The effectiveness of the PRISMA integrated service delivery network: preliminary report on methods and baseline data

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Réjean Hébert

2008-02-01

Full Text Available Purpose: The PRISMA study analyzes an innovative coordination-type integrated service delivery (ISD system developed to improve continuity and increase the effectiveness and efficiency of services, especially for older and disabled populations. The objective of the PRISMA study is to evaluate the effectiveness of this system to improve health, empowerment and satisfaction of frail older people, modify their health and social services utilization, without increasing the burden of informal caregivers. The objective of this paper is to present the methodology and give baseline data on the study participants. Methods: A quasi-experimental study with pre-test, multiple post-tests, and a comparison group was used to evaluate the impact of PRISMA ISD. Elders at risk of functional decline (501 experimental, 419 control participated in the study. Results: At entry, the two groups were comparable for most variables. Over the first year, when the implementation rate was low (32%, participants from the control group used fewer services than those from the experimental group. After the first year, no significant statistical difference was observed for functional decline and changes in the other outcome variables. Conclusion: This first year must be considered a baseline year, showing the situation without significant implementation of PRISMA ISD systems. Results for the following years will have to be examined with consideration of these baseline results.

The Pharmaceutical Device Prisma® Skin Promotes in Vitro Angiogenesis through Endothelial to Mesenchymal Transition during Skin Wound Healing.

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Belvedere, Raffaella; Bizzarro, Valentina; Parente, Luca; Petrella, Francesco; Petrella, Antonello

2017-07-25

Glycosaminoglycans are polysaccharides of the extracellular matrix supporting skin wound closure. Mesoglycan is a mixture of glycosaminoglycans such as chondroitin-, dermatan-, heparan-sulfate and heparin and is the main component of Prisma ® Skin, a pharmaceutical device developed by Mediolanum Farmaceutici S.p.a. Here, we show the in vitro effects of this device in the new vessels formation by endothelial cells, since angiogenesis represents a key moment in wound healing. We found a strong increase of migration and invasion rates of these cells treated with mesoglycan and Prisma ® Skin which mediate the activation of the pathway triggered by CD44 receptor. Furthermore, endothelial cells form longer capillary-like structures with a great number of branches, in the presence of the same treatments. Thus, the device, thanks to the mesoglycan, leads the cells to the Endothelial-to-Mesenchymal Transition, suggesting the switch to a fibroblast-like phenotype, as shown by immunofluorescence assays. Finally, we found that mesoglycan and Prisma ® Skin inhibit inflammatory reactions such as nitric oxide secretion and NF-κB nuclear translocation in endothelial cells and Tumor Necrosis Factor-α production by macrophages. In conclusion, based on our data, we suggest that Prisma ® Skin may be able to accelerate angiogenesis in skin wound healing, and regulate inflammation avoiding chronic, thus pathological, responses.

The Pharmaceutical Device Prisma® Skin Promotes in Vitro Angiogenesis through Endothelial to Mesenchymal Transition during Skin Wound Healing

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Raffaella Belvedere

2017-07-01

Full Text Available Glycosaminoglycans are polysaccharides of the extracellular matrix supporting skin wound closure. Mesoglycan is a mixture of glycosaminoglycans such as chondroitin-, dermatan-, heparan-sulfate and heparin and is the main component of Prisma® Skin, a pharmaceutical device developed by Mediolanum Farmaceutici S.p.a. Here, we show the in vitro effects of this device in the new vessels formation by endothelial cells, since angiogenesis represents a key moment in wound healing. We found a strong increase of migration and invasion rates of these cells treated with mesoglycan and Prisma® Skin which mediate the activation of the pathway triggered by CD44 receptor. Furthermore, endothelial cells form longer capillary-like structures with a great number of branches, in the presence of the same treatments. Thus, the device, thanks to the mesoglycan, leads the cells to the Endothelial-to-Mesenchymal Transition, suggesting the switch to a fibroblast-like phenotype, as shown by immunofluorescence assays. Finally, we found that mesoglycan and Prisma® Skin inhibit inflammatory reactions such as nitric oxide secretion and NF-κB nuclear translocation in endothelial cells and Tumor Necrosis Factor-α production by macrophages. In conclusion, based on our data, we suggest that Prisma® Skin may be able to accelerate angiogenesis in skin wound healing, and regulate inflammation avoiding chronic, thus pathological, responses.

Endorsement of PRISMA statement and quality of systematic reviews and meta-analyses published in nursing journals: a cross-sectional study.

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Tam, Wilson W S; Lo, Kenneth K H; Khalechelvam, Parames

2017-02-07

Systematic reviews (SRs) often poorly report key information, thereby diminishing their usefulness. Previous studies evaluated published SRs and determined that they failed to meet explicit criteria or characteristics. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was recommended as a reporting guideline for SR and meta-analysis (MA), but previous studies showed that adherence to the statement was not high for SRs published in different medical fields. Thus, the aims of this study are twofold: (1) to investigate the number of nursing journals that have required or recommended the use of the PRISMA statement for reporting SR, and (2) to examine the adherence of SRs and/or meta-analyses to the PRISMA statement published in nursing journals. A cross-sectional study. Nursing journals listed in the ISI journal citation report were divided into 2 groups based on the recommendation of PRISMA statement in their 'Instruction for Authors'. SRs and meta-analyses published in 2014 were searched in 3 databases. 37 SRs and meta-analyses were randomly selected in each group. The adherence of each item to the PRISMA was examined and summarised using descriptive statistics. The quality of the SRs was assessed by Assessing the Methodological Quality of Systematic Reviews. The differences between the 2 groups were compared using the Mann-Whitney U test. Out of 107 nursing journals, 30 (28.0%) recommended or required authors to follow the PRISMA statement when they submit SRs or meta-analyses. The median rates of adherence to the PRISMA statement for reviews published in journals with and without PRISMA endorsement were 64.9% (IQR: 17.6-92.3%) and 73.0% (IQR: 59.5-94.6%), respectively. No significant difference was observed in any of the items between the 2 groups. The median adherence of SRs and meta-analyses in nursing journals to PRISMA is low at 64.9% and 73.0%, respectively. Nonetheless, the adherence level of nursing journals to the

Endorsement of PRISMA statement and quality of systematic reviews and meta-analyses published in nursing journals: a cross-sectional study

Science.gov (United States)

Tam, Wilson W S; Lo, Kenneth K H; Khalechelvam, Parames

2017-01-01

Objective Systematic reviews (SRs) often poorly report key information, thereby diminishing their usefulness. Previous studies evaluated published SRs and determined that they failed to meet explicit criteria or characteristics. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was recommended as a reporting guideline for SR and meta-analysis (MA), but previous studies showed that adherence to the statement was not high for SRs published in different medical fields. Thus, the aims of this study are twofold: (1) to investigate the number of nursing journals that have required or recommended the use of the PRISMA statement for reporting SR, and (2) to examine the adherence of SRs and/or meta-analyses to the PRISMA statement published in nursing journals. Design A cross-sectional study. Methods Nursing journals listed in the ISI journal citation report were divided into 2 groups based on the recommendation of PRISMA statement in their ‘Instruction for Authors’. SRs and meta-analyses published in 2014 were searched in 3 databases. 37 SRs and meta-analyses were randomly selected in each group. The adherence of each item to the PRISMA was examined and summarised using descriptive statistics. The quality of the SRs was assessed by Assessing the Methodological Quality of Systematic Reviews. The differences between the 2 groups were compared using the Mann-Whitney U test. Results Out of 107 nursing journals, 30 (28.0%) recommended or required authors to follow the PRISMA statement when they submit SRs or meta-analyses. The median rates of adherence to the PRISMA statement for reviews published in journals with and without PRISMA endorsement were 64.9% (IQR: 17.6–92.3%) and 73.0% (IQR: 59.5–94.6%), respectively. No significant difference was observed in any of the items between the 2 groups. Conclusions The median adherence of SRs and meta-analyses in nursing journals to PRISMA is low at 64.9% and 73.0%, respectively

Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P 2015 statement

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Mireia Estarli

2016-02-01

Full Text Available Systematic reviews should build on a protocol that describes the rationale, hypothesis, and planned methods of the review; few reviews report whether a protocol exists. Detailed, well-described protocols can facilitate the understanding and appraisal of the review methods, as well as the detection of modifications to methods and selective reporting in completed reviews. We describe the development of a reporting guideline, the Preferred Reporting Items for Systematic reviews and Meta-Analyses for Protocols 2015 (PRISMA-P 2015. PRISMA-P consists of a 17-item checklist intended to facilitate the preparation and reporting of a robust protocol for the systematic review. Funders and those commissioning reviews might consider mandating the use of the checklist to facilitate the submission of relevant protocol information in funding applications. Similarly, peer reviewers and editors can use the guidance to gauge the completeness and transparency of a systematic review protocol submitted for publication in a journal or other medium. Translation with permission of the authors. The original authors have not revised and verified the Spanish translation, and they do not necessarily endorse it.

Exotic geophysical phenomena observed in an environmental neutron flux study using EAS PRISMA detectors

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Alekseenko Victor

2017-01-01

Full Text Available Some exotic geophysical events are observed by a global net of electron-neutron detectors (en-detectors developed in the framework of the PRISMA EAS project. Our en-detectors running both on the Earth's surface and underground are continuously measuring the environmental thermal neutron flux. Thermal neutrons are in equilibrium with media and are therefore sensitive to many geophysical phenomena, which are exotic for people studying ultra high-energy cosmic rays or carrying out low background experiments deep underground.

PRISMA: Program of Research to Integrate the Services for the Maintenance of Autonomy. A system-level integration model in Quebec

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Margaret MacAdam

2015-09-01

Full Text Available The Program of Research to Integrate the Services for the Maintenance of Autonomy (PRISMA began in Quebec in 1999. Evaluation results indicated that the PRISMA Project improved the system of care for the frail elderly at no additional cost. In 2001, the Quebec Ministry of Health and Social Services made implementing the six features of the PRISMA approach a province-wide goal in the programme now known as RSIPA (French acronym. Extensive Province-wide progress has been made since then, but ongoing challenges include reducing unmet need for case management and home care services, creating incentives for increased physician participation in care planning and improving the computerized client chart, among others. PRISMA is the only evaluated international model of a coordination approach to integration and one of the few, if not the only, integration model to have been adopted at the system level by policy-makers.

Association of study quality with completeness of reporting: have completeness of reporting and quality of systematic reviews and meta-analyses in major radiology journals changed since publication of the PRISMA statement?

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Tunis, Adam S; McInnes, Matthew D F; Hanna, Ramez; Esmail, Kaisra

2013-11-01

To evaluate whether completeness of reporting of systematic reviews and meta-analyses in major radiology journals has changed since publication of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement; a secondary objective is to evaluate whether completeness of reporting (ie, PRISMA) is associated with study quality (ie, Assessing the Methodological Quality of Systematic Reviews [AMSTAR]). Systematic reviews and meta-analyses published in major radiology journals between January 2007 and December 2011 were identified by searching MEDLINE with the modified Montori method. Studies were reviewed independently by two investigators and assessed for adherence to the AMSTAR and PRISMA checklists. The average results were analyzed to assess for change in mean score before and after PRISMA publication and to assess results over time; a Pearson correlation coefficient was calculated to assess for any association between PRISMA and AMSTAR results. Included were 130 studies from 11 journals. Average PRISMA and AMSTAR results were 21.8 of 27 and 7.2 of 11, respectively. The average result was higher after publication of PRISMA, and PRISMA-reported items were 22.6 of 27 after publication of PRISMA versus 20.9 of 27 before publication of PRISMA; AMSTAR results were 7.7 of 11 after publication of PRISMA versus 6.7 of 11 before publication of PRISMA. There was a strong positive correlation (r = 0.86) between the PRISMA and AMSTAR results. There was high variability between journals. Radiology had the highest PRISMA reported items (24.7 of 27), and American Journal of Neuroradiology had the lowest (19.6 of 27). Two major areas for improvement include study protocol registration and assessment of risk of bias across studies (ie, publication bias). In major radiology journal studies, there was modest improvement in completeness of reporting of systematic reviews and meta-analyses, assessed by PRISMA, which was strongly associated with higher study

Ítems de referencia para publicar Revisiones Sistemáticas y Metaanálisis: La Declaración PRISMA

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David Moher

2014-09-01

Full Text Available Artículo original: Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009;6:e1000097.The original authors have not revised and verified the Spanish translation, and not necessary endorse it. Los autores originales no han revisado ni verificado la traducción del manuscrito al español, y no necesariamente están de acuerdo con su contenido.Publicación del artículo original: 21 Julio 2009 Derechos: © 2009 Moher et al. Este es un artículo de acceso abierto distribuido bajo las condiciones de The Creative Commons Attribution License, que permite el uso ilimitado, su distribución y reproducción en cualquier medio, siempre y cuando se acredite el autor y su fuente original.Procedencia: No comisionado; revisión científica externa. Para promover la publicación de la Declaración PRISMA, el artículo se ha publicado como acceso abierto y se puede encontrar en la página web de PLoS Medicine (http://medicine.plosjournals.org/ y también se ha publicado en Annals of Internal Medicine, BMJ, Journal of Clinical Epidemiology, y Open Medicine. Los autores tienen unánimemente los derechos de este artículo. Para más detalles de su uso ver la página web de PRISMA (http://www.prisma-statement.org/.Traducción y adaptación al español: Mercedes Sotos-Prieto, Johana Prieto, Maria Manera, Eduard Baladia, Rodrigo Martínez-Rodríguez y Julio Basulto.Autor de correspondencia de la traducción: Mercedes Sotos-Prieto (merchesotosprieto@gmail.com

Experiences with a novel policy for managing conflicts of interest of guideline developers: a descriptive qualitative study.

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Neumann, Ignacio; Karl, Renee; Rajpal, Aman; Akl, Elie A; Guyatt, Gordon H

2013-08-01

The executive committee of the Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (AT9) developed a novel policy for managing conflicts of interest (COIs): Methodologists bore primary responsibility for each chapter, there was equal emphasis on intellectual and financial COI, and content experts with COIs participated, but with restrictions for recommendations on which they had conflicts. The objective of this study was to explore the experiences of the methodologists and content experts with the COI policy after its implementation. One investigator conducted two rounds of semistructured interviews with the methodologist and the leading content expert of each chapter until data saturation was achieved. Two investigators analyzed the transcripts of the interviews in duplicate using an immersion-crystallization approach. We also conducted member checking. We interviewed 15 participants and presented the results to the remaining four for verification. In comparison with their views expressed prior to AT9 development, methodologists remained more positive about the policy than content experts. Six of 10 content experts expressed a more positive view than prior to participation in the AT9 process. The other four content experts remained skeptical, especially regarding the emphasis on intellectual COI. The restrictions of the policy on conflicted individuals were not fully implemented. After its implementation, some content experts were more favorable to the policy, but some retained major reservations. The influence of the policy on recommendations may have been more through the leading role of the methodologists than exclusion of conflicted participants in making recommendations.

3-Axis magnetic control: flight results of the TANGO satellite in the PRISMA mission

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Chasset, C.; Noteborn, R.; Bodin, P.; Larsson, R.; Jakobsson, B.

2013-09-01

PRISMA implements guidance, navigation and control strategies for advanced formation flying and rendezvous experiments. The project is funded by the Swedish National Space Board and run by OHB-Sweden in close cooperation with DLR, CNES and the Danish Technical University. The PRISMA test bed consists of a fully manoeuvrable MANGO satellite as well as a 3-axis controlled TANGO satellite without any Δ V capability. PRISMA was launched on the 15th of June 2010 on board DNEPR. The TANGO spacecraft is the reference satellite for the experiments performed by MANGO, either with a "cooperative" or "non-cooperative" behaviour. Small, light and low-cost were the keywords for the TANGO design. The attitude determination is based on Sun sensors and magnetometers, and the active attitude control uses magnetic torque rods only. In order to perform the attitude manoeuvres required to fulfil the mission objectives, using any additional gravity gradient boom to passively stabilize the spacecraft was not allowed. After a two-month commissioning phase, TANGO separated from MANGO on the 11th of August 2010. All operational modes have been successfully tested, and the pointing performance in flight is in accordance with expectations. The robust Sun Acquisition mode reduced the initial tip-off rate and placed TANGO into a safe attitude in MANGO. At the same time, it points its solar panel towards the Sun, and all payload equipments can be switched on without any restriction. This paper gives an overview of the TANGO Attitude Control System design. It then presents the flight results in the different operating modes. Finally, it highlights the key elements at the origin of the successful 3-axis magnetic control strategy on the TANGO satellite.

Advantages and disadvantages of using the PRISMA7 to determine the elderly subjects for whom the SMAF is useful for assessing functional status in Bobo-Dioulasso (Burkina Faso).

Science.gov (United States)

Berthé, A; Somda, M A S; Berthé-Sanou, L; Konaté, B; Hien, H; Bayala, E; Tou, F; Drabo, M; Badini-Kinda, F; Macq, J

2017-02-01

One of the difficulties faced by African actors working with the elderly is the lack of appropriate tools for the identification and/or diagnosis of functional disabilities among older people in this limited-resource (material, human, and financial) setting. This study sought to assess the advantages and disadvantages of the combined use of two tools, PRISMA7 (for identifying older individuals at risk of functional disabilities and loss of autonomy) and SMAF (to evaluate the functional status of the elderly) in Bobo-Dioulasso (Burkina Faso). PRISMA7 and SMAF were administered to a representative sample of elderly people who lived at home. Data analysis was performed with Stata. The results show that the combination of PRISMA7 and SMAF made it possible to avoid unncessary administration of the SMAF to all subjects, reducing the number of questionnaires to photocopy by 48 % and the working time by 45 %. The prevalence of moderate to severe functional disabilities was 32 % according to the SMAF alone and 25 % when PRISMA7 was administered first and determined whether the SMAF would be used. The 7 % rate of loss to follow-up shows a need for monitoring or help, generally in instrumental activities. In a limited-resource setting, this combination is a good strategy for identifying and evaluating functional disabilities in the elderly. This strategy allows the development of work plans tailored to individual functional needs.

Double-crystal analyser system for the PRISMA spectrometer: test of a prototype

International Nuclear Information System (INIS)

Petrillo, C.; Sacchetti, F.; Steigenberger, U.

1993-11-01

A prototype of a double-analyser system has been tested at the ISIS pulsed neutron source in order to determine the performance of such an analysing device in the low energy transfer region. The performance of such a system has been found satisfactory in terms of reflectivity and energy resolution as well as alignment procedures. Based on our test results we propose the construction of a second arm for the PRISMA (PRogetto deol'Istituto di Struttura della MAteria del Consiglio Nazionale delle Ricerche) spectrometer at ISIS. This new arm would enable us to perform measurements with much improved energy resolution and to extend the wavevector transfer range to much smaller values thus improving the instrument performance significantly for magnetic scattering experiments. The new, modular approach of the upgrade will also strengthen the flexibility of the instrument and open up the opportunity for further instrumental developments, for example the introduction of a polarization option. (Author)

Surrogate endpoints for overall survival in digestive oncology trials: which candidates? A questionnaires survey among clinicians and methodologists

International Nuclear Information System (INIS)

Methy, Nicolas; Bedenne, Laurent; Bonnetain, Franck

2010-01-01

Overall survival (OS) is the gold standard for the demonstration of a clinical benefit in cancer trials. Replacement of OS by a surrogate endpoint allows to reduce trial duration. To date, few surrogate endpoints have been validated in digestive oncology. The aim of this study was to draw up an ordered list of potential surrogate endpoints for OS in digestive cancer trials, by way of a survey among clinicians and methodologists. Secondary objective was to obtain their opinion on surrogacy and quality of life (QoL). In 2007 and 2008, self administered sequential questionnaires were sent to a panel of French clinicians and methodologists involved in the conduct of cancer clinical trials. In the first questionnaire, panellists were asked to choose the most important characteristics defining a surrogate among six proposals, to give advantages and drawbacks of the surrogates, and to answer questions about their validation and use. Then they had to suggest potential surrogate endpoints for OS in each of the following tumour sites: oesophagus, stomach, liver, pancreas, biliary tract, lymphoma, colon, rectum, and anus. They finally gave their opinion on QoL as surrogate endpoint. In the second questionnaire, they had to classify the previously proposed candidate surrogates from the most (position N1) to the least relevant in their opinion. Frequency at which the endpoints were chosen as first, second or third most relevant surrogates was calculated and served as final ranking. Response rate was 30% (24/80) in the first round and 20% (16/80) in the second one. Participants highlighted key points concerning surrogacy. In particular, they reminded that a surrogate endpoint is expected to predict clinical benefit in a well-defined therapeutic situation. Half of them thought it was not relevant to study QoL as surrogate for OS. DFS, in the neoadjuvant settings or early stages, and PFS, in the non operable or metastatic settings, were ranked first, with a frequency of more than

Surrogate endpoints for overall survival in digestive oncology trials: which candidates? A questionnaires survey among clinicians and methodologists.

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Methy, Nicolas; Bedenne, Laurent; Bonnetain, Franck

2010-06-10

Overall survival (OS) is the gold standard for the demonstration of a clinical benefit in cancer trials. Replacement of OS by a surrogate endpoint allows to reduce trial duration. To date, few surrogate endpoints have been validated in digestive oncology. The aim of this study was to draw up an ordered list of potential surrogate endpoints for OS in digestive cancer trials, by way of a survey among clinicians and methodologists. Secondary objective was to obtain their opinion on surrogacy and quality of life (QoL). In 2007 and 2008, self administered sequential questionnaires were sent to a panel of French clinicians and methodologists involved in the conduct of cancer clinical trials. In the first questionnaire, panellists were asked to choose the most important characteristics defining a surrogate among six proposals, to give advantages and drawbacks of the surrogates, and to answer questions about their validation and use. Then they had to suggest potential surrogate endpoints for OS in each of the following tumour sites: oesophagus, stomach, liver, pancreas, biliary tract, lymphoma, colon, rectum, and anus. They finally gave their opinion on QoL as surrogate endpoint. In the second questionnaire, they had to classify the previously proposed candidate surrogates from the most (position #1) to the least relevant in their opinion.Frequency at which the endpoints were chosen as first, second or third most relevant surrogates was calculated and served as final ranking. Response rate was 30% (24/80) in the first round and 20% (16/80) in the second one. Participants highlighted key points concerning surrogacy. In particular, they reminded that a surrogate endpoint is expected to predict clinical benefit in a well-defined therapeutic situation. Half of them thought it was not relevant to study QoL as surrogate for OS.DFS, in the neoadjuvant settings or early stages, and PFS, in the non operable or metastatic settings, were ranked first, with a frequency of more than 69

The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions

DEFF Research Database (Denmark)

Hutton, Brian; Salanti, Georgia; Caldwell, Deborah M

2015-01-01

The PRISMA statement is a reporting guideline designed to improve the completeness of reporting of systematic reviews and meta-analyses. Authors have used this guideline worldwide to prepare their reviews for publication. In the past, these reports typically compared 2 treatment alternatives. Wit...

Surrogate endpoints for overall survival in digestive oncology trials: which candidates? A questionnaires survey among clinicians and methodologists

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Bonnetain Franck

2010-06-01

Full Text Available Abstract Background Overall survival (OS is the gold standard for the demonstration of a clinical benefit in cancer trials. Replacement of OS by a surrogate endpoint allows to reduce trial duration. To date, few surrogate endpoints have been validated in digestive oncology. The aim of this study was to draw up an ordered list of potential surrogate endpoints for OS in digestive cancer trials, by way of a survey among clinicians and methodologists. Secondary objective was to obtain their opinion on surrogacy and quality of life (QoL. Methods In 2007 and 2008, self administered sequential questionnaires were sent to a panel of French clinicians and methodologists involved in the conduct of cancer clinical trials. In the first questionnaire, panellists were asked to choose the most important characteristics defining a surrogate among six proposals, to give advantages and drawbacks of the surrogates, and to answer questions about their validation and use. Then they had to suggest potential surrogate endpoints for OS in each of the following tumour sites: oesophagus, stomach, liver, pancreas, biliary tract, lymphoma, colon, rectum, and anus. They finally gave their opinion on QoL as surrogate endpoint. In the second questionnaire, they had to classify the previously proposed candidate surrogates from the most (position #1 to the least relevant in their opinion. Frequency at which the endpoints were chosen as first, second or third most relevant surrogates was calculated and served as final ranking. Results Response rate was 30% (24/80 in the first round and 20% (16/80 in the second one. Participants highlighted key points concerning surrogacy. In particular, they reminded that a surrogate endpoint is expected to predict clinical benefit in a well-defined therapeutic situation. Half of them thought it was not relevant to study QoL as surrogate for OS. DFS, in the neoadjuvant settings or early stages, and PFS, in the non operable or metastatic settings

Ocean-atmosphere pollutant circulation processes: The Heligoland Bight ecosystem (PRISMA). 2. interim report (1991)

International Nuclear Information System (INIS)

1992-04-01

The PRISMA BMFT project is an important stage on the way to a comprehensive knowledge of the impacts of pollutants on the North Sea/Heligoland Bight ecosystem. The overall project is dedicated to the development, verification and application of a complex shelf-sea model which provides qualitative and quantitative data about the causal interactions between the basic atmospheric conditions, the hydrodynamics and thermodynamics of the water, the chemical reactons in the air, in the water and the sediments, and the activity of organisms. The model comprises a compact set of formulae, process formulations, initial and marginal conditions and empirical parameters which serves to describe the origin, transport, reactions and final deposition of pollutants in the North Sea, helps to analyze and elucidate the present condition of the ecosystem and its spatial and temporal variability, and provides forecasts in accordance with the changing natural and anthropogenic environmental conditions. (orig.) [de

Compliance of systematic reviews in veterinary journals with Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) literature search reporting guidelines.

Science.gov (United States)

Toews, Lorraine C

2017-07-01

Complete, accurate reporting of systematic reviews facilitates assessment of how well reviews have been conducted. The primary objective of this study was to examine compliance of systematic reviews in veterinary journals with Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines for literature search reporting and to examine the completeness, bias, and reproducibility of the searches in these reviews from what was reported. The second objective was to examine reporting of the credentials and contributions of those involved in the search process. A sample of systematic reviews or meta-analyses published in veterinary journals between 2011 and 2015 was obtained by searching PubMed. Reporting in the full text of each review was checked against certain PRISMA checklist items. Over one-third of reviews (37%) did not search the CAB Abstracts database, and 9% of reviews searched only 1 database. Over two-thirds of reviews (65%) did not report any search for grey literature or stated that they excluded grey literature. The majority of reviews (95%) did not report a reproducible search strategy. Most reviews had significant deficiencies in reporting the search process that raise questions about how these searches were conducted and ultimately cast serious doubts on the validity and reliability of reviews based on a potentially biased and incomplete body of literature. These deficiencies also highlight the need for veterinary journal editors and publishers to be more rigorous in requiring adherence to PRISMA guidelines and to encourage veterinary researchers to include librarians or information specialists on systematic review teams to improve the quality and reporting of searches.

Reducing the Influence of Soil Moisture on the Estimation of Clay from Hyperspectral Data: A Case Study Using Simulated PRISMA Data

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Fabio Castaldi

2015-11-01

Full Text Available Soil moisture hampers the estimation of soil variables such as clay content from remote and proximal sensing data, reducing the strength of the relevant spectral absorption features. In the present study, two different strategies have been evaluated for their ability to minimize the influence of soil moisture on clay estimation by using soil spectra acquired in a laboratory and by simulating satellite hyperspectral data. Simulated satellite data were obtained according to the spectral characteristics of the forthcoming hyperspectral imager on board of the Italian PRISMA satellite mission. The soil datasets were split into four groups according to the water content. For each soil moisture level a prediction model was applied, using either spectral indices or partial least squares regression (PLSR. Prediction models were either specifically developed for the soil moisture level or calibrated using synthetically dry soil spectra, generated from wet soil data. Synthetically dry spectra were obtained using a new technique based on the effects caused by soil moisture on the optical spectrum from 400 to 2400 nm. The estimation of soil clay content, when using different prediction models according to soil moisture, was slightly more accurate as compared to the use of synthetically dry soil spectra, both employing clay indices and PLSR models. The results obtained in this study demonstrate that the a priori knowledge of the soil moisture class can reduce the error of clay estimation when using hyperspectral remote sensing data, such as those that will be provided by the PRISMA satellite mission in the near future.

Hacia un nuevo modelo de planificación regional de la inversión pública: El caso del PRISMA de la Comunidad de Madrid

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Cazorla Montero, Adolfo

2007-12-01

Full Text Available The Regional Program for Investment and Services in the Community of Madrid (PRISMA sets up a new planning model in the public domain based in Social Learning. The model applied was able to coordinate the public investment of the Regional Government and the 178 Local Governments, making of the municipalities of Madrid their own managers. The model is endorsed by the unanimous political support at the regional and local level; the continuity of PRISMA during three successive phases from 1997 to 2007; and its inclusion in the regional legislation as a basic instrument for the cooperation of the Regional Administration with the municipalities. However, the application of the model poses some difficulties: regarding the management of the program, that –without the appropriate measures– may be consign to oblivion; and in relation with the participation process, that –if done in a mechanized way– may be diluted over time.

El Programa Regional de Inversiones y Servicios de la Comunidad de Madrid (PRISMA constituye un modelo novedoso de planificación desde el ámbito público basado en el Aprendizaje Social. Bajo este modelo se han coordinado las inversiones del Gobierno Regional y de 178 Gobiernos Locales, convirtiendo a los municipios en sus propios gestores. El modelo queda validado por el unánime respaldo político a nivel regional y local; la continuidad del PRISMA en tres fases sucesivas que abarcan el periodo 1997-2007; y su inclusión en la legislación como instrumento básico para la cooperación de la Administración Regional con los municipios. Sin embargo, la aplicación del modelo presenta algunas dificultades: en relación con la gestión, que – sin las medidas adecuadas– puede verse relegada a un segundo plano; y en relación con el proceso de participación, que –de hacerse de forma automatizada– puede verse diluida con el paso del tiempo.

PRISMA - a spectrometer for the measurement of coherent excitations on a pulsed spallation neutron source

International Nuclear Information System (INIS)

Andreani, C.; Cilloco, F.; Petrillo, C.; Sacchetti, F.; Windsor, C.G.

1986-04-01

The measurement of nuclear and magnetic excitation spectra from single crystal samples remains central to condensed matter physics. The requirements in terms of the range and resolution of the scattering vector Q and energy transfer h/2πω are reviewed and typical experiments with a well defined cross-section are chosen. The performance and limitations of existing instruments are reviewed. A design for a new spectrometer, PRISMA, to be installed on the UK spallation neutron source, ISIS, is presented. Its performance for chosen experiments is given in terms of the Q and h/2πω range covered in a single scan, the resolution and the count rate. (author)

REORIENTAÇÃO DO ENSINO NO SUS: PARA ALÉM DO QUADRILÁTERO, O PRISMA DA EDUCAÇÃO

Directory of Open Access Journals (Sweden)

Carine Vendruscolo

2016-12-01

Full Text Available Propõe-se a reflexão sobre estratégias de reorientação da formação e dos processos de Educação Permanente em Saúde, por meio da observação de instâncias intersetoriais de gestão desses movimentos. Pondera-se sobre a disposição dos sujeitos sociais que integram o conhecido quadrilátero que representa os segmentos integrantes de tais processos (ensino, gestão, atenção e controle social, na dinâmica da formação/educação, representada pela figura. Considera-se que, com essa estrutura, o quadrilátero, por vezes, não se reafirma como tal, ora faltando elementos para encaixar os vértices, ora com a intervenção de outros elementos em um mesmo segmento, configurando-se o que pode-se definir como prisma, para além de quadrilátero. Reflexos são provocados pela ação do quadrilátero, contudo, ressalta-se que as relações dialógicas dos sujeitos geram oportunidades significativas de prismas que traduzem melhor a complexidade, a riqueza e a potência dos movimentos de educação na saúde.

Elwood Murray: Pioneering Methodologist in Communication

Science.gov (United States)

Brownell, Judi

2014-01-01

Elwood Murray (1897-1988) was a pioneer in communication education. Beginning in the 1930s, he applied nontraditional methods in the speech classroom to encourage students to internalize and apply what they learned, and to view knowledge holistically. Drawing on the work of Kunkel, Moreno, Lewin, and Korzybski, Murray focused on developing skills…

The Reflective Methodologists

DEFF Research Database (Denmark)

Kjær, Bjørg

2013-01-01

In recent years, a focus on inclusion and vulnerable children has reignited discussions about the quality of pedagogical work. It has also initiated processes of change that have challenged the Danish kindergarten tradition and the identity of the pedagogue in a number of different ways. In this ......In recent years, a focus on inclusion and vulnerable children has reignited discussions about the quality of pedagogical work. It has also initiated processes of change that have challenged the Danish kindergarten tradition and the identity of the pedagogue in a number of different ways...... in which the practical sense and tacit knowledge are related to questions of power and social actors’ strategies for positioning themselves within a social space. This demands a particular focus on the historical effect of the concept of ‘the reflective practitioner’ as a symbolic marker of identity...

[Prisma France: implementation program of an innovation in health and services system for disabled people. Adaptation of a case-management based integration model].

Science.gov (United States)

Somme, D; Trouvé, H; Couturier, Y; Carrier, S; Gagnon, D; Lavallart, B; Hébert, R; Cretin, C; Saint-Jean, O

2008-02-01

The French health and services system to maintain at home is characterized by its fragmentation, whereas the need of the people for intervention is generally total. This fragmentation have consequences: delay in services delivery, inadequate transmission of information, redundant evaluation, service conditioned by the entrance point solicited rather than by the need of the person and inappropriate use of expensive resources by ignorance or difficulty of access to the less expensive resources. The purpose of integration is to improve continuity of interventions for people in loss of autonomy. It consists in setting up a whole of organisational, managerial and clinical common tools. Organisational model "Projet et Recherches sur l'Intégration des Services pour le Maintien de l'Autonomie" (Prisma) tested in Quebec showed a strong impact on the prevention of the loss of autonomy in term of public health on a population level. This model rests on six principal elements: partnership, single entry point, case-management, a multidimensional standardized tool for evaluation, an individualized services plan and a system for information transmission. Thus, it was decided to try to implement in France this organisational model. The project is entitled Prisma France and is presented here. The analysis of the context of implementation of the innovation which represents integration in the field of health and services for frail older reveals obstacles (in particular because of diversity of professional concerned and a presentiment of complexity of the implementation of the model) and favourable conditions (in particular the great tension towards change in this field). The current conditions in France appear mainly favourable to the implementation of integration. The establishment of Prisma model in France requires a partnership work of definition of a common language as well on the diagnoses as on the solutions. The strategic and operational dialogue is thus a key element of the

Developing explanatory models of health inequalities in childhood dental caries

DEFF Research Database (Denmark)

Pine, Cynthia M; Adair, Pauline M; Petersen, Poul Erik

2004-01-01

OBJECTIVE: Long-term aim is to determine optimum interventions to reduce dental caries in children in disadvantaged communities and minimise the effects of exclusion from health care systems, of ethnic diversity, and health inequalities. DESIGN: Generation of initial explanatory models, study...... in developing and delivering this multi-centre study. Experience gained will support the development of substantive trials and longitudinal studies to address the considerable international health disparity of childhood dental caries....... protocol and development of two standardised measures. First, to investigate how parental attitudes may impact on their children's oral health-related behaviours and second, to assess how dentists' attitudes may impact on the provision of dental care. SUBJECTS: Core research team, lead methodologists, 44...

Wearable Cameras Are Useful Tools to Investigate and Remediate Autobiographical Memory Impairment: A Systematic PRISMA Review.

Science.gov (United States)

Allé, Mélissa C; Manning, Liliann; Potheegadoo, Jevita; Coutelle, Romain; Danion, Jean-Marie; Berna, Fabrice

2017-03-01

Autobiographical memory, central in human cognition and every day functioning, enables past experienced events to be remembered. A variety of disorders affecting autobiographical memory are characterized by the difficulty of retrieving specific detailed memories of past personal events. Owing to the impact of autobiographical memory impairment on patients' daily life, it is necessary to better understand these deficits and develop relevant methods to improve autobiographical memory. The primary objective of the present systematic PRISMA review was to give an overview of the first empirical evidence of the potential of wearable cameras in autobiographical memory investigation in remediating autobiographical memory impairments. The peer-reviewed literature published since 2004 on the usefulness of wearable cameras in research protocols was explored in 3 databases (PUBMED, PsycINFO, and Google Scholar). Twenty-eight published studies that used a protocol involving wearable camera, either to explore wearable camera functioning and impact on daily life, or to investigate autobiographical memory processing or remediate autobiographical memory impairment, were included. This review analyzed the potential of wearable cameras for 1) investigating autobiographical memory processes in healthy volunteers without memory impairment and in clinical populations, and 2) remediating autobiographical memory in patients with various kinds of memory disorder. Mechanisms to account for the efficacy of wearable cameras are also discussed. The review concludes by discussing certain limitations inherent to using cameras, and new research perspectives. Finally, ethical issues raised by this new technology are considered.

Study of the reaction 22Ne(131 MeV) + 208Pb with a PIAVE-ALPI test beam and the PRISMA-CLARA set-up

International Nuclear Information System (INIS)

Mason, P.; Marginean, N.; Stefanini, A.M.

2005-01-01

An opportunity to study the system 22 Ne+ 208 Pb in the proximity of the Coulomb barrier with the PRISMACLARA apparatus was given by a test of the PIAVE-ALPI accelerator in mid-December 2005. The 22 Ne projectiles, having the kinetic energy of 131 MeV, collided with a 208 Pb target 300 μg/cm 2 thick. (The beam was run for ∼20 hours with a current of ∼6 particle-nA). The reaction products, mainly originated by scattering or transfer processes, were detected by the PRISMA spectrometer (positioned in the proximity of the grazing angle, ∼70 degrees), coupled to the CLARA array of germanium detectors

Developments in inelastic instrumentation at ISIS

International Nuclear Information System (INIS)

Taylor, A.D.; Bowden, Z.A.; Carlile, C.J.

1989-01-01

The authors summarize developments on the three scheduled inelastic spectrometers HET, TFXA and IRIS and illustrate their scientific program with some recent highlights. They give details of commissioning experiments on PRISMA and discuss the status of the eVS and polarization programs. The status of the MARI project is reviewed. 15 refs., 22 figs

Comparative safety and effectiveness of cognitive enhancers for Alzheimer's dementia: protocol for a systematic review and individual patient data network meta-analysis

Science.gov (United States)

Veroniki, Areti Angeliki; Straus, Sharon E; Ashoor, Huda M; Hamid, Jemila S; Hemmelgarn, Brenda R; Holroyd-Leduc, Jayna; Majumdar, Sumit R; McAuley, Glenn; Tricco, Andrea C

2016-01-01

Introduction Alzheimer's dementia (AD) is the most common cause of dementia, and several organisations, such as the National Institute for Health and Care Excellence, suggest that management of patients with AD should be tailored to their needs. To date, little research has been conducted on the treatment effect in different subgroups of patients with AD. The aim of this study is to examine the comparative effectiveness and safety of cognitive enhancers for different patient characteristics. Methods and analysis We will update our previous literature search from January 2015 forward, using the same terms and electronic databases (eg, MEDLINE) from our previous review. We will additionally search grey literature and scan the reference lists of the included studies. Randomised clinical trials of any duration conducted at any time comparing cognitive enhancers alone or in any combination against other cognitive enhancers, or placebo in adults with AD will be eligible. The outcomes of interest are cognition according to the Mini-Mental State Examination, and overall serious adverse events. For each outcome and treatment comparison, we will perform a Bayesian hierarchical random-effects meta-analysis combining the individual patient data (IPD) from each eligible study. If the identified treatment comparisons form a connected network diagram, we will perform an IPD network meta-analysis (NMA) to estimate subgroup effects for patients with different characteristics, such as AD severity and sex. We will combine aggregated data from studies that we will not be able to obtain IPD, with the IPD provided by the original authors, in a single model. We will use the PRISMA-IPD and PRISMA-NMA statements to report our findings. Ethics and dissemination The findings of this study will be of interest to stakeholders, including decision makers, guideline developers, clinicians, methodologists and patients, and they will help to improve guidelines for the management of patients with AD

Clinical laboratory technologist professional development in Camagüey

Directory of Open Access Journals (Sweden)

Mercedes Caridad García González

2015-05-01

Full Text Available The paper describes the results of research aimed at assessing the current conditions related to clinical laboratory technologist professional development. A descriptive cross study covering the period between November 2013 and January 2014 is presented. Several techniques for identifying and hierarchically arranging professional developmental related problems were used to study a sample at the Faculty of Health Technology of the Medical University “Carlos Juan Finlay”. The study involved heads of teaching departments and methodologists of health care technology specialties; moreover a survey and a content test were given graduate clinical laboratory technicians. The authors reached at the conclusion that clinical laboratory technologist professional development is limited and usually underestimate the necessities and interests of these graduates. Likewise, a lack of systematization and integration of the biomedical basic sciences contents and the laboratory diagnosis is noticeable.

Evaluation and treatment of hypertriglyceridemia: an endocrine society clinical practice guideline.

NARCIS (Netherlands)

Berglund, L.; Brunzell, J.D.; Goldberg, A.C.; Goldberg, I.J.; Sacks, F.M.; Murad, M.H.; Stalenhoef, A.F.H.

2012-01-01

Objective: The aim was to develop clinical practice guidelines on hypertriglyceridemia. Participants: The Task Force included a chair selected by The Endocrine Society Clinical Guidelines Subcommittee (CGS), five additional experts in the field, and a methodologist. The authors received no corporate

[Neurocognitive Performance in Euthymic Bipolar I Patients With and Without History of Psychosis From a Multimodal Intervention Program: PRISMA].

Science.gov (United States)

Molina, Marcela; Palacio, Juan David; Vargas, Cristian; Díaz-Zuluaga, Ana María; Agudelo Berruecos, Yuli; Ospina, Sigifredo; López-Jaramillo, Carlos

Patients with bipolar disorder type I (BDI) have an increased prevalence of psychotic symptoms, and these have been associated with higher cognitive impairment; however the issue has not been settled with the available evidence. To determine if the history of psychotic symptoms in a Colombian sample with BDI is associated with greater cognitive impairment. A case-control study was performed that included patients with BDI from the l PRISMA study. Of the 203 eligible subjects, 123 participants were included; 71 had a history of psychosis, and 52 did not. Cognitive function was characterised by neuropsychological tests that assessed intellectual coefficient, attention, executive function, verbal fluency, auditory and visual memory, and spatial location. No differences were found in most of the neuropsychological test results between the groups after adjusting for age, education, sex, duration of the disease, number of episodes, and use of benzodiazepines; however, there was differences in semantic FAS (P=.01), with a better performance in the group with a prior history of psychosis. The results suggest that there are no significant differences in the cognitive performance between patients with BDI in euthymic stage, with and without history of psychosis. Copyright © 2016 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

A Comparison of Problem-Solving Alternatives Used by Environmental Designers. Final Report.

Science.gov (United States)

Murtha, D. Michael; Nadler, Gerald

This study compared the effectiveness of three design strategies using nine architecture graduate students to solve three typical room design problems. Open-ended (5 step), traditional (10 step), and systematic (15 step) strategies were developed based on a national survey of design methodologists. Each strategy was applied by three subjects…

Prevention of cervical cancer in HIV-seropositive women from developing countries: a systematic review protocol.

Science.gov (United States)

Mapanga, Witness; Elhakeem, Ahmed; Feresu, Shingairai A; Maseko, Fresier; Chipato, Tsungai

2017-04-24

Over 85% of cervical cancer cases and deaths occur in developing countries. HIV-seropositive women are more likely to develop precancerous lesions that lead to cervical cancer than HIV-negative women. However, the literature on cervical cancer prevention in seropositive women in developing countries has not been reviewed. The aim of this study is to systematically review cervical cancer prevention modalities available for HIV-seropositive women in developing countries. This protocol was developed by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) statement, and the systematic review will be reported in accordance with the PRISMA guidelines. Embase, MEDLINE, PubMed, CINAHL and Cochrane Library will be searched from inception up to date of final search, and additional studies will be located through citation and reference list tracking. Eligible studies will be randomised controlled trials, prospective and retrospective cohort studies, case-control and cross-sectional studies carried out in developing countries. Studies will be included if they are published in English and examine cervical cancer prevention modalities in HIV-seropositive women. Results will be summarised in tables and, where appropriate, combined using meta-analysis. This review will address the gap in evidence by systematically reviewing the published literature on the different prevention modalities being used to prevent cervical cancer in HIV-seropositive women in developing countries. The findings may be used to inform evidence-based guidelines for prevention of cervical cancer in seropositive women as well as future research. PROSPERO CRD42017054678 .

[Expressed Emotions, Burden and Family Functioning in Schizophrenic and Bipolar I Patients of a Multimodal Intervention Program: PRISMA].

Science.gov (United States)

Ramírez, Alexandra; Palacio, Juan David; Vargas, Cristian; Díaz-Zuluaga, Ana María; Duica, Kelly; Agudelo Berruecos, Yuli; Ospina, Sigifredo; López-Jaramillo, Carlos

Bipolar disorder and schizophrenia are causes of major suffering in patients. Nevertheless, they also affect family and caregiver functioning. This is important because the participation and involvement of families and caregivers is essential to achieve an optimal treatment. To describe the level of expressed emotions, burden, and family functioning of bipolar and schizophrenic patients and, to evaluate the efficacy of the multimodal intervention (MI) versus traditional intervention (TI) in family functioning and its perception by patients and caregivers. A prospective, longitudinal, therapeutic-comparative study was conducted with 302 patients (104 schizophrenic and 198 bipolar patients) who were randomly assigned to a MI or TI groups of a multimodal intervention program PRISMA. MI group received care from psychiatry, general medicine, neuropsychology, family therapy, and occupational therapy. TI group received care from psychiatry and general medicine. Hamilton, Young and SANS, SAPS scales were applied to bipolar and schizophrenic patients, respectively. The EEAG, FEICS, FACES III and ECF were also applied at the initial and final time. There were statistically significant differences in socio- demographic and clinical variables in schizophrenia vs bipolar group: 83% vs 32.2% were male, 37 vs 43 mean age, 96% vs 59% were single, 50% vs 20% unemployed, and 20% vs 40% had college studies. In addition, 2 vs 2.5 numbers of hospitalisations, 18 vs 16 mean age of substance abuse onset and, 55 vs 80 points in EEAG. There were no statistically significant differences in family scales after conducting a multivariate analysis on thr initial and final time in both groups. This study did not show changes in variables of burden and family functioning between bipolar and schizophrenic groups that were under TI vs MI. Copyright © 2016 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

Neurofibroma involving obturator nerve mimicking an adnexal mass: a rare case report and PRISMA-driven systematic review.

Science.gov (United States)

Chao, Wei-Ting; Liu, Chia-Hao; Chen, Yi-Jen; Wu, Hua-Hsi; Chuang, Chi-Mu; Wang, Peng-Hui

2018-02-09

Pelvic masses are a common gynecologic problem, and majority of them are diagnosed as ovarian tumors finally. Sometimes, it is hard to distinguish the origin of these pelvic masses. The following case is a solitary neurofibroma arising from the right-side obturator nerve, which was impressed as a right-side ovarian tumor initially. We reported this case, and also performed a PRISMA-driven systematic review to summary the similar cases in the literature. This review includes image, molecular and pathological findings and outcome of neurofibroma. A 33-year-old woman with a regular menstrual period denied any symptoms or signs. During her physical check-up, image examination revealed a right-side heterogeneous pelvic mass; it was suggestive of a complex of right-side ovarian tumor. A provisional diagnosis of retroperitoneal pelvic mass, probably a benign ovarian tumor, was made. Excision of the right-side pelvic mass was performed. We sent the specimens for frozen pathology, which indicated neurofibroma and lipomatous tumor and that the possibility of liposarcoma cannot be excluded. A segment of the obturator nerve was attached to the tumor and was severed. A right-side obturator nerve tear during tumor excision was observed, and a neurosurgeon was consulted for obturator nerve grafting and repair. The patient complained of mild weakness and paresthesia affecting the right leg, and we consulted a rehabilitation doctor for neuron injury. The patient's recovery was uneventful, and she was discharged eight days after the drain was removed. Further rehabilitation treatment was arranged. A neurofibroma is an uncommon pelvic retroperitoneal tumor, and it can be misdiagnosed as an adnexal mass. To our knowledge, this is a rare case of a solitary neurofibroma arising from the obturator nerve. It usually does not have any neurological deficit. We present this case to demonstrate that pelvic neurofibroma can be mistaken for an adnexal mass. This fact should be borne in mind

Meta-analysis of CDKN2A methylation to find its role in prostate cancer development and progression, and also to find the effect of CDKN2A expression on disease-free survival (PRISMA).

Science.gov (United States)

Cao, Zipei; Wei, Lijuan; Zhu, Weizhi; Yao, Xuping

2018-03-01

Reduction of cyclin-dependent kinase inhibitor 2A (CDKN2A) (p16 and p14) expression through DNA methylation has been reported in prostate cancer (PCa). This meta-analysis was conducted to assess the difference of p16 and p14 methylation between PCa and different histological types of nonmalignant controls and the correlation of p16 or p14 methylation with clinicopathological features of PCa. According to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement criteria, articles were searched in PubMed, Embase, EBSCO, Wanfang, and CNKI databases. The strength of correlation was calculated by the pooled odds ratios (ORs) and their corresponding 95% confidence intervals (95% CIs). Trial sequential analysis (TSA) was used to estimate the required population information for significant results. A total of 20 studies published from 1997 to 2017 were identified in this meta-analysis, including 1140 PCa patients and 530 cases without cancer. Only p16 methylation in PCa was significantly higher than in benign prostatic lesions (OR = 4.72, P = .011), but had a similar level in PCa and adjacent tissues or high-grade prostatic intraepithelial neoplasias (HGPIN). TSA revealed that this analysis on p16 methylation is a false positive result in cancer versus benign prostatic lesions (the estimated required information size of 5116 participants). p16 methylation was not correlated with PCa in the urine and blood. Besides, p16 methylation was not linked to clinical stage, prostate-specific antigen (PSA) level, and Gleason score (GS) of patients with PCa. p14 methylation was not correlated with PCa in tissue and urine samples. No correlation was observed between p14 methylation and clinical stage or GS. CDKN2A mutation and copy number alteration were not associated with prognosis of PCa in overall survival and disease-free survival. CDKN2A expression was not correlated with the prognosis of PCa in overall survival (492 cases) (P > .1

ADHD rehabilitation through video gaming: A systematic review using PRISMA guidelines of the current findings and the associated risk of bias.

Directory of Open Access Journals (Sweden)

Thiago eStrahler Rivero

2015-10-01

Full Text Available Empirical research studies have highlighted the need to investigate whether video game can be useful as a tool within a neuropsychological rehabilitation program for Attention Deficit Hyperactivity Disorder patients. However, little is known about the possible gains that this kind of video game based interventions can produce and even if these gains can be transferred to real life abilities. The present paper aims to uncover key information related to the use of video game in ADHD neuropsychological rehabilitation/intervention by focusing on its gains and its capability to transfer/generalize these gains to real life situation via a systematic review of the empirical literature. The PRISMA guidelines were adopted. Internet-based bibliographic searches were conducted via seven major electronic databases (i.e., PsycARTICLES, PsycINFO, Web of Science, Core Collection BIOSIS Citation Index, MEDLINE, SciELO Citation Index, and PubMed to access studies examining the association between video game interventions in ADHD patients and behavioral and cognitive outcomes. A total of 14 empirical studies meeting the inclusion criteria were identified. The studies reported the attention, working memory and the behavioral aspects as the main target of the intervention. Cognitive and behavioral gains were reported after the video game training. However, many bias related to the choice of outcome instruments, sampling and blindness of assessors, weaken the results power. Additional researches are important to clarify the effects and stability of the video games training programs, and an important effort should be made to construct better methods to assess improvements on everyday cognitive abilities and real world functioning.

SISTEM INFORMASI PEMBAYARAN KREDIT PADA PRISMA MOTOR LUBUKLINGGAU

Directory of Open Access Journals (Sweden)

Andri Anto Tri S

2010-05-01

Full Text Available In its use, computer is not only used for office activities, but also used in designing and developing an application, of course, with the assistance of applications such as Microsoft Visual Basic, Microsoft Access and others. In this study, the authors try to design and create a database application relating to motorcycle loan payments. Developed application contains forms such as employee master data form, a form used to add, edit, and delete data related to employees, the motorcycle master form, a form motorcycle used to add, edit, and delete data related to motorcycles as well as the transaction form that serves to enter data related to credit payment transactions in the company. In the design and development of the database application, the author utilizes Microsoft Visual Basic 6.0 as a supporting application.Keywords: common people (users, Visual Basic 6.0, credit payment information system

Operational Monitoring of Data Production at KNMI

Science.gov (United States)

van de Vegte, John; Kwidama, Anecita; van Moosel, Wim; Oosterhof, Rijk; de Wit de Wit, Ronny; Klein Ikkink, Henk Jan; Som de Cerff, Wim; Verhoef, Hans; Koutek, Michal; Duin, Frank; van der Neut, Ian; verhagen, Robert; Wollerich, Rene

2016-04-01

Within KNMI a new fully automated system for monitoring the KNMI operational data production systems is being developed: PRISMA (PRocessflow Infrastructure Surveillance and Monitoring Application). Currently the KNMI operational (24/7) production systems consist of over 60 applications, running on different hardware systems and platforms. They are interlinked for the production of numerous data products, which are delivered to internal and external customers. Traditionally these applications are individually monitored by different applications or not at all; complicating root cause and impact analysis. Also, the underlying hardware and network is monitored via an isolated application. Goal of the PRISMA system is to enable production chain monitoring, which enables root cause analysis (what is the root cause of the disruption) and impact analysis (what downstream products/customers will be effected). The PRISMA system will make it possible to reduce existing monitoring applications and provides one interface for monitoring the data production. For modeling and storing the state of the production chains a graph database is used. The model is automatically updated by the applications and systems which are to be monitored. The graph models enables root cause and impact analysis. In the PRISMA web interface interaction with the graph model is accomplished via a graphical representation. The presentation will focus on aspects of: • Modeling real world computers, applications, products to a conceptual model; • Architecture of the system; • Configuration information and (real world) event handling of the to be monitored objects; • Implementation rules for root cause and impact analysis. • How PRISMA was developed (methodology, facts, results) • Presentation of the PRISMA system as it now looks and works

Abstract analysis method facilitates filtering low-methodological quality and high-bias risk systematic reviews on psoriasis interventions.

Science.gov (United States)

Gómez-García, Francisco; Ruano, Juan; Aguilar-Luque, Macarena; Alcalde-Mellado, Patricia; Gay-Mimbrera, Jesús; Hernández-Romero, José Luis; Sanz-Cabanillas, Juan Luis; Maestre-López, Beatriz; González-Padilla, Marcelino; Carmona-Fernández, Pedro J; García-Nieto, Antonio Vélez; Isla-Tejera, Beatriz

2017-12-29

Article summaries' information and structure may influence researchers/clinicians' decisions to conduct deeper full-text analyses. Specifically, abstracts of systematic reviews (SRs) and meta-analyses (MA) should provide structured summaries for quick assessment. This study explored a method for determining the methodological quality and bias risk of full-text reviews using abstract information alone. Systematic literature searches for SRs and/or MA about psoriasis were undertaken on MEDLINE, EMBASE, and Cochrane database. For each review, quality, abstract-reporting completeness, full-text methodological quality, and bias risk were evaluated using Preferred Reporting Items for Systematic Reviews and Meta-analyses for abstracts (PRISMA-A), Assessing the Methodological Quality of Systematic Reviews (AMSTAR), and ROBIS tools, respectively. Article-, author-, and journal-derived metadata were systematically extracted from eligible studies using a piloted template, and explanatory variables concerning abstract-reporting quality were assessed using univariate and multivariate-regression models. Two classification models concerning SRs' methodological quality and bias risk were developed based on per-item and total PRISMA-A scores and decision-tree algorithms. This work was supported, in part, by project ICI1400136 (JR). No funding was received from any pharmaceutical company. This study analysed 139 SRs on psoriasis interventions. On average, they featured 56.7% of PRISMA-A items. The mean total PRISMA-A score was significantly higher for high-methodological-quality SRs than for moderate- and low-methodological-quality reviews. SRs with low-bias risk showed higher total PRISMA-A values than reviews with high-bias risk. In the final model, only 'authors per review > 6' (OR: 1.098; 95%CI: 1.012-1.194), 'academic source of funding' (OR: 3.630; 95%CI: 1.788-7.542), and 'PRISMA-endorsed journal' (OR: 4.370; 95%CI: 1.785-10.98) predicted PRISMA-A variability. Reviews with a

Do systematic reviews on pediatric topics need special methodological considerations?

OpenAIRE

Farid-Kapadia, Mufiza; Askie, Lisa; Hartling, Lisa; Contopoulos-Ioannidis, Despina; Bhutta, Zulfiqar A.; Soll, Roger; Moher, David; Offringa, Martin

2017-01-01

Background Systematic reviews are key tools to enable decision making by healthcare providers and policymakers. Despite the availability of the evidence based Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA-2009 and PRISMA-P 2015) statements that were developed to improve the transparency and quality of reporting of systematic reviews, uncertainty on how to deal with pediatric-specific methodological challenges of systematic reviews impairs decision-making in child ...

Core Outcome Set-STAndards for Development: The COS-STAD recommendations.

Directory of Open Access Journals (Sweden)

Jamie J Kirkham

2017-11-01

Full Text Available The use of core outcome sets (COS ensures that researchers measure and report those outcomes that are most likely to be relevant to users of their research. Several hundred COS projects have been systematically identified to date, but there has been no formal quality assessment of these studies. The Core Outcome Set-STAndards for Development (COS-STAD project aimed to identify minimum standards for the design of a COS study agreed upon by an international group, while other specific guidance exists for the final reporting of COS development studies (Core Outcome Set-STAndards for Reporting [COS-STAR].An international group of experienced COS developers, methodologists, journal editors, potential users of COS (clinical trialists, systematic reviewers, and clinical guideline developers, and patient representatives produced the COS-STAD recommendations to help improve the quality of COS development and support the assessment of whether a COS had been developed using a reasonable approach. An open survey of experts generated an initial list of items, which was refined by a 2-round Delphi survey involving nearly 250 participants representing key stakeholder groups. Participants assigned importance ratings for each item using a 1-9 scale. Consensus that an item should be included in the set of minimum standards was defined as at least 70% of the voting participants from each stakeholder group providing a score between 7 and 9. The Delphi survey was followed by a consensus discussion with the study management group representing multiple stakeholder groups. COS-STAD contains 11 minimum standards that are the minimum design recommendations for all COS development projects. The recommendations focus on 3 key domains: the scope, the stakeholders, and the consensus process.The COS-STAD project has established 11 minimum standards to be followed by COS developers when planning their projects and by users when deciding whether a COS has been developed using

Core Outcome Set-STAndards for Development: The COS-STAD recommendations.

Science.gov (United States)

Kirkham, Jamie J; Davis, Katherine; Altman, Douglas G; Blazeby, Jane M; Clarke, Mike; Tunis, Sean; Williamson, Paula R

2017-11-01

The use of core outcome sets (COS) ensures that researchers measure and report those outcomes that are most likely to be relevant to users of their research. Several hundred COS projects have been systematically identified to date, but there has been no formal quality assessment of these studies. The Core Outcome Set-STAndards for Development (COS-STAD) project aimed to identify minimum standards for the design of a COS study agreed upon by an international group, while other specific guidance exists for the final reporting of COS development studies (Core Outcome Set-STAndards for Reporting [COS-STAR]). An international group of experienced COS developers, methodologists, journal editors, potential users of COS (clinical trialists, systematic reviewers, and clinical guideline developers), and patient representatives produced the COS-STAD recommendations to help improve the quality of COS development and support the assessment of whether a COS had been developed using a reasonable approach. An open survey of experts generated an initial list of items, which was refined by a 2-round Delphi survey involving nearly 250 participants representing key stakeholder groups. Participants assigned importance ratings for each item using a 1-9 scale. Consensus that an item should be included in the set of minimum standards was defined as at least 70% of the voting participants from each stakeholder group providing a score between 7 and 9. The Delphi survey was followed by a consensus discussion with the study management group representing multiple stakeholder groups. COS-STAD contains 11 minimum standards that are the minimum design recommendations for all COS development projects. The recommendations focus on 3 key domains: the scope, the stakeholders, and the consensus process. The COS-STAD project has established 11 minimum standards to be followed by COS developers when planning their projects and by users when deciding whether a COS has been developed using reasonable

[Impact of a Multimodal Intervention on the Psychological Profile of Schizophrenic and Bipolar I Patients: A Study of PRISMA Program].

Science.gov (United States)

Díaz-Zuluaga, Ana María; Vargas, Cristian; Duica, Kelly; Richard, Shanel; Palacio, Juan David; Agudelo Berruecos, Yuli; Ospina, Sigifredo; López-Jaramillo, Carlos

Bipolar Disorder (BD) and schizophrenia are included in the group of severe mental illness and are main causes of disability and morbidity in the local population due to the bio-psycho-social implications in patients. In the last 20 years or so, adjunctive psychological interventions been studied with the purpose of decreasing recurrences, stabilising the course of the disease, and improving the functionality in these patients. To analyse the psychological effect of a multimodal intervention (MI) vs a traditional intervention (TI) program in BD I and schizophrenic patients. A prospective, longitudinal, therapeutic-comparative study was conducted with 302 patients (104 schizophrenic and 198 bipolar patients) who were randomly assigned to the MI or TI groups of a multimodal intervention program PRISMA. The MI group received care from psychiatry, general medicine, neuropsychology, family therapy, and occupational therapy. The TI group received care from psychiatry and general medicine. The Hamilton and Young scales, and the Scales for the Assessment of Negative Symptoms (SANS) and Postive Symptoms (SAPS) were used on bipolar and schizophrenic patients, respectively. The scales AQ-12, TEMPS-A, FAST, Zuckerman sensation seeking scale, BIS-11, SAI-E and EEAG were applied to measure the psychological variables. The scales were performed before and after the interventions. The psychotherapy used in this study was cognitive behavioural therapy. There were statistically significant differences in socio-demographic and clinical variables in the schizophrenia and bipolar disorder group. There were no statistically significant differences in the psychological scales after conducting a multivariate analysis between the intervention groups and for both times (initial and final). This study did not show any changes in variables of psychological functioning variables between bipolar and schizophrenic groups, who were subjected to TI vs MI (who received cognitive behavioural therapy

[Clinical practice guidelines for evaluation and treatment of osteoporosis associated to endocrine and nutritional conditions. Bone Metabolism Working Group of the Spanish Society of Endocrinology].

Science.gov (United States)

Reyes García, Rebeca; Jódar Gimeno, Esteban; García Martín, Antonia; Romero Muñoz, Manuel; Gómez Sáez, José Manuel; Luque Fernández, Inés; Varsavsky, Mariela; Guadalix Iglesias, Sonsoles; Cano Rodriguez, Isidoro; Ballesteros Pomar, María Dolores; Vidal Casariego, Alfonso; Rozas Moreno, Pedro; Cortés Berdonces, María; Fernández García, Diego; Calleja Canelas, Amparo; Palma Moya, Mercedes; Martínez Díaz-Guerra, Guillermo; Jimenez Moleón, José J; Muñoz Torres, Manuel

2012-03-01

To provide practical recommendations for evaluation and treatment of osteoporosis associated to endocrine diseases and nutritional conditions. Members of the Bone Metabolism Working Group of the Spanish Society of Endocrinology, a methodologist, and a documentalist. Recommendations were formulated according to the GRADE system (Grading of Recommendations, Assessment, Development, and Evaluation) to describe both the strength of recommendations and the quality of evidence. A systematic search was made in MEDLINE (Pubmed), using the following terms associated to the name of each condition: AND "osteoporosis", "fractures", "bone mineral density", and "treatment". Papers in English with publication date before 18 October 2011 were included. Current evidence for each disease was reviewed by two group members, and doubts related to the review process or development of recommendations were resolved by the methodologist. Finally, recommendations were discussed in a meeting of the Working Group. The document provides evidence-based practical recommendations for evaluation and management of endocrine and nutritional diseases associated to low bone mass or an increased risk of fracture. For each disease, the associated risk of low bone mass and fragility fractures is given, recommendations for bone mass assessment are provided, and treatment options that have shown to be effective for increasing bone mass and/or to decreasing fragility fractures are listed. Copyright © 2012 SEEN. Published by Elsevier Espana. All rights reserved.

Creating Innovative Research Designs: The 10-Year Methodological Think Tank Case Study

Science.gov (United States)

Katerndahl, David; Crabtree, Benjamin

2006-01-01

PURPOSE Addressing important but complex research questions often necessitates the creation of innovative mixed methods designs. This report describes an approach to developing research designs for studying important but methodologically challenging research questions. METHODS The Methodological Think Tank has been held annually in conjunction with the Primary Care Research Methods and Statistics Conference in San Antonio since 1994. A group of 3 to 4 methodologists with expertise balanced between quantitative and qualitative backgrounds is invited by the think tank coordinators to serve on a 2-day think tank to discuss a research question selected from those submitted in response to a call for proposals. During the first half-day, these experts explore the content area with the investigator, often challenging beliefs and assumptions. During the second half-day, the think tank participants systematically prune potential approaches until a desirable research method is identified. RESULTS To date, the most recent 7 think tanks have produced fundable research designs, with 1 being funded by a K award and 4 by R01 grants. All participating investigators attributed much of their success to think tank participation. Lessons learned include (1) the importance of careful selection of participating methodologists, (2) all think tank communities of inquiry must go through 4 stages of development from pseudocommunity to community, and (3) the critical importance of listening by the investigator. CONCLUSION Researchers and academic departments could use this process locally to develop innovative research designs. PMID:17003146

Four Papers on Contemporary Software Design Strategies for Statistical Methodologists

OpenAIRE

Carey, Vincent; Cook, Dianne

2014-01-01

Software design impacts much of statistical analysis and, as technology changes, dramatically so in recent years, it is exciting to learn how statistical software is adapting and changing. This leads to the collection of papers published here, written by John Chambers, Duncan Temple Lang, Michael Lawrence, Martin Morgan, Yihui Xie, Heike Hofmann and Xiaoyue Cheng.

