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Palliative Medicine Sep 2016There have been many studies on the actual and preferred place of care and death of palliative patients; however, most have been whole population surveys and/or urban... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
There have been many studies on the actual and preferred place of care and death of palliative patients; however, most have been whole population surveys and/or urban focused. Data and preferences for terminally ill rural patients and their unofficial carers have not been systematically described.
AIM
To describe the actual place of death and preferred place of care and/or death in rural palliative care settings.
METHOD
A systematic mixed studies review using Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines.
DATA SOURCE
PubMed, PsychINFO, Scopus and CINAHL databases were searched (September to December 2014); eligible quantitative and qualitative studies included preferred and/or actual place of death/care of rural, regional or remote residents; rural data that are clearly identifiable; death due to palliative condition (malignant and non-malignant) or survey of participants with current or hypothetical life-limiting illness.
RESULTS
A total of 25 studies described actual place of death; 12 preferred place of care or death (2 studies reported both); most deaths occurred in hospital with home as the preferred place of care/death; however qualitative studies suggest that preferences are not absolute; factors associated with place are not adequately described as rurality was an independent variable; significant heterogeneity (rural setting and participants), however, many areas had a greater chance of home death than in cities; rural data are embedded in population reports rather than from specific rural studies.
CONCLUSION
Home is the preferred place of rural death; however, more work is needed to explore influencing factors, absolute importance of preferences and experience of providing and receiving palliative care in rural hospitals which often function as substitute hospice.
Topics: Attitude to Death; Hospice Care; Hospitals; Humans; Palliative Care; Patient Preference; Rural Population; Terminal Care
PubMed: 26944531
DOI: 10.1177/0269216316628779 -
International Journal of Environmental... Jan 2023Studies with rural children are limited, and results are divergent regarding the information on movement behaviours. (Review)
Review
BACKGROUND
Studies with rural children are limited, and results are divergent regarding the information on movement behaviours.
PURPOSE
to (i) describe the physical activity and sedentary behaviour in children; (ii) synthetize the year and place of publication, methodological quality, and instruments used to measure physical activity and sedentary behaviour; and (iii) to analyse the relationship between physical activity, sedentary behaviour, and health outcomes in these children.
METHODS
We use the databases PubMed, Web of Science, SPORTDiscus, Scopus, Virtual Health Library, and SciELO, considering papers published until October 2021. A total of 12,196 studies were identified, and after the exclusion of duplicate, title and abstract screening, and the full-text assessment, a total of 68 were included in the study.
RESULTS
A cross-sectional design was dominant among the studies, with sample sizes ranging from 23 to 44,631 children of both sexes. One-third of the studies were conducted in North America and Europe, and most of them used device-based measurements. Inequalities were observed regarding sex, age, economic level, race, and physical activity domains within and between the places of residence. Sociodemographic characteristics were also related to health outcomes for children living in rural and urban areas.
CONCLUSION
It is necessary to increase the evidence on movement behaviours among children living in the countries of South America and Oceania, as well as to increase the level of evidence on the role of school for physical activity in children in rural areas, given the inconsistent findings.
Topics: Male; Female; Humans; Child; Cross-Sectional Studies; Exercise; Sedentary Behavior; Rural Population; Outcome Assessment, Health Care
PubMed: 36767880
DOI: 10.3390/ijerph20032514 -
Technology and Health Care : Official... 2023Dental implants provide a suitable and reliable treatment for the replacement of missing teeth. Very few studies have been reported in the literature regarding the... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Dental implants provide a suitable and reliable treatment for the replacement of missing teeth. Very few studies have been reported in the literature regarding the application of dental implants in growing and developing patients.
OBJECTIVE
This systematic review with meta-analysis aimed to systematically review the available literature regarding the application of dental implants in growing and developing patients.
METHODS
A detailed search in the literature was performed with the help of keywords such as dental implants, treatment planning, children, adolescents, growing patients, and developing jaws. PubMed, Scopus, Web of Sciences, and Ovidsp databases were searched for papers published between 1980 and 2021. The papers focused on children, adolescents, developing jaws, and implants. In this systemic review, the dataset concerned with the type of study, aim, number of patients and specimens included, age of patients, total number of implants placed, total number of implants evaluated, medical history of developmental disorders of teeth such as ectodermal dysplasia, congenital absence of teeth, were evaluated.
RESULTS
Out of the total literature searched, 33.45% of studies and case reports documented no complications in any implant treatment. In 47.21% of studies and case reports, there was both success and failure of implants while in 13.21% of studies and case reports there was a complete failure of implants. The most common cause for loss of permanent teeth in growing children and adolescent patients was dental trauma (73.13%) followed by congenital developmental disturbance of teeth (18.19%).
