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Sample records for brazil review synthesis

  1. Radionuclides as tracers of coastal processes in Brazil: review, synthesis, and perspectives

    Directory of Open Access Journals (Sweden)

    Isaac R. Santos

    2008-06-01

    Full Text Available We review the usefulness, limitations, significance, and coastal management implications of radionuclide measurements in Brazilian coastal environments. We focus on the use of radionuclides as tracers of sedimentary processes and submarine groundwater discharge (SGD. We also discuss artificial radionuclide contamination and high natural radioactivity areas. The interpretation of 14C-, 137Cs-, and 210Pb-derived sedimentation rates has provided evidence that inappropriate soil use by urban and agricultural activities has intensified erosion processes on land, which is reflected in depositional environments, such as coastal lagoons, estuaries and mangroves. Of the processes discussed in this paper, SGD is the one that requires the most scientific effort in the short-term. There have been only two case studies using 222Rn and radium isotopes as groundwater tracers in Brazil. These investigations showed that SGD can be a major source of nutrients and other dissolved species to the coastal ocean. Baseline 137Cs, 90Sr, 239+240Pu, and 238Pu concentrations in seawater from the whole Brazilian coastal zone are very low. Therefore, in spite of contamination problems in many ecosystems in the northern hemisphere, artificial radionuclide pollution appears to be negligible along the Brazilian coast. Phosphate fertilizer industries and petroleum processing facilities are the main economic activities producing Technologically Enhanced Naturally Occurring Radioactive Materials (TENORM. Even though a few attempts have been made to assess the radiological effects of these activities, their potential threats indicate a need for the radiological control of their wastes. This review showed that the number of studies within the field of environmental radioactivity is still small in Brazil and much more research is needed to understand processes of high interest for environmental managers. In the near future, it is likely that such studies in Brazil will move from

  2. Rainfall erosivity in Brazil: A Review

    Science.gov (United States)

    In this paper, we review the erosivity studies conducted in Brazil to verify the quality and representativeness of the results generated and to provide a greater understanding of the rainfall erosivity (R-factor) in Brazil. We searched the ISI Web of Science, Scopus, SciELO, and Google Scholar datab...

  3. Multiple sclerosis in Brazil: A systematic review.

    Science.gov (United States)

    Vasconcelos, C C F; Thuler, L C S; Rodrigues, B C; Calmon, A B; Alvarenga, R M P

    2016-12-01

    The natural history of multiple sclerosis (MS) in Brazil has been available in different regions of country. There is no nationwide population-based studies that express general data in Brazil. To review and synthesize available data about MS in Brazil. Systematic review was performed through a search of medical literature databases to identify Brazilian studies published during 1990-2012. PubMed, SciELO, and Lilacs. "Brazil" or "Brazilian" combined with the following terms: "multiple sclerosis", "clinical profile", "demographic profile", "natural history", "clinical course", "pediatric", or "familial form". In total of 45 pediatric and 1922 adult patients, the median age at onset was 10 years in pediatric patients and 32 years in adult patients. Women were more affected. Motor-control complaints and relapsing-remitting phenotype at onset were the most common. Predictors to disability and progression were number of relapses during the first year of disease, older age, male gender and African ancestry. The profile of the MS in Brazilian seems to correspond to that observed in high-MS-prevalence areas. African ancestry is a risk factor to disability and progression early. In Brazil, factors that limit MS incidence do not interfere with the clinical pattern and outcomes. Copyright © 2016 Elsevier B.V. All rights reserved.

  4. Properties of Brazil nuts: A review

    African Journals Online (AJOL)

    aghomotsegin

    2015-02-25

    Feb 25, 2015 ... Brazil nut is a seed with high nutritional value and of great economic importance to the Northern region of Brazil. In addition to enabling direct consumption, its nutritional potential ..... six months of storage at ambient temperature. The results showed that these three types of breakfast cereals obtained higher ...

  5. Municipal solid waste in Brazil: A review.

    Science.gov (United States)

    Alfaia, Raquel Greice de Souza Marotta; Costa, Alyne Moraes; Campos, Juacyara Carbonelli

    2017-12-01

    The production of municipal solid waste (MSW) represents one of the greatest challenges currently faced by waste managers all around the world. In Brazil, the situation with regard to solid waste management is still deficient in many aspects. In 2015, only 58.7% of the MSW collected in Brazilian cities received appropriate final disposal. It was only as late as 2010 that Brazil established the National Policy on Solid Waste (NPSW) based on the legislation and programmes established in the 1970s in more developed countries. However, the situation with regard to MSW management has changed little since the implementation of the NPSW. Recent data show that, in Brazil, disposal in sanitary landfills is practically the only management approach to MSW. Contrary to expectations, despite the economic recession in 2015 the total annual amount of MSW generated nationwide increased by 1.7%, while in the same period the Brazilian population grew by 0.8% and economic activity decreased by 3.8%. The article describes the panorama with regard to MSW in Brazil from generation to final disposal and discusses the issues related to the delay in implementing the NPSW. The collection of recyclable material, the recycling process, the application of reverse logistics and the determination of the gravimetric composition of MSW in Brazil are also addressed in this article. Finally, a brief comparison is made between MSW management in Brazil and in other countries, the barriers to developing effective waste disposal systems are discussed and some recommendations for future MSW management development in Brazil are given.

  6. [Quality assessment of hospital care in Brazil: a systematic review].

    Science.gov (United States)

    Machado, Juliana Pires; Martins, Ana Cristina Marques; Martins, Mônica Silva

    2013-06-01

    Quality assessment of hospital services has drawn growing international attention, driven by demand from funders, providers, practitioners, and patients. The objective of this study was to review the literature on hospital quality assessment in Brazil and analyze the main approaches, methodologies, and indicators used in the studies. The research design was a systematic literature review of scientific articles and doctoral and Master's theses published from 1990 to 2011. The review identified 2,169 documents, and 62 were included in the review, representing 48 separate studies. Most studies used secondary data and analyzed effectiveness, adequacy, safety, and efficiency, emphasizing the application of mortality rate, adequacy rate, adverse events rate, and length of stay. Methods to control differences in patient risks were mostly applied. This review identified central elements for both the development of this theme and the improvement of hospital care in Brazil.

  7. 76 FR 1599 - Stainless Steel Bar From Brazil: Final Results of Antidumping Duty Administrative Review

    Science.gov (United States)

    2011-01-11

    ... International Trade Administration Stainless Steel Bar From Brazil: Final Results of Antidumping Duty... results of its administrative review of the antidumping duty order on stainless steel bar from Brazil. The... stainless steel bar (SSB) from Brazil. See Stainless Steel Bar From Brazil: Preliminary Results of...

  8. A Systematic Review of Children's Environmental Health in Brazil.

    Science.gov (United States)

    Froes Asmus, Carmen I R; Camara, Volney M; Landrigan, Philip J; Claudio, Luz

    2016-01-01

    In the region of the Americas, approximately 100,000 children under the age of 5 years die each year due to environmental hazards. Brazil, due to its large size and wide range of environmental challenges, presents numerous hazards to children's health. The aim of this study was to systematically review the scientific literature that describes children's exposures to environmental pollutants in Brazil and their effects on Brazilian children's health. A systematic review of the scientific literature was performed without language restrictions and time of publication (years). The literature search was conducted in the following key resources: PubMed (MEDLINE), Scopus and Web of Science with the MeSH Terms: Environmental exposure AND Brazil (filters: Human, Child [birth to 18 years] and Affiliation Author). The Virtual Health Library was also employed to access the databases Scielo and Lilacs. The search strategy was [DeCS Terms]: Child OR adolescent AND Environmental exposure AND Brazil. Health effects in children associated with exposure to environmental pollutants in Brazil were reported in 74 studies, during the period between 1995 and 2015. The most frequently cited effect was hospital admission for respiratory causes including wheezing, asthma, and pneumonia among children living in areas with high concentrations of air pollutants. A broad spectrum of other health effects possibly linked to pollutants also was found such as prematurity, low birth weight, congenital abnormality (cryptorchidism, hypospadia, micropenis), poor performance in tests of psychomotor and mental development, and behavioral problems. Exposure to pesticides in utero and postnatally was associated with a high risk for leukemia in children Brazil for stricter monitoring of pollutant emissions and for health surveillance programs especially among vulnerable populations such as pregnant women and young children. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  9. [Public policies for the elderly in Brazil: an integrative review].

    Science.gov (United States)

    Andrade, Luana Machado; Sena, Edite Lago da Silva; Pinheiro, Gleide Magali Lemos; Meira, Edmeia Campos; Lira, Lais Santana Santos Pereira

    2013-12-01

    This paper is an integrative review analyzing the scientific production and legal documents regarding public policies for the elderly in Brazil. Research was conducted in the Virtual Health Library and Scopus databases, examining publications since 2003. Data were collected from June to September of 2011 using the following key words: "elderly" (idosos), "public policies" (políticas públicas), "elderly person" (pessoa idosa), "aging" (envelhecimento) and "civic participation" (participação cidadã). The search resulted in the selection of 15 articles and six legal documents targeted at the elderly in Brazil that were submitted to content analysis by categorization. The results revealed that aging in Brazil has occurred in the midst of adaptations entrenched in cultural biases, social, economic and educational discrepancies and the implementation of public welfare policies. There were few studies that indicated the importance of strengthening social movements that elicit discussion related to the elderly in Brazil. The conclusion reached is that the study will provide material for reflection about the construction of a new reality about aging in Brazil.

  10. A review on human attitudes towards reptiles in Brazil.

    Science.gov (United States)

    Alves, Rômulo Romeu Nóbrega; Vieira, Kleber Silva; Santana, Gindomar Gomes; Vieira, Washington Luiz Silva; Almeida, Waltécio Oliveira; Souto, Wedson Medeiros Silva; Montenegro, Paulo Fernando Guedes Pereira; Pezzuti, Juarez Carlos Brito

    2012-11-01

    For many millennia humans and reptiles have interacted, but the attitude of humans towards these animals has depended on culture, environment, and personal experience. At least 719 reptile species are known to occur in Brazil and about 11% of this fauna has been exploited for many different purposes, including bushmeat, leather, ornamental and magic/religious uses, and as folk medicines. Brazil can therefore serve as an interesting case study for better understanding reptile use by human societies, and the present paper catalogues some of the reptile species being used in Brazil and discusses implications for their conservation. A literature review indicated that 81 reptile species are culturally important in this country, with 47 (58%) species having multiple uses, 54 being used for medicinal purposes, 38 as food, 28 for ornamental or decorative purposes, 20 used in magic/religious practices, 18 as pets, and 40 are commonly killed when they come into contact with humans. Regarding their conservation status, 30 (37.5%) are included on State's Red List, Brazilian Red List or the IUCN Red List. There are many forms of interaction between reptiles and humans in Brazil-although most of them are quite negative in terms of wildlife conservation-which reinforces the importance of understanding such uses and interactions in the context of protecting reptiles in Brazil. A better understanding of the cultural, social, and traditional roles of these reptiles is fundamental to establishing management plans for their sustainable use.

  11. 78 FR 4383 - Stainless Steel Bar From Brazil: Preliminary Results of Antidumping Duty Administrative Review...

    Science.gov (United States)

    2013-01-22

    ... International Trade Administration Stainless Steel Bar From Brazil: Preliminary Results of Antidumping Duty... the antidumping duty order on stainless steel bar (SSB) from Brazil. The period of review (POR) is... Antidumping Duty Administrative Review: Stainless Steel Bar from Brazil'' dated concurrently with this notice...

  12. The population of Brazil, 1570-1700: a historiographical review

    Directory of Open Access Journals (Sweden)

    Angelo Alves Carrara

    2014-01-01

    Full Text Available This article reviews the historiography of Brazil's population estimates for the period from 1570 until the beginning of the 18th century, with special attention to Contreiras Rodrigues, whose work became a benchmark for nearly all studies. The article also aims to compare the data with other available sources, such as tax sources, as well as to assess the validity of the proposed estimates.

  13. PARENTAL ALIENATION IN BRAZIL: A REVIEW OF SCIENTIFIC PUBLICATIONS

    Directory of Open Access Journals (Sweden)

    Sheila Maria Prado Soma

    2016-11-01

    Full Text Available Parental Alienation (PA and Parental Alienation Syndrome (PAS are of great relevance to the common area shared by Psychology and Law, and have gained emphasis in Brazil since the approval of Law 12.318/2010. Such law provides punishment for alienating practices and determines the role of Forensic Psychologists in the investigation of alleged cases. Nevertheless, the topic is controversial from a scientific point of view and the literature is scarce, particularly in Brazil.The present study reviewed the Brazilian scientific literature regarding PA and PAS up to July 2015. As a result, 13 articles were selected and analyzed. Nine of them were theoretical papers, and only four presented results from empirical research. Unfortunately most publications, including the empirical studies, did not seem to offer important contributions to the area. The lack of empirical research on this topic affects the area’s conceptual development and professional conduct while working with families in litigation.

  14. 77 FR 30504 - Certain Orange Juice From Brazil: Notice of Rescission of Antidumping Duty Administrative Review

    Science.gov (United States)

    2012-05-23

    ... International Trade Administration Certain Orange Juice From Brazil: Notice of Rescission of Antidumping Duty... orange juice (OJ) from Brazil for a period of review (POR) of March 1, 2011, through February 29, 2012.\\1....\\2\\ \\2\\ See Revocation of Antidumping Duty Order: Certain Orange Juice From Brazil, 77 FR 23659 (Apr...

  15. Hydroxyapatite Fibers: A Review of Synthesis Methods

    Science.gov (United States)

    Qi, Mei-Li; He, Kun; Huang, Zhen-Nan; Shahbazian-Yassar, Reza; Xiao, Gui-Yong; Lu, Yu-Peng; Shokuhfar, Tolou

    2017-08-01

    Hydroxyapatite (HA) exhibits excellent biocompatibility, bioactivity, osteoconductivity, non-toxicity and so on, making it a perfect candidate for biomedical applications. However, HA is not qualified to be used in load-bearing sites due to its poor flexural strength and fracture toughness. Design, synthesis and application of fibrous HA is a promising strategy to overcome the inherent brittleness. This review provides a brief description of HA and hydroxyapatite fiber (HAF), then introduces different synthesis methods of HAF and highlights the inherent merits and drawbacks involved in each method. Finally, the future perspectives in this active research area are given. The purpose of this review is to acquaint the reader with this promising new field of biomaterials research and with emphasis on recent techniques to obtain continuous, uniform and long HAF.

  16. 75 FR 39663 - Stainless Steel Bar From Brazil: Final Results of Antidumping Duty Administrative Review

    Science.gov (United States)

    2010-07-12

    ... International Trade Administration Stainless Steel Bar From Brazil: Final Results of Antidumping Duty... of its administrative review of the antidumping duty order on certain stainless steel bar from Brazil... results of its administrative review of the antidumping duty order on certain stainless steel bar from...

  17. The Iowa Gambling Task (IGT in Brazil: a systematic review

    Directory of Open Access Journals (Sweden)

    André Rutz

    2013-01-01

    Full Text Available Background: Decision-making is a complex, multidimensional cognitive function that requires the choice between two or more options and also the predictive analysis of its consequences. One of the tools most widely used to assess decision-making in neuropsychological research is the Iowa Gambling Task (IGT. Objective: To conduct a systematic review of articles reporting empirical IGT studies based in Brazil. Method: Articles were obtained from multiple journal databases including ISI Web of Knowledge, Scopus, SciELO, LILACS, and Scholar Google. Results: Thirty-six studies were included in this review and divided into four categories according to main subject matter (psychiatry & personality; demographic & cultural variables; medical/clinic; and psychometric properties & test administration standardization. In general, there was a significant growth in research employing IGT (Χ² = 17.6, df = 5, p = 0.0003, but this growth was restricted to a few geographic areas of Brazil. The psychiatry & personality subject matter was the most abundant, accounting for 14 publications (39% of the total sample. Conclusion: Since its first adaptation to Brazilian Portuguese in 2006, a growing interest in decision-making as measured by the IGT can be observed, with psychiatry & personality topics representing a large portion of the scientific inquiry to date. Nevertheless, in order to extend the initial results of Brazilian IGT decision-making research, more studies are necessary - across a more diverse range of topics, including demographic & cultural variables, and psychometric properties & test administration standardization, the areas least studied -, as is the dissemination of the IGT to more regions of the country.

  18. 75 FR 67689 - Stainless Steel Bar From Brazil: Preliminary Results of Antidumping Duty Administrative Review

    Science.gov (United States)

    2010-11-03

    ... International Trade Administration Stainless Steel Bar From Brazil: Preliminary Results of Antidumping Duty... antidumping duty order on certain stainless steel bar from Brazil. The review covers one producer/ exporter of... Department published in the Federal Register an antidumping duty order on certain stainless steel bar from...

  19. 75 FR 12514 - Stainless Steel Bar From Brazil: Preliminary Results of Antidumping Duty Administrative Review

    Science.gov (United States)

    2010-03-16

    ... International Trade Administration Stainless Steel Bar From Brazil: Preliminary Results of Antidumping Duty... antidumping duty order on certain stainless steel bar from Brazil. The review covers one producer/ exporter of... Department published in the Federal Register an antidumping duty order on certain stainless steel bar from...

  20. Properties of Brazil nuts: A review | Kluczkovski | African Journal of ...

    African Journals Online (AJOL)

    Brazil nut is a seed with high nutritional value and of great economic importance to the Northern region of Brazil. In addition to enabling direct consumption, its nutritional potential enables the development of various products. Among its nutrients, emphasis is given to the amino acid-rich proteins, lipid content and selenium, ...

  1. Serological diagnosis of canine visceral leishmaniasis in Brazil: systematic review and meta-analysis.

    Science.gov (United States)

    Peixoto, Henry Maia; de Oliveira, Maria Regina Fernandes; Romero, Gustavo Adolfo Sierra

    2015-03-01

    To evaluate the quality and accuracy of serological diagnosis of canine visceral leishmaniasis in the Americas. A systematic review found original studies in the databases MEDLINE, EMBASE and LILACS up to November 2012 and in complementary sources up to February 2013. Studies were evaluated in accordance with QUADAS 2 and STARD parameters and recommended in accordance with GRADE parameters. Meta-analysis was carried out with Meta-DiSc software, using the random-effect model. Two hundred and eighty-four studies were identified, of which 25 met the inclusion criteria, comprising the final synthesis. All but one was conducted in Brazil, and only two were judged to be of good quality. 15 studies involving immuno-enzymatic tests with crude antigens (cELISA), 11 studies on indirect immunofluorescence tests (IFAT) and three on the immunochromatographic dual-path platform (DPP) test were meta-analysed. The combined results for sensitivity and specificity were cELISA: 0.89 (CI 95% 0.87-0.91) and 0.87 (CI 95% 0.86-0.88); IFAT: 0.88 (CI 95% 0.85-0.91) and 0.63 (CI 95% 0.61-0.65); and DPP: 0.83 (CI 95% 0.78-0.88) and 0.73 (CI 95% 0.70-0.75). Enzyme-linked immunosorbent assay with crude antigens and DPP tests have moderate accuracy for the diagnosis of canine visceral leishmaniasis, and the quality of the design, implementation and analysis of validation studies on diagnostic tests for this disease urgently require improvement. The recommendation for use of the evaluated tests is based on evidence that is scarce and restricted to Brazil. © 2014 John Wiley & Sons Ltd.

  2. What Synthesis Methodology Should I Use? A Review and Analysis of Approaches to Research Synthesis.

    Directory of Open Access Journals (Sweden)

    Kara Schick-Makaroff

    2016-03-01

    Full Text Available Background: When we began this process, we were doctoral students and a faculty member in a research methods course. As students, we were facing a review of the literature for our dissertations. We encountered several different ways of conducting a review but were unable to locate any resources that synthesized all of the various synthesis methodologies. Our purpose is to present a comprehensive overview and assessment of the main approaches to research synthesis. We use ‘research synthesis’ as a broad overarching term to describe various approaches to combining, integrating, and synthesizing research findings. Methods: We conducted an integrative review of the literature to explore the historical, contextual, and evolving nature of research synthesis. We searched five databases, reviewed websites of key organizations, hand-searched several journals, and examined relevant texts from the reference lists of the documents we had already obtained. Results: We identified four broad categories of research synthesis methodology including conventional, quantitative, qualitative, and emerging syntheses. Each of the broad categories was compared to the others on the following: key characteristics, purpose, method, product, context, underlying assumptions, unit of analysis, strengths and limitations, and when to use each approach. Conclusions: The current state of research synthesis reflects significant advancements in emerging synthesis studies that integrate diverse data types and sources. New approaches to research synthesis provide a much broader range of review alternatives available to health and social science students and researchers.

  3. A review of wildlife ecotourism in Manaus, Brazil

    National Research Council Canada - National Science Library

    Neil D'Cruze; Fernando Carniel Machado; Neil Matthews; Margaret Balaskas; Gemma Carder; Vanessa Richardson; Roberto Vieto

    2017-01-01

    ... who visit the city of Manaus in Brazil. Issues of potential wildlife conservation and animal welfare concern include wildlife-baiting, swim-with free-ranging pink river dolphin activity, the use of captive wild animals...

  4. 76 FR 43344 - Certain Orange Juice From Brazil; Scheduling of a Full Five-Year Review Concerning the...

    Science.gov (United States)

    2011-07-20

    ... COMMISSION Certain Orange Juice From Brazil; Scheduling of a Full Five-Year Review Concerning the Antidumping Duty Order on Certain Orange Juice From Brazil AGENCY: United States International Trade Commission... revocation of the antidumping duty order on certain orange juice from Brazil would be likely to lead to...

  5. 76 FR 30197 - Orange Juice From Brazil; Notice of Commission Determination To Conduct a Full Five-Year Review...

    Science.gov (United States)

    2011-05-24

    ... COMMISSION Orange Juice From Brazil; Notice of Commission Determination To Conduct a Full Five-Year Review Concerning the Antidumping Duty Orderon Orange Juice From Brazil AGENCY: United States International Trade... whether revocation of the antidumping duty orderon orange juice from Brazil would be likely to lead to...

  6. 75 FR 20812 - Silicon Metal from Brazil: Amended Final Results of Administrative Review Pursuant to Court Decision

    Science.gov (United States)

    2010-04-21

    ... International Trade Administration Silicon Metal from Brazil: Amended Final Results of Administrative Review... Commerce (``the Department'') regarding the administrative review of the antidumping duty order on Silicon Metal from Brazil for the period of review beginning July 1, 1996, through June 30, 1997. See Silicon...

  7. A Review and Synthesis of Recent Research in Second Life

    Science.gov (United States)

    Fang, Yu-Shen; Lee, Lung-Sheng

    2009-01-01

    Purpose: Applications of online Second Life (SL) prevail over the world. The purpose of this paper is to make a review and synthesis of recent research studies on SL. Design/methodology/approach: Documental analysis is employed. Totally, 135 research publications, published in 2006-2008, are reviewed and synthesized. Findings: Findings are as…

  8. Giardiasis as a neglected disease in Brazil: Systematic review of 20 years of publications

    Science.gov (United States)

    Durigan, Maurício; Leal, Diego Averaldo Guiguet; Schneider, Adriano de Bernardi; Franco, Regina Maura Bueno; Singer, Steven M.

    2017-01-01

    Introduction Giardiasis is an intestinal infection that affects more than two hundred million people annually worldwide; it is caused by the flagellated protozoan Giardia duodenalis. In tropical countries and in low or middle-income settings, like Brazil, its prevalence can be high. There is currently no systematic review on the presence of G. duodenalis in patients, animals or water sources in Brazil. Methods This systematic review was performed according to recommendations established by Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). As databases for our searches, we have used PubMed, Embase, Scopus and the Brazilian database SciELO using the keywords Giardia* and Brazil. Results This systematic review identified research studies related to G. duodenalis in water, giardiasis in animals, prevalence of giardiasis across Brazilian regions, genotyping of strains isolated in humans, and giardiasis in indigenous populations. We also propose a network of G. duodenalis transmission in Brazil based on genotypes analyses. Conclusion This is the first time within the last twenty years that a review is being published on the occurrence of G. duodenalis in Brazil, addressing relevant issues such as prevalence, molecular epidemiology and analytical methods for parasite detection. PMID:29065126

  9. Giardiasis as a neglected disease in Brazil: Systematic review of 20 years of publications.

    Science.gov (United States)

    Coelho, Camila Henriques; Durigan, Maurício; Leal, Diego Averaldo Guiguet; Schneider, Adriano de Bernardi; Franco, Regina Maura Bueno; Singer, Steven M

    2017-10-01

    Giardiasis is an intestinal infection that affects more than two hundred million people annually worldwide; it is caused by the flagellated protozoan Giardia duodenalis. In tropical countries and in low or middle-income settings, like Brazil, its prevalence can be high. There is currently no systematic review on the presence of G. duodenalis in patients, animals or water sources in Brazil. This systematic review was performed according to recommendations established by Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). As databases for our searches, we have used PubMed, Embase, Scopus and the Brazilian database SciELO using the keywords «Giardia*» and «Brazil». This systematic review identified research studies related to G. duodenalis in water, giardiasis in animals, prevalence of giardiasis across Brazilian regions, genotyping of strains isolated in humans, and giardiasis in indigenous populations. We also propose a network of G. duodenalis transmission in Brazil based on genotypes analyses. This is the first time within the last twenty years that a review is being published on the occurrence of G. duodenalis in Brazil, addressing relevant issues such as prevalence, molecular epidemiology and analytical methods for parasite detection.

  10. Studies on forensic nursing in Brazil: a systematic review of the literature.

    Science.gov (United States)

    Pereira de Paiva, M H; Pinheiro Lages, L; Cavalcanti de Medeiros, Z

    2017-06-01

    To identify and synthesize the national and international literature on forensic nursing in Brazil. Forensic nursing is a new specialty to the nursing practice in Brazil, being recognized by the Federal Nursing Council of Brazil in 2011. In 2016, the first forensic nursing specialization programme was authorized in the country. The implementation of forensic nursing specialty in Brazil marks new possibilities for the nursing practice, making it possible for nurses to develop additional skills to intervene in various situations under the Brazilian Unified Healthcare System. A systematic search of the literature was conducted using the keyword 'Forensic nursing' in combination with 'Brazil'. LILACS, MEDLINE, EMBASE, Scopus and Web of Science databases were searched. Studies were also retrieved from the grey literature. Once literature had been identified, a thematic analysis was undertaken in order to extract themes, which were: establishment of the forensic nursing specialty and its contributions to Brazil and its practical implications. Eight manuscripts and 20 studies from the grey literature were included in the final review. Most studies (54%) were literature reviews that indicated forensic nursing as an emerging specialty in Brazil, addressing educational, instructional, communicative or contextual aspects of the specialty in the country. In the nursing profession in Brazil, few studies exist on forensic nursing and those are limited to short communications. Although most studies address the definition of forensic nursing, others present its implications in various situations such as intimate partner violence, domestic violence, sexual abuse and elder mistreatment. Despite the study limitations, it provides evidence that forensic nursing has been silently implemented in the country with the need for more evidence-based studies to support its constitution as a specialty in Brazil. © 2016 International Council of Nurses.

  11. Many Miles to Go: A Systematic Review of the State of Cost-Utility Analyses in Brazil.

    Science.gov (United States)

    Campolina, Alessandro G; Rozman, Luciana M; Decimoni, Tassia C; Leandro, Roseli; Novaes, Hillegonda M D; De Soárez, Patrícia Coelho

    2017-04-01

    Little is known about the quality and quantity of cost-utility analyses (CUAs) in Brazil. The objective of this study was to provide a systematic review of published CUAs of healthcare technologies in Brazil. We performed a systematic review of economic evaluations studies published in MEDLINE, EMBASE, LILACS (Latin American and Caribbean Health Sciences Literature), SciELO (Scientific Electronic Library Online), NHS EED (National Health Service Economic Evaluation Database), HTA (Health Technology Assessment) Database, Web of Science, Scopus, Bireme (Biblioteca Regional de Medicina), BVS ECOS (Health Economics database of the Brazilian Virtual Library of Health), and SISREBRATS (Sistema de Informação da Rede Brasileira de Avaliação de Tecnologias em Saúde [Brazilian Network for the Evaluation of Health Technologies]) from 1980 to 2013. Articles were included if they were CUAs according to the classification devised by Drummond et al. Two independent reviewers screened articles for relevance and carried out data extraction. Disagreements were resolved through discussion or through consultation with a third reviewer. We performed a qualitative narrative synthesis. Of the 535 health economic evaluations (HEEs) relating to Brazil, only 40 were CUAs and therefore included in the analysis. Most studies adhered to methodological guidelines for quality of reporting and 77.5% used quality-adjusted life-years (QALYs) as the health outcome. Of these studies, 51.6% did not report the population used to elicit preferences for outcomes and 45.2% used a specific population such as expert opinion. The preference elicitation method was not reported in 58.1% of these studies. The majority (80.6%) of studies did not report the instrument used to derive health state valuations and no publication reported whether tariffs (or preference weights) were national or international. No study mentioned the methodology used to estimate QALYs. Many published Brazilian cost-utility studies

  12. Microbial synthesis of iron-based nanomaterials—A review

    Indian Academy of Sciences (India)

    Microbial synthesis of iron-based nanomaterials—A review. ABHILASH. ∗. , K REVATI and B D PANDEY. National Metallurgical Laboratory (CSIR-NML), Jamshedpur 831 007, India. MS received 26 June 2010; revised 5 October 2010. Abstract. Nanoparticles are the materials having dimensions of the order of 100 nm or ...

  13. Qualitative Review Synthesis: The Relationship between Inattention and Academic Achievement

    Science.gov (United States)

    Gray, Sarah Anne; Dueck, Katherine; Rogers, Maria; Tannock, Rosemary

    2017-01-01

    Background: A body of literature has emerged that links inattentive symptoms of attention deficit hyperactivity disorder (ADHD) to poor academic achievement. Major variation across studies renders conclusions about this relationship complex. Purpose: This review will provide a qualitative synthesis of these studies that (1) use community samples…

  14. Synthesis of nanomaterials by continuous-flow microfluidics: a review.

    Science.gov (United States)

    Makgwane, Peter Ramashadi; Ray, Suprakas Sinha

    2014-02-01

    The development of controlled synthesis protocols of nanostructured materials with tailored particle size and shape has been a significant research area in nanoscience and nanotechnology. Much innovative research efforts had been focused on finding suitable chemical reagents and synthetic methodologies that offer opportunities to produce the desired structure-function controlled nanomaterials. On the other hand, the reactor equipment for the synthesis of these tailored nanomaterials is of prime importance not only at laboratory-scale but also with view of up-scaling the synthetic processes into large-scale productions. Whilst the sequential three-stage scale-up from the conventional process (i.e., lab-scale/pilot-scale/large-scale) using multi-purpose batch reactor is masked with complications, on the other hand, the interface of nanomaterials synthesis processes and continuous-flow microfluidic chemistry has demonstrated relatively superior process performance over conventional technologies. Consequently, the uses of continuous-flow microfluidics systems have recently attracted much research attention as versatile tools for the synthesis of various structured nanomaterials. In this review, we highlight and analyze the key achievements to date of adopting microfluidics technologies for the controlled synthesis of nanomaterials with well-defined structural properties desirable for the intended applications. We devote the significant emphasis on demonstrating the improved potential characteristics features of continuous-flow microfluidics as a capable technology to provide efficient synthesis processes for the production of various nanosized scale structured materials with precise control of the involved chemistry. Moreover, we discuss the novel process window opportunities of hyphenated microfluidics nanoparticles synthesis with the in-situ or in-line structure characterization during synthesis under real-time reaction conditions which provide interesting insights

  15. Epidemiology of childhood conduct problems in Brazil: systematic review and meta-analysis

    OpenAIRE

    Murray, Joseph; Anselmi,Luciana; Gallo, Erika Alejandra Giraldo; Fleitlich-Bilyk,Bacy; Isabel A. Bordin

    2013-01-01

    Purpose This study aimed to review evidence on the prevalence of and risk factors for conduct problems in Brazil. Methods We searched electronic databases and contacted Brazilian researchers up to 05/2012. Studies were included in the review if they reported the prevalence of or risk factors for conduct problems, conduct disorder, or oppositional defiant disorder for 100?+?Brazilian children aged ?18?years, systematically sampled in schools or the community. Prevalence rates and sex differenc...

  16. Review of Thoreyella Spinola with the description of two new species from Brazil (Heteroptera, Pentatomidae

    Directory of Open Access Journals (Sweden)

    Jorge Luiz Cabeleira Bernardes

    2011-09-01

    Full Text Available Review of Thoreyella Spinola with the description of two new species from Brazil (Heteroptera, Pentatomidae. Thoreyella Spinola is revised, with detailed descriptions of the four known species (T. brasiliensis Spinola, 1850, T. trinotata Berg, 1878, T. cornuta Berg, 1883 and, T. taurus Jensen-Haarup, 1931, and two new species from Brazil: T. maracaja sp. nov. (Minas Gerais, Santa Catarina, and Rio Grande do Sul states and T. paraiba sp. nov. (Paraíba State. New geographical country and state/ province records are as follows: T. cornuta from Rio Grande do Sul; T. brasiliensis from Mato Grosso, Espírito Santo, Catamarca, and Córdoba; and T. trinotata from Brazil (Rio Grande do Sul. A key to all species is given.

  17. A review of wildlife ecotourism in Manaus, Brazil

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    Neil D'Cruze

    2017-10-01

    Full Text Available The Amazon’s ability to draw tourists is thought to be strongly associated with the opportunity to have sight of and interact with iconic wild animals. Tourism leaders are calling for the private and public sectors to develop wildlife focused ecotourism in this region. However, specific information regarding current practice and their impact on wildlife is lacking. Although wildlife ecotourism here remains in its relative infancy, our study demonstrates that a wide variety of wildlife-focused activities are already being promoted and provided to tourists who visit the city of Manaus in Brazil. Issues of potential wildlife conservation and animal welfare concern include wildlife-baiting, swim-with free-ranging pink river dolphin activity, the use of captive wild animals as photo props and the sale of wildlife body parts as souvenirs. We found that tour guides actively promoted these activities on 77% of excursions attended, which involved a range of different wild animals, representing at least 10 different species from three different taxonomic classes. From a legal perspective, despite the potential risks imposed to wildlife and tourist well-being, there are still no specific laws regulating feeding, touching and swimming with pink river dolphins in Brazil. However, the illegality of advertising and providing direct physical contact wildlife ‘photo prop’ tourism is demonstrated by enforcement action taken by wildlife authorities during our study. We suggest that tourist focused human behavior change initiatives should become a critical component of a wider holistic approach to effectively balance wildlife protection goals and any expansion of wildlife ecotourism in the Amazon.

  18. Review of some time of concentration equations for southern Brazil

    Science.gov (United States)

    Allasia, Daniel; Ferreira, Pedro; Froemming, Gabriel; Ribeiro, Jéssica; Tassi, Rutineia

    2017-04-01

    The time of concentration (tc) of an urban catchment is a fundamental parameter for the design of stormwater drainage systems. In the lack of hydrological data for its estimation, several equations were proposed; however, almost none of them were verified in Brazilian conditions, leading to great uncertainties. Hence, the present work aims to test several time of concentration equations frequently used in Brazil, such as those proposed by Kirpich, Mccuen, Dooge, Pilgrim and McDermott, Desbordes and Schaake. The verification was accomplished by comparison with measured data from the urban sub-basins of Prado Velho and Gregório, located in the Southern and Southeastern regions of Brazil, respectively. The results were presented in terms of average absolute percentage error, which regarding the application of the equations in the two sites it was observed that only two of them resulted errors lower than 100%, in relation to the observed tc, and the Schaake equation showed the best approximations, with an error of 52%. At the Gregório sub-basin the best estimative of the tc also was found using Schaake equation, presenting an error of 28%, while the second best estimate, Mccuen, presented a much higher error (174%). In the other hand, the equations tested showed better results in the Prado Velho sub-basin, where only one resulted in an error greater than 100%. In this basin, Mccuen showed the best approximations (13%) related to the measured tc, followed by Desbordes (50%). The considerable variations observed in this study enlighten the urge of a more detailed analysis in further studies to better assist the selection of tc values, especially for Brazilian's urban basins.

  19. Research synthesis in veterinary science: Narrative reviews, systematic reviews and meta-analysis.

    Science.gov (United States)

    O'Connor, Annette; Sargeant, Jan

    2015-12-01

    Reviews of the scientific literature are critically important for synthesizing the state of knowledge and are used extensively in teaching, clinical practice and public policy. Despite the importance of literature reviews, in veterinary science little attention has been paid to the science of research synthesis. In the same manner that diverse study designs address diverse research questions, different approaches to combining scientific literature serve different and valid purposes. However, and again reflective of the underlying primary research, the potential for bias in a review should also be considered when interpreting the results. This article introduces some basic concepts in research synthesis and discusses some of the basic forms of reviews including narrative reviews, systematic reviews and meta-analysis. Also discussed are potential sources of bias and design features that can be incorporated into reviews to either reduce, or at least acknowledge, the potential for bias. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. 78 FR 22227 - Stainless Steel Bar From Brazil: Final Results of Antidumping Duty Administrative Review; 2011-2012

    Science.gov (United States)

    2013-04-15

    ... International Trade Administration Stainless Steel Bar From Brazil: Final Results of Antidumping Duty... preliminary results of the administrative review of the antidumping duty order on stainless steel bar (SSB..., through January 31, 2012. \\1\\ See Stainless Steel Bar From Brazil: Preliminary Results of Antidumping Duty...

  1. 76 FR 74807 - Stainless Steel Bar From Brazil, India, Japan, and Spain; Institution of Five-Year Reviews

    Science.gov (United States)

    2011-12-01

    ... COMMISSION Stainless Steel Bar From Brazil, India, Japan, and Spain; Institution of Five-Year Reviews AGENCY...)) (the Act) to determine whether revocation of the antidumping duty orders on stainless steel bar from... Department of Commerce issued antidumping duty orders on imports of stainless steel bar from Brazil, India...

  2. Music therapy in dementia: a narrative synthesis systematic review.

    Science.gov (United States)

    McDermott, Orii; Crellin, Nadia; Ridder, Hanne Mette; Orrell, Martin

    2013-08-01

    Recent reviews on music therapy for people with dementia have been limited to attempting to evaluate whether it is effective, but there is a need for a critical assessment of the literature to provide insight into the possible mechanisms of actions of music therapy. This systematic review uses a narrative synthesis format to determine evidence for effectiveness and provide insight into a model of action. The narrative synthesis framework consists of four elements: (i) theory development; (ii) preliminary synthesis of findings; (iii) exploration of relationships between studies; and (iv) assessment of the robustness of the synthesis. Electronic and hand searches identified 263 potentially relevant studies. Eighteen studies met the full inclusion criteria. Three distinctive strands of investigations emerged: eight studies explored behavioural and psychological aspects, five studies investigated hormonal and physiological changes, and five studies focused on social and relational aspects of music therapy. The musical interventions in the studies were diverse, but singing featured as an important medium for change. Evidence for short-term improvement in mood and reduction in behavioural disturbance was consistent, but there were no high-quality longitudinal studies that demonstrated long-term benefits of music therapy. Future music therapy studies need to define a theoretical model, include better-focused outcome measures, and discuss how the findings may improve the well-being of people with dementia. Copyright © 2012 John Wiley & Sons, Ltd.

  3. Systematic review of the cost-effectiveness of the vaccination against HPV in Brazil

    Science.gov (United States)

    Fonseca, Allex Jardim; de Lima Ferreira, Luiz Carlos

    2014-01-01

    In Brazil, almost 16,000 new cases of cervical cancer (CC), the type of neoplasia that claims the more lives of young women than any other, are expected in 2014. Although the vaccine against HPV has been developed, the application of this strategies to large populations is costly, and its use in Brazil is limited. Studies of the economic implications of new preventive technologies for CC may support rational and evidence-based decisions in public health. A systematic search of articles published between 2000 and 2014 was conducted using MEDLINE, EMBASE, the Cochrane Collaboration of Systematic Reviews, and LILACS. The aim of this search was the identification of original articles that evaluated the cost-effectiveness of vaccination against HPV in Brazil. A total of 6 articles are included in this review, evaluating the addition of a vaccine against HPV in comparison to population screening. Although the vaccine against HPV increases the cost of preventing cervical cancer, this new preventive technology presents favorable cost-effectiveness profiles in the case of Brazil. Failure to utilize the newly available preventative technologies against CC can lead to misguided and perverse consequences in a country in which programs based on the Papanicolaou test have been only partially successful. PMID:25483692

  4. Social and cultural dimensions of hypertension in Brazil: a review

    Directory of Open Access Journals (Sweden)

    Dressler William W.

    2000-01-01

    Full Text Available Elevated arterial blood pressure varies substantially in relation to social and cultural variables. Early work on acculturation, socioeconomic status, and blood pressure documented this variation, which could not be explained entirely by conventional factors such as diet, physical activity, or access to medical care. These findings stimulated the development of a model of stress and disease. The stress model emphasizes social and psychological factors that are perceived by individuals to be stressful, as well as factors that help individuals to respond to those stressors. Conventional stress models are, however, problematic because the primary emphasis is on individual perception, with little consideration of the social and cultural context in which stress occurs. This paper describes a complementary model of social and cultural influences on disease risk, placing greater emphasis on how individuals are able to approximate, in their own behaviors, shared cultural models of life, referred to as "cultural consonance". Findings from research in Brazil indicate that the higher an individual's cultural consonance, the lower his or her blood pressure. These results indicate the importance of linking different levels of analysis - the cultural, the individual, and the biological - to understand disease risk.

  5. Synthesis and biological evaluation of chalcone derivatives (mini review).

    Science.gov (United States)

    Bukhari, Syed Nasir Abbas; Jasamai, Malina; Jantan, Ibrahim

    2012-11-01

    Chalcones are the principal precursors for the biosynthesis of flavonoids and isoflavonoids. A three carbon α, β-unsaturated carbonyl system constitutes chalcones. Chalcones are the condensation products of aromatic aldehyde with acetophenones in attendance of catalyst. They go through an assortment of chemical reactions and are found advantageous in synthesis of pyrazoline, isoxazole and a variety of heterocyclic compounds. In synthesizing a range of therapeutic compounds, chalcones impart key role. They have showed worth mentioning therapeutic efficacy for the treatment of various diseases. Chalcone based derivatives have gained heed since they own simple structures, and diverse pharmacological actions. A lot of methods and schemes have been reported for the synthesis of these compounds. Amongst all, Aldol condensation and Claisen-Schmidt condensation still grasp high up position. Other distinguished techniques include Suzuki reaction, Witting reaction, Friedel-Crafts acylation with cinnamoyl chloride, Photo-Fries rearrangement of phenyl cinnamates etc. These inventive techniques utilize various catalysts and reagents including SOCl(2) natural phosphate, lithium nitrate, amino grafted zeolites, zinc oxide, water, Na(2)CO(3), PEG400, silicasulfuric acid, ZrCl(4) and ionic liquid etc. The development of better techniques for the synthesis of α, β- unsaturated carbonyl compounds is still in high demand. In brief, we have explained the methods and catalysts used in the synthesis of chalcones along with their biological activities in a review form to provide information for the development of new-fangled processes targeting better yield, less reaction time and least side effects with utmost pharmacological properties.

  6. Review of Synthesis and Antioxidant Potential of Fullerenol Nanoparticles

    Directory of Open Access Journals (Sweden)

    Aleksandar Djordjevic

    2015-01-01

    Full Text Available This review describes the chemical synthesis of polar polyhydroxylated fullerene C60 derivatives, fullerenols C60(OHn, 2≤n≤44, C60HzOx(OHy, and polyanion fullerenols C60(OH15(ONa9, ranging from the very first synthetic methods up to some contemporary approaches to synthesis and separation. It also provides some basic information about physical characteristics of fullerenols. With the increasing number of hydroxyl groups, water solubility of fullerenols increases as well. Fullerenols both in water and biological media build nanoparticles of different dimensions and stability. In different chemical and biological model systems a large number of various polyhydroxylated fullerene derivatives were tested and they showed both their antioxidative and prooxidative characteristics. Several mechanisms have been proposed for the antioxidant activity of fullerenol. In addition, this paper also provides insight into patents referring to the antioxidant properties of fullerenol.

  7. Agricultural biotechnologogy patents in Brazil: a critical review

    Directory of Open Access Journals (Sweden)

    Pedro Abel Vieira Junior

    2010-12-01

    Full Text Available The dissemination of knowledge and encouraging inventors to substantiate the emergence of the intellectual property system. The protection of intellectual assets is not neutral in their effects on firms and countries: requirements and costs involved in the search and enforcement of protection have differential impacts across firms and countries, tend to enhance the asymmetry of innovativeness between developed countries. The advance of this debate is essential the establishment of a framework and appropriate stimulator for the development of innovation-based biotechnology in Brazil. The intellectual property on living beings and new biological processes is one of the most controversial aspects of the process of setting up international markets and the “modernization” of the economy. This is an extremely controversial issue in which there are many issues unresolved and subject to a heated debate involving conflicting interests in economic, political, social, cultural and technical, not to speak on moral and religious aspects, equally important. In this context, this work aims to make a conceptual analysis of terms used in biotechnology, making an interpretation of provisions in the law that governs the rights and obligations relating to industrial property. It is opposed to the law of protection of cultivars, establishing intellectual property protection sui generis, analyzing what are the main economic consequences that may result from mistaken interpretation of legislation.A difusão do conhecimento e o estímulo aos inventores fundamentaram o surgimento do sistema de propriedade intelectual. A proteção aos ativos intelectuais não é neutra em seus efeitos sobre empresas e países: exigências e custos envolvidos na busca e no enforcement da proteção têm impactos diferenciados entre empresas e países e tendem a reforçar a assimetria de capacidade de inovação entre países desenvolvidos. O avanço deste debate é essencial para o

  8. [Environmental virology and sanitation in Brazil: a narrative review].

    Science.gov (United States)

    Prado, Tatiana; Miagostovich, Marize Pereira

    2014-07-01

    Sanitation services play a critical role in controlling transmission of numerous waterborne pathogens, especially viruses that cause acute gastroenteritis and hepatitis. The viral agents with the greatest public health impact are hepatitis A virus, rotaviruses and noroviruses, adenoviruses, and enteroviruses, contaminating many Brazilian aquatic ecosystems. Heavy circulation of viruses in the environment has been related to inadequate local sanitary conditions, including incomplete coverage of services or inefficacy of conventional technologies in eliminating or reducing the viral load in water or sewage. This study reviews the relations between virology, health, and sanitation, emphasizing the epidemiology of waterborne viral infections and their public health impact.

  9. Homophobia or sexism? A systematic review of prejudice against nonheterosexual orientation in Brazil.

    Science.gov (United States)

    Costa, Angelo Brandelli; Peroni, Rodrigo Oliva; Bandeira, Denise Ruschel; Nardi, Henrique Caetano

    2013-01-01

    Since it was coined in the 1970s, in the United States, the term "homophobia" has been invoked to define the prejudice against nonheterosexual orientation. Besides the US, the phenomenon has been detected in many contemporary societies, including Brazil. Prejudice against nonheterosexual orientation is strongly associated with the historical and social contexts in which it is embedded, which means that the term should not be used without a clear definition of its local specificities. This applies to the recent debate around homophobia in the Brazilian context. In an attempt to identify existing studies of prejudice against nonheterosexual orientations in Brazil, a systematic review was conducted in SciELO indexes, PubMed, PsycINFO, SCOPUS, and Web of Science. The articles were collected using the keyword "homophobia" and related terms, and "Brazil", in the languages of the databases. The search returned 355 articles. Of these, 247 were removed because they were duplicates. The abstracts of 109 studies published between 1973 and 2011were analyzed. Thirty-one articles were identified as relevant. The reviewed studies indicate that prejudice against nonheterosexual orientations is an evident and widespread phenomenon that is prevalent in various populations and contexts. Nevertheless, prejudice in Brazil is not homogeneous, and particular attention is necessary to the inequality of gender relations (sexism) and prejudice against gender nonconformity, which seem to explain, if not cause, most of the prejudice against nonheterosexual orientations. Although theoretically there is a clear distinction between sexual orientation and gender expression, from the standpoint of manifestation of prejudice that distinction seems to be more tenuous.

  10. Current state of ethics literature synthesis: a systematic review of reviews.

    Science.gov (United States)

    Mertz, Marcel; Kahrass, Hannes; Strech, Daniel

    2016-10-03

    Modern standards for evidence-based decision making in clinical care and public health still rely solely on eminence-based input when it comes to normative ethical considerations. Manuals for clinical guideline development or health technology assessment (HTA) do not explain how to search, analyze, and synthesize relevant normative information in a systematic and transparent manner. In the scientific literature, however, systematic or semi-systematic reviews of ethics literature already exist, and scholarly debate on their opportunities and limitations has recently bloomed. A systematic review was performed of all existing systematic or semi-systematic reviews for normative ethics literature on medical topics. The study further assessed how these reviews report on their methods for search, selection, analysis, and synthesis of ethics literature. We identified 84 reviews published between 1997 and 2015 in 65 different journals and demonstrated an increasing publication rate for this type of review. While most reviews reported on different aspects of search and selection methods, reporting was much less explicit for aspects of analysis and synthesis methods: 31 % did not fulfill any criteria related to the reporting of analysis methods; for example, only 25 % of the reviews reported the ethical approach needed to analyze and synthesize normative information. While reviews of ethics literature are increasingly published, their reporting quality for analysis and synthesis of normative information should be improved. Guiding questions are: What was the applied ethical approach and technical procedure for identifying and extracting the relevant normative information units? What method and procedure was employed for synthesizing normative information? Experts and stakeholders from bioethics, HTA, guideline development, health care professionals, and patient organizations should work together to further develop this area of evidence-based health care.

  11. Combining graphene with silicon carbide: synthesis and properties - a review

    Science.gov (United States)

    Shtepliuk, Ivan; Khranovskyy, Volodymyr; Yakimova, Rositsa

    2016-11-01

    Being a true two-dimensional crystal, graphene possesses a lot of exotic properties that would enable unique applications. Integration of graphene with inorganic semiconductors, e.g. silicon carbide (SiC) promotes the birth of a class of hybrid materials which are highly promising for development of novel operations, since they combine the best properties of two counterparts in the frame of one hybrid platform. As a specific heterostructure, graphene on SiC performs strongly, dependent on the synthesis method and the growth modes. In this article, a comprehensive review of the most relevant studies of graphene growth methods and mechanisms on SiC substrates has been carried out. The aim is to elucidate the basic physical processes that are responsible for the formation of graphene on SiC. First, an introduction is made covering some intriguing and not so often discussed properties of graphene. Then, we focus on integration of graphene with SiC, which is facilitated by the nature of SiC to assume graphitization. Concerning the synthesis methods, we discuss thermal decomposition of SiC, chemical vapor deposition and molecular beam epitaxy, stressing that the first technique is the most common one when SiC substrates are used. In addition, we briefly appraise graphene synthesis via metal mediated carbon segregation. We address in detail the main aspects of the substrate effect, such as substrate face polarity, off-cut, kind of polytype and nonpolar surfaces on the growth of graphene layers. A comparison of graphene grown on the polar faces is made. In particular, growth of graphene on Si-face SiC is critically analyzed concerning growth kinetics and growth mechanisms taking into account the specific characteristics of SiC (0001) surfaces, such as the step-terrace structure and the unavoidable surface reconstruction upon heating. In all subtopics obstacles and solutions are featured. We complete the review with a short summary and concluding remarks.

  12. Analysis of scientific production archival science in brazil: a literature review

    Directory of Open Access Journals (Sweden)

    José Mauro Gouveia de Medeiros

    2016-12-01

    Full Text Available Introduction: review of the literature resulting from bibliographic survey about the scientific literature of archives in Brazil. Objective: to identify aspects of scientific literature of archival science, through bibliographical research, that aims to introduce the features of the archival science in Brazil. Methodology: Brazilian sites, databases and reference services were used as sources to identify 523 references. 15 texts were selected and analyzed with respect to authorship, affiliation, publication year, publication type, type and size of sources used, methodology, geographical range, results, among other aspects. Results: the scientific articles were the main object of study; the book was the most cited channel; the journal Arquivo & Administração and Encontro Nacional de Pesquisa em Ciência da Informação have importance on the national scene; Rio de Janeiro is the geographic region with greater production; There has been growth in the number of works since the 2007 and increased collaboration. Conclusions: the interest in Archival Science literature is increasing significantly; there was diversification of the publishing channels, mainly works of events and articles since 2013; the Archival Science is consolidating in Brazil with an increasing production, collaboration and interest in its scientific literature.

  13. Study of the mayfly order Ephemeroptera (Insecta in Brazil: a scienciometric review

    Directory of Open Access Journals (Sweden)

    Yulie Shimano

    2013-12-01

    Full Text Available Study of the mayfly order Ephemeroptera (Insecta in Brazil: a scienciometric review. Despite an increase in the number of studies in recent years of the aquatic insect order Ephemeroptera (the mayflies much still remains to be learnt. In order to identify the current state of knowledge of this group in Brazil, we performed a scienciometric analysis with the purpose of identifying the strong and weak points of Brazilian research into the group. Our research used the "Institute for Scientific Information - ISI" database and was based on the abstracts, titles and keywords of manuscripts published between 1992 and 2011. We selected the papers with the combination of the words "Ephemeroptera" and "Brazil*" based on a search in February 2012. We analyzed 92 articles, and noted a lack of studies in some Brazilian states, no specific studies about some families, and an absence of phylogenetic studies. To improve ecological studies, it is necessary to fine-tune taxonomic resolution. Moreover, there is a lack of studies investigating the environmental variables which influence the distribution of mayflies. Despite these gaps, if the rate of publication with mayflies proceeds at the same pace, we anticipate that many of these knowledge gaps will be closed.

  14. Human bartonellosis: seroepidemiological and clinical features with an emphasis on data from Brazil - A review

    Directory of Open Access Journals (Sweden)

    C Lamas

    2008-05-01

    Full Text Available Bartonellae are fastidious Gram-negative bacteria that are widespread in nature with several animal reservoirs (mainly cats, dogs, and rodents and insect vectors (mainly fleas, sandflies, and human lice. Thirteen species or subspecies of Bartonella have been recognized as agents causing human disease, including B. bacilliformis, B. quintana, B. vinsonii berkhoffii, B. henselae, B. elizabethae, B. grahamii, B. washoensis, B. koehlerae, B. rocha-limaea, and B. tamiae. The clinical spectrum of infection includes lymphadenopathy, fever of unknown origin, endocarditis, neurological and ophthalmological syndromes, Carrion's disease, and others. This review provides updated information on clinical manifestations and seroepidemiological studies with an emphasis on data available from Brazil.

  15. A review of Sarcocystis spp. shed by opossums (Didelphis spp. in Brazil

    Directory of Open Access Journals (Sweden)

    Samantha Yuri Oshiro Branco Valadas

    2016-08-01

    Full Text Available South American opossums are the definitive hosts of Sarcocystis neurona, Sarcocystis falcatula, Sarcocystis speeri and Sarcocystis lindsayi. The sporocysts of these species of Sarcocystis are morphologically similar and methods like infectivity and pathogenicity for intermediate hosts (immunodeficient mice and psittacine birds and molecular tools are used for identification. Opossums are synanthropic wild animals, and widely distributed in Brazilian territory. Previous studies have shown high environmental contamination with S. neurona sporocysts in several Brazilian regions. This paper reviews information on Sarcocystis spp. shed by various opossum species and its occurrence in Brazil.

  16. Vocational Support Approaches in Autism Spectrum Disorder: A Synthesis Review of the Literature

    Science.gov (United States)

    Nicholas, David B.; Attridge, Mark; Zwaigenbaum, Lonnie; Clarke, Margaret

    2015-01-01

    This synthesis-based analysis identifies and reviews studies evaluating vocational resources for adults with autism spectrum disorder. It is based on a larger systematic review of intervention studies in autism spectrum disorder, from which a critical interpretive synthesis was conducted on studies related to vocation and autism spectrum disorder.…

  17. The genetics of cholesteatoma. A systematic review using narrative synthesis.

    Science.gov (United States)

    Jennings, B A; Prinsley, P; Philpott, C; Willis, G; Bhutta, M F

    2018-02-01

    A cholesteatoma is a mass of keratinising epithelium in the middle ear. It is a rare disorder that is associated with significant morbidity, and its causative risk factors are poorly understood; on a global scale, up to a million people are affected by this each year. We have conducted a systematic literature review to identify reports about the heritability of cholesteatoma or any constitutional genetic factors that may be associated with its aetiology. A systematic search of MEDLINE (EBSCO) and two databases of curated genetic research (OMIM and Phenopedia) was conducted. The participants and populations of interest for this review were people treated for cholesteatoma and their family members. The studies of interest reported evidence of heritability for the trait, or any association with congenital syndromes and particular genetic variants. The searches identified 449 unique studies, of which 35 were included in the final narrative synthesis. A narrative synthesis was conducted, and data were tabulated to record characteristics, including study design, genetic data and author conclusions. Most of the studies identified in the literature search, and described here, are case reports and so represent the lowest level of evidence. In a few case reports, congenital and acquired cholesteatomas have been shown to segregate within families in the pattern typical of a monogenic or oligogenic disorder with incomplete penetrance. Evidence from syndromic cases could suggest that genes controlling ear morphology may be risk factors for cholesteatoma formation. This is the first systematic review about the genetics of cholesteatoma, and we have identified a small body of relevant literature that provides evidence of a heritable component for its aetiology. Cholesteatoma is a complex and heterogeneous clinical phenotype, and it is often associated with chronic otitis media and with some rare congenital syndromes known to affect ear morphology and related pathologies. © 2017

  18. [Racial inequalities in Brazil: a synthesis of social indicators and challenges for public policies].

    Science.gov (United States)

    Heringer, Rosana

    2002-01-01

    This article aims to systematize and analyze social data that reveal the dimension of racial inequalities in Brazil. The point of departure is that racial inequalities affect the capacity for integration of Blacks into Brazilian society and jeopardize the proposal to build a democratic society with equal opportunities for all. Such inequalities are present at different moments in the individual life cycle, beginning in childhood and continuing through school years, in access to urban infrastructure, and crystallizing in the labor market, consequently determining the income and living conditions of Afro-Brazilians as a whole. The article also analyzes the main positions in the political debate on racial inequalities in Brazil, identifying recent initiatives by both the Brazilian government and civil society to deal with racial discrimination and racial inequalities. The article concludes by identifying key challenges for health policy-makers in this context.

  19. Prevalence of self-medication in the adult population of Brazil: a systematic review.

    Science.gov (United States)

    Domingues, Paulo Henrique Faria; Galvão, Taís Freire; Andrade, Keitty Regina Cordeiro de; Sá, Pedro Terra Teles de; Silva, Marcus Tolentino; Pereira, Mauricio Gomes

    2015-01-01

    To evaluate the prevalence of self-medication in Brazil's adult population. Systematic review of cross-sectional population-based studies. The following databases were used: Medline, Embase, Scopus, ISI, CINAHL, Cochrane Library, CRD, Lilacs, SciELO, the Banco de teses brasileiras (Brazilian theses database) (Capes) and files from the Portal Domínio Público (Brazilian Public Domain). In addition, the reference lists from relevant studies were examined to identify potentially eligible articles. There were no applied restrictions in terms of the publication date, language or publication status. Data related to publication, population, methods and prevalence of self-medication were extracted by three independent researchers. Methodological quality was assessed following eight criteria related to sampling, measurement and presentation of results. The prevalences were measured from participants who used at least one medication during the recall period of the studies. The literature screening identified 2,778 records, from which 12 were included for analysis. Most studies were conducted in the Southeastern region of Brazil, after 2000 and with a 15-day recall period. Only five studies achieved high methodological quality, of which one study had a 7-day recall period, in which the prevalence of self-medication was 22.9% (95%CI 14.6;33.9). The prevalence of self-medication in three studies of high methodological quality with a 15-day recall period was 35.0% (95%CI 29.0;40.0, I2 = 83.9%) in the adult Brazilian population. Despite differences in the methodologies of the included studies, the results of this systematic review indicate that a significant proportion of the adult Brazilian population self-medicates. It is suggested that future research projects that assess self-medication in Brazil standardize their methods.

  20. An investigation of lipase catalysed sonochemical synthesis: A review.

    Science.gov (United States)

    Bansode, Sneha R; Rathod, Virendra K

    2017-09-01

    Ultrasonic irradiation has recently gained attention of researchers for its process intensification in numerous reactions. Earlier ultrasound was known for its application either to deactivate enzyme activity or to disrupt the cell. However, in recent years, practice of ultrasonic irradiation began to emerge as a tool for the activation of the enzymes under mild frequency conditions. The incorporation of ultrasound in any of enzymatic reactions not only increases yield but also accelerates the rate of reaction in the presence of mild conditions with better yield and less side-products. To attain maximum yield, it is crucial to understand the mechanism and effect of sonication on reaction especially for the lipase enzyme. Thus, the influence of ultrasound irradiation on reaction yield for different parameters including temperature, enzyme concentration, mole ratio of substrates, solvents ultrasonic frequency and power was reviewed and discussed. The physical effect of cavitation determined by bubble dynamics and rate of reaction through kinetic modelling also needs to be assessed for complete investigation and scale up of synthesis. Thus, prudish utilisation of ultrasound for enzymatic synthesis can serve better future for sustainable and green chemistry. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Cell-Free Synthesis Meets Antibody Production: A Review

    Directory of Open Access Journals (Sweden)

    Marlitt Stech

    2015-01-01

    Full Text Available Engineered antibodies are key players in therapy, diagnostics and research. In addition to full size immunoglobulin gamma (IgG molecules, smaller formats of recombinant antibodies, such as single-chain variable fragments (scFv and antigen binding fragments (Fab, have emerged as promising alternatives since they possess different advantageous properties. Cell-based production technologies of antibodies and antibody fragments are well-established, allowing researchers to design and manufacture highly specific molecular recognition tools. However, as these technologies are accompanied by the drawbacks of being rather time-consuming and cost-intensive, efficient and powerful cell-free protein synthesis systems have been developed over the last decade as alternatives. So far, prokaryotic cell-free systems have been the focus of interest. Recently, eukaryotic in vitro translation systems have enriched the antibody production pipeline, as these systems are able to mimic the natural pathway of antibody synthesis in eukaryotic cells. This review aims to overview and summarize the advances made in the production of antibodies and antibody fragments in cell-free systems.

  2. [Measuring instruments in cardiology adapted into Portuguese language of Brazil: a systematic review].

    Science.gov (United States)

    Cornélio, Marilia Estevam; Alexandre, Neusa Maria Costa; São-João, Thaís Moreira

    2014-04-01

    This was a systematic review aimed at identifying and characterizing measuring instruments, developed in the context of cardiology, which were adapted into Portuguese language of Brazil. Systematic searches were performed in six databases. Information extracted included cultural adaptation process and measurement properties. To assess the methodological quality of studies, criteria based on international guidelines for cultural adaptation of instruments were used. Among the 114 articles found, 14 were eligible for review. Of these, most evaluated quality of life (35.7%) and health knowledge/learning (28.6%). Most studies followed all stages of the adaptation process recommended in the literature. With respect to measurement properties, internal consistency, verified by Cronbach's alpha, was the property reported in the majority of the studies, as well as construct and criterion validity. This study is expected to provide to the scientific community a critical evaluation of adapted questionnaires available in the context of cardiology.

  3. Measuring Instruments In Cardiology Adapted Into Portuguese Language Of Brazil: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Marilia Estevam Cornélio

    2014-04-01

    Full Text Available This was a systematic review aimed at identifying and characterizing measuring instruments, developed in the context of cardiology, which were adapted into Portuguese language of Brazil. Systematic searches were performed in six databases. Information extracted included cultural adaptation process and measurement properties. To assess the methodological quality of studies, criteria based on international guidelines for cultural adaptation of instruments were used. Among the 114 articles found, 14 were eligible for review. Of these, most evaluated quality of life (35.7% and health knowledge/learning (28.6%. Most studies followed all stages of the adaptation process recommended in the literature. With respect to measurement properties, internal consistency, verified by Cronbach’s alpha, was the property reported in the majority of the studies, as well as construct and criterion validity. This study is expected to provide to the scientific community a critical evaluation of adapted questionnaires available in the context of cardiology.

  4. A review on green synthesis of silver nanoparticles and their applications.

    Science.gov (United States)

    Rafique, Muhammad; Sadaf, Iqra; Rafique, M Shahid; Tahir, M Bilal

    2017-11-01

    Development of reliable and eco-accommodating methods for the synthesis of nanoparticles is a vital step in the field of nanotechnology. Silver nanoparticles are important because of their exceptional chemical, physical, and biological properties, and hence applications. In the last decade, numerous efforts were made to develop green methods of synthesis to avoid the hazardous byproducts. This review describes the methods of green synthesis for Ag-NPs and their numerous applications. It also describes the comparison of efficient synthesis methods via green routes over physical and chemical methods, which provide strong evidence for the selection of suitable method for the synthesis of Ag-NPs.

  5. [User embracement in the Family Health Strategy in Brazil: an integrative review].

    Science.gov (United States)

    Garuzi, Miriane; Achitti, Maria Cecília de Oliveira; Sato, Cintia Ayame; Rocha, Suelen Alves; Spagnuolo, Regina Stella

    2014-02-01

    To review the literature regarding the application of the notion of user embracement and to identify the contributions of this concept for primary health care practices in Brazil. We carried out an integrative review of the literature regarding primary health care. The following databases were searched: LILACS, SciELO, and MEDLINE, covering the period from 2006 to 2010. The following search terms were used in LILACS and SciELO: "acolhimento" and "programa saúde da família" and "saúde". For MEDLINE, the terms "user embracement" and "family health program" and "health" were used. The review was performed in November 2010. We identified 21 articles meeting the inclusion criteria, all of which described studies carried out in Brazil. The articles were divided into three empirical categories: integration and embracement; primary care work process; and evaluation of services. These are complementary categories that converge to two main views of embracement: the first sees embracement as a means of reorganizing the primary health care environment, and the second sees embracement as an attitude towards users. The review also shows that embracement may be a management tool that supports the Unified Health System and is associated with the principles of comprehensiveness and universality. Embracement is able to create a bond between health care workers and users. It promotes self-care, a better understanding of disease, as well as user co-responsibility for treatment. In addition, it facilitates universal access, strengthens multiprofessional and intersectoral work, qualifies care, humanizes practices, and encourages actions to combat prejudice. Nevertheless, the perspective of health care users regarding embracement deserves more attention and should be the focus of future studies.

  6. Epidemiology, management, complications and costs associated with type 2 diabetes in Brazil: a comprehensive literature review

    Science.gov (United States)

    2013-01-01

    Background With an estimated 74% of all deaths attributable to non-communicable diseases (NCDs) in 2010, NCDs have become a major health priority in Brazil. The objective of the study was to conduct a comprehensive literature review on diabetes in Brazil; specifically: the epidemiology of type 2 diabetes, the availability of national and regional sources of data (particularly in terms of direct and indirect costs) and health policies for the management of diabetes and its complications. Methods A literature search was conducted using PubMed to identify articles containing information on diabetes in Brazil. Official documents from the Brazilian government and the World Health Organization, as well as other grey literature and official government websites were also reviewed. Results From 2006 to 2010, an approximate 20% increase in the prevalence of self-reported diabetes was observed. In 2010, it was estimated that 6.3% of Brazilians aged 18 years or over had diabetes. Diabetes was estimated to be responsible for 278,778 years of potential life lost for every 100,000 people. In 2013, it is estimated that about 7% of patients with diabetes has had one or more of the following complications: diabetic foot ulcers, amputation, kidney disease, and fundus changes. The estimated annual direct cost of diabetes was USD $3.952 billion in 2000; the estimated annual indirect cost was USD $18.6 billion. The two main sources of data on diabetes are the information systems of the Ministry of Health and surveys. In the last few years, the Brazilian Ministry of Health has invested considerably in improving surveillance systems for NCDs as well as implementing specific programmes to improve diagnosis and access to treatment. Conclusions Brazil has the capacity to address and respond to NCDs due to the leadership of the Ministry of Health in NCD prevention activities, including an integrated programme currently in place for diabetes. Strengthening the surveillance of NCDs is a

  7. What is the most appropriate knowledge synthesis method to conduct a review? Protocol for a scoping review

    Directory of Open Access Journals (Sweden)

    Kastner Monika

    2012-08-01

    Full Text Available Abstract Background A knowledge synthesis attempts to summarize all pertinent studies on a specific question, can improve the understanding of inconsistencies in diverse evidence, and can identify gaps in research evidence to define future research agendas. Knowledge synthesis activities in healthcare have largely focused on systematic reviews of interventions. However, a wider range of synthesis methods has emerged in the last decade addressing different types of questions (e.g., realist synthesis to explore mediating mechanisms and moderators of interventions. Many different knowledge synthesis methods exist in the literature across multiple disciplines, but locating these, particularly for qualitative research, present challenges. There is a need for a comprehensive manual for synthesis methods (quantitative/qualitative or mixed, outlining how these methods are related, and how to match the most appropriate knowledge synthesis method to answer a research question. The objectives of this scoping review are to: 1 conduct a systematic search of the literature for knowledge synthesis methods across multi-disciplinary fields; 2 compare and contrast the different knowledge synthesis methods; and, 3 map out the specific steps to conducting the knowledge syntheses to inform the development of a knowledge synthesis methods manual/tool. Methods We will search relevant electronic databases (e.g., MEDLINE, CINAHL, grey literature, and discipline-based listservs. The scoping review will consider all study designs including qualitative and quantitative methodologies (excluding economic analysis or clinical practice guideline development, and identify knowledge synthesis methods across the disciplines of health, education, sociology, and philosophy. Two reviewers will pilot-test the screening criteria and data abstraction forms, and will independently screen the literature and abstract the data. A three-step synthesis process will be used to map the

  8. Reviewing the Tannic Acid Mediated Synthesis of Metal Nanoparticles

    Directory of Open Access Journals (Sweden)

    Tufail Ahmad

    2014-01-01

    Full Text Available Metal nanoparticles harbour numerous exceptional physiochemical properties absolutely different from those of bulk metal as a function of their extremely small size and large superficial area to volume. Naked metal nanoparticles are synthesized by various physical and chemical methods. Chemical methods involving metal salt reduction in solution enjoy an extra edge over other protocols owing to their relative facileness and capability of controlling particle size along with the attribute of surface tailoring. Although chemical methods are the easiest, they are marred by the use of hazardous chemicals such as borohydrides. This has led to inclination of scientific community towards eco-friendly agents for the reduction of metal salts to form nanoparticles. Tannic acid, a plant derived polyphenolic compound, is one such agent which embodies characteristics of being harmless and environmentally friendly combined with being a good reducing and stabilizing agent. In this review, first various methods used to prepare metal nanoparticles are highlighted and further tannic acid mediated synthesis of metal nanoparticles is emphasized. This review brings forth the most recent findings on this issue.

  9. Epidemiological pattern and mortality rates for hepatitis A in Brazil, 1980-2002--a review.

    Science.gov (United States)

    Vitral, Claudia L; Gaspar, Ana Maria C; Souto, Francisco José D

    2006-03-01

    The prevalence of hepatitis A virus (HAV) infection is high in developing countries, in which low standards of sanitation promote the transmission of the virus. In Latin America, which is considered an area of high HAV endemicity, most HAV-positive individuals are infected in early childhood However recent studies have shown that prevalence rates are decreasing. Herein, we review the data on HAV prevalence and outbreaks available in scientific databases. We also use official government data in order to evaluate mortality rates in Brazil over the last two decades. Studies conducted in the northernmost regions of Brazil have indicated that, although improved hygiene has led to a reduction in childhood exposure to HAV, the greatest exposure still occurs early in life. In the Southeastern region, the persistence of circulating HAV has generated outbreaks among individuals of low socioeconomic status, despite adequate sanitation. Nationwide, hepatitis A mortality rates declined progressively from 1980 to 2002. During that period, mortality rates in the Northern region consistently exceeded the mean national rate and those for other regions. Excluding the North, the rates in all regions were comparable. Nevertheless, the trend toward decline observed in the South was paralleled by a similar trend in the North.

