• Title/Summary/Keyword: meta-regression

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The Effects of Metacognition and Resilience on Clinical Reasoning Competence of Nursing Students Who Completed Simulation Education Linked to Problem-based Learning (문제중심학습 연계 시뮬레이션교육을 이수한 간호대학생의 메타인지, 회복탄력성이 임상추론능력에 미치는 영향)

  • Kyoung-Hwa Baek;Jeong-Hwa Cho
    • Journal of Industrial Convergence
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    • v.21 no.10
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    • pp.111-120
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    • 2023
  • This study is a descriptive research to examine the effects of meta-cognition and resilience on clinical reasoning ability of nursing students who have completed the simulation education integrated with problem based learning. The study subjects were senior nursing students who had experienced SIM-PBL education, and data was collected by using a structured questionnaire from September to December 2021. The collected data was analyzed employing descriptive statistics, correlation, and hierarchical regression analysis using the SPSS program. The results demonstrated that meta-cognition and resilience had a significant positive correlation with clinical reasoning ability. The chief factors influencing on the clinical reasoning ability of nursing students were as follows: confidence in participating in the SIM-PBL education, meta-cognition, and resilience. In addition, the three factors explained the clinical reasoning ability at a high level of 75%. The clinical reasoning ability of nursing students may be cultivated by applying internal reinforcers of self-confidence, meta-cognition, and resilience into a SIM-PBL simulation.

The Effect of Self-Management Intervention for Reducing Depression and Anxiety in Osteoarthritis Patients : A Meta-analysis (골관절염 환자의 우울과 불안 감소를 위한 자가관리중재의 효과: 메타분석)

  • Lee, Chun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.94-102
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    • 2020
  • This study conducted a meta-analysis of the effects of self-management intervention for reducing the depression and anxiety of osteoarthritis patients. The research sources were PubMed, EMBASE, CINAHL, Ovid-MEDLINE and Korean databases from the Korean and foreign literature published until September 30, 2019. The R version 3.5.1 program was used to identify the effectiveness of self-management intervention. As a result, 11 studies from a total of 1,877 articles in the relevant literature were analyzed, and the total number of participants was 2,751. The results showed that the overall effect size for reducing depression and anxiety was -0.44 (95% CI: -0.66, -0.22) in osteoarthritis patients (p <.001). On the sub-analysis, depression was -0.37 (95% CI: -0.66, -0.08), and anxiety was -0.56 (95% CI: -0.92, -0.20). To explain the heterogeneity, the meta-ANOVA was the setting, duration, and provider of intervention. Analysis of the publication bias was performed by a Funnel plot, which was visually relatively symmetrical and was not asymmetric according to Egger's Regression test (bias=0.19, p=.928). The results of this study established clinical evidence by identifying the effects of self-management intervention for reducing the depression and anxiety of osteoarthritis patients.

A meta analysis of the climate change impact on rice yield in South Korea (기후변화가 국내 쌀 생산량에 미치는 영향에 대한 메타분석)

  • Shin, Deok Ha;Lee, Mun Su;Park, Ju-Hyun;Lee, Yung-Seop
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.2
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    • pp.355-365
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    • 2015
  • As the global climate has dramatically changed over the past decades, there has been active research on evaluating its effects on food security, which has been recognized as one of the most important issues in the field. In this study, we analyzed the impact of the climate change on the Korean agriculture using meta-analysis methods. Especially, our research focus is on estimating the effect of CO2 concentration and two adaptations (planting-date and cultivar adjustments)on rice that accounts for a larger proportion of the Korean domestic agriculture. Unlike traditional general meta-analysis methods that use summary statistics of effects of interest, meta analysis specific to the agriculture literature was conducted by integrating the data on rice yield that were generated under various CO2 emission scenarios and general circulating models of the 6 collected individual studies. As a modeling approach, the rice yield change ratio was set as the dependent variable and the main and interaction effects of CO2 concentration and adaptation were considered as independent variables in a regression model, As a result, CO2 is estimated to have opposite effects on rice yield depending on whether any of the two adaptations is applied or not; decreasing effect without adaptation and increasing effect with adaptation. In addition, it turns out that the cultivar adjustment has a higher increasing effect on rice yield than the planting-date adjustment. The results of the study are expected to be used as basic quantitative data for establishing responsive polices to the future climate changes.

