scholarly journals Conflict-Related Population Health Research in Syria, 2011-2019: An Assessment of Information Gaps, Research Needs and Challenges, for The Lancet - AUB Commission on Syria

2020 ◽  
Author(s):  
Marian Abouzeid ◽  
Manal Elzalabany ◽  
Iman Nuwayhid ◽  
Samer Jabbour
Keyword(s):  
Scoping Review ◽  
The United States ◽  
Research Literature ◽  
Humanitarian Assistance ◽  
Syrian Refugees ◽  
Limited Information ◽  
Health Issues ◽  
Research Papers ◽  
Wide Range ◽  
Operational Activities

Abstract Backgorund. While there has been a growth of research on health and the Syrian conflict, most such research covers Syrian refugees. There is limited information about the scope and focus of research on health and population inside Syria. While there are several systemtic and scoping literarure reviews of health of Syrian refugees, there has not been a sccoping review of research literature on health issues inside Syria. Methods. As part of a broader scoping review covering January 2011 to December 2019, we examined English-language conflict-related research papers that studied health issues inside Syria and focused on Syrians or those permanently resident in Syria. We classified research articles based on the major thematic areas studied. We abstracted bibliometric information, study characteristics, funding statements and reported key limitations and challenges of conducting research. To gain additional insights or data, we examined separately publications reporting field and operational activities as well as personal reflections and narrative accounts of first-hand experiences inside Syria. Results. Of 2,088 papers identified in the scoping review, 708 (34%) exclusively focus on health issues of Syrians inside Syria, of which 350 (49%) are conflict-related with. Of conflict-related publications, 89 (25%) are research papers. Annual volume of research increased over time, from one publication in 2013 to 27 publications in each of 2018 and 2019. Damascus is the most frequently studied governorate (n=33), followed by Aleppo (n=25). Papers used a wide range of research methodologies, primarily quantitative (n=68). The country of institutional affiliation(s) of first and last authors are Syria (n=30, 20 respectively), the United States (n=25, 19 respectively) or the United Kingdom (n=12, 10 respectively). Themes most covered were health status, health system and humanitarian assistance, response or needs (n=38, 32, 26 respectively). Thirty one publications presented field and operational activities and eight publications were reflections or first-hand personal accounts of experiences inside Syria. Authors encountered contextual, methodological and administrative challenges in doing research on health inside Syria. Conclusions. Although it is commonly stated that Syria is among the most documented of recent wars, our analysis shows that a relatively limited number of research studies focused on health or populations inside Syria have been published over the nine years of the conflict. Beyond the need to increase the volume of research, it is important to address the knowledge gaps identified in this review.

scholarly journals Conflict-related health research in Syria, 2011–2019: a scoping review for The Lancet - AUB Commission on Syria

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Marian Abouzeid ◽  
Manal K. Elzalabany ◽  
Iman Nuwayhid ◽  
Samer Jabbour
Keyword(s):  
Health System ◽  
Health Systems ◽  
Scoping Review ◽  
The United States ◽  
Health Issues ◽  
Research Papers ◽  
Research Publications ◽  
Wide Range ◽  
Operational Activities ◽  
Conducting Research