  10. Epidemiological pattern and mortality rates for hepatitis A in Brazil, 1980-2002: a review

    Directory of Open Access Journals (Sweden)

    Cláudia L Vitral

    2006-03-01

    Full Text Available The prevalence of hepatitis A virus (HAV infection is high in developing countries, in which low standards of sanitation promote the transmission of the virus. In Latin America, which is considered an area of high HAV endemicity, most HAV-positive individuals are infected in early childhood. However, recent studies have shown that prevalence rates are decreasing. Herein, we review the data on HAV prevalence and outbreaks available in scientific databases. We also use official government data in order to evaluate mortality rates in Brazil over the last two decades. Studies conducted in the northernmost regions of Brazil have indicated that, although improved hygiene has led to a reduction in childhood exposure to HAV, the greatest exposure still occurs early in life. In the Southeastern region, the persistence of circulating HAV has generated outbreaks among individuals of low socioeconomic status, despite adequate sanitation. Nationwide, hepatitis A mortality rates declined progressively from 1980 to 2002. During that period, mortality rates in the Northern region consistently exceeded the mean national rate and those for other regions. Excluding the North, the rates in all regions were comparable. Nevertheless, the trend toward decline observed in the South was paralleled by a similar trend in the North.

  11. Short Review: Mitigation of Current Environmental Concerns from Methanol Synthesis

    Directory of Open Access Journals (Sweden)

    Andrew Young

    2013-06-01

    Full Text Available Methanol has become a widely used and globally distributed product. Methanol is very important due to the current depletion of fossil fuels. Industrially, methanol produced from the catalytic reaction of synthetic gas composed of hydrogen, carbon monoxide, and carbon dioxide. Methanol production has brought great attention due to carbon dioxide as the main source of greenhouse gas emissions. Combined of reducing CO2 emissions and supplying an alternative fuel source has created the idea of a carbon neutral cycle called “the methanol economy”. The best catalyst for the methanol economy would show a high CO2 conversion and high selectivity for methanol production. This paper investigates research focused on catalyst development for efficient methanol synthesis from hydrogenation of carbon dioxide through added various supports and additives such as silica, zirconium, and palladium. Catalysts that displayed the highest activity included a zirconia and silicon-titanium oxide promoted Cu/Zn/Al2O3 catalyst. Alternative method of catalyst preparation, include the oxalate-gel, solid-state reaction, co-precipitation and combustion method also investigated.  © 2013 BCREC UNDIP. All rights reservedReceived: 10th October 2012; Revised: 7th February 2012; Accepted: 10th February 2013[How to Cite: Young, A., Lesmana, D., Dai, D.J., Wu, H.S. (2013. Short Review: Mitigation of Current En-vironmental Concerns from Methanol Synthesis. Bulletin of Chemical Reaction Engineering & Catalysis, 8 (1: 1-13. (doi:10.9767/bcrec.8.1.4055.1-13][Permalink/DOI: http://dx.doi.org/10.9767/bcrec.8.1.4055.1-13] | View in  |

  12. Review of the breeding status of birds in Rio Grande do Sul, Brazil

    Directory of Open Access Journals (Sweden)

    Giovanni N. Maurício

    2013-06-01

    Full Text Available Information on the breeding biology of birds is essential for improving avian life-history theory and implementing sound management and conservation actions for these organisms. Comprehensive reviews of this kind of information are lacking for most Neotropical regions, including Rio Grande do Sul, the southernmost Brazilian state. Aiming to update the knowledge on the reproductive status of birds in Rio Grande do Sul, we reviewed breeding records of all potential breeding species recorded in the state using a set of predefined, restrictive criteria for accepting breeding evidences as effective. Data satisfying our criteria were available for 165 species in the literature. We also collected novel breeding information obtained in the state for an additional 126 species, including observations for several species whose reproductive biology is poorly known. Among these are birds previously unknown to breed in Brazil. This new data and the critical review of the previous information resulted in a total of 291 species for which breeding evidences are accepted as effective. This corresponds to 54.7% of the 532 species considered either confirmed or potential breeders in the state. In addition to providing information on nesting dates, clutch size, nest architecture and breeding behavior of south Brazilian birds, our review serves as a benchmark for the adequate assessment of avian breeding records elsewhere. We hope to stimulate observers to rigorously document breeding events, especially for taxa for which basic information is lacking.

  13. Coral snake bites (Micrurus spp.) in Brazil: a review of literature reports.

    Science.gov (United States)

    Bucaretchi, Fábio; Capitani, Eduardo Mello De; Vieira, Ronan José; Rodrigues, Cinthia K; Zannin, Marlene; Da Silva, Nelson J; Casais-e-Silva, Luciana L; Hyslop, Stephen

    2016-03-01

    In the Americas, the main representatives of the family Elapidae are coral snakes of the genus Micrurus, of which 33 species are in Brazil. They are the smallest cause of venomous snakebite in Brazil. We analyzed literature reports of coral snake bites in Brazil from 1867 to 2014, and provide a brief review of case series and reports of coral snake bites in the Americas in general. Only reports with clinical descriptions of envenomation were included. The variables recorded included identification of the offending snake, patient's age, sex, bite site, clinical manifestations, treatment, including antivenom and anticholinesterase drugs, and general evolution of the cases. 30 published reports describing bites caused by Micrurus spp. in Brazil were identified and involved 194 distinct cases. Since no information on the clinical manifestations was available in 44 cases, the analysis was restricted to 25 reports (150 cases). Most patients were from southern (61.3%; primarily Santa Catarina state, 60%) and southeastern (20%) Brazil and were male (70.7%), with a median age of 27 years (interquartile interval = 18 to 40 years). The offending snakes were described in 59 cases (M. corallinus 36, M. frontalis 12, M. lemniscatus 5, M. hemprichi 2, M. filiformis 1, M. ibiboboca 1, M. spixii 1 and M. surinamensis 1); in 22 cases only the genus (Micrurus spp.) was reported. Of the 143 cases in which the bite site was recorded, most involved the hands (46.2%) and feet (26.6%). The main clinical features were local numbness/paresthesia (52.7%), local pain (48%), palpebral ptosis (33.3%), dizziness (26.7%), blurred vision (20.7%), weakness (20%), slight local edema (16%), erythema (16%), dysphagia (14.7%), dyspnea (11.3%), inability to walk (10.7%), myalgia (9.3%), salivation (8%) and respiratory failure (4.3%). Fang marks were described in 47.3% of cases and 14% of bites were classified as asymptomatic. A slight increase in total blood creatine kinase was reported in 3 children

  14. Lutzomyia longipalpis in Brazil: a complex or a single species? A mini-review

    Directory of Open Access Journals (Sweden)

    Luiz GSR Bauzer

    2007-02-01

    Full Text Available Lutzomyia longipalpis is the main vector of Leishmania infantum chagasi, the causative agent of American visceral leishmaniasis (AVL. Although there is strong evidence that Lu. longipalpis is a species complex, not all data concerning populations from Brazil support this hypothesis. The issue is still somewhat controversial for this large part of Lu. longipalpis distribution range even though that it is the Latin American region contributing to most of the cases of AVL. In this mini-review we consider in detail the current data for the Brazilian populations and conclude that Lu. longipalpis is a complex of incipient vector species with a complexity similar to Anopheles gambiae s.s. in Africa.

  15. Autism in Brazil: a systematic review of family challenges and coping strategies

    Directory of Open Access Journals (Sweden)

    Paulyane T.M. Gomes

    2015-04-01

    Full Text Available OBJECTIVE: To describe the challenges faced by families caring for children with autism spectrum disorder (ASD in Brazil and the coping strategies employed. SOURCES: Systematic review of articles published until September of 2013, without language restrictions, using quality appraisal (AMSTAR and CASP/Oxford instruments. SUMMARY OF THE FINDINGS: The literature shows parental emotional overload as one of the main challenges faced by families, especially mothers. The main stressors were diagnostic postponement, difficulty dealing with the diagnosis and associated symptoms, and poor access to health services and social support. The predominant coping strategies found included information exchange between affected families and integrated healthcare network for patient and family support. CONCLUSION: ASD exerts strong influence on family dynamics, resulting in caregiver overload, especially in mothers. The Brazilian Unified Health System needs to provide comprehensive, continuous, and coordinated care to strengthen the patient-family dyad and promote the full development and societal inclusion of children with ASD.

  16. Use of Psychodrama in medicine in Brazil: a review of the literature

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    Rafaela Liberali

    2015-09-01

    Full Text Available Objective To review the literature on experiences of the use of psychodrama in medical education in Brazil.Methods Papers published between 2003 and 2013 were identified in the main databases.Results Seven papers were identified. Role playing and sociodrama were the psychodrama techniques reported. They were used to address aspects of relationships such as emotions and behavior and to improve some communication and clinical skills. Psychodrama provided the students with opportunities for critical reflection, questioning of professional practices and sharing of experiences, and also decreased their anxiety and fear. Role playing was used among students and among teachers undergoing academic development, while sociodrama was only used among students.Conclusions There are still few papers reporting on experiences from the use of psychodrama in Brazilian medical schools.

  17. Carbon markets and low-carbon investment in emerging economies: A synthesis of parallel workshops in Brazil and India

    Energy Technology Data Exchange (ETDEWEB)

    Hultman, Nathan E., E-mail: hultman@umd.edu [University of Maryland, School of Public Policy, 2101 Van Munching Hall, College Park, MD 20742 (United States); Joint Global Change Research Institute, Pacific Northwest National Laboratory, 5825 University Research Court, Ste 3500, College Park MD 20740 (United States); Pulver, Simone [University of California at Santa Barbara, Program in Environmental Studies, Santa Barbara, CA 93106 (United States); Pacca, Sergio [University of Sao Paulo, School of Arts, Sciences, and Humanities (Brazil); Saran, Samir; Powell, Lydia [Observer Research Foundation, New Delhi (India); Romeiro, Viviane [University of Sao Paulo, Electrotechnical and Energy Institute, Sao Paulo 0536020 (Brazil); Benney, Tabitha [University of California at Santa Barbara, Department of Political Science, Santa Barbara, CA 93106 (United States)

    2011-10-15

    While policy experiments targeted at energy and innovation transitions have not been deployed consistently across all countries, market mechanisms such as carbon pricing have been tested over the past decade in disparate development contexts, and therefore provide some opportunities for analysis. This brief communication reports on two parallel workshops recently held in Sao Paulo, Brazil and New Delhi, India to address questions of how well these carbon pricing policies have worked in affecting corporate decisions to invest in low-carbon technology. Convening practitioners and scholars from multiple countries, the workshops elicited participants' perspectives on business investment decisions under international carbon markets in emerging economies across multiple energy-intensive sectors. We review the resulting perspectives on low-carbon policies and present guidance on a research agenda that could clarify how international and national policies could help encourage both energy transitions and energy innovations in emerging economies.

  18. Prevalence of self-medication in the adult population of Brazil: a systematic review

    Science.gov (United States)

    Domingues, Paulo Henrique Faria; Galvão, Taís Freire; de Andrade, Keitty Regina Cordeiro; de Sá, Pedro Terra Teles; Silva, Marcus Tolentino; Pereira, Mauricio Gomes

    2015-01-01

    OBJECTIVE To evaluate the prevalence of self-medication in Brazil’s adult population. METHODS Systematic review of cross-sectional population-based studies. The following databases were used: Medline, Embase, Scopus, ISI, CINAHL, Cochrane Library, CRD, Lilacs, SciELO, the Banco de teses brasileiras (Brazilian theses database) (Capes) and files from the Portal Domínio Público (Brazilian Public Domain). In addition, the reference lists from relevant studies were examined to identify potentially eligible articles. There were no applied restrictions in terms of the publication date, language or publication status. Data related to publication, population, methods and prevalence of self-medication were extracted by three independent researchers. Methodological quality was assessed following eight criteria related to sampling, measurement and presentation of results. The prevalences were measured from participants who used at least one medication during the recall period of the studies. RESULTS The literature screening identified 2,778 records, from which 12 were included for analysis. Most studies were conducted in the Southeastern region of Brazil, after 2000 and with a 15-day recall period. Only five studies achieved high methodological quality, of which one study had a 7-day recall period, in which the prevalence of self-medication was 22.9% (95%CI 14.6;33.9). The prevalence of self-medication in three studies of high methodological quality with a 15-day recall period was 35.0% (95%CI 29.0;40.0, I2 = 83.9%) in the adult Brazilian population. CONCLUSIONS Despite differences in the methodologies of the included studies, the results of this systematic review indicate that a significant proportion of the adult Brazilian population self-medicates. It is suggested that future research projects that assess self-medication in Brazil standardize their methods. PMID:26083944

  19. Synthesis and Consecutive Reactions of α-Azido Ketones: A Review

    Directory of Open Access Journals (Sweden)

    Sadia Faiz

    2015-08-01

    Full Text Available This review paper covers the major synthetic approaches attempted towards the synthesis of α-azido ketones, as well as the synthetic applications/consecutive reactions of α-azido ketones.

  20. The role of nature in cancer patients' lives: a systematic review and qualitative meta-synthesis

    National Research Council Canada - National Science Library

    Sarah Blaschke

    2017-01-01

    Background A systematic review and meta-synthesis was conducted to identify, compare and synthesize the published qualitative literature contributing to our understanding of the role of nature in cancer patients’ lives...

  1. Reviews of the Norwegian climate policy - a synthesis of four international reports

    Energy Technology Data Exchange (ETDEWEB)

    Alfsen, Knut H.; Bjoernaes, Christian; Reed, Eilif Ursin

    2011-07-01

    The report is a synthesis of four reviews on the Norwegian climate policy: 1. Environmental performance review of Norway, OECD 2011 2. Energy Policies of IEA Countries, Norway, IEA 2011 3. Economic Survey of Norway, OECD 2010 4. Report on the in-depth review of the fifth national communication of Norway.(auth)

  2. Synthesis of Bisindole Alkaloids from the Apocynaceae Which Contain a Macroline or Sarpagine Unit: A Review.

    Science.gov (United States)

    Rahman, Md Toufiqur; Tiruveedhula, Veera V N Phani Babu; Cook, James M

    2016-11-14

    Bisindole natural products consist of two monomeric indole alkaloid units as their obligate constituents. Bisindoles are more potent with respect to their biological activity than their corresponding monomeric units. In addition, the synthesis of bisindoles are far more challenging than the synthesis of monomeric indole alkaloids. Herein is reviewed the enantiospecific total and partial synthesis of bisindole alkaloids isolated primarily from the Alstonia genus of the Apocynaceae family. The monomeric units belong to the sarpagine, ajmaline, macroline, vobasine, and pleiocarpamine series. An up-to-date discussion of their isolation, characterization, biological activity as well as approaches to their partial and total synthesis by means of both synthetic and biosynthetic strategies are presented.

  3. Functionalized Gold Nanoparticles: Synthesis, Properties and Applications--A Review.

    Science.gov (United States)

    Alex, Saji; Tiwari, Ashutosh

    2015-03-01

    The past few decades have witnessed significant advances in the development of functionalized gold nanoparticles for applications in various fields such as chemistry, biology, pharmacy and physics. Although it has been more than 150 years since they were first synthesized, extensive research has recently been undertaken to improve or modify gold nanoparticles, thereby opening up opportunities to enhance and optimize their potential and breadth of their applicability. Recently developed methods have allowed a precise control of gold nanoparticle size and the modification of gold nanoparticles with suitable protecting and functionalizing agents, facilitate their applications in different areas such as chemical and biological sensing, imaging and biomedical applications. This review focuses on the recent developments in various methods for the size and shape controlled synthesis of gold nanoparticles, understanding of different properties of gold nanoparticles and their applications in various fields. Particular attention is given to the chemical and biological sensing applications of gold nanoparticles and on the advances in the controlled ordering of gold nanoparticles for creating nanostructures for diverse applications.

  4. Controlled synthesis of titania using water-soluble titanium complexes: A review

    Science.gov (United States)

    Truong, Quang Duc; Dien, Luong Xuan; Vo, Dai-Viet N.; Le, Thanh Son

    2017-07-01

    The development of human society has led to the increase in energy and resources consumption as well as the arising problems of environmental damage and the toxicity to the human health. The development of novel synthesis method which tolerates utilization of toxic solvents and chemicals would fulfill the demand of the society for safer, softer, and environmental friendly technologies. For the past decades, a remarkable progress has been attained in the development of new water-soluble titanium complexes (WSTC) and their use for the synthesis of nanocrystalline titanium dioxide materials by aqueous solution-based approaches. The progress of synthesis of nanocrystalline titanium dioxide using such WSTCs is reviewed in this work. The key structural features responsible for the successfully controlled synthesis of TiO2 are discussed to provide guidelines for the morphology-controlled synthesis. Finally, this review ends with a summary and some perspectives on the challenges as well as new directions in this fascinating research.

  5. [Contributios to the study of stigma of mental illness in Brazil: a review of national literature].

    Science.gov (United States)

    Mitkiewicz de Souza, Flavia; Magalhaes Dahi, Catarina; Araujo Carvalho, Cecilia; Lovisi, Giovanni; Tavares Cavalcanti, María

    2015-01-01

    The Movement of the Psychiatric Reform in Brazil begins in 1970, with complaints of mistreatment and violence of patients, lack of resources and poor working conditions. Considering this scenario, in 2001 was enacted Federal Law No. 10.216, which redirects the mental health care by prioritizing the treatment offers in community-based services and provides for the protection and rights of people with mental disorders. Despite this investment in a national mental health policy, cultural changes in society do not happen in immediate response to changes in legislation and therefore the effects of new mental health practices on the lives of users are not sufficiently known. Stigmatization processes are referred to and conceived as being among the greatest impediments in the progress of the assignment of another social space to madness and exercise as citizens, central projects of the Brazilian Psychiatric Reform. Therefore, given its negative impact on the welfare of the population, the development of strategies to assess and reduce the stigma is considered a public health priority. Nevertheless, until now, studies of stigma of mental illness have been especially scarce in Brazil and other Latin American countries. In order to investigate how the issue has been addressed in national literature, we propose to conduct a Brazilian literature review in national journals between 2001-2014. We conclude that more research is needed to investigate the stigma in the Brazilian context. There are even difficulties including delineate which relational dimensions of users should be concentrated every effort to overcome the stigmatization processes. Arises aim is to refine the analyzes that identify which efforts have been more successful in producing anti-stigma activities.

  6. Systematic Review of Health Economic Evaluation Studies Developed in Brazil from 1980 to 2013

    Directory of Open Access Journals (Sweden)

    Tassia Cristina Decimoni

    2018-02-01

    Full Text Available BackgroundBrazil has sought to use economic evaluation to support healthcare decision-making processes. While a number of health economic evaluations (HEEs have been conducted, no study has systematically reviewed the quality of Brazilian HEE. The objective of this systematic review was to provide an overview regarding the state of HEE research and to evaluate the number, characteristics, and quality of reporting of published HEE studies conducted in a Brazilian setting.MethodsWe systematically searched electronic databases (MEDLINE, EMBASE, Latin American, and Caribbean Literature on Health Sciences Database, Scientific Electronic Library Online, NHS Economic Evaluation Database, health technology assessment Database, Bireme, and Biblioteca Virtual em Saúde Economia da Saúde; citation indexes (SCOPUS, Web of Science, and Sistema de Informação da Rede Brasileira de Avaliação de Tecnologia em Saúde. Partial and full HEEs published between 1980 and 2013 that referred to a Brazilian setting were considered for inclusion.ResultsIn total, 535 studies were included in the review, 36.8% of these were considered to be full HEE. The category of healthcare technologies more frequently assessed were procedures (34.8% and drugs (28.8% which main objective was treatment (72.1%. Forty-four percent of the studies reported their funding source and 36% reported a conflict of interest. Overall, the full HEE quality of reporting was satisfactory. But some items were generally poorly reported and significant improvement is required: (1 methods used to estimate healthcare resource use quantities and unit costs, (2 methods used to estimate utility values, (3 sources of funding, and (4 conflicts of interest.ConclusionA steady number of HEE have been published in Brazil since 1980. To improve their contribution to inform national healthcare policy efforts need to be made to enhance the quality of reporting of HEEs and promote improvements in the way HEEs are

  7. Growth surveillance in the context of the Primary Public Healthcare Service Network in Brazil: literature review

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    Dixis Figueroa Pedraza

    2016-03-01

    Full Text Available Abstract Objectives: to identify and analyze the scientific literature on child growth monitoring in the context of the primary public healthcare service network in Brazil, focusing on the main problems detected in studies. Methods: the review was based on searches ofSciELO, Lilacs and PubMed databases to identify articles published between 2006 and 2014. The articles were categorized according to the analytical categories of structure (items needed to carry out primary activities or work processes (set of activities and procedures used in the management of resources. Results: of the 16 articles included in this review, only six dealt with structure and, in these, thetraining of professionals and availability of protocols were the most frequently identified problems. Processes, addressed in 15 articles, highlighted the underutilization of Child Health Handbook to record growth measurements and the adoption of guidelines on the basis of notes taken. Conclusions: the difficulties found demonstrate the everyday circumstances of the public health service which have a detrimental effect on growth surveillance.

  8. Dementia care in public health in Brazil and the world: A systematic review

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    Bianca Bolzan Cieto

    Full Text Available ABSTRACT OBJECTIVE: This study aimed to identify in the recent scientific literature, information on health care provided to people with dementia, dementia costs and its resource implications for public health. METHODS: This was a systematic review of the literature in which the articles were consulted from the databases PubMed/MEDLINE, LILACS and SciELO. The review sample consisted of 45 articles. RESULTS: Examination of the studies identified the current scenario of dementia in relation to public health and public policy in Brazil and the world. The analyzed studies revealed key information on aspects of dementia in the world. There was consensus on the high prevalence of the syndrome and on the significant cost of health care and public policy for assisting the elderly with dementia. CONCLUSION: The importance of planning and implementing new public policies was recognized, since these are essential for the organization and management of health services and directly influence the country's ability to provide health care for people with dementia.

  9. Risk factors for breast cancer: a systematic review of studies with female samples among the general population in Brazil

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    Pinho Valéria Fernandes de Souza

    2005-01-01

    Full Text Available A systematic review of studies was conducted to determine the characteristics of epidemiological research on risk factors for breast cancer in female samples from the general population in Brazil. Of the 23 articles identified, only 14 were selected for review. Most of the studies were from Southeast Brazil. Three were cross-sectional, conducted in specific populations, and 11 used case-control designs. The sample sizes varied from 40 to 164,269 women. Twenty-nine risk factors were researched, and among these, 11 were investigated in four or more studies. Nulliparity was the most frequent factor, found in 12 of the studies. Prevalence of the factors varied widely among the samples, and since the samples were heterogeneous and the studies presented several methodological limitations, a summary mean was not calculated.

  10. Synthesis of nanomaterials by continuous-flow microfluidics: A review

    CSIR Research Space (South Africa)

    Makgwane, PR

    2014-02-01

    Full Text Available suitable chemical reagents and synthetic methodologies that offer opportunities to produce the desired structure-function controlled nanomaterials. On the other hand, the reactor equipment for the synthesis of these tailored nanomaterials is of prime...

  11. Autism in Brazil: a systematic review of family challenges and coping strategies.

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    Gomes, Paulyane T M; Lima, Leonardo H L; Bueno, Mayza K G; Araújo, Liubiana A; Souza, Nathan M

    2015-01-01

    To describe the challenges faced by families caring for children with autism spectrum disorder (ASD) in Brazil and the coping strategies employed. Systematic review of articles published until September of 2013, without language restrictions, using quality appraisal (AMSTAR and CASP/Oxford instruments). The literature shows parental emotional overload as one of the main challenges faced by families, especially mothers. The main stressors were diagnostic postponement, difficulty dealing with the diagnosis and associated symptoms, and poor access to health services and social support. The predominant coping strategies found included information exchange between affected families and integrated healthcare network for patient and family support. ASD exerts strong influence on family dynamics, resulting in caregiver overload, especially in mothers. The Brazilian Unified Health System needs to provide comprehensive, continuous, and coordinated care to strengthen the patient-family dyad and promote the full development and societal inclusion of children with ASD. Copyright © 2014 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  12. Vibrio vulnificus infection in São Paulo, Brazil: case report and literature review

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    Maria Rita Elmor de Araujo

    Full Text Available Non cholera Vibrio may cause conjunctivitis, wound infection, gastroenteritis and serious sepsis. Transmission to men is through contact with skin, mucosa or wounds exposed to marine water, and consumption of certain barely cooked or raw seafood, more frequently in the summer. This is one of the first cases of severe infection related to Vibrio vulnificus described in Brazil. The patient was an old man, who ingested seafood in Guarujá, a seashore city near São Paulo, 3 days before hospitalization. He was admitted to the emergency room in an ill state with septic shock. On 2 sets of blood culture a highly virulent microorganism was isolated, Vibrio vulnificus, which leads to sepsis and frequently to death in susceptible patients. The objective of this report was to use this case to discuss clinical aspects, microbiological diagnosis and treatment of the infection caused by this agent, besides the review of epidemiology, associated risk factors and prevention before consuming or getting in contact with seafood, especially in patients with greater susceptibility to this kind of infection.

  13. Frequency of self-reported sexual aggression and victimization in Brazil: a literature review

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    Lylla Winzer

    2016-01-01

    Full Text Available Abstract: The lack of official data on rape has been a challenge for researchers in Brazil. Two recently published studies were based on law enforcement and medical records. Although these studies represent important progress in research on rape in the country, they have several limitations. In order to obtain more realistic rates, the current article reviews Brazilian studies on self-reported sexual aggression and victimization in individuals over 14 years of age. Forty-one studies were identified through electronic searches and reference verification. From 1% to 40% of women and 1% to 35% of men reported some form of victimization in the previous year. The male perpetration incidence ranged from 2% to 44%. Despite the wide variability, these rates were much higher than those provided by official data. The results suggest that sexual orientation is associated with vulnerability. Mixed findings were found concerning race. Most studies were based on convenience samples and focused on female victimization. Male victimization has received increasing attention, but studies on self-reported perpetration are still limited.

  14. Trends in Prevalence of Hypertension in Brazil: A Systematic Review with Meta-Analysis

    Science.gov (United States)

    Picon, Rafael V.; Fuchs, Flávio D.; Moreira, Leila B.; Riegel, Glaube; Fuchs, Sandra C.

    2012-01-01

    Background The prevalence of hypertension in emerging nations was scarcely described to date. In Brazil, many population-based surveys evaluated the prevalence in cities throughout the country. However, there is no population-based nationwide study of prevalence of hypertension. In this study, we estimated the prevalence of hypertension for the country and analyzed the trends for the last three decades. Methods Cross-sectional and cohort studies conducted from 1980 to 2010 were independently identified by two reviewers, without language restriction, in the PubMed, Embase, LILACS, and Scielo electronic databases. Unpublished studies were identified in the Brazilian electronic database of theses and in annals of Cardiology congresses and meetings. In total, 40 studies were selected, comprising 122,018 individuals. Results Summary estimates of prevalence by the former WHO criteria (BP≥160/95 mmHg) in the 1980’s and 1990’s were 23.6% (95% CI 17.3–31.4%) and 19.6% (16.4–23.3%) respectively. The prevalence of hypertension by the JNC criteria (BP≥140/90 mmHg) in the 1980’s, 1990’s and 2000’s were 36.1% (95% CI 28.7–44.2%), 32.9% (29.9–36.0%), and 28.7% (26.2–31.4%), respectively (P<0.001). In the 2000’s, the pooled prevalence estimates of self-reported hypertension on telephone inquiries was 20.6% (19.0–22.4%), and of self-reported hypertension in home surveys was 25.2% (23.3–27.2%). Conclusions The prevalence of hypertension in Brazil seems to have diminished 6% in the last three decades, but it still is approximately 30%. Nationwide surveys by self-reporting by telephone interviews underestimate the real prevalence. Rates of blood pressure control decreased in the same period, corresponding currently to only one quarter of individuals with hypertension. PMID:23118964

  15. Ion-exchange membranes in chemical synthesis – a review

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    Jaroszek Hanna

    2016-01-01

    Full Text Available The applicability of ion-exchange membranes (IEMs in chemical synthesis was discussed based on the existing literature. At first, a brief description of properties and structures of commercially available ion-exchange membranes was provided. Then, the IEM-based synthesis methods reported in the literature were summarized, and areas of their application were discussed. The methods in question, namely: membrane electrolysis, electro-electrodialysis, electrodialysis metathesis, ion-substitution electrodialysis and electrodialysis with bipolar membrane, were found to be applicable for a number of organic and inorganic syntheses and acid/base production or recovery processes, which can be conducted in aqueous and non-aqueous solvents. The number and the quality of the scientific reports found indicate a great potential for IEMs in chemical synthesis.

  16. A Review and Modern Approach to LC Ladder Synthesis

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    Alexander J. Casson

    2011-01-01

    Full Text Available Ultra low power circuits require robust and reliable operation despite the unavoidable use of low currents and the weak inversion transistor operation region. For analogue domain filtering doubly terminated LC ladder based filter topologies are thus highly desirable as they have very low sensitivities to component values: non-exact component values have a minimal effect on the realised transfer function. However, not all transfer functions are suitable for implementation via a LC ladder prototype, and even when the transfer function is suitable the synthesis procedure is not trivial. The modern circuit designer can thus benefit from an updated treatment of this synthesis procedure. This paper presents a methodology for the design of doubly terminated LC ladder structures making use of the symbolic maths engines in programs such as MATLAB and MAPLE. The methodology is explained through the detailed synthesis of an example 7th order bandpass filter transfer function for use in electroencephalogram (EEG analysis.

  17. Convergent and sequential synthesis designs: implications for conducting and reporting systematic reviews of qualitative and quantitative evidence.

    Science.gov (United States)

    Hong, Quan Nha; Pluye, Pierre; Bujold, Mathieu; Wassef, Maggy

    2017-03-23

    Systematic reviews of qualitative and quantitative evidence can provide a rich understanding of complex phenomena. This type of review is increasingly popular, has been used to provide a landscape of existing knowledge, and addresses the types of questions not usually covered in reviews relying solely on either quantitative or qualitative evidence. Although several typologies of synthesis designs have been developed, none have been tested on a large sample of reviews. The aim of this review of reviews was to identify and develop a typology of synthesis designs and methods that have been used and to propose strategies for synthesizing qualitative and quantitative evidence. A review of systematic reviews combining qualitative and quantitative evidence was performed. Six databases were searched from inception to December 2014. Reviews were included if they were systematic reviews combining qualitative and quantitative evidence. The included reviews were analyzed according to three concepts of synthesis processes: (a) synthesis methods, (b) sequence of data synthesis, and (c) integration of data and synthesis results. A total of 459 reviews were included. The analysis of this literature highlighted a lack of transparency in reporting how evidence was synthesized and a lack of consistency in the terminology used. Two main types of synthesis designs were identified: convergent and sequential synthesis designs. Within the convergent synthesis design, three subtypes were found: (a) data-based convergent synthesis design, where qualitative and quantitative evidence is analyzed together using the same synthesis method, (b) results-based convergent synthesis design, where qualitative and quantitative evidence is analyzed separately using different synthesis methods and results of both syntheses are integrated during a final synthesis, and (c) parallel-results convergent synthesis design consisting of independent syntheses of qualitative and quantitative evidence and an

  18. Prevalência de anemia ferropriva no Brasil: uma revisão sistemática Prevalence of iron-deficiency anemia in Brazil: a systematic review

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    Regina Esteves Jordão

    2009-03-01

    Full Text Available OBJETIVO: Revisar os estudos de prevalência de anemia no Brasil publicados entre janeiro de 1996 e janeiro de 2007. FONTES DE DADOS: Por meio de revisão sistemática nas bases de dados eletrônicas Medline e Lilacs, foram selecionados títulos científicos publicados no intervalo de onze anos referentes à prevalência de anemia no Brasil em crianças menores de cinco anos de idade. Foram excluídos artigos de revisão, relatos de caso e trabalhos que relacionaram anemia a outras doenças e ao período gestacional. Para a análise comparativa das variáveis categóricas de interesse nos artigos encontrados, realizou-se o teste do qui-quadrado e o teste exato de Fisher, levando-se em conta o nível de significância estatística de 5% (pOBJECTIVE: To conduct a systematic review on the prevalence of anemia due to iron-deficiency in Brazil from January 1996 to January 2007. DATA SOURCES: A systematic review was conducted in electronic databases (Medline and Lilacs in an eleven-year interval to verify the prevalence of iron deficiency anemia in children who were less than five years of age in Brazil. Reviews, case reports and studies related to anemia during pregnancy and anemia caused by others diseases were excluded. In order to describe the categorical variables according to the selected articles, the chi-square and Fisher exact tests were used. The significance level adopted was 5% (p<0.05. DATA SYNTHESIS: The median prevalence level of anemia was 53%, which is considered a high prevalence rate by the World Health Organization. Among the 53 analyzed studies, the age of the children was the variable strongly associated with anemia (p=0.012. CONCLUSIONS: A high prevalence of anemia, mostly in children less than two years of age, was observed in this review. However, most studies were carried out in day care centers or in Basic Health Care Units or were obtained by home interviews, suggesting that future research should focus populational studies.

  19. Synthesis of Helical Carbon Fibers and Related Materials: A Review on the Past and Recent Developments

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    Himanshu Raghubanshi

    2015-06-01

    Full Text Available Helical carbon fibers (HCFs have been widely studied due to their unique helical morphology and superior properties, which make them efficient materials for several potential applications. This review summarizes the past and current advancement on the synthesis of HCFs. The review focuses and discusses synthesis strategies and effect of experimental parameters on the growth of HCFs. The effect of preparation method of catalyst, catalyst nature, catalyst composition, catalyst size, catalyst initial and final shape, reaction temperature, reaction time, carbon source, impurities, and electromagnetic field on the growth of HCFs is reviewed. We also discuss the growth mechanism for HCFs and the synthesis of HCFs related materials. Finally, we conclude with a brief summary and an outlook on the challenges and future prospects of HCFs.

  20. Factors associated with exclusive breastfeeding in the first six months of life in Brazil: a systematic review

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    Cristiano Siqueira Boccolini

    2015-01-01

    Full Text Available ABSTRACT OBJECTIVE To identify factors associated with exclusive breastfeeding in the first six months of life in Brazil. METHODS Systematic review of epidemiological studies conducted in Brazil with exclusive breastfeeding as outcome. Medline and LILACS databases were used. After the selection of articles, a hierarchical theoretical model was proposed according to the proximity of the variable to the outcome. RESULTS Of the 67 articles identified, we selected 20 cross-sectional studies and seven cohort studies, conducted between 1998 and 2010, comprising 77,866 children. We identified 36 factors associated with exclusive breastfeeding, being more often associated the distal factors: place of residence, maternal age and education, and the proximal factors: maternal labor, age of the child, use of a pacifier, and financing of primary health care. CONCLUSIONS The theoretical model developed may contribute to future research, and factors associated with exclusive breastfeeding may subsidize public policies on health and nutrition.

  1. High prevalence of drug-resistant tuberculosis and other mycobacteria among HIV-infected patients in Brazil: a systematic review

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    Ricardo H Bammann

    2010-09-01

    Full Text Available There is a little-noticed trend involving human immunodeficiency virus (HIV-infected patients suspected of having tuberculosis: the triple-treatment regimen recommended in Brazil for years has been potentially ineffective in over 30% of the cases. This proportion may be attributable to drug resistance (to at least 1 drug and/or to infection with non-tuberculous mycobacteria. This evidence was not disclosed in official statistics, but arose from a systematic review of a few regional studies in which the diagnosis was reliably confirmed by mycobacterial culture. This paper clarifies that there has long been ample evidence for the potential benefits of a four-drug regimen for co-infected patients in Brazil and it reinforces the need for determining the species and drug susceptibility in all positive cultures from HIV-positive patients.

  2. The neoproterozoic Goias magmatic arc, central Brazil: a review and new Sm-Nd isotopic data

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    Pimentel, Marcio Martins; Fuck, Reinhardt Adolfo; Gioia, Simone Maria Costa Lima [Brasilia Univ., DF (Brazil). Inst. de Geociencias]. E-mail: marcio@unb.br

    2000-03-01

    In this study we review the main characteristics and geochronological/isotopic data of metaigneous rocks of the juvenile Neoproterozoic Goias Magmatic Arc in central Brazil. Some new Sm-Nd isotopic data are also presented for both the southern (Arenopolis) and northern (Mara Rosa) sections of the arc. In the south, granitoids of the Choupana-Turvania area yielded a Sm-Nd whole-rock isochron age of 863{+-} 97 Ma and e{sub Nd} (T) of +4.1 T{sub D}M model ages vary between 0.94 and 1.13 Ga. Metavolcanic rocks in the Pontalina region have a Sm-Nd whole rock isochron age of 762 {+-} 77 Ma and e{sub Nd} (T) of +2.9. T {sub DM} values are between 0.96 and 1.10 Ga. In the northern section of the Goias Arc, mylonitic gneisses of the Serra Azul ridge, an important N30E shear zone, were investigated and have a Sm-Nd isochron age of 3058 {+-} 120 Ma and initial e{sub Nd} value of ca.+ 2.1. This data suggests that the Serra Azul ridge might represent either a mylonitized fragment of the Archaen terranes exposed just to the south, or the sialic basement of the Araguaia Belt supracrustal, along the eastern margin of the Amazon Craton. The geochronological data available so far indicate a long history of arc formation and amalgamation on the western margin of the Sao Francisco-Congo continent during the Neoproterozoic. The history of convergence of continental masses is partially coeval with the fragmentation of Rodinia, indicating that the western margin (present geographic reference) of that continent occupied a peripheral setting in the Rodinia super continent. (author)

  3. A Review on the Green Synthesis of Silver Nanoparticles and Their Morphologies Studied via TEM

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    Protima Rauwel

    2015-01-01

    Full Text Available Silver has been recognized as a nontoxic, safe inorganic antibacterial/antifungal agent used for centuries. Silver demonstrates a very high potential in a wide range of biological applications, more particularly in the form of nanoparticles. Environmentally friendly synthesis methods are becoming more and more popular in chemistry and chemical technologies and the need for ecological methods of synthesis is increasing; the aim is to reduce polluting reaction by-products. Another important advantage of green synthesis methods lies in its cost-effectiveness and in the abundance of raw materials. During the last five years, many efforts were put into developing new greener and cheaper methods for the synthesis of nanoparticles. The cost decrease and less harmful synthesis methods have been the motivation in comparison to other synthesis techniques where harmful reductive organic species produce hazardous by-products. This environment-friendly aspect has now become a major social issue and is instrumental in combatting environmental pollution through reduction or elimination of hazardous materials. This review describes a brief overview of the research on green synthesis of silver metal nanoparticles and the influence of the method on their size and morphology.

  4. Taxonomic guide and historical review of starfishes in northeastern Brazil (Echinodermata, Asteroidea)

    Science.gov (United States)

    Gondim, Anne Isabelley; Christoffersen, Martin Lindsey; Pereira Dias, Thelma Lúcia

    2014-01-01

    Abstract Presently more than 1900 species of sea stars are recognized, of which 77 are recorded for the coast of Brazil. Although the first starfish record in Brazil was published 363 years ago, our knowledge of this fauna remains unsatisfactory from a systematic and ecological point of view, particularly in the north and northeastern regions of the country. This study provides the first annotated list of sea stars from northeastern Brazil. Material described herein is housed at the collections of the Federal University of Paraíba, Federal University of Sergipe, and the Federal University of Bahia, Museum of Zoology of the University of São Paulo and Museu Nacional do Rio de Janeiro. Twenty-one species were identified, belonging to 12 genera, 10 families, and 5 orders. Descriptions of species are provided. Three new occurrences were recorded for northeast Brazil: Astropecten alligator, Luidia ludwigi scotti, and Mithrodia clavigera. Highest diversities of Asteroidea were encountered for the states of Bahia (n = 14 spp), Paraíba (n = 12 spp) and Pernambuco (n = 9 spp). No species were recorded for the states of Maranhão and Sergipe. Sandy substrates and depths below 10 m were the least sampled areas over the continental shelf. Herein we provide a first panorama on the fauna of Asteroidea occurring in the northeast region of Brazil, hopefully to function as a basic reference for biodiversity studies in this poorly studied area. PMID:25408612

  5. Taxonomic guide and historical review of starfishes in northeastern Brazil (Echinodermata, Asteroidea

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    Anne Gondim

    2014-10-01

    Full Text Available Presently more than 1900 species of sea stars are recognized, of which 77 are recorded for the coast of Brazil. Although the first starfish record in Brazil was published 363 years ago, our knowledge of this fauna remains unsatisfactory from a systematic and ecological point of view, particularly in the north and northeastern regions of the country. This study provides the first annotated list of sea stars from northeastern Brazil. Material described herein is housed at the collections of the Federal University of Paraíba, Federal University of Sergipe, and the Federal University of Bahia, Museum of Zoology of the University of São Paulo and Museu Nacional do Rio de Janeiro. Twenty-one species were identified, belonging to 12 genera, 10 families, and 5 orders. Descriptions of species are provided. Three new occurrences were recorded for northeast Brazil: Astropecten alligator, Luidia ludwigi scotti, and Mithrodia clavigera. Highest diversities of Asteroidea were encountered for the states of Bahia (n = 14 spp, Paraíba (n = 12 spp and Pernambuco (n = 9 spp. No species were recorded for the states of Maranhão and Sergipe. Sandy substrates and depths below 10 m were the least sampled areas over the continental shelf. Herein we provide a first panorama on the fauna of Asteroidea occurring in the northeast region of Brazil, hopefully to function as a basic reference for biodiversity studies in this poorly studied area.

  6. A systematic review of medicinal plants used for weight loss in Brazil: Is there potential for obesity treatment?

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    Cercato, Luana M; White, Pollyanna A S; Nampo, Fernando K; Santos, Márcio R V; Camargo, Enilton A

    2015-12-24

    Obesity is a pandemic disease and its prevalence is still increasing. Moreover, it has important costs to public health. In Brazil, many plants are used for weight loss by overweight or obese people, but there is a lack of scientific basis for this practice. Many ethnobotanical studies aiming to characterize this usage have been published, but they are still limited by the region considered and the diversity of the popular knowledge. The present study was undertaken to systematically review the ethnobotanical surveys regarding the species utilized to reduce body weight in overweight or obese people in Brazil. Ethnobotanical surveys related to this usage and performed in Brazilian regions were systematically found in MEDLINE, LILACS and Scopus. Thirty-three studies were included in this review. Fifty species were popularly utilized to lose weight. The most cited species were Baccharis trimera (Less.) DC, Annona muricata L. and Hancornia speciosa Gomes. Camellia sinensis (L.) Kuntze and Hibiscus sabdariffa L. were also cited and are supported by either animal or human investigations that indicate some beneficial activity against obesity. However, for the majority of species cited in the included studies, there is no scientific basis that assures the biological effects of this usage. Many studies have demonstrated important effects of these plants on glycemia, serum lipid levels or body weight control in non-obese conditions, which is not sufficient to recommend the use of these plants to reduce body weight in overweight or obese people. Although many plants are popularly used to reduce weight in overweight or obese people in Brazil, there is little scientific evidence corroborating its usage. Based on the ethnobotanical data presented, this review indicates the plants that should be considered for scientifically controlled studies devoted to investigating their effects on obesity. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  7. Carbon nanotube synthesis via the catalytic CVD method: a review on the effect of reaction parameters

    OpenAIRE

    Öncel, Çınar; Oncel, Cinar; Yürüm, Yuda; Yurum, Yuda

    2006-01-01

    This review covers the results obtained in carbon nanotube synthesis by chemical vapor deposition. Parameters such as catalysts, supports, carbon precursors, reaction time, temperature and gas flow rates that are used in the production of carbon nanotubes are discussed throughout the text. Purification of the synthesized carbon nanotubes and methods utilized for cost reduction were also explored.

  8. Sugarcane straw harvest effects on soil quality and plant growth: preliminary data synthesis of a multi-local project running in Brazil

    Science.gov (United States)

    Cherubin, Maurício; Cerri, Carlos E. P.; Feigl, Brigitte J.; Cerri, Carlos C.

    2017-04-01

    Brazil is the largest sugarcane producer in the world, and consequently, it is one of major players in the bioenergy production sector. Despite that, growing demands for bioenergies have raised the interest of Brazilian sugarcane industry to harvest the sugarcane straw left on the field for cellulosic ethanol production and/or bioelectricity cogeneration. However, crop residues have a key role in the soil, affecting directly or indirectly multiple soil functions and related ecosystem services. Therefore, indiscriminate straw harvest could jeopardize soil quality, decreasing its capacity to sustain plant productivity over time. In order to evaluate the potential impacts of sugarcane straw harvest on soil quality and plant growth, we are conducting since 2014 a multi-local project across central-southern Brazil, the main core of sugarcane production in the world. A wide range of soil chemical, physical and biological parameters, as well as, plant biomass production has been quantified under increasing straw harvest intensities. Our preliminary findings have showed that short-term straw harvest management did not affect total organic C stocks; however, high straw harvest led to significant reduction in labile C forms (e.g., microbial biomass C and N), and abundance of microbial communities as well. Sugarcane straw harvest affects soil nutrient cycling, since significant amount of nutrients are removed annually by straw, especially in top (green) leaves. In addition, our data show that straw acts as a thermal insulator, decreasing soil temperature amplitude and keeping soil moisture for a longer time. Straw harvest management did not affect sugarcane yields in the first two crop seasons. Based on this first synthesis of the project, we conclude that short-term sugarcane straw harvest led to soil changes, especially in more sensitive and dynamic properties, which did not affect the plant yield. However, long-term impacts should be monitored towards a better

  9. Zika puzzle in Brazil: peculiar conditions of viral introduction and dissemination - A Review

    Science.gov (United States)

    Possas, Cristina; Brasil, Patricia; Marzochi, Mauro CA; Tanuri, Amilcar; Martins, Reinaldo M; Marques, Ernesto TA; Bonaldo, Myrna C; Ferreira, Antonio GP; Lourenço-de-Oliveira, Ricardo; Nogueira, Rita Maria R; Sequeira, Patricia C; Marzochi, Keyla BF; Homma, Akira

    2017-01-01

    This article discusses the peculiar conditions that favoured the unexpected introduction of Zika virus into the poorest northeastern region of Brazil in 2015, its speed of transmission to other Brazilian states, other Latin American countries and other regions, and the severity of related neurological disorders in newborns and adults. Contrasting with evidence that Zika had so far caused only mild cases in humans in the last six decades, the epidemiological scenario of this outbreak in Brazil indicates dramatic health effects: in 2015, an increase of 20-fold in notified cases of microcephaly and/or central nervous system (CNS) alterations suggestive of Zika congenital infection, followed by an exponential increase in 2016, with 2366 cumulative cases confirmed in the country by the end of December 2016. A significant increase in Guillain-Barré syndrome in adults has also been reported. Factors involved in viral dissemination, neural pathogenesis and routes of transmission in Brazil are examined, such as the role of social and environmental factors and the controversies involved in the hypothesis of antibody-dependent enhancement, to explain the incidence of congenital Zika syndrome in Brazil. Responses to the Zika outbreak and the development of new products are also discussed. PMID:28443985

  10. A Review of Thorium Utilization as an option for Advanced Fuel Cycle--Potential Option for Brazil in the Future

    Energy Technology Data Exchange (ETDEWEB)

    Maiorino, J.R.; Carluccio, T.

    2004-10-03

    Since the beginning of Nuclear Energy Development, Thorium was considered as a potential fuel, mainly due to the potential to produce fissile uranium 233. Several Th/U fuel cycles, using thermal and fast reactors were proposed, such as the Radkwoski once through fuel cycle for PWR and VVER, the thorium fuel cycles for CANDU Reactors, the utilization in Molten Salt Reactors, the utilization of thorium in thermal (AHWR), and fast reactors (FBTR) in India, and more recently in innovative reactors, mainly Accelerator Driven System, in a double strata fuel cycle. All these concepts besides the increase in natural nuclear resources are justified by non proliferation issues (plutonium constrain) and the waste radiological toxicity reduction. The paper intended to summarize these developments, with an emphasis in the Th/U double strata fuel cycle using ADS. Brazil has one of the biggest natural reserves of thorium, estimated in 1.2 millions of tons of ThO{sub 2}, as will be reviewed in this paper, and therefore R&D programs would be of strategically national interest. In fact, in the past there was some projects to utilize Thorium in Reactors, as the ''Instinto/Toruna'' Project, in cooperation with France, to utilize Thorium in Pressurized Heavy Water Reactor, in the mid of sixties to mid of seventies, and the thorium utilization in PWR, in cooperation with German, from 1979-1988. The paper will review these initiatives in Brazil, and will propose to continue in Brazil activities related with Th/U fuel cycle.

  11. Review of the synthesis of layered double hydroxides: a thermodynamic approach

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    Bravo-Suárez Juan J.

    2004-01-01

    Full Text Available The synthesis of layered double hydroxides (LDHs by hydrothermal-LDH reconstruction and coprecipitation methods is reviewed using a thermodynamic approach. A mixture model was used for the estimation of the thermodynamics of formation of LDHs. The synthesis and solubility of LDHs are discussed in terms of standard molar Gibbs free energy change of reaction. Data for numerous divalent and trivalent metals as well as for some monovalent and tetravalent metals that may be part of the LDH structure have been compiled. Good agreement is found between theoretical and experimental data. Diagrams and tables for the prediction of possible new LDH materials are provided.

  12. Methods for the thematic synthesis of qualitative research in systematic reviews

    Directory of Open Access Journals (Sweden)

    Harden Angela

    2008-07-01

    Full Text Available Abstract Background There is a growing recognition of the value of synthesising qualitative research in the evidence base in order to facilitate effective and appropriate health care. In response to this, methods for undertaking these syntheses are currently being developed. Thematic analysis is a method that is often used to analyse data in primary qualitative research. This paper reports on the use of this type of analysis in systematic reviews to bring together and integrate the findings of multiple qualitative studies. Methods We describe thematic synthesis, outline several steps for its conduct and illustrate the process and outcome of this approach using a completed review of health promotion research. Thematic synthesis has three stages: the coding of text 'line-by-line'; the development of 'descriptive themes'; and the generation of 'analytical themes'. While the development of descriptive themes remains 'close' to the primary studies, the analytical themes represent a stage of interpretation whereby the reviewers 'go beyond' the primary studies and generate new interpretive constructs, explanations or hypotheses. The use of computer software can facilitate this method of synthesis; detailed guidance is given on how this can be achieved. Results We used thematic synthesis to combine the studies of children's views and identified key themes to explore in the intervention studies. Most interventions were based in school and often combined learning about health benefits with 'hands-on' experience. The studies of children's views suggested that fruit and vegetables should be treated in different ways, and that messages should not focus on health warnings. Interventions that were in line with these suggestions tended to be more effective. Thematic synthesis enabled us to stay 'close' to the results of the primary studies, synthesising them in a transparent way, and facilitating the explicit production of new concepts and hypotheses

  13. The tobacco endgame: a qualitative review and synthesis.

    Science.gov (United States)

    McDaniel, Patricia A; Smith, Elizabeth A; Malone, Ruth E

    2016-09-01

    The tobacco endgame concept reorients discussion away from the persistent control of tobacco toward plans for ending the tobacco epidemic, and envisions a tobacco-free future. A variety of policy approaches have been proposed, with many offered prior to the introduction of the unifying term 'endgame'. We conducted a qualitative synthesis of the literature on tobacco control endgames, and drew on media accounts and discussion of analogous ideas for illustrative purposes. We identified proposals focused on the product, user, market/supply or larger institutional structures. Research on public support for these proposals was limited, but suggestive of some public appetite for endgame ideas. Advocates should be encouraged to explore new policy options and consider the goal of a tobacco-free future. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  14. Possibilities and challenges for physical and social environment research in Brazil: a systematic literature review on health behaviors

    Directory of Open Access Journals (Sweden)

    Ana Paula Belon

    2013-10-01

    Full Text Available This systematic review analyzed articles focused on the relationship between environment (physical, built, perceived, and social and smoking, alcohol drinking, physical activity, diet, and obesity in Brazil. Studies published between 19952011 were retrieved from seven databases and hand searches. Based on the 42 articles reviewed, gaps were identified and recommendations were made for future research. Despite a growing number of studies, the Brazilian literature is still limited. The increase of articles in 2010-2011 coincided with the diversification of lifestyles studied, although physical activity domain remains predominant. Most studies analyzed neighborhood settings and used subjective measures for lifestyle and for environment. The presence of recreational facilities was the main physical environment aspect studied, while safety from crime was the prominent social environment factor. More research is needed to yield a rich body of evidence that leads to theoretical and methodological advances, and that supports interventions aimed at creating healthy environments.

  15. Planning in Young Children: A Review and Synthesis

    Science.gov (United States)

    McCormack, Teresa; Atance, Cristina M.

    2011-01-01

    Research on the development of planning is reviewed in the context of a framework that considers the role of three types of cognitive flexibility in planning development: event-independent temporal representation, executive function, and self-projection. It is argued that the emergence of planning abilities in the preschool period is dependent…

  16. Family Support in Children's Mental Health: A Review and Synthesis

    Science.gov (United States)

    Hoagwood, Kimberly E.; Cavaleri, Mary A.; Olin, S. Serene; Burns, Barbara J.; Slaton, Elaine; Gruttadaro, Darcy; Hughes, Ruth

    2010-01-01

    A comprehensive review of structured family support programs in children's mental health was conducted in collaboration with leadership from key national family organizations. The goals were to identify typologies of family support services for which evaluation data existed and identify research gaps. Over 200 programs were examined; 50 met…

  17. Review Media messaging: a synthesis of lessons from the literature ...

    African Journals Online (AJOL)

    Based on a review of literature, we provide a number of challenges and lessons to inform HIV-prevention media messaging initiatives for the youth. When designing initiatives, it is imperative that the unique needs of the youth are taken into account, although the youth should not be seen as a homogenous group.

  18. Oxytocin and pain: a systematic review and synthesis of findings.

    Science.gov (United States)

    Rash, Joshua A; Aguirre-Camacho, Aldo; Campbell, Tavis S

    2014-05-01

    A review of the literature was conducted to assess the association between oxytocin (OT) and pain. PsychInfo, PubMed, and Medline (EBSCO) research databases were searched for peer-reviewed articles written between 1950 and 2012. Of a total of 1166 articles returned, 50 (9 human, 33 animal, and 8 spinal cord samples) met full inclusion criteria and were included in the review. OT had a reliable effect as defined by increasing pain tolerance in 29 of 33 animal studies reviewed. This effect persisted across central and peripheral modes of administration and type of noxious stimulus used (eg, heat, electric). The results suggest that OT acts as an analgesic for acute pain in animals. Preliminary research with humans offers consistent evidence to suggest that OT decreases pain sensitivity, though the reliability and stability of such effects cannot yet be determined. Although the findings are encouraging, there is a need for methodologically rigorous work in humans where OT is administered centrally. Further research seems to be warranted as the existence of biologically and psychologically plausible mechanisms linking OT and pain have been well supported using animal models with limited but encouraging human research. Implications and recommendations are discussed. Findings from this research may inform therapeutic methods for the management of pain.

  19. Bridges between multiple-point geostatistics and texture synthesis: Review and guidelines for future research

    Science.gov (United States)

    Mariethoz, Gregoire; Lefebvre, Sylvain

    2014-05-01

    Multiple-Point Simulations (MPS) is a family of geostatistical tools that has received a lot of attention in recent years for the characterization of spatial phenomena in geosciences. It relies on the definition of training images to represent a given type of spatial variability, or texture. We show that the algorithmic tools used are similar in many ways to techniques developed in computer graphics, where there is a need to generate large amounts of realistic textures for applications such as video games and animated movies. Similarly to MPS, these texture synthesis methods use training images, or exemplars, to generate realistic-looking graphical textures. Both domains of multiple-point geostatistics and example-based texture synthesis present similarities in their historic development and share similar concepts. These disciplines have however remained separated, and as a result significant algorithmic innovations in each discipline have not been universally adopted. Texture synthesis algorithms present drastically increased computational efficiency, patterns reproduction and user control. At the same time, MPS developed ways to condition models to spatial data and to produce 3D stochastic realizations, which have not been thoroughly investigated in the field of texture synthesis. In this paper we review the possible links between these disciplines and show the potential and limitations of using concepts and approaches from texture synthesis in MPS. We also provide guidelines on how recent developments could benefit both fields of research, and what challenges remain open.

  20. Green synthesis of gold nanoparticles using plant extract: Mini-review

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    Reza Teimuri-mofrad

    2017-01-01

    Full Text Available In this review, we examine the greenest nanoparticles of zero-valent metals, metal oxides and metal salts, with emphasis on recent developments routes. Products from nature or those derived from natural products, such as extracts of several plants or parts of plants, tea, coffee, banana, simple amino acids, as well as wine, table sugar and glucose, have been used as reductants and as capping agents during the present synthesis method. Polyphenols found in plant material often play a key role in the processes mentioned here. The techniques involved are generally one-pot processes, environmentally friendly and simple. Green synthesis of gold nanoparticles using several extracts and spices extracts was conducted, in which aqueous extracts HAuCl4.3H2O reduce to Au° has establishing themselves in specific crystal phase. Synthesized nanoparticles were confirmed by the color change of auric chloride which is yellow. The growth of nanoparticles was monitored by the behavior of surface Plasmon using UV-Vis spectroscopy; also the pH was determined meanwhile. Moreover, this approach is not only of a green rapid synthesis kind and considered as a better alternative to chemical synthesis, but also found to be effective for large scale synthesis of gold nanoparticles.

  1. A Systematic Review and Synthesis of Qualitative Research: The Influence of School Context on Symptoms of Attention Deficit Hyperactivity Disorder

    Science.gov (United States)

    Gwernan-Jones, Ruth; Moore, Darren A.; Cooper, Paul; Russell, Abigail Emma; Richardson, Michelle; Rogers, Morwenna; Thompson-Coon, Jo; Stein, Ken; Ford, Tamsin J.; Garside, Ruth

    2016-01-01

    This systematic review and synthesis of qualitative research explored contextual factors relevant to non-pharmacological interventions for attention deficit hyperactivity disorder (ADHD) in schools. We conducted meta-ethnography to synthesise 34 studies, using theories of stigma to further develop the synthesis. Studies suggested that the…

  2. Birds at Eucalyptus and other flowers in Southern Brazil: A review

    OpenAIRE

    Willis, Edwin O. [UNESP

    2002-01-01

    In southern Brazil, I recorded 14 species of hummingbirds, one woodpecker, three Psittacidae, four Tyrannidae, one mockingbird, and 31 tanagers and relatives at eucalyptus flowers. Others have registered 3 different hummingbirds, another parrotlet, four more tyrannids, a peppershrike, a thrush, and 5 tanagers and related birds, for a total of 69 species. However, commercial plantations rarely flower, so use is local or undependable. Understory Phaethorninae are not recorded at eucalyptus, rar...

  3. Microalgae of the continental shelf off Paraná State, southeastern Brazil: a review of studies

    Directory of Open Access Journals (Sweden)

    Frederico P. Brandini

    1996-01-01

    Full Text Available The paper reviews the taxonomic and ecological works on marine microalgae (phytoplankton and microphytobenthos off Paraná State, Southeastern Brazil. Various studies refer to the taxonomy of benthic diatoms. Few descriptive field works in coastal and adjacent shelf waters contribute to the understanding of phytoplankton dynamics in coastal and shelf areas. Patterns of geographic distribution and changes in the phytoplankton community are described in relation to water masses and seasonal variations in the hydrographic regime. During summertime, when warm oligotrophic waters predominate over the shelf, the phytoplankton is nummerically dominated by small phytotlagellates, dinotlagellates, coccolithophorids and filaments of cyanobacteria. During wintertime, the abundance of micro-size diatoms over the shclf increase due to the dominance of cold nutrient-rich waters from the South Atlantic Central Water and wind-driven vertical circulation. The phytoplankton community off Paraná State may be classified into two categorics: the diatom-dominated coastal assemblage, mainly controlled by nutrient inputs from land drainage and ressuspension of bottom sediments, and the tlagellate-dominated shelf assemblage, more affectcd by the seasonality of local hydrographic regime.O trabalho é uma revisão dos estudos taxonômicos e ecológicos das microalgas (planctônicas e bentônicas realizados no Estado do Paraná. A maioria dos trabalhos sobre microfitobentos são de caráter taxonômico e, basicamente, referem-se à diatomáceas bênticas sobre macroalgas ou fundos lodosos e consolidados. Poucos trabalhos contribuiram para o estudo da dinâmica espaço-temporal do fitoplâncton em áreas costeiras e de plataforma. São descritos os padrões de distribuição geográfica e as mudanças sazonais na comunidade fitoplanctônica em relação ao regime hidrográfico. No verão, quando águas quentes oligotróficas predominam na superfície, o fitoplâncton

  4. A workshop on asthma management programs and centers in Brazil: reviewing and explaining concepts.

    Science.gov (United States)

    Stelmach, Rafael; Cerci Neto, Alcindo; Fonseca, Ana Cristina de Carvalho Fernandez; Ponte, Eduardo Vieira; Alves, Gerardo; Araujo-Costa, Ildely Niedia; Lasmar, Laura Maria de Lima Belizário Facury; Castro, Luci Keiko Kuromoto de; Lenz, Maria Lucia Medeiros; Silva, Paulo; Cukier, Alberto; Alves, Alexssandra Maia; Lima-Matos, Aline Silva; Cardoso, Amanda da Rocha Oliveira; Fernandes, Ana Luisa Godoy; São-José, Bruno Piassi de; Riedi, Carlos Antônio; Schor, Deborah; Peixoto, Décio Medeiros; Brandenburg, Diego Djones; Camillo, Elineide Gomes Dos Santos; Serpa, Faradiba Sarquis; Brandão, Heli Vieira; Lima, João Antonio Bonfadini; Pio, Jorge Eduardo; Fiterman, Jussara; Anderson, Maria de Fátima; Cardoso, Maria do Socorro de Lucena; Rodrigues, Marcelo Tadday; Pereira, Marilyn Nilda Esther Urrutia; Antila, Marti; Martins, Sonia Maria; Guimarães, Vanessa Gonzaga Tavares; Mello, Yara Arruda Marques; Andrade, Wenderson Clay Correia de; Salibe-Filho, William; Caldeira, Zelina Maria da Rocha; Cruz-Filho, Álvaro Augusto Souza da; Camargos, Paulo

    2015-01-01

    To report the results of a workshop regarding asthma management programs and centers (AMPCs) in Brazil, so that they can be used as a tool for the improvement and advancement of current and future AMPCs. The workshop consisted of five presentations and the corresponding group discussions. The working groups discussed the following themes: implementation of asthma management strategies; human resources needed for AMPCs; financial resources needed for AMPCs; and operational maintenance of AMPCs. The workshop involved 39 participants, from all regions of the country, representing associations of asthma patients (n = 3), universities (n = 7), and AMPCs (n = 29). We found a direct relationship between a lack of planning and the failure of AMPCs. Based on the experiences reported during the workshop, the common assumptions about AMPCs in Brazil were the importance of raising awareness of managers; greater community participation; interdependence between primary care and specialized care; awareness of regionalization; and use of medications available in the public health system. Brazil already has a core of experience in the area of asthma management programs. The implementation of strategies for the management of chronic respiratory disease and their incorporation into health care system protocols would seem to be a natural progression. However, there is minimal experience in this area. Joint efforts by individuals with expertise in AMPCs could promote the implementation of asthma management strategies, thus speeding the creation of treatment networks, which might have a multiplier effect, precluding the need for isolated centers to start from zero.

  5. A workshop on asthma management programs and centers in Brazil: reviewing and explaining concepts

    Directory of Open Access Journals (Sweden)

    Rafael Stelmach

    2015-02-01

    Full Text Available Objective: To report the results of a workshop regarding asthma management programs and centers (AMPCs in Brazil, so that they can be used as a tool for the improvement and advancement of current and future AMPCs. Methods: The workshop consisted of five presentations and the corresponding group discussions. The working groups discussed the following themes: implementation of asthma management strategies; human resources needed for AMPCs; financial resources needed for AMPCs; and operational maintenance of AMPCs. Results: The workshop involved 39 participants, from all regions of the country, representing associations of asthma patients (n = 3, universities (n = 7, and AMPCs (n = 29. We found a direct relationship between a lack of planning and the failure of AMPCs. Based on the experiences reported during the workshop, the common assumptions about AMPCs in Brazil were the importance of raising awareness of managers; greater community participation; interdependence between primary care and specialized care; awareness of regionalization; and use of medications available in the public health system. Conclusions: Brazil already has a core of experience in the area of asthma management programs. The implementation of strategies for the management of chronic respiratory disease and their incorporation into health care system protocols would seem to be a natural progression. However, there is minimal experience in this area. Joint efforts by individuals with expertise in AMPCs could promote the implementation of asthma management strategies, thus speeding the creation of treatment networks, which might have a multiplier effect, precluding the need for isolated centers to start from zero.

  6. Prevalence of Intestinal Parasites in School: a Review Profile Found in the Different Regions From Brazil

    Directory of Open Access Journals (Sweden)

    Valesca Francisco Pinto Menezes

    2012-12-01

    Full Text Available Intestinal infections caused by protozoa and helminths are considered a major cause of diseases by infectious processes in the world. The present study aims to conduct a survey regarding the recent years of the prevalence of intestinal parasites in school children in various cities in Brazil, identifying which species are most commonly found and the regions that require greater dedication in this area. The analyzed studies showed that the Northern and Northeastern regions presented a higher prevalence of intestinal parasites, however, in the Southeast, results were encouraging with low levels of contamination by parasites compared to all regions in Brazil. As for intestinal parasites, the most common, found in all Brazilian regions, was Ascaris lumbricoides followed by Giardia lamblia. Therefore, one can conclude that the high prevalence of intestinal parasites in children found in some places in Brazil can demonstrate the need for greater care with basic sanitation and personal hygiene, both in households and in the places of study. These data show the importance of conducting educational programs that will develop personal awareness of parents, families and children themselves.

  7. The Spread of CTX-M-Type Extended-Spectrum β-Lactamases in Brazil: A Systematic Review.

    Science.gov (United States)

    Rocha, Francisco Ruliglésio; Pinto, Vicente Paulo Teixeira; Barbosa, Francisco Cesar Barroso

    2016-06-01

    The aim of this study was evaluate the spread of CTX-M-type extended-spectrum β-lactamase variants in microorganisms involved in both hospital- and community-acquired infections in different regions of Brazil to determine their epidemiology and identify areas for further research. Thirty-six studies were included and analyzed. Most of the studies were conducted in the southeastern (66.7%, 24/36), southern (22.2%, 8/36), and northeastern (8.3%, 3/36) regions of Brazil. No study was conducted in the northern or midwestern region. CTX-M-producing bacteria were isolated exclusively from humans in both hospital and community environments. The microorganisms that were most commonly associated with the presence of the blaCTX-M gene were Klebsiella pneumoniae and Escherichia coli. The β-lactamases of the CTX-M family that were most frequently identified in Brazil were CTX-M-2 and CTX-M-15, especially in the southeast where these variants are often detected. In this systematic review, the microorganisms that were most commonly associated with the presence of the blaCTX-M gene were K. pneumoniae and E. coli. CTX-M-2 and CTX-M-15 were the most dominant variants of the CTX-M family, followed by CTX-M-8, CTX-M-9, and CTX-M-59. A higher frequency of CTX-M variants was found in the southeastern region, especially in the states of São Paulo and Rio de Janeiro, where CTX-M-2 and CTX-M-15 are predominant.

  8. A scoping review of prevalence, incidence and risk factors for HIV infection amongst young people in Brazil.

    Science.gov (United States)

    Saffier, Igor Pedrosa; Kawa, Hélia; Harling, Guy

    2017-10-11

    Despite young people being a key population for HIV prevention, the HIV epidemic amongst young Brazilians is perceived to be growing. We therefore reviewed all published literature on HIV prevalence and risk factors for HIV infection amongst 10-25 year olds in Brazil. We searched Embase, LILACS, Proquest, PsycINFO, PubMed, Scopus and Web of Science for studies published up to March 2017 and analyzed reference lists of relevant studies. We included published studies from any time in the HIV epidemic which provided estimates specific to ages 10-25 (or some subset of this age range) for Brazilians on either: (a) HIV prevalence or incidence; or (b) the association between HIV and socio-demographic or behavioral risk factors. Forty eight publications met the inclusion criteria: 44 cross-sectional, two case-control, two cohort. Four studies analysed national data. Forty seven studies provided HIV prevalence estimates, largely for six population subgroups: Counselling and Testing Center attendees; blood donors; pregnant women; institutional individuals; men-who-have-sex-with-men (MSM) and female sex workers (FSW); four provided HIV incidence estimates. Twelve studies showed HIV status to be associated with a wide range of risk factors, including age, sexual and reproductive history, infection history, substance use, geography, marital status, mental health and socioeconomic status. Few published studies have examined HIV amongst young people in Brazil, and those published have been largely cross-sectional and focused on traditional risk groups and the south of the country. Despite these limitations, the literature shows raised HIV prevalence amongst MSM and FSW, as well as amongst those using drugs. Time trends are harder to identify, although rates appear to be falling for pregnant women, possibly reversing an earlier de-masculinization of the epidemic. Improved surveillance of HIV incidence, prevalence and risk factors is a key component of efforts to eliminate HIV in

  9. Canine rangeliosis due to Rangelia vitalii: from first report in Brazil in 1910 to current day - a review.

    Science.gov (United States)

    França, Raqueli T; Da Silva, Aleksandro S; Loretti, Alexandre P; Mazzanti, Cinthia M; Lopes, Sonia T A

    2014-09-01

    Canine rangeliosis (popular names: "nambi-uvú", i.e. ``bleeding ears''; "peste de sangue", i.e. ``bleeding plague''; and "febre amarela dos cães", i.e. ``yellow fever of dogs'') is a tick-borne haemolytic and haemorrhagic disease caused by the protozoan parasite Rangelia vitalii which infects erythrocytes, leukocytes, and endothelial cells of blood capillaries. Rangelia vitalii was first reported as a novel piroplasm of dogs in 1910 in Brazil, a discovery that was met with skepticism at that time. Canine rangeliosis has been diagnosed in domestic dogs not only in Brazil but also in other South American countries (Argentina and Uruguay). Rangelia vitalii infection has also been found incidentally in Brazil in wild dogs (Cerdocyon thous, the crab-eating fox). Despite the fact that researchers in the early 1900s suggested that R. vitalii was a hitherto unidentified piroplasm that would be transmitted by the tick Amblyomma aureolatum, it was not until 2012 that these hypotheses were actually confirmed by PCR and transmission studies. Molecular studies have shown that R. vitalii is related to the Babesia sensu strictu clade, but genetically different from other morphologically similar species of Babesia that infect dogs. Another difference between Babesia spp. and R. vitalii is the ability of R. vitalii to invade endothelial cells, erythrocytes, and leukocytes. Experimental infection in dogs has successfully reproduced the clinical picture and pathology of the natural disease. In this article, epidemiology, clinical signs, laboratory findings, pathogenetic mechanisms including oxidative stress and immune response, necropsy findings, microscopic lesions, diagnosis, and treatment of canine rangeliosis are reviewed. What is currently known about this protozoal disease since its first report over a century ago is presented herein. Copyright © 2014 Elsevier GmbH. All rights reserved.