Accuracy of Digital Breast Tomosynthesis for Detecting Breast Cancer in the Diagnostic Setting: A Systematic Review and Meta-Analysis

  • Min Jung Ko;Dong A Park;Sung Hyun Kim;Eun Sook Ko;Kyung Hwan Shin;Woosung Lim;Beom Seok Kwak;Jung Min Chang
    • Korean Journal of Radiology
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    • v.22 no.8
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    • pp.1240-1252
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    • 2021
  • Objective: To compare the accuracy for detecting breast cancer in the diagnostic setting between the use of digital breast tomosynthesis (DBT), defined as DBT alone or combined DBT and digital mammography (DM), and the use of DM alone through a systematic review and meta-analysis. Materials and Methods: Ovid-MEDLINE, Ovid-Embase, Cochrane Library and five Korean local databases were searched for articles published until March 25, 2020. We selected studies that reported diagnostic accuracy in women who were recalled after screening or symptomatic. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. A bivariate random effects model was used to estimate pooled sensitivity and specificity. We compared the diagnostic accuracy between DBT and DM alone using meta-regression and subgroup analyses by modality of intervention, country, existence of calcifications, breast density, Breast Imaging Reporting and Data System category threshold, study design, protocol for participant sampling, sample size, reason for diagnostic examination, and number of readers who interpreted the studies. Results: Twenty studies (n = 44513) that compared DBT and DM alone were included. The pooled sensitivity and specificity were 0.90 (95% confidence interval [CI] 0.86-0.93) and 0.90 (95% CI 0.84-0.94), respectively, for DBT, which were higher than 0.76 (95% CI 0.68-0.83) and 0.83 (95% CI 0.73-0.89), respectively, for DM alone (p < 0.001). The area under the summary receiver operating characteristics curve was 0.95 (95% CI 0.93-0.97) for DBT and 0.86 (95% CI 0.82-0.88) for DM alone. The higher sensitivity and specificity of DBT than DM alone were consistently noted in most subgroup and meta-regression analyses. Conclusion: Use of DBT was more accurate than DM alone for the diagnosis of breast cancer. Women with clinical symptoms or abnormal screening findings could be more effectively evaluated for breast cancer using DBT, which has a superior diagnostic performance compared to DM alone.

Development and application of prediction model of hyperlipidemia using SVM and meta-learning algorithm (SVM과 meta-learning algorithm을 이용한 고지혈증 유병 예측모형 개발과 활용)

  • Lee, Seulki;Shin, Taeksoo
    • Journal of Intelligence and Information Systems
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    • v.24 no.2
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    • pp.111-124
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    • 2018
  • This study aims to develop a classification model for predicting the occurrence of hyperlipidemia, one of the chronic diseases. Prior studies applying data mining techniques for predicting disease can be classified into a model design study for predicting cardiovascular disease and a study comparing disease prediction research results. In the case of foreign literatures, studies predicting cardiovascular disease were predominant in predicting disease using data mining techniques. Although domestic studies were not much different from those of foreign countries, studies focusing on hypertension and diabetes were mainly conducted. Since hypertension and diabetes as well as chronic diseases, hyperlipidemia, are also of high importance, this study selected hyperlipidemia as the disease to be analyzed. We also developed a model for predicting hyperlipidemia using SVM and meta learning algorithms, which are already known to have excellent predictive power. In order to achieve the purpose of this study, we used data set from Korea Health Panel 2012. The Korean Health Panel produces basic data on the level of health expenditure, health level and health behavior, and has conducted an annual survey since 2008. In this study, 1,088 patients with hyperlipidemia were randomly selected from the hospitalized, outpatient, emergency, and chronic disease data of the Korean Health Panel in 2012, and 1,088 nonpatients were also randomly extracted. A total of 2,176 people were selected for the study. Three methods were used to select input variables for predicting hyperlipidemia. First, stepwise method was performed using logistic regression. Among the 17 variables, the categorical variables(except for length of smoking) are expressed as dummy variables, which are assumed to be separate variables on the basis of the reference group, and these variables were analyzed. Six variables (age, BMI, education level, marital status, smoking status, gender) excluding income level and smoking period were selected based on significance level 0.1. Second, C4.5 as a decision tree algorithm is used. The significant input variables were age, smoking status, and education level. Finally, C4.5 as a decision tree algorithm is used. In SVM, the input variables selected by genetic algorithms consisted of 6 variables such as age, marital status, education level, economic activity, smoking period, and physical activity status, and the input variables selected by genetic algorithms in artificial neural network consist of 3 variables such as age, marital status, and education level. Based on the selected parameters, we compared SVM, meta learning algorithm and other prediction models for hyperlipidemia patients, and compared the classification performances using TP rate and precision. The main results of the analysis are as follows. First, the accuracy of the SVM was 88.4% and the accuracy of the artificial neural network was 86.7%. Second, the accuracy of classification models using the selected input variables through stepwise method was slightly higher than that of classification models using the whole variables. Third, the precision of artificial neural network was higher than that of SVM when only three variables as input variables were selected by decision trees. As a result of classification models based on the input variables selected through the genetic algorithm, classification accuracy of SVM was 88.5% and that of artificial neural network was 87.9%. Finally, this study indicated that stacking as the meta learning algorithm proposed in this study, has the best performance when it uses the predicted outputs of SVM and MLP as input variables of SVM, which is a meta classifier. The purpose of this study was to predict hyperlipidemia, one of the representative chronic diseases. To do this, we used SVM and meta-learning algorithms, which is known to have high accuracy. As a result, the accuracy of classification of hyperlipidemia in the stacking as a meta learner was higher than other meta-learning algorithms. However, the predictive performance of the meta-learning algorithm proposed in this study is the same as that of SVM with the best performance (88.6%) among the single models. The limitations of this study are as follows. First, various variable selection methods were tried, but most variables used in the study were categorical dummy variables. In the case with a large number of categorical variables, the results may be different if continuous variables are used because the model can be better suited to categorical variables such as decision trees than general models such as neural networks. Despite these limitations, this study has significance in predicting hyperlipidemia with hybrid models such as met learning algorithms which have not been studied previously. It can be said that the result of improving the model accuracy by applying various variable selection techniques is meaningful. In addition, it is expected that our proposed model will be effective for the prevention and management of hyperlipidemia.