Abstract Background The volume of health-related publications on Syria has increased considerably over the course of the conflict compared with the pre-war period. This increase is largely attributed to commentaries, news reports and editorials rather than research publications. This paper seeks to characterise the conflict-related population and humanitarian health and health systems research focused inside Syria and published over the course of the Syrian conflict. Methods As part of a broader scoping review covering English, Arabic and French literature on health and Syria published from 01 January 2011 to 31 December 2019 and indexed in seven citation databases (PubMed, Medline (OVID), CINAHL Complete, Global Health, EMBASE, Web of Science, Scopus), we analyzed conflict-related research papers focused on health issues inside Syria and on Syrians or residents of Syria. We classified research articles based on the major thematic areas studied. We abstracted bibliometric information, study characteristics, research focus, funding statements and key limitations and challenges of conducting research as described by the study authors. To gain additional insights, we examined, separately, non-research publications reporting field and operational activities as well as personal reflections and narrative accounts of first-hand experiences inside Syria. Results Of 2073 papers identified in the scoping review, 710 (34%) exclusively focus on health issues of Syrians or residents inside Syria, of which 350 (49%) are conflict-related, including 89 (25%) research papers. Annual volume of research increased over time, from one publication in 2013 to 26 publications in 2018 and 29 in 2019. Damascus was the most frequently studied governorate (n = 33), followed by Aleppo (n = 25). Papers used a wide range of research methodologies, predominantly quantitative (n = 68). The country of institutional affiliation(s) of first and last authors are predominantly Syria (n = 30, 21 respectively), the United States (n = 25, 19 respectively) or the United Kingdom (n = 12, 10 respectively). The majority of authors had academic institutional affiliations. The most frequently examined themes were health status, the health system and humanitarian assistance, response or needs (n = 38, 34, 26 respectively). Authors described a range of contextual, methodological and administrative challenges in conducting research on health inside Syria. Thirty-one publications presented field and operational activities and eight publications were reflections or first-hand personal accounts of experiences inside Syria. Conclusions Despite a growing volume of research publications examining population and humanitarian health and health systems issues inside conflict-ravaged Syria, there are considerable geographic and thematic gaps, including limited research on several key pillars of the health system such as governance, financing and medical products; issues such as injury epidemiology and non-communicable disease burden; the situation in the north-east and south of Syria; and besieged areas and populations. Recognising the myriad of complexities of researching active conflict settings, it is essential that research in/on Syria continues, in order to build the evidence base, understand critical health issues, identify knowledge gaps and inform the research agenda to address the needs of the people of Syria following a decade of conflict.

scholarly journals Mapping the study topics and characteristics of HIV pre-exposure prophylaxis research literature: a protocol for a scoping review

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e024212 ◽  
Author(s):  
Emiko Kamitani ◽  
Adebukola H Johnson ◽  
Megan Wichser ◽  
Yuko Mizuno ◽  
Julia B DeLuca ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Scoping Review ◽  
The United States ◽  
Research Literature ◽  
Population Characteristics ◽  
Sexually Transmitted ◽  
Research Areas ◽  
Control And Prevention ◽  
Study Characteristics ◽  
Exposure Prophylaxis

IntroductionThe research literature addressing pre-exposure prophylaxis (PrEP) has increased considerably over the last decade. To better understand the research areas and explore research gaps, we will conduct a scoping review to map study topics and describe study characteristics and populations in publications focused on PrEP. The purpose of this protocol is to describe planned methods for the scoping review.Methods and analysisWe will implement a comprehensive systematic literature search to identify PrEP citations in the United States Centres for Disease Control and Prevention HIV/AIDS Prevention Research Synthesis Project database that is unique and extensively focuses on HIV/sexually transmitted infections/hepatitis. We will screen and include studies that are (1) focused on HIV PrEP, (2) primary research with human participants and (3) published in English. Two reviewers will independently abstract data on authors’ names, study years, countries, population characteristics and design. To describe and summarise study topics, we will use 19 codes and five categories that were developed from a preliminary study. The five categories arecategory 1: potential PrEP user/prescriber(behaviours/issues for potential PrEP takers/healthcare professionals),category 2: considerations while on PrEP(experiences of and problems related to staying on or prescribing PrEP),category 3: PrEP efficacy and safety(biomedical aspects and medication efficacy),category 4: methods of and experiences with PrEP clinical trials(possesses/experiences of clinical trials) andcategory 5: cost-effectiveness or economic evaluation(cost studies). Data will be analysed with descriptive statistics.Ethics and disseminationThe findings will be presented at HIV-related conferences and published in peer-review journals.

scholarly journals Lavender aromatherapy for sleep in hospitalized patients: A scoping review

2021 ◽  
Vol 11 (10) ◽  
pp. 41
Author(s):  
Ani Jacob ◽  
Jane H. White
Keyword(s):  
Scoping Review ◽  
Clinical Evidence ◽  
Randomized Clinical Trials ◽  
The United States ◽  
Hospitalized Patients ◽  
Surgical Patients ◽  
Health And Wellness ◽  
Wide Range ◽  
Sample Characteristics ◽  
Administration Methods

