scholarly journals Sexual and Reproductive Health Needs of Women with Polycystic Ovarian Syndrome: A Scoping Review and Narrative Synthesis

2019 ◽  
Author(s):  
Mehri Kalhor ◽  
Eesa Mohammadi ◽  
Shadab Shahali ◽  
Leila Amini ◽  
Lida Moghaddam-Banaem
Keyword(s):  
Reproductive Health ◽  
Health Outcomes ◽  
Scoping Review ◽  
Burden Of Disease ◽  
Polycystic Ovarian Syndrome ◽  
Financial Burden ◽  
Sexual Disorders ◽  
Cochrane Library ◽  
Narrative Synthesis ◽  
Ovarian Syndrome

Abstract Background: Polycystic ovarian syndrome (PCOs) is one of the most common endocrine disorders in women throughout the world affecting their sexual/ reproductive health (SRH). Objective: This scoping review aims to identify SRH needs of women with PCOs Methods: PubMed, SCOPUS, Google Scholar, MEDLINE, Science Direct, Ovid and the Cochrane Library were screened from 2000 to 2019. English or Persian peer reviewed and gray literature sources were included. In the primary search, 52 articles were obtained; and finally by narrative synthesis framework for quality assessment, and data analysis and synthesis 27 articles were analyzed. Results: From the 27 selected articles, 9 main themes were obtained i.e.: Complications and problems affecting patients, Lifelong effect of PCOs on reproductive patterns , PCOs and adverse reproductive and pregnancy outcomes, Information needs and preferences of patients about health outcomes and their application for treatment and management of lifelong health outcomes, Financial burden of disease, The effect of PCOs on life experiences and quality of life of affected women, Sexual disorders, Psychological concerns and issues, Femininity feelings and roles Conclusion: Comparison of the 9 themes developed in this study with SRH needs in women, revealed that some of the issues, such as psychological challenges, patients' femininity feelings and roles and financial burden of disease have been ignored in providing SRH services, and should be taken into consideration.

scholarly journals Effectiveness of Tai Chi for Health Promotion of Older Adults: A Scoping Review of Meta-Analyses

2021 ◽  
pp. 155982762110012
Author(s):  
Fei-Chi Yang ◽  
Aishwarya B. Desai ◽  
Pelareh Esfahani ◽  
Tatiana V. Sokolovskaya ◽  
Doreen J. Bartlett
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Health Outcomes ◽  
Scoping Review ◽  
General Health ◽  
Tai Chi ◽  
Well Being ◽  
Cochrane Library ◽  
Care Providers ◽  
Meta Analyses

Background. Tai Chi is a form of exercise that is accessible to people from different socioeconomic backgrounds, making it a potentially valuable activity for health promotion of older adults. Purpose. The objective of this scoping review was to summarize the current knowledge about the effectiveness of Tai Chi for older adults across a range of general health outcomes from published, peer reviewed, unique meta-analyses. Methods. Meta-analyses were retrieved from Medline, Embase, AMED, CINAHL, SPORTDiscus, PsychINFO, Web of Science, PubMed Health, and the Cochrane Library from database inception to late August 2019. Multistage deduplication and screening processes identified eligible full-length meta-analyses. Two people independently appraised 27 meta-analyses based on the GRADE system and organized results into 3 appendices subsequently collated into heterogeneous, statistically significant, and statistically insignificant tables. Results. “High” and “moderate” quality evidence extracted from these meta-analyses demonstrated that practicing Tai Chi can significantly improve balance, cardiorespiratory fitness, cognition, mobility, proprioception, sleep, and strength; reduce the incidence of falls and nonfatal stroke; and decrease stroke risk factors. Conclusions. Health care providers can now recommend Tai Chi with high level of certainty for health promotion of older adults across a range of general health outcomes for improvement of overall well-being.

scholarly journals Sexual and reproductive health services provided by community pharmacists: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e047034
Author(s):  
Javiera Navarrete ◽  
Nese Yuksel ◽  
Theresa J Schindel ◽  
Christine A Hughes
Keyword(s):  
Reproductive Health ◽  
Scoping Review ◽  
Sexual And Reproductive Health ◽  
Community Pharmacists ◽  
Cochrane Library ◽  
Future Research ◽  
Chlamydia Screening ◽  
Community Pharmacies ◽  
Pharmacy Services ◽  
Reproductive Health Services

