scholarly journals Decodificando a síntese da evidência: conceitos

2016 ◽  
Vol 15 (3) ◽  
pp. 336
Author(s):  
João Luis Alves Apóstolo ◽  
Dalmo Valério Machado De Lima

A  stage  considered  essential  to  the  implementation  of  the  practice informed  by  evidence  is  called  the  synthesis  of  evidence.  However,  its design  and implementation  is  still  far  from  researchers,  educational  institutions  and  research professionals,  etc.  In  order  to  facilitate  the  understanding  of  readers  on  the  subject, concatenating concepts and practice, are detailed below as the spring and summer OBJN editorials.  One  of  the  most  accepted  ways  to  develop  the  synthesis of  science  is  the systematic  review  of  the  literature  (SLR).  The  explicit,  systematic  and  reproducible methods  used  in  the  SLR  aim  to  minimize  different  types  of  bias,  including  critical evaluation of the quality of the studies that meet the inclusion criteria of the review in question.  When  the  evidence  produced  generates  recommendations  for  practice  and policy, the inclusion of low-quality evidence at high risk of bias is problematic.

2013 ◽  
Vol 41 (02) ◽  
pp. 231-252 ◽  
Author(s):  
Johannah L. Shergis ◽  
Anthony L. Zhang ◽  
Wenyu Zhou ◽  
Charlie C. Xue

Panax ginseng is one of the most frequently used herbs in the world. Numerous trials have evaluated its clinical benefits. However, the quality of these studies has not been comprehensively and systematically assessed. We reviewed randomized controlled trials (RCTs) of Panax ginseng to evaluate their quality and risk of bias. We searched four English databases, without publication date restriction. Two reviewers extracted details about the studies' methodological quality, guided by the Consolidated Standards of Reporting Trials (CONSORT) checklist and its extension for herbal interventions. Risk of bias was determined using the Cochrane Risk of Bias tool. Of 475 potentially relevant studies, 58 met our inclusion criteria. In these 58 studies, 48.3% of the suggested CONSORT checklist items and 35.9% of the extended herbal items were reported. The quality of RCTs published after the CONSORT checklist improved. Until 1995 (before CONSORT) (n = 4), 32.8% of the items were reported in studies. From 1996–2006 (CONSORT published and revised) (n = 30), 46.1% were reported, and from 2007 (n = 24), 53.5% were reported (p = 0.005). After the CONSORT extension for herbal interventions was published in 2006, RCT quality also improved, although not significantly. Until 2005 (n = 34), 35.2% of the extended herbal items were reported in studies; and from 2006 onwards (n = 24), 37.3% were reported (p = 0.64). Most studies classified risk of bias as "unclear". Overall, the quality of Panax ginseng RCT methodology has improved since the CONSORT checklist was introduced. However, more can be done to improve the methodological quality of, and reporting in, RCTs.


Cancers ◽  
2021 ◽  
Vol 13 (15) ◽  
pp. 3792
Author(s):  
Marco Stefano Demarchi ◽  
Barbara Seeliger ◽  
Jean-Christophe Lifante ◽  
Pier Francesco Alesina ◽  
Frédéric Triponez

Background: Hypoparathyroidism is one of the most frequent complications of thyroid surgery, especially when associated with lymph node dissection in cases of thyroid cancer. Fluorescence-guided surgery is an emerging tool that appears to help reduce the rate of this complication. The present review aims to highlight the utility of fluorescence imaging in preserving parathyroid glands during thyroid cancer surgery. Methods: We performed a systematic review of the literature according to PRISMA guidelines to identify published studies on fluorescence-guided thyroid surgery with a particular focus on thyroid cancer. Articles were selected and analyzed per indication and type of surgery, autofluorescence or exogenous dye usage, and outcomes. The Methodological Index for Non-Randomized Studies (MINORS) was used to assess the methodological quality of the included articles. Results: Twenty-five studies met the inclusion criteria, with three studies exclusively assessing patients with thyroid cancer. The remaining studies assessed mixed cohorts with thyroid cancer and other thyroid or parathyroid diseases. The majority of the papers support the potential benefit of fluorescence imaging in preserving parathyroid glands in thyroid surgery. Conclusions: Fluorescence-guided surgery is useful in the prevention of post-thyroidectomy hypoparathyroidism via enhanced early identification, visualization, and preservation of the parathyroid glands. These aspects are notably beneficial in cases of associated lymphadenectomy for thyroid cancer.