  10. Zinc Oxide-From Synthesis to Application: A Review.

    Science.gov (United States)

    Kołodziejczak-Radzimska, Agnieszka; Jesionowski, Teofil

    2014-04-09

    Zinc oxide can be called a multifunctional material thanks to its unique physical and chemical properties. The first part of this paper presents the most important methods of preparation of ZnO divided into metallurgical and chemical methods. The mechanochemical process, controlled precipitation, sol-gel method, solvothermal and hydrothermal method, method using emulsion and microemulsion enviroment and other methods of obtaining zinc oxide were classified as chemical methods. In the next part of this review, the modification methods of ZnO were characterized. The modification with organic (carboxylic acid, silanes) and inroganic (metal oxides) compounds, and polymer matrices were mainly described. Finally, we present possible applications in various branches of industry: rubber, pharmaceutical, cosmetics, textile, electronic and electrotechnology, photocatalysis were introduced. This review provides useful information for specialist dealings with zinc oxide.

  11. Zinc Oxide—From Synthesis to Application: A Review

    Science.gov (United States)

    Kołodziejczak-Radzimska, Agnieszka; Jesionowski, Teofil

    2014-01-01

    Zinc oxide can be called a multifunctional material thanks to its unique physical and chemical properties. The first part of this paper presents the most important methods of preparation of ZnO divided into metallurgical and chemical methods. The mechanochemical process, controlled precipitation, sol-gel method, solvothermal and hydrothermal method, method using emulsion and microemulsion enviroment and other methods of obtaining zinc oxide were classified as chemical methods. In the next part of this review, the modification methods of ZnO were characterized. The modification with organic (carboxylic acid, silanes) and inroganic (metal oxides) compounds, and polymer matrices were mainly described. Finally, we present possible applications in various branches of industry: rubber, pharmaceutical, cosmetics, textile, electronic and electrotechnology, photocatalysis were introduced. This review provides useful information for specialist dealings with zinc oxide. PMID:28788596

  12. Zinc Oxide—From Synthesis to Application: A Review

    Directory of Open Access Journals (Sweden)

    Agnieszka Kołodziejczak-Radzimska

    2014-04-01

    Full Text Available Zinc oxide can be called a multifunctional material thanks to its unique physical and chemical properties. The first part of this paper presents the most important methods of preparation of ZnO divided into metallurgical and chemical methods. The mechanochemical process, controlled precipitation, sol-gel method, solvothermal and hydrothermal method, method using emulsion and microemulsion enviroment and other methods of obtaining zinc oxide were classified as chemical methods. In the next part of this review, the modification methods of ZnO were characterized. The modification with organic (carboxylic acid, silanes and inroganic (metal oxides compounds, and polymer matrices were mainly described. Finally, we present possible applications in various branches of industry: rubber, pharmaceutical, cosmetics, textile, electronic and electrotechnology, photocatalysis were introduced. This review provides useful information for specialist dealings with zinc oxide.

  13. Beyond Synthesis: Augmenting Systematic Review Procedures with Practical Principles to Optimise Impact and Uptake in Educational Policy and Practice

    Science.gov (United States)

    Green, Chris; Taylor, Celia; Buckley, Sharon; Hean, Sarah

    2016-01-01

    Whilst systematic reviews, meta-analyses and other forms of synthesis are considered amongst the most valuable forms of research evidence, their limited impact on educational policy and practice has been criticised. In this article, we analyse why systematic reviews do not benefit users of evidence more consistently and suggest how review teams…

  14. A review of the ticks (Acari, Ixodida of Brazil, their hosts and geographic distribution - 1. The State of Rio Grande do Sul, Southern Brazil

    Directory of Open Access Journals (Sweden)

    Evans DE

    2000-01-01

    Full Text Available A review of the ticks (Acari, Ixodida of the State of Rio Grande do Sul, southern Brazil, was completed as a step towards a definitive list (currently indicated as 12 of such species, their hosts and distribution. The ticks: Argas miniatus (poultry, Ixodes loricatus (opossums, Amblyomma aureolatum (dogs, A. calcaratum (anteaters, A. cooperi (capybaras, A. nodosum (anteaters, A. tigrinum (dogs (Neotropical and Rhipicephalus sanguineus (dogs (introduced, cosmopolitan, Afrotropical were confirmed as present, in addition to the predominant, Boophilus microplus (cattle (introduced, pan-tropical, Oriental. Of the further 18 species thus far reported in the literature as present in the state, but unavailable for examination: only Ornithodoros brasiliensis (humans and their habitations (Neotropical, Ixodes affinis (deer (Nearctic/Neotropical and I. auritulus (birds (Nearctic/Neotropical/Afrotropical/ Australasian are considered likely; 13 species would benefit from corroborative local data but the majority appear unlikely; reports of A. maculatum (Nearctic/Neotropical, but circum-Caribbean are considered erroneous; the validity of A. fuscum is in doubt. The very recent, first known report of the tropical Anocentor nitens (horses(Nearctic/Neotropical, but still apparent absence of the tropical A. cajennense (catholic (Nearctic/Neotropical and the sub-tropical/temperate Ixodes pararicinus (cattle (Neotropical in Rio Grande do Sul are important for considerations on their current biogeographical distribution and its dynamics in South America. The state has relatively long established, introduced ("exotic", Old World tick species (B. microplus, R. sanguineus that continue to represent significant pests and disease vectors to their traditional, introduced domestic animal hosts, cattle and urban dogs. There are also indigenous, New World ticks (A. miniatus, O. brasiliensis, A. aureolatum, A. nitens, as both long established and possibly newly locally

  15. The Inclusion of Students with Dyslexia in Higher Education: A Systematic Review Using Narrative Synthesis

    OpenAIRE

    Pino, Marco; Mortari, Luigina

    2014-01-01

    This article reports on a study focusing on the inclusion of students with dyslexia in higher education (HE). A systematic review was carried out to retrieve, critically appraise and synthesize the available evidence on how the inclusion of students with dyslexia can be fostered in HE. The 15 studies included in the final synthesis employed descriptive designs and overwhelmingly used qualitative methods to explore dyslexic students’ perceptions on the impact of teaching, support and accommoda...

  16. Miniemulsion polymerization for synthesis of structured clay/polymer nanocomposites: Short review and recent advances

    OpenAIRE

    Faucheu, Jenny; Gauthier, Catherine; Chazeau, Laurent; Cavaillé, Jean-Yves; Mellon, Véronique; Lami, Elodie Bourgeat

    2010-01-01

    International audience; This review intends to present different aspects concerning clay/polymer nanocomposites produced by heterophase polymerization in aqueous media. This paper highlights the ability of miniemulsion polymerization to produce clay/polymer nanoparticles with tailored nanostructures. Indeed, this polymerization route enables the synthesis of composite nanoparticles with the clay platelets located either on the surface of the polymer particle or embedded inside the polymer par...

  17. Lutzomyia longipalpis and the eco-epidemiology of American visceral leishmaniasis, with particular reference to Brazil: a review

    Directory of Open Access Journals (Sweden)

    Ralph Lainson

    2005-12-01

    Full Text Available An historical review is given of American visceral leishmaniasis (AVL, with particular reference to the eco-epidemiology of the disease in Brazil. Following the first records of AVL in this country, in 1934, the sandfly Lutzomyia longipalpis (Lutz and Neiva, 1912 was incriminated as the principal vector. It is now generally accepted, however, that there exist a number of cryptic species under the name of Lu. longipalpis s.l. and that variations in the quantity of the vasodilatory peptide maxadilan in the saliva of flies from different populations of Lu. longipalpis s.l., may account for the variable clinical manifestations of AVL seen in different geographic regions. Distribution of AVL has been shown to extend throughout most of South and Central America, with the domestic dog serving as the principal reservoir of infection for man. However, while one hypothesis suggests that the causative parasite is Leishmania infantum, imported from Europe with the Portuguese and Spanish colonists, the demonstration of a high rate of benign, inapparent infection in foxes in Amazonian Brazil raised an opposing suggestion that the parasite is indigenous to the Americas. Recent reports of similar infections in native marsupials, and possibly rodents, tend to support this view, particularly as Lu. longipalpis is primordially a silvatic sandfly. Although effective control measures in foci of the disease will diminish the number of canine and human infections, the presence of such an enzootic in a variety of native animals will render the total eradication of AVL unlikely.

  18. Review and new subfamily placement of the plant bug genus Isometocoris Carvalho and Sailer, 1954 (Hemiptera: Heteroptera: Miridae), with the description of a new species from Brazil

    Science.gov (United States)

    The genus Isometocoris Carvalho and Sailer is reviewed and I. penicillus, new species, from Brazil is described. Diagnoses of the genus and included species I. blantoni Carvalho and Sailer and I. penicillus, n. sp., are given; a color adult habitus photo of both Isometocoris species, male genitalic ...

  19. Patient Safety Learning Systems: A Systematic Review and Qualitative Synthesis.

    Science.gov (United States)

    2017-01-01

    A patient safety learning system (sometimes called a critical incident reporting system) refers to structured reporting, collation, and analysis of critical incidents. To inform a provincial working group's recommendations for an Ontario Patient Safety Event Learning System, a systematic review was undertaken to determine design features that would optimize its adoption into the health care system and would inform implementation strategies. The objective of this review was to address two research questions: (a) what are the barriers to and facilitators of successful adoption of a patient safety learning system reported by health professionals and (b) what design components maximize successful adoption and implementation? To answer the first question, we used a published systematic review. To answer the second question, we used scoping study methodology. Common barriers reported in the literature by health care professionals included fear of blame, legal penalties, the perception that incident reporting does not improve patient safety, lack of organizational support, inadequate feedback, lack of knowledge about incident reporting systems, and lack of understanding about what constitutes an error. Common facilitators included a non-accusatory environment, the perception that incident reporting improves safety, clarification of the route of reporting and of how the system uses reports, enhanced feedback, role models (such as managers) using and promoting reporting, legislated protection of those who report, ability to report anonymously, education and training opportunities, and clear guidelines on what to report. Components of a patient safety learning system that increased successful adoption and implementation were emphasis on a blame-free culture that encourages reporting and learning, clear guidelines on how and what to report, making sure the system is user-friendly, organizational development support for data analysis to generate meaningful learning outcomes

  20. Overview of data-synthesis in systematic reviews of studies on outcome prediction models.

    Science.gov (United States)

    van den Berg, Tobias; Heymans, Martijn W; Leone, Stephanie S; Vergouw, David; Hayden, Jill A; Verhagen, Arianne P; de Vet, Henrica C W

    2013-03-16

    Many prognostic models have been developed. Different types of models, i.e. prognostic factor and outcome prediction studies, serve different purposes, which should be reflected in how the results are summarized in reviews. Therefore we set out to investigate how authors of reviews synthesize and report the results of primary outcome prediction studies. Outcome prediction reviews published in MEDLINE between October 2005 and March 2011 were eligible and 127 Systematic reviews with the aim to summarize outcome prediction studies written in English were identified for inclusion.Characteristics of the reviews and the primary studies that were included were independently assessed by 2 review authors, using standardized forms. After consensus meetings a total of 50 systematic reviews that met the inclusion criteria were included. The type of primary studies included (prognostic factor or outcome prediction) was unclear in two-thirds of the reviews. A minority of the reviews reported univariable or multivariable point estimates and measures of dispersion from the primary studies. Moreover, the variables considered for outcome prediction model development were often not reported, or were unclear. In most reviews there was no information about model performance. Quantitative analysis was performed in 10 reviews, and 49 reviews assessed the primary studies qualitatively. In both analyses types a range of different methods was used to present the results of the outcome prediction studies. Different methods are applied to synthesize primary study results but quantitative analysis is rarely performed. The description of its objectives and of the primary studies is suboptimal and performance parameters of the outcome prediction models are rarely mentioned. The poor reporting and the wide variety of data synthesis strategies are prone to influence the conclusions of outcome prediction reviews. Therefore, there is much room for improvement in reviews of outcome prediction studies.

  1. Factors affecting recruitment into depression trials: Systematic review, meta-synthesis and conceptual framework.

    Science.gov (United States)

    Hughes-Morley, Adwoa; Young, Bridget; Waheed, Waquas; Small, Nicola; Bower, Peter

    2015-02-01

    Depression is common and clinical trials are crucial for evaluating treatments. Difficulties in recruiting participants into depression trials are well-documented, yet no study has examined the factors affecting recruitment. This review aims to identify the factors affecting recruitment into depression trials and to develop a conceptual framework through systematic assessment of published qualitative research. Systematic review and meta-synthesis of published qualitative studies. Meta-synthesis involves a synthesis of themes across a number of qualitative studies to produce findings that are "greater than the sum of the parts". ASSIA, CINAHL, Embase, Medline and PsychInfo were searched up to April 2013. Reference lists of included studies, key publications and relevant reviews were also searched. Quality appraisal adopted the "prompts for appraising qualitative research". 7977 citations were identified, and 15 studies were included. Findings indicate that the decision to enter a depression trial is made by patients and gatekeepers based on the patient׳s health state at the time of being approached to participate; on their attitude towards the research and trial interventions; and on the extent to which patients become engaged with the trial. Our conceptual framework highlights that the decision to participate by both the patient and the gatekeeper involves a judgement between risk and reward. Only English language publications were included in this review. Findings from this review have implications for the design of interventions to improve recruitment into depression trials. Such interventions may aim to diminish the perceived risks and increase the perceived rewards of participation. Copyright © 2014 The Authors. Published by Elsevier B.V. All rights reserved.

  2. A Review of the Synthesis and Photoluminescence Properties of Hybrid ZnO and Carbon Nanomaterials

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    Protima Rauwel

    2016-01-01

    Full Text Available Photoluminescent ZnO carbon nanomaterials are an emerging class of nanomaterials with unique optical properties. They each, ZnO and carbon nanomaterials, have an advantage of being nontoxic and environmentally friendly. Their cost-effective production methods along with simple synthesis routes are also of interest. Moreover, ZnO presents photoluminescence emission in the UV and visible region depending on the synthesis routes, shape, size, deep level, and surface defects. When combined with carbon nanomaterials, modification of surface defects in ZnO allows tuning of these photoluminescence properties to produce, for example, white light. Moreover, efficient energy transfer from the ZnO to carbon nanostructures makes them suitable candidates not only in energy harvesting applications but also in biosensors, photodetectors, and low temperature thermal imaging. This work reviews the synthesis and photoluminescence properties of 3 carbon allotropes: carbon quantum or nanodots, graphene, and carbon nanotubes when hybridized with ZnO nanostructures. Various synthesis routes for the hybrid materials with different morphologies of ZnO are presented. Moreover, differences in photoluminescence emission when combining ZnO with each of the three different allotropes are analysed.

  3. Mental health problems among medical students in Brazil: a systematic review and meta-analysis

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    João P. Pacheco

    2017-08-01

    Full Text Available Objective: To provide a comprehensive picture of mental health problems (MHPs in Brazilian medical students by documenting their prevalence and association with co-factors. Methods: We systematically searched the MEDLINE/PubMed, SciELO, LILACS, and PsycINFO databases for cross-sectional studies on the prevalence of MHPs among medical students in Brazil published before September 29, 2016. We pooled prevalences using a random-effects meta-analysis, and summarized factors associated with MHP. Results: We included 59 studies in the analysis. For meta-analyses, we identified the summary prevalence of different MHPs, including depression (25 studies, prevalence 30.6%, common mental disorders (13 studies, prevalence 31.5%, burnout (three studies, prevalence 13.1%, problematic alcohol use (three studies, prevalence 32.9%, stress (six studies, prevalence 49.9%, low sleep quality (four studies, prevalence 51.5%, excessive daytime sleepiness (four studies, prevalence 46.1%, and anxiety (six studies, prevalence 32.9%. Signs of lack of motivation, emotional support, and academic overload correlated with MHPs. Conclusion: Several MHPs are highly prevalent among future physicians in Brazil. Evidence-based interventions and psychosocial support are needed to promote mental health among Brazilian medical students.

  4. The concept and measurement of race and their relationship to public health: a review focused on Brazil and the United States

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    Travassos Claudia

    2004-01-01

    Full Text Available Race has been widely used in studies on health and healthcare inequalities, especially in the United States. Validity and reliability problems with race measurement are of concern in public health. This article reviews the literature on the concept and measurement of race and compares how the findings apply to the United States and Brazil. We discuss in detail the data quality issues related to the measurement of race and the problems raised by measuring race in multiracial societies like Brazil. We discuss how these issues and problems apply to public health and make recommendations about the measurement of race in medical records and public health research.

  5. SECONDARY ONLINE EDUCATION: A Review and Synthesis of Central Elements

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    Thomas G. RYAN

    2009-01-01

    Full Text Available In this paper the authors illuminate the distance education field of endeavor to point out that online education can now be found at most educational levels (elementary, secondary, post-secondary globally. This enterprise requires a multitude of traits which are detailed herein in order to alert the new online educator and remind the veteran educator of the essential elements required to achieve desired outcomes. To instruct online clearly requires informed goal setting, clear processes, and predictable outcomes, from the onset. As well designers need to examine current research, conduct online research, and listen to feedback from online students to maintain and nurture both the program and the students. Some key factors of online education are laid out which include strategic intent (planning, content (curriculum, and pedagogy (incorporating current learning theories into delivery models. As well several underpinning qualities are described that must be present such as the teacher’s quality of online instruction, and level of expertise in distance learning. All online educators need to be aware of the student (profile of successful online learners, interaction, assessment/evaluation (rigorous, comparable and authentic, support (student support and training on using the technology, technical infrastructure, and the need to review program frequently which is key to the development and maintenance of successful online education efforts.

  6. Learning outcomes for interprofessional education (IPE): Literature review and synthesis.

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    Thistlethwaite, Jill; Moran, Monica

    2010-09-01

    As part of a World Health Organization (WHO) initiative we searched the literature to explore defined learning outcomes for interprofessional education between 1988, when the last WHO technical report on interprofessional education was published, and 2009. We describe and synthesize findings from 88 citations over this 21 year period. There is a variety in the way learning outcomes are presented but there are many similarities between specific outcomes and/or objectives. Papers describing educational interventions do not always include specific outcomes or objectives. Our findings have been integrated into a list of learning outcomes with six categories for further debate and discussion. This project is part of a wider initiative initiated by the WHO in 2007 to review the current position of interprofessional education worldwide. It is also a sub-project of a learning and teaching grant funded by the Carrick Institute for Learning and Teaching within Australia. In this paper we use the CAIPE definition of interprofessional education: "Occasions when two or more professions learn with, from and about each other to improve collaboration and the quality of care" (Barr, 2002 ).

  7. Ecological assessments with algae: a review and synthesis.

    Science.gov (United States)

    Stevenson, Jan

    2014-06-01

    Algae have been used for a century in environmental assessments of water bodies and are now used in countries around the world. This review synthesizes recent advances in the field around a framework for environmental assessment and management that can guide design of assessments, applications of phycology in assessments, and refinements of those applications to better support management decisions. Algae are critical parts of aquatic ecosystems that power food webs and biogeochemical cycling. Algae are also major sources of problems that threaten many ecosystems goods and services when abundances of nuisance and toxic taxa are high. Thus, algae can be used to indicate ecosystem goods and services, which complements how algal indicators are also used to assess levels of contaminants and habitat alterations (stressors). Understanding environmental managers' use of algal ecology, taxonomy, and physiology can guide our research and improve its application. Environmental assessments involve characterizing ecological condition and diagnosing causes and threats to ecosystems goods and services. Recent advances in characterizing condition include site-specific models that account for natural variability among habitats to better estimate effects of humans. Relationships between algal assemblages and stressors caused by humans help diagnose stressors and establish targets for protection and restoration. Many algal responses to stressors have thresholds that are particularly important for developing stakeholder consensus for stressor management targets. Future research on the regional-scale resilience of algal assemblages, the ecosystem goods and services they provide, and methods for monitoring and forecasting change will improve water resource management. © 2014 The Authors. Journal of Phycology published by Wiley Periodicals, Inc. on behalf of Phycological Society of America.

  8. Nickel hydroxides and related materials: a review of their structures, synthesis and properties

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    Hall, David S.; Lockwood, David J.; Bock, Christina; MacDougall, Barry R.

    2015-01-01

    This review article summarizes the last few decades of research on nickel hydroxide, an important material in physics and chemistry, that has many applications in engineering including, significantly, batteries. First, the structures of the two known polymorphs, denoted as α-Ni(OH)2 and β-Ni(OH)2, are described. The various types of disorder, which are frequently present in nickel hydroxide materials, are discussed including hydration, stacking fault disorder, mechanical stresses and the incorporation of ionic impurities. Several related materials are discussed, including intercalated α-derivatives and basic nickel salts. Next, a number of methods to prepare, or synthesize, nickel hydroxides are summarized, including chemical precipitation, electrochemical precipitation, sol–gel synthesis, chemical ageing, hydrothermal and solvothermal synthesis, electrochemical oxidation, microwave-assisted synthesis, and sonochemical methods. Finally, the known physical properties of the nickel hydroxides are reviewed, including their magnetic, vibrational, optical, electrical and mechanical properties. The last section in this paper is intended to serve as a summary of both the potentially useful properties of these materials and the methods for the identification and characterization of ‘unknown’ nickel hydroxide-based samples. PMID:25663812

  9. Review of synthesis, biological assay and QSAR studies of β-secretase inhibitors.

    Science.gov (United States)

    Niño, Helena; García-Pintos, Isela; Rodríguez-Borges, José E; Escobar-Cubiella, Manolo; García-Mera, Xerardo; Prado-Prado, Francisco

    2011-12-01

    Alzheimer's disease (AD) is highly complex. While several pathologies characterize this disease, amyloid plaques, composed of the β-amyloid peptide, are hallmark neuropathological lesions in Alzheimer's disease brain. Indeed, a wealth of evidence suggests that β-amyloid is central to the pathophysiology of AD and is likely to play an early role in this intractable neurodegenerative disorder. The BACE-1 enzyme is essential for the generation of β-amyloid. BACE-1 knockout mice do not produce β-amyloid and are free from Alzheimer's associated pathologies, including neuronal loss and certain memory deficits. The fact that BACE-1 initiates the formation of β-amyloid, and the observation that BACE-1 levels are elevated in this disease provide direct and compelling reasons to develop therapies directed at BACE-1 inhibition, thus reducing β-amyloid and its associated toxicities. In this sense, quantitative structure-activity relationships (QSAR) could play an important role in studying these β-secretase inhibitors. QSAR models are necessary in order to guide the β-secretase synthesis. This work is aimed at reviewing different design and synthesis and computational studies for a very large and heterogeneous series of β-secretase inhibitors. First, we review design, synthesis, and Biological assay of β-secretase inhibitors. Next, we review 2D QSAR, 3D QSAR, CoMFA, CoMSIA and Docking with different compounds to find out the structural requirements. Next, we review QSAR studies using the method of Linear Discriminant Analysis (LDA) in order to understand the essential structural requirement for receptor binding for β- secretase inhibitors.

  10. Synthesis of Graphene-Based Sensors and Application on Detecting SF6 Decomposing Products: A Review

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    Xiaoxing Zhang

    2017-02-01

    Full Text Available Graphene-based materials have aroused enormous focus on a wide range of engineering fields because of their unique structure. One of the most promising applications is gas adsorption and sensing. In electrical engineering, graphene-based sensors are also employed as detecting devices to estimate the operation status of gas insulated switchgear (GIS. This paper reviews the main synthesis methods of graphene, gas adsorption, and sensing mechanism of its based sensors, as well as their applications in detecting SF6 decomposing products, such as SO2, H2S, SO2F2, and SOF2, in GIS. Both theoretical and experimental researches on gas response of graphene-based sensors to these typical gases are summarized. Finally, the future research trend about graphene synthesis technique and relevant perspective are also given.

  11. Difficulties and challenges in reviewing ethical aspects of research in Brazil.

    Science.gov (United States)

    Lopes Júnior, Luís Carlos; Nascimento, Lucila Castanheira; Lima, Regina Aparecida Garcia de; Coelho, Eduardo Barbosa

    2016-06-01

    Objective To reflect on the problems faced by researchers from different areas, especially of Humanities and Social Sciences, when submitting research projects for evaluation by the research ethics committees in Brazil. Method A theoretical and reflective study based on international literature and the critical analysis of the authors. Results Although Resolution 466/2012, which addresses human research, contains some innovations, issues related to the research participants remain obscure and the project evaluation process is time-consuming. Conclusion The difficulties faced by researchers, especially in the fields of Humanities and Social Sciences, must be transposed to ensure that the ethical guidelines are applicable, in terms of principles and procedures, to the different research traditions. Appropriate human research standards must be managed by a system with a satisfactory operational capacity, according to the specificities of the different areas of knowledge.

  12. Mechanism of plant-mediated synthesis of silver nanoparticles - A review on biomolecules involved, characterisation and antibacterial activity.

    Science.gov (United States)

    Rajeshkumar, S; Bharath, L V

    2017-08-01

    Engineering a reliable and eco-accommodating methodology for the synthesis of metal nanoparticles is a crucial step in the field of nanotechnology. Plant-mediated synthesis of metal nanoparticles has been developed as a substitute to defeat the limitations of conventional synthesis approaches such as physical and chemical methods. Biomolecules, such as proteins, amino acids, enzymes, flavonoids, and terpenoids from several plant extracts have been used as a stabilising and reducing agents for the synthesis of AgNPs. Regardless of an extensive range of biomolecules assistance in the synthesis procedure, researchers are facing a significant challenge to synthesise stable and geometrically controlled AgNPs. In the past decade, several efforts were made to develop Plant-mediated synthesis methods to produce stable, cost effective and eco-friendly AgNPs. More than hundred different plants extract sources for synthesising AgNPs were described in the last decade by several researchers. Most of the reviews were focused on various plant sources for synthesis, various characterization techniques for characteristic analysis, and antibacterial activity against bacterial. There are many reviews are available for the plant-mediated synthesis of AgNPs as well as antibacterial activity of AgNPs but this is the first review article mainly focused on biomolecules of plants and its various parts and operating conditions involved in the synthesis. Apart from, this review includes the characterisation of AgNPs and antibacterial activity of such nanoparticles with size, shape and method used for this study. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Review of 21 cases of mycetoma from 1991 to 2014 in Rio de Janeiro, Brazil.

    Science.gov (United States)

    Sampaio, Felipe Maurício Soeiro; Wanke, Bodo; Freitas, Dayvison Francis Saraiva; Coelho, Janice Mery Chicarino de Oliveira; Galhardo, Maria Clara Gutierrez; Lyra, Marcelo Rosandiski; Lourenço, Maria Cristina da Silva; Paes, Rodrigo de Almeida; do Valle, Antonio Carlos Francesconi

    2017-02-01

    Mycetoma is caused by the subcutaneous inoculation of filamentous fungi or aerobic filamentous bacteria that form grains in the tissue. The purpose of this study is to describe the epidemiologic, clinic, laboratory, and therapeutic characteristics of patients with mycetoma at the Oswaldo Cruz Foundation in Rio de Janeiro, Brazil, between 1991 and 2014. Twenty-one cases of mycetoma were included in the study. There was a predominance of male patients (1.3:1) and the average patient age was 46 years. The majority of the cases were from the Southeast region of Brazil and the feet were the most affected anatomical region (80.95%). Eumycetoma prevailed over actinomycetoma (61.9% and 38.1% respectively). Eumycetoma patients had positive cultures in 8 of 13 cases, with isolation of Scedosporium apiospermum species complex (n = 3), Madurella mycetomatis (n = 2) and Acremonium spp. (n = 1). Two cases presented sterile mycelium and five were negative. Six of 8 actinomycetoma cases had cultures that were identified as Nocardia spp. (n = 3), Nocardia brasiliensis (n = 2), and Nocardia asteroides (n = 1). Imaging tests were performed on all but one patients, and bone destruction was identified in 9 cases (42.68%). All eumycetoma cases were treated with itraconazole monotherapy or combined with fluconazole, terbinafine, or amphotericin B. Actinomycetoma cases were treated with sulfamethoxazole plus trimethoprim or combined with cycles of amikacin sulphate. Surgical procedures were performed in 9 (69.2%) eumycetoma and in 3 (37.5%) actinomycetoma cases, with one amputation case in each group. Clinical cure occurred in 11 cases (7 for eumycetoma and 4 for actinomycetoma), and recurrence was documented in 4 of 21 cases. No deaths were recorded during the study. Despite of the scarcity of mycetoma in our institution the cases presented reflect the wide clinical spectrum and difficulties to take care of this neglected disease.

  14. Review of 21 cases of mycetoma from 1991 to 2014 in Rio de Janeiro, Brazil.

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    Felipe Maurício Soeiro Sampaio

    2017-02-01

    Full Text Available Mycetoma is caused by the subcutaneous inoculation of filamentous fungi or aerobic filamentous bacteria that form grains in the tissue. The purpose of this study is to describe the epidemiologic, clinic, laboratory, and therapeutic characteristics of patients with mycetoma at the Oswaldo Cruz Foundation in Rio de Janeiro, Brazil, between 1991 and 2014. Twenty-one cases of mycetoma were included in the study. There was a predominance of male patients (1.3:1 and the average patient age was 46 years. The majority of the cases were from the Southeast region of Brazil and the feet were the most affected anatomical region (80.95%. Eumycetoma prevailed over actinomycetoma (61.9% and 38.1% respectively. Eumycetoma patients had positive cultures in 8 of 13 cases, with isolation of Scedosporium apiospermum species complex (n = 3, Madurella mycetomatis (n = 2 and Acremonium spp. (n = 1. Two cases presented sterile mycelium and five were negative. Six of 8 actinomycetoma cases had cultures that were identified as Nocardia spp. (n = 3, Nocardia brasiliensis (n = 2, and Nocardia asteroides (n = 1. Imaging tests were performed on all but one patients, and bone destruction was identified in 9 cases (42.68%. All eumycetoma cases were treated with itraconazole monotherapy or combined with fluconazole, terbinafine, or amphotericin B. Actinomycetoma cases were treated with sulfamethoxazole plus trimethoprim or combined with cycles of amikacin sulphate. Surgical procedures were performed in 9 (69.2% eumycetoma and in 3 (37.5% actinomycetoma cases, with one amputation case in each group. Clinical cure occurred in 11 cases (7 for eumycetoma and 4 for actinomycetoma, and recurrence was documented in 4 of 21 cases. No deaths were recorded during the study. Despite of the scarcity of mycetoma in our institution the cases presented reflect the wide clinical spectrum and difficulties to take care of this neglected disease.

  15. Non-Pharmacological Interventions for ADHD in School Settings: An Overarching Synthesis of Systematic Reviews.

    Science.gov (United States)

    Moore, Darren A; Richardson, Michelle; Gwernan-Jones, Ruth; Thompson-Coon, Jo; Stein, Ken; Rogers, Morwenna; Garside, Ruth; Logan, Stuart; Ford, Tamsin J

    2015-03-09

    This overarching synthesis brings together the findings of four systematic reviews including 138 studies focused on non-pharmacological interventions for ADHD used in school settings. These reviews considered the effectiveness of school-based interventions for ADHD, attitudes toward and experience of school-based interventions for ADHD, and the experience of ADHD in school settings. We developed novel methods to compare the findings across these reviews inductively and deductively. Key contextual issues that may influence the effectiveness and implementation of interventions include the relationships that pupils with ADHD have with their teachers and peers, the attributions individuals make about the etiology of ADHD, and stigma related to ADHD or intervention attendance. Although we found some positive effects for some outcomes and intervention categories, heterogeneity in effect size estimates and research evidence suggests a range of diverse contextual factors potentially moderate the implementation and effectiveness of school-based interventions for ADHD. © 2015 SAGE Publications.

  16. Prevalence and factors associated with breastfeeding in brazil between the years 1998 and 2013: a systematic review

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    Roberta Tognollo Borotta Uema

    2015-03-01

    Full Text Available The study aimed to compare the prevalence and the determinants of breastfeeding in different cities and states in Brazil, based on researches which used similar methodology to the one proposed by the Breastfeeding and Municipalities Project. To this end, we performed a systematic review and a search for articles in the Lilacs, SciELO, Cochrane, Bdenf, Medline and PubMed through the keywords breastfeeding/aleitamento materno, prevalence/prevalência, indicators/indicadores, cross-sectional studies/estudos transversais, nutrition surveys/inquéritos nutricionais, diet surveys/inquéritos alimentares and Brazil/Brasil, in the period between 1998 and 2013. Twenty-seven articles were selected, 8 of which presented the prevalence of breastfeeding in children under one year of age, 11 in children under four months, 10 in children under six months, 07 in children under four and six months and 04 articles of the temporal trends of breastfeeding. The articles analyzed the association between breastfeeding and maternal variables such as age, education, occupation, parity, mode of delivery, number of prenatal visits, income, and maternity leave. Regarding the variables of the infant, the most studied factors were: pacifier use, birth weight, birth in institutions participating in the Baby Friendly Hospital Initiative, bottle feeding, introduction of other milk and tea, breastfeeding in the first 24 hours of life and sex. The results indicate the need for evaluation and understanding about the effectiveness of existing actions, and the creation of strategies to encourage and support breastfeeding, especially to first-time mothers, teenagers, worker mothers and the ones with difficulties handling breastfeeding initiation.

  17. The Use of Technologies for Teaching Dentistry in Brazil: Reflections from an Integrative Review

    Science.gov (United States)

    Silva, Henrique Salustiano; Bariani, Rita Catia; Kubo, Hatsuo; Leal, Tais Pereira; Ilinsky, Roberta; Borges, Thalita; Faltin, Kurt, Jr.; Ortolani, Cristina Lucia Feijó

    2017-01-01

    This article is an integrative review regarding the use of information and communication technologies (ICT) for teaching Dentistry. Thus, the article aimed to analyze papers that show the use of these technologies as resources and tools for learning. The stages in the elaboration of this integrative review were: establishing the guiding question…

  18. Synthesis, characterization and prospective applications of nitrogen-doped graphene: A short review

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    Roshni Yadav

    2017-06-01

    Full Text Available Graphene is a high crystalline material possessing the high electronic qualities. Doping of nitrogen in graphene is to tailor/control the electronic, chemical and structural properties of graphene by manipulating it through the means of doping such as its surface area and functional sites. Different configurations i.e. Pyridinic N, Pyrrolic N, Graphitic N are obtained while doping nitrogen into graphene. This review paper focusses on various synthesis and characterization techniques for the analysis of structural configurations of the nitrogen-doped graphene and its potential applications in various fields such as nanoelectronics, energy storage and electrochemical biosensing.

  19. Efficient antibacterial agents: a review of the synthesis, biological evaluation and mechanism of pleuromutilin derivatives.

    Science.gov (United States)

    Shang, Ruofeng; Wang, Jiatu; Guo, Wenzhu; Liang, Jianping

    2013-01-01

    Pleuromutilins were discovered as natural-product antibiotics in 1950. The modifications of pleuromutilin lead to the successful development of veterinary medicines such as tiamulin and valnemulin. Retapamulin became the first pleuromutilin approved for use in human skin infections. Recent advances have led to the synthesis of pleuromutilins that combine potent antibacterial activity with favorable pharmaceutical properties, and three new pleuromutilins, BC-3781, BC-3205 and BC-7013, have entered clinical trials. In this review, the key pleuromutilin derivatives, as well as related novel derivatives during 2009-2013, and its antibacterial activities, are presented. Moreover, the antibacterial and resistance mechanism are discussed.

  20. Cancer Patients' Experiences of Using Mistletoe (Viscum album): A Qualitative Systematic Review and Synthesis.

    Science.gov (United States)

    Evans, Maggie; Bryant, Susan; Huntley, Alyson L; Feder, Gene

    2016-02-01

    Systematic reviews of mistletoe therapy (MT) trials in cancer show promising results in improvement of patients' quality of life during chemotherapy and reduction of fatigue. However, patients' experiences of side effects and the acceptability, tolerability, and perceived benefits of MT have not been systematically reviewed. The aim of this study was to systematically review and synthesise the results of qualitative studies of cancer patients' experiences of using MT. A systematic search was conducted in MEDLINE, Embase, PsychLIT, CINAHL, and AMED to identify qualitative studies of MT. Articles were screened independently by two reviewers and critically appraised using the Critical Appraisal Skills Programme tool. A thematic synthesis of the findings was carried out. One hundred and seventy-three papers were identified; 156 were excluded at initial screening. Seventeen papers were read in full, 14 of which were excluded. Three articles about patients' experiences of MT alongside conventional treatment were included in the synthesis, either as a monotherapy (two articles) or as part of a package of anthroposophic treatment (one article). Patients reported demonstrable changes to their physical, emotional, and psychosocial well-being following MT, as well as a reduction in chemotherapy side effects. Self-reported side effects from MT were few, and the studies suggest good adherence to the therapy. Self-injection gave patients a sense of empowerment through involvement in their own treatment. A systematic search revealed a small number of qualitative studies of MT in cancer. These were effectively combined to provide a detailed overview of patients' experiences in order to complement the developing evidence base from trials. Given the variation in context of MT delivery across the articles, it is not possible to ascribe changes in patients' quality of life specifically to MT. The results of this review will help in the design of outcome measures that more fully

  1. Structural Ceramic Nanocomposites: A Review of Properties and Powders’ Synthesis Methods

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    Paola Palmero

    2015-04-01

    Full Text Available Ceramic nanocomposites are attracting growing interest, thanks to new processing methods enabling these materials to go from the research laboratory scale to the commercial level. Today, many different types of nanocomposite structures are proposed in the literature; however, to fully exploit their exceptional properties, a deep understanding of the materials’ behavior across length scales is necessary. In fact, knowing how the nanoscale structure influences the bulk properties enables the design of increasingly performing composite materials. A further key point is the ability of tailoring the desired nanostructured features in the sintered composites, a challenging issue requiring a careful control of all stages of manufacturing, from powder synthesis to sintering. This review is divided into four parts. In the first, classification and general issues of nanostructured ceramics are reported. The second provides basic structure–property relations, highlighting the grain-size dependence of the materials properties. The third describes the role of nanocrystalline second-phases on the mechanical properties of ordinary grain sized ceramics. Finally, the fourth part revises the mainly used synthesis routes to produce nanocomposite ceramic powders, underlining when possible the critical role of the synthesis method on the control of microstructure and properties of the sintered ceramics.

  2. Structural Ceramic Nanocomposites: A Review of Properties and Powders’ Synthesis Methods

    Science.gov (United States)

    Palmero, Paola

    2015-01-01

    Ceramic nanocomposites are attracting growing interest, thanks to new processing methods enabling these materials to go from the research laboratory scale to the commercial level. Today, many different types of nanocomposite structures are proposed in the literature; however, to fully exploit their exceptional properties, a deep understanding of the materials’ behavior across length scales is necessary. In fact, knowing how the nanoscale structure influences the bulk properties enables the design of increasingly performing composite materials. A further key point is the ability of tailoring the desired nanostructured features in the sintered composites, a challenging issue requiring a careful control of all stages of manufacturing, from powder synthesis to sintering. This review is divided into four parts. In the first, classification and general issues of nanostructured ceramics are reported. The second provides basic structure–property relations, highlighting the grain-size dependence of the materials properties. The third describes the role of nanocrystalline second-phases on the mechanical properties of ordinary grain sized ceramics. Finally, the fourth part revises the mainly used synthesis routes to produce nanocomposite ceramic powders, underlining when possible the critical role of the synthesis method on the control of microstructure and properties of the sintered ceramics. PMID:28347029

  3. Recharge Rates and Chemistry Beneath Playas of the High Plains Aquifer - A Literature Review and Synthesis

    Science.gov (United States)

    Gurdak, Jason J.; Roe, Cassia D.

    2009-01-01

    Playas are ephemeral, closed-basin wetlands that are important zones of recharge to the High Plains (or Ogallala) aquifer and critical habitat for birds and other wildlife in the otherwise semiarid, shortgrass prairie and agricultural landscape. The ephemeral nature of playas, low regional recharge rates, and a strong reliance on ground water from the High Plains aquifer has prompted many questions regarding the contribution of recharge from playas to the regional aquifer. To address these questions and concerns, the U.S. Geological Survey, in cooperation with the Playa Lakes Joint Venture, present a review and synthesis of the more than 175 publications about recharge rates and chemistry beneath playas and interplaya settings. Although a number of questions remain regarding the controls on recharge rates and chemistry beneath playas, the results from most published studies indicate that recharge rates beneath playas are substantially (1 to 2 orders of magnitude) higher than recharge rates beneath interplaya settings. The synthesis presented here supports the conceptual model that playas are important zones of recharge to the High Plains aquifer and are not strictly evaporative pans. The major findings of this synthesis yield science-based implications for the protection and management of playas and ground-water resources of the High Plains aquifer and directions for future research.

  4. Evolution of management accounting research: a review of thematic options in thesis in Brazil

    Directory of Open Access Journals (Sweden)

    Roberto Rivelino Martins Ribeiro

    2013-05-01

    Full Text Available This research was conducted with the aim of analyzing the thematic options in thesis in Post-graduate studies in Accounting in Brazil, from 1973 to 2010. It started from the identification of the Brazilian scientific production in management accounting focus of the study, then detect the management practices contemplated that categorized according to the evolutionary stages of IMAP. With regard to the characteristics of the scientific framework adopted, is that this research is descriptive in character, whose problem is analyzed in its qualitative and quantitative aspects, in which strategies were bibliographic, documentary and ex-post facto and primary data using a longitudinal perspective. With use of content analysis and descriptive statistics explored were 256 thesis which was accessed from the programs. In conducting the analysis, there is the prevailing practice and directed to the following conclusions: stage 1, is the predominant absorption costing and variable costing; Stage 2 stands out the budget, stage 3, ABC and strategic planning; and stage 4, EVA, BSC and GECON.

  5. 77 FR 63291 - Certain Orange Juice From Brazil: Final Results of Antidumping Duty Administrative Review and...

    Science.gov (United States)

    2012-10-16

    ... respondents in this administrative review (i.e., Fischer S.A. Comercio, Industria, and Agricultura (Fischer..., Industria, and Agricultura 4.72 Louis Dreyfus Commodities Agroindustrial S.A 20.34 Montecitrus Trading S.A...

  6. Probiotics for broiler chickens in Brazil: systematic review and meta-analysis

    OpenAIRE

    Faria Filho,DE; KAA Torres; Faria, DE; DMB Campos; PS Rosa

    2006-01-01

    This study evaluated the efficacy of probiotic utilization as growth promoters in broiler chicken feeding using systematic literature review and meta-analysis. Thirty-five studies were recovered by the systematic review, 27 of which met the following criteria to be included in the meta-analysis: (1) Brazilian studies published between 1995 and 2005; (2) probiotics administered in the diet without growth promoter; (3) results included performance data with the respective coefficient of variati...

  7. Cretaceous biota of the Triângulo Mineiro region (Brazil: A review of recent finds

    Directory of Open Access Journals (Sweden)

    Candeiro, C. R. A.

    2007-06-01

    Full Text Available The Bauru Group (Adamantina, Uberaba, and Marília Formations crop out in the Triângulo Mineiro region, Minas Gerais State, Brazil, and yield a rich continental biota. Invertebrate and vertebrate taxa from underlying and overlying strata, as well as biostratigraphical correlations with other fossil sites in Argentina, suggest an Upper Cretaceous age for this biota. The diversity of the fossil assemblage recorded in these formations is summarized here and includes: frogs, lizards, crocodiles, titanosaurs, abelisaurid and carcharodontosaurid dinosaurs. This fossil assemblage provides important clues to understand faunas from other southern landmasses, particularly those from the Cretaceous of the African continent.Los afloramientos del Grupo Bauru (formaciones Adamantina, Uberaba y Marília en la región del Triângulo Mineiro, Provincia de Minas Gerais, Brasil, posee un rico contenido de biota continental. Los taxa de invertebrados y vertebrados de estos estratos, así como las correlaciones biostratigráficas con otros yacimientos fósiles de Argentina, sugieren una edad del Cretácico Tardío. La diversidad de la asociación fósil registrada en las formaciones del Triângulo Mineiro se resume en el presente trabajo e incluye: sapos, lagartos, tortugas, cocodrilianos, titanosaurideos, dinosaurios abelisaurideos y carcharodontosaurideos. Esta asociación es importante para la comprensión de las faunas del sur de América y también de las del Cretácico de África.

  8. Learning outcomes for communication skills across the health professions: a systematic literature review and qualitative synthesis.

    Science.gov (United States)

    Denniston, Charlotte; Molloy, Elizabeth; Nestel, Debra; Woodward-Kron, Robyn; Keating, Jennifer L

    2017-04-07

    The aim of this study was to identify and analyse communication skills learning outcomes via a systematic review and present results in a synthesised list. Summarised results inform educators and researchers in communication skills teaching and learning across health professions. Systematic review and qualitative synthesis. A systematic search of five databases (MEDLINE, PsycINFO, ERIC, CINAHL plus and Scopus), from first records until August 2016, identified published learning outcomes for communication skills in health professions education. Extracted data were analysed through an iterative process of qualitative synthesis. This process was guided by principles of person centredness and an a priori decision guide. 168 papers met the eligibility criteria; 1669 individual learning outcomes were extracted and refined using qualitative synthesis. A final refined set of 205 learning outcomes were constructed and are presented in 4 domains that include: (1) knowledge (eg, describe the importance of communication in healthcare), (2) content skills (eg, explore a healthcare seeker's motivation for seeking healthcare),( 3) process skills (eg, respond promptly to a communication partner's questions) and (4) perceptual skills (eg, reflect on own ways of expressing emotion). This study provides a list of 205 communication skills learning outcomes that provide a foundation for further research and educational design in communication education across the health professions. Areas for future investigation include greater patient involvement in communication skills education design and further identification of learning outcomes that target knowledge and perceptual skills. This work may also prompt educators to be cognisant of the quality and scope of the learning outcomes they design and their application as goals for learning. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  9. Activities of Heterogeneous Acid-Base Catalysts for Fragrances Synthesis: A Review

    Directory of Open Access Journals (Sweden)

    Hartati Hartati

    2013-06-01

    Full Text Available This paper reviews various types of heterogeneous acid-base catalysts for fragrances preparation. Catalytic activities of various types of heterogeneous acid and base catalysts in fragrances preparation, i.e. non-zeolitic, zeolitic, and mesoporous molecular sieves have been reported. Generally, heterogeneous acid catalysts are commonly used in fragrance synthesis as compared to heterogeneous base catalysts. Heteropoly acids and hydrotalcites type catalysts are widely used as heterogeneous acid and base catalysts, respectively. © 2013 BCREC UNDIP. All rights reservedReceived: 20th January 2013; Revised: 31st March 2013; Accepted: 1st April 2013[How to Cite: Hartati, H., Santoso, M., Triwahyono, S., Prasetyoko, D. (2013. Activities of Heterogeneous Acid-Base Catalysts for Fragrances Synthesis: A Review. Bulletin of Chemical Reaction Engineering & Catalysis, 8 (1: 14-33. (doi:10.9767/bcrec.8.1.4394.14-33][Permalink/DOI: http://dx.doi.org/10.9767/bcrec.8.1.4394.14-33] | View in  |

  10. Advanced review of graphene-based nanomaterials in drug delivery systems: Synthesis, modification, toxicity and application.

    Science.gov (United States)

    Zhang, Qi; Wu, Zhuona; Li, Ning; Pu, Yiqiong; Wang, Bing; Zhang, Tong; Tao, Jiansheng

    2017-08-01

    The discovery of graphene, a notable achievement in the field of novel carbon nanomaterials, has triggered the worldwide exploration of the biomedical applications of this material since 2004 because of its unique properties. The two-dimensional planar structure, large surface area, chemical stability, mechanical stability, and good biocompatibility of graphene are promising for applications in drug delivery systems (DDSs). In this review, we briefly discuss the characteristics, synthesis, and modification of graphene. We also investigate its toxicity and its applications in DDSs, with several representative examples. This review presents a comprehensive summary of graphene-based nanomaterials from their characteristics to their synthesis and applications, as well as their in vitro and in vivo evaluation in medicine. This paper provides a guiding strategy for the selection of optimal approaches to the fabrication of nanocarriers that are suitable for medical treatments and to controlling the toxicity within therapeutic safety limits. The promising achievements made with graphene-based nanomaterials indicate several possibilities for further biomedical research, as well as theoretical and applied development. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. A systematic scoping review and synthesis of dementia and communication theory.

    Science.gov (United States)

    Ennis, Liam; Mansell, Warren; Tai, Sara; McEvoy, Phil

    2017-01-01

    Aim This review considers the theoretical literature concerning communication between a person with dementia and a person without dementia. Methods Theoretical accounts of communication between a person with dementia and a person without dementia were identified through database searches, hand searching of reference lists and contacting experts in the topic area. Results Twenty-one articles were included in the final review, yielding 18 different theoretical accounts of communication in the context of dementia. Thematic synthesis showed that four categories could account for the majority of the material described in these theories, even though they were derived from very different perspectives. These categories were mutuality, personhood, anxiety reduction and environmental considerations. Discussion The four categories identified in the thematic synthesis were reminiscent of Kitwood's theory of person-centred dementia care. Different interpretations of this finding are considered. Most theoretical accounts focused on the relational aspects of communication. This meant that societal and individual accounts of communication in the context of dementia were relatively impoverished in terms of theory. Conclusions There is widespread agreement regarding the important components of good quality communication in the context of dementia. This suggests exciting opportunities for collaboration between apparently disparate bodies of literature. Individual and societal accounts of communication in the context of dementia are relatively neglected and would benefit from more research.

  12. PROCEDURAL AND SUBSTANTIVE JUDICIAL REVIEW OF THE RIGHT TO HEALTH IN BRAZIL

    Directory of Open Access Journals (Sweden)

    R. Perlingeiro

    2015-01-01

    Full Text Available This text seeks to identify the objective and subjective aspects of rights to an existential minimum in health care, based on international parameters which, because they are restricted to the internal scope of a nation, depend on a constitutional basis and on comprehensible facts, the demonstration of which should be the responsibility of the national administrative authority. Regarding the judicial review of the minimum right to healthcare, this paper points out that it is a serious mistake to try to handle public health conflicts according to the typical judicial principles governing conflicts under private law, because that distorts the public health system, with judicial orders that depart from the universal access to health care and that are often impossible to comply with. The article concludes that the judicial review of administrative authorities in matters involving the right to health necessarily requires simultaneous judicial review of the corresponding administrative procedures.

  13. Understanding meaning in life interventions in patients with advanced disease: A systematic review and realist synthesis.

    Science.gov (United States)

    Guerrero-Torrelles, Mariona; Monforte-Royo, Cristina; Rodríguez-Prat, Andrea; Porta-Sales, Josep; Balaguer, Albert

    2017-10-01

    Among patients with advanced disease, meaning in life is thought to enhance well-being, promote coping and improve the tolerance of physical symptoms. It may also act as a buffer against depression and hopelessness. As yet, there has been no synthesis of meaning in life interventions in which contextual factors, procedures and outcomes are described and evaluated. To identify meaning in life interventions implemented in patients with advanced disease and to describe their context, mechanisms and outcomes. Systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and realist synthesis of meaning in life interventions using criteria from the Realist And Meta-narrative Evidence Syntheses: Evolving Standards project. The CINAHL, PsycINFO, PubMed and Web of Science databases were searched. A total of 12 articles were included in the systematic review, corresponding to nine different interventions. Five articles described randomized controlled trials, two were qualitative studies, two were commentaries or reflections, and there was one pre-post evaluation, one exploratory study and one description of a model of care. Analysis of context, mechanisms and outcomes configurations showed that a core component of all the interventions was the interpersonal encounter between patient and therapist, in which sources of meaning were explored and a sense of connectedness was re-established. Meaning in life interventions were associated with clinical benefits on measures of purpose-in-life, quality of life, spiritual well-being, self-efficacy, optimism, distress, hopelessness, anxiety, depression and wish to hasten death. This review provides an explanatory model of the contextual factors and mechanisms that may be involved in promoting meaning in life. These approaches could provide useful tools for relieving existential suffering at the end of life.

  14. 77 FR 18861 - Stainless Steel Bar From Brazil, India, Japan, and Spain; Scheduling of Expedited Five-Year Reviews

    Science.gov (United States)

    2012-03-28

    ... COMMISSION Stainless Steel Bar From Brazil, India, Japan, and Spain; Scheduling of Expedited Five-Year... orders on stainless steel bar from Brazil, India, Japan, and Spain would be likely to lead to... Inc. Co., Universal Stainless & Alloy Products, Inc., and Valbruna Slater Stainless, Inc. to be...

  15. Ants as Indicators in Brazil: A Review with Suggestions to Improve the Use of Ants in Environmental Monitoring Programs

    Directory of Open Access Journals (Sweden)

    Carla R. Ribas

    2012-01-01

    Full Text Available We describe the use of ants as indicators in Brazil, based on a critical review of published articles. The analysis of fifty-eight papers, encompassing a range of almost 25 years, indicates an increased number of studies using ants as indicators in the last decade. Among the parameters analyzed in the papers, species composition is the most suitable to evaluate the effect of the disturbance on ant communities. The use of other metrics that consider the specificity and fidelity (e.g., IndVal index of ant species to a level or state of disturbance is also highly desirable. We discuss several alternative ways of overcoming many of the drawbacks related to the robustness of the results and to reduce the financial, logistic, and time costs involved with the use of ants as indicators in monitoring programs. By doing so, we expect to encourage new research on ants as bioindicators as well as to summarize current knowledge, facilitating further research.

  16. A gomose da acácia-negra no Brasil: a review The gummosis of black wattle in Brazil

    Directory of Open Access Journals (Sweden)

    Álvaro Figueredo dos Santos

    2007-06-01

    Full Text Available A acácia-negra (Acacia mearnsii é cultivada no Brasil, especialmente no Estado do Rio Grande do Sul, visando tanto à produção de tanino, a partir da casca, quanto o uso da madeira para papel, celulose, carvão, lenha e chapas de aglomerados. A gomose causada por Phytophthora nicotianae e P. boehmeriae, é o seu principal problema fitossanitário. Discute-se nesta revisão a existência de dois padrões distintos de sintomatologia da gomose de Phytophthora que têm sido observados nas plantações brasileiras: gomose basal, associada a P. nicotianae, e gomose generalizada, mais associada a P. boehmeriae. São discutidos aspectos relacionados à etiologia, à epidemiologia e às estratégias de controle.The black wattle (Acacia mearnsii is cultivated in Brazil for bark tannin, paper, cellulose, plywood, charcoal and firewood production. Gummosis of Phytophthora, caused by P. nicotianae and P. boehmeriae is the main disease problem on black wattle. The existence of two distinct symptom patterns observed on plants in the commercial fields are: butt gummosis which is associated with P. nicotianae and general gummosis more related to P. boehmeriae. Etiological, epidemiological and control aspects of this disease are presented and discussed on this review.

  17. The early use of yellow fever virus strain 17D for vaccine production in Brazil - a review

    Directory of Open Access Journals (Sweden)

    Paulo Roberto Post

    2001-08-01

    Full Text Available The use of yellow fever (YF virus 17D strain for vaccine production adapted in Brazil since its introduction in 1937 was reviewed. This was possible due to the availability of official records of vaccine production. The retrieved data highlight the simultaneous use of several serially passaged 17D substrain viruses for both inocula and vaccine preparation that allowed uninterrupted production. Substitution of these substrain viruses became possible with the experience gained during quality control and human vaccination. Post-vaccinal complications in humans and the failure of some viruses in quality control tests (neurovirulence for monkeys indicated that variables needed to be reduced during vaccine production, leading to the development of the seed lot system. The 17DD substrain, still used today, was the most frequently used substrain and the most reliable in terms of safety and efficacy. For this reason, it is possible to derive an infectious cDNA clone of this substrain combined with production in cell culture that could be used to direct the expression of heterologous antigens and lead to the development of new live vaccines.

  18. Cross-sector collaborations in Aboriginal and Torres Strait Islander childhood disability: a systematic integrative review and theory-based synthesis

    National Research Council Canada - National Science Library

    Green, Anna; DiGiacomo, Michelle; Luckett, Tim; Abbott, Penelope; Davidson, Patricia Mary; Delaney, Joanne; Delaney, Patricia

    2014-01-01

    .... A systematic integrative literature review using a narrative synthesis of peer-reviewed and grey literature was undertaken to describe components of inter- and intra-sector collaborations among...

  19. Mental health and public policies implemented in the Northeast of Brazil: A systematic review with meta-analysis.

    Science.gov (United States)

    Januário, Sonilde Saraiva; das Neves Peixoto, Florido Sampaio; Lima, Nádia Nara Rolim; do Nascimento, Vânia Barbosa; de Sousa, Danilo Ferreira; Pereira Luz, Dayse Christina Rodrigues; da Silva, Claúdio Gleidiston Lima; Rolim Neto, Modesto Leite

    2017-02-01

    Studies about mental disorders are very rare in the Northeast of Brazil, especially when psychopathologies in children and adolescents are considered. The consequence is a small availability of data and an absence of a real epidemiological profile. This is a systematic review with meta-analysis, following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocol, in the period from 2003 to 2015, using the databases LILACS, SciELO and BVS. The analysis comprised the keywords 'models of primary and secondary healthcare in mental health', 'psychiatric reform' and 'policies and services in mental health', using the Boolean operator '# AND'. Original texts based on secondary data from the Hospital Information System of the Brazilian Unified Health System were also included via the Citizen Electronic Record System, Instituto Brasileiro de Geografia e Estatística, and Ministry of Health. Grey literature was used by means of hand searching. A combined analysis of the strategies mentioned in the analyzed articles shows a combined odds ratio of 1.291 (confidence interval (CI) = 1.054-1.582), thus it demonstrates the efficacy of using such strategies in the elaboration of institutional apparatus in mental health. The p-value of the chi-square distribution resulted in .9753, which does not reject the hypothesis of association between strategies in mental health and possible development of institutional apparatus in mental health. A combined analysis of all strategies mentioned in the analyzed studies shows efficacy of using strategies to elaborate institutional apparatus in mental health.

  20. Procedural and Substantive Judicial Review of the Right to Health in Brazil

    OpenAIRE

    R. Perlingeiro

    2015-01-01

    This text seeks to identify the objective and subjective aspects of rights to an existential minimum in health care, based on international parameters which, because they are restricted to the internal scope of a nation, depend on a constitutional basis and on comprehensible facts, the demonstration of which should be the responsibility of the national administrative authority. Regarding the judicial review of the minimum right to healthcare, this paper points out that it is a serious mistake...

  1. Physical activity in Brazil: lessons from ELSA-Brasil. Narrative review.

    Science.gov (United States)

    Pitanga, Francisco José Gondim; Almeida, Maria Conceição Chagas; Queiroz, Ciro Oliveira; Aquino, Estela Maria Leão de; Matos, Sheila Maria Alvim

    2017-01-01

    The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) was conducted among civil servants at six higher education institutions located in six Brazilian state capitals. The objective of this review was to identify the publications produced within the scope of ELSA-Brasil that analyzed the participants' physical activity. Review study using baseline data from ELSA-Brasil. Narrative review of Brazilian studies on physical activity produced using data from ELSA-Brasil participants. The prevalence of leisure-time physical activity (LTPA) among ELSA-Brasil participants was low (44.1% among men and 33.8% among women). The main factors associated were social (higher schooling and family income), environmental (living in places with conditions and opportunities for physical activity) and individual (not being obese, being retired, not smoking and positive perception of body image). The perception of facilities for walking in the neighborhood was positively associated with both LTPA and commuting-related physical activity. An active lifestyle was a protective factor against several cardiometa-bolic variables (hypertension, diabetes, lipid abnormalities and cardiovascular risk over the next 10 years). Comparison between LTPA and commuting-related physical activity showed that only LTPA had a protective effect against arterial hypertension. The prevalence of physical activity among ELSA-Brasil participants was low. The main determinants were social, environmental and personal. LTPA had a greater protective efect on cardio-metabolic outcomes than did commuting-related physical activity.

  2. Features of Computer-Based Decision Aids: Systematic Review, Thematic Synthesis, and Meta-Analyses.

    Science.gov (United States)

    Syrowatka, Ania; Krömker, Dörthe; Meguerditchian, Ari N; Tamblyn, Robyn

    2016-01-26

    Patient information and education, such as decision aids, are gradually moving toward online, computer-based environments. Considerable research has been conducted to guide content and presentation of decision aids. However, given the relatively new shift to computer-based support, little attention has been given to how multimedia and interactivity can improve upon paper-based decision aids. The first objective of this review was to summarize published literature into a proposed classification of features that have been integrated into computer-based decision aids. Building on this classification, the second objective was to assess whether integration of specific features was associated with higher-quality decision making. Relevant studies were located by searching MEDLINE, Embase, CINAHL, and CENTRAL databases. The review identified studies that evaluated computer-based decision aids for adults faced with preference-sensitive medical decisions and reported quality of decision-making outcomes. A thematic synthesis was conducted to develop the classification of features. Subsequently, meta-analyses were conducted based on standardized mean differences (SMD) from randomized controlled trials (RCTs) that reported knowledge or decisional conflict. Further subgroup analyses compared pooled SMDs for decision aids that incorporated a specific feature to other computer-based decision aids that did not incorporate the feature, to assess whether specific features improved quality of decision making. Of 3541 unique publications, 58 studies met the target criteria and were included in the thematic synthesis. The synthesis identified six features: content control, tailoring, patient narratives, explicit values clarification, feedback, and social support. A subset of 26 RCTs from the thematic synthesis was used to conduct the meta-analyses. As expected, computer-based decision aids performed better than usual care or alternative aids; however, some features performed better than

  3. The inclusion of students with dyslexia in higher education: a systematic review using narrative synthesis.

    Science.gov (United States)

    Pino, Marco; Mortari, Luigina

    2014-11-01

    This article reports on a study focusing on the inclusion of students with dyslexia in higher education (HE). A systematic review was carried out to retrieve, critically appraise and synthesize the available evidence on how the inclusion of students with dyslexia can be fostered in HE. The 15 studies included in the final synthesis employed descriptive designs and overwhelmingly used qualitative methods to explore dyslexic students' perceptions on the impact of teaching, support and accommodation in their own learning experience. A critical appraisal of these studies revealed a landscape of significant gaps in the available stock of evidence on the inclusion of students with dyslexia in HE. The synthesis of the available evidence is presented in a narrative of five cross-study thematic areas: student coping strategies, being identified as dyslexic, interaction with academic staff, accessibility and accommodations, and using assistive technologies and information and communication technologies. Implications for practice and future research are discussed. © 2014 The Authors. Dyslexia published by John Wiley & Sons, Ltd.

  4. Synthesis Methods of Two-Dimensional MoS2: A Brief Review

    Directory of Open Access Journals (Sweden)

    Jie Sun

    2017-07-01

    Full Text Available Molybdenum disulfide (MoS2 is one of the most important two-dimensional materials after graphene. Monolayer MoS2 has a direct bandgap (1.9 eV and is potentially suitable for post-silicon electronics. Among all atomically thin semiconductors, MoS2’s synthesis techniques are more developed. Here, we review the recent developments in the synthesis of hexagonal MoS2, where they are categorized into top-down and bottom-up approaches. Micromechanical exfoliation is convenient for beginners and basic research. Liquid phase exfoliation and solutions for chemical processes are cheap and suitable for large-scale production; yielding materials mostly in powders with different shapes, sizes and layer numbers. MoS2 films on a substrate targeting high-end nanoelectronic applications can be produced by chemical vapor deposition, compatible with the semiconductor industry. Usually, metal catalysts are unnecessary. Unlike graphene, the transfer of atomic layers is omitted. We especially emphasize the recent advances in metalorganic chemical vapor deposition and atomic layer deposition, where gaseous precursors are used. These processes grow MoS2 with the smallest building-blocks, naturally promising higher quality and controllability. Most likely, this will be an important direction in the field. Nevertheless, today none of those methods reproducibly produces MoS2 with competitive quality. There is a long way to go for MoS2 in real-life electronic device applications.

  5. Personal recovery in personality disorder: Systematic review and meta-synthesis of qualitative methods studies.

    Science.gov (United States)

    Shepherd, Andrew; Sanders, Caroline; Doyle, Michael; Shaw, Jenny

    2016-02-01

    Support of personal recovery represents the aim for many modern mental health services. There is a lack of conceptual clarity around the application of the term however and this is particularly problematic with regard to the personality disorder diagnoses. This study sought to review the existing qualitative methods literature in relation to the experience of personal recovery in personality disorder. A systematic literature search was conducted. Identified studies were incorporated through meta-synthesis in order to develop higher order descriptive themes representative of the individual experience described within included studies. Three studies were identified and incorporated into the meta-synthesis. Three novel higher order themes were developed: Safety and containment as a prerequisite to recovery, social networks and autonomy in the recovery process and identity construction as a process of change. Personal recovery in personality disorder is revealed as a complex process reflecting both personal and social experiences or desires. These findings have important implications for clinical practice - emphasising the need to work closely with individuals and to develop an understanding of both their social experience and networks. Further research, taking greater account of social context in the recovery process, is necessary. © The Author(s) 2015.

  6. Controllable and Large-Scale Synthesis of Carbon Nanostructures: A Review on Bamboo-Like Nanotubes

    Directory of Open Access Journals (Sweden)

    Zirui Jia

    2017-08-01

    Full Text Available Bamboo-like carbon nanotubes are members of the carbon nanotubes (CNTs family, whose structure is made up of separated hollow compartments and bamboo knots. Due to the peculiar structure of the CNTs species, the growth mechanism and related features have been widely investigated. Bamboo-like carbon nanotubes are widely applied in several fields, such as sensors, adsorbents, catalysts, and lithium-ion battery electrodes materials. Different methods have been applied for the synthesis of carbon nanotubes, among them, catalytic chemical vapor deposition has been singled out as the most used procedure due to low cost with a high quality product. The present review is devoted to increasing the literature dealing with the design, synthesis, and characterization of bamboo-like carbon nanotubes grown over different catalysts. Results on the methane dry reforming reaction, hydrocarbon thermal decomposition, special chemical vapor deposition as well as other methods applied to the preparation of bamboo-like carbon nanotubes are discussed. The differences in the carbon deposits between the dry reforming reaction and other reaction methods are compared and possible formation mechanisms of bamboo-like carbon nanotubes are discussed.

  7. Review and synthesis: Changing permafrost in a warming world and feedbacks to the Earth System

    Science.gov (United States)

    Grosse, Guido; Goetz, Scott; McGuire, A. David; Romanovsky, Vladimir E.; Schuur, Edward A.G.

    2016-01-01

    The permafrost component of the cryosphere is changing dramatically, but the permafrost region is not well monitored and the consequences of change are not well understood. Changing permafrost interacts with ecosystems and climate on various spatial and temporal scales. The feedbacks resulting from these interactions range from local impacts on topography, hydrology, and biology to complex influences on global scale biogeochemical cycling. This review contributes to this focus issue by synthesizing its 28 multidisciplinary studies which provide field evidence, remote sensing observations, and modeling results on various scales. We synthesize study results from a diverse range of permafrost landscapes and ecosystems by reporting key observations and modeling outcomes for permafrost thaw dynamics, identifying feedbacks between permafrost and ecosystem processes, and highlighting biogeochemical feedbacks from permafrost thaw. We complete our synthesis by discussing the progress made, stressing remaining challenges and knowledge gaps, and providing an outlook on future needs and research opportunities in the study of permafrost–ecosystem–climate interactions.

  8. A review on the classification, characterisation, synthesis of nanoparticles and their application

    Science.gov (United States)

    Ealias, Anu Mary; Saravanakumar, M. P.

    2017-11-01

    As per ISO and ASTM standards, nanoparticles are particles of sizes ranging from 1 to 100nm with one or more dimensions. The nanoparticles are generally classified into the organic, inorganic and carbon based particles in nanometric scale that has improved properties compared to larger sizes of respective materials. The nanoparticles show enhanced properties such as high reactivity, strength, surface area, sensitivity, stability, etc. because of their small size. The nanoparticles are synthesised by various methods for research and commercial uses that are classified into three main types namely physical, chemical and mechanical processes that has seen a vast improvement over time. This paper presents a review on nanoparticles, their types, properties, synthesis methods and its applications in the field of environment.

  9. Music in the exercise domain: a review and synthesis (Part I)

    Science.gov (United States)

    Karageorghis, Costas I.; Priest, David-Lee

    2011-01-01

    Since a 1997 review by Karageorghis and Terry, which highlighted the state of knowledge and methodological weaknesses, the number of studies investigating musical reactivity in relation to exercise has swelled considerably. In this two-part review paper, the development of conceptual approaches and mechanisms underlying the effects of music are explicated (Part I), followed by a critical review and synthesis of empirical work (spread over Parts I and II). Pre-task music has been shown to optimise arousal, facilitate task-relevant imagery and improve performance in simple motoric tasks. During repetitive, endurance-type activities, self-selected, motivational and stimulative music has been shown to enhance affect, reduce ratings of perceived exertion, improve energy efficiency and lead to increased work output. There is evidence to suggest that carefully selected music can promote ergogenic and psychological benefits during high-intensity exercise, although it appears to be ineffective in reducing perceptions of exertion beyond the anaerobic threshold. The effects of music appear to be at their most potent when it is used to accompany self-paced exercise or in externally valid conditions. When selected according to its motivational qualities, the positive impact of music on both psychological state and performance is magnified. Guidelines are provided for future research and exercise practitioners. PMID:22577472

  10. Music in the exercise domain: a review and synthesis (Part II)

    Science.gov (United States)

    Karageorghis, Costas I.; Priest, David-Lee

    2011-01-01

    Since a 1997 review by Karageorghis and Terry, which highlighted the state of knowledge and methodological weaknesses, the number of studies investigating musical reactivity in relation to exercise has swelled considerably. In this two-part review paper, the development of conceptual approaches and mechanisms underlying the effects of music are explicated (Part I), followed by a critical review and synthesis of empirical work (spread over Parts I and II). Pre-task music has been shown to optimise arousal, facilitate task-relevant imagery and improve performance in simple motoric tasks. During repetitive, endurance-type activities, self-selected, motivational and stimulative music has been shown to enhance affect, reduce ratings of perceived exertion, improve energy efficiency and lead to increased work output. There is evidence to suggest that carefully selected music can promote ergogenic and psychological benefits during high-intensity exercise, although it appears to be ineffective in reducing perceptions of exertion beyond the anaerobic threshold. The effects of music appear to be at their most potent when it is used to accompany self-paced exercise or in externally valid conditions. When selected according to its motivational qualities, the positive impact of music on both psychological state and performance is magnified. Guidelines are provided for future research and exercise practitioners. PMID:22577473

  11. Review of thirty-two years of toothed whale strandings in Santa Catarina, southern Brazil (Cetacea: Odontoceti

    Directory of Open Access Journals (Sweden)

    Thaís dos S. Vianna

    Full Text Available ABSTRACT Marine mammal strandings provide valuable insights into local biodiversity. Strandings can be caused by both natural and anthropogenic factors. In the state of Santa Catarina, Southern Brazil, organized marine mammal collections started in the 1980s through opportunistic and non-systematic collection efforts, representing a record of over 30 years of marine biodiversity. This study aimed to perform a preliminary review of 32 years of stranding records within this region. The secondary aim was to elucidate the stranding dynamics of the three most commonly recorded species. A total of 460 records were obtained, representing 17 species of odontocetes. The species registered most frequently were the franciscana, Pontoporia blainvillei (Gervais & d' Orbigny, 1844 (n = 173, bottlenose dolphin, Tursiops truncatus (Montagu, 1821 (n = 100, and Guiana dolphin Sotalia guianensis (Van Bénéden, 1864 (n = 97. Most of the stranding records were observed in the second half of the year during the austral winter and spring. The apparent causes of death could not be determined for most of the specimens due to carcass decomposition. For the specimens in which the apparent cause of death could be determined, 27% of the strandings were compatible with anthropogenic interactions. While the focus of this study was a preliminary assessment of stranding data obtained through opportunistic collection, it is evident that future systematic monitoring efforts and stable networks of collaborators will generate more reliable coastal biodiversity inventories and will allow the knowledge of population dynamics of marine mammal species. In particular, for threatened and vulnerable species, or species with poor natural history data, strandings are a fundamental tool for the understanding of marine biodiversity. Ideally, future more refined analyses of stranding data should be used to inform conservation and management policies and to elucidate the biology and ecology of

  12. Brazil Low Carbon Case Study : Waste

    OpenAIRE

    World Bank

    2010-01-01

    This report synthesis the findings for the waste sector of a broader study, the Brazil low carbon study, which was undertaken by the World Bank in its initiative to support Brazil's integrated effort towards reducing national and global emissions of Greenhouse Gases (GHG) while promoting long term development. The purpose of the present report is to assist in the preparation of public poli...