MIRAGENS E PRISMAS: O BARROCO DÁ MOVIMENTO ÀS IMAGENS HERMÉTICAS NA POESIA SUASSUNIANA

Directory of Open Access Journals (Sweden)

Paulo Caldas Neto

2009-03-01

Full Text Available RESUMO Este artigo visa a estudar a presença de uma vertente barroca na poesia contemporânea. Nada melhor que a lírica armorial de Ariano Suassuna para servir de investigação a nossas suspeitas. Sendo esse gênero da obra suassuniana tão pouco examinado, provavelmente não se conheça a sua importância para a construção do sentido de sua dramaturgia e de sua prosa de ficção (bem mais conhecidas. A relação desenhada entre a teoria da dobra barroca de Deleuze e os estudos sobre a estética dos Setecentos casou tranqüilamente com a finalidade de se descobrir a essência de todo o hermetismo. Ora o poema armorial é barroco, ora seu conjunto imagético pode até sugerir, fazendo com que o leitor pense que se trata de um esteticismo simbolista, a prova disso está no registro de substantivos concretos com suas letras iniciais maiúsculas. Daí, tem-se, em parte, o movimento da dobra, sempre mutante, oscilador. Na primeira seção, é feito um breve panorama da arte barroca, marcada por suas irregularidades. Na segunda seção, justifica-se o efeito que estas causam: as dobras. A partir delas, as correspondências entre as formas fixas do poema, a heráldica sertaneja e os problemas do Nordeste se completarão perfeitamente. PALAVRAS-CHAVE: Ariano Suassuna, poema, Barroco, dobra e hermetismo. ESPEJISMOS Y PRISMAS: EL BARROCO DA MOVIMIENTO A LAS IMAGÉNES HERMÉTICAS EN LA POESÍA SUASUNIANA RESUMEN Este artículo mira a estudiar la presencia de una vertiente barroca en la poesía contemporanea. Nada mejor que la lírica armonica de Ariano Suassuna para servir de investigación a nuestras sospechas. Siendo ese género de la obra suasuniana tan poco examinado, probablemente no se conozca su importancia para la construcción del sentido de su dramaturgia y de su prosa de ficción (bien más conocidas. La relación dibujada entre la teoría del doblez barroco de Deleuze y los estudios sobre la estética de los Setecientos cas

A new machine for continuous renal replacement therapy: from development to clinical testing.

Science.gov (United States)

Ricci, Zaccaria; Salvatori, Gabriella; Bonello, Monica; Ratanarat, Ranistha; Andrikos, Emilios; Dan, Maurizio; Piccinni, Pasquale; Ronco, Claudio

2005-01-01

A new continuous renal replacement therapy machine has been designed to fulfill the expectations of nephrologists and intensivists operating in the common ground of critical care nephrology. The new equipment is called Prismaflex and it is the natural evolution of the PRISMA machine that has been utilized worldwide for continuous renal replacement therapy in the last 10 years. The authors performed a preliminary alpha-trial to establish the usability, flexibility and reliability of the new device. Accuracy was also tested by recording various operational parameters during different intermittent and continuous renal replacement modalities during 62 treatments. This article will describe our first experience with this new device and touch upon the historic and technologic background leading to its development.

StaR Child Health: developing evidence-based guidance for the design, conduct and reporting of paediatric trials.

Science.gov (United States)

Van't Hoff, William; Offringa, Martin

2015-02-01

There has been a huge upsurge in clinical research in children in the last decade, stimulated in England by dedicated research infrastructure and support through the National Institute for Health Research. This infrastructure offering research design, expert review, trial management, research nurse, data support and dedicated facilities enables paediatricians to conduct more and better research. The challenge is how to design and conduct trials that will make a real difference to children's health. Standards for Research (StaR) in Child Health was founded in 2009 to address the paucity and shortcomings of paediatric clinical trials. This global initiative involves methodologists, clinicians, patient advocacy groups and policy makers dedicated to developing practical, evidence-based standards for enhancing the reliability and relevance of paediatric clinical research. In this overview, we highlight the contribution of StaR to this agenda, describe the international context, and suggest how StaR's future plans could be integrated with new and existing support for research. 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.

Treatment of cervical cancer in HIV-seropositive women from developing countries: a protocol for a systematic review.

Science.gov (United States)

Mapanga, Witness; Chipato, Tsungai; Feresu, Shingairai A

2018-01-25

Cervical cancer has become the most common cancer affecting women in Africa. Significantly, 85% of these annual deaths occur in the developing world, with the majority being middle-aged women. Research has shown that in sub-Saharan Africa, cervical cancer trends are on the rise in the past two decades because of HIV and this has resulted in an increase in cervical cancer cases among young women. However, little or no information exists that has shown that any of the available treatment methods are more effective than others when it comes to treating cervical cancer in HIV-seropositive women. The aim of this protocol is to offer a plan on how to systematically review cervical cancer treatment methods available for HIV-seropositive women in developing countries. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) statement was used to develop the protocol for the systematic review which will be reported in accordance with the PRISMA guidelines. A number of databases, Embase, MEDLINE, PubMed, CINAHL and Cochrane Library, will be searched for relevant studies, and citation and reference list tracking will be used to search for additional studies. Prospective and retrospective cohort studies, case-control, randomised controlled trials and cross-sectional studies that were carried out in and for the developing world will be eligible for inclusion. Peer-reviewed studies and grey literature examining cervical cancer treatment modalities in HIV-seropositive women will be included. Descriptive statistics and tables will be used to summarise results, and meta-analysis will be used where appropriate. The review findings will provide the current picture of the existing treatment methods being used to treat cervical cancer in HIV-seropositive women in developing countries. The findings might be used for the establishment of evidence-based guidelines for treatment of cervical cancer in seropositive women as well as prompt policy-makers and

Current use was established and Cochrane guidance on selection of social theories for systematic reviews of complex interventions was developed.

Science.gov (United States)

Noyes, Jane; Hendry, Maggie; Booth, Andrew; Chandler, Jackie; Lewin, Simon; Glenton, Claire; Garside, Ruth

2016-07-01

To identify examples of how social theories are used in systematic reviews of complex interventions to inform production of Cochrane guidance. Secondary analysis of published/unpublished examples of theories of social phenomena for use in reviews of complex interventions identified through scoping searches, engagement with key authors and methodologists supplemented by snowballing and reference searching. Theories were classified (low-level, mid-range, grand). Over 100 theories were identified with evidence of proliferation over the last 5 years. New low-level theories (tools, taxonomies, etc) have been developed for classifying and reporting complex interventions. Numerous mid-range theories are used; one example demonstrated how control theory had changed the review's findings. Review-specific logic models are increasingly used, but these can be challenging to develop. New low-level and mid-range psychological theories of behavior change are evolving. No reviews using grand theory (e.g., feminist theory) were identified. We produced a searchable Wiki, Mendeley Inventory, and Cochrane guidance. Use of low-level theory is common and evolving; incorporation of mid-range theory is still the exception rather than the norm. Methodological work is needed to evaluate the contribution of theory. Choice of theory reflects personal preference; application of theory is a skilled endeavor. Crown Copyright © 2016. Published by Elsevier Inc. All rights reserved.

Social media: The next frontier for professional development in radiography

International Nuclear Information System (INIS)

Lawson, Celeste; Cowling, Cynthia

2015-01-01

Background: Radiographers are required to undertake professional development in order to maintain registration. Professional development activities can be passive and isolate the practitioner. Social media is an interactive, collaborative, instant form of communication, which potentially addresses these concerns. Objectives: To establish whether the inherent challenges of social media use reduce its feasibility as a platform for professional development in radiography. Methods: A systematic review was undertaken using the PRISMA Guidelines. Academic databases were searched using pre-defined search terms, limits and inclusion criteria. Results: Zero reviewable papers were identified in the field of radiography globally. The search was expanded to “healthcare” and 810 papers were identified. After inclusion criteria and limits were applied, 12 papers were reviewed. Conclusions: Professional development using social media includes higher education, collaboration and networking. Managed with consideration to the inherent risks, social media provides a new means of inclusive professional development. - Highlights: • Professional development in radiography can draw on the benefits of social media. • Benefits of the social media platform are education, collaboration and networking. • Social media can reduce geographic and professional isolation. • Practitioners can share case studies and contribute professional opinions

Introduction to software development

OpenAIRE

Pérez López, Josep Anton; Ribas Xirgo, Lluís

2009-01-01

El coneixement profund d'un llenguatge de programació parteix no solament de la comprensió del seu lèxic, de la seva sintaxi i de la seva semàntica, sinó que a més requereix la comprensió dels objectius que n'han motivat el desenvolupament. Així doncs, en aquesta unitat es repassa la història del llenguatge de programació C des del prisma de la programació dels computadors. Els programes descrits en un llenguatge de programació com C no els pot executar directament cap màquina. Per tant, és n...

A checklist to assess the quality of reports on spa therapy and balneotherapy trials was developed using the Delphi consensus method: the SPAC checklist.

Science.gov (United States)

Kamioka, Hiroharu; Kawamura, Yoichi; Tsutani, Kiichiro; Maeda, Masaharu; Hayasaka, Shinya; Okuizum, Hiroyasu; Okada, Shinpei; Honda, Takuya; Iijima, Yuichi

2013-08-01

The purpose of this study was to develop a checklist of items that describes and measures the quality of reports of interventional trials assessing spa therapy. The Delphi consensus method was used to select the number of items in the checklist. A total of eight individuals participated, including an epidemiologist, a clinical research methodologist, clinical researchers, a medical journalist, and a health fitness programmer. Participants ranked on a 9-point Likert scale whether an item should be included in the checklist. Three rounds of the Delphi method were conducted to achieve consensus. The final checklist contained 19 items, with items related to title, place of implementation (specificity of spa), care provider influence, and additional measures to minimize the potential bias from withdrawals, loss to follow-up, and low treatment adherence. This checklist is simple and quick to complete, and should help clinicians and researchers critically appraise the medical and healthcare literature, reviewers assess the quality of reports included in systematic reviews, and researchers plan interventional trials of spa therapy. Copyright © 2013 Elsevier Ltd. All rights reserved.

Getting from neuron to checkmark: Models and methods in cognitive survey research

NARCIS (Netherlands)

Holleman, B.C.; Murre, J.M.J.

2008-01-01

Since the 1980s much work has been done in the field of Cognitive Survey Research. In an interdisciplinary endeavour, survey methodologists and cognitive psychologists (as well as social psychologists and linguists) have worked to unravel the cognitive processes underlying survey responses: to

Twelve recommendations for integrating existing systematic reviews into new reviews: EPC guidance.

Science.gov (United States)

Robinson, Karen A; Chou, Roger; Berkman, Nancy D; Newberry, Sydne J; Fu, Rongwei; Hartling, Lisa; Dryden, Donna; Butler, Mary; Foisy, Michelle; Anderson, Johanna; Motu'apuaka, Makalapua; Relevo, Rose; Guise, Jeanne-Marie; Chang, Stephanie

2016-02-01

As time and cost constraints in the conduct of systematic reviews increase, the need to consider the use of existing systematic reviews also increases. We developed guidance on the integration of systematic reviews into new reviews. A workgroup of methodologists from Evidence-based Practice Centers developed consensus-based recommendations. Discussions were informed by a literature scan and by interviews with organizations that conduct systematic reviews. Twelve recommendations were developed addressing selecting reviews, assessing risk of bias, qualitative and quantitative synthesis, and summarizing and assessing body of evidence. We provide preliminary guidance for an efficient and unbiased approach to integrating existing systematic reviews with primary studies in a new review. Copyright © 2016 Elsevier Inc. All rights reserved.

Using Qualitative Research to Inform Development of Professional Guidelines: A Case Study of the Society of Critical Care Medicine Family-Centered Care Guidelines.

Science.gov (United States)

Coombs, Maureen A; Davidson, Judy E; Nunnally, Mark E; Wickline, Mary A; Curtis, J Randall

2017-08-01

To explore the importance, challenges, and opportunities using qualitative research to enhance development of clinical practice guidelines, using recent guidelines for family-centered care in the ICU as an example. In developing the Society of Critical Care Medicine guidelines for family-centered care in the neonatal ICU, PICU, and adult ICU, we developed an innovative adaptation of the Grading of Recommendations, Assessments, Development and Evaluations approach to explicitly incorporate qualitative research. Using Grading of Recommendations, Assessments, Development and Evaluations and the Council of Medical Specialty Societies principles, we conducted a systematic review of qualitative research to establish family-centered domains and outcomes. Thematic analyses were undertaken on study findings and used to support Population, Intervention, Comparison, Outcome question development. We identified and employed three approaches using qualitative research in these guidelines. First, previously published qualitative research was used to identify important domains for the Population, Intervention, Comparison, Outcome questions. Second, this qualitative research was used to identify and prioritize key outcomes to be evaluated. Finally, we used qualitative methods, member checking with patients and families, to validate the process and outcome of the guideline development. In this, a novel report, we provide direction for standardizing the use of qualitative evidence in future guidelines. Recommendations are made to incorporate qualitative literature review and appraisal, include qualitative methodologists in guideline taskforce teams, and develop training for evaluation of qualitative research into guideline development procedures. Effective methods of involving patients and families as members of guideline development represent opportunities for future work.

Webdatanet: Innovation and quality in web-based data collection

NARCIS (Netherlands)

Steinmetz, S.; Slavec, A.; Tijdens, K.; Reips, U.-D.; de Pedraza, P.; Popescu, A.; Belchior, A.; Birgegard, A.; Bianchi, A.; Ayalon, A.; Selkala, A.; Villacampa, A.; Winer, B.; Mlacic, B.; Vogel, C.; Gravem, D.; Gayo Avello, D.; Constantin, D.; Toninelli, D.; Troitino, D.; Horvath, D.; de Leeuw, E.; Oren, E.; Fernandez-Macias, E.; Thorsdottir, F.; Ortega, F.; Funke, F.; Campagnolo, G.M.; Milas, G.; Grünwald, C.; Jonsdottir, G.; Haraldsen, G.; Doron, G.; Margetts, H.; Miklousic, I.; Andreadis, I.; Berzelak, J.; Angelovska, J.; Schrittwieser, K.; Kissau, K.; Lozar Manfreda, K.; Kolsrud, K.; Kalgraff Skjak, K.; Tsagarakis, K.; Kaczmirek, L.; Lesnard, L.; Moga, L.M.; Lopes Teixeira, L.; Plate, M.; Kozak, M.; Fuchs, M.; Callegaro, M.; Cantijoch, M.; Kahanec, M.; Stopa, M.; Ernst Staehli, M.; Neculita, M.; Ivanovic, M.; Foulonneau, M.; Cheikhrouhou, N.; Fornara, N.; Finnemann, N.O.; Zajc, N.; Nyirå, N.; Louca, P.; Osse, P.; Mavrikiou, P.; Gibson, R.; Vatrapu, R.; Dar, R.; Pinter, R.; Martinez Torres, R.; Douhou, S.; Biffignandi, S.; Grceva, S.; David, S.; Ronkainen, T.; Csordas, T.; Lenzner, T.; Vesteinsdottir, V.; Vehovar, V.; Markov, Y.

2014-01-01

In light of the growing importance of web-based data in the social and behavioral sciences, WEBDATANET was established in 2011 as a COST Action (IS 1004) to create a multidisciplinary network of web-based data collection experts: (web) survey methodologists, psychologists, sociologists, linguists,

Predicting Change in Postpartum Depression: An Individual Growth Curve Approach.

Science.gov (United States)

Buchanan, Trey

Recently, methodologists interested in examining problems associated with measuring change have suggested that developmental researchers should focus upon assessing change at both intra-individual and inter-individual levels. This study used an application of individual growth curve analysis to the problem of maternal postpartum depression.…

Are Validity and Reliability "Relevant" in Qualitative Evaluation Research?

Science.gov (United States)

Goodwin, Laura D.; Goodwin, William L.

1984-01-01

The views of prominant qualitative methodologists on the appropriateness of validity and reliability estimation for the measurement strategies employed in qualitative evaluations are summarized. A case is made for the relevance of validity and reliability estimation. Definitions of validity and reliability for qualitative measurement are presented…

UML for systems engineering watching the wheels

CERN Document Server

Holt, Jon

2005-01-01

Up until a few years ago there were over 150 different modelling languages available to software developers. This vast array of choice however, only served to severely hinder effective communication. Therefore, to combat this, every methodologist and many companies agreed to speak the same language, hence the birth of the unified modelling language (UML). The UML offers a means to communicate complex information in a simple way using visual modelling; i.e. drawing diagrams to create a model of a system. This fully revised edition, based on a training course given by the author, coincides with

Small Sample Statistics for Incomplete Nonnormal Data: Extensions of Complete Data Formulae and a Monte Carlo Comparison

Science.gov (United States)

Savalei, Victoria

2010-01-01

Incomplete nonnormal data are common occurrences in applied research. Although these 2 problems are often dealt with separately by methodologists, they often cooccur. Very little has been written about statistics appropriate for evaluating models with such data. This article extends several existing statistics for complete nonnormal data to…

Research, statistics and mathematics educators in Nigeria: effect ...

African Journals Online (AJOL)

Over reliance on the perspective of a dichotomous reject or fail-to-reject outcome from a null hypothesis testing framework to answer research questions has become a worrisome issue to research methodologists and statistics experts. Thus, the Journals of Mathematical Association of Nigeria, Abacus (2013 & 2014) were ...

Evaluation in Design-Oriented Research

NARCIS (Netherlands)

Verschuren, P.J.M.; Hartog, R.J.M.

2005-01-01

Design has been recognized for a long time both as art and as science. In the sixties of the previous century design-oriented research began to draw the attention of scientific researchers and methodologists, not only in technical engineering but also in the social sciences. However, a rather

Handling Do-Not-Know Answers : Exploring New Approaches in Online and Mixed-Mode Surveys

NARCIS (Netherlands)

de Leeuw, Edith D.; Hox, Joop J.; Boevé, Anja

2016-01-01

An important decision in online and mixed-mode questionnaire design is if and how to include a “do-not-know” (DK) option. Mandatory response is often a default option, but methodologists have advised against this. Several solutions for the DK category are suggested. These include (1) not explicitly

The European Stroke Organisation Guidelines: a standard operating procedure

DEFF Research Database (Denmark)

Ntaios, George; Bornstein, Natan M; Caso, Valeria

2015-01-01

pace with this progress and driven by the strong determination of the European Stroke Organisation to further promote stroke management, education, and research, the European Stroke Organisation decided to delineate a detailed standard operating procedure for its guidelines. There are two important...... cornerstones in this standard operating procedure: The first is the implementation of the Grading of Recommendations Assessment, Development, and Evaluation methodology for the development of its Guideline Documents. The second one is the decision of the European Stroke Organisation to move from the classical...... and significant input from European Stroke Organisation members as well as methodologists and analysts, this document presents the official standard operating procedure for the development of the Guideline Documents of the European Stroke Organisation....

WATER ABSORPTION IN GALACTIC TRANSLUCENT CLOUDS: CONDITIONS AND HISTORY OF THE GAS DERIVED FROM HERSCHEL /HIFI PRISMAS OBSERVATIONS

Energy Technology Data Exchange (ETDEWEB)

Flagey, N.; Goldsmith, P. F. [Jet Propulsion Laboratory, California Institute of Technology, 4800 Oak Grove Drive, Pasadena, CA 91109 (United States); Lis, D. C.; Monje, R.; Phillips, T. G. [California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125 (United States); Gerin, M.; De Luca, M.; Godard, B. [LERMA, UMR 8112 du CNRS, Observatoire de Paris, Ecole Normale Superieure, UPMC and UCP (France); Neufeld, D. [Department of Physics and Astronomy, Johns Hopkins Univ. 3400 N. Charles St., Baltimore, MD 21218 (United States); Sonnentrucker, P. [Space Telescope Science Institute, 3700 San Martin Drive, Baltimore, MD 21218 (United States); Goicoechea, J. R., E-mail: nflagey@jpl.nasa.gov [Centro de Astrobiologia (CSIC-INTA), E-28850 Torrejon de Ardoz, Madrid (Spain)

2013-01-01

We present Herschel/HIFI observations of the three ground state transitions of H{sub 2}O (556, 1669, and 1113 GHz) and H{sub 2}{sup 18}O (547, 1655, and 1101 GHz)-as well as the first few excited transitions of H{sub 2}O (987, 752, and 1661 GHz)-toward six high-mass star-forming regions, obtained as part of the PRISMAS (PRobing InterStellar Molecules with Absorption line Studies) Guaranteed Time Key Program. Water vapor associated with the translucent clouds in Galactic arms is detected in absorption along every line of sight in all the ground state transitions. The continuum sources all exhibit broad water features in emission in the excited and ground state transitions. Strong absorption features associated with the source are also observed at all frequencies except 752 GHz. We model the background continuum and line emission to infer the optical depth of each translucent cloud along the lines of sight. We derive the column density of H{sub 2}O or H{sub 2}{sup 18}O for the lower energy level of each transition observed. The total column density of water in translucent clouds is usually about a few 10{sup 13} cm{sup -2}. We find that the abundance of water relative to hydrogen nuclei is 1 Multiplication-Sign 10{sup -8} in agreement with models for oxygen chemistry in which high cosmic ray ionization rates are assumed. Relative to molecular hydrogen, the abundance of water is remarkably constant through the Galactic plane with X(H{sub 2}O) =5 Multiplication-Sign 10{sup -8}, which makes water a good traced of H{sub 2} in translucent clouds. Observations of the excited transitions of H{sub 2}O enable us to constrain the abundance of water in excited levels to be at most 15%, implying that the excitation temperature, T {sub ex}, in the ground state transitions is below 10 K. Further analysis of the column densities derived from the two ortho ground state transitions indicates that T {sub ex} {approx_equal} 5 K and that the density n(H{sub 2}) in the translucent clouds

A systematic review of the quality of conduct and reporting of systematic reviews and meta-analyses in paediatric surgery.

Directory of Open Access Journals (Sweden)

Paul Stephen Cullis

Full Text Available Our objective was to evaluate quality of conduct and reporting of published systematic reviews and meta-analyses in paediatric surgery. We also aimed to identify characteristics predictive of review quality.Systematic reviews summarise evidence by combining sources, but are potentially prone to bias. To counter this, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA was published to aid in reporting. Similarly, the Assessing the Methodological Quality of Systematic Reviews (AMSTAR measurement tool was designed to appraise methodology. The paediatric surgical literature has seen an increasing number of reviews over the past decade, but quality has not been evaluated.Adhering to PRISMA guidelines, we performed a systematic review with a priori design to identify systematic reviews and meta-analyses of interventions in paediatric surgery. From 01/2010 to 06/2016, we searched: MEDLINE, EMBASE, Cochrane, Centre for Reviews and Dissemination, Web of Science, Google Scholar, reference lists and journals. Two reviewers independently selected studies and extracted data. We assessed conduct and reporting using AMSTAR and PRISMA. Scores were calculated as the sum of reported items. We also extracted author, journal and article characteristics, and used them in exploratory analysis to determine which variables predict quality.112 articles fulfilled eligibility criteria (53 systematic reviews; 59 meta-analyses. Overall, 68% AMSTAR and 56.8% PRISMA items were reported adequately. Poorest scores were identified with regards a priori design, inclusion of structured summaries, including the grey literature, citing excluded articles and evaluating bias. 13 reviews were pre-registered and 6 in PRISMA-endorsing journals. The following predicted quality in univariate analysis:, word count, Cochrane review, journal h-index, impact factor, journal endorses PRISMA, PRISMA adherence suggested in author guidance, article mentions PRISMA

Causality: School Libraries and Student Success (CLASS). White Paper

Science.gov (United States)

American Association of School Librarians, 2014

2014-01-01

On April 11 and 12, 2014, the American Association of School Librarians (AASL) held "Causality: School Libraries and Student Success" (CLASS), an IMLS-funded national forum. Dr. Thomas Cook, one of the most influential methodologists in education research, and a five member panel of expert scholars and practitioners led 50 established…

Developing an OMERACT Core Outcome Set for Assessing Safety Components in Rheumatology Trials: The OMERACT Safety Working Group.

Science.gov (United States)

Klokker, Louise; Tugwell, Peter; Furst, Daniel E; Devoe, Dan; Williamson, Paula; Terwee, Caroline B; Suarez-Almazor, Maria E; Strand, Vibeke; Woodworth, Thasia; Leong, Amye L; Goel, Niti; Boers, Maarten; Brooks, Peter M; Simon, Lee S; Christensen, Robin

2017-12-01

Failure to report harmful outcomes in clinical research can introduce bias favoring a potentially harmful intervention. While core outcome sets (COS) are available for benefits in randomized controlled trials in many rheumatic conditions, less attention has been paid to safety in such COS. The Outcome Measures in Rheumatology (OMERACT) Filter 2.0 emphasizes the importance of measuring harms. The Safety Working Group was reestablished at the OMERACT 2016 with the objective to develop a COS for assessing safety components in trials across rheumatologic conditions. The safety issue has previously been discussed at OMERACT, but without a consistent approach to ensure harms were included in COS. Our methods include (1) identifying harmful outcomes in trials of interventions studied in patients with rheumatic diseases by a systematic literature review, (2) identifying components of safety that should be measured in such trials by use of a patient-driven approach including qualitative data collection and statistical organization of data, and (3) developing a COS through consensus processes including everyone involved. Members of OMERACT including patients, clinicians, researchers, methodologists, and industry representatives reached consensus on the need to continue the efforts on developing a COS for safety in rheumatology trials. There was a general agreement about the need to identify safety-related outcomes that are meaningful to patients, framed in terms that patients consider relevant so that they will be able to make informed decisions. The OMERACT Safety Working Group will advance the work previously done within OMERACT using a new patient-driven approach.

Robust Variance Estimation with Dependent Effect Sizes: Practical Considerations Including a Software Tutorial in Stata and SPSS

Science.gov (United States)

Tanner-Smith, Emily E.; Tipton, Elizabeth

2014-01-01

Methodologists have recently proposed robust variance estimation as one way to handle dependent effect sizes in meta-analysis. Software macros for robust variance estimation in meta-analysis are currently available for Stata (StataCorp LP, College Station, TX, USA) and SPSS (IBM, Armonk, NY, USA), yet there is little guidance for authors regarding…

Rethinking the process of operational research & systems analysis

CERN Document Server

Tomlinson, R

1984-01-01

Invited contributions from distinguished practitioners and methodologists of operational research and applied systems analysis which represent a true state-of-the-art and which provide, perhaps for the first time, a coherent, interlocking, set of ideas which may be considered the foundations of the subject as a science in its own right.

Emphaty oriented 'creative' teaching and learning methodologies

NARCIS (Netherlands)

Guney, A.

2009-01-01

Understanding learners’ minds has become one of the major issues of some methodologists in education system. The entire matter is learning. It seems obvious to me it is necessary to explain what learning is in terms of knowledge, in the widest sense. We should also try to find out what kind of

Phenomenology and Qualitative Data Analysis Software (QDAS: A Careful Reconciliation

Directory of Open Access Journals (Sweden)

Brian Kelleher Sohn

2017-01-01

Full Text Available An oft-cited phenomenological methodologist, Max VAN MANEN (2014, claims that qualitative data analysis software (QDAS is not an appropriate tool for phenomenological research. Yet phenomenologists rarely describe how phenomenology is to be done: pencil, paper, computer? DAVIDSON and DI GREGORIO (2011 urge QDAS contrarians such as VAN MANEN to get over their methodological loyalties and join the digital world, claiming that all qualitative researchers, whatever their methodology, perform processes aided by QDAS: disaggregation and recontextualization of texts. Other phenomenologists exemplify DAVIDSON and DI GREGORIO's observation that arguments against QDAS often identify problems more closely related to the researchers than QDAS. But the concerns about technology of McLUHAN (2003 [1964], HEIDEGGER (2008 [1977], and FLUSSER (2013 cannot be ignored. In this conceptual article I answer the questions of phenomenologists and the call of QDAS methodologists to describe how I used QDAS to carry out a phenomenological study in order to guide others who choose to reconcile the use of software to assist their research. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1701142

Do systematic reviews on pediatric topics need special methodological considerations?

Science.gov (United States)

Farid-Kapadia, Mufiza; Askie, Lisa; Hartling, Lisa; Contopoulos-Ioannidis, Despina; Bhutta, Zulfiqar A; Soll, Roger; Moher, David; Offringa, Martin

2017-03-06

Systematic reviews are key tools to enable decision making by healthcare providers and policymakers. Despite the availability of the evidence based Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA-2009 and PRISMA-P 2015) statements that were developed to improve the transparency and quality of reporting of systematic reviews, uncertainty on how to deal with pediatric-specific methodological challenges of systematic reviews impairs decision-making in child health. In this paper, we identify methodological challenges specific to the design, conduct and reporting of pediatric systematic reviews, and propose a process to address these challenges. One fundamental decision at the outset of a systematic review is whether to focus on a pediatric population only, or to include both adult and pediatric populations. Both from the policy and patient care point of view, the appropriateness of interventions and comparators administered to pre-defined pediatric age subgroup is critical. Decisions need to be based on the biological plausibility of differences in treatment effects across the developmental trajectory in children. Synthesis of evidence from different trials is often impaired by the use of outcomes and measurement instruments that differ between trials and are neither relevant nor validated in the pediatric population. Other issues specific to pediatric systematic reviews include lack of pediatric-sensitive search strategies and inconsistent choices of pediatric age subgroups in meta-analyses. In addition to these methodological issues generic to all pediatric systematic reviews, special considerations are required for reviews of health care interventions' safety and efficacy in neonatology, global health, comparative effectiveness interventions and individual participant data meta-analyses. To date, there is no standard approach available to overcome this problem. We propose to develop a consensus-based checklist of essential items which

Do active video games benefit the motor skill development of non-typically developing children and adolescents: A systematic review.

Science.gov (United States)

Page, Zoey E; Barrington, Stephanie; Edwards, Jacqueline; Barnett, Lisa M

2017-12-01

The use of interactive video gaming, known as 'exergames' or 'active video games (AVG)' may provide an opportunity for motor skill development. Youth with non-typical patterns of development may have deficits in gross motor skill capacities and are therefore an intervention target. The aim was to determine the effectiveness of AVG use on motor skill development in non-typically developing children and adolescents. Review article. The PRISMA protocol was used to conduct a systematic review of EBSCOhost, Embase, Gale Cengage, Informit, Ovid, ProQuest, PubMed, Scopus and Web of Science databases. A total of 19 articles met inclusion criteria (non-typically developing participants such as those with a learning or developmental delay aged 3-18, use of an AVG console, assessed one or more gross motor skills). Studies were excluded if gross motor skill outcomes encompassed fine motor skills or reflected mobility related to daily living. Interventions included children and adolescents with eight different conditions. The Nintendo Wii was the most utilised gaming platform (14/19 studies). Studies examined a combination of skills, with most examining balance (15/19), five studies examining ball skills, and other gross motor skills such as coordination (3 studies), running (3 studies) and jumping (3 studies). There was strong evidence that AVG's improved balance. AVG's also appeared to benefit participants with Cerebral Palsy. AVG's could be a valuable tool to improve gross motor skills of non-typically developing children. There is scope for further exploration, particularly of ball, coordination and locomotor skills and varying platforms to draw more conclusive evaluations. Copyright © 2017 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

PSYCHOLINGUISTIC PREREQUISITES FOR DEVELOPING LISTENING COMPETENCE OF PRE-SERVICE TEACHERS THROUGH FICTION AUDIOBOOKS

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Iryna Bilianska

2017-07-01

Full Text Available The quality of the professional training of foreign language teachers presupposes high level of their listening competence. However, in non-authentic language environment developing proficiency in listening is recognized as a difficult task. Therefore, Ukrainian methodologists are in search of new ways to improve listening skills of pre-service teachers. The purpose of this article is to explore recent research into psycho-linguistic issues and analyse the grounds for the development of listening competence by means of fiction audiobooks. This paper therefore deals with the analysis of cognitive processes and psychological mechanisms, listening stages (motivational, analytically-synthetic, executive and controlling. It goes on to focus on artistic perception and its mechanisms and the information processing mechanisms. Since fiction is an art of words, specific features of listening to audiobooks are primarily related to the category of art. It is revealed that at all levels of the structure of an artistic text (genre, plot, structure there are some authors guidelines which guide, direct attention and activate apperception. The typical benchmarks of audiobooks that help to activate apperception (genre, cover, title, sample, summary, reviews, author / narrator, volume, rating etc. have been determined. It has been found that listening to an audiobook should result into its "projection" in the recipients mind. The "projection" may be materialized through a secondary text. It is concluded that the mechanisms of listening to fiction audiobooks are: 1 mental processes (perception, thinking, memory, attention; 2 psychological mechanisms (speech hearing, articulation, anticipation, comprehension, working memory; 3 mechanisms of artistic perception (emotions and feelings, imagination, apperception, figurative and associative thinking; 4 information processing mechanisms (mechanism of equivalent replacements, transcoding, compression, expansion

UNCOMMON SENSORY METHODOLOGIES

Directory of Open Access Journals (Sweden)

Vladimír Vietoris

2015-02-01

Full Text Available Sensory science is the young but the rapidly developing field of the food industry. Actually, the great emphasis is given to the production of rapid techniques of data collection, the difference between consumers and trained panel is obscured and the role of sensory methodologists is to prepare the ways for evaluation, by which a lay panel (consumers can achieve identical results as a trained panel. Currently, there are several conventional methods of sensory evaluation of food (ISO standards, but more sensory laboratories are developing methodologies that are not strict enough in the selection of evaluators, their mechanism is easily understandable and the results are easily interpretable. This paper deals with mapping of marginal methods used in sensory evaluation of food (new types of profiles, CATA, TDS, napping.

Successfully integrating aged care services: A review of the evidence and tools emerging from a long-term care program

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Michael J. Stewart

2013-02-01

Full Text Available Background: Providing efficient and effective aged care services is one of the greatest public policy concerns currently facing governments. Increasing the integration of care services has the potential to provide many benefits including increased access, promoting greater efficiency, and improving care outcomes. There is little research, however, investigating how integrated aged care can be successfully achieved. The PRISMA (Program of Research to Integrate Services for the Maintenance of Autonomy project, from Quebec, Canada, is one of the most systematic and sustained bodies of research investigating the translation and outcomes of an integrated care policy into practice.  The PRISMA research program has run since 1988, yet there has been no independent systematic review of this work to draw out the lessons learnt. Methods: Narrative review of all literature emanating from the PRISMA project between 1988 and 2012. Researchers accessed an online list of all published papers from the program website. The reference lists of papers were hand searched to identify additional literature. Finally, Medline, Pubmed, EMBASE and Google Scholar indexing databases were searched using key terms and author names. Results were extracted into specially designed spread sheets for analysis. Results: 45 journal articles and two books authored or co-authored by the PRISMA team were identified. Research was primarily concerned with: the design, development and validation of screening and assessment tools; and results generated from their application. Both quasi-experimental and cross sectional analytic designs were used extensively. Contextually appropriate expert opinion was obtained using variations on the Delphi Method. Literature analysis revealed the structures, processes and outcomes which underpinned the implementation. PRISMA provides evidence that integrating care for older persons is beneficial to individuals through reducing incidence of functional

Successfully integrating aged care services: A review of the evidence and tools emerging from a long-term care program

Directory of Open Access Journals (Sweden)

Michael J. Stewart

2013-02-01

Full Text Available Background: Providing efficient and effective aged care services is one of the greatest public policy concerns currently facing governments. Increasing the integration of care services has the potential to provide many benefits including increased access, promoting greater efficiency, and improving care outcomes. There is little research, however, investigating how integrated aged care can be successfully achieved. The PRISMA (Program of Research to Integrate Services for the Maintenance of Autonomy project, from Quebec, Canada, is one of the most systematic and sustained bodies of research investigating the translation and outcomes of an integrated care policy into practice.  The PRISMA research program has run since 1988, yet there has been no independent systematic review of this work to draw out the lessons learnt.Methods: Narrative review of all literature emanating from the PRISMA project between 1988 and 2012. Researchers accessed an online list of all published papers from the program website. The reference lists of papers were hand searched to identify additional literature. Finally, Medline, Pubmed, EMBASE and Google Scholar indexing databases were searched using key terms and author names. Results were extracted into specially designed spread sheets for analysis.Results: 45 journal articles and two books authored or co-authored by the PRISMA team were identified. Research was primarily concerned with: the design, development and validation of screening and assessment tools; and results generated from their application. Both quasi-experimental and cross sectional analytic designs were used extensively. Contextually appropriate expert opinion was obtained using variations on the Delphi Method. Literature analysis revealed the structures, processes and outcomes which underpinned the implementation. PRISMA provides evidence that integrating care for older persons is beneficial to individuals through reducing incidence of functional

Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes

NARCIS (Netherlands)

Smits, M.; Janssen, J.; Vet, de H.C.W.; Zwaan, L.; Timmermans, D.R.M.; Groenewegen, P.P.; Wagner, C.

2009-01-01

BACKGROUND: Root cause analysis is a method to examine causes of unintended events. PRISMA (Prevention and Recovery Information System for Monitoring and Analysis: is a root cause analysis tool. With PRISMA, events are described in causal trees and root causes are subsequently classified with the

Analysis of unintended events in hospitals : inter-rater reliability of constructing causal trees and classifying root causes

NARCIS (Netherlands)

Smits, M.; Janssen, J.; Vet, R. de; Zwaan, L.; Groenewegen, P.P.; Timmermans, D.

2009-01-01

Background. Root cause analysis is a method to examine causes of unintended events. PRISMA (Prevention and Recovery Information System for Monitoring and Analysis) is a root cause analysis tool. With PRISMA, events are described in causal trees and root causes are subsequently classified with the

Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes.

NARCIS (Netherlands)

Smits, M.; Janssen, J.; Vet, R. de; Zwaan, L.; Timmermans, D.; Groenewegen, P.; Wagner, C.

2009-01-01

Background: Root cause analysis is a method to examine causes of unintended events. PRISMA (Prevention and Recovery Information System for Monitoring and Analysis) is a root cause analysis tool. With PRISMA, events are described in causal trees and root causes are subsequently classified with the

METHODOLOGICAL GUIDELINES FOR THE TRANSPROFESSIONALISM DEVELOPMENT AMONG VOCATIONAL EDUCATORS

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E. F. Zeer

2017-01-01

Full Text Available Introduction. Nowadays, regarding the 6thwave of technological innovations and emergence of a phenomenon «transfession», there is a need for modernization of the vocational staff training in our country. Transfession is a type of the labour activity realized on the basis of synthesis and convergence of the professional competences that involve different specialized areas. Thus, the authors of the present article propose to use the professional and educational platform, developed by them, taking into account a specialists’ training specialty. The aims of the article are the following: to describe the phenomenon «transprofessionalism», to determine the initial attitudes towards its understanding; to present the block-modular model of the platform for the formation of the transprofessionalism of the teachers of the vocational school. Methodology and research methods. The research is based on the following theoretical and scientific methods: analysis, synthesis, concretization, generalization; hypothetical-deductive method; project-based method. The projecting of the transprofessionalism platform model was constructed on the basis of multidimensional, transdisciplinary, network and project approaches. Results and scientific novelty. The relevance of the discussed phenomenon in the productive-economic sphere is proved. The transprofessionalism requires a brand new content-informative and technological training of specialists. In particular, the concept «profession» has lost its original meaning as an area of the social division of labour during socio-technological development of the Russian economy. Therefore, transprofessionals are becoming more competitive and demanded in the employment market, being capable to perform a wide range of specialized types of professional activities. The structure, principles and mechanisms of the professional-educational platform functioning for transprofessionalism formation among the members of professional

A European multi-language initiative to make the general population aware of independent clinical research: the European Communication on Research Awareness Need project

OpenAIRE

Mosconi, Paola; Antes, Gerd; Barbareschi, Giorgio; Burls, Amanda; Demotes-Mainard, Jacques; Chalmers, Iain; Colombo, Cinzia; Garattini, Silvio; Gluud, Christian; Gyte, Gill; Mcllwain, Catherine; Penfold, Matt; Post, Nils; Satolli, Roberto; Valetto, Maria Rosa

2016-01-01

BACKGROUND: The ECRAN (European Communication on Research Awareness Needs) project was initiated in 2012, with support from the European Commission, to improve public knowledge about the importance of independent, multinational, clinical trials in Europe. \\ud \\ud METHODS: Participants in the ECRAN consortium included clinicians and methodologists directly involved in clinical trials; researchers working in partnership with the public and patients; representatives of patients; and experts in s...

Quality of meta-analyses in major leading gastroenterology and hepatology journals: A systematic review.

Science.gov (United States)

Liu, Pengfei; Qiu, Yuanyu; Qian, Yuting; Chen, Xiao; Wang, Yiran; Cui, Jin; Zhai, Xiao

2017-01-01

To appraise the current reporting methodological quality of meta-analyses in five leading gastroenterology and hepatology journals, and to identify the variables associated with the reporting quality. We systematically searched the literature of meta-analyses in Gastroenterology, Gut, Hepatology, Journal of Hepatology (J HEPATOL) and American Journal of Gastroenterology (AM J GASTROENTEROL) from 2006 to 2008 and from 2012 to 2014. Characteristics were extracted based on the PRISMA statement and the AMSTAR tool. Country, number of patients, funding source were also revealed and descriptively reported. A total of 127 meta-analyses were enrolled in this study and were compared among journals, study years, and other characters. Compliances with the PRISMA statement and the AMSTAR checklist were 20.8 ± 4.2 out of a maximum of 27 and 7.6 ± 2.4 out of a maximum of 11, respectively. Some domains were poorly reported including describing a protocol and/or registration (item 5, 0.0%), describing methods, and giving results of additional analyses (item 16, 45.7% and item 23, 48.0%) for PRISMA and duplicating study selection and data extraction (item 2, 53.5%), and providing a list of included and excluded studies (item 5, 14.2%) for AMSTAR. Publication in recent years showed a significantly better methodological quality than those published in previous years. This study shows that methodological reporting quality of MAs in the major gastroenterology and hepatology journals has improved in recent years after the publication of the developed PRISMA statement, and it can be further improved. © 2016 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

Quality research in healthcare: are researchers getting enough statistical support?

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Ambler Gareth

2006-01-01

Full Text Available Abstract Background Reviews of peer-reviewed health studies have highlighted problems with their methodological quality. As published health studies form the basis of many clinical decisions including evaluation and provisions of health services, this has scientific and ethical implications. The lack of involvement of methodologists (defined as statisticians or quantitative epidemiologists has been suggested as one key reason for this problem and this has been linked to the lack of access to methodologists. This issue was highlighted several years ago and it was suggested that more investments were needed from health care organisations and Universities to alleviate this problem. Methods To assess the current level of methodological support available for health researchers in England, we surveyed the 25 National Health Services Trusts in England, that are the major recipients of the Department of Health's research and development (R&D support funding. Results and discussion The survey shows that the earmarking of resources to provide appropriate methodological support to health researchers in these organisations is not widespread. Neither the level of R&D support funding received nor the volume of research undertaken by these organisations showed any association with the amount they spent in providing a central resource for methodological support for their researchers. Conclusion The promotion and delivery of high quality health research requires that organisations hosting health research and their academic partners put in place funding and systems to provide appropriate methodological support to ensure valid research findings. If resources are limited, health researchers may have to rely on short courses and/or a limited number of advisory sessions which may not always produce satisfactory results.

Phenomenology and Qualitative Data Analysis Software (QDAS): A Careful Reconciliation

OpenAIRE

Brian Kelleher Sohn

2017-01-01

An oft-cited phenomenological methodologist, Max VAN MANEN (2014), claims that qualitative data analysis software (QDAS) is not an appropriate tool for phenomenological research. Yet phenomenologists rarely describe how phenomenology is to be done: pencil, paper, computer? DAVIDSON and DI GREGORIO (2011) urge QDAS contrarians such as VAN MANEN to get over their methodological loyalties and join the digital world, claiming that all qualitative researchers, whatever their methodology, perform p...

Alternative methodology for using Eureka software in the teaching-learning process

Directory of Open Access Journals (Sweden)

Yudeisy Cudina-Guerrero

2017-03-01

Full Text Available In order to fulfill one of the aspects that characterized the curriculum for the training of ordinary skill in the Technical and Vocational Education which states: increase student learning in mathematics in particular, where teachers use the computer effectively as a teaching, and thus eliminate academic failure, an alternative methodology was developed to use the Eureka software, which was presented to teachers and provincial methodologists of mathematics, as well as students of Accounting, it helped to further learning students at Work with Variables. The proposal was designed to achieve a formative learning accordingly to the objectives of the program it requires Mathematics. The relevance of the alternative was assessed by consulting specialists, where they corroborated that can be educational practice.

Proper Methodology and Methods of Collecting and Analyzing Slavery Data: An Examination of the Global Slavery Index

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Andrew Guth

2014-11-01

Full Text Available The Global Slavery Index aims to, among other objectives, recognize the forms, size, and scope of slavery worldwide as well as the strengths and weaknesses of individual countries. An analysis of the Index’s methods exposes significant and critical weaknesses and raises questions into its replicability and validity. The Index may prove more valuable in the future if proper methods are implemented, but the longer improper methods are used the more damage is done to the public policy debate on slavery by advancing data and policy that is not based on sound methodology. To implement proper methods, a committee of sophisticated methodologists needs to develop measurement tools and constantly analyze and refine these methods over the years as data is collected.

Inimese murdmine ühiskonna prismas / Andri Ksenofontov

Index Scriptorium Estoniae

Ksenofontov, Andri, 1962-

2011-01-01

Epp Kubu näitus "Raha ajab lapsi taga" Tallinna Linnagaleriis 8. maini 2011. Kristina Kiviranna ja Riina-Ingel Keskpaiga ehk Lumi Kylma näitus "Escape" ("Põgenemine") Tallinnas Aatriumi galeriis 21. maini 2011. Johanna Sipilä (Soome) ja Katrin Piile maalinäitus "Jonathan Krani" Tallinnas Polymeri kunstikonteineris 1. maini 2011

O FASCISMO ATRAVÉS DO PRISMA GRAMSCIANO

OpenAIRE

Machado, Marília Gabriella

2016-01-01

O que este texto pretende abordar é a concepção de fascismo nos escritos pré-carcerários de Antonio Gramsci. Para isto é necessário compreender o conceito de fascismo e de hegemonia, ambos trabalhados pelo jovem sardo nos textos de juventude e militância. O contexto italiano de guerra imperialista é de grande importância para perscrutar o objeto em análise e ressaltar sua importância e atualidade.

O FASCISMO ATRAVÉS DO PRISMA GRAMSCIANO

Directory of Open Access Journals (Sweden)

Marília Gabriella Machado

2016-11-01

Full Text Available O que este texto pretende abordar é a concepção de fascismo nos escritos pré-carcerários de Antonio Gramsci. Para isto é necessário compreender o conceito de fascismo e de hegemonia, ambos trabalhados pelo jovem sardo nos textos de juventude e militância. O contexto italiano de guerra imperialista é de grande importância para perscrutar o objeto em análise e ressaltar sua importância e atualidade.

VIOLENŢA DOMESTICĂ PRIN PRISMA POLITICILOR INTEGRATE

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Valentina BODRUG-LUNGU

2017-07-01

Full Text Available Prevenirea şi combaterea fenomenului violenţei în familie, recunoscut drept flagel care afectează grav victimele, necesită intervenţii coordonate şi prompte din partea tuturor structurilor abilitate în domeniu. Implementarea politicilor integrate ar permite intervenţia eficientă în cazurile de violenţă împotriva femeilor şi de violenţă în familie prin asigura­rea unei abordări de coordonare şi cooperare multisectorială care, totodată, să asigure că politicile adoptate sunt funda­men­tate pe date statistice. În prezentul articol propunem Modelul „Romaniţei”, care presupune formarea unei filosofii comune asupra protecţiei şi asistenţei victimelor violenţei, având la bază drepturile şi necesităţile acestora.DOMESTIC VIOLENCE THROUGH INTEGRATED POLICIESPreventing and combating domestic violence, recognized as the scourge seriously affecting victims require prompt and coordinated interventions by all authorized structures in the area. Implementation of integrated policies would allow effective intervention in cases of violence against women and domestic violence by providing a multi-sectoral approach that coordination and cooperation while ensuring that the policies adopted are based on statistical data. In this article we propose model "Flower" which involves the formation of a common philosophy on protection and assistence of victims of violence, based on her rights and needs.

Modelo teórico para a previsão da resistência à compressão da alvenaria armada

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R. F. Silva

Full Text Available Neste trabalho faz-se a comparação entre diferentes modelos para se prever a resistência à compressão de prismas de alvenaria de blocos de concreto. Foram estudados experimentalmente quatro tipos diferentes de configurações de prismas, sendo cada um deles ensaiados vazios, ou seja, não grauteados, e preenchidos com graute mais armaduras, denominados prismas armados. Para todos os arranjos de prismas foram registradas as suas resistências à compressão axial, deformações e modos de ruptura. Posteriormente, esses resultados foram comparados com diferentes modelos teóricos de previsão de resistência, baseados nas resistências individuais de cada material, nas suas deformações de ruptura e no efeito de cintamento introduzido pelos blocos no sistema. Entre os modelos estudados, verificou-se que os que conduziram à melhores resultados foram aqueles em que foi considerado o efeito do cintamento proporcionado pelo bloco de concreto e, ainda, uma alteração na deformação de ruptura do graute.

Accuracy of dental development for estimating the pubertal growth spurt in comparison to skeletal development: a systematic review and meta-analysis.

Science.gov (United States)

Bittencourt, MarcosAlan Vieira; Cericato, GrazielaOro; Franco, Ademir; Girão, RafaelaSilva; Lima, Anderson Paulo Barbosa; Paranhos, LuizRenato

2018-05-01

This study aimed to search for scientific evidence concerning the accuracy of dental development for estimating the pubertal growth spurt. It was conducted according to the statements of PRISMA. An electronic search was performed in six databases, including the grey literature. The PICOS strategy was used to define the eligibility criteria and only observational studies were selected. Out of 1,416 identified citations, 10 articles fulfilled the criteria and were included in this systematic review. The association between dental development and skeletal maturity was considered strong in seven studies, and moderate in two, although the association with the pubertal growth spurt had been verified in only four articles. According to half of the studies, the tooth that provided the greater association with the ossification centres was the lower canine. The meta-analysis performed also indicated a positive association, being stronger in females [0.725 (0.649-0.808)]. However, when the method used for dental evaluation was considered, it was possible to verify greater correlation coefficients for Nolla [0.736 (0.666-0.814)] than for Demirjian [0.631 (0.450-0.884)], at the boys sample. The heterogeneity test reached high values (Q = 51.00), suggesting a potential bias within the studies. Most of individual studies suggested a strong correlation between dental development and skeletal maturation, although the association with the peakof pubertal growth spurtwas clearly cited only in some of them. However, due to the high heterogeneity found among the studies included in this meta-analysis, a pragmatic recommendation about the use of dental stages is not possible.

ENHANCED IMMUNIZATION COVERAGE THROUGH INTERVENTIONS FOR CHILDHOOD CLUSTER DISEASES IN DEVELOPING COUNTRIES.

Science.gov (United States)

Mureed, Sheh; Somronghtong, Ratana; Kumar, Ramesh; Ghaffar, Abdul; Chapman, Robert S

2015-01-01

Globally immunisation has to be considered as a most effective and efficient public health intervention to reduce morbidity and mortality among children. Most of the children from developing countries are still not fully immunized due to multiple factors including lack of interventions, awareness, and financial constraints and due to limited resource. Conversely, this review has identified the effectiveness of interventions to increase the immunisation coverage among children of developing countries. Systematic review by using PRISMA statement ("preferred reporting items for systematic reviews and meta-analyses") has been conducted in English. published articles on Pub Med, Scopus, Cochrane, Medline and ISI by searching keywords like immunizations, childhood vaccination and developing countries has been accessed. Only randomised controlled trial and quasi-experimental studies designs were included in the final analysis based on quality assessment by adopting the Down and Black checklist and finally pooled analysis was done by random effect model. This systematic review has been approved and registered by University of York. A total of 16,570 published articles were accessed and finally 10 fulfilled our criteria that were analysed and interpreted. It demonstrated that the interventions has shown significantly increase vaccine coverage for childhood cluster diseases (OR 2.136 and p 0.05) and full vaccination schedule (OR 1.342 and p>0.05). Systematic review has concluded that the professional interventions are an effective while in improving the child immunisation coverage for cluster diseases in developing countries, major effect on DTP an.d measles.

Executive Summary of the Guidelines for the Use of interferon-gamma Release Assays in the Diagnosis of Tuberculosis Infection.

Science.gov (United States)

Santin, Miguel; García-García, José-María; Rigau, David; Altet, Neus; Anibarro, Luis; Casas, Irma; Díez, Nuria; García-Gasalla, Mercedes; Martínez-Lacasa, Xavier; Penas, Antón; Pérez-Escolano, Elvira; Sánchez, Francisca; Domínguez, José

2016-09-01

Interferon-gamma release assays are widely used for the diagnosis of tuberculosis infection in Spain. However, there is no consensus on their application in specific clinical scenarios. To develop a guide-line for their use, a panel of experts comprising specialists in infectious diseases, respiratory diseases, microbiology, pediatrics and preventive medicine, together with a methodologist, conducted a systematic literature search, summarized the findings, rated the quality of the evidence, and formulated recommendations following the Grading of Recommendations of Assessment Development and Evaluations methodology. This document provides evidence-based guidance on the use of interferon-gamma release assays for the diagnosis of tuberculosis infection in patients at risk of tuberculosis or suspected of having active disease. The guidelines will be applicable to specialist and primary care, and public health. Copyright © 2016 SEPAR. Publicado por Elsevier España, S.L.U. All rights reserved.

Teaching Theory Construction With Initial Grounded Theory Tools: A Reflection on Lessons and Learning.

Science.gov (United States)

Charmaz, Kathy

2015-12-01

This article addresses criticisms of qualitative research for spawning studies that lack analytic development and theoretical import. It focuses on teaching initial grounded theory tools while interviewing, coding, and writing memos for the purpose of scaling up the analytic level of students' research and advancing theory construction. Adopting these tools can improve teaching qualitative methods at all levels although doctoral education is emphasized here. What teachers cover in qualitative methods courses matters. The pedagogy presented here requires a supportive environment and relies on demonstration, collective participation, measured tasks, progressive analytic complexity, and accountability. Lessons learned from using initial grounded theory tools are exemplified in a doctoral student's coding and memo-writing excerpts that demonstrate progressive analytic development. The conclusion calls for increasing the number and depth of qualitative methods courses and for creating a cadre of expert qualitative methodologists. © The Author(s) 2015.

Consensus-based recommendations for case report in Chinese medicine (CARC).

Science.gov (United States)

Fu, Shu-Fei; Cheng, Chung-Wah; Zhang, Li; Zhong, Linda Li-Dan; Kun, Wai; Lin, Jia; Zhang, Bo-Li; Wang, Yong-Yan; Shang, Hong-Cai; Bian, Zhao-Xiang

2016-01-01

Case reports are valuable clinical evidence in traditional Chinese medicine (TCM). However, the general reporting quality is suboptimal. A working group comprising 20 members was set up to develop systematic recommendations on case report in Chinese medicine (CARC). The working group (CARC group) developed a primary checklist based on reviewing the general reporting quality of case reports in TCM and thorough internal discussion. Two-round consensus process had been carried out among clinical experts, evidence-based medicine methodologists, medical journal editors and clinical practitioners with designated questionnaire embedded with the primary checklist. In total, 118 participants from 17 provinces of China and Korea completed the questionnaires. Their feedback was analyzed and discussed by the CARC group. The checklist was amended accordingly, and the final version, comprising 16-item, is presented here. Under the framework of CARC recommendations, the reporting quality of case reports in TCM can be improved.

Design and analysis of group-randomized trials in cancer: A review of current practices.

Science.gov (United States)

Murray, David M; Pals, Sherri L; George, Stephanie M; Kuzmichev, Andrey; Lai, Gabriel Y; Lee, Jocelyn A; Myles, Ranell L; Nelson, Shakira M

2018-06-01

The purpose of this paper is to summarize current practices for the design and analysis of group-randomized trials involving cancer-related risk factors or outcomes and to offer recommendations to improve future trials. We searched for group-randomized trials involving cancer-related risk factors or outcomes that were published or online in peer-reviewed journals in 2011-15. During 2016-17, in Bethesda MD, we reviewed 123 articles from 76 journals to characterize their design and their methods for sample size estimation and data analysis. Only 66 (53.7%) of the articles reported appropriate methods for sample size estimation. Only 63 (51.2%) reported exclusively appropriate methods for analysis. These findings suggest that many investigators do not adequately attend to the methodological challenges inherent in group-randomized trials. These practices can lead to underpowered studies, to an inflated type 1 error rate, and to inferences that mislead readers. Investigators should work with biostatisticians or other methodologists familiar with these issues. Funders and editors should ensure careful methodological review of applications and manuscripts. Reviewers should ensure that studies are properly planned and analyzed. These steps are needed to improve the rigor and reproducibility of group-randomized trials. The Office of Disease Prevention (ODP) at the National Institutes of Health (NIH) has taken several steps to address these issues. ODP offers an online course on the design and analysis of group-randomized trials. ODP is working to increase the number of methodologists who serve on grant review panels. ODP has developed standard language for the Application Guide and the Review Criteria to draw investigators' attention to these issues. Finally, ODP has created a new Research Methods Resources website to help investigators, reviewers, and NIH staff better understand these issues. Published by Elsevier Inc.

Miniaturization of components and systems for space using MEMS-technology

Science.gov (United States)

Grönland, Tor-Arne; Rangsten, Pelle; Nese, Martin; Lang, Martin

2007-06-01

Development of MEMS-based (micro electro mechanical system) components and subsystems for space applications has been pursued by various research groups and organizations around the world for at least two decades. The main driver for developing MEMS-based components for space is the miniaturization that can be achieved. Miniaturization can not only save orders of magnitude in mass and volume of individual components, but it can also allow increased redundancy, and enable novel spacecraft designs and mission scenarios. However, the commercial breakthrough of MEMS has not occurred within the space business as it has within other branches such as the IT/telecom or automotive industries, or as it has in biotech or life science applications. A main explanation to this is the highly conservative attitude to new technology within the space community. This conservatism is in many senses motivated by a very low risk acceptance in the few and costly space projects that actually ends with a space flight. To overcome this threshold there is a strong need for flight opportunities where reasonable risks can be accepted. Currently there are a few flight opportunities allowing extensive use of new technology in space, but one of the exceptions is the PRISMA program. PRISMA is an international (Sweden, Germany, France, Denmark, Norway, Greece) technology demonstration program with focus on rendezvous and formation flying. It is a two satellite LEO mission with a launch scheduled for the first half of 2009. On PRISMA, a number of novel technologies e.g. RF metrology sensor for Darwin, autonomous formation flying based on GPS and vision-based sensors, ADN-based "green propulsion" will be demonstrated in space for the first time. One of the satellites will also have a miniaturized propulsion system onboard based on MEMS-technology. This novel propulsion system includes two microthruster modules, each including four thrusters with micro- to milli-Newton thrust capability. The novelty

Refactoring databases evolutionary database design

CERN Document Server

Ambler, Scott W

2006-01-01

Refactoring has proven its value in a wide range of development projects–helping software professionals improve system designs, maintainability, extensibility, and performance. Now, for the first time, leading agile methodologist Scott Ambler and renowned consultant Pramodkumar Sadalage introduce powerful refactoring techniques specifically designed for database systems. Ambler and Sadalage demonstrate how small changes to table structures, data, stored procedures, and triggers can significantly enhance virtually any database design–without changing semantics. You’ll learn how to evolve database schemas in step with source code–and become far more effective in projects relying on iterative, agile methodologies. This comprehensive guide and reference helps you overcome the practical obstacles to refactoring real-world databases by covering every fundamental concept underlying database refactoring. Using start-to-finish examples, the authors walk you through refactoring simple standalone databas...

[The Strengthening the Reporting of Observational Studies in Epidemiology [STROBE] statement: guidelines for reporting observational studies

DEFF Research Database (Denmark)

Elm, E. von; Altman, D.G.; Egger, M.

2008-01-01

Much biomedical research is observational. The reporting of such research is often inadequate, which hampers the assessment of its strengths and weaknesses and of a study's generalisability. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) initiative developed...... recommendations on what should be included in an accurate and complete report of an observational study. We defined the scope of the recommendations to cover three main study designs: cohort, case-control, and cross-sectional studies. We convened a 2-day workshop in September, 2004, with methodologists...... and the subsequent iterative process of consultation and revision resulted in a checklist of 22 items (the STROBE statement) that relate to the title, abstract, introduction, methods, results, and discussion sections of articles. 18 items are common to all three study designs and four are specific for cohort, case...

The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement

DEFF Research Database (Denmark)

von Elm, Erik; Altman, Douglas G; Egger, Matthias

2014-01-01

Much biomedical research is observational. The reporting of such research is often inadequate, which hampers the assessment of its strengths and weaknesses and of a study's generalisability. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Initiative developed...... recommendations on what should be included in an accurate and complete report of an observational study. We defined the scope of the recommendations to cover three main study designs: cohort, case-control, and cross-sectional studies. We convened a 2-day workshop in September 2004, with methodologists...... and the subsequent iterative process of consultation and revision resulted in a checklist of 22 items (the STROBE Statement) that relate to the title, abstract, introduction, methods, results, and discussion sections of articles. 18 items are common to all three study designs and four are specific for cohort, case...

Clinical priorities, barriers and solutions in end-of-life cancer care research across Europe. Report from a workshop

DEFF Research Database (Denmark)

Sigurdardottir, Katrin Ruth; Haugen, Dagny Faksvåg; van der Rijt, Carin C D

2010-01-01

The PRISMA project is aiming to co-ordinate research priorities, measurement and practice in end-of-life (EOL) care in Europe. As part of PRISMA we undertook a questionnaire survey and a subsequent workshop to (1) identify clinical priorities for EOL care research in Europe and propose a future...... research agenda and (2) identify barriers to EOL care research, and possibilities and solutions to improve the research....

Informed Consent to Study Purpose in Randomized Clinical Trials of Antibiotics, 1991 Through 2011.

Science.gov (United States)

Doshi, Peter; Hur, Peter; Jones, Mark; Albarmawi, Husam; Jefferson, Tom; Morgan, Daniel J; Spears, Patricia A; Powers, John H

2017-10-01

Potential research participants may assume that randomized trials comparing new interventions with older interventions always hypothesize greater efficacy for the new intervention, as in superiority trials. However, antibiotic trials frequently use "noninferiority" hypotheses allowing a degree of inferior efficacy deemed "clinically acceptable" compared with an older effective drug, in exchange for nonefficacy benefits (eg, decreased adverse effects). Considering these different benefit-harm trade-offs, proper informed consent necessitates supplying different information on the purposes of superiority and noninferiority trials. To determine the degree to which the study purpose is explained to potential participants in randomized clinical trials of antibiotics and the degree to which study protocols justify their selection of noninferiority hypotheses and amount of "clinically acceptable" inferiority. Cross-sectional analysis of study protocols, statistical analysis plans (SAPs), and informed consent forms (ICFs) from clinical study reports submitted to the European Medicines Agency. The ICFs were read by both methodologists and patient investigators. Protocols and SAPs were used as the reference standard to determine prespecified primary hypothesis and record rationale for selection of noninferiority hypotheses and noninferiority margins. This information was cross-referenced against ICFs to determine whether ICFs explained the study purpose. We obtained trial documents from 78 randomized trials with prespecified efficacy hypotheses (6 superiority, 72 noninferiority) for 17 antibiotics conducted between 1991 and 2011 that enrolled 39 407 patients. Fifty were included in the ICF analysis. All ICFs contained sections describing study purpose; however, none consistently conveyed study hypothesis to both methodologists and patient investigators. Methodologists found that 1 of 50 conveyed a study purpose. Patient investigators found that 11 of 50 conveyed a study

Language and communication development in preschool children with visual impairment: A systematic review

Directory of Open Access Journals (Sweden)

Renata Mosca

2015-10-01

Full Text Available Background: Language and communication difficulties of young children with visual impairment (VI are ascribed to intellectual disability, multiple disabilities and autism spectrum disorder (ASD rather than their sensory impairment. Consequently, the communication difficulties of children with VI may have been underestimated and undertreated. Objectives: This report aims to critically appraise recent peer reviewed literature relating to communication and language development in children with VI. Method: A systematic search of the literature (2003–2013 was completed using the PRISMA guidelines, and primary and secondary search phrases. Nine publications were reviewed in terms of the strength of recent evidence. Thematic analysis was used to describe the early language and communication characteristics of children with VI. Results: All the selected articles (n = 9 were from developed countries and participants from seven of the studies had congenital VI. Five of the studies received an evidence level rating of III while four articles were rated as IIb. Two main themes emerged from the studies: early intervention, and multiple disabilities and ASD. Language and communication development is affected by VI, especially in the early stages of development. Speech-language therapists should therefore be included in early intervention for children with VI. Conclusion: Recent evidence on the early language and communication difficulties of children with VI exists, but children in developing countries with acquired VI appear to not be investigated. The identified language and communication developmental characteristics may assist speech-language therapists to build a knowledge base for participation in early intervention for young children with VI and their families.

Language and communication development in preschool children with visual impairment: A systematic review.

