-
International Journal of Environmental... Apr 2022Several studies have attempted to identify how people's risk perceptions differ in regard to containing COVID-19 infections. The aim of the present review was to... (Review)
Review
Several studies have attempted to identify how people's risk perceptions differ in regard to containing COVID-19 infections. The aim of the present review was to illustrate how risk awareness towards COVID-19 predicts people's preventive behaviors and to understand which features are associated with it. For the review, 77 articles found in six different databases (, , , , , and ) were considered, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was followed, and data synthesis was conducted using a mixed-methods approach. The results indicate that a high-risk perception towards COVID-19 predicts, in general, compliance with preventive behaviors and social distancing measures. Additionally, risk awareness was found to be associated with four other key themes: demographic factors, individual factors, geographical factors, and timing. Therefore, gaining a greater understanding of individual and cultural differences as well as how people behave could be the basis of an effective strategy for raising public risk awareness and for countering COVID-19.
Topics: COVID-19; Data Management; Humans; Perception
PubMed: 35457521
DOI: 10.3390/ijerph19084649 -
PloS One 2023To identify and systematically review current scholarship on talent management of international nurses in healthcare organizations. (Review)
Review
AIM
To identify and systematically review current scholarship on talent management of international nurses in healthcare organizations.
BACKGROUND
As nurse shortages persistently pose challenges for healthcare organizations globally, one of the primary strategies employed to address these shortages is employment of international nurses. To date little has been done to systematically review and collate contemporary research on talent management of this strategically important cohort. Talent management is a holistic construct that can support healthcare organizations to attract, develop, motivate, and retain talented employees to drive organizational performance. This systematic review isolates, appraises and collates available evidence on talent management practices for international nurses.
STUDY DESIGN
Systematic literature review.
DATA SOURCES
Searches of PubMed, EBSCO and Scopus were made covering literature from 2012-2022.
REVIEW METHODS
This study followed Cochrane protocol for Systematic Reviews and key search terms were developed in consultation with University of Limerick library. As a key aim of the review was to provide evidence for the development of effective talent management practices, only peer-reviewed academic papers and empirical studies were included. Initial articles screening was conducted by two reviewers and full articles review was conducted by the entire research team. Findings were combined in a data extraction template for further analysis.
RESULTS
This review includes 62 articles thematically analysed under the headings recruitment and selection, retention and turnover, career progression, professional development, discrimination and racism, culture and communication.
CONCLUSION
No articles were found that directly address talent management for international nurses. Although there are studies that address aspects of talent management independently, more research is required on talent management as a holistic process for international nurses to inform evidence-based practice.
IMPACT
This research emphasizes the importance of talent management for retention of international nurses in healthcare settings. It provides a knowledge base for healthcare organisations to enhance employee retention and ensure quality care for patients, as well as setting the foundation for future studies in this area.
Topics: Humans; Delivery of Health Care; Health Facilities; Nurses; Nurses, International; Quality of Health Care; Systematic Reviews as Topic
PubMed: 37930991
DOI: 10.1371/journal.pone.0293828 -
Work (Reading, Mass.) 2023The construction industry is an important productive sector worldwide. However, the industry is also responsible for high numbers of work-related accidents, which... (Review)
Review
BACKGROUND
The construction industry is an important productive sector worldwide. However, the industry is also responsible for high numbers of work-related accidents, which highlights the necessity for improving safety management on construction sites. In parallel, technological applications such as machine learning (ML) are used in many productive sectors, including construction, and have proved significant in process optimizations and decision-making. Thus, advanced studies are required to comprehend the best way of using this technology to enhance construction site safety.
OBJECTIVE
This research developed a systematic literature review using ten scientific databases to retrieve relevant publications and fill the knowledge gaps regarding ML applications in construction accident prevention.
METHODS
This study examined 73 scientific articles through bibliometric research and descriptive analysis.
