Protective socks for people with diabetes: a systematic review and narrative analysis

The Indonesian Government’s targets to reduce the prevalence of child malnutrition are unlikely to be met based on current progress. Adequate dietary intake is key to meeting these targets. This systematic review aimed to provide a comprehensive overview of the nutrient and food intake of Indonesian children under 5 years of age. Peer-reviewed and gray literature published between 2007 and 2019 were collected. Of 1500 records, 38 articles met the study inclusion criteria and a narrative analysis was conducted. Children under 5 years were reported to have ranging energy and macronutrient intakes, some with adequate protein intake. Micronutrient deficiencies, particularly iron, zinc, calcium, and vitamin C, were reported. Animal-source foods, fruits, and vegetables were consumed by children, but frequency and/or volume of consumption was low, and it is among the probable causes of micronutrient deficiency among children under 5 years. The absence of reporting micronutrient intake in the national survey limited evidence to inform nutrition-related policies. The implementation of a national micronutrient survey will be beneficial in informing policy and practice aimed at reducing the prevalence of child malnutrition in line with national targets, through improvement in dietary intake.

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Acupuncture for postprostatectomy incontinence: a systematic review

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2020-002450 ◽

2020 ◽

pp. bmjspcare-2020-002450

Author(s):

Huan Chen ◽

Yu Liu ◽

Jiani Wu ◽

Fanrong Liang ◽

Zhishun Liu

Keyword(s):

Systematic Review ◽

Urinary Incontinence ◽

Narrative Analysis ◽

Short Form ◽

Pelvic Floor Muscle ◽

Efficacy And Safety ◽

Postprostatectomy Incontinence ◽

International Consultation ◽

Randomised Controlled

BackgroundPostprostatectomy incontinence (PPI) is a clinically significant condition that is caused by surgery of prostate. Study showed that electroacupuncture can reduce urine leakage among women with stress urinary incontinence (SUI), but few was known about its efficacy and safety for men with PPI. This study aims to conduct a systematic review to evaluate efficacy and safety of acupuncture for men with PPI compared with other non-surgical treatment.MethodsSeven databases were searched for all randomised controlled trials (RCTs) on acupuncture for men with PPI up to August 2020. Risks of bias of included studies were assessed using RevMan V.5.3. Narrative analysis was conducted.ResultsSeven studies with 830 men with PPI were included in the review. Studies showed that acupuncture can significantly improve score of International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form for men with urgent urinary incontinence (UUI) when compared with medicine (p<0.05). It showed a significant better overall response rate when acupuncture was combined with solifenacin for men with UUI (p<0.05), or with pelvic floor muscle training (PFMT) (p<0.001), or with PFMT and medicine together for men with UUI or SUI (p<0.01), compared with control groups. No adverse event was reported in the studies. However, the quality of evidences was considered low generally.ConclusionThe results showed that acupuncture could be beneficial for men with PPI when applied alone or as an adjunction to other conservative therapies and medicines, however, the quality of evidence was considered low and inconclusive in this review.PROSPERO registration numberThis study has been registered at PROSPERO system with ID No. CRD42019091164.

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How can technology support ageing in place in healthy older adults? A systematic review

Public Health Reviews ◽

10.1186/s40985-020-00143-4 ◽

2020 ◽

Vol 41 (1) ◽

Author(s):

Aline Ollevier ◽

Gabriel Aguiar ◽

Marco Palomino ◽

Ingeborg Sylvia Simpelaere

Keyword(s):