  13. Strengths and limitations of early warning scores: A systematic review and narrative synthesis.

    Science.gov (United States)

    Downey, C L; Tahir, W; Randell, R; Brown, J M; Jayne, D G

    2017-09-13

    Early warning scores are widely used to identify deteriorating patients. Whilst their ability to predict clinical outcomes has been extensively reviewed, there has been no attempt to summarise the overall strengths and limitations of these scores for patients, staff and systems. This review aims to address this gap in the literature to guide improvements for the optimization of patient safety. A systematic review was conducted of MEDLINE(®), PubMed, CINAHL and The Cochrane Library in September 2016. The citations and reference lists of selected studies were reviewed for completeness. Studies were included if they evaluated vital signs monitoring in adult human subjects. Studies regarding the paediatric population were excluded, as were studies describing the development or validation of monitoring models. A narrative synthesis of qualitative, quantitative and mixed- methods studies was undertaken. 232 studies met the inclusion criteria. Twelve themes were identified from synthesis of the data: Strengths of early warning scores included their prediction value, influence on clinical outcomes, cross-specialty application, international relevance, interaction with other variables, impact on communication and opportunity for automation. Limitations included their sensitivity, the need for practitioner engagement, the need for reaction to escalation and the need for clinical judgment, and the intermittent nature of recording. Early warning scores are known to have good predictive value for patient deterioration and have been shown to improve patient outcomes across a variety of specialties and international settings. This is partly due to their facilitation of communication between healthcare workers. There is evidence that the prediction value of generic early warning scores suffers in comparison to specialty-specific scores, and that their sensitivity can be improved by the addition of other variables. They are also prone to inaccurate recording and user error, which

  14. Valorization of agroindustrial solid residues and residues from biofuel production chains by thermochemical conversion: a review, citing Brazil as a case study

    Directory of Open Access Journals (Sweden)

    E. Virmond

    2013-06-01

    Full Text Available Besides high industrial development, Brazil is also an agribusiness country. Each year about 330 million metrics tons (Mg of biomass residues are generated, requiring tremendous effort to develop biomass systems in which production, conversion and utilization of bio-based products are carried out efficiently and under environmentally sustainable conditions. For the production of biofuels, organic chemicals and materials, it is envisaged to follow a biorefinery model which includes modern and proven green chemical technologies such as bioprocessing, pyrolysis, gasification, Fischer-Tropsch synthesis and other catalytic processes in order to make more complex molecules and materials on which a future sustainable society will be based. This paper presents promising options for valorization of Brazilian agroindustrial biomass sources and residues originating from the biofuel production chains as renewable energy sources and addresses the main aspects of the thermochemical technologies which have been applied.

  15. "Clinical approach to fibromyalgia: Synthesis of Evidence-based recommendations, a systematic review".

    Science.gov (United States)

    Ángel García, Daniel; Martínez Nicolás, Ismael; Saturno Hernández, Pedro J

    2016-01-01

    Efforts have been made to standardise evidence-based practice, but clinical practice guidelines do not always follow strict development methods. The objective of this review is to identify the current guidelines, analyse the variability of its recommendations and make a synthesis for clinical practice. A systematic review of clinical practice guidelines was made in electronic databases and guidelines databases; using "fibromyalgia" AND ["guideline" OR "Clinical Practice guideline"] as terms, from January for 2003 to July of 2013. Guidelines were selected according to the following criteria: a) aimed to fibromyalgia treatment in adults; b) based on scientific evidence, systematically searched; c) evidence levels and strength of recommendation included; d) written in English or Spanish. From 249 initial results, six guides fulfilled the inclusion criteria. Clinical practice guidelines analysed in this review show great variability both in the presence and level of evidence and in the strength of recommendation of many treatments. Physical exercise and cognitive-behavioural therapy are first-line treatments, showing high level of evidence. Amitriptyline, used for short periods of time for pain control, is the pharmacologic treatment with the most solid evidence. The multimodal approach reported better results than the isolated application of any treatment. Final recommendations in this review identify optimal treatments, facilitating the translation of evidence into practice and enabling more efficient and effective quality care. Copyright © 2014 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

  16. Workplace accommodations for persons with physical disabilities: evidence synthesis of the peer-reviewed literature.

    Science.gov (United States)

    Padkapayeva, Kathy; Posen, Andrew; Yazdani, Amin; Buettgen, Alexis; Mahood, Quenby; Tompa, Emile

    2017-10-01

    To identify and synthesize research evidence on workplace accommodations used by employers to recruit, hire, retain, and promote persons with physical disabilities. A structured search of six electronic journal databases was undertaken to identify peer-reviewed literature on the topic published from January 1990 to March 2016. Articles describing or evaluating workplace disability accommodation policies and practices were given a full-text review. Topic experts were contacted to identify additional studies. Details on specific accommodations described in 117 articles were synthesized and organized into three groups comprised of a total of 12 categories. The majority of studies did not rigorously evaluate effectiveness or cost-effectiveness of the accommodations under study. This evidence synthesis provides an overview of the peer-reviewed literature of value to occupational rehabilitation professionals and employers seeking guidance on workplace accommodation policies and practices for persons with physical disabilities. A wide range of accommodation options is available for addressing physical, social, and attitudinal barriers to successful employment. Besides physical/technological modifications, accommodations to enhance workplace flexibility and worker autonomy and strategies to promote workplace inclusion and integration are important. More comprehensive reporting and evaluations of the effectiveness of accommodations in research literature are needed to develop best practices for accommodating persons with disabilities. Implications for rehabilitation There is a substantial peer-reviewed literature that provides insights into the barriers for persons with physical disabilities and the workplace accommodation practices to address them, though rigorous evaluations of effectiveness and cost-effectiveness are uncommon. Attitudinal and social barriers stemming from stereotypes, ignorance and lack of knowledge are as important as physical barriers to employment for

  17. 76 FR 5822 - Orange Juice From Brazil

    Science.gov (United States)

    2011-02-02

    ... COMMISSION Orange Juice From Brazil AGENCY: United States International Trade Commission. ACTION: Institution of a five-year review concerning the antidumping duty order on certain orange juice from Brazil... antidumping duty order on certain orange juice from Brazil would be likely to lead to continuation or...

  18. Impact of HIV-related stigma on treatment adherence: systematic review and meta-synthesis

    Science.gov (United States)

    Katz, Ingrid T; Ryu, Annemarie E; Onuegbu, Afiachukwu G; Psaros, Christina; Weiser, Sheri D; Bangsberg, David R; Tsai, Alexander C

    2013-01-01

    Introduction Adherence to HIV antiretroviral therapy (ART) is a critical determinant of HIV-1 RNA viral suppression and health outcomes. It is generally accepted that HIV-related stigma is correlated with factors that may undermine ART adherence, but its relationship with ART adherence itself is not well established. We therefore undertook this review to systematically assess the relationship between HIV-related stigma and ART adherence. Methods We searched nine electronic databases for published and unpublished literature, with no language restrictions. First we screened the titles and abstracts for studies that potentially contained data on ART adherence. Then we reviewed the full text of these studies to identify articles that reported data on the relationship between ART adherence and either HIV-related stigma or serostatus disclosure. We used the method of meta-synthesis to summarize the findings from the qualitative studies. Results Our search protocol yielded 14,854 initial records. After eliminating duplicates and screening the titles and abstracts, we retrieved the full text of 960 journal articles, dissertations and unpublished conference abstracts for review. We included 75 studies conducted among 26,715 HIV-positive persons living in 32 countries worldwide, with less representation of work from Eastern Europe and Central Asia. Among the 34 qualitative studies, our meta-synthesis identified five distinct third-order labels through an inductive process that we categorized as themes and organized in a conceptual model spanning intrapersonal, interpersonal and structural levels. HIV-related stigma undermined ART adherence by compromising general psychological processes, such as adaptive coping and social support. We also identified psychological processes specific to HIV-positive persons driven by predominant stigmatizing attitudes and which undermined adherence, such as internalized stigma and concealment. Adaptive coping and social support were critical

  19. The Experience of Caregivers Living with Cancer Patients: A Systematic Review and Meta-Synthesis

    Directory of Open Access Journals (Sweden)

    Peeranuch LeSeure

    2015-11-01

    Full Text Available The objectives of this meta-synthesis were to: (1 explore the experience of caregivers who were caring for cancer patients, including their perceptions and responses to the situation; and (2 describe the context and the phenomena relevant to the experience. Five databases were used: CINAHL, MEDLINE, Academic Search, Science Direct, and a Thai database known as the Thai Library Integrated System (ThaiLIS. Three sets of the context of the experience and the phenomena relevant to the experience were described. The contexts were (1 having a hard time dealing with emotional devastation; (2 knowing that the caregiving job was laborious; and (3 knowing that I was not alone. The phenomenon showed the progress of the caregivers’ thoughts and actions. A general phenomenon of the experience—balancing my emotion—applied to most of the caregivers; whereas, more specific phenomenon—keeping life as normal as possible and lifting life above the illness—were experienced by a lesser number of the caregivers. This review added a more thorough explanation of the issues involved in caregiving for cancer patients. A more comprehensive description of the experience of caregiving was described. The findings of this review can be used to guide clinical practice and policy formation in cancer patient care.

  20. A Systematic Review and Narrative Synthesis of Interventions for Parental Human Immunodeficiency Virus Disclosure

    Directory of Open Access Journals (Sweden)

    Donaldson F. Conserve

    2017-08-01

    Full Text Available IntroductionDisclosure of parental human immunodeficiency virus (HIV infection to their children remains a difficult process for parents living with HIV (PLWH. In order to identify the best strategies to facilitate parental HIV disclosure, it is necessary to examine the efficacy of existing interventions designed to help PLWH parents with the disclosure process to their children.ObjectivesTo systematically review the efficacy of interventions designed to assist PLWH disclose their HIV status to their children.MethodsWe conducted a systematic review and narrative synthesis of interventions designed to assist PLWH disclose their HIV status to their children. MEDLINE/PubMed, PsycINFO, Embase, Global Health, and Web of Science were searched.ResultsStudies were eligible for inclusion if they evaluated an intervention for parental HIV disclosure. Five studies published between 2001 and 2015 met the inclusion criteria. The interventions were conducted in South Africa, China, and the United States. Three of the studies used two-arm randomized controlled trials, in which the intervention group was given enhanced care while the control group received standard care. Four of the five studies included a theoretically informed intervention and three were limited to mothers. Results showed that four of the interventions increased parental HIV disclosure.ConclusionThe findings suggest that parental HIV disclosure interventions are successful in assisting parents with the disclosure process and can be adapted in different cultural context. Future parental HIV disclosure interventions should include fathers in order to assist men with parental HIV disclosure.

  1. Contemporary public perceptions of nursing: a systematic review and narrative synthesis of the international research evidence.

    Science.gov (United States)

    Girvin, June; Jackson, Debra; Hutchinson, Marie

    2016-11-01

    To investigate the current public understanding and perceptions of nursing. In recent years, attention to large scale health-care failures has focused considerable concern upon nursing standards. To avoid short-term solutions, and the temptation to see individual failures as representative of the wider profession, it is important to understand contemporary public perceptions of nursing. A systematic review and narrative synthesis of peer reviewed papers from January 2010 to September 2015. Four main themes were identified: (1) media portrayal of nursing as a troubled profession; (2) entertainment value in demeaning nursing; (3) role incongruity - nursing trusted but not respected; and (4) nursing roles remain poorly understood. Although there is evidence of strong public trust, this does not generally appear to be born out of an understanding of nursing work and impact; rather it appears to stem from the respect held for the traditional, more sentimental stereotypes of selfless, hardworking young females. A long-term, strategic solution is required that focuses on public engagement and interaction with the profession in a context wider than personal health/ill-health, and that goes beyond the marketing campaigns seen in the past to address recruitment crises. © 2016 John Wiley & Sons Ltd.

  2. Immigrant women's experiences of maternity-care services in Canada: a protocol for systematic review using a narrative synthesis.

    Science.gov (United States)

    Higginbottom, Gina M A; Morgan, Myfanwy; Dassanayake, Jayantha; Eyford, Helgi; Alexandre, Mirande; Chiu, Yvonne; Forgeron, Joan; Kocay, Deb

    2012-05-31

    Canada's diverse society and statutory commitment to multiculturalism means that the synthesis of knowledge related to the health care experiences of immigrants is essential to realize the health potential for future Canadians. Although concerns about the maternity experiences of immigrants in Canada are relatively new, recent national guidelines explicitly call for tailoring of services to user needs. We are therefore assessing the experiences of immigrant women in Canada accessing maternity-care services. We are focusing on: 1) accessibility and acceptability (as an important dimension of access) to maternity-care services as perceived and experienced by immigrant women, and 2) the birth and postnatal outcomes of these women. The aim of this study is to use a narrative synthesis, incorporating both a systematic review using narrative synthesis of reports of empirical research (qualitative, quantitative, and mixed-method designs), and a literature review of non-empirically based reports, both of which include 'grey' literature. The study aims to provide stakeholders with perspectives on maternity-care services as experienced by immigrant women. To achieve this, we are using integrated knowledge translation, partnering with key stakeholders to ensure topic relevancy and to tailor recommendations for effective translation into future policy and practice/programming. Two search phases and a three-stage selection process are being conducted (database search retrieved 1487 hits excluding duplicates) to provide evidence to contribute jointly to both the narrative synthesis and the non-empirical literature review. The narrative synthesis will be informed by the previous framework published in 2006 by Popay et al., using identified tools for each of its four elements. The non-empirical literature review will build upon the narrative-synthesis findings and/or identify omissions or gaps in the empirical research literature. The integrated knowledge translation plan will

  3. Prevalence of Chagas disease in pregnant women and congenital transmission of Trypanosoma cruzi in Brazil: a systematic review and meta-analysis.

    Science.gov (United States)

    Martins-Melo, Francisco Rogerlândio; Lima, Mauricélia da Silveira; Ramos, Alberto Novaes; Alencar, Carlos Henrique; Heukelbach, Jörg

    2014-08-01

    To estimate the prevalence of Chagas disease in pregnant women and the risk of congenital transmission of Trypanosoma cruzi infection in Brazil, through a systematic review and meta-analysis. We searched electronic databases, grey literature and reference lists of included publications to identify epidemiological studies on the prevalence of Chagas disease in pregnant women and on the congenital transmission rate of T. cruzi infection in Brazil published between January 1980 and June 2013. Pooled estimates and 95% confidence intervals (95% CIs) were calculated using fixed- and random-effects models. Sixteen articles were included - 12 studies on the prevalence of Chagas disease in pregnant women (549,359 pregnant women) and nine on congenital transmission rates (1687 children born to infected mothers). Prevalence of Chagas disease in pregnant women ranged from 0.1% to 8.5%, and congenital transmission rates from 0% to 5.2%. The pooled prevalence of Chagas disease among pregnant women across studies was 1.1% (95% CI: 0.6-2.0); the pooled congenital transmission rate was 1.7% (95% CI: 0.9-3.1). In 2010, 34,629 pregnant women were estimated to be infected with T. cruzi, and 312-1073 children born (mean: 589 cases) with congenital infection. Congenital Chagas disease is a neglected public health problem in Brazil. Systematic congenital Chagas disease control programs through routine prenatal screening for T. cruzi should be widely implemented in Brazil's endemic areas, to identify infected pregnant women and newborns at risk of congenital infection. © 2014 John Wiley & Sons Ltd.

  4. Exploring iron-based multifunctional catalysts for Fischer-Tropsch synthesis: a review.

    Science.gov (United States)

    Abelló, Sònia; Montané, Daniel

    2011-11-18

    The continuous increase in oil prices together with an increase in carbon dioxide concentration in the atmosphere has prompted an increased interest in the production of liquid fuels from non-petroleum sources to ensure the continuation of our worldwide demands while maximizing CO(2) utilization. In this sense, the Fischer-Tropsch (FT) technology provides a feasible option to render high value-added hydrocarbons. Alternative sources, such as biomass or coal, offer a real possibility to realize these purposes by making use of H(2)-deficient or CO(2)-rich syngas feeds. The management of such feeds ideally relies on the use of iron catalysts, which exhibit the unique ability to adjust the H(2)/CO molar ratio to an optimum value for hydrocarbon synthesis through the water-gas-shift reaction. Taking advantage of the emerging attention to hybrid FT-synthesis catalysts based on cobalt and their associated benefits, an overview of the current state of literature in the field of iron-based multifunctional catalysts is presented. Of particular interest is the use of zeolites in combination with a FT catalyst in a one-stage operation, herein named multifunctional, which offer key opportunities in the modification of desired product distributions and selectivity, to eventually overcome the quality limitations of the fuels prepared under intrinsic FT conditions. This review focuses on promising research activities addressing the conversion of syngas to liquid fuels mediated by iron-based multifunctional materials, highlights their preparation and properties, and discusses their implication and challenges in the area of carbon utilization through H(2)/CO(+CO(2)) mixtures. Copyright © 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  5. A systematic review and qualitative synthesis of adolescents' views of sexual readiness.

    Science.gov (United States)

    Templeton, Michelle; Lohan, Maria; Kelly, Carmel; Lundy, Laura

    2017-06-01

    The aim of this study was to synthesize the qualitative evidence investigating adolescents' views on heterosexual readiness. Adolescents' understandings of sexual readiness are often missing in research and debates on sexual health and related concepts like sexual consent. Research to date has predominantly focussed on age and socio-cultural predictors of sexual debut, thus failing to explain how adolescents themselves conceptualize their readiness for heterosexual relations. A systematic review and thematic synthesis of qualitative evidence. CINAHL, Psychinfo, PubMed, Web of science were searched, 1985-Feb 2016. Critical Appraisal Skills Programme checklist was used to assess methodological quality. A thematic synthesis focused on commonalities and variations in the data from included studies on adolescents' perspectives of their readiness for sex. Sixteen studies were included. Themes identified were: social learning, relationships and implications for sexual health promotion and practice. Adolescents may not view initiating sex as problematic, focusing instead on the rewards sex brings and less on health concerns. Adolescents tend to reproduce dominant gender norms of masculinity and femininity in communication about sexual decision-making, which are sometimes influenced by social scripts of career aspirations and ethnic identity. Age was also significant in adolescents' accounts. Early adolescence is a critical period when understandings of gender equality become embedded, thus an opportunity to engage adolescents in critiquing ideas about gender equality and sexual rights. Further research exploring adolescents' understandings of sexual readiness is required. We recommend a participatory approach to support the inclusion of adolescent voices to inform contextually relevant sexual health promotion strategies. © 2016 John Wiley & Sons Ltd.

  6. New materials graphyne, graphdiyne, graphone, and graphane: review of properties, synthesis, and application in nanotechnology

    Directory of Open Access Journals (Sweden)

    Peng Q

    2014-04-01

    Full Text Available Qing Peng,1 Albert K Dearden,2 Jared Crean,1 Liang Han,1 Sheng Liu,3 Xiaodong Wen,4,5 Suvranu De11Department of Mechanical, Aerospace and Nuclear Engineering, Rensselaer Polytechnic Institute, Troy, NY, USA; 2Department of Physics, Applied Physics, and Astronomy, Rensselaer Polytechnic Institute, Troy, NY, USA; 3Institute for Microsystems, School of Mechanical Engineering, Huazhong University of Science and Technology, Wuhan, People's Republic of China; 4State Key Laboratory of Coal Conversion, Institute of Coal Chemistry, Chinese Academy of Sciences, Taiyuan, People's Republic of China; 5Synfuels China Co, Ltd, Huairou, Beijing, People's Republic of ChinaAbstract: Plenty of new two-dimensional materials including graphyne, graphdiyne, graphone, and graphane have been proposed and unveiled after the discovery of the "wonder material" graphene. Graphyne and graphdiyne are two-dimensional carbon allotropes of graphene with honeycomb structures. Graphone and graphane are hydrogenated derivatives of graphene. The advanced and unique properties of these new materials make them highly promising for applications in next generation nanoelectronics. Here, we briefly review their properties, including structural, mechanical, physical, and chemical properties, as well as their synthesis and applications in nanotechnology. Graphyne is better than graphene in directional electronic properties and charge carriers. With a band gap and magnetism, graphone and graphane show important applications in nanoelectronics and spintronics. Because these materials are close to graphene and will play important roles in carbon-based electronic devices, they deserve further, careful, and thorough studies for nanotechnology applications.Keywords: two-dimensional materials, graphene-like structures, properties and synthesis, nanotechnology applications, graphyne, hydrogenation of grapheme

  7. Exploring the psychological health of emergency dispatch centre operatives: a systematic review and narrative synthesis

    Directory of Open Access Journals (Sweden)

    Sarah E. Golding

    2017-10-01

    Full Text Available Background The study objective was to investigate and synthesize available evidence relating to the psychological health of Emergency Dispatch Centre (EDC operatives, and to identify key stressors experienced by EDC operatives. Methods Eight electronic databases (Embase, PubMed, Medline, CINAHL, PsycInfo, PsycArticles, The Psychology and Behavioural Sciences Collection, and Google Scholar were searched. All study designs were included, and no date limits were set. Studies were included if they were published in English, and explored the psychological health of any EDC operatives, across fire, police, and emergency medical services. Studies were excluded if they related solely to other emergency workers, such as police officers or paramedics. Methodological quality of included studies was assessed using checklists adapted from the Critical Appraisal Skills Programme. A narrative synthesis was conducted, using thematic analysis. Results A total of 16 articles were included in the review. Two overarching themes were identified during the narrative synthesis: ‘Organisational and Operational Factors’ and ‘Interactions with Others’. Stressors identified included being exposed to traumatic calls, lacking control over high workload, and working in under-resourced and pressured environments. Lack of support from management and providing an emotionally demanding service were additional sources of stress. Peer support and social support from friends and family were helpful in managing work-related stress. Discussion EDC operatives experience stress as a result of their work, which appears to be related to negative psychological health outcomes. Future research should explore the long-term effects of this stress, and the potential for workplace interventions to alleviate the negative impacts on psychological health. PROSPERO Registration Number CRD42014010806.

  8. How do leaf veins influence the worldwide leaf economic spectrum? Review and synthesis.

    Science.gov (United States)

    Sack, Lawren; Scoffoni, Christine; John, Grace P; Poorter, Hendrik; Mason, Chase M; Mendez-Alonzo, Rodrigo; Donovan, Lisa A

    2013-10-01

    Leaf vein traits are implicated in the determination of gas exchange rates and plant performance. These traits are increasingly considered as causal factors affecting the 'leaf economic spectrum' (LES), which includes the light-saturated rate of photosynthesis, dark respiration, foliar nitrogen concentration, leaf dry mass per area (LMA) and leaf longevity. This article reviews the support for two contrasting hypotheses regarding a key vein trait, vein length per unit leaf area (VLA). Recently, Blonder et al. (2011, 2013) proposed that vein traits, including VLA, can be described as the 'origin' of the LES by structurally determining LMA and leaf thickness, and thereby vein traits would predict LES traits according to specific equations. Careful re-examination of leaf anatomy, published datasets, and a newly compiled global database for diverse species did not support the 'vein origin' hypothesis, and moreover showed that the apparent power of those equations to predict LES traits arose from circularity. This review provides a 'flux trait network' hypothesis for the effects of vein traits on the LES and on plant performance, based on a synthesis of the previous literature. According to this hypothesis, VLA, while virtually independent of LMA, strongly influences hydraulic conductance, and thus stomatal conductance and photosynthetic rate. We also review (i) the specific physiological roles of VLA; (ii) the role of leaf major veins in influencing LES traits; and (iii) the role of VLA in determining photosynthetic rate per leaf dry mass and plant relative growth rate. A clear understanding of leaf vein traits provides a new perspective on plant function independently of the LES and can enhance the ability to explain and predict whole plant performance under dynamic conditions, with applications towards breeding improved crop varieties.

  9. A review on biogenic synthesis of ZnO nanoparticles using plant extracts and microbes: A prospect towards green chemistry.

    Science.gov (United States)

    Ahmed, Shakeel; Annu; Chaudhry, Saif Ali; Ikram, Saiqa

    2017-01-01

    Nanotechnology is emerging as an important area of research with its tremendous applications in all fields of science, engineering, medicine, pharmacy, etc. It involves the materials and their applications having one dimension in the range of 1-100nm. Generally, various techniques are used for syntheses of nanoparticles (NPs) viz. laser ablation, chemical reduction, milling, sputtering, etc. These conventional techniques e.g. chemical reduction method, in which various hazardous chemicals are used for the synthesis of NPs later become liable for innumerable health risks due to their toxicity and endangering serious concerns for environment, while other approaches are expensive, need high energy for the synthesis of NPs. However, biogenic synthesis method to produce NPs is eco-friendly and free of chemical contaminants for biological applications where purity is of concerns. In biological method, different biological entities such as extract, enzymes or proteins of a natural product are used to reduce and stabilised formation of NPs. The nature of these biological entities also influence the structure, shape, size and morphology of synthesized NPs. In this review, biogenic synthesis of zinc oxide (ZnO) NPs, procedures of syntheses, mechanism of formation and their various applications have been discussed. Various entities such as proteins, enzymes, phytochemicals, etc. available in the natural reductants are responsible for synthesis of ZnO NPs. Copyright © 2016 Elsevier B.V. All rights reserved.

  10. Effect of exercise interventions on perceived fatigue in people with multiple sclerosis: synthesis of meta-analytic reviews.

    Science.gov (United States)

    Safari, Reza; Van der Linden, Marietta L; Mercer, Tom H

    2017-06-01

    Although exercise training has been advocated as a nonpharmacological treatment for multiple sclerosis (MS) related fatigue, no consensus exists regarding its effectiveness. To address this, we collated meta-analytic reviews that explored the effectiveness of exercise training for the treatment of MS-related fatigue. We searched five online databases for relevant reviews, published since 2005, and identified 172 records. Five reviews were retained for systematic extraction of information and evidence quality analysis. Although our review synthesis indicated that exercise training interventions have a moderate effect on fatigue reduction in people with MS, no clear insight was obtained regarding the relative effectiveness of specific types or modes of exercise intervention. Moreover, Grading of Recommendation Assessment, Development and Evaluation revealed that the overall quality of evidence emanating from these five reviews was 'very low'.

  11. Towards identifying nurse educator competencies required for simulation-based learning: A systemised rapid review and synthesis

    DEFF Research Database (Denmark)

    Bøje, Rikke Buus; Topping, Annie; Rekola, Leena

    2015-01-01

    . Following critical appraisal, the articles were analyzed using an inductive approach to extract statements for categorization and synthesis as competency statements. Results: This review confirmed that there was a modest amount of empirical evidence on which to base a competency framework. Those papers...... that provided descriptions of educator preparation identified simulation- based workshops, or experiential training, as the most common approaches for enhancing skills. SBL was not associated with any one theoretical perspective. Delivery of SBL appeared to demand competencies associated with planning...

  12. General practitioners' experiences and perceptions of benzodiazepine prescribing: systematic review and meta-synthesis.

    Science.gov (United States)

    Sirdifield, Coral; Anthierens, Sibyl; Creupelandt, Hanne; Chipchase, Susan Y; Christiaens, Thierry; Siriwardena, Aloysius Niroshan

    2013-12-13

    Benzodiazepines are often prescribed long-term inappropriately. We aimed to systematically review and meta-synthesise qualitative studies exploring clinicians' experiences and perceptions of benzodiazepine prescribing to build an explanatory model of processes underlying current prescribing practices. We searched seven electronic databases for qualitative studies in Western primary care settings published in a European language between January 1990 and August 2011 analysing GP or practice nurse experiences of benzodiazepine prescribing. We assessed study quality using the Critical Appraisal Skills Programme Checklist. We analysed findings using thematic synthesis. We included eight studies from seven countries published between 1993 and 2010. Benzodiazepine prescribing decisions are complex, uncomfortable, and demanding, taken within the constraints of daily general practice. Different GPs varied in the extent to which they were willing to prescribe benzodiazepines, and individual GPs' approaches also varied. GPs were ambivalent in their attitude towards prescribing benzodiazepines and inconsistently applied management strategies for their use. This was due to the changing context of prescribing, differing perceptions of the role and responsibility of the GP, variation in GPs' attitudes to benzodiazepines, perceived lack of alternative treatment options, GPs' perception of patient expectations and the doctor-patient relationship. GPs faced different challenges in managing initiation, continuation and withdrawal of benzodiazepines. We have developed a model which could be used to inform future interventions to improve adherence to benzodiazepine prescribing guidance and improve prescribing through education and training of professionals on benzodiazepine use and withdrawal, greater provision of alternatives to drugs, reflective practice, and better communication with patients.

  13. A review of the magnetic properties, synthesis methods and applications of maghemite

    Energy Technology Data Exchange (ETDEWEB)

    Shokrollahi, H., E-mail: shokrollahi@sutech.ac.ir

    2017-03-15

    It must be pointed out that maghemite (γ-Fe{sub 2}O{sub 3}) with a cubic spinel structure is a crucial material for various applications, including spin electronic devices, high-density magnetic recording, nano-medicines and biosensors. This paper has to do with a review study on the synthesis methods, magnetic properties and application of maghemite in the form of one-dimensional (1D) nanostructured materials, such as nanoparticles, nanotubes, nano-rods, and nanowires, as well as two-dimensional (2D) thin films. The results revealed that maghemite is widely used in the biomedical applications (hyperthermia, magnetic resonance imaging and drug delivery) and magnetic recording devices. The unmodified and Co/Mn modified maghemite thin films prepared by the dc-reactive magnetron sputtering show the excellent values of coercivity 2100 Oe and 3900 Oe, respectively, for the magnetic storage application. The super-paramagnetic particles with 7 nm size and the saturation magnetization of 80 emu/g prepared by the established thermolysis method are good candidates for bio-medical applications. - Highlights: • Among iron oxides, maghemite is one of the most important magnetic ceramics. • Maghemite is widely sued in magnetic recording and biomedicine. • This paper attempts to give an overview on the some important areas. • They contain synthetic methods, magnetic study, structural study and applications.

  14. Poly-lactic acid synthesis for application in biomedical devices - a review.

    Science.gov (United States)

    Lasprilla, Astrid J R; Martinez, Guillermo A R; Lunelli, Betânia H; Jardini, André L; Filho, Rubens Maciel

    2012-01-01

    Bioabsorbable polymers are considered a suitable alternative to the improvement and development of numerous applications in medicine. Poly-lactic acid (PLA,) is one of the most promising biopolymers due to the fact that the monomers may produced from non toxic renewable feedstock as well as is naturally occurring organic acid. Lactic acid can be made by fermentation of sugars obtained from renewable resources as such sugarcane. Therefore, PLA is an eco-friendly product with better features for use in the human body (nontoxicity). Lactic acid polymers can be synthesized by different processes so as to obtain products with an ample variety of chemical and mechanical properties. Due to their excellent biocompatibility and mechanical properties, PLA and their copolymers are becoming widely used in tissue engineering for function restoration of impaired tissues. In order to maximize the benefits of its use, it is necessary to understand the relationship between PLA material properties, the manufacturing process and the final product with desired characteristics. In this paper, the lactic acid production by fermentation and the polymer synthesis such biomaterial are reviewed. The paper intends to contribute to the critical knowledge and development of suitable use of PLA for biomedical applications. Copyright © 2011 Elsevier Inc. All rights reserved.

  15. Living with Hepatitis C Virus: A Systematic Review and Narrative Synthesis of Qualitative Literature.

    Science.gov (United States)

    Dowsett, Laura E; Coward, Stephanie; Lorenzetti, Diane L; MacKean, Gail; Clement, Fiona

    2017-01-01

    Background and Aims. The lived experience of HCV has not been well documented in the literature. The aim of this systematic review was to understand the experiences of living with Hepatitis C Virus (HCV). Methods. Five databases were searched from inception until January 19, 2015. Studies were included if they focused on adults diagnosed with HCV; reported experience living with HCV; and described original research. Results. 46 studies were included. Studies found that participants had reduced quality of life due to physical symptoms. Due to physical symptoms and discrimination, many participants switched to part-time work or quit their jobs. Many individuals reported negative experiences with the healthcare system; themes of feeling unsupported, not having adequate information, and not feeling involved in decisions were reported. Stigma significantly impacted those living with HCV. Conclusions. Published literature indicates that those with HCV often feel stigmatized and unsupported in their care, relationships, and work environments, while simultaneously coping with physical and psychological symptoms. This synthesis points to areas where greater education, compassion, and patient-centered healthcare could improve the experience of people living with HCV.

  16. Nanofluid Types, Their Synthesis, Properties and Incorporation in Direct Solar Thermal Collectors: A Review

    Science.gov (United States)

    Chamsa-ard, Wisut; Brundavanam, Sridevi; Fung, Chun Che; Fawcett, Derek; Poinern, Gerrard

    2017-01-01

    The global demand for energy is increasing and the detrimental consequences of rising greenhouse gas emissions, global warming and environmental degradation present major challenges. Solar energy offers a clean and viable renewable energy source with the potential to alleviate the detrimental consequences normally associated with fossil fuel-based energy generation. However, there are two inherent problems associated with conventional solar thermal energy conversion systems. The first involves low thermal conductivity values of heat transfer fluids, and the second involves the poor optical properties of many absorbers and their coating. Hence, there is an imperative need to improve both thermal and optical properties of current solar conversion systems. Direct solar thermal absorption collectors incorporating a nanofluid offers the opportunity to achieve significant improvements in both optical and thermal performance. Since nanofluids offer much greater heat absorbing and heat transfer properties compared to traditional working fluids. The review summarizes current research in this innovative field. It discusses direct solar absorber collectors and methods for improving their performance. This is followed by a discussion of the various types of nanofluids available and the synthesis techniques used to manufacture them. In closing, a brief discussion of nanofluid property modelling is also presented. PMID:28561802

  17. Living with Hepatitis C Virus: A Systematic Review and Narrative Synthesis of Qualitative Literature

    Directory of Open Access Journals (Sweden)

    Laura E. Dowsett

    2017-01-01

    Full Text Available Background and Aims. The lived experience of HCV has not been well documented in the literature. The aim of this systematic review was to understand the experiences of living with Hepatitis C Virus (HCV. Methods. Five databases were searched from inception until January 19, 2015. Studies were included if they focused on adults diagnosed with HCV; reported experience living with HCV; and described original research. Results. 46 studies were included. Studies found that participants had reduced quality of life due to physical symptoms. Due to physical symptoms and discrimination, many participants switched to part-time work or quit their jobs. Many individuals reported negative experiences with the healthcare system; themes of feeling unsupported, not having adequate information, and not feeling involved in decisions were reported. Stigma significantly impacted those living with HCV. Conclusions. Published literature indicates that those with HCV often feel stigmatized and unsupported in their care, relationships, and work environments, while simultaneously coping with physical and psychological symptoms. This synthesis points to areas where greater education, compassion, and patient-centered healthcare could improve the experience of people living with HCV.

  18. Nanofluid Types, Their Synthesis, Properties and Incorporation in Direct Solar Thermal Collectors: A Review.

    Science.gov (United States)

    Chamsa-Ard, Wisut; Brundavanam, Sridevi; Fung, Chun Che; Fawcett, Derek; Poinern, Gerrard

    2017-05-31

    The global demand for energy is increasing and the detrimental consequences of rising greenhouse gas emissions, global warming and environmental degradation present major challenges. Solar energy offers a clean and viable renewable energy source with the potential to alleviate the detrimental consequences normally associated with fossil fuel-based energy generation. However, there are two inherent problems associated with conventional solar thermal energy conversion systems. The first involves low thermal conductivity values of heat transfer fluids, and the second involves the poor optical properties of many absorbers and their coating. Hence, there is an imperative need to improve both thermal and optical properties of current solar conversion systems. Direct solar thermal absorption collectors incorporating a nanofluid offers the opportunity to achieve significant improvements in both optical and thermal performance. Since nanofluids offer much greater heat absorbing and heat transfer properties compared to traditional working fluids. The review summarizes current research in this innovative field. It discusses direct solar absorber collectors and methods for improving their performance. This is followed by a discussion of the various types of nanofluids available and the synthesis techniques used to manufacture them. In closing, a brief discussion of nanofluid property modelling is also presented.

  19. Nanofluid Types, Their Synthesis, Properties and Incorporation in Direct Solar Thermal Collectors: A Review

    Directory of Open Access Journals (Sweden)

    Wisut Chamsa-ard

    2017-05-01

    Full Text Available The global demand for energy is increasing and the detrimental consequences of rising greenhouse gas emissions, global warming and environmental degradation present major challenges. Solar energy offers a clean and viable renewable energy source with the potential to alleviate the detrimental consequences normally associated with fossil fuel-based energy generation. However, there are two inherent problems associated with conventional solar thermal energy conversion systems. The first involves low thermal conductivity values of heat transfer fluids, and the second involves the poor optical properties of many absorbers and their coating. Hence, there is an imperative need to improve both thermal and optical properties of current solar conversion systems. Direct solar thermal absorption collectors incorporating a nanofluid offers the opportunity to achieve significant improvements in both optical and thermal performance. Since nanofluids offer much greater heat absorbing and heat transfer properties compared to traditional working fluids. The review summarizes current research in this innovative field. It discusses direct solar absorber collectors and methods for improving their performance. This is followed by a discussion of the various types of nanofluids available and the synthesis techniques used to manufacture them. In closing, a brief discussion of nanofluid property modelling is also presented.

  20. A review of the magnetic properties, synthesis methods and applications of maghemite

    Science.gov (United States)

    Shokrollahi, H.

    2017-03-01

    It must be pointed out that maghemite (γ-Fe2O3) with a cubic spinel structure is a crucial material for various applications, including spin electronic devices, high-density magnetic recording, nano-medicines and biosensors. This paper has to do with a review study on the synthesis methods, magnetic properties and application of maghemite in the form of one-dimensional (1D) nanostructured materials, such as nanoparticles, nanotubes, nano-rods, and nanowires, as well as two-dimensional (2D) thin films. The results revealed that maghemite is widely used in the biomedical applications (hyperthermia, magnetic resonance imaging and drug delivery) and magnetic recording devices. The unmodified and Co/Mn modified maghemite thin films prepared by the dc-reactive magnetron sputtering show the excellent values of coercivity 2100 Oe and 3900 Oe, respectively, for the magnetic storage application. The super-paramagnetic particles with 7 nm size and the saturation magnetization of 80 emu/g prepared by the established thermolysis method are good candidates for bio-medical applications.

  1. A systematic review and thematic synthesis of patients' experience of medicines adherence.

    Science.gov (United States)

    Rathbone, A P; Todd, A; Jamie, K; Bonam, M; Banks, L; Husband, A K

    Medicines non-adherence continues to be problematic in health care practice. After decades of research, few interventions have a robust evidence-based demonstrating their applicability to improve adherence. Phenomenology has a place within the health care research environment. To explore patients' lived experiences of medicines adherence reported in the phenomenonologic literature. A systematic literature search was conducted to identify peer-reviewed and published phenomenological investigations in adults that aimed to investigate patients' lived experiences of medicines adherence. Studies were appraised using the Critical Appraisal Skills Programme (CASP) Qualitative Research Tool. Thematic synthesis was conducted using a combination of manual coding and NVivo10 [QSR International, Melbourne] coding to aid data management. Descriptive themes identified included i) dislike for medicines, ii) survival, iii) perceived need, including a) symptoms and side-effects and b) cost, and iv) routine. Analytic themes identified were i) identity and ii) interaction. This work describes adherence as a social interaction between the identity of patients and medicines, mediated by interaction with family, friends, health care professionals, the media and the medicine, itself. Health care professionals and policy makers should seek to re-locate adherence as a social phenomenon, directing the development of interventions to exploit patient interaction with wider society, such that patients 'get to know' their medicines, and how they can be taken, throughout the life of the patient and the prescription. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. A Systematic Review and Narrative Synthesis of Health Economic Studies Conducted for Hereditary Haemochromatosis.

    Science.gov (United States)

    de Graaff, Barbara; Neil, Amanda; Sanderson, Kristy; Si, Lei; Yee, Kwang Chien; Palmer, Andrew J

    2015-10-01

    Hereditary haemochromatosis (HH) is a common genetic condition amongst people of northern European heritage. HH is associated with increased iron absorption leading to parenchymal organ damage and multiple arthropathies. Early diagnosis and treatment prevents complications. Population screening may increase early diagnosis, but no programmes have been introduced internationally: a paucity of health economic data is often cited as a barrier. To conduct a systematic review of all health economic studies in HH. Studies were identified through electronic searching of economic/biomedical databases. Any study on HH with original economic component was included. Study quality was formally assessed. Health economic data were extracted and analysed through narrative synthesis. Thirty-eight studies met the inclusion criteria. The majority of papers reported on costs or cost effectiveness of screening programmes. Whilst most concluded screening was cost effective compared with no screening, methodological flaws limit the quality of these findings. Assumptions regarding clinical penetrance, effectiveness of screening, health-state utility values (HSUVs), exclusion of early symptomatology (such as fatigue, lethargy and multiple arthropathies) and quantification of costs associated with HH were identified as key limitations. Treatment studies concluded therapeutic venepuncture was the most cost-effective intervention. There is a paucity of high-quality health economic studies relating to HH. The development of a comprehensive HH cost-effectiveness model utilising HSUVs is required to determine whether screening is worthwhile.

  3. Conceptualising engagement with digital behaviour change interventions: a systematic review using principles from critical interpretive synthesis.

    Science.gov (United States)

    Perski, Olga; Blandford, Ann; West, Robert; Michie, Susan

    2017-06-01

    "Engagement" with digital behaviour change interventions (DBCIs) is considered important for their effectiveness. Evaluating engagement is therefore a priority; however, a shared understanding of how to usefully conceptualise engagement is lacking. This review aimed to synthesise literature on engagement to identify key conceptualisations and to develop an integrative conceptual framework involving potential direct and indirect influences on engagement and relationships between engagement and intervention effectiveness. Four electronic databases (Ovid MEDLINE, PsycINFO, ISI Web of Knowledge, ScienceDirect) were searched in November 2015. We identified 117 articles that met the inclusion criteria: studies employing experimental or non-experimental designs with adult participants explicitly or implicitly referring to engagement with DBCIs, digital games or technology. Data were synthesised using principles from critical interpretive synthesis. Engagement with DBCIs is conceptualised in terms of both experiential and behavioural aspects. A conceptual framework is proposed in which engagement with a DBCI is influenced by the DBCI itself (content and delivery), the context (the setting in which the DBCI is used and the population using it) and the behaviour that the DBCI is targeting. The context and "mechanisms of action" may moderate the influence of the DBCI on engagement. Engagement, in turn, moderates the influence of the DBCI on those mechanisms of action. In the research literature, engagement with DBCIs has been conceptualised in terms of both experience and behaviour and sits within a complex system involving the DBCI, the context of use, the mechanisms of action of the DBCI and the target behaviour.

  4. A review of engineering aspects of intensification of chemical synthesis using ultrasound.

    Science.gov (United States)

    Sancheti, Sonam V; Gogate, Parag R

    2017-05-01

    Cavitation generated using ultrasound can enhance the rates of several chemical reactions giving better selectivity based on the physical and chemical effects. The present review focuses on overview of the different reactions that can be intensified using ultrasound followed by the discussion on the chemical kinetics for ultrasound assisted reactions, engineering aspects related to reactor designs and effect of operating parameters on the degree of intensification obtained for chemical synthesis. The cavitational effects in terms of magnitudes of collapse temperatures and collapse pressure, number of free radicals generated and extent of turbulence are strongly dependent on the operating parameters such as ultrasonic power, frequency, duty cycle, temperature as well as physicochemical parameters of liquid medium which controls the inception of cavitation. Guidelines have been presented for the optimum selection based on the critical analysis of the existing literature so that maximum process intensification benefits can be obtained. Different reactor designs have also been analyzed with guidelines for efficient scale up of the sonochemical reactor, which would be dependent on the type of reaction, controlling mechanism of reaction, catalyst and activation energy requirements. Overall, it has been established that sonochemistry offers considerable potential for green and sustainable processing and efficient scale up procedures are required so as to harness the effects at actual commercial level. Copyright © 2016 Elsevier B.V. All rights reserved.

  5. Synthesis, microstructure and properties of BiFeO{sub 3}-based multiferroic materials: A review

    Energy Technology Data Exchange (ETDEWEB)

    Bernardo, M. S.

    2014-02-01

    BiFeO{sub 3}-based materials are currently one of the most studied multiferroics due to their possible applications at room temperature. However, among the large number of published papers there is much controversy. For example, possibility of synthesizing a pure BiFeO{sub 3} phase is still source of discussion in literature. Not even the nature of the binary Bi{sub 2}O{sub 3}-Fe{sub 2}O{sub 3} diagram has been clarified yet. The difficulty in controlling the formation of parasite phases reaches the consolidation step. Accordingly, the sintering conditions must be carefully determined both to get dense materials and to avoid bismuth ferrite decomposition. However, the precise conditions to attain dense bismuth ferrite materials are frequently contradictory among different works. As a consequence, the reported properties habitually result opposed and highly irreproducible hampering the preparation of BiFeO{sub 3} materials suitable for practical applications. In this context, the purpose of the present review is to summarize the main researches regarding BiFeO{sub 3} synthesis, microstructure and properties in order to provide an easier understanding of these materials. (Author)

  6. The paleoecology of the Upper Laetolil Beds, Laetoli Tanzania: A review and synthesis

    Science.gov (United States)

    Su, Denise F.; Harrison, Terry

    2015-01-01

    The Upper Laetolil Beds of Laetoli, Tanzania (∼3.6-3.85 Ma) has yielded a large and varied faunal assemblage, including specimens of Australopithecus afarensis. In contrast with contemporaneous eastern African A. afarensis sites in Kenya and Ethiopia, there is no indication of permanent rivers or other large bodies of water at the site, and the apparently drier environment supported a quite different faunal and floral community as reconstructed from the fossil record. Therefore, a deeper understanding of the paleoecology at Laetoli can be illuminating for questions of habitat access and use by A. afarensis, as well as its behavioral flexibility. This paper reviews the substantial body of evidence accumulated that allows for a detailed reconstruction of the Pliocene paleoenvironment of Laetoli. A synthesis of the different lines of evidence suggests that the Upper Laetolil Beds was a mosaic of grassland-shrubland-woodland habitats with extensive woody vegetation in the form of shrubs, thickets and bush, as well as a significant presence of dense woodland habitats along seasonal river courses and around permanent springs. The vegetation during the Pliocene at Laetoli was likely impacted by the strongly seasonal availability of water and the volcanic ash falls that periodically blanketed the area. A comparison with the paleoenvironments of other A. afarensis sites and a review of its inferred dietary behavior suggest that A. afarensis was an ecological generalist that was able to consume a wide variety of dietary resources in mosaic habitats, although their differential abundances at different sites may be indicative of specific ecological requirements that impact their success in particular environments.

  7. Patient experience of NHS health checks: a systematic review and qualitative synthesis.

    Science.gov (United States)

    Usher-Smith, Juliet A; Harte, Emma; MacLure, Calum; Martin, Adam; Saunders, Catherine L; Meads, Catherine; Walter, Fiona M; Griffin, Simon J; Mant, Jonathan

    2017-08-11

    To review the experiences of patients attending NHS Health Checks in England. A systematic review of quantitative and qualitative studies with a thematic synthesis of qualitative studies. An electronic literature search of Medline, Embase, Health Management Information Consortium, Cumulative Index of Nursing and Allied Health Literature, Global Health, PsycInfo, Web of Science, OpenGrey, the Cochrane Library, National Health Service (NHS) Evidence, Google Scholar, Google, Clinical Trials.gov and the ISRCTN registry to 09/11/16 with no language restriction and manual screening of reference lists of all included papers. Primary research reporting experiences of patients who have attended NHS Health Checks. 20 studies met the inclusion criteria, 9 reporting quantitative data and 15 qualitative data. There were consistently high levels of reported satisfaction in surveys, with over 80% feeling that they had benefited from an NHS Health Check. Data from qualitative studies showed that the NHS Health Check had been perceived to act as a wake-up call for many who reported having gone on to make substantial lifestyle changes which they attributed to the NHS Health Check. However, some had been left with a feeling of unmet expectations, were confused about or unable to remember their risk scores, found the lifestyle advice too simplistic and non-personalised or were confused about follow-up. While participants were generally very supportive of the NHS Health Check programme and examples of behaviour change were reported, there are a number of areas where improvements could be made. These include greater clarity around the aims of the programme within the promotional material, more proactive support for lifestyle change and greater appreciation of the challenges of communicating risk and the limitations of relying on the risk score alone as a trigger for facilitating behaviour change. © Article author(s) (or their employer(s) unless otherwise stated in the text of the

  8. Risk of vicarious trauma in nursing research: a focused mapping review and synthesis.

    Science.gov (United States)

    Taylor, Julie; Bradbury-Jones, Caroline; Breckenridge, Jenna P; Jones, Christine; Herber, Oliver Rudolf

    2016-10-01

    To provide a snapshot of how vicarious trauma is considered within the published nursing research literature. Vicarious trauma (secondary traumatic stress) has been the focus of attention in nursing practice for many years. The most pertinent areas to invoke vicarious trauma in research have been suggested as abuse/violence and death/dying. What is not known is how researchers account for the risks of vicarious trauma in research. Focused mapping review and synthesis. Empirical studies meeting criteria for abuse/violence or death/dying in relevant Scopus ranked top nursing journals (n = 6) January 2009 to December 2014. Relevant papers were scrutinised for the extent to which researchers discussed the risk of vicarious trauma. Aspects of the studies were mapped systematically to a pre-defined template, allowing patterns and gaps in authors' reporting to be determined. These were synthesised into a coherent profile of current reporting practices and from this, a new conceptualisation seeking to anticipate and address the risk of vicarious trauma was developed. Two thousand five hundred and three papers were published during the review period, of which 104 met the inclusion criteria. Studies were distributed evenly by method (52 qualitative; 51 quantitative; one mixed methods) and by focus (54 abuse/violence; 50 death/dying). The majority of studies (98) were carried out in adult populations. Only two papers reported on vicarious trauma. The conceptualisation of vicarious trauma takes account of both sensitivity of the substantive data collected, and closeness of those involved with the research. This might assist researchers in designing ethical and protective research and foreground the importance of managing risks of vicarious trauma. Vicarious trauma is not well considered in research into clinically important topics. Our proposed framework allows for consideration of these so that precautionary measures can be put in place to minimise harm to staff. © 2016

  9. Synthesis of Metal and Metal Oxide Nanoparticles Using Plant Extract: a Review

    Directory of Open Access Journals (Sweden)

    Is Fatimah

    2017-03-01

    Full Text Available Nanotechnology is an emerging technology and it is related to various applications. Related to nanotechnology development, the use of green chemistry concept, low cost technology and sustainability is a must. Synthesis of nanoparticles using plant extract is a developing technique within the scheme. In this paper, study on metal/metal oxide synthesis and its aspects is presented for describing the potency of natural resources for nanoparticle synthesis within green chemistry approach.

  10. A review of an updated synthesis of noise/annoyance relationships

    Science.gov (United States)

    Fields, James M.

    1994-01-01

    This report evaluates the evidence supporting the 'dosage-effect relationship for the prevalence of annoyance due to general transportation noise' that was originally presented in 1978 and more recently updated in 1991. The synthesis methods and many of the constituent studies' reports are examined. The weaknesses of the synthesis are identified and found to be partly due to the synthesis methodology, but fundamentally to the lack of comparability in the constituent studies' methodologies and reporting procedures. Several suggested improvements to survey, analysis, and synthesis techniques are proposed.

  11. Policies for the Sustainable Development of Biofuels in the Pan American Region: A Review and Synthesis of Five Countries.

    Science.gov (United States)

    Solomon, Barry D; Banerjee, Aparajita; Acevedo, Alberto; Halvorsen, Kathleen E; Eastmond, Amarella

    2015-12-01

    Rapid growth of biofuel production in the United States and Brazil over the past decade has increased interest in replicating this success in other nations of the Pan American region. However, the continued use of food-based feedstock such as maize is widely seen as unsustainable and is in some cases linked to deforestation and increased greenhouse gas emissions, raising further doubts about long-term sustainability. As a result, many nations are exploring the production and use of cellulosic feedstock, though progress has been extremely slow. In this paper, we will review the North-South axis of biofuel production in the Pan American region and its linkage with the agricultural sectors in five countries. Focus will be given to biofuel policy goals, their results to date, and consideration of sustainability criteria and certification of producers. Policy goals, results, and sustainability will be highlighted for the main biofuel policies that have been enacted at the national level. Geographic focus will be given to the two largest producers-the United States and Brazil; two smaller emerging producers-Argentina and Canada; and one stalled program-Mexico. However, several additional countries in the region are either producing or planning to produce biofuels. We will also review alternative international governance schemes for biofuel sustainability that have been recently developed, and whether the biofuel programs are being managed to achieve improved environmental quality and sustainable development.

  12. Policies for the Sustainable Development of Biofuels in the Pan American Region: A Review and Synthesis of Five Countries

    Science.gov (United States)

    Solomon, Barry D.; Banerjee, Aparajita; Acevedo, Alberto; Halvorsen, Kathleen E.; Eastmond, Amarella

    2015-12-01

    Rapid growth of biofuel production in the United States and Brazil over the past decade has increased interest in replicating this success in other nations of the Pan American region. However, the continued use of food-based feedstock such as maize is widely seen as unsustainable and is in some cases linked to deforestation and increased greenhouse gas emissions, raising further doubts about long-term sustainability. As a result, many nations are exploring the production and use of cellulosic feedstock, though progress has been extremely slow. In this paper, we will review the North-South axis of biofuel production in the Pan American region and its linkage with the agricultural sectors in five countries. Focus will be given to biofuel policy goals, their results to date, and consideration of sustainability criteria and certification of producers. Policy goals, results, and sustainability will be highlighted for the main biofuel policies that have been enacted at the national level. Geographic focus will be given to the two largest producers—the United States and Brazil; two smaller emerging producers—Argentina and Canada; and one stalled program—Mexico. However, several additional countries in the region are either producing or planning to produce biofuels. We will also review alternative international governance schemes for biofuel sustainability that have been recently developed, and whether the biofuel programs are being managed to achieve improved environmental quality and sustainable development.

  13. Expediting evidence synthesis for healthcare decision-making: exploring attitudes and perceptions towards rapid reviews using Q methodology

    Directory of Open Access Journals (Sweden)

    Shannon E. Kelly

    2016-10-01

    Full Text Available Background Rapid reviews expedite the knowledge synthesis process with the goal of providing timely information to healthcare decision-makers who want to use evidence-informed policy and practice approaches. A range of opinions and viewpoints on rapid reviews is thought to exist; however, no research to date has formally captured these views. This paper aims to explore evidence producer and knowledge user attitudes and perceptions towards rapid reviews. Methods A Q methodology study was conducted to identify central viewpoints about rapid reviews based on a broad topic discourse. Participants rank-ordered 50 text statements and explained their Q-sort in free-text comments. Individual Q-sorts were analysed using Q-Assessor (statistical method: factor analysis with varimax rotation. Factors, or salient viewpoints on rapid reviews, were identified, interpreted and described. Results Analysis of the 11 individual Q sorts identified three prominent viewpoints: Factor A cautions against the use of study design labels to make judgements. Factor B maintains that rapid reviews should be the exception and not the rule. Factor C focuses on the practical needs of the end-user over the review process. Conclusion Results show that there are opposing viewpoints on rapid reviews, yet some unity exists. The three factors described offer insight into how and why various stakeholders act as they do and what issues may need to be resolved before increase uptake of the evidence from rapid reviews can be realized in healthcare decision-making environments.

  14. Visceral leishmaniasis in Brazil

    Directory of Open Access Journals (Sweden)

    Mary Marcondes

    2013-10-01

    Full Text Available Visceral leishmaniasis (VL is among the most important vector-borne diseases that occur in Brazil, mainly due to its zoonotic nature. It is currently present in almost all Brazilian territory, and its control is a challenge both for veterinarians and for public health officials. The etiologic agent is Leishmania infantum (syn chagasi, and the main vector in Brazil is Lutzomyia longipalpis. Of all animals identified as reservoirs of VL, the dog is considered the most important domestic reservoir. Although the disease has already been identified in cats, the epidemiological role of this animal species is still unclear. This article presents a brief review of the epidemiological situation of the disease, its mode of transmission, clinical features in dogs and cats as well as possible risk factors associated with the occurrence of the disease in Brazil.

  15. General practitioners’ experiences and perceptions of benzodiazepine prescribing: systematic review and meta-synthesis

    Science.gov (United States)

    2013-01-01

    Background Benzodiazepines are often prescribed long-term inappropriately. We aimed to systematically review and meta-synthesise qualitative studies exploring clinicians’ experiences and perceptions of benzodiazepine prescribing to build an explanatory model of processes underlying current prescribing practices. Methods We searched seven electronic databases for qualitative studies in Western primary care settings published in a European language between January 1990 and August 2011 analysing GP or practice nurse experiences of benzodiazepine prescribing. We assessed study quality using the Critical Appraisal Skills Programme Checklist. We analysed findings using thematic synthesis. Results We included eight studies from seven countries published between 1993 and 2010. Benzodiazepine prescribing decisions are complex, uncomfortable, and demanding, taken within the constraints of daily general practice. Different GPs varied in the extent to which they were willing to prescribe benzodiazepines, and individual GPs’ approaches also varied. GPs were ambivalent in their attitude towards prescribing benzodiazepines and inconsistently applied management strategies for their use. This was due to the changing context of prescribing, differing perceptions of the role and responsibility of the GP, variation in GPs’ attitudes to benzodiazepines, perceived lack of alternative treatment options, GPs’ perception of patient expectations and the doctor-patient relationship. GPs faced different challenges in managing initiation, continuation and withdrawal of benzodiazepines. Conclusion We have developed a model which could be used to inform future interventions to improve adherence to benzodiazepine prescribing guidance and improve prescribing through education and training of professionals on benzodiazepine use and withdrawal, greater provision of alternatives to drugs, reflective practice, and better communication with patients. PMID:24330388

  16. Lay and health care professional understandings of self-management: A systematic review and narrative synthesis

    Directory of Open Access Journals (Sweden)

    Euan Sadler

    2014-08-01

    Full Text Available Objectives: Self-management is widely promoted but evidence of effectiveness is limited. Policy encourages health care professionals to support people with long-term conditions to learn self-management skills, yet little is known about the extent to which both parties share a common understanding of self-management. Thus, we compared health care professional and lay understandings of self-management of long-term conditions. Methods: Systematic review and narrative synthesis of qualitative studies identified from relevant electronic databases, hand-searching of references lists, citation tracking and recommendations by experts. Results: In total, 55 studies were included and quality was assessed using a brief quality assessment tool. Three conceptual themes, each with two subthemes were generated: traditional and shifting models of the professional–patient relationship (self-management as a tool to promote compliance; different expectations of responsibility; quality of relationship between health care professional and lay person (self-management as a collaborative partnership; self-management as tailored support and putting self-management into everyday practice (the lived experience of self-management; self-management as a social practice. Conclusion: Self-management was conceptualised by health care professionals as incorporating both a biomedical model of compliance and individual responsibility. Lay people understood self-management in wider terms, reflecting biomedical, psychological and social domains and different expectations of responsibility. In different ways, both deviated from the dominant model of self-management underpinned by the concept of self-efficacy. Different understandings help to explain how self-management is practised and may help to account for limited evidence of effectiveness of self-management interventions.

  17. Genetic association studies of methamphetamine use disorders: A systematic review and synthesis.

    Science.gov (United States)

    Bousman, Chad A; Glatt, Stephen J; Everall, Ian P; Tsuang, Ming T

    2009-12-05

    Efforts to understand the biological processes that increase susceptibility to methamphetamine (METH) use disorders (i.e., abuse, dependence, and psychosis) have uncovered several putative genotypic variants. However, to date a synthesis of this information has not been conducted. Thus, systematic searches of the current literature were undertaken for genetic-association studies of METH use disorders. Each gene's chromosomal location, function, and examined polymorphic markers were extracted. Frequencies, odds ratios and 95% confidence intervals for risk alleles, as well as sample size and power, were calculated. We uncovered 38 studies examining 39 genes, of which 18 were found to have a significant genotypic, allelic, and/or haplotypic association with METH use disorders. Three genes (COMT, DRD4, and GABRA1) were associated with METH abuse, nine (ARRB2, BDNF, CYP2D6, GLYT1, GSTM1, GSTP1, PDYN, PICK1, and SLC22A3) with METH dependence, two (AKT1 and GABRG2) with METH abuse/dependence, and four (DTNBP1, OPRM1, SNCA, and SOD2) with METH psychosis. Limitations related to phenotypic classification, statistical power, and potential publication bias in the current literature were noted. Similar to other behavioral, psychiatric, and substance use disorders, the genetic epidemiology of METH use disorders is complex and likely polygenic. National and international collaborative efforts are needed to increase the availability of large population-based samples and improve upon the power to detect genetic associations of small magnitude. Further, replication of the findings reviewed here along with further development of more rigorous methodologies and reporting protocols will aid in delineating the complex genetic epidemiology of METH use disorders. 2009 Wiley-Liss, Inc.

  18. Stream microbial diversity responds to environmental changes: Review and synthesis of existing research

    Directory of Open Access Journals (Sweden)

    Lydia eZeglin

    2015-05-01

    Full Text Available The importance of microbial activity to ecosystem function in aquatic ecosystems is well established, but microbial diversity has been less frequently addressed. This review and synthesis of the hundreds of published studies on stream microbial diversity shows that factors known to drive ecosystem processes, such as nutrient availability, hydrology, metal contamination, contrasting land-use and temperature, also cause heterogeneity in bacterial diversity. Temporal heterogeneity in stream bacterial diversity was frequently observed, reflecting the dynamic nature of both stream ecosystems and microbial community composition. However, within-stream spatial differences in stream bacterial diversity were more commonly observed, driven specifically by different organic matter compartments. Bacterial phyla showed similar patterns in relative abundance with regard to compartment type across different streams. For example, surface water contained the highest relative abundance of Actinobacteria, while epilithon contained the highest relative abundance of Cyanobacteria and Bacteroidetes. This suggests that contrasting physical and/or nutritional habitats characterized by different stream organic matter compartment types may select for certain bacterial lineages. When comparing the prevalence of physicochemical effects on stream bacterial diversity, effects of changing metal concentrations were most, while effects of differences in nutrient concentrations were least frequently observed. This may indicate that although changing nutrient concentrations do tend to affect microbial diversity, other environmental factors are more likely to alter stream microbial diversity and function. The common observation of connections between ecosystem process drivers and microbial diversity suggests that microbial taxonomic turnover could mediate ecosystem-scale responses to changing environmental conditions, including both microbial habitat distribution and

  19. Non-native fishes in Florida freshwaters: a literature review and synthesis

    Science.gov (United States)

    Schofield, Pamela J.; Loftus, William F.

    2015-01-01

    Non-native fishes have been known from freshwater ecosystems of Florida since the 1950s, and dozens of species have established self-sustaining populations. Nonetheless, no synthesis of data collected on those species in Florida has been published until now. We searched the literature for peer-reviewed publications reporting original data for 42 species of non-native fishes in Florida that are currently established, were established in the past, or are sustained by human intervention. Since the 1950s, the number of non-native fish species increased steadily at a rate of roughly six new species per decade. Studies documented (in decreasing abundance): geographic location/range expansion, life- and natural-history characteristics (e.g., diet, habitat use), ecophysiology, community composition, population structure, behaviour, aquatic-plant management, and fisheries/aquaculture. Although there is a great deal of taxonomic uncertainty and confusion associated with many taxa, very few studies focused on clarifying taxonomic ambiguities of non-native fishes in the State. Most studies were descriptive; only 15 % were manipulative. Risk assessments, population-control studies and evaluations of effects of non-native fishes were rare topics for research, although they are highly valued by natural-resource managers. Though some authors equated lack of data with lack of effects, research is needed to confirm or deny conclusions. Much more is known regarding the effects of lionfish (Pterois spp.) on native fauna, despite its much shorter establishment time. Natural-resource managers need biological and ecological information to make policy decisions regarding non-native fishes. Given the near-absence of empirical data on effects of Florida non-native fishes, and the lengthy time-frames usually needed to collect such information, we provide suggestions for data collection in a manner that may be useful in the evaluation and prediction of non-native fish effects.

  20. Mental Health Interventions in the Workplace and Work Outcomes: A Best-Evidence Synthesis of Systematic Reviews

    Directory of Open Access Journals (Sweden)

    SL Wagner

    2016-01-01

    Full Text Available Background: Mental health issues in the workplace are a growing concern among organizations and policymakers, but it remains unclear what interventions are effective in preventing mental health problems and their associated organizational consequences. This synthesis reports on workplace mental health interventions that impact absenteeism, productivity and financial outcomes. Objective: To determine the level of evidence supporting mental health interventions as valuable to work outcomes. Methods: Databases were searched for systematic reviews between 2000 and 2012: Medline, EMBASE, the Cochrane Database of Systematic Reviews, DARE, CINAHL, PsycINFO and TRIP. Grey literature searches included health-evidence.ca, Rehab+, National Rehabilitation Information Center (NARIC, and Institute for Work and Health. The assessment of articles for inclusion criteria and methodological quality was conducted independently by two or more researchers, with differences resolved through consensus. Results: The search resulted in 3363 titles, of which 3248 were excluded following title/abstract review, with 115 articles retrieved for full-text review. 14 articles finally met the inclusion criteria and are summarized in this synthesis. Conclusion: There is moderate evidence for the effectiveness of workplace mental health interventions on improved workplace outcomes. Certain types of programs, such as those incorporating both mental and physical health interventions, multicomponent mental health and/or psychosocial interventions, and exposure in vivo containing interventions for particular anxiety disorders had a greater level of research evidence to support their effectiveness.

  1. Mental Health Interventions in the Workplace and Work Outcomes: A Best-Evidence Synthesis of Systematic Reviews.

    Science.gov (United States)

    Wagner, S L; Koehn, C; White, M I; Harder, H G; Schultz, I Z; Williams-Whitt, K; Warje, O; Dionne, C E; Koehoorn, M; Pasca, R; Hsu, V; McGuire, L; Schulz, W; Kube, D; Wright, M D

    2016-01-01

    Mental health issues in the workplace are a growing concern among organizations and policymakers, but it remains unclear what interventions are effective in preventing mental health problems and their associated organizational consequences. This synthesis reports on workplace mental health interventions that impact absenteeism, productivity and financial outcomes. To determine the level of evidence supporting mental health interventions as valuable to work outcomes. Databases were searched for systematic reviews between 2000 and 2012: Medline, EMBASE, the Cochrane Database of Systematic Reviews, DARE, CINAHL, PsycINFO and TRIP. Grey literature searches included health-evidence.ca, Rehab+, National Rehabilitation Information Center (NARIC), and Institute for Work and Health. The assessment of articles for inclusion criteria and methodological quality was conducted independently by two or more researchers, with differences resolved through consensus. The search resulted in 3363 titles, of which 3248 were excluded following title/abstract review, with 115 articles retrieved for full-text review. 14 articles finally met the inclusion criteria and are summarized in this synthesis. There is moderate evidence for the effectiveness of workplace mental health interventions on improved workplace outcomes. Certain types of programs, such as those incorporating both mental and physical health interventions, multicomponent mental health and/or psychosocial interventions, and exposure in vivo containing interventions for particular anxiety disorders had a greater level of research evidence to support their effectiveness.

  2. Perceptions of preparedness for the first medical clerkship: a systematic review and synthesis.

    Science.gov (United States)

    Surmon, Laura; Bialocerkowski, Andrea; Hu, Wendy

    2016-03-12

    The transition from university-based to clerkship-based education can be challenging. Medical schools have introduced strategies to ease the transition, but there has been no systematic review synthesizing the evidence on the perceptions of preparedness of medical students for their first clerkship to support these interventions. This study therefore aimed to (1) identify and synthesize the published evidence on medical students' perceptions of preparedness for their first clerkship, and (2) identify factors that may impact on preparedness for clerkship, to better inform interventions aimed at easing this transition. Electronic databases (Medline, Journals@Ovid, CINAHL, ERIC, Web of Science, Embase) were searched without restriction and secondary searching of reference lists of included studies was also conducted. Included studies used quantitative or qualitative methodologies, involved medical students and addressed student/supervisor perceptions of preparedness for first clerkship. The first clerkship was defined as the first truly immersive educational experience during which the majority of learning was vocational and self-directed, as per the MeSH term 'clinical clerkship' and associated definition. Using an inductive thematic synthesis approach, 2 researchers independently extracted data, coded text (from results and discussion sections), and identified themes related to preparedness. Any disagreements were resolved by discussion and findings were then narratively synthesized. The initial search identified 1214 papers. After removing duplicates and assessing abstracts and full articles against the inclusion criteria, 8 articles were included in the review. In general, the body of evidence was of sound methodological quality. Ten themes relating to perceptions of preparedness of medical students for their first clerkship were identified; competence, disconnection, links to the future, uncertainty, part of the team, time/workload, adjustment, curriculum, prior

  3. A review on green synthesis of zinc oxide nanoparticles – An eco-friendly approach

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    Happy Agarwal

    2017-12-01

    Full Text Available Nanotechnology deals with the production and usage of material with nanoscale dimension. Nanoscale dimension provides nanoparticles a large surface area to volume ratio and thus very specific properties. Zinc oxide nanoparticles (ZnO NPs had been in recent studies due to its large bandwidth and high exciton binding energy and it has potential applications like antibacterial, antifungal, anti-diabetic, anti-inflammatory, wound healing, antioxidant and optic properties. Due to the large rate of toxic chemicals and extreme environment employed in the physical and chemical production of these NPs, green methods employing the use of plants, fungus, bacteria, and algae have been adopted. This review is a comprehensive study of the synthesis and characterization methods used for the green synthesis of ZnO NPs using different biological sources. Keywords: Zinc oxide nanoparticles, Biosynthesis, Plant, Microbes, Algae

  4. A Review of Current Research into the Biogenic Synthesis of Metal and Metal Oxide Nanoparticles via Marine Algae and Seagrasses

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    Derek Fawcett

    2017-01-01

    Full Text Available Today there is a growing need to develop reliable, sustainable, and ecofriendly protocols for manufacturing a wide range of metal and metal oxide nanoparticles. The biogenic synthesis of nanoparticles via nanobiotechnology based techniques has the potential to deliver clean manufacturing technologies. These new clean technologies can significantly reduce environmental contamination and decease the hazards to human health resulting from the use of toxic chemicals and solvents currently used in conventional industrial fabrication processes. The largely unexplored marine environment that covers approximately 70% of the earth’s surface is home to many naturally occurring and renewable marine plants. The present review summarizes current research into the biogenic synthesis of metal and metal oxide nanoparticles via marine algae (commonly known as seaweeds and seagrasses. Both groups of marine plants contain a wide variety of biologically active compounds and secondary metabolites that enables these plants to act as biological factories for the manufacture of metal and metal oxide nanoparticles.