Science.gov (United States)

Mosca, Renata; Kritzinger, Alta; van der Linde, Jeannie

2015-01-01

Language and communication difficulties of young children with visual impairment (VI) are ascribed to intellectual disability, multiple disabilities and autism spectrum disorder (ASD) rather than their sensory impairment. Consequently, the communication difficulties of children with VI may have been underestimated and undertreated. This report aims to critically appraise recent peer reviewed literature relating to communication and language development in children with VI. A systematic search of the literature (2003–2013) was completed using the PRISMA guidelines, and primary and secondary search phrases. Nine publications were reviewed in terms of the strength of recent evidence. Thematic analysis was used to describe the early language and communication characteristics of children with VI. All the selected articles (n = 9) were from developed countries and participants from seven of the studies had congenital VI. Five of the studies received an evidence level rating of III while four articles were rated as IIb. Two main themes emerged from the studies: early intervention, and multiple disabilities and ASD. Language and communication development is affected by VI, especially in the early stages of development. Speech-language therapists should therefore be included in early intervention for children with VI. Recent evidence on the early language and communication difficulties of children with VI exists, but children in developing countries with acquired VI appear to not be investigated. The identified language and communication developmental characteristics may assist speech-language therapists to build a knowledge base for participation in early intervention for young children with VI and their families.

The Indicators of Gytariai Secondary School teachers' qualification in the context of restructure of Lithuanian and Šiauliai region's educational system

OpenAIRE

Tamošiūnas, Teodoras; Minkuvienė, Edita

2005-01-01

Having investigated the body of statistical data of teachers qualification of the 2002-2003 and 2002-2003 educational activities of Lithuania and Šiauliai city/municipality, the following was established: About 80 per cent of teachers of Lithuanian schools of general education are certified. Pedagogues having the qualification of a senior teacher prevail (56%). The dominant of teachers having high qualification (that of a methodologist or an expert) at secondary schools accounts for 13-23%, i...

Handbook of structural equation modeling

CERN Document Server

Hoyle, Rick H

2012-01-01

The first comprehensive structural equation modeling (SEM) handbook, this accessible volume presents both the mechanics of SEM and specific SEM strategies and applications. The editor, contributors, and editorial advisory board are leading methodologists who have organized the book to move from simpler material to more statistically complex modeling approaches. Sections cover the foundations of SEM; statistical underpinnings, from assumptions to model modifications; steps in implementation, from data preparation through writing the SEM report; and basic and advanced applications, inclu

Gamma ray tracking with the AGATA demonstrator. A novel approach for in-beam spectroscopy

International Nuclear Information System (INIS)

Birkenbach, Benedikt

2014-01-01

The Advanced GAmma Tracking Array (AGATA) employs the novel method of γ-ray tracking (GRT), where all locations of energy depositions within the Ge crystal detector volume are used by computer algorithms to reconstruct the various simultaneous interactions of the measured radiation. The interaction positions are determined by Pulse Shape Analysis (PSA) algorithms that compare the measured and digitized signals with the information of a signal database comprising position dependent calculated sets of detector signals. The result of a detailed comparison between measured and calculated signals yields the position of each interaction point. The GRT algorithms rely on this precise position of the deposited energy as an input to reconstruct the initial γ-rays from the full sequence of the different interactions in the detector. Within this thesis a computer program library was developed, providing software routines to calculate the position dependent detector signals of the highly segmented HPGe detectors. The currently used signal databases of all AGATA detectors were generated by this software package and computer library. Part of the computing is based on individual detector properties which were deduced from detailed characterisation measurements. Details of the library, the used routines and the needed characteristics of the detector system are described, this includes a precise measurement of the crystal axis orientation of the AGATA HPGe crystals. The second part of this thesis is dealing with the analysis of one of the first in-beam experiments performed with the AGATA demonstrator setup at the LNL in Italy. The experiment aimed for a spectroscopic investigation of neutron rich actinides from Thorium to Plutonium produced after multi-nucleon transfer reactions. For this purpose a 136 Xe beam with an energy of 1 GeV bombarded onto a 238 U target. The fast beam like particles after the transfer reactions were identified by the magnetic spectrometer PRISMA. The �

TURISMUL – PRIVIT PRIN PRISMA DEFINIȚIILOR SALE

Directory of Open Access Journals (Sweden)

Oxana COSTEŢCHI-JUŞCA

2018-03-01

Full Text Available Spre sfârșitul secolului al XIX-lea turismul se ancorează profund în mediul înconjurător, transformându-se astfel într-un fenomen social-economic complex. Pentru a-l descoperi și a-i valorifica imensul potențial pe care îl prezintă, sunt inițiate diverse studii în căutarea celor mai eficiente soluții, forme și metode de cercetare. Reieșind din rolul şi importanţa turismului în perioada contemporană, au sporit și preocupările pentru definirea cât mai exactă şi completă a acestui fenomen.THE TOURISM – LOOKED THROUGH THE PRISM OF ITS DEFINITIONTowards the end of the nineteenth century tourism is anchored deeply into the environment, thereby transforming a complex social and economic phenomenon. To discover and to capitalize on the immense potential that presents, initiate various studies looking for the most effective solutions, forms and methods of research. Proceeding from the role and importance of tourism in the contemporary period, and increased concerns for accurate and complete definition of this phenomenon.

Integration of services for older people: back to funding

OpenAIRE

Hébert, Réjean

2012-01-01

Purpose To demonstrate that funding is an essential component of integrated care, even in a universal publicly funded health care system. Context The PRISMA coordination-type model is actually being generalized in the Province of Qu?bec (Canada) concurrently with the creation of Health and Social Services Centers (HSSC), a merging of hospitals, community centers and nursing homes in a local area. Case description PRISMA originally included six components: coordination tables, single entry poi...

Analysis of reporting of systematic reviews in physical therapy published in Portuguese Análise da apresentação textual de revisões sistemáticas em fisioterapia publicadas no idioma português

Directory of Open Access Journals (Sweden)

Rosimeire S. Padula

2012-08-01

Full Text Available BACKGROUND: Systematic reviews are considered the best design to synthesize all existing information of a given research topic. To date, there is no study that investigated the quality of reporting of systematic reviews relevant to physical therapy published in Portuguese. Objective: To analyse the quality of reporting of systematic reviews in the field of physical therapy published in Portuguese by using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis checklist. METHOD: All systematic reviews published in Portuguese that were indexed on PEDro database up to August 2011 were included. The quality of reporting of the eligible papers was analysed by using the PRISMA checklist. Each quality assessment was performed by two independent reviewers with arbitration of a third reviewer if necessary. RESULTS: A total of 37 systematic reviews were identified. These studies were published between 2003 and 2010. Less than 30% of the PRISMA checklist items were satisfied, being most of the items related to the introduction and discussion sections. No improvements over time were observed. CONCLUSIONS: Most of the studies did not satisfy the items from the PRISMA Checklist. It seems that most of authors did not know the existence of this checklist. The implementation of reporting statements such as the PRISMA statement by Portuguese-written journals is likely to help authors to write their systematic reviews in a more transparent and clear way.CONTEXTUALIZAÇÃO: As revisões sistemáticas são consideradas a melhor forma de sintetizar toda a informação existente sobre um determinado tópico, porém não se conhece, até o momento, a qualidade da apresentação textual das revisões sistemáticas em fisioterapia publicadas no idioma português. Objetivo: Analisar a apresentação textual de revisões sistemáticas em fisioterapia publicadas no idioma português utilizando as recomendações PRISMA (Preferred Reporting Items for

Generalized structured component analysis a component-based approach to structural equation modeling

CERN Document Server

Hwang, Heungsun

2014-01-01

Winner of the 2015 Sugiyama Meiko Award (Publication Award) of the Behaviormetric Society of Japan Developed by the authors, generalized structured component analysis is an alternative to two longstanding approaches to structural equation modeling: covariance structure analysis and partial least squares path modeling. Generalized structured component analysis allows researchers to evaluate the adequacy of a model as a whole, compare a model to alternative specifications, and conduct complex analyses in a straightforward manner. Generalized Structured Component Analysis: A Component-Based Approach to Structural Equation Modeling provides a detailed account of this novel statistical methodology and its various extensions. The authors present the theoretical underpinnings of generalized structured component analysis and demonstrate how it can be applied to various empirical examples. The book enables quantitative methodologists, applied researchers, and practitioners to grasp the basic concepts behind this new a...

Multinucleon-Transfer Reactions as a Gateway to Neutron-Rich Actinides and Nuclei near the N=82 and Z=50 Shell Closures

OpenAIRE

Vogt, Andreas Günter Heinz

2017-01-01

In the present work, reaction products in the 136Xe+238U multinucleon-transfer reaction at 1 GeV were investigated employing the high-resolution position-sensitive gamma-ray tracking array AGATA coupled to the large-solid-angle mass spectrometer PRISMA at the Laboratori Nazionali di Legnaro (INFN, Italy). Beam-like reaction products were identified and selected by the PRISMA spectrometer. Recoils and fission fragments were tagged by DANTE micro-channel plate detectors installed within the sca...

Novel methods to help develop healthier eating habits for eating and weight disorders: A systematic review and meta-analysis.

Science.gov (United States)

Turton, Robert; Bruidegom, Kiki; Cardi, Valentina; Hirsch, Colette R; Treasure, Janet

2016-02-01

This paper systematically reviews novel interventions developed and tested in healthy controls that may be able to change the over or under controlled eating behaviours in eating and weight disorders. Electronic databases were searched for interventions targeting habits related to eating behaviours (implementation intentions; food-specific inhibition training and attention bias modification). These were assessed in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. In healthy controls the implementation intention approach produces a small increase in healthy food intake and reduction in unhealthy food intake post-intervention. The size of these effects decreases over time and no change in weight was found. Unhealthy food intake was moderately reduced by food-specific inhibition training and attention bias modification post-intervention. This work may have important implications for the treatment of populations with eating and weight disorders. However, these findings are preliminary as there is a moderate to high level of heterogeneity in implementation intention studies and to date there are few food-specific inhibition training and attention bias modification studies. Copyright © 2015 Elsevier Ltd. All rights reserved.

PROFESSIONAL TEACHERS’ DEVELOPMENT OF EDUCATIONAL COMPLEXES IN THE CONDITIONS OF INTRODUCTION OF THE FEDERAL STATE EDUCATIONAL STANDARD

Directory of Open Access Journals (Sweden)

Elena A. Sidenko

2016-01-01

Full Text Available RETRACTED ARTICLEThe aim of this publication is to familiarize readers with the particularities of training of school teams for the introduction of the Federal State Educational Standard (hereinafter – FSES in the initial stage and considering the features of creating a component of model, namely, program of management training to the introduction of the (FSES. The purpose of the study is to developmethodological bases of construction models of implementation of the Federal state educational standard as a system innovation.Methods. The theoretical and methodological basis of the investigation involves: concepts of motivation of work and reflexive-humanistic psychology; ideas of contextual and projective training, and also acmeological approach to continuous education of adults.Results and scientific novelty. The specifics of the program of professional development of shots for education corresponding to modern realities are described. This program assumes preparation of the school teams consisting of heads of the educational organizations, their deputies, methodologists and teachers. Adequate forms of carrying out internal and correspondence occupations with the organization of productive educational activity of listeners are selected; the complex of tasks for course and intersession occupations is developed. Training of listeners according to the developed program is based as the organizational and pedagogical cascade and cluster model combining resident instruction of the managerial personnel in the organizations of system of professional development with their innovative activity in the educational organizations. The course includes some levels: the basic, technological and organizational-activity-based. The basic level assumes development of the maintenance of FSES and development of innovative potential of listeners; technological level – technologies of conducting group work on development of FSES are mastered

Assessing the complexity of interventions within systematic reviews: development, content and use of a new tool (iCAT_SR

Directory of Open Access Journals (Sweden)

Simon Lewin

2017-04-01

Full Text Available Abstract Background Health interventions fall along a spectrum from simple to more complex. There is wide interest in methods for reviewing ‘complex interventions’, but few transparent approaches for assessing intervention complexity in systematic reviews. Such assessments may assist review authors in, for example, systematically describing interventions and developing logic models. This paper describes the development and application of the intervention Complexity Assessment Tool for Systematic Reviews (iCAT_SR, a new tool to assess and categorise levels of intervention complexity in systematic reviews. Methods We developed the iCAT_SR by adapting and extending an existing complexity assessment tool for randomized trials. We undertook this adaptation using a consensus approach in which possible complexity dimensions were circulated for feedback to a panel of methodologists with expertise in complex interventions and systematic reviews. Based on these inputs, we developed a draft version of the tool. We then invited a second round of feedback from the panel and a wider group of systematic reviewers. This informed further refinement of the tool. Results The tool comprises ten dimensions: (1 the number of active components in the intervention; (2 the number of behaviours of recipients to which the intervention is directed; (3 the range and number of organizational levels targeted by the intervention; (4 the degree of tailoring intended or flexibility permitted across sites or individuals in applying or implementing the intervention; (5 the level of skill required by those delivering the intervention; (6 the level of skill required by those receiving the intervention; (7 the degree of interaction between intervention components; (8 the degree to which the effects of the intervention are context dependent; (9 the degree to which the effects of the interventions are changed by recipient or provider factors; (10 and the nature of the causal

Statistics in the 21st century

CERN Document Server

Wells, Martin T; Wells, Martin T

2001-01-01

Exactly what is the state of the art in statistics as we move forward into the 21st century? What promises, what trends does its future hold? Through the reflections of 70 of the world's leading statistical methodologists, researchers, theorists, and practitioners, Statistics in the 21st Century answers those questions. Originally published in the Journal of the American Statistical Association, this collection of vignettes examines our statistical past, comments on our present, and speculates on our future. Although the coverage is broad and the topics diverse, it reveals the essential intell

Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach.

Science.gov (United States)

Aromataris, Edoardo; Fernandez, Ritin; Godfrey, Christina M; Holly, Cheryl; Khalil, Hanan; Tungpunkom, Patraporn

2015-09-01

With the increase in the number of systematic reviews available, a logical next step to provide decision makers in healthcare with the evidence they require has been the conduct of reviews of existing systematic reviews. Syntheses of existing systematic reviews are referred to by many different names, one of which is an umbrella review. An umbrella review allows the findings of reviews relevant to a review question to be compared and contrasted. An umbrella review's most characteristic feature is that this type of evidence synthesis only considers for inclusion the highest level of evidence, namely other systematic reviews and meta-analyses. A methodology working group was formed by the Joanna Briggs Institute to develop methodological guidance for the conduct of an umbrella review, including diverse types of evidence, both quantitative and qualitative. The aim of this study is to describe the development and guidance for the conduct of an umbrella review. Discussion and testing of the elements of methods for the conduct of an umbrella review were held over a 6-month period by members of a methodology working group. The working group comprised six participants who corresponded via teleconference, e-mail and face-to-face meeting during this development period. In October 2013, the methodology was presented in a workshop at the Joanna Briggs Institute Convention. Workshop participants, review authors and methodologists provided further testing, critique and feedback on the proposed methodology. This study describes the methodology and methods developed for the conduct of an umbrella review that includes published systematic reviews and meta-analyses as the analytical unit of the review. Details are provided regarding the essential elements of an umbrella review, including presentation of the review question in a Population, Intervention, Comparator, Outcome format, nuances of the inclusion criteria and search strategy. A critical appraisal tool with 10 questions to

Parenting Styles, Feeding Styles, Feeding Practices, and Weight Status in 4–12 Year-Old Children: A Systematic Review of the Literature

OpenAIRE

Shloim, Netalie; Edelson, Lisa R.; Martin, Nathalie; Hetherington, Marion M.

2015-01-01

Childhood is a critical period in the development of obesity. Eating patterns established early in life track into later life. Therefore, parental approaches to feeding in their general parenting style, feeding styles and specific feeding practices will have a profound impact on how children eat and grow. A systematic research review following PRISMA guidelines was conducted to identify, discuss and integrate recent research investigating the relationship between parenting styles, feeding s...

Enhanced immunization coverage through interventions for childhood cluster diseases in developing countries

International Nuclear Information System (INIS)

Mureed, S.; Somronghtong, R.; Kumar, R.

2015-01-01

Globally immunisation has to be considered as a most effective and efficient public health intervention to reduce morbidity and mortality among children. Most of the children from developing countries are still not fully immunized due to multiple factors including lack of interventions, awareness, and financial constraints and due to limited resource. Conversely, this review has identified the effectiveness of interventions to increase the immunisation coverage among children of developing countries. Methods: Systematic review by using PRISMA statement (preferred reporting items for systematic reviews and meta-analyses) has been conducted in English published articles on Pub Med, Scopus, Cochrane, Medline and ISI by searching keywords like immunizations, childhood vaccination and developing countries has been accessed. Only randomised controlled trial and quasi-experimental studies designs were included in the final analysis based on quality assessment by adopting the Down and Black checklist and finally pooled analysis was done by random effect model. This systematic review has been approved and registered by University of York. Results: A total of 16,570 published articles were accessed and finally 10 fulfilled our criteria that were analysed and interpreted. It demonstrated that the interventions has shown significantly increase vaccine coverage for childhood cluster diseases (OR 2.136 and p <0.05).Furthermore, it has been proved that an effect was more prominent for DTP (OR 2.397 and p<0.05) and measles (OR 2.628 and p<0.05), not as much for polio (OR 2.284 and p>0.05) and full vaccination schedule (OR 1.342 and p>0.05). Conclusions: Systematic review has concluded that the professional interventions are an effective while in improving the child immunisation coverage for cluster diseases in developing countries, major effect on DTP and measles. (author)

Mortuary operations following mass fatality natural disasters: a review.

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Anderson, Madelyn; Leditschke, Jodie; Bassed, Richard; Cordner, Stephen M; Drummer, Olaf H

2017-03-01

This is a critical review to discuss the best practice approaches to mortuary operations in preparation for and the response to natural, mass fatality, disaster events, as identified by a review of published articles. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) Statement guided the identification of potential articles to use in this critical review. Subsequent searches were also conducted to identify articles relating to heat wave, and flood mortality. All identified peer-reviewed studies published in English which discussed the preparation and response of mortuaries to mass fatality natural disasters occurring in developed countries were included. Using the PRISMA-P method of identifying articles, 18 articles were selected for inclusion in this review. Although there are numerous articles which describe the mortuary response to mass fatality incidents, few articles analyzed the response, or discussed the roles which supported and enabled the organization to undertake the task of identifying disaster victims. It is thus difficult to determine objectively if the actions and activities outlined in the articles represent best-practice.

Analgesic Treatment in Laparoscopic Gastric Bypass Surgery

DEFF Research Database (Denmark)

Andersen, Lars P H; Werner, Mads U; Rosenberg, Jacob

2014-01-01

This review aimed to present an overview of the randomized controlled trials investigating analgesic regimens used in laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery. Literature search was performed in PubMed and EMBASE databases in August 2013 in accordance to PRISMA guidelines. The litera......This review aimed to present an overview of the randomized controlled trials investigating analgesic regimens used in laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery. Literature search was performed in PubMed and EMBASE databases in August 2013 in accordance to PRISMA guidelines...

Is quality and completeness of reporting of systematic reviews and meta-analyses published in high impact radiology journals associated with citation rates?

Science.gov (United States)

van der Pol, Christian B; McInnes, Matthew D F; Petrcich, William; Tunis, Adam S; Hanna, Ramez

2015-01-01

The purpose of this study is to determine whether study quality and completeness of reporting of systematic reviews (SR) and meta-analyses (MA) published in high impact factor (IF) radiology journals is associated with citation rates. All SR and MA published in English between Jan 2007-Dec 2011, in radiology journals with an IF >2.75, were identified on Ovid MEDLINE. The Assessing the Methodologic Quality of Systematic Reviews (AMSTAR) checklist for study quality, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist for study completeness, was applied to each SR & MA. Each SR & MA was then searched in Google Scholar to yield a citation rate. Spearman correlation coefficients were used to assess the relationship between AMSTAR and PRISMA results with citation rate. Multivariate analyses were performed to account for the effect of journal IF and journal 5-year IF on correlation with citation rate. Values were reported as medians with interquartile range (IQR) provided. 129 studies from 11 journals were included (50 SR and 79 MA). Median AMSTAR result was 8.0/11 (IQR: 5-9) and median PRISMA result was 23.0/27 (IQR: 21-25). The median citation rate for SR & MA was 0.73 citations/month post-publication (IQR: 0.40-1.17). There was a positive correlation between both AMSTAR and PRISMA results and SR & MA citation rate; ρ=0.323 (P=0.0002) and ρ=0.327 (P=0.0002) respectively. Positive correlation persisted for AMSTAR and PRISMA results after journal IF was partialed out; ρ=0.243 (P=0.006) and ρ=0.256 (P=0.004), and after journal 5-year IF was partialed out; ρ=0.235 (P=0.008) and ρ=0.243 (P=0.006) respectively. There is a positive correlation between the quality and the completeness of a reported SR or MA with citation rate which persists when adjusted for journal IF and journal 5-year IF.

ORGANIZING THE MUSIC CLASSES IN STARTING SCHOOLS

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N. G. Tagiltseva

2013-01-01

Full Text Available The paper considers the issue of children preparation for school in so called starting schools. In author’s opinion, the arts disciplines such as music, drawing and choreography can develop the aesthetic sense, moral qualities, more optimistic world outlook and respectful  attitude; the child develops creative skills and beauty perception both in fine arts and wild life.The author looks at the problems of planning and organizing the music training of preschool children, the different requirements for and concepts of the preschool and primary school normative documents being analyzed. The paper substantiates the effectiveness of poly-artistic and activity approaches to the split-level teaching, in particular – the method of projecting the familiar actions onto some sort of artistic activities. Based on the succession of preschool and primary school training, the author specifies the goals of music classes in starting schools, and outlines the most relevant game activities of role plays, didactic plays and contests.The paper is addressed to preschool and primary school teachers, music teachers, as well as methodologists and researchers dealing with preschool teaching. 

VARIABLE STIFFNESS HAND PROSTHESIS: A SYSTEMATIC REVIEW

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S. Cecilia Tapia-Siles

2017-06-01

Full Text Available Prosthetics is an important field in engineering due to the large number of amputees worldwide and the associated problems such as limited functionality of the state of the art. An important functionality of the human hand is its capability of adjusting the stiffness of the joints depending on the currently performed task. For the development of new technology it is important to understand the limitations of existing resources. As part of our efforts to develop a variable stiffness grasper for developing countries a systematic review was performed covering technology of body powered and myoelectric hand prosthesis. Focus of the review is readiness of prosthetic hands regarding their capability of controlling the stiffness of the end effector. Publications sourced through three different digital libraries were systematically reviewed on the basis of the PRISMA standard. We present a search strategy as well as the PRISMA assessment of the resulting records which covered 321 publications. The records were assessed and the results are presented for the ability of devices to control their joint stiffness. The review indicates that body powered prosthesis are preferred to myoelectric hands due to the reduced cost, the simplicity of use and because of their inherent ability to provide feedback to the user. Stiffness control was identified but has not been fully covered in the current state of the art. In addition we summarise the identified requirements on prosthetic hands as well as related information which can support the development of new prosthetics.

Surgery for constipation : systematic review and clinical guidance : Paper 1 : Introduction & Methods

OpenAIRE

Knowles, C. H.; Grossi, U.; Horrocks, E. J.; Pares, D.; Vollebregt, P. F.; Chapman, M.; Brown, S. R.; Mercer-Jones, M.; Williams, A. B.; Hooper, R. J.; Stevens, N.; Mason, James; HASH(0x55897e378178); HASH(0x55897e14a718)

2017-01-01

Aim\\ud \\ud This manuscript provides the introduction and detailed methodology used in subsequent reviews to assess the outcomes of surgical interventions with the primary intent of treating chronic constipation in adults and to develop recommendations for practice.\\ud \\ud Method\\ud \\ud PRISMA guidance was adhered to throughout. A literature search was performed in public databases between January 1960 and February 2016. Studies that fulfilled strictly-defined PICOS (patients, interventions, c...

An evidence-based recommendation on bed head elevation for mechanically ventilated patients

OpenAIRE

Ni?l-Weise, Barbara S; Gastmeier, Petra; Kola, Axel; Vonberg, Ralf P; Wille, Jan C; van den Broek, Peterhans J

2011-01-01

Introduction A semi-upright position in ventilated patients is recommended to prevent ventilator-associated pneumonia (VAP) and is one of the components in the Ventilator Bundle of the Institute for Health Care Improvement. This recommendation, however, is not an evidence-based one. Methods A systematic review on the benefits and disadvantages of semi-upright position in ventilated patients was done according to PRISMA guidelines. Then a European expert panel developed a recommendation based ...

Talent Identification and Development in Male Football: A Systematic Review.

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Sarmento, Hugo; Anguera, M Teresa; Pereira, Antonino; Araújo, Duarte

2018-04-01

Expertise has been extensively studied in several sports over recent years. The specificities of how excellence is achieved in Association Football, a sport practiced worldwide, are being repeatedly investigated by many researchers through a variety of approaches and scientific disciplines. The aim of this review was to identify and synthesise the most significant literature addressing talent identification and development in football. We identified the most frequently researched topics and characterised their methodologies. A systematic review of Web of Science™ Core Collection and Scopus databases was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. The following keywords were used: "football" and "soccer". Each word was associated with the terms "talent", "expert*", "elite", "elite athlete", "identification", "career transition" or "career progression". The selection was for the original articles in English containing relevant data about talent development/identification on male footballers. The search returned 2944 records. After screening against set criteria, a total of 70 manuscripts were fully reviewed. The quality of the evidence reviewed was generally excellent. The most common topics of analysis were (1) task constraints: (a) specificity and volume of practice; (2) performers' constraints: (a) psychological factors; (b) technical and tactical skills; (c) anthropometric and physiological factors; (3) environmental constraints: (a) relative age effect; (b) socio-cultural influences; and (4) multidimensional analysis. Results indicate that the most successful players present technical, tactical, anthropometric, physiological and psychological advantages that change non-linearly with age, maturational status and playing positions. These findings should be carefully considered by those involved in the identification and development of football players. This review highlights the need for coaches

An integrative review: Developing and measuring creativity in nursing.

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Ma, Xing; Yang, Yuanyuan; Wang, Xue; Zang, Yuli

2018-03-01

To analyze and synthesise the existing evidence on creativity in nursing. An integrative review. A systematic search was conducted using seven English databases (PubMed, Science Direct, Web of Science, Cochrane, EBSCO, Wiley, and Medline) and the top three best Chinese databases (CNKI, Wanfang Data, and VIP). The combined keywords, creativity and nursing/nurse, were used to search for relevant journal articles that were written in English or Chinese from January 1995 to December 2016. The components of articles, i.e. title, abstract, full-text and the cited reference, were screened, filtered, evaluated and recorded according to the PRISMA statements and Joanna Briggs Institute Checklists. Thematic analysis was performed to synthesise evidence from the full-texts of studies. Fifteen quantitative and seven qualitative studies were included in this review. A joyful affective perspective enriched the conceptualization of creativity in nursing. Many intrinsic factors (e.g. learning styles, thinking styles, intrinsic passion, interest in nursing and achievement motivation) or extrinsic factors (mostly workplace problems and nurses' shortage) could influence nurses' and nursing students' creativity. Artistic expressions (e.g. painting, music, and pottery), self-directed learning and group/team work were reported to have a positive effect on creativity enhancement. None of existing instruments can adequately measure nurses' or nursing students' creativity. The concept of creativity requires an explicit definition, which is essential to the development and evaluation of creativity in nursing education and practice. Many factors influencing nurses' and nursing students' creativity can be implemented to achieve positive outcomes through efforts at artistic expressions, self-directed learning and teamwork. An instrument with satisfactory psychometric properties should be available for monitoring creativity development among nurses and nursing students. Copyright © 2017

The effects of sleep loss on young drivers' performance: A systematic review.

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Shamsi Shekari Soleimanloo

Full Text Available Young drivers (18-24 years are over-represented in sleep-related crashes (comprising one in five fatal crashes in developed countries primarily due to decreased sleep opportunity, lower tolerance for sleep loss, and ongoing maturation of brain areas associated with driving-related decision making. Impaired driving performance is the proximal reason for most car crashes. There is still a limited body of evidence examining the effects of sleep loss on young drivers' performance, with discrepancies in the methodologies used, and in the definition of outcomes. This study aimed to identify the direction and magnitude of the effects of sleep loss on young drivers' performance, and to appraise the quality of current evidence via a systematic review. Based on the Preferred Reporting Items for Systematic Reviews and Meta- Analyses (PRISMA approach, 16 eligible studies were selected for review, and their findings summarised. Next, critical elements of these studies were identified, and the Grading of Recommendations Assessment, Development and Evaluation (GRADE guidelines augmented to rate those elements. Using those criteria, the quality of individual papers was calculated and the overall body of evidence for each driving outcome were assigned a quality ranking (from 'very low' to 'high-quality'. Two metrics, the standard deviation of lateral position and number of line crossings, were commonly reported outcomes (although in an overall 'low-quality' body of evidence, with significant impairments after sleep loss identified in 50% of studies. While speed-related outcomes and crash events (also with very low- quality evidence both increased under chronic sleep loss, discrepant findings were reported under conditions of acute total sleep deprivation. It is crucial to obtain more reliable data about the effects of sleep loss on young drivers' performance by using higher quality experimental designs, adopting common protocols, and the use of consistent

The explicit mentioning of reporting guidelines in urogynecology journals in 2013: A bibliometric study.

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Koch, Marianne; Riss, Paul; Umek, Wolfgang; Hanzal, Engelbert

2016-03-01

Poor reporting of research may limit critical appraisal and reproducibility, whereas adherence to reporting guidelines (RG) can guarantee completeness and transparency. We aimed to determine the explicit citing of RGs (CONSORT, PRISMA, STROBE) in urogynecology articles in 2013, the requirements of relevant journals and a potential difference between urogynecology and general gynecology journals. All urogynecologic articles published between January and December 2013 in the journals NAU, IUJ, FPMRS, GREEN, AJOG, and BJOG were included. Issues were searched for systematic reviews, RCTs, cohort studies, case-control studies and cross-sectional studies. Each electronic article was searched for the term PRISMA, CONSORT, or STROBE according to the study design. Instructions to Authors of the six journals were screened for requirement of using RGs. We included 296 articles (243 observational studies, 40 RCTs, and 13 systematic reviews). The use of PRISMA guidelines was explicitly declared in 54% of systematic reviews, CONSORT guidelines were referenced in 25% of RCTs and STROBE in 1.2% of observational studies. The use of CONSORT is required by all journals except FPMRS. PRISMA and STROBE are only compulsory in the journals GREEN, AJOG, and BJOG. The overall rate of explicit mentioning of RGs comparing urogynecology and general gynecology journals was 6.7% versus 7.1%, respectively. The explicit mentioning of RGs was on a relatively low level. A slightly higher adherence was recognized among general gynecology journals compared to urogynecology journals. Stronger efforts should be taken to further promote the use of RGs in urogynecology. © 2015 Wiley Periodicals, Inc.

Descriptions of Sampling Practices Within Five Approaches to Qualitative Research in Education and the Health Sciences

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Timothy C. Guetterman

2015-05-01

Full Text Available Although recommendations exist for determining qualitative sample sizes, the literature appears to contain few instances of research on the topic. Practical guidance is needed for determining sample sizes to conduct rigorous qualitative research, to develop proposals, and to budget resources. The purpose of this article is to describe qualitative sample size and sampling practices within published studies in education and the health sciences by research design: case study, ethnography, grounded theory methodology, narrative inquiry, and phenomenology. I analyzed the 51 most highly cited studies using predetermined content categories and noteworthy sampling characteristics that emerged. In brief, the findings revealed a mean sample size of 87. Less than half of the studies identified a sampling strategy. I include a description of findings by approach and recommendations for sampling to assist methodologists, reviewers, program officers, graduate students, and other qualitative researchers in understanding qualitative sampling practices in recent studies. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1502256

The impact of surgical resection of the primary tumor on the development of synchronous colorectal liver metastasis: a systematic review.

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Pinson, H; Cosyns, S; Ceelen, Wim P

2018-05-22

In recent years different therapeutic strategies for synchronously liver metastasized colorectal cancer were described. Apart from the classical staged surgical approach, simultaneous and liver-first strategies are now commonly used. One theoretical drawback of the classical approach is, however, the stimulatory effect on liver metastases growth that may result from resection of the primary tumour. This systematic review, therefore, aims to investigate the current insights on the stimulatory effects of colorectal surgery on the growth of synchronous colorectal liver metastases in humans. The systematic review was conducted according to the PRISMA statement. A literature search was performed using PubMed and Embase. Articles investigating the effects of colorectal surgery on synchronous colorectal liver metastases were included. Primary endpoints were metastatic tumor volume, metabolic and proliferative activity and tumour vascularization. Four articles meeting the selection criteria were found involving 200 patients. These studies investigate the effects of resection of the primary tumour on synchronous liver metastases using histological and radiological techniques. These papers support a possible stimulatory effect of resection of the primary tumor. Some limited evidence supports the hypothesis that colorectal surgery might stimulate the growth and development of synchronous colorectal liver metastases.

How can we improve the interpretation of systematic reviews?

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Straus Sharon E

2011-03-01

Full Text Available Abstract A study conducted by Lai and colleagues, published this week in BMC Medicine, suggests that more guidance might be required for interpreting systematic review (SR results. In the study by Lai and colleagues, positive (or favorable results were influential in changing participants' prior beliefs about the interventions presented in the systematic review. Other studies have examined the relationship between favorable systematic review results and the publication of systematic reviews. An international registry may decrease the number of unpublished systematic reviews and will hopefully decrease redundancy, increase transparency, and increase collaboration within the SR community. In addition, using guidance from the Preferred Items for Systematic Reviews and Meta-analyses (PRISMA: http://www.prisma-statement.org/ Statement and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE: http://www.gradeworkinggroup.org/ approach can also be used to improve the interpretation of systematic reviews. In this commentary, we highlight important methodological issues related to the conduct and reporting of systematic reviews and also present our own guidance on interpreting systematic reviews. Please see Research article: http://www.biomedcentral.com/1741-7015/9/30/.

IN-SERVICE TEACHER TRAINING COURSES: ORGANIZATIONAL COMPONENTS

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Mykola Solovey

2017-07-01

Full Text Available The article describes the organizational components of the teacher training courses at the Khmelnytsky Regional In-Service Teacher Training Institute. According to the Law of Ukraine “On Professional Development” the state policy in this area aims at the process of continuous professional development and creates conditions for teacher to learn at training courses once every five years. The Law of Ukraine "On Education" declares that the professional development is the duty and the rate of life of teachers. Formation of the number of trainees, the quality of the scientific and pedagogical staff, the content of training, planning and documentation, resources and economic support are the basis for organizing in-service courses. The formation of a contingent of trainees consists of several stages: 1 previous research and prediction of the quantitative composition of trainees; 2 specification of indicators of the actual number of trainees; 3 approval of the actual number of trainees, and the schedule for the next year's courses; 4 an analysis of the implementation of the plan of courses. Every year more than six thousand teachers study at the courses. In accordance with the schedule of training, students are spread across departments. Lecture sessions, practical sessions, trainings are carried out by the scientific staff of the departments, methodologists and teachers of practice. Educational programs are built on the basis of qualification characteristics, state requirements for the content of education in secondary school, the wishes of teachers. The overall structure of the programs corresponds to the recommendations of the Ministry of Education and Science of Ukraine. The variable part is developed in accordance with the pedagogical specialties and considering the recommendations of the departments and methodologists. Based on the content of educational programs, the general structure of the curriculum is developed. The institute has

Dietary interventions in overweight and obese pregnant women

DEFF Research Database (Denmark)

Flynn, Angela C; Dalrymple, Kathryn; Barr, Suzanne

2016-01-01

: A systematic review of the literature, consistent with PRISMA guidelines, was performed as part of the International Weight Management in Pregnancy collaboration. STUDY SELECTION: Thirteen randomized controlled trials, which aimed to modify diet and physical activity in overweight and obese pregnant women...... gestational weight gain. CONCLUSION: This review reveals large methodological variability in dietary interventions to control gestational weight gain and improve clinical outcomes in overweight and obese pregnant women. This lack of consensus limits the ability to develop clinical guidelines and apply...

Analysis of small sample size studies using nonparametric bootstrap test with pooled resampling method.

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Dwivedi, Alok Kumar; Mallawaarachchi, Indika; Alvarado, Luis A

2017-06-30

Experimental studies in biomedical research frequently pose analytical problems related to small sample size. In such studies, there are conflicting findings regarding the choice of parametric and nonparametric analysis, especially with non-normal data. In such instances, some methodologists questioned the validity of parametric tests and suggested nonparametric tests. In contrast, other methodologists found nonparametric tests to be too conservative and less powerful and thus preferred using parametric tests. Some researchers have recommended using a bootstrap test; however, this method also has small sample size limitation. We used a pooled method in nonparametric bootstrap test that may overcome the problem related with small samples in hypothesis testing. The present study compared nonparametric bootstrap test with pooled resampling method corresponding to parametric, nonparametric, and permutation tests through extensive simulations under various conditions and using real data examples. The nonparametric pooled bootstrap t-test provided equal or greater power for comparing two means as compared with unpaired t-test, Welch t-test, Wilcoxon rank sum test, and permutation test while maintaining type I error probability for any conditions except for Cauchy and extreme variable lognormal distributions. In such cases, we suggest using an exact Wilcoxon rank sum test. Nonparametric bootstrap paired t-test also provided better performance than other alternatives. Nonparametric bootstrap test provided benefit over exact Kruskal-Wallis test. We suggest using nonparametric bootstrap test with pooled resampling method for comparing paired or unpaired means and for validating the one way analysis of variance test results for non-normal data in small sample size studies. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

Sõltumatu ja demokraatlik õigusriik Riigikohtu praktikas : Eesti Euroopa Liidu liikmesuse kontekstis / Julia Laffranque

Index Scriptorium Estoniae

Laffranque, Julia, 1974-

2009-01-01

Euroopa Liidu õiguse ülimuslikkusest. Riigikohtu Euroopa Liidu õigust puudutavatest lahenditest. Riigikohtu rollidest läbi Euroopa Liidu õiguse prisma võrreldes teiste liikmesriikide konstitutsioonikohtutega

Editorial

Directory of Open Access Journals (Sweden)

Zinchenko, Yury P.

2013-06-01

Full Text Available The educational reform is Russia is in full swing, so the section of Psychology of education and learning is the most widely presented in the current issue. The international collective of authors Frédéric Yvon, Ludmila A. Chaiguerova and Denise Shelley Newnham considers different interpretations of the works of Lev Vygotsky — famous psychologist and methodologist. The authors suggest original ways of incorporating Vygotsky’s ideas into the modern educational system. Dmitry A. Podolskiy presents his study of value hierarchy among students and adolescence in the article “Multimethod approach to measuring values in a school context: exploring the association between Congruence — Discrepancy Index (CODI and task commitment”. In the article “The role of reflection and reflexivity in the development of student’s abilities” Vladimir D. Shadrikov explores the role of reflection in the educational process. The group of authors headed by Nikolay E. Veraksa state that dialectical thinking is a specific line of cognitive development in children and adults and proves this statement by the empirical data (“The structural dialectical approach in psychology problematic and research results”.

The "movement" of mixed methods research and the role of educators

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John W. Creswell

2008-08-01

Full Text Available The landscape of research is continually evolving, enabling researchers to study increasingly complex phenomena. Educational researchers have propelled much of this forward progress and have developed novel methodologies to provide increasingly sound and complete evidence. Mixed methods research has emerged alongside quantitative and qualitative approaches as an important tool for researchers. In this article our overall aim is to better acquaint educational scholars with the mixed methods field by articulating the development of the mixed methods field and by citing current trends and issues. The role of educational researchers in the evolution of mixed methods research is high-lighted. The early and ongoing dialogue of mixed methods research is multi-disciplinary in nature with current writings across fields. The current debate over key aspects of mixed methods research is now in progress and is ripe for future contributions. Even the very nature of what constitutes mixed methods research is being discussed among scholars. Understanding and advancing the mixed methods field is an important goal for methodologists and researchers. With the increased interest and enthusiasm for mixed methods research, it is likely that the dialogue surrounding mixed methods approaches will thrive, continuing the movement of the field.

Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline.

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Fleseriu, Maria; Hashim, Ibrahim A; Karavitaki, Niki; Melmed, Shlomo; Murad, M Hassan; Salvatori, Roberto; Samuels, Mary H

2016-11-01

To formulate clinical practice guidelines for hormonal replacement in hypopituitarism in adults. The participants include an Endocrine Society-appointed Task Force of six experts, a methodologist, and a medical writer. The American Association for Clinical Chemistry, the Pituitary Society, and the European Society of Endocrinology co-sponsored this guideline. The Task Force developed this evidence-based guideline using the Grading of Recommendations, Assessment, Development, and Evaluation system to describe the strength of recommendations and the quality of evidence. The Task Force commissioned two systematic reviews and used the best available evidence from other published systematic reviews and individual studies. One group meeting, several conference calls, and e-mail communications enabled consensus. Committees and members of the Endocrine Society, the American Association for Clinical Chemistry, the Pituitary Society, and the European Society of Endocrinology reviewed and commented on preliminary drafts of these guidelines. Using an evidence-based approach, this guideline addresses important clinical issues regarding the evaluation and management of hypopituitarism in adults, including appropriate biochemical assessments, specific therapeutic decisions to decrease the risk of co-morbidities due to hormonal over-replacement or under-replacement, and managing hypopituitarism during pregnancy, pituitary surgery, and other types of surgeries.

Philosophy of phenomenology: how understanding aids research.

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Converse, Mary

2012-01-01

To assist the researcher in understanding the similarities and differences between the Husserlian and Heideggerian philosophies of phenomenology, and how that philosophy can inform nursing research as a useful methodology. Nurse researchers using phenomenology as a methodology need to understand the philosophy of phenomenology to produce a research design that is philosophically congruent. However, phenomenology has a long and complex history of development, and may be difficult to understand and apply. The author draws from Heidegger (1962), Gadamer (2004), and nurse scholars and methodologists. To give the reader a sense of the development of the philosophy of phenomenology, the author briefly recounts its historical origins and interpretations, specifically related to Husserl, Heidegger and Gadamer. The author outlines the ontological and epistemological assumptions of Husserlian and Heideggerian phenomenology and guidance for methodology inspired by these philosophers. Difficulties with engaging in phenomenological research are addressed, especially the processes of phenomenological reduction and bracketing, and the lack of clarity about the methods of interpretation. Despite its complexity, phenomenology can provide the nurse researcher with indepth insight into nursing practice. An understanding of phenomenology can guide nurse researchers to produce results that have meaning in nursing patient care.

Determination of lifetimes of nuclear excited states using the Recoil Distance Doppler Shift Method in combination with magnetic spectrometers

Energy Technology Data Exchange (ETDEWEB)

Doncel, M. [Universidad de Salamanca, Laboratorio de Radiaciones Ionizantes, Salamanca (Spain); Royal Institute of Technology, Department of Physics, Stockholm (Sweden); University of Liverpool, Department of Physics, Oliver Lodge Laboratory, Liverpool (United Kingdom); Gadea, A. [CSIC-University of Valencia, Istituto de Fisica Corpuscular, Valencia (Spain); Valiente-Dobon, J.J. [INFN, Laboratori Nazionali di Legnaro, Legnaro (Italy); Quintana, B. [Universidad de Salamanca, Laboratorio de Radiaciones Ionizantes, Salamanca (Spain); Modamio, V. [INFN, Laboratori Nazionali di Legnaro, Legnaro (Italy); University of Oslo, Oslo (Norway); Mengoni, D. [Dipartimento di Fisica e Astronomia, Universita di Padova, Padova (Italy); Istituto Nazionale di Fisica Nucleare, Sezione di Padova, Padova (Italy); Moeller, O.; Pietralla, N. [Technische Universitaet Darmstadt, Institut fuer Kernphysik, Darmstadt (Germany); Dewald, A. [Institut fuer Kernphysik, Universitaet Koeln (Germany)

2017-10-15

The current work presents the determination of lifetimes of nuclear excited states using the Recoil Distance Doppler Shift Method, in combination with spectrometers for ion identification, normalizing the intensity of the peaks by the ions detected in the spectrometer as a valid technique that produces results comparable to the ones obtained by the conventional shifted-to-unshifted peak ratio method. The technique has been validated using data measured with the γ-ray array AGATA, the PRISMA spectrometer and the Cologne plunger setup. In this paper a test performed with the AGATA-PRISMA setup at LNL and the advantages of this new approach with respect to the conventional Recoil Distance Doppler Shift Method are discussed. (orig.)

User-centered design and the development of patient decision aids: protocol for a systematic review.

Science.gov (United States)

Witteman, Holly O; Dansokho, Selma Chipenda; Colquhoun, Heather; Coulter, Angela; Dugas, Michèle; Fagerlin, Angela; Giguere, Anik Mc; Glouberman, Sholom; Haslett, Lynne; Hoffman, Aubri; Ivers, Noah; Légaré, France; Légaré, Jean; Levin, Carrie; Lopez, Karli; Montori, Victor M; Provencher, Thierry; Renaud, Jean-Sébastien; Sparling, Kerri; Stacey, Dawn; Vaisson, Gratianne; Volk, Robert J; Witteman, William

2015-01-26

Providing patient-centered care requires that patients partner in their personal health-care decisions to the full extent desired. Patient decision aids facilitate processes of shared decision-making between patients and their clinicians by presenting relevant scientific information in balanced, understandable ways, helping clarify patients' goals, and guiding decision-making processes. Although international standards stipulate that patients and clinicians should be involved in decision aid development, little is known about how such involvement currently occurs, let alone best practices. This systematic review consisting of three interlinked subreviews seeks to describe current practices of user involvement in the development of patient decision aids, compare these to practices of user-centered design, and identify promising strategies. A research team that includes patient and clinician representatives, decision aid developers, and systematic review method experts will guide this review according to the Cochrane Handbook and PRISMA reporting guidelines. A medical librarian will hand search key references and use a peer-reviewed search strategy to search MEDLINE, EMBASE, PubMed, Web of Science, the Cochrane Library, the ACM library, IEEE Xplore, and Google Scholar. We will identify articles across all languages and years describing the development or evaluation of a patient decision aid, or the application of user-centered design or human-centered design to tools intended for patient use. Two independent reviewers will assess article eligibility and extract data into a matrix using a structured pilot-tested form based on a conceptual framework of user-centered design. We will synthesize evidence to describe how research teams have included users in their development process and compare these practices to user-centered design methods. If data permit, we will develop a measure of the user-centeredness of development processes and identify practices that are likely

Automation of information decision support to improve e-learning resources quality

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A.L. Danchenko

2013-06-01

Full Text Available Purpose. In conditions of active development of e-learning the high quality of e-learning resources is very important. Providing the high quality of e-learning resources in situation with mass higher education and rapid obsolescence of information requires the automation of information decision support for improving the quality of e-learning resources by development of decision support system. Methodology. The problem is solved by methods of artificial intelligence. The knowledge base of information structure of decision support system that is based on frame model of knowledge representation and inference production rules are developed. Findings. According to the results of the analysis of life cycle processes and requirements to the e-learning resources quality the information model of the structure of the knowledge base of the decision support system, the inference rules for the automatically generating of recommendations and the software implementation are developed. Practical value. It is established that the basic requirements for quality are performance, validity, reliability and manufacturability. It is shown that the using of a software implementation of decision support system for researched courses gives a growth of the quality according to the complex quality criteria. The information structure of a knowledge base system to support decision-making and rules of inference can be used by methodologists and content developers of learning systems.

Multicomponent Musculoskeletal Movement Assessment Tools: A Systematic Review and Critical Appraisal of Their Development and Applicability to Professional Practice.

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Bennett, Hunter; Davison, Kade; Arnold, John; Slattery, Flynn; Martin, Max; Norton, Kevin

2017-10-01

Multicomponent movement assessment tools have become commonplace to measure movement quality, proposing to indicate injury risk and performance capabilities. Despite popular use, there has been no attempt to compare the components of each tool reported in the literature, the processes in which they were developed, or the underpinning rationale for their included content. As such, the objective of this systematic review was to provide a comprehensive summary of current movement assessment tools and appraise the evidence supporting their development. A systematic literature search was performed using PRISMA guidelines to identify multicomponent movement assessment tools. Commonalities between tools and the evidence provided to support the content of each tool was identified. Each tool underwent critical appraisal to identify the rigor in which it was developed, and its applicability to professional practice. Eleven tools were identified, of which 5 provided evidence to support their content as assessments of movement quality. One assessment tool (Soccer Injury Movement Screen [SIMS]) received an overall score of above 65% on critical appraisal, with a further 2 tools (Movement Competency Screen [MCS] and modified 4 movement screen [M4-MS]) scoring above 60%. Only the MCS provided clear justification for its developmental process. The remaining 8 tools scored between 40 and 60%. On appraisal, the MCS, M4-MS, and SIMS seem to provide the most practical value for assessing movement quality as they provide the strongest reports of developmental rigor and an identifiable evidence base. In addition, considering the evidence provided, these tools may have the strongest potential for identifying performance capabilities and guiding exercise prescription in athletic and sport-specific populations.

The 1st Baltic Osseointegration Academy and Lithuanian University of Health Sciences Consensus Conference 2016. Summary and Consensus Statements: Group III - Peri-Implantitis Treatment

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Fernando Suárez-López del Amo

2016-09-01

Full Text Available Introduction: The task of Group 3 was to review and update the existing data concerning non-surgical, surgical non-regenerative and surgical regenerative treatment of peri-implantitis. Special interest was paid to the preventive and supporting therapy in case of peri-implantitis. Material and Methods: The main areas of interest were as follows: effect of smoking and history of periodontitis, prosthetic treatment mistakes, excess cement, overloading, general diseases influence on peri-implantitis development. The systematic review and/or meta-analysis were registered in PROSPERO, an international prospective register of systematic reviews: http://www.crd.york.ac.uk/PROSPERO/. The literature in the corresponding areas of interest was searched and reported using the PRISMA (Preferred Reporting Item for Systematic Review and Meta-Analysis Statement: http://www.prisma-statement.org/. The method of preparation of systematic reviews of the literature based on comprehensive search strategies was discussed and standardized. The summary of the materials and methods employed by the authors in preparing the systematic review and/or meta-analysis is presented in Preface chapter. Results: The results and conclusions of the review process are presented in the respective papers. The group′s general commentaries, consensus statements, clinical recommendations and implications for research are presented in this article.

The 1st Baltic Osseointegration Academy and Lithuanian University of Health Sciences Consensus Conference 2016. Summary and Consensus Statements: Group II - Peri-Implantitis Diagnostics and Decision Tree

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Tolga Fikret Tözüm

2016-09-01

Full Text Available Introduction: The task of Group 2 was to review and update the existing data concerning clinical and genetic methods of diagnostics of peri-implantitis. Special interest was paid to the peri-implant crevicular fluid (PICF overview including analysis of enzymes and biomarkers and microbial profiles from implants. Material and Methods: The main areas of interest were as follows: effect of smoking and history of periodontitis, prosthetic treatment mistakes, excess cement, overloading, general diseases influence on peri-implantitis development. The systematic review and/or meta-analysis were registered in PROSPERO, an international prospective register of systematic reviews: http://www.crd.york.ac.uk/PROSPERO/. The literature in the corresponding areas of interest was searched and reported using the PRISMA (Preferred Reporting Item for Systematic Review and Meta-Analysis Statement: http://www.prisma-statement.org/. The method of preparation of systematic reviews of the literature based on comprehensive search strategies was discussed and standardized. The summary of the materials and methods employed by the authors in preparing the systematic review and/or meta-analysis is presented in Preface chapter. Results: The results and conclusions of the review process are presented in the respective papers. The group′s general commentaries, consensus statements, clinical recommendations and implications for research are presented in this article.

Swimming attendance during childhood and development of asthma: Meta-analysis.

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Valeriani, Federica; Protano, Carmela; Vitali, Matteo; Romano Spica, Vincenzo

2017-05-01

The association between asthma and swimming pool attendance has not been demonstrated and currently there are conflicting results. In order to clarify the association between asthma diagnosis in children and swimming pool attendance, and to assess the consistency of the available epidemiological studies, we completed a literature analysis on the relationship between the exposure to disinfection by-products in indoor swimming pools during childhood and asthma diagnosis. Following the Meta-analysis of Observational Studies in Epidemiology (MOOSE) and Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) criteria, a systematic review and meta-analysis was performed by searching MEDLINE via PubMed, TOXNET, and Scopus databases (from inception to 20 April 2015) using the key word "Asthma" together with "swimming pool", "disinfection by-products", "indoor air pollution" and "children". Inclusion criteria were: English language, a complete analytic study design involving a cohort of children (0-16 years), a well-defined definition of exposure, and the presence of data on effect and variance. Studies on in vivo, in vitro or professional and accidental exposure were excluded. After a screening process, seven reports (n = 5851 subjects) were included out of a total of 2928 references. The reported OR of the association between swimming pool attendance and asthma prevalence ranged from 0.58 to 2.30. The present meta-analysis failed to identify a significant difference in asthma development between children attending swimming pools and controls (OR, 1.084; 95% CI: 0.89-1.31). Swimming in childhood does not increase the likelihood of doctor-diagnosed asthma. Based on this meta-analysis review, the association of the disease with indoor pool attendance is still unclear. © 2016 Japan Pediatric Society.

The professional perspective on patient involvement in the development of quality indicators: a qualitative analysis using the example of chronic heart failure in the German health care setting

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Pohontsch NJ

2015-01-01

Full Text Available Nadine Janis Pohontsch,1 Heidrun Herzberg,2 Stefanie Joos,3 Felix Welti,4 Martin Scherer,1 Eva Blozik1 1Department of Primary Medical Care, University Medical Center Hamburg-Eppendorf, Hamberg, Germany; 2Faculty of Health, Nursing, Management, Neubrandenburg University of Applied Sciences, Neubrandenburg, Germany; 3Department of General Practice and Health Services Research, Heidelberg University Hospital, Heidelberg, Germany; 4Faculty of Human Sciences, University of Kassel, Kassel, Germany Purpose: There is an international consensus that quality indicators (QIs of health care ought to represent patient-relevant aspects. Therefore, patient involvement in the development process is essential. However, there is no methodological gold standard for involving patients in QI development. The aim of this study is to explore experts’ views on the representation of patient-relevant aspects in the QI development process using the QIs developed in the context of the German National Disease Management Guideline for Heart Failure as an example. Methods: Semi-structured, open telephone interviews were conducted with 15 German experts (patient representatives, physicians, researchers, and methodologists involved in guideline development or quality assessment. Interview themes were the relevance of the exemplary set of QIs for patients, as well as the legitimacy of, competence of, and collaboration with the patient representative who participated in the development process. Interviews were fully transcribed and content analyzed. Deductive categories derived from the research questions were supplemented by inductively formed categories during the review of the interview material.Results: The qualitative analysis suggests a discrepancy between the guidelines’ QIs and those relevant to patients from an expert’s point of view, such as physician-patient communication and quality of counseling. Experts reported only minor communication and cooperation

Mees loodi pärast roomajaid / Ilvi Jõe-Cannon

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Jõe-Cannon, Ilvi, 1937-

2011-01-01

Eesti naisuurimuse- ja teabekeskuse (ENUT) seminarist, kus esmakordselt Eestis vaadati religiooni läbi soolise prisma. Autor tutvustas seal Elizabeth Cady Stantoni raamatut „The Woman’s Bible” - „Naise piibel”

Robust variance estimation with dependent effect sizes: practical considerations including a software tutorial in Stata and spss.

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Tanner-Smith, Emily E; Tipton, Elizabeth

2014-03-01

Methodologists have recently proposed robust variance estimation as one way to handle dependent effect sizes in meta-analysis. Software macros for robust variance estimation in meta-analysis are currently available for Stata (StataCorp LP, College Station, TX, USA) and spss (IBM, Armonk, NY, USA), yet there is little guidance for authors regarding the practical application and implementation of those macros. This paper provides a brief tutorial on the implementation of the Stata and spss macros and discusses practical issues meta-analysts should consider when estimating meta-regression models with robust variance estimates. Two example databases are used in the tutorial to illustrate the use of meta-analysis with robust variance estimates. Copyright © 2013 John Wiley & Sons, Ltd.

[The scientific entertainer in primary health care].

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Ortega-Calvo, Manuel; Santos, José Manuel; Lapetra, José

2012-09-01

The scientific method is capable of being applied in primary care. In this article we defend the role of the "scientific entertainer "as strategic and necessary in achieving this goal. The task has to include playful and light-hearted content. We explore some words in English that may help us to understand the concept of "scientific entertainer" from a semantic point of view (showman, master of ceremonies, entrepreneur, go-between) also in Spanish language (counsellor, mediator, methodologist) and finally in Latin and Greek (tripalium, negotium, chronos, kairos). We define the clinical, manager or research health-worker who is skilled in primary care as a "primarylogist". Copyright © 2011 Elsevier España, S.L. All rights reserved.

The Africa Center for Biostatistical Excellence: a proposal for enhancing biostatistics capacity for sub-Saharan Africa.

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Machekano, Rhoderick; Young, Taryn; Rusakaniko, Simbarashe; Musonda, Patrick; Sartorius, Ben; Todd, Jim; Fegan, Greg; Thabane, Lehana; Chikte, Usuf

2015-11-30

Sub-Saharan Africa has a shortage of well-trained biomedical research methodologists, in particular, biostatisticians. In July 2014, a group of biostatisticians and researchers from the region attended a brainstorming workshop to identify ways in which to reduce the deficit in this critical skill. The workshop recognized that recommendations from previous workshops on building biostatistics capacity in sub-Saharan Africa had not been implemented. The discussions culminated with a proposal to setup an Africa Center for Biostatistical Excellence, a collaborative effort across academic and researcher institutions within the region, as a vehicle for promoting biostatistics capacity building through specialized academic masters programs as well as regular workshops targeting researchers. Copyright © 2015 John Wiley & Sons, Ltd.

Reporting on first sexual experience: The importance of interviewer-respondent interaction

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Michelle Poulin

2010-03-01

Full Text Available Survey methodologists typically seek to improve data on sensitive topics by standardizing surveys and avoiding the use of human interviewers. This study uses data collected from 90 never-married young adults in rural Malawi to compare reports on first sexual encounters between a standard survey and an in-depth interview. A significant fraction of young women who claimed in the survey to have never been sexually active affirmed sexual experience during the in-depth interview, fielded shortly thereafter. Two elements of the in-depth interview, flexibility and reciprocal exchange, foster trust and more truthful reporting. The findings contradict the long-standing presumption that face-to-face interviews are inherently threatening when the topic is sex.

Jäätmeajastu parimad / Ingrid Maasik

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Maasik, Ingrid, 1968-

2003-01-01

Jäätmekäitlusauhinna Aasta Taaskasutaja suure auhinna said Prisma Peremarket, S-Marten, Tartu Tarbijate Ühistu. Kolm väikest auhinda said Nõo vallavalitsus, Paikuse vallavalitsus ja No Rest Kinnisvara

Effectiveness of distance learning strategies for continuing professional development (CPD) for rural allied health practitioners: a systematic review.

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Berndt, Angela; Murray, Carolyn M; Kennedy, Kate; Stanley, Mandy J; Gilbert-Hunt, Susan

2017-07-12

Allied health professionals working in rural areas face unique challenges, often with limited access to resources. Accessing continuing professional development is one of those challenges and is related to retention of workforce. Effectiveness of distance learning strategies for continuing professional development in rural allied healthcare workers has not been evaluated. We searched 17 databases and the grey literature up to September 2016 following the PRISMA guidelines. Any primary studies were included that focussed on allied health and distance delivery regardless of education topic or study design. Two independent reviewers extracted data and critically appraised the selected studies. The search returned 5257 results. With removal of duplicate references, we reviewed 3964 article titles and abstracts; n = 206 appeared potentially eligible and were scrutinised via full text screening; n = 14 were included. Studies were published between 1997 and 2016, were of varied methodological quality and were predominantly from Australia, USA and Canada with a focus on satisfaction of learners with the delivery method or on measures of educational outcomes. Technologies used to deliver distance education included video conference, teleconference, web based platforms and virtual reality. Early papers tended to focus more on the technology characteristics than educational outcomes. Some studies compared technology based delivery to face to face modes and found satisfaction and learning outcomes to be on par. Only three studies reported on practice change following the educational intervention and, despite a suggestion there is a link between the constructs, none measured the relationship between access to continuing professional development and workforce retention. Technology based options of delivery have a high utility, however the complex inter-relatedness of time, use, travel, location, costs, interactivity, learning outcomes and educational design suggest a need

Aetiology of auditory dysfunction in amusia: a systematic review.

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Casey, Daniel Aj

2013-04-24

Amusia, a music-specific agnosia, is a disorder of pitch interval analysis and pitch direction change recognition which results in a deficit in musical ability. The full range of aetiological factors which cause this condition is unknown, as is each cause's frequency. The objective of this study was to identify all causes of amusia, and to measure each of their frequencies. systematic review was conducted by search of multiple databases for articles related to the aetiology of amusic auditory dysfunction. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting of systematic reviews were followed, utilizing the PRISMA checklist and PRISMA flowchart methodology. Retrospective medical database review. evidence yielded from the systematic review process. The initial search protocol identified 5723 articles. Application of a classification review filter and exclusion of irrelevant or duplicates led to the initial identification of 56 relevant studies which detailed 301 patients. However, these studies were of poor quality. Because of this, synthesis and statistical analysis were not appropriate. Although initially a large number of relevant studies were identified, and might point in future to potential diagnostic categories, it was not appropriate to synthesise and analyse them due to poor quality, considerable heterogeneity and small numbers. This suggests that large, high quality studies focussed directly on understanding the aetiology of amusia are required.

Quality of the Development of Traumatic Brain Injury Clinical Practice Guidelines: A Systematic Review.

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Anjni Patel

Full Text Available Traumatic brain injury (TBI is a leading cause of death worldwide and is increasing exponentially particularly in low and middle income countries (LMIC. To inform the development of a standard Clinical Practice Guideline (CPG for the acute management of TBI that can be implemented specifically for limited resource settings, we conducted a systematic review to identify and assess the quality of all currently available CPGs on acute TBI using the AGREE II instrument. In accordance with PRISMA guidelines, from April 2013 to December 2015 we searched MEDLINE, EMBASE, Google Scholar and the Duke University Medical Center Library Guidelines for peer-reviewed published Clinical Practice Guidelines on the acute management of TBI (less than 24 hours, for any level of traumatic brain injury in both high and low income settings. A comprehensive reference and citation analysis was performed. CPGs found were assessed using the AGREE II instrument by five independent reviewers and scores were aggregated and reported in percentage of total possible score. An initial 2742 articles were evaluated with an additional 98 articles from the citation and reference analysis, yielding 273 full texts examined. A total of 24 final CPGs were included, of which 23 were from high income countries (HIC and 1 from LMIC. Based on the AGREE II instrument, the best score on overall assessment was 100.0 for the CPG from the National Institute for Health and Clinical Excellence (NIHCE, 2007, followed by the New Zealand Guidelines Group (NZ, 2006 and the National Clinical Guideline (SIGN, 2009 both with a score of 96.7. The CPG from a LMIC had lower scores than CPGs from higher income settings. Our study identified and evaluated 24 CPGs with the highest scores in clarity and presentation, scope and purpose, and rigor of development. Most of these CPGs were developed in HICs, with limited applicability or utility for resource limited settings. Stakeholder involvement, Applicability

Performance Prismas an Innovative Concept of the Organizational Activity Results Measurement

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Arkadiusz Jagiełło

2010-06-01

Full Text Available The article presents an innovative method of the organization activity results measurement which is called Performance Measurement System. It is kind of control system which can help to improve the competitive advantages of organization.

Do prisma de arendt: variações em torno do poder

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Lucilia Nunes

2010-12-01

Full Text Available http://dx.doi.org/10.5007/1677-2954.2008v7n2p165 Traçamos a delimitação conceptual que Hannak Arendt estabelece entre potência (strenght, puissance, força (force, poder (power, pouvoir, autoridade e violência - que são palavras indicadoras dos meios que os homens usam para dominar os homens e tomam-se erradamente como sinônimos por se entender que têm a mesma função. Tal se enquadra no problema político fundamental, ou seja, a condução dos assuntos públicos.

International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia: Guidelines for the management of hospital-acquired pneumonia (HAP)/ventilator-associated pneumonia (VAP) of the European Respiratory Society (ERS), European Society of Intensive Care Medicine (ESICM), European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and Asociación Latinoamericana del Tórax (ALAT).

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Torres, Antoni; Niederman, Michael S; Chastre, Jean; Ewig, Santiago; Fernandez-Vandellos, Patricia; Hanberger, Hakan; Kollef, Marin; Li Bassi, Gianluigi; Luna, Carlos M; Martin-Loeches, Ignacio; Paiva, J Artur; Read, Robert C; Rigau, David; Timsit, Jean François; Welte, Tobias; Wunderink, Richard

2017-09-01

The most recent European guidelines and task force reports on hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP) were published almost 10 years ago. Since then, further randomised clinical trials of HAP and VAP have been conducted and new information has become available. Studies of epidemiology, diagnosis, empiric treatment, response to treatment, new antibiotics or new forms of antibiotic administration and disease prevention have changed old paradigms. In addition, important differences between approaches in Europe and the USA have become apparent.The European Respiratory Society launched a project to develop new international guidelines for HAP and VAP. Other European societies, including the European Society of Intensive Care Medicine and the European Society of Clinical Microbiology and Infectious Diseases, were invited to participate and appointed their representatives. The Latin American Thoracic Association was also invited.A total of 15 experts and two methodologists made up the panel. Three experts from the USA were also invited (Michael S. Niederman, Marin Kollef and Richard Wunderink).Applying the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) methodology, the panel selected seven PICO (population-intervention-comparison-outcome) questions that generated a series of recommendations for HAP/VAP diagnosis, treatment and prevention. Copyright ©ERS 2017.

Functional Hypothalamic Amenorrhea: An Endocrine Society Clinical Practice Guideline.

