Factors Influencing Hospital Resilience

2020 ◽  
pp. 1-8
Author(s):  
Afsaneh Khademi Jolgehnejad ◽  
Reza Ahmadi Kahnali ◽  
ALi Heyrani
Keyword(s):  
Influencing Factors ◽  
Web Of Science ◽  
Hospital Staff ◽  
Infrastructure Management ◽  
Exclusion Criteria ◽  
Resilience Process ◽  
Hospital Preparedness ◽  
Response And Recovery ◽  
Improve Hospital ◽  
Hospital Manager

ABSTRACT This study aims at investigating the influencing factors on hospital resilience. For this purpose, a systematic review of the literature was conducted. Six databases, including Web of Science, Scopus, SAGE, EBSCO, Google Scholar, and PubMed were searched for articles published between 2000 and 2018. Sixteen studies were selected based on inclusion/exclusion criteria. Content analysis revealed 22 influencing factors were included in a framework with 2 dimensions: (1) phases of the hospital resilience process (preparation, response, and recovery/growth) and (2) the key components of the hospital (staff, infrastructure, management, and logistics). Considering the factors that emerged from this research, suggestions were made to improve hospital resilience. The results of this research will enable a hospital manager to develop better plans for hospital preparedness, as well as perform more effectively before, during, and after disasters.

scholarly journals Influencing Factors on Postmortem Protein Degradation for PMI Estimation: A Systematic Review

Diagnostics ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 1146
Author(s):  
Angela Zissler ◽  
Walter Stoiber ◽  
Janine Geissenberger ◽  
Peter Steinbacher ◽  
Fabio C. Monticelli ◽  
...  
Keyword(s):  
Protein Degradation ◽  
Influencing Factors ◽  
Reference Lists ◽  
Risk Of Bias ◽  
Correction Factors ◽  
Exclusion Criteria ◽  
Scientific Databases ◽  
Forensic Casework ◽  
Methodological Approaches ◽  
Pmi Estimation

The present review provides an overview of the current research status on the effects of influencing factors on postmortem protein degradation used to estimate the PMI (postmortem interval). Focus was set on characteristics of internal and external influencing factors and the respective susceptibility and/or robustness of protein degradation. A systematic literature search up to December 2020 was conducted on the effect of influencing factors investigated in the context of postmortem protein degradation in the tissues of animals and humans using the scientific databases PubMed and Google Scholar, as well as the reference lists of eligible articles. We identified ten studies investigating a total of seven different influencing factors in degrading tissues/organs (n = 7) of humans and animals using six different methodological approaches. Although comparison of study outcomes was impeded by the high variety of investigated factors, and by high risk of bias appraisals, it was evident that the majority of the influencing factors concerned affected protein degradation, thus being able to modulate the precision of protein degradation-based PMI estimation. The results clearly highlight the need for a thorough screening for corresponding factors to enable the introduction of appropriate correction factors and exclusion criteria. This seems especially relevant for the protein degradation-based study of human PMI to increase the reliability and precision of the method and to facilitate a broader applicability in routine forensic casework.

scholarly journals Prevalence of Burnout Syndrome for Public Schoolteachers in the Brazilian Context: A Systematic Review

2021 ◽  
Vol 18 (4) ◽  
pp. 1606
Author(s):  
Natalia P. Montoya ◽  
Lia C. O. B. Glaz ◽  
Lucas A. Pereira ◽  
Irineu Loturco
Keyword(s):  
Systematic Review ◽  
Public Schools ◽  
Emotional Exhaustion ◽  
Methodological Quality ◽  
Literature Search ◽  
Web Of Science ◽  
Teaching Quality ◽  
Burnout Syndrome ◽  
Database Searching ◽  
Exclusion Criteria

