The present study was a comprehensive, quantitative synthesis of the literature examining the effects of physical activity on children's mental health outcomes. The final analysis included 73 ...published and unpublished studies, totaling 246 effect sizes. Various study and participant characteristics were coded to assess moderator effects, including type of physical activity, mental health outcome, gender, cognitive ability, mental status, and implementer of the physical activity, etc. Results demonstrated varying effects depending on the methodology of the examined study i.e., correlational vs. randomized controlled trial (RCT)/non-RCT and characteristics of the participants, although overall effects of physical activity on children's mental health were small but significant, indicating that on average physical activity led to improved mental health outcomes for all children.
Demonstrating similarity between compared groups--that is, equivalence or noninferiority of the outcome of one group to the outcome of another group--requires a different analytic approach than ...determining the difference between groups--that is, superiority of one group over another. Neither a statistically significant difference between groups (P < .05) nor a lack of significant difference (P ≥ .05) from conventional statistical tests provides answers about equivalence/noninferiority. Statistical testing of equivalence/noninferiority generally uses a confidence interval, where equivalence/noninferiority is claimed when the confidence interval of the difference in outcome between compared groups is within a predetermined equivalence/noninferiority margin that represents a clinically or scientifically acceptable range of differences and is typically described by Δ. The equivalence/noninferiority margin should be justified both clinically and statistically, considering the loss in the main outcome and the compensatory gain, and be chosen conservatively to avoid making a false claim of equivalence/noninferiority for an inferior outcome. Sample size estimation needs to be specified for equivalence/noninferiority design, considering Δ in addition to other general factors. The need for equivalence/noninferiority research studies is expected to increase in radiology, and a good understanding of the fundamental principles of the methodology will be helpful for conducting as well as for interpreting such studies.
This meta-analysis synthesized the results of 27 studies examining the relations of racial identity, ethnic identity, and racial socialization to discrimination-distress for Black Americans. The ...purpose was to uncover which constructs connected to racial identity, ethnic identity, and racial socialization most strongly correlate with racial discrimination and psychological distress. Discrimination significantly related to aspects of racial identity, including immersion-emersion, public regard, encounter, Afrocentricity/racial centrality/private regard, and internalization. Distress significantly correlated with preencounter/assimilation, encounter, public regard, immersion-emersion, and Afrocentricity/racial centrality/private regard. Several of these relationships were significantly moderated by the measure of racial identity or demographic variables (gender or age). Implications of these findings are discussed.
Abstract
Background
Coronavirus disease 2019 (COVID-19) was introduced in Korea early with a large outbreak in mid-February. We reviewed the public health interventions used during the COVID-19 ...outbreak and describe the impact on seasonal influenza activity in Korea.
Methods
National response strategies, public health interventions and daily COVID-19–confirmed cases in Korea were reviewed during the pandemic. National influenza surveillance data were compared between 7 sequential seasons. Characteristics of each season, including rate of influenza-like illness (ILI), duration of epidemic, date of termination of epidemic, distribution of influenza virus strain, and hospitalization, were analyzed.
Results
After various public health interventions including enforced public education on hand hygiene, cough etiquette, staying at home with respiratory symptoms, universal mask use in public places, refrain from nonessential social activities, and school closures the duration of the influenza epidemic in 2019/2020 decreased by 6–12 weeks and the influenza activity peak rated 49.8 ILIs/1000 visits compared to 71.9–86.2 ILIs/1000 visits in previous seasons. During the period of enforced social distancing from weeks 9–17 of 2020, influenza hospitalization cases were 11.9–26.9-fold lower compared with previous seasons. During the 2019/2020 season, influenza B accounted for only 4%, in contrast to previous seasons in which influenza B accounted for 26.6–54.9% of all cases.
Conclusions
Efforts to activate a high-level national response not only led to a decrease in COVID-19 but also a substantial decrease in seasonal influenza activity. Interventions applied to control COVID-19 may serve as useful strategies for prevention and control of influenza in upcoming seasons.