  5. Ihtisab (Accountability in Waqf Institutions: A Review and Synthesis of Literature

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    Yasmin Umar Assegaf

    2013-12-01

    should be good in akhlak (moral and bring his members into a good akhlak too as akhlak is a key success for Islamic institutions. Due to the fact that Synthesis of ihtisab research findings has not been done so far, it is expected that this synthesis of the studies can be the basis for subsequent researchers to continue and develop this findings on the other dimensions of theories and models by developing Islamic science and Islamic empirical methods in line with shariah.

  6. A review on the chemical synthesis of pyrophosphate bonds in bioactive nucleoside diphosphate analogs.

    Science.gov (United States)

    Xu, Zhihong

    2015-09-15

    Currently, there is an ongoing interest in the synthesis of nucleoside diphosphate analogs as important regulators in catabolism/anabolism, and their potential applications as mechanistic probes and chemical tools for bioassays. However, the pyrophosphate bond formation step remains as the bottleneck. In this Digest, the chemical synthesis of the pyrophosphate bonds of representative bioactive nucleoside diphosphate analogs, i.e. phosphorus-modified analogs, nucleoside cyclic diphosphates, and nucleoside diphosphate conjugates, will be described. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Immigrant women's experiences of maternity-care services in Canada: a systematic review using a narrative synthesis.

    Science.gov (United States)

    Higginbottom, Gina M A; Morgan, Myfanwy; Alexandre, Mirande; Chiu, Yvonne; Forgeron, Joan; Kocay, Deb; Barolia, Rubina

    2015-02-11

    Canada's diverse society and its statutory commitment to multiculturalism means that a synthesis of knowledge related to the healthcare experiences of immigrants is essential to realise the health potential for future Canadians. Although concerns about the maternity experiences of immigrants in Canada are relatively new, recent national guidelines explicitly call for the tailoring of services to user needs. We therefore assessed the experiences of immigrant women accessing maternity-care services in Canada. In particular, we investigated the experiences of immigrant women in Canada in accessing and navigating maternity and related healthcare services from conception to 6 months postpartum in Canada. Our focus was on (a) the accessibility and acceptability of maternity-care services for immigrant women and (b) the effects of the perceptions and experiences of these women on their birth and postnatal outcomes. We conducted a systematic review using a systematic search and narrative synthesis of peer-reviewed and non-peer-reviewed reports of empirical research, with the aim of providing stakeholders with perspectives on maternity-care services as experienced by immigrant women. We partnered with key stakeholders ('integrated knowledge users') to ensure the relevancy of topics and to tailor recommendations for effective translation into future policy, practice and programming. Two search phases and a three-stage selection process for published and grey literature were conducted prior to appraisal of literature quality and narrative synthesis of the findings. Our knowledge synthesis of maternity care among immigrants to Canada provided a coherent evidence base for (a) eliciting a better understanding of the factors that generate disparities in accessibility, acceptability and outcomes during maternity care; and (b) improving culturally based competency in maternity care. Our synthesis also identified pertinent issues in multiple sectors that should be addressed to

  8. Job Demand and Control Interventions: A Stakeholder-Centered Best-Evidence Synthesis of Systematic Reviews on Workplace Disability

    Directory of Open Access Journals (Sweden)

    K Williams-Whitt

    2015-04-01

    Full Text Available Background: Physical and psychological job demands in combination with the degree of control a worker has over task completion, play an important role in reducing stress. Occupational stress is an important, modifiable factor affecting work disability. However, the effectiveness of reducing job demands or increasing job control remains unclear, particularly for outcomes of interest to employers, such as absenteeism or productivity. Objective: This systematic review reports on job demand and control interventions that impact absenteeism, productivity and financial outcomes. Methods: A stakeholder-centered best-evidence synthesis was conducted with researcher and stakeholder collaboration throughout. Databases and grey literature were searched for systematic reviews between 2000 and 2012: Medline, EMBASE, the Cochrane Database of Systematic Reviews, DARE, CINAHL, PsycINFO, TRIP, health-evidence.ca, Rehab+, National Rehabilitation Information Center (NARIC, and Institute for Work and Health. Articles were assessed independently by two researchers for inclusion criteria and methodological quality. Differences were resolved through consensus. Results: The search resulted in 3363 unique titles. After review of abstracts, 115 articles were retained for full-text review. 11 articles finally met the inclusion criteria and are summarized in this synthesis. The best level of evidence we found indicates that multimodal job demand reductions for either at-work or off-work workers will reduce disability-related absenteeism. Conclusion: In general, the impacts of interventions that aim to reduce job demands or increase job control can be positive for the organization in terms of reducing absenteeism, increasing productivity and cost-effectiveness. However, more high quality research is needed to further assess the relationships and quantify effect sizes for the interventions and outcomes reviewed in this study.

  9. Synthesis, microstructural and mechanical properties of ex situ zircon particles (ZrSiO4 reinforced Metal Matrix Composites (MMCs: a review

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    Satish Kumar Thandalam

    2015-07-01

    This review article details the current development on the synthesis, microstructure and mechanical properties of zircon reinforced MMCs, with specific attention on the abrasive wear behavior of the composites. This review also summarizes the work done by various research groups on zircon reinforced MMCs in achieving higher hardness and wear resistance in these composites.

  10. The 2014 FIFA World Cup: communicable disease risks and advice for visitors to Brazil--a review from the Latin American Society for Travel Medicine (SLAMVI).

    Science.gov (United States)

    Gallego, Viviana; Berberian, Griselda; Lloveras, Susana; Verbanaz, Sergio; Chaves, Tania S S; Orduna, Tomas; Rodriguez-Morales, Alfonso J

    2014-01-01

    The next FIFA World Cup will be held in Brazil in June-July 2014. Around 600,000 international visitors and participants (as well over 3 million domestic travelers) are expected. This event will take place in twelve cities. This event poses specific challenges, given its size and the diversity of attendees, including the potential for the transmission of imported or endemic communicable diseases, especially those that have an increased transmission rate as a result of close human proximity, eg, seasonal influenza, measles but also tropical endemic diseases. In anticipation of increased travel, a panel of experts from the Latin American Society for Travel Medicine (SLAMVI) developed the current recommendations regarding the epidemiology and risks of the main communicable diseases in the major potential destinations, recommended immunizations and other preventives measures to be used as a basis for advice for travelers and travel medicine practitioners. Mosquito-borne infections also pose a challenge. Dengue poses a significant risk in all states, including the host cities. Vaccination against yellow fever is recommended except for travelers who will only visit coastal areas. Travelers visiting high-risk areas for malaria (Amazon) should be assessed regarding the need for chemoprophylaxis. Chikunguya fever may be a threat for Brazil, given the presence of Aedes aegypti, vector of dengue, and the possibility of travelers bringing the virus with them when attending the event. Advice on the correct timing and use of repellents and other personal protection measures is key to preventing these vector-borne infections. Other important recommendations for travelers should focus on preventing water and food-borne diseases such as hepatitis A, typhoid fever, giardiasis and traveler's diarrhea. Sexually transmitted diseases (STD) should be also mentioned and the use of condoms advocated. This review addresses pre-travel, preventive strategies to reduce the risk of acquiring

  11. Event review: Seminário Nacional de Tecnologia Lítica, Goiânia, Brazil

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    Marcos Paulo de Melo Ramos

    2017-03-01

    Full Text Available Between 5 and 9 October of 2016 the Seminário Nacional de Tecnologia Lítica (National Seminar of Lithic Technology took place on the campus of the Pontifical Catholic University of Goiás, Brazil. The seminar aimed to create a space of exchange and learning among students, researchers and professors which currently work with prehistoric lithic technology, developing studies in different regions of Brazil, in addition to the special participation of a researcher from Peru. The event was conceived and developed through the efforts of three Brazilian institutions: the Pontifical Catholic University of Goiás (Dr. Sibeli A. Viana and Marcos Paulo Ramos, the University of Pelotas, Rio Grande do Sul (Dr. Maria Gluchy, and the Federal University of Minas Gerais (Dr. Jacqueline Rodet, in addition to a partnership with Paris West University Nanterre La Défense (Dr. Eric Boeda. Activities of practical analysis on lithic material and knapping were developed with the aim of better understanding the methods and techniques involved in the production of archaeological tools. As the event sought to develop practical activities, with dynamic ones, it was accompanied by monitored knapping sessions. It was necessary to restrict the participation to a small number of people (20. Still, there was participation by students from undergraduate, master's, and doctoral programs. As well, places were reserved for archaeologists working with rescue projects involving lithic period sites.

  12. Brazil-U.S. Relations

    Science.gov (United States)

    2010-03-05

    component to poverty in Brazil. People of African descent in Brazil, also known as Afro - Brazilians, represent roughly 45% of the country’s...Security & Strategic Review, January 2008. 70 Guila Flint, “Jobim alerta para ameaça de atentados e diz que país deve se preparar para problemas durante...in Brazil, also known as Afro -Brazilians, represent 45% of the country’s population, but constitute 64% of the poor and 69% of the extreme poor.106

  13. Synthesis, microstructure and properties of BiFeO3-based multiferroic materials: A review

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    Bernardo, M. S.

    2014-02-01

    Full Text Available BiFeO3-based materials are currently one of the most studied multiferroics due to their possible applications at room temperature. However, among the large number of published papers there is much controversy. For example, possibility of synthesizing a pure BiFeO3 phase is still source of discussion in literature. Not even the nature of the binary Bi2O3-Fe2O3 diagram has been clarified yet. The difficulty in controlling the formation of parasite phases reaches the consolidation step. Accordingly, the sintering conditions must be carefully determined both to get dense materials and to avoid bismuth ferrite decomposition. However, the precise conditions to attain dense bismuth ferrite materials are frequently contradictory among different works. As a consequence, the reported properties habitually result opposed and highly irreproducible hampering the preparation of BiFeO3 materials suitable for practical applications. In this context, the purpose of the present review is to summarize the main researches regarding BiFeO3 synthesis, microstructure and properties in order to provide an easier understanding of these materials.Los materiales basados en BiFeO3 son en la actualidad uno de los multiferroicos más estudiados debido a sus posibles aplicaciones a temperatura ambiente. Sin embargo, entre la multitud de trabajos publicados referentes a estos materiales existe mucha controversia. Por ejemplo, la posibilidad de sintetizar una fase BiFeO3 pura es aún objeto de discusión en la bibliografía y la naturaleza de los diagramas de fases del sistema Bi2O3-Fe2O3 aún no está clara. La dificultad para controlar las fases parásitas se extiende al proceso de consolidación por lo que las condiciones de sinterización deben ser cuidadosamente controladas para obtener materiales densos y al mismo tiempo evitar la descomposición de la ferrita. No obstante, las condiciones precisas para obtener materiales densos de BiFeO3 son frecuentemente

  14. A review on the effect of fly ash characteristics and their variations on the synthesis of fly ash based geopolymer

    Science.gov (United States)

    Wattimena, Oswyn K.; Antoni, Hardjito, Djwantoro

    2017-09-01

    There are more than four decades since the last 1970s where geopolymers concrete was first introduced and developed to use as a replacement to conventional concrete material which uses cement as a binder. And since the last two decades, geopolymers which utilized fly ash as aluminosilicate source material, i.e. fly ash based geopolymers, have been investigated. Many researchers present how to produce the best fly ash based geopolymer with a various source of constituent material as well as mixing formula to achieve exceptional concrete performance. Although there is a similar trend towards factors affecting the result of fly ash based geopolymer synthesis, there is still remain a wide range in mixture proportion. The considerable variation in fly ash characteristics as source material in the synthesis can very likely be one of the causes of this problem. This paper attempts to identify the effect of source material variation of geopolymer concrete, particularly which use fly ash as source material and focuses on the variation of its characteristics and the effects to properties of concrete. From the reviews it concluded that different sources (and even the same source, but different batch) of fly ash materials will give some different characteristics of the fly ash, where it would affect the synthesis process of the fly ash based geopolymer concretes.

  15. Clinical and immunopathological spectrum of American cutaneous leishmaniasis with special reference to the disease in Amazonian Brazil: a review

    Directory of Open Access Journals (Sweden)

    Fernando T Silveira

    2004-05-01

    Full Text Available The wide variety of Leishmania species responsible for human American cutaneous leishmaniasis combined with the immune mechanisms of the host results in a large spectrum of clinical, histopathological, and immunopathological manifestations. At the middle of this spectrum are the most frequent cases of localized cutaneous leishmaniasis (LCL caused by members of the subgenera Leishmania and Viannia, which respond well to conventional therapy. The two pathogenicity extremes of the spectrum generally recognized are represented at the hypersensitivity pole by mucocutaneous leishmaniasis (MCL and at the hyposensitivity pole by anergic diffuse cutaneous leishmaniasis (ADCL. Following the present study on the clinical, histopathological and immunopathological features of cutaneous leishmaniasis in Amazonian Brazil, we propose the use of the term "borderline disseminated cutaneous leishmaniasis" for the disseminated form of the disease, due to parasites of the subgenera Leishmania and Viannia, which might be regarded as intermediate between LCL and the extreme pathogenicity poles MCL and ADCL.

  16. Fish and fishery products trade in Brazil, 2005 to 2015: A review of available data and trends

    Directory of Open Access Journals (Sweden)

    Rafael Simões Coelho Barone

    Full Text Available ABSTRACT: Along the last ten years fish and fishery product trade in Brazil has been on a downward trajectory turning a profit of US$ 98.6 million in 2005 into a loss of US$ 1.25 billion by 2014. On the other hand, the country is a leading producer of grains and has the third largest animal feed industry in the world, which has added 5.5 million hectares of freshwater reservoirs and 3.5 million km2 of an exclusive marine economic zone in the same period, a sizable potential for development of the aquaculture industry. This study aims at unveiling strategies for the reduction of the deficit in the Brazilian seafood trade balance, based on critical analysis of the quantitative and qualitative characteristics of imported fishery products. The fish and fishery product trade in Brazil, from 2005 to 2015, was studied considering import and export data mined from the Brazilian Ministry of Development, Industry and Commerce databases through the Aliceweb system, and clustered as follows: processing; product species; origin; conservation; and group. The main imported products were gutted fresh fish, highest price (salmon; salted dried fish, higher price (cod; frozen fish fillets, lowest price (fish and hake. The replacement of fish imports by domestic production is not enough to enable consumers to identify the equivalence between products (technical, qualitative or organoleptic. Developing strategies for the production of fish and fishery products at competitive prices and quantities that meet consumer demand is an immediate need, and the development of the aquaculture industry a rational strategy.

  17. Spotlight: Brazil.

    Science.gov (United States)

    Carter, M

    1996-08-01

    Brazil is South America's largest country and home to nearly half of the continent's people. Despite solid economic growth, Brazil has one of the world's widest income disparities. In the early 1990s, nearly 40% of urban and 66% of rural Brazilians lived in poverty. The streets of Brazil's cities are home to a large population of street children. Although it is difficult to estimate, 10 million children and youths may be either homeless or making a meager living off of the streets. Street children may be linked to prostitution and drugs and be the targets or perpetrators of violence. Child labor is an issue in Brazil. Today an estimated 30% of rural children and 9% of urban children ages 10-13 work in the formal economy. In some rural areas, 60% of workers are ages 5-17. Child labor also contributes to Brazil's relatively low educational attainment levels. UNICEF estimates that around 1990 only 1/3 of all Brazilian children continued on to secondary school, compared to 74% and 47%, respectively, for the Latin America and Caribbean regions. Immunization rates among Brazil's children are rising but still lag slightly behind regional averages. The mortality rate for children under age 5 decreased dramatically from 181 deaths for every 1000 live births in 1960 to 61/1000 in 1994. During the same time period, the average number of children born to a woman during her lifetime dropped from 6.2 to 2.8. This fertility decline is related in part to increased access to and acceptance of family planning. Contraceptive prevalence, including traditional and modern methods, is around 66%, with female sterilization and the pill being the most popular methods. Brazil's abortion rates are high, despite laws limiting access to abortion services. One estimate suggests that about 30% of all pregnancies are terminated through abortion each year.

  18. Parasitism by larval tapeworms genus Spirometra in South American amphibians and reptiles: new records from Brazil and Uruguay, and a review of current knowledge in the region.

    Science.gov (United States)

    Oda, Fabrício H; Borteiro, Claudio; da Graça, Rodrigo J; Tavares, Luiz Eduardo R; Crampet, Alejandro; Guerra, Vinicius; Lima, Flávia S; Bellay, Sybelle; Karling, Letícia C; Castro, Oscar; Takemoto, Ricardo M; Pavanelli, Gilberto C

    2016-12-01

    Spargana are plerocercoid larvae of cestode tapeworms of the genus Spirometra, Family Diphyllobothriidae, parasitic to frogs, reptiles, birds and mammals. This parasitic disease in humans can be transmitted through the use and consumption of amphibians and reptiles. The available knowledge about Spirometra in South America is scarce, and there are only a few reports on the occurrence of sparganum in amphibians and reptiles, many of them published in old papers not easily available to researchers. In this work we present a review on this topic, provide new records in two species of amphibians and 7 species of reptiles from Brazil and Uruguay respectively. We also summarize current knowledge of Spirometra in the continent, along with an updated of host taxonomy. We could gather from the literature a total of 15 studies about amphibian and reptile hosts, published between 1850 and 2016, corresponding to 43 case reports, mostly from Brazil (29) and Uruguay (8), Argentina (3), Peru (2), and Venezuela (1); the majority of them related to reptiles (five lizards and 26 snake species), and 14 corresponded to amphibians (9 anurans). Plerocercoid larvae were located in different organs of the hosts, such as subcutaneous tissue, coelomic cavity, peritoneum, and musculature. The importance of amphibians and reptiles in the transmission of the disease to humans in South America is discussed. Relevant issues to be studied in the near future are the taxonomic characterization of Spirometra in the region and the biological risk of reptile meat for aboriginal and other rural communities. Copyright © 2016 Elsevier B.V. All rights reserved.

  19. Knowledge, perceptions and information about hormone therapy (HT) among menopausal women: a systematic review and meta-synthesis.

    Science.gov (United States)

    Tao, MinFang; Teng, YinCheng; Shao, HongFang; Wu, Ping; Mills, Edward J

    2011-01-01

    The use of hormone therapy (HT) by menopausal women has declined since the Women's Health Initiative randomized trial (WHI) in 2002 demonstrated important harms associated with long-term use. However, how this information has influenced women's knowledge and attitudes is uncertain. We aimed to evaluate the attitudes and perceptions towards HT use, as well as specific concerns and information sources on HT since the WHI trial. We did a systematic review to assess the attitudes and knowledge towards HT in women, and estimate the magnitude of the issue by pooling across the studies. Using meta-synthesis methods, we reviewed qualitative studies and surveys and performed content analysis on the study reports. We pooled quantitative studies using a random-effects meta-analysis. We analyzed 11 qualitative studies (n = 566) and 27 quantitative studies (n = 39251). Positive views on HT included climacteric symptom control, prevention of osteoporosis and a perceived improvement in quality of life. Negative factors reported included concerns about potential harmful effects, particularly cancer risks. Sources of information included health providers, media, and social contact. By applying a meta-synthesis approach we demonstrate that these findings are broadly applicable across large groups of patients. Although there are clear hazards associated with long-term HT use, many women view HT favorably for climacteric symptom relief. Media, as a source of information, is often valued as equivalent to health providers.

  20. Prostate cancer and supportive care: a systematic review and qualitative synthesis of men's experiences and unmet needs.

    Science.gov (United States)

    King, A J L; Evans, M; Moore, T H M; Paterson, C; Sharp, D; Persad, R; Huntley, A L

    2015-09-01

    Prostate cancer is the second most common cancer in men worldwide, accounting for an estimated 1.1 million new cases diagnosed in 2012 (www.globocan.iarc.fr). Currently, there is a lack of specific guidance on supportive care for men with prostate cancer. This article describes a qualitative systematic review and synthesis examining men's experience of and need for supportive care. Seven databases were searched; 20 journal articles were identified and critically appraised. A thematic synthesis was conducted in which descriptive themes were drawn out of the data. These were peer support, support from partner, online support, cancer specialist nurse support, self-care, communication with health professionals, unmet needs (emotional support, information needs, support for treatment-induced side effects of incontinence and erectile dysfunction) and men's suggestions for improved delivery of supportive care. This was followed by the development of overarching analytic themes which were: uncertainty, reframing, and the timing of receiving treatment, information and support. Our results show that the most valued form of support men experienced following diagnosis was one-to-one peer support and support from partners. This review highlights the need for improved access to cancer specialist nurses throughout the care pathway, individually tailored supportive care and psychosexual support for treatment side effects. © 2015 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd.

  1. The Effectiveness and Studies of E-learning in Taiwan: A Review and Synthesis of 2000-2011 Research Literature

    Directory of Open Access Journals (Sweden)

    Yu-Shen Fang

    2014-10-01

    Full Text Available The purpose of this study was to review and synthesize the research literature on e-learning in Taiwan. In total, 86 journalarticlesand theses/dissertations,which quasi-experimental research methods were utilized inand included in three major domestic and international electronic databases between the years 2000-2011,were selected for review and synthesis. The purest synthesis method of synthesizing multiple areas with single method was employed to investigate the research literature.It is found that the quasi-experimental research studiesand the effectiveness of e-learning in 2000-2011 in Taiwan are as follows:(1 Learning areas or subjects focus on formal sciences;(2 The researches are mainly done in the university/colleges primarily preparing school teachers;(3 The main subjects in descending order of frequency selected by studies are elementary school students, junior high school students, and senior/vocational high school students;(4The most experimental teaching durations are between 101 and 300 minutes; (5 Motivation, learning environment, and technological capability are the three issues mostly concerned about;(6Learning effectiveness are mainly argued from the two starting viewpoints, learning or technology;(7 Teaching theory focus on Piaget and Vygotsky perspectives of cognitive construction;and (8The learning domains in descending order of instructional effectiveness investigation are cognitive, affective and psychomotor domains.

  2. Synthesis and characterization of hydroxyapatite crystals: a review study on the analytical methods

    NARCIS (Netherlands)

    Koutsopoulos, S.

    2002-01-01

    For the synthesis of hydroxyapatite crystals from aqueous solutions three preparation methods were employed. From the experimental processes and the characterization of the crystals it was concluded that aging and precipitation kinetics are critical for the purity of the product and its

  3. Models of Sexual and Relational Orientation: A Critical Review and Synthesis

    Science.gov (United States)

    Moe, Jeffry L.; Reicherzer, Stacee; Dupuy, Paula J.

    2011-01-01

    Many frameworks exist to explain and describe the phenomenon of same-sex sexuality as it applies to human development. This conceptual article provides a critical overview and synthesis of previous models to serve as a theoretical bridge for the suggested multiple continua model of sexual and relational orientations. Recommendations for how…

  4. A systematic review of the physical and chemical characteristics of pollutants from biomass burning and combustion of fossil fuels and health effects in Brazil.

    Science.gov (United States)

    Oliveira, Beatriz Fátima Alves de; Ignotti, Eliane; Hacon, Sandra S

    2011-09-01

    The aim of this study was to carry out a review of scientific literature published in Brazil between 2000 and 2009 on the characteristics of air pollutants from different emission sources, especially particulate matter (PM) and its effects on respiratory health. Using electronic databases, a systematic literature review was performed of all research related to air pollutant emissions. Publications were analyzed to identify the physical and chemical characteristics of pollutants from different emission sources and their related effects on the respiratory system. The PM2.5 is composed predominantly of organic compounds with 20% of inorganic elements. Higher concentrations of metals were detected in metropolitan areas than in biomass burning regions. The relative risk of hospital admissions due to respiratory diseases in children was higher than in the elderly population. The results of studies of health effects of air pollution are specific to the region where the emissions occurred and should not be used to depict the situation in other areas with different emission sources.

  5. A systematic review of the physical and chemical characteristics of pollutants from biomass burning and combustion of fossil fuels and health effects in Brazil

    Directory of Open Access Journals (Sweden)

    Beatriz Fátima Alves de Oliveira

    2011-09-01

    Full Text Available The aim of this study was to carry out a review of scientific literature published in Brazil between 2000 and 2009 on the characteristics of air pollutants from different emission sources, especially particulate matter (PM and its effects on respiratory health. Using electronic databases, a systematic literature review was performed of all research related to air pollutant emissions. Publications were analyzed to identify the physical and chemical characteristics of pollutants from different emission sources and their related effects on the respiratory system. The PM2.5 is composed predominantly of organic compounds with 20% of inorganic elements. Higher concentrations of metals were detected in metropolitan areas than in biomass burning regions. The relative risk of hospital admissions due to respiratory diseases in children was higher than in the elderly population. The results of studies of health effects of air pollution are specific to the region where the emissions occurred and should not be used to depict the situation in other areas with different emission sources.

  6. A worked example of "best fit" framework synthesis: a systematic review of views concerning the taking of some potential chemopreventive agents.

    Science.gov (United States)

    Carroll, Christopher; Booth, Andrew; Cooper, Katy

    2011-03-16

    A variety of different approaches to the synthesis of qualitative data are advocated in the literature. The aim of this paper is to describe the application of a pragmatic method of qualitative evidence synthesis and the lessons learned from adopting this "best fit" framework synthesis approach. An evaluation of framework synthesis as an approach to the qualitative systematic review of evidence exploring the views of adults to the taking of potential agents within the context of the primary prevention of colorectal cancer. Twenty papers from North America, Australia, the UK and Europe met the criteria for inclusion. Fourteen themes were identified a priori from a related, existing conceptual model identified in the literature, which were then used to code the extracted data. Further analysis resulted in the generation of a more sophisticated model with additional themes. The synthesis required a combination of secondary framework and thematic analysis approaches and was conducted within a health technology assessment timeframe. The novel and pragmatic "best fit" approach to framework synthesis developed and described here was found to be fit for purpose. Future research should seek to test further this approach to qualitative data synthesis.

  7. The utility and impact of information communication technology (ICT) for pre-registration nurse education: A narrative synthesis systematic review.

    Science.gov (United States)

    Webb, Lucy; Clough, Jonathan; O'Reilly, Declan; Wilmott, Danita; Witham, Gary

    2017-01-01

    To evaluate and summarise the utility and impact of information communication technology (ICT) in enhancing student performance and the learning environment in pre-registration nursing. A systematic review of empirical research across a range of themes in ICT health-related education. Science Direct, Cinahl, AMED, MEDLINE, PubMed, ASSIA, OVID and OVID SP (2008-2014). Further date parameters were imposed by theme. Evidence was reviewed by narrative synthesis, adopting Caldwell's appraisal framework and CASP for qualitative methods. Selection and inclusion was grounded in the PICOS structure, with language requirements (English), and further parameters were guided by theme appropriateness. Fifty studies were selected for review across six domains: reusable learning objects, media, audience response systems, e-portfolios, computer-based assessment and faculty adoption of e-learning. Educational ICT was found to be non-inferior to traditional teaching, while offering benefits to teaching and learning efficiency. Where support is in place, ICT improves the learning environment for staff and students, but human and environmental barriers need to be addressed. This review illuminates more advantages for ICT in nurse training than previously. The key advantage of flexibility is supported, though with little evidence for effect on depth of learning. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  8. Computational studies on the regioselectivity of metal-catalyzed synthesis of 1,2,3 triazoles via click reaction: a review.

    Science.gov (United States)

    Hosseinnejad, Tayebeh; Fattahi, Bahareh; Heravi, Majid M

    2015-10-01

    Recently, the experimental and computational chemists have been attracted widely to the click synthesis of 1,2,3 triazoles and their derivatives, mainly due to the fact that they are interesting from structural and mechanistic points of view. Moreover, catalyzed click have been well established as a successful strategy showing high regioselectivity and high yield for the synthesis of 1,2,3-triazoles. In this review, we try to highlight the recently reported computational assessments on the origins and predection of regioselectivity in the catalyzed click synthesis of triazoles from the mechanistic and thermodynamical points of view. In this light, density functional theory (DFT) calculations on the free energy profiles of azide-alkyne cycloaddition reactions have been underscored. The stereoelectronic features for the role of copper, ruthenium, and iridium as catalyst on regioselectivity of click reactions have also be discussed. Graphical Abstract Computational origins for the regioselective behavior of 1,2,3 triazoles click synthesis.

  9. Science and art of synthesis and crafting of nano/microstructures and devices using ion-crafted templates: a review

    Science.gov (United States)

    Chakarvarti, S. K.

    2006-03-01

    The miniaturization of devices and synthesis of new materials have a tremendous role in the development of powerful electronics as well as material based technologies in other areas but for the laws of quantum mechanics posing limitations besides the increasing cost and difficulties in manufacturing at such a small scale. The quest, therefore, for the alternative technologies have stimulated a surge of interest in nano-meter scale materials and devices in the recent years. Metallic nano wires are the most attractive materials because of their unique properties having myriad applications like interconnects for nano-electronics, magnetic devices, chemical and biosensors, where as the hollow tubules are equally considered to be candidate for more potent applications- both in physical as well as biosciences. Materials' processing for nano-structured devices is indispensable to their rational design. The technique, known as "Template Synthesis", using electrochemical/electro less deposition is one of the most important processes for manufacturing nano/micro structures, nano-composites and devices and is relatively inexpensive and simple. The technique involves in using membranes- ion crafted ones (popularly known as Particle Track-Etch Membranes or Nuclear Track Filters), alumite substrate membranes, besides other types of membranes as templates. The parameters viz., diameter as well as length i.e., the aspect ratio, shape and wall surface traits in these membranes are controllable. In the present work, a detailed review of this technique, synthesis of nano/micro materials including hybrid materials and devices like field-ion emitters, resonant tunneling diodes (RTDs) etc. will be presented including most of the results obtained in our laboratory.

  10. Effects of Severe Floods and Droughts on Wildlife of the Pantanal Wetland (Brazil)—A Review

    Science.gov (United States)

    Alho, Cleber J. R.; Silva, João S. V.

    2012-01-01

    Simple Summary The Pantanal is a wetland in the center of South America, (140,000 km² in Brazil), in the Upper Paraguay River Basin. Because of its diverse and abundant wildlife, it is recognized as one of the most important freshwater ecosystems in the world. Many endangered species occur there, including jaguar; waterfowl are exceptionally abundant. Relief varies between the low, and flat floodplain, and the surrounding non-flooded plateau areas. Rainfall shows inter-annual variability, influencing the flooding patterns. Historical climate instability of severe multi-annual flood and dry events has affected animals’ habitats as well as their community structure, population size and behavioral ecology. Abstract Flooding throughout the Pantanal is seasonal. The complex vegetative cover and high seasonal productivity support a diverse and abundant fauna. A gradient in flood level supports a range of major habitats in a complex mosaic with annual seasonality. The rivers and streams are lined with gallery forests, and other arboreal habitats exist in the more elevated areas. The remainder is either grasslands or seasonally flooded grasslands. The regional flora and fauna are adapted to annual water fluctuation. However, an inter-annual series of higher or lower rainfalls has caused either severe floods or drastic dry seasons. Large scale climate phenomena such as greenhouse gases, El Niño and La Niña influence the seasonality of floods and droughts in the Pantanal. Knowledge of severe floods and droughts, which characterize natural disasters, is fundamental for wildlife management and nature conservation of the Pantanal. Plants and wild animals, for example, are affected by tree mortality in riparian forest after extreme flooding, with consequent habitat modification for wild animals. In addition, human activities are also affected since cattle ranching and ecotourism are economically important in the region, and when seasons with unusual floods or droughts occur

  11. Equine influenza in Brazil

    Directory of Open Access Journals (Sweden)

    Patricia Filippsen Favaro

    2016-06-01

    Full Text Available Equine influenza virus (EIV (H3N8 and H7N7 is the causative agent of equine influenza, or equine flu. The H7N7 subtype has been considered to be extinct worldwide since 1980. Affected animals have respiratory symptoms that can be worsened by secondary bacterial respiratory infection, thereby leading to great economic losses in the horse-breeding industry. In Brazil, equine influenza outbreaks were first reported in 1963 and studies on hemagglutination antibodies against viral subtypes in Brazilian horses have been conducted since then. The objective of the present review was to present the history of the emergence of EIV around the world and in Brazil and the studies that have thus far been developed on EIV in Brazilian equines.

  12. Understanding the challenge of weight loss maintenance: a systematic review and synthesis of qualitative research on weight loss maintenance.

    Science.gov (United States)

    Greaves, Colin; Poltawski, Leon; Garside, Ruth; Briscoe, Simon

    2017-06-01

    Behaviour change interventions can be effective in helping people to lose weight, but weight is often regained. Effective interventions are required to prevent this. We conducted a systematic review and synthesis of qualitative research on people's experiences of weight loss maintenance. We searched bibliographic databases for qualitative studies about the experience of currently or previously overweight adults trying to maintain weight loss. We thematically synthesised study findings to develop a model of weight loss maintenance. Twenty six studies from five countries with 710 participants were included. The model developed through our synthesis proposes that making the behaviour changes required for weight loss maintenance generates psychological 'tension' due to the need to override existing habits, and incompatibility of the new behaviours with the fulfilment of psychological needs. Successful maintenance involves management or resolution of this tension. Management of tension can be achieved through self-regulation, renewing of motivation and managing external influences, although this can require constant effort. Resolution may be achieved through changing habits, finding non-obesogenic methods for addressing needs, and potentially through change in self-concept. Implications for the development of weight loss maintenance interventions are explored.

  13. Patient capacity and constraints in the experience of chronic disease: a qualitative systematic review and thematic synthesis.

    Science.gov (United States)

    Boehmer, Kasey R; Gionfriddo, Michael R; Rodriguez-Gutierrez, Rene; Dabrh, Abd Moain Abu; Leppin, Aaron L; Hargraves, Ian; May, Carl R; Shippee, Nathan D; Castaneda-Guarderas, Ana; Palacios, Claudia Zeballos; Bora, Pavithra; Erwin, Patricia; Montori, Victor M

    2016-09-01

    Life and healthcare demand work from patients, more so from patients living with multimorbidity. Patients must respond by mobilizing available abilities and resources, their so-called capacity. We sought to summarize accounts of challenges that reduce patient capacity to access or use healthcare or to enact self-care while carrying out their lives. We conducted a systematic review and synthesis of the qualitative literature published since 2000 identifying from MEDLINE, EMBASE, Psychinfo, and CINAHL and retrieving selected abstracts for full text assessment for inclusion. After assessing their methodological rigor, we coded their results using a thematic synthesis approach. The 110 reports selected, when synthesized, showed that patient capacity is an accomplishment of interaction with (1) the process of rewriting their biographies and making meaningful lives in the face of chronic condition(s); (2) the mobilization of resources; (3) healthcare and self-care tasks, particularly, the cognitive, emotional, and experiential results of accomplishing these tasks despite competing priorities; (4) their social networks; and (5) their environment, particularly when they encountered kindness or empathy about their condition and a feasible treatment plan. Patient capacity is a complex and dynamic construct that exceeds "resources" alone. Additional work needs to translate this emerging theory into useful practice for which we propose a clinical mnemonic (BREWS) and the ICAN Discussion Aid.

  14. Economic evaluation of manual therapy for musculoskeletal diseases: a protocol for a systematic review and narrative synthesis of evidence.

    Science.gov (United States)

    Kim, Chang-Gon; Mun, Su-Jeong; Kim, Ka-Na; Shin, Byung-Cheul; Kim, Nam-Kwen; Lee, Dong-Hyo; Lee, Jung-Han

    2016-05-13

    Manual therapy is the non-surgical conservative management of musculoskeletal disorders using the practitioner's hands on the patient's body for diagnosing and treating disease. The aim of this study is to systematically review trial-based economic evaluations of manual therapy relative to other interventions used for the management of musculoskeletal diseases. Randomised clinical trials (RCTs) on the economic evaluation of manual therapy for musculoskeletal diseases will be included in the review. The following databases will be searched from their inception: Medline, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Econlit, Mantis, Index to Chiropractic Literature, Science Citation Index, Social Science Citation Index, Allied and Complementary Medicine Database (AMED), Cochrane Database of Systematic Reviews (CDSR), National Health Service Database of Abstracts of Reviews of Effects (NHS DARE), National Health Service Health Technology Assessment Database (NHS HTA), National Health Service Economic Evaluation Database (NHS EED), CENTRAL, five Korean medical databases (Oriental Medicine Advanced Searching Integrated System (OASIS), Research Information Service System (RISS), DBPIA, Korean Traditional Knowledge Portal (KTKP) and KoreaMed) and three Chinese databases (China National Knowledge Infrastructure (CNKI), VIP and Wanfang). The evidence for the cost-effectiveness, cost-utility and cost-benefit of manual therapy for musculoskeletal diseases will be assessed as the primary outcome. Health-related quality of life and adverse effects will be assessed as secondary outcomes. We will critically appraise the included studies using the Cochrane risk of bias tool and the Drummond checklist. Results will be summarised using Slavin's qualitative best-evidence synthesis approach. The results of the study will be disseminated via a peer-reviewed journal and/or conference presentations

  15. Systematic review of epilepsy self-management interventions integrated with a synthesis of children and young people's views and experiences.

    Science.gov (United States)

    Lewis, Sheila A; Noyes, Jane; Hastings, Richard P

    2015-03-01

    To determine the effectiveness of epilepsy self-management interventions and explore the views and experiences of medication and seizures by children and young people. Experiencing seizures and side-effects from anti-epileptic medicines have negative impacts on children and young people managing their epilepsy. Children commonly experiment with not taking epilepsy medication as prescribed and engage in unhealthy lifestyles. DESIGN/REVIEW METHODS: Mixed-method systematic review with theory development. Cochrane quantitative methods and thematic synthesis of qualitative and survey evidence. Eight databases were searched from earliest dates to July 2013. Nineteen studies were included. Meta-analysis was not possible. Zero of nine intervention studies showed improvement in anti-epilepsy medication adherence. Skill-based behavioural techniques with activities such as role play and goal setting with young people increased epilepsy knowledge and seizure self-management (small effects). Intervention studies were methodologically weak and no studies reported if improvement in self-management was sustained over time. Synthesis of nine qualitative and one mixed-method studies generated six themes encapsulating anti-epilepsy medication and epilepsy effects. There was a lack of fidelity between intervention programme theories and what children and young people found difficult with medication self-management and managing the effects of epilepsy. Children and young people knowingly and/or unknowingly take risks with their epilepsy and give reasoned explanations for doing so. There are no effective interventions to change epilepsy medication adherence behaviours. There is an urgent need for more innovative and individually tailored interventions to address specific challenges to epilepsy self-management as identified by children and young people themselves. © 2014 John Wiley & Sons Ltd.

  16. Synthesis, properties and biomedical applications of carbon-based quantum dots: An updated review.

    Science.gov (United States)

    Namdari, Pooria; Negahdari, Babak; Eatemadi, Ali

    2017-03-01

    Carbon-based quantum dots (CQDs) are a newly developed class of carbon nano-materials that have attracted much interest and attention as promising competitors to already available semiconductor quantum dots owing to their un-comparable and unique properties. In addition, controllability of CQDs unique physiochemical properties is as a result of their surface passivation and functionalization. This is an update article (between 2013 and 2016) on the recent progress, characteristics and synthesis methods of CQDs and different advantages in varieties of applications. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  17. Design of generic coal conversion facilities: Production of oxygenates from synthesis gas---A technology review

    Energy Technology Data Exchange (ETDEWEB)

    1991-10-01

    This report concentrates on the production of oxygenates from coal via gasification and indirect liquefaction. At the present the majority of oxygenate synthesis programs are at laboratory scale. Exceptions include commercial and demonstration scale plants for methanol and higher alcohols production, and ethers such as MTBE. Research and development work has concentrated on elucidating the fundamental transport and kinetic limitations governing various reactor configurations. But of equal or greater importance has been investigations into the optimal catalyst composition and process conditions for the production of various oxygenates.

  18. Overview of data-synthesis in systematic reviews of studies on outcome prediction models

    NARCIS (Netherlands)

    van den Berg, T.; Heijmans, M.W.; Leone, S.S.; Vergouw, D.; Hayden, J.A.; Verhagen, A.P.; de Vet, H.C.W.

    2013-01-01

    Background: Many prognostic models have been developed. Different types of models, i.e. prognostic factor and outcome prediction studies, serve different purposes, which should be reflected in how the results are summarized in reviews. Therefore we set out to investigate how authors of reviews

  19. Overview of data-synthesis in systematic reviews of studies on outcome prediction models.

    NARCIS (Netherlands)

    Berg, T. van den; Heymans, M.W.; Leone, S.S.; Vergouw, D.; Hayden, J.A.; Verhagen, A.P.; Vet, H.C.W. de

    2013-01-01

    Background: Many prognostic models have been developed. Different types of models, i.e. prognostic factor and outcome prediction studies, serve different purposes, which should be reflected in how the results are summarized in reviews. Therefore we set out to investigate how authors of reviews

  20. Educational Psychology as an Evolving Discipline: Trends and Synthesis in Asia Pacific Education Review

    Science.gov (United States)

    Kim, Dong-il; Koh, Hye-jung; Jo, Su-yeon; Nam, JeeEun Karin; Kim, Myeung-chan

    2014-01-01

    Educational psychology has seen rapid growth as an academic discipline in recent years. The current study reviewed research articles published in "Asia Pacific Education Review" ("APER"), a journal that has been gaining greater international recognition, to reveal recent trends in educational psychology research in Asia…

  1. Review and synthesis of evidence on the (mechanisms of) impact of school inspections

    NARCIS (Netherlands)

    Nelson, R.; Ehren, Melanie Catharina Margaretha

    2014-01-01

    The review was commissioned by the Dutch Inspectorate of Education to inform their strategy development ‘Toezicht 2020’, The purpose of this review was to identify and summarize findings from international empirical research on the impact and mechanisms of impact of school inspections.

  2. Physical activity in Brazil: a systematic review Atividade física no Brasil: uma revisão sistemática

    Directory of Open Access Journals (Sweden)

    Samuel C. Dumith

    2009-01-01

    Full Text Available The purpose of this study, based on a systematic literature review, was to describe the prevalence of physical activity (or inactivity in the Brazilian population. The databases consulted were: LILACS, SciELO, MEDLINE, Web of Science, and the Google Scholar portal. The terms "physical activity", "physical exercise", "physical inactivity", "sedentary" "Brazil", and "Brazilian" were used in the search. Overall, 47 studies (all cross-sectional with random samples were found, and in 26 studies physical activity was the main variable. Only two studies were published before the year 2000, as compared to 12 in 2008 alone. The studies were heavily concentrated in the South and Southeast of Brazil, and there were few studies on physical activity in children and adolescents. In all the studies, physical activity was measured subjectively, mainly with questionnaires, and the most widely studied domain was leisure time. The criteria for defining physical activity varied widely, as did prevalence. The study highlighted the need for standardization of instruments, criteria, and nomenclature in epidemiological studies on physical activity.O objetivo deste estudo foi descrever, por meio de uma revisão sistemática, a prevalência de atividade (ou inatividade física no Brasil. As bases de dados consultadas foram: LILACS, SciELO, MEDLINE, Web of Science e o portal Google Acadêmico. Os termos de busca foram: "atividade física", "exercício físico", "inatividade física", "sedentarismo", "Brasil" e "brasileiros". Foram localizados 47 estudos (todos transversais com dados sobre prevalência de atividade física em amostras aleatórias, sendo que em 26, esta foi a principal variável. Apenas dois estudos foram publicados antes de 2000, e 12 em 2008. Houve uma grande concentração de trabalhos nas regiões Sul e Sudeste, e poucos estudos com crianças. Em todos os trabalhos, a atividade física foi mensurada de forma subjetiva, principalmente por meio de

  3. Queer Counterpublics in Australia, Mexico and Brazil

    Directory of Open Access Journals (Sweden)

    Kyja Noack-Lundberg

    2011-09-01

    Full Text Available A review of Rafaael de la Dehesa, Queering the Public Sphere in Mexico and Brazil: Sexual Rights Movements in Emerging Democracies (Duke, 2010 and Kane Race, Pleasure Consuming Medicine (Duke, 2009.

  4. Barriers to primary care clinician adherence to clinical guidelines for the management of low back pain: protocol of a systematic review and meta-synthesis of qualitative studies.

    Science.gov (United States)

    Slade, Susan C; Kent, Peter; Bucknall, Tracey; Molloy, Elizabeth; Patel, Shilpa; Buchbinder, Rachelle

    2015-04-21

    Low back pain is the highest ranked condition contributing to years lived with disability, and is a significant economic and societal burden. Evidence-based clinical practice guidelines are designed to improve quality of care and reduce practice variation by providing graded recommendations based on the best available evidence. Studies of low back pain guideline implementation have shown no or modest effects at changing clinical practice. To identify enablers and barriers to adherence to clinical practice guidelines for the management of low back pain. A systematic review and meta-synthesis of qualitative studies that will be conducted and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement guidelines. Eight databases will be searched using a priori inclusion/exclusion criteria. Two independent reviewers will conduct a structured review and meta-synthesis, and a third reviewer will arbitrate where there is disagreement. This protocol has been registered on PROSPERO 2014. Ethical approval is not required. The systematic review will be published in a peer-reviewed journal. The review will also be disseminated electronically, in print and at conferences. Updates of the review will be conducted to inform and guide healthcare translation into practice. PROSPERO 2014:CRD42014012961. Available from http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014012961. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  5. HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A Systematic Review and Meta-analysis

    Directory of Open Access Journals (Sweden)

    Linhares Yohana

    2010-06-01

    Full Text Available Abstract Background The Brazilian response towards AIDS epidemic is well known, but the absence of a systematic review of vulnerable populations ─ men who have sex with men (MSM, female sex workers (FSW, and drug users (DU remains a main gap in the available literature. Our goal was to conduct a systematic review and meta-analysis of studies assessing HIV prevalence among MSM, FSW and DU, calculating a combined pooled prevalence and summarizing factors associated the pooled prevalence for each group. Methods Nine electronic databases (MEDLINE via PubMed, EMBASE, Cochrane CENTRAL, AIDSLINE, AMED, CINAHL, TOXNET, SciELO, and ISI-Web of Science were searched for peer-reviewed papers published in English, French, Spanish or Portuguese, from 1999 to 2009. To be included in the review, studies had to measure HIV prevalence and/or incidence as the primary outcome among at least one specific population under analysis. Results The studies targeting the three populations analyzed mostly young participants aged 30 years or less. Among FSW, eight studies were selected (3,625 participants, consistently identifying higher condom use with sexual clients than with occasional and stable partners. The combined HIV prevalence for FSW was 6.2 (95% CI: 4.4-8.3. Ten studies targeting MSM were identified (6,475 participants. Unprotected anal intercourse was commonly reported on those studies, but with great variability according to the nature of the relationship - stable vs. occasional sex partners - and sexual practice - receptive vs. insertive anal sex. Pooled HIV prevalence for MSM was 13.6 (95% CI: 8.2-20.2. Twenty nine studies targeting DU were identified (13,063 participants. Those studies consistently identified injection drug use and syringe/needle sharing as key predictors of HIV-infection, as well as engagement in sex work and male-to-male sex. The combined HIV prevalence across studies targeting DU was 23.1 (95% CI: 16.7-30.2. Conclusions FSW, MSM and DU

  6. HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: a systematic review and meta-analysis.

    Science.gov (United States)

    Malta, Monica; Magnanini, Monica M F; Mello, Maeve B; Pascom, Ana Roberta P; Linhares, Yohana; Bastos, Francisco I

    2010-06-07

    The Brazilian response towards AIDS epidemic is well known, but the absence of a systematic review of vulnerable populations horizontal line men who have sex with men (MSM), female sex workers (FSW), and drug users (DU) remains a main gap in the available literature. Our goal was to conduct a systematic review and meta-analysis of studies assessing HIV prevalence among MSM, FSW and DU, calculating a combined pooled prevalence and summarizing factors associated the pooled prevalence for each group. Nine electronic databases (MEDLINE via PubMed, EMBASE, Cochrane CENTRAL, AIDSLINE, AMED, CINAHL, TOXNET, SciELO, and ISI-Web of Science) were searched for peer-reviewed papers published in English, French, Spanish or Portuguese, from 1999 to 2009. To be included in the review, studies had to measure HIV prevalence and/or incidence as the primary outcome among at least one specific population under analysis. The studies targeting the three populations analyzed mostly young participants aged 30 years or less. Among FSW, eight studies were selected (3,625 participants), consistently identifying higher condom use with sexual clients than with occasional and stable partners. The combined HIV prevalence for FSW was 6.2 (95% CI: 4.4-8.3). Ten studies targeting MSM were identified (6,475 participants). Unprotected anal intercourse was commonly reported on those studies, but with great variability according to the nature of the relationship - stable vs. occasional sex partners--and sexual practice--receptive vs. insertive anal sex. Pooled HIV prevalence for MSM was 13.6 (95% CI: 8.2-20.2). Twenty nine studies targeting DU were identified (13,063 participants). Those studies consistently identified injection drug use and syringe/needle sharing as key predictors of HIV-infection, as well as engagement in sex work and male-to-male sex. The combined HIV prevalence across studies targeting DU was 23.1 (95% CI: 16.7-30.2). FSW, MSM and DU from Brazil have a much risk of acquiring HIV

  7. Methods for systematic reviews of health economic evaluations: a systematic review, comparison, and synthesis of method literature.

    Science.gov (United States)

    Mathes, Tim; Walgenbach, Maren; Antoine, Sunya-Lee; Pieper, Dawid; Eikermann, Michaela

    2014-10-01

    The quality of systematic reviews of health economic evaluations (SR-HE) is often limited because of methodological shortcomings. One reason for this poor quality is that there are no established standards for the preparation of SR-HE. The objective of this study is to compare existing methods and suggest best practices for the preparation of SR-HE. To identify the relevant methodological literature on SR-HE, a systematic literature search was performed in Embase, Medline, the National Health System Economic Evaluation Database, the Health Technology Assessment Database, and the Cochrane methodology register, and webpages of international health technology assessment agencies were searched. The study selection was performed independently by 2 reviewers. Data were extracted by one reviewer and verified by a second reviewer. On the basis of the overlaps in the recommendations for the methods of SR-HE in the included papers, suggestions for best practices for the preparation of SR-HE were developed. Nineteen relevant publications were identified. The recommendations within them often differed. However, for most process steps there was some overlap between recommendations for the methods of preparation. The overlaps were taken as basis on which to develop suggestions for the following process steps of preparation: defining the research question, developing eligibility criteria, conducting a literature search, selecting studies, assessing the methodological study quality, assessing transferability, and synthesizing data. The differences in the proposed recommendations are not always explainable by the focus on certain evaluation types, target audiences, or integration in the decision process. Currently, there seem to be no standard methods for the preparation of SR-HE. The suggestions presented here can contribute to the harmonization of methods for the preparation of SR-HE. © The Author(s) 2014.

  8. Perspectives for Li- and Ta-Mineralization in the Borborema Pegmatite Province, NE-Brazil: A review

    Science.gov (United States)

    Beurlen, Hartmut; Thomas, Rainer; da Silva, Marcelo R. Rodrigues; Müller, Axel; Rhede, Dieter; Soares, Dwight Rodrigues

    2014-12-01

    The increasing strategic importance of Li- and Ta-ores during the last decades due to the strong consumption growth for rechargeable batteries and high temperature and corrosion resistant capacitors reactivated the interest of studies in pegmatite fields around the world, because these rocks supply respectively 25% and 100% of the world consumption in these elements. Research on petrogenetic issues and major and accessory mineral chemistry variations in rare element (REL)-pegmatites of the Borborema Pegmatite Province in Northeast Brazil were tested as tools for the diagnosis of the metallogenetic potential of rare metals in individual pegmatites and in the province as a whole along the last dozen of years. The results allowed to establish the nearly isobaric (3.8 kbar) crystallization conditions of the REL-pegmatites between approximately 580 °C (liquidus) and 400 °C (solidus) from a peraluminous melt saturated in an aquo-carbonic medium to low salinity volatile phase and an immiscible peralkaline flux-enriched (H2O, CO2, F, B, Li etc.) melt fraction, based on melt and fluid inclusion studies. Mineral-chemistry data from 30 selected REL-pegmatites in the province allowed to classify three of them as being of the complex-spodumene or -lepidolite subtype in Černý's classification. Both subtypes are supposed to be potentially fertile, (highly fractionated, and with good chances to bear Li- and Ta-ore concentrations). It was also possible to identify several pegmatitic granite intrusions with textural and lithogeochemical characteristics also found in source granites of REL-pegmatite provinces elsewhere. Preliminary chemical Pb/U/Th geochronological determinations in uraninite and xenotyme crystals of these granites indicate an age of 520 ± 10 Ma and match recently published Ar/Ar in mica and U/Pb ages in columbite-group minerals (CGM) of the REL-pegmatites between 509 and 525 Ma. Mineral-chemistry data from grains of the outer zones of the pegmatites do not

  9. Supporting wellbeing in motor neurone disease for patients, carers, social networks, and health professionals: A scoping review and synthesis.

    Science.gov (United States)

    Harris, Melanie; Thomas, Geoff; Thomas, Mary; Cafarella, Paul; Stocks, Allegra; Greig, Julia; McEvoy, R Doug

    2017-08-22

    Disease management in motor neurone disease (MND) is focused on preserving quality of life. However, the emphasis has so far been on physical symptoms and functioning and not psychosocial wellbeing. MND affects the wellbeing of carers, of family and social network members, and of healthcare providers, as well as of the patients. We therefore aimed to assess and synthesize the knowledge about maximizing MND-related psychosocial wellbeing across all these groups. We used a systematic search and selection process to assess the scope of the literature along with a narrative synthesis of recent high-quality reviews. The original studies were mainly observational studies of patients and, to a lesser extent, of carers. There were few interventional studies, mainly of patients. There were very few studies of any type on wellbeing in their wider social network or in healthcare professionals. All the review literature looked at MND patient or carer wellbeing, with some covering both. No reviews were found of wellbeing in other family members, patients' social networks, or their healthcare professionals. The reviews demonstrated wellbeing problems for patients linked to psychosocial issues. Carer wellbeing is also compromised. Psychotherapies, social supports, improved decision supports, and changes to healthcare delivery are among the suggested strategies for improved patient and carer wellbeing, but no proven interventions were identified for either. Early access to palliative care, also not well-tested but recommended, is poorly implemented. Work on interventions to deal with well-established wellbeing problems for patients and carers is now a research priority. Explicit use of current methods for patient and public involvement and for design and testing of interventions provide a toolkit for this research. Observational research is needed in other groups. There is a potential in considering needs across patients' social networks rather than looking individually at

  10. Work environments and HIV prevention: a qualitative review and meta-synthesis of sex worker narratives.

    Science.gov (United States)

    Goldenberg, Shira M; Duff, Putu; Krusi, Andrea

    2015-12-16

    Sex workers (SWs) experience a disproportionately high burden of HIV, with evidence indicating that complex and dynamic factors within work environments play a critical role in mitigating or producing HIV risks in sex work. In light of sweeping policy efforts to further criminalize sex work globally, coupled with emerging calls for structural responses situated in labour and human-rights frameworks, this meta-synthesis of the qualitative and ethnographic literature sought to examine SWs' narratives to elucidate the ways in which physical, social and policy features of diverse work environments influence SWs' agency to engage in HIV prevention. We conducted a meta-synthesis of qualitative and ethnographic studies published from 2008 to 2014 to elucidate SWs' narratives and lived experiences of the complex and nuanced ways in which physical, social, and policy features of indoor and outdoor work environments shape HIV prevention in the sex industry. Twenty-four qualitative and/or ethnographic studies were included in this meta-synthesis. SWs' narratives revealed the nuanced ways that physical, social, and policy features of work environments shaped HIV risk and interacted with macrostructural constraints (e.g., criminalization, stigma) and community determinants (e.g., sex worker empowerment initiatives) to shape SWs' agency in negotiating condom use. SWs' narratives revealed the ways in which the existence of occupational health and safety standards in indoor establishments, as well as protective practices of third parties (e.g., condom promotion) and other SWs/peers were critical ways of enhancing safety and sexual risk negotiation within indoor work environments. Additionally, working in settings where negative interactions with law enforcement were minimized (e.g., working in decriminalized contexts or environments in which peers/managers successfully deterred unjust policing practices) was critical for supporting SWs' agency to negotiate HIV prevention. Policy

  11. Wild mushrooms in Ethiopia: A review and synthesis for future perspective

    Directory of Open Access Journals (Sweden)

    Tatek Dejene

    2017-05-01

    Full Text Available Aim of study: To review and provide all-purpose information about wild mushrooms in Ethiopia and to create awareness for conservation and use of mycological resources. Area of study: We focused mainly on Ethiopia, where information about wild mushrooms is scanty and their status is unknown under the rampant degradation of the habitats. Main results: We reviewed all relevant references related to wild mushrooms and their ecological niches, cultural practices and species used for cultivation as well as the anthropogenic factors affecting the conservation of fungal diversity. Research highlights: This review summarizes issues related to the diversity of wild mushrooms, the main ecological niches and their associated fungal species, and mushroom cultivation practices in Ethiopia. Moreover, threats and the need for future conservation of wild mushrooms in the country are also reported. This review paper can serve as base line information and indicator for further mycological studies in Ethiopia as well as in other developing countries with similar scenarios.

  12. Wild mushrooms in Ethiopia: A review and synthesis for future perspective

    Energy Technology Data Exchange (ETDEWEB)

    Dejene, T.; Oria-de-Rueda, J.A.; Martín-Pinto, P.

    2017-11-01

    Aim of study: To review and provide all-purpose information about wild mushrooms in Ethiopia and to create awareness for conservation and use of mycological resources. Area of study: We focused mainly on Ethiopia, where information about wild mushrooms is scanty and their status is unknown under the rampant degradation of the habitats. Main results: We reviewed all relevant references related to wild mushrooms and their ecological niches, cultural practices and species used for cultivation as well as the anthropogenic factors affecting the conservation of fungal diversity. Research highlights: This review summarizes issues related to the diversity of wild mushrooms, the main ecological niches and their associated fungal species, and mushroom cultivation practices in Ethiopia. Moreover, threats and the need for future conservation of wild mushrooms in the country are also reported. This review paper can serve as base line information and indicator for further mycological studies in Ethiopia as well as in other developing countries with similar scenarios.

  13. Invasive fungal sinusitis in the pediatric population: Systematic review with quantitative synthesis of the literature.

    Science.gov (United States)

    Smith, Aaron; Thimmappa, Vikrum; Shepherd, Brandon; Ray, Meredith; Sheyn, Anthony; Thompson, Jerome

    2016-11-01

    Invasive fungal sinusitis (IFS) represents an often fatal condition within the pediatric population. In an effort to characterize demographics, treatment modalities, and prognostic factors, we performed a systematic review. We systematically reviewed EMBASE, Medline, TRIPdatabase, SCOPUS and the Cochrane database for invasive fungal nasal and sinus infections limited to individuals sinusitis; however, approximately one seventh presented with only nasal findings and half overall had nasal involvement. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  14. Stigma in youth with Tourette's syndrome: a systematic review and synthesis

    OpenAIRE

    Malli, M.; Forrester-Jones, Rachel; Murphy, Glynis H.

    2015-01-01

    Tourette's syndrome (TS) is a childhood onset neurodevelopmental disorder, characterised by tics. To our knowledge, no systematic reviews exist which focus on examining the body of literature on stigma in association with children and adolescents with TS. The aim of the article is to provide a review of the existing research on (1) social stigma in relation to children and adolescents with TS, (2) self-stigma and (3) courtesy stigma in family members of youth with TS. Three electronic databas...

  15. Visual impairment from uveitis in a reference hospital of Southeast Brazil: a retrospective review over a twenty years period.

    Science.gov (United States)

    Silva, Luci Meire Pereira da; Muccioli, Cristina; Oliveira, Filipe de; Arantes, Tiago Eugênio; Gonzaga, Lucas Renó; Nakanami, Célia Regina

    2013-01-01

    To identify the frequency and causes of uveitis leading to visual impairment in patients referred to the Low Vision Service - Department of Ophthalmology - UNIFESP, over a twenty years period. In a retrospective study, medical records of 5,461 patients were reviewed. Data from the first clinical evaluation at the Low Vision Service were collected, patient's age, gender and cause of visual impairment were analyzed. Patients with uveitis had their chart reviewed for anatomical classification and clinical diagnosis. The mean age of the patients referred to the Low Vision Service was 42.86 years and the mean age of patients with uveitis diagnosis was 25.51 years. Retinal disorders were the most common cause of visual impairment (N=2,835 patients; 51.9%) followed by uveitis (862 patients, 15.7%). Uveitis was posterior in 792 patients (91.9% of uveitis) and toxoplasmosis was the most common diagnosis (765 patients, 88.7%). In our study, uveitis represents the second cause of visual impairment in patients referred for visual rehabilitation and toxoplasmic retinochoroiditis was the most common clinical diagnosis. It affects a young working age population with a relevant social and economic impact, but the early diagnosis and treatment can improve the quality of life of these patients.

  16. Visual impairment from uveitis in a reference hospital of Southeast Brazil: a retrospective review over a twenty years period

    Directory of Open Access Journals (Sweden)

    Luci Meire Pereira da Silva

    2013-12-01

    Full Text Available PURPOSE: To identify the frequency and causes of uveitis leading to visual impairment in patients referred to the Low Vision Service - Department of Ophthalmology - UNIFESP, over a twenty years period. METHODS: In a retrospective study, medical records of 5,461 patients were reviewed. Data from the first clinical evaluation at the Low Vision Service were collected, patient's age, gender and cause of visual impairment were analyzed. Patients with uveitis had their chart reviewed for anatomical classification and clinical diagnosis. RESULTS: The mean age of the patients referred to the Low Vision Service was 42.86 years and the mean age of patients with uveitis diagnosis was 25.51 years. Retinal disorders were the most common cause of visual impairment (N=2,835 patients; 51.9% followed by uveitis (862 patients, 15.7%. Uveitis was posterior in 792 patients (91.9% of uveitis and toxoplasmosis was the most common diagnosis (765 patients, 88.7%. CONCLUSIONS: In our study, uveitis represents the second cause of visual impairment in patients referred for visual rehabilitation and toxoplasmic retinochoroiditis was the most common clinical diagnosis. It affects a young working age population with a relevant social and economic impact, but the early diagnosis and treatment can improve the quality of life of these patients.

  17. A systematic review and meta-analysis of gestational weight gain recommendations and related outcomes in Brazil

    Directory of Open Access Journals (Sweden)

    Ana Carolina Godoy

    2015-11-01

    Full Text Available Worldwide, different guidelines are used to assess the adequacy of gestational weight gain. This study identified the recommendations for gestational weight gain in Brazilian women. We also determined the proportion of women with adequate weight gain in accordance with these recommendations and the associated perinatal outcomes. A systematic review was performed. A computerized search was conducted utilizing the following databases: PubMed, MEDLINE, Web of Science, Embase, SciELO and Google Scholar. Observational studies of healthy, Brazilian, pregnant women were included. Studies were excluded if they did not provide pregestational weight and gestational weight gain or if they studied women with comorbid conditions. A meta-analysis was performed to evaluate the odds ratio of inadequate (insufficient or excessive gestational weight gain. Seventeen studies were included in the systematic review and four studies were included in the meta-analysis. The most widely used recommendations were from the Institute of Medicine. Excessive gestational weight gain was associated with fetal macrosomia and high rates of cesarean delivery. Overweight women had a higher risk of excessive gestational weight gain than eutrophic women (OR=2.80, 95%CI=2.22-3.53. There are no standardized recommendations concerning gestational weight gain based on Brazilian population-based data. Many Brazilian women are overweight or obese at the beginning of pregnancy. Overweight pregnant women have a higher risk of excessive gestational weight gain. Excessive gestational weight gain was associated with cesarean delivery and fetal macrosomia.

  18. Status of HIV and hepatitis C virus infections among prisoners in the Middle East and North Africa: review and synthesis

    Science.gov (United States)

    Heijnen, Marieke; Mumtaz, Ghina R; Abu-Raddad, Laith J

    2016-01-01

    Introduction The status of HIV and hepatitis C virus (HCV) infections among incarcerated populations in the Middle East and North Africa (MENA) and the links between prisons and the HIV epidemic are poorly understood. This review synthesized available HIV and HCV data in prisons in MENA and highlighted opportunities for action. Methods The review was based on data generated through the systematic searches of the MENA HIV/AIDS Epidemiology Synthesis Project (2003 to December 15, 2015) and the MENA HCV Epidemiology Synthesis Project (2011 to December 15, 2015). Sources of data included peer-reviewed publications and country-level reports and databases. Results and discussion We estimated a population of 496,000 prisoners in MENA, with drug-related offences being a major cause for incarceration. Twenty countries had data on HIV among incarcerated populations with a median prevalence of 0.6% in Afghanistan, 6.1% in Djibouti, 0.01% in Egypt, 2.5% in Iran, 0% in Iraq, 0.1% in Jordan, 0.05% in Kuwait, 0.7% in Lebanon, 18.0% in Libya, 0.7% in Morocco, 0.3% in Oman, 1.1% in Pakistan, 0% in Palestine, 1.2% in Saudi Arabia, 0% in Somalia, 5.3% in Sudan and South Sudan, 0.04% in Syria, 0.05% in Tunisia, and 3.5% in Yemen. Seven countries had data on HCV, with a median prevalence of 1.7% in Afghanistan, 23.6% in Egypt, 28.1% in Lebanon, 15.6% in Pakistan, and 37.8% in Iran. Syria and Libya had only one HCV prevalence measure each at 1.5% and 23.7%, respectively. There was strong evidence for injecting drug use and the use of non-sterile injecting-equipment in prisons. Incarceration and injecting drugs, use of non-sterile injecting-equipment, and tattooing in prisons were found to be independent risk factors for HIV or HCV infections. High levels of sexual risk behaviour, tattooing and use of non-sterile razors among prisoners were documented. Conclusions Prisons play an important role in HIV and HCV dynamics in MENA and have facilitated the emergence of large HIV epidemics in

  19. The individual experience of ageing prisoners: systematic review and meta-synthesis through a Good Lives Model framework.

    Science.gov (United States)

    Di Lorito, Claudio; Völlm, Birgit; Dening, Tom

    2017-07-13

    The existing literature on ageing prisoners tends to focus on such aspects as diagnosis and physical ill-health. In contrast, the experience of imprisonment from the perspective of ageing prisoners has received less attention. Grounded in a Good Lives Model theoretical framework, we reviewed and meta-synthesised literature around their experience of life in prison, its impact on their wellbeing and how prison services are currently addressing their complex needs. We further identify potential areas of improvement. 1. Systematic search on Assia, PsycInfo, MedLine, Embase, Web of Science, Google and Gov.uk. 2. Extraction and categorisation of data on NVivo. 3. Development of themes through thematic analysis and meta-synthesis. 4. Identification of potential areas of improvement. We selected 25 studies for our review, of which 13 were from the USA, seven from the UK, two from Australia and one each from Ireland, Switzerland and Israel. We identified three themes: The hardship of imprisonment, addressing health and social care needs, and the route out of prison. Ageing prisoners have unique and complex health and social care needs which, to varying degree across different countries, are mostly unmet. Promising initiatives to address their needs are emerging, but, at present time, the overall experience of incarceration for the ageing prisoner is quite poor, given the inconsistent physical, emotional and social care support offered from prison intake to release and beyond. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

  20. Immigrant women’s experiences of maternity-care services in Canada: a protocol for systematic review using a narrative synthesis

    Directory of Open Access Journals (Sweden)

    Higginbottom Gina M A

    2012-05-01

    Full Text Available Abstract Background Canada’s diverse society and statutory commitment to multiculturalism means that the synthesis of knowledge related to the health care experiences of immigrants is essential to realize the health potential for future Canadians. Although concerns about the maternity experiences of immigrants in Canada are relatively new, recent national guidelines explicitly call for tailoring of services to user needs. We are therefore assessing the experiences of immigrant women in Canada accessing maternity-care services. We are focusing on: 1 accessibility and acceptability (as an important dimension of access to maternity-care services as perceived and experienced by immigrant women, and 2 the birth and postnatal outcomes of these women. Methods The aim of this study is to use a narrative synthesis, incorporating both a systematic review using narrative synthesis of reports of empirical research (qualitative, quantitative, and mixed-method designs, and a literature review of non-empirically based reports, both of which include ‘grey’ literature. The study aims to provide stakeholders with perspectives on maternity-care services as experienced by immigrant women. To achieve this, we are using integrated knowledge translation, partnering with key stakeholders to ensure topic relevancy and to tailor recommendations for effective translation into future policy and practice/programming. Two search phases and a three-stage selection process are being conducted (database search retrieved 1487 hits excluding duplicates to provide evidence to contribute jointly to both the narrative synthesis and the non-empirical literature review. The narrative synthesis will be informed by the previous framework published in 2006 by Popay et al., using identified tools for each of its four elements. The non-empirical literature review will build upon the narrative-synthesis findings and/or identify omissions or gaps in the empirical research literature

  1. [Hospital management in Brazil: a review of the literature with a view toenhance administrative practices in hospitals].

    Science.gov (United States)

    Farias, Diego Carlos; Araujo, Fernando Oliveira de

    2017-06-01

    Hospitals are complex organizations which, in addition to the technical assistance expected in the context of treatment and prevention of health hazards, also require good management practices aimed at improving their efficiency in their core business. However, in administrative terms, recurrent conflicts arise involving technical and managerial areas. Thus, this article sets out to conducta review of the scientific literature pertaining to the themes of hospital management and projects that have been applied in the hospital context. In terms of methodology, the study adopts the webiblioming method of collection and systematic analysis of knowledge in indexed journal databases. The results show a greater interest on the part of researchers in looking for a more vertically and horizontally dialogical administration, better definition of work processes, innovative technological tools to support the management process and finally the possibility of applying project management methodologies in collaboration with hospital management.

  2. Pharmacotherapy of chronic pain: a synthesis of recommendations from systematic reviews.

    Science.gov (United States)

    Kroenke, Kurt; Krebs, Erin E; Bair, Matthew J

    2009-01-01

    Chronic pain is one of the most prevalent, costly and disabling conditions in both clinical practice and the workplace, yet often remains inadequately treated. Moreover, chronic pain commonly co-occurs with depression, anxiety and somatoform disorders, and adversely affects response of these conditions to psychiatric treatments. This article provides an evidence-based approach to the pharmacotherapy of chronic pain. This narrative review is derived largely from meta-analyses and systematic reviews published since 2005. For a few medications, findings from multiple recent trials are synthesized if a systematic review had not yet been published. Classes of medications are first reviewed, followed by an overview of four common pain disorders: neuropathic pain, low back pain, fibromyalgia and osteoarthritis. A stepped care approach based upon existing evidence includes (1) simple analgesics (acetaminophen or nonsteroidal anti-inflammatory drugs); (2) tricyclic antidepressants (if neuropathic, back or fibromyalgia pain) or tramadol; (3) gabapentin, duloxetine or pregabalin if neuropathic pain; (4) cyclobenzaprine, pregabalin, duloxetine, or milnacipran for fibromyalgia; (5) topical analgesics (capsaicin, lidocaine, salicylates) if localized neuropathic or arthritic pain; and (6) opioids. Disease-specific recommendations for neuropathic, low back, fibromyalgia and osteoarthritis pain are reviewed. A number of medications have proven effective in chronic pain disorders and their use individually or in combination should improve the management of chronic pain.

  3. Using logic model methods in systematic review synthesis: describing complex pathways in referral management interventions.