CONCLUSION
It can be concluded from this systematic review that the use of implants in edentulous growing patients is determined by several parameters, including the patient's overall health, the stage of jaw growth, the number of teeth to be replaced, and soft and hard tissue anatomic features. Still, the use of a conservative treatment strategy for missing teeth management in patients with developing jaws is common and recommended until the patient's growth is completed, as there are chances of changes in the position of dental implants placed in the developing and growing jaws due to the continuous changes taking place in their body. However, placement of implants can be done in these patients successfully with proper treatment planning and taking into account the phase of growth with proper follow-up.
Topics: Child; Adolescent; Humans; Jaw, Edentulous, Partially; Dental Implants; Maxilla; Mandible
PubMed: 36502352
DOI: 10.3233/THC-220581 -
EClinicalMedicine May 2023Smoke-free policies are essential to protect people against tobacco smoke exposure. To successfully implement smoke-free policies that go beyond enclosed public places...
BACKGROUND
Smoke-free policies are essential to protect people against tobacco smoke exposure. To successfully implement smoke-free policies that go beyond enclosed public places and workplaces, public support is important. We undertook a comprehensive systematic review of levels and determinants of public support for indoor (semi-)private and outdoor smoke-free policies.
METHODS
In this systematic review and meta-analysis, six electronic databases were searched for studies (published between 1 January 2004 and 19 January 2022) reporting support for (semi-)private and outdoor smoke-free policies in representative samples of at least 400 respondents aged 16 years and above. Two reviewers independently extracted data and assessed risk of bias of individual reports using the Mixed Methods Appraisal Tool. The primary outcome was proportion support for smoke-free policies, grouped according to location covered. Three-level meta-analyses, subgroup analyses and meta-regression were performed.
FINDINGS
14,749 records were screened, of which 107 were included; 42 had low risk of bias and 65 were at moderate risk. 99 studies were included in the meta-analyses, reporting 326 measures of support from 896,016 individuals across 33 different countries. Support was pooled for indoor private areas (e.g., private cars, homes: 73%, 95% confidence interval (CI): 66-79), indoor semi-private areas (e.g., multi-unit housing: 70%, 95% CI: 48-86), outdoor hospitality areas (e.g., café and restaurant terraces: 50%, 95% CI: 43-56), outdoor non-hospitality areas (e.g., school grounds, playgrounds, parks, beaches: 69%, 95% CI: 64-73), outdoor semi-private areas (e.g., shared gardens: 67%, 95% CI: 53-79) and outdoor private areas (e.g., private balconies: 41%, 95% CI: 18-69). Subcategories showed highest support for smoke-free cars with children (86%, 95% CI: 81-89), playgrounds (80%, 95% CI: 74-86) and school grounds (76%, 95% CI: 69-83). Non-smokers and ex-smokers were more in favour of smoke-free policies compared to smokers. Support generally increased over time, and following implementation of each smoke-free policy.
INTERPRETATION
Our findings suggested that public support for novel smoke-free policies is high, especially in places frequented by children. Governments should be reassured about public support for implementation of novel smoke-free policies.
FUNDING
Dutch Heart Foundation, Lung Foundation Netherlands, Dutch Cancer Society, Dutch Diabetes Research Foundation and Netherlands Thrombosis Foundation.
PubMed: 37256097
DOI: 10.1016/j.eclinm.2023.101982 -
Asia-Pacific Journal of Public Health Sep 2022Secondhand smoke (SHS) exposure patterns of children and adolescents are different from those of adults because children and adolescents spend a majority of their time...
Secondhand smoke (SHS) exposure patterns of children and adolescents are different from those of adults because children and adolescents spend a majority of their time in the home and school. It was aimed to conduct a systematic review of the published literature regarding the association between depression and the place of SHS exposure among children and adolescents. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines, PubMed, ScienceDirect, and Cochrane Library databases were used for the literature review. The studies were screened and selected by two independent reviewers based on the inclusion criteria. All eight studies included in the systematic review measured SHS exposure in participants' own homes. Two studies measured SHS exposure at school and one study in cars. The majority of the studies showed a positive association between depression and SHS exposure in both private and public places among nonsmoking children and adolescents. Also, they concluded a dose-response relationship between SHS exposure and depression. Health practitioners would be encouraged to work with stakeholders to create smoke-free policies in both private and public places to avoid the adverse effects of SHS exposure.