The aim of this systematic review was to examine the prevalence of burnout-related symptoms in Brazilian schoolteachers who work in public schools. The literature search was conducted using the following databases: PubMed-MEDLINE, Scopus, and Web of Science. Peer-reviewed studies published in English, Spanish, or Portuguese were considered for inclusion. A total of 2106 records were identified through database searching and 7 additional studies were identified through other sources. Based on the inclusion and exclusion criteria, 19 studies were included in the systematic review. Burnout syndrome prevalence was assessed through seven distinct questionnaires. Overall, the majority of the studies presented high methodological quality. Brazilian schoolteachers exhibited high levels of emotional exhaustion (21–69%), high or moderate degrees of depersonalization (8–32%), and high levels of personal realization and enthusiasm toward the job (30–90%). From these data, it is possible to infer that Brazilian schoolteachers are, in general, affected by burnout syndrome. However, and, surprisingly, they seem to be motivated and idealistic, as demonstrated by their high levels of personal realization and enthusiasm toward the job (30–90%). This likely favors the implementation of programs designed to avoid or reduce burnout, deal with stress, and enhance teaching quality.

Astrocyte Biomarkers in Alzheimer Disease: A Systematic Review and Meta-analysis

Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000012109
Author(s):  
Bruna Bellaver ◽  
João Pedro Ferrari-Souza ◽  
Lucas Uglione da Ros ◽  
Stephen F Carter ◽  
Elena Rodriguez-Vieitez ◽  
...  
Keyword(s):  
Systematic Review ◽  
Web Of Science ◽  
Meta Analysis ◽  
Effect Sizes ◽  
Significant Progress ◽  
Exclusion Criteria ◽  
Mao B ◽  
Positron Emission ◽  
Registration Number ◽  
Mean Differences

Objective:To perform a systematic review and meta-analysis to determine whether fluid and imaging astrocyte biomarkers are altered in Alzheimer's disease (AD).Methods:PubMed and Web of Science databases were searched for articles reporting fluid or imaging astrocyte biomarkers in AD. Pooled effect sizes were determined with mean differences (SMD) using the Hedge’s G method with random-effects to determine biomarker performance. Adapted questions from QUADAS-2 were applied for quality assessment. A protocol for this study has been previously registered in PROSPERO (registration number: CRD42020192304).Results:The initial search identified 1,425 articles. After exclusion criteria were applied, 33 articles (a total of 3,204 individuals) measuring levels of GFAP, S100B, YKL-40 and AQP4 in the blood and cerebrospinal fluid (CSF), as well as MAO-B, indexed by positron emission tomography 11C-deuterium-L-deprenyl ([11C]-DED), were included. GFAP (SMD = 0.94; 95% CI = 0.71-1.18) and YKL-40 (SMD = 0.76; CI 95% = 0.63-0.89) levels in the CSF, S100B levels in the blood (SMD = 2.91; CI 95% = 1.01-4.8) were found significantly increased in AD patients.Conclusions:Despite significant progress, applications of astrocyte biomarkers in AD remain in their early days. The meta-analysis demonstrated that astrocyte biomarkers are consistently altered in AD and supports further investigation for their inclusion in the AD clinical research framework for observational and interventional studies.

scholarly journals Knowledge produced on the health of low-income older women: an integrative review

2017 ◽  
Vol 70 (4) ◽  
pp. 875-884 ◽  
Author(s):  
Renata Evangelista Tavares ◽  
Maria Cristina Pinto de Jesus ◽  
Samara Macedo Cordeiro ◽  
Daniel Rodrigues Machado ◽  
Vanessa Augusta Braga ◽  
...  
Keyword(s):  
Social Support ◽  
Social Network ◽  
Older Women ◽  
Social Determinants ◽  
Low Income ◽  
Health Professionals ◽  
Web Of Science ◽  
Integrative Review ◽  
Exclusion Criteria