ObjectivesPharmacists are increasingly providing patient-focused services in community pharmacies, including in the area of sexual and reproductive health (SRH). Specific SRH areas have been the focus of research, but a broader perspective is needed to position pharmacists as SRH providers. This review explored research that described and evaluated professional pharmacy services across a broad range of SRH areas.DesignScoping reviewData sourcesMedline, EMBASE, CINAHL, Web of Science, Scopus and Cochrane Library (January 2007–July 2020).Study selectionStudies reporting on the description and evaluation of professional pharmacy SRH services provided by community pharmacists.Data extractionTwo investigators screened studies for eligibility, and one investigator extracted the data. Data were analysed to primarily describe professional pharmacy services and intervention outcomes.ResultsForty-one studies were included. The main SRH areas and professional pharmacy services reported were sexually transmitted and bloodborne infections (63%) and screening (39%), respectively. Findings showed that pharmacists’ delivery of SRH services was feasible, able to reach vulnerable and high-risk groups, and interventions were highly accepted and valued by users. However, integration into daily workflow, pharmacist remuneration, cost and reimbursement for patients, and policy regulations were some of the barriers identified to implementing SRH services. Studies were primarily in specific areas such as chlamydia screening or hormonal contraception prescribing, while studies in other areas (ie, medical abortion provision, long-acting reversible contraception prescribing and vaccine delivery in pregnant women) were lacking.ConclusionThis scoping review highlights the expansion of pharmacists’ roles beyond traditional product-focused services in a number of SRH areas. Given the potential feasibility, users’ acceptability and reach, pharmacists are ideally situated to enhance SRH care access. Future research describing implementation and evaluation of professional pharmacy services in all SRH areas is needed to promote access to these services through community pharmacies and position pharmacists as SRH providers worldwide.

scholarly journals Association between melatonin receptor gene polymorphisms and polycystic ovarian syndrome: a systematic review and meta-analysis

2020 ◽  
Vol 40 (6) ◽  
Author(s):  
Shiqi Yi ◽  
Jiawei Xu ◽  
Hao Shi ◽  
Wenbo Li ◽  
Qian Li ◽  
...  
Keyword(s):  
Systematic Review ◽  
Single Nucleotide Polymorphisms ◽  
Polycystic Ovarian Syndrome ◽  
Meta Analysis ◽  
Genetic Models ◽  
Cochrane Library ◽  
Nucleotide Polymorphisms ◽  
Melatonin Receptor ◽  
Single Nucleotide ◽  
Ovarian Syndrome

Abstract Background: Polycystic ovarian syndrome (PCOS) is a kind of common gynecological endocrine disorder. And the mutations of melatonin receptor (MTNR) genes are related to the occurrence of PCOS. But previous researches have shown opposite results. So, the object of our systematic review and meta-analysis is to investigate the relationship between MTNR 1A/B polymorphisms and PCOS. Methods: PubMed, Embase, Ovid, the Cochrane Library, Web of Science and three Chinese databases (VIP, CNKI and Wanfang) were used to retrieve eligible articles published between January 1980 and February 2020. And we used the odds ratio (OR) and its 95% confidence interval (CI) to investigate the strength of the association by six genetic models, allelic, codominant (homozygous and heterozygous), dominant, recessive and superdominant models. Review Manager 5.3, IBM SPSS statistics 25 and Stata MP 16.0 software were used to do this meta-analysis. Results: Our meta-analysis involved 2553 PCOS patients and 3152 controls, for two single nucleotide polymorphisms (rs10830963 C> G in MTNR1B and rs2119882 T> C in MTNR1A) and significant associations were found in some genetic models of these single nucleotide polymorphisms (SNPs). For rs10830963, strongly significant was found in the heterozygote model (GC vs. CC, P=0.02). Additionally, a slight trend was detected in the allelic (G vs. C), homozygote (GG vs. CC) and dominant (GG+GC vs. CC) model of rs10830963 (P=0.05). And after further sensitivity analysis, a study with high heterogeneity was removed. In the allelic (P=0.000), homozygote (P=0.001), dominant (P=0.000) and recessive (GG vs. GC+CC, P=0.001) model, strong associations between rs10830963 and PCOS were found. Moreover, for rs2119882, five genetic models, allelic (C vs. T, P=0.000), codominant (the homozygote (CC vs. TT, P=0.000) and heterozygote model (CT vs. TT, P=0.02), dominant (CC + CT vs. TT, P=0.03) and recessive model (CC vs. CT + TT, P=0.000) showed significant statistical associations with PCOS. Conclusion: MTNR1B rs10830963 and MTNR1B rs2119882 polymorphisms are associated with PCOS risk. However, the above conclusions still require being confirmed by much larger multi-ethnic studies.

scholarly journals What consultation resources are available to support delivery of integrated sexual and reproductive health services? A scoping review