RESULTS
The results showed the publications timeline and the most recurrent journals, authors, institutions, and countries-regions. In addition, the review discovered information about the developed models, such as the research goals, the ML methods used, and the data features. The research findings revealed that USA and China are the leading countries regarding publications. Also, Support Vector Machine - SVM was the most used ML method. Furthermore, most models used textual data as a source, generally related to inspection reports and accident narratives. The data approach was usually related to facts before an accident (proactive data).
CONCLUSION
The review highlighted improvement proposals for future works and provided insights into the application of ML in construction safety management.
PubMed: 36938767
DOI: 10.3233/WOR-220533 -
Malaria Research and Treatment 2019Malaria is a protozoan disease caused by the species. Among the five species. Among the five and malaria are by far the most predominant and widely Malaria is one... (Review)
Review
BACKGROUND
Malaria is a protozoan disease caused by the species. Among the five species. Among the five and malaria are by far the most predominant and widely Malaria is one of the leading causes of morbidity and mortality globally, particularly in the sub-Saharan countries including Ethiopia. It is also a major obstacle to socio-economic development in the country.
METHODS
Articles were searched from PubMed, Google Scholar, and Science Direct databases. The pooled prevalence estimates were analyzed using the DerSimonian-Laird random-effects model and the possible sources of heterogeneity were evaluated through subgroup analysis, metaregression, and sensitivity analysis. Publication bias was analyzed using funnel plots and Egger's test statistics. The data management and analysis were done using STATA 15.1 version software.
RESULTS
Among 922 studies initially identified, thirty-five full-text articles fulfilled the inclusion criteria and included in the study. The combined, and malaria are by far the most predominant and widely.
CONCLUSIONS
This systematic review and meta-analysis showed a high malaria prevalence in Ethiopia. Therefore, previous prevention and control measures should be revised and/or strengthened as appropriate and new strategies should be implemented. In addition, technical, financial and material support, and coordination of the regional capacity building and logistics should be adequately implemented.
PubMed: 32089818
DOI: 10.1155/2019/7065064 -
Use of Mobile Crowdsensing in Disaster Management: A Systematic Review, Challenges, and Open Issues.Sensors (Basel, Switzerland) Feb 2023With the increasing efforts to utilize information and communication technologies (ICT) in disaster management, the massive amount of heterogeneous data that is... (Review)
Review
With the increasing efforts to utilize information and communication technologies (ICT) in disaster management, the massive amount of heterogeneous data that is generated through ubiquitous sensors paves the way for fast and informed decisions in the case of disasters. Utilization of the big "sensed" data leads to an effective and efficient management of disaster situations so as to prevent human and economic losses. The advancement of built-in sensing technologies in smart mobile devices enables crowdsourcing of sensed data, which is known as mobile crowdsensing (MCS). This systematic literature review investigates the use of mobile crowdsensing in disaster management on the basis of the built-in sensor types in smart mobile devices, disaster management categories, and the disaster management cycle phases (i.e., mitigation, preparedness, response, and recovery activities). Additionally, this work seeks to unveil the frameworks or models that can potentially guide disaster management authorities towards integrating crowd-sensed data with their existing decision-support systems. The vast majority of the existing studies are conceptual as they highlight a challenge in experimental testing of the disaster management solutions in real-life settings, and there is little emphasis on the use cases of crowdsensing through smartphone sensors in disaster incidents. In light of a thorough review, we provide and discuss future directions and open issues for mobile crowdsensing-aided disaster management.
PubMed: 36772738
DOI: 10.3390/s23031699 -
European Journal of Pediatric Surgery :... Feb 2020Management of primary spontaneous pneumothorax (PSP) is mainly based on adults. Data are controversial with regards to its management in children. We aimed to assess:... (Meta-Analysis)
Meta-Analysis
INTRODUCTION
Management of primary spontaneous pneumothorax (PSP) is mainly based on adults. Data are controversial with regards to its management in children. We aimed to assess: (1) the length of hospital stay (LOS) between conservative management (i.e., observation with O administration), aspiration/chest drain, and surgical management; (2) the risk of recurrence after nonsurgical treatment versus surgery; (3) the risk of recurrence in the presence of bullae.