Topics: Adolescent; Adult; Child; Depression; Environmental Exposure; Humans; Tobacco Smoke Pollution
PubMed: 35596574
DOI: 10.1177/10105395221099418 -
BMJ Supportive & Palliative Care Dec 2016Home is often reported as the preferred place of care for patients at the end-of-life. The support of family caregivers is crucial if this is to be realised. However,... (Review)
Review
The preferences and perspectives of family caregivers towards place of care for their relatives at the end-of-life. A systematic review and thematic synthesis of the qualitative evidence.
BACKGROUND
Home is often reported as the preferred place of care for patients at the end-of-life. The support of family caregivers is crucial if this is to be realised. However, little is known about their preferences; a greater understanding would identify how best to support families at the end-of-life, ensuring more patients are cared for in their preferred location.
OBJECTIVES
To systematically search and synthesise the qualitative literature exploring the preferences and perspectives of family caregivers towards place of care for their relatives at the end-of-life.
METHODS
Ten databases (MEDLINE, PsycINFO, EMBASE, AMED, ASSIA, CINAHL, Social Care Online, Cochrane Database, Scopus, Web of Science) and reference lists of key journals were searched up to January 2014. Included studies were appraised for quality and data thematically synthesised.
RESULTS
Eighteen studies were included; all were of moderate or high quality. Two main themes were identified: (1) Preferences and perspectives: most family caregivers preferred home care, although a range of perspectives were reported. Both positive and negative perspectives of home, hospices and hospitals emerged. At times, family caregivers reported feeling obligated to provide home care. (2) Impact of facilitating home care; both positive and negative effects on family caregivers were reported.
CONCLUSIONS
Many family caregivers reported home as the preferred place of care; other places of care were infrequently considered. Healthcare professionals and service providers should be aware of these preferences and provide support where needed to enable family caregivers to successfully care at home, thus improving end-of-life experiences for families as a whole.
Topics: Caregivers; Decision Making; Home Care Services; Hospices; Humans; Palliative Care; Patient Preference; Qualitative Research; Terminal Care
PubMed: 25991565
DOI: 10.1136/bmjspcare-2014-000794 -
Bioengineering (Basel, Switzerland) Apr 2023Recent human-centered developments in the industrial field (Industry 5.0) lead companies and stakeholders to ensure the wellbeing of their workers with assessments of... (Review)
Review
Recent human-centered developments in the industrial field (Industry 5.0) lead companies and stakeholders to ensure the wellbeing of their workers with assessments of upper limb performance in the workplace, with the aim of reducing work-related diseases and improving awareness of the physical status of workers, by assessing motor performance, fatigue, strain and effort. Such approaches are usually developed in laboratories and only at times they are translated to on-field applications; few studies summarized common practices for the assessments. Therefore, our aim is to review the current state-of-the-art approaches used for the assessment of fatigue, strain and effort in working scenarios and to analyze in detail the differences between studies that take place in the laboratory and in the workplace, in order to give insights on future trends and directions. A systematic review of the studies aimed at evaluating the motor performance, fatigue, strain and effort of the upper limb targeting working scenarios is presented. A total of 1375 articles were found in scientific databases and 288 were analyzed. About half of the scientific articles are focused on laboratory pilot studies investigating effort and fatigue in laboratories, while the other half are set in working places. Our results showed that assessing upper limb biomechanics is quite common in the field, but it is mostly performed with instrumental assessments in laboratory studies, while questionnaires and scales are preferred in working places. Future directions may be oriented towards multi-domain approaches able to exploit the potential of combined analyses, exploitation of instrumental approaches in workplace, targeting a wider range of people and implementing more structured trials to translate pilot studies to real practice.
PubMed: 37106632
DOI: 10.3390/bioengineering10040445 -
Philosophical Transactions of the Royal... Jul 2022Vulnerable locations, such as coastlines, are at a high risk of loss and damage. Such places will suffer deleterious impacts as climate change impacts are increasingly... (Review)
Review
Vulnerable locations, such as coastlines, are at a high risk of loss and damage. Such places will suffer deleterious impacts as climate change impacts are increasingly realized. As societies try to adapt to these impacts, managed or planned retreat-aimed at moving people and assets away from vulnerable locations-is gaining increased attention. Despite this increased attention, systematic literature reviews of the retreat literature remain scarce. This paper undertakes such review and uncovers a marked increase in retreat scholarly research papers in the past 5 years. An analysis of 135 managed and planned retreat journal articles is completed. Findings include a strong emphasis on regional or local case studies exploring governance, policy or institutional settings and levers across a range of geographies. Property rights and market interventions, such as compensation schemes, evidence the prevalence of neoliberal predilections. This emphasizes the importance of renewed engagement with political economy scholarship vis-à-vis climate change adaptation, also supported by the sharp increase in the evidenced social and environmental justice impacts. This article is part of the theme issue 'Nurturing resilient marine ecosystems'.
