidney disease, concomitant use of aspirin, concomitant use of the antiplatelet agent, heart failure, myocardial infarction, hematochezia, renal failure, coronary artery disease, helicobacter pylori infection, social risk factors, alcohol use, smoking, anemia, history of sleep apnea, chronic obstructive pulmonary disease, international normalized ratio (INR), obesity et al. Some of these factors are not included in current GIB risk prediction models. such as anemia, co-administration of gemfibrozil, co-administration of verapamil or diltiazem, INR, heart failure, myocardial infarction, etc. Conclusions: The study found that anemia, co-administration of gemfibrozil, co-administration of verapamil or diltiazem, INR, heart failure, myocardial infarction et al. were associated with anticoagulation-related GIB, and these factors were not in the existing prediction models. This study informs risk prediction for anticoagulant-associated GIB, it also informs guidelines for GIB prevention and future research.

합병증을 동반하지 않은 2형 당뇨병 환자에 대한 백호가인삼탕과 혈당강하제 병행치료의 혈당 강하 효과 및 안전성 연구 : 체계적 문헌 고찰과 메타분석 (A Study on the Hypoglycemic Effect and Safety of Combined-Therapy of Baekhogainsam-tang and Hypoglycemic Agent for Type 2 Diabetes Mellitus Patients without Complications: A Systematic Review and Meta-Analysis)

  • 신재익;백지수;신선미;조충식
    • 대한한방내과학회지
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    • 제42권4호
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    • pp.672-686
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    • 2021
  • Objectives: The purpose of this study is to assess the efficacy and safety of Baekhogainsam-tang for type 2 diabetes without complications by systemic review and meta-analysis of randomized controlled trials (RCTs). Methods: For a systematic review and meta-analysis, we set a key question in accordance with PICOT-SD. We searched the following up to March 31. 2021: PubMed, EMBASE, The Cochrane Library, CNKI, CiNii, KISS, KMBASE, OASIS, and ScienceON. A meta-analysis was conducted by synthesizing the results, including fasting plasma glucose level, postprandial 2-hour plasma glucose level, and Glycated Hemoglobin (HbA1c). Results: A total of five trials are included in this systemic review. The treatment group (Baekhogainsam-tang plus conventional treatment) showed more statistically significant effect than did the control group (conventional treatment only) in fasting plasma glucose level, postprandial 2-hour plasma glucose level, and glycated hemoglobin (HbA1c). Conclusions: Baekhogainsam-tang showed statistically significant effects in hypoglycemic effect and in improving insulin resistance. However, the number of studies included in the meta-analysis was insufficient, and the BIT used in the included studies was not standardized. This topic requires further attention and more clinical research.

치위생(학)과 학생들의 임상실습 스트레스에 관한 체계적 문헌고찰 (A Systematic Review on the stress of Clinical Dental Practice for Dental Hygiene Students)

  • 임순연;양정아
    • 융합정보논문지
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    • 제11권9호
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    • pp.191-200
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    • 2021
  • 본 연구는 치위생(학)과 대학생의 임상실습 스트레스에 대한 선행연구의 결과를 체계적으로 수집, 분석하여 임상실습 스트레스의 측정도구와 관련요인에 대한 분석을 실시하였다. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis)의 체계적 문헌고찰 가이드라인에 의거하여 수행되었으며 최종분석에 사용된 문헌은 24편이었다. 임상실습 스트레스를 측정하기 위하여 사용된 측정도구는 4개였다. 문헌 분석결과 만족도가 낮을수록 임상실습 스트레스가 높은 것으로 나타났고, 대인관계, 역할 및 활동, 이상과 가치의 요인이 스트레스에 유의한 영향을 미치는 것으로 나타났다. 본 연구에서는 임상실습 스트레스와 다양한 변수들 간의 상관관계 및 영향요인에 국한되어 분석하였기에 향후 본 연구 결과를 기초로 하여 치위생(학)과 대학생의 임상실습 스트레스에 관하여 다면적인 연구들이 활발하게 진행되길 기대한다.