Systematic Review ◽

Older Adults ◽

Narrative Analysis ◽

Final Analysis ◽

Cochrane Collaboration ◽

Well Being ◽

Added Value ◽

Controlled Trials ◽

Ageing In Place ◽

Healthy Older Adults

Abstract Background Ageing in place has recently gained visibility in healthcare policies and services. Technology has the potential to facilitate independence at home. The objective of this systematic review is to identify technologies that have been rigorously evaluated for supporting the ageing in place of healthy older adults. As well we explored the methods in engagement with technology in healthy older adults. Methods Databases Pubmed, Scopus, PsycInfo and Cinahl were consulted for clinical controlled trials or randomised controlled trials between 2014 and 2019. Studies were included if they contained a technological intervention and focussed on supporting healthy older adults’ independent living. PRISMA guidelines and the risk of bias tool of the Cochrane Collaboration were applied. Results The search identified 3662 articles of which only 7 made the final analysis. Through narrative analysis, technologies were categorised into three groups: accessible communication, emergency assistance and physical and mental well-being. Patient-centredness was extensively addressed by exploring how the participants engaged in the development and evaluation of the technology and how they were trained and monitored. Conclusions Literature concerning technology to support ageing, based on controlled trials and research performed in authentic home situations, is scarce. Thus, there is a need to investigate the subject in depth. The use of a neurofeedback headband, an accessible computer system, a wristband with pedometer, a biofeedback device and an online video platform can bring added value to ageing in place for healthy older adults. A patient-centred approach for developing, implementing and evaluating technology benefits ageing in place.

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Body image dissatisfaction in patients with inflammatory bowel disease: a systematic review

BMJ Open Gastroenterology ◽

10.1136/bmjgast-2018-000255 ◽

2019 ◽

Vol 6 (1) ◽

pp. e000255 ◽

Cited By ~ 2

Author(s):

Sophie Elizabeth Beese ◽

Isobel Marion Harris ◽

Janine Dretzke ◽

David Moore

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Inflammatory Bowel Disease ◽

Body Image ◽

Narrative Analysis ◽

Bowel Disease ◽

Female Gender ◽

Body Image Dissatisfaction ◽

Inflammatory Bowel

Background and aimsLittle is known about the relationship between inflammatory bowel disease (IBD) and body image. The aim of this systematic review was to summarise the evidence on body image dissatisfaction in patients with IBD across four areas: (1) body image tools, (2) prevalence, (3) factors associated with body image dissatisfaction in IBD and (4) association between IBD and quality of life.MethodsTwo reviewers screened, selected, quality assessed and extracted data from studies in duplicate. EMBASE, MEDLINE, PsycINFO and Cochrane CENTRAL were searched to April 2018. Study design–specific critical appraisal tools were used to assess risk of bias. Narrative analysis was undertaken due to heterogeneity.ResultsFifty-seven studies using a body image tool were included; 31 for prevalence and 16 and 8 for associated factors and association with quality of life, respectively. Studies reported mainly mean or median scores. Evidence suggested female gender, age, fatigue, disease activity and steroid use were associated with increased body image dissatisfaction, which was also associated with decreased quality of life.ConclusionThis is the first systematic review on body image in patients with IBD. The evidence suggests that body image dissatisfaction can negatively impact patients, and certain factors are associated with increased body image dissatisfaction. Greater body image dissatisfaction was also associated with poorer quality of life. However, the methodological and reporting quality of studies was in some cases poor with considerable heterogeneity. Future IBD research should incorporate measurement of body image dissatisfaction using validated tools.

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Maternal Adaptation of Working Mothers with Infants or Toddlers in South Korea: A Systematic Review

10.21203/rs.3.rs-92839/v1 ◽

2020 ◽

Author(s):

Jeong-Ah Ahn ◽

Eun Ha Roh ◽

Tiffany Kim ◽

Jin Hyang Lee ◽

Ju-Eun Song

Keyword(s):

