• Title/Summary/Keyword: Systematic reduction study

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The Effect of Chuna Manual Therapy for Shoulder Pain in Hemiplegic Patients after Stroke: A Systematic Review and Meta-Analysis (뇌졸중 편마비 환자의 견관절 통증에 대한 추나요법의 효과: 체계적 문헌고찰 및 메타분석)

  • Oh, Eun-Mi;Lee, Eun-Jung
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.3
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    • pp.89-101
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    • 2020
  • Objectives The purpose of this study is to assess the effectiveness of Chuna manual therapy for shoulder pain in hemiplegic patients after stroke. Methods For a systematic review and meta-analysis, we set a key question in accordance with participants, intervention, comparison, outcome, study design (PICO-SD). we searched for clinical studies that conducted chuna manual therapy for shoulder pain in hemiplegic patients after stroke 7 databases until September 2019. Only randomized controlled trials were chosen. Results Total 14 randomized controlled trials were chosen for systematic review and meta-analysis. 9 studies used efficacy rate as evaluation tool, and 8 used visual analogue scale. Pressure method (壓力型) was used in 11 studies, followed by osteopathy method (整骨型) and wave motion method (波動型) in 9 studies. Chuna manual therapy showed statistically significant pain reduction effect. Through meta analysis, Chuna manual therapy showed significant pain reducing effect except the study with Chuna manual therapy and electroacupuncture compared to electroacupuncture only. Conclusion As a result, Chuna manual therapy showed statistically significant effect in pain reduction. However, almost studies were evaluated in a state of having probable high risk of bias. This suggests that it requires attention to make an interpretation in this study. Furthermore, more clinical research need to be accomplished in the future.

Effect of Autogenic Training for Stress Response: A Systematic Review and Meta-Analysis (아우토겐 트레이닝이 스트레스반응에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Seo, Eunju;Kim, Soukyoung
    • Journal of Korean Academy of Nursing
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    • v.49 no.4
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    • pp.361-374
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    • 2019
  • Purpose: This study was conducted to evaluate the effectiveness of autogenic training on stress responses through a systematic review and meta-analysis. Methods: A systematic search was conducted using eight core electronic databases (Embase, CENTRAL, Medline, CINAHL, PsycInfo, DBpia, KISS, and RISS). To estimate the effect size, a meta-analysis of the studies was performed using RevMan 5.3.5 program. Results: A total 21 studies out of 950 studies were included in the review, and 11 were included for meta-analysis. These studies showed that autogenic training decreased anxiety and depression, and increased the high frequency of heart rate variability. Calculations to understand the effect of autogenic training on anxiety, through a meta-analysis, observed a reduction effect of anxiety score by 1.37 points (n=85, SMD=-1.37: 95% CI -2.07 to -0.67), in the studies on short-term intervention targeting healthy adults. On the other hand, similar calculations to understand the effect of autogenic training on depression observed, a reduction effect on the depression score by 0.29 point (n=327, SMD=-0.29: 95% CI -0.50 to -0.07), in the studies on long term intervention targeting the patient group. Conclusion: Autogenic training is effective for adults' stress management, and nurses will be able to effectively perform autogenic training programs for workers' stress relief at the workplace.

Effect of Program for Pain Reduction in Patients with Rheumatoid Arthritis: A Systematic Review (류마티스 관절염 환자의 통증 감소를 위한 프로그램의 효과: 체계적 문헌고찰)

  • Jeon, Byeonghyeon;Lee, Chang Hoon;Chung, Chong Hyuk;Lee, Myeung Su
    • Journal of muscle and joint health
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    • v.28 no.2
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    • pp.200-208
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    • 2021
  • Purpose: The purpose of this study was to establish the foundations for the application of appropriate programs for pain reduction in patients with rheumatoid arthritis. Methods: The literature on patients with rheumatoid arthritis were found on an electronic search site for South Korean academic papers. The search terms "rheumatism" and "rheumatoid arthritis" were used independently. The combined terms "rheumatism and pain" and "rheumatoid arthritis and pain" were also used. For the meta-analysis, the R version 3.5.1 program was utilized. Results: The meta-analysis of eight papers showed a large effect size of -4.11. The programs were most effective in the order of aquatic exercise, aromatherapy, self-help education, muscle strength exercises, and tai chi. Conclusion: This study could provide the basis for presenting appropriate programs for pain management in patients with rheumatoid arthritis.