Background and objective: The importance of promoting sleep for hospitalized patients is vital especially because sleep has been shown to promote healing. Complementary and alternative medicine approaches for health and wellness have been widely used in the United States. However, for hospitalized patients, while aromatherapy such as lavender is often used by nurses for comfort and sleep, the evidence for specific dosage and administration methods are unclear, even though its effectiveness has been shown and published.  The purpose of this scoping review is to highlight the significant issues surrounding the evidence to date for lavender aromatherapy’s clinical use for hospitalized patients.Methods: This review utilized the PRISMA steps to identify literature important to the study’s purpose.Results: After the initial search using specific keywords yielded 588 articles, further steps in the process resulted in 8 studies whose purpose was to test the effectiveness of lavender aromatherapy for sleep in hospitalized patients. Three major categories that resulted from the review addressed the clinical evidence limitations associated with lavender’s use for sleep: the wide range of sample characteristics and counties, mixed variables for study purposes, and disparate dosage and administration methods. Most significant for clinical practice was the disparate dosages and methods of lavender aromatherapy administration across the studies reviewed for effectiveness.Conclusion and implications: Nurses should proceed with caution when using lavender aromatherapy for hospitalized patients. This review highlighted the need for nurses to conduct and disseminate findings from randomized clinical trials utilizing hospitalized general medical-surgical patients. Testing dosages and administration methods that have shown to be effective for medical surgical hospitalized patients is warranted.

Development and evaluation of smoke-free or tobacco-free policies in university settings: a systematic scoping review

2020 ◽  
Vol 35 (4) ◽  
pp. 306-351
Author(s):  
M Bardus ◽  
N El Boukhari ◽  
R Nakkash
Keyword(s):  
Research Design ◽  
Scoping Review ◽  
Impact Evaluation ◽  
Quantitative Research ◽  
The United States ◽  
Process Indicators ◽  
Moderating Factors ◽  
Wide Range ◽  
University Settings ◽  
The Impact

Abstract We conducted a systematic scoping review to map the available evidence on smoke-free or tobacco-free (SF/TF) university policies globally. We specifically looked at (i) how policies were developed and communicated and (ii) what indicators were used to evaluate their impact. We searched for peer-reviewed literature, published up to January 2020, across 10 multi-disciplinary databases. We followed a duplicate, independent data selection, and charting process. We inductively categorized the studies according to the research design and objective of ‘process’ and ‘impact evaluation’. We identified 75 unique studies across 23 countries conducted between 1993 and 2019. Most studies were conducted in the United States (46/75, 61.3%), were based on quantitative research design and focused on impact evaluations; a third (n = 28) reported both process and impact evaluations (37.3%). Community engagement and multi-channel communication strategies were mostly used to disseminate SF/TF policies. The impact was determined by a wide range of indicators for knowledge, attitudes and behaviors related to policies. There is a mature, relevant body of literature describing the development and evaluation of SF/TF policies in universities. Future reviews could quantify the impact of the bans and may consider process indicators as moderating factors to explain the potential heterogeneity of results.

scholarly journals International Responses to Human Rights Violations in Myanmar: The Case of the Rohingya

2020 ◽  
Author(s):  
Jatswan S. Sidhu ◽  
Syeeda Naushin Parnini
Keyword(s):  
Human Rights ◽  
Total Population ◽  
The United States ◽  
Humanitarian Assistance ◽  
Human Rights Violations ◽  
Military Government ◽  
The European Union ◽  
Wide Range ◽  
Regional Community ◽  
The Many

While Myanmar is a multi-ethnic and multi-religious country, the Bamar (Burmese) nonetheless comprise almost 70 percent of the country’s total population. Of the many ethnic groups in Myanmar, the Muslim Rohingya, are mainly centered in the Rakhine (Arakan) State, which borders Bangladesh. Although the position of these people as a distinct ethnic group was recognized by the U Nu government (1948-1962), the introduction of the 1982 Citizenship Act by the country’s military government, however, have rendered them stateless. Subject to a wide range of systematic human rights violations by the Myanmar authorities, the Rohingya have often sought refugee in Bangladesh as well as many other countries in the region and beyond. Whilst most like-minded states and international organizations have duly responded to the issue, especially by providing humanitarian assistance and criticizing the Myanmar junta for its treatment of the Rohingya, however, much remains to be done to find a permanent solution to the issue of statelessness of these people. The purpose of this article is therefore to analyze responses from some segments of the international community over the issue of human rights violations on the Rohingya and the resulting exodus of these people from Myanmar. As such, this article will examine responses from Bangladesh, the Association of Southeast Asian Nations (ASEAN) and the regional community, the United States, the European Union (EU), the United Nations (UN) and the Organization of the Islamic Conference (OIC).  

scholarly journals Multimorbidity in the Elderly: A Systematic Bibliometric Analysis of Research Output