Systematic Review ◽

South Korea ◽

Narrative Analysis ◽

Working Mothers ◽

Psychological Adaptation ◽

Working Mother ◽

Her Family ◽

Familial Support ◽

Maternal Adaptation ◽

The Individual

Abstract Background: The fertility rate in South Korea has been decreasing dramatically, as working women postpone or avoid childbirth due to the challenges of maintaining a career while raising a family. Working mothers with infants or toddlers have unique maternal adaptation needs, which must be understood in order to support their needs during childbearing years. Supporting successful maternal adaptation of working mothers is not only essential for each individual new working mother, but also benefits her family, her workplace, and the country. Methods: A systematic review was conducted to describe the current state of the science on maternal adaptation of working mothers with infants or toddlers in South Korea. Eligible studies, published between 2009 and 2018, were identified by searching electronic databases. Quantitative studies related to the maternal adaptation of Korean working mothers who had a child younger than age 3 years were included. Thirty-eight articles met the inclusion criteria for narrative analysis and synthesis. Results: Studies were classified into four major groups by maternal adaptation categories as psychological, behavioral, relational, and cognitive adaptation. The majority of studies were focused on working mothers’ psychological adaptation (n=37, 97.4%), followed by behavioral (n=11, 28.9%), relational (n=9, 23.7%), and cognitive (n=3, 7.9%) adaptation. We found that the maternal adaptation of working mothers was intimately influenced by diverse variables of their community, spousal and familial support, personal attributes, and job-related characteristics. Conclusions: These findings demonstrate the importance of understanding variable aspects of maternal adaptation of working mothers with infants or toddlers. The complexity of working mothers’ needs at the individual, family, and community levels must be considered in order to develop effective intervention programs and public policy for supporting maternal adaptation in Korea.

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Incidence of injuries and illness and related risk factors in mountain biking events: A systematic review protocol

10.21203/rs.2.20157/v2 ◽

2020 ◽

Author(s):

Kim Buchholtz ◽

Mike Lambert ◽

Theresa Burgess

Keyword(s):

Systematic Review ◽

Systematic Reviews ◽

Narrative Analysis ◽

Meta Analysis ◽

Sports Injury ◽

Cochrane Library ◽

Mountain Biking ◽

True Incidence ◽

Related Risk ◽

The Cochrane Library

Abstract Background Cycling is a popular sport and method of transportation globally but is a significant contributor to sports injury admissions in hospital emergency units. Mountain biking events present additional challenges with remote venues, and isolated courses. Most mountain biking events will provide on-site medical care for both injury and illness occurring during races. These data are essential to understand the true incidence of injury and illness in mountain biking events as national health data may not represent these unique events specifically. Methods This review will follow the preferred reporting items for systematic reviews and meta-analysis (PRISMA) statement. Search engines PubMed, Scopus, SPORTDiscus (EBSCOhost), PEDro and the Cochrane Library will be systematically searched. Gray literature searches of Google Scholar and manual searching of reference lists and congress abstracts from cycling specific congresses will be conducted. Journal articles documenting illness and injury in adults participating in mountain bike cross-country marathon events will be included. A narrative analysis of the types, severity and area of injuries; and illness type and severity will be performed. A quantitative analysis may be performed should there be sufficient studies reported in the same format. Discussion This protocol outlines a systematic review on injury and illness in mountain biking events. Data from hospital records may not adequately represent the burden of injury and illness at events held in remote venues, especially if those treated on site do not require further hospital based treatment. This review will assist with the development of further research in this area, and in preparation of clinicians working in these types of events. Systematic review registration: This protocol has been registered with PROSPERO International prospective register of systematic reviews (No: CRD42019134586).

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Effects of Birthing Room Design on Maternal and Neonate Outcomes: A Systematic Review

HERD Health Environments Research & Design Journal ◽

10.1177/1937586720903689 ◽

2020 ◽

Vol 13 (3) ◽

pp. 198-214

Author(s):

Christina Nilsson ◽

Helle Wijk ◽

Lina Höglund ◽

Helen Sjöblom ◽

Eva Hessman ◽

...

Keyword(s):

Systematic Review ◽

Narrative Analysis ◽

A Priori ◽

Well Being ◽

Healthcare Environment ◽

Emotional Outcomes ◽

Room Design ◽

Published Research ◽

Health And Well Being

Aim: To summarize, categorize, and describe published research on how birthing room design influences maternal and neonate physical and emotional outcomes. Background: The physical healthcare environment has significant effects on health and well-being. Research indicates that birthing environments can impact women during labor and birth. However, summaries of the effects of different environments around birth are scarce. Methods: We conducted a systematic review, searching 10 databases in 2016 and 2017 for published research from their inception dates, on how birthing room design influences maternal and neonate physical and emotional outcomes, using a protocol agreed a priori. The quality of selected studies was assessed, and data were extracted independently by pairs of authors and described in a narrative analysis. Results: In total, 3,373 records were identified and screened by title and abstract; 2,063 were excluded and the full text of 278 assessed for analysis. Another 241 were excluded, leaving 15 articles presenting qualitative and quantitative data from six different countries on four continents. The results of the analysis reveal four prominent physical themes in birthing rooms that positively influence on maternal and neonate physical and emotional outcomes: (1) means of distraction, comfort, and relaxation; (2) raising the birthing room temperature; (3) features of familiarity; and (4) diminishing a technocratic environment. Conclusions: The evidence on how birthing environments affect outcomes of labor and birth is incomplete. There is a crucial need for more research in this field.