2019 ◽  
Vol 46 (2) ◽  
pp. 88-99
Author(s):  
Susan Walker ◽  
Hilary Piercy ◽  
Katie Shearn ◽  
Faye Acton
Keyword(s):  
Reproductive Health ◽  
Sexual Health ◽  
Scoping Review ◽  
Sexual And Reproductive Health ◽  
Cochrane Library ◽  
Reproductive Health Services ◽  
Eligibility Criteria ◽  
Primary Focus ◽  
The Uk ◽  
Reproductive Healthcare

BackgroundContraceptive and sexual healthcare is increasingly delivered in an integrated setting in the UK and worldwide, requiring staff to be competent in differing styles of delivery, and to have a wide knowledge base.ObjectivesWe did a scoping review of the literature for evidence of the resources that exist for healthcare professionals to guide or structure the process of conducting an integrated sexual and reproductive health (SRH) consultation.Eligibility criteriaArticles were included in the review if (1) their primary focus was a consultation resource related to one or more aspects of an SRH consultation and (2) they provided details of the resource and/or its application including evaluation of use.Sources of evidencePeer-reviewed articles published in English, published non-peer-reviewed guides, and web-based guidelines addressing the conduct of a contraception or sexual health consultation were included. Date range: 1998–December 2018. Searches were carried out in the databases AMED (Ovid), ASSIA (ProQuest), CINAHL Complete (EBSCO), Cochrane Library (Wiley), HMIC (NHS Evidence), Medline (EBSCO), PsycINFO (Proquest) and Scopus (Elsevier) on 10 February 2017, and incremental searching performed until December 2018.ResultsA total of 12 peer-reviewed journal articles, two web-published guidelines from the Faculty of Sexual & Reproductive Healthcare and three published, non-peer-reviewed resources were included.ConclusionMany resources exist to guide either the contraceptive or sexual health consultations, but there is a lack of a comprehensive consultation resource to guide the conduct of an integrated consultation.

scholarly journals How Healthcare Organizations Are Facilitating Access to Fruits and Vegetables in Their Patient Populations: A Systematic Scoping Review

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1358-1358
Author(s):  
Susan Veldheer ◽  
Christina Scartozzi ◽  
Amy Knehans ◽  
Tamara Oser ◽  
Natasha Sood ◽  
...  
Keyword(s):  
Data Collection ◽  
Health Outcomes ◽  
Selection Bias ◽  
Scoping Review ◽  
Fruits And Vegetables ◽  
Cochrane Library ◽  
Study Quality ◽  
Healthcare Organizations ◽  
Objective Health ◽  
The Impact

Abstract Objectives There is compelling evidence that diet can prevent chronic disease, and with rising health care costs, healthcare organizations are attempting to identify new clinical interventions that can improve the diets of their patients. The purpose of this systematic scoping review was to understand what clinical strategies healthcare organizations are using to increase access to fruits and vegetables (F&V) for their patient populations. In addition, we aimed to review the impact on health outcomes. Methods Titles and abstracts were searched in PubMed® (MEDLINE®), Embase®, CINAHL®, and the Cochrane Library® from January 1, 1990 to December 31, 2019. Original studies must have included a healthcare organization and had a programmatic focus on increasing access to or providing fresh F&V to patients in an outpatient, naturalistic setting. The Effective Public Health Project tool was used to assess study quality in 6 domains (selection bias, study design, confounders, blinding, data collection methods, and withdrawals and dropouts). Two reviewers independently verified included studies, study quality, and data extraction. Results A total of 8877 abstracts were screened which yielded 46 manuscripts from 30 studies. There were 6 program models identified including: 1) cash-back rebate programs, 2) prescription voucher programs, 3) garden-based programs, 4) subsidized food boxes/community supported agriculture (CSA) programs, 5) home-delivery meal programs, and 6) collaborative food pantry-clinical programs. Only 6/30 studies included a control group. The overall quality of the studies was weak due to study participant selection bias, and incomplete reporting on tools used for data collection, confounders, and dropouts. Generally, studies that measured dietary intake found some improvements after these interventions. Other objective health markers such as blood pressure and body mass index had mixed results. Conclusions Healthcare-based models currently being tested that provide patients with access to F&V are novel and appear to have promise. However, future studies will need to use rigorous study designs, validated data collection tools and more sophisticated data analysis methodologies to better determine the effect of these interventions on health outcomes. Funding Sources This study was funded with internal fund to RW and SV.

scholarly journals The Role of Chronic Inflammation in Polycystic Ovarian Syndrome—A Systematic Review and Meta-Analysis