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Gordon, Catherine M; Ackerman, Kathryn E; Berga, Sarah L; Kaplan, Jay R; Mastorakos, George; Misra, Madhusmita; Murad, M Hassan; Santoro, Nanette F; Warren, Michelle P

2017-05-01

The American Society for Reproductive Medicine, the European Society of Endocrinology, and the Pediatric Endocrine Society. This guideline was funded by the Endocrine Society. To formulate clinical practice guidelines for the diagnosis and treatment of functional hypothalamic amenorrhea (FHA). The participants include an Endocrine Society-appointed task force of eight experts, a methodologist, and a medical writer. This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation approach to describe the strength of recommendations and the quality of evidence. The task force commissioned two systematic reviews and used the best available evidence from other published systematic reviews and individual studies. One group meeting, several conference calls, and e-mail communications enabled consensus. Endocrine Society committees and members and cosponsoring organizations reviewed and commented on preliminary drafts of this guideline. FHA is a form of chronic anovulation, not due to identifiable organic causes, but often associated with stress, weight loss, excessive exercise, or a combination thereof. Investigations should include assessment of systemic and endocrinologic etiologies, as FHA is a diagnosis of exclusion. A multidisciplinary treatment approach is necessary, including medical, dietary, and mental health support. Medical complications include, among others, bone loss and infertility, and appropriate therapies are under debate and investigation. Copyright © 2017 Endocrine Society

Identifying target audiences: who are the guidelines for? : article 1 in Integrating and coordinating efforts in COPD guideline development. An official ATS/ERS workshop report.

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Yawn, Barbara P; Akl, Elie A; Qaseem, Amir; Black, Peter; Campos-Outcalt, Doug

2012-12-01

Professional societies, like many other organizations around the world, have recognized the need to use rigorous processes to ensure that health care recommendations are informed by the best available research evidence. Different clinical practice guidelines addressing the management of the same disease may vary widely in the evidence used and the format of the recommendations, with the result that not all are appropriate for all audiences. This is the first of a series of 14 articles that clinicians, methodologists, and researchers from around the world prepared to advise those developing guidelines in respiratory and other diseases about the potential impact of identifying the target audiences for their clinical practice guidelines. In this review we address the following questions. (1) Which audiences are interested in a chronic obstructive pulmonary disease (COPD) guideline? (2) How many audiences can be addressed in a single COPD guideline? (3) What is the purpose of the guidelines? (4) Who should be included on the guideline panel? We collected information by searching PubMed and reviewing information from groups that are currently making and using respiratory disease guidelines, as well as from workshop discussions. Our conclusions are based on available evidence, consideration of what guideline developers are doing, and the opinions of those who attended the workshop. Clinicians desire COPD and other guidelines that are concise, use evidence from practices similar to theirs, and whose authors have expertise in providing care in similar settings and with similar patients. In the case of COPD, barriers to generalists' use of guidelines include lack of awareness of the guidelines, failure to embrace the diagnostic methods as capable of providing definitive confirmation of COPD, and, most importantly, failure of previous guidelines to address the treatment of COPD in the context of the broad range of multiple morbidities that affect most people with COPD. COPD

A systematic review on the development of asthma and allergic diseases in relation to international immigration: the leading role of the environment confirmed.

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Báltica Cabieses

Full Text Available The prevalence of asthma and allergic diseases is rising worldwide. Evidence on potential causal pathways of asthma and allergies is growing, but findings have been contradictory, particularly on the interplay between allergic diseases and understudied social determinants of health like migration status. This review aimed at providing evidence for the association between migration status and asthma and allergies, and to explore the mechanisms between migration status and the development of asthma and allergies.Systematic review on asthma and allergies and immigration status in accordance with the guidelines set by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA statement. The pooled odds ratio (OR of the prevalence of asthma in immigrants compared to the host population was 0.60 (95% CI 0.45-0.84, and the pooled OR for allergies was 1.01 (95% CI 0.62-1.69. The pooled OR for the prevalence of asthma in first generation versus second generation immigrants was 0.37 (95% CI 0.25-0.58. Comparisons between populations in their countries of origin and those that emigrated vary depending on their level of development; more developed countries show higher rates of asthma and allergies.Our findings suggest a strong influence of the environment on the development of asthma and allergic diseases throughout the life course. The prevalence of asthma is generally higher in second generation than first generation immigrants. With length of residence in the host country the prevalence of asthma and allergic diseases increases steadily. These findings are consistent across study populations, host countries, and children as well as adults. Differences have been found to be significant when tested in a linear model, as well as when comparing between early and later age of migration, and between shorter and longer time of residence.

A Systematic Review on the Development of Asthma and Allergic Diseases in Relation to International Immigration: The Leading Role of the Environment Confirmed

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Cabieses, Báltica; Uphoff, Eleonora; Pinart, Mariona; Antó, Josep Maria; Wright, John

2014-01-01

Background The prevalence of asthma and allergic diseases is rising worldwide. Evidence on potential causal pathways of asthma and allergies is growing, but findings have been contradictory, particularly on the interplay between allergic diseases and understudied social determinants of health like migration status. This review aimed at providing evidence for the association between migration status and asthma and allergies, and to explore the mechanisms between migration status and the development of asthma and allergies. Methods and Findings Systematic review on asthma and allergies and immigration status in accordance with the guidelines set by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The pooled odds ratio (OR) of the prevalence of asthma in immigrants compared to the host population was 0.60 (95% CI 0.45–0.84), and the pooled OR for allergies was 1.01 (95% CI 0.62–1.69). The pooled OR for the prevalence of asthma in first generation versus second generation immigrants was 0.37 (95% CI 0.25–0.58). Comparisons between populations in their countries of origin and those that emigrated vary depending on their level of development; more developed countries show higher rates of asthma and allergies. Conclusions Our findings suggest a strong influence of the environment on the development of asthma and allergic diseases throughout the life course. The prevalence of asthma is generally higher in second generation than first generation immigrants. With length of residence in the host country the prevalence of asthma and allergic diseases increases steadily. These findings are consistent across study populations, host countries, and children as well as adults. Differences have been found to be significant when tested in a linear model, as well as when comparing between early and later age of migration, and between shorter and longer time of residence. PMID:25141011

Theoretical background of healthcare management in the conditions of social and economic instability

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Shuldyakov V.A.

2015-03-01

Full Text Available Purpose: to develop fundamental basis of science based healthcare management in social and economic instability. Public health state (1998-2008, selected region was characterized by cardiovascular health parameters (Code IX, ICD-10. Systematic review was performed according to PRISMA guidelines. Dynamic characteristics of major cardiovascular diseases in social and economic instability considered as a cause of a population system destabilization were reconstructed. Conclusion. Fundamentals of science based healthcare management in social and economic instability include long- and short-term prognosis of public health characteristics as the result of multifactor external influences on cardiovascular diseases prevalence.

Guidelines for Reporting Medical Research

DEFF Research Database (Denmark)

Johansen, Mathilde; Thomsen, Simon Francis

2016-01-01

As a response to a low quality of reporting of medical research, guidelines for several different types of study design have been developed to secure accurate reporting and transparency for reviewers and readers from the scientific community. Herein, we review and discuss the six most widely...... accepted and used guidelines: PRISMA, CONSORT, STROBE, MOOSE, STARD, and SPIRIT. It is concluded that the implementation of these guidelines has led to only a moderate improvement in the quality of the reporting of medical research. There is still much work to be done to achieve accurate and transparent...... reporting of medical research findings....

Workshop on Model Uncertainty and its Statistical Implications

CERN Document Server

1988-01-01

In this book problems related to the choice of models in such diverse fields as regression, covariance structure, time series analysis and multinomial experiments are discussed. The emphasis is on the statistical implications for model assessment when the assessment is done with the same data that generated the model. This is a problem of long standing, notorious for its difficulty. Some contributors discuss this problem in an illuminating way. Others, and this is a truly novel feature, investigate systematically whether sample re-use methods like the bootstrap can be used to assess the quality of estimators or predictors in a reliable way given the initial model uncertainty. The book should prove to be valuable for advanced practitioners and statistical methodologists alike.

Message Received: Virtual Ethnography in Online Message Boards

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Kevin F. Steinmetz

2012-02-01

Full Text Available As the Internet begins to encapsulate more people within online communities, it is important that the social researcher have well-rounded ethnographic methodologies for observing these phenomena. This article seeks to contribute to methodology by detailing and providing insights into three specific facets of virtual ethnography that need attention: space and time, identity and authenticity, and ethics. Because the Internet is a globalized and instantaneous medium where space and time collapse, identity becomes more playful, and ethics become more tenuous; understanding these aspects is crucial to the study of online social groups. A second focus of this article is to apply these notions to the study of online message boards—a frequently used medium for online communication that is frequently overlooked by methodologists.

Incommensurability in Cross-Disciplinary Research: A Call for Cultural Negotiation

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Anne MacCleave

2006-06-01

Full Text Available What happens when a clinical psychologist, a grounded theorist, an ethnographer, and a phenomenologist meet to collaborate on an interdisciplinary grant proposal on childhood loneliness? Excerpts of an imaginary dialogue reveal how different disciplines can be thought of as different “cultures,” because each has its own way of doing things, deeply embedded assumptions about knowledge and the construction/representation of reality, and different specialized languages. Some of these differences might be incommensurable and call for cultural negotiation if a coherent approach is to be adopted. Cultural negotiation helps to make differences more accessible and understandable rather than creating inflexible or polarized ideological camps. This process might help methodologists think about researching across disciplines in new and more effective ways.

The effects of prenatal cannabis exposure on fetal development and pregnancy outcomes: a protocol.

Science.gov (United States)

Gunn, Jayleen K L; Rosales, Cecilia B; Center, Katherine E; Nuñez, Annabelle V; Gibson, Steven J; Ehiri, John E

2015-03-13

The effects of exposure to marijuana in utero on fetal development are not clear. Given that the recent legislation on cannabis in the US is likely to result in increased use, there is a need to assess the effects of prenatal cannabis exposure on fetal development and pregnancy outcomes. The objective of this review is to assess the effects of prenatal exposure to cannabis on pregnancy outcomes (including maternal and child outcomes). Major databases will be searched from inception to the latest issue, with the aim of identifying studies that reported the effects of prenatal exposure to cannabis on fetal development and pregnancy outcomes. Two investigators will independently review all titles and abstracts to identify potential articles. Discrepancies will be resolved by repeated review, discussion and consensus. Study quality assessment will be undertaken, using standard protocols. To qualify for inclusion, studies must report at least one maternal or neonatal outcome post partum. Cross-sectional, case-control, cohort and randomised controlled trials published in English will be included. In order to rule out the effects of other drugs that may affect fetal development and pregnancy outcomes, studies will only be included if they report outcomes of prenatal exposure to cannabis while excluding other illicit substances. Data from eligible studies will be extracted, and data analysis will include a systematic review and critical appraisal of evidence, and meta-analysis if data permit. Meta-analysis will be conducted if three or more studies report comparable statistics on the same outcome. The review which will result from this protocol has not already been conducted. Preparation of the review will follow the procedures stated in this protocol, and will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Ethical approval of data will not be required since the review will use data that are already available in the

La voix de la raison e de la tolérance: O problema histórico da pena de morte e sua suspensão universal anunciada pela Assembléia Geral das Nações Unidas

Directory of Open Access Journals (Sweden)

Raphael Spode

2010-10-01

Full Text Available O tema do presente artigo é a pena de morte, uma questão polêmica que possui diversas faces. Desse modo buscar-se-á analisar essa questão sob diversos prismas, interrelacionando-os.

Evaluation and Socio-occupational Intervention in Bipolar and Schizophrenic Patients within a Multimodal Intervention Program- PRISMA.

Science.gov (United States)

Díaz Zuluaga, Ana M; Duica, Kelly; Ruiz Galeano, Carlos; Vargas, Cristian; Agudelo Berruecos, Yuli; Ospina, Sigifredo; López-Jaramillo, Carlos

Functional improvement in bipolar and schizophrenic patients is one of the main aims of treatment. Nevertheless, there is no evidence about the effect of socio-occupational intervention within a multimodal intervention (MI) programme. To describe the socio-occupational profile and to evaluate the functional effect of a MI in bipolar I and schizophrenic patients. A prospective, longitudinal, therapeutic-comparative study was performed including 302 subjects (104 schizophrenic and 198 Bipolar Disorder I [BDI] patients), who were randomised into two groups, multimodal (psychiatry, psychology, medicine, occupational therapy, neuropsychology, and family therapy), or traditional intervention (psychiatry and medicine only). Several scales were applied to assess assertiveness, free time management, social abilities, general anxiety, self-care and performance in home, work and community tasks. After performing the longitudinal analysis, it was shown that the multimodal intervention was more effective than traditional intervention in general anxiety scores (P=.026) and development in home tasks (P=.03) in schizophrenic patients. No statistical differences were found in bipolar patients. The other variables showed improvement, however, their effect was similar in both intervention groups. Our study identified functional improvement in home tasks in schizophrenic patients after receiving multimodal intervention. Other variables also showed improvement for both interventions groups. Future studies, applying longer rehabilitation programs and other ecological strategies should be performed to identify the most effective interventions. Copyright © 2017 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

Use of In-Flight Data to Validate Mars Samle Return Autonomous RvD GNC

DEFF Research Database (Denmark)

Barrena, V.; Colmenarejo, P.; Suatoni, M.

D is based on RF, camera and LIDAR measurements. It includes design, prototyping and verification at three different levels: algorithms design and verification in a Functional Engineering Simulator, SW demonstrator verified in Real Time Avionics Test Benching and Dynamic Test Benching. Moreover...... and testing of a vision based optical stimulator (ViSOS by DTU) to enhance the on-ground validation capabilities. After checking different alternatives for the proposed HARvD-GNC experiment with PRISMA resources, an efficient but cost-effective approach was chosen. The approach is based on designing MSR......-like dedicated manoeuvres sequencing using the already existing on-board PRISMA GNC/AOCS system (based on relative GPS measurements for the closed-loop execution of the manoeuvres sequencing and acquiring RF and camera images as part of the HARvD-GNC experiment data). This option allows downloading the sensor...

Yazılım test süreci ve TMMi modelinde prısma yaklaşımı uygulaması

OpenAIRE

Serdaroğlu, Doğa

2015-01-01

Bu çalışmanın asıl amacı yazılım test süreci için kullanılan TMMi(Test Maturity Model Integration) ve PRISMA(Practical Risk Based Testing) tekniklerinin anlaşılmasıdır. Tez çalışmasına kısa bir giriş yapıldıktan sonra yazılımda kalite ve yazılımda test olguları gözden geçirilmiştir. Sonrasında PRISMA ile olan ilişkisi sebebiyle ISTQB(International Software Testing Qualifications Board) rehber dokümanı özetlenmiştir. Uygulama olarak web tabanlı yeni geliştirilen bir yazılım üzerinde süre...

What factors affect voluntary uptake of community-based health insurance schemes in low- and middle-income countries? A systematic review and meta-analysis

NARCIS (Netherlands)

D.M. Dror (David); Shahed Hossain, S.A.; M. Majumdar (Manabi); Koehlmoos, T.L.P. (Tracey Lynn Pérez); John, D. (Denny); P. Panda (Pradeep)

2016-01-01

textabstractIntroduction: This research article reports on factors influencing initial voluntary uptake of community-based health insurance (CBHI) schemes in low- and middle-income countries (LMIC), and renewal decisions. Methods: Following PRISMA protocol, we conducted a comprehensive search of

Complications of mandibular distraction osteogenesis for developmental deformities: a systematic review of the literature

NARCIS (Netherlands)

Verlinden, C. R. A.; van de Vijfeijken, S. E. C. M.; Tuinzing, D. B.; Jansma, E. P.; Becking, A. G.; Swennen, G. R. J.

2015-01-01

A systematic review of English and non-English articles on the complications of mandibular distraction osteogenesis (MDO) for patients with developmental deformities was performed, in accordance with the PRISMA statement. Search terms expressing distraction osteogenesis were used in 'AND'

Leadership mentoring in nursing research, career development and scholarly productivity: A systematic review.

Science.gov (United States)

Hafsteinsdóttir, Thóra B; van der Zwaag, Angeli M; Schuurmans, Marieke J

2017-10-01

Although nursing has been an academic discipline for decades, the infrastructure for nursing research in many countries is still fragile and struggling. Postdoctoral nurses have difficulties developing sustaining careers in nursing research due to lack of career opportunities. Considerable research has been conducted on leadership and mentoring in various areas of nursing. We aimed to systematically review the literature investigating leadership programs and mentoring for postdoctoral nurse researchers, as well as the influence of leadership and mentoring on research productivity, research career development, leadership knowledge and skills, the nurses' health and well-being, staff relationships, work culture and collaboration, salaries and postdoctoral nurses' experiences. A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was conducted. The electronic databases PubMed, CINAHL and EMBASE were searched without time limits for eligible studies up to January 2016. Reference lists of included articles were also searched manually and authors were contacted to inquire about other relevant papers. Two authors independently assessed eligibility of studies for inclusion. Titles and abstracts were matched with the inclusion criteria: studies investigating leadership and mentoring programs for postdoctoral nurses and leadership and mentoring influencing research productivity, and career development; and leadership knowledge and skills and other outcomes. The quality of the studies was appraised using the Centre for Evidence-Based Medicine for surveys, the Critical Appraisal Skill Program Qualitative Appraisal Checklist for qualitative studies, and a critical appraisal list for mixed methods studies. Any disagreements were resolved by consensus. Data were extracted by two reviewers. We screened 1775 titles and abstracts, resulting in 15 studies, which included quantitative, descriptive, qualitative and mixed

Biological therapy and development of neoplastic disease in patients with juvenile rheumatic disease: a systematic review

Directory of Open Access Journals (Sweden)

Vanessa Patricia L. Pereira

Full Text Available Abstract Juvenile rheumatic diseases affect the musculoskeletal system and begin before the age of 18. These conditions have varied, identifiable or unknown etiologies, but those of an autoimmune inflammatory nature have been associated with an increased risk of development of cancer, regardless of treatment. This study aims to assess, through a systematic review of the literature according to Prisma (Preferred Reporting Items for Systematic Reviews and Meta-Analyses quality criteria, the risk of cancer in patients with juvenile rheumatic disease, and its association with biological agents. The criteria described by the Strengthening the Reporting of Observational Studies in Epidemiology initiative were used in order to assess the methodological quality of those individual items selected in this study. We analyzed nine publications, from a total of 251 papers initially selected. There was an increase in cancer risk in the population with juvenile rheumatic disease versus the general population. Most specified cancers were of a lymphoproliferative nature. Seven studies did not specify the treatment or not defined an association between treatment and cancer risk. Only one study has suggested this association; in it, their authors observed high risk in patients diagnosed in the last 20 years, a period of the advent of new therapies. One study found an increased risk in a population not treated with biological agents, suggesting a disease in its natural course, and not an adverse effect of therapy. Studies have shown an increased risk of malignancy associated with juvenile rheumatic disease, and this may be related to disease activity and not specifically to the treatment with biological agents.

Core outcome sets in dermatology: report from the second meeting of the International Cochrane Skin Group Core Outcome Set Initiative.

Science.gov (United States)

Kottner, J; Jacobi, L; Hahnel, E; Alam, M; Balzer, K; Beeckman, D; Busard, C; Chalmers, J; Deckert, S; Eleftheriadou, V; Furlan, K; Horbach, S E R; Kirkham, J; Nast, A; Spuls, P; Thiboutot, D; Thorlacius, L; Weller, K; Williams, H C; Schmitt, J

2018-04-01

Results of clinical trials are the most important information source for generating external clinical evidence. The use of different outcomes across trials, which investigate similar interventions for similar patient groups, significantly limits the interpretation, comparability and clinical application of trial results. Core outcome sets (COSs) aim to overcome this limitation. A COS is an agreed standardized collection of outcomes that should be measured and reported in all clinical trials for a specific clinical condition. The Core Outcome Set Initiative within the Cochrane Skin Group (CSG-COUSIN) supports the development of core outcomes in dermatology. In the second CSG-COUSIN meeting held in 2017, 11 COS development groups working on skin diseases presented their current work. The presentations and discussions identified the following overarching methodological challenges for COS development in dermatology: it is not always easy to define the disease focus of a COS; the optimal method for outcome domain identification and level of detail needed to specify such domains is challenging to many; decision rules within Delphi surveys need to be improved; appropriate ways of patient involvement are not always clear. In addition, there appear to be outcome domains that may be relevant as potential core outcome domains for the majority of skin diseases. The close collaboration between methodologists in the Core Outcome Set Initiative and the international Cochrane Skin Group has major advantages for trialists, systematic reviewers and COS developers. © 2018 British Association of Dermatologists.

Chronic subdural hematoma : a systematic review and meta-analysis of surgical procedures

NARCIS (Netherlands)

Liu, Weiming; Bakker, Nicolaas A.; Groen, Rob J. M.

Object. In this paper the authors systematically evaluate the results of different surgical procedures for chronic subdural hematoma (CSDH). Methods. The MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and other databases were scrutinized according to the PRISMA (Preferred Reporting

O fortalecimento do sistema unipolar, guerra vitoriosa contra o terrorismo e vulnerabilidade da América Latina

Directory of Open Access Journals (Sweden)

Eduardo Viola

2011-09-01

Full Text Available O presente artigo busca, sob o prisma da segurança internacional, realizar um balanço da evolução do sistema mundial, transcorrido um ano desde os atentados terroristas de 11 de setembro de 2001.

“Grammar-translation” method, a linguistic historic err or of perspective: origins, dynamics and inconsistencies

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Camilo Andrés Bonilla Carvajal

2013-07-01

Full Text Available The Grammar-Translation method is frequently referred to as the traditional ineffective approach par excellence. Such view is often justified by the claim that before the Audiolingual method oral performance in foreign language was not reached, and language classes were reduced to memorizing grammar rules and lists of vocabulary. Nevertheless, this opinion is derived from unproved claims, mainly made by misinformed authors for they offer no compelling empirical evidence to validate their restrictive descriptions where translation is shown as an invalid metacognitive strategy. The aim of this paper is to demonstrate that Grammar-Translation is merely an arbitrary historic label, developed by methodologists and theoreticians to encompass the history of language teaching from 1790 through 1950. References to Grammar-Translation are critically reviewed to make evident they are biased inferences based on partial evidence to account for the existence of any such methodology. The assumption that Grammar-Translation did exist, and that it is the negative model of teaching practices that should be better avoided at all costs, might reflect an unconstructive and unfounded ideological interest of mainstream theoreticians and unsuspecting teachers.

Prevalence of tinnitus and hyperacusis in children and adolescents

DEFF Research Database (Denmark)

Nemholt Rosing, Susanne; Schmidt, Jesper; Wedderkopp, Niels

2016-01-01

and hyperacusis. DATA SOURCES: Articles were retrieved from PubMed, EMBASE and Scopus databases and from the relevant reference lists using the methods described in the study protocol, which has previously been published. Reporting Items for Systematic Review (PRISMA) guidelines were followed. ELIGIBILITY...

Marati maja müük võib olla aasta suurtehing / Kadrin Karner

Index Scriptorium Estoniae

Karner, Kadrin

2008-01-01

Kinnisvarafond Baltic Property Trust ostis Tallinnas Marati hoone. Müüja, Prisma Prindi Kinnisvara juhi Urmas Osila sõnul on tegemist selle aasta suurima tehinguga. Vt. samas: Marati hoone Tartu mnt 63; Baltic Property Trust. Kommenteerivad Kaur-Kaspar Kull ja Ruben Gornischeff

Pós 11 de setembro de 2.001 (II – Fortalecimento de novo paradigma de encontro entre civilizações na Ásia-Pacífico

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Paulo Antônio Pereira Pinto

2011-09-01

Full Text Available O presente busca delinear, sob o prisma civilizacional, os rumos das relações entre os países da Ásia-Pacífico a serem tomados após os ataques terroristas de 11 de setembro de 2001.

Understanding the Contemporary Crisis: the Portuguese experience as a lesson

OpenAIRE

Giselle Ávila Leal de Meirelles

2018-01-01

BRAZ, Marcelo. Para a Crítica da Crise: diálogos com intelectuais e parlamentares da esquerda em Portugal. [For the Critique of the Crisis: dialogues with intellectuals and members of parliament from Portugal’s left]. Curitiba: Prismas, 2016. 362 p.

Gabapentin in procedure-specific postoperative pain management

DEFF Research Database (Denmark)

Fabritius, Maria Louise; Geisler, Anja; Petersen, Pernille Lykke

2017-01-01

in 24-h morphine consumption, and serious adverse events (SAE) between surgical procedures. These subgroup analyses were predefined in a PRISMA compliant systematic review registered at PROSPERO (ID: CRD42013006538). It was predefined that conclusions should primarily be based on trials classified...

A systematic review of health effects of electronic cigarettes

DEFF Research Database (Denmark)

Pisinger, Charlotta; Døssing, Martin

2014-01-01

OBJECTIVE: To provide a systematic review of the existing literature on health consequences of vaporing of electronic cigarettes (ECs). METHODS: Search in: PubMed, EMBASE and CINAHL. INCLUSION CRITERIA: Original publications describing a health-related topic, published before 14 August 2014. PRISMA...

[Description of Clinical and Neurocognitive Profiles in Offspring of Bipolar-Type-I Parents From a Multimodal Intervention Program: Prisma].

Science.gov (United States)

Palacio-Ortíz, Juan David; Uribe-Villa, Esteban; Duque-Ríos, Paula; Gutiérrez-Briceño, Paola; Zapata-Henao, Violeta; Peña-Quintero, Cristian Esteban; López-Jaramillo, Carlos

2015-01-01

Offspring of bipolar parents are a high risk population for the develop of mental diseases, their study allow determining the genetic risk, early symptoms, prodromes and psychopathology of bipolar disorder. To describe the psychopathological characteristics and neurocognitives profiles of the offspring of bipolar type I parents. And to identify the presence of sub-syndromal symptoms in all the symptom domains. A descriptive and cross-sectional study was conducted on 110 offspring between 6 and 30 years old. Semi-structured diagnostic interviews were performed. The intelectual coeficient was determined and a neuropsychological assessment was performed on 89 offspring. The most prevalent disorder in the offspring was ADHD (27.6%), with major depression (15.5%) and separation anxiety (14.1%) also being prevalent. Seven patients of the sample were diagnosed with bipolar disorder. There was a statistically significant difference between the age groups for ADHD prevalence. The most frequent sub-syndromal symptoms were observed in the disruptive group. Alterations in the cognitive domains: attention, verbal fluency, work memory, and speed of information processing, were observed in the group younger than 18 years. The offspring of bipolar parents have an elevated rate of psychopathology and cognitive alterations. They are a high risk population for the development of mental disease. These subjects also require close longitudinal observation and early and preventive therapeuthic interventions. Copyright © 2014 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

Solar building construction. Special edition of the journal 'Sonnenenergie'; Solares Bauen. Sonderheft der Sonnenenergie

Energy Technology Data Exchange (ETDEWEB)

Rust, A. (comp.)

2003-10-01

This special issue of October 2003 reviews solar architecture, planning, applications, technology, market and knowledge. Subjects: Falkenweg housing development; Q-Cells solar factory; Modehaus Zara building; Haus Westermayr McCready building; Federal Environmental Office building, Dessau; 'Haus im Himmel' building; NRW state representatives building in Berlin; Zero-emission building 'Sunny Woods', Zurich; Hellerau workshop buildings, Dresden; HOCHTIEF PRISMA Haus building, Frankfurt; Solar government buildings, Berlin; SOLARBAU programme; Energy supply concepts based on photovoltaic power supply; Solar cooling; Photovoltaic lamellas; Solar building construction; Solar contracting; Solar building modernisation; Integrated PV systems in Europe; Living in passive buildings; Funding programmes for renewable energy sources and building construction. (orig./AKF)

EL CONCEPTO DEL DAÑO MORAL BAJO EL PRISMA DE LA JURISPRUDENCIA

Directory of Open Access Journals (Sweden)

Blanca Casado Andrés

2015-04-01

Full Text Available At present debates continue taking place on what it must be understood by moral hurt, probably the abstraction of the term is the reason. Nevertheless, the autonomy of the moral hurt and his admission for the courts (from the year 1912 turns out to be unquestionable, as his indemnity. Our Courts do not offer a definition of moral hurt. His contribution is merely practical, and though there are numerous the judgments that analyze the question of the moral hurts, the majority they limit themselves to solving the raised case, with a clear tendency to enumerate the most significant suppositions in relation to the protected goods and to extend the area of this type of hurts.

Design of the Dutch prevention of influenza, surveillance and management (PRISMA) study

NARCIS (Netherlands)

Hak, E; van Loon, S; Buskens, E; van Essen, G A; de Bakker, D; Tacken, M A J B; van Hout, B A; Grobbee, D E; Verheij, Th J M

2003-01-01

Rationale and design of a study on the cost-effectiveness of the Dutch influenza vaccination campaign are described. During two influenza epidemics, about 75,000 primary care patients recommended for influenza vaccination are included. Cases have fatal or non-fatal influenza, pneumonia, otitis

Il prisma sudafricano. Sport, turismo e avventura nel paese del post-apartheid

Directory of Open Access Journals (Sweden)

Lidia De Michelis

2012-02-01

Full Text Available This essay, which relies mostly on a cultural studies approach, aims to highlight the discursive and semiotic strategies which have defined official tourism promotion in South Africa since the end of apartheid. In particular, hosting the FIFA World Cup, a mega-event which placed the Country at the crossroads of international touristic flows in 2010, was not so much a finishing line, but rather a turning point for the self-refashioning of the country’s image. Shedding stereotyped definitions such as “the country of the big five”, South African Tourism has rebranded itself so as to mirror the new, complex reality and international status achieved by the nation since the advent of freedom. South Africa’s new public imaginary resembles a challenging, richly-textured prism, whose multiple facets concur to articulate a domestic discourse of reconciliation and unity along with the international projection of a powerful national identity, rebranded for the 21st century. By focusing on the promotion of so diverse branches of tourism as wildlife and conservation, township tourism and sport mega-events, this article aims to shed light on South Africa’s extraordinary achievement in nation-branding over the last decade, and on the way this process has been transformed into an effective tool of nation-building and public diplomacy

Guidelines for Qualitative Research in Organization Studies: Controversy and Possibilities

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Maria Fernanda Rios Cavalcanti

2017-09-01

Full Text Available The aim of the present article is to tackle the controversy of establishing guidelines for qualitative research in Organization and Management Theory (OMT and to present a summary of suggestions on how to conduct good qualitative research given by methodologists on top-tier international publications. In order to do so, the article discusses: general guidelines for qualitative research; how to achieve coherence and transparency in a qualitative empirical study; the meaning and importance of the concept of reflexivity; and, finally how to establish a theoretical contribution and transferability of findings in such context. The work presents a valuable contribution because such guidelines, concepts, and approaches can be adopted by students and researchers when conducting a qualitative research proposal, and by periodic reviewers to evaluate the quality of existing empirical studies.

Magnitude of cognitive dysfunction in adults with type 2 diabetes: a meta-analysis of six cognitive domains and the most frequently reported neuropsychological tests within domains

NARCIS (Netherlands)

Palta, P.; Schneider, A.; Biessels, G.J.; Touradji, P.; Hill-Briggs, F.

2014-01-01

The objectives were to conduct a meta-analysis in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards to determine effect sizes (Cohen’s d) for cognitive dysfunction in adults with type 2 diabetes, relative to nondiabetic controls, and to obtain

A systematic review of unintended pregnancy in cross-cultural ...

African Journals Online (AJOL)

Methods: Published and grey evidence available adverse effects of unintended pregnancy on children were extracted electronically using search engines: PubMed, EMBASE and Google Scholar for the period January 1981 through January 2017. The PRISMA checklist was used and qualities of eligible studies were ...

Epidemiology of inflammatory bowel disease in racial and ethnic migrant groups

DEFF Research Database (Denmark)

Misra, Ravi; Faiz, Omar; Munkholm, Pia

2018-01-01

AIM: To summarise the current literature and define patterns of disease in migrant and racial groups. METHODS: A structured key word search in Ovid Medline and EMBASE was undertaken in accordance with PRISMA guidelines. Studies on incidence, prevalence and disease phenotype of migrants and races...

Do recommended high-risk adults benefit from a first influenza vaccination?

NARCIS (Netherlands)

Hak, E; Buskens, E; Nichol, K L; Verheij, T J M

2006-01-01

It is unknown whether a first influenza vaccination protects high-risk adults from severe morbidity and mortality during influenza epidemics. As part of the PRISMA nested case-control study, we aimed to evaluate the effectiveness of first-time and repeat influenza vaccinations in adult persons

Understanding the Contemporary Crisis: the Portuguese experience as a lesson

Directory of Open Access Journals (Sweden)

Giselle Ávila Leal de Meirelles

2018-02-01

Full Text Available BRAZ, Marcelo. Para a Crítica da Crise: diálogos com intelectuais e parlamentares da esquerda em Portugal. [For the Critique of the Crisis: dialogues with intellectuals and members of parliament from Portugal’s left]. Curitiba: Prismas, 2016. 362 p.

Diabetes Technology-Continuous Subcutaneous Insulin Infusion Therapy and Continuous Glucose Monitoring in Adults: An Endocrine Society Clinical Practice Guideline.

Science.gov (United States)

Peters, Anne L; Ahmann, Andrew J; Battelino, Tadej; Evert, Alison; Hirsch, Irl B; Murad, M Hassan; Winter, William E; Wolpert, Howard

2016-11-01

To formulate clinical practice guidelines for the use of continuous glucose monitoring and continuous subcutaneous insulin infusion in adults with diabetes. The participants include an Endocrine Society-appointed Task Force of seven experts, a methodologist, and a medical writer. The American Association for Clinical Chemistry, the American Association of Diabetes Educators, and the European Society of Endocrinology co-sponsored this guideline. The Task Force developed this evidence-based guideline using the Grading of Recommendations, Assessment, Development, and Evaluation system to describe the strength of recommendations and the quality of evidence. The Task Force commissioned one systematic review and used the best available evidence from other published systematic reviews and individual studies. One group meeting, several conference calls, and e-mail communications enabled consensus. Committees and members of the Endocrine Society, the American Association for Clinical Chemistry, the American Association of Diabetes Educators, and the European Society of Endocrinology reviewed and commented on preliminary drafts of these guidelines. Continuous subcutaneous insulin infusion and continuous glucose monitoring have an important role in the treatment of diabetes. Data from randomized controlled trials are limited on the use of medical devices, but existing studies support the use of diabetes technology for a wide variety of indications. This guideline presents a review of the literature and practice recommendations for appropriate device use.

The professional methodological teaching performance of the professor of Physical education. Set of parameters for its measurement

Directory of Open Access Journals (Sweden)

Orlando Pedro Suárez Pérez

2017-07-01

Full Text Available This work was developed due to the need to attend to the difficulties found in the Physical Education teachers of the municipality of San Juan and Martínez during the development of the teaching-learning process of Basketball, which threaten the quality of the classes, sports results and preparation of the School for life. The objective is to propose parameters that allow measuring the professional teaching methodological performance of these teachers. The customized behavior of the research made possible the diagnosis of the 26 professors taken as a sample, expressing the traits that distinguish their efficiency, determining their potentialities and deficiencies. During the research process, theoretical, empirical and statistical methods were used, which permitted to corroborate the real existence of the problem, as well as the evaluation of its impact, which revealed a positive transformation in pedagogical practice. The results provide a concrete and viable answer for the improvement of the evaluation of the teaching-methodological component of the Physical Education teacher, which constitutes an important material of guidance for methodologists and managers related to the instrumental cognitive, procedural and attitudinal performance , In order to conduct from the precedent knowledge, the new knowledge and lead to a formative process, with a contemporary vision, offering methodological resources to control the quality of Physical Education lessons.

Moving toward the automation of the systematic review process: a summary of discussions at the second meeting of International Collaboration for the Automation of Systematic Reviews (ICASR).

Science.gov (United States)

O'Connor, Annette M; Tsafnat, Guy; Gilbert, Stephen B; Thayer, Kristina A; Wolfe, Mary S

2018-01-09

The second meeting of the International Collaboration for Automation of Systematic Reviews (ICASR) was held 3-4 October 2016 in Philadelphia, Pennsylvania, USA. ICASR is an interdisciplinary group whose aim is to maximize the use of technology for conducting rapid, accurate, and efficient systematic reviews of scientific evidence. Having automated tools for systematic review should enable more transparent and timely review, maximizing the potential for identifying and translating research findings to practical application. The meeting brought together multiple stakeholder groups including users of summarized research, methodologists who explore production processes and systematic review quality, and technologists such as software developers, statisticians, and vendors. This diversity of participants was intended to ensure effective communication with numerous stakeholders about progress toward automation of systematic reviews and stimulate discussion about potential solutions to identified challenges. The meeting highlighted challenges, both simple and complex, and raised awareness among participants about ongoing efforts by various stakeholders. An outcome of this forum was to identify several short-term projects that participants felt would advance the automation of tasks in the systematic review workflow including (1) fostering better understanding about available tools, (2) developing validated datasets for testing new tools, (3) determining a standard method to facilitate interoperability of tools such as through an application programming interface or API, and (4) establishing criteria to evaluate the quality of tools' output. ICASR 2016 provided a beneficial forum to foster focused discussion about tool development and resources and reconfirm ICASR members' commitment toward systematic reviews' automation.

Key stakeholders' experiences of respite services for people with dementia and their perspectives on respite service development: a qualitative systematic review.

Science.gov (United States)

Shea, Emma O'; Timmons, Suzanne; Shea, Eamon O'; Fox, Siobhan; Irving, Kate

2017-12-07

Respite services provide a break in the caregiving relationship for people with dementia and their carers, however they are often under-used and service acceptability can be low. This study aims to understand key stakeholders' experiences of respite services for people with dementia, with a view to informing respite service development. A systematic search was conducted of the Pubmed/MedLine, Embase, Cinahl, PsychInfo, Scopus, Web of Science, and Cochrane databases (1980-2016, English) with fixed search terms relating to 'respite' and 'dementia', following PRISMA guidelines. Noblit and Hare's approach to meta-ethnography was employed. Key concepts were identified across the papers and reciprocal and refutational translation techniques were applied to primary studies; findings were synthesized into third order interpretations and finally, a 'line-of-argument' was developed. In total 23 papers were reviewed, which described 20 independent samples across 12 countries. The views of 889 participants were synthesized (13 people with dementia, 690 carers, 44 'service providers', 52 frontline staff, 70 managers, 12 volunteers, six academic/policy-makers, and two independent consultants). Five key concepts were identified and outlined i.e. 1) the transition to service use 2) expanding organizational capacity 3) dementia care quality 4) building a collaborative care partnership and 5) dyad restoration. There was broad agreement around the key areas for service development across the range of stakeholders (flexible and responsive person-centred care, meaningful activity for people with dementia, enhanced client-service communication and informational support). However, there was clear divergence in stakeholder perspectives around the barriers to implementation of such developments. Organizational tension was evident between frontline staff and management in respite services, hindering the cultural change necessary to facilitate service development in line with dyad's needs

Parallel handling of integrity constraints on fragmented relations

NARCIS (Netherlands)

Grefen, P.W.P.J.; Apers, Peter M.G.

A short introduction to the important aspects of the PRISMA DBMS (database management system) and to the notation and terminology used is presented. It is shown how integrity constraints formulated in terms of global relations can be translated into a fragmented form. The strategy for constraint

Testosterone deficiency in testicular cancer survivors - a systematic review and meta-analysis

DEFF Research Database (Denmark)

Bandak, Mikkel; Jørgensen, N; Juul, A.

2016-01-01

of late effects related to hypogonadism. We performed a critical review of PubMed in January 2015 according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) statement. Twelve publications were selected for inclusion in this analysis. Eleven studies evaluated the risk of TD...

BACTERIAL ADHESION TO DENTAL AMALGAM AND 3 RESIN COMPOSITES

NARCIS (Netherlands)

SULJAK, JP; REID, G; WOOD, SM; MCCONNELL, RJ; VANDERMEI, HC; BUSSCHER, HJ

Objectives: The ability of three oral bacteria to adhere to hydrophobic amalgam (water contact angle 60 degrees) and hydrophobic resin composites (Prisma-AP.H 56 degrees, Herculite XRV 82 degrees and Z100 89 degrees) was compared using an in vitro assay. Methods and results: Following preincubation

Duplicates and translation of nested SQL queries into XRA

NARCIS (Netherlands)

N.Th. Verbrugge

1990-01-01

textabstractThe PRISMA/DB system contains a parser to translate the database language SQL into eXtended Relational Algebra (XRA). The early definition of XRA, which has a multi-set semantics, proves inadequate for translating SQL according to its nested-iteration semantics. The prime cause is that

3. III vahetas seni Ühiselu trükikojale kuulunud unikaalne kõrgtrükimasin Victoria asupaika : ...

Index Scriptorium Estoniae

2005-01-01

Eesti viimane töötav kõrgtrükipress seati üles kultuuritehases Polymer. Seadmete annetaja - Prisma Print. Kultuuritehas Polymer koostöös Eesti Kunstiakadeemiaga loob õppeklassi, ka jääb kultuuritrükikoda täitma kõrgtrükitehnikas plakatite tellimusi

Can Neuroimaging Markers of Vascular Pathology Explain Cognitive Performance in Adults with Sickle Cell Anemia? A Review of the Literature

Science.gov (United States)

Jorgensen, Dana R.; Rosano, Caterina; Novelli, Enrico M.

2017-01-01

Adults with homozygous sickle cell anemia have, on average, lower cognitive function than unaffected controls. The mechanisms underlying cognitive deterioration in this population are poorly understood, but cerebral small vessel disease (CSVD) is likely to be implicated. We conducted a systematic review using the Prisma Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines of articles that included both measures of cognitive function and magnetic resonance imaging (MRI) neuroimaging markers of small vessel disease. While all five studies identified small vessel disease by MRI, only two of them found a significant relationship between structural changes and cognitive performance. Differences in methodologies and small sample sizes likely accounted for the discrepancies between the studies. We conclude that while MRI is a valuable tool to identify markers of CSVD in this population, larger studies are needed to definitely establish a link between MRI-detectable abnormalities and cognitive function in sickle cell anemia. PMID:27689914

Inelastic instruments at the ISIS facility

International Nuclear Information System (INIS)

Taylor, A.D.

1988-01-01

This summarises the status of the inelastic spectrometers at the ISIS facility and gives some highlights from their scientific programme. The inelastic spectrometers HET, TFXA and IRIS are now being used routinely by UK and International research groups and have produced notable scientific results. Work has progressed steadily on eVS. The PRISMA spectrometer, the product of a collaboration between CNR, Italy and RAL, was installed this summer. Earlier this year an agreement was reached in principle between the Rutherford Appleton Laboratory and the University of Wurzburg (West Germany) to build a second spectrometer (ROTAX) for the study of coherent inelastic excitations. A more sophisticated technical concept than that of PRISMA, based on a nonuniformly rotating analyser, it will allow a greater flexibility in the choice of dynamic scans. Substantial progress has also been made on the design of MARI, the sister spectrometer to HET, which is being built as part of the UK-Japan collaboration on pulsed neutron scattering. (author)

PRINCIPIUL DIFERENŢIERII ŞI INDIVIDUALIZĂRII ÎNVĂŢĂRII PRIN PRISMA MANUALULUI ŞCOLAR

Directory of Open Access Journals (Sweden)

Nina BÎRNAZ

2015-12-01

Full Text Available Societatea contemporană, caracterizată prin accelerarea progresului ştiinţific şi tehnic, prin explozia informaţională, prin fenomenul globalizării, reclamă o educaţie centrată pe elev, pe înclinaţiile, nevoile şi interesele acestuia, ceea ce va oferi şanse de formare, dezvoltare şi manifestare individuală a fiecărui elev. În acest context putem accentua importanţa principiului diferenţierii şi individualizării învăţării, care plasează în centrul procesului educaţional copilul, ţinând seama de achiziţiile sale, de ritmul şi de capacitatea sa de a deveni actor al propriei învăţări. Un mijloc didactic eficient de reflectare a principiului diferenţierii şi individualizării învăţării este manualul şcolar.THE PRINCIPLE OF LEARNING DIFFERENTIATION AND INDIVIDUALIZATION THROUGH SCHOOLBOOKToday’s society, which is described by the acceleration of scientific and technical progress, information burst and globalization, requires a student-centered education, based on his/her affinity, needs and interests, which will provide opportunities for training, development and individual manifestation of the student. In this context, we could point out the importance of the principle of learning differentiation and individualization, that places the child in the center of educational process, taking into account his/her achievements, rhythm and capacity of becoming the actor of his/her own learning. One effective teaching means of reflecting the principle of differentiation and individualization of learning is the schoolbook.

Clinical Practice Guidelines for the Medical Management of Nonhospitalized Ulcerative Colitis: The Patient Perspective

Directory of Open Access Journals (Sweden)

A Hillary Steinhart

2015-01-01

Full Text Available A series of clinical practice guidelines were recently developed by the Canadian Association of Gastroenterology (CAG to provide clinicians with recommendations for the medical management of nonhospitalized ulcerative colitis (UC patients. These guidelines were developed, reviewed and agreed on by expert clinicians and methodologists. Following the finalization of the guidelines, a group of patients with UC as well as several inflammatory bowel disease clinicians, were brought together for a half-day workshop to provide feedback from the patient perspective. At the workshop, the guideline development process was described and the guidelines were reviewed to ensure comprehension. Patients then had the opportunity to provide their insight to the relevance of the guideline development process and the content of the guidelines as it related to their personal experiences with UC. The patient group believed that, although the new guidelines will be a tremendous resource for the health care provider community, a more ‘lay-friendly’ version would better facilitate dialogue between patients and their health care practitioners. The importance of the patient/physician relationship is paramount when making decisions regarding treatment plans, in which patient preferences play a key role in determining the most appropriate therapy and dosing regimen, which, in turn, impact the likelihood of adherence to the treatment plan. It was also believed that quality of life issues were not fully addressed in the guidelines. Much could be learned from shared experiences and coping strategies that would empower patients to take charge of their health and become equal partners with their care providers.

Facial Emotion Recognition in Child Psychiatry: A Systematic Review

Science.gov (United States)

Collin, Lisa; Bindra, Jasmeet; Raju, Monika; Gillberg, Christopher; Minnis, Helen

2013-01-01

This review focuses on facial affect (emotion) recognition in children and adolescents with psychiatric disorders other than autism. A systematic search, using PRISMA guidelines, was conducted to identify original articles published prior to October 2011 pertaining to face recognition tasks in case-control studies. Used in the qualitative…

Wrist arthroplasty--a systematic review

DEFF Research Database (Denmark)

Boeckstyns, Michel E H

2014-01-01

was to review the literature on second, third and fourth generation implants. METHODS: The review was conducted according to the PRISMA-guidelines. A search was made using a protocolled strategy and well-defined criteria in PubMed, in the Cochrane Library and by screening reference lists. RESULTS: 37...

Measuring Physical Activity in Children and Youth Living with Intellectual Disabilities: A Systematic Review

Science.gov (United States)

Hinckson, Erica Aneke; Curtis, Amy

2013-01-01

Accurate assessment of physical activity is necessary in determining levels of physical activity in children living with intellectual disability (ID) and assessing effectiveness of intervention programmes. A systematic review of measures of physical activity in children with ID was undertaken using the PRISMA guidelines. MEDLINE-PubMed, Scopus,…

Acetaminophen for Chronic Pain

DEFF Research Database (Denmark)

Ennis, Zandra Nymand; Dideriksen, Dorthe; Vaegter, Henrik Bjarke

2016-01-01

was conducted according to PRISMA guidelines. All studies were conducted in patients with hip- or knee osteoarthritis and six out of seven studies had observation periods of less than three months. All included studies showed no or little efficacy with dubious clinical relevance. In conclusion, there is little...

Influência do uso de aditivo retentor de água à base de éter de celulose nas propriedades das argamassas de assentamento em alvenaria estrutural de blocos de concreto

Directory of Open Access Journals (Sweden)

Alexandre Lima Oliveira

Full Text Available O objetivo deste trabalho foi estudar a influência do uso de aditivo retentor de água à base de éter de celulose em argamassa de assentamento para alvenaria estrutural de blocos de concreto. Foi empregado um hidroxipropil-metilcelulose (HPMC em uma argamassa mista de cimento e cal, em diferentes teores (0,00%, 0,03%, 0,06% e 0,09% em relação à massa total de materiais secos para a avaliação da influência do referido aditivo nas propriedades das argamassas no estado fresco e endurecido. Além disso, foram confeccionados prismas com três blocos e miniprismas, com pedaços serrados de blocos, para avaliação da resistência à compressão, módulo de deformação e tensão de aderência. Os resultados mostraram que existe potencial para se empregarem retentores de água à base de éter de celulose para a confecção de argamassas de assentamento para alvenaria estrutural de blocos de concreto, haja vista que houve aumento da capacidade de retenção de água das argamassas e que o uso do referido produto não exerceu influência na resistência à compressão delas e na resistência à compressão dos prismas. Contudo, a resistência à compressão das juntas de assentamento, o módulo de elasticidade dos prismas e a resistência à aderência na flexão sofreram reduções significativas quando do emprego do éter de celulose.

Knowledge gobernanza model ah its applications in OTRIS. Two cases; Modelo de gobierno del conocimiento y su aplicacion en las OTRIS. Dos casos de implatacion

Energy Technology Data Exchange (ETDEWEB)

Bueno Campos, E.; Plaz Landela, R.; Albert Berenguer, J.

2007-07-01

The importance of I+D and knowledge transfer in European economies and in Technology and Innovation in Spain, is a key issue to achieve the Europe target for 2010 to become the European society of knowledge for growth. This article shows, with certain detail, the structure and functions of the MTT model used as a reference of processes needed to fulfil the mission of an OTRI and its function of knowledge transfer.Two concrete applications show the effectiveness and functionality of the model; CARTA and PRISMA applications are case studies of the MTT implementation process. They represent a first step through new developments that are being carried out in other OTRIS. (Author) 35 refs.

A Review of Decision Support Systems for Smart Homes in the Health Care System.

Science.gov (United States)

Baumgärtel, Diana; Mielke, Corinna; Haux, Reinhold

2018-01-01

The use of decision support systems for smart homes can provide attractive solutions for challenges that have arisen in the Health Care System due to ageing of society. In order to provide an overview of current research projects in this field, a systematic literature review was performed according to the PRISMA approach. The aims of this work are to provide an overview of current research projects and to update a similar study from 2012. The literature search engines IEEE Xplore and PubMed were used. 23 papers were included. Most of the systems presented are developed for monitoring the patient regardless of their illness. For decision support, mainly rule-based approaches are used.

Knowledge gobernanza model ah its applications in OTRIS. Two cases

International Nuclear Information System (INIS)

Bueno Campos, E.; Plaz Landela, R.; Albert Berenguer, J.

2007-01-01

The importance of I+D and knowledge transfer in European economies and in Technology and Innovation in Spain, is a key issue to achieve the Europe target for 2010 to become the European society of knowledge for growth. This article shows, with certain detail, the structure and functions of the MTT model used as a reference of processes needed to fulfil the mission of an OTRI and its function of knowledge transfer.Two concrete applications show the effectiveness and functionality of the model; CARTA and PRISMA applications are case studies of the MTT implementation process. They represent a first step through new developments that are being carried out in other OTRIS. (Author) 35 refs

PENGEMBANGAN PERANGKAT PEMBELAJARAN BIOLOGI BERORIENTASI PENGEMBANGAN KECERDASAN MAJEMUK SISWA PADA KONSEP SEL KELAS XI SMA

Directory of Open Access Journals (Sweden)

Vidya Chaerunnisa

2017-01-01

Full Text Available This study aimed to determine the feasibility of the development of student’s multiple intelligence-oriented learning instrument on the cells concept in grade XI senior high school. Research and Development (R & D method was conducted in this research. This research was developed four components in the cell concept learning instrument that included syllabus, lesson plan, student’s worksheet, and assessment instrument. From the four components were obtained an average score of 93.76% with a decent category. The time limited test was conducted in July-August 2016, at SMAN 4 Kota Serang and SMA Prisma Sanjaya Kota Serang. Based on students' responses as a user, it was obtained the value of 79.78% with a fair category. Based on the results of expert test and limited test scale, the learning instrument development of multiple intelligences learning-oriented can be applied for the learning process in the cell concept for grade XI in senior high school.

Partnerships for the Design, Conduct, and Analysis of Effectiveness, and Implementation Research: Experiences of the Prevention Science and Methodology Group

Science.gov (United States)

Brown, C. Hendricks; Kellam, Sheppard G.; Kaupert, Sheila; Muthén, Bengt O.; Wang, Wei; Muthén, Linda K.; Chamberlain, Patricia; PoVey, Craig L.; Cady, Rick; Valente, Thomas W.; Ogihara, Mitsunori; Prado, Guillermo J.; Pantin, Hilda M.; Gallo, Carlos G.; Szapocznik, José; Czaja, Sara J.; McManus, John W.

2012-01-01

What progress prevention research has made comes through strategic partnerships with communities and institutions that host this research, as well as professional and practice networks that facilitate the diffusion of knowledge about prevention. We discuss partnership issues related to the design, analysis, and implementation of prevention research and especially how rigorous designs, including random assignment, get resolved through a partnership between community stakeholders, institutions, and researchers. These partnerships shape not only study design, but they determine the data that can be collected and how results and new methods are disseminated. We also examine a second type of partnership to improve the implementation of effective prevention programs into practice. We draw on social networks to studying partnership formation and function. The experience of the Prevention Science and Methodology Group, which itself is a networked partnership between scientists and methodologists, is highlighted. PMID:22160786

A systematic review of occupational exposure to coal dust and the risk of interstitial lung diseases

DEFF Research Database (Denmark)

Beer, Christiane; Kolstad, Henrik A; Søndergaard, Klaus

2017-01-01

Objective: Exposure to coal dust can cause interstitial lung disease (ILD), but whether this is due to pure coal or to the contents of quartz in coal is less clear. Here, we systematically reviewed the relation between 'pure coal' and ILD. Methods: In a systematic review based on PRISMA criteria...

A Thematic Review of Blended Learning in Higher Education

Science.gov (United States)

Pima, John Marco; Odetayo, Michael; Iqbal, Rahat; Sedoyeka, Eliamani

2018-01-01

This article reviews the international literature on blended learning in view of establishing its thematic trends in higher education. The systematic review through PRISMA, sought to answer three research questions: First, how have publications evolved from 2000 to 2016 in blended learning in higher education? Secondly, what themes are frequently…

Systematic review

DEFF Research Database (Denmark)

Christensen, Troels Dreier; Spindler, Karen-Lise Garm; Palshof, Jesper Andreas

2016-01-01

to earlier diagnosis and improved survival. Method: In this paper, we describe the incidence as well as characteristics associated with BM based on a systematic review of the current literature, following the PRISMA guidelines. Results: We show that the incidence of BM in CRC patients ranges from 0.6 to 3...

A systematic review of occupational exposure to coal dust and the risk of interstitial lung diseases

NARCIS (Netherlands)

Beer, Christiane; Kolstad, Henrik A; Søndergaard, Klaus; Bendstrup, Elisabeth; Heederik, Dick; Olsen, Karen E; Omland, Øyvind; Petsonk, Edward; Sigsgaard, Torben; Sherson, David L; Schlünssen, Vivi

2017-01-01

Objective: Exposure to coal dust can cause interstitial lung disease (ILD), but whether this is due to pure coal or to the contents of quartz in coal is less clear. Here, we systematically reviewed the relation between 'pure coal' and ILD. Methods: In a systematic review based on PRISMA criteria

Implementing Clinical Research Using Factorial Designs: A Primer.

Science.gov (United States)

Baker, Timothy B; Smith, Stevens S; Bolt, Daniel M; Loh, Wei-Yin; Mermelstein, Robin; Fiore, Michael C; Piper, Megan E; Collins, Linda M

2017-07-01

Factorial experiments have rarely been used in the development or evaluation of clinical interventions. However, factorial designs offer advantages over randomized controlled trial designs, the latter being much more frequently used in such research. Factorial designs are highly efficient (permitting evaluation of multiple intervention components with good statistical power) and present the opportunity to detect interactions amongst intervention components. Such advantages have led methodologists to advocate for the greater use of factorial designs in research on clinical interventions (Collins, Dziak, & Li, 2009). However, researchers considering the use of such designs in clinical research face a series of choices that have consequential implications for the interpretability and value of the experimental results. These choices include: whether to use a factorial design, selection of the number and type of factors to include, how to address the compatibility of the different factors included, whether and how to avoid confounds between the type and number of interventions a participant receives, and how to interpret interactions. The use of factorial designs in clinical intervention research poses choices that differ from those typically considered in randomized clinical trial designs. However, the great information yield of the former encourages clinical researchers' increased and careful execution of such designs. Copyright © 2017. Published by Elsevier Ltd.

Towards global consensus on outcome measures for atopic eczema research: results of the HOME II meeting.

Science.gov (United States)

Schmitt, Jochen; Spuls, Phyllis; Boers, Maarten; Thomas, Kim; Chalmers, Joanne; Roekevisch, Evelien; Schram, Mandy; Allsopp, Richard; Aoki, Valeria; Apfelbacher, Christian; Bruijnzeel-Koomen, Carla; Bruin-Weller, Marjolein; Charman, Carolyn; Cohen, Arnon; Dohil, Magdalene; Flohr, Carsten; Furue, Masutaka; Gieler, Uwe; Hooft, Lotty; Humphreys, Rosemary; Ishii, Henrique Akira; Katayama, Ichiro; Kouwenhoven, Willem; Langan, Sinéad; Lewis-Jones, Sue; Merhand, Stephanie; Murota, Hiroyuki; Murrell, Dedee F; Nankervis, Helen; Ohya, Yukihiro; Oranje, Arnold; Otsuka, Hiromi; Paul, Carle; Rosenbluth, Yael; Saeki, Hidehisa; Schuttelaar, Marie-Louise; Stalder, Jean-Francois; Svensson, Ake; Takaoka, Roberto; Wahlgren, Carl-Fredrik; Weidinger, Stephan; Wollenberg, Andreas; Williams, Hywel

2012-09-01

The use of nonstandardized and inadequately validated outcome measures in atopic eczema trials is a major obstacle to practising evidence-based dermatology. The Harmonising Outcome Measures for Eczema (HOME) initiative is an international multiprofessional group dedicated to atopic eczema outcomes research. In June 2011, the HOME initiative conducted a consensus study involving 43 individuals from 10 countries, representing different stakeholders (patients, clinicians, methodologists, pharmaceutical industry) to determine core outcome domains for atopic eczema trials, to define quality criteria for atopic eczema outcome measures and to prioritize topics for atopic eczema outcomes research. Delegates were given evidence-based information, followed by structured group discussion and anonymous consensus voting. Consensus was achieved to include clinical signs, symptoms, long-term control of flares and quality of life into the core set of outcome domains for atopic eczema trials. The HOME initiative strongly recommends including and reporting these core outcome domains as primary or secondary endpoints in all future atopic eczema trials. Measures of these core outcome domains need to be valid, sensitive to change and feasible. Prioritized topics of the HOME initiative are the identification/development of the most appropriate instruments for the four core outcome domains. HOME is open to anyone with an interest in atopic eczema outcomes research. © 2012 John Wiley & Sons A/S.

Treatment of Cushing's Syndrome: An Endocrine Society Clinical Practice Guideline

Science.gov (United States)

Nieman, Lynnette K.; Biller, Beverly M. K.; Findling, James W.; Murad, M. Hassan; Newell-Price, John; Savage, Martin O.; Tabarin, Antoine

2015-01-01

Objective: The objective is to formulate clinical practice guidelines for treating Cushing's syndrome. Participants: Participants include an Endocrine Society-appointed Task Force of experts, a methodologist, and a medical writer. The European Society for Endocrinology co-sponsored the guideline. Evidence: The Task Force used the Grading of Recommendations, Assessment, Development, and Evaluation system to describe the strength of recommendations and the quality of evidence. The Task Force commissioned three systematic reviews and used the best available evidence from other published systematic reviews and individual studies. Consensus Process: The Task Force achieved consensus through one group meeting, several conference calls, and numerous e-mail communications. Committees and members of The Endocrine Society and the European Society of Endocrinology reviewed and commented on preliminary drafts of these guidelines. Conclusions: Treatment of Cushing's syndrome is essential to reduce mortality and associated comorbidities. Effective treatment includes the normalization of cortisol levels or action. It also includes the normalization of comorbidities via directly treating the cause of Cushing's syndrome and by adjunctive treatments (eg, antihypertensives). Surgical resection of the causal lesion(s) is generally the first-line approach. The choice of second-line treatments, including medication, bilateral adrenalectomy, and radiation therapy (for corticotrope tumors), must be individualized to each patient. PMID:26222757

The Mini-OAKHQOL for knee and hip osteoarthritis quality of life was obtained following recent shortening guidelines.

Science.gov (United States)

Guillemin, Francis; Rat, Anne-Christine; Goetz, Christophe; Spitz, Elisabeth; Pouchot, Jacques; Coste, Joël

2016-01-01

To develop a short form of the knee and hip osteoarthritis quality of life questionnaire, the Mini-OAKHQOL, preserving the conceptual model and, as far as possible, the content and the psychometric properties of the original instrument. A two-step shortening procedure was used: (1) a consensus Delphi method, with a panel of patients and another of professionals independently asked to select items and (2) a nominal group, where patients, professionals, and methodologists reached consensus on the final selection of items, using information from the panels and from modern measurement and classical test theory analyses. The psychometric properties of the Mini-OAKHQOL were assessed in an independent population-based sample of 581 subjects with knee or hip osteoarthritis. The two-step shortening procedure resulted in a 20-item questionnaire. Confirmatory factor analysis showed preservation of the original five-dimensional structure. Rasch analyses showed the unidimensionality and invariance by sex, age, and joint of the main dimensions. Convergent validity, reproducibility, and internal consistency were similar to or better than those of the original OAKHQOL. The 20-item Mini-OAKHQOL has good psychometric properties and can be used for the measurement of quality of life in subjects with osteoarthritis of the lower limbs. Copyright © 2016 Elsevier Inc. All rights reserved.

Toward Real-Time Infoveillance of Twitter Health Messages.

Science.gov (United States)

Colditz, Jason B; Chu, Kar-Hai; Emery, Sherry L; Larkin, Chandler R; James, A Everette; Welling, Joel; Primack, Brian A

2018-06-21

There is growing interest in conducting public health research using data from social media. In particular, Twitter "infoveillance" has demonstrated utility across health contexts. However, rigorous and reproducible methodologies for using Twitter data in public health are not yet well articulated, particularly those related to content analysis, which is a highly popular approach. In 2014, we gathered an interdisciplinary team of health science researchers, computer scientists, and methodologists to begin implementing an open-source framework for real-time infoveillance of Twitter health messages (RITHM). Through this process, we documented common challenges and novel solutions to inform future work in real-time Twitter data collection and subsequent human coding. The RITHM framework allows researchers and practitioners to use well-planned and reproducible processes in retrieving, storing, filtering, subsampling, and formatting data for health topics of interest. Further considerations for human coding of Twitter data include coder selection and training, data representation, codebook development and refinement, and monitoring coding accuracy and productivity. We illustrate methodological considerations through practical examples from formative work related to hookah tobacco smoking, and we reference essential methods literature related to understanding and using Twitter data. (Am J Public Health. Published online ahead of print June 21, 2018: e1-e6. doi:10.2105/AJPH.2018.304497).

[Review of the health technology assessment on surgeries in Japan].

Science.gov (United States)

Nishigori, Tatsuto; Kawakami, Koji; Goto, Rei; Hida, Koya; Sakai, Yoshiharu

2015-01-01

Health Technology Assessment (HTA) is the systematic evaluation to measure the value of new health technologies. It improves the quality of choices on hand for cost-effective health technologies that are considered valuable. Japan has built a society of longevity consisted of the institution of the universal health care system, which is financially unsustainable. In Japan, no independent HTA organization has been publicly established but the government is contemplating implementation of such system. To advance the usage of HTA into surgery, we need to establish methods for evaluating new surgical technologies with steep learning curves. The promotion of clinical researches is also essential, especially by taking advantage of observational studies from medical big data such as the Japanese nationwide database which has more than four million surgical cases registered. In addition, we need more clinical information regarding each surgical patient's quality of life and socioeconomic status. The countries already introduced HTA into their health care system have measures to solve the problems that arose and have developed necessary evaluating methods. To introduce and promote HTA in Japan without taking away the benefit of our current healthcare, it is required that surgeons collaborate with other specialists such as methodologists and health economists.

Maxima: tarbimine elavneb alles kahe aasta pärast / Andres Reimer

Index Scriptorium Estoniae

Reimer, Andres

2009-01-01

Maxima grupi laienemine on peatatud, sh. ka Eestis. Maxima kaupluste arv vähenes Leedus kümne võrra, Eestis lisandus üks Maxima kauplus, Lätis jäi nende arv samaks. Prisma Peremarketi juhi Janne Tapio Lihavaineni hinnangul on Maxima poed liiga väikesed, et majanduskriisi ajal konkureerida

Complications and health-related quality of life after robot-assisted versus open radical cystectomy

DEFF Research Database (Denmark)

Lauridsen, Susanne Vahr; Tønnesen, Hanne; Jensen, Bente Thoft

2017-01-01

. Randomized controlled trials (RCTs) that examined RARC compared to ORC were included in this review. We assessed the quality of evidence using the Cochrane Collaboration's 'Risk of bias' tool and Grading of Recommendations Assessment, Development and Evaluation approach. Data were extracted and analysed...... (ORC) on complications and secondary on length of stay, time back to work and health-related quality of life (HRQoL). METHODS: The databases PubMed, The Cochrane Library, Embase and CINAHL were searched. A systematic review according to the PRISMA guidelines and cumulative analysis was conducted....... RESULTS: The search retrieved 273 articles. Four RCTs were included involving overall 239 patients. The quality of the evidence was of low to moderate quality. There was no significant difference between RARC and ORC in the number of patients developing complications within 30 or 90 days postoperatively...