2021 ◽  
Author(s):  
Marieta Gómez Montero ◽  
Gabriela Gómez Gómez1 ◽  
Luisa López-Sarasty ◽  
Valentina Moncada Cortes ◽  
Francisco Palencia-Sánchez

Objective: The purpose of this review is to collect and synthesize the information available about the strategies and recommendations established around the world, to guarantee the reopening of educational institutions, in a safe manner, in the context of the COVID-19 pandemic. In addition, it seeks to propose evidence-based recommendations, which allow the safe reopening of educational institutions in Colombia. Methods: A systematic review of the literature was carried out in databases such as Embase, Scopus, and Web of Science, as well as research in grey literature, social media, Google, and Google Scholar. In order to do this, a search equation was proposed, and subsequently, 19 articles were chosen, which met the determined inclusion criteria. Results: According to the analyzed literature, the recommendations come to light in order to guarantee a safe return. Conclusions: The COVID-19 pandemic, has caused an impact in all spheres of society, being the education, one of the most affected, because it has had a negative impact on the development of cognitive and social abilities, in particular, in the new generations, as a result of social distancing and the change of modality to remote and/or virtual education. For this reason, it is considered a priority the reopening educational institutions, in a safe manner, considering the evidence-based recommendations.


Author(s):  
Suryakanthi Tangirala ◽  
Samuel Nlondiwa

Mobile money is an electronic wallet service that allows users to store, send and receive money using their mobile phone. This research is an effort to find out the adoption and utilization of mobile money services in small sized enterprises located in Gaborone, Botswana. Inevitably, other aspects such as different types of transactions carried out using mobile money services in small business, customer’s perception on quality of mobile money service providers, impeding factors of mobile money adoption are also studied for wider understanding of the subject. The findings of the study show that small enterprises use mobile money services to carryout transactions but the level of adoption is not significant. The study revealed that transactional costs and connectivity issues are major barriers of adoption of mobile money services. In conclusion the study recommended that the service providers must improve the connectivity issues and reduce transaction charges in order to increase the utilization of mobile money services


Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 80
Author(s):  
Jéssica José ◽  
Biljana Cvetkovski ◽  
Vicky Kritikos ◽  
Rachel Tan ◽  
Sinthia Bosnic-Anticevich ◽  
...  

Pharmacists have a valuable role in the management of allergic rhinitis (AR) at the community pharmacy level. This role has been reported extensively in numerous papers. However, a systematic review of the available literature and a comprehensive analysis of the outcomes has not been published. This systematic review aimed to evaluate the impact of interventions developed by pharmacists on clinical AR outcomes. A thorough search was performed in three electronic databases, including studies published between January 2000 and June 2019. After the selection process, only three articles met the inclusion criteria and were further analysed. Despite the scarcity of the available studies, in all of them was clear that the pharmacist plays a pivotal role in the management of AR, significantly improving the patients’ quality of life and symptom control. This systematic review also stresses the utmost importance to investigate and report practices and interventions developed by pharmacists using measurable outcomes.


2020 ◽  
Vol 35 ◽  
pp. 01013
Author(s):  
Natalia A. Safonova

Vocational education of a modern person is a comprehensive acquisition of knowledge not only in the field of a future specialty but also in the field of anti-corruption norms and rules that extend their effect to the field of activity of a future engineer. The requirements for the level and quality of modern vocational education determine the objectives of modern vocational education in professional educational institutions of higher education. The effective use in the educational process of the achievements of modern digital technologies in the study of non-core disciplines is a prerequisite for the formation of a professionally-oriented personality, with a high level of anti-corruption legal consciousness. The subject of the study was the capabilities of modern technical means for transmitting the studied information of anti-corruption content to the student, the prospects for the development of their use in studying the provisions of the legislation on anti-corruption regulation in the Russian Federation. The method of this study was – the analysis of the modern digital environment of the educational process.


2019 ◽  
pp. 226-235
Author(s):  
Владислав Иванович Пшибышевский

Предмет «Закон Божий» являлся один из самых главных предметов в низших и средних учебных заведениях Российской империи на протяжении двух веков. Под влиянием предмета, дающего знания о Боге, предмета важного не только в образовательном, но и в воспитательном значении, выросло не одно поколение православного населения России. Изучение этого предмета было обязательным для всех детей, принявших Святое Крещение в Православной Церкви. Закону Божию обучали и на дому, но главным местом, где ребёнок мог впитать религиозные знания, была школа. Преподавали Закон Божий в основном священники, а должность их называлась «законоучитель». Законоучитель наравне с другими преподавателями пользовался всеми правами государственной службы. К концу XIX века появились проблемы, связанные с процессом преподавания Закона Божия, в отношении предмета учебные программы устарели, в отношении законоучителей появлялись, в силу определённых обстоятельств, неоднократные случаи нерадивого отношения к своему делу, в отношении самих учащихся было зафиксировано большое количество случаев активных выступлений против изучения Закона Божия. Все вышеперечисленные проблемы пытались решить в свете церковных реформ начала прошлого столетия. Данная статья посвящена вопросу преподавания Закона Божия в работе Высочайше учреждённого Предсоборного Присутствия. В исследовании рассмотрено место предмета «Закон Божий» в заседаниях данного органа, заинтересованность им членами Присутствия, предложения по улучшению качества преподавания столь важного предмета и его сохранению в списке обязательных предметов в учебных заведениях Российской империи. The subject of the Law of God was one of the most important subjects in the lower and secondary schools of the Russian Empire for two centuries. It was a subject which gave knowledge of God, a subject important not only in its educational, but also in its educational meaning, and under the influence of which several generations of the Orthodox population of Russia grew up. The study of this subject was obligatory for all children who received holy Baptism in the Orthodox Church. The Law of God was also taught at home, but the main place where a child could absorb religious knowledge was in school. The Law of God was taught mainly by priests, and their post was called a teacher of the law. The teacher of the law enjoyed all the rights of public service on an equal footing with other teachers. By the end of the 19th century, problems associated with the process of teaching the Law of God had appeared, the syllabus for the subject was out of date, there were repeated cases of negligence on the part of the teachers, and there were many cases of active protests against the teaching of God's Law by the students themselves. All the above-mentioned problems tried to be solved in the light of the church reforms of the beginning of the last century. This article is devoted to the question of teaching God's Law in the work of the Presidium of the Most High Council. The research examines the place of God's Law subject at the meetings of this body, the interest of the Presence members in it, the suggestions to improve the quality of teaching such an important subject and its preservation in the list of obligatory subjects in the educational institutions of the Russian Empire.