2021 ◽  
Vol 22 (5) ◽  
pp. 2734
Author(s):  
Shaimaa Aboeldalyl ◽  
Cathryn James ◽  
Emaduldin Seyam ◽  
Emad Moussa Ibrahim ◽  
Hossam El-Din Shawki ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Inflammation ◽  
Polycystic Ovarian Syndrome ◽  
Meta Analysis ◽  
Pooled Analysis ◽  
Cochrane Library ◽  
Low Grade ◽  
Obese Women ◽  
Inflammatory Status ◽  
Ovarian Syndrome

Although the current literature associates polycystic ovarian syndrome (PCOS) with chronic inflammation, the evidence for this link remains inconclusive and its causal nature remains unclear. The purpose of this systematic review was to assess the inflammatory status in PCOS women and to determine whether it is related to PCOS or to its associated adiposity. We searched electronic databases including PUBMED, EMBASE and MEDLINE, SCOPUS, DynaMed plus, TRIP, ScienceDirect and Cochrane Library, for studies investigating C-reactive protein (CRP) and other inflammatory makers in PCOS women versus healthy controls. Quality and risk of bias for selected studies were assessed using the modified Newcastle–Ottawa scale. CRP data were extracted and pooled using RevMan for calculation of the standardized mean difference (SMD) and 95% confidence interval (CI). Eighty-five eligible studies were included in the systematic review, of which 63 were included in the meta-analysis. Pooled analysis of the 63 studies revealed significantly higher circulating CRP in PCOS women (n = 4086) versus controls (n = 3120) (SMD 1.26, 95%CI, 0.99, 1.53). Sensitivity meta-analysis of 35 high quality studies including non-obese women showed significantly higher circulating CRP in PCOS women versus controls (SMD 1.80, 95%CI, 1.36, 2.25). In conclusion, circulating CRP is moderately elevated in PCOS women independent of obesity, which is indicative of low-grade chronic inflammation.

scholarly journals Differences in Reproductive Health Issues in Adolescent Females With Polycystic Ovarian Syndrome Compared to Controls

2017 ◽  
Vol 30 (2) ◽  
pp. 330-331
Author(s):  
Sharyn Malcolm ◽  
Lisa Tuchman ◽  
Yao Iris Cheng ◽  
Jichuan Wang ◽  
Veronica Gomez-Lobo
Keyword(s):  
Reproductive Health ◽  
Polycystic Ovarian Syndrome ◽  
Adolescent Females ◽  
Health Issues ◽  
Ovarian Syndrome

Effect of Early Menarche on Reproductive Health: A Scoping Review

2020 ◽  
Author(s):  
Hanny Wulandari ◽  
◽  
Dwi Ernawati ◽  
Keyword(s):  
Reproductive Health ◽  
Health Outcomes ◽  
Scoping Review ◽  
Full Text ◽  
Sexual And Reproductive Health ◽  
Well Being ◽  
Unprotected Sex ◽  
Age At Menarche ◽  
Inclusion Criteria ◽  
Early Menarche

Background: Teenagers aged 15-19 encounter a disproportionate burden of adverse sexual and reproductive health outcomes, especially in low- and middle-income countries. The urgent ongoing efforts are needed to lead healthy, safe, and productive lives of teenage girls. This scoping review aimed to identify the association of early menarche with negative sexual and reproductive health outcomes. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included PubMed, EBSCO, and Wiley databases. The keywords were “effect” OR “outcomes” AND “menarche” OR “menstruation” OR “menstrua” OR “menses” OR “early menarche” AND “reproductive health” OR “sexual reproducti” AND “sexual behavior” OR “sexual debut” OR “sexual partners” OR “unsafe sex” OR “unprotected sex”. The inclusion criteria were English-language and full-text articles published between 2009 and 2019. A total of 116 full text articles was obtained. After the review process, nine articles were eligible. The data were reported by the PRISMA flow chart. Results: Four articles from developing countries (Nigeria, Malawi, Philippine) and five articles from developed countries (France, United States of America, England, Australia) met the inclusion criteria with cross-sectional and cohort design studies. The existing literature showed that early menarche was associated with sexual and reproductive health (early sexual initiation, low use of contraception), sexually transmitted diseases (genital herpes, HIV), and other factors (income, education level, sexual desire). Conclusion: Early age at menarche may contribute to the increase vulnerability of girls into negative sexual and reproductive health outcomes. Quality comprehensive sexual education may improve the sexual and reproductive health and well-being of adolescents. Keywords: early menarche, reproductive health, adolescent females Correspondence: Hanny Wulandari. Universitas Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi Nogotirto, Gamping, Sleman, Yogyakarta 55592. Email: [email protected]. Mobile: +6281249747223. DOI: https://doi.org/10.26911/the7thicph.02.26

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