Modeling Precipitation Kinetics During Heat Treatment with Calphad-Based Tools

Science.gov (United States)

Chen, Qing; Wu, Kaisheng; Sterner, Gustaf; Mason, Paul

2014-12-01

Sophisticated precipitation reaction models combined with well-developed CALPHAD databases provide an efficient way to tailor precipitate microstructures that maximize strengthening via the optimization of alloy chemistries and heat treatment schedules. The success of the CALPHAD approach relies on the capability to provide fundamental phase equilibrium and phase transformation information in materials of industrial relevance taking into consideration composition and temperature variation. The newly developed TC-PRISMA program is described. The effect of growth modes, alloy chemistries, and cooling profiles on the formation of multimodal microstructures has been examined in order to understand the underlying thermodynamics and kinetics. Practical issues that are critical to the accuracy and applicability of the current simulations, such as modifications that overcome mean field approximations, compatibility between CALPHAD databases, and selections of key parameters (particularly interfacial energy and nucleation site densities), are also addressed.

PRISMA as a quality tool for promoting customer satisfaction in the telecommunications industry

NARCIS (Netherlands)

Dye, J.; Schaaf, van der T.W.

2002-01-01

Near-miss event reporting systems have a successful history in managing risk in industries such as medicine, aviation, nuclear power, and the petrochemical industry. By treating events of customer dissatisfaction as accidents, near-miss event reporting systems designed to reduce risks to safety in

PRISMA-MAR: An Architecture Model for Data Visualization in Augmented Reality Mobile Devices

Science.gov (United States)

Gomes Costa, Mauro Alexandre Folha; Serique Meiguins, Bianchi; Carneiro, Nikolas S.; Gonçalves Meiguins, Aruanda Simões

2013-01-01

This paper proposes an extension to mobile augmented reality (MAR) environments--the addition of data charts to the more usual text, image and video components. To this purpose, we have designed a client-server architecture including the main necessary modules and services to provide an Information Visualization MAR experience. The server side…

Association between prospective registration and overall reporting and methodological quality of systematic reviews: a meta-epidemiological study.

Science.gov (United States)

Ge, Long; Tian, Jin-Hui; Li, Ya-Nan; Pan, Jia-Xue; Li, Ge; Wei, Dang; Xing, Xin; Pan, Bei; Chen, Yao-Long; Song, Fu-Jian; Yang, Ke-Hu

2018-01-01

The aim of this study was to investigate the differences in main characteristics, reporting and methodological quality between prospectively registered and nonregistered systematic reviews. PubMed was searched to identify systematic reviews of randomized controlled trials published in 2015 in English. After title and abstract screening, potentially relevant reviews were divided into three groups: registered non-Cochrane reviews, Cochrane reviews, and nonregistered reviews. For each group, random number tables were generated in Microsoft Excel, and the first 50 eligible studies from each group were randomly selected. Data of interest from systematic reviews were extracted. Regression analyses were conducted to explore the association between total Revised Assessment of Multiple Systematic Review (R-AMSTAR) or Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) scores and the selected characteristics of systematic reviews. The conducting and reporting of literature search in registered reviews were superior to nonregistered reviews. Differences in 9 of the 11 R-AMSTAR items were statistically significant between registered and nonregistered reviews. The total R-AMSTAR score of registered reviews was higher than nonregistered reviews [mean difference (MD) = 4.82, 95% confidence interval (CI): 3.70, 5.94]. Sensitivity analysis by excluding the registration-related item presented similar result (MD = 4.34, 95% CI: 3.28, 5.40). Total PRISMA scores of registered reviews were significantly higher than nonregistered reviews (all reviews: MD = 1.47, 95% CI: 0.64-2.30; non-Cochrane reviews: MD = 1.49, 95% CI: 0.56-2.42). However, the difference in the total PRISMA score was no longer statistically significant after excluding the item related to registration (item 5). Regression analyses showed similar results. Prospective registration may at least indirectly improve the overall methodological quality of systematic reviews, although its impact

Lente intra-ocular opaca em diplopia intratável: relato de caso Opaque intraocular lens in intractable diplopia: case report

Directory of Open Access Journals (Sweden)

Fernanda Teixeira Krieger

2006-08-01

Full Text Available Diplopia intratável tem sido descrita em várias situações. Métodos convencionais como prismas e correção cirúrgica do estrabismo falham em neutralizá-la. O objetivo do trabalho é documentar o caso de uma paciente com estrabismo de longa data, cuja diplopia deteriorou-se ao longo dos anos, e não foi possível resolução com cirurgia, prisma, e oclusão com óculos e lente de contato com pupila opaca. A paciente foi então submetida à facoemulsificação com implante de lente intra-ocular opaca que atingiu o objetivo desejado.Intractable diplopia has been described in many situations but poor results are the rule with standard treatment modalities. The authors report a case of a woman with long-standing strabismus and diplopia who failed to improve following surgery, prism, and occlusive spectacles or contact lenses. Then, she was submitted to phacoemulsification and opaque intraocular lens implantation, which successfully neutralized diplopia.

Establishing Network Interaction between Resource Training Centers for People with Disabilities and Partner Universities

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Panyukova S.V.,

2018-05-01

Full Text Available The paper focuses on the problem of accessibility and quality of higher education for students with disabilities. We describe our experience in organising network interaction between the MSUPE Resource and Training Center for Disabled People established in 2016-2017 and partner universities in ‘fixed territories’. The need for cooperation and network interaction arises from the high demand for the cooperation of efforts of leading experts, researchers, methodologists and instructors necessary for improving the quality and accessibility of higher education for persons with disabilities. The Resource and Training Center offers counseling for the partner universities, arranges advanced training for those responsible for teaching of the disabled, and offers specialized equipment for temporary use. In this article, we emphasize the importance of organizing network interactions with universities and social partners in order to ensure accessibility of higher education for students with disabilities.

Critical Appraisal of Microbiology Guidelines Endorsed by two Professional Organisations: Société Française De Microbiologie (SFM) and American Society of Microbiology (ASM).

Science.gov (United States)

Fonfrède, Michèle; Couaillac, Jean Paul; Augereau, Christine; Lepargneur, Jean Pierre; Watine, Joseph

2012-07-01

Medical practice guidelines (GLs) being tools that are mainly designed to evaluate medical professionals, it sounds logical, and fair, that professionals should in turn evaluate GLs. Microbiology being a medical discipline, we used the AGREE instrument, i.e. an established evaluation tool for GLs, in order to evaluate the quality of two major microbiology guidelines, i.e. the SFM GLs and the ASM GLs). Both guidelines remain sub-optimal in their levels of quality, and obtain scores that are not very different from the average scores obtained by many other guidelines in various medical disciplines. We therefore believe that both guidelines need to be modified before they can be recommended without provisos. A higher degree of multi-disciplinary work, including a more formal implication of methodologists, as well as of infectious disease clinicians, and of economists, might perhaps enable future editions of these guidelines to reach higher levels of quality.

Responsive survey design, demographic data collection, and models of demographic behavior.

Science.gov (United States)

Axinn, William G; Link, Cynthia F; Groves, Robert M

2011-08-01

To address declining response rates and rising data-collection costs, survey methodologists have devised new techniques for using process data ("paradata") to address nonresponse by altering the survey design dynamically during data collection. We investigate the substantive consequences of responsive survey design-tools that use paradata to improve the representative qualities of surveys and control costs. By improving representation of reluctant respondents, responsive design can change our understanding of the topic being studied. Using the National Survey of Family Growth Cycle 6, we illustrate how responsive survey design can shape both demographic estimates and models of demographic behaviors based on survey data. By juxtaposing measures from regular and responsive data collection phases, we document how special efforts to interview reluctant respondents may affect demographic estimates. Results demonstrate the potential of responsive survey design to change the quality of demographic research based on survey data.

General Diseases Influence on Peri-Implantitis Development: a Systematic Review

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Zygimantas Guobis

2016-09-01

Full Text Available Objectives: To systematically review the influence of systemic diseases or medications used in their treatment on the dental implant therapy success. Material and Methods: The search strategy was implemented on the National Library of Medicine database (MEDLINE (Ovid and EMBASE electronic databases between January 2006 and January 2016. Human studies with available English articles analysing the relationship between dental implant therapy success and systemic diseases, such as diabetes mellitus, AIDS/HIV, rheumatoid arthritis, osteoporosis, Crohn’s disease, cardiovascular diseases, scleroderma, Sjögren’s syndrome, lichen planus, ectodermal dysplasia, post-transplantation status, were included in present review according to the PRISMA guidelines. The review protocol was registered on PROSPERO system with the code CRD42016033662. Results: Present review included forty one retrospective and prospective follow-up studies, case-control studies, case report series and cohort studies. Despite some limitations this study reveals positive results of implantation in most systemic conditions that should be interpreted with caution. Influence of cardiovascular diseases on the dental implantation success should be explored deeply, because of controversial results and likelihood of comorbidity expressed by a history of cardiovascular diseases and periodontitis. There is only a weak relationship with bone density in osteoporosis and implant failure. All the other diseases did not show significant effect on implantation success. Conclusions: Recent studies with low strength of evidence and controversy show that systemic diseases may have potential effect on the success of implantation, but further detailed studies are needed to provide these findings.

The effectiveness of concept mapping on development of critical thinking in nursing education: A systematic review and meta-analysis.

Science.gov (United States)

Yue, Meng; Zhang, Meng; Zhang, Chunmei; Jin, Changde

2017-05-01

As an essential skill in daily clinical nursing practice, critical thinking ability has been an important objective in nursing education. Concept mapping enables nursing students connect new information to existing knowledge and integrates interdisciplinary knowledge. However, there is a lack of evidence related to critical thinking ability and concept mapping in nursing education. The purpose of this systematic review and meta-analysis was to assess the effect of concept mapping in developing critical thinking in nursing education. This systematic review was reported in line with Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). A search was conducted in PubMed, Web of science, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Cumulative Index to Nursing and Allied Health (CINAHL) and China National Knowledge Infrastructure (CNKI). Randomized controlled trials (RCT) comparing concept mapping and traditional teaching method were retrieved. Data were collected by two reviewers according to the data extraction tables. The methodological quality of included studies was assessed by other two reviewers. The results of meta-analysis were presented using mean difference (MD). Thirteen trials were summarized in the systematic review and eleven trials were included in the meta-analysis. The pooled effect size showed that, comparing with traditional methods, concept mapping could improve subjects' critical thinking ability measured by California Critical Thinking Disposition Inventory (CCTDI), California Critical Thinking Skill Test (CCTST) and Critical Thinking Scale (CTS). The subgroup analyses showed that concept mapping improved the score of all subscales. The result of this review indicated that concept mapping could affect the critical thinking affective dispositions and critical thinking cognitive skills. Further high quality research using uniform evaluation is required. Copyright © 2017 Elsevier Ltd. All rights reserved.

Uterine transplantation: Review in human research.

Science.gov (United States)

Favre-Inhofer, A; Rafii, A; Carbonnel, M; Revaux, A; Ayoubi, J M

2018-06-01

Uterine transplantation is the solution to treat absolute uterine fertility. In this review, we present the historical, medical, technical, psychological and ethical perspectives in human uterine transplantation research. We reviewed the PubMed database following PRISMA guidelines and added data presented by several research teams during the first international congress on uterine transplantation. Copyright © 2018. Published by Elsevier Masson SAS.

The European Stroke Organisation Guidelines: a standard operating procedure.

Science.gov (United States)

Ntaios, George; Bornstein, Natan M; Caso, Valeria; Christensen, Hanne; De Keyser, Jacques; Diener, Hans-Christoph; Diez-Tejedor, Exuperio; Ferro, Jose M; Ford, Gary A; Grau, Armin; Keller, Emanuella; Leys, Didier; Russell, David; Toni, Danilo; Turc, Guillaume; Van der Worp, Bart; Wahlgren, Nils; Steiner, Thorsten

2015-10-01

In 2008, the recently founded European Stroke Organisation published its guidelines for the management of ischemic stroke and transient ischemic attack. This highly cited document was translated in several languages and was updated in 2009. Since then, the European Stroke Organisation has published guidelines for the management of intracranial aneurysms and subarachnoidal hemorrhage, for the establishment of stroke units and stroke centers, and recently for the management of intracerebral hemorrhage. In recent years, the methodology for the development of guidelines has evolved significantly. To keep pace with this progress and driven by the strong determination of the European Stroke Organisation to further promote stroke management, education, and research, the European Stroke Organisation decided to delineate a detailed standard operating procedure for its guidelines. There are two important cornerstones in this standard operating procedure: The first is the implementation of the Grading of Recommendations Assessment, Development, and Evaluation methodology for the development of its Guideline Documents. The second one is the decision of the European Stroke Organisation to move from the classical model of a single Guideline Document about a major topic (e.g. management of ischemic stroke) to focused modules (i.e. subdivisions of a major topic). This will enable the European Stroke Organisation to react faster when new developments in a specific stroke field occur and update its recommendations on the related module rather swiftly; with the previous approach of a single large Guideline Document, its entire revision had to be completed before an updated publication, delaying the production of up-to-date guidelines. After discussion within the European Stroke Organisation Guidelines Committee and significant input from European Stroke Organisation members as well as methodologists and analysts, this document presents the official standard operating procedure for

The Influence of Individual Personalities Towards Team Performance at PT. Bpr Prisma Dana Manado

OpenAIRE

Untu, Mario Rahmat

2014-01-01

In today€™s global and competitive environment, one of the more often debated issues in the study of organizational behavior is the effects of workforce diversity such as personality on team performance. Workforce diversity refers to employee€™s individual differences and similarities. It stands for individuality that includes personality, gender, race, nationality, ethnicity, region, income, marital status, work experience, perceptions among others. The purpose of this study was to examine h...

A Percepção é um Prisma: corpo, presença e tecnologias

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Enrico Pitozzi

2014-05-01

Full Text Available Ao partir de uma perspectiva interdisciplinar acerca dos conceitos de corpo, percepção e tecnologias na cena contemporânea, este texto tentará definir a noção estética geral de bodyscape como uma extensão da percepção do performer. Por meio de um exame de algumas práticas chave da cena contemporânea, como as composições coreográficas de Myriam Gourfink, Isabelle Choinière e o projeto de assinatura do movimento de Martine Époque e Denis Poulin, analisa-se o impacto das tecnologias sobre a redefinição do processo da percepção do performer na composição do movimento e a mudança da noção de presença. Nesse sentido, tem-se uma série das modificações que também influenciam a percepção do espectador. Portanto, discute-se a noção de empatia e tenta-se descobrir como ela se aplica ao contexto de uma imagem digital do corpo.

Dopamine versus norepinephrine in the treatment of cardiogenic shock: A PRISMA-compliant meta-analysis.

Science.gov (United States)

Rui, Qing; Jiang, Yufeng; Chen, Min; Zhang, Nannan; Yang, Huajia; Zhou, Yafeng

2017-10-01

Guidelines recommend that norepinephrine (NA) should be used to reach the target mean arterial pressure (MAP) during cardiogenic shock (CS), rather than epinephrine and dopamine (DA). However, there has actually been few studies on comparing norepinephrine with dopamine and their results conflicts. These studies raise a heat discussion. This study aimed to validate the effectiveness of norepinephrine for treating CS in comparison with dopamine. We performed a meta-analysis of randomized controlled trials (RCTs) to assess pooled estimates of risk ratio (RR) and 95% confidence interval (CI) for 28-day mortality, incidence of arrhythmic events, gastrointestinal reaction, and some indexes after treatment. Compared with dopamine, patients receiving norepinephrine had a lower 28-day mortality (RR 1.611 [95% CI 1.219-2.129]; P dopamine in 2 subgroups. Our analysis revealed that norepinephrine was associated with a lower 28-day mortality, a lower risk of arrhythmic events, and gastrointestinal reaction. No matter whether CS is caused by coronary heart disease or not, norepinephrine is superior to dopamine for correcting CS on the 28-day mortality.

Chicagská sociologická škola a počátky Chicagské univerzity

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Hynek Jeřábek

2013-12-01

Full Text Available The article describes the role of the Chicago School of Sociology in the development of empirical social research. It traces the increase in the significance of the education of doctoral students on American universities at the turn of the 20th century, and the role of philanthropic foundations. It focuses on the contribution of prominent individuals: W. R. Harper, rector and founder of the University of Chicago, obtained top figures and founded journals in some major fields. A. W. Small was the first chair of the Department of Sociology and Social Anthropology, founded the American Journal of Sociology and wrote the first two textbooks of sociology. W. I. Thomas was responsible for the famous study Polish Peasant in Europe and America and for the theoretical foundations passed on to his successors. In 1916 R. E. Park published a project in which Chicago became a social laboratory and he inspired and was an advisor for numerous doctoral projects that later were published as sociological monographs. The methodologist E. W. Burgess organized empirical research for the school of doctoral studies that emerged in Chicago and successfully worked there for twenty years. It is beyond the scope of one article to discuss also the monographs by doctoral students at the University of Chicago. Paper examines in detail only the monograph by Park, Burgess and McKenzie titled The City.

Architectural Processes and Physicochemical Properties of CoO/ZnO and Zn 1− x Co x O/Co 1− y Zn y O Nanocomposites

KAUST Repository

Yao, Ke Xin

2009-01-29

In this work we synthesized two inverse kinds of cobalt and zinc oxide nanocomposites (CoO/ZnO and Zn1-xCoxO/Co 1-yZnyO) and compared methodologistic features observed from the syntheses. The binary oxide system chosen herein is because divalent cobalt and zinc have very similar ion radii, and they interdiffuse easily when forming doped structures. A "two-pot" process was devised for the CoO/ZnO composites, in which mesocrystalline cores of CoO were formed first, followed by introduction of an overlayer of ZnO nanoparticles to the core surfaces. In contrast, a "one-pot" process was developed for the Zn1-xCoxO/Co1-yZnyO composites. In particular, hollow and/or multishelled Zn1-xCoxO cores (in wurtzite phase) serve as a support for the nanospheres of Co 1-yZnyO (in rock-salt phase) in this latter method. Our findings indicate that while "multi-pot" synthesis is a prevailing methodology for composite nanoparticles, simpler "one-pot" synthesis can be an effective approach for preparation of more complex nanocomposite materials, especially for interdoped metal oxides. As an example, our as-prepared binary oxide composites Zn1-xCoxO/Co 1-yZnyO have shown good catalytic activity for oxidation of carbon monoxide at relatively low reaction temperatures. © 2009 American Chemical Society.

Disagreements in meta-analyses using outcomes measured on continuous or rating scales: observer agreement study

DEFF Research Database (Denmark)

Tendal, Britta; Higgins, Julian P T; Jüni, Peter

2009-01-01

difference (SMD), the protocols for the reviews and the trial reports (n=45) were retrieved. DATA EXTRACTION: Five experienced methodologists and five PhD students independently extracted data from the trial reports for calculation of the first SMD result in each review. The observers did not have access...... to the reviews but to the protocols, where the relevant outcome was highlighted. The agreement was analysed at both trial and meta-analysis level, pairing the observers in all possible ways (45 pairs, yielding 2025 pairs of trials and 450 pairs of meta-analyses). Agreement was defined as SMDs that differed less...... than 0.1 in their point estimates or confidence intervals. RESULTS: The agreement was 53% at trial level and 31% at meta-analysis level. Including all pairs, the median disagreement was SMD=0.22 (interquartile range 0.07-0.61). The experts agreed somewhat more than the PhD students at trial level (61...

Meta-Analysis With Complex Research Designs: Dealing With Dependence From Multiple Measures and Multiple Group Comparisons

Science.gov (United States)

Scammacca, Nancy; Roberts, Greg; Stuebing, Karla K.

2013-01-01

Previous research has shown that treating dependent effect sizes as independent inflates the variance of the mean effect size and introduces bias by giving studies with more effect sizes more weight in the meta-analysis. This article summarizes the different approaches to handling dependence that have been advocated by methodologists, some of which are more feasible to implement with education research studies than others. A case study using effect sizes from a recent meta-analysis of reading interventions is presented to compare the results obtained from different approaches to dealing with dependence. Overall, mean effect sizes and variance estimates were found to be similar, but estimates of indexes of heterogeneity varied. Meta-analysts are advised to explore the effect of the method of handling dependence on the heterogeneity estimates before conducting moderator analyses and to choose the approach to dependence that is best suited to their research question and their data set. PMID:25309002

A Bayesian approach to estimating variance components within a multivariate generalizability theory framework.

Science.gov (United States)

Jiang, Zhehan; Skorupski, William

2017-12-12

In many behavioral research areas, multivariate generalizability theory (mG theory) has been typically used to investigate the reliability of certain multidimensional assessments. However, traditional mG-theory estimation-namely, using frequentist approaches-has limits, leading researchers to fail to take full advantage of the information that mG theory can offer regarding the reliability of measurements. Alternatively, Bayesian methods provide more information than frequentist approaches can offer. This article presents instructional guidelines on how to implement mG-theory analyses in a Bayesian framework; in particular, BUGS code is presented to fit commonly seen designs from mG theory, including single-facet designs, two-facet crossed designs, and two-facet nested designs. In addition to concrete examples that are closely related to the selected designs and the corresponding BUGS code, a simulated dataset is provided to demonstrate the utility and advantages of the Bayesian approach. This article is intended to serve as a tutorial reference for applied researchers and methodologists conducting mG-theory studies.

Cliff´s Delta Calculator: A non-parametric effect size program for two groups of observations

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Guillermo Macbeth

2011-05-01

Full Text Available The Cliff´s Delta statistic is an effect size measure that quantifies the amount of difference between two non-parametric variables beyond p-values interpretation. This measure can be understood as a useful complementary analysis for the corresponding hypothesis testing. During the last two decades the use of effect size measures has been strongly encouraged by methodologists and leading institutions of behavioral sciences. The aim of this contribution is to introduce the Cliff´s Delta Calculator software that performs such analysis and offers some interpretation tips. Differences and similarities with the parametric case are analysed and illustrated. The implementation of this free program is fully described and compared with other calculators. Alternative algorithmic approaches are mathematically analysed and a basic linear algebra proof of its equivalence is formally presented. Two worked examples in cognitive psychology are commented. A visual interpretation of Cliff´s Delta is suggested. Availability, installation and applications of the program are presented and discussed.

Psychopathology in Young People Experiencing Homelessness: A Systematic Review

Science.gov (United States)

Shelton, Katherine H.; van den Bree, Marianne B. M.; Los, Férenc J.

2013-01-01

Understanding mental health issues faced by young homeless persons is instrumental to the development of successful targeted interventions. No systematic review of recent published literature on psychopathology in this group has been completed. We conducted a systematic review of published research examining the prevalence of psychiatric problems among young homeless people. We examined the temporal relationship between homelessness and psychopathology. We collated 46 articles according to the PRISMA Statement. All studies that used a full psychiatric assessment consistently reported a prevalence of any psychiatric disorder from 48% to 98%. Although there was a lack of longitudinal studies of the temporal relationship between psychiatric disorders and homelessness, findings suggested a reciprocal link. Supporting young people at risk for homelessness could reduce homelessness incidence and improve mental health. PMID:23597340

RECOMMENDATIONS FOR INTERVIEWERS CONDUCTING SOCIOLOGICAL SURVEYS: THE USE OF THE PSYCHOTYPES THEORY AND ANALYSIS OF RESPONDENTS’ NONVERBAL REACTIONS

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Ж В Пузанова

2018-12-01

Full Text Available The quality of sociological data is the problem that cannot lose relevance in the works of methodologists and practicing sociologists for decades. Procedures and techniques for the improvement of the quality of information for all type of survey methods are developing. The purpose of the article is to inform the interviewers conducting semi-structured or unstructured interviews of the recommendations developed on the basis of the theory of psychotypes (by V.V. Ponomarenko. This technology will allow to improve the quality of sociological data. Identification of the psychotype of the respondent and his emotional reactions to different sensitive topics during the interview are the basis of this technology. Emotional reactions can be traced by nonverbal cues (facial expressions, gestures and poses and interpreted by the technology of the analysis of nonverbal reactions developed and approved earlier. During the multi-stage experiment, the reactions significant in the course of interview were traced and analyzed - irritation, surprise, sadness, contempt, joy, fear, disgust, stress/discomfort, doubt/indecision, manifestations of mental processes. At the first phase, representatives of ‘ideal types’ of each psychotype were selected by an abridged psychological test and external diagnostics based on sensitive topics. As a result, the recommendations for a semi-structured interview were formulated. To use this technique, it is necessary to test an interviewee before the interview by the abridged psychological technique (in case there are doubts after the visual diagnostics. According to the psychotype the interviewer pays attention to the sensitive topics of the in-terview, and during the interview can reformulate the open-ended questions to reduce the sensitivity of significant topics for each respondent.

Hormones and tendinopathies: the current evidence.

Science.gov (United States)

Oliva, Francesco; Piccirilli, Eleonora; Berardi, Anna C; Frizziero, Antonio; Tarantino, Umberto; Maffulli, Nicola

2016-03-01

Tendinopathies negatively affect the quality of life of millions of people, but we still do not know the factors involved in the development of tendon conditions. Published articles in English in PubMed and Google Scholar up to June 2015 about hormonal influence on tendinopathies onset. One hundred and two papers were included following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. In vitro and in vivo, tenocytes showed changes in their morphology and in their functional properties according to hormonal imbalances. Genetic pattern, sex, age and comorbidities can influence the hormonal effect on tendons. The increasing prevalence of metabolic disorders prompts to investigate the possible connection between metabolic problems and musculoskeletal diseases. The influence of hormones on tendon structure and metabolism needs to be further investigated. If found to be significant, multidisciplinary preventive and therapeutic strategies should then be developed. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Propaganda techniques in law enforcement practice: experience of the Republic of Belarus

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Stukanov V.G.

2014-12-01

Full Text Available One of the objectives of public administration is stated – influencing the public consciousness to form values and world view, attitude of the people towards rules of law and public authorities. Propaganda is an effective means of organizing such influence. It’s proved that propaganda is a specially organized process of presenting information aimed at the assimilation of declared by the state system of moral and legal norms and values as well as social and political views by the public consciousness. Propaganda is a means of state ideology, therefore it includes value attitude to the historical, political, social and economic processes; evaluation of historical development models and the balance of political forces; attitude to legally protected values, state authorities and law enforcement agencies, criminal behaviour. The following subjects of propaganda are recognized: state, public authorities, mass media, civil society actors (political parties, trade unions, public and religious associations and foundations, national diasporas, etc.. Their information and communication activities meet the national interests declared officially. The objects of propaganda are public consciousness, the system of spiritual values, worldviews, social and political views and attitudes, as well as the historical memory of the people. The state is the source of propaganda views and ideas. It acts as methodologist of propaganda activities, developing the concept of propaganda on the basis of state ideology, and ensuring its implementation through executive and administrative authorities, political, public and other institutions. The state creates the mechanism and appropriate conditions for propaganda influence, using administrative, economic, personnel and other resources.

The DISAM Journal of International Security Assistance Management. Volume 29, Number 4, December 2007. Building Partnership Capacity

Science.gov (United States)

2007-12-01

Demographic Diversity and Change in the Central American Isthmus. Ann R. Pebley, Luis Rosero Bixby, and Universidad de Costa Rica. Programa Centroamericano...mirrored in the demographic composition of El Salvador. According to Programa Salvaderaño de Investigación Sobre Desarrollo y Medio Ambiente (PRISMA...regarding the existence of a signifi cant linkage between environmental security and national security. The inclusion of environmental security

Cannabinoids for treatment of chronic non-cancer pain; a systematic review of randomized trials

OpenAIRE

Lynch, Mary E; Campbell, Fiona

2011-01-01

Effective therapeutic options for patients living with chronic pain are limited. The pain relieving effect of cannabinoids remains unclear. A systematic review of randomized controlled trials (RCTs) examining cannabinoids in the treatment of chronic non-cancer pain was conducted according to the PRISMA statement update on the QUORUM guidelines for reporting systematic reviews that evaluate health care interventions. Cannabinoids studied included smoked cannabis, oromucosal extracts of cannabi...

Meeting the home-care needs of disabled older persons living in the community: does integrated services delivery make a difference?

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Raîche Michel

2011-10-01

Full Text Available Abstract Background The PRISMA Model is an innovative coordination-type integrated-service-delivery (ISD network designed to manage and better match resources to the complex and evolving needs of elders. The goal of this study was to examine the impact of this ISD network on unmet needs among disabled older persons living in the community. Methods Using data from the PRISMA study, we compared unmet needs of elders living in the community in areas with or without an ISD network. Disabilities and unmet needs were assessed with the Functional Autonomy Measurement System (SMAF. We used growth-curve analysis to examine changes in unmet needs over time and the variables associated with initial status and change. Sociodemographic characteristics, level of disability, self-perceived health status, cognitive functioning, level of empowerment, and the hours of care received were investigated as covariates. Lastly, we report the prevalence of needs and unmet needs for 29 activities in both areas at the end of the study. Results On average, participants were 83 years old; 62% were women. They had a moderate level of disability and mild cognitive problems. On average, they received 2.07 hours/day (SD = 1.08 of disability-related care, mostly provided by family. The findings from growth-curve analysis suggest that elders living in the area where ISD was implemented and those with higher levels of disability experience better fulfillment of their needs over time. Besides the area, being a woman, living alone, having a higher level of disability, more cognitive impairments, and a lower level of empowerment were linked to initial unmet needs (r2 = 0.25; p Conclusions In spite of more than 30 years of home-care services in the province of Quebec, disabled older adults living in the community still have unmet needs. ISD networks such as the PRISMA Model, however, appear to offer an effective response to the long-term-care needs of the elderly.

STUDIEREA INFORMATICII ÎN ÎNVĂŢĂMÂNTUL PREUNIVERSITAR PRIN PRISMA METODELOR ŞI TEHNICILOR MODERNE DE PROGRAMARE

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Angela GLOBA

2016-12-01

Full Text Available În articolul de faţă este abordat procesul didactico-istoric de studiere a tehnicilor de programare în ciclul preuniversitar din Republica Moldova. Se examinează procesul de dezvoltare şi modernizare a curriculumului disciplinar la Informatică în perioada 1985-2015, compartimentul Tehnici de programare. În atenţie este luată viziunea şi percepţia profesorilor de infor­matică şi a elevilor vizavi de procesul de predare-învăţare a compartimentului Tehnici de programare în învăţă­mântul preuniversitar, expus în cadrul unei chestionări reprezentative din punct de vedere geografic. STUDYING INFORMATICS IN PREUNIVERSITARY EDUCATION BY USING METHODSAND MODERN PROGRAMMING TEHNIQUESThis article aims at studying the historical-didactic process regarding the programming techniques in the pre­uni­versi­tary system in the Republic of Moldova. The development and modernization of the curriculum in Computer Science during 1985-2015 on programming techniques and methods is examined. The article is studying vision and perception of informatics teachers and Olympic students on Computer Science, conducted in a geographically representative question­naire, in relation to the teaching-learning process of the technique programming compartment in the preuniversitary education.

Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): the TRIPOD statement. The TRIPOD Group.

Science.gov (United States)

Collins, Gary S; Reitsma, Johannes B; Altman, Douglas G; Moons, Karel G M

2015-01-13

Prediction models are developed to aid health care providers in estimating the probability or risk that a specific disease or condition is present (diagnostic models) or that a specific event will occur in the future (prognostic models), to inform their decision making. However, the overwhelming evidence shows that the quality of reporting of prediction model studies is poor. Only with full and clear reporting of information on all aspects of a prediction model can risk of bias and potential usefulness of prediction models be adequately assessed. The Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis (TRIPOD) Initiative developed a set of recommendations for the reporting of studies developing, validating, or updating a prediction model, whether for diagnostic or prognostic purposes. This article describes how the TRIPOD Statement was developed. An extensive list of items based on a review of the literature was created, which was reduced after a Web-based survey and revised during a 3-day meeting in June 2011 with methodologists, health care professionals, and journal editors. The list was refined during several meetings of the steering group and in e-mail discussions with the wider group of TRIPOD contributors. The resulting TRIPOD Statement is a checklist of 22 items, deemed essential for transparent reporting of a prediction model study. The TRIPOD Statement aims to improve the transparency of the reporting of a prediction model study regardless of the study methods used. The TRIPOD Statement is best used in conjunction with the TRIPOD explanation and elaboration document. To aid the editorial process and readers of prediction model studies, it is recommended that authors include a completed checklist in their submission (also available at www.tripod-statement.org). © 2015 The Authors.

Millennium development goal four and child health inequities in indonesia: a systematic review of the literature.

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Julia Schröders

Full Text Available Millennium Development Goal (MDG 4 calls for reducing mortality of children under-five years by two-thirds by 2015. Indonesia is on track to officially meet the MDG 4 targets by 2015 but progress has been far from universal. It has been argued that national level statistics, on which MDG 4 relies, obscure persistent health inequities within the country. Particularly inequities in child health are a major global public health challenge both for achieving MDG 4 in 2015 and beyond. This review aims to map out the situation of MDG 4 with respect to disadvantaged populations in Indonesia applying the Social Determinants of Health (SDH framework. The specific objectives are to answer: Who are the disadvantaged populations? Where do they live? And why and how is the inequitable distribution of health explained in terms of the SDH framework?We retrieved studies through a systematic review of peer-reviewed and gray literature published in 1995-2014. The PRISMA-Equity 2012 statement was adapted to guide the methods of this review. The dependent variables were MDG 4-related indicators; the independent variable "disadvantaged populations" was defined by different categories of social differentiation using PROGRESS. Included texts were analyzed following the guidelines for deductive content analysis operationalized on the basis of the SDH framework. We identified 83 studies establishing evidence on more than 40 different determinants hindering an equitable distribution of child health in Indonesia. The most prominent determinants arise from the shortcomings within the rural health care system, the repercussions of food poverty coupled with low health literacy among parents, the impact of low household decision-making power of mothers, and the consequences of high persistent use of traditional birth attendants among ethnic minorities.This review calls for enhanced understanding of the determinants and pathways that create, detain, and overcome inequities in

Physical rehabilitation interventions for adult patients with critical illness across the continuum of recovery: an overview of systematic reviews protocol.

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Connolly, Bronwen; O'Neill, Brenda; Salisbury, Lisa; McDowell, Kathryn; Blackwood, Bronagh

2015-09-29

Patients admitted to the intensive care unit with critical illness often experience significant physical impairments, which typically persist for many years following resolution of the original illness. Physical rehabilitation interventions that enhance restoration of physical function have been evaluated across the continuum of recovery following critical illness including within the intensive care unit, following discharge to the ward and beyond hospital discharge. Multiple systematic reviews have been published appraising the expanding evidence investigating these physical rehabilitation interventions, although there appears to be variability in review methodology and quality. We aim to conduct an overview of existing systematic reviews of physical rehabilitation interventions for adult intensive care patients across the continuum of recovery. This protocol has been developed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol (PRISMA-P) guidelines. We will search the Cochrane Systematic Review Database, Database of Abstracts of Reviews of Effectiveness, Cochrane Central Register of Controlled Trials, MEDLINE, Excerpta Medica Database and Cumulative Index to Nursing and Allied Health Literature databases. We will include systematic reviews of randomised controlled trials of adult patients, admitted to the intensive care unit and who have received physical rehabilitation interventions at any time point during their recovery. Data extraction will include systematic review aims and rationale, study types, populations, interventions, comparators, outcomes and quality appraisal method. Primary outcomes of interest will focus on findings reflecting recovery of physical function. Quality of reporting and methodological quality will be appraised using the PRISMA checklist and the Assessment of Multiple Systematic Reviews tool. We anticipate the findings from this novel overview of systematic reviews will contribute to the

The 1st Baltic Osseointegration Academy and Lithuanian University of Health Sciences Consensus Conference 2016. Summary and Consensus Statements: Group I - Peri-Implantitis Aetiology, Risk Factors and Pathogenesis

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Claudio Stacchi

2016-09-01

Full Text Available Introduction: The task of Group 1 was to review and update the existing data concerning aetiology, risk factors and pathogenesis of peri-implantitis. Previous history of periodontitis, poor oral hygiene, smoking and presence of general diseases have been considered among the aetiological risk factors for the onset of peri-implant pathologies, while late dental implant failures are commonly associated with peri-implantitis and/or with the application of incorrect biomechanical forces. Special interest was paid to the bone cells dynamics as part of the pathogenesis of peri-implantitis. Material and Methods: The main areas indagated by this group were as follows: influence of smoking, history of periodontitis and general diseases on peri-implantitis development, bio-mechanics of implant loading and its influence on peri-implant bone and cellular dynamics related to the pathogenesis of peri-implantitis. The systematic reviews and/or meta-analyses were registered in PROSPERO, an international prospective register of systematic reviews: http://www.crd.york.ac.uk/PROSPERO/. The literature in the corresponding areas of interest was screened and reported following the PRISMA (Preferred Reporting Item for Systematic Review and Meta-Analysis Statement: http://www.prisma-statement.org/. Method of preparation of the systematic reviews, based on comprehensive search strategies, was discussed and standardized. The summary of the materials and methods employed by the authors in preparing the systematic reviews and/or meta-analyses is presented in Preface chapter. Results: The results and conclusions of the review process are presented in the respective papers. One systematic review with meta-analysis, three systematic reviews and one theoretical analysis were performed. The group′s general commentaries, consensus statements, clinical recommendations and implications for research are presented in this article.

Green Application for Space Power

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Robinson, Joel

2015-01-01

Most space vehicle auxiliary power units (APUs) use hydrazine propellant for generating power. Hydrazine is a toxic, hazardous fuel that requires special safety equipment and processes for handling and loading. In recent years, there has been development of two green propellants (less toxic) that could enable their use in APUs. The Swedish government, in concert with the Swedish Space Corporation, has developed a propellant based on ammonium dinitramide (LMP-103S) that was flown on the Prisma spacecraft in 2010. The United States Air Force (USAF) has been developing a propellant based on hydroxylammonium nitrate (AFM315E) that is scheduled to fly on the Green Propellant Infusion Mission in the spring of 2016 to demonstrate apogee and reaction control thrusters. However, no one else in the Agency is currently pursuing use of green propellants for application to the APUs. Per the TA-01 Launch Propulsion Roadmap, the Space Technology Mission Directorate had identified the need to have a green propellant APU by 2015. This is our motivation for continuing activities.

Globalization of continuing professional development by journal clubs via microblogging: a systematic review.

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Roberts, Matthew John; Perera, Marlon; Lawrentschuk, Nathan; Romanic, Diana; Papa, Nathan; Bolton, Damien

2015-04-23

Journal clubs are an essential tool in promoting clinical evidence-based medical education to all medical and allied health professionals. Twitter represents a public, microblogging forum that can facilitate traditional journal club requirements, while also reaching a global audience, and participation for discussion with study authors and colleagues. The aim of the current study was to evaluate the current state of social media-facilitated journal clubs, specifically Twitter, as an example of continuing professional development. A systematic review of literature databases (Medline, Embase, CINAHL, Web of Science, ERIC via ProQuest) was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A systematic search of Twitter, the followers of identified journal clubs, and Symplur was also performed. Demographic and monthly tweet data were extracted from Twitter and Symplur. All manuscripts related to Twitter-based journal clubs were included. Statistical analyses were performed in MS Excel and STATA. From a total of 469 citations, 11 manuscripts were included and referred to five Twitter-based journal clubs (#ALiEMJC, #BlueJC, #ebnjc, #urojc, #meded). A Twitter-based journal club search yielded 34 potential hashtags/accounts, of which 24 were included in the final analysis. The median duration of activity was 11.75 (interquartile range [IQR] 19.9, SD 10.9) months, with 7 now inactive. The median number of followers and participants was 374 (IQR 574) and 157 (IQR 272), respectively. An overall increasing establishment of active Twitter-based journal clubs was observed, resulting in an exponential increase in total cumulative tweets (R(2)=.98), and tweets per month (R(2)=.72). Cumulative tweets for specific journal clubs increased linearly, with @ADC_JC, @EBNursingBMJ, @igsjc, @iurojc, and @NephJC, and showing greatest rate of change, as well as total impressions per month since establishment. An average of two

Methodological issues associated with collecting sensitive information over the telephone - experience from an Australian non-suicidal self-injury (NSSI prevalence study

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Fullerton Simon

2011-02-01

Full Text Available Abstract Background Collecting population data on sensitive issues such as non-suicidal self-injury (NSSI is problematic. Case note audits or hospital/clinic based presentations only record severe cases and do not distinguish between suicidal and non-suicidal intent. Community surveys have largely been limited to school and university students, resulting in little much needed population-based data on NSSI. Collecting these data via a large scale population survey presents challenges to survey methodologists. This paper addresses the methodological issues associated with collecting this type of data via CATI. Methods An Australia-wide population survey was funded by the Australian Government to determine prevalence estimates of NSSI and associations, predictors, relationships to suicide attempts and suicide ideation, and outcomes. Computer assisted telephone interviewing (CATI on a random sample of the Australian population aged 10+ years of age from randomly selected households, was undertaken. Results Overall, from 31,216 eligible households, 12,006 interviews were undertaken (response rate 38.5%. The 4-week prevalence of NSSI was 1.1% (95% ci 0.9-1.3% and lifetime prevalence was 8.1% (95% ci 7.6-8.6. Methodological concerns and challenges in regard to collection of these data included extensive interviewer training and post interview counselling. Ethical considerations, especially with children as young as 10 years of age being asked sensitive questions, were addressed prior to data collection. The solution required a large amount of information to be sent to each selected household prior to the telephone interview which contributed to a lower than expected response rate. Non-coverage error caused by the population of interest being highly mobile, homeless or institutionalised was also a suspected issue in this low prevalence condition. In many circumstances the numbers missing from the sampling frame are small enough to not cause worry

Effects of the Pilates method on neck pain: a systematic review

OpenAIRE

Cemin, Natália Fernanda; Schmit, Emanuelle Francine Detogni; Candotti, Cláudia Tarragô

2017-01-01

Abstract Introduction: The Pilates method has been used for neck pain reduction. Objective: To systematically review randomized and non-randomized controlled trials that assessed the effects of Pilates on neck pain when compared to other groups (CRD42015025987). Methods: This study involved a systematic review directed by the PRISMA Statement based on the recommendations of the Cochrane Colaboration, registered in PROSPERO under the code CRD42015025987. The following databases were searche...

Amyloid Biomarkers in Conformational Diseases at Face Value: A Systematic Review

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Maria Fernanda Avila-Vazquez; Nelly F. Altamirano-Bustamante; Myriam M. Altamirano-Bustamante

2017-01-01

Conformational diseases represent a new aspect of proteomic medicine where diagnostic and therapeutic paradigms are evolving. In this context, the early biomarkers for target cell failure (neurons, β-cells, etc.) represent a challenge to translational medicine and play a multidimensional role as biomarkers and potential therapeutic targets. This systematic review, which follows the PICO and Prisma methods, analyses this new-fangled multidimensionality, its strengths and limitations, and prese...

Dietary strategies and body composition in elite weightlifting: Systematic Review

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Alejandro Martínez-Rodríguez; Rafael M Tundidor-Duque; Pedro E Alcaraz; Jacobo Á Rubio-Arias

2017-01-01

Introduction: There is little literature that showed the nutritional bases to optimize weightlifting performance. The objective was to perform a systematic review of the body composition and nutritional composition of diets in elite weightlifting athletes. Material and Methods: Articles published in Pubmed, Web of Science and Sport Discuss were reviewed following PRISMA Statement. The process for selecting studies was performed duplicated by two researchers in two stages (screening and ap...

Clinical Utility of SPECT Neuroimaging in the Diagnosis and Treatment of Traumatic Brain Injury: A Systematic Review

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Raji, Cyrus A.; Tarzwell, Robert; Pavel, Dan; Schneider, Howard; Uszler, Michael; Thornton, John; van Lierop, Muriel; Cohen, Phil; Amen, Daniel G.; Henderson, Theodore

2014-01-01

PURPOSE: This systematic review evaluated the clinical utility of single photon emission computed tomography (SPECT) in traumatic brain injury (TBI). METHODS: After defining a PICO Statement (Population, Intervention, Comparison and Outcome Statement), PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) criteria were applied to identify 1600 articles. After screening, 374 articles were eligible for review. Inclusion for review was focus on SPECT in the setting of mild,...

Vitamin D and Depression: A Systematic Review and Meta-Analysis Comparing Studies with and without Biological Flaws

OpenAIRE

Simon Spedding

2014-01-01

Efficacy of Vitamin D supplements in depression is controversial, awaiting further literature analysis. Biological flaws in primary studies is a possible reason meta-analyses of Vitamin D have failed to demonstrate efficacy. This systematic review and meta-analysis of Vitamin D and depression compared studies with and without biological flaws. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The literature search was un...

Canadian 24-Hour Movement Guidelines for the Early Years (0-4 years): An Integration of Physical Activity, Sedentary Behaviour, and Sleep.

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Tremblay, Mark S; Chaput, Jean-Philippe; Adamo, Kristi B; Aubert, Salomé; Barnes, Joel D; Choquette, Louise; Duggan, Mary; Faulkner, Guy; Goldfield, Gary S; Gray, Casey E; Gruber, Reut; Janson, Katherine; Janssen, Ian; Janssen, Xanne; Jaramillo Garcia, Alejandra; Kuzik, Nicholas; LeBlanc, Claire; MacLean, Joanna; Okely, Anthony D; Poitras, Veronica J; Rayner, Mary-Ellen; Reilly, John J; Sampson, Margaret; Spence, John C; Timmons, Brian W; Carson, Valerie

2017-11-20

The Canadian Society for Exercise Physiology convened representatives of national organizations, research experts, methodologists, stakeholders, and end-users who followed rigorous and transparent guideline development procedures to create the Canadian 24-Hour Movement Guidelines for the Early Years (0-4 years): An Integration of Physical Activity, Sedentary Behaviour, and Sleep. These novel guidelines for children of the early years embrace the natural and intuitive integration of movement behaviours across the whole day (24-h period). The development process was guided by the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. Four systematic reviews (physical activity, sedentary behaviour, sleep, combined behaviours) examining the relationships within and among movement behaviours and several health indicators were completed and interpreted by a Guideline Development Panel. The systematic reviews that were conducted to inform the development of the guidelines, and the framework that was applied to develop the recommendations, followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. Complementary compositional analyses were performed using data from the Canadian Health Measures Survey to examine the relationships between movement behaviours and indicators of adiposity. A review of the evidence on the cost effectiveness and resource use associated with the implementation of the proposed guidelines was also undertaken. A stakeholder survey (n = 546), 10 key informant interviews, and 14 focus groups (n = 92 participants) were completed to gather feedback on draft guidelines and their dissemination. The guidelines provide evidence-informed recommendations as to the combinations of light-, moderate- and vigorous-intensity physical activity, sedentary behaviours, and sleep that infants (guidelines. These guidelines represent a sensible evolution of public health guidelines whereby optimal health is

How Do People Stop Non-Suicidal Self-Injury? A Systematic Review.

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Mummé, Tess Alexandra; Mildred, Helen; Knight, Tess

2017-07-03

The current paper reviews extant quantitative and qualitative literature into how Non-Suicidal Self-Injury cessation occurs, and individuals' experiences of stopping. Specific search criteria utilizing a PRISMA format were used across 5 databases, which resulted in 454 papers being identified. After utilizing exclusion criteria and then review, nine of the 454 papers identified were retained for extensive synthesis and critique. Results from 8 of the identified papers indicated that both intra and inter personal factors can influence self-injury cessation. These include: family support, self-esteem, emotional regulation, and professional help. Only 1 paper articulated a cessation process, describing it as a procedural event of developing interpersonal strength, then implementing alternative coping strategies. Limitations and implications of the studies are reported, concluding that further research is warranted to inform effective prevention and treatment strategies to ameliorate this growing public health concern.

A systematic review and meta-analysis of traditional insect Chinese medicines combined chemotherapy for non-surgical hepatocellular carcinoma therapy.

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Shi, Zhaofeng; Song, Tiebing; Wan, Yi; Xie, Juan; Yan, Yiquan; Shi, Kekai; Du, Yongping; Shang, Lei

2017-06-28

On the background of high morbidity and mortality of hepatocellular carcinoma (HCC) and rapid development of traditional Chinese medicine (TCM), we conducted a systematic review and meta-analysis of randomized clinical trials (RCTs) according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement to assess the clinical effectiveness and safety of traditional insect Chinese medicine and related preparation for non-surgical HCC. RCTs were searched based on standardized searching rules in mainstream medical databases from the inception up to May 2016. Ultimately, a total of 57 articles with 4,651 patients enrolled in this meta-analysis. We found that traditional insect Chinese medicine and related preparation combined chemotherapy show significantly effectiveness and safety in objective response rate (P traditional insect Chinese medicine and related preparations could be recommended as auxiliary therapy combined chemotherapy for HCC therapy.

Assessment of Sensory Processing Characteristics in Children between 3 and 11 Years Old: A Systematic Review

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Sara Jorquera-Cabrera

2017-03-01

Full Text Available The assessment of sensory perception, discrimination, integration, modulation, praxis, and other motor skills, such as posture, balance, and bilateral motor coordination, is necessary to identify the sensory and motor factors influencing the development of personal autonomy. The aim of this work is to study the assessment tools currently available for identifying different patterns of sensory processing. There are 15 tests available that have psychometric properties, primarily for the US population. Nine of them apply to children in preschool and up to grade 12. The assessment of sensory processing is a process that includes the use of standardized tests, administration of caregiver questionnaires, and clinical observations. The review of different studies using PRISMA criteria or Osteba Critical Appraisal Cards reveals that the most commonly used tools are the Sensory Integration and Praxis Test, the Sensory Processing Measure, and the Sensory Profile.

Mixed methods in psychotherapy research: A review of method(ology) integration in psychotherapy science.

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Bartholomew, Theodore T; Lockard, Allison J

2018-06-13

Mixed methods can foster depth and breadth in psychological research. However, its use remains in development in psychotherapy research. Our purpose was to review the use of mixed methods in psychotherapy research. Thirty-one studies were identified via the PRISMA systematic review method. Using Creswell & Plano Clark's typologies to identify design characteristics, we assessed each study for rigor and how each used mixed methods. Key features of mixed methods designs and these common patterns were identified: (a) integration of clients' perceptions via mixing; (b) understanding group psychotherapy; (c) integrating methods with cases and small samples; (d) analyzing clinical data as qualitative data; and (e) exploring cultural identities in psychotherapy through mixed methods. The review is discussed with respect to the value of integrating multiple data in single studies to enhance psychotherapy research. © 2018 Wiley Periodicals, Inc.

The path dependency theory: analytical framework to study institutional integration. The case of France.

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Trouvé, Hélène; Couturier, Yves; Etheridge, Francis; Saint-Jean, Olivier; Somme, Dominique

2010-06-30

The literature on integration indicates the need for an enhanced theorization of institutional integration. This article proposes path dependence as an analytical framework to study the systems in which integration takes place. PRISMA proposes a model for integrating health and social care services for older adults. This model was initially tested in Quebec. The PRISMA France study gave us an opportunity to analyze institutional integration in France. A qualitative approach was used. Analyses were based on semi-structured interviews with actors of all levels of decision-making, observations of advisory board meetings, and administrative documents. Our analyses revealed the complexity and fragmentation of institutional integration. The path dependency theory, which analyzes the change capacity of institutions by taking into account their historic structures, allows analysis of this situation. The path dependency to the Bismarckian system and the incomplete reforms of gerontological policies generate the coexistence and juxtaposition of institutional systems. In such a context, no institution has sufficient ability to determine gerontology policy and build institutional integration by itself. Using path dependence as an analytical framework helps to understand the reasons why institutional integration is critical to organizational and clinical integration, and the complex construction of institutional integration in France.

Effectiveness of multiple therapeutic strategies in neovascular glaucoma patients: A PRISMA-compliant network meta-analysis.

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Dong, Zixian; Gong, Jianyang; Liao, Rongfeng; Xu, Shaojun

2018-04-01

Neovascular glaucoma (NVG) is a severe secondary glaucoma with uncontrolled intraocular pressure that leads to serious eye pain and vision loss. Presently, the therapeutic strategies for NVG are diverse, but the therapeutic effects are still not ideal. We performed a network analysis to assess the effect of multiple therapeutic strategies on the treatment of NVG patients. We searched public electronic databases through April 2017 using the following keywords "neovascular glaucoma," "iris neovascularization," "hemorrhagic glaucoma," and "random" without language restrictions. The outcome considered in the present analysis was treatment success rate. A network meta-analysis and multilevel mixed-effects logistic regression were used to compare regimens. We included 27 articles assessing a total of 1884 NVG patients in our analysis. According to the network analysis, interferon and mitomycin plus trabeculectomy (94.9%), glaucoma valve implantation (86.9%), and iris photocoagulation plus trabeculectomy (81.9%) were the most likely to improve treatment success rate in NVG patients. The multilevel logistic regression analysis showed that glaucoma valve, bevacizumab, interferon, cyclophotocoagulation, trabeculectomy, iris photocoagulation, ranibizumab, and mitomycin had advantages in terms of improving treatment success rate in NVG patients. However, the application of retinal photocoagulation and vitrectomy reduced patient treatment success rate. The regimen including mitomycin, interferon, and trabeculectomy was the most likely to improve the treatment success rate in NVG patients. The application of glaucoma valve and bevacizumab were more beneficial for improving patient treatment success rate as a surgery and as an agent, respectively.

ONDE INVESTIR NOS BRICS? UMA ANÁLISE SOB O PRISMA DA ORGANIZAÇÃO INDUSTRIAL

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Cristian Diego Albuja

2011-07-01

Full Text Available The objective of this study is to identify the most interesting industries for investing in Brazil, Russia, India e China (BRICs, according to risk-return and value premises, based in the theory of Industrial Organization (IO tradition. This work analyzed 2770 firms in the BRICs from 1995 until 2008. With this purpose were compared rates of performance as ROA (return on assets, ROE (return on shares, average price earnings,market value over book value and Tobin’s Q of the companies. The results support studies from Fama and French (1992, Mohanram (2005 and Goldszmidt, Brito and Vasconcelos (2007, although deviates from World Bank (2008 as to risk-return enhancing in China. Results show that the most attractive sectors for investment using the risk-return approach, filtering by value indicators, would be oil & gas in Russia and mining in Brazil,India and China, while the least interesting industries would be textile, motor vehicle parts, tools & accessories and telecommunications in Brazil

Plástica y Prisma : dos revistas de arte de los años cincuenta

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Ricardo Rodríguez Morales

2000-09-01

Full Text Available Da gusto volver sobre las páginas de estas publicaciones, y no por un exclusivo interés arqueológico, sobre todo cuando a cuatro decenios de distancia se encuentran tan alejadas de la frivolidad de nuestros días. Y es que parecería que hacia los años cincuenta la cultura colombiana hubiese llegado a su mayoría de edad en el campo de las ideas y de las realizaciones. Por eso no es una mera coincidencia que a mediados de siglo hayan aparecido revistas como Mito y movimientos culturales como el nadaísmo, que constituyeron acaso las dos caras de una misma moneda rebelde que buscaba sacudirse el peso de la hegemonía ideológica de la posguerra dominada por la idea de progreso y por el militarismo rampante en todo el continente, avalado gustosamente por Washington; más aún cuando el país se encontraba gobernado por la derecha militarista, y la censura —y más aún la autocensura— eran la pauta que regía la vida cultural y cotidiana.

Investigation of echogenic surface enhancements for improved needle visualization in ultrasonography: A PRISMA systematic review

DEFF Research Database (Denmark)

Hovgesen, Caroline Harder; Wilhjelm, Jens E.; Vilmann, Peter

: A systematic search was performed in five databases: Cochrane Library, Embase (through Ovid), MEDLINE (through PubMed), Scopus, and Web of Science from inception to April 12th, 2017. Each search was based on the search terms: ultrasound, needle, visualization, and comparison, with related synonyms and spelling...

O mosaico antiglobalização visto sob o prisma de Jacques Rancière

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Diego Azzi

2007-12-01

Full Text Available Este artigo tem por objetivo apresentar conceitos importantes do pensamento do filósofo francês Jacques Rancière, sobretudo a partir da noção de partilha do sensível. Com base na pesquisa de Mestrado realizada sobre os movimentos antiglobalização, são expostas hipóteses para a compreensão destes como produtores de inscrições dissensuais na ordem sensível policial, reatualizanclo a política em meio a um mosaico de modos de subjetivação e diferenças geracionais. Finalmente, são tecidas considerações acerca da importância do emprego do marco teórico de Rancière para o entendimento propriamente sociológico da política contemporânea.

O mosaico antiglobalização visto sob o prisma de Jacques Rancière

OpenAIRE

Diego Azzi

2007-01-01

Este artigo tem por objetivo apresentar conceitos importantes do pensamento do filósofo francês Jacques Rancière, sobretudo a partir da noção de partilha do sensível. Com base na pesquisa de Mestrado realizada sobre os movimentos antiglobalização, são expostas hipóteses para a compreensão destes como produtores de inscrições dissensuais na ordem sensível policial, reatualizanclo a política em meio a um mosaico de modos de subjetivação e diferenças geracionais. Finalmente, são tecidas consider...

Prevalence of posttraumatic stress disorder among road traffic accident survivors: A PRISMA-compliant meta-analysis.

Science.gov (United States)

Lin, Wanli; Gong, Lina; Xia, Miaojuan; Dai, Wenjie

2018-01-01

Involvement in road traffic accidents (RTAs) may put individuals at increased risk for a wide range of psychiatric disorders, among which posttraumatic stress disorder (PTSD) presents a public health issue. However, a great disparity was observed among studies exploring the prevalence of PTSD among RTA survivors. This meta-analysis aimed to explore the pooled prevalence of PTSD among RTA survivors. Electronic databases of PubMed, Embase, Web of Science, PsycARTICLES, PsycINFO, and CINAHL were searched to identify relevant studies. Study selection and data extraction were conducted independently by 2 investigators, and a meta-analysis was performed to synthesize the data. Heterogeneity among studies was evaluated using the Cochran Q test and quantified using the I statistic. Subgroup analyses were performed to identify the source of the heterogeneity. The possibility of publication bias was assessed using Egger linear test. Fifteen eligible studies containing 6804 RTA survivors were identified in this meta-analysis, of which 1489 were identified with PTSD. The pooled prevalence of PTSD among RTA survivors was 22.25% (95% confidence interval: 16.71%-28.33%). A high degree of heterogeneity was observed across studies (I = 97.1%, P < .001), with reported PTSD prevalence ranging from 6.3% to 58.3%. Subgroup analyses found that the prevalence of PTSD among RTA survivors varied significantly across studies in relation to the instrument used to assess PTSD, country, race, gender, and education level (P < .05). The high pooled prevalence of PTSD among RTA survivors found in this study significantly underscores the need for providing timely and effective intervention strategies for RTA survivors. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

Diagnosis and Treatment of Polycystic Ovary Syndrome: An Endocrine Society Clinical Practice Guideline

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Legro, Richard S.; Arslanian, Silva A.; Ehrmann, David A.; Hoeger, Kathleen M.; Murad, M. Hassan; Pasquali, Renato; Welt, Corrine K.

2013-01-01

Objective: The aim was to formulate practice guidelines for the diagnosis and treatment of polycystic ovary syndrome (PCOS). Participants: An Endocrine Society-appointed Task Force of experts, a methodologist, and a medical writer developed the guideline. Evidence: This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe both the strength of recommendations and the quality of evidence. Consensus Process: One group meeting, several conference calls, and e-mail communications enabled consensus. Committees and members of The Endocrine Society and the European Society of Endocrinology reviewed and commented on preliminary drafts of these guidelines. Two systematic reviews were conducted to summarize supporting evidence. Conclusions: We suggest using the Rotterdam criteria for diagnosing PCOS (presence of two of the following criteria: androgen excess, ovulatory dysfunction, or polycystic ovaries). Establishing a diagnosis of PCOS is problematic in adolescents and menopausal women. Hyperandrogenism is central to the presentation in adolescents, whereas there is no consistent phenotype in postmenopausal women. Evaluation of women with PCOS should exclude alternate androgen-excess disorders and risk factors for endometrial cancer, mood disorders, obstructive sleep apnea, diabetes, and cardiovascular disease. Hormonal contraceptives are the first-line management for menstrual abnormalities and hirsutism/acne in PCOS. Clomiphene is currently the first-line therapy for infertility; metformin is beneficial for metabolic/glycemic abnormalities and for improving menstrual irregularities, but it has limited or no benefit in treating hirsutism, acne, or infertility. Hormonal contraceptives and metformin are the treatment options in adolescents with PCOS. The role of weight loss in improving PCOS status per se is uncertain, but lifestyle intervention is beneficial in overweight

Is adjuvant hysterectomy an option after radio-chemotherapy for locally advanced cervical cancer? A review

OpenAIRE

Cornelia Nitipir; Cristina Orlov; Ana-Maria Popa; Iulian Slavu; Adrian Tulin

2018-01-01

Objective. The purpose of this paper is to review the current concepts in the literature regarding the beneficial effects of adjuvant surgery after concurrent radio-chemotherapy for locally advanced cervical cancer. Method. Research of the literature was performed using PubMed databases in order to find articles relevant to the central topic. The PICOS criteria were used to filter the results. The paper was then structured according to the PRISMA guideline. Results. 50 individual papers...

Non-Adherence in Patients on Peritoneal Dialysis: A Systematic Review

OpenAIRE

Griva, Konstadina; Lai, Alden Yuanhong; Lim, Haikel Asyraf; Yu, Zhenli; Foo, Marjorie Wai Yin; Newman, Stanton P.

2014-01-01

Background: It has been increasingly recognized that non-adherence is an important factor that determines the outcome of peritoneal dialysis (PD) therapy. There is therefore a need to establish the levels of non-adherence to different aspects of the PD regimen (dialysis procedures, medications, and dietary/fluid restrictions). Methods: A systematic review of peer-reviewed literature was performed in PubMed, PsycINFO and CINAHL databases using PRISMA guidelines in May 2013. Publications on non...

Validity of recalled v. recorded birth weight: a systematic review and meta-analysis

OpenAIRE

Shenkin, S.D.; Zhang, M.G.; Der, G.; Mathur, S.; Mina, T.H.; Reynolds, R.M.

2017-01-01

Low birth weight is associated with adverse health outcomes. If birth weight records are not available, studies may use recalled birth weight. It is unclear whether this is reliable. We performed a systematic review and meta-analysis of studies comparing recalled with recorded birth weights. We followed the Meta-Analyses of Observational Studies in Epidemiology (MOOSE) statement and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We searched MEDLINE, EM...

Neurodevelopmental and psychosocial risk factors in serial killers and mass murderers

OpenAIRE

Allely, Clare S.; Minnis, Helen; Thompson, Lucy; Wilson, Philip; Gillberg, Christopher

2014-01-01

Multiple and serial murders are rare events that have a very profound societal impact. We have conducted a systematic review, following PRISMA guidelines, of both the peer reviewed literature and of journalistic and legal sources regarding mass and serial killings. Our findings tentatively indicate that these extreme forms of violence may be a result of a highly complex interaction of biological, psychological and sociological factors and that, potentially, a significant proportion of mass or...

Transparent Reporting of a Multivariable Prediction Model for Individual Prognosis or Diagnosis (TRIPOD): The TRIPOD Statement.

Science.gov (United States)

Collins, Gary S; Reitsma, Johannes B; Altman, Douglas G; Moons, Karel G M

2015-06-01

Prediction models are developed to aid health care providers in estimating the probability or risk that a specific disease or condition is present (diagnostic models) or that a specific event will occur in the future (prognostic models), to inform their decision making. However, the overwhelming evidence shows that the quality of reporting of prediction model studies is poor. Only with full and clear reporting of information on all aspects of a prediction model can risk of bias and potential usefulness of prediction models be adequately assessed. The Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis (TRIPOD) Initiative developed a set of recommendations for the reporting of studies developing, validating, or updating a prediction model, whether for diagnostic or prognostic purposes. This article describes how the TRIPOD Statement was developed. An extensive list of items based on a review of the literature was created, which was reduced after a Web-based survey and revised during a 3-day meeting in June 2011 with methodologists, health care professionals, and journal editors. The list was refined during several meetings of the steering group and in e-mail discussions with the wider group of TRIPOD contributors. The resulting TRIPOD Statement is a checklist of 22 items, deemed essential for transparent reporting of a prediction model study. The TRIPOD Statement aims to improve the transparency of the reporting of a prediction model study regardless of the study methods used. The TRIPOD Statement is best used in conjunction with the TRIPOD explanation and elaboration document. To aid the editorial process and readers of prediction model studies, it is recommended that authors include a completed checklist in their submission (also available at www.tripod-statement.org). The Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis (TRIPOD) Initiative developed a set of recommendations

EDUCATIONAL PARADIGM TRANSFORMATION IN THE CONTEXT OF GREEN ECONOMY

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A. A. Muravyeva

2016-01-01

Full Text Available The aim of the article is to present vectors of Vocational Education Training (VET modernization in the context of the sustainable development and green economy development; as well as to offer a perspective on addressing the existing gaps based on international experience.Methods. The methods involve the comparative-analytical method, method of conceptual and socio-cultural contextualization, method of rationalization of meaning, foresight methods and methods of social projection. Results of the research confirm the thesis that education as a social subsystem reflects the main trends of social development, as far as it is not only an instrument for ensuring of cultural and historical succession, but also the system of forming of a personality and behavior of citizens understanding degree of the responsibility for own future and having for this purpose necessary professional and universal (common cultural competences and valuable attitudes. It is convincingly proved that for sustainable development of the society and economy, the operational solution of a complex triune task is required: upgrading of educational programs, improvement of competences of teachers and creation of the new training environment. Besides the goal setting and identification of the existing gaps and contradictions that block its decision, the specific measures approved at the international level are proposed; these measures should be integrated into the Russian social and educational context. Professional education at the same time is considered both as an object, and as the instrument of necessary changes. Scientific novelty lies in the contextualization of the challenges of sustainable development and their extrapolation onto the system of vocational education in the form of system-level projecting approaches.Practical significance. The materials of the publication are offered to be used for development of the strategy of improvement of vocational education; for

Recommendations for the use of ultrasound and magnetic resonance in patients with rheumatoid arthritis.