    Science.gov (United States)

    Baxter, Susan K; Blank, Lindsay; Woods, Helen Buckley; Payne, Nick; Rimmer, Melanie; Goyder, Elizabeth

    2014-05-10

    There is increasing interest in innovative methods to carry out systematic reviews of complex interventions. Theory-based approaches, such as logic models, have been suggested as a means of providing additional insights beyond that obtained via conventional review methods. This paper reports the use of an innovative method which combines systematic review processes with logic model techniques to synthesise a broad range of literature. The potential value of the model produced was explored with stakeholders. The review identified 295 papers that met the inclusion criteria. The papers consisted of 141 intervention studies and 154 non-intervention quantitative and qualitative articles. A logic model was systematically built from these studies. The model outlines interventions, short term outcomes, moderating and mediating factors and long term demand management outcomes and impacts. Interventions were grouped into typologies of practitioner education, process change, system change, and patient intervention. Short-term outcomes identified that may result from these interventions were changed physician or patient knowledge, beliefs or attitudes and also interventions related to changed doctor-patient interaction. A range of factors which may influence whether these outcomes lead to long term change were detailed. Demand management outcomes and intended impacts included content of referral, rate of referral, and doctor or patient satisfaction. The logic model details evidence and assumptions underpinning the complex pathway from interventions to demand management impact. The method offers a useful addition to systematic review methodologies. PROSPERO registration number: CRD42013004037.

  4. Nurses' views regarding implementing advance care planning for older people: a systematic review and synthesis of qualitative studies.

    Science.gov (United States)

    Ke, Li-Shan; Huang, Xiaoyan; O'Connor, Margaret; Lee, Susan

    2015-08-01

    To explore nurses' views regarding implementing advance care planning for older people. Advance care planning is recommended as a way for older people to discuss their future care with family members and health professionals. Nurses play key roles in the process of advance care planning, including ensuring that patients are informed of their rights and that decisions are known to, and respected by, the health care team. Thus, understanding of nurses' experiences and perspectives regarding implementing advance care planning for older people is a significant topic for review. Qualitative meta-synthesis. Four databases including CINAHL plus, Medline [EBSCOhost], EMBASE, and PsycINFO were searched, and 1844 articles were initially screened. Finally, 18 articles were critically appraised and a thematic synthesis was undertaken. Four themes were identified regarding implementation of advance care planning: perceived disadvantages and advantages of advance directives; nurses' responsibility and roles; facilitators and barriers; and nurses' needs and recommendations. Nurses felt that advance directives provided more advantages than disadvantages. Nurses generally believed that they were well positioned to engage in advance care planning conversations. Nurses perceived barriers relating to older people, families, environment, time, culture, cost, language and knowledge of health care teams with regard to advance care planning. In nurses' needs, education and support were highlighted. This study provides useful knowledge for implementing advance care planning through illustrating nurses' experiences and perspectives. The results showed that nurses were more concerned about barriers in relation to working environment, teamwork, time and knowledge of health care team members than older people's characteristics, when implementing advance care planning. The findings provide nurses and administrators with information to develop related policies and education. Additionally, the

  5. Identification of energy conservation research opportunities: a review and synthesis of the literature

    Energy Technology Data Exchange (ETDEWEB)

    Hopp, W.J.; Hane, G.J.; Gurwell, W.E.; Hauser, S.G.; Williford, R.E.; Williams, T.A.; Ashton, W.B.

    1982-03-01

    Thirty-eight studies of energy conservation research opportunities are reviewed. The 38 studies chosen for review include many of the major efforts in the identification of energy conservation research and development (R and D) opportunities and provide a representative sample of the types of studies that have been performed. The sample includes studies that focus on specific energy use (e.g., auto transport), as well as studies that focus on specific types of research (e.g., materials science). The sample also includes studies that can be further contrasted in terms of long-term vs. short-term projects, evolutionary vs. revolutionary ideas, generic vs. process-specific activities, and technology base research vs. hardware development. Each of these perspectives contributes toward assuring coverage of the breadth of energy conservation R and D opportunities. In each review the technical or end-use focus is described, the research ideas identified in the study are listed, and a critical summary is given. The reviews also indicate whether the studies present end-use consumption data, estimate potential energy savings, estimate times to commercialization, summarize existing research programs, or describe the identification methodology. In Section 2.0 the various research studies are compared. In Section 3.0 the characteristics of an aggregate list of research ideas are discussed. The characteristics were collected from the research opportunities studies, which are included in Appendix A. Appendix A contains a compilation of energy conservation R and D opportunities arranged by energy end-use applications. Appendix B contains an outline of the format followed in writing the critical reviews of the studies, the individual study reviews, and the extended bibliography of 88 studies that describe energy conservation research opportunities.

  6. Rethinking research in the medical humanities: a scoping review and narrative synthesis of quantitative outcome studies.

    Science.gov (United States)

    Dennhardt, Silke; Apramian, Tavis; Lingard, Lorelei; Torabi, Nazi; Arntfield, Shannon

    2016-03-01

    The rise of medical humanities teaching in medical education has introduced pressure to prove efficacy and utility. Review articles on the available evidence have been criticised for poor methodology and unwarranted conclusions. To support a more nuanced discussion of how the medical humanities work, we conducted a scoping review of quantitative studies of medical humanities teaching. Using a search strategy involving MEDLINE, EMBASE and ERIC, and hand searching, our scoping review located 11 045 articles that referred to the use of medical humanities teaching in medical education. Of these, 62 studies using quantitative evaluation methods were selected for review. Three iterations of analysis were performed: descriptive, conceptual, and discursive. Descriptive analysis revealed that the medical humanities as a whole cannot be easily systematised based on simple descriptive categories. Conceptual analysis supported the development of a conceptual framework in which the foci of the arts and humanities in medical education can be mapped alongside their related epistemic functions for teaching and learning. Within the framework, art functioned as expertise, as dialogue or as a means of expression and transformation. In the discursive analysis, we found three main ways in which the relationship between the arts and humanities and medicine was constructed as, respectively, intrinsic, additive and curative. This review offers a nuanced framework of how different types of medical humanities work. The epistemological assumptions and discursive positioning of medical humanities teaching frame the forms of outcomes research that are considered relevant to curriculum decision making, and shed light on why dominant review methodologies make some functions of medical humanities teaching visible and render others invisible. We recommend the use of this framework to improve the rigor and relevance of future explorations of the efficacy and utility of medical humanities teaching

  7. How nurses cope with patient death: a systematic review and qualitative meta-synthesis.

    Science.gov (United States)

    Zheng, Ruishuang; Lee, Susan Fiona; Bloomer, Melissa Jane

    2017-07-26

    To review literature on nurses' coping strategies with patient death. dealing with the loss of a patient was viewed as one of the most demanding and challenging encounters in clinical practice. Those nurses who are not competent in coping with patient death may be inadequate in supporting dying patients and their family members, and minimize the quality of end-of-life care. To get a broader understanding of how nurses cope with patient death and to develop meaningful and effective interventions, a systematic review which would help underpin the multidimensional approaches is needed. A systematic review. Exhaustive searching in ten databases: cinahl plus, embase, medline, amed, psycinfo, proquest health & medical complete, proquest dissertations & theses global, googlescholar, ethos and caresearch. Meta-aggregation was used to synthesise the findings of the included studies. This systematic review aggregated ten categories from the sixteen qualitative studies included, and then two synthesised findings were derived: intrinsic resources and extrinsic resources. The intrinsic resources consisted of setting boundaries, reflection, crying, death beliefs, life and work experience, and daily routines and activity. The extrinsic resources were comprised of talking and being heard, spiritual practices, education and programs, and debriefing. This systematic review synthesised the findings about what resources nurses use when coping with patient death and made recommendations on future directions. Areas which could be developed to improve deficiencies that nurses had when faced with the losses of their patients were identified. Nurses need more support resources which better assist them in coping with patient death. The results of this systematic review could provide evidence for nurses' coping strategies when dealing with patient death, and the recommendations could be employed by nurses to cope with the losses of patients. This article is protected by copyright. All rights

  8. Patients' perspectives on the medical primary-secondary care interface: systematic review and synthesis of qualitative research.

    Science.gov (United States)

    Sampson, Rod; Cooper, Jamie; Barbour, Rosaline; Polson, Rob; Wilson, Philip

    2015-10-15

    To synthesise the published literature on the patient experience of the medical primary-secondary care interface and to determine priorities for future work in this field aimed at improving clinical outcomes. Systematic review and metaethnographic synthesis of primary studies that used qualitative methods to explore patients' perspectives of the medical primary-secondary care interface. International primary-secondary care interface. EMBASE, MEDLINE, CINAHL Plus with Full text, PsycINFO, Psychology and Behavioural Sciences Collection, Health Business Elite, Biomedica Reference Collection: Comprehensive Library, Information Science & Technology Abstracts, eBook Collection, Web of Science Core Collection: Citation Indexes and Social Sciences Citation Index, and grey literature. Studies were eligible for inclusion if they were full research papers employing qualitative methodology to explore patients' perspectives of the medical primary-secondary care interface. The 7-step metaethnographic approach described by Noblit and Hare, which involves cross-interpretation between studies while preserving the context of the primary data. The search identified 690 articles, of which 39 were selected for full-text review. 20 articles were included in the systematic review that encompassed a total of 689 patients from 10 countries. 4 important areas specific to the primary-secondary care interface from the patients' perspective emerged: barriers to care, communication, coordination, and 'relationships and personal value'. Patients should be the focus of any transfer of care between primary and secondary systems. From their perspective, areas for improvement may be classified into four domains that should usefully guide future work aimed at improving quality at this important interface. PROSPERO CRD42014009486. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  9. Primary Cicatricial Alopecias: A Review of Histopathologic Findings in 38 Patients from a Clinical University Hospital in Sao Paulo, Brazil

    Science.gov (United States)

    Moure, Emanuella Rosyane Duarte; Romiti, Ricardo; Machado, Maria Cecília da Matta Rivitti; Valente, Neusa Yuriko Sakai

    2008-01-01

    BACKGROUND Scarring alopecias are classified into primary and secondary types according to the initial site of inflammation. In primary scarring alopecias, the hair follicle is the main target of destruction; the term secondary cicatricial alopecia implies that follicular destruction is not the primary pathologic event. AIMS To review the histopathologic diagnoses of cases of cicatricial alopecia in order to classify them according to the North American Hair Research Society. PATIENTS AND METHODS Patients with biopsy specimens diagnosed as cicatricial alopecia seen from 2000 to 2005 at the Dermatologic Department of Hospital das Clinicas, São Paulo University Medical School had hematoxylin and eosin, Periodic acid-Schiff and Weigert stained slides reevaluated and sub-typed into different primary cicatricial alopecias. RESULTS Thirty-eight cases of primary cicatricial alopecias were reclassified as: chronic cutaneous lupus (17), lichen planus pilaris (4), pseudopelade of Brocq (12), folliculitis decalvans (3), dissecting folliculitis (1), and non-specific scarring alopecia (1). In our cases, the methods employed allowed an accurate diagnosis in 12 of 13 cases (92.3%) previously classified as non-specific cicatricial alopecias. CONCLUSIONS Even in the late, pauci or non-inflammatory phases, an approach with systematic evaluation of a constellation of criteria in routine hematoxylin and eosin stain, Periodic acid-Schiff and Weigert stain allowed for a more accurate diagnosis of cicatricial alopecias. PMID:19060995

  10. Multilanguage, Multipurpose: A Literature Review, Synthesis, and Framework for Critical Literacies in English Language Teaching

    Science.gov (United States)

    Bacon, Chris K.

    2017-01-01

    This article reviews and synthesizes empirical literature on critical literacies in English language teaching (ELT), gathering perspectives from international scholarship. Across a range of global contexts, the consistency with which English learning is touted as access to power while acting to marginalize those still learning the language…

  11. Research on the Value of AACSB Business Accreditation in Selected Areas: A Review and Synthesis

    Science.gov (United States)

    Hunt, Steven C.

    2015-01-01

    The AACSB claims that its accreditation provides evidence of business school quality in a variety of areas. This paper reviews and synthesizes existing research on the value of AACSB accreditation on four key topics of importance to schools, prospective students, and employers: effect on obtaining quality students, students' job placement, faculty…

  12. Overview of data-synthesis in systematic reviews of studies on outcome prediction models

    NARCIS (Netherlands)

    T. van den Berg (Tobias); M.W. Heymans (Martijn); O. Leone; D. Vergouw (David); J. Hayden (Jill); A.P. Verhagen (Arianne); H.C. de Vet (Henrica C)

    2013-01-01

    textabstractBackground: Many prognostic models have been developed. Different types of models, i.e. prognostic factor and outcome prediction studies, serve different purposes, which should be reflected in how the results are summarized in reviews. Therefore we set out to investigate how authors of

  13. Outpatient interventions for hepatology patients with fluid retention: a review and synthesis of the literature.

    Science.gov (United States)

    White, Asha

    2014-01-01

    Cirrhosis of the liver was the 12th leading cause of death in the United States, according to the 2010 Vital Statistics Report. Cirrhosis is responsible for more than 150,000 hospitalizations each year. Similar to heart failure, severe fluid retention in cirrhotic patients leads to hospitalizations and increase in resource utilization. Outpatient interventions can be used to decrease preventable hospitalizations. The existing literature was explored to determine what interventions can be implemented in an outpatient setting that may reduce or prevent hospital admissions for cirrhotic patients with fluid retention. Seventeen articles were included in the review of the literature. There were 9 randomized controlled trials that yielded a total of 1,694 patients. One meta-analysis yielded 5 randomized controlled trials with 330 patients. Three cohort studies yielded 86 patients. One systematic review yielded 2,115 articles and 2 literature reviews yielded 110 articles. One report from an expert committee was included in the review. Findings from the studies identified 6 main interventions that can be used for outpatient management of cirrhotic patients with fluid retention and may prevent related hospitalizations. These include dietary sodium restriction, diuretics, daily weights, albumin infusions and paracentesis, placement of a transjugular intrahepatic portosystemic shunt, and telephone management.

  14. A review of theoretical study of graphene chemical vapor deposition synthesis on metals: nucleation, growth, and the role of hydrogen and oxygen

    Science.gov (United States)

    Rezwan Habib, Mohammad; Liang, Tao; Yu, Xuegong; Pi, Xiaodong; Liu, Yingchun; Xu, Mingsheng

    2018-03-01

    Graphene has attracted intense research interest due to its extraordinary properties and great application potential. Various methods have been proposed for the synthesis of graphene, among which chemical vapor deposition has drawn a great deal of attention for synthesizing large-area and high-quality graphene. Theoretical understanding of the synthesis mechanism is crucial for optimizing the experimental design for desired graphene production. In this review, we discuss the three fundamental steps of graphene synthesis in details, i.e. (1) decomposition of carbon feedstocks and formation of various active carbon species, (2) nucleation, and (3) attachment and extension. We provide a complete scenario of graphene synthesis on metal surfaces at atomistic level by means of density functional theory, molecular dynamics (MD), Monte Carlo (MC) and their combination and interface with other simulation methods such as quantum mechanical molecular dynamics, density functional tight binding molecular dynamics, and combination of MD and MC. We also address the latest investigation of the influences of the hydrogen and oxygen on the synthesis and the quality of the synthesized graphene.

  15. Synthesis of c-axis oriented AlN thin films on different substrates: A review

    Energy Technology Data Exchange (ETDEWEB)

    Iriarte, G.F., E-mail: gonzalo.fuentes@upm.es [Instituto de Sistemas Optoelectronicos y Microtecnologia, ETSI de Telecomunicacion Universidad Politecnica de Madrid, Ciudad Universitaria s/n, 28040 Madrid (Spain); Rodriguez, J.G.; Calle, F. [Instituto de Sistemas Optoelectronicos y Microtecnologia, ETSI de Telecomunicacion Universidad Politecnica de Madrid, Ciudad Universitaria s/n, 28040 Madrid (Spain)

    2010-09-15

    Highly c-axis oriented AlN thin films have been deposited by reactive sputtering on different substrates. The crystallographic properties of layered film structures consisting of a piezoelectric layer, aluminum nitride (AlN), synthesized on a variety of substrates, have been examined. Aluminum nitride thin films have been deposited by reactive pulsed-DC magnetron sputtering using an aluminum target in an Ar/N{sub 2} gas mixture. The influence of the most critical deposition parameters on the AlN thin film crystallography has been investigated by means of X-ray diffraction (XRD) analysis of the rocking curve Full-Width at Half Maximum (FWHM) of the AlN-(0 0 0 2) peak. The relationship between the substrate, the synthesis parameters and the crystallographic orientation of the AlN thin films is discussed. A guide is provided showing how to optimize these conditions to obtain highly c-axis oriented AlN thin films on substrates of different nature.

  16. Grafting materials for alveolar cleft reconstruction: a systematic review and best-evidence synthesis.

    Science.gov (United States)

    Wu, C; Pan, W; Feng, C; Su, Z; Duan, Z; Zheng, Q; Hua, C; Li, C

    2018-03-01

    The purpose of this study was to compare the efficacy of alveolar bone reconstruction for alveolar cleft patients performed with the traditional iliac graft or alternative/supplementary bone grafting materials. Electronic databases, relevant journals, and reference lists of the included studies were searched to the end of June 2016. A best-evidence synthesis was performed to draw conclusions. A total of 38 studies were included, which provided 25 pieces of evidence: seven of moderate evidence and 18 of insufficient evidence. The seven pieces of moderate evidence indicated that (1) bone morphogenetic protein 2 bound to absorbable collagen sponge shares similar cleft repair efficacy to the iliac graft; (2) covering the iliac graft with an acellular dermis matrix membrane may increase bone retention for unilateral cleft patients; (3) mixing iliac graft with platelet-rich plasma may increase bone retention for skeletally mature patients, but (4) does not achieve the same result for younger patients; and compared with the iliac graft, (5) the mandible graft is more effective, whereas (6) the cranium graft and (7) rib graft are less effective for alveolar cleft reconstruction. The efficacy of the remaining grafting materials was supported by insufficient evidence. More well-designed controlled studies are needed to ascertain the long-term clinical results of alveolar cleft reconstruction. Copyright © 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  17. Conceptualizing the Pathways and Processes Between Language Barriers and Health Disparities: Review, Synthesis, and Extension.

    Science.gov (United States)

    Terui, Sachiko

    2017-02-01

    While many may view language barriers in healthcare settings (LBHS) as a simple, practical problem, they present unique challenges to theoretical development and practice implications in healthcare delivery, especially when one considers the implications and impacts of specific contextual factors. By exploring the differences of contextual factors in the US and Japan, this review explores and highlights how such differences may entail different impacts on patients' quality of care and require different solutions. I conduct narrative review through library database, Google Scholar, and CiNii (a Japanese library database) with multiple search terms, including language barriers, healthcare, medical interpreter, and immigrant. I first present a diagram to show the pathways and process between language barriers and health disparities, using the literature reported in the US. Then, I examined the literature reported in Japan and discuss the needs for re-conceptualizing LBHS. The implications for future research will be discussed.

  18. Towards a Comprehensive Conceptual Framework of Active Travel Behavior: a Review and Synthesis of Published Frameworks.

    Science.gov (United States)

    Götschi, Thomas; de Nazelle, Audrey; Brand, Christian; Gerike, Regine

    2017-09-01

    This paper reviews the use of conceptual frameworks in research on active travel, such as walking and cycling. Generic framework features and a wide range of contents are identified and synthesized into a comprehensive framework of active travel behavior, as part of the Physical Activity through Sustainable Transport Approaches project (PASTA). PASTA is a European multinational, interdisciplinary research project on active travel and health. Along with an exponential growth in active travel research, a growing number of conceptual frameworks has been published since the early 2000s. Earlier frameworks are simpler and emphasize the distinction of environmental vs. individual factors, while more recently several studies have integrated travel behavior theories more thoroughly. Based on the reviewed frameworks and various behavioral theories, we propose the comprehensive PASTA conceptual framework of active travel behavior. We discuss how it can guide future research, such as data collection, data analysis, and modeling of active travel behavior, and present some examples from the PASTA project.

  19. Probiotics in Human Immunodeficiency Virus Infection: A Systematic Review and Evidence Synthesis of Benefits and Risks.

    Science.gov (United States)

    Carter, George M; Esmaeili, Aryan; Shah, Hardikkumar; Indyk, Debbie; Johnson, Matthew; Andreae, Michael; Sacks, Henry S

    2016-10-01

    People living with human immunodeficiency virus frequently use dietary supplements, including probiotics, but concern exists about ingesting live organisms. We performed a systematic review of the benefits of probiotics and a meta-analysis of sepsis risk. We undertook a protocol-driven, comprehensive review to identify all relevant studies, assess their quality, and summarize the evidence. Of 2068 references, 27 were analyzed. The data suggest possible benefits for CD4 count, recurrence or management of bacterial vaginosis, and diarrhea management. We examined randomized, controlled studies explicitly assessing sepsis in any patient population, and we found zero cases of supplement-associated bacteremia or fungemia in 39 randomized controlled trials comprising 9402 subjects. The estimated number needed to harm is 7369 in Bayesian approach (95% credible interval: 1689, ∞), which should reassure clinicians. No or mild adverse effects were reported. Longer duration studies investigating different individual and mixed strains for plausible indications are needed to establish best practices.

  20. A systematic review and meta-synthesis of effective nursing leadership

    OpenAIRE

    Smith, Tony; Yu, Ming; Kautsch, Marcin

    2009-01-01

    Introduction. There is a prevailing view that leadership and management development play a vital role in the creating\\ud of high performing organisations.\\ud Aim of the study. The aim of this research is to review relevant qualitative studies to identify the attributes of effective Nursing Leadership. Material and methods. Healthcare systems have experienced a substantial transformation during recent decades. This has resulted in Nurse Managers dealing with increased levels of systemic comple...

  1. Nickel hydroxides and related materials: a review of their structures, synthesis and properties

    OpenAIRE

    Hall, David S.; Lockwood, David J.; Bock, Christina; MacDougall, Barry R.

    2015-01-01

    This review article summarizes the last few decades of research on nickel hydroxide, an important material in physics and chemistry, that has many applications in engineering including, significantly, batteries. First, the structures of the two known polymorphs, denoted as α-Ni(OH)2 and β-Ni(OH)2, are described. The various types of disorder, which are frequently present in nickel hydroxide materials, are discussed including hydration, stacking fault disorder, mechanical stresses and the inco...

  2. How Physically Active Are People Following Stroke? Systematic Review and Quantitative Synthesis.

    Science.gov (United States)

    Fini, Natalie A; Holland, Anne E; Keating, Jenny; Simek, Jacinta; Bernhardt, Julie

    2017-07-01

    Mobility limitations are common following stroke and frequently lead to poor participation in physical activity (PA). The purpose of this study was to describe PA across the various stages following stroke (acute, subacute, and chronic). Searches were conducted in 5 databases. Eligible studies included participants with stroke whose PA was quantitatively measured for at least 4 hours in a single session. Two reviewers independently reviewed titles and abstracts. One reviewer extracted data and assessed quality using the Downs and Black checklist. Weighted means were calculated for PA outcomes. Searches yielded 103 eligible papers including 5306 participants aged 21 to 96 years. Devices (eg, activity monitors) were used in 73 papers, and behavioral mapping (observational monitoring) in 30. Devices show that people with stroke took on average 5535 steps per day (n = 406, 10 studies) in the subacute phase and 4078 steps (n = 1280, 32 studies) in the chronic phase. Average daily walking duration (% measured time) was higher in the chronic phase (9.0%, n = 100) than subacute (1.8%, n = 172), and sedentary time was >78% regardless of time post stroke. Acute data were lacking for these variables. Matched healthy individuals took an average of 8338 steps per day (n = 129). Behavioral mapping showed time in bed was higher in the acute than subacute phase (mean 45.1% versus 23.8%), with similar time spent sitting (mean 37.6% versus 32.6%). Limitations of this review include not pooling data reported as medians. Physical activity levels do not meet guidelines following stroke. Time spent inactive and sedentary is high at all times. Increasing PA and developing standardized activity targets may be important across all stages of stroke recovery.

  3. General practitioners’ experiences and perceptions of benzodiazepine prescribing : systematic review and meta-synthesis

    OpenAIRE

    Sirdifield, Coral; Anthierens, Sibyl; Creupelandt, Hanne; Chipchase, Susan Y.; Christiaens, Thierry; Siriwardena, Aloysius Niroshan

    2013-01-01

    Background: Benzodiazepines are often prescribed long-term inappropriately. We aimed to systematically review and meta-synthesise qualitative studies exploring clinicians' experiences and perceptions of benzodiazepine prescribing to build an explanatory model of processes underlying current prescribing practices. Methods: We searched seven electronic databases for qualitative studies in Western primary care settings published in a European language between January 1990 and August 2011 ana...

  4. All about neosporosis in Brazil.

    Science.gov (United States)

    Cerqueira-Cézar, Camila Koutsodontis; Calero-Bernal, Rafael; Dubey, Jitender Prakash; Gennari, Solange Maria

    2017-01-01

    Neospora caninum is protozoan parasite with domestic and wild dogs, coyotes and grey wolves as the definitive hosts and many warm-blooded animals as intermediate hosts. It was cultivated and named in 1988. Neosporosis is a major disease of cattle and has no public health significance. Since 1990's N. caninum has emerged as a major cause of abortion in cattle worldwide, including in Brazil. N. caninum also causes clinical infections in several other animal species. Considerable progress has been made in understanding the biology of N. caninum and there are more than 200 papers on this subject from Brazil. However, most of the reports on neosporosis from Brazil are serological surveys. Overall, little is known of clinical neosporosis in Brazil, particularly cattle. The few reports pertain to sporadic cases of abortion with no information on epidemics or storms of abortion. The objective of the present review is to summarize all reports from Brazil and suggest topic for further research, including prevalence of N. caninum oocysts in soil or in canine feces, and determining if there are additional definitive hosts, other than the domestic dog. There is need for a national survey in cattle using defined parameters. Future researches should focus on molecular characterization of N. caninum strains, possibility of vaccine production and relationship between wildlife and livestock epidemiology.

  5. All about neosporosis in Brazil

    Directory of Open Access Journals (Sweden)

    Camila Koutsodontis Cerqueira-Cézar

    2017-08-01

    Full Text Available Abstract Neospora caninum is protozoan parasite with domestic and wild dogs, coyotes and grey wolves as the definitive hosts and many warm-blooded animals as intermediate hosts. It was cultivated and named in 1988. Neosporosis is a major disease of cattle and has no public health significance. Since 1990’s N. caninum has emerged as a major cause of abortion in cattle worldwide, including in Brazil. N. caninum also causes clinical infections in several other animal species. Considerable progress has been made in understanding the biology of N. caninum and there are more than 200 papers on this subject from Brazil. However, most of the reports on neosporosis from Brazil are serological surveys. Overall, little is known of clinical neosporosis in Brazil, particularly cattle. The few reports pertain to sporadic cases of abortion with no information on epidemics or storms of abortion. The objective of the present review is to summarize all reports from Brazil and suggest topic for further research, including prevalence of N. caninum oocysts in soil or in canine feces, and determining if there are additional definitive hosts, other than the domestic dog. There is need for a national survey in cattle using defined parameters. Future researches should focus on molecular characterization of N. caninum strains, possibility of vaccine production and relationship between wildlife and livestock epidemiology.

  6. Rates of opioid misuse, abuse, and addiction in chronic pain: a systematic review and data synthesis.

    Science.gov (United States)

    Vowles, Kevin E; McEntee, Mindy L; Julnes, Peter Siyahhan; Frohe, Tessa; Ney, John P; van der Goes, David N

    2015-04-01

    Opioid use in chronic pain treatment is complex, as patients may derive both benefit and harm. Identification of individuals currently using opioids in a problematic way is important given the substantial recent increases in prescription rates and consequent increases in morbidity and mortality. The present review provides updated and expanded information regarding rates of problematic opioid use in chronic pain. Because previous reviews have indicated substantial variability in this literature, several steps were taken to enhance precision and utility. First, problematic use was coded using explicitly defined terms, referring to different patterns of use (ie, misuse, abuse, and addiction). Second, average prevalence rates were calculated and weighted by sample size and study quality. Third, the influence of differences in study methodology was examined. In total, data from 38 studies were included. Rates of problematic use were quite broad, ranging from Abuse was reported in only a single study. Only 1 difference emerged when study methods were examined, where rates of addiction were lower in studies that identified prevalence assessment as a primary, rather than secondary, objective. Although significant variability remains in this literature, this review provides guidance regarding possible average rates of opioid misuse and addiction and also highlights areas in need of further clarification.

  7. Pediatric emergency in Brazil: the consolidation of an area in the pediatric field

    Directory of Open Access Journals (Sweden)

    Jefferson P. Piva

    Full Text Available Abstract Objective: The aim of this study was to present a review on the evolution, development, and consolidation of the pediatric emergency abroad and in Brazil, as well as to discuss the residency program in this key area for pediatricians. Data sources: This was a narrative review, in which the authors used pre-selected documents utilized as the minimum requirements for the Residency Program in Pediatric Emergency Medicine and articles selected by interest for the theme development, at the SciELO and Medline databases, between 2000 and 2017. Data synthesis: The historical antecedents and the initial evolution of pediatric emergency in Brazil, as well as several challenges were described, regarding the organization, the size, the training of professionals, and also the regulation of the professional practice in this new specialty. Additionally, a new pediatric emergency residency program to be implemented in Brazil is described. Conclusions: Pediatric emergency training will be a powerful stimulus to attract talented individuals, to establish them in this key area of medicine, where they can exercise their leadership by promoting care qualification, research, and teaching, as well as acting decisively in their management.

  8. The evolution of the upright posture and gait—a review and a new synthesis

    Science.gov (United States)

    Niemitz, Carsten

    2010-03-01

    During the last century, approximately 30 hypotheses have been constructed to explain the evolution of the human upright posture and locomotion. The most important and recent ones are discussed here. Meanwhile, it has been established that all main hypotheses published until the last decade of the past century are outdated, at least with respect to some of their main ideas: Firstly, they were focused on only one cause for the evolution of bipedality, whereas the evolutionary process was much more complex. Secondly, they were all placed into a savannah scenario. During the 1990s, the fossil record allowed the reconstruction of emerging bipedalism more precisely in a forested habitat (e.g., as reported by Clarke and Tobias (Science 269:521-524, 1995) and WoldeGabriel et al. (Nature 412:175-178, 2001)). Moreover, the fossil remains revealed increasing evidence that this part of human evolution took place in a more humid environment than previously assumed. The Amphibian Generalist Theory, presented first in the year 2000, suggests that bipedalism began in a wooded habitat. The forests were not far from a shore, where our early ancestor, along with its arboreal habits, walked and waded in shallow water finding rich food with little investment. In contrast to all other theories, wading behaviour not only triggers an upright posture, but also forces the individual to maintain this position and to walk bipedally. So far, this is the only scenario suitable to overcome the considerable anatomical and functional threshold from quadrupedalism to bipedalism. This is consistent with paleoanthropological findings and with functional anatomy as well as with energetic calculations, and not least, with evolutionary psychology. The new synthesis presented here is able to harmonise many of the hitherto competing theories.

  9. Mass Casualty Decontamination Guidance and Psychosocial Aspects of CBRN Incident Management: A Review and Synthesis

    Science.gov (United States)

    Carter, Holly; Amlôt, Richard

    2016-01-01

    Introduction: Mass casualty decontamination is an intervention employed by first responders at the scene of an incident involving noxious contaminants.  Many countries have sought to address the challenge of decontaminating large numbers of affected casualties through the provision of rapidly deployable temporary showering structures, with accompanying decontamination protocols.  In this paper we review decontamination guidance for emergency responders and associated research evidence, in order to establish to what extent psychosocial aspects of casualty management have been considered within these documents. The review focuses on five psychosocial aspects of incident management: likely public behaviour; responder management style; communication strategy; privacy/ modesty concerns; and vulnerable groups. Methods: Two structured literature reviews were carried out; one to identify decontamination guidance documents for first responders, and another to identify evidence which is relevant to the understanding of the psychosocial aspects of mass decontamination.  The guidance documents and relevant research were reviewed to identify whether the guidance documents contain information relating to psychosocial issues and where it exists, that the guidance is consistent with the existing evidence-base. Results: Psychosocial aspects of incident management receive limited attention in current decontamination guidance.  In addition, our review has identified a number of gaps and inconsistencies between guidance and research evidence.  For each of the five areas we identify: what is currently presented in guidance documents, to what extent this is consistent with the existing research evidence and where it diverges.  We present a series of evidence-based recommendations for updating decontamination guidance to address the psychosocial aspects of mass decontamination. Conclusions: Effective communication and respect for casualties’ needs are critical in ensuring

  10. Wasted research when systematic reviews fail to provide a complete and up-to-date evidence synthesis: the example of lung cancer.

    Science.gov (United States)

    Créquit, Perrine; Trinquart, Ludovic; Yavchitz, Amélie; Ravaud, Philippe

    2016-01-20

    Multiple treatments are frequently available for a given condition, and clinicians and patients need a comprehensive, up-to-date synthesis of evidence for all competing treatments. We aimed to quantify the waste of research related to the failure of systematic reviews to provide a complete and up-to-date evidence synthesis over time. We performed a series of systematic overviews and networks of randomized trials assessing the gap between evidence covered by systematic reviews and available trials of second-line treatments for advanced non-small cell lung cancer. We searched the Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, MEDLINE, EMBASE, and other resources sequentially by year from 2009 to March 2, 2015. We sequentially compared the amount of evidence missing from systematic reviews to the randomized evidence available for inclusion each year. We constructed cumulative networks of randomized evidence over time and evaluated the proportion of trials, patients, treatments, and treatment comparisons not covered by systematic reviews on December 31 each year from 2009 to 2015. We identified 77 trials (28,636 patients) assessing 47 treatments with 54 comparisons and 29 systematic reviews (13 published after 2013). From 2009 to 2015, the evidence covered by existing systematic reviews was consistently incomplete: 45 % to 70 % of trials; 30 % to 58 % of patients; 40 % to 66 % of treatments; and 38 % to 71 % of comparisons were missing. In the cumulative networks of randomized evidence, 10 % to 17 % of treatment comparisons were partially covered by systematic reviews and 55 % to 85 % were partially or not covered. We illustrate how systematic reviews of a given condition provide a fragmented, out-of-date panorama of the evidence for all treatments. This waste of research might be reduced by the development of live cumulative network meta-analyses.

  11. What do people fear about cancer? A systematic review and meta‐synthesis of cancer fears in the general population

    Science.gov (United States)

    McGregor, Lesley M.; Heinrich, Małgorzata; von Wagner, Christian; Waller, Jo; Wardle, Jane; Black, Georgia B.

    2016-01-01

    Abstract Background Cancer has long inspired fear, but the effect of fear is not well understood; it seems both to facilitate and to deter early diagnosis behaviours. To elucidate fear's behavioural effects, we systematically reviewed and synthesised qualitative literature to explore what people fear about cancer. Methods We searched Medline, Embase, PsycInfo, Web of Science, AnthroSource, and Anthrobase for studies on cancer fear in breast, cervical, and colorectal cancer screening and analysed 102 studies from 26 countries using thematic synthesis. Results Fears of cancer emanated from a core view of cancer as a vicious, unpredictable, and indestructible enemy, evoking fears about its proximity, the (lack of) strategies to keep it at bay, the personal and social implications of succumbing, and fear of dying from cancer. Conclusions This view of cancer as ‘an enemy’ reprises the media's ‘war on cancer’ theme and may affect the acceptance of cancer early detection and prevention messages, since cancer's characteristics influenced whether ‘fight’ or ‘flight’ was considered appropriate. PMID:27643482

  12. Community-based initiatives improving critical health literacy: a systematic review and meta-synthesis of qualitative evidence.

    Science.gov (United States)

    de Wit, Liesbeth; Fenenga, Christine; Giammarchi, Cinzia; di Furia, Lucia; Hutter, Inge; de Winter, Andrea; Meijering, Louise

    2017-07-20

    Critical health literacy enables older adults to make informed health decisions and take actions for the health and wellbeing of themselves and their community, within their own social and cultural context. A community-based approach has the potential to improve the critical health literacy of older adults and their communities. However, it is not clear how such initiatives consider critical health literacy. Therefore, this study explored how community-based initiatives address the critical health literacy of older adults and their communities. A systematic literature search was conducted. Two reviewers independently screened titles and abstracts, as well as the quality of the methodological and community-based elements of the studies. In addition, a meta-synthesis was carried out, consisting of a qualitative text analysis of the results sections of the 23 included studies. We identified two main themes, which are practices that contribute to the critical health literacy of older adults as well as their communities: 1) collaborative learning, and 2) social support. In these practices we identified reciprocity as a key characteristic of both co-learning and social support. This study provides the first overview of community-based initiatives that implicitly address the critical health literacy of older adults and their community. Our results demonstrate that in the context of one's own life collaborative learning and social support could contribute to people's understanding and ability to judge, sift and use health information. We therefore suggest to add these two practices to the definition of critical health literacy.

  13. A systematic review and thematic synthesis of qualitative studies on maternal emergency transport in low- and middle-income countries.

    Science.gov (United States)

    Wilson, Amie; Hillman, Sarah; Rosato, Mikey; Skelton, John; Costello, Anthony; Hussein, Julia; MacArthur, Christine; Coomarasamy, Arri

    2013-09-01

    Most maternal deaths are preventable with emergency obstetric care; therefore, ensuring access is essential. There is little focused information on emergency transport of pregnant women. The literature on emergency transport of pregnant women in low- and middle-income countries (LMICs) was systematically reviewed and synthesized to explore current practices, barriers, and facilitators for transport utilization. MEDLINE, EMBASE, BNI, Cochrane Library, CINAHL, African Index Medicus, ASSIA, QUALIDATA, RHL, and Science Citation Index (inception to April 2012) were searched without language restriction. Studies using qualitative methodology and reporting on emergency transportation in LMICs were included. Thematic framework and synthesis through examination and translation of common elements were used to analyze and synthesize the data. Twenty-nine articles were included. Eight major themes were identified: time for transport; transport options; geography; local support; autonomy; culture; finance; and ergonomics. Key issues were transport availability; transport speed; terrain; meteorology; support; dependence for decision making; cultural issues; cost; and lack of safe, comfortable positioning during transport. Themes should be appreciated within local contexts to illuminate barriers and facilitators. Potential solutions include motorcycle ambulance programs, collaboration with taxi services, community education, subsidies, and vehicle maintenance. Copyright © 2013 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  14. Review on synthesis of ferrocene-based redox polymers and derivatives and their application in glucose sensing.

    Science.gov (United States)

    Saleem, Muhammad; Yu, Haojie; Wang, Li; Zain-ul-Abdin; Khalid, Hamad; Akram, M; Abbasi, Nasir M; Huang, Jin

    2015-05-30

    The interest in glucose biosensors persisted over many years and persistent efforts have been made to develop long term stable glucose biosensors with precision, smart analytical performance, good linearity and resistance to communal interferences. In this regard, ferrocene-based polymers and derivatives (FBPDs) for the development of glucose biosensor (GBs) as redox mediators have acquired utmost attention of the scientists, especially in the second generation biosensors, as a large number of innovative molecules have been synthesized. Most of the FBPDs are considered as active components in the development of GBs, due to their ease of modification, biocompatibility, stability, large surface area, good electrical conductivity and especially excellent redox properties. This review provides a brief description of synthesis, analytical performance and glucose sensing application of ferrocene-based dendrimers, polythiophenes, polypyrroles, polyethylenimine, chitosan and carbon nano tubes (CNTs). Moreover, the analytical performance of ferrocene-based glucose biosensors (FBGBs) is summarized and the problems associated with the construction of GBs and the future trends are discussed. Copyright © 2015 Elsevier B.V. All rights reserved.

  15. Qualitative synthesis and systematic review of otolaryngology in undergraduate medical education.

    Science.gov (United States)

    Ishman, Stacey L; Stewart, C Matthew; Senser, Ethan; Stewart, Rosalyn W; Stanley, James; Stierer, Kevin D; Benke, James R; Kern, David E

    2015-12-01

    Although 25% of primary care complaints are otolaryngology related, otolaryngology instruction is not required in most medical schools. Our aim was to systematically review existing literature on the inclusion of otolaryngology in undergraduate medical education. PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, and Education Resources Information Center. Our search encompassed all indexed years through December 29, 2014. Inclusion criteria were English language, original human data, and a focus on medical student education. Data regarding study design, teacher, educational topic, educational methods, and setting were extracted from each article. Two investigators independently reviewed all articles. Our initial search yielded 436 articles; 87 underwent full-text evaluation and 47 remained in the final review. The majority of studies were conducted in the United States (40%), United Kingdom (23%), and Canada (17%) and represented a single institutional experience. Studies were classified as needs assessments (36%), curriculum descriptions (15%), educational methods (36%), and skills assessments (32%); 81% were levels of evidence 3 or 4. Most reports indicated that otolaryngology rotations are not compulsory. Studies indicated the need for increased exposure to otolaryngology. Educational methods such as team-based learning, simulation, online learning, and clinical skills assessments may offer ways to increase exposure without overburdening clinical faculty and require further study. Data suggest that a universal otolaryngology medical student curriculum would be valuable and aid in resource sharing across institutions. We recommend that an assessment be performed to determine topics and skills that should comprise this curriculum. NA. © 2015 The American Laryngological, Rhinological and Otological Society, Inc.

  16. A systematic review and narrative synthesis of group self-management interventions for adults with epilepsy.

    Science.gov (United States)

    Smith, Amelia; McKinlay, Alison; Wojewodka, Gabriella; Ridsdale, Leone

    2017-06-17

    Epilepsy is a serious and costly long-term condition that negatively affects quality of life, especially if seizures persist on medication. Studies show that people with epilepsy (PWE) want to learn more about the condition and some educational self-management courses have been trialled internationally. The objectives of this review were to evaluate research and summarise results on group self-management interventions for PWE. We searched Medline and PsycINFO for results published in English between 1995 and 2015. Only studies evaluating face-to-face, group interventions for adults with epilepsy were included. Heterogeneity in study outcomes prevented the carrying out of a meta-analysis; however, a Cochrane style review was undertaken. We found eleven studies, nine of which were randomised controlled trials. There were variable standards of methodological reporting with some risk of bias. Seven of the studies used quality of life as an outcome, with four finding statistically significant improvements in mean total score. Two found an improvement in outcome subscales. One study included some additional semi-qualitative data. We identified promising trends in the trials reviewed. In particular, there were significant improvements in quality of life scales and seizure frequency in many of the interventions. However, considerable heterogeneity of interventions and outcomes made comparison between the studies difficult. Courses that included psychological interventions and others that had a high number of sessions showed more effect than short educational courses. Furthermore, the evidence was predominantly from pilot studies with small sample sizes and short follow-up duration. Further research is needed to better evaluate the role of group self-management interventions in outpatient epilepsy management.

  17. The late Middle Pleistocene hominin fossil record of eastern Asia: synthesis and review.

    Science.gov (United States)

    Bae, Christopher J

    2010-01-01

    Traditionally, Middle Pleistocene hominin fossils that cannot be allocated to Homo erectus sensu lato or modern H. sapiens have been assigned to different specific taxa. For example, in eastern Asia, these hominin fossils have been classified as archaic, early, or premodern H. sapiens. An increasing number of Middle Pleistocene hominin fossils are currently being assigned to H. heidelbergensis. This is particularly the case for the African and European Middle Pleistocene hominin fossil record. There have been suggestions that perhaps the eastern Asian late Middle Pleistocene hominins can also be allocated to the H. heidelbergensis hypodigm. In this article, I review the current state of the late Middle Pleistocene hominin fossil record from eastern Asia and examine the various arguments for assigning these hominins to the different specific taxa. The two primary conclusions drawn from this review are as follows: 1) little evidence currently exists in the eastern Asian Middle Pleistocene hominin fossil record to support their assignment to H. heidelbergensis; and 2) rather than add to the growing list of hominin fossil taxa by using taxonomic names like H. daliensis for northeast Asian fossils and H. mabaensis for Southeast Asian fossils, it is better to err on the side of caution and continue to use the term archaic H. sapiens to represent all of these hominin fossils. What should be evident from this review is the need for an increase in the quality and quantity of the eastern Asian hominin fossil data set. Fortunately, with the increasing number of large-scale multidisciplinary paleoanthropological field and laboratory research projects in eastern Asia, the record is quickly becoming better understood. Copyright © 2010 Wiley-Liss, Inc.

  18. Risk behaviours among female sex workers in China: a systematic review and data synthesis.

    Directory of Open Access Journals (Sweden)

    Eric P F Chow

    Full Text Available Commercial sex is one of the major modes of HIV transmission in China. Understanding HIV risk behaviours in female sex workers (FSW is of great importance for prevention. This study aims to assess the magnitude and temporal changes of risk behaviours in Chinese FSW.Five electronic databases were searched to identify peer-reviewed English and Chinese language articles published between January 2000 and December 2012 that reported risk behaviours among FSW in China, including condom use, HIV testing, and drug use. Linear regression and Spearman's rank correlation were used to examine temporal trends in these risk factors. The study followed PRISMA guidelines for meta-analyses and was registered in the PROSPERO database for systematic reviews.A total of 583 articles (44 English, 539 Chinese investigating 594,583 Chinese FSW were included in this review. At last sex, condom use was highest with commercial partners (clients, increasing from 53.7% in 2000 to 84.9% in 2011. During this same time period, condom use increased with regular partners from 15.2% to 40.4% and with unspecified partners from 38.6% to 82.5%. Increasing trends were also found in the proportion of sampled FSW who reported testing for HIV in the past 12 months (from 3.2% in 2000 to 48.0% in 2011, while drug use behaviours decreased significantly from 10.9% to 2.6%.During the first decade of 2000, Chinese FSWs' self-reported risk behaviours have decreased significantly while HIV testing has increased. Further outreach and intervention efforts are needed to encourage condom use with regular partners, continue promotion of HIV testing, and provide resources for the most vulnerable FSW, particularly low tier FSW, who may have limited access to sexual health and prevention programs.

  19. Integrated opioid substitution therapy and HIV care: a qualitative systematic review and synthesis of client and provider experiences.

    Science.gov (United States)

    Guise, Andy; Seguin, Maureen; Mburu, Gitau; McLean, Susie; Grenfell, Pippa; Islam, Zahed; Filippovych, Sergii; Assan, Happy; Low, Andrea; Vickerman, Peter; Rhodes, Tim

    2017-09-01

    People who use drugs in many contexts have limited access to opioid substitution therapy and HIV care. Service integration is one strategy identified to support increased access. We reviewed and synthesized literature exploring client and provider experiences of integrated opioid substitution therapy and HIV care to identify acceptable approaches to care delivery. We systematically reviewed qualitative literature. We searched nine bibliographic databases, supplemented by manual searches of reference lists of articles from the database search, relevant journals, conferences, key organizations and consultation with experts. Thematic synthesis was used to develop descriptive themes in client and provider experiences. The search yielded 11 articles for inclusion, along with 8 expert and policy reports. We identify five descriptive themes: the convenience and comprehensive nature of co-located care, contrasting care philosophies and their role in shaping integration, the limits to disclosure and communication between clients and providers, opioid substitution therapy enabling HIV care access and engagement, and health system challenges to delivering integrated services. The discussion explores how integrated opioid substitution therapy and HIV care needs to adapt to specific social conditions, rather than following universal approaches. We identify priorities for future research. Acceptable integrated opioid substitution therapy and HIV care for people who use drugs and providers is most likely through co-located care and relies upon attention to stigma, supportive relationships and client centred cultures of delivery. Further research is needed to understand experiences of integrated care, particularly delivery in low and middle income settings and models of care focused on community and non-clinic based delivery.

  20. Barriers and Facilitators to Safe Food Handling among Consumers: A Systematic Review and Thematic Synthesis of Qualitative Research Studies.

    Science.gov (United States)

    Young, Ian; Waddell, Lisa

    2016-01-01

    Foodborne illness has a substantial health and economic burden on society, and most cases are believed to be due to unsafe food handling practices at home. Several qualitative research studies have been conducted to investigate consumers' perspectives, opinions, and experiences with safe food handling at home, and these studies provide insights into the underlying barriers and facilitators affecting their safe food handling behaviours. We conducted a systematic review of previously published qualitative studies in this area to synthesize the main across-study themes and to develop recommendations for future consumer interventions and research. The review was conducted using the following steps: comprehensive search strategy; relevance screening of abstracts; relevance confirmation of articles; study quality assessment; thematic synthesis of the results; and quality-of-evidence assessment. A total of 39 relevant articles reporting on 37 unique qualitative studies were identified. Twenty-one barriers and 10 facilitators to safe food handling were identified, grouped across six descriptive themes: confidence and perceived risk; knowledge-behaviour gap; habits and heuristics; practical and lifestyle constraints; food preferences; and societal and social influences. Our overall confidence that each barrier and facilitator represents the phenomenon of interest was rated as high (n = 11), moderate (11), and low (9). Overarching analytical themes included: 1) safe food handling behaviours occur as part of a complex interaction of everyday consumer practices and habituation; 2) most consumers are not concerned about food safety and are generally not motivated to change their behaviours based on new knowledge about food safety risks; and 3) consumers are amenable to changing their safe food handling habits through relevant social pressures. Key implications and recommendations for research, policy and practice are discussed.

  1. The experience of initiating injection drug use and its social context: a qualitative systematic review and thematic synthesis.

    Science.gov (United States)

    Guise, Andy; Horyniak, Danielle; Melo, Jason; McNeil, Ryan; Werb, Dan

    2017-12-01

    Understanding the experience of initiating injection drug use and its social contexts is crucial to inform efforts to prevent transitions into this mode of drug consumption and support harm reduction. We reviewed and synthesized existing qualitative scientific literature systematically to identify the socio-structural contexts for, and experiences of, the initiation of injection drug use. We searched six databases (Medline, Embase, PsychINFO, CINAHL, IBSS and SSCI) systematically, along with a manual search, including key journals and subject experts. Peer-reviewed studies were included if they qualitatively explored experiences of or socio-structural contexts for injection drug use initiation. A thematic synthesis approach was used to identify descriptive and analytical themes throughout studies. From 1731 initial results, 41 studies reporting data from 1996 participants were included. We developed eight descriptive themes and two analytical (higher-order) themes. The first analytical theme focused on injecting initiation resulting from a social process enabled and constrained by socio-structural factors: social networks and individual interactions, socialization into drug-using identities and choices enabled and constrained by social context all combine to produce processes of injection initiation. The second analytical theme addressed pathways that explore varying meanings attached to injection initiation and how they link to social context: seeking pleasure, responses to increasing tolerance to drugs, securing belonging and identity and coping with pain and trauma. Qualitative research shows that injection drug use initiation has varying and distinct meanings for individuals involved and is a dynamic process shaped by social and structural factors. Interventions should therefore respond to the socio-structural influences on injecting drug use initiation by seeking to modify the contexts for initiation, rather than solely prioritizing the reduction of individual

  2. Barriers and Facilitators to Safe Food Handling among Consumers: A Systematic Review and Thematic Synthesis of Qualitative Research Studies.

    Directory of Open Access Journals (Sweden)

    Ian Young

    Full Text Available Foodborne illness has a substantial health and economic burden on society, and most cases are believed to be due to unsafe food handling practices at home. Several qualitative research studies have been conducted to investigate consumers' perspectives, opinions, and experiences with safe food handling at home, and these studies provide insights into the underlying barriers and facilitators affecting their safe food handling behaviours. We conducted a systematic review of previously published qualitative studies in this area to synthesize the main across-study themes and to develop recommendations for future consumer interventions and research. The review was conducted using the following steps: comprehensive search strategy; relevance screening of abstracts; relevance confirmation of articles; study quality assessment; thematic synthesis of the results; and quality-of-evidence assessment. A total of 39 relevant articles reporting on 37 unique qualitative studies were identified. Twenty-one barriers and 10 facilitators to safe food handling were identified, grouped across six descriptive themes: confidence and perceived risk; knowledge-behaviour gap; habits and heuristics; practical and lifestyle constraints; food preferences; and societal and social influences. Our overall confidence that each barrier and facilitator represents the phenomenon of interest was rated as high (n = 11, moderate (11, and low (9. Overarching analytical themes included: 1 safe food handling behaviours occur as part of a complex interaction of everyday consumer practices and habituation; 2 most consumers are not concerned about food safety and are generally not motivated to change their behaviours based on new knowledge about food safety risks; and 3 consumers are amenable to changing their safe food handling habits through relevant social pressures. Key implications and recommendations for research, policy and practice are discussed.

  3. A Profile of Gender-Based Violence Research in Europe: Findings From a Focused Mapping Review and Synthesis.

    Science.gov (United States)

    Bradbury-Jones, Caroline; Appleton, Jane V; Clark, Maria; Paavilainen, Eija

    2017-01-01

    This article reports the findings from a new form of review: a focused mapping review and synthesis. The aim was to create a contemporary, snapshot profile of the nature and scope of gender-based violence (GBV) studies conducted in Europe. GBV is one of the most prevalent human rights violations in the world affecting mainly women and girls. The policy context of GBV in Europe has gathered momentum in recent years, but we do not have a clear picture of how this relates to research activity. Thirteen journals were purposively selected on their likelihood to publish GBV research. All articles published in these journals during 2015 and meeting our inclusion criteria were retrieved. Data were extracted according to (1) types of methodologies used, (2) geographical location of research, and (3) patterns of research activity/interest. Thirty-two articles met the inclusion criteria. Many titles and abstracts were not explicit about the gendered nature of the research which made retrieval and analysis difficult. A range of methodologies were reported, with single-country research conducted more than international collaborations. Intimate partner violence and sexual abuse attracted most research interest. No studies explored female genital mutilation/cutting and only one investigated early and forced marriage. The findings have implications regarding GBV research in Europe, and we explore them in relation to relevant European policy. Researchers can help raise the profile of the gendered nature of most violence-related research by being explicit about this in their publications. Increasing opportunities for cross-national research will help address the global nature of GBV. Tackling GBV requires synergy of empirical evidence and policy to drive the agenda.

  4. Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety.

    Science.gov (United States)

    Walton, Merrilyn; Harrison, Reema; Burgess, Annette; Foster, Kirsty

    2015-10-01

    Preventable harm is one of the top six health problems in the developed world. Developing patient safety skills and knowledge among advanced trainee doctors is critical. Clinical supervision is the main form of training for advanced trainees. The use of supervision to develop patient safety competence has not been established. To establish the use of clinical supervision and other workplace training to develop non-technical patient safety competency in advanced trainee doctors. Keywords, synonyms and subject headings were used to search eight electronic databases in addition to hand-searching of relevant journals up to 1 March 2014. Titles and abstracts of retrieved publications were screened by two reviewers and checked by a third. Full-text articles were screened against the eligibility criteria. Data on design, methods and key findings were extracted. Clinical supervision documents were assessed against components common to established patient safety frameworks. Findings from the reviewed articles and document analysis were collated in a narrative synthesis. Clinical supervision is not identified as an avenue for embedding patient safety skills in the workplace and is consequently not evaluated as a method to teach trainees these skills. Workplace training in non-technical patient safety skills is limited, but one-off training courses are sometimes used. Clinical supervision is the primary avenue for learning in postgraduate medical education but the most overlooked in the context of patient safety learning. The widespread implementation of short courses is not matched by evidence of rigorous evaluation. Supporting supervisors to identify teaching moments during supervision and to give weight to non-technical skills and technical skills equally is critical. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  5. A systematic review and thematic synthesis of quality of life in the informal carers of cancer patients with cachexia.

    Science.gov (United States)

    Wheelwright, Sally; Darlington, Anne-Sophie; Hopkinson, Jane B; Fitzsimmons, Deborah; Johnson, Colin

    2016-02-01

    Informal carers of cancer patients with cachexia face additional challenges to those encountered by informal carers in general because of the central role food and eating play in everyday life. Patient weight loss and anorexia, core features of cancer cachexia, are frequent causes of distress in caregivers. Identification of quality of life issues can inform the development of interventions for both caregivers and patients and facilitate communication with healthcare professionals. To identify quality of life issues that are relevant to carers of cancer patients with cachexia. A systematic review and thematic synthesis of the qualitative literature were conducted. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, ISI Web of Knowledge, EMBASE, MEDLINE, CINAHL, PsycINFO and PsycARTICLES were searched for publications dated from January 1980 to February 2015 using search terms relating to cancer, cachexia, quality of life and carers. Papers written in the English language, featuring direct quotes from the carers of adult patients with any cancer diagnosis and cachexia or problems with weight loss or anorexia, were included. Five themes were extracted from the 16 identified studies. These highlighted the impact on everyday life, the attempts of some carers to take charge, the need for healthcare professional's input, conflict with the patient and negative emotions. The complexity of caring for a cancer patient with cachexia translates into a range of problems and experiences for informal carers. By addressing the impact of caring for a patient with cancer cachexia on carers, both caregiver and patient quality of life may improve. © The Author(s) 2015.

  6. Synthesis, Characterization, and Application of 1-D Cerium Oxide Nanomaterials: A Review

    Directory of Open Access Journals (Sweden)

    Kuen-Song Lin

    2010-09-01

    Full Text Available The present work provides a comprehensive overview of the recent progress of research work toward developing new one dimensional (1-D ceria (CeO2 nanomaterials. The review has been classified into three parts: the preparation procedures with identification of the existing different dimensional ceria nanomaterials, the formation mechanisms, and an analysis of their applications. From literature survey, it is inaugurated that the fundamental structures of the ceria nanomaterials constructively dominate their properties and applications. In addition, this work will also provide a perspective on the future technical trends for the development of different dimensional CeO2 nanomaterials.

  7. A Review of Double-Walled and Triple-Walled Carbon Nanotube Synthesis and Applications

    Directory of Open Access Journals (Sweden)

    Kazunori Fujisawa

    2016-04-01

    Full Text Available Double- and triple-walled carbon nanotubes (DWNTs and TWNTs consist of coaxially-nested two and three single-walled carbon nanotubes (SWNTs. They act as the geometrical bridge between SWNTs and multi-walled carbon nanotubes (MWNTs, providing an ideal model for studying the coupling interactions between different shells in MWNTs. Within this context, this article comprehensively reviews various synthetic routes of DWNTs’ and TWNTs’ production, such as arc discharge, catalytic chemical vapor deposition and thermal annealing of pea pods (i.e., SWNTs encapsulating fullerenes. Their structural features, as well as promising applications and future perspectives are also discussed.

  8. A review and meta-synthesis of qualitative studies on myalgic encephalomyelitis/chronic fatigue syndrome.

    Science.gov (United States)

    Anderson, Valerie R; Jason, Leonard A; Hlavaty, Laura E; Porter, Nicole; Cudia, Jacqueline

    2012-02-01

    To review and synthesize findings across qualitative studies on Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS). Articles were systematically reviewed and analyzed within a meta-analytic framework. Analyses included a multi-perspective examination of ME/CFS, as well as a comparative analysis of ME/CFS versus other chronic conditions. Thirty-four qualitative studies on ME/CFS were included. Findings include three substantive thematic areas that focus on: (1) experiences of people with ME/CFS, (2) experiences of physicians, and (3) themes that intersect both of these groups. For patients, illness development influenced identity, reductions in functioning, and coping. Physician-specific themes described lack of awareness about ME/CFS and recommended improvement in educational resources. Intersecting themes expressed issues with diagnosis creating tensions and fueling the stigmatization of ME/CFS. Findings indicate multilayered, context-specific experiences and ways in which both people with ME/CFS, as well as those involved in their lives (e.g., family or the medical community), interpret this illness. Future qualitative studies should recognize the various facets of the ME/CFS experience, the network members of people with ME/CFS, and the sociocultural environment through which the illness is understood. Health care professionals can gain unique insight from patient experiences, allowing for more accurate diagnoses and treatment recommendations. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  9. Stigma in youth with Tourette's syndrome: a systematic review and synthesis.

    Science.gov (United States)

    Malli, Melina A; Forrester-Jones, Rachel; Murphy, Glynis

    2016-02-01

    Tourette's syndrome (TS) is a childhood onset neurodevelopmental disorder, characterised by tics. To our knowledge, no systematic reviews exist which focus on examining the body of literature on stigma in association with children and adolescents with TS. The aim of the article is to provide a review of the existing research on (1) social stigma in relation to children and adolescents with TS, (2) self-stigma and (3) courtesy stigma in family members of youth with TS. Three electronic databases were searched: PsycINFO, PubMed and Web of Science. Seventeen empirical studies met the inclusion criteria. In relation to social stigma in rating their own beliefs and behavioural intentions, youth who did not have TS showed an unfavourable attitude towards individuals with TS in comparison to typically developing peers. Meanwhile, in their own narratives about their lives, young people with TS themselves described some form of devaluation from others as a response to their disorder. Self-degrading comments were denoted in a number of studies in which the children pointed out stereotypical views that they had adopted about themselves. Finally, as regards courtesy stigma, parents expressed guilt in relation to their children's condition and social alienation as a result of the disorder. Surprisingly, however, there is not one study that focuses primarily on stigma in relation to TS and further studies that examine the subject from the perspective of both the 'stigmatiser' and the recipient of stigma are warranted.

  10. Recent climatic, cryospheric, and hydrological changes over the interior of western Canada: a review and synthesis

    Science.gov (United States)

    DeBeer, Chris M.; Wheater, Howard S.; Carey, Sean K.; Chun, Kwok P.

    2016-04-01

    It is well established that the Earth's climate system has warmed significantly over the past several decades, and in association there have been widespread changes in various other Earth system components. This has been especially prevalent in the cold regions of the northern mid- to high latitudes. Examples of these changes can be found within the western and northern interior of Canada, a region that exemplifies the scientific and societal issues faced in many other similar parts of the world, and where impacts have global-scale consequences. This region has been the geographic focus of a large amount of previous research on changing climatic, cryospheric, and hydrological regimes in recent decades, while current initiatives such as the Changing Cold Regions Network (CCRN) introduced in this review seek to further develop the understanding and diagnosis of this change and hence improve the capacity to predict future change. This paper provides a comprehensive review of the observed changes in various Earth system components and a concise and up-to-date regional picture of some of the temporal trends over the interior of western Canada since the mid- or late 20th century. The focus is on air temperature, precipitation, seasonal snow cover, mountain glaciers, permafrost, freshwater ice cover, and river discharge. Important long-term observational networks and data sets are described, and qualitative linkages among the changing components are highlighted. Increases in air temperature are the most notable changes within the domain, rising on average 2 °C throughout the western interior since 1950. This increase in air temperature is associated with hydrologically important changes to precipitation regimes and unambiguous declines in snow cover depth, persistence, and spatial extent. Consequences of warming air temperatures have caused mountain glaciers to recede at all latitudes, permafrost to thaw at its southern limit, and active layers over permafrost to thicken

  11. Pharmacological Activities and Synthesis of Esculetin and Its Derivatives: A Mini-Review

    Directory of Open Access Journals (Sweden)

    Chengyuan Liang

    2017-03-01

    Full Text Available Esculetin, synonymous with 6,7-dihydroxycoumarin, is the main active ingredient of the traditional Chinese medicine Cortex Fraxini. The twig skin or trunk bark of Cortex Fraxini are used by herb doctors as a mild, bitter liver and gallbladder meridians’ nontoxic drug as well as dietary supplement. Recently, with a variety of novel esculetin derivatives being reported, the molecular mechanism research as well as clinical application of Cortex Fraxini and esculetin are becoming more attractive. This mini-review will consolidate what is known about the biological activities, the mechanism of esculetin and its synthetic derivatives over the past decade in addition to providing a brief synopsis of the properties of esculetin.

  12. Omnivores Going Astray: A Review and New Synthesis of Abnormal Behavior in Pigs and Laying Hens

    Science.gov (United States)

    Brunberg, Emma I.; Rodenburg, T. Bas; Rydhmer, Lotta; Kjaer, Joergen B.; Jensen, Per; Keeling, Linda J.

    2016-01-01

    Pigs and poultry are by far the most omnivorous of the domesticated farm animals and it is in their nature to be highly explorative. In the barren production environments, this motivation to explore can be expressed as abnormal oral manipulation directed toward pen mates. Tail biting (TB) in pigs and feather pecking (FP) in laying hens are examples of unwanted behaviors that are detrimental to the welfare of the animals. The aim of this review is to draw these two seemingly similar abnormalities together in a common framework, in order to seek underlying mechanisms and principles. Both TB and FP are affected by the physical and social environment, but not all individuals in a group express these behaviors and individual genetic and neurobiological characteristics play an important role. By synthesizing what is known about environmental and individual influences, we suggest a novel possible mechanism, common for pigs and poultry, involving the brain–gut–microbiota axis. PMID:27500137

  13. Establishing well-being after hip fracture: a systematic review and meta-synthesis

    DEFF Research Database (Denmark)

    Rasmussen, Birgit; Uhrenfeldt, Lisbeth

    2016-01-01

    Purpose This study aimed to identify, appraise, aggregate and synthesize findings of experiences of self-confidence and well-being after hip fracture. Method The systematic review followed the Joanna Briggs Institute (JBI) guidelines. A three-step literature search strategy was followed. Included...... the process of older people gradually coming to terms with new life conditions". It was a process of building confidence through cooperation with staff. Conclusions Experiences of well-being were possible after hip fracture. Self-confidence enhanced adaptations and adjustments. Older people strived...... into account what is meaningful for older people. Implications for Rehabilitation Both staff and significant others play a significant role during rehabilitation after hip fracture and can give rise to both well-being and suffering. During rehabilitation, experiences of self-efficacy can be important...

  14. Acute stress responses: A review and synthesis of ASD, ASR, and CSR.

    Science.gov (United States)

    Isserlin, Leanna; Zerach, Gadi; Solomon, Zahava

    2008-10-01

    Toward the development of a unifying diagnosis for acute stress responses this article attempts to find a place for combat stress reaction (CSR) within the spectrum of other defined acute stress responses. This article critically compares the diagnostic criteria of acute stress disorder (ASD), acute stress reaction (ASR), and CSR. Prospective studies concerning the predictive value of ASD, ASR, and CSR are reviewed. Questions, recommendations, and implications for clinical practice are raised concerning the completeness of the current acute stress response diagnoses, the heterogeneity of different stressors, the scope of expected outcomes, and the importance of decline in function as an indicator of future psychological, psychiatric, and somatic distress. PsycINFO Database Record 2009 APA.

  15. Actinobacteria mediated synthesis of nanoparticles and their biological properties: A review.

    Science.gov (United States)

    Manivasagan, Panchanathan; Venkatesan, Jayachandran; Sivakumar, Kannan; Kim, Se-Kwon

    2016-01-01

    Nanotechnology is gaining tremendous attention in the present century due to its expected impact on many important areas such as medicine, energy, electronics, and space industries. In this context, actinobacterial biosynthesis of nanoparticles is a reliable, eco-friendly, and important aspect of green chemistry approach that interconnects microbial biotechnology and nanobiotechnology. Antibiotics produced by actinobacteria are popular in almost all the therapeutic measures and it is known that these microbes are also helpful in the biosynthesis of nanoparticles with good surface and size characteristics. In fact, actinobacteria are efficient producers of nanoparticles that show a range of biological properties, namely, antibacterial, antifungal, anticancer, anti-biofouling, anti-malarial, anti-parasitic, antioxidant, etc. This review describes the potential use of the actinobacteria as the novel sources for the biosynthesis of nanoparticles with improved biomedical applications.

  16. Omnivores Going Astray: a Review and New Synthesis of Abnormal Behavior in Pigs and Laying Hens

    Directory of Open Access Journals (Sweden)

    Emma Ida Brunberg

    2016-07-01

    Full Text Available Pigs and poultry are by far the most omnivorous of the domesticated farm animals and it is in their nature to be highly explorative. In the barren production environments, this motivation to explore can be expressed as abnormal oral manipulation directed towards pen-mates. Tail biting in pigs and feather pecking in laying hens are examples of unwanted behaviors that are detrimental to the welfare of the animals. The aim of this review is to draw these two seemingly similar abnormalities together in a common framework, in order to seek underlying mechanisms and principles. Both tail biting and feather pecking are affected by the physical and social environment, but not all individuals in a group express these behaviors and individual genetic and neurobiological characteristics play an important role. By synthesizing what is known about environmental and individual influences, we suggest a novel possible mechanism, common for pigs and poultry, involving the brain-gut-microbiota axis.

  17. Consumer evaluation of food with nutritional benefits: a systematic review and narrative synthesis.

    Science.gov (United States)

    Mogendi, Joseph Birundu; De Steur, Hans; Gellynck, Xavier; Makokha, Anselimo

    2016-06-01

    As a consequence of the growing interest in, and development of, various types of food with nutritional benefits, the modern consumer views their kitchen cabinet more and more as a medicine cabinet. Given that consumer evaluation of food is considered key to the successful production, marketing and finally consumption of food, a procedure commonly used in medical fields was employed to systematically review and summarize evidence of consumer evaluation studies on nutritious foods. The focus is primarily on consumer understanding of nutritious food and the underlying determinants of consumer evaluation. Our results highlight four groups of key determinants: (1) nutrition knowledge and information; (2) attitudes, beliefs, perceptions and behavioural determinants; (3) price, process and product characteristics; and (4) socio-demographics. The findings also point to the importance of understanding consumer acceptance as one many concepts in the consumer evaluation process, and provide support for developing appropriate strategies for improving health and well-being of consumers.

  18. Systematic review of acupuncture in cancer care: a synthesis of the evidence.

    Science.gov (United States)

    Garcia, M Kay; McQuade, Jennifer; Haddad, Robin; Patel, Sonya; Lee, Richard; Yang, Peiying; Palmer, J Lynn; Cohen, Lorenzo

    2013-03-01

    Many cancer centers offer acupuncture services. To date, a comprehensive systematic review of acupuncture in cancer care has not been conducted. The purpose of this review was to evaluate the efficacy of acupuncture for symptom management in patients with cancer. Medline, Embase, CINAHL, Cochrane (all databases), Scopus, and PubMed were searched from inception through December 2011 for prospective randomized clinical trials (RCT) evaluating acupuncture for symptom management in cancer care. Only studies involving needle insertion into acupuncture points were included. No language limitations were applied. Studies were assessed for risk of bias (ROB) according to Cochrane criteria. Outcomes by symptom were designated as positive, negative, or unclear. A total of 2,151 publications were screened. Of those, 41 RCTs involving eight symptoms (pain, nausea, hot flashes, fatigue, radiation-induced xerostomia, prolonged postoperative ileus, anxiety/mood disorders, and sleep disturbance) met all inclusion criteria. One positive trial of acupuncture for chemotherapy-induced nausea and vomiting had low ROB. Of the remaining studies, eight had unclear ROB (four positive, three negative, and one with unclear outcomes). Thirty-three studies had high ROB (19 positive, 11 negative, and three with both positive and negative outcomes depending on the symptom). Acupuncture is an appropriate adjunctive treatment for chemotherapy-induced nausea/vomiting, but additional studies are needed. For other symptoms, efficacy remains undetermined owing to high ROB among studies. Future research should focus on standardizing comparison groups and treatment methods, be at least single-blinded, assess biologic mechanisms, have adequate statistical power, and involve multiple acupuncturists.

  19. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis.