Computed tomography (CT) has become the predominant test for diagnosing acute appendicitis in adults. In children and young adults, exposure to CT radiation is of particular concern. We evaluated the ...rate of negative (unnecessary) appendectomy after low-dose versus standard-dose abdominal CT in young adults with suspected appendicitis.
In this single-institution, single-blind, noninferiority trial, we randomly assigned 891 patients with suspected appendicitis to either low-dose CT (444 patients) or standard-dose CT (447 patients). The median radiation dose in terms of dose-length product was 116 mGy·cm in the low-dose group and 521 mGy·cm in the standard-dose group. The primary end point was the percentage of negative appendectomies among all nonincidental appendectomies, with a noninferiority margin of 5.5 percentage points. Secondary end points included the appendiceal perforation rate and the proportion of patients with suspected appendicitis who required additional imaging.
The negative appendectomy rate was 3.5% (6 of 172 patients) in the low-dose CT group and 3.2% (6 of 186 patients) in the standard-dose CT group (difference, 0.3 percentage points; 95% confidence interval, -3.8 to 4.6). The two groups did not differ significantly in terms of the appendiceal perforation rate (26.5% with low-dose CT and 23.3% with standard-dose CT, P=0.46) or the proportion of patients who needed additional imaging tests (3.2% and 1.6%, respectively; P=0.09).
Low-dose CT was noninferior to standard-dose CT with respect to negative appendectomy rates in young adults with suspected appendicitis. (Funded by GE Healthcare Medical Diagnostics and others; ClinicalTrials.gov number, NCT00913380.).
We analyzed the Korean National Health and Nutrition Examination Survey (KNHANES) database to determine the trends of hypertension treatment and control rate in Korea over the past 10 years. In ...addition, we tried to investigate the effect of chronic medical conditions on hypertension management. We investigated the hypertension prevalence, awareness, treatment, and control rate from 2008 to 2017. KNHANES, which uses a stratified multistage sampling design, is a cross-sectional, nationally representative survey conducted by the Korean government. A total of 59,282 adults (≥ 20 years) were included, which was representative of the total population of around 40 million Koreans per year. The mean age was 50.7 ± 16.4 years and 42.6% were male. The prevalence of hypertension, hypercholesterolemia, diabetes mellitus, and obesity significantly increased over the 10 years. During this period, the hypertension treatment and control rate significantly improved. Hypertension treatment rate was significantly lower in the younger age group compared to the older age group, but the control rate among the treated patients was not significantly different between age groups. The treatment and control rates of hypertension were higher in patients with multimorbidity, which implies that it has a favorable effect on the treatment and control of hypertension. Hypertension treatment and control rate have improved over the past 10 years. The higher treatment and control rate in patients with multimorbidity suggest that the more aggressive surveillance might be associated with the improvement of hypertension treatment and control rate in Korea.
We demonstrated a 1.1-µm band extended wideband wavelength-swept laser (WSL) that combined two semiconductor optical amplifiers (SOAs) based on a polygonal scanning wavelength filter. The center ...wavelengths of the two SOAs were 1020 nm and 1140 nm, respectively. Two SOAs were connected in parallel in the form of a Mach-Zehnder interferometer. At a scanning speed of 1.8 kHz, the 10-dB bandwidth of the spectral output and the average power were approximately 228 nm and 16.88 mW, respectively. Owing to the nonlinear effect of the SOA, a decrease was observed in the bandwidth according to the scanning speed. Moreover, the intensity of the WSL decreased because the oscillation time was smaller than the buildup time. In addition, a cholesteric liquid crystal (CLC) cell was fabricated as an application of WSL, and the dynamic change of the first-order reflection of the CLC cell in the 1-µm band was observed using the WSL. The pitch jumps of the reflection band occurred according to the electric field applied to the CLC cell, and instantaneous changes were observed.