MATERIALS AND METHODS
Using a defined search strategy, three independent investigators identified all the studies on the management of PSP in children. Case reports, opinion articles, and gray literature publications were excluded. The study was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A meta-analysis was performed using RevMan 5.3. Data are expressed as mean ± SD.
RESULTS
Of 3,089 abstracts screened, 95 full-text were analyzed, 23 were included in the quantitative analysis, and 16 were included in the meta-analysis (1,633 patients). LOS was similar between conservative and surgical management (6.2 ± 0.8 days vs. 5.9 ± 1.4 days; = ns). Recurrence of PSP was significantly higher among children with a nonsurgical management (32%) versus those surgically treated (18%; = 0.002). The incidence of recurrence was slightly higher in patients managed by aspiration/chest drain (34%) compared with those with a conservative management (27%; = 0.05). Risk of recurrence in patients with or without documented bullae was not significantly different (26 vs. 38%, respectively; = ns).
CONCLUSION
Given the lack of a standardized management of pediatric PSP, the present study seems to demonstrate a better outcome in children treated with surgery as first-line of management.
LEVEL OF EVIDENCE
This is a Level III study.
Topics: Child; Conservative Treatment; Drainage; Humans; Length of Stay; Oxygen Inhalation Therapy; Pneumothorax; Recurrence; Risk Factors
PubMed: 31899922
DOI: 10.1055/s-0039-3402522 -
Journal of Hypertension Jul 2022Hypertension management has several challenges, including poor compliance with medications and patients being lost to follow-up. Recently, remote patient monitoring and... (Meta-Analysis)
Meta-Analysis
BACKGROUND AND OBJECTIVES
Hypertension management has several challenges, including poor compliance with medications and patients being lost to follow-up. Recently, remote patient monitoring and telehealth technologies have emerged as promising methods of blood pressure management. We aimed to investigate the role of application-based telehealth programs in optimizing blood pressure management.
METHODS
Searches were performed in December 2020 using three databases: Cochrane Central Register of Controlled Trials, Embase and Ovid MEDLINE. All randomized controlled trials that included remote blood pressure management programmes were eligible for inclusion. Studies were included if blood pressure data were available for both the intervention and control groups. Following PRISMA guidelines, data were independently collected by two reviewers. Data were pooled using a random-effects model. The primary study outcomes were mean SBP and DBP changes for the intervention and control groups.
RESULTS
Eight hundred and seventy-nine distinct articles were identified and 18 satisfied inclusion and exclusion criteria. Overall, a mean weighted decrease of 7.07 points (SBP) and 5.07 points (DBP) was found for the intervention group, compared with 3.11 point (SBP) and 3.13 point (DBP) decreases in the control group. Forest plots were constructed and effect sizes were also calculated. Mean change effect sizes of 1.1 (SBP) and 0.98 (DBP) were found, representing 86 and 85% of the intervention group having greater SBP or DBP changes, respectively, when compared with the control group.
DISCUSSION
Remote patient monitoring technologies may represent a promising avenue for hypertension management. Future research is needed to evaluate the benefits in different disease-based patient subgroups.
Topics: Blood Pressure; Humans; Hypertension; Telemedicine
PubMed: 35762467
DOI: 10.1097/HJH.0000000000003164 -
Therapeutic Advances in Infectious... 2019Cervical spinal epidural abscess (CSEA) is a localized infection between the thecal sac and cervical spinal column which may result in neurological deficit and death if... (Review)
Review
BACKGROUND
Cervical spinal epidural abscess (CSEA) is a localized infection between the thecal sac and cervical spinal column which may result in neurological deficit and death if inadequately treated. Two treatment options exist: medical management and surgical intervention. Our objective was to analyze CSEA patient outcomes in order to determine the optimal method of treatment.
METHODS
An electronic literature search for relevant case series and retrospective reviews was conducted through June 2016. Data abstraction and study quality assessment were performed by two independent reviewers. A lack of available data led to a post hoc decision not to perform meta-analysis of the results; study findings were synthesized qualitatively.