Topics: Acclimatization; Adaptation, Physiological; Climate Change; Ecosystem; Humans
PubMed: 35574844
DOI: 10.1098/rstb.2021.0129 -
International Journal of Surgery... Jun 2023Conventional laparoscopic sleeve gastrectomy (CLSG) has been conducted in multiple centers for treating morbid obesity, however, there are no standard criteria for (1)... (Meta-Analysis)
Meta-Analysis
Trocar number and placement for laparoscopic sleeve gastrectomy and comparison of single-incision and conventional laparoscopic sleeve gastrectomy: a systematic review and meta-analysis.
BACKGROUND
Conventional laparoscopic sleeve gastrectomy (CLSG) has been conducted in multiple centers for treating morbid obesity, however, there are no standard criteria for (1) placing the trocar; and (2) how many trocars should be used. Single-incision laparoscopic sleeve gastrectomy (SLSG), a newly emerged technique in 2008, has been proposed as an alternative to CLSG in recent years, however, there is no definite evidence for this.
MATERIALS AND METHODS
A systematic literature search was performed using the PubMed, Embase, Web of Science, and Cochrane Library databases for laparoscopic sleeve gastrectomy cases from January 2006 to October 2022. We then summarized the trocar numbers and placement patterns among these studies. A meta-analysis was conducted to compare the difference between SLSG and CLSG in the perioperative and postoperative indices.
RESULTS
A total of 61 studies involving 20 180 patients who underwent laparoscopic sleeve gastrectomy for treating morbid obesity were included in the systematic review, including 11 on SLSG, 35 on CLSG, and 15 studies comparing SLSG and CLSG. A systematic review showed that the trocar number varied in different CLSG studies, mainly using four or five trocars. The trocars were mainly placed in position, presenting an inverted trapezoid pattern and a left-predominant pattern. Meta-analysis showed that the operative time in the SLSG was significantly higher than that in the CLSG, and the pain Visual Analog Scale rating on postoperative day 1 in the CLSG was significantly higher than in the SLSG. There were no statistical significances in the other complications or surgical efficiency.
CONCLUSIONS
In the CLSG, the majority of the trocars were arranged in an inverted trapezoid pattern and were of the left-predominant type. Although SLSG is a feasible technique in selected patients, there is insufficient evidence to recommend its widespread use compared with CLSG. High-quality randomized controlled trials with large study populations and long follow-up periods will be required in the future.
Topics: Humans; Obesity, Morbid; Laparoscopy; Bariatric Surgery; Surgical Instruments; Gastrectomy
PubMed: 37068794
DOI: 10.1097/JS9.0000000000000402 -
Brazilian Oral Research 2018The aim of this study was to conduct a systematic review and meta-analysis to assess the clinical outcomes of dental implants placed in previously early and late implant... (Meta-Analysis)
Meta-Analysis Review
The aim of this study was to conduct a systematic review and meta-analysis to assess the clinical outcomes of dental implants placed in previously early and late implant failed sites. An electronic literature search was conducted in several databases for articles published up to February 2018. Human clinical trials that received at least one implant in a previously failed site were included. Hence, the PICO question that was aimed to be addressed was: Do patients undergoing implant replacement (second and third attempts) in previous failed sites have survival rates similar to implants placed at first attempts? A random effects model was used to calculate survival weighted means and corresponding 95% Confidence Intervals (CI) among studies. Eleven studies of low to moderate methodological quality were included in this review. Implants placed in sites with history of one and two implant failures had a weighted survival rate (SR) of 88.7% (95%CI 81.7-93.3) and 67.1% (95%CI 51.1-79.9), respectively. Implants placed in sites with a previous early failure revealed a weighted SR of 91.8% (95%CI 85.1-95.6). First implants presented higher SR than implants placed in sites with one or two previous implant failures. In contrast, implants placed in sites with one and two implant failures had similar SR. Within its limitations, this review suggests that replacement implants have moderate SR. Larger prospective studies with well-defined criteria for early and late implant failure are necessary to confirm and expand on these results.
Topics: Dental Implantation, Endosseous; Dental Implants; Dental Restoration Failure; Humans; Retreatment; Risk Factors; Treatment Outcome
PubMed: 29723338
DOI: 10.1590/1807-3107bor-2018.vol32.0027