Study on the determination of optimum size of storage tank and intercepting capacity for CSOs reduction in urban area (도시지역 CSOs 저감을 위한 저류조 및 이송관로의 최적 용량결정에 관한 연구)

  • Lee, Kwan Yong;Choi, Won Suk;Lee, Yong Jae;Koo, Won Suk;Song, Chang Soo
    • Journal of Korean Society of Water and Wastewater
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    • v.26 no.6
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    • pp.735-745
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    • 2012
  • Storage method is one of major measures for reduction of CSOs pollutant loads and several projects have been done nationwide. But systematic analysis of intercepting capacity has not been studied to determine optimum size of storage facility. In this research, not only storage volume but also intercepting capacity which means flow capacity from intercepting facility to CSOs storage facility was studied and optimum sizing method for storage facility was proposed. The result shows that pollutants reduction efficiency can be increased significantly by increasing intercepting capacity and it might reduce storage volume and total construction costs. Intercepting capacity for the study area was evaluated and it was shown as equivalent to 83 % probability rainfall intensity.

Experimental Investigations of Systematic Errors in Wind Tunnel Testing Using Design of Experiments (실험설계법 기반 풍동시험 시스템 오차 검출 실험연구)

  • Oh, Se-Yoon;Park, Seung-O;Ahn, Seung-Ki
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.41 no.5
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    • pp.335-341
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    • 2013
  • The variation of systematic bias errors in the wind tunnel testing has been studied. A Design of Experiments(DOE) approach to an experimental study of fuselage drag and stability characteristics of a helicopter configuration was applied. When forces and moments measured in one time block differ significantly from measurements made in another time block under assumption that sample observations can be expected to yield same results within permissible measuring errors. The practical implication of this paper is that the systematic error can not be assumed not to exist. The those error reduction could be achieved through the process of randomization, blocking, and replication of the data points.

Delphi Study on the Reduction of Cross-contamination and Improvement of Management System on Firefighting Protection Suit (소방 방화복 교차오염 저감 및 관리체계 개선을 위한 델파이 연구)

  • Kim, Soo Jin;Ham, Seunghon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.32 no.2
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    • pp.182-194
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    • 2022
  • Objectives: This study evaluates and recommends the priority of policy implementation to improve the fire protection clothing management system used by firefighters and the reduction of cross-contamination from contaminated clothing at the scene of a fire. Methods: It consisted of 7 experts and conducted three interviews and two modified Delphi surveys. Through the results of previous research and interviews with experts, a plan to reduce cross-contamination of fire suits and improve the management system was first derived. An improvement plan was presented in the four areas including resources, management, fire protection related work, and laws and regulations, and the priority of policy implementation was derived by analyzing the importance and practicality of the policy at the same time. Results: As a result of the analysis, the first priority was education on the health effects of pollutants at the disaster scene for firefighters, and the second priority was the addition of SOP for the primary decontamination of on-scene personal protective equipment in preparation for the health effects of the disaster scene, and education for fire suppression and rescue workers. The next step was to improve the management system of personal protective equipment such as fire suits and develop a training course for systematic operation. Conclusions: This findings could be used in the implementation of mid- to long-term firefighting policies for the systematic operation and establishment of a systematic management system for personal protective equipment such as fire protective suits.

Open versus closed reduction of mandibular condyle fractures : A systematic review of comparative studies

  • Kim, Jong-Sik;Seo, Hyun-Soo;Kim, Ki-Young;Song, Yun-Jung;Kim, Seon-Ah;Hong, Soon-Min;Park, Jun-Woo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.34 no.1
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    • pp.99-107
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    • 2008
  • Objective : The objective of this review was to provide reliable comparative results regarding the effectiveness of any interventions either open or closed that can be used in the management of fractured mandibular condyle Patients and Methods : Research of studies from MEDLINE and Cochrane since 1990 was done. Controlled vocabulary terms were used. MeSH Terms were "Mandibular condyle" AND "Fractures, bone". Only comparative study were considered in this review using the "limit" function. According to the criteria, two review authors independently assessed the abstracts of studies resulting from the searches. The studies were divided according to some criteria, and following were measured: Ramus height, condyle sagittal displacement, condyle Towns's image displacement, Maximum open length, Protrusion & Lateral excursion, TMJ pain, Malocclusion, and TMJ disorder. Results : Many studies were analyzed to review the post-operative result of the two methods of treatment. Ramus height decreased more in when treated by closed reduction as opposed to open reduction. Sagittal condyle displacement was shown to be greater in closed reduction. Condyle Town's image condyle displacement had greater values in closed reduction. Maximum open length showed lower values in closed reduction. In protrusive and lateral movement, closed reduction was less than ORIF. Closed reduction showed greater occurrence of malocclusion than ORIF. However, post-operative pain and discomfort was greater in ORIF. Conclusion : In almost all categories, ORIF showed better results than CRIF. However, the use of the open reduction method should be considered due to the potential surgical morbidity and increased hospitalization time and cost. To these days, Endoscopic surgical techniques for ORIF (EORIF) are now in their infancy with the specific aims of eliminating concern for damage to the facial nerve and of reducing or eliminating facial scars. Before performing any types of treatment, patients must be understood of both of the treatment methods, and the best treatment method should be taken on permission.