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A systematic review of isolated radial artery harvesting as a conduit for lower limb bypass grafting

Vascular ◽

10.1177/1708538118802055 ◽

2018 ◽

Vol 27 (2) ◽

pp. 224-230

Author(s):

Ian Wee ◽

Andrew MTL Choong

Keyword(s):

Systematic Review ◽

Radial Artery ◽

Narrative Analysis ◽

Lower Limb ◽

Case Series ◽

Cochrane Library ◽

Bypass Grafting ◽

Radial Artery Graft ◽

Autologous Vein ◽

Artery Graft

Background Whilst autologous vein conduits have been heralded as the first-line approach for patients undergoing lower limb bypass grafting procedures, patients with peripheral arterial occlusive disease may have exhausted venous options given prior use for cardiac surgery, varicose vein surgery, or lower limb revascularization. Hence, the use of a radial artery graft may serve as a viable alternative. Methods The systematic review was performed in accordance to the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines. An electronic search was performed on the following databases: Medline (via PubMed); EMBASE; Cochrane library to search for relevant publications. A narrative analysis was conducted. Results Four publications were included in this review including two retrospective cohort studies, one case series, and one case report, with a total of 43 patients. The most common indication for lower limb bypass grafting was critical limb ischemia, and the radial artery was chosen as graft conduit, most commonly due to the absence of suitable arm or leg vein. There was one case of 30-day mortality and 11 reinterventions. Conclusion Despite the encouraging results, the paucity of high-quality studies prevents the establishment of any firm conclusion. This warrants the need for appropriately conducted randomized controlled trials to compare the radial artery graft to autologous vein grafts and prosthetic grafts for lower limb bypass grafting.

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Subclinical psychosis in adult migrants and ethnic minorities: systematic review and meta-analysis

BJPsych Open ◽

10.1192/bjo.2018.68 ◽

2018 ◽

Vol 4 (6) ◽

pp. 510-518 ◽

Cited By ~ 7

Author(s):

Andrea Tortelli ◽

Aurélie Nakamura ◽

Federico Suprani ◽

Franck Schürhoff ◽

Judith Van der Waerden ◽

...

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Ethnic Minority ◽

Narrative Analysis ◽

Psychotic Disorders ◽

Variance Estimation ◽

Meta Analysis ◽

Minority Status ◽

Migrant Status ◽

Subclinical Psychosis

BackgroundIt is well established that migration and ethnic minority status are risk factors for psychotic disorders. Recent studies have aimed to determine if they are also associated with subclinical psychosis (psychotic-like experiences and schizotypal traits).AimsWe aimed to determine to what extent migrant and ethnic minority groups are associated with higher risk of subclinical psychosis.MethodWe conducted a systematic review, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement, and examined findings by ethnicity, migrant status, outcomes of subclinical psychosis and host country. A meta-analysis was carried out with robust variance estimation where possible, to handle statistically dependent effect size estimates.ResultsWe included 28 studies (19 studies on psychotic-like experiences and 9 studies on schizotypal traits) and found that ethnicity, but not migrant status, was associated with current and lifetime psychotic-like experiences. In the narrative analysis, we observed the effect of psychosocial risk factors on this association: Black ethnicity groups showed consistent increased prevalence of current and lifetime psychotic-like experiences compared with the reference population across countries.ConclusionsMore generalisable and standardised cohort studies of psychotic-like experiences and schizotypal traits in relation to migration/ethnicity are necessary to examine the effects of exposures and outcomes in different contexts, and to understand the underlying mechanisms of the association between subclinical psychosis and migrant and ethnic minority status.Declaration of interestNone.

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