ABSTRACT Objective: to identify the knowledge produced on the health of low-income older women. Method: an integrative review was conducted in February 2016 on the SCOPUS, CINAHL, MEDLINE, LILACS, EMBASE, WEB OF SCIENCE databases, and in the SciELO journals directory. After the application of inclusion and exclusion criteria, 24 articles were selected. Results: the knowledge produced comprises two main themes: "health in face of economic adversities" and "reciprocity in social support between low-income older women and their social network". Final considerations: health professionals, especially nurses, should be attentive to aspects related to social determinants and the health of low-income older women, highlighting the fact that they are not always the recipients of care.

scholarly journals Cross-transfer of motor control in visuomotor tasks. Systematic review

2021 ◽  
Vol 38 (5) ◽  
pp. 358-366
Author(s):  
Javier Ruiz-Seijoso ◽  
Yaiza Taboada-Iglesias
Keyword(s):  
Motor Control ◽  
Randomized Trials ◽  
Web Of Science ◽  
Control Group ◽  
Motor Ability ◽  
Short Term ◽  
Exclusion Criteria ◽  
Cross Education ◽  
Visuomotor Tasks ◽  
Visuomotor Skills

Introduction: The term “cross-education” describes the perfomance improvement, both in motor control and strength, of a limb after training the opposite. Despite its current interest, there is no consensus on many concepts of the transfer of a visuomotor skill. The aim of the present research was to review the current literature on the phenomenon of cross-education in visuomotor skills in order to determine the magnitude of transference and its relationships with the context of the intervention. Results: A literature search was conducted during December 2019 in the databases Pubmed, CINAHL, MEDLINE, Web of Science, SPORTdiscus and Scopus. The descriptors “Motor ability” and “Motor skill” were used, in addition to the keywords “Motor control”, “skill”, “Task”, “cross over effect”, “cross exercise”, “contralateral learning”, “inter limb transfer “,” cross transfer “,” cross education “. After applying the inclusion and exclusion criteria, a total of 19 articles were obtained for analysis. Of these articles, 12 are RCTs, 4 crossover clinical trial, 2 are non-randomized trials and only 1 lacks a control group. Most of the articles consist of a short-term intervention. Only 5 studies are of a duration of between 4 and 6 weeks. Conclusion: the cross-education phenomenon occurs in visuomotor skills. However, the magnitude of transference and its relation to the amount of learning of the trained member seems to be very variable depending on the context of the intervention. Likewise, the scarce consensus and the methodological differences in the studies make it difficult to draw firm conclusions about the effects of the context on the transference.

scholarly journals Understanding the Heterogeneity of Labor and Delivery Units: Using Design Thinking Methodology to Assess Environmental Factors that Contribute to Safety in Childbirth

2019 ◽  
Vol 37 (06) ◽  
pp. 638-646
Author(s):  
Jules P. Sherman ◽  
Laura C. Hedli ◽  
Alexandria I. Kristensen-Cabrera ◽  
Steven S. Lipman ◽  
Doug Schwandt ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Design Thinking ◽  
Neonatal Resuscitation ◽  
Care Facility ◽  
Health Care Facility ◽  
Hospital Staff ◽  
Labor And Delivery ◽  
Building Projects ◽  
Hospital Systems ◽  
Improve Hospital

Abstract Objective There is limited research exploring the relationship between design and patient safety outcomes, especially in maternal and neonatal care. We employed design thinking methodology to understand how the design of labor and delivery units impacts safety and identified spaces and systems where improvements are needed. Study Design Site visits were conducted at 10 labor and delivery units in California. A multidisciplinary team collected data through observations, measurements, and clinician interviews. In parallel, research was conducted regarding current standards and codes for building new hospitals. Results Designs of labor and delivery units are heterogeneous, lacking in consistency regarding environmental factors that may impact safety and outcomes. Building codes do not take into consideration workflow, human factors, and patient and clinician experience. Attitude of hospital staff may contribute to improving safety through design. Three areas in need of improvement and actionable through design emerged: (1) blood availability for hemorrhage management, (2) appropriate space for neonatal resuscitation, and (3) restocking and organization methods of equipment and supplies. Conclusion Design thinking could be implemented at various stages of health care facility building projects and during retrofits of existing units. Through this approach, we may be able to improve hospital systems and environmental factors.