치과위생사의 직무만족에 관한 체계적 문헌고찰 (A Systematic Literature Review on Job Satisfaction of Dental Hygienist)

  • 임순연;박지현
    • 융합정보논문지
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    • 제9권1호
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    • pp.123-135
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    • 2019
  • 본 연구는 치과위생사의 직무만족에 대한 선행연구 결과를 체계적으로 수집, 분석하여 직무만족 측정도구와 관련요인에 대한 분석을 실시하였다. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis)의 체계적 문헌고찰 가이드라인에 의거하여 수행되었으며 최종 분석에 사용된 문헌은 44편이었다. 직무만족을 측정하기 위하여 사용된 측정도구는 모두 10개이다. 모두 국외에서 개발된 것이며 수정하여 사용되었다. 문헌 분석 결과 직무만족이 높을수록 이직의도, 직무스트레스에 음의 상관관계이며, 조직몰입, 전문직업성에서는 양의 상관관계가 나타났다. 본 연구에서는 직무만족과 다양한 변인 간의 상관관계 및 영향 요인에 국한되어 분석하였으며 향후 본 연구 결과를 기초로 하여 치과위생사의 직무만족 향상에 대한 연구가 활발히 진행되길 기대한다.

A Systematic Literature Review of the Environmental Upgrading in Global Value Chains and Future Research Agenda

  • Khattak, Amira;Pinto, Luisa
    • 유통과학연구
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    • 제16권11호
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    • pp.11-19
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    • 2018
  • Purpose - The purpose of this study is to provide a systematic literature review related to environmental upgrading in Global Value Chains (GVCs) and suggest possible future research agendas in advancing environmental upgrading and ultimately GVC boundaries. Research design, data, and methodology - The academic databases such as Science Direct, EBSCO, ProQuest and Google Scholar were explored using a structured keywords searches to identify relevant research in the environmental upgrading area in GVCs. Only relevant papers were selected after reading the abstracts, and analyzed using qualitative content analysis. Results - Overall analysis of the literature review suggests two critical developments in the field of environmental upgrading. The first and foremost major development is an enhanced understanding of environmental upgrading as a concept and phenomenon. The second significant development is that environmental upgrading has been empirically proven to be fundamentally based on relationships and power structures within GVCs. Conclusions - Environmental upgrading in GVCs has been studied individually and not in relation to financial outcomes and social upgrading. Hence, the relationship of environmental upgrading with financial outcomes and social upgrading needs to be investigated. Furthermore, the impact of the interaction of varying institutional structures on environmental upgrading is worthy of future study.

Obesity Related Adipokines and Colorectal Cancer: A Review and Meta-Analysis

  • Joshi, Rakhi Kumari;Lee, Sang-Ah
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권1호
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    • pp.397-405
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    • 2014
  • Obesity has been considered as an important risk factor for the development of colorectal cancer (CRC), but the association has not been fully elucidated. Obesity is linked significantly to adipose tissue dysfunction and to alteration of adipokines in blood; in particular, obesity-induced inflammation is thought to be an important link between obesity and colorectal cancer. Based on epidemiological studies, we undertook a systematic review to understand the association of circulating levels of selected adipokines, including adiponectin, leptin, resistin, IL-6 and TNF-${\alpha}$, with the level of CRC risk. Most prospective studies suggested protective effects of adiponectin, but these were attenuated by body mass index (BMI) and waist circumference (WC) data in our meta-analysis. On the other hand, meta-analyses for leptin and CRC did not demonstrate any association, similar to the results of systematic review. Although it proved difficult to determine whether other selected adipokines (resistin, IL-6 and TNF-${\alpha}$) were related to CRC risk due to small number of reports, the present systematic review suggested a positive association with elevated resistin levels but null associations with IL-6 and TNF-${\alpha}$.

측두하악 장애 치료를 위한 수기치료에 대한 체계적 고찰의 프로토콜 (Manual Therapy in the Treatment of Temporomandibular Disorders: A Protocol for a Systematic Review)

  • 김형석;정재영;정석희
    • 한방재활의학과학회지
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    • 제25권4호
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    • pp.41-46
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    • 2015
  • Objectives This systematic review will analyse randomised controlled trials (RCTs) of manual therapy in patients with temporomandibular disorders (TMDs) to evaluate the efficacy of this approach. Methods RCTs will be identified in the following ten databases based on searches starting with their inception: MEDLINE, EMBASE, CENTRAL, four Korean databases as KoreaMed, DBPIA, NDSL, and RISS and three Chinese databases as CNKI, VIP and Wanfang. The quality of these studies will be analysed using the Cochrane risk of bias. A meta-analysis will be conducted, and subgroup analysis will be considered if comparatively large heterogeneity is detected. Conclusions We plan to publish this systematic review in a peer-reviewed journal. Findings from this review may contribute to the treatment process in clinical situations. Trial registration number: PROSPERO 2015: CRD42015024090