Science.gov (United States)

Möller, Ingrid; Loza, Estibaliz; Uson, Jacqueline; Acebes, Carlos; Andreu, Jose Luis; Batlle, Enrique; Bueno, Ángel; Collado, Paz; Fernández-Gallardo, Juan Manuel; González, Carlos; Jiménez Palop, Mercedes; Lisbona, María Pilar; Macarrón, Pilar; Maymó, Joan; Narváez, Jose Antonio; Navarro-Compán, Victoria; Sanz, Jesús; Rosario, M Piedad; Vicente, Esther; Naredo, Esperanza

To develop evidence-based recommendations on the use of ultrasound (US) and magnetic resonance imaging (MRI) in patients with rheumatoid arthritis (RA). Recommendations were generated following a nominal group technique. A panel of experts, consisting of 15 rheumatologists and 3 radiologists, was established in the first panel meeting to define the scope and purpose of the consensus document, as well as chapters, potential recommendations and systematic literature reviews (we used and updated those from previous EULAR documents). A first draft of recommendations and text was generated. Then, an electronic Delphi process (2 rounds) was carried out. Recommendations were voted from 1 (total disagreement) to 10 (total agreement). We defined agreement if at least 70% of experts voted ≥7. The level of evidence and grade or recommendation was assessed using the Oxford Centre for Evidence-based Medicine Levels of Evidence. The full text was circulated and reviewed by the panel. The consensus was coordinated by an expert methodologist. A total of 20 recommendations were proposed. They include the validity of US and MRI regarding inflammation and damage detection, diagnosis, prediction (structural damage progression, flare, treatment response, etc.), monitoring and the use of US guided injections/biopsies. These recommendations will help clinicians use US and MRI in RA patients. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

System of indicators for the evaluation of the quality of the virtual component in the accreditation of university careers

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Lourdes Ocaña-Charón

2018-01-01

Full Text Available The process of globalization of higher education is an essential part of the current battle of ideas waged by our people today in their determination to achieve a comprehensive general culture and to find concrete solutions to achieve greater equity and social justice. This work summarizes the history of development achieved by the university Branch of Physical Culture in the municipality Guantanamo, which provide the existence of a bibliographic material that may be used by students, teachers and everyone who wish to know about it. In recreate since its emergence of globalization as part of the battle of ideas results undergraduate, master's degrees, courses of excellence, operational quality, spelling diagnosis, management structures and its social impact. For its preparation methods and means of research workers, graduate students and community members were applied which allowed the incorporation of a set of information and statistical data. This research reveals the work of the National Institute of Physical Education (1928 1948, the Summer School of the University of Havana training of physical education teachers in the (1946, the National Institute of Sports, Physical Education and Recreation ( INDER and the Ministry of Education (MINED, the National Subsystem Upgrade and Improvement for methodologists and Physical Education Teachers and the educational work of the Revolution with management and the greatness of the Commander in Chief Fidel Castro Ruz as part of the Battle of ideas.

A multidisciplinary "think tank": the top 10 clinical trial opportunities in transfusion medicine from the National Heart, Lung, and Blood Institute-sponsored 2009 state-of-the-science symposium.

Science.gov (United States)

Josephson, Cassandra D; Glynn, Simone A; Kleinman, Steve H; Blajchman, Morris A

2011-04-01

In September 2009, the National Heart, Lung, and Blood Institute convened the State-of-the-Science Symposium in Transfusion Medicine to identify Phase II and/or III clinical trials that would provide important information to advance transfusion medicine. Seven multidisciplinary subcommittees developed proposals in the following areas: 1) platelet (PLT) product use, 2) neonatal and/or pediatric transfusion practice, 3) surgical transfusion practice, 4) intensive care unit and/or in trauma transfusion practice, 5) plasma and/or cryoprecipitate product use and therapeutic apheresis practice, 6) red blood cell (RBC) product use and/or blood conservation management, and 7) medical transfusion practice or blood donor studies. The committees consisted of transfusion medicine specialists, hematologists, cardiovascular surgeons, anesthesiologists, neonatologists, critical care physicians, and clinical trial methodologists. Proposals were presented and an external panel evaluated and prioritized each concept for scientific merit, clinical importance, and feasibility. Twenty-four concepts were presented by the subcommittees. Ten concepts addressed four areas deemed most important: 1) PLT transfusion strategies to prevent and/or mitigate bleeding in neonates and patients with hematologic malignancies, 2) RBC transfusion trigger strategies to improve overall outcomes in different patient populations, 3) evaluation of optimal plasma:PLT:RBC ratios in trauma resuscitation, and 4) pathogen inactivation of PLTs to improve PLT transfusion safety. The proposal themes not only represent inquiries about the indications for transfusion, but also epitomize the lack of consensus when clinical practice lacks a strong evidence base. Ultimately, the purpose of this publication is to provide a "blueprint" of ideas for further development rather than endorse any one specific clinical trial design. © 2010 American Association of Blood Banks.

Castration-resistant prostate cancer: AUA Guideline.

Science.gov (United States)

Cookson, Michael S; Roth, Bruce J; Dahm, Philipp; Engstrom, Christine; Freedland, Stephen J; Hussain, Maha; Lin, Daniel W; Lowrance, William T; Murad, Mohammad Hassan; Oh, William K; Penson, David F; Kibel, Adam S

2013-08-01

This Guideline is intended to provide a rational basis for the management of patients with castration-resistant prostate cancer based on currently available published data. A systematic review and meta-analysis of the published literature was conducted using controlled vocabulary supplemented with keywords relating to the relevant concepts of prostate cancer and castration resistance. The search strategy was developed and executed by reference librarians and methodologists to create an evidence report limited to English-language, published peer-reviewed literature. This review yielded 303 articles published from 1996 through 2013 that were used to form a majority of the guideline statements. Clinical Principles and Expert Opinions were used for guideline statements lacking sufficient evidence-based data. Guideline statements were created to inform clinicians on the appropriate use of observation, androgen-deprivation and antiandrogen therapy, androgen synthesis inhibitors, immunotherapy, radionuclide therapy, systemic chemotherapy, palliative care and bone health. These were based on six index patients developed to represent the most common scenarios encountered in clinical practice. As a direct result of the significant increase in FDA-approved therapeutic agents for use in patients with metastatic CRPC, clinicians are challenged with a multitude of treatment options and potential sequencing of these agents that, consequently, make clinical decision-making more complex. Given the rapidly evolving nature of this field, this guideline should be used in conjunction with recent systematic literature reviews and an understanding of the individual patient's treatment goals. In all cases, patients' preferences and personal goals should be considered when choosing management strategies. Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

«Mozart of psychology»

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L.A. Verbitskaya

2016-09-01

Full Text Available The interview reveals the contribution of Lev Vygotsky in science and education, his main scientific achievements being drawn particular attention to. His innovative concepts in pedagogy and psychology are far ahead of time and are relevant up today. Lev Vygotsky put forward ideas that disclosed the principles of cultural development of human individual, his/her mental functions (speech, attention, thinking, and explained the internal mental processes of the child, their relationship with the environment. Lev Vygotsky introduced a number of terms and concepts that are the basis of modern psychology and pedagogy. Among them there are «higher mental functions», «interiorization», «mediation», «signification», etc. There extraordinary versatility Lev Vygotsky is emphasized in the paper. He is known not only as a psychologist, but also as a philosopher, methodologist, teacher, therapist, and even as the author of the brilliant theater and literary reviews. There are also facts about Vygotsky’s scientific path and his biography. The importance of Vygotsky’s ideas in the development of the educational process is highlighted. The scientist laid the most important principles of the child education. Such concepts developed by him as «zone of proximal development», «social situation of development», «critical age», «sensitive periods in the child development» are still successfully used by leading psychologists and educators. He made a huge contribution to the development of ideas about the origin and development of speech, its role in the development of thinking. The whole galaxy of prominent scientists were raised under the influence of Vygotsky. Closest students and colleagues were the author of the activity theory A.N. Leontyev, the world-renowned neuropsychologist A.R. Luria, the author of the concept of the child’s mental development D.B. El’konin, the author of the theory of stage development of mental activity P

Generalizing: The descriptive struggle

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Barney G. Glaser, Ph.D.; Hon Ph.D.

2006-11-01

Full Text Available The literature is not kind to the use of descriptive generalizations. Authors struggle and struggle to find and rationalize a way to use them and then fail in spite of trying a myriad of work-arounds. And then we have Lincoln and Guba’s famous statement: “The only generalization is: there is no generalization” in referring to qualitative research. (op cit, p. 110 They are referring to routine QDA yielding extensive descriptions, but which tacitly include conceptual generalizations without any real thought of knowledge about them. In this chapter I wish to explore this struggle for the purpose of explaining that the various contra arguments to using descriptive generalizations DO NOT apply to the ease of using conceptual generalizations yielded in SGT and especially FGT. I will not argue for the use of descriptive generalization. I agree with Lincoln and Guba with respect to QDA, “the only generalization is: there is no generalization.” It is up to the QDA methodologists, of whom there are many; to continue the struggle and I wish them well.

Process tracing in political science: What's the story?

Science.gov (United States)

Crasnow, Sharon

2017-04-01

Methodologists in political science have advocated for causal process tracing as a way of providing evidence for causal mechanisms. Recent analyses of the method have sought to provide more rigorous accounts of how it provides such evidence. These accounts have focused on the role of process tracing for causal inference and specifically on the way it can be used with case studies for testing hypotheses. While the analyses do provide an account of such testing, they pay little attention to the narrative elements of case studies. I argue that the role of narrative in case studies is not merely incidental. Narrative does cognitive work by both facilitating the consideration of alternative hypotheses and clarifying the relationship between evidence and explanation. I consider the use of process tracing in a particular case (the Fashoda Incident) in order to illustrate the role of narrative. I argue that process tracing contributes to knowledge production in ways that the current focus on inference tends to obscure. Copyright © 2017 Elsevier Ltd. All rights reserved.

Study of nucleation, growth and coarsening of precipitates in a novel 9%Cr heat resistant steel: Experimental and modeling

International Nuclear Information System (INIS)

Prat, O.; García, J.; Rojas, D.; Sanhueza, J.P.; Camurri, C.

2014-01-01

Nucleation, growth and coarsening of three different precipitates (NbC, M 23 C 6 and V(C,N)) in a novel 9%Cr heat resistant steel designed by the authors were investigated. The microstructure evolution after tempering (780 °C/2 h) and after creep (650 °C/100 MPa) was characterized using transmission electron microscopy in the scanning mode (STEM). Thermodynamic and kinetic modeling was carried out using the softwares Thermo-Calc, DICTRA and TC-PRISMA. The Thermo-Calc software predicted formation of NbC, V(C,N) and M 23 C 6 carbides at the tempering temperature of 780 °C. STEM investigations revealed that M 23 C 6 precipitated on prior austenite grain boundaries and lath or block boundaries whereas NbC and V(C,N) were located within sub-grains. Simulations by TC-PRISMA showed that M 23 C 6 , NbC and V(C,N) particles nucleation begins as soon as the tempering treatment starts and it is completed in a very short time, reaching the equilibrium volume fraction after 40 s for M 23 C 6 , 100 s for NbC and 80 s for V(C,N). Best agreement between simulations and experimental investigations was found for low interfacial energy values of 0.1 J m −2 . Both STEM measurements as well as DICTRA simulations indicate very low coarsening rate for both kind of precipitates. Creep tests up to 4000–5000 h suggest that this special combination of NbC, V(C,N) and M 23 C 6 may provide increased pinning of dislocations reducing boundary migration therefore enhancing creep strength. - Highlights: • Nucleation, growth and coarsening of NbC and M 23 C 6 precipitates were investigated. • The microstructure was characterized using transmission electron microscopy (STEM). • Modeling was carried out using the softwares Thermo-Calc, DICTRA and TC-PRISMA. • M 23 C 6 and NbC nucleation begins as soon as the solution treatmentinitiates. • Best agreement modeling/experiments was found for low interfacial energy values of 0.1 J m −2

Miesten kosmetiikkatuotteiden myymälämarkkinointi : case Nivea for Men

OpenAIRE

Nummila, Maria

2010-01-01

Tämän opinnäytetyön tavoitteena oli selvittää, miten miesten kosmetiikkatuotteita markkinoidaan myymälöissä. Miesten kosmetiikkatuotteiden valikoimien laajennettua myymälä on hyvä keino kilpailijoista erottautumiseen. Myymälät, joiden myymälämarkkinointia tutkittiin, olivat Turussa sijaitsevat Sokos Wiklund, Stockmann, Anttila, K-Supermarket, K-Citymarket ja Raisiossa sijaitseva Prisma. Työn toimeksiantajana oli ihon- ja vartalonhoitotuotteista tunnettu Beiersdorf Oy. Miesten kosmetiikkamerki...

Phonon dispersion relation in zircon, ZrSiO4 using inelastic neutron scattering at a pulsed neutron source

International Nuclear Information System (INIS)

Mittal, R.; Chaplot, S.L.; Parthasarathy, R.; Bull, M.J.; Harris, M.J.

2000-01-01

The coherent inelastic neutron scattering technique is used for the measurements of phonon dispersion relation in a geophysically important mineral zircon using PRISMA spectrometer as ISIS, UK. Lattice dynamical calculations of the phonon dispersion relation are carried out using a shell model. The one-phonon structure factors are calculated for selecting the Bragg points for the measurements and assignment of phonons to different branches. The calculations are in good agreement with the measured phonon dispersion relation. (author)

A systematic review of temporal discounting in eating disorders and obesity:behavioural and neuroimaging findings

OpenAIRE

McClelland, Jessica; Dalton, Bethan; Kekic, Maria; Bartholdy, Savani; Campbell, Iain C; Schmidt, Ulrike

2016-01-01

OBJECTIVE: Eating Disorders (ED) and obesity are suggested to involve a spectrum of self-regulatory control difficulties. Temporal discounting (TD) tasks have been used to explore this idea. This systematic review examines behavioural and neuroimaging TD data in ED and obesity.METHOD: Using PRISMA guidelines, we reviewed relevant articles in MEDLINE, PsycINFO and Embase from inception until 17th August 2016. Studies that reported behavioural differences in TD and/or TD neuroimaging data in ED...

Mental Pain and Suicide: A Systematic Review of the Literature

OpenAIRE

Verrocchio, Maria Cristina; Carrozzino, Danilo; Marchetti, Daniela; Andreasson, Kate; Fulcheri, Mario; Bech, Per

2016-01-01

Background Mental pain, defined as a subjective experience characterized by perception of strong negative feelings and changes in the self and its function, is no less real than other types of grief. Mental pain has been considered to be a distinct entity from depression. We have performed a systematic review analyzing the relationship between mental pain and suicide by providing a qualitative data synthesis of the studies. Methods We have conducted, in accordance with PRISMA guide...

Análisis del liderazgo como habilidades gerenciales y su efecto en el crecimiento de las Empresas Textiles en la ciudad de Quito, desde el 2008 hasta 2012

OpenAIRE

Mejía Velásquez, Pablo Iván

2014-01-01

The purpose of this research was to conduct an analysis of leadership and managerial skills in textile businesses in the city of Quito in order to establish the type of leadership and the factors that have impact on the growth of these companies. A nonrandom sample consists of 4 textile companies such as Prisma Hogar, Profitex, Textil Ecuador and Modertex, with a sample comprised 80 subjects between managers or area managers and subordinates were noted. To analyze the leadershi...

Somatization in Parkinson's Disease

DEFF Research Database (Denmark)

Carrozzino, Danilo; Bech, Per; Patierno, Chiara

2017-01-01

The current systematic review study is aimed at critically analyzing from a clinimetric viewpoint the clinical consequence of somatization in Parkinson's Disease (PD). By focusing on the International Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we...... consequence of such psychiatric symptom should be further evaluated by replacing the clinically inadequate diagnostic label of psychogenic parkinsonism with the psychosomatic concept of persistent somatization as conceived by the Diagnostic Criteria for Psychosomatic Research (DCPR)....

Identifying approaches for assessing methodological and reporting quality of systematic reviews

DEFF Research Database (Denmark)

Pussegoda, Kusala; Turner, Lucy; Garritty, Chantelle

2017-01-01

there are potential gaps in research best-practice guidance materials. The aims of this study are to identify reports assessing the methodological quality (MQ) and/or reporting quality (RQ) of a cohort of SRs and to assess their number, general characteristics, and approaches to 'quality' assessment over time......BACKGROUND: The methodological quality and completeness of reporting of the systematic reviews (SRs) is fundamental to optimal implementation of evidence-based health care and the reduction of research waste. Methods exist to appraise SRs yet little is known about how they are used in SRs or where...... or reporting guidelines used as proxy to assess RQ were used in 80% (61/76) of identified reports. These included two reporting guidelines (PRISMA and QUOROM) and five quality assessment tools (AMSTAR, R-AMSTAR, OQAQ, Mulrow, Sacks) and GRADE criteria. The remaining 24% (18/76) of reports developed their own...

Parenting Programs to Prevent Corporal Punishment: A Systematic Review

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Paolla Magioni Santini

2016-04-01

Full Text Available Abstract Studies have shown that corporal punishment against children is a common family practice, causing damage to child development. Considering that parents are the main perpetrators of this type of aggression, parenting programs are needed to raise children without violence. This study aimed at performing a systematic review of parenting programs evaluations to reduce corporal punishment. Intervention procedures, as well as design, results and limitations were identified for each study. The PRISMA protocol (Preferred Reporting Items for Systematic reviews and Meta-Analyses was used for reporting the results. A literature survey was conducted in Brazilian databases, as well as English ones from 1994-2014. One Brazilian study and eight international studies were selected as relevant, and only four used randomized controlled trials (RCT. All studies reported satisfactory results in decreasing aggression by parents against their children. Further research in the area with solid methodology is recommended.

Head and neck squamous cell carcinoma and its correlation with human papillomavirus in people living with HIV: a systematic review.

Science.gov (United States)

Ceccarelli, Manuela; Rullo, Emmanuele Venanzi; Facciolà, Alessio; Madeddu, Giordano; Cacopardo, Bruno; Taibi, Rosaria; D'Aleo, Francesco; Pinzone, Marilia Rita; Picerno, Isa; di Rosa, Michele; Visalli, Giuseppa; Condorelli, Fabrizio; Nunnari, Giuseppe; Pellicanò, Giovanni Francesco

2018-03-30

Over the last 20 years we assisted to an increase in the mean age of People Living with HIV and their comorbidities. Especially, there was an increase in Human Papillomavirus-related head and neck squamous cell carcinomas. Despite their increasing incidence in HIV-positive people, mechanisms that lead to their development and progression are only partially understood. The aim of this review is to identify key data and factors about HPV-related head and neck squamous cell carcinoma in HIV-seropositive patients. Systematic search and review of the relevant literature-peer-reviewed and grey-was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. We included in our review only the 35 full-text articles we considered the most substantial. It is mandatory to improve our knowledge about the interactions existing between HPV and HIV, and about their actions on oral mucosa immune system.

A PRISMA-Driven Systematic Review of Predictive Equations for Assessing Fat and Fat-Free Mass in Healthy Children and Adolescents Using Multicomponent Molecular Models as the Reference Method

Directory of Open Access Journals (Sweden)

Analiza M. Silva

2013-01-01

Full Text Available Simple methods to assess both fat (FM and fat-free mass (FFM are required in paediatric populations. Several bioelectrical impedance instruments (BIAs and anthropometric equations have been developed using different criterion methods (multicomponent models for assessing FM and FFM. Through childhood, FFM density increases while FFM hydration decreases until reaching adult values. Therefore, multicomponent models should be used as the gold standard method for developing simple techniques because two-compartment models (2C model rely on the assumed adult values of FFM density and hydration (1.1 g/cm3 and 73.2%, respectively. This study will review BIA and/or anthropometric-based equations for assessing body composition in paediatric populations. We reviewed English language articles from MEDLINE (1985–2012 with the selection of predictive equations developed for assessing FM and FFM using three-compartment (3C and 4C models as criterion. Search terms included children, adolescent, childhood, adolescence, 4C model, 3C model, multicomponent model, equation, prediction, DXA, BIA, resistance, anthropometry, skinfold, FM, and FFM. A total of 14 studies (33 equations were selected with the majority developed using DXA as the criterion method with a limited number of studies providing cross-validation results. Overall, the selected equations are useful for epidemiological studies, but some concerns still arise on an individual basis.

Trends of infodemiology studies: a scoping review.

Science.gov (United States)

Zeraatkar, Kimia; Ahmadi, Maryam

2018-06-01

The health care industry is rich in data and information. Web technologies, such as search engines and social media, have provided an opportunity for the management of user generated data in real time in the form of infodemiology studies. The aim of this study was to investigate infodemiology studies conducted during 2002-2016, and compare them based on developed, developing and in transition countries. This scoping review was conducted in 2017 with the help of the PRISMA guidelines. PubMed, Scopus, Science Direct, Web of Knowledge, Google Scholar, Wiley and Springer databases were searched between the years 2002 and 2016. Finally, 56 articles were included in the review and analysed. The initial infodemiology studies pertain to the quality assessment of the hospital's websites. Most of the studies were on developed countries, based on flu, and published in the Journal of Medical Internet Research. The infodemiology approach provides unmatched opportunities for the management of health data and information generated by the users. Using this potential will provide unique opportunities for the health information need assessment in real time by health librarians and thereby provide evidence based health information to the people. © 2018 Health Libraries Group.

TUG1, SPRY4-IT1, and HULC as valuable prognostic biomarkers of survival in cancer: A PRISMA-compliant meta-analysis.

Science.gov (United States)

Zhong, Yucheng; Chen, Zhicong; Guo, Shuyuan; Liao, Xinhui; Xie, Haibiao; Zheng, Yien; Cai, Bin; Huang, Peixian; Liu, Yuhan; Zhou, Qun; Liu, Yuchen; Huang, Weiren

2017-11-01

Long noncoding RNAs (LncRNAs) are involved in the development and progression of various cancers. Accumulating evidences indicated that expression of lncRNAs was related to the prognosis of tumors. Here, 3 well-known lncRNAs associated with cancer were gathered to prove the potential role of lncRNAs as novel predictors of survival in human cancer. This meta-analysis collected all eligible studies about TUG1, SPRY4-IT1, and HULC and explored the relationship between lncRNAs expression and lymph node metastasis (LNM) or overall survival (OS). A comprehensive, computerized literature search was undertaken by using PubMed, EMBASE, Cochrane Library, and Web of Science (up to October 10, 2017). Strength of association between 3 lncRNAs and cancer prognosis was assessed by computing the hazard ratios (HR) with its corresponding 95% confidence interval (CI). According to the inclusion and exclusion criteria, respectively, 10, 9, and 7 studies of 3 lncRNAs were included in this meta-analysis. In the current meta-analysis, it could be concluded that the expression of these 3 lncRNAs in tumor tissues is not a direct evidence of LNM. In general, there was a significant negative correlation between TUG1 levels and OS time (pooled HR 1.54, 95% CI 1.06-2.24), SPRY4-IT1 levels and OS time (pooled HR 2.12, 95% CI 1.58-2.86) and HULC levels and OS time (pooled HR 2.10, 95% CI 1.18-3.73). It could be revealed from the result that high level expression of these 3 lncRNAs might be correlated with a bad prognosis. In conclusion, the current meta-analysis demonstrated that TUG1, SPRY4-IT1, and HULC might serve as a moderate predictor of survival in human cancer.

[Survival in acute renal failure with conventional therapy or continuous replacement therapy].

Science.gov (United States)

Santibáñez-Velázquez, Martín; Sánchez-Montoya, Felipe; Alvirde-Gutiérrez, Luis

2014-01-01

To know the survival rate in patients with RIFLE I and II stages on acute renal failure, treated with supportive care or continuous renal replacement therapy with PRISMA machine, at an intensive care unit. There were included patients of both sexes, aged 16 to 69 years, with acute renal failure in RIFLE I and II stages and score of scale APACHE II lower than 36 points. The sample studied was divided in two groups: a group was treated with supportive care, and the other group received continuous renal replacement therapy via PRISMA machine. We compared mortality between both groups and the association with the RIFLE stages with Pearson's chi-squared test. The average score of the scale APACHE I was 14 points, and the probability of death was 15 %. The patients with acute renal failure RIFLE I were 54.5 % and RIFLE II 45.5 %, with mortality of 30.4 % and 38.8 %, respectively. Patients in RIFLE I stage who received supportive care and continuous replacement therapy had non-statistical differences in mortality (p = 0.356). The mortality in patients with acute renal failure in RIFLE II stage treated with continuous replacement therapy was higher (p = 0.000). Because of its accessibility and lower mortality, supportive care should be the initial procedure in patients with acute renal failure in RIFLE I and II stages.

Surgical versus conservative management of Type III acromioclavicular dislocation: a systematic review.

Science.gov (United States)

Longo, Umile Giuseppe; Ciuffreda, Mauro; Rizzello, Giacomo; Mannering, Nicholas; Maffulli, Nicola; Denaro, Vincenzo

2017-06-01

The management of Type III acromioclavicular (AC) dislocations is still controversial. We wished to compare the rate of recurrence and outcome scores of operative versus non-operative treatment of patients with Type III AC dislocations. A systematic review of the literature was performed by applying the PRISMA guidelines according to the PRISMA checklist and algorithm. A search in Medline, PubMed, Cochrane and CINAHL was performed using combinations of the following keywords: 'dislocation', 'Rockwood', 'type three', 'treatment', 'acromioclavicular' and 'joint'. Fourteen studies were included, evaluating 646 shoulders. The rate of recurrence in the surgical group was 14%. No statistical significant differences were found between conservative and surgical approaches in terms of postoperative osteoarthritis and persistence of pain, although persistence of pain seemed to occur less frequently in patients undergoing a surgical treatment. Persistence of pain seemed to occur less frequently in patients undergoing surgery. Persistence of pain seems to occur less frequently in patients treated surgically for a Type III AC dislocation. There is insufficient evidence to establish the effects of surgical versus conservative treatment on functional outcome of patients with AC dislocation. High-quality randomized controlled clinical trials are needed to establish whether there is a difference in functional outcome. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Epidemiology, methodological and reporting characteristics of systematic reviews of nursing interventions published in China.

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Shi, Chunhu; Zhu, Lin; Wang, Xue; Qin, Chunxia; Xu, Qi; Tian, Jinhui

2014-12-01

The importance of systematic reviews (SRs) of nursing interventions' impact on practice makes their methodological quality and reporting characteristics especially important as it directly influence their utility for clinicians, patients and policy makers.The study aims to assess the methodological quality and reporting characteristics of SRs of nursing interventions in Chinese nursing journals. Three Chinese databases were searched for SRs of nursing interventions from inception to October 2011. The assessment of multiple systematic reviews (AMSTAR) and Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) statements were used to assess methodological quality and reporting characteristics. Seventy-four SRs were included. The proportion of SRs complying with AMSTAR checklist items ranged from 0% to 82.4%. No SRs reported an 'a priori' design or conflict of interest. Only four items were found to be reported in more than 50% of the SRs: a list of included and excluded studies, the scientific quality of included studies, the appropriate use of methods to combine findings, and formulating conclusions appropriately. The majority of SRs of nursing interventions in China had major methodological and reporting flaws that limited their value to guide decisions. Chinese authors and journals should adopt and keep up with the AMSTAR and PRISMA statements to improve the quality of SRs in this field. © 2014 Wiley Publishing Asia Pty Ltd.

Por um olhar inverso: prismas e questões de pesquisa sobre a economia solidária

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Luiz Inácio Germany Gaiger

2012-08-01

Full Text Available A Economia Solidária constitui hoje um tema de pesquisa cuja expansão em várias disciplinas vizinhas à Sociologia é nítida e profícua. Nesse contexto, e tendo em vista as novas alternativas de investigação propiciadas pelo "Mapeamento Nacional da Economia Solidária no Brasil", o artigo discute algumas frentes de trabalho ainda merecedoras de investigação e consolidação teórica, no âmbito do que considera como pauta de pesquisa já em evidência. A seguir, chama atenção para aspectos do padrão de pesquisa vigente nesse campo, uma vez que seu entrelaçamento com a práxis política da Economia Solidária tende a resultar em renúncias a tratar determinados problemas e em lacunas de conhecimento. Diante disso, propõe bases para um delineamento investigativo com maior amplitude cognitiva, em especial no sentido de reconhecer os fatores primordiais de impulsão da Economia Solidária e a sua irredutibilidade ao econômico.The Solidarity Economy constitutes, nowadays, a research theme whose expansion into Sociology's neighboring disciplines is clear and fruitful. In this context, in view of the new investigation alternatives brought about by the "Brazilian Solidarity EconomyNational Mapping", the article first discusses some work fronts that still deserve investigation and theoretical consolidation, within what the considered research agenda in working process. The article, then, questions the existing research pattern in this field, sustaining that its connections with the political praxis of the Solidarity Economy may result in avoiding problems and renouncing knowledge. Due to these findings, the article proposes bases for an investigative design with larger cognitive amplitude, especially regarding the recognition of the main impulsion factors of the Solidarity Economy and its irreducibility to the economic.

Precisión del certificado de defunción comparado con la autopsia verbal. Estudio PRISMA

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Claudio Muratore

2006-01-01

Full Text Available RESUMEN Los datos del certificado de defunción no reflejan ajustadamente las causas y las circunstancias de la muerte. La comparación con otros métodos de información, como la autopsia verbal, podría demostrar las falencias de los registros. Objetivos 1. Identificar las causas de muerte en 20 ciudades argentinas mediante la autopsia verbal y compararlas con las que constan en el certificado de defunción. 2. Analizar la muerte cardiovascular en cuanto a antecedentes y factores de riesgo. Material y métodos Se incluyeron todos los mayores de 18 años fallecidos durante 2 meses del año 2004 en las ciudades participantes. Resultados Se constataron 1.274 muertes. Según la autopsia verbal, las causas de muerte cardiovascular más frecuentes fueron insuficiencia cardíaca (23%, accidente cerebrovascular (11,3% e infarto de miocardio (8% y las no cardiovasculares fueron neoplasias (21,5%, neumopatías (7,6% e infecciones (6,6%. En el 11,7% de los fallecidos no se pudo establecer claramente la causa de muerte según el certificado. La concordancia de ambos métodos para definir la causa de muerte según el coeficiente V de Cramer fue de 0,608, el valor de kappa fue de 0,614 (0,580-0,647 y el de kappa ponderado fue de 0,596 (0,555-0,637. Existió un subregistro del 9,7% de insuficiencia cardíaca según el certificado y un sobrerregistro del 6,4% en muerte por otras causas cardiovasculares con respecto a la autopsia verbal. Los fallecidos de causa cardiovascular presentaron con más frecuencia factores de riesgo y antecedentes cardiovasculares. Conclusiones En un porcentaje elevado de certificados de defunción no se pudo establecer claramente la causa de muerte. La mayor discordancia se registró en la muerte por insuficiencia cardíaca y otras causas cardiovasculares

Associations between dopamine D2 receptor gene polymorphisms and schizophrenia risk: a PRISMA compliant meta-analysis

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He HR

2016-12-01

Full Text Available Hairong He,1 Huanhuan Wu,1,2 Lihong Yang,1 Fan Gao,1 Yajuan Fan,3 Junqin Feng,3 Xiancang Ma1,3 1Clinical Research Center, The First Affiliated Hospital of Xi’an Jiaotong University, 2College of Pharmacy, Xi’an Medical University, 3Department of Psychiatry, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi, People’s Republic of China Objective: To determine the relationships between dopamine D2 receptor gene polymorphisms and the risk of schizophrenia using meta-analysis.Method: The PubMed, Embase, and China National Knowledge Infrastructure databases were searched to identify relevant literature published up to February 2016. The allele contrast model was used. STATA software was used for statistical analysis, with odds ratios (ORs and 95% confidence intervals (CIs calculated to evaluate the associations between dopamine D2 receptor gene polymorphisms and the risk of schizophrenia. Meta-regression and publication bias, trim-and-fill, subgroup, sensitivity, cumulative, and fail-safe number analyses were also performed.Results: This meta-analysis included 81 studies. The rs1801028 and rs1799732 were associated with schizophrenia risk among Asians (P=0.04, OR =1.25, 95% CI =1.01–1.55; P<0.01, OR =0.76, 95% CI =0.63–0.92, respectively, while the rs6277 was associated with schizophrenia risk in Caucasians (P<0.01, OR=0.72, 95% CI =0.66–0.79. The rs1800497 was also associated with schizophrenia risk in population-based controls (P<0.01, OR =0.84, 95% CI =0.72–0.97. The rs6275, rs1079597, and rs1800498 were not associated with schizophrenia risk. In addition, meta-regression indicated that the controls may be sources of heterogeneity for the rs1801028 single-nucleotide polymorphism (SNP, while ethnicity may be sources of heterogeneity for the rs6277 SNP. Publication bias was significant for the rs1801028 SNP, and this result changed after the publication bias was adjusted using the trim-and-fill method.Conclusion: This meta-analysis demonstrated that the rs1801028 may be a risk factor for susceptibility to schizophrenia among Asians, while the rs1799732 may be a protective factor for that population. Large-sample studies are necessary to verify the results of this meta-analysis. Keywords: dopamine D2 receptor, polymorphisms, schizophrenia

Surgery for constipation : systematic review and practice recommendations : Results I: Colonic resection

OpenAIRE

Knowles, C. H.; Grossi, U.; Chapman, M.; Mason, James; HASH(0x55897e2bacf8); HASH(0x55897e130090)

2017-01-01

Aim\\ud \\ud To assess the outcomes of colectomy in adults with chronic constipation (CC).\\ud \\ud Method\\ud \\ud Standardised methods and reporting of benefits and harms were used for all CapaCiTY reviews that closely adhered to PRISMA 2016 guidance. Main conclusions were presented as summary evidence statements (SES) with a summative Oxford Centre for Evidence-Based Medicine (2009) level.\\ud \\ud Results\\ud \\ud Forty articles were identified, providing data on outcomes in 2045 patients. Evidence...

Cytokines in bipolar disorder

DEFF Research Database (Denmark)

Munkholm, Klaus; Vinberg, Maj; Vedel Kessing, Lars

2012-01-01

BACKGROUND: Current research and hypothesis regarding the pathophysiology of bipolar disorder suggests the involvement of immune system dysfunction that is possibly related to disease activity. Our objective was to systematically review evidence of cytokine alterations in bipolar disorder according...... to affective state. METHODS: We conducted a systemtic review of studies measuring endogenous cytokine concentrations in patients with bipolar disorder and a meta-analysis, reporting results according to the PRISMA statement. RESULTS: Thirteen studies were included, comprising 556 bipolar disorder patients...

In-Space Demonstration of High Performance Green Propulsion and its Impact on Small Satellites

OpenAIRE

Anflo, Kjell; Crowe, Ben

2011-01-01

This paper summarizes the pre-launch activities and the results from the in-space demonstration of a novel propulsion system on the PRISMA main satellite, using a “Green” monopropellant. This propellant is a storable ADN-based monopropellant blend (i.e. LMP-103S). The basic mission for the High Performance Green Propulsion System (HPGP) has been successfully completed and all primary objectives of TRL 7 have been met. The HPGP technology is now flight proven and ready for implementation on fu...

La Palabra de Ramón Frediani: Las Retenciones

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Marcelo Coser

2008-04-01

Full Text Available En el marco del programa "Prisma Económico" del Instituto de Economía y Finanzas (IEF, Marcelo Coser, su conductor, consulta al Profesor Ramón Osvaldo Frediani, docente de la asignatura “Economía Regional y Urbana” e investigadordel Instituto. Durante la nota, Ramón Frediani nos da sus conceptos sobre las debatidas retenciones y los propósitos que éstas persiguen, brindando su visión respecto al accionar del Gobierno Nacional.

Xerostomia, Hyposalivation, and Salivary Flow in Diabetes Patients

OpenAIRE

L?pez-Pintor, Rosa Mar?a; Casa?as, Elisabeth; Gonz?lez-Serrano, Jos?; Serrano, Julia; Ram?rez, Luc?a; de Arriba, Lorenzo; Hern?ndez, Gonzalo

2016-01-01

The presence of xerostomia and hyposalivation is frequent among diabetes mellitus (DM) patients. It is not clear if the presence of xerostomia and hyposalivation is greater in DM than non-DM patients. The aims of this systematic review are (1) to compare the prevalence rates of xerostomia, (2) to evaluate the salivary flow rate, and (3) to compare the prevalence rates of hyposalivation in DM versus non-DM population. This systematic review was conducted according to the PRISMA group guideline...

Behaviour change interventions for the management of Raynaud's phenomenon: a systematic review protocol.

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Daniels, Jo; Pauling, John D; Eccelston, Christopher

2017-08-04

Raynaud's phenomenon (RP) describes excessive peripheral vasospasm to cold exposure and/or emotional stress. RP episodes are associated with digital colour changes, pain and reduced quality of life. Pharmacological interventions are of low to moderate efficacy and often result in adverse effects such as facial flushing and headaches. Recommended lifestyle and behavioural interventions have not been evaluated. The objectives of the proposed systematic review are to assess the comparative safety and efficacy of behaviour change interventions for RP and identify what we can learn to inform future interventions. Studies eligible for inclusion include randomised controlled trials testing behaviour change interventions with a control comparator. A comprehensive search strategy will include peer review and grey literature up until 30 April 2017. Search databases will include Medline, Embase, PsychINFO and Cochrane. Initial sifting, eligibility, data extraction, risk of bias and quality assessment will be subject to review by two independent reviewers with a third reviewer resolving discrepancies. Risk of bias assessment will be performed using Cochrane risk of a bias assessment tool with quality of evidence assessed using Grading of Recommendations Assessment, Development and Evaluation(GRADE). A meta-analysis will be performed if there are sufficient data. Two subgroup analyses are planned: primary versus secondary RP outcomes; comparison of theoretically informed interventions with pragmatic interventions. This review does not require ethical approval as it will summarise published studies with non-identifiable data. This protocol complies with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) guidelines. Findings will be disseminated in peer-reviewed articles and reported according to PRISMA. This review will make a significant contribution to the management of RP where no review of behaviour-change interventions currently exist

A survey of evidence users about the information need of acupuncture clinical evidence.

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Shi, Xiue; Wang, Xiaoqin; Liu, Yali; Li, Xiuxia; Wei, Dang; Zhao, Xu; Gu, Jing; Yang, Kehu

2016-11-10

The PRISMA statement was rarely used in the field of acupuncture, possibly because of knowledge gaps and the lack of items tailored for characteristics of acupuncture. And with an increasing number of systematic reviews in acupuncture, it is necessary to develop an extension of PRISMA for acupuncture. And this study was the first step of our project, of which the aim was to investigate the need for information of clinical evidence on acupuncture from the perspectives of evidence users. We designed a questionnaire based on a pilot survey and a literature review of acupuncture systematic review or meta-analysis(SR/MA). Participants from five cities (Lanzhou, Chengdu, Shanghai, Nanjing and Beijing) representing the different regions of China, including clinicians, researchers and postgraduates in their second year of Master studies or higher level, were surveyed. A total of 269 questionnaires were collected in 18 hospitals, medical universities and research agencies, and 251 (93 %) with complete data were used for analysis. The average age of respondents was 33 years (SD 8.959, range 25-58) with male 43 % and female 57 %. Most respondents had less than 5 years of working experience on acupuncture, and read only one to five articles per month. Electronic databases, search engines and academic conferences were the most common sources for obtaining information. Fifty-six percent of the respondents expressed low satisfaction of the completeness of information from the literature. The eight items proposed for acupuncture SR/MAs received all high scores, and five of the items scored higher than eight on a scale zero to ten. The differences for the scores of most items between postgraduates and non-postgraduates were not statistically significant. The majority of the respondents were not very satisfied with the information provided in acupuncture SRs. Most of the items proposed in this questionnaire received high scores, and opinions from postgraduates and non

A multidisciplinary systematic literature review on frailty: Overview of the methodology used by the Canadian Initiative on Frailty and Aging

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Bergman Howard

2009-10-01

Full Text Available Abstract Background Over the past two decades, there has been a substantial growth in the body of literature on frailty in older persons. However, there is no consensus on its definition or the criteria used to identify frailty. In response to this lack of consensus, the Canadian Initiative on Frailty and Aging carried out a set of systematic reviews of the literature in ten areas of frailty research: biological basis; social basis; prevalence; risk factors; impact; identification; prevention and management; environment and technology; health services; health and social policy. This paper describes the methodology that was developed for the systematic reviews. Methods A Central Coordination Group (CCG was responsible for developing the methodology. This involved the development of search strategies and keywords, article selection processes, quality assessment tools, and guidelines for the synthesis of results. Each review was conducted by two experts in the content area, with the assistance of methodologists and statisticians from the CCG. Results Conducting a series of systematic literature reviews involving a range of disciplines on a concept that does not have a universally accepted definition posed several conceptual and methodological challenges. The most important conceptual challenge was determining what would qualify as literature on frailty. The methodological challenges arose from our goal of structuring a consistent methodology for reviewing literature from diverse fields of research. At the outset, certain methodological guidelines were deemed essential to ensure the validity of all the reviews. Nevertheless, it was equally important to permit flexibility in the application of the proposed methodology to capture the essence of frailty research within the given fields. Conclusion The results of these reviews allowed us to establish the status of current knowledge on frailty and promote collaboration between disciplines. Conducting

A pesquisa de Goethe com as cores e a educação fenomenológica

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Jonas Bach Junior

2015-12-01

Full Text Available http://dx.doi.org/10.5007/2175-795X.2015v33n2p805 Este artigo apresenta os fundamentos da Teoria das Cores de Goethe. As cores fisiológicas e físicas apresentam dois princípios: de complementaridade e intensificação. O método de pesquisa de Goethe é conhecido como fenomenológico. Em sua abordagem do fenômeno, não há uma redução às representações mecânicas e geométricas, e seu foco é a qualidade do fenômeno. O círculo cromático é composto através da pesquisa com as cores fisiológicas e físicas, o autor apresenta seis cores em vez de sete como no prisma de Newton. A observação fenomenológica do céu confirma os estudos do prisma. A fenomenologia de Goethe é um processo de educação dos sentidos e da qualidade da cognição.   Goethe´s research of colors and phenomenological education  Abstract This article presents the fundamentals of Goethe's Theory of Colors. The physiological and physical colors present two principles: complementarity and intensification. Goethe´s research method is known as phenomenological. In his method approach to the phenomenon, there is not a reduction to the mechanical and geometric representations. Its focus is the quality of the phenomenon. The color wheel is made through research with the physiological and physical colors. The author presents six colors instead of seven as in Newton's prism. The phenomenological sky observation confirms studies of the prism. Goethe's phenomenology is a process of education of the senses and the quality of cognition. Keywords: Phenomenology. Sensory Education. Epistemology of Education.   La investigación de Goethe con los colores y la investigación fenomenológica Resumen El presente artículo presenta los fundamentos de la teoría de los colores de Goethe. Los colores fisiológicos y físicos presentan dos principios: el de complementariedad y el de intensificación. El método de la investigación de Goethe es conocido como fenomenológico. En

Developing the Evidence Base to Inform Best Practice: A Scoping Study of Breast and Cervical Cancer Reviews in Low- and Middle-Income Countries.

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Margaret M Demment

Full Text Available Breast and cervical cancers have emerged as major global health challenges and disproportionately lead to excess morbidity and mortality in low- and middle-income countries (LMICs when compared to high-income countries. The objective of this paper was to highlight key findings, recommendations, and gaps in research and practice identified through a scoping study of recent reviews in breast and cervical cancer in LMICs.We conducted a scoping study based on the six-stage framework of Arskey and O'Malley. We searched PubMed, Cochrane Reviews, and CINAHL with the following inclusion criteria: 1 published between 2005-February 2015, 2 focused on breast or cervical cancer 3 focused on LMIC, 4 review article, and 5 published in English.Through our systematic search, 63 out of the 94 identified cervical cancer reviews met our selection criteria and 36 of the 54 in breast cancer. Cervical cancer reviews were more likely to focus upon prevention and screening, while breast cancer reviews were more likely to focus upon treatment and survivorship. Few of the breast cancer reviews referenced research and data from LMICs themselves; cervical cancer reviews were more likely to do so. Most reviews did not include elements of the PRISMA checklist.Overall, a limited evidence base supports breast and cervical cancer control in LMICs. Further breast and cervical cancer prevention and control studies are necessary in LMICs.

Electroconvulsive therapy use in adolescents: a systematic review

Science.gov (United States)

2013-01-01

Background Considered as a moment of psychological vulnerability, adolescence is remarkably a risky period for the development of psychopathologies, when the choice of the correct therapeutic approach is crucial for achieving remission. One of the researched therapies in this case is electroconvulsive therapy (ECT). The present study reviews the recent and classical aspects regarding ECT use in adolescents. Methods Systematic review, performed in November 2012, conformed to the PRISMA statement. Results From the 212 retrieved articles, only 39 were included in the final sample. The reviewed studies bring indications of ECT use in adolescents, evaluate the efficiency of this therapy regarding remission, and explore the potential risks and complications of the procedure. Conclusions ECT use in adolescents is considered a highly efficient option for treating several psychiatric disorders, achieving high remission rates, and presenting few and relatively benign adverse effects. Risks can be mitigated by the correct use of the technique and are considered minimal when compared to the efficiency of ECT in treating psychopathologies. PMID:23718899

The Effect of Concept Maps on Undergraduate Nursing Students' Critical Thinking.

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Garwood, Janet K; Ahmed, Azza H; McComb, Sara A

The aim of the study was to evaluate the effect of using concept maps as a teaching and learning strategy on students' critical thinking abilities and examine students' perceptions toward concept maps utilizing the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Researchers have found that almost two thirds of nurse graduates do not have adequate critical thinking skills for a beginner nurse. Critical thinking skills are required for safe practice and mandated by accrediting organizations. Nursing educators should consider teaching and learning strategies that promote the development of critical thinking skills. A literature review was conducted using "concept maps, nursing education, and critical thinking" as the combined search terms. Inclusion criteria were studies that measured the effects of concept mapping on critical thinking in nursing students. Seventeen articles were identified. Concept maps may be useful tools to promote critical thinking in nursing education and for applying theory to practice.

UNIVERSITY TEACHING-LEARNING PROCESS: REFLECTIONS THROUGHOUT THE AGENCY THEORY EL PROCESO DE ENSEÑANZA-APRENDIZAJE UNIVERSITARIO: REFLEXIONES A TRAVÉS DE LA TEORÍA DE AGENCIA

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Víctor Jacques Parraguez

2011-03-01

Full Text Available This work analyses some reasons that might explain the insufficient academic level which is perceived in universities of developing countries. The discussion element is the teacher-student relationship which is studied under the perspective of the agency theory. It is concluded that in absence of efficient monitoring mechanisms of the teacher and student’s behavior might proliferate gaps of due diligence which attempts against the quality of the teaching-learning process.En este trabajo se analizan algunas razones que pueden explicar el insuficiente nivel académico que se percibe en universidades de países en vías de desarrollo. El elemento de discusión es la relación profesor-alumno que es estudiada bajo el prisma de la teoría de agencia. Se concluye que en ausencia de eficientes mecanismos de control de la conducta tanto del profesor como del estudiante pueden proliferar vicios de responsabilidad que atentan contra la calidad del proceso de enseñanza-aprendizaje.

The psychological distress and care needs of mesothelioma patients and asbestos-exposed subjects: A systematic review of published studies.

Science.gov (United States)

Bonafede, Michela; Ghelli, Monica; Corfiati, Marisa; Rosa, Valentina; Guglielmucci, Fanny; Granieri, Antonella; Branchi, Claudia; Iavicoli, Sergio; Marinaccio, Alessandro

2018-05-01

The purpose of this study is to present the results of a systematic review of published research that focuses on psychological aspects of malignant mesothelioma patients and asbestos-exposed people. Our research includes primary studies published between 1980 and 2016, using information from the Cochrane Library, the Psychology Behavioral Sciences Collection, PsychINFO, PubMed, PubGet, PubPsych, and Scopus, in compliance with PRISMA guidelines. We identified 12 papers that investigated the psychological distress and care needs of mesothelioma patients, and nine papers for asbestos-exposed subjects. This paper highlights the paucity of studies on the psychological distress and care needs of mesothelioma patients and asbestos-exposed subjects. It confirms that malignant mesothelioma is associated with the physical, emotional, and social functioning of patients, while also suggesting that the risk of developing asbestos-related diseases among asbestos-exposed subjects is associated with high levels of psychological distress, despair, and mental health difficulties. © 2018 Wiley Periodicals, Inc.

Systematic reviews need to consider applicability to disadvantaged populations: inter-rater agreement for a health equity plausibility algorithm.

Science.gov (United States)

Welch, Vivian; Brand, Kevin; Kristjansson, Elizabeth; Smylie, Janet; Wells, George; Tugwell, Peter

2012-12-19

Systematic reviews have been challenged to consider effects on disadvantaged groups. A priori specification of subgroup analyses is recommended to increase the credibility of these analyses. This study aimed to develop and assess inter-rater agreement for an algorithm for systematic review authors to predict whether differences in effect measures are likely for disadvantaged populations relative to advantaged populations (only relative effect measures were addressed). A health equity plausibility algorithm was developed using clinimetric methods with three items based on literature review, key informant interviews and methodology studies. The three items dealt with the plausibility of differences in relative effects across sex or socioeconomic status (SES) due to: 1) patient characteristics; 2) intervention delivery (i.e., implementation); and 3) comparators. Thirty-five respondents (consisting of clinicians, methodologists and research users) assessed the likelihood of differences across sex and SES for ten systematic reviews with these questions. We assessed inter-rater reliability using Fleiss multi-rater kappa. The proportion agreement was 66% for patient characteristics (95% confidence interval: 61%-71%), 67% for intervention delivery (95% confidence interval: 62% to 72%) and 55% for the comparator (95% confidence interval: 50% to 60%). Inter-rater kappa, assessed with Fleiss kappa, ranged from 0 to 0.199, representing very low agreement beyond chance. Users of systematic reviews rated that important differences in relative effects across sex and socioeconomic status were plausible for a range of individual and population-level interventions. However, there was very low inter-rater agreement for these assessments. There is an unmet need for discussion of plausibility of differential effects in systematic reviews. Increased consideration of external validity and applicability to different populations and settings is warranted in systematic reviews to meet this

Evaluation and Treatment of Hypertriglyceridemia: An Endocrine Society Clinical Practice Guideline

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Berglund, Lars; Brunzell, John D.; Goldberg, Anne C.; Goldberg, Ira J.; Sacks, Frank; Murad, Mohammad Hassan; Stalenhoef, Anton F. H.

2012-01-01

Objective: The aim was to develop clinical practice guidelines on hypertriglyceridemia. Participants: The Task Force included a chair selected by The Endocrine Society Clinical Guidelines Subcommittee (CGS), five additional experts in the field, and a methodologist. The authors received no corporate funding or remuneration. Consensus Process: Consensus was guided by systematic reviews of evidence, e-mail discussion, conference calls, and one in-person meeting. The guidelines were reviewed and approved sequentially by The Endocrine Society's CGS and Clinical Affairs Core Committee, members responding to a web posting, and The Endocrine Society Council. At each stage, the Task Force incorporated changes in response to written comments. Conclusions: The Task Force recommends that the diagnosis of hypertriglyceridemia be based on fasting levels, that mild and moderate hypertriglyceridemia (triglycerides of 150–999 mg/dl) be diagnosed to aid in the evaluation of cardiovascular risk, and that severe and very severe hypertriglyceridemia (triglycerides of > 1000 mg/dl) be considered a risk for pancreatitis. The Task Force also recommends that patients with hypertriglyceridemia be evaluated for secondary causes of hyperlipidemia and that subjects with primary hypertriglyceridemia be evaluated for family history of dyslipidemia and cardiovascular disease. The Task Force recommends that the treatment goal in patients with moderate hypertriglyceridemia be a non-high-density lipoprotein cholesterol level in agreement with National Cholesterol Education Program Adult Treatment Panel guidelines. The initial treatment should be lifestyle therapy; a combination of diet modification and drug therapy may also be considered. In patients with severe or very severe hypertriglyceridemia, a fibrate should be used as a first-line agent. PMID:22962670

TEACHING MASTER STUDENTS OF THE DIRECTION «MUSICAL EDUCATION» TO CONDUCT A SCIENTIFIC DISCUSSION IN A FOREIGN LANGUAGE

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V. V. Guzikova

2018-01-01

Full Text Available Introduction. In modern education, against the backdrop of rapidly increasing processes of informatization and globalization as well as the requirements of specialists’ mobility, one of the priorities is vocational-oriented education in foreign languages. It ensures the formation of students’ ability to communicate in foreign languages in specific professional, business, scientific spheres and situations, taking into account the peculiarities of their future profession. The aims of this article are the following: to reveal the peculiarities of the organization of teaching foreign languages in the master’s degree of a non-linguistic high school; to present effective methods, approaches, and techniques of working with master students of the direction of “Musical Education”. Methodology and research methods. In the process of the research, such theoretical scientific methods as analysis, synthesis, specification, and generalization were used. The experimental design of the present study was based on the concept of Lifelong Learning. The methods of interview, observation and testing were applied. Results and scientific novelty. The authors have developed a set of exercises for mastering the skills of conducting a scientific discussion by the master students of the direction “Music Education”. The proposed technique has a cross-disciplinary character. It is designed to teach the students how to effectively communicate with colleagues in a foreign (English language when performing professional tasks, including scientific and research activities. The samples of particular tasks are given. Practical significance. The research materials may be of interest to methodologists, educators, and teachers of the system of continuous professional education.

Navigating the complexities of qualitative comparative analysis: case numbers, necessity relations, and model ambiguities.

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Thiem, Alrik

2014-12-01

In recent years, the method of Qualitative Comparative Analysis (QCA) has been enjoying increasing levels of popularity in evaluation and directly neighboring fields. Its holistic approach to causal data analysis resonates with researchers whose theories posit complex conjunctions of conditions and events. However, due to QCA's relative immaturity, some of its technicalities and objectives have not yet been well understood. In this article, I seek to raise awareness of six pitfalls of employing QCA with regard to the following three central aspects: case numbers, necessity relations, and model ambiguities. Most importantly, I argue that case numbers are irrelevant to the methodological choice of QCA or any of its variants, that necessity is not as simple a concept as it has been suggested by many methodologists, and that doubt must be cast on the determinacy of virtually all results presented in past QCA research. By means of empirical examples from published articles, I explain the background of these pitfalls and introduce appropriate procedures, partly with reference to current software, that help avoid them. QCA carries great potential for scholars in evaluation and directly neighboring areas interested in the analysis of complex dependencies in configurational data. If users beware of the pitfalls introduced in this article, and if they avoid mechanistic adherence to doubtful "standards of good practice" at this stage of development, then research with QCA will gain in quality, as a result of which a more solid foundation for cumulative knowledge generation and well-informed policy decisions will also be created. © The Author(s) 2014.

Recognition of out-of-hospital cardiac arrest during emergency calls - a systematic review of observational studies

DEFF Research Database (Denmark)

Viereck, Søren; Møller, Thea Palsgaard; Rothman, Josephine Philip

2017-01-01

BACKGROUND: The medical dispatcher plays an essential role as part of the first link in the Chain of Survival, by recognising the out-of-hospital cardiac arrest (OHCA) during the emergency call, dispatching the appropriate first responder or emergency medical services response, performing...... in compliance with the PRISMA guidelines. We systematically searched MEDLINE, Embase and the Cochrane Library on 4 November 2015. Observational studies, reporting the proportion of clinically confirmed OHCAs that was recognised during the emergency call, were included. Two authors independently screened...

Endothelial dysfunction after non-cardiac surgery

DEFF Research Database (Denmark)

Søndergaard, E S; Fonnes, S; Gögenur, I

2015-01-01

was to systematically review the literature to evaluate the association between non-cardiac surgery and non-invasive markers of endothelial function. METHODS: A systematic search was conducted in MEDLINE, EMBASE and Cochrane Library Database according to the PRISMA guidelines. Endothelial dysfunction was described only...... transplantation and vascular surgery respectively) had an improvement in endothelial dysfunction 1 month after surgery. CONCLUSION: Endothelial function changes in relation to surgery. Assessment of endothelial function by non-invasive measures has the potential to guide clinicians in the prevention or treatment...

Lower vs. higher fluid volumes in sepsis-protocol for a systematic review with meta-analysis

DEFF Research Database (Denmark)

Meyhoff, T S; Møller, M H; Hjortrup, P B

2017-01-01

sequential analysis of randomised clinical trials comparing different strategies to obtain separation in fluid volumes or balances during resuscitation of adult patients with sepsis. We will systematically search the Cochrane Library, MEDLINE, EMBASE, Science Citation Index, BIOSIS and Epistemonikos...... for relevant literature. We will follow the recommendations by the Cochrane Collaboration and the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. The risk of systematic errors (bias) and random errors will be assessed, and the overall quality of evidence will be evaluated...

Al principio, el fin: “The End” en el preludio de Apocalypse Now

OpenAIRE

García Escrivá, Vicente

2014-01-01

El desarrollo creativo de Apocalypse Now (Francis Ford Coppola, 1979) estuvo caracterizado por una revisión constante del guión, un rodaje anormalmente extenso y accidentado y una postproducción muy laboriosa y en absoluto convencional. Todo ello propició una marcada metamorfosis respecto del proyecto original de John Milius, inicialmente sustentado en la novela El corazón de las tinieblas de Joseph Conrad y en una serie de ingredientes bélicos tratados desde un prisma psicodélico (Cowie, 200...

Canadian 24-Hour Movement Guidelines for the Early Years (0–4 years: An Integration of Physical Activity, Sedentary Behaviour, and Sleep

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Mark S. Tremblay

2017-11-01

Full Text Available Abstract Background The Canadian Society for Exercise Physiology convened representatives of national organizations, research experts, methodologists, stakeholders, and end-users who followed rigorous and transparent guideline development procedures to create the Canadian 24-Hour Movement Guidelines for the Early Years (0–4 years: An Integration of Physical Activity, Sedentary Behaviour, and Sleep. These novel guidelines for children of the early years embrace the natural and intuitive integration of movement behaviours across the whole day (24-h period. Methods The development process was guided by the Appraisal of Guidelines for Research and Evaluation (AGREE II instrument. Four systematic reviews (physical activity, sedentary behaviour, sleep, combined behaviours examining the relationships within and among movement behaviours and several health indicators were completed and interpreted by a Guideline Development Panel. The systematic reviews that were conducted to inform the development of the guidelines, and the framework that was applied to develop the recommendations, followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE methodology. Complementary compositional analyses were performed using data from the Canadian Health Measures Survey to examine the relationships between movement behaviours and indicators of adiposity. A review of the evidence on the cost effectiveness and resource use associated with the implementation of the proposed guidelines was also undertaken. A stakeholder survey (n = 546, 10 key informant interviews, and 14 focus groups (n = 92 participants were completed to gather feedback on draft guidelines and their dissemination. Results The guidelines provide evidence-informed recommendations as to the combinations of light-, moderate- and vigorous-intensity physical activity, sedentary behaviours, and sleep that infants (<1 year, toddlers (1–2 years and preschoolers (3–4�

HOW HEALTHY IS THE BEHAVIOR OF YOUNG ATHLETES? A SYSTEMATIC LITERATURE REVIEW AND META-ANALYSES

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Katharina Diehl

2012-06-01

Full Text Available Participation in sports during adolescence is considered a healthy behavior. The extent to which adolescent athletes engage in other healthful (or risky behaviors is less clear, however. We conducted a systematic literature review following the PRISMA Statement to assess the frequency of risky behaviors among athletes in this age group. We searched the PubMed, PsycINFO and SCA Sociological Abstracts databases for observational studies published in English over the last twenty years on the frequency of selected risk behaviors (alcohol consumption, smoking behavior, use of illicit drugs, unhealthy nutrition, and doping in adolescent athletes. Two independent reviewers selected articles following the PRISMA Statement. Behavior frequency was assessed as was comparability of study design and methods. When possible, meta- analyses were performed using data from subgroups of studies in which operational indicators were comparable. Seventy-eight articles met eligibility criteria. Although report of risky behaviors varied across studies, we observed overall, that studies tend to report higher alcohol use, less smoking, less recreational drug use, and more smokeless tobacco use in (high-involved athletes. Considerable heterogeneity was noted in study design, definition of target groups and use of operational indicators (I² ranged from 93.2% to 100%. Especially the higher prevalence of using alcohol and smokeless tobacco needs more attention in interventions targeted to this group. Overall, greater consensus on methods used to assess risky behaviors in adolescent athletes

Simulations of Precipitate Microstructure Evolution during Heat Treatment

Science.gov (United States)

Wu, Kaisheng; Sterner, Gustaf; Chen, Qing; Jou, Herng-Jeng; Jeppsson, Johan; Bratberg, Johan; Engström, Anders; Mason, Paul

Precipitation, a major solid state phase transformation during heat treatment processes, has for more than one century been intensively employed to improve the strength and toughness of various high performance alloys. Recently, sophisticated precipitation reaction models, in assistance with well-developed CALPHAD databases, provide an efficient and cost-effective way to tailor precipitate microstructures that maximize the strengthening effect via the optimization of alloy chemistries and heat treatment schedules. In this presentation, we focus on simulating precipitate microstructure evolution in Nickel-base superalloys under arbitrary heat treatment conditions. The newly-developed TC-PRISMA program has been used for these simulations, with models refined especially for non-isothermal conditions. The effect of different cooling profiles on the formation of multimodal microstructures has been thoroughly examined in order to understand the underlying thermodynamics and kinetics. Meanwhile, validations against several experimental results have been carried out. Practical issues that are critical to the accuracy and applicability of the current simulations, such as modifications that overcome mean-field approximations, compatibility between CALPHAD databases, selection of key parameters (particularly interfacial energy and nucleation site densities), etc., are also addressed.

Smartphone Medical Applications for Women’s Health: What Is the Evidence-Base and Feedback?

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Emma Derbyshire

2013-01-01

Full Text Available Background. Smartphone medical applications have a major role to play in women’s health with their roles being very broad, ranging from improving health behaviours to undertaking personalised tests. Objective(s. Using Medline, Web of Knowledge, and the PRISMA guidelines 15 randomized controlled trials (RCTs were identified, with mobile interventions being tested on 1603 females, in relation to key aspects of health. Using a similar systematic approach an iPhone database search identified 47 applications (apps developed to improve women’s health. Findings. Ten RCTs used text messaging or app interventions to support weight loss, with significant improvements being observed in eight studies. For other aspects of women’s health RCTs are needed to determine possible health benefits. iPhone store data analysis identified that a substantial number of women’s health apps did not have star ratings or feedback comments (68 and 49 per cent, resp., raising concerns about their validity. Conclusion. Peer-review systems, supporting statements of evidence, or certification standards would be beneficial in maintaining the quality and credibility of future health-focused apps. Patient groups should also ideally be involved in the development and testing of mobile medical apps.

Life events in schizoaffective disorder: A systematic review.

Science.gov (United States)

Vardaxi, Chrysoula Ch; Gonda, Xenia; Fountoulakis, Konstantinos N

2018-02-01

Life events play a central role in the development of psychiatric disorders and impact course and outcome. We present a systematic review of the literature on the relationship of life events with the onset and long-term course of schizoaffective disorder. MEDLINE was searched with the combination of the key words: 'life events' plus 'schizoaffective'. The PRISMA method was followed in the review process. From the identified 66 papers only 12 were considered to be of relevance to the current study and 6 more papers were identified by inspecting the reference lists of the identified papers. There are very few studies focusing on the role of life events in schizoaffective disorder indicating insufficient data concerning the relationship of life events with onset and long-term course of schizoaffective disorder. Reported effects are not generic but concern specific events like the loss of mother, and females seem to be more vulnerable. Patients with schizoaffective disorder manifest high rates of PTSD. The literature on life events with the development and course of schizoaffective disorder is limited and precludes solid conclusions. Copyright © 2017 Elsevier B.V. All rights reserved.

[The Confusion Assessment Method: Transcultural adaptation of a French version].

Science.gov (United States)

Antoine, V; Belmin, J; Blain, H; Bonin-Guillaume, S; Goldsmith, L; Guerin, O; Kergoat, M-J; Landais, P; Mahmoudi, R; Morais, J A; Rataboul, P; Saber, A; Sirvain, S; Wolfklein, G; de Wazieres, B

2018-04-03

The Confusion Assessment Method (CAM) is a validated key tool in clinical practice and research programs to diagnose delirium and assess its severity. There is no validated French version of the CAM training manual and coding guide (Inouye SK). The aim of this study was to establish a consensual French version of the CAM and its manual. Cross-cultural adaptation to achieve equivalence between the original version and a French adapted version of the CAM manual. A rigorous process was conducted including control of cultural adequacy of the tool's components, double forward and back translations, reconciliation, expert committee review (including bilingual translators with different nationalities, a linguist, highly qualified clinicians, methodologists) and pretesting. A consensual French version of the CAM was achieved. Implementation of the CAM French version in daily clinical practice will enable optimal diagnosis of delirium diagnosis and enhance communication between health professionals in French speaking countries. Validity and psychometric properties are being tested in a French multicenter cohort, opening up new perspectives for improved quality of care and research programs in French speaking countries. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

The GRADE approach for assessing new technologies as applied to apheresis devices in ulcerative colitis

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Cabriada-Nuño Jose

2010-06-01

Full Text Available Abstract Background In the last few years, a new non-pharmacological treatment, termed apheresis, has been developed to lessen the burden of ulcerative colitis (UC. Several methods can be used to establish treatment recommendations, but over the last decade an informal collaboration group of guideline developers, methodologists, and clinicians has developed a more sensible and transparent approach known as the Grading of Recommendations, Assessment, Development and Evaluation (GRADE. GRADE has mainly been used in clinical practice guidelines and systematic reviews. The aim of the present study is to describe the use of this approach in the development of recommendations for a new health technology, and to analyse the strengths, weaknesses, opportunities, and threats found when doing so. Methods A systematic review of the use of apheresis for UC treatment was performed in June 2004 and updated in May 2008. Two related clinical questions were selected, the outcomes of interest defined, and the quality of the evidence assessed. Finally, the overall quality of each question was taken into account to formulate recommendations following the GRADE approach. To evaluate this experience, a SWOT (strengths, weaknesses, opportunities and threats analysis was performed to enable a comparison with our previous experience with the SIGN (Scottish Intercollegiate Guidelines Network method. Results Application of the GRADE approach allowed recommendations to be formulated and the method to be clarified and made more explicit and transparent. Two weak recommendations were proposed to answer to the formulated questions. Some challenges, such as the limited number of studies found for the new technology and the difficulties encountered when searching for the results for the selected outcomes, none of which are specific to GRADE, were identified. GRADE was considered to be a more time-consuming method, although it has the advantage of taking into account patient

Quasi-elastic reactions: an interplay of reaction dynamics and nuclear structure

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Recchia F.