    Science.gov (United States)

    Bronfort, Gert; Haas, Mitchell; Evans, Roni L; Bouter, Lex M

    2004-01-01

    Despite the many published randomized clinical trials (RCTs), a substantial number of reviews and several national clinical guidelines, much controversy still remains regarding the evidence for or against efficacy of spinal manipulation for low back pain and neck pain. To reassess the efficacy of spinal manipulative therapy (SMT) and mobilization (MOB) for the management of low back pain (LBP) and neck pain (NP), with special attention to applying more stringent criteria for study admissibility into evidence and for isolating the effect of SMT and/or MOB. RCTs including 10 or more subjects per group receiving SMT or MOB and using patient-oriented primary outcome measures (eg, patient-rated pain, disability, global improvement and recovery time). Articles in English, Danish, Swedish, Norwegian and Dutch reporting on randomized trials were identified by a comprehensive search of computerized and bibliographic literature databases up to the end of 2002. Two reviewers independently abstracted data and assessed study quality according to eight explicit criteria. A best evidence synthesis incorporating explicit, detailed information about outcome measures and interventions was used to evaluate treatment efficacy. The strength of evidence was assessed by a classification system that incorporated study validity and statistical significance of study results. Sixty-nine RCTs met the study selection criteria and were reviewed and assigned validity scores varying from 6 to 81 on a scale of 0 to 100. Forty-three RCTs met the admissibility criteria for evidence. Acute LBP: There is moderate evidence that SMT provides more short-term pain relief than MOB and detuned diathermy, and limited evidence of faster recovery than a commonly used physical therapy treatment strategy. Chronic LBP: There is moderate evidence that SMT has an effect similar to an efficacious prescription nonsteroidal anti-inflammatory drug, SMT/MOB is effective in the short term when compared with placebo and

  20. What is positive youth development and how might it reduce substance use and violence? A systematic review and synthesis of theoretical literature.

    Science.gov (United States)

    Bonell, Chris; Hinds, Kate; Dickson, Kelly; Thomas, James; Fletcher, Adam; Murphy, Simon; Melendez-Torres, G J; Bonell, Carys; Campbell, Rona

    2016-02-10

    Preventing adolescent substance use and youth violence are public health priorities. Positive youth development interventions are widely deployed often with the aim of preventing both. However, the theorised mechanisms by which PYD is intended to reduce substance use and violence are not clear and existing evaluated interventions are under-theorised. Using innovative methods, we systematically searched for and synthesised published theoretical literature describing what is meant by positive youth development and how it might reduce substance use and violence, as part of a broader systematic review examining process and outcomes of PYD interventions. We searched 19 electronic databases, review topic websites, and contacted experts between October 2013 and January 2014. We included studies written in English, published since 1985 that reported a theory of change for positive youth development focused on prevention of smoking, alcohol consumption, drug use or violence in out-of-school settings. Studies were independently coded and quality-assessed by two reviewers. We identified 16 studies that met our inclusion criteria. Our synthesis suggests that positive youth development aims to provide youth with affective relationships and diverse experiences which enable their development of intentional self-regulation and multiple positive assets. These in turn buffer against or compensate for involvement in substance use and violence. Existing literature is not clear on how intentional self-regulation is developed and which specific positive assets buffer against substance use or violence. Our synthesis provides: an example of a rigorous systematic synthesis of theory literature innovatively applying methods of qualitative synthesis to theoretical literature; a clearer understanding of how PYD might reduce substance use and violence to inform future interventions and empirical evaluations.

  1. Low-temperature synthesis of zeolite from perlite waste — Part I: review of methods and phase compositions of resulting products

    Science.gov (United States)

    Król, Magdalena; Morawska, Justyna; Mozgawa, Włodzimierz; Pichór, Waldemar

    2014-09-01

    In this paper a review of the recent studies on the synthesis of zeolites from expanded perlite under hydrothermal conditions is presented. Attention is paid to possible outcomes of synthesis from low cost glass material, such as perlite. The study also investigates the phase composition of zeolitic materials obtained by modification of by-product derived from an expanded perlite production process. The synthesis was made using the hydrothermal method with sodium hydroxide under autogenous pressure at a temperature below 100 °C for 1 to 72 h. It was possible to obtain a zeolitic material at a temperature as low as 60 °C using 4.0 M NaOH. The X-ray diffraction pattern showed the biggest peak intensity of zeolite X with 4.0 M NaOH at the temperature of 70 °C. During synthesis at higher temperature zeolite Na-P1 (with 3.0 M NaOH at 90 °C) and hydroxysodalite (with 5.0 M NaOH at 90 °C) were obtained.

  2. Polyhydroxyalkanoate (PHA: Review of synthesis, characteristics, processing and potential applications in packaging

    Directory of Open Access Journals (Sweden)

    E. Bugnicourt

    2014-11-01

    Full Text Available Polyhydroxyalkanoates (PHAs are gaining increasing attention in the biodegradable polymer market due to their promising properties such as high biodegradability in different environments, not just in composting plants, and processing versatility. Indeed among biopolymers, these biogenic polyesters represent a potential sustainable replacement for fossil fuel-based thermoplastics. Most commercially available PHAs are obtained with pure microbial cultures grown on renewable feedstocks (i.e. glucose under sterile conditions but recent research studies focus on the use of wastes as growth media. PHA can be extracted from the bacteria cell and then formulated and processed by extrusion for production of rigid and flexible plastic suitable not just for the most assessed medical applications but also considered for applications including packaging, moulded goods, paper coatings, non-woven fabrics, adhesives, films and performance additives. The present paper reviews the different classes of PHAs, their main properties, processing aspects, commercially available ones, as well as limitations and related improvements being researched, with specific focus on potential applications of PHAs in packaging.

  3. The enigma of male eating disorders: A critical review and synthesis.

    Science.gov (United States)

    Murray, Stuart B; Nagata, Jason M; Griffiths, Scott; Calzo, Jerel P; Brown, Tiffany A; Mitchison, Deborah; Blashill, Aaron J; Mond, Jonathan M

    2017-11-01

    Historically, male presentations of eating disorders (EDs) have been perceived as rare and atypical - a perception that has resulted in the systematic underrepresentation of males in ED research. This underrepresentation has profoundly impacted clinical practice with male patients, in which i) stigmatization and treatment non-engagement are more likely, ii) a distinct array of medical complexities are faced, and iii) symptom presentations differ markedly from female presentations. Further, the marginalization of males from ED research has hindered the assessment and clinical management of these presentations. This critical review provides an overview of the history of male EDs and synthesizes current evidence relating to the unique characteristics of male presentations across the diagnostic spectrum of disordered eating. Further, the emerging body of evidence relating to muscularity-oriented eating is synthesized in relation to the existing nosological framework of EDs. The impact of marginalizing male ED patients is discussed, in light of findings from epidemiological studies suggesting that clinicians will be increasingly likely to see males with ED in their practices. It is suggested that changes to current conceptualizations of ED pathology that better accommodation male ED presentations are needed. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. Determinants of dietary patterns and diet quality during pregnancy: a systematic review with narrative synthesis.

    Science.gov (United States)

    Doyle, Ina-Merle; Borrmann, Brigitte; Grosser, Angelique; Razum, Oliver; Spallek, Jacob

    2017-04-01

    To identify determinants of diet in pregnancy, by detecting factors in our multiple-determinants life course framework that are associated with dietary patterns, quality or guideline adherence. A systematic review of observational studies, published in English or German, was conducted. Sociodemographic, lifestyle, environmental and pregnancy-related determinants were considered. Four electronic databases were searched in January 2015 and updated in April 2016 and a total of 4368 articles identified. Risk of bias was assessed using adapted Newcastle-Ottawa Scales. High- and upper-middle-income countries. Pregnant or postpartum women reporting their dietary intake during pregnancy. Seventeen publications of twelve studies were included and compared narratively due to heterogeneity. Diet in pregnancy was patterned along a social gradient and aligned with other health behaviours before and during pregnancy. Few studies investigated the influence of the social and built environment and their findings were inconsistent. Except for parity, pregnancy determinants were rarely assessed even though pregnancy is a physiologically and psychologically unique period. Various less well-researched factors such as the role of ethnicity, pregnancy intendedness, pregnancy ailments and macro-level environment were identified that need to be studied in more detail. The framework was supported by the literature identified, but more research of sound methodology is needed in order to conclusively disentangle the interplay of the different determinants. Practitioners should be aware that pregnant women who are young, have a low education or do not follow general health advice appear to be at higher risk of inadequate dietary intake.

  5. A review and synthesis of recreation ecology research supporting carrying capacity and visitor use management decisionmaking

    Science.gov (United States)

    Marion, Jeff

    2016-01-01

    Resource and experiential impacts associated with visitation to wilderness and other similar backcountry settings have long been addressed by land managers under the context of “carrying capacity” decisionmaking. Determining a maximum level of allowable use, below which high-quality resource and experiential conditions would be sustained, was an early focus in the 1960s and 1970s. However, decades of recreation ecology research have shown that the severity and areal extent of visitor impact problems are influenced by an interrelated array of use-related, environmental, and managerial factors. This complexity, with similar findings from social science research, prompted scientists and managers to develop more comprehensive carrying capacity frameworks, including a new Visitor Use Management framework. These frameworks rely on a diverse array of management strategies and actions, often termed a “management toolbox,” for resolving visitor impact problems. This article reviews the most recent and relevant recreation ecology studies that have been applied in wildland settings to avoid or minimize resource impacts. The key findings and their management implications are highlighted to support the professional management of common trail, recreation site, and wildlife impact problems. These studies illustrate the need to select from a more diverse array of impact management strategies and actions based on an evaluation of problems to identify the most influential factors that can be manipulated.

  6. Synthesis and surface engineering of magnetic nanoparticles for environmental cleanup and pesticide residue analysis: a review.

    Science.gov (United States)

    Kaur, Ranjeet; Hasan, Abshar; Iqbal, Nusrat; Alam, Samsul; Saini, Mahesh Kr; Raza, Syed Kalbe

    2014-07-01

    In recent years, water pollution and pesticide accumulation in the food chain have become a serious environmental and health hazard problem. Direct determination of these contaminants is a difficult task due to their low concentration level and the matrix interferences. Therefore, an efficient separation and preconcentration procedure is often required prior to the analysis. With the advancement in nanotechnology, various types of magnetic core-shell nanoparticles have successfully been synthesized and received considerable attention as sorbents for decontamination of diverse matrices. Magnetic core-shell nanoparticles with surface modifications have the advantages of large surface-area-to-volume ratio, high number of surface active sites, no secondary pollutant, and high magnetic properties. Due to their physicochemical properties, surface-modified magnetic core-shell nanoparticles exhibit high adsorption efficiency, high rate of removal of contaminants, and easy as well as rapid separation of adsorbent from solution via external magnetic field. Such facile separation is essential to improve the operation efficiency. In addition, reuse of nanoparticles would substantially reduce the treatment cost. In this review article, we have attempted to summarize recent studies that address the preconcentration methods of pesticide residue analysis and removal of toxic contaminants from aquatic systems using magnetic core-shell nanoparticles as adsorbents. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  7. A review on plants extract mediated synthesis of silver nanoparticles for antimicrobial applications: A green expertise

    Science.gov (United States)

    Ahmed, Shakeel; Ahmad, Mudasir; Swami, Babu Lal; Ikram, Saiqa

    2015-01-01

    Metallic nanoparticles are being utilized in every phase of science along with engineering including medical fields and are still charming the scientists to explore new dimensions for their respective worth which is generally attributed to their corresponding small sizes. The up-and-coming researches have proven their antimicrobial significance. Among several noble metal nanoparticles, silver nanoparticles have attained a special focus. Conventionally silver nanoparticles are synthesized by chemical method using chemicals as reducing agents which later on become accountable for various biological risks due to their general toxicity; engendering the serious concern to develop environment friendly processes. Thus, to solve the objective; biological approaches are coming up to fill the void; for instance green syntheses using biological molecules derived from plant sources in the form of extracts exhibiting superiority over chemical and/or biological methods. These plant based biological molecules undergo highly controlled assembly for making them suitable for the metal nanoparticle syntheses. The present review explores the huge plant diversity to be utilized towards rapid and single step protocol preparatory method with green principles over the conventional ones and describes the antimicrobial activities of silver nanoparticles. PMID:26843966

  8. A review on plants extract mediated synthesis of silver nanoparticles for antimicrobial applications: A green expertise

    Directory of Open Access Journals (Sweden)

    Shakeel Ahmed

    2016-01-01

    Full Text Available Metallic nanoparticles are being utilized in every phase of science along with engineering including medical fields and are still charming the scientists to explore new dimensions for their respective worth which is generally attributed to their corresponding small sizes. The up-and-coming researches have proven their antimicrobial significance. Among several noble metal nanoparticles, silver nanoparticles have attained a special focus. Conventionally silver nanoparticles are synthesized by chemical method using chemicals as reducing agents which later on become accountable for various biological risks due to their general toxicity; engendering the serious concern to develop environment friendly processes. Thus, to solve the objective; biological approaches are coming up to fill the void; for instance green syntheses using biological molecules derived from plant sources in the form of extracts exhibiting superiority over chemical and/or biological methods. These plant based biological molecules undergo highly controlled assembly for making them suitable for the metal nanoparticle syntheses. The present review explores the huge plant diversity to be utilized towards rapid and single step protocol preparatory method with green principles over the conventional ones and describes the antimicrobial activities of silver nanoparticles.

  9. ;Long-hissler; fine structure within auroral hiss: A review and synthesis

    Science.gov (United States)

    Kim, Howard F.; LaBelle, James; Spasojević, Maria

    2017-04-01

    One of the most prominent fine-structures of auroral hiss is the ;long-hissler;, defined here as a dispersed feature embedded within broadband auroral hiss emissions in the frequency range 1-40 kHz and lasting longer than 0.3 s. While theory is limited, there is evidence that hisslers can be used in remote sensing of density characteristics at altitudes of thousands of km. By applying an automatic threshold algorithm to VLF data collected at South Pole 2230-0130 UT daily during June-August 2014, 22 h of auroral hiss are identified on 49 of 93 days analyzed, for an occurrence rate of 9.7% during the applicable MLT interval. From manual inspection of these intervals, 414 groups (trains) of long hisslers are identified on 34 of the 49 days on which hiss occurred. Median lower (upper) frequency bounds of these features are 8 (22) kHz, median frequency-time slope is -10 kHz/s, and median hissler repetition time within a train (hissler period) is 1.2 s. Hissler period and frequency-time slope are inversely related. Data from previous studies are reviewed to provide a comprehensive description of the phenomenon. Contrary to some previous studies, subsequent long hissler features are found to commonly overlap in time, and no evidence is found for an inverse relationship between hissler train duration and geomagnetic activity.

  10. Thiazole: A Review on Chemistry, Synthesis and Therapeutic Importance of its Derivatives.

    Science.gov (United States)

    Chhabria, Mahesh T; Patel, Shivani; Modi, Palmi; Brahmkshatriya, Pathik S

    2016-01-01

    Thiazole, a unique heterocycle containing sulphur and nitrogen atoms, occupies an important place in medicinal chemistry. It is an essential core scaffold present in many natural (Vitamin B1- Thiamine) and synthetic medicinally important compounds. The versatility of thiazole nucleus demonstrated by the fact that it is an essential part of penicillin nucleus and some of its derivatives which have shown antimicrobial (sulfazole), antiretroviral (ritonavir), antifungal (abafungin), antihistaminic and antithyroid activities. The synthetic importance of thiazole derivatives, its reduced forms and condensed derivatives have been increased much by their recent applications as anticancer (tiazofurin), anthelmintic, vulcanising accelerators (mercaptobenzothiazole) and photographic sensitizers. Thiazole chemistry has developed steadily after the pioneering work of Hofmann and Hantsch. Bogert and co-workers made significant contribution to expand this field. Mills established the importance of thiazole ring in cyanine dyes which is used as photographic sensitizer. Benzothiazole, a fused derivative of thiazole have also proved its commercial value. Present review describes chemical and biological importance of thiazole and its condensed derivatives with an emphasis on recent developments.

  11. Review and synthesis of the effects of climate change on amphibians.

    Science.gov (United States)

    Li, Yiming; Cohen, Jeremy M; Rohr, Jason R

    2013-06-01

    Considerable progress has been made in understanding the responses of amphibians to climate change, with successful research carried out on climate change-associated shifts in amphibian phenology, elevational distributions and amphibian-parasite interactions. We review and synthesize the literature on this topic, emphasizing acutely lethal, sublethal, indirect and positive effects of climate change on amphibians, and major research gaps. For instance, evidence is lacking on poleward shifts in amphibian distributions and on changes in body sizes and morphologies of amphibians in response to climate change. We have limited information on amphibian thermal tolerances, thermal preferences, dehydration breaths, opportunity costs of water conserving behaviors and actual temperature and moisture ranges amphibians experience. Even when much of this information is available, there remains little evidence that climate change is acutely lethal to amphibians. This suggests that if climate change is contributing to declines, it might be through effects that are not acutely lethal, indirect, or both, but evidence in support of this suggestion is necessary. In fact, evidence that climate change is directly contributing to amphibian declines is weak, partly because researchers have not often ruled out alternative hypotheses, such as chytrid fungus or climate-fungus interactions. Consequently, we recommend that amphibian-climate research shift from primarily inductive, correlational approach as to studies that evaluate alternative hypotheses for declines. This additional rigor will require interdisciplinary collaborations, estimates of costs and benefits of climate change to amphibian fitness and populations, and the integration of correlative field studies, experiments on 'model' amphibian species, and mathematical and functional, physiological models. © 2012 Wiley Publishing Asia Pty Ltd, ISZS and IOZ/CAS.

  12. Core Competencies or a Competent Core? A Scoping Review and Realist Synthesis of Invasive Bedside Procedural Skills Training in Internal Medicine.

    Science.gov (United States)

    Brydges, Ryan; Stroud, Lynfa; Wong, Brian M; Holmboe, Eric S; Imrie, Kevin; Hatala, Rose

    2017-11-01

    Invasive bedside procedures are core competencies for internal medicine, yet no formal training guidelines exist. The authors conducted a scoping review and realist synthesis to characterize current training for lumbar puncture, arthrocentesis, paracentesis, thoracentesis, and central venous catheterization. They aimed to collate how educators justify using specific interventions, establish which interventions have the best evidence, and offer directions for future research and training. The authors systematically searched Medline, Embase, the Cochrane Library, and ERIC through April 2015. Studies were screened in three phases; all reviews were performed independently and in duplicate. The authors extracted information on learner and patient demographics, study design and methodological quality, and details of training interventions and measured outcomes. A three-step realist synthesis was performed to synthesize findings on each study's context, mechanism, and outcome, and to identify a foundational training model. From an initial 6,671 studies, 149 studies were further reduced to 67 (45%) reporting sufficient information for realist synthesis. Analysis yielded four types of procedural skills training interventions. There was relative consistency across contexts and significant differences in mechanisms and outcomes across the four intervention types. The medical procedural service was identified as an adaptable foundational training model. The observed heterogeneity in procedural skills training implies that programs are not consistently developing residents who are competent in core procedures. The findings suggest that researchers in education and quality improvement will need to collaborate to design training that develops a "competent core" of proceduralists using simulation and clinical rotations.

  13. Human skeletal muscle disuse atrophy: effects on muscle protein synthesis, breakdown and insulin resistance- a qualitative review

    Directory of Open Access Journals (Sweden)

    Supreeth S Rudrappa

    2016-08-01

    Full Text Available The ever increasing burden of an ageing population and pandemic of metabolic syndrome worldwide demands further understanding of the modifiable risk factors in reducing disability and morbidity associated with these conditions. Disuse skeletal muscle atrophy (sometimes referred to as simple atrophy and insulin resistance are ‘non-pathological’ events resulting from sedentary behaviour and periods of enforced immobilization e.g. due to fractures or elective orthopaedic surgery. Yet, the processes and drivers regulating disuse atrophy and insulin resistance and the associated molecular events remain unclear – especially in humans. The aim of this review is to present current knowledge of relationships between muscle protein turnover, insulin resistance and muscle atrophy during disuse, principally in humans. Immobilisation lowers fasted state muscle protein synthesis (MPS and induces fed-state ‘anabolic resistance’. While a lack of dynamic measurements of muscle protein breakdown (MPB precludes defining a definitive role for MPB in disuse atrophy, some proteolytic marker studies (e.g. MPB genes suggest a potential early elevation. Immobilisation also induces muscle insulin resistance (IR. Moreover, the trajectory of muscle atrophy appears to be accelerated in persistent IR states (e.g. Type II diabetes, suggesting IR may contribute to muscle disuse atrophy under these conditions. Nonetheless, the role of differences in insulin sensitivity across distinct muscle groups and its effects on rates of atrophy remains unclear. Multifaceted time-course studies into the collective role of insulin resistance and muscle protein turnover in the setting of disuse muscle atrophy, in humans, are needed to facilitate the development of appropriate countermeasures and efficacious rehabilitation protocols.

  14. Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis.

    Science.gov (United States)

    Anderson, Kristen; Stowasser, Danielle; Freeman, Christopher; Scott, Ian

    2014-12-08

    To synthesise qualitative studies that explore prescribers' perceived barriers and enablers to minimising potentially inappropriate medications (PIMs) chronically prescribed in adults. A qualitative systematic review was undertaken by searching PubMed, EMBASE, Scopus, PsycINFO, CINAHL and INFORMIT from inception to March 2014, combined with an extensive manual search of reference lists and related citations. A quality checklist was used to assess the transparency of the reporting of included studies and the potential for bias. Thematic synthesis identified common subthemes and descriptive themes across studies from which an analytical construct was developed. Study characteristics were examined to explain differences in findings. All healthcare settings. Medical and non-medical prescribers of medicines to adults. Prescribers' perspectives on factors which shape their behaviour towards continuing or discontinuing PIMs in adults. 21 studies were included; most explored primary care physicians' perspectives on managing older, community-based adults. Barriers and enablers to minimising PIMs emerged within four analytical themes: problem awareness; inertia secondary to lower perceived value proposition for ceasing versus continuing PIMs; self-efficacy in regard to personal ability to alter prescribing; and feasibility of altering prescribing in routine care environments given external constraints. The first three themes are intrinsic to the prescriber (eg, beliefs, attitudes, knowledge, skills, behaviour) and the fourth is extrinsic (eg, patient, work setting, health system and cultural factors). The PIMs examined and practice setting influenced the themes reported. A multitude of highly interdependent factors shape prescribers' behaviour towards continuing or discontinuing PIMs. A full understanding of prescriber barriers and enablers to changing prescribing behaviour is critical to the development of targeted interventions aimed at deprescribing PIMs and reducing the

  15. Qualitative Studies of Infant and Young Child Feeding in Lower-Income Countries: A Systematic Review and Synthesis of Dietary Patterns

    Directory of Open Access Journals (Sweden)

    Alessandra N. Bazzano

    2017-10-01

    Full Text Available Continued high rates of both under- and over-nutrition in low- and low-middle-income countries highlight the importance of understanding dietary practices such as early and exclusive breastfeeding, and dietary patterns such as timely, appropriate complementary feeding—these behaviors are rooted in complex cultural ecologies. A systematic review and synthesis of available qualitative research related to infant and young child dietary patterns and practices from the perspective of parents and families in low income settings is presented, with a focus on barriers and facilitators to achieving international recommendations. Data from both published and grey literature from 2006 to 2016 was included in the review. Quality assessment consisted of two phases (Critical Appraisal Skills Program (CASP guidelines and assessment using GRADE-CERQual, followed by synthesis of the studies identified, and subsequent thematic analysis and interpretation. The findings indicated several categories of both barriers and facilitators, spanning individual and system level factors. The review informs efforts aimed at improving child health and nutrition, and represents the first such comprehensive review of the qualitative literature, uniquely suited to understanding complex behaviors leading to infant and young child dietary patterns.

  16. Effects of Roads on Animal Abundance: an Empirical Review and Synthesis

    Directory of Open Access Journals (Sweden)

    Lenore Fahrig

    2009-06-01

    Full Text Available We attempted a complete review of the empirical literature on effects of roads and traffic on animal abundance and distribution. We found 79 studies, with results for 131 species and 30 species groups. Overall, the number of documented negative effects of roads on animal abundance outnumbered the number of positive effects by a factor of 5; 114 responses were negative, 22 were positive, and 56 showed no effect. Amphibians and reptiles tended to show negative effects. Birds showed mainly negative or no effects, with a few positive effects for some small birds and for vultures. Small mammals generally showed either positive effects or no effect, mid-sized mammals showed either negative effects or no effect, and large mammals showed predominantly negative effects. We synthesized this information, along with information on species attributes, to develop a set of predictions of the conditions that lead to negative or positive effects or no effect of roads on animal abundance. Four species types are predicted to respond negatively to roads: (i species that are attracted to roads and are unable to avoid individual cars; (ii species with large movement ranges, low reproductive rates, and low natural densities; and (iii and iv small animals whose populations are not limited by road-affected predators and either (a avoid habitat near roads due to traffic disturbance or (b show no avoidance of roads or traffic disturbance and are unable to avoid oncoming cars. Two species types are predicted to respond positively to roads: (i species that are attracted to roads for an important resource (e.g., food and are able to avoid oncoming cars, and (ii species that do not avoid traffic disturbance but do avoid roads, and whose main predators show negative population-level responses to roads. Other conditions lead to weak or non-existent effects of roads and traffic on animal abundance. We identify areas where further research is needed, but we also argue that the

  17. Latarjet, Bristow, and Eden-Hybinette procedures for anterior shoulder dislocation: systematic review and quantitative synthesis of the literature.

    Science.gov (United States)

    Longo, Umile Giuseppe; Loppini, Mattia; Rizzello, Giacomo; Ciuffreda, Mauro; Maffulli, Nicola; Denaro, Vincenzo

    2014-09-01

    The aim of this study was to evaluate clinical outcome, rate of recurrence, complications, and rate of postoperative osteoarthritis in patients with anterior shoulder instability managed with Latarjet, Bristow, or Eden-Hybinette procedures. A systematic review of the literature on management of anterior dislocation of the shoulder with glenoid bony procedures was performed. A comprehensive search of PubMed, MEDLINE, CINAHL, Cochrane, EMBASE, and Google Scholar databases using various combinations of the keywords "shoulder," "dislocation," "treatment," "Latarjet," "Bristow," "bone loss," "Eden-Hybinette," "iliac," "bone," "block," "clinical," "outcome," and "Bankart." The following data were extracted: demographics, bone defects and other lesions, type of surgery, outcome measurement, range of motion (ROM), recurrence of instability, complications, and osteoarthritis. A quantitative synthesis of all comparative studies was performed to compare bone block procedures and Bankart repair in terms of postoperative recurrence of instability and osteoarthritis. Forty-six studies were included and 3,211 shoulders were evaluated. The mean value of the Coleman Methodology Score (CMS) was 65 points. Preoperatively, the injuries detected most were glenoid bone loss and Bankart lesions. The Eden-Hybinette procedure had the highest rate of postoperative osteoarthritis and recurrence. Pooled results from comparative studies showed that the bone block procedures were associated with a lower rate of recurrence when compared with Bankart repair (odds ratio [OR], 0.45; 95% confidence interval [CI], 0.28 to 0.74; P = .002), whereas there was no significant difference between the 2 groups in terms of postoperative osteoarthritis (P = .79). The open Bristow-Latarjet procedure continues to be a valid surgical option to treat patients with anterior shoulder instability. Bone block procedures were associated with a lower rate of recurrence when compared with the Bankart repair. The Eden

  18. Tectonic and magmatic evolution of the Bismarck Sea, Papua New Guinea: Review and new synthesis

    Science.gov (United States)

    Lee, Sang-Mook; Ruellan, Etienne

    Guinea and Manus basins. An alternative view is that the Willaumez-Manus Rise represents a magmatically robust segment of a single spreading axis that linked the two basins. The further docking of Finisterre-Huon Range with the New Guinea Highlands allowed the South Bismarck Plate to open faster toward the east in the Manus Basin and eventually to jump to the present-day Bismarck Sea Seismic Lineation. The Willaumez Transform was initiated by this more recent plate-boundary reorganization. Seafloor spreading commenced in the Manus Spreading Center North Fiji and Lau basins, is the anomalously large distance (more than 400 km) between the arc and the spreading axis. This reflects the complex, combined geodynamic processes in this region, i.e., arc-continent collision, mantle upwelling, and rapid back-arc opening specific to this region. Central Bismarck Sea lavas are also unusual as they contain chemical components characteristic of the lower mantle. This may reflect proximity to the Melanesian Borderland, long a site of major subduction, and therefore of upper mantle enrichment by subduction-derived components, compared to other spreading systems. In this paper, we review recent investigative results from different parts of the Bismarck Sea that are pertinent to understanding the evolution of the Sea and we reinterpret some results from earlier surveys in a modern context.

  19. The effect of explosive remnants of war on global public health: a systematic mixed-studies review using narrative synthesis.

    Science.gov (United States)

    Frost, Alexandra; Boyle, Peter; Autier, Philippe; King, Colin; Zwijnenburg, Wim; Hewitson, David; Sullivan, Richard

    2017-06-01

    Explosive remnants of war (ERW)-landmines, unexploded ordnance (UXO), and abandoned explosive ordnance (AXO)-have been recognised as a threat to health since the 1990s. We aimed to study the effect of ERW on global public health. In this systematic mixed-studies review, we searched the Web of Science, Scopus, PubMed, and ProQuest databases, and hand searched relevant websites, for articles published between Jan 1, 1990, and Aug 31, 2015. We used keywords and Medical Subject Headings related to ERW, landmines, UXO, and AXO to locate original peer-reviewed quantitative, qualitative, or mixed-methods studies in English of the direct physical or psychological effects of ERW on direct victims of the explosive device or reverberating social and economic effects on direct victims and indirect victims (their families and the wider at-risk community). We excluded studies if more than 20% of participants were military, if they were of deminers, if they were from high-income countries, or if they were of chemical weapons. We identified no peer-reviewed studies of AXO effects, so we extended the search to include grey literature. We critically appraised study quality using a mixed methods appraisal tool. We used a narrative synthesis approach to categorise and synthesise the literature. We extracted quantitative data and calculated means and percentages. The initial search identified 10 226 studies, leaving 8378 (82%) after removal of duplicates, of which we reviewed 54 (26 [48%] were quantitative descriptive studies, 20 [37%] were quantitative non-randomised studies, four [7%] were mixed-methods studies, and four [7%] were grey literature). The direct psychological effects of landmines or UXO appear high. We identified comorbidity of anxiety and depression in landmine or UXO victims in four studies, more women presented with post-traumatic stress disorder than did men in two studies, and landmine or UXO victims reported a greater prevalence of post-traumatic stress disorder

  20. IDRC in Brazil

    International Development Research Centre (IDRC) Digital Library (Canada)

    that help the government promote creativity and entrepreneurship. □ Wage inequalities in Brazil and India. Funding: $247,200. Duration: 2013–2015. Grantee: Centro Brasileiro de Analise e Planejamento, Brazil. Although poverty in Brazil and India has diminished, inequality among wage earners remains high. Think tanks ...

  1. Biochemical Education in Brazil.

    Science.gov (United States)

    Vella, F.

    1988-01-01

    Described are discussions held concerning the problems of biochemical education in Brazil at a meeting of the Sociedade Brazileira de Bioquimica in April 1988. Also discussed are other visits that were made to universities in Brazil. Three major recommendations to improve the state of biochemistry education in Brazil are presented. (CW)

  2. Exercise prescription for hospitalized people with chronic obstructive pulmonary disease and comorbidities: a synthesis of systematic reviews

    Directory of Open Access Journals (Sweden)

    Reid WD

    2012-05-01

    Full Text Available W Darlene Reid,1,2 Cristiane Yamabayashi,1 Donna Goodridge,3 Frank Chung,4 Michael A Hunt,1 Darcy D Marciniuk,5 Dina Brooks,6 Yi-Wen Chen,1 Alison Hoens,1,7 Pat Camp1,21Department of Physical Therapy, University of British Columbia, Vancouver, 2Institute of Heart and Lung Health, University of British Columbia, Vancouver, 3College of Nursing, University of Saskatchewan, 4Physiotherapy, Burnaby Hospital, Fraser Health, British Columbia, 5Division of Respirology, Critical Care and Sleep Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, 6Department of Physical Therapy, University of Toronto, Toronto, ON, 7Providence Health Care, Vancouver, BC, CanadaIntroduction: The prescription of physical activity for hospitalized patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD can be complicated by the presence of comorbidities. The current research aimed to synthesize the relevant literature on the benefits of exercise for people with multimorbidities who experience an AECOPD, and ask: What are the parameters and outcomes of exercise in AECOPD and in conditions that are common comorbidities as reported by systematic reviews (SRs?Methods: An SR was performed using the Cochrane Collaboration protocol. Nine electronic databases were searched up to July 2011. Articles were included if they (1 described participants with AECOPD, chronic obstructive pulmonary disease (COPD, or one of eleven common comorbidities, (2 were an SR, (3 examined aerobic training (AT, resistance training (RT, balance training (BT, or a combination thereof, (4 included at least one outcome of fitness, and (5 compared exercise training versus control/sham.Results: This synthesis examined 58 SRs of exercise training in people with AECOPD, COPD, or eleven chronic conditions commonly associated with COPD. Meta-analyses of endurance (aerobic or exercise capacity, 6-minute walk distance – 6MWD were shown to significantly improve in most conditions

  3. Synthesis Polarimetry Calibration

    Science.gov (United States)

    Moellenbrock, George

    2017-10-01

    Synthesis instrumental polarization calibration fundamentals for both linear (ALMA) and circular (EVLA) feed bases are reviewed, with special attention to the calibration heuristics supported in CASA. Practical problems affecting modern instruments are also discussed.

  4. Manaus, Brazil

    Science.gov (United States)

    2002-01-01

    The junctions of the Amazon and the Rio Negro Rivers at Manaus, Brazil. The Rio Negro flows 2300 km from Columbia, and is the dark current forming the north side of the river. It gets its color from the high tannin content in the water. The Amazon is sediment laden, appearing brown in this simulated natural color image. Manaus is the capital of Amazonas state, and has a population in excess of one million. The ASTER image covers an area of 60 x 45 km. This image was acquired on July 16, 2000 by the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) on NASA's Terra satellite. With its 14 spectral bands from the visible to the thermal infrared wavelength region, and its high spatial resolution of 15 to 90 meters (about 50 to 300 feet), ASTER will image Earth for the next 6 years to map and monitor the changing surface of our planet.ASTER is one of five Earth-observing instruments launched December 18, 1999, on NASA's Terra satellite. The instrument was built by Japan's Ministry of Economy, Trade and Industry. A joint U.S./Japan science team is responsible for validation and calibration of the instrument and the data products. Dr. Anne Kahle at NASA's Jet Propulsion Laboratory, Pasadena, California, is the U.S. Science team leader; Bjorn Eng of JPL is the project manager. The Terra mission is part of NASA's Earth Science Enterprise, a long-term research and technology program designed to examine Earth's land, oceans, atmosphere, ice and life as a total integrated system.The broad spectral coverage and high spectral resolution of ASTER will provide scientists in numerous disciplines with critical information for surface mapping, and monitoring dynamic conditions and temporal change. Example applications are: monitoring glacial advances and retreats; monitoring potentially active volcanoes; identifying crop stress; determining cloud morphology and physical properties; wetlands evaluation; thermal pollution monitoring; coral reef degradation; surface

  5. 75 FR 1078 - Frozen Warmwater Shrimp From Brazil, China, India, Thailand, and Vietnam

    Science.gov (United States)

    2010-01-08

    ... (Review)] Frozen Warmwater Shrimp From Brazil, China, India, Thailand, and Vietnam AGENCY: United States... on frozen warmwater shrimp from Brazil, China, India, Thailand, and Vietnam. SUMMARY: The Commission... warmwater shrimp from Brazil, China, India, Thailand, and Vietnam would be likely to lead to continuation or...

  6. 77 FR 45653 - Stainless Steel Bar From Brazil, India, Japan, and Spain; Determination

    Science.gov (United States)

    2012-08-01

    ... (Third Review)] Stainless Steel Bar From Brazil, India, Japan, and Spain; Determination Determination On... U.S.C. 1675(c)), that revocation of the antidumping duty orders on stainless steel bar from Brazil... (July 2012), entitled Stainless Steel Bar from Brazil, India, Japan, and Spain: Investigation Nos. 731...

  7. Which providers can bridge the health literacy gap in lifestyle risk factor modification education: a systematic review and narrative synthesis

    Directory of Open Access Journals (Sweden)

    Dennis Sarah

    2012-05-01

    Full Text Available Abstract Background People with low health literacy may not have the capacity to self-manage their health and prevent the development of chronic disease through lifestyle risk factor modification. The aim of this narrative synthesis is to determine the effectiveness of primary healthcare providers in developing health literacy of patients to make SNAPW (smoking, nutrition, alcohol, physical activity and weight lifestyle changes. Methods Studies were identified by searching Medline, Embase, Cochrane Library, CINAHL, Joanna Briggs Institute, Psychinfo, Web of Science, Scopus, APAIS, Australian Medical Index, Community of Science and Google Scholar from 1 January 1985 to 30 April 2009. Health literacy and related concepts are poorly indexed in the databases so a list of text words were developed and tested for use. Hand searches were also conducted of four key journals. Studies published in English and included males and females aged 18 years and over with at least one SNAPW risk factor for the development of a chronic disease. The interventions had to be implemented within primary health care, with an aim to influence the health literacy of patients to make SNAPW lifestyle changes. The studies had to report an outcome measure associated with health literacy (knowledge, skills, attitudes, self efficacy, stages of change, motivation and patient activation and SNAPW risk factor. The definition of health literacy in terms of functional, communicative and critical health literacy provided the guiding framework for the review. Results 52 papers were included that described interventions to address health literacy and lifestyle risk factor modification provided by different health professionals. Most of the studies (71%, 37/52 demonstrated an improvement in health literacy, in particular interventions of a moderate to high intensity. Non medical health care providers were effective in improving health literacy. However this was confounded by intensity of

  8. Non-pharmacological interventions for reducing aggression and violence in serious mental illness: A systematic review and narrative synthesis.

    Science.gov (United States)

    Rampling, J; Furtado, V; Winsper, C; Marwaha, S; Lucca, G; Livanou, M; Singh, S P

    2016-04-01

    For people with mental illness that are violent, a range of interventions have been adopted with the aim of reducing violence outcomes. Many of these interventions have been borrowed from other (offender) populations and their evidence base in a Serious Mental Illness (SMI) population is uncertain. To aggregate the evidence base for non-pharmacological interventions in reducing violence amongst adults with SMI and PD (Personality Disorder), and to assess the efficacy of these interventions. We chose to focus on distinct interventions rather than on holistic service models where any element responsible for therapeutic change would be difficult to isolate. We performed a systematic review and narrative synthesis of non-pharmacological interventions intended to reduce violence in a SMI population and in patients with a primary diagnosis of PD. Five online databases were searched alongside a manual search of seven relevant journals, and expert opinion was sourced. Eligibility of all returned articles was independently assessed by two authors, and quality of studies was appraised via the Cochrane Collaboration Tool for Assessing Risk of Bias. We included 23 studies of diverse psychological and practical interventions, with a range of experimental and quasi-experimental study designs that included 7 Randomised Controlled Trials (RCTs). The majority were studies of Mentally Disordered Offenders. The stronger evidence existed for patients with a SMI diagnosis receiving Cognitive Behavioural Therapy or modified Reasoning & Rehabilitation (R&R). For patients with a primary diagnosis of PD, a modified version of R&R appeared tolerable and Enhanced Thinking Skills showed some promise in improving attitudes over the short-term, but studies of Dialectical Behaviour Therapy in this population were compromised by high risk of experimental bias. Little evidence could be found for non-pharmacological, non-psychological interventions. The evidence for non

  9. Perspectives of older people living in long-term care facilities and of their family members toward advance care planning discussions: a systematic review and thematic synthesis.

    Science.gov (United States)

    Mignani, Veronica; Ingravallo, Francesca; Mariani, Elena; Chattat, Rabih

    2017-01-01

    We aimed to search and synthesize qualitative studies exploring the perspectives of older people living in long-term care facilities and of their family members about advance care planning (ACP) discussions. The enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) framework was used to guide the review and report its results. PubMed, CINAHL, and PsycINFO were searched for studies published between January 2000 and November 2015. All included studies were assessed for comprehensiveness of reporting, and a thematic synthesis of their results was performed. The nine included studies differed in terms of qualitative method used, comprehensiveness of reporting, and geographical origin. The thematic synthesis led to the identification of four main themes: 1) plans already made; 2) end-of-life care and decision-making; 3) opinions and attitudes toward ACP; and 4) how, when, about what, and with whom to do ACP. Despite their willingness to be involved in a shared decision-making process, older residents and their families still have little experience with ACP. In view of implementing ACP for elders living in long-term care facilities, it would be important to rethink ACP and also to incorporate their nonmedical preferences, according to their own priorities.

  10. Automation synthesis modules review.

    Science.gov (United States)

    Boschi, S; Lodi, F; Malizia, C; Cicoria, G; Marengo, M

    2013-06-01

    The introduction of (68)Ga labelled tracers has changed the diagnostic approach to neuroendocrine tumours and the availability of a reliable, long-lived (68)Ge/(68)Ga generator has been at the bases of the development of (68)Ga radiopharmacy. The huge increase in clinical demand, the impact of regulatory issues and a careful radioprotection of the operators have boosted for extensive automation of the production process. The development of automated systems for (68)Ga radiochemistry, different engineering and software strategies and post-processing of the eluate were discussed along with impact of automation with regulations. Copyright © 2012 Elsevier Ltd. All rights reserved.

  11. Successes, challenges and needs regarding rural health medical education in continental Central America: a literature review and narrative synthesis.

    Science.gov (United States)

    Colon-Gonzalez, Maria C; El Rayess, Fadya; Guevara, Sara; Anandarajah, Gowri

    2015-01-01

    Central American countries, like many others, face a shortage of rural health physicians. Most medical schools in this region are located in urban areas and focus on tertiary care training rather than on community health or primary care, which are better suited for rural practice. However, many countries require young physicians to do community service in rural communities to address healthcare provider shortages. This study aimed to: (a) synthesize what is known about the current state of medical education preparing physicians for rural practice in this region, and (b) identify common needs, challenges and opportunities for improving medical education in this area. A comprehensive literature review was conducted between December 2013 and May 2014. The stepwise, reproducible search process included English and Spanish language resources from both data-based web search engines (PubMed, Web of Science/Web of Knowledge, ERIC and Google Scholar) and the grey literature. Search criteria included MeSH terms: 'medical education', 'rural health', 'primary care', 'community medicine', 'social service', in conjunction with 'Central America', 'Latin America', 'Mexico', 'Guatemala', 'Belize', 'El Salvador', 'Nicaragua', 'Honduras', 'Costa Rica' and 'Panama'. Articles were included in the review if they (1) were published after 1984; (2) focused on medical education for rural health, primary care, community health; and (3) involved the countries of interest. A narrative synthesis of the content of resources meeting inclusion criteria was done using qualitative research methods to identify common themes pertaining to the study goals. The search revealed 20 resources that met inclusion criteria. Only four of the 20 were research articles; therefore, information about this subject was primarily derived from expert opinion. Thematic analysis revealed the historical existence of several innovative programs that directly address rural medicine training needs, suggesting that

  12. Social Support and Supervisory Quality Interventions in the Workplace: A Stakeholder-Centered Best-Evidence Synthesis of Systematic Reviews on Work Outcomes

    Directory of Open Access Journals (Sweden)

    SL Wagner

    2015-10-01

    Full Text Available Background: There is controversy surrounding the impact of workplace interventions aimed at improving social support and supervisory quality on absenteeism, productivity and financial outcomes. Objective: To determine the value of social support interventions for work outcomes. Methods: Databases were searched for systematic reviews between 2000 and 2012 to complete a synthesis of systematic reviews guided by the PRISMA statement and the IOM guidelines for systematic reviews. Assessment of articles for inclusion and methodological quality was conducted independently by at least two researchers, with differences resolved by consensus. Results: The search resulted in 3363 titles of which 3248 were excluded following title/abstract review, leaving 115 articles that were retrieved and underwent full article review. 10 articles met the set inclusion criteria, with 7 focusing on social support, 2 on supervisory quality and 1 on both. We found moderate and limited evidence, respectively, that social support and supervisory quality interventions positively impact workplace outcomes. Conclusion: There is moderate evidence that social support and limited evidence that supervisory quality interventions have a positive effect on work outcomes.

  13. Modifiable workplace risk factors contributing to workplace absence across health conditions: A stakeholder-centered best-evidence synthesis of systematic reviews.

    Science.gov (United States)

    White, Marc; Wagner, Shannon; Schultz, Izabela Z; Murray, Eleanor; Bradley, Susan M; Hsu, Vernita; McGuire, Lisa; Schulz, Werner

    2013-01-01

    A challenge facing stakeholders is the identification and translation of relevant high quality research to inform policy and practice. This study engaged academic and community stakeholders in conducting a best evidence-synthesis to enhance knowledge use. To identify modifiable workplace disability risk and protective factors across common health conditions impacting work-related absence. We searched MEDLINE, Embase, CINHAL, The Cochrane Library, PsycINFO, BusinessSourceComplete, and ABI/Inform from 2000 to 2011. Systematic reviews that employed quantitative, qualitative, or mixed methods of work-focused population were considered for inclusion. Two or more independent reviewers reviewed titles only, titles and abstracts, and/or full articles when assessing eligibility for inclusion. Selected articles underwent methodological screening. The search strategy, expert input and grey literature identified 2,467 unique records from which 142 full text articles underwent comprehensive review. Twenty-seven systematic reviews met eligibility criteria. Modifiable work factors found to have consistent evidence across two or more health conditions included lack of social support, increased physical demands at work, job strain, lack of supervisory support, increased psychological demands, low job satisfaction, low worker control of job, and poor leadership quality. The active engagement of stakeholders led to greater understanding of relevance of the study findings for community stakeholders and appreciation of the mutual benefits of collaboration.

  14. Stigma-related barriers and facilitators to help seeking for mental health issues in the armed forces: a systematic review and thematic synthesis of qualitative literature.

    Science.gov (United States)

    Coleman, S J; Stevelink, S A M; Hatch, S L; Denny, J A; Greenberg, N

    2017-08-01

    A recent quantitative review in the area of stigma and help seeking in the armed forces has questioned the association between these factors (Sharp et al. 2015). To date, the contribution of qualitative literature in this area has largely been ignored, despite the value this research brings to the understanding of complex social constructs such as stigma. The aim of the current systematic review of qualitative studies was to identify appropriate literature, assess the quality and synthesize findings across studies regarding evidence of stigma-related barriers and facilitators to help seeking for mental health issues within the armed forces. A multi-database text word search incorporating searches of PsycINFO, MEDLINE, Social Policy and Practice, Social Work Abstracts, EMBASE, ERIC and EBM Review databases between 1980 and April 2015 was conducted. Literature was quality assessed using the Critical Appraisal Skills Programme tool. Thematic synthesis was conducted across the literature. The review identified eight studies with 1012 participants meeting the inclusion criteria. Five overarching themes were identified across the literature: (1) non-disclosure; (2) individual beliefs about mental health; (3) anticipated and personal experience of stigma; (4) career concerns; and (5) factors influencing stigma. The findings from the current systematic review found that unlike inconsistent findings in the quantitative literature, there was substantial evidence of a negative relationship between stigma and help seeking for mental health difficulties within the armed forces. The study advocates for refinement of measures to accurately capture the complexity of stigma and help seeking in future quantitative studies.

  15. Social Support and Supervisory Quality Interventions in the Workplace: A Stakeholder-Centered Best-Evidence Synthesis of Systematic Reviews on Work Outcomes.

    Science.gov (United States)

    Wagner, S L; White, M I; Schultz, I Z; Williams-Whitt, K; Koehn, C; Dionne, C E; Koehoorn, M; Harder, H G; Pasca, R; Wärje, O; Hsu, V; McGuire, L; Lama, I; Schulz, W; Kube, D; Wright, M D

    2015-10-01

    There is controversy surrounding the impact of workplace interventions aimed at improving social support and supervisory quality on absenteeism, productivity and financial outcomes. To determine the value of social support interventions for work outcomes. Databases were searched for systematic reviews between 2000 and 2012 to complete a synthesis of systematic reviews guided by the PRISMA statement and the IOM guidelines for systematic reviews. Assessment of articles for inclusion and methodological quality was conducted independently by at least two researchers, with differences resolved by consensus. The search resulted in 3363 titles of which 3248 were excluded following title/abstract review, leaving 115 articles that were retrieved and underwent full article review. 10 articles met the set inclusion criteria, with 7 focusing on social support, 2 on supervisory quality and 1 on both. We found moderate and limited evidence, respectively, that social support and supervisory quality interventions positively impact workplace outcomes. There is moderate evidence that social support and limited evidence that supervisory quality interventions have a positive effect on work outcomes.

  16. Barriers and Facilitators to the Implementation of Interventions to Prevent Youth Violence in Latin America: A Systematic Review and Qualitative Evidence Synthesis.

    Science.gov (United States)

    Atienzo, Erika E; Kaltenthaler, Eva; Baxter, Susan K

    2016-08-12

    Youth violence in Latin America is an important public health problem. However, the evidence from preventive programs within the region to address this problem is limited. Identifying context-specific factors that facilitate or hinder the success of interventions is necessary to guarantee the successful implementation of new preventive strategies. We present a systematic review and synthesis of qualitative studies to identify factors affecting the implementation of programs to prevent youth violence in Latin America. We searched 10 electronic databases and websites of international institutions. The quality of the studies was assessed using the critical appraisal skills program checklist, while the certainty of the findings of the synthesis was assessed using the certainty of the qualitative evidence approach. We included eight papers describing five programs in Argentina, Venezuela, Peru, El Salvador, and Mexico. Most of the factors affecting the implementation of programs were aspects related to features of the programs and social/political constraints. The synthesis suggests that future programs can benefit from having a multidisciplinary and/or multisectoral approach involving different key players. At the same time, potential strategies for avoiding problems related to such active engagement should be planned via promoting effective channels for communication and supervision. The review also suggests the importance of increasing awareness and motivation toward the problem of youth violence among relevant agencies and stakeholders. While the limited volume and quality of the literature impact on the ability to draw conclusions, the results could be useful for new programs being designed and the ones seeking to be adapted from other contexts. © The Author(s) 2016.

  17. Understanding the experiences of married Southern African women in protecting themselves from HIV/AIDS: a systematic review and meta-synthesis.

    Science.gov (United States)

    Timba-Emmanuel, Tabeth; Kroll, Thilo; Renfrew, Mary J; MacGillivray, Steve

    2017-07-27

    Whilst marriage has been repeatedly identified in the literature as an HIV risk factor amongst Southern African women, not much is known about women's perception of their role, experiences and strategies used to address HIV risks in the context of a marriage. The aim of the study was to synthesise perceptions, experiences and strategies of married Southern African women in the prevention of HIV. A systematic review of qualitative studies was conducted. Three electronic databases (Medline, Cinahl and PsycINFO) were systematically searched to identify relevant literature. The meta-synthesis process followed Sandelowski and Barroso's [2007. Handbook for Synthesizing Qualitative Research. Springer Publishing Company] recommendations. Of 7 609 papers, 15 were included in the review. The quality of the included studies was variable. In the final synthesis stage, three broad analytic themes emerged: contextual background, cues to preventive behaviour, and HIV prevention strategies. Findings were used to develop a conceptual framework for studying HIV/AIDS prevention experiences of married Southern African women.

  18. Protocol for an HTA report: Does therapeutic writing help people with long-term conditions? Systematic review, realist synthesis and economic modelling.

    Science.gov (United States)

    Meads, C; Nyssen, O P; Wong, G; Steed, L; Bourke, L; Ross, C A; Hayman, S; Field, V; Lord, J; Greenhalgh, T; Taylor, S J C

    2014-02-18

    Long-term medical conditions (LTCs) cause reduced health-related quality of life and considerable health service expenditure. Writing therapy has potential to improve physical and mental health in people with LTCs, but its effectiveness is not established. This project aims to establish the clinical and cost-effectiveness of therapeutic writing in LTCs by systematic review and economic evaluation, and to evaluate context and mechanisms by which it might work, through realist synthesis. Included are any comparative study of therapeutic writing compared with no writing, waiting list, attention control or placebo writing in patients with any diagnosed LTCs that report at least one of the following: relevant clinical outcomes; quality of life; health service use; psychological, behavioural or social functioning; adherence or adverse events. Searches will be conducted in the main medical databases including MEDLINE, EMBASE, PsycINFO, The Cochrane Library and Science Citation Index. For the realist review, further purposive and iterative searches through snowballing techniques will be undertaken. Inclusions, data extraction and quality assessment will be in duplicate with disagreements resolved through discussion. Quality assessment will include using Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. Data synthesis will be narrative and tabular with meta-analysis where appropriate. De novo economic modelling will be attempted in one clinical area if sufficient evidence is available and performed according to the National Institute for Health and Care Excellence (NICE) reference case.

  19. Misunderstanding International News in Brazil

    Directory of Open Access Journals (Sweden)

    Jacques Wainberg

    2006-06-01

    Full Text Available This study evaluates the nature of the Brazilian public comprehension of international news by revealing the quality of such reception with regard to a sample of 170 subjects randomly selected in the city of Porto Alegre, Brazil. A questionnaire was created taking as a basis the directives of Bloom et al(1972. Evaluated in it are the cognitive and aff ective dimensions of thought. In the fi rst case, questions were formulated that allowed the establishment of the level of knowledge of individuals, as well as their comprehension abilities, application, analysis, synthesis, and evaluation of a wide range of international news topics. For the aff ective dimension the following abilities were evaluated: attention, response, valorization, organization and the structuring of a value scale.

  20. Low-grade and character-marked hardwoods: A research review and synthesis of solid wood manufacturing and marketing

    Science.gov (United States)

    David Nicholls; Matt Bumgardner

    2015-01-01

    There is a substantial body of research from the past half-century addressing hardwood utilization and markets in North America. This synthesis is the first to our knowledge to consider two major (and related) aspects of this research concurrently: low-grade hardwood utilization and marketing of character-marked wood features. We first consider low-grade hardwood...

  1. Local food environment interventions to improve healthy food choice in adults: a systematic review and realist synthesis protocol.

    Science.gov (United States)

    Penney, Tarra L; Brown, Helen Elizabeth; Maguire, Eva R; Kuhn, Isla; Monsivais, Pablo

    2015-05-03

    Local food environments have been linked with dietary intake and obesity in adults. However, overall evidence remains mixed with calls for increased theoretical and conceptual clarity related to how availability of neighbourhood food outlets, and within-outlet food options, influence food purchasing and consumption. The purpose of this work is to develop a programme theory of food availability, supported by empirical evidence from a range of local food environment interventions. A systematic search of the literature will be followed by duplicate screening and quality assessment (using the Effective Public Health Practice Project tool). Realist synthesis will then be conducted according to the Realist And Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES) publication standards, including transparent appraisal, synthesis and drawing conclusions via consensus. The final synthesis will propose an evidence-based programme theory of food availability, including evidence mapping to demonstrate contextual factors, pathways of influence and potential mechanisms. With the paucity of empirically supported programme theories used in current local food environment interventions to improve food availability, this synthesis may be used to understand how and why interventions work, and thus inform the development of theory-driven, evidence-based interventions to improve healthy food choice and future empirical work. PROSPERO CRD42014009808. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  2. A Review of the Genus Oecetis (Trichoptera: Leptoceridae in the Northeastern Region of Brazil with the Description of 5 New Species.

    Directory of Open Access Journals (Sweden)

    Fabio Batagini Quinteiro

    Full Text Available Within Leptoceridae, the genus Oecetis contains about 500 species around the world, including 53 in the Neotropics. In Brazil, there are 15 recorded species of Oecetis. These species were described over several decades by numerous authors with the results that descriptions are not comparable and diagnoses are incomplete. Also, the apparently unbranched M vein, in the forewing, a diagnostic character for Oecetis pointed by McLachlan, is controversial and no consensus has been reached about its homology. Additionally, the only revision for the genus was never published; thus the information and proposed taxa are not available according to the International Code of Zoological Nomenclature. We analyzed specimens collected in the Brazilian Northeast Region and compared these with described species and literature descriptions and Oecetis from other regions. We provide herein the description of five new species, additional characters for diagnosing seven of the species recorded from Brazil, new distributional records, and a dichotomous key to the Brazilian species. Additionally, we contrast the two hypotheses of forewing M vein homology and support the unbranched hypothesis. In this way, we improve the knowledge of the genus in the Neotropics, making the species descriptions comparable in a way that facilitates species identification.

  3. A Review of the Genus Oecetis (Trichoptera: Leptoceridae) in the Northeastern Region of Brazil with the Description of 5 New Species

    Science.gov (United States)

    Quinteiro, Fabio Batagini; Calor, Adolfo Ricardo

    2015-01-01

    Within Leptoceridae, the genus Oecetis contains about 500 species around the world, including 53 in the Neotropics. In Brazil, there are 15 recorded species of Oecetis. These species were described over several decades by numerous authors with the results that descriptions are not comparable and diagnoses are incomplete. Also, the apparently unbranched M vein, in the forewing, a diagnostic character for Oecetis pointed by McLachlan, is controversial and no consensus has been reached about its homology. Additionally, the only revision for the genus was never published; thus the information and proposed taxa are not available according to the International Code of Zoological Nomenclature. We analyzed specimens collected in the Brazilian Northeast Region and compared these with described species and literature descriptions and Oecetis from other regions. We provide herein the description of five new species, additional characters for diagnosing seven of the species recorded from Brazil, new distributional records, and a dichotomous key to the Brazilian species. Additionally, we contrast the two hypotheses of forewing M vein homology and support the unbranched hypothesis. In this way, we improve the knowledge of the genus in the Neotropics, making the species descriptions comparable in a way that facilitates species identification. PMID:26061538

  4. A Review and Synthesis of the Scientific Information Related to the Biology and Management of Species of Special Concern at Cape Hatteras National Seashore, North Carolina

    Science.gov (United States)

    Cohen, Jonathan B.; Erwin, R. Michael; French, John B.; Marion, Jeffrey L.; Meyers, J. Michael

    2009-01-01

    The U.S. Geological Survey's Patuxent Wildlife Research Center (PWRC) conducted a study for the National Park Service (NPS) Southeast Region, Atlanta, GA, and Cape Hatteras National Seashore (CAHA) in North Carolina to review, evaluate, and summarize the available scientific information for selected species of concern at CAHA (piping plovers, sea turtles, seabeach amaranth, American oystercatchers, and colonial waterbirds). This work consisted of reviewing the scientific literature and evaluating the results of studies that examined critical life history stages of each species, and focused on the scientific findings reported that are relevant to the management of these species and their habitats at CAHA. The chapters that follow provide the results of that review separately for each species and present scientifically based options for resource management at CAHA. Although no new original research or experimental work was conducted, this synthesis of the existing information was peer reviewed by over 15 experts with familiarity with these species. This report does not establish NPS management protocols but does highlight scientific information on the biology of these species to be considered by NPS managers who make resource management decisions at CAHA. To ensure that the best available information is considered when assessing each species of interest at CAHA, this review included published research as well as practical experience of scientists and wildlife managers who were consulted in 2005. PWRC scientists evaluated the literature, consulted wildlife managers, and produced an initial draft that was sent to experts for scientific review. Revisions based on those comments were incorporated into the document. The final draft of the document was reviewed by NPS personnel to ensure that the description of the recent status and management of these species at CAHA was accurately represented and that the report was consistent with our work agreement. The following

  5. Longer-term needs of stroke survivors with communication difficulties living in the community: a systematic review and thematic synthesis of qualitative studies.

    Science.gov (United States)

    Wray, Faye; Clarke, David

    2017-10-06

    To review and synthesise qualitative literature relating to the longer-term needs of community dwelling stroke survivors with communication difficulties including aphasia, dysarthria and apraxia of speech. Systematic review and thematic synthesis. We included studies employing qualitative methodology which focused on the perceived or expressed needs, views or experiences of stroke survivors with communication difficulties in relation to the day-to-day management of their condition following hospital discharge. We searched MEDLINE, EMBASE, PsycINFO, CINAHL, The Cochrane Library, International Bibliography of the Social Sciences and AMED and undertook grey literature searches. Studies were assessed for methodological quality by two researchers independently and the findings were combined using thematic synthesis. Thirty-two studies were included in the thematic synthesis. The synthesis reveals the ongoing difficulties stroke survivors can experience in coming to terms with the loss of communication and in adapting to life with a communication difficulty. While some were able to adjust, others struggled to maintain their social networks and to participate in activities which were meaningful to them. The challenges experienced by stroke survivors with communication difficulties persisted for many years poststroke. Four themes relating to longer-term need were developed: managing communication outside of the home, creating a meaningful role, creating or maintaining a support network and taking control and actively moving forward with life. Understanding the experiences of stroke survivors with communication difficulties is vital for ensuring that longer-term care is designed according to their needs. Wider psychosocial factors must be considered in the rehabilitation of people with poststroke communication difficulties. Self-management interventions may be appropriate to help this subgroup of stroke survivors manage their condition in the longer-term; however, such

  6. Empresas multinacionais e desempenho comercial do Brasil: uma revisão da literatura Multinational enterprises and trade performance in Brazil: a review of the literature

    Directory of Open Access Journals (Sweden)

    Carlos A. Cinquetti

    2008-12-01

    Full Text Available Fazemos uma releitura dos estudos empíricos sobre empresas multinacionais (EMNs e comércio exterior no Brasil a partir dos modelos teóricos e empíricos de comércio internacional com firmas multinacionais. Percebe-se que aqueles estudos não examinam como características econômicas do país (Brasil condicionaram a emergência e tipo das EMNs e, assim, seus respectivos impactos sobre comércio exterior. Conseguem isolar, nas análises de impacto comercial, evidências dos serviços tecnológicos das estrangeiras, relativamente às domésticas do mesmo setor, mas não examinam se essas firmas se concentraram ou não em atividades com vantagens comparativas no país, o que seria crucial para determinar seu impacto comercial comparativo.We revisit the empirical research about multinational firms (MNFs and foreign trade in Brazil from the perspective of the theoretical models of international trade with MNFs, and their empirical tests. We observed that the cited studies did not examine how the economic characteristics of Brazil conditioned the emergence and types, as well as the corresponding impacts of the MNFs on foreign trade. The models analyzing trade impacts succeed to single out the MNF's technology service, as compared to same-sector domestic firms, but do not examine whether or not these firms concentrated in activities with comparative advantages, crucial to determine the comparative trade contribution from these firms.

  7. Validity and reliability of a questionnaire on knowledge of cardiovascular risk factors for use in Brazil

    Directory of Open Access Journals (Sweden)

    Marco Aurelio Lumertz Saffi

    2013-10-01

    Full Text Available Using a sample of patients with coronary artery disease, this methodological study aimed to conduct a cross-cultural adaptation and validation of a questionnaire on knowledge of cardiovascular risk factors (Q-FARCS, lifestyle changes, and treatment adherence for use in Brazil. The questionnaire has three scales: general knowledge of risk factors (RFs; specific knowledge of these RFs; and lifestyle changes achieved. Cross-cultural adaptation included translation, synthesis, back-translation, expert committee review, and pretesting. Face and content validity, reliability, and construct validity were measured. Cronbach’s alpha for the total sample (n = 240 was 0.75. Assessment of psychometric properties revealed adequate face and content validity, and the construct revealed seven components. It was concluded that the Brazilian version of Q-FARCS had adequate reliability and validity for the assessment of knowledge of cardiovascular RFs.

  8. Type 2 diabetes in Brazil: epidemiology and management

    Directory of Open Access Journals (Sweden)

    Almeida-Pititto B

    2015-01-01

    Full Text Available Bianca de Almeida-Pititto,1 Monike Lourenço Dias,2 Ana Carolina Franco de Moraes,3 Sandra RG Ferreira,3 Denise Reis Franco,4 Freddy Goldberg Eliaschewitz4,5 1Department of Preventive Medicine, Federal University of São Paulo, São Paulo, Brazil; 2Department of Endocrinology, Federal University of Goiás, Goiânia, Goiás, Brazil; 3Department of Epidemiology, School of Public Health, University of São Paulo, São Paulo, Brazil; 4CPClin Clinical Research Center, 5Albert Einstein Hospital, São Paulo, Brazil Abstract: Type 2 diabetes mellitus (T2DM is one of the most important epidemic diseases in the world this century, and accounts for 90% of cases of diabetes globally. Brazil is one of the most important examples of the alarming picture of T2DM in emergent societies, being the country with the fourth largest number of people with diabetes. The aim of this paper is to review the literature on diabetes in Brazil, specifically looking at the epidemiology and management of T2DM. A literature search was conducted using PubMed and LILACS to identify articles containing information on diabetes in Brazil. Official documents from the Brazilian government, World Health Organization, and International Diabetes Federation were also reviewed. Keywords: type 2 diabetes, Brazil, epidemiology, management

  9. Recognition of the health assistant as a delegated clinical role and their inclusion in models of care: a systematic review and meta-synthesis of qualitative evidence.

    Science.gov (United States)

    Munn, Zachary; Tufanaru, Catalin; Aromataris, Edoardo

    2013-03-01

    Assistants have been utilised worldwide in healthcare as a means to ensure the provision of adequate and efficient healthcare in the midst of increased pressures on health services for many years. This review aimed to synthesise available qualitative evidence regarding the appropriateness of strategies used to establish the health assistant role as a recognised delegated clinical role and to promote their inclusion in models of care. This review focused on how to make strategies appropriate for health assistants and professionals. Health assistants were defined as those who provide assistance and support to health professionals by whom they are directly or indirectly supervised in all healthcare and health education sectors. A systematic review with meta-synthesis of qualitative studies using meta-aggregation was conducted. Types of participants considered included assistants in healthcare, including nursing and allied health assistants. The phenomena of interest was the appropriateness of strategies used to establish the assistant role as a recognised delegated clinical role and/or to promote their inclusion in models of care. Qualitative research studies including, but not limited to, designs such as phenomenology, grounded theory, ethnography, action research and feminist research were considered for inclusion. Electronic searches of multiple databases including MEDLINE, AMED, CINAHL and EMBASE, limited to the English language were conducted during the period of 14 April to 13 May 2011. In addition, grey literature was also searched for, as well as a hand search of relevant journals. Assessment of methodological quality of papers prior to inclusion in the review was performed using a standardised critical appraisal instrument from the Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI QARI). Data were extracted using the standardised data extraction tool from JBI QARI. Data synthesis using the JBI QARI approach of meta-synthesis by meta

  10. Dying well with reduced agency: a scoping review and thematic synthesis of the decision-making process in dementia, traumatic brain injury and frailty.

    Science.gov (United States)

    Birchley, Giles; Jones, Kerry; Huxtable, Richard; Dixon, Jeremy; Kitzinger, Jenny; Clare, Linda

    2016-07-27

    In most Anglophone nations, policy and law increasingly foster an autonomy-based model, raising issues for large numbers of people who fail to fit the paradigm, and indicating problems in translating practical and theoretical understandings of 'good death' to policy. Three exemplar populations are frail older people, people with dementia and people with severe traumatic brain injury. We hypothesise that these groups face some over-lapping challenges in securing good end-of-life care linked to their limited agency. To better understand these challenges, we conducted a scoping review and thematic synthesis. To capture a range of literature, we followed established scoping review methods. We then used thematic synthesis to describe the broad themes emerging from this literature. Initial searches generated 22,375 references, and screening yielded 49, highly heterogeneous, studies that met inclusion criteria, encompassing 12 countries and a variety of settings. The thematic synthesis identified three themes: the first concerned the processes of end-of-life decision-making, highlighting the ambiguity of the dominant shared decision-making process, wherein decisions are determined by families or doctors, sometimes explicitly marginalising the antecedent decisions of patients. Despite this marginalisation, however, the patient does play a role both as a social presence and as an active agent, by whose actions the decisions of those with authority are influenced. The second theme examined the tension between predominant notions of a good death as 'natural' and the drive to medicalise death through the lens of the experiences and actions of those faced with the actuality of death. The final theme considered the concept of antecedent end-of-life decision-making (in all its forms), its influence on policy and decision-making, and some caveats that arise from the studies. Together these three themes indicate a number of directions for future research, which are likely to be

  11. Neuromuscular training to enhance sensorimotor and functional deficits in subjects with chronic ankle instability: a systematic review and best evidence synthesis

    LENUS (Irish Health Repository)

    O'Driscoll, Jeremiah

    2011-09-22

    Abstract Objective To summarise the available evidence for the efficacy of neuromuscular training in enhancing sensorimotor and functional deficits in subjects with chronic ankle instability (CAI). Design Systematic review with best evidence synthesis. Data Sources An electronic search was conducted through December 2009, limited to studies published in the English language, using the Pubmed, CINAHL, Embase, and SPORTDiscus databases. Reference screening of all included articles was also undertaken. Methods Studies were selected if the design was a RCT, quasi RCT, or a CCT; the patients were adolescents or adults with confirmed CAI; and one of the treatment options consisted of a neuromuscular training programme. The primary investigator independently assessed the risk of study bias and extracted relevant data. Due to clinical heterogeneity, data was analysed using a best-evidence synthesis. Results Fourteen studies were included in the review. Meta-analysis with statistical pooling of data was not possible, as the studies were considered too heterogeneous. Instead a best evidence synthesis was undertaken. There is limited to moderate evidence to support improvements in dynamic postural stability, and patient perceived functional stability through neuromuscular training in subjects with CAI. There is limited evidence of effectiveness for neuromuscular training for improving static postural stability, active and passive joint position sense (JPS), isometric strength, muscle onset latencies, shank\\/rearfoot coupling, and a reduction in injury recurrence rates. There is limited evidence of no effectiveness for improvements in muscle fatigue following neuromuscular intervention. Conclusion There is limited to moderate evidence of effectiveness in favour of neuromuscular training for various measures of static and dynamic postural stability, active and passive JPS, isometric strength, muscle onset latencies, shank\\/rearfoot coupling and injury recurrence rates. Strong

  12. Neuromuscular training to enhance sensorimotor and functional deficits in subjects with chronic ankle instability: A systematic review and best evidence synthesis

    Directory of Open Access Journals (Sweden)

    O'Driscoll Jeremiah

    2011-09-01

    Full Text Available Abstract Objective To summarise the available evidence for the efficacy of neuromuscular training in enhancing sensorimotor and functional deficits in subjects with chronic ankle instability (CAI. Design Systematic review with best evidence synthesis. Data Sources An electronic search was conducted through December 2009, limited to studies published in the English language, using the Pubmed, CINAHL, Embase, and SPORTDiscus databases. Reference screening of all included articles was also undertaken. Methods Studies were selected if the design was a RCT, quasi RCT, or a CCT; the patients were adolescents or adults with confirmed CAI; and one of the treatment options consisted of a neuromuscular training programme. The primary investigator independently assessed the risk of study bias and extracted relevant data. Due to clinical heterogeneity, data was analysed using a best-evidence synthesis. Results Fourteen studies were included in the review. Meta-analysis with statistical pooling of data was not possible, as the studies were considered too heterogeneous. Instead a best evidence synthesis was undertaken. There is limited to moderate evidence to support improvements in dynamic postural stability, and patient perceived functional stability through neuromuscular training in subjects with CAI. There is limited evidence of effectiveness for neuromuscular training for improving static postural stability, active and passive joint position sense (JPS, isometric strength, muscle onset latencies, shank/rearfoot coupling, and a reduction in injury recurrence rates. There is limited evidence of no effectiveness for improvements in muscle fatigue following neuromuscular intervention. Conclusion There is limited to moderate evidence of effectiveness in favour of neuromuscular training for various measures of static and dynamic postural stability, active and passive JPS, isometric strength, muscle onset latencies, shank/rearfoot coupling and injury recurrence

  13. Novas Considerações sobre a Fotoproteção no Brasil: Revisão de Literatura/New Considerations on the Photoprotection in Brazil: Literature Review

    Directory of Open Access Journals (Sweden)

    Mayara Motta Melo

    2015-09-01

    . Therefore, it is necessary to draw up own concepts for Brazil and raise awareness about the dangers of solar radiation, so that the incidence of skin cancer can be definitely reduced. This review aims to show the relationship of solar radiation in Brazil with the skin of Brazilian and to highlight the importance of sun protection for this population. With this purpose, it was made a survey of original articles, literature reviews , Brazilian and international consensus and dermatology books.