RESULTS
927 studies were identified, of which 11 were included. Four studies were ranked as good quality, and seven ranked as fair quality. In total, data from 173 patients were included. Mean age was 55 years; 61.3% were male. Intravenous drug use was the most common risk factor for CSEA development. was the most commonly cultured pathogen. 140 patients underwent initial surgery, an additional 18 patients were surgically treated upon failure of medical management, and 15 patients were treated with antibiotics alone.
CONCLUSION
The rates of medical management failure described in our review were much higher than those reported in the literature for thoracolumbar spinal epidural abscess patients, suggesting that CSEA patients may be at a greater risk for poor outcomes following nonoperative treatment. Thus, early surgery appears most viable for optimizing CSEA patient outcomes. Further research is needed in order to corroborate these recommendations.
PubMed: 31367375
DOI: 10.1177/2049936119863940 -
Journal of Orthopaedic Trauma Jan 2021The aim of this comparative effectiveness study was to perform a meta-analysis of adverse events and outcomes in closed geriatric olecranon fractures, without elbow... (Meta-Analysis)
Meta-Analysis
OBJECTIVES
The aim of this comparative effectiveness study was to perform a meta-analysis of adverse events and outcomes in closed geriatric olecranon fractures, without elbow instability, after treatment with surgical or nonoperative management.
DATA SOURCES
PubMed, Web of Science, and Embase databases.
STUDY SELECTION
Articles were included if they contained clinical data evaluating outcomes in patients ≥65 years of age with closed olecranon fractures, without elbow instability, treated surgically, or with nonoperative management.
DATA EXTRACTION
Data regarding patient age, olecranon fracture type, fracture union, adverse events, reoperation, elbow range of motion, and surgeon and patient reported outcome measures were recorded according to intervention. The interventions included for analysis were tension band wire fixation, plate fixation, or nonoperative management.
DATA SYNTHESIS
Separate random effects meta-analyses were conducted for each outcome according to intervention. Prevalence and 95% confidence intervals were calculated for dichotomous variables, whereas weighted means and confidence intervals were calculated for continuous variables.
CONCLUSIONS
Comparable outcomes were achieved with surgical or nonoperative management of olecranon fractures in geriatric patients. Surgical intervention carried a high risk of reoperation regardless of whether plate or tension band wire fixation was used. Functional nonunion can be anticipated if nonoperative treatment is elected in low-demand elderly patients.
LEVEL OF EVIDENCE
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Topics: Aged; Bone Plates; Elbow Joint; Fracture Fixation, Internal; Humans; Joint Instability; Olecranon Process; Treatment Outcome; Ulna Fractures
PubMed: 32569071
DOI: 10.1097/BOT.0000000000001865 -
International Journal of Qualitative... Dec 2023This systematic review and meta-synthesis of qualitative studies provides an overview of barriers and facilitators that breast cancer patients experience in weight... (Review)
Review
INTRODUCTION
This systematic review and meta-synthesis of qualitative studies provides an overview of barriers and facilitators that breast cancer patients experience in weight management interventions.
METHODS
We included qualitative studies describing barriers and facilitators for weight management interventions as experienced by adult breast cancer patients after the completion of initial treatment . The data was extracted and using thematic analysis.
RESULTS
After analysis, eleven themes were determined. Six of those themes could be linked to the Attitude, Social Influence and self Efficacy (ASE)-model. Physical and mental benefits, anticipated regret and a lack of motivation were linked to attitude. Integrating a weight management programme in daily life, stigma and fears were linked to self-efficacy. With regard to the social influence determinant, encouragement and discouragement by family members were developed as a theme. Four additional themes were conducted related to weight management behaviour; external barriers, economic barriers, cultural barriers and physical barriers. In addition, integrating weight management in cancer care was described as a separate theme.
CONCLUSIONS
Several disease specific issues, including feeling stigmatized after cancer treatment and treatment-related side effects and peer-support should be given specific attention to maximize adherence of weight management programmes.
Topics: Adult; Humans; Female; Breast Neoplasms; Health Behavior; Attitude; Motivation; Social Stigma; Qualitative Research
PubMed: 37840321
DOI: 10.1080/17482631.2023.2259290