2011-10-01

Full Text Available Multinucleon transfer reactions have been investigated in 40Ar+208Pb with the Prisma+Clara set-up. The experimental differential cross sections of different neutron transfer channels have been obtained at three different angular settings taking into account the transmission through the spectrometer. The experimental yields of the excited states have been determined via particle-γ coincidences. In odd Ar isotopes, we reported a signif cant population of 11/2− states, reached via neutron transfer. Their structure matches a stretched conf guration of the valence neutron coupled to vibration quanta.

Postoperative pain treatment after total knee arthroplasty

DEFF Research Database (Denmark)

Karlsen, Anders Peder Højer; Wetterslev, Mik; Hansen, Signe Elisa

2017-01-01

INTRODUCTION: The aim of this systematic review was to document efficacy, safety and quality of evidence of analgesic interventions after total knee arthroplasty (TKA). METHODS: This PRISMA-compliant and PROSPERO-registered review includes all-language randomized controlled trials of medication......), to 19 mm (CI: 8, 31; single FNB), and at 24 hours from 3 mm (CI: -2, 8; gabapentinoids), to 16 mm (CI: 8, 23; continuous FNB). GRADE-rated quality of evidence was generally low. CONCLUSION: A low quality of evidence, small sample sizes and heterogeneity of trial designs prohibit designation...

Age-adjusted D-dimer cut-off in the diagnostic strategy for deep vein thrombosis

DEFF Research Database (Denmark)

Nybo, Mads; Hvas, Anne-Mette

2017-01-01

BACKGROUND: Studies have indicated that use of an age-adjusted D-dimer cut-off value for patients above 50 years increases utility of the diagnostic strategy for pulmonary embolism. Evidence for the same approach regarding diagnosis of deep vein thrombosis (DVT) is, however, unclear. MATERIALS...... AND METHODS: A systematic literature review was conducted following the PRISMA Statement guideline to gather the existing knowledge on the use of an age-adjusted D-dimer cut-off in the diagnostic strategy for DVT. Studies were extracted from Medline and the Cochrane Library. The search period ended...

Effort–reward imbalance at work and risk of depressive disorders

DEFF Research Database (Denmark)

Rugulies, Reiner; Aust, Birgit; H. Madsen, Ida E.

2017-01-01

Objective: The aim of this review was to determine whether employees exposed to effort–reward imbalance (ERI) at work have a higher risk of depressive disorders than non-exposed employees. Methods: We conducted a systematic review and meta-analysis of published prospective cohort studies examining...... the association of ERI at baseline with onset of depressive disorders at follow-up. The work was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and a detailed study protocol was registered before literature search commenced (Registration...

Discrepancia entre padres e hijos en la percepción del funcionamiento familiar y desarrollo de la autonomía adolescente.

OpenAIRE

Alonso Stuyck, Paloma

2005-01-01

RESUMEN El estudio se enmarca en el paradigma contextual dialéctico, realizando una aproximación conceptual a la adolescencia, la familia, y la autonomía, y describiendo la transformación que han experimentado estas realidades. Desde el prisma evolutivo-educativo se entiende la autonomía adolescente como parte del proceso madurativo de definición de la primera identidad (Teoría Epigenética de Erikson). Parece que el conflicto paterno-filial, apoyado en la cercanía emocional en las relacion...

Directory of Open Access Journals (Sweden)

Aliagas, C.

2009-11-01

Full Text Available Exploramos con un estudio de caso la lectura comopráctica social en la vida de un adolescente queacaba de abandonar los estudios en 1º de Bachillerato.Desde el prisma teórico de los Nuevos Estudiosde Literacidad, analizamos su punto de vista y suscreencias sobre las prácticas lectoras dominantes yvernáculas en las que participa, dentro y fuera delInstituto. A pesar de su fuerte desinterés por la lecturaacadémica, nuestro informante ha construidouna vida lectora variada y activa al margen de laescuela.

Evolution of the Ar isotopic chain: the N=28 shell gap south of {sup 48}Ca

Energy Technology Data Exchange (ETDEWEB)

Mengoni, D., E-mail: Daniele.Mengoni@uws.ac.u [Dipartimento di Fisica dell' Universita and INFN Sezione di Padova, Padova (Italy); Valiente-Dobon, J.J. [Istituto Nazionale di Fisica Nucleare, Laboratori Nazionali di Legnaro, Legnaro (Italy); Gadea, A. [Instituto de Fisica Corpuscular, CSIC-Universidad de Valencia (Spain); Lenzi, S.M.; Lunardi, S. [Dipartimento di Fisica dell' Universita and INFN Sezione di Padova, Padova (Italy); Broda, R. [Institute of Nuclear Physics, Polish Academy of Sciences, Cracow (Poland); Dewald, A.; Pissulla, T. [Institut fuer Kernphysik der Universtaet zu Koeln, Koeln (Germany); Angus, L. [School of Engineering and Science, University of Paisley, Paisley, Scotland (United Kingdom); Aydin, S.; Bazzacco, D. [Istituto Nazionale di Fisica Nucleare, Sezione di Padova, Padova (Italy); Benzoni, G. [Istituto Nazionale di Fisica Nucleare, Sezione di Milano, Milano (Italy); Bizzeti, P.G.; Bizzeti-Sona, A.M. [Dipartimento di Fisica dell' Universita and INFN Sezione di Firenze, Firenze (Italy); Corradi, L. [Istituto Nazionale di Fisica Nucleare, Laboratori Nazionali di Legnaro, Legnaro (Italy); Crespi, F. [Istituto Nazionale di Fisica Nucleare, Sezione di Milano, Milano (Italy); Angelis, G. de [Istituto Nazionale di Fisica Nucleare, Laboratori Nazionali di Legnaro, Legnaro (Italy); Farnea, E. [Istituto Nazionale di Fisica Nucleare, Sezione di Padova, Padova (Italy); Fioretto, E. [Istituto Nazionale di Fisica Nucleare, Laboratori Nazionali di Legnaro, Legnaro (Italy); Goergen, A. [CEA Saclay, Daphnia/SphN, Gif-sur-Yvette Cedex (France)

2010-03-01

The lifetimes of the first excited states of the Z = 18 {sup 44}Ar and {sup 46}Ar isotopes have been determined using a novel technique that combines the Recoil Distance Doppler Shift method with the CLARA-PRISMA spectrometers for Multinucleon Transfer Reactions. The B(E2) values extracted for the 2{sup +}->0{sup +} transitions in both nuclei, as well as for higher excites states in {sup 44}Ar, are discussed and compared with the available experimental results and with the new large-scale shell-model calculations.

Women's land rights and rural social movements in the Brazilian agrarian reform

OpenAIRE

Deere, Carmen Diana

2004-01-01

Este artigo examina a evolução da reivindicação dos direitos da mulher à terra na reforma agrária brasileira sob o prisma dos três principais movimentos sociais rurais: o Movimento dos Trabalhadores Rurais Sem Terra (MST), os sindicatos rurais e o movimento autônomo de mulheres rurais. O mérito maior por levantar a questão dos direitos da mulher à terra é das mulheres dentro dos sindicatos rurais. Os direitos formais das mulheres à terra foram conseguidos na reforma constitucional de 1988, e ...

Os direitos da mulher à terra e os movimentos sociais rurais na reforma agrária brasileira

OpenAIRE

Deere,Carmen Diana

2004-01-01

Este artigo examina a evolução da reivindicação dos direitos da mulher à terra na reforma agrária brasileira sob o prisma dos três principais movimentos sociais rurais: o Movimento dos Trabalhadores Rurais Sem Terra (MST), os sindicatos rurais e o movimento autônomo de mulheres rurais. O mérito maior por levantar a questão dos direitos da mulher à terra é das mulheres dentro dos sindicatos rurais. Os direitos formais das mulheres à terra foram conseguidos na reforma constitucional de 1988, e ...

Sexually Transmitted Disease and Male Infertility

DEFF Research Database (Denmark)

Fode, Mikkel; Fusco, Ferdinando; Lipshultz, Larry

2016-01-01

ACQUISITION: We performed a systematic literature review in accordance with the PRISMA guidelines. PubMed, Embase, and the Cochrane Library were searched for articles published before January 1, 2016, using the MeSH terms for a variety of STDs and infertility. The search was restricted to human studies...... performed in men and published in English. Studies were included if they contained original data on a possible association or a cause-and-effect relationship between STD and male infertility. Studies were considered only if they included an appropriate control group and/or comprehensive laboratory data. Due...

La estructura organizativa de asociaciones políticas según el modelo histórico de Frederic Laloux

OpenAIRE

Otero de Navascués Viada, Javier

2018-01-01

El presente trabajo tiene como objetivo realizar un estudio y análisis de la principal obra Frederic Laloux, “Reinventar las Organizaciones. Una guía para crear organizaciones inspiradas en el siguiente estadio de conciencia humana”, y el método de interpretación del desarrollo evolutivo de sistemas organizativos según su estructura y procesos internos, desde un prisma propio de la Ingeniería de Organización Industrial. En concreto, se orienta el trabajo a la aplicación experimental del pr...

governan?a corporativa e desempenho financeiro no brasil, chile e m?xico

OpenAIRE

Pereira, Lucian Hendyo Max

2014-01-01

Um dos temas de atual discuss?o no campo de Finan?as, mas ainda em aberto a debates de cunho te?rico-emp?rico, ? o da Governan?a Corporativa. Algumas vezes relacionados a discuss?es sobre a relev?ncia das pr?ticas de Governan?a sobre o desempenho financeiro das empresas, em especial no contexto de pa?ses emergentes, trabalhos como os de Klapper e Love (2004), Braga-Alves e Morey (2012), Claessens e Fan (2002) e Claessens e Yutorglu (2013) buscaram, al?m da an?lise sobre o prisma de indicadore...

Relación entre optimismo y rendimiento deportivo. Revision sistemática

OpenAIRE

Ortín Montero, Francisco José; Martinez-Rodriguez, Alejandro; Reche-García, Cristina; Garcés de los Fayos Ruiz, Enrique; González-Hernández, Juan

2018-01-01

El optimismo es un factor psicológico moderador en el rendimiento deportivo. El objetivo de este trabajo es revisar la evidencia empírica de los trabajos relacionados con optimismo en el rendimiento deportivo, analizando la calidad metodológica de los estudios. Se realizó una búsqueda sistemática siguiendo las indicaciones de las guía PRISMA (Urrútia y Bonfill, 2013). Las bases de datos consultadas fueron PubMed, WOS, Scopus, Psycinfo y SportDiscus. Se seleccionaron para el análisis los traba...

Complications and health-related quality of life after robot-assisted versus open radical cystectomy

DEFF Research Database (Denmark)

Lauridsen, Susanne Vahr; Tønnesen, Hanne; Jensen, Bente Thoft

2017-01-01

Background: Radical cystectomy is associated with high rates of perioperative morbidity. Robotic-assisted radical cystectomy (RARC) is widely used today despite limited evidence for clinical superiority. The aim of this review was to evaluate the effect of RARC compared to open radical cystectomy...... (ORC) on complications and secondary on length of stay, time back to work and health-related quality of life (HRQoL). Methods: The databases PubMed, The Cochrane Library, Embase and CINAHL were searched. A systematic review according to the PRISMA guidelines and cumulative analysis was conducted...

Diseño grafico: espejo socio-cultural mediante el lenguaje visual. Evolución del packaging en la empresa tabacalera

OpenAIRE

Peña Cáceres, María Inmaculada

2016-01-01

Falta palabras claves se muestra el aspecto creativo de la Nicotiana Tabacum desde el prisma de la estética, ya que hasta hoy, los estudios realizados se han proyectado sobre aspectos que han aportado riqueza y notoriedad para la historia económica de este país y, particularmente de sevilla. el hecho de que esta ciudad acogiese a este producto y en la que se construyó el primer edificio fabril para tabacos de europa, hoy sede de la universidad, ha sido uno de los aspectos importante que me...

Pair transfer processes probed at deep sub barrier energies

International Nuclear Information System (INIS)

Corradi, L.; Mason, P.; Fioretto, E.; Michelagnoli, C.; Stefanini, A.M.; Valiente-Dobon, J.J.; Szinler, S.; Jelavic-Malenica, D.; Soic, N.; Pollarolo, G.; Farnea, E.; Montagnoli, G.; Montanari, D.; Scarlassara, F.; Ur, C.A.; Gadea, A.; Haas, F.; Marginean, N.

2011-01-01

Multinucleon transfer cross sections in the system 40 Ca+ 96 Zr have been measured at bombarding energies ranging from the Coulomb barrier to ∼ 25% below. Target-like (lighter) recoils in inverse kinematics have been completely identified in A,Z and Q-value with the large solid angle magnetic spectrometer PRISMA. The experimental slopes of the neutron transfer probabilities at large internuclear separation are consistent with the values derived from the binding energies. A phenomenological interpretation of the transfer probabilities indicates the presence of enhanced values for the even number of neutron transfers. (authors)

Del aprendizaje a la globalización: la influencia del mercado y las instituciones en las multinacionales chinas

OpenAIRE

LILLIANA LORENA AVEDAÑO MIRANDA

2013-01-01

La literatura económica convencional sobre la inversión extranjera directa (IED) ha tipificado la conducta estratégica de las empresas multinacionales a través del prisma de la teoría de la firma. Sin embargo, la IED proveniente de economías en desarrollo ha revelado la existencia de empresas multinacionales cuyo comportamiento difiere de lo pronosticado por las teorías convencionales debido a la intervención de instituciones gubernamentales, como en el caso chino. Tomando en consideración di...

El concepto social de la violencia contra las mujeres en España : aproximaciones a los imaginarios de jóvenes estudiantes

OpenAIRE

Zurbano-Berenguer, Belén; Liberia Vayá, Irene; Barredo Ibáñez, Daniel

2015-01-01

La violencia contra las mujeres es todavía un problema por resolver en España y su incidencia en la juventud (desde el prisma tanto de la prevención como del abordaje de los casos) es uno de los grandes retos actuales. Diferentes actuaciones gubernamentales se han dirigido en este sentido, sin embargo aún subsiste un concepto social reduccionista en el que la violencia es presentada públicamente como de tipo físico y que acontece sólo en parejas con cierta madurez, dificultando a ...

A crise Armada Colômbia-Equador no contexto da Guerra contra o Terrorismo Internacional

Directory of Open Access Journals (Sweden)

TATIANA WAISBERG

2010-10-01

Full Text Available A recente crise armada entre Colômbia e Equador trouxe a América do Sul ao foco da mídia internacional. As FARC representam o maior barril de pólvora da América Latina, além de um determinante ator a ser combatido na luta contra o terrorismo internacional. Nesse sentido, o presente artigo busca analisar, sob o prisma da segurança e do direito internacional o papel das FARC em âmbito global e as maneiras segundo as quais elas são combatidas.

Simulation-Based Abdominal Ultrasound Training – A Systematic Review

DEFF Research Database (Denmark)

Østergaard, Mia L.; Ewertsen, Caroline; Konge, Lars

2016-01-01

of Science, and the Cochrane Library was searched. Articles were divided into three categories based on study design (randomized controlled trials, before-and-after studies and descriptive studies) and assessed for level of evidence using the Oxford Centre for Evidence Based Medicine (OCEBM) system......PURPOSE: The aim is to provide a complete overview of the different simulation-based training options for abdominal ultrasound and to explore the evidence of their effect. MATERIALS AND METHODS: This systematic review was performed according to the PRISMA guidelines and Medline, Embase, Web...

Stress ulcer prophylaxis versus placebo or no prophylaxis in adult hospitalised acutely ill patients-protocol for a systematic review with meta-analysis and trial sequential analysis

DEFF Research Database (Denmark)

Marker, Søren; Perner, Anders; Wetterslev, Jørn

2017-01-01

or no prophylaxis as control interventions. The participants will be adult hospitalised acutely ill patients with high risk of gastrointestinal bleeding. We will systematically search the Cochrane Library, MEDLINE, EMBASE, Science Citation Index, BIOSIS and Epistemonikos for relevant literature. We will follow...... the recommendations by the Cochrane Collaboration and the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. The risk of systematic errors (bias) and random errors will be assessed, and the overall quality of evidence will be evaluated using the Grading of Recommendations Assessment...

Planteamientos teóricos y metodológicos de la enseñanza del italiano. Gramática, civilización y texto literario

OpenAIRE

Porras Castro, Soledad

2005-01-01

[ES] Partiendo de los objetivos de aprendizaje y formas lingüísticas marcados por el Consejo de Europa, hemos analizado las diferentes situaciones comunicativas y las habilidades lingüísticas: ascolto, parlato, lettura y scrittura. En un segundo momento hemos considerado el texto literario y sus aplicaciones a la civilización, considerando siempre el texto como una Unidad Didáctica. La traducción viene considerada siempre bajo el prisma de la Lingüística Aplicada y la Enseñanza de la Gramátic...

Washed cell salvage in surgical patients: A review and meta-analysis of prospective randomized trials under PRISMA.

Science.gov (United States)

Meybohm, Patrick; Choorapoikayil, Suma; Wessels, Anke; Herrmann, Eva; Zacharowski, Kai; Spahn, Donat R

2016-08-01

Cell salvage is commonly used as part of a blood conservation strategy. However concerns among clinicians exist about the efficacy of transfusion of washed cell salvage. We performed a meta-analysis of randomized controlled trials in which patients, scheduled for all types of surgery, were randomized to washed cell salvage or to a control group with no cell salvage. Data were independently extracted, risk ratio (RR), and weighted mean differences (WMD) with 95% confidence intervals (CIs) were calculated. Data were pooled using a random effects model. The primary endpoint was the number of patients exposed to allogeneic red blood cell (RBC) transfusion. Out of 1140 search results, a total of 47 trials were included. Overall, the use of washed cell salvage reduced the rate of exposure to allogeneic RBC transfusion by a relative 39% (RR = 0.61; 95% CI 0.57 to 0.65; P platelets, or rate of myocardial infarction and stroke. Washed cell salvage is efficacious in reducing the need for allogeneic RBC transfusion and risk of infection in surgery.

Eksperimentasi Model Pembelajaran Lc 5e Disertai Afl Pada Materi Prisma Dan Limas Ditinjau Dari Adversity Quotient

OpenAIRE

Wibowo, Guritno Ari; Kusmayadi, Tri Atmojo; Riyadi, Riyadi

2015-01-01

This research investigated the effect of using Learning Cycle 5E model using AfL in Mathematics course achievement viewed from Adversity Quotient. The quasi experimental research design was employed on this research. The technique analysis data used two-way analysis of variance with unbalanced cell frequencies at 0,05 level of significance. The results show as follows 1) LC 5E with AfL model gave better Mathematics course achievement than the one without AfL and conventional model, and LC 5E ...

ABORDAREA BILANȚULUI ECONOMIC AL SOCIETĂȚILOR DE ASIGURARE PRIN PRISMA CADRULUI PRUDENȚIAL DE SOLVABILITATE

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Lina ŞIŞCANU

2018-03-01

Full Text Available Bilanțul economic constituie o situație financiară bazată pe o abordare contabilă care utilizează valori consistente ale pieței pentru toate activele și obligațiile actuale legate de portofoliul în vigoare, inclusiv articolele extrabilanțiere. Această abordare stă la baza principiilor prudențiale, în scopul determinării capitalului disponibil și necesar al unui asigurător în scopuri de solvabilitate.ECONOMIC BALANCE APPROACH THROUGH THE INSURANCE COMPANY SOLVENCY PRUDENTIAL FRAMEWORKThe balance sheet is a financial statement based on an accounting approach that uses consistent market values for all current assets and liabilities related to the actual portfolio, including off-balance sheet items. This approach is the basis of prudential principles in order to assess the available and necessary capital of an insurer for solvency purposes.

Perspectives of People Living with HIV on Access to Health Care: Protocol for a Scoping Review.

Science.gov (United States)

Asghari, Shabnam; Maybank, Allison; Hurley, Oliver; Modir, Hilary; Farrell, Alison; Marshall, Zack; Kendall, Claire; Johnston, Sharon; Hogel, Matthew; Rourke, Sean B; Liddy, Clare

2016-05-18

Strategies to improve access to health care for people living with human immunodeficiency virus (PLHIV) have demonstrated limited success. Whereas previous approaches have been informed by the views of health providers and decision-makers, it is believed that incorporating patient perspectives into the design and evaluations of health care programs will lead to improved access to health care services. We aim to map the literature on the perspectives of PLHIV concerning access to health care services, to identify gaps in evidence, and to produce an evidence-informed research action plan to guide the Living with HIV program of research. This scoping review includes peer-reviewed and grey literature from 1946 to May 2014 using double data extraction. Variations of the search terms "HIV", "patient satisfaction", and "health services accessibility" are used to identify relevant literature. The search strategy is being developed in consultation with content experts, review methodologists, and a librarian, and validated using gold standard studies identified by those stakeholders. The inclusion criteria are (1) the study includes the perspectives of PLHIV, (2) study design includes qualitative, quantitative, or mixed methods, and (3) outcome measures are limited to patient satisfaction, their implied needs, beliefs, and desires in relation to access to health care. The papers are extracted by two independent reviewers, including quality assessment. Data is then collated, summarized, and thematically analyzed. A total of 12,857 references were retrieved, of which 326 documents were identified as eligible in pre-screening, and 64 articles met the inclusion criteria (56% qualitative studies, 38% quantitative studies and 6% mixed-method studies). Only four studies were conducted in Canada. Data synthesis is in progress and full results are expected in June, 2016. This scoping review will record and characterize the extensive body of literature on perspectives of PLHIV

Sharing and reuse of individual participant data from clinical trials: principles and recommendations.

Science.gov (United States)

Ohmann, Christian; Banzi, Rita; Canham, Steve; Battaglia, Serena; Matei, Mihaela; Ariyo, Christopher; Becnel, Lauren; Bierer, Barbara; Bowers, Sarion; Clivio, Luca; Dias, Monica; Druml, Christiane; Faure, Hélène; Fenner, Martin; Galvez, Jose; Ghersi, Davina; Gluud, Christian; Groves, Trish; Houston, Paul; Karam, Ghassan; Kalra, Dipak; Knowles, Rachel L; Krleža-Jerić, Karmela; Kubiak, Christine; Kuchinke, Wolfgang; Kush, Rebecca; Lukkarinen, Ari; Marques, Pedro Silverio; Newbigging, Andrew; O'Callaghan, Jennifer; Ravaud, Philippe; Schlünder, Irene; Shanahan, Daniel; Sitter, Helmut; Spalding, Dylan; Tudur-Smith, Catrin; van Reusel, Peter; van Veen, Evert-Ben; Visser, Gerben Rienk; Wilson, Julia; Demotes-Mainard, Jacques

2017-12-14

We examined major issues associated with sharing of individual clinical trial data and developed a consensus document on providing access to individual participant data from clinical trials, using a broad interdisciplinary approach. This was a consensus-building process among the members of a multistakeholder task force, involving a wide range of experts (researchers, patient representatives, methodologists, information technology experts, and representatives from funders, infrastructures and standards development organisations). An independent facilitator supported the process using the nominal group technique. The consensus was reached in a series of three workshops held over 1 year, supported by exchange of documents and teleconferences within focused subgroups when needed. This work was set within the Horizon 2020-funded project CORBEL (Coordinated Research Infrastructures Building Enduring Life-science Services) and coordinated by the European Clinical Research Infrastructure Network. Thus, the focus was on non-commercial trials and the perspective mainly European. We developed principles and practical recommendations on how to share data from clinical trials. The task force reached consensus on 10 principles and 50 recommendations, representing the fundamental requirements of any framework used for the sharing of clinical trials data. The document covers the following main areas: making data sharing a reality (eg, cultural change, academic incentives, funding), consent for data sharing, protection of trial participants (eg, de-identification), data standards, rights, types and management of access (eg, data request and access models), data management and repositories, discoverability, and metadata. The adoption of the recommendations in this document would help to promote and support data sharing and reuse among researchers, adequately inform trial participants and protect their rights, and provide effective and efficient systems for preparing, storing and

eHealth Intervention for Problematic Internet Use (PIU).

Science.gov (United States)

Lam, Lawrence T; Lam, Mary K

2016-12-01

Excessive use of the Internet is considered a problematic behaviour by clinicians and researchers. Cognitive behaviour therapy (CBT) has been advocated for a long time as a treatment approach and has been extended to include family therapy in the recent years. As eTherapy (eHealth) has become an important component in the treatment of many mental health problems, it is prudent to explore the current status of the eHealth approach as an intervention option for this problem. This systematic review aims to examine the current development of online intervention programmes for this particular condition. The PRISMA guidelines for systematic reviews and meta-analysis were employed to conduct the search for literature following a systematic and structured approach. Of the 182 articles screened, three satisfied the selection criteria. Information was extracted and analysed systematically for each study and tabulated. All these studies were pilot studies with small sample sizes. Two of these articles aimed to explore the therapeutic efficacy of newly developed online intervention programmes for Internet addiction (IA) and online gaming addiction. The third article described the design and development of an App for smartphone addiction. The results obtained from this review have provided insight into the on-going development of eHealth interventions as well as the health informatics approaches in offering a possible and practical solution to tackle this growing problem.

Comparison of 10 single and stepped methods to identify frail older persons in primary care: diagnostic and prognostic accuracy.

Science.gov (United States)

Sutorius, Fleur L; Hoogendijk, Emiel O; Prins, Bernard A H; van Hout, Hein P J

2016-08-03

Many instruments have been developed to identify frail older adults in primary care. A direct comparison of the accuracy and prevalence of identification methods is rare and most studies ignore the stepped selection typically employed in routine care practice. Also it is unclear whether the various methods select persons with different characteristics. We aimed to estimate the accuracy of 10 single and stepped methods to identify frailty in older adults and to predict adverse health outcomes. In addition, the methods were compared on their prevalence of the identified frail persons and on the characteristics of persons identified. The Groningen Frailty Indicator (GFI), the PRISMA-7, polypharmacy, the clinical judgment of the general practitioner (GP), the self-rated health of the older adult, the Edmonton Frail Scale (EFS), the Identification Seniors At Risk Primary Care (ISAR PC), the Frailty Index (FI), the InterRAI screener and gait speed were compared to three measures: two reference standards (the clinical judgment of a multidisciplinary expert panel and Fried's frailty criteria) and 6-years mortality or long term care admission. Data were used from the Dutch Identification of Frail Elderly Study, consisting of 102 people aged 65 and over from a primary care practice in Amsterdam. Frail older adults were oversampled. The accuracy of each instrument and several stepped strategies was estimated by calculating the area under the ROC-curve. Prevalence rates of frailty ranged from 14.8 to 52.9 %. The accuracy for recommended cut off values ranged from poor (AUC = 0.556 ISAR-PC) to good (AUC = 0.865 gait speed). PRISMA-7 performed best over two reference standards, GP predicted adversities best. Stepped strategies resulted in lower prevalence rates and accuracy. Persons selected by the different instruments varied greatly in age, IADL dependency, receiving homecare and mood. We found huge differences between methods to identify frail persons in prevalence

A systematic review of neuropsychological studies involving young binge drinkers.

Science.gov (United States)

Carbia, Carina; López-Caneda, Eduardo; Corral, Montserrat; Cadaveira, Fernando

2018-07-01

Binge drinking (BD) is a public health concern with serious implications for brain development. This review is the first in which neuropsychological studies of healthy young BDs are synthesized following PRISMA guidelines. We conducted a literature search in PsycINFO, Web of Science, and PubMed. Articles were screened using strict inclusion criteria. Two authors independently assessed the methodological quality. Of the 27 studies included, 14 (52%) were of intermediate quality, 7 (26%) of poor quality and 6 (22%) of high quality. BD is associated with deficits in verbal memory and executive functions, principally poor inhibitory control. Tentatively, BD may be related to deficits in cognitive flexibility and monitoring of information in working memory. Further studies are needed to determine potential impairments in prospective memory and decision-making. BDs do not seem to show difficulties in planning, short-term memory, attention, processing speed or visuospatial construction. The evidence does not seem to support greater vulnerability in females. Future longitudinal studies should identify the characteristics of extreme trajectories, explore recovery deficits and design intervention programs. Copyright © 2018 Elsevier Ltd. All rights reserved.

Re-Engineering Marketing (RM

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Bozhidar Iv. Hadzhiev

2010-12-01

Full Text Available La globalización, el auge de la economía, el progreso de la e-net economía, y el gran dinamismo de las relaciones comerciales se están constituyendo como una función progresiva en constante crecimiento, predeterminando la utilización de unas pocas nuevas oportunidades para aumentar la eficacia de las empresas. Llegados a este punto, a través del prisma de los métodos de reingeniería en el presente artículo se muestran algunos problemas básicos y las oportunidades existentes para la Reingeniería del Marketing (RM.Globalization, the rise of the economy, the progress of the e-net economy, and the high dynamics of business relationships are developing as one of the permanently rising progressive functions, predetermining the use of a few new opportunities for increasing effectiveness of the industry companies. At this point, through the prism of Re-engineering methods, a few basic problems and opportunities for Re-engineering Marketing (RM are presented in this paper.

The effectiveness of contingency management in the treatment of patients with anorexia nervosa: A systematic review.

Science.gov (United States)

Ziser, Katrin; Resmark, Gaby; Giel, Katrin Elisabeth; Becker, Sandra; Stuber, Felicitas; Zipfel, Stephan; Junne, Florian

2018-03-26

Contingency management in stipulating weight gain is routinely used in the treatment of anorexia nervosa, however, empirical investigations concerning its effectiveness have been scarce. This systematic review was conducted according to the PRISMA statement. Of N = 973 hits, 42 full-texts were included in the qualitative synthesis (11 theoretical texts, 19 case reports, 12 descriptive, cohort, and controlled trials). A central topic in the included publications concerns the enhancement of patients' autonomy through participation in the contingency management process. This heightened autonomy is achieved by using contingency contracts. Positive short-term effects on weight gain were shown, whereas follow-up results were heterogeneous. Although contingency contracts are widely used in clinical practice, our systematic review shows that empirical evidence on underlying mechanisms and efficacy is still scarce. Using an explicit treatment contract can enhance patients' motivation, compliance, and autonomy. Clinical practice should see further development including innovative motivation enhancing and conflict dissolving techniques in addressing the pronounced ambivalence often shown by patients with anorexia nervosa. Copyright © 2018 John Wiley & Sons, Ltd and Eating Disorders Association.

Challenges in Governing the Digital Transportation Ecosystem in Jakarta: A Research Direction in Smart City Frameworks

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Iqbal Yulizar Mukti

2018-03-01

Full Text Available Mobility is one of the most difficult domains of the smart city to face. In fact, most large cities in the world are still facing urban mobility problems, especially traffic congestion. Particularly, in Jakarta, Indonesia, traffic congestion is a major issue that negatively affects productivity and the overall living quality of the citizens. Along with the development of the information communication and technology (ICT, the transportation domain in Jakarta has formed a digital transportation ecosystem, shown by the emergence of innovative digital-based transportation services. In line with this current condition, this paper hopes to contribute to the improvement of urban traffic in Jakarta by proposing research directions to govern the digital transportation ecosystem within a smart city framework. The significance of the research directions is reviewed using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA methodology in a systematic review of previous studies. Ultimately, the research directions proposed in this paper lead to the necessity for an architectural perspective and relevant big data analytical tools to improve the digital transportation ecosystem in Jakarta.

Eficácia do Nintendo Wii em desfechos funcionais e de saúde de indivíduos com doença de Parkinson: uma revisão sistemática

OpenAIRE

Braz, Nayara Felicidade Tomaz; Dutra, Letícia Rocha; Medeiros, Paulo Eduardo Souza; Scianni, Aline Alvim; Faria, Christina Danielli Coelho de Morais

2018-01-01

RESUMO O objetivo deste estudo foi revisar sistematicamente a literatura sobre a eficácia do Nintendo Wii na melhora de desfechos funcionais e de saúde de indivíduos com doença de Parkinson. A revisão foi desenvolvida seguindo o PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), com buscas nas bases de dados MEDLINE, SciELO, LILACS e PEDro mediante estratégia de busca composta pela combinação dos termos “Wii”, “Doença de Parkinson”, “reabilitação” e “fisioterapia”, s...

Introducció al desenvolupament de programari, setembre 2006

OpenAIRE

Pérez López, Josep Anton; Ribas Xirgo, Lluís

2006-01-01

El coneixement profund d¿un llenguatge de programació parteix no solament de la comprensió del seu lèxic, de la seva sintaxi i de la seva semàntica, sinó que a més requereix la comprensió dels objectius que n¿han motivat el desenvolupament. Així doncs, en aquesta unitat es repassa la història del llenguatge de programació C des del prisma de la programació dels computadors. Els programes descrits en un llenguatge de programació com C no els pot executar directament cap màquina. Per tant, é...

Introducción al desarrollo de software

OpenAIRE

Pérez López, Josep Anton; Ribas Xirgo, Lluís

2009-01-01

El coneixement profund d'un llenguatge de programació parteix no solament de la comprensió del seu lèxic, de la seva sintaxi i de la seva semàntica, sinó que a més requereix la comprensió dels objectius que n'han motivat el desenvolupament. Així doncs, en aquesta unitat es repassa la història del llenguatge de programació C des del prisma de la programació dels computadors. Els programes descrits en un llenguatge de programació com C no els pot executar directament cap màquina. Per tant, é...

Mídia e criminalidade: uma leitura interdisciplinar a partir de Theodor Adorno

OpenAIRE

Santin, Giovane

2006-01-01

Na presente pesquisa, vinculada à linha de pesquisa Cultura e Violência, que está inserida na área de concentração Violência do Mestrado em Ciências Criminais da Faculdade de Direito da Pontifícia Universidade Católica do Rio Grande do Sul realiza-se uma análise crítica na forma pelo qual os meios de comunicação de massa abordam as questões referentes a criminalidade. Banalizada por este prisma, a dissertação vai buscar as teorias da Comunicação Social, Filosofia, Direito e naquelas que procu...

Amyloid Biomarkers in Conformational Diseases at Face Value: A Systematic Review

Directory of Open Access Journals (Sweden)

Maria Fernanda Avila-Vazquez

2017-12-01

Full Text Available Conformational diseases represent a new aspect of proteomic medicine where diagnostic and therapeutic paradigms are evolving. In this context, the early biomarkers for target cell failure (neurons, β-cells, etc. represent a challenge to translational medicine and play a multidimensional role as biomarkers and potential therapeutic targets. This systematic review, which follows the PICO and Prisma methods, analyses this new-fangled multidimensionality, its strengths and limitations, and presents the future possibilities it opens up. The nuclear diagnosis methods are immunoassays: ELISA, immunodot, western blot, etc., while the therapeutic approach is focused on pharmaco- and molecular chaperones.

"Aunque lea poco, yo sé que soy listo". Estudio de caso sobre un adolescente que no lee literatura

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Cristina Aliagas

2009-01-01

Full Text Available Exploramos con un estudio de caso la lectura como práctica social en la vida de un adolescente que acaba de abandonar los estudios en 1º de Bachillerato. Desde el prisma teórico de los Nuevos Estudios de Literacidad, analizamos su punto de vista y sus creencias sobre las prácticas lectoras dominantes y vernáculas en las que participa, dentro y fuera del Instituto. A pesar de su fuerte desinterés por la lectura académica, nuestro informante ha construido una vida lectora variada y activa al margen de la escuela.

O CASAMENTO NA SOCIEDADE COLONIAL LUSO-BRASILEIRA: UMA ANÁLISE HISTÓRICO-TEOLÓGICA

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Riolando Azzi

1991-01-01

Full Text Available O matrimônio constitui um tema ao qual a Igreja dedicou sempre muita atenção. A finalidade deste estudo ó detectar os principais enfoques teológicos utilizados na sociedade colonial luso-brasileira na abordagem desse assunto. É necessário ter presente que esta questão foi vista sob dois prismas diversos: um erudito e outro, popular. A teologia erudita procurou dar enfatizar as referências bíblicas; a religião popular ressaltou a importância da proteção divina através da intercessão dos santos.

Violencia social y escuela: un relato empírico desde barrios críticos

OpenAIRE

Krmpotic,Claudia; Farré,Micaela

2008-01-01

Los resultados presentados en este artículo son producto del trabajo de investigación realizado entre 2005-2007, con el objetivo de analizar el problema de la violencia social y el delito juvenil en el ámbito territorial del Municipio más extenso y poblado del Conurbano Bonaerense, en la Provincia de Buenos Aires. Se planteó un abordaje a través del prisma de la institución escolar, considerada actor relevante en el proceso de construcción de identidad de los jóvenes, y agencia promotora de l...

O direito da concorrência no Mercosul: o Protocolo de Fortaleza e as relações entre Brasil e Argentina

OpenAIRE

Araújo, Clayton Vinicius Pegoraro de

2012-01-01

Este trabalho analisa o tema das relações jurídico-econômicas entre Brasil e Argentina, tomando como base a questão do Direito Econômico Internacional, sob o prisma da concorrência regional. São abordados fatos históricos implicados na direção das negociações para a atual gestão das negociações, bem como uma análise das legislações dos respectivos atores econômicos, inclusive sob a ótica da teoria dos jogos. Finalmente, será buscado o entendimento sobre a aplicabilidade do ...

Robert Alexy's Rules Ponderation and Narciso Baez's Theory Of Double Size of Human Rights in Analysis of Rights in Conflict Infanticide Concrete Case in Indigenous Villages

OpenAIRE

Rogério Gesta Leal; Fabio Biasi Pavão

2015-01-01

O presente artigo tem por objetivo analisar o tema da colisão de princípios e direitos fundamentais sob o prisma da teoria de Robert Alexy e de reflexões sobre a dupla dimensão dos direitos humanos de Narciso Leandro Xavier Baez. Para tanto, propõe uma análise dos conceitos elaborados por Robert Alexy sobre normas e princípios e situações de conflitos entre direitos. Alexy propõe regras de ponderação como alternativa à solução de conflitos entre princípios, proporcionando a prevalência de um ...

Alteraciones estructurales y biomecánicas en la patología de la resistencia ósea : de la investigación a la clínica

OpenAIRE

Caeiro Rey, José Ramón

2017-01-01

A diferenza doutros profesionais da Mediciña, que tamén teñen ao óso e á patoloxía ósea dentro do contido da súa especialidade, os cirurxiáns ortopédicos destinamos gran parte da nosa formación e vida profesional ao diagnóstico e tratamento da patoloxía da resistencia ósea, é dicir, ao estudo das causas e consecuencias das alteracións estruturais e biomecánicas de devandito tecido. Baixo este prisma profesional, consideramos que só se pode comprender a fisiopatoloxía das devanditas alter...

Evidências científicas sobre o gol do futebol: Uma revisão sistemática / Scientific evidences about the goal of the football: a systematic review

OpenAIRE

Marques Junior, Nelson Kautzner; Mestre em Ciência da Motricidade Humana pela Universidade Castelo Branco, RJ, Brasil.

2015-01-01

O objetivo do estudo foi determinar as evidências científicas sobre o gol do futebol. A revisão sistemática utilizou metodologia proposta pelo PRISMA. Os estudos foram identificados em bases eletrônicas. Os resultados foram os seguintes: mais gols ocorreram durante 76 a 90 minutos do 2º tempo e as equipes que praticaram gols antes de 15 minutos geralmente venceram. A região do campo que os jogadores de futebol praticaram mais gols foi dentro da área. Em conclusão, estudo sobre os gols é impor...

La patologización de la política en la filosofía y las ciencias sociales

OpenAIRE

Pereyra Rozas, Felipe

2016-01-01

Las reflexiones filosóficas acerca de la política, desde La República de Platón, han tendido a pensar los fenómenos colectivos desde el prisma médico patologizante. Con la aparición de las “ciencias del hombre”, la investigación acerca de las “patologías colectivas” que socavan el orden social ideal se vuelven objeto de una nueva disciplina. En la ciencia social finisecular del siglo XIX, la “psicología de masas” irrumpe en el campo teórico como una respuesta al crecimiento del socialismo y e...

Innovació en el procés de realització d'auditories energètiques. De l'auditoria tradicional a l'auditoria virtual

OpenAIRE

Utges Mampel, Daniel

2016-01-01

Aquest projecte planteja un nou prisma a la hora de realitzar auditories energètiques a les instal·lacions, passant d’una auditoria tradicional a una auditoria virtual, utilitzant tècniques estadístiques i la caracterització matemàtica de potencials millores d’eficiència energètica. L’auditoria virtual és un gran avenç en el sector de l’eficiència energètica, resultant en una innovació disruptiva en el sector, doncs permet reduir els costos i el temps d’entrega d’una auditoria energètica e...

Endoscopic treatment of colorectal perforations – a systematic review

DEFF Research Database (Denmark)

Hassan, Mohamed Ali; Thomsen, Christian Øystein; Vilmann, Peter

2016-01-01

invasive therapy. The aim of this systematic review was to assess the existing evidence in this field. METHODS: Literature was searched on PubMed, Embase and the Cochrane databases. Papers found were reported according to the PRISMA guidelines. Trials on animals were excluded. RESULTS: A total of 32...... success rate of 87.8% (standard deviation: ± 13.0%) on average and a median of 92.3% (range: 58.6-100%). The total number of patients needing surgery after attempted clip closure was 30 (14.7%); another four were found to have sealed perforations during surgery. One patient died after clip failure (0...

Endoscopic treatment of colorectal perforations--a systematic review

DEFF Research Database (Denmark)

Hassan, Mohamed Ali; Thomsen, Christian Øystein; Vilmann, Peter

2016-01-01

invasive therapy. The aim of this systematic review was to assess the existing evidence in this field. METHODS: Literature was searched on PubMed, Embase and the Cochrane databases. Papers found were reported according to the PRISMA guidelines. Trials on animals were excluded. RESULTS: A total of 32...... success rate of 87.8% (standard deviation: ± 13.0%) on average and a median of 92.3% (range: 58.6-100%). The total number of patients needing surgery after attempted clip closure was 30 (14.7%); another four were found to have sealed perforations during surgery. One patient died after clip failure (0...

Ethos, Pathos and Logos in Facebook. User Networking : New «Rhetor» of the 21st Century

OpenAIRE

Berlanga Fernández, Inmaculada; García García, Francisco; Victoria Mas, Juan Salvador

2013-01-01

Uno de los «agujeros negros» de la investigación en comunicación tiene que ver con una carencia de profundización en los orígenes clásicos de nuestros estudios, de sus objetos y de los acercamientos a estos. En este sentido, cobraría especial relevancia el estudio de los procesos comunicativos en Internet (en concreto a través de las redes sociales) bajo el prisma de la Retórica clásica. Especialmente, nos referimos al uso de las estrategias de persuasión (ethos, pa - thos, logos)...

Methodology of a systematic review.

Science.gov (United States)

Linares-Espinós, E; Hernández, V; Domínguez-Escrig, J L; Fernández-Pello, S; Hevia, V; Mayor, J; Padilla-Fernández, B; Ribal, M J

2018-05-03

The objective of evidence-based medicine is to employ the best scientific information available to apply to clinical practice. Understanding and interpreting the scientific evidence involves understanding the available levels of evidence, where systematic reviews and meta-analyses of clinical trials are at the top of the levels-of-evidence pyramid. The review process should be well developed and planned to reduce biases and eliminate irrelevant and low-quality studies. The steps for implementing a systematic review include (i) correctly formulating the clinical question to answer (PICO), (ii) developing a protocol (inclusion and exclusion criteria), (iii) performing a detailed and broad literature search and (iv) screening the abstracts of the studies identified in the search and subsequently of the selected complete texts (PRISMA). Once the studies have been selected, we need to (v) extract the necessary data into a form designed in the protocol to summarise the included studies, (vi) assess the biases of each study, identifying the quality of the available evidence, and (vii) develop tables and text that synthesise the evidence. A systematic review involves a critical and reproducible summary of the results of the available publications on a particular topic or clinical question. To improve scientific writing, the methodology is shown in a structured manner to implement a systematic review. Copyright © 2018 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

Salivary matrix metalloproteinase (MMP)-8 as a biomarker for periodontitis: A PRISMA-compliant systematic review and meta-analysis.

Science.gov (United States)

Zhang, Lin; Li, Xiue; Yan, Hong; Huang, Lei

2018-01-01

Salivary matrix metalloproteinase (MMP)-8 is currently considered to be one of the most promising biomarkers for early diagnosis of periodontitis, however, several recent studies showed conflicting results. To determine the salivary matrix metalloproteinase (MMP)-8 levels between periodontitis patients and healthy individuals, and to assess its diagnostic value in periodontitis. Literatures were searched on PubMed and Embase databases up to August 2017, for articles reporting salivary MMP-8 levels between periodontitis patients and health controls with the data of means ± standard deviation (SD). Methodological quality was assessed by the Newcastle Ottawa scale (NOS). Standard mean differences (SMDs), heterogeneity, and publication bias were assessed by Stata 13.0 software. A total of 10 studies including 485 periodontitis patients and 379 healthy controls that met the preset inclusion criteria were included, the qualities of these studies were either good (n = 7) or moderate (n = 3). Eight studies showed salivary MMP-8 levels were higher in periodontitis patients compared with healthy controls (P  .05). The pooled SMD was 1.195 (95% CI: 0.720-1.670), with I of 89.3%, indicating high heterogeneity. Funnel plot showed publication bias existed. Our meta-analysis showed that salivary MMP-8 levels were significantly higher in periodontitis patients compared with healthy controls overall. Due to the heterogeneity and publication bias of included studies, further high quality studies are still needed to verify the conclusion. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

MyVoice National Text Message Survey of Youth Aged 14 to 24 Years: Study Protocol.

Science.gov (United States)

DeJonckheere, Melissa; Nichols, Lauren P; Moniz, Michelle H; Sonneville, Kendrin R; Vydiswaran, V G Vinod; Zhao, Xinyan; Guetterman, Timothy C; Chang, Tammy

2017-12-11

There has been little progress in adolescent health outcomes in recent decades. Researchers and youth-serving organizations struggle to accurately elicit youth voice and translate youth perspectives into health care policy. Our aim is to describe the protocol of the MyVoice Project, a longitudinal mixed methods study designed to engage youth, particularly those not typically included in research. Text messaging surveys are collected, analyzed, and disseminated in real time to leverage youth perspectives to impact policy. Youth aged 14 to 24 years are recruited to receive weekly text message surveys on a variety of policy and health topics. The research team, including academic researchers, methodologists, and youth, develop questions through an iterative writing and piloting process. Question topics are elicited from community organizations, researchers, and policy makers to inform salient policies. A youth-centered interactive platform has been developed that automatically sends confidential weekly surveys and incentives to participants. Parental consent is not required because the survey is of minimal risk to participants. Recruitment occurs online (eg, Facebook, Instagram, university health research website) and in person at community events. Weekly surveys collect both quantitative and qualitative data. Quantitative data are analyzed using descriptive statistics. Qualitative data are quickly analyzed using natural language processing and traditional qualitative methods. Mixed methods integration and analysis supports a more in-depth understanding of the research questions. We are currently recruiting and enrolling participants through in-person and online strategies. Question development, weekly data collection, data analysis, and dissemination are in progress. MyVoice quickly ascertains the thoughts and opinions of youth in real time using a widespread, readily available technology-text messaging. Results are disseminated to researchers, policy makers, and

Joint effects of climate variability and socioecological factors on dengue transmission: epidemiological evidence.

Science.gov (United States)

Akter, Rokeya; Hu, Wenbiao; Naish, Suchithra; Banu, Shahera; Tong, Shilu

2017-06-01

To assess the epidemiological evidence on the joint effects of climate variability and socioecological factors on dengue transmission. Following PRISMA guidelines, a detailed literature search was conducted in PubMed, Web of Science and Scopus. Peer-reviewed, freely available and full-text articles, considering both climate and socioecological factors in relation to dengue, published in English from January 1993 to October 2015 were included in this review. Twenty studies have met the inclusion criteria and assessed the impact of both climatic and socioecological factors on dengue dynamics. Among those, four studies have further investigated the relative importance of climate variability and socioecological factors on dengue transmission. A few studies also developed predictive models including both climatic and socioecological factors. Due to insufficient data, methodological issues and contextual variability of the studies, it is hard to draw conclusion on the joint effects of climate variability and socioecological factors on dengue transmission. Future research should take into account socioecological factors in combination with climate variables for a better understanding of the complex nature of dengue transmission as well as for improving the predictive capability of dengue forecasting models, to develop effective and reliable early warning systems. © 2017 John Wiley & Sons Ltd.

Enhancing the quality and credibility of qualitative analysis.

Science.gov (United States)

Patton, M Q

1999-12-01

Varying philosophical and theoretical orientations to qualitative inquiry remind us that issues of quality and credibility intersect with audience and intended research purposes. This overview examines ways of enhancing the quality and credibility of qualitative analysis by dealing with three distinct but related inquiry concerns: rigorous techniques and methods for gathering and analyzing qualitative data, including attention to validity, reliability, and triangulation; the credibility, competence, and perceived trustworthiness of the qualitative researcher; and the philosophical beliefs of evaluation users about such paradigm-based preferences as objectivity versus subjectivity, truth versus perspective, and generalizations versus extrapolations. Although this overview examines some general approaches to issues of credibility and data quality in qualitative analysis, it is important to acknowledge that particular philosophical underpinnings, specific paradigms, and special purposes for qualitative inquiry will typically include additional or substitute criteria for assuring and judging quality, validity, and credibility. Moreover, the context for these considerations has evolved. In early literature on evaluation methods the debate between qualitative and quantitative methodologists was often strident. In recent years the debate has softened. A consensus has gradually emerged that the important challenge is to match appropriately the methods to empirical questions and issues, and not to universally advocate any single methodological approach for all problems.

Information and communication technology for managing pain in palliative care: a review of the literature.

Science.gov (United States)

Allsop, Matthew J; Taylor, Sally; Mulvey, Matthew R; Bennett, Michael I; Bewick, Bridgette M

2015-12-01

Information and communication technology (ICT) systems are being developed for electronic symptom reporting across different stages of the cancer trajectory with research in palliative care at an early stage. This paper presents the first systematic search of the literature to review existing ICT systems intended to support management of pain in palliative care patients with cancer. The review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic reviews and meta-analyses. Four databases (Embase, MEDLINE, PsycINFO and Healthcare Management Information Consortium) from 1990 to December 2012 were searched, with exclusion of papers based on their description of ICT systems and language used. 24 articles met the inclusion criteria, many of which reported the use of non-experimental research designs. Studies were identified at different stages of development with no systems having reached implementation. Most systems captured pain as part of quality-of-life measurement with wide variation in approaches to pain assessment. ICT systems for symptom reporting are emerging in the palliative care context. Future development of ICT systems need to increase the quality and scale of development work, consider how recommendations for pain measurement can be integrated and explore how to effectively use system feedback with patients. 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/

2017 American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty.

Science.gov (United States)

Goodman, Susan M; Springer, Bryan; Guyatt, Gordon; Abdel, Matthew P; Dasa, Vinod; George, Michael; Gewurz-Singer, Ora; Giles, Jon T; Johnson, Beverly; Lee, Steve; Mandl, Lisa A; Mont, Michael A; Sculco, Peter; Sporer, Scott; Stryker, Louis; Turgunbaev, Marat; Brause, Barry; Chen, Antonia F; Gililland, Jeremy; Goodman, Mark; Hurley-Rosenblatt, Arlene; Kirou, Kyriakos; Losina, Elena; MacKenzie, Ronald; Michaud, Kaleb; Mikuls, Ted; Russell, Linda; Sah, Alexander; Miller, Amy S; Singh, Jasvinder A; Yates, Adolph

2017-08-01

This collaboration between the American College of Rheumatology and the American Association of Hip and Knee Surgeons developed an evidence-based guideline for the perioperative management of antirheumatic drug therapy for adults with rheumatoid arthritis (RA), spondyloarthritis (SpA) including ankylosing spondylitis and psoriatic arthritis, juvenile idiopathic arthritis (JIA), or systemic lupus erythematosus (SLE) undergoing elective total hip (THA) or total knee arthroplasty (TKA). A panel of rheumatologists, orthopedic surgeons specializing in hip and knee arthroplasty, and methodologists was convened to construct the key clinical questions to be answered in the guideline. A multi-step systematic literature review was then conducted, from which evidence was synthesized for continuing versus withholding antirheumatic drug therapy and for optimal glucocorticoid management in the perioperative period. A Patient Panel was convened to determine patient values and preferences, and the Grading of Recommendations Assessment, Development and Evaluation methodology was used to rate the quality of evidence and the strength of recommendations, using a group consensus process through a convened Voting Panel of rheumatologists and orthopedic surgeons. The strength of the recommendation reflects the degree of certainty that benefits outweigh harms of the intervention, or vice versa, considering the quality of available evidence and the variability in patient values and preferences. The guideline addresses the perioperative use of antirheumatic drug therapy including traditional disease-modifying antirheumatic drugs, biologic agents, tofacitinib, and glucocorticoids in adults with RA, SpA, JIA, or SLE who are undergoing elective THA or TKA. It provides recommendations regarding when to continue, when to withhold, and when to restart these medications, and the optimal perioperative dosing of glucocorticoids. The guideline includes 7 recommendations, all of which are conditional

2017 American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty.

Science.gov (United States)

Goodman, Susan M; Springer, Bryan; Guyatt, Gordon; Abdel, Matthew P; Dasa, Vinod; George, Michael; Gewurz-Singer, Ora; Giles, Jon T; Johnson, Beverly; Lee, Steve; Mandl, Lisa A; Mont, Michael A; Sculco, Peter; Sporer, Scott; Stryker, Louis; Turgunbaev, Marat; Brause, Barry; Chen, Antonia F; Gililland, Jeremy; Goodman, Mark; Hurley-Rosenblatt, Arlene; Kirou, Kyriakos; Losina, Elena; MacKenzie, Ronald; Michaud, Kaleb; Mikuls, Ted; Russell, Linda; Sah, Alexander; Miller, Amy S; Singh, Jasvinder A; Yates, Adolph

2017-09-01

This collaboration between the American College of Rheumatology and the American Association of Hip and Knee Surgeons developed an evidence-based guideline for the perioperative management of antirheumatic drug therapy for adults with rheumatoid arthritis (RA), spondyloarthritis (SpA) including ankylosing spondylitis and psoriatic arthritis, juvenile idiopathic arthritis (JIA), or systemic lupus erythematosus (SLE) undergoing elective total hip (THA) or total knee arthroplasty (TKA). A panel of rheumatologists, orthopedic surgeons specializing in hip and knee arthroplasty, and methodologists was convened to construct the key clinical questions to be answered in the guideline. A multi-step systematic literature review was then conducted, from which evidence was synthesized for continuing versus withholding antirheumatic drug therapy and for optimal glucocorticoid management in the perioperative period. A Patient Panel was convened to determine patient values and preferences, and the Grading of Recommendations Assessment, Development and Evaluation methodology was used to rate the quality of evidence and the strength of recommendations, using a group consensus process through a convened Voting Panel of rheumatologists and orthopedic surgeons. The strength of the recommendation reflects the degree of certainty that benefits outweigh harms of the intervention, or vice versa, considering the quality of available evidence and the variability in patient values and preferences. The guideline addresses the perioperative use of antirheumatic drug therapy including traditional disease-modifying antirheumatic drugs, biologic agents, tofacitinib, and glucocorticoids in adults with RA, SpA, JIA, or SLE who are undergoing elective THA or TKA. It provides recommendations regarding when to continue, when to withhold, and when to restart these medications, and the optimal perioperative dosing of glucocorticoids. The guideline includes 7 recommendations, all of which are conditional

The association between gastroesophageal reflux disease and recurrent respiratory papillomatosis: A systematic review.

Science.gov (United States)

San Giorgi, Michel R M; Helder, Herman M; Lindeman, Robbert-Jan S; de Bock, Geertruida H; Dikkers, Frederik G

2016-10-01

Antireflux therapy is incorporated in many treatment protocols for recurrent respiratory papillomatosis (RRP) because gastroesophageal reflux (GERD) is thought to worsen the disease course of RRP. It is unclear if GERD really aggravates the disease course. The aims of this systematic review were to 1) evaluate incidence of GERD among RRP patients and 2) report if GERD changes the clinical course or tissue properties of RRP. A search was conducted in PubMed, Embase, and Google Scholar, following the methods of Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. Articles with original data, published after January 1, 1990, on RRP with GERD as a determinant were eligible. There was no language restriction. Data on study design, study population, statistics, outcomes (incidence and influence of GERD), and risk of bias were collected and evaluated following PRISMA protocols. Of 1,277 articles, 19 were selected. Gastroesophageal reflux was objectified in 25% to 100% of RRP patients. Subjective GERD was present in 0% to 70% of patients. There is no proof that GERD aggravated the clinical course or tissue properties of RRP, as measured by the number of surgeries, severity scoring systems, or dysplasia. One study did find a higher chance of web formation in patients with anterior or posterior glottic papillomas who did not receive antireflux therapy, but these results should be interpreted with care due to the study's quality. There is insufficient proof that GERD does or does not aggravate the clinical course or tissue properties of RRP. Laryngoscope, 126:2330-2339, 2016. © 2016 The American Laryngological, Rhinological and Otological Society, Inc.

Intellectual disability rights and inclusive citizenship in South Africa: What can a scoping review tell us?

Science.gov (United States)

2018-01-01

Background Intellectual disability (ID) is the most prevalent disability in the world. People with intellectual disability (PWID) frequently experience extreme violations of numerous human rights. Despite greater prevalence in South Africa than in high-income countries, most ID research currently comes from the Global North. This leaves us with few contextually sensitive studies to draw from to advance inclusive citizenship. Objectives Our scoping review aims to investigate pertinent ID rights issues in South Africa, synthesise quantitative and qualitative studies, and provide a synopsis of available evidence on which to base future work. We aim to clarify key concepts, address gaps in the literature and identify opportunities for further research. Method We followed strict eligibility criteria. Medical subject heading terms were entered into seven databases. Seven reviewers worked independently, two per paper. Quantitative and qualitative data extraction forms were designed. We followed Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines and registered a protocol. An inductive approach enabled a thematic analysis of selected studies. Results By following PRISMA guidelines, 82 studies were assessed for eligibility of which 59 were included. Ten sub-themes were integrated into four main themes: the right not to be discriminated against, the right to psychological and bodily integrity, the right to accommodating services and challenges to rights implementation. Conclusion People with intellectual disability face compound difficulties when trying to assert their constitutionally entitled rights. This ongoing project requires serious commitment and action. Statutory obligations to nurture every South African’s human rights naturally extend to PWID and their supporters who forge ahead in a disabling environment. PMID:29850438

Bond strength and microleakage of current dentin adhesives.

Science.gov (United States)

Fortin, D; Swift, E J; Denehy, G E; Reinhardt, J W

1994-07-01

The purpose of this in vitro study was to evaluate shear bond strengths and microleakage of seven current-generation dentin adhesive systems. Standard box-type Class V cavity preparations were made at the cemento-enamel junction on the buccal surfaces of eighty extracted human molars. These preparations were restored using a microfill composite following application of either All-Bond 2 (Bisco), Clearfil Liner Bond (Kuraray), Gluma 2000 (Miles), Imperva Bond (Shofu), OptiBond (Kerr), Prisma Universal Bond 3 (Caulk), Scotchbond Multi-Purpose (3M), or Scotchbond Dual-Cure (3M) (control). Lingual dentin of these same teeth was exposed and polished to 600-grit. Adhesives were applied and composite was bonded to the dentin using a gelatin capsule technique. Specimens were thermocycled 500 times. Shear bond strengths were determined using a universal testing machine, and microleakage was evaluated using a standard silver nitrate staining technique. Clearfill Liner Bond and OptiBond, adhesive systems that include low-viscosity, low-modulus intermediate resins, had the highest shear bond strengths (13.3 +/- 2.3 MPa and 12.9 +/- 1.5 MPa, respectively). Along with Prisma Universal Bond 3, they also had the least microleakage at dentin margins of Class V restorations. No statistically significant correlation between shear bond strength and microleakage was observed in this study. Adhesive systems that include a low-viscosity intermediate resin produced the high bond strengths and low microleakage. Similarly, two materials with bond strengths in the intermediate range had significantly increased microleakage, and one material with a bond strength in the low end of the spectrum exhibited microleakage that was statistically greater. Thus, despite the lack of statistical correlation, there were observable trends.

Health-related quality of life in Asian patients with breast cancer: a systematic review

Science.gov (United States)

Gernaat, Sofie A M; Hartman, Mikael

2018-01-01

Objective To summarise the evidence on determinants of health-related quality of life (HRQL) in Asian patients with breast cancer. Design Systematic review conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations and registered with PROSPERO (CRD42015032468). Methods According to the PRISMA guidelines, databases of MEDLINE (PubMed), Embase and PsycINFO were systematically searched using the following terms and synonyms: breast cancer, quality of life and Asia. Articles reporting on HRQL using EORTC-QLQ-C30, EORTC-QLQ-BR23, FACT-G and FACT-B questionnaires in Asian patients with breast cancer were eligible for inclusion. The methodological quality of each article was assessed using the quality assessment scale for cross-sectional studies or the Newcastle-Ottawa Quality Assessment Scale for cohort studies. Results Fifty-seven articles were selected for this qualitative synthesis, of which 43 (75%) were cross-sectional and 14 (25%) were longitudinal studies. Over 75 different determinants of HRQL were studied with either the EORTC or FACT questionnaires. Patients with comorbidities, treated with chemotherapy, with less social support and with more unmet needs have poorer HRQL. HRQL improves over time. Discordant results in studies were found in the association of age, marital status, household income, type of surgery, radiotherapy and hormone therapy and unmet sexuality needs with poor global health status or overall well-being. Conclusions In Asia, patients with breast cancer, in particular those with other comorbidities and those treated with chemotherapy, with less social support and with more unmet needs, have poorer HRQL. Appropriate social support and meeting the needs of patients may improve patients’ HRQL. PMID:29678980

Oral Chinese proprietary medicine for angina pectoris: an overview of systematic reviews/meta-analyses.

Science.gov (United States)

Luo, Jing; Xu, Hao; Yang, Guoyan; Qiu, Yu; Liu, Jianping; Chen, Keji

2014-08-01

Oral Chinese proprietary medicine (CPM) is commonly used to treat angina pectoris, and many relevant systematic reviews/meta-analyses are available. However, these reviews have not been systematically summarized and evaluated. We conducted an overview of these reviews, and explored their methodological and reporting quality to inform both practice and further research. We included systematic reviews/meta-analyses on oral CPM in treating angina until March 2013 by searching PubMed, Embase, the Cochrane Library and four Chinese databases. We extracted data according to a pre-designed form, and assessed the methodological and reporting characteristics of the reviews in terms of AMSTAR and PRISMA respectively. Most of the data analyses were descriptive. 36 systematic reviews/meta-analyses involving over 82,105 participants with angina reviewing 13 kinds of oral CPM were included. The main outcomes assessed in the reviews were surrogate outcomes (34/36, 94.4%), adverse events (31/36, 86.1%), and symptoms (30/36, 83.3%). Six reviews (6/36, 16.7%) drew definitely positive conclusions, while the others suggested potential benefits in the symptoms, electrocardiogram, and adverse events. The overall methodological and reporting quality of the reviews was limited, with many serious flaws such as the lack of review protocol and incomprehensive literature searches. Though many systematic reviews/meta-analyses on oral CPM for angina suggested potential benefits or definitely positive effects, stakeholders should interpret the findings of these reviews with caution, considering the overall limited methodological and reporting quality. We recommend further studies should be appropriately conducted and systematic reviews reported according to PRISMA standard. Copyright © 2014 Elsevier Ltd. All rights reserved.

Traditional Chinese medicine injection for angina pectoris: an overview of systematic reviews.

Science.gov (United States)

Luo, Jing; Shang, Qinghua; Han, Mei; Chen, Keji; Xu, Hao

2014-01-01

Traditional Chinese medicine (TCM) injection is widely used to treat angina pectoris in China. This overview aims to systematically summarize the general characteristics of systematic reviews (SRs) on TCM injection in treating angina, and assess the methodological and reporting quality of these reviews. We searched PubMed, Embase, the Cochrane Library and four Chinese databases from inception until March 2013. Data were extracted according to a preset form. The AMSTAR and PRISMA checklists were used to explore the methodological quality and reporting characteristics of included reviews, respectively. All data analyses were descriptive. 46 SRs involving over 57,463 participants with angina reviewing 23 kinds of TCM injections were included. The main outcomes evaluated in the reviews were symptoms (43/46, 93.5%), surrogate outcomes (42/46, 91.3%) and adverse events (41/46, 87.0%). Few reviews evaluated endpoints (7/46, 15.2%) and quality of life (1/46, 2.2%). One third of the reviews (16/46, 34.8%) drew definitely positive conclusions while the others (30/46, 65.2%) suggested potential benefits mainly in symptoms, electrocardiogram and adverse events. With many serious flaws such as lack of a protocol and inappropriate data synthesis, the overall methodological and reporting quality of the reviews was limited. While many SRs of TCM injection on the treatment of angina suggested potential benefits or definitely positive effects, stakeholders should not accept the findings of these reviews uncritically due to the limited methodological and reporting quality. Future SRs should be appropriately conducted and reported according to international standards such as AMSTAR and PRISMA, rather than published in large numbers.

The Development of a New Sport-Specific Classification of Coping and a Meta-Analysis of the Relationship between Different Coping Strategies and Moderators on Sporting Outcomes

Science.gov (United States)

Nicholls, Adam R.; Taylor, Natalie J.; Carroll, Sean; Perry, John L.