CEP-CFP Relationship and Its Moderators : A Meta-analysis (환경성과와 재무성과 간의 관련성과 조절요인에 관한 메타분석)

  • Yook, Keun-Hyo
    • Journal of Environmental Policy
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    • v.13 no.1
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    • pp.25-47
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    • 2014
  • We examined the heterogeneity in the financial -environmental performance nexus, carrying out a meta-analysis of 48 outcomes from 26 empirical studies. Multiple correspondence analysis (MCA) was performed in this study to facilitate the analysis of the structural relationship among an array of study characteristics. As expected, the results of analyzing the multiple studies of the general corporate environmental performance and financial performance link suggested a significant positive relationship. Some of the results of the moderator analysis suggest that empirical studies using self-reporting measurement and structural equation method benefited from environmental performance as much as or more than the archival and regression method.

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A meta analysis for anti-hyperlipidemia effect of soybeans (메타분석을 이용한 대두의 항-고지혈 효과)

  • Kim, Ji-Eun;Choi, Ki-Heon
    • Journal of the Korean Data and Information Science Society
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    • v.21 no.4
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    • pp.651-667
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    • 2010
  • In this paper, using a meta analysis of anti-hyperlipidemia effect of soybeans were studied. Studied the effects of soybeans using Hedges' standardized mean difference looked at the effect. Applying the fixed-effects model analysis of fecal cholesterol and total cholesterol and triglycerides showed a statistically significant reduction in HDL cholesterol increase was statistically significant at. In addition, the homogeneity of all variables by running the test did not meet the homogeneity of the kidney weight, between weight, HDL cholesterol, LDL cholesterol, total cholesterol, and triglycerides in the random effects model against the results of the analysis conducted by a statistically significant variable that did not.

Seroprevalence of Toxoplasma gondii in cats in mainland China 2016-2020: a meta-analysis

  • Zhou, Siyu;Sang, Ziyin;Wang, Lijun;Zhang, Tangjie
    • Journal of Veterinary Science
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    • v.23 no.1
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    • pp.13.1-13.12
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    • 2022
  • Background: Toxoplasma gondii can infect humans and most animals and has a very high infection rate worldwide, including in China. The number of people infected with T. gondii in China increases with the number of cats. Objectives: We investigated the seropositive rate of T. gondii in cats over the last five years and analyzed the risk factors via meta-analysis. Methods: We retrieved 20 studies, with a total of 5,158 cats, published between 2016 and 2020, used the DerSimonian-Laird model and calculated seroprevalence estimates with the variance stabilizing double arcsine transformation. Results: The overall seroprevalence rate after sinusoidal conversion was 19.9% (95% confidence interval [CI], 15.9-23.9; 966/5,158), lower than the domestic report from 1995 to 2015 (24.5%, 95% CI, 20.1-29.0). There was substantial heterogeneity among studies (χ2 = 262.32; p < 0.001; I2 = 64.6%). Regression analysis of possible heterogeneous causes and subgroup analysis showed that age and whether cats were stray or not have a significant effect on the seropositive rate. Conclusions: Articles published in recent five years suggest that the seroprevalence estimates of Toxoplasma gondii in cats has decreased. Cats, as the final host of T. gondii, are an important cause of the spread of the parasite, and this is an important concern for public health.

A Study on the Insider Behavior Analysis Framework for Detecting Information Leakage Using Network Traffic Collection and Restoration (네트워크 트래픽 수집 및 복원을 통한 내부자 행위 분석 프레임워크 연구)

  • Kauh, Janghyuk;Lee, Dongho
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.13 no.4
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    • pp.125-139
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    • 2017
  • In this paper, we developed a framework to detect and predict insider information leakage by collecting and restoring network traffic. For automated behavior analysis, many meta information and behavior information obtained using network traffic collection are used as machine learning features. By these features, we created and learned behavior model, network model and protocol-specific models. In addition, the ensemble model was developed by digitizing and summing the results of various models. We developed a function to present information leakage candidates and view meta information and behavior information from various perspectives using the visual analysis. This supports to rule-based threat detection and machine learning based threat detection. In the future, we plan to make an ensemble model that applies a regression model to the results of the models, and plan to develop a model with deep learning technology.

Metacognition : Its Relationship to Children's Worry, Depression, and Trait anxiety (아동의 특질불안, 우울, 걱정증상과 상위인지와의 관계)

  • Lim, Kyung Hee
    • Korean Journal of Child Studies
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    • v.25 no.3
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    • pp.41-57
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    • 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.

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