scholarly journals Beyond Oncology: Question Prompt Lists in Healthcare—A Scoping Review Protocol

2020 ◽  
Vol 3 (1) ◽  
pp. 9
Author(s):  
Matthias Lukasczik ◽  
Christian Gerlich ◽  
Hans Dieter Wolf ◽  
Heiner Vogel
Keyword(s):  
Scoping Review ◽  
Review Process ◽  
Web Of Science ◽  
Preventive Measures ◽  
Health Condition ◽  
Target Groups ◽  
Exclusion Criteria ◽  
Prisma Statement ◽  
Review Protocol ◽  
Question Prompt

Question prompt lists (QPL) are an instrument to promote patient participation in medical encounters by providing a set of questions patients can use during consultations. QPL have predominantly been examined in oncology. Less is known about their use in other contexts. Therefore, we plan to conduct a scoping review to provide an overview of the fields of healthcare in which QPL have been developed and evaluated. MEDLINE/PUBMED, PSYCINFO, PSYNDEX, WEB OF SCIENCE, and CINAHL will be systematically searched. Primary studies from different healthcare contexts that address the following participants/target groups will be included: persons with an acute, chronic, or recurring health condition other than cancer; healthy persons in non-oncological primary preventive measures. There will be no restrictions in terms of study design, sample size, or outcomes. However, only published studies will be included. Studies that were published in English and German between 1990 and 2019 will be examined. Two independent reviewers will apply defined inclusion/exclusion criteria and determine study eligibility in the review process guided by the PRISMA statement.

scholarly journals Extraction of primary canines for interceptive orthodontic treatment of palatally displaced permanent canines: A systematic review

2017 ◽  
Vol 87 (6) ◽  
pp. 878-885 ◽  
Author(s):  
Naif N. Almasoud
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Randomized Clinical Trials ◽  
Web Of Science ◽  
Quality Criteria ◽  
Control Groups ◽  
Exclusion Criteria ◽  
The University ◽  
Study Designs ◽  
Primary Canine

ABSTRACT Objective: To determine whether the successful management of palatally displaced permanent canines (PDCs) can be achieved by the interceptive extraction of primary maxillary canines. Materials and Methods: Digital databases (Medline, Scopus, Web of Science, and Cochrane) were searched to retrieve articles published from 1952 to April 2016. The university librarian developed search strategies for each database. Two calibrated reviewers independently reviewed potentially related titles and abstracts. Papers meeting the inclusion and exclusion criteria were read in full. The selected articles were evaluated and scored according to methodological quality criteria. Results: Four randomized clinical trials (RCTs) were included in the systematic review. Compared with two older studies, two more recent RCTs were found to have better study designs, were better conducted, and involved better reporting of the results. The included studies compared intervention groups (children with PDCs undergoing extraction of primary canines) with controls (subjects with PDCs but no primary canine extractions). In three of the four studies, the interceptive extraction of primary canines facilitated eruption of PDCs in more than 65% of cases. Overall, the intervention groups had a markedly higher incidence of successful eruption of PDCs (50%–69%) compared with the control groups (36%–42%). Conclusions: Based on the available evidence, it is reasonable to conclude that eruption of PDCs can be facilitated by extraction of primary canines. However, further high-quality, randomized clinical trials are warranted in other population groups. It is hoped that this study will help orthodontists make evidence-based decisions about clinically managing PDCs.