  14. Disrespectful intrapartum care during facility-based delivery in sub-Saharan Africa: A qualitative systematic review and thematic synthesis of women's perceptions and experiences.

    Science.gov (United States)

    Bradley, Susan; McCourt, Christine; Rayment, Juliet; Parmar, Divya

    2016-11-01

    The psycho-social elements of labour and delivery are central to any woman's birth experience, but international efforts to reduce maternal mortality in low-income contexts have neglected these aspects and focused on technological birth. In many contexts, maternity care is seen as dehumanised and disrespectful, which can have a negative impact on utilisation of services. We undertook a systematic review and meta-synthesis of the growing literature on women's experiences of facility-based delivery in sub-Saharan Africa to examine the drivers of disrespectful intrapartum care. Using PRISMA guidelines, databases were searched from 1990 to 06 May 2015, and 25 original studies were included for thematic synthesis. Analytical themes, that were theoretically informed and cognisant of the cultural and social context in which the dynamics of disrespectful care occur, enabled a fresh interpretation of the factors driving midwives' behaviour. A conceptual framework was developed to show how macro-, meso- and micro-level drivers of disrespectful care interact. The synthesis revealed a prevailing model of maternity care that is institution-centred, rather than woman-centred. Women's experiences illuminate midwives' efforts to maintain power and control by situating birth as a medical event and to secure status by focusing on the technical elements of care, including controlling bodies and knowledge. Midwives and women are caught between medical and social models of birth. Global policies encouraging facility-based delivery are forcing women to swap the psycho-emotional care they would receive from traditional midwives for the technical care that professional midwives are currently offering. Any action to change the current performance and dynamic of birth relies on the participation of midwives, but their voices are largely missing from the discourse. Future research should explore their perceptions of the value and practice of interpersonal aspects of maternity care and the

  15. Perspectives of older people living in long-term care facilities and of their family members toward advance care planning discussions: a systematic review and thematic synthesis

    Directory of Open Access Journals (Sweden)

    Mignani V

    2017-03-01

    Full Text Available Veronica Mignani,1 Francesca Ingravallo,1 Elena Mariani,2 Rabih Chattat2 1Department of Medical and Surgical Sciences, University of Bologna, Via Irnerio, Bologna, Italy; 2Department of Psychology, University of Bologna, Viale Berti Pichat, Bologna, Italy Objective: We aimed to search and synthesize qualitative studies exploring the perspectives of older people living in long-term care facilities and of their family members about advance care planning (ACP discussions. Methods: The enhancing transparency in reporting the synthesis of qualitative research (ENTREQ framework was used to guide the review and report its results. PubMed, CINAHL, and PsycINFO were searched for studies published between January 2000 and November 2015. All included studies were assessed for comprehensiveness of reporting, and a thematic synthesis of their results was performed. Results: The nine included studies differed in terms of qualitative method used, comprehensiveness of reporting, and geographical origin. The thematic synthesis led to the identification of four main themes: 1 plans already made; 2 end-of-life care and decision-making; 3 opinions and attitudes toward ACP; and 4 how, when, about what, and with whom to do ACP. Conclusion: Despite their willingness to be involved in a shared decision-making process, older residents and their families still have little experience with ACP. Practical implications: In view of implementing ACP for elders living in long-term care facilities, it would be important to rethink ACP and also to incorporate their nonmedical preferences, according to their own priorities. Keywords: advance care planning, frail elderly, caregivers, residential facilities, qualitative research

  16. Políticas para avaliação da qualidade do Ensino Superior no Brasil: um balanço crítico Policies for the assessment of higher education in Brazil: a critical review

    Directory of Open Access Journals (Sweden)

    Carmen Lúcia Dias

    2006-12-01

    Full Text Available Este trabalho tem como objetivo contribuir para o debate sobre a avaliação do Ensino Superior no Brasil, apresentando um estudo a respeito dos sistemas utilizados para as medidas de qualidade e produtividade. Busca-se analisar, por meio da revisão bibliográfica e da análise documental, as origens do processo de avaliação, a seqüência histórica dos debates políticos que definiram os programas de trabalho na área, as concepções metodológicas adotadas por esses programas, os instrumentos de mensuração e acompanhamento que foram desenvolvidos e os sistemas de indicadores criados para aferir a qualidade de ensino nas instituições, bem como o desempenho dos estudantes. A discussão contempla todos os sistemas de avaliação praticados no Brasil até o ano de 2005 e conclui que, desde os primeiros procedimentos estabelecidos, houve uma evolução contínua na definição de indicadores mais precisos e eficientes. Os resultados alcançados pela pesquisa que fundamenta o trabalho aplicam-se explicitamente à revisão dos instrumentos de avaliação praticados no Brasil. O trabalho sugere indicadores ainda não utilizados no processo histórico de avaliação, buscando o aperfeiçoamento do sistema atual.This work wishes to contribute to the debate on the assessment of higher education in Brazil by describing a study about the systems used to measure quality and productivity. Through bibliographical review and documental analysis we seek to analyze the origins of the process of assessment, the historical sequence of the political debates that defined the work programs in this area, the methodological conceptions adopted by these programs, the measuring and follow-up instruments devised, and the systems of indicators created to evaluate the quality of the teaching of the higher education institutions, as well as the students' performance. The discussion includes all assessment systems used in Brazil up to 2005, and concludes that from

  17. IDRC in Brazil

    International Development Research Centre (IDRC) Digital Library (Canada)

    biotechnology and nanotechnology could help to develop natural resources in a more sustainable way. □ Reconstruction in Haiti. Funding: $300,700. Duration: 2009–2012. Grantee: Pró-Ensino Sociedade Civil, Brazil. Researchers from Brazil, Argentina, Mexico, and Chile have been supporting their coun- tries' efforts to ...

  18. The Association of Birth Weight and Infant Growth with Energy Balance-Related Behavior – A Systematic Review and Best-Evidence Synthesis of Human Studies

    Science.gov (United States)

    Chinapaw, Mai J. M.; Jansma, Elise P.; Vrijkotte, Tanja G. M.; Gemke, Reinoud J. B. J.

    2017-01-01

    Background Suboptimal prenatal and early postnatal growths are associated with obesity in later life, but the underlying mechanisms are unknown. The aim of this study was to systematically review the literature that reports on the longitudinal association of (i) birth size or (ii) infant growth with later (i) energy intake, (ii) eating behaviors, (iii) physical activity or (iv) sedentary behavior in humans. Methods A comprehensive search of MEDLINE, EMBASE, PsycINFO and The Cochrane Library was conducted to identify relevant publications. We appraised the methodological quality of the studies and synthesized the extracted data through a best-evidence synthesis. Results Data from 41 publications were included. The quality of the studies was high in three papers, moderate in 11 and low in the large majority (n = 27) of papers appraised. Our best-evidence synthesis indicates that there is no evidence for an association of birth weight with later energy intake, eating behavior, physical activity or sedentary behavior. We found moderate evidence for an association of extreme birth weights (at both ends of the spectrum) with lower physical activity levels at a later age. Evidence for the association of infant growth with energy balance-related behavior was generally insufficient. Conclusions We conclude that current evidence does not support an association of early-life growth with energy balance-related behaviors in later life, except for an association of extreme birth weights with later physical activity. PMID:28081150

  19. The Association of Birth Weight and Infant Growth with Energy Balance-Related Behavior - A Systematic Review and Best-Evidence Synthesis of Human Studies.

    Science.gov (United States)

    van Deutekom, Arend W; Chinapaw, Mai J M; Jansma, Elise P; Vrijkotte, Tanja G M; Gemke, Reinoud J B J

    2017-01-01

    Suboptimal prenatal and early postnatal growths are associated with obesity in later life, but the underlying mechanisms are unknown. The aim of this study was to systematically review the literature that reports on the longitudinal association of (i) birth size or (ii) infant growth with later (i) energy intake, (ii) eating behaviors, (iii) physical activity or (iv) sedentary behavior in humans. A comprehensive search of MEDLINE, EMBASE, PsycINFO and The Cochrane Library was conducted to identify relevant publications. We appraised the methodological quality of the studies and synthesized the extracted data through a best-evidence synthesis. Data from 41 publications were included. The quality of the studies was high in three papers, moderate in 11 and low in the large majority (n = 27) of papers appraised. Our best-evidence synthesis indicates that there is no evidence for an association of birth weight with later energy intake, eating behavior, physical activity or sedentary behavior. We found moderate evidence for an association of extreme birth weights (at both ends of the spectrum) with lower physical activity levels at a later age. Evidence for the association of infant growth with energy balance-related behavior was generally insufficient. We conclude that current evidence does not support an association of early-life growth with energy balance-related behaviors in later life, except for an association of extreme birth weights with later physical activity.

  20. The Association of Birth Weight and Infant Growth with Energy Balance-Related Behavior - A Systematic Review and Best-Evidence Synthesis of Human Studies.

    Directory of Open Access Journals (Sweden)

    Arend W van Deutekom

    Full Text Available Suboptimal prenatal and early postnatal growths are associated with obesity in later life, but the underlying mechanisms are unknown. The aim of this study was to systematically review the literature that reports on the longitudinal association of (i birth size or (ii infant growth with later (i energy intake, (ii eating behaviors, (iii physical activity or (iv sedentary behavior in humans.A comprehensive search of MEDLINE, EMBASE, PsycINFO and The Cochrane Library was conducted to identify relevant publications. We appraised the methodological quality of the studies and synthesized the extracted data through a best-evidence synthesis.Data from 41 publications were included. The quality of the studies was high in three papers, moderate in 11 and low in the large majority (n = 27 of papers appraised. Our best-evidence synthesis indicates that there is no evidence for an association of birth weight with later energy intake, eating behavior, physical activity or sedentary behavior. We found moderate evidence for an association of extreme birth weights (at both ends of the spectrum with lower physical activity levels at a later age. Evidence for the association of infant growth with energy balance-related behavior was generally insufficient.We conclude that current evidence does not support an association of early-life growth with energy balance-related behaviors in later life, except for an association of extreme birth weights with later physical activity.

  1. Challenges and facilitators for health professionals providing primary healthcare for refugees and asylum seekers in high-income countries: a systematic review and thematic synthesis of qualitative research

    Science.gov (United States)

    Robertshaw, Luke; Dhesi, Surindar

    2017-01-01

    Objectives To thematically synthesise primary qualitative studies that explore challenges and facilitators for health professionals providing primary healthcare for refugees and asylum seekers in high-income countries. Design Systematic review and qualitative thematic synthesis. Methods Searches of MEDLINE, EMBASE, PsycINFO, CINAHL and Web of Science. Search terms were combined for qualitative research, primary healthcare professionals, refugees and asylum seekers, and were supplemented by searches of reference lists and citations. Study selection was conducted by two researchers using prespecified selection criteria. Data extraction and quality assessment using the Critical Appraisal Skills Programme tool was conducted by the first author. A thematic synthesis was undertaken to develop descriptive themes and analytical constructs. Results Twenty-six articles reporting on 21 studies and involving 357 participants were included. Eleven descriptive themes were interpreted, embedded within three analytical constructs: healthcare encounter (trusting relationship, communication, cultural understanding, health and social conditions, time); healthcare system (training and guidance, professional support, connecting with other services, organisation, resources and capacity); asylum and resettlement. Challenges and facilitators were described within these themes. Conclusions A range of challenges and facilitators have been identified for health professionals providing primary healthcare for refugees and asylum seekers that are experienced in the dimensions of the healthcare encounter, the healthcare system and wider asylum and resettlement situation. Comprehensive understanding of these challenges and facilitators is important to shape policy, improve the quality of services and provide more equitable health services for this vulnerable group. PMID:28780549

  2. The Role of ARV Associated Adverse Drug Reactions in Influencing Adherence Among HIV-Infected Individuals: A Systematic Review and Qualitative Meta-Synthesis.

    Science.gov (United States)

    Li, Haochu; Marley, Gifty; Ma, Wei; Wei, Chongyi; Lackey, Mellanye; Ma, Qingyan; Renaud, Françoise; Vitoria, Marco; Beanland, Rachel; Doherty, Meg; Tucker, Joseph D

    2017-02-01

    Poor adherence remains a major barrier to achieving the clinical and public health benefits of antiretroviral drugs (ARVs). A systematic review and qualitative meta-synthesis was conduct to evaluate how ARV adverse drug reactions may influence ARV adherence. Thirty-nine articles were identified, and 33 reported that ARV adverse drug reactions decreased adherence and six studies found no influence. Visually noticeable adverse drug reactions and psychological adverse reactions were reported as more likely to cause non-adherence compared to other adverse drug reactions. Six studies reported a range of adverse reactions associated with EFV-containing regimens contributing to decreased adherence. Informing HIV-infected individuals about ARV adverse drug reactions prior to initiation, counselling about coping mechanisms, and experiencing the effectiveness of ARVs on wellbeing may improve ARV adherence.

  3. Physical Activity and Exercise Interventions in the Workplace Impacting Work Outcomes: A Stakeholder-Centered Best Evidence Synthesis of Systematic Reviews

    Directory of Open Access Journals (Sweden)

    MI White

    2016-04-01

    Full Text Available Background: The prevention of work disability is beneficial to employees and employers, and mitigates unnecessary societal costs associated with social welfare. Many service providers and employers have initiated workplace interventions designed to reduce unnecessary work disability. Objective: To conduct a best-evidence synthesis of systematic reviews on workplace interventions that address physical activities or exercise and their impact on workplace absence, work productivity or financial outcomes. Methods: Using a participatory research approach, academics and stakeholders identified inclusion and exclusion criteria, built an abstraction table, evaluated systematic review quality and relevance, and interpreted the combined findings. A minimum of two scientists participated in a methodological review of the literature followed by a consensus process. Results: Stakeholders and researchers participated as a collaborative team. 3363 unique records were identified, 115 full text articles and 46 systematic reviews were included, 18 assessed the impact of physical fitness or exercise interventions. 11 focused on general workers rather than workers who were absent from work at baseline; 16 of the reviews assessed work absence, 4 assessed productivity and 6 assessed financial impacts. Conclusion: The strongest evidence supports the use of short, simple exercise or fitness programs for both workers at work and those absent from work at baseline. For workers at work, simple exercise programs (1–2 modal components appear to provide similar benefits to those using more complex multimodal interventions. For workers off-work with subacute low back pain, there is evidence that some complex exercise programs may be more effective than simple exercise interventions, especially if they involve workplace stakeholder engagement, communication and coordination with employers and other stakeholders. The development and utilization of standardized definitions

  4. Physical Activity and Exercise Interventions in the Workplace Impacting Work Outcomes: A Stakeholder-Centered Best Evidence Synthesis of Systematic Reviews.

    Science.gov (United States)

    White, M I; Dionne, C E; Wärje, O; Koehoorn, M; Wagner, S L; Schultz, I Z; Koehn, C; Williams-Whitt, K; Harder, H G; Pasca, R; Hsu, V; McGuire, L; Schulz, W; Kube, D; Wright, M D

    2016-04-01

    The prevention of work disability is beneficial to employees and employers, and mitigates unnecessary societal costs associated with social welfare. Many service providers and employers have initiated workplace interventions designed to reduce unnecessary work disability. To conduct a best-evidence synthesis of systematic reviews on workplace interventions that address physical activities or exercise and their impact on workplace absence, work productivity or financial outcomes. Using a participatory research approach, academics and stakeholders identified inclusion and exclusion criteria, built an abstraction table, evaluated systematic review quality and relevance, and interpreted the combined findings. A minimum of two scientists participated in a methodological review of the literature followed by a consensus process. Stakeholders and researchers participated as a collaborative team. 3363 unique records were identified, 115 full text articles and 46 systematic reviews were included, 18 assessed the impact of physical fitness or exercise interventions. 11 focused on general workers rather than workers who were absent from work at baseline; 16 of the reviews assessed work absence, 4 assessed productivity and 6 assessed financial impacts. The strongest evidence supports the use of short, simple exercise or fitness programs for both workers at work and those absent from work at baseline. For workers at work, simple exercise programs (1-2 modal components) appear to provide similar benefits to those using more complex multimodal interventions. For workers off-work with subacute low back pain, there is evidence that some complex exercise programs may be more effective than simple exercise interventions, especially if they involve workplace stakeholder engagement, communication and coordination with employers and other stakeholders. The development and utilization of standardized definitions, methods and measures and blinded evaluation would improve research quality

  5. Epidemiological Scenario of Dengue in Brazil

    Directory of Open Access Journals (Sweden)

    Rafaelle C. G. Fares

    2015-01-01

    Full Text Available Dengue is the most important reemerging mosquito-borne viral disease worldwide. It is caused by any of four Dengue virus types or serotypes (DENV-1 to DENV-4 and is transmitted by mosquitoes from the genus Aedes. Ecological changes have favored the geographic expansion of the vector and, since the dengue pandemic in the Asian and Pacific regions, the infection became widely distributed worldwide, reaching Brazil in 1845. The incidence of dengue in Brazil has been frequently high, and the number of cases in the country has at some point in time represented up to 60% of the dengue reported cases worldwide. This review addresses vector distribution, dengue outbreaks, circulating serotypes and genotypes, and prevention approaches being utilized in Brazil.

  6. Effectiveness, acceptability and usefulness of mobile applications for cardiovascular disease self-management: Systematic review with meta-synthesis of quantitative and qualitative data.

    Science.gov (United States)

    Coorey, Genevieve M; Neubeck, Lis; Mulley, John; Redfern, Julie

    2018-01-01

    Background Mobile technologies are innovative, scalable approaches to reducing risk of cardiovascular disease but evidence related to effectiveness and acceptability remains limited. We aimed to explore the effectiveness, acceptability and usefulness of mobile applications (apps) for cardiovascular disease self-management and risk factor control. Design Systematic review with meta-synthesis of quantitative and qualitative data. Methods Comprehensive search of multiple databases (Medline, Embase, CINAHL, SCOPUS and Cochrane CENTRAL) and grey literature. Studies were included if the intervention was primarily an app aimed at improving at least two lifestyle behaviours in adults with cardiovascular disease. Meta-synthesis of quantitative and qualitative data was performed to review and evaluate findings. Results Ten studies of varying designs including 607 patients from five countries were included. Interventions targeted hypertension, heart failure, stroke and cardiac rehabilitation populations. Factors that improved among app users were rehospitalisation rates, disease-specific knowledge, quality of life, psychosocial well-being, blood pressure, body mass index, waist circumference, cholesterol and exercise capacity. Improved physical activity, medication adherence and smoking cessation were also characteristic of app users. Appealing app features included tracking healthy behaviours, self-monitoring, disease education and personalised, customisable content. Small samples, short duration and selection bias were noted limitations across some studies, as was the relatively low overall scientific quality of evidence. Conclusions Multiple behaviours and cardiovascular disease risk factors appear modifiable in the shorter term with use of mobile apps. Evidence for effectiveness requires larger, controlled studies of longer duration, with emphasis on process evaluation data to better understand important system- and patient-level characteristics.

  7. A Review on the Synthesis of Manganese Oxide Nanomaterials and Their Applications on Lithium-Ion Batteries

    Directory of Open Access Journals (Sweden)

    Xiaodi Liu

    2013-01-01

    Full Text Available Most recently, manganese oxides nanomaterials, including MnO and MnO2, have attracted great interest as anode materials in lithium-ion batteries (LIBs for their high theoretical capacity, environmental benignity, low cost, and special properties. Up to now, manganese oxides nanostructures with excellent properties and various morphologies have been successfully synthesized. Herein, we provide an in-depth discussion of recent development of the synthesis of manganese oxides nanomaterials and their application in the field of LIBs.

  8. 75 FR 4044 - Stainless Steel Bar From Brazil: Extension of Time Limit for Preliminary Results of Antidumping...

    Science.gov (United States)

    2010-01-26

    ... International Trade Administration Stainless Steel Bar From Brazil: Extension of Time Limit for Preliminary...) initiated an administrative review of the antidumping duty order on certain stainless steel bar from Brazil... until January 29, 2010. See Stainless Steel Bar From Brazil: Extension of Time Limit for Preliminary...

  9. Women's motivation to become dentists in Brazil.

    Science.gov (United States)

    Kfouri, Maria G; Moyses, Samuel J; Moyses, Simone Tetu

    2013-06-01

    There has been a marked increase of women in dentistry in Brazil and in many countries around the world. The behavioral mechanisms behind the choice of career differ between men and women, and the inclination to care for others is thought by some to be more present in women than it is in men. This article discusses the reasons that lead women to choose dentistry as a profession in Brazil and the impact of feminization on the current and future profile of the profession, based on the ethics of care. The authors' review of the relevant literature published between 2000 and 2011, primarily in Brazil, suggests that whereas men have tended to choose dentistry as a good business opportunity, women have tended to base their decision on relations with other people and the flexibility of practicing the profession. Many women dentists have been found to decide to work fewer hours, report more interruptions in their activities, and have less preference to work in private practice than men dentists. In the view of service users and dental auxiliaries in Brazil, women dentists invest more time in their patients and communicate in a more pleasant, sensitive, and friendly manner. The conclusion suggests that characteristics often associated with women can affect the dental profession in Brazil by introducing greater concern with the promotion of health and other people's well-being in contrast to traditional dentistry based on curative procedures.

  10. Public responses to the sharing and linkage of health data for research purposes: a systematic review and thematic synthesis of qualitative studies.

    Science.gov (United States)

    Aitken, Mhairi; de St Jorre, Jenna; Pagliari, Claudia; Jepson, Ruth; Cunningham-Burley, Sarah

    2016-11-10

    The past 10 years have witnessed a significant growth in sharing of health data for secondary uses. Alongside this there has been growing interest in the public acceptability of data sharing and data linkage practices. Public acceptance is recognised as crucial for ensuring the legitimacy of current practices and systems of governance. Given the growing international interest in this area this systematic review and thematic synthesis represents a timely review of current evidence. It highlights the key factors influencing public responses as well as important areas for further research. This paper reports a systematic review and thematic synthesis of qualitative studies examining public attitudes towards the sharing or linkage of health data for research purposes. Twenty-five studies were included in the review. The included studies were conducted primarily in the UK and North America, with one study set in Japan, another in Sweden and one in multiple countries. The included studies were conducted between 1999 and 2013 (eight studies selected for inclusion did not report data collection dates). The qualitative methods represented in the studies included focus groups, interviews, deliberative events, dialogue workshops and asynchronous online interviews. Key themes identified across the corpus of studies related to the conditions necessary for public support/acceptability, areas of public concern and implications for future research. The results identify a growing body of evidence pointing towards widespread general-though conditional-support for data linkage and data sharing for research purposes. Whilst a variety of concerns were raised (e.g. relating to confidentiality, individuals' control over their data, uses and abuses of data and potential harms arising) in cases where participants perceived there to be actual or potential public benefits from research and had trust in the individuals or organisations conducting and/or overseeing data linkage/sharing, they

  11. Socio-ecological influences on adolescent (aged 10-17) alcohol use and linked unhealthy eating behaviours: protocol for a systematic review and synthesis of qualitative studies.

    Science.gov (United States)

    Scott, Stephanie; Reilly, Jessica; Giles, Emma L; Hillier-Brown, Frances; Ells, Louisa; Kaner, Eileen; Adamson, Ashley

    2017-09-02

    findings arising from our review. Qualitative synthesis will involve three core phases: line-by-line coding of findings; development of descriptive themes; and development of analytical themes. Findings from papers will be examined for overlaps, similarities and differences. This synthesis will interpret individual studies by identification of second-order constructs (interpretations offered by the original researchers) and third-order constructs (development of new interpretations beyond those offered in individual studies) by way of the development of a 'model structure' of shared influences upon both unhealthy eating behaviours and alcohol use. It is anticipated that this 'model structure' will aid subsequent co-design and piloting of a future intervention to help reduce health risk and social inequalities due to excess weight gain and alcohol consumption. CRD42017060624 .

  12. Can we Build on Social Movement Theories to Develop and Improve Community-Based Participatory Research? A Framework Synthesis Review.

    Science.gov (United States)

    Tremblay, Marie-Claude; Martin, Debbie H; Macaulay, Ann C; Pluye, Pierre

    2017-06-01

    A long-standing challenge in community-based participatory research (CBPR) has been to anchor practice and evaluation in a relevant and comprehensive theoretical framework of community change. This study describes the development of a multidimensional conceptual framework that builds on social movement theories to identify key components of CBPR processes. Framework synthesis was used as a general literature search and analysis strategy. An initial conceptual framework was developed from the theoretical literature on social movement. A literature search performed to identify illustrative CBPR projects yielded 635 potentially relevant documents, from which eight projects (corresponding to 58 publications) were retained after record and full-text screening. Framework synthesis was used to code and organize data from these projects, ultimately providing a refined framework. The final conceptual framework maps key concepts of CBPR mobilization processes, such as the pivotal role of the partnership; resources and opportunities as necessary components feeding the partnership's development; the importance of framing processes; and a tight alignment between the cause (partnership's goal), the collective action strategy, and the system changes targeted. The revised framework provides a context-specific model to generate a new, innovative understanding of CBPR mobilization processes, drawing on existing theoretical foundations. © 2017 The Authors American Journal of Community Psychology published by Wiley Periodicals, Inc. on behalf of Society for Community Research and Action.

  13. Review on enzymatic synthesis of value added products of glycerol, a by-product derived from biodiesel production

    Directory of Open Access Journals (Sweden)

    J. Pradima

    2017-12-01

    Full Text Available Crude glycerol is produced as a by-product from biodiesel production via trans-esterification with methanol and this process accounts for 10% (w/w of the total biodiesel produced worldwide. The glycerol glut created can be utilized to increase biodiesel profitability since disposal can pose a threat to the environment. The need is to transform this surplus crude glycerol into added-value products. Biological based conversions are efficient in providing products that are drop-in replacements for petro-chemicals and offer functionality advantage, commanding higher price with the potential to increase bio-refinery revenue. Glycerol is a stable and multifunctional compound used as a building block in fine chemical synthesis like bio-polymers, polyunsaturated fatty acids, ethanol, hydrogen, n-butanol, glycerol carbonate, glycerol acetyl esters etc. Bio-catalysts add higher value to bio based products by catalyzing not only their selective modification, but also their synthesis under controlled and mild conditions. This article focuses on different bioconversion technologies of crude-glycerol to value added industrial products – obtained as waste from current bio-diesel production. We abridge the recent relevant approach for the production of various platform chemicals from bio-glycerol over enzyme and chemical catalysts. Keywords: Enzyme catalysis, Bio-glycerol, Renewable chemicals, Green processes, Bio-refinery

  14. Focus on Brazil

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1988-11-01

    Brazil, the largest country in South America with a population of almost 140 million, has been plagued since the early 1980s by high foreign debt (approximately US$121 billion at present) and hyperinflation (nearly 600 percent over the past 12 months). These factors, in combination with the slower than anticipated growth in electricity demand, have been instrumental in curtailing nuclear power development in the country. Following recommendations advanced in a commissioned study for improving Brazil`s nuclear program, Brazilian President Jose Sarney announced on August 31st the restructuring of the country`s nuclear industry.

  15. A Synthesis of the Evidence for Managing Stress at Work: A Review of the Reviews Reporting on Anxiety, Depression, and Absenteeism

    Directory of Open Access Journals (Sweden)

    Kamaldeep S. Bhui

    2012-01-01

    Full Text Available Background. Psychosocial stressors in the workplace are a cause of anxiety and depressive illnesses, suicide and family disruption. Methods. The present review synthesizes the evidence from existing systematic reviews published between 1990 and July 2011. We assessed the effectiveness of individual, organisational and mixed interventions on two outcomes: mental health and absenteeism. Results. In total, 23 systematic reviews included 499 primary studies; there were 11 meta-analyses and 12 narrative reviews. Meta-analytic studies found a greater effect size of individual interventions on individual outcomes. Organisational interventions showed mixed evidence of benefit. Organisational programmes for physical activity showed a reduction in absenteeism. The findings from the meta-analytic reviews were consistent with the findings from the narrative reviews. Specifically, cognitive-behavioural programmes produced larger effects at the individual level compared with other interventions. Some interventions appeared to lead to deterioration in mental health and absenteeism outcomes.Gaps in the literature include studies of organisational outcomes like absenteeism, the influence of specific occupations and size of organisations, and studies of the comparative effectiveness of primary, secondary and tertiary prevention. Conclusions. Individual interventions (like CBT improve individuals’ mental health. Physical activity as an organisational intervention reduces absenteeism. Research needs to target gaps in the evidence.

  16. A synthesis of the evidence for managing stress at work: a review of the reviews reporting on anxiety, depression, and absenteeism.

    Science.gov (United States)

    Bhui, Kamaldeep S; Dinos, Sokratis; Stansfeld, Stephen A; White, Peter D

    2012-01-01

    Psychosocial stressors in the workplace are a cause of anxiety and depressive illnesses, suicide and family disruption. The present review synthesizes the evidence from existing systematic reviews published between 1990 and July 2011. We assessed the effectiveness of individual, organisational and mixed interventions on two outcomes: mental health and absenteeism. In total, 23 systematic reviews included 499 primary studies; there were 11 meta-analyses and 12 narrative reviews. Meta-analytic studies found a greater effect size of individual interventions on individual outcomes. Organisational interventions showed mixed evidence of benefit. Organisational programmes for physical activity showed a reduction in absenteeism. The findings from the meta-analytic reviews were consistent with the findings from the narrative reviews. Specifically, cognitive-behavioural programmes produced larger effects at the individual level compared with other interventions. Some interventions appeared to lead to deterioration in mental health and absenteeism outcomes.Gaps in the literature include studies of organisational outcomes like absenteeism, the influence of specific occupations and size of organisations, and studies of the comparative effectiveness of primary, secondary and tertiary prevention. Individual interventions (like CBT) improve individuals' mental health. Physical activity as an organisational intervention reduces absenteeism. Research needs to target gaps in the evidence.

  17. The Effects of Source Water Quality on Drinking Water Treatment Costs: A Review and Synthesis of Empirical Literature - slides

    Science.gov (United States)

    Watershed protection, and associated in situ water quality improvements, has received considerable attention as a means of mitigating health risks and avoiding expenditures at drinking water treatment plants (DWTPs). In this presentation, we review the literature linking raw wate...

  18. Draft Scientific Report Connectivity of Streams and Wetlands to Downstream Waters: A Review and Synthesis of the Scientific Evidence

    Science.gov (United States)

    Synthesizes peer-reviewed scientific literature on the biological, chemical, and hydrologic connectivity of waters and the effects that small streams, wetlands, and open waters have on larger downstream waters such as rivers, lakes, estuaries, and oceans.

  19. Water resources development in Africa: a review and synthesis of issues, potentials, and strategies for the future

    OpenAIRE

    Rosegrant, Mark W.; Perez, Nicostrato D.

    1997-01-01

    This paper analyzes how water resources development and water policy reform can be deployed to address the twin problems of food insecurity and water scarcity in Africa and, in particular, Sub-Saharan Africa. The paper reviews the current status of water supply and demand, and the existing and potential irrigated land base in Africa; reviews the performance of existing irrigation systems and assesses the magnitude of the potential contribution and cost-effectiveness of new irrigation developm...

  20. Poli(tereftalato de etileno, PET: uma revisão sobre os processos de síntese, mecanismos de degradação e sua reciclagem Poly(ethylene terephthalate, PET: a review on the synthesis processes, degradation mechanisms and its recycling

    Directory of Open Access Journals (Sweden)

    Wanderson Romão

    2009-06-01

    Full Text Available Apresentamos uma revisão sobre o poli(tereftalato de etileno enfatizando os processos de síntese e os mecanismos de degradação. Atualmente o Brasil apresenta um dos maiores índices mundiais de reciclagem mecânica deste polímero, correspondendo a um percentual de 53%. O sucesso desse termoplástico na indústria de reciclagem deve-se à sua ampla diversidade de aplicações, desde a indústria têxtil (multifilamento até as indústrias de alimentos, onde as embalagens recicladas grau alimentício poderão ser misturadas com a resina virgem em diversas proporções e reprocessadas para o uso. Uma abordagem sobre a atual legislação do uso de PET reciclado em contato com alimentos também é mostrada neste trabalho. No processo de síntese do PET realizado em duas ou três etapas, são usados comonômeros e aditivos para otimizar as condições de processamento do material. Entretanto, tanto durante a síntese como no processo de reciclagem, ocorrem reações de degradação (termomecânica e termo-oxidativa e reações secundárias, formando acetaldeído, oligômeros, e o dietileno glicol. A presença desses "contaminantes" acelera o processo de degradação do polímero, afetando a qualidade do produto final.We present a review on poly(ethylene terephthalate, emphasizing the synthesis processes and the degradation mechanisms. Brazil is currently among the countries that most recycle PET, with 53% of this polymer being mechanically recycled. The success of this thermoplastic in the recycling industry is due to its large diversity of applications, from the textile industry to food packaging, where the food grade recycled packages will be mixed with the pristine resin for reprocessing and use. We also discuss the present legal aspects concerning PET recycling and its use in contact with food. In the synthesis of PET, usually done in two or three steps, several co-monomers and additives are used to optimize the final properties and

  1. Tapentadol, a novel analgesic: Review of recent trends in synthesis, related substances, analytical methods, pharmacodynamics and pharmacokinetics

    Directory of Open Access Journals (Sweden)

    Deepti Jain

    2013-12-01

    Full Text Available This write-up describes the comprehensive facts of tapentadol, on recent trends in synthesis, related substances, analytical methods, pharmacodynamics, pharmacokinetics, adverse effect and drug interaction. Chemically, tapentadol is 3-[(1R,2R-3-(dimethylamino-1-ethyl-2-methylpropyl] phenol hydrochloride. Tapentadol is a centrally-acting synthetic novel analgesic which acts as μ-opioid receptor agonist as well as norepinephrine re-uptake inhibitor. Nausea and vomiting are common side effects and tapentadol glucuronide conjugate is a major metabolite excreted in urine. It is synthesized by three different schemes while nine related substances were reported. Tapentadol and its metabolites were determined in plasma matrix by chromatographic methods using spectrofluorometric detection.

  2. Review: Regulatory mechanisms of gonadotropin-inhibitory hormone (GnIH synthesis and release in photoperiodic animals

    Directory of Open Access Journals (Sweden)

    Kazuyoshi eTsutsui

    2013-04-01

    Full Text Available Gonadotropin-inhibitory hormone (GnIH is a novel hypothalamic neuropeptide that was discovered in quail as an inhibitory factor for gonadotropin release. GnIH inhibits gonadotropin synthesis and release in birds through actions on gonadotropin-releasing hormone (GnRH neurons and gonadotropes, mediated via the GnIH receptor (GnIH-R, GPR147. Subsequently, GnIH was identified in mammals and other vertebrates. As in birds, mammalian GnIH inhibits gonadotropin secretion, indicating a conserved role for this neuropeptide in the control of the hypothalamic-pituitary-gonadal (HPG axis across species. Identification of the regulatory mechanisms governing GnIH expression and release is important in understanding the physiological role of the GnIH system. A nocturnal hormone, melatonin, appears to act directly on GnIH neurons through its receptor to induce expression and release of GnIH in quail, a photoperiodic bird. Recently, a similar, but opposite, action of melatonin on the inhibition of expression of mammalian GnIH was shown in hamsters and sheep, photoperiodic mammals. These results in photoperiodic animals demonstrate that GnIH expression is photoperiodically modulated via a melatonin-dependent process. Recent findings indicate that GnIH may be a mediator of stress-induced reproductive disruption in birds and mammals, pointing to a broad role for this neuropeptide in assessing physiological state and modifying reproductive effort accordingly. This paper summarizes the advances made in our knowledge regarding the regulation of GnIH synthesis and release in photoperiodic birds and mammals. This paper also discusses the neuroendocrine integration of environmental signals, such as photoperiods and stress, and internal signals, such as GnIH, melatonin and glucocorticoids, to control avian and mammalian reproduction.

  3. Understanding of factors that enable health promoters in implementing health-promoting schools: a systematic review and narrative synthesis of qualitative evidence.

    Science.gov (United States)

    Hung, Tommy Tsz Man; Chiang, Vico Chung Lim; Dawson, Angela; Lee, Regina Lai Tong

    2014-01-01

    Health-promoting schools have been regarded as an important initiative in promoting child and adolescent health in school settings using the whole-school approach. Quantitative research has proved its effectiveness in various school-based programmes. However, few qualitative studies have been conducted to investigate the strategies used by health promoters to implement such initiatives. In this study, the researchers conducted a systematic review and narrative synthesis of the qualitative literature to identify important enablers assisting the implementation of health-promoting schools from the perspectives of health promoters. Five enablers have been identified from the review: (a) Following a framework/guideline to implement health-promoting schools; (b) Obtaining committed support and contributions from the school staff, school board management, government authorities, health agencies and other stakeholders; (c) Adopting a multidisciplinary, collaborative approach to implementing HPS; (d) Establishing professional networks and relationships; and (e) Continuing training and education in school health promotion. This highlights the importance of developing school health policies that meet local health needs, and socio-cultural characteristics that can foster mutual understanding between the health and education sectors so as to foster health promotion in children and adolescents.

  4. Chemical Synthesis of Antimicrobial Peptides.

    Science.gov (United States)

    Münzker, Lena; Oddo, Alberto; Hansen, Paul R

    2017-01-01

    Solid-phase peptide synthesis (SPPS) is the method of choice for chemical synthesis of peptides. In this nonspecialist review, we describe commonly used resins, linkers, protecting groups, and coupling reagents in 9-fluorenylmethyloxycarbonyl (Fmoc) SPPS. Finally, a detailed protocol for manual Fmoc SPPS is presented.

  5. PREFACE: Brazil MRS Meeting 2014

    Science.gov (United States)

    2015-11-01

    The annual meetings, organized by the Brazilian materials research society - B-MRS, are amongst the most import discussion forums in the area of materials science and engineering in Brazil, with a growing interest from the national and international scientific society. In the last 4 years, more than 1,500 participants have attended the B-MRS meetings, promoting an auspicious environment for presentation and discussion of scientific and technological works in the materials science area. The XIII Brazilian Materials Research Society Meeting was held from 28 September to 02 October, 2014, in João Pessoa, PB, Brazil. The Meeting congregated more than 1650 participants from the whole of Brazil and from 28 other countries. More than 2100 abstracts were accepted for presentation, distributed along 19 Symposia following the format used in traditional meetings of Materials Research Societies. These involved topics such as: synthesis of new materials, computer simulations, optical, magnetic and electronic properties, traditional materials as clays and cements, advanced metals, carbon and graphene nanostructures, nanomaterials for nanostructures, energy storage systems, composites, surface engineering and others. A novelty was a symposium dedicated to innovation and technology transfer in materials research. The program also included 7 Plenary Lectures presented by internationally renowned researchers: Alberto Salleo from Stanford University, United States of America; Roberto Dovesi from Universita' degli Studi di Torino, Italy; Luís Antonio F. M. Dias Carlos from Universidade de Aveiro, Portugal; Jean Marie Dubois from Institut Jean-Lamour, France; Sir Colin Humphreys from University of Cambridge, England; Karl Leo from Technische Universität Dresden, Germany; Robert Chang from Northwestern University, Evanston, United States of America. The numbers of participants in the B-MRS meetings have been growing continuously, and in this meeting we had almost 2200 presentations

  6. Fmoc Solid-Phase Peptide Synthesis.

    Science.gov (United States)

    Hansen, Paul R; Oddo, Alberto

    2015-01-01

    Synthetic peptides are important as drugs and in research. Currently, the method of choice for producing these compounds is solid-phase peptide synthesis. In this nonspecialist review, we describe the scope and limitations of Fmoc solid-phase peptide synthesis. Furthermore, we provide a detailed protocol for Fmoc peptide synthesis.

  7. Challenges and facilitators for health professionals providing primary healthcare for refugees and asylum seekers in high-income countries: a systematic review and thematic synthesis of qualitative research.

    Science.gov (United States)

    Robertshaw, Luke; Dhesi, Surindar; Jones, Laura L

    2017-08-04

    To thematically synthesise primary qualitative studies that explore challenges and facilitators for health professionals providing primary healthcare for refugees and asylum seekers in high-income countries. Systematic review and qualitative thematic synthesis. Searches of MEDLINE, EMBASE, PsycINFO, CINAHL and Web of Science. Search terms were combined for qualitative research, primary healthcare professionals, refugees and asylum seekers, and were supplemented by searches of reference lists and citations. Study selection was conducted by two researchers using prespecified selection criteria. Data extraction and quality assessment using the Critical Appraisal Skills Programme tool was conducted by the first author. A thematic synthesis was undertaken to develop descriptive themes and analytical constructs. Twenty-six articles reporting on 21 studies and involving 357 participants were included. Eleven descriptive themes were interpreted, embedded within three analytical constructs: healthcare encounter (trusting relationship, communication, cultural understanding, health and social conditions, time); healthcare system (training and guidance, professional support, connecting with other services, organisation, resources and capacity); asylum and resettlement. Challenges and facilitators were described within these themes. A range of challenges and facilitators have been identified for health professionals providing primary healthcare for refugees and asylum seekers that are experienced in the dimensions of the healthcare encounter, the healthcare system and wider asylum and resettlement situation. Comprehensive understanding of these challenges and facilitators is important to shape policy, improve the quality of services and provide more equitable health services for this vulnerable group. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly

  8. Psychological aspects of organ donation: a critical review and synthesis of individual and next-of-kin donation decisions.

    Science.gov (United States)

    Radecki, C M; Jaccard, J

    1997-03-01

    This article presents a critical review of psychological perspectives on organ donation. The review considers individual decisions to donate organs posthumously and next-of-kin consent decisions. A theoretical analysis of intention to donate is presented for both types of donation decisions, and the literature is reviewed within the context of the proposed framework. Donation decisions are examined as a function of attitude toward donation and the religious, cultural, altruistic, normative, and knowledge-based beliefs that comprise the attitude. Consent decisions are primarily influenced by prior knowledge of the deceased individual's wishes. An alternative conceptual model is offered to explain the basis of consent decisions in the absence of this knowledge. Suggestions are offered to improve measurement strategy and to guide theoretically based organ donation research within selected disciplines of psychology.

  9. Análise de diferentes estudos epidemiológicos em Audiologia realizados no Brasil Literature review on epidemiological studies conducted in Audiology in Brazil

    Directory of Open Access Journals (Sweden)

    Aline Megumi Arakawa

    2011-02-01

    Full Text Available TEMA: a audição, responsável pela aquisição e desenvolvimento da linguagem, é um dos sentidos que permitem a ocorrência das relações interpessoais e com o meio ambiente. Desta forma, o levantamento epidemiológico da prevalência de deficientes auditivos em uma comunidade é de extrema importância para a adequação das medidas de saúde pública nos vários níveis de prevenção. OBJETIVO: verificar na literatura científica, estudos que tiveram por interesse a busca de conhecimento no âmbito epidemiológico relacionados à perda auditiva no Brasil. Foram utilizados um total de 13 artigos sendo, 11 de estudos transversais, um estudo caso-controle, e outro estudo de coorte. CONCLUSÃO: Os trabalhadores expostos a ruído ocupacional têm recebido maior atenção por parte dos estudos epidemiológicos, diferentemente da população idosa e neonatal. Apenas um estudo com base populacional, seguindo o Protocolo sugerido pela OMS, foi realizado. É importante a realização de mais estudos relacionados à deficiência auditiva no país a fim de elaborar ações de saúde e assistência adequadas às necessidades locais.BACKGROUND: hearing is responsible for acquisition and development of oral language, this sense allows for interpersonal and environmental relationship. Epidemiological investigations on hearing impairment in a community are very important in order to adequate the public health measures at different prevention levels. PURPOSE: to check, in the scientific literature, studies that aimed at the pursuit of hearing loss epidemiology knowledge in Brazil. Thirteen articles were used in this study and 11 were a cross-sectional studies, one a case-control study and another a cohort study. CONCLUSION: Workers exposed to occupational noise have received more attention from epidemiological studies than the elderly and neonate population. Just one population-based study was carried out following the protocol suggested by WHO. It is

  10. Coping, acculturation, and psychological adaptation among migrants: a theoretical and empirical review and synthesis of the literature.

    Science.gov (United States)

    Kuo, Ben C H

    2014-01-01

    Given the continuous, dynamic demographic changes internationally due to intensive worldwide migration and globalization, the need to more fully understand how migrants adapt and cope with acculturation experiences in their new host cultural environment is imperative and timely. However, a comprehensive review of what we currently know about the relationship between coping behavior and acculturation experience for individuals undergoing cultural changes has not yet been undertaken. Hence, the current article aims to compile, review, and examine cumulative cross-cultural psychological research that sheds light on the relationships among coping, acculturation, and psychological and mental health outcomes for migrants. To this end, this present article reviews prevailing literature pertaining to: (a) the stress and coping conceptual perspective of acculturation; (b) four theoretical models of coping, acculturation and cultural adaptation; (c) differential coping pattern among diverse acculturating migrant groups; and (d) the relationship between coping variabilities and acculturation levels among migrants. In terms of theoretical understanding, this review points to the relative strengths and limitations associated with each of the four theoretical models on coping-acculturation-adaptation. These theories and the empirical studies reviewed in this article further highlight the central role of coping behaviors/strategies in the acculturation process and outcome for migrants and ethnic populations, both conceptually and functionally. Moreover, the review shows that across studies culturally preferred coping patterns exist among acculturating migrants and migrant groups and vary with migrants' acculturation levels. Implications and limitations of the existing literature for coping, acculturation, and psychological adaptation research are discussed and recommendations for future research are put forth.

  11. Factors influencing HIV disclosure among people living with HIV/AIDS in Nigeria: a systematic review using narrative synthesis and meta-analysis.

    Science.gov (United States)

    Adeoye-Agboola, D I; Evans, H; Hewson, D; Pappas, Y

    2016-07-01

    To critically review, appraise and evaluate quality of evidence on HIV disclosure among people living with HIV/AIDS (PLWHA) in Nigeria, and to identify a possible gap in knowledge on HIV/AIDS and disclosure. A systematic review using narrative synthesis and meta-analysis. MedLine, PsycINFO, PubMed Central, Scopus and CINAHL were searched. Data were extracted with the use of spread sheet. An analysis of heterogeneity was performed for the disclosure rate and the presence of a supportive reaction from partners. A meta-analysis was performed for the disclosure rates to sexual partners, with data available for all ten studies. Ten studies met the inclusion criteria. The outcomes show that HIV disclosure of sero-positive status is most common between spouses or sexual partners than disclosure to relatives/family members, friends, pastor/Imam or work colleagues/employers. The participants in most of these studies are women, and amongst the most influential factors on disclosure are gender, anticipated outcome, marital status and knowledge of partners' status. Some studies reported non-disclosure as a way of limiting stigma. Almost all of the studies highlighted that there is fear of stigma and social exclusion associated with disclosure. This review discusses the overall experience of HIV disclosure on the management of the disease and barriers to disclosure. We found that PLWHA in Nigeria disclosed to at least one person within their social networks. Stigma is still a major consideration for PLWHA who experience a range of misconceptions around HIV transmission. The findings of this study may inform local policies and plans for improving the PLWHA quality of life. Targeted policies to increase disclosure of sero-positive status and reduce stigma may facilitate disease prevention. The methodological rigour of the included studies was appraised low. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  12. Contingency Approaches to Leadership: A Review and Synthesis. Interim Report for Preiod 1 September 1974-1 June 1975.

    Science.gov (United States)

    Hendrix, William H.

    This report focuses on the problem of how to improve leadership effectiveness in order to improve overall organization effectiveness. First, three different approaches to leadership behavior are presented: Trait Approach, Behavioral Approach, and Situational Approach. Next, reviews of the leadership literature and of eight contingency models of…

  13. Magnitude da depressão pós-parto no Brasil: uma revisão sistemática The extent of post-partum depression in Brazil: a systematic review

    Directory of Open Access Journals (Sweden)

    Gustavo Lobato

    2011-12-01

    Full Text Available OBJETIVOS: realizar uma revisão sistemática dos estudos sobre a magnitude da depressão pós-parto (DPP no Brasil. MÉTODOS: a busca e seleção da literatura baseouse em artigos publicados em periódicos nacionais e internacionais, nas bases de dados eletrônicas Lilacs, SciELO e Medline. RESULTADOS: foram selecionados 14 estudos, sendo que 13 deles reportavam a prevalência de DPP e apenas um estudo de seguimento com limitada casuística (n=21 trazia estimativa da incidência do agravo (42,8%. A grande heterogeneidade em relação à população de estudo, método diagnóstico utilizado e período pós-parto focalizado dificultou a obtenção de uma estimativa agregada da prevalência de DPP no Brasil. Contudo, estudos conduzidos em unidades básicas de saúde, no âmbito da Estratégia de Saúde da Família ou em populações carentes apontaram uma prevalência entre 30 e 40% de DPP, enquanto pesquisas que incluíram amostras de base populacional e populações de unidades hospitalares terciárias revelaram uma prevalência de cerca de 20%. CONCLUSÕES: embora novos estudos sejam necessários para melhor caracterizar as peculiaridades que envolvem a magnitude da DPP no Brasil, as evidências disponíveis justificam uma atenção prioritária para os agravos à saúde mental materna no âmbito da saúde pública no país.OBJECTIVES: to carry out a systematic review of studies of the extent of post-partum depression (PPD in Brazil. METHODS: articles were searched for and selected from national and international periodicals included in the Lilacs, SciELO and Medline electronic databases. RESULTS: fourteen studies were selected, thirteen of which reported the prevalence of PPD and one, which followed up a limited number of cases (n=21 estimated the incidence of the disorder at 42.8%. The wide range of different populations studied, diagnostic methods used, and post-partum period monitored made it difficult to obtain an aggregate estimate for

  14. Contribuições da antropologia à medicina: uma revisão de estudos no Brasil Contributions from anthropology to medicine: a bibliographic review in Brazil

    Directory of Open Access Journals (Sweden)

    Marcos de Souza Queiroz

    1986-04-01

    Full Text Available Foi feita revisão e análise, sob um ponto de vista antropológico, da literatura mais representativa sobre saúde e doença e práticas de cura no Brasil. Nessa literatura, em primeiro lugar, houve a preocupação de coletar documentos sobre as tradições regionais do mundo rural, expressando uma ampla variedade de pontos de vista. Em geral, "medicina popular" era vista como um conjunto de práticas e idéias rudes e imitativas, provenientes tanto da medicina erudita do passado como das tradições étnicas brasileiras. Em segundo lugar, as ciências sociais exerceram uma grande influência neste tipo de estudo. Depois dos anos 30 e, principalmente, dos anos 40 aos 70, um número importante de trabalhos tiveram lugar nesse campo de estudo, influenciados pelas posturas acadêmicas como, por exemplo, o funcionalismo, a teoria da aculturação, e as teorias do desenvolvimento. Durante os anos 70 o campo atingiu a sua maturidade com um grande número de pesquisas sob várias influências teóricas. As teorias estruturalistas e funcional-estruturalistas (que variam entre o formalismo abstrato e o substantivismo tiveram um peso mais consistente nessa década. Três importantes estudos recentes foram também analisados, e as principais tendências abertas nesse campo foram também discutidas, particularmente as tentativas marxistas de análise.An analysis was made of the most representative literature both on health and illness representations and on practices of cure in Brazil from an anthropological point of view. Firsttly, there was in this litterature the concern of collecting the folk traditions from the rural world, expressing a great variety of viewpoints. In general, "popular medicine" was seen as a set of rude and imitative ideas and practices stemming from both the erudite medicine of the past and Brazilian ethnic traditions. Secondly, social sciences have had a great influence on this kind of study. After the 30's, particularly from the

  15. Epiphyte plants use by birds in Brazil

    OpenAIRE

    Cestari, Cesar [UNESP

    2009-01-01

    This study firstly reviewed the interspecific interaction records between birds and epiphyte plants in Brazil. Forty two documents, including articles, scientific notes, books and thesis, and 35 personal records and from collaborators were argued, totaling 112 species of birds that interacted with 97 species of epiphyte plants. Two articles treated the theme specifically and another 40 treated related subjects, such as: pollination of epiphytes, ecology and feeding behavior of birds. Studies ...

  16. Research in Humans: Current Perspectives in Brazil

    OpenAIRE

    Célia Alcantara Cunha Lima

    2016-01-01

    This work addressed the norms of ethics for human experimentation in Brazil, operationalized by the National Research Ethics Commission (CONEP) of the National Health Council (CNS). It analyzed international principles of bioethics as a theoretical framework for the Brazilian regulation. National and international publications were reviewed, by Capes periodicals, relating to historical ethical infractions, such as reflection to the current day. It analyzed the law (PL) 200/2015 of the Senate,...

  17. Fabrication, Modification, and Emerging Applications of TiO2 Nanotube Arrays by Electrochemical Synthesis: A Review

    Directory of Open Access Journals (Sweden)

    Jian-Ying Huang

    2013-01-01

    Full Text Available Titania nanotube arrays (TNAs as a hot nanomaterial have a unique highly ordered array structure and good mechanical and chemical stability, as well as excellent anticorrosion, biocompatible, and photocatalytic performance. It has been fabricated by a facile electrochemical anodization in electrolytes containing small amounts of fluoric ions. In combination with our research work, we review the recent progress of the new research achievements of TNAs on the preparation processes, forming mechanism, and modification. In addition, we will review the potential and significant applications in the photocatalytic degradation of pollutants, solar cells, water splitting, and other aspects. Finally, the existing problems and further prospects of this renascent and rapidly developing field are also briefly addressed and discussed.

  18. Full Time School in Brazil: Policy, Curriculum and Pedagogic Challenges

    Directory of Open Access Journals (Sweden)

    Sandra Valéria Valéria

    2013-06-01

    Full Text Available This article aims to discuss the project of integral education and full time school which is under construction in Brazil, linking history and policy to thinking the curriculum and pedagogical work in schools for extended journey. The analyzes presented here are the resulted synthesis of two completed researches and another two ongoing, concerning policy and processes of teaching and learning in public full time schools.

  19. Labour Market Inequality in Brazil and India: A Comparative Brazil ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Labour Market Inequality in Brazil and India: A Comparative Brazil, Russia, India and China (BRIC) Study. Think tanks in Brazil and India ... to climate change. IDRC is investing in local solutions to address climate change-related challenges in India, including heat stress, water management, and climate-related migration.

  20. Labour Market Inequality in Brazil and India: A Comparative Brazil ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Inequality and the labour market : what can we learn from comparing India and Brazil?; project paper H (f). Rapports. Report on Policy Dialogue on Labour Market Inequality in Brazil and India : project paper G.2. Rapports. Vocational education and training (VET), inequality and the labour market in Brazil and India : a policy ...

  1. Barriers and Facilitators to Safe Food Handling among Consumers: A Systematic Review and Thematic Synthesis of Qualitative Research Studies

    OpenAIRE

    Young, Ian; Waddell, Lisa

    2016-01-01

    Foodborne illness has a substantial health and economic burden on society, and most cases are believed to be due to unsafe food handling practices at home. Several qualitative research studies have been conducted to investigate consumers? perspectives, opinions, and experiences with safe food handling at home, and these studies provide insights into the underlying barriers and facilitators affecting their safe food handling behaviours. We conducted a systematic review of previously published ...

  2. What do people fear about cancer? A systematic review and meta?synthesis of cancer fears in the general population

    OpenAIRE

    2016-01-01

    Abstract Background Cancer has long inspired fear, but the effect of fear is not well understood; it seems both to facilitate and to deter early diagnosis behaviours. To elucidate fear's behavioural effects, we systematically reviewed and synthesised qualitative literature to explore what people fear about cancer. Methods We searched Medline, Embase, PsycInfo, Web of Science, AnthroSource, and Anthrobase for studies on cancer fear in breast, cervical, and colorectal cancer screening and analy...

  3. Predictors of children's secondhand smoke exposure at home: a systematic review and narrative synthesis of the evidence.

    Directory of Open Access Journals (Sweden)

    Sophie Orton

    Full Text Available Children's exposure to secondhand smoke (SHS has been causally linked to a number of childhood morbidities and mortalities. Over 50% of UK children whose parents are smokers are regularly exposed to SHS at home. No previous review has identified the factors associated with children's SHS exposure in the home.To identify by systematic review, the factors which are associated with children's SHS exposure in the home, determined by parent or child reports and/or biochemically validated measures including cotinine, carbon monoxide or home air particulate matter.Electronic searches of MEDLINE, EMBASE, PsychINFO, CINAHL and Web of Knowledge to July 2014, and hand searches of reference lists from publications included in the review were conducted.Forty one studies were included in the review. Parental smoking, low socioeconomic status and being less educated were all frequently and consistently found to be independently associated with children's SHS exposure in the home. Children whose parents held more negative attitudes towards SHS were less likely to be exposed. Associations were strongest for parental cigarette smoking status; compared to children of non-smokers, those whose mothers or both parents smoked were between two and 13 times more likely to be exposed to SHS.Multiple factors are associated with child SHS exposure in the home; the best way to reduce child SHS exposure in the home is for smoking parents to quit. If parents are unable or unwilling to stop smoking, they should instigate smoke-free homes. Interventions targeted towards the socially disadvantaged parents aiming to change attitudes to smoking in the presence of children and providing practical support to help parents smoke outside the home may be beneficial.

  4. A knowledge synthesis of culturally- and spiritually-sensitive end-of-life care: findings from a scoping review.

    Science.gov (United States)

    Fang, Mei Lan; Sixsmith, Judith; Sinclair, Shane; Horst, Glen

    2016-05-18

    Multiple factors influence the end-of-life (EoL) care and experience of poor quality services by culturally- and spiritually-diverse groups. Access to EoL services e.g. health and social supports at home or in hospices is difficult for ethnic minorities compared to white European groups. A tool is required to empower patients and families to access culturally-safe care. This review was undertaken by the Canadian Virtual Hospice as a foundation for this tool. To explore attitudes, behaviours and patterns to utilization of EoL care by culturally and spiritually diverse groups and identify gaps in EoL care practice and delivery methods, a scoping review and thematic analysis of article content was conducted. Fourteen electronic databases and websites were searched between June-August 2014 to identify English-language peer-reviewed publications and grey literature (including reports and other online resources) published between 2004-2014. The search identified barriers and enablers at the systems, community and personal/family levels. Primary barriers include: cultural differences between healthcare providers; persons approaching EoL and family members; under-utilization of culturally-sensitive models designed to improve EoL care; language barriers; lack of awareness of cultural and religious diversity issues; exclusion of families in the decision-making process; personal racial and religious discrimination; and lack of culturally-tailored EoL information to facilitate decision-making. This review highlights that most research has focused on decision-making. There were fewer studies exploring different cultural and spiritual experiences at the EoL and interventions to improve EoL care. Interventions evaluated were largely educational in nature rather than service oriented.

  5. Bacteria in the global atmosphere – Part 1: Review and synthesis of literature data for different ecosystems

    OpenAIRE

    S. M. Burrows; Elbert, W.; Lawrence, M. G.; Pöschl, U.

    2009-01-01

    Bacteria are ubiquitous in the atmosphere, with concentrations of bacterial cells typically exceeding 1×104 m−3 over land. Numerous studies have suggested that the presence of bacteria in the atmosphere may impact cloud development, atmospheric chemistry, and microbial biogeography. A sound knowledge of bacterial concentrations and distributions in the atmosphere is needed to evaluate these claims. This review focusses on ...

  6. Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research.

    Science.gov (United States)

    Millar, Ross; Mannion, Russell; Freeman, Tim; Davies, Huw T O

    2013-12-01

    Recurring problems with patient safety have led to a growing interest in helping hospitals' governing bodies provide more effective oversight of the quality and safety of their services. National directives and initiatives emphasize the importance of action by boards, but the empirical basis for informing effective hospital board oversight has yet to receive full and careful review. This article presents a narrative review of empirical research to inform the debate about hospital boards' oversight of quality and patient safety. A systematic and comprehensive search identified 122 papers for detailed review. Much of the empirical work appeared in the last ten years, is from the United States, and employs cross-sectional survey methods. Recent empirical studies linking board composition and processes with patient outcomes have found clear differences between high- and low-performing hospitals, highlighting the importance of strong and committed leadership that prioritizes quality and safety and sets clear and measurable goals for improvement. Effective oversight is also associated with well-informed and skilled board members. External factors (such as regulatory regimes and the publication of performance data) might also have a role in influencing boards, but detailed empirical work on these is scant. Health policy debates recognize the important role of hospital boards in overseeing patient quality and safety, and a growing body of empirical research has sought to elucidate that role. This review finds a number of areas of guidance that have some empirical support, but it also exposes the relatively inchoate nature of the field. Greater theoretical and methodological development is required if we are to secure more evidence-informed governance systems and practices that can contribute to safer care. © 2013 Milbank Memorial Fund.

  7. Systematic review of the effects of schools and school environment interventions on health: evidence mapping and synthesis

    OpenAIRE

    Bonell, C.; Farah, Jamal; Harden, Angela; Wells, H.; Parry, W.; Fletcher, A.; Petticrew, M; Thomas, J.; M. Whitehead; Campbell, R.; Murphy, S; Moore, L

    2013-01-01

    Background: In contrast to curriculum-based health education interventions in schools, the school environment approach promotes health by modifying schools’ physical/social environment. This systematic review reports on the health effects of the school environment and processes by which these might occur. It includes theories, intervention outcome and process evaluations, quantitative studies and qualitative studies.\\ud Research questions\\ud \\ud Research question (RQ)1: What theories are used...

  8. Albinism in Carollia perspicillata (Chiroptera; Phyllostomidae, in the state of Rondônia, Brazil. A brief review of albinism in bats

    Directory of Open Access Journals (Sweden)

    Adriana Ruckert da Rosa

    2017-09-01

    Full Text Available Albinism is a phenomenon that is not very common in bats. In the literature, sixty-seven bat species with this mutation have been reported. The purpose of this paper is to report a case of complete albinism in Carollia perspicillata. A young male albino bat was captured in a culvert under the BR 364 highway, located within an anthropogenic area in the district of Caiçara, municipality of Porto Velho, in the northern Brazilian state of Rondônia. The animal was apparently well integrated into the group, healthy and of normal size for the species. A brief review of albinism in bats is also provided.

  9. An Exploration of the Perception of Dance and Its Relation to Biomechanical Motion: A Systematic Review and Narrative Synthesis.

    Science.gov (United States)

    Chang, Michael; Halaki, Mark; Adams, Roger; Cobley, Stephen; Lee, Kwee-Yum; O'Dwyer, Nicholas

    2016-01-01

    In dance, the goals of actions are not always clearly defined. Investigations into the perceived quality of dance actions and their relation to biomechanical motion should give insight into the performance of dance actions and their goals. The purpose of this review was to explore and document current literature concerning dance perception and its relation to the biomechanics of motion. Seven studies were included in the review. The study results showed systematic differences between expert, non-expert, and novice dancers in biomechanical and perceptual measures, both of which also varied according to the actions expressed in dance. Biomechanical and perceptual variables were found to be correlated in all the studies in the review. Significant relations were observed between kinematic variables such as amplitude, speed, and variability of movement, and perceptual measures of beauty and performance quality. However, in general, there were no clear trends in these relations. Instead, the evidence suggests that perceptual ratings of dance may be specific to both the task (the skill of the particular action) and the context (the music and staging). The results also suggest that the human perceptual system is sensitive to skillful movements and neuromuscular coordination. Since the value perceived by audiences appears to be related to dance action goals and the coordination of dance elements, practitioners could place a priority on development and execution of those factors.

  10. Couple-based treatment for sexual problems following breast cancer: A review and synthesis of the literature.

    Science.gov (United States)

    Carroll, Allison J; Baron, Shirley R; Carroll, Richard A

    2016-08-01

    Although there are many physical and psychological impacts on women's sexuality following breast cancer diagnosis and treatment, sexual problems often remain unaddressed in these cancer survivors. Given the crucial role of the partner in sexual issues, couple-based sex therapy would appear to be a logical first-line treatment for this population, but there is scant research on the efficacy of couple-based treatments and/or sex therapy in breast cancer survivors. A review of the literature was conducted using the PMC, PsycINFO, EMBASE, and MEDLINE databases. Articles were included that presented the results of an experimental or quasi-experimental clinical trial evaluating a psychosexual intervention for couples, targeted women diagnosed with breast cancer and their partners, and included outcome measures of sexual function and sexuality. Studies were excluded if the primary intervention was not focused on sexual problems or if they were published in a language other than English. From 2231 records, five articles met criteria for inclusion in the present review. Couple-based sex therapy appears to be an effective and highly accepted treatment for addressing sexual problems in breast cancer patients. These interventions were associated with improvements in sexual physiology, sexual functioning, sexual self-image, and sexual relationships, as well as improved psychological well-being of both breast cancer patients and their partners. Based on this review, the authors address clinical implications, particularly incorporating psychological treatment for sexual problems in comprehensive cancer care, and provide recommendations for further study.

  11. Barriers and facilitators to young children's physical activity and sedentary behaviour: a systematic review and synthesis of qualitative literature

    Science.gov (United States)

    Lakshman, R.; van Sluijs, E. M. F.

    2017-01-01

    Summary Positive activity behaviours (i.e. higher physical activity [PA]/lower sedentary behaviour [SB]) are beneficial from infancy, yet evidence suggests that young children (0‐ to 6‐year‐olds) are relatively inactive. To better understand the perceived influences on these behaviours and to aid intervention development, this paper systematically synthesizes the extensive qualitative literature regarding perceived barriers and facilitators to PA and SB in young children (0–6 years old). A search of eight electronic databases (July 2016) identified 43 papers for inclusion. Data extraction and evidence synthesis were conducted using thematic content analysis, underpinned by the socio‐ecological model (i.e. individual, interpersonal, community, organizational and policy levels). Parents, childcare providers and children perceived seven broad themes to be important for PA and SB, including the child; the home; out‐of‐home childcare; parent–childcare provider interactions; environmental factors; safety; and weather. Each theme mapped onto between one and five levels of the socio‐ecological model; barriers and facilitators at the interpersonal level (e.g. parents, care providers and family) were most frequently cited, reflecting the important (perceived) role adults/peers play in shaping young children's behaviours. We provide an overarching framework to explain PA and SB in early childhood. We also highlight where gaps in the current literature exist (e.g. from male carers; in developing countries; and barriers and facilitators in the environmental and policy domains) and where future quantitative work may focus to provide novel insights about children's activity behaviours (e.g. safety and weather). PMID:28589678

  12. Patient Perspectives on Quality of Life With Uncontrolled Type 1 Diabetes Mellitus: A Systematic Review and Qualitative Meta-synthesis.

    Science.gov (United States)

    Vanstone, Meredith; Rewegan, Alex; Brundisini, Francesca; Dejean, Deirdre; Giacomini, Mita

    2015-01-01

    Patients with uncontrolled type 1 diabetes mellitus may be candidates for pancreatic islet cell transplantation. This report synthesizes qualitative research on how patients with uncontrolled type 1 diabetes perceive their quality of life. The objective of this analysis was to examine the perceptions of patients with uncontrolled type 1 diabetes on how it affects their lived experience and quality of life. This report synthesizes 31 primary qualitative studies to examine quality of life from the perspectives of adult patients with type 1 diabetes mellitus and their families or partners. We performed a qualitative meta-synthesis to integrate findings across primary research studies. Long- and short-term negative consequences of uncontrolled type 1 diabetes affect all aspects of patients' lives: physical, emotional, practical, and social. The effect on each domain is far-reaching, and effects interact across domains. Uncontrolled blood sugar levels lead to substantial psychological distress, negative moods, cognitive difficulties, irritable or aggressive behaviour, and closely associated problems with relationships, self-image, and confidence. Emotional distress is pervasive and under-addressed by health care providers. Patients live in fear of complications from diabetes over the long term. In the shorter term, they are anxious about the personal, social, and professional consequences of hypoglycemic episodes (e.g., injury, humiliation), and may curtail normal activities such as driving or socializing because they are worried about having an episode. The quality of life for patients' family members is also negatively impacted by uncontrolled type 1 diabetes. Uncontrolled type 1 diabetes has significant negative impacts on the quality of life of both people with the disease and their families.

  13. Scientific Secretariat of The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders, Carragee E, Carroll L, Guzman J, Haldeman S, Holm L, Hurwitz E, Nordin M, Peloso P. The sensitivity of review results to methods used to appraise and incorporate trial quality into data synthesis.

    NARCIS (Netherlands)

    van der Velde, G..; van Tulder, M.W.; Cote, P.; Hogg-Johnson, S.; Aker, P.; Cassidy, J.D.

    2007-01-01

    STUDY DESIGN. Systematic review. OBJECTIVE. To determine whether results and conclusions on the effectiveness of exercise for workers with neck pain vary with the Cochrane Back Review Group Guidelines and best-evidence synthesis review methods. To identify methodologic weaknesses associated with

  14. Synthesis of supported catalysts

    NARCIS (Netherlands)

    Jong, Krijn P. de

    1999-01-01

    Research reports on the synthesis of supported catalysts during the review period (1997-1998) have shown the use of carbon nanotubes and new hetropolyanions as examples of novel supports and of novel precursors of active components, respectively. Studies of absorption and precipitation chemistry

  15. Bovine cysticercosis situation in Brazil

    Directory of Open Access Journals (Sweden)

    Gabriel Augusto Marques Rossi

    2014-02-01

    Full Text Available The taeniasis-cysticercosis complex is a long known zoonotic parasitosis characteristic of underdeveloped countries. In addition to its public health significance, this parasitosis is cause of economic losses to the beef production chain, and synonymous of technical inadequacy in relation to the adoption of Good Agricultural Practices. The occurrences of both human teniasis and bovine cysticercosis could and should be controlled with basic sanitary measures. However, there is much variation in the occurrence of the disease in cattle, characterizing a low rate of technical development as well as problems related to the adoption of basic sanitation measures. This review describes, in details, the causative agent and its epidemiological chain, besides raising current information about the occurrence of bovine cysticercosis in different regions of Brazil, aiming at the adoption of prophylactic measures by different segments responsible.

  16. Are HIV epidemics among men who have sex with men emerging in the Middle East and North Africa?: a systematic review and data synthesis.

    Directory of Open Access Journals (Sweden)

    Ghina Mumtaz

    2010-08-01

    Full Text Available BACKGROUND: Men who have sex with men (MSM bear a disproportionately higher burden of HIV infection than the general population. MSM in the Middle East and North Africa (MENA are a largely hidden population because of a prevailing stigma towards this type of sexual behavior, thereby limiting the ability to assess infection transmission patterns among them. It is widely perceived that data are virtually nonexistent on MSM and HIV in this region. The objective of this review was to delineate, for the first time, the evidence on the epidemiology of HIV among MSM in MENA. METHODS AND FINDINGS: This was a systematic review of all biological, behavioral, and other related data on HIV and MSM in MENA. Sources of data included PubMed (Medline, international organizations' reports and databases, country-level reports and databases including governmental and nongovernmental organization publications, and various other institutional documents. This review showed that onsiderable data are available on MSM and HIV in MENA. While HIV prevalence continues at low levels among different MSM groups, HIV epidemics appear to be emerging in at least few countries, with a prevalence reaching up to 28% among certain MSM groups. By 2008, the contribution of MSM transmission to the total HIV notified cases increased and exceeded 25% in several countries. The high levels of risk behavior (4-14 partners on average in the last six months among different MSM populations and of biomarkers of risks (such as herpes simplex virus type 2 at 3%-54%, the overall low rate of consistent condom use (generally below 25%, the relative frequency of male sex work (20%-76%, and the substantial overlap with heterosexual risk behavior and injecting drug use suggest potential for further spread. CONCLUSIONS: This systematic review and data synthesis indicate that HIV epidemics appear to be emerging among MSM in at least a few MENA countries and could already be in a concentrated state among

  17. Characterizing the Role of U.S. Surgeons in the Provision of Palliative Care: A Systematic Review and Mixed-Methods Meta-Synthesis