The Effect of Construction Safety Supervision System on Risk Control and Reduction (건설안전감리제도가 위험제어 및 절감에 미치는 영향)

  • Lim, Jin-Sang;Kang, Kyung-Sik
    • Journal of the Korea Safety Management & Science
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    • v.20 no.3
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    • pp.1-9
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    • 2018
  • This study is intended to look into the effect of construction safety supervision system on risk control and reduction. To achieve this, a survey was carried out to 114 companies in construction, ordering, contract and management. The overall findings were as follows. The effect of construction safety supervision system on risk control and reduction showed that factors of supervision system, supervision cost and supervision method had a positive effect on risk control and reduction. And their perception of the introduction of safety supervision system in construction sites according to process showed that there was a difference between them according to the field of ordering, contract and supervision. There was the biggest difference between owner and contractor in double supervision system, but no difference between them in the perception of risk reduction. These results show that all ordering, contract and supervision are positively needed for the introduction of construction safety supervision. This means that there is a difference between owner and contractor in the perception of process according to system operation. All companies agree to system improvement by the settlement of safety supervision system for the prevention of safety accidents and safe construction, but the systematic complement of safety supervision is the burden of contractor. And there is a big difference between owner and contractor in the perception of responsibility and concern for cost burden.

Experience and Perception on Patient Safety Culture of Employees in Hospitals (환자안전 문화에 대한 의료 종사자의 인식과 경험)

  • Kim, Eun-Kyung;Kim, Hui-Jeong;Kang, Min-Ah
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.3
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    • pp.321-334
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    • 2007
  • Purpose: The objectives of this study were to understand and compare perception and experience between clinical staffs(nurses and pharmacists) and Quality Improvement managers. Method: A qualitative study was conducted with 14 clinical staffs and QI managers who are working at tertiary hospitals in Korea. Interviews were recorded and transcribed for systematic analyses of qualitative data. Results: Most critically, while QI managers acknowledged that establishment of the patient safety culture and reduction of medical errors are urgent tasks for QI effort, clinical staffs don't seem to share such perceptions. All participants agree that staff shortage and no compliance to safety procedures were major reasons for medical error occurrences. Many suggested that an organizational culture where errors were perceived as a systematic problems rather than individual failures or carelessness should be formed to promote voluntary reporting of medical errors. Conclusion: A more systematic effort and attention at the hospital leadership and public policy level should be promoted to constitute societal consensus on the urgence of promoting patient safety culture and more specific approaches to tackle the patient safety problems.

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A Systematic Review of Meaning-Centered Therapy's Effect on Stress Reduction: Focusing on Korean Studies (의미요법의 스트레스 감소 효과에 관한 체계적 문헌고찰: 국내 연구를 중심으로)

  • Do, Eunna;Cho, Sunhee
    • Journal of Industrial Convergence
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    • v.19 no.1
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    • pp.87-97
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    • 2021
  • This study aimed to systematically review the literature on the stress reduction of meaning-centered therapy (MCT) studies in Korea and to identify the characteristics of MCT for stress reduction. MCT studies aimed at reducing stress symptoms were searched among peer reviewed journal articles and unpublished dissertations until April, 2020. Two independent researchers assessed the risk of bias and the quality of the report using Scottish Intercollegiate Guidelines Network criteria. As a result of searching with 7 databases, 7 studies were finally selected. Seven MCTs were for all age groups, and 5 studies reported MCT was effective in reducing stress symptoms. Both single and combined type interventions were effective in reducing stress symptom, Researchers used the combined MCT more than single MCT program. The study with no significant effect was related to school test stress. There is a need to develop MCTs suitable for school-age youth with test stress in the future.