This study presents a new approach to synthesizing differential item functioning (DIF) effect size: First, using correlation matrices from each study, we perform a multigroup confirmatory factor ...analysis (MGCFA) that examines measurement invariance of a test item between two subgroups (i.e., focal and reference groups). Then we synthesize, across the studies, the differences in the estimated factor loadings between the two subgroups, resulting in a meta-analytic summary of the MGCFA effect sizes (MGCFA-ES). The performance of this new approach was examined using a Monte Carlo simulation, where we created 108 conditions by four factors: (1) three levels of item difficulty, (2) four magnitudes of DIF, (3) three levels of sample size, and (4) three types of correlation matrix (tetrachoric, adjusted Pearson, and Pearson). Results indicate that when MGCFA is fitted to tetrachoric correlation matrices, the meta-analytic summary of the MGCFA-ES performed best in terms of bias and mean square error values, 95% confidence interval coverages, empirical standard errors, Type I error rates, and statistical power; and reasonably well with adjusted Pearson correlation matrices. In addition, when tetrachoric correlation matrices are used, a meta-analytic summary of the MGCFA-ES performed well, particularly, under the condition that a high difficulty item with a large DIF was administered to a large sample size. Our result offers an option for synthesizing the magnitude of DIF on a flagged item across studies in practice.
The output of a wavelength-swept laser (WSL) based on a fiber Fabry–Pérot tunable filter (FFP-TF) tends to shift the peak wavelength due to external temperature or heat generated by the FFP-TF ...itself. Therefore, when measuring the output of WSL for a long time, it is very difficult to accurately measure a signal in the temporal domain corresponding to a specific wavelength of the output of the WSL. If the wavelength variation of the WSL output can be predicted through the peak time information of the forward scan or the backward scan from the WSL, the variation of the peak wavelength can be compensated for by adjusting the offset voltage applied to the FFP-TF. This study presents a successful stabilization method for peak wavelength variation in WSLs by adjusting the offset voltage of the FFP-TF with closed-loop control. The closed-loop control is implemented by measuring the deviation in the WSL peak position in the temporal domain using the trigger signal of the function generator. The feedback repetition rate for WSL stabilization was approximately 0.2 s, confirming that the WSL output and the peak position for the fiber Bragg grating (FBG) reflection spectrum were kept constant within ±7 μs at the maximum when the stabilization loop was applied. The standard deviations of WSL output and reflection peak positions were 1.52 μs and 1.59 μs, respectively. The temporal and spectral domains have a linear relationship; the ±7 μs maximum variation of the peak position corresponded to ±0.035 nm of the maximum wavelength variation in the spectral domain. The proposed WSL system can be used as a light source for temperature or strain-dependent sensors as it compensates for the WSL wavelength variation in applications that do not require a fast scanning rate.
We evaluate the accuracy of whole body muscle mass (WBMM) and appendicular skeletal muscle mass (ASMM) assessed by bioelectrical impedance analysis (BIA) using an InBody770 machine (InBody, Seoul, ...Korea) referenced to dual-energy X-ray absorptiometry (DXA) in 507 people (mean age 63.7 ± 10.8 years, body mass index (BMI) 25.2 ± 3.5 kg/m²). Mean WBMMs measured by BIA and DXA were 49.3 ± 6.6 kg and 46.8 ± 6.5 kg in men and 36.1 ± 4.7 kg and 34.0 ± 4.8 kg in women, respectively. The respective effect sizes and 95% confidence intervals (CIs) for the difference were 2.49 (2.22⁻2.76) for men, and 2.12 (1.91⁻2.33) for women. Mean ASMMs measured by BIA and DXA were 22.1 ± 3.3 kg and 19.9 ± 3.2 kg in men, and 15.3 ± 2.5 kg and 13.5 ± 2.2 kg in women, respectively. The respective effect sizes and 95% CIs for the difference were 2.26 (2.10⁻2.41) for men and 1.75 (1.65⁻1.87) for women. The BIA clearly overestimated WBMM by 2.28 kg and ASMM by 1.97 kg compared with DXA. Using BMI, gender, and fat percentage, we derive equations that improved the residuals to.
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