2016-01-01

There is an ever growing coping and sports performance literature, with researchers using many different methods to assess performance and different classifications of coping. As such, it makes it difficult to compare studies and therefore identify how coping is related to performance. Furthermore, there are no quantitative syntheses of the results from these studies. A quantitative synthesis would facilitate a more comprehensive understanding of how coping is associated with athletic performance. In order to accurately compare studies, our first aim was to develop a new coping classification that would make this possible. Firstly, we reviewed the strengths and limitations of the different coping classifications and then identified the commonalities and differences between such classifications. We opted for a three-factor classification of coping, because the evidence suggests that a three-factor classification provides a superior model fit to two-factor approaches. Our new classification of coping was based on an existing model from the developmental literature, which received an excellent model fit. We made some adaptations, however, as our classification was intended for an athletic population. As such, we classified coping as mastery (i.e., controlling the situation and eliminating the stressor), internal regulation (i.e., managing internal stress responses), or goal withdrawal (i.e., ceasing efforts toward goal attainment). Undertaking a meta-analysis, our second aim was to identify which coping strategies correlated with sports performance and whether this relationship varied according to moderator variables. Articles were sourced from online electronic databases and manual journal searches. PRISMA guidelines were used to search, select, and synthesize relevant studies. Random effects meta-analyses were performed to identify associations between coping classification and sport performance. Q, I2, and R2 values assessed heterogeneity. Eighteen published

La aportación de Aspasio a la noción de Ergon (Ética NIcomaquea, 1, 7)

OpenAIRE

Bosch Rabell, Magdalena

2017-01-01

Este artículo analiza la aportación de Aspasio al concepto aristotélico de ergon. Hasta el momento no se ha realizado un estudio de este concepto bajo el prisma de las aportaciones aspasianas, centrándose en el capítulo séptimo del libro primero de la Ética Nicomaquea. Examina el significado que Aristóteles reconoce en la función propia del ser humano, y los matices que añade Aspasio. Para esta investigación se sigue el orden del texto y se centra el análisis en los términos clave:...

Exercise interventions for patients with pediatric cancer during inpatient acute care: A systematic review of literature.

Science.gov (United States)

Rustler, Vanessa; Hagerty, Meaghan; Daeggelmann, Julia; Marjerrison, Stacey; Bloch, Wilhelm; Baumann, Freerk T

2017-11-01

Physical inactivity has been shown to exacerbate negative side effects experienced by pediatric patients undergoing cancer therapy. Exercise interventions are being created in response. This review summarizes current exercise intervention data in the inpatient pediatric oncology setting. Two independent reviewers collected literature from three databases, and analyzed data following the PRISMA statement for systematic reviews and meta-analyses. Ten studies were included, representing 204 patients. Good adherence, positive trends in health status, and no adverse events were noted. Common strategies included individual, supervised, combination training with adaptability to meet fluctuating patient abilities. We recommend that general physical activity programming be offered to pediatric oncology inpatients. © 2017 Wiley Periodicals, Inc.

Clasificación de los derechos fundamentales en el derecho internacional

OpenAIRE

Serau Junior, Marco Aurélio

2015-01-01

O presente artigo trata da catalogação dos direitos humanos. Em outras palavras, cuida da questão da tipificação dos direitos fundamentais, especialmente o tema de suas gerações e/ou dimensões. Apresenta-se rápida síntese histórica dos direitos fundamentais, sua positivação e inserção no Direito Internacional. Após, realiza-se análise crítica à teoria da classificação rígida dos direitos fundamentais, o que ocorre adotando-se o prisma da primazia da dignidade da pessoa humana. El...

Transgenerismos, una aproximación de etnografía extrema: entrevista a Norma Mejía Transgenerismos, una aproximación de etnografía extrema: entrevista a Norma Mejía

OpenAIRE

RAQUEL Osborne

2009-01-01

En formato de entrevista, se presentan aquí los ejes principales que atraviesan la vida-reflexiones-tesis de la doctora en antropología social y transexual operada Norma Mejía. Mejía narra y analiza lo que ha visto y lo que ha vivido a través del prisma de la etnografía extrema, en la cual se funden el objeto y el sujeto, la visión etic y la emic, y la persona que observa forma parte del grupo observado. La peculiaridad de su caso es el fuerte contenido autobiográfico de su discurso, que conv...

Revisión histórica del sexismo en el cine español. El extraño caso de la película 'Amanece que no es poco'

OpenAIRE

Pedro Vázquez Miraz

2017-01-01

Se presenta en esta investigación una revisión sistémica de artículos científicos relacionados con películas españolas que abordan situaciones de violencia hacia las mujeres y/o que tratan a éstas bajo el prisma tradicional de los roles sexuales, permitiendo que esos actos agresivos se enmarquen, de forma exclusiva, en el ámbito doméstico. De forma sorprendente, en todos los artículos y revisiones de películas que se centran en el papel de la mujer y/o de la violencia que ésta sufre, la céleb...

Uso de fibra natural de sisal em blocos de concreto para alvenaria estrutural

OpenAIRE

Indara Soto Izquierdo

2011-01-01

A utilização de fibras vegetais como reforço constitui um grande interesse na obtenção de novos materiais para a construção civil produto de seu baixo custo, alta disponibilidade e reduzido consumo de energia para sua produção. Este trabalho avalia a incorporação de fibras de sisal, de comprimento 20 e 40 mm, e fração volumétrica de 0,5 e 1%, em concretos para a alvenaria de blocos estruturais e determina o uso destas unidades na execução de prismas e mini-paredes. Foram realizados os testes ...

HAMLET E O PODER

OpenAIRE

Gomes, Analice Franco; Parente Rebouças, Marcus Vinícius

2017-01-01

Este artigo científico analisa a tragédia shakespeariana de Hamlet sob o prisma específico das relações de poder, estabelecendo uma interface entre a Ciência Política e a Arte Teatral, com o propósito de produzir aportes teóricos que permitam melhor compreender o fenômeno político. Além de considerações acerca de dados biográficos de Shakespeare e de aspectos gerais a respeito da peça “Hamlet”, delineou-se um conceito de poder enquanto relação humana, adotando-se Michel Foucault como referenc...

CORPORATE SOCIAL RESPONSIBILITY AS A COMPETITIVE STRATEGY: THE CASE OF HUMAN COMPANY

Directory of Open Access Journals (Sweden)

Daniela Castro Murillo

2013-07-01

Full Text Available Human Company, a 100% Costa Rican business, through its brand Eco Sunrise has achieved to produce biodegradable goods under a socially responsible approach. This paper is aimed at evaluating how these practices influence the Company’s competitiveness levels using the PRISMA method and the CINBAGE matrix. Therefore, the general objective is to determine whether Corporate Social Responsibility (CSR is a competitive strategy for Human Company, for which the Company must identify advantages and obstacles faced by SMEs in regards to CSR, evaluate each of the areas comprising the Company’s CSR, quantify the Company´s competitiveness, and determine how CSR influences competitiveness.

Possibilidades de atuação profissional do psicólogo no âmbito da atenção básica em saúde

OpenAIRE

Matheus Barbosa Rocha; Maysa Milena e Silva Almeida; Breno de Oliveira Ferreira

2016-01-01

Objetivo: O presente trabalho objetivou identificar, nas evidências científicas, as atividades que caracterizam a atuação do psicólogo no contexto da Atenção Básica de Saúde. Métodos: Trata-se de uma revisão sistemática, realizada entre os meses de agosto a dezembro de 2015, de acordo com as diretrizes do protocolo PRISMA. Foram utilizados os descritores “Psicologia”, “Atuação” e “Atenção Básica” na Biblioteca Virtual de Saúde. Adotou-se como estratégia a busca direta, utilizando as palavras-...

18F-FDG PET/CT for detection of the primary tumor in adults with extracervical metastases from cancer of unknown primary

DEFF Research Database (Denmark)

Burglin, Synne Alexandra; Hess, Søren; Høilund-Carlsen, Poul Flemming

2017-01-01

-up. STUDY APPRAISAL: PRISMA and QUADAS-2 were applied. SYNTHESIS METHODS: The pooled detection rate (DR) of 18F-FDG PET/CT was assessed with a fixed-effects model. Heterogeneity among studies was assessed with the I-squared statistic. RESULTS: A total of 2953 articles were identified from which N = 82 were...... CUP patients. DATA SOURCES: PubMed/Medline, Embase, and Web of Science. STUDY ELIGIBILITY CRITERIA: Studies on CUP from extracervical metastases in which every patient had received an 18F-FDG PET/CT scan and at least one 18F-FDG PET/CT-positive finding was confirmed by biopsy or clinical follow...

A implantação da metodologia TPM num equipamento piloto na Adria Alimentos do Brasil Ltda.

OpenAIRE

Roberto José Possamai

2002-01-01

A melhoria nos sistemas de manutenção é cada dia mais importante para o aprimoramento das atividades de uma empresa, tanto na área de produção como em outros setores. Pode-se afirmar, então, que uma boa sistemática de manutenção colabora para que a empresa cumpra suas funções em relação à confiabilidade, flexibilidade, rapidez, qualidade, mantendo custos competitivos. O presente trabalho analisa, de acordo com um prisma teórico e prático, um esforço de implantação da Manutenção Produtiva Tota...

Saber mirar, saber contar. La narrativa cinematográfica de José Luis Borau

OpenAIRE

Mérida Donoso, José Antonio

2018-01-01

Tesis doctoral inédita leída en la Universidad Autónoma de Madrid, Facultad de Filosofía y Letras, Departamento de Filología Española. Fecha de lectura: 29-9-2017 La presente tesis doctoral se adentra en una de las figuras fundamentales de la historia del cine español, José Luis Borau. Para ello se analiza su cine desde una perspectiva textual, atendiendo al emisor, el receptor, el contexto –de producción y sociopolítico- y el texto fílmico. Bajo este prisma se ofrece una visión del estilo...

Surgical timing of the orbital "blowout" fracture

DEFF Research Database (Denmark)

Damgaard, Olaf Ehlers; Larsen, Christian Grønhøj; Felding, Ulrik Ascanius

2016-01-01

). Patients were evaluated for diplopia and enophthalmos.  Review Methods: We followed the statements of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses). Pooled odds ratios were estimated with the fixed effects method of Mantel-Haenszel.  Results: We identified 5 studies...... with available outcome data (N = 442). Patients in the late group showed an odds ratio of 3.3 (P =.027) for persistent postoperative diplopia as compared with the early group. We found no significant difference between the groups when assessing postoperative enophthalmos as an isolated symptom.  Conclusion: We...... found a significantly increased risk of persistent diplopia in patients who were operated >14 days after the trauma....

A REVIEW OF THE PRACTICE OF WORK-BASED LEARNING (WBL AT HIGHER EDUCATION LEVEL IN THE UK

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J. Talbot

2017-01-01

Full Text Available The aim of the study is to review the practice of work-based learning (WBL, based on the experience of higher education institutions in the United Kingdom.Methods. The methods of system and comparative analysis, synthesis and generalization are used.Results. The background and development of WBL is given; the importance and value of this form of education in the modern, rapidly changing society is shown. The main characteristics are selected and basic aspects of WBL programs profitable different from traditional university programs are designated: relevance to real production processes; student centricity; flexibility of content which is built proceeding from interests of an employer and a student; high extent of integration of various disciplines and fields of knowledge; recognition of the prior certified and independent training; optimization of time expenditure; possibility of the choice of the place of training, its sequence, schedule of control actions, and other advantages. Options of a program implementation of WBL, complexity of their implementation and methods of their overcoming are described. A few critical remarks concerning WBL programs are also presented.Scientific novelty. For the first time the analytical review of WBL practice at a higher education level, which is widespread in English-speaking countries over the last 25 years, is presented in the Russian scientific literature in education.Practical significance. The materials provided in the article can be useful to heads and teachers of institutions of higher education; methodologists of structures of vocational preparation and advanced training of personnel of high technology productions; the employers heading large-scale industries and interested in upgrading of employees’ educational level.

HISTORICAL AND PEDAGOGICAL HERITAGE OF N. F. LUCHINSKY

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Denis V. Voloshin

2016-01-01

Full Text Available The aim of the research is to show the contribution in theory and practice of the Russian penitentiary staff training system foundation by Nikolay Florianovich Luchinsky (1860 – after 1917, an outstanding Russian legislator and a talented civil servant. Methods. The methods involve general scientific methods of knowledge, pedagogical and historical sciences focused on the historical and pedagogical study of documentary sources. Results. N. F. Luchinsky’s main educational ideas, principles and scientific approaches to the issues of penitentiary staff training are considered in the article. The main milestones of the professional biography of one of the main vocational education ideologists of such type are described; N. F. Luchinsky’s leading role at the beginning of the 20th century in the development of system-based and complex education of prison employees is defined. Scientific novelty. The historical material opening the pedagogical concept of N. F. Luchinsky – the outstanding lawyer who was at sources of methodical ensuring process of preparation of penitentiary personnel in imperial Russia is for the first time analysed. Basic provisions of the book «Bases of Prison Case» and the author’s project by N. F. Luchinsky on the organization of educational institution for preparation of penitentiary personnel are considered. The value and viability of scientific ideas of N. F. Luchinsky in case of their projection on the present is shown. Practical significance. Materials of article on pre-revolutionary domestic penitentiary and pedagogical experience which for a long time has been buried in oblivion can be interesting to the teachers of history of the right, experts and methodologists dealing with training issues for modern criminal and executive system.

The management of anovulatory infertility in women with polycystic ovary syndrome: an analysis of the evidence to support the development of global WHO guidance.

Science.gov (United States)

Balen, Adam H; Morley, Lara C; Misso, Marie; Franks, Stephen; Legro, Richard S; Wijeyaratne, Chandrika N; Stener-Victorin, Elisabet; Fauser, Bart C J M; Norman, Robert J; Teede, Helena

2016-11-01

Here we describe the consensus guideline methodology, summarise the evidence-based recommendations we provided to the World Health Organisation (WHO) for their consideration in the development of global guidance and present a narrative review on the management of anovulatory infertility in women with polycystic ovary syndrome (PCOS). The aim of this paper was to present an evidence base for the management of anovulatory PCOS. The evidence to support providing recommendations involved a collaborative process for: (i) identification of priority questions and critical outcomes, (ii) retrieval of up-to-date evidence and exiting guidelines, (iii) assessment and synthesis of the evidence and (iv) the formulation of draft recommendations to be used for reaching consensus with a wide range of global stakeholders. For each draft recommendation, the methodologist evaluated the quality of the supporting evidence that was then graded as very low, low, moderate or high for consideration during consensus. Evidence was synthesized and we made recommendations across the definition of PCOS including hyperandrogenism, menstrual cycle regulation and ovarian assessment. Metabolic features and the impact of ethnicity were covered. Management includes lifestyle changes, bariatric surgery, pharmacotherapy (including clomiphene citrate (CC), aromatase inhibitors, metformin and gonadotropins), as well as laparoscopic surgery. In-vitro fertilization (IVF) was considered as were the risks of ovulation induction and of pregnancy in PCOS. Approximately 80% of women who suffer from anovulatory infertility have PCOS. Lifestyle intervention is recommended first in women who are obese largely on the basis of general health benefits. Bariatric surgery can be considered where the body mass index (BMI) is ≥35 kg/m 2 and lifestyle therapy has failed. Carefully conducted and monitored pharmacological ovulation induction can achieve good cumulative pregnancy rates and multiple pregnancy rates can be

Economic Incentives in the Purchase and Use of Energy-Using Products: Past Practices and New Developments

Energy Technology Data Exchange (ETDEWEB)

Bjornstad, D.J.

2003-03-27

This paper reviews the set of analytical tools commonly used to describe the purchase and use of energy-saving technologies and compares them with recent advances in applied microeconomics. Its goal is to determine if supplementing or replacing parts of the traditional tool kit will better equip the Department of Energy's Office of Energy Efficiency and Renewable Energy (EERE) to design and promote the superior energy-using technologies of the future. The paper was prepared at the request of EERE's Jerry Dion, and is part of a larger set of white paper's intended to inform EERE's senior managers and program officers about the state of the art on a number of topics of special relevance to the EERE program. The advances in applied microeconomics discussed herein can be generally described as the theory of investment under uncertainty, behavioral economics, and the economics of asymmetrical information. While these concepts are quite familiar to economic methodologists and well entrenched in many applied topics, they are only now beginning to be applied to the field of energy technology analysis. If this work proves accurate, the new concepts would appear to hold substantial interest for those designing energy-saving technologies and promoting their penetration into markets. Two principal lessons arise from this exercise: First, because consumer demands for energy technologies are usually derived from their demands for products that make use of energy services, energy technologies are rarely evaluated in isolation. Hence, the analysis would benefit from much greater attention to the context and circumstances in which the technologies would be used. Second, in considering products that contain advanced energy technologies, consumers bring with them constrained budgets and competing demands for budget resources, face uncertain information, and are wary about advice on how to spend their money. Thus, decision-making is less mechanical and much more

Developed-developing country partnerships: Benefits to developed countries?

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Syed Shamsuzzoha B

2012-06-01

Full Text Available Abstract Developing countries can generate effective solutions for today’s global health challenges. This paper reviews relevant literature to construct the case for international cooperation, and in particular, developed-developing country partnerships. Standard database and web-based searches were conducted for publications in English between 1990 and 2010. Studies containing full or partial data relating to international cooperation between developed and developing countries were retained for further analysis. Of 227 articles retained through initial screening, 65 were included in the final analysis. The results were two-fold: some articles pointed to intangible benefits accrued by developed country partners, but the majority of information pointed to developing country innovations that can potentially inform health systems in developed countries. This information spanned all six WHO health system components. Ten key health areas where developed countries have the most to learn from the developing world were identified and include, rural health service delivery; skills substitution; decentralisation of management; creative problem-solving; education in communicable disease control; innovation in mobile phone use; low technology simulation training; local product manufacture; health financing; and social entrepreneurship. While there are no guarantees that innovations from developing country experiences can effectively transfer to developed countries, combined developed-developing country learning processes can potentially generate effective solutions for global health systems. However, the global pool of knowledge in this area is virgin and further work needs to be undertaken to advance understanding of health innovation diffusion. Even more urgently, a standardized method for reporting partnership benefits is needed—this is perhaps the single most immediate need in planning for, and realizing, the full potential of international

Developed-developing country partnerships: benefits to developed countries?

Science.gov (United States)

Syed, Shamsuzzoha B; Dadwal, Viva; Rutter, Paul; Storr, Julie; Hightower, Joyce D; Gooden, Rachel; Carlet, Jean; Bagheri Nejad, Sepideh; Kelley, Edward T; Donaldson, Liam; Pittet, Didier

2012-06-18

Developing countries can generate effective solutions for today's global health challenges. This paper reviews relevant literature to construct the case for international cooperation, and in particular, developed-developing country partnerships. Standard database and web-based searches were conducted for publications in English between 1990 and 2010. Studies containing full or partial data relating to international cooperation between developed and developing countries were retained for further analysis. Of 227 articles retained through initial screening, 65 were included in the final analysis. The results were two-fold: some articles pointed to intangible benefits accrued by developed country partners, but the majority of information pointed to developing country innovations that can potentially inform health systems in developed countries. This information spanned all six WHO health system components. Ten key health areas where developed countries have the most to learn from the developing world were identified and include, rural health service delivery; skills substitution; decentralisation of management; creative problem-solving; education in communicable disease control; innovation in mobile phone use; low technology simulation training; local product manufacture; health financing; and social entrepreneurship. While there are no guarantees that innovations from developing country experiences can effectively transfer to developed countries, combined developed-developing country learning processes can potentially generate effective solutions for global health systems. However, the global pool of knowledge in this area is virgin and further work needs to be undertaken to advance understanding of health innovation diffusion. Even more urgently, a standardized method for reporting partnership benefits is needed--this is perhaps the single most immediate need in planning for, and realizing, the full potential of international cooperation between developed and

Measuring the impact of methodological research: a framework and methods to identify evidence of impact.

Science.gov (United States)

Brueton, Valerie C; Vale, Claire L; Choodari-Oskooei, Babak; Jinks, Rachel; Tierney, Jayne F

2014-11-27

gathered in this study to adapt an existing framework for impact of clinical research for use in methodological research. Gathering evidence on research impact of methodological research from a variety of sources has enabled us to obtain multiple indicators and thus to demonstrate broad impacts of methodological research. The adapted framework developed can be applied to future methodological research and thus provides a tool for methodologists to better assess and report research impacts.

Transformation and communication research strategies: language - society – culture

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S. M. Forkosh

2017-06-01

Full Text Available Main research strategies in the humanitarian sphere, connected with the transformation-communicative approach by K.-O. Apel, have been studied in the article. This approach is based on I. Kant’s classic transcendental method, but has much wider sphere of application. Syncretic tendencies in humanitarian sciences cause the search of criteria or generalizing principles, which would allow not only combining basic research strategies, but also covering variable forms of the social-dynamics. Language in its various forms becomes the common ground, where it is possible not only to describe, but to explain disparate elements of the society’s functioning. These elements, when developed, cause the formation of culture. The basis for the analysis of the interdisciplinary communication features are relevant branches of philosophy. Specific realities of the research activity are understood by the methodologist as the deep interrelation of language tools and specific features of scientific knowledge’s changes. In fact, the researcher simultaneously performs double task: interprets scientific texts, improves his/her understanding of their structural characteristics, and also studies social, cultural, humanistic priorities of the available practices. Based on the characteristics of the modern culture (rapidity of development, lack of self-awareness and «maturation» vector, non-manifestation of methodological tools, sociological and linguistic sciences become to be a model in the humanitarian area. At the same time, awareness of the structural maturation of such knowledge is low. The development of linguistic sciences has more advanced conceptual design and it resonates with the evolution of the language philosophy. That’s why, considering the socio-cultural transformations of the globalization era, grounds of clarification of the specific methodological potential, which are accumulated in the contemporary linguistics, should be considered. In this

Introduction: translocal development, development corridors and development chains.

NARCIS (Netherlands)

Zoomers, E.B.; Westen, A.C.M. van

2011-01-01

This paper offers an introduction to this Special Issue of International Development Planning Review. It uses the concepts of translocal development, development corridors and development chains to secure a better grasp of what development means in the context of globalisation and how ‘local

How evidence-based is an 'evidence-based parenting program'? A PRISMA systematic review and meta-analysis of Triple P

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Wilson Philip

2012-11-01

Full Text Available Abstract Background Interventions to promote positive parenting are often reported to offer good outcomes for children but they can consume substantial resources and they require rigorous appraisal. Methods Evaluations of the Triple P parenting program were subjected to systematic review and meta-analysis with analysis of biases. PsychInfo, Embase and Ovid Medline were used as data sources. We selected published articles reporting any child-based outcome in which any variant of Triple P was evaluated in relation to a comparison condition. Unpublished data, papers in languages other than English and some book chapters were not examined. Studies reporting Eyberg Child Behavior Inventory or Child Behavior Checklist scores as outcomes were used in the meta-analysis. Results A total of 33 eligible studies was identified, most involving media-recruited families. Thirty-one of these 33 studies compared Triple P interventions with waiting list or no-treatment comparison groups. Most papers only reported maternal assessments of child behavior. Twenty-three papers were incorporated in the meta-analysis. No studies involved children younger than two-years old and comparisons of intervention and control groups beyond the duration of the intervention were only possible in five studies. For maternally-reported outcomes the summary effect size was 0.61 (95%CI 0.42, 0.79. Paternally-reported outcomes following Triple P intervention were smaller and did not differ significantly from the control condition (effect size 0.42 (95%CI -0.02, 0.87. The two studies involving an active control group showed no between-group differences. There was limited evidence of publication bias, but there was substantial selective reporting bias, and preferential reporting of positive results in article abstracts. Thirty-two of the 33 eligible studies were authored by Triple-P affiliated personnel. No trials were registered and only two papers contained conflict of interest statements. Conclusions In volunteer populations over the short term, mothers generally report that Triple P group interventions are better than no intervention, but there is concern about these results given the high risk of bias, poor reporting and potential conflicts of interest. We found no convincing evidence that Triple P interventions work across the whole population or that any benefits are long-term. Given the substantial cost implications, commissioners should apply to parenting programs the standards used in assessing pharmaceutical interventions. See related commentary: http://www.biomedcentral.com/1741-7015/10/145

VIOLÊNCIA OBSTÉTRICA: UMA ANÁLISE SOB O PRISMA DA AUTONOMIA, BENEFICÊNCIA E DIGNIDADE DA PESSOA HUMANA

OpenAIRE

da Silva, Delmo Mattos; Serra, Maiane Cibele de Mesquita

2017-01-01

A violência obstétrica corresponde a uma forma específica de violência institucional e de gênero e implica em violação de direitos humanos, caracterizada pela imposição de intervenções danosas à integridade física e psicológica das parturientes, perpetrada pelos profissionais de saúde, bem como pelas instituições (públicas e privadas) nas quais tais mulheres são atendidas. O presente estudo tem por objetivo problematizar tal questão a partir da discussão dos princípios bioéticos da autonomia ...

LA TEORÍA DE LOS CAMPOS DESDE EL PRISMA DE LA LITERATURA / Fields theory through the prism of literature

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Joseph Jurt

2015-07-01

Full Text Available Nota de la traducción: el siguiente texto fue escrito por Joseph Jurt expresamente como introducción para su libro Naciones literarias. Una sociología histórica del campo literario (Villa María, Eduvim, 2014, Colección Entreculturas, compilación de artículos traducida y publicada por el Programa de Historia y Antropología del IDACOR (CONICET/ UNC. Finalmente no integró esa edición, pero por su riqueza e interés lo compartimos aquí. Presenta una síntesis de los problemas analíticos abordados en el libro en torno a la noción de campo literario y sus relaciones con los campos político, científico y artístico, así como sobre la lógica del campo de la recepción.Abstract  This article was originally written by Joseph Jurt expressly as an introduction to Naciones literatias. Una sociología histórica del campo literario (Literary Nations. A historical sociology of the literary field, a compilation of texts translated and published by IDACOR (CONICET / UNC Program of History and Anthropology in its book series Entreculturas (Villa Maria, Eduvim, 2014. Finally this text did not integrate the book, but for its richness and interest we decided to share it in the RMA. It presents a synthesis of the analytical issues addressed in the book about the notion of literary field and its relations with the political, scientific and artistic fields, as well as the logic of the fields of reception.

Asiakaspolun seuranta päivittäistavarakaupan arjen johtamisen välineenä : case: Osuuskauppa Hämeenmaa; Prisma Holma

OpenAIRE

Schmidt, Tom

2014-01-01

Asiakaspolulla tarkoitetaan asiakkaan kokemaa ostoprosessia, joka alkaa saapumisesta myymälän pihaan ja päättyy asiakkaan poistuessa pihalta. Asiakkaan kokema asiakaspolku on usean osa-alueen summa, joka joko vahvistaa tai heikentää asiakkaan sitoutumista myymälään. Asiakaspolun mittaaminen on yksinkertaisimmillaan sitä, että kaupan esimies kiertää kaupan osastot läpi, tekee muistiinpanoja tärkeänä pitämistään havainnoista ja raportoi niistä työntekijöilleen. Asiakaspolun mittaamisen tap...

Achieving the four dimensions of food security for resettled refugees in Australia: A systematic review.

Science.gov (United States)

Lawlis, Tanya; Islam, Wasima; Upton, Penney

2018-04-01

Food security is defined by four dimensions: food availability, access, utilisation and stability. Resettled refugees face unique struggles securing these dimensions and, thus, food security when moving to a new country. This systematic review aimed to identify the challenges Australian refugees experience in achieving the four dimensions of food security. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed; the SPIDER tool was used to determine eligibility criteria. Three databases were searched using terms relating to food in/security and refugees from 2000 to 20 May 2017. Seven articles were retained for analysis. Studies were categorised against the four dimensions, with four studies identifying challenges against all dimensions. Challenges contributing to high levels of food insecurity in each dimension included: availability and cost of traditional foods, difficulty in accessing preferred food outlets, limited food knowledge and preparation skills and food stability due to low income and social support. Food insecurity adversely impacts refugee health and integration. Methodical research framed by the four dimensions of food security is imperative to address challenges to securing food security in refugee groups and assisting in the development of sustainable interventions. © 2017 Dietitians Association of Australia.

Telemedicine and eHealth in Poland from 1995 to 2015.

Science.gov (United States)

Glinkowski, Wojciech M; Karlińska, Maria; Karliński, Michał; Krupiński, Elizabeth A

2018-02-01

The aim of this study is to present a review based on the literature and proceedings from selected telemedicine conferences. The review was developed using the PRISMA framework. The Embase and PubMed (updated until July 13, 2015) literature databases were searched for telemedicine-related terms and Poland. The literature search identified 129 eligible articles in the databases and 85 in conference proceedings until July 2015. Articles measured as a number of contributions per year presented a similar rising, fluctuating and almost parallel pattern. Fifty-nine percent of the reviewed papers were published in impacted journals. Almost half of all publications presented original papers. The published articles concerned mostly cardiology (16%), family medicine (15%) and pathology (11%). Conference proceedings papers concerned orthopedics (29%, significantly more frequent; p < 0.001) and cardiology (14%). Scientific activity of researchers and practitioners in Poland in the field of telemedicine is not high, but it is increasing over time. There is a tendency to present the research rather in high-quality journals instead of conferences before publication. The occurrence of individual medical specialty telemedicine in Poland may reflect country-specific needs.

Theoretical approaches of online social network interventions and implications for behavioral change: a systematic review.

Science.gov (United States)

Arguel, Amaël; Perez-Concha, Oscar; Li, Simon Y W; Lau, Annie Y S

2018-02-01

The aim of this review was to identify general theoretical frameworks used in online social network interventions for behavioral change. To address this research question, a PRISMA-compliant systematic review was conducted. A systematic review (PROSPERO registration number CRD42014007555) was conducted using 3 electronic databases (PsycINFO, Pubmed, and Embase). Four reviewers screened 1788 abstracts. 15 studies were selected according to the eligibility criteria. Randomized controlled trials and controlled studies were assessed using Cochrane Collaboration's "risk-of-bias" tool, and narrative synthesis. Five eligible articles used the social cognitive theory as a framework to develop interventions targeting behavioral change. Other theoretical frameworks were related to the dynamics of social networks, intention models, and community engagement theories. Only one of the studies selected in the review mentioned a well-known theory from the field of health psychology. Conclusions were that guidelines are lacking in the design of online social network interventions for behavioral change. Existing theories and models from health psychology that are traditionally used for in situ behavioral change should be considered when designing online social network interventions in a health care setting. © 2016 John Wiley & Sons, Ltd.

Treatment, Therapy and Management of Metabolic Epilepsy: A Systematic Review

Directory of Open Access Journals (Sweden)

Vanessa Lin Lin Lee

2018-03-01

Full Text Available Metabolic epilepsy is a metabolic abnormality which is associated with an increased risk of epilepsy development in affected individuals. Commonly used antiepileptic drugs are typically ineffective against metabolic epilepsy as they do not address its root cause. Presently, there is no review available which summarizes all the treatment options for metabolic epilepsy. Thus, we systematically reviewed literature which reported on the treatment, therapy and management of metabolic epilepsy from four databases, namely PubMed, Springer, Scopus and ScienceDirect. After applying our inclusion and exclusion criteria as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA guidelines, we reviewed a total of 43 articles. Based on the reviewed articles, we summarized the methods used for the treatment, therapy and management of metabolic epilepsy. These methods were tailored to address the root causes of the metabolic disturbances rather than targeting the epilepsy phenotype alone. Diet modification and dietary supplementation, alone or in combination with antiepileptic drugs, are used in tackling the different types of metabolic epilepsy. Identification, treatment, therapy and management of the underlying metabolic derangements can improve behavior, cognitive function and reduce seizure frequency and/or severity in patients.

Dietary interventions in overweight and obese pregnant women: a systematic review of the content, delivery, and outcomes of randomized controlled trials.

Science.gov (United States)

Flynn, Angela C; Dalrymple, Kathryn; Barr, Suzanne; Poston, Lucilla; Goff, Louise M; Rogozińska, Ewelina; van Poppel, Mireille N M; Rayanagoudar, Girish; Yeo, SeonAe; Barakat Carballo, Ruben; Perales, Maria; Bogaerts, Annick; Cecatti, Jose G; Dodd, Jodie; Owens, Julie; Devlieger, Roland; Teede, Helena; Haakstad, Lene; Motahari-Tabari, Narges; Tonstad, Serena; Luoto, Riitta; Guelfi, Kym; Petrella, Elisabetta; Phelan, Suzanne; Scudeller, Tânia T; Hauner, Hans; Renault, Kristina; Sagedal, Linda Reme; Stafne, Signe N; Vinter, Christina; Astrup, Arne; Geiker, Nina R W; McAuliffe, Fionnuala M; Mol, Ben W; Thangaratinam, Shakila

2016-05-01

Interventions targeting maternal obesity are a healthcare and public health priority. The objective of this review was to evaluate the adequacy and effectiveness of the methodological designs implemented in dietary intervention trials for obesity in pregnancy. A systematic review of the literature, consistent with PRISMA guidelines, was performed as part of the International Weight Management in Pregnancy collaboration. Thirteen randomized controlled trials, which aimed to modify diet and physical activity in overweight and obese pregnant women, were identified. There was significant variability in the content, delivery, and dietary assessment methods of the dietary interventions examined. A number of studies demonstrated improved dietary behavior in response to diet and/or lifestyle interventions. Nine studies reduced gestational weight gain. This review reveals large methodological variability in dietary interventions to control gestational weight gain and improve clinical outcomes in overweight and obese pregnant women. This lack of consensus limits the ability to develop clinical guidelines and apply the evidence in clinical practice. © The Author(s) 2016. Published by Oxford University Press on behalf of the International Life Sciences Institute. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

A systematic review of the effectiveness of self-management interventions in people with multiple sclerosis at improving depression, anxiety and quality of life.

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Tara Kidd

Full Text Available Self-management interventions have become increasingly popular in the management of long-term health conditions; however, little is known about their impact on psychological well-being in people with Multiple Sclerosis (MS.To examine the effectiveness of self-management interventions on improving depression, anxiety and health related quality of life in people with MS.A structured literature search was conducted for the years 2000 to 2016. The review process followed the PRISMA guidelines, and is registered with PROSPERO (no. CRD42016033925.The review identified 10 RCT trials that fulfilled selection criteria and quality appraisal. Self-management interventions improved health-related quality of life in 6 out of 7 studies, with some evidence of improvement in depression and anxiety symptoms.Although the results are promising more robust evaluation is required in order to determine the effectiveness of self-management interventions on depression, anxiety and quality of life in people with MS. Evaluation of the data was impeded by a number of methodological issues including incomplete content and delivery information for the intervention and the exclusion of participants representing the disease spectrum. Recommendations are made for service development and research quality improvement.

Are recreational SCUBA divers with asthma at increased risk?

Science.gov (United States)

Ustrup, Amalie S; Ulrik, Charlotte S

2017-10-01

Asthma has traditionally been regarded as a contraindication to self-contained underwater breathing apparatus (SCUBA) diving, although large numbers of patients with asthma dive. The aim of the review is to provide an update on current knowledge on potential disease-related hazards in SCUBA divers with asthma. Systematic literature review based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Seven studies met the criteria for inclusion in the review (comprising a total of 560 subjects). Five studies reported an increased risk for developing diving-related injuries in divers with asthma, based on case reports (n = 1), case history combined with objective assessment (n = 1), and dives and/or simulated dives (n = 3). The remaining studies (n = 2) were based on self-reported diving habits in divers suffering from asthma, obtained from anonymous questionnaires in diving magazines, reported no diving-related injuries among respondents. Due to limited evidence it is difficult to draw valid conclusions, but there are indications that recreational divers with asthma may be at increased risk for diving-related injuries compared to non-asthmatic divers. However, it is of at most importance to obtain further evidence from large-scale, well-designed studies.

Income inequality and subjective well-being: a systematic review and meta-analysis.

Science.gov (United States)

Ngamaba, Kayonda Hubert; Panagioti, Maria; Armitage, Christopher J

2018-03-01

Reducing income inequality is one possible approach to boost subjective well-being (SWB). Nevertheless, previous studies have reported positive, null and negative associations between income inequality and SWB. This study reports the first systematic review and meta-analysis of the relationship between income inequality and SWB, and seeks to understand the heterogeneity in the literature. This systematic review was conducted according to guidance (PRISMA and Cochrane Handbook) and searches (between January 1980 and October 2017) were carried out using Web of Science, Medline, Embase and PsycINFO databases. Thirty-nine studies were included in the review, but poor data reporting meant that only 24 studies were included in the meta-analysis. The narrative analysis of 39 studies found negative, positive and null associations between income inequality and SWB. The meta-analysis confirmed these findings. The overall association between income inequality and SWB was almost zero and not statistically significant (pooled r = - 0.01, 95% CI - 0.08 to 0.06; Q = 563.10, I 2  = 95.74%, p country economic development (i.e. developed countries: r = - 0.06, 95% CI -0.10 to -0.02 versus developing countries: r = 0.16, 95% CI 0.09-0.23). The association between income inequality and SWB was not influenced by: (a) the measure used to assess SWB, (b) geographic region, or (c) the way in which income inequality was operationalised. The association between income inequality and SWB is weak, complex and moderated by the country economic development.

Improving evidence based practice in postgraduate nursing programs: A systematic review: Bridging the evidence practice gap (BRIDGE project).

Science.gov (United States)

Hickman, Louise D; DiGiacomo, Michelle; Phillips, Jane; Rao, Angela; Newton, Phillip J; Jackson, Debra; Ferguson, Caleb

2018-04-01

The nursing profession has a significant evidence to practice gap in an increasingly complex and dynamic health care environment. To evaluate effectiveness of teaching and learning strategies related to a capstone project within a Masters of Nursing program that encourage the development of evidence based practice capabilities. Systematic review that conforms to the PRISMA statement. Master's Nursing programs that include elements of a capstone project within a university setting. MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, ERIC and PsycInfo were used to search for RCT's or quasi experimental studies conducted between 1979 and 9 June 2017, published in a peer reviewed journal in English. Of 1592 studies, no RCT's specifically addressed the development of evidence based practice capabilities within the university teaching environment. Five quasi-experimental studies integrated blended learning, guided design processes, small group work, role play and structured debate into Masters of Nursing research courses. All five studies demonstrated some improvements in evidence based practice skills and/or research knowledge translation, with three out of five studies demonstrating significant improvements. There is a paucity of empirical evidence supporting the best strategies to use in developing evidence based practice skills and/or research knowledge translation skills for Master's Nursing students. As a profession, nursing requires methodologically robust studies that are discipline specific to identify the best approaches for developing evidence-based practice skills and/or research knowledge translation skills within the university teaching environment. Provision of these strategies will enable the nursing profession to integrate the best empirical evidence into nursing practice. Copyright © 2018. Published by Elsevier Ltd.

Application of gold nanoparticles for gastrointestinal cancer theranostics: A systematic review.

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Singh, Mohan; Harris-Birtill, David C C; Markar, Sheraz R; Hanna, George B; Elson, Daniel S

2015-11-01

Gold nanoparticles (GNPs) are readily synthesised structures that absorb light strongly to generate thermal energy which induces photothermal destruction of malignant tissue. This review examines the efficacy, potential challenges and toxicity from in vitro and in vivo applications of GNPs in oesophageal, gastric and colon cancers. A systematic literature search of Medline, Embase, Web of Science and Cochrane databases was performed using PRISMA guidelines. Two hundred and eighty-four papers were reviewed with sixteen studies meeting the inclusion criteria. The application of GNPs in eleven in vivo rodent studies with GI adenocarcinoma demonstrated excellent therapeutic outcomes but poor corroboration in terms of the cancer cells used, photothermal irradiation regimes, fluorophores and types of nanoparticles. There is compelling evidence of the translational potential of GNPs to be complimentary to surgery and feasible in the photothermal therapy of GI cancer but reproducibility and standardisation require development prior to GI cancer clinical trials. Gold nanoparticles are one of the most potentially useful nanoparticles. This is especially true in cancer therapeutics because of their photothermal properties. In this comprehensive article, the authors reviewed the application and efficacy of gold nanoparticles in both the diagnosis and treatment of GI cancers. This review should provide a stimulus for researchers to further develop and translate these nanoparticles into future clinical trials. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

The reporting of study and population characteristics in degenerative cervical myelopathy: A systematic review.

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Benjamin M Davies

Full Text Available Degenerative cervical myelopathy [DCM] is a disabling and increasingly prevalent condition. Variable reporting in interventional trials of study design and sample characteristics limits the interpretation of pooled outcomes. This is pertinent in DCM where baseline characteristics are known to influence outcome. The present study aims to assess the reporting of the study design and baseline characteristics in DCM as the premise for the development of a standardised reporting set.A systematic review of MEDLINE and EMBASE databases, registered with PROSPERO (CRD42015025497 was conducted in accordance with PRISMA guidelines. Full text articles in English, with >50 patients (prospective or >200 patients (retrospective, reporting outcomes of DCM were deemed to be eligible.A total of 108 studies involving 23,876 patients, conducted world-wide, were identified. 33 (31% specified a clear primary objective. Study populations often included radiculopathy (51, 47% but excluded patients who had undergone previous surgery (42, 39%. Diagnositic criteria for myelopathy were often uncertain; MRI assessment was specified in only 67 (62% of studies. Patient comorbidities were referenced by 37 (34% studies. Symptom duration was reported by 46 (43% studies. Multivariate analysis was used to control for baseline characteristics in 33 (31% of studies.The reporting of study design and sample characteristics is variable. The development of a consensus minimum dataset for (CODE-DCM will facilitate future research synthesis in the future.

Time-driven activity-based costing in health care: A systematic review of the literature.

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Keel, George; Savage, Carl; Rafiq, Muhammad; Mazzocato, Pamela

2017-07-01

Health care organizations around the world are investing heavily in value-based health care (VBHC), and time-driven activity-based costing (TDABC) has been suggested as the cost-component of VBHC capable of addressing costing challenges. The aim of this study is to explore why TDABC has been applied in health care, how its application reflects a seven-step method developed specifically for VBHC, and implications for the future use of TDABC. This is a systematic review following the PRISMA statement. Qualitative methods were employed to analyze data through content analyses. TDABC is applicable in health care and can help to efficiently cost processes, and thereby overcome a key challenge associated with current cost-accounting methods The method's ability to inform bundled payment reimbursement systems and to coordinate delivery across the care continuum remains to be demonstrated in the published literature, and the role of TDABC in this cost-accounting landscape is still developing. TDABC should be gradually incorporated into functional systems, while following and building upon the recommendations outlined in this review. In this way, TDABC will be better positioned to accurately capture the cost of care delivery for conditions and to control cost in the effort to create value in health care. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Delayed Recognition of Deterioration of Patients in General Wards Is Mostly Caused by Human Related Monitoring Failures: A Root Cause Analysis of Unplanned ICU Admissions.

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Louise S van Galen

Full Text Available An unplanned ICU admission of an inpatient is a serious adverse event (SAE. So far, no in depth-study has been performed to systematically analyse the root causes of unplanned ICU-admissions. The primary aim of this study was to identify the healthcare worker-, organisational-, technical,- disease- and patient- related causes that contribute to acute unplanned ICU admissions from general wards using a Root-Cause Analysis Tool called PRISMA-medical. Although a Track and Trigger System (MEWS was introduced in our hospital a few years ago, it was implemented without a clear protocol. Therefore, the secondary aim was to assess the adherence to a Track and Trigger system to identify deterioration on general hospital wards in patients eventually transferred to the ICU.Retrospective observational study in 49 consecutive adult patients acutely admitted to the Intensive Care Unit from a general nursing ward. 1. PRISMA-analysis on root causes of unplanned ICU admissions 2. Assessment of protocol adherence to the early warning score system.Out of 49 cases, 156 root causes were identified. The most frequent root causes were healthcare worker related (46%, which were mainly failures in monitoring the patient. They were followed by disease-related (45%, patient-related causes (7, 5%, and organisational root causes (3%. In only 40% of the patients vital parameters were monitored as was instructed by the doctor. 477 vital parameter sets were found in the 48 hours before ICU admission, in only 1% a correct MEWS was explicitly documented in the record.This in-depth analysis demonstrates that almost half of the unplanned ICU admissions from the general ward had healthcare worker related root causes, mostly due to monitoring failures in clinically deteriorating patients. In order to reduce unplanned ICU admissions, improving the monitoring of patients is therefore warranted.

C-Reactive Protein Is an Important Biomarker for Prognosis Tumor Recurrence and Treatment Response in Adult Solid Tumors: A Systematic Review.

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Shrotriya, Shiva; Walsh, Declan; Bennani-Baiti, Nabila; Thomas, Shirley; Lorton, Cliona

2015-01-01

A systematic literature review was done to determine the relationship between elevated CRP and prognosis in people with solid tumors. C-reactive protein (CRP) is a serum acute phase reactant and a well-established inflammatory marker. We also examined the role of CRP to predict treatment response and tumor recurrence. MeSH (Medical Subject Heading) terms were used to search multiple electronic databases (PubMed, EMBASE, Web of Science, SCOPUS, EBM-Cochrane). Two independent reviewers selected research papers. We also included a quality Assessment (QA) score. Reports with QA scores <50% were excluded. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) methodology was utilized for this review (S1 PRISMA Checklist). 271 articles were identified for final review. There were 45% prospective studies and 52% retrospective. 264 had intermediate QA score (≥50% but <80%); Seven were adequate (80% -100%); A high CRP was predictive of prognosis in 90% (245/271) of studies-80% of the 245 studies by multivariate analysis, 20% by univariate analysis. Many (52%) of the articles were about gastrointestinal malignancies (GI) or kidney malignancies. A high CRP was prognostic in 90% (127 of 141) of the reports in those groups of tumors. CRP was also prognostic in most reports in other solid tumors primary sites. A high CRP was associated with higher mortality in 90% of reports in people with solid tumors primary sites. This was particularly notable in GI malignancies and kidney malignancies. In other solid tumors (lung, pancreas, hepatocellular cancer, and bladder) an elevated CRP also predicted prognosis. In addition there is also evidence to support the use of CRP to help decide treatment response and identify tumor recurrence. Better designed large scale studies should be conducted to examine these issues more comprehensively.

The effect of blinding on estimates of mortality in randomised clinical trials of intensive care interventions

DEFF Research Database (Denmark)

Anthon, Carl Thomas; Granholm, Anders; Perner, Anders

2017-01-01

INTRODUCTION: Evidence exists that unblinded randomised clinical trials (RCTs) overestimate intervention effects compared with blinded RCTs. It has been suggested that this is less pronounced for objective (ie, not subject to interpretation) outcome measures, including mortality. This may not apply......(s). For each intervention, we will compare summary mortality effect estimates in blinded versus unblinded trials. ETHICS AND DISSEMINATION: This research does not require ethical approval as we will use summary data from trials already approved by relevant ethical institutions. We will report the results...... in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement and submit the final paper to an international peer-reviewed journal. TRIAL REGISTRATION NUMBER: PROSPERO, registration number: CRD42017056212....

Non-invasive positive pressure ventilation for acute asthma in children

DEFF Research Database (Denmark)

Korang, Steven Kwasi; Feinberg, Joshua; Wetterslev, Jørn

2016-01-01

(age independently screened titles and abstracts. We retrieved all relevant full-text study reports, independently screened the full text, identified trials for inclusion and identified and recorded...... reasons for exclusion of ineligible trials. We resolved disagreements through discussion or, if required, consulted a third review author. We recorded the selection process in sufficient detail to complete a PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) flow diagram...... both studies as having high risk of bias; both trials assessed effects of bilateral positive airway pressure (BiPAP). Neither trial used continuous positive airway pressure (CPAP). Controls received standard care. Investigators reported no deaths and no serious adverse events (Grades of Recommendation...

Prophylactic antidepressant treatment following acute coronary syndrome

DEFF Research Database (Denmark)

Christiansen, Ole G; Madsen, Michael T; Simonsen, Erik

2017-01-01

Major depressive disorder is significantly increased in patients following acute coronary syndrome resulting in twofold increased mortality compared with patients without depression. The depression diagnosis is often missed leading to considerable undertreatment. This systematic review assesses...... the current evidence of primary prophylactic treatment of depression in patients after acute coronary syndrome. The study protocol was prospectively registered at PROSPERO (registration number CRD42015025587). A systematic review were conducted and reported according to Preferred Reporting Items...... for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, Embase, PsychINFO, CINAHL, and Cochran Library was searched. Two independent reviewers screened the records. The inclusion criteria were randomized controlled trials on adult patients with acute coronary syndrome treated prophylactically...

Reaction Dynamics and Nuclear Structure Studies of n-Rich Nuclei Around 48Ca via Deep Inelastic Collisions with Heavy-Ions

International Nuclear Information System (INIS)

Leoni, S.

2011-01-01

The population and γ decay of neutron rich nuclei around 48 Ca has been measured at Legnaro National Laboratory with the PRISMA-CLARA setup, using deep-inelastic collisions on 64 Ni, at 5.9 MeV/A. The reaction properties of the main products are investigated, focusing on total cross-sections and energy integrated angular distributions. Gamma spectroscopy studies are also performed for the most intense transfer channels, making use of angular distributions and polarization measurements to firmly establish spin and parity of the excited states. In the case of 49 Ca candidates for particle-core couplings are investigated and interpreted on basis of lifetime measurements and comparison with model predictions. (author)

Strategies for addressing barriers to publishing pediatric quality improvement research.

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Van Cleave, Jeanne; Dougherty, Denise; Perrin, James M

2011-09-01

Advancing the science of quality improvement (QI) requires dissemination of the results of QI. However, the results of few QI interventions reach publication. To identify barriers to publishing results of pediatric QI research and provide practical strategies that QI researchers can use to enhance publishability of their work. We reviewed and summarized a workshop conducted at the Pediatric Academic Societies 2007 meeting in Toronto, Ontario, Canada, on conducting and publishing QI research. We also interviewed 7 experts (QI researchers, administrators, journal editors, and health services researchers who have reviewed QI manuscripts) about common reasons that QI research fails to reach publication. We also reviewed recently published pediatric QI articles to find specific examples of tactics to enhance publishability, as identified in interviews and the workshop. We found barriers at all stages of the QI process, from identifying an appropriate quality issue to address to drafting the manuscript. Strategies for overcoming these barriers included collaborating with research methodologists, creating incentives to publish, choosing a study design to include a control group, increasing sample size through research networks, and choosing appropriate process and clinical quality measures. Several well-conducted, successfully published QI studies in pediatrics offer guidance to other researchers in implementing these strategies in their own work. Specific, feasible approaches can be used to improve opportunities for publication in pediatric, QI, and general medical journals.

The PRECIS-2 tool has good interrater reliability and modest discriminant validity.

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Loudon, Kirsty; Zwarenstein, Merrick; Sullivan, Frank M; Donnan, Peter T; Gágyor, Ildikó; Hobbelen, Hans J S M; Althabe, Fernando; Krishnan, Jerry A; Treweek, Shaun

2017-08-01

PRagmatic Explanatory Continuum Indicator Summary (PRECIS)-2 is a tool that could improve design insight for trialists. Our aim was to validate the PRECIS-2 tool, unlike its predecessor, testing the discriminant validity and interrater reliability. Over 80 international trialists, methodologists, clinicians, and policymakers created PRECIS-2 helping to ensure face validity and content validity. The interrater reliability of PRECIS-2 was measured using 19 experienced trialists who used PRECIS-2 to score a diverse sample of 15 randomized controlled trial protocols. Discriminant validity was tested with two raters to independently determine if the trial protocols were more pragmatic or more explanatory, with scores from the 19 raters for the 15 trials as predictors of pragmatism. Interrater reliability was generally good, with seven of nine domains having an intraclass correlation coefficient over 0.65. Flexibility (adherence) and recruitment had wide confidence intervals, but raters found these difficult to rate and wanted more information. Each of the nine PRECIS-2 domains could be used to differentiate between trials taking more pragmatic or more explanatory approaches with better than chance discrimination for all domains. We have assessed the validity and reliability of PRECIS-2. An elaboration study and web site provide guidance to help future users of the tool which is continuing to be tested by trial teams, systematic reviewers, and funders. Copyright © 2017 Elsevier Inc. All rights reserved.

Designing Research Services: Cross-Disciplinary Administration and the Research Lifecycle

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Madden, G.

2017-12-01

The sheer number of technical and administrative offices involved in the research lifecycle, and the lack of shared governance and shared processes across those offices, creates challenges to the successful preservation of research outputs. Universities need a more integrated approach to the research lifecycle that allows us to: recognize a research project as it is being initiated; identify the data associated with the research project; document and track any compliance, security, access, and publication requirements associated with the research and its data; follow the research and its associated components across the research lifecycle; and finally recognize that the research has come to a close so we can trigger the various preservation, access, and communications processes that close the loop, inform the public, and promote the continued progress of science. Such an approach will require cooperation, communications, and shared workflow tools that tie together (often across many years) PIs, research design methodologists, grants offices, contract negotiators, central research administrators, research compliance specialists, desktop IT support units, server administrators, high performance computing facilities, data centers, specialized data transfer networks, institutional research repositories, institutional data repositories, and research communications groups, all of which play a significant role in the technical or administrative success of research. This session will focus on progress towards improving cross-disciplinary administrative and technical cooperation at Penn State University, with an emphasis on generalizable approaches that can be adopted elsewhere.

Toward a Moderate Autoethnography

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Sarah Stahlke Wall

2016-10-01

Full Text Available Autoethnography is an avant-garde method of qualitative inquiry that has captured the attention of an ever-increasing number of scholars from a variety of disciplines. Personal experience methods can offer a new and unique vantage point from which to make a contribution to social science yet, autoethnography has been criticized for being self-indulgent, narcissistic, introspective, and individualized. Methodological discussions about this method are polarized. As an autoethnographer and qualitative methodologist with an interest in personal experience methods, I have had the opportunity to review several autoethnographic manuscripts over the years. As my reviews accumulated, I began to see themes in my responses and it became apparent that I was advocating for an approach to autoethnography that lies in contrast to the frequently offered methodological polemics from philosophically divergent scholars. In this article, I draw from the reviews I have done to address topics such as applications and purposes for autoethnography, the degree of theory and analysis used within the method, data sources and dissemination of findings, and ethical issues. I then connect the concerns I see in the reviewed manuscripts to examples in the autoethnographic literature. Ultimately, I propose a moderate and balanced treatment of autoethnography that allows for innovation, imagination, and the representation of a range of voices in qualitative inquiry while also sustaining confidence in the quality, rigor, and usefulness of academic research.

Considerations on the constitutional type of the central hitter in volleyball

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Sorin GRĂDINARU

2017-03-01

Full Text Available The last major volleyball men competition was within the London 2012 Summer Olympics, which gathered 12 volleyball teams thoroughly selected during trial tournaments. On this occasion, they recorded the evolution of all participants and supplied volleyball methodologists and technicians with data on the various aspects of volleyball game (physical, technical, and tactical. We aimed at establishing the defining elements of a central hitter parameter dynamics in this competition. The subjects of our research were central hitters of all the participating volleyball teams. We also identified central hitters of the “Universitatea” Timişoara men volleyball team. The mean central hitter is, according to the data collected by the specialists of the London 2012 Summer Olympics, 27.93 years old and 203.8 cm tall, and weighs 94 kg. The central hitters of the volleyball team of Russia had particular values in all studied parameters: this position is relevant for the potential of the team and for the high level of the game. The mean values of the studied parameters are relevant in establishing the final hierarchy (Russia, Brazil, and Italy. We found obvious differences between the mean values of these parameters in the men volleyball players participating in the London 2012 Summer Olympics and the men volleyball players of the “Universitatea” Timişoara volleyball team.

Using iMCFA to Perform the CFA, Multilevel CFA, and Maximum Model for Analyzing Complex Survey Data.

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Wu, Jiun-Yu; Lee, Yuan-Hsuan; Lin, John J H

2018-01-01

To construct CFA, MCFA, and maximum MCFA with LISREL v.8 and below, we provide iMCFA (integrated Multilevel Confirmatory Analysis) to examine the potential multilevel factorial structure in the complex survey data. Modeling multilevel structure for complex survey data is complicated because building a multilevel model is not an infallible statistical strategy unless the hypothesized model is close to the real data structure. Methodologists have suggested using different modeling techniques to investigate potential multilevel structure of survey data. Using iMCFA, researchers can visually set the between- and within-level factorial structure to fit MCFA, CFA and/or MAX MCFA models for complex survey data. iMCFA can then yield between- and within-level variance-covariance matrices, calculate intraclass correlations, perform the analyses and generate the outputs for respective models. The summary of the analytical outputs from LISREL is gathered and tabulated for further model comparison and interpretation. iMCFA also provides LISREL syntax of different models for researchers' future use. An empirical and a simulated multilevel dataset with complex and simple structures in the within or between level was used to illustrate the usability and the effectiveness of the iMCFA procedure on analyzing complex survey data. The analytic results of iMCFA using Muthen's limited information estimator were compared with those of Mplus using Full Information Maximum Likelihood regarding the effectiveness of different estimation methods.

Which are the best Chinese herbal injections combined with XELOX regimen for gastric cancer?: A PRISMA-compliant network meta-analysis.

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Zhang, Dan; Wu, Jiarui; Wang, Kaihuan; Duan, Xiaojiao; Liu, Shi; Zhang, Bing

2018-03-01

The optimal Chinese herbal injections (CHIs) combined with XELOX regimen for patients with gastric cancer remains elusive. The aim of our network meta-analysis (NMA) is to explore the best options among different CHIs for gastric cancer. PubMed, Embase, the Cochrane Library, the China National Knowledge Infrastructure Database (CNKI), Wan-fang Database, Cqvip Database (VIP), China Biology Medicine disc (CBMdisc) were searched to identify RCTs which focused on CHIs against gastric cancer. The quality assessment of included randomized controlled trials (RCTs) was conducted by the Cochrane risk of bias tool. Standard pair-wise and Bayesian NMAs were performed to compare the efficacy and safety of different CHIs combined with the XELOX regimen via Stata 13.0 and WinBUGS1.4 software. A total of 2316 records were searched, the network of evidence included 26 eligible RCTs involving 13 types of CHIs and 2154 patients. The results suggested that Shenqifuzheng+ XELOX, Huachansu+ XELOX, Kangai+ XELOX, Javanica oil emulsion+ XELOX, Aidi injection+ XELOX might be the optimal treatment for gastric cancer in improving the performance status than using XELOX regimen single, with odds ratios (OR) and 95% confidence intervals (CIs) of 2.74 (1.24, 6.17), 8.27 (1.74, 42.43), 4.28 (1.80, 10.48), 5.14 (1.87, 16.28), 0.20 (0.090, 0.44). At the aspects of ADRs (adverse reactions), Compound Kushen+ XELOX, Lentinan+ XELOX, Xiaoaiping injection+ XELOX could obviously relieve leukopenia than only receiving XELOX regimen, and their ORs and 95% CIs were 5.62 (1.41, 36.24), 8.16 (2.25, 29.43), 5.69 (1.85, 15.77). Furthermore, Disodium cantharidinate and vitamin B6+ XELOX, Shenqifuzheng+ XELOX, Kangai+ XELOX, Lentinan+ XELOX could obviously relieve the nausea and vomiting than receiving the XELOX regimen alone, with ORs and 95% CIs of 5.29 (1.30, 23.96), 2.50 (1.16, 5.26), 2.42 (1.06, 5.63), 9.04 (3.24, 26.73). Nevertheless, CHIs combined with XELOX regimen did not confer higher better clinical effectiveness rate over receiving XELOX regimen alone, with nonstatistically significant between-group differences. As the available evidence suggested that CHIs combined with XELOX regimen could provide treatment benefits for patients with gastric cancer. Among 13 types of CHIs, Javanica oil emulsion and Compound Kushen injection is the optimal treatment in improving the clinical effectiveness rate and performance status, and Lentinan injection was superior in relieving ADRs.

Comparative effectiveness and acceptability of the FDA-licensed proton pump inhibitors for erosive esophagitis: A PRISMA-compliant network meta-analysis.

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Li, Mei-Juan; Li, Qing; Sun, Min; Liu, Li-Qin

2017-09-01

This study compared the effectiveness and acceptability of all Food and Drug Administration (FDA)-recommended dose proton pump inhibitors (PPIs) in erosive esophagitis (EE): Dexlansoprazole 60 mg, Esomeprazole 40 mg, Esomeprazole 20 mg, Pantoprazole 40 mg, Lansoprazole 30 mg, Rabeprazole 20 mg, Omeprazole 20 mg. A systematic literature search was performed using PubMed, Embase, and Cochrane Library. Totally, 25 randomized controlled trials (RCTs) met study selection criteria and were incorporated in this network meta-analysis (NMA) study. For the NMA, eligible RCTs of adults with EE verified by endoscopic examination were randomly assigned to the licensed PPIs at least 4 weeks of continuous therapy. The primary efficacy outcome was the endoscopic healing rates at 4 and 8 weeks. Heartburn relief rates were a secondary efficacy outcome. The rates of withdrawal were analyzed as a safety outcome. In comparison to the common comparator omeprazole 20 mg, esomeprazole 40 mg provided significantly healing rates at 4 weeks [odds ratio (OR), 1.46 (95% confidence interval, 95% CI, 1.24-1.71)] and 8 weeks [1.58 (1.29-1.92)], and improved the heartburn relief rates [1.29 (1.07-1.56)]. In comparison to lansoprazole 30 mg, esomeprazole 40 mg provided significantly healing rates at 4 weeks [1.30 (1.10-1.53)] and 8 weeks [1.37 (1.13-1.67)], and improved the heartburn relief rates [1.29 (1.03-1.62)]. In terms of acceptability, only dexlansoprazole 60 mg had significantly more all-cause discontinuation than omeprazole 20 mg [1.54 (1.03-2.29)], pantoprazole 40 mg [1.68 (1.08-2.63)], and lansoprazole 30 mg [1.38 (1.02-1.88)]. The standard-dose esomeprazole 40 mg had more superiority in mucosal erosion healing and heartburn relief. Esomeprazole 40 mg, pantoprazole 40 mg, esomeprazole 20 mg, and lansoprazole 30 mg showed more benefits in effectiveness and acceptability than other interventions.

Association Between Consumption of Fruits and Vegetables and Risk of Colorectal Adenoma: A PRISMA-Compliant Meta-Analysis of Observational Studies.

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Ben, Qiwen; Zhong, Jie; Liu, Jun; Wang, Lifu; Sun, Yunwei; Yv, Lifen; Yuan, Yaozong

2015-10-01

There have been contradictory results about the association of fruits and vegetables intake with colorectal adenoma (CRA) risk, the precursor lesion of colorectal cancer. Herein, we have conducted a meta-analysis of the published observational studies to have a clear understanding about this association.Eligible studies up to November 30, 2014, were identified and retrieved by searching MEDLINE and EMBASE databases along with the manual review of the reference list of the retrieved studies. The quality of the included studies was evaluated using Newcastle-Ottawa Quality Assessment Scale, and random-effects model was used to calculate summary relative risk (SRR) and corresponding 95% confidence interval (CI).A total of 22 studies involving 11,696 CRA subjects were part of this meta-analysis. The SRR for the highest versus the lowest intake of vegetables alone was 0.91 (95% CI: 0.80-1.02, Pheterogeneity = 0.025), whereas for vegetables and fruits combined, it was 0.82 (95% CI: 0.75-0.91, Pheterogeneity = 0.369), and for fruits alone, it was 0.79 (95% CI: 0.71-0.88, Pheterogeneity = 0.111). In addition, linear dose-response analysis also showed similar results, for example, for per 100 g/d increment of fruits, the SRR was 0.94 (95% CI: 0.92-0.97) and for vegetables it was 0.98 (95% CI: 0.96-1.01). Nonlinear association was only observed for vegetables (Pnonlinearity = 0.024), but not for fruits (Pnonlinearity = 0.583).Thus, this meta-analysis suggested that fruits consumption have a significant protective effect on CRA risk, but not vegetables. Moreover, we recommend additional studies with prospective designs that use validated questionnaires and control for important confounders to further validate the overall results.

Comparison of multiple interventions for older adults with Alzheimer disease or mild cognitive impairment: A PRISMA-compliant network meta-analysis.

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Liang, Jing-Hong; Xu, Yong; Lin, Lu; Jia, Rui-Xia; Zhang, Hong-Bo; Hang, Lei

2018-05-01

The increasing prevalence of Alzheimer disease (AD) emphasizes the need for effective treatments. Both pharmacological therapies such as nutrition therapy (NT) and nonpharmacologic therapies including traditional treatment or personalized treatment (e.g., physical exercise, music therapy, computerized cognitive training) have been approved for the treatment of AD or mild cognitive impairment (MCI) in numerous areas. The aim of this study was to compare 4 types of interventions, physical exercise (PE), music therapy (MT), computerized cognitive training (CCT), and NT, in older adults with mild to moderate AD or MCI and identify the most effective intervention for their cognitive function. We used a system of search strategies to identify relevant studies and include randomized controlled trials (RCTs), placebo-controlled trials evaluating the efficacy and safety of 4 interventions in patients with AD or MCI. We updated the relevant studies which were published before March 2017 as a full-text article. Using Bayesian network meta-analysis (NMA), we ranked cognitive ability based objectively on Mini-Mental State Examination (MMSE), and assessed neuropsychiatric symptoms based on Neuropsychiatric Inventory (NPI). Pairwise and network meta-analyses were sequentially performed for efficacy and safety of intervention compared to control group through RCTs included. We included 17 RCTs. Fifteen trials (n = 1747) were pooled for cognition and no obvious heterogeneity was found (I = 21.7%, P = .212) in NMA, the mean difference (MD) of PE (MD = 2.1, confidence interval [CI]: 0.44-3.8) revealed that PE was significantly efficacious in the treatment group in terms of MMSE. Five trials (n = 660) assessed neuropsychiatric symptoms with an obvious heterogeneity (I = 61.6%, P = .034), the MD of CCT (MD = -7.7, CI: -14 to -2.4), revealing that CCT was significantly efficacious in NPI. As the first NMA comparing different interventions for AD and MCI, our study suggests that PE and CCT might have a significant improvement in cognition and neuropsychiatric symptoms respectively. Moreover, nonpharmacological therapies might be better than pharmacological therapies.