A systematic review of the heritability of specific psychopathic traits using Hare’s two-factor model of psychopathy

CNS Spectrums ◽  
2017 ◽  
Vol 23 (1) ◽  
pp. 29-38 ◽  
Author(s):  
Sapna Dhanani ◽  
Veena Kumari ◽  
Basant K. Puri ◽  
Ian Treasaden ◽  
Susan Young ◽  
...  
Keyword(s):  
Web Of Science ◽  
Factor Model ◽  
Psychopathic Traits ◽  
Future Research ◽  
Exclusion Criteria ◽  
Reference Tracking ◽  
Callous Unemotional ◽  
Gene Environment ◽  
High Heritability ◽  
Manual Examination

BackgroundThere have been no systematic reviews that investigated the heritability of the two-factor model of psychopathy: interpersonal-affective and behavioral. Our review aimed, first, to examine the heritability of general psychopathic traits and, second, if genetic influences were suggested, to determine the heritability of various traits related to the interpersonal-affective and behavioral factors of psychopathy.MethodA systematic literature search was conducted using articles from the PsycINFO, Embase, Global Health, Medline, PubMed, Web of Science, and Scopus databases (January of 1980 to December of 2015) in order to identify eligible literature that reported on the heritability of psychopathy-related traits. Papers were also found via manual examination and reference tracking. Papers were subjected to exclusion criteria and quality appraisal. We identified a total of 24 studies.ResultsOur results were grouped into three categories: general, interpersonal-affective, and behavioral. All these areas demonstrated modest to high heritability. The highest heritability values were found in studies investigating callous-unemotional behaviors.ConclusionsHeritability was found for all the psychopathic traits. Future research should include endophenotypic approaches that explore gene–environment correlations, which could aid in identification of the behavioral phenotype that is most amenable to early intervention by way of moderation of genetic risk.

scholarly journals SARS-CoV-2 infection during pregnancy and risk of neurodevelopmental disorders in neonatals: a literature review

2021 ◽  
Author(s):  
Sayd Douglas Rolim Carneiro Oliveira ◽  
Carlos Jorge Maciel Uchoa Gadelha ◽  
Dara da Silva Mesquita ◽  
Tereza Cristina Ribeiro Brito
Keyword(s):  
Pregnant Women ◽  
Neurodevelopmental Disorders ◽  
Web Of Science ◽  
Neurological Complications ◽  
Premature Delivery ◽  
Rapid Progression ◽  
Exclusion Criteria ◽  
Study Results ◽  
Wide Range ◽  
Rapid Spread

Introduction: With the emergence of SARS-CoV-2 and its rapid spread, a concern with the pregnant women have increased, since viruses have a wide range of obstetric and neonatal issues. Recent findings indicate that the gestational period and the postpartum period make mothers and their offspring more susceptible to COVID-19 and the rapid progression to the critical stage of the disease. Objectives: To carry out a bibliographic study on SARS-CoV- 2 during pregnancy and the potential risk of neurodevelopmental disorders in neonates. Methods: A review, developed from articles selected on the following bases: PubMed, Web of Science and Scopus. In the search, articles indexed until March 2021 and published in English, using the descriptors: “COVID-19”; “Pregnancy”; “Offspring”; “Neonatal”; “Neurodevelopment”; “Anomalies” and “Complications”. Exclusion criteria: duplicates and articles outside the scope of the study. Results: The initial search resulted in 533 articles, 498 from PubMed, 2 from Web of Science and 33 from Scopus. After reading the title and abstract, the application of the inclusion and exclusion criteria, the sample of 48 documents were included. In the studies, 89.0% of all patients had cesarean delivery (n = 201), 33.3% had gestational complications, 35.3% had premature delivery and about 2.5% were stillborn or had neonatal death. Among those tested, 6.45% of neonates diagnosed positive for COVID-19. In another study, the newborn showed neurological issues similar to the adult patients and transient neurological complications due to cerebral vasculitis. Conclusions: The results demonstrate that further investigations are needed to determine the potential for vertical intrauterine transmission in pregnant women with COVID-19 and possibles fetal and neonatal consequences.

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