E-Management ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 60-77 ◽  
Author(s):  
P. I. Ogorodnikov ◽  
A. B. Tasmaganbetov ◽  
A. P. Tyapukhin

Currently, a significant number of definitions of terms of different types of economy, including the term «new economy», has been developed, and the content of these definitions is often duplicated or not specific. Vertical and horizontal interrelations of these terms are not often expressed clearly, which reduces the quality of scientific researches in the field of economics and management. The subject of the study is the typology of the term “new economy” and related terms. The purpose of the study is clarification and addition of the typology of the term “new economy” and related terms, as well as to develop their adequate definitions. The hypothesis of the study is based on the fact, that the definitions of the studied terms include duplicate components and classification features or do not contain the necessary components and classification features. Therefore, these definitions can be refined and supplemented on the basis of terminological analysis. Logical-structural methods have been chosen as research methods: terminological analysis, grouping, typology and classification. The major components and classification features of definitions of different types of the economics have been revealed and grouped in the article. Classification features and their combinations have been substantiated. Options for the classifications of different types of economics have been developed and their structure has been justified. The basic and refined definitions of different types of economics have been proposed. The scientific contribution has been provided by the correct choice and use of the empirical base, application of adequate research methods, the substantiation of the author’s typology of terms of different types of economics, allowing to obtain their unambiguous definitions.The results of the study allow to adjust a number of provisions of the economics theory, ensuring the improvement of its terminological apparatus and structure.


Author(s):  

Objective: To understand the availability and use of integrative and complementary practices by the SUS; as well as to evaluate two of the various therapy options, chromotherapy and aromatherapy, in relation to their effectiveness and benefits for patients. Method: This is an integrative review of the literature available in the PUBMED and SciELO database, using the descriptors: “Aromatherapy”, “Chromotherapy” and “Alternative Therapy”, duly registered in MeSH/DeCS, using the boolean operator AND. Twenty-nine articles were found, 25 evaluated and, at the end, 11 selected to compose this review. The inclusion criteria were: complete articles, available free of charge, published in English, from 2012 to 2020. Results: The inclusion of integrative and complementary practices (ICPs) in the Sistema Único de Saúde (SUS) was through the Política Nacional de Práticas Integrativas e Complementares (PNPIC), supported through the Portaria GM/ MS no 971, on May 3, 2006. Brazil is the country characterized as a world reference in the field of ICPs in basic attention. Conclusion: However, several cases of use of chromotherapy and aromatherapy as alternative therapies to promote patient’s health, relieve pain and, among other unique symptoms in each case, were evaluated, and the therapies used proved their efficacy and safety for patients, as well as improved the quality of life of these people.


Author(s):  
Mudappala Pranav Nair ◽  
Justin Paul ◽  
Arun Babu ◽  
Manoj Singh

Examination process is an important activity for educational institutions to assess student performance. Thus the nature of the exam questions would determine the quality of the students produced by the institutions. Preparing the exam questions is very challenging, tedious and time consuming for the instructors. Thus with the help of this paper we present the solution in form of Online Question Paper and Question Bank Generator and Student Portal which makes use of Randomization technique. The design process performs the scrutiny and composes the examination paper using an efficient algorithm with a high rate of success. With this algorithm, the faculty needs to specify the subject, the question type and the difficulty level. From the entered input, the examination paper and question bank will be generated automatically. The editing of questions is performed using question edit options and the final paper/question bank will be stored as “.pdf” file formats and sent to the examination team for exam purposes. Students can also access the system for competitive examination purposes.The system shows characteristics like simple operation, a great interface, good usability, immense security, and high stability, reliability and easy to use.


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