2021 ◽  
Vol 19 (1) ◽  
pp. 353
Author(s):  
Xuan Zhou ◽  
Dan Zhang
Keyword(s):  
Research Output ◽  
General Medicine ◽  
The Elderly ◽  
The United States ◽  
Research Literature ◽  
Patient Centered ◽  
Research Papers ◽  
The United Kingdom ◽  
Research Fronts ◽  
Highly Cited

Objective: This study aimed to analyze the progression and trends of multimorbidity in the elderly in China and internationally from a bibliometric perspective, and compare their differences on hotspots and research fronts. Methods: Publications between January 2001 and August 2021 were retrieved from WOS and CNKI databases. Endnote 20 and VOSviewer 1.6.8 were used to summarize bibliometric features, including publication years, journals, and keywords, and the co-occurrence map of countries, institutions, and keywords was drawn. Results: 3857 research papers in English and 664 research papers in Chinese were included in this study. The development trends of multimorbidity in the elderly are fully synchronized in China and other countries. They were divided into germination period, development period, and prosperity period. Research literature in English was found to be mainly focused on public health, and the IF of the literature is high; In China, however, most research papers are in general medicine and geriatrics with fewer core journals. Co-occurrence analysis based on countries and institutions showed that the most productive areas were the United States, Canada, the United Kingdom, and Australia, while the Chinese researchers have made little contribution. The clustering analysis of high-frequency keywords in China and around the globe shows that the hotspots have shifted from individual multimorbidity to group multimorbidity management. Sorting out the top 10 highly cited articles and highly cited authors, Barnett, K’s article published in Lancet in 2012 is regarded as a milestone in the field. Conclusion: Multimorbidity in the elderly leads to more attention in the world. Although China lags behind global research the research fronts from disease-centered to patient-centered, and individual management to population management is consistent.

Music after the Fall

2017 ◽  
Author(s):  
Tim Rutherford-Johnson
Keyword(s):  
New Media ◽  
Contemporary Music ◽  
The United States ◽  
Art Music ◽  
Sound Art ◽  
Musical Composition ◽  
Western Art ◽  
Wide Range ◽  
Definition Of ◽  
The Cold War

By the start of the 21st century many of the foundations of postwar culture had disappeared: Europe had been rebuilt and, as the EU, had become one of the world’s largest economies; the United States’ claim to global dominance was threatened; and the postwar social democratic consensus was being replaced by market-led neoliberalism. Most importantly of all, the Cold War was over, and the World Wide Web had been born. Music After The Fall considers contemporary musical composition against this changed backdrop, placing it in the context of globalization, digitization, and new media. Drawing on theories from the other arts, in particular art and architecture, it expands the definition of Western art music to include forms of composition, experimental music, sound art, and crossover work from across the spectrum, inside and beyond the concert hall. Each chapter considers a wide range of composers, performers, works, and institutions are considered critically to build up a broad and rich picture of the new music ecosystem, from North American string quartets to Lebanese improvisers, from South American electroacoustic studios to pianos in the Australian outback. A new approach to the study of contemporary music is developed that relies less on taxonomies of style and technique, and more on the comparison of different responses to common themes, among them permission, fluidity, excess, and loss.

Death in the City

2017 ◽  
Author(s):  
Kathryn A. Sloan
Keyword(s):  
Scientific Inquiry ◽  
The United States ◽  
Violent Death ◽  
Special Relationship ◽  
Intimate Friend ◽  
Counter Narrative ◽  
Wide Range ◽  
European Heritage ◽  
The City ◽  
The Temple

Popular culture has long conflated Mexico with the macabre. Some persuasive intellectuals argue that Mexicans have a special relationship with death, formed in the crucible of their hybrid Aztec-European heritage. Death is their intimate friend; death is mocked and accepted with irony and fatalistic abandon. The commonplace nature of death desensitizes Mexicans to suffering. Death, simply put, defines Mexico. There must have been historical actors who looked away from human misery, but to essentialize a diverse group of people as possessing a unique death cult delights those who want to see the exotic in Mexico or distinguish that society from its peers. Examining tragic and untimely death—namely self-annihilation—reveals a counter narrative. What could be more chilling than suicide, especially the violent death of the young? What desperation or madness pushed the victim to raise the gun to the temple or slip the noose around the neck? A close examination of a wide range of twentieth-century historical documents proves that Mexicans did not accept death with a cavalier chuckle nor develop a unique death cult, for that matter. Quite the reverse, Mexicans behaved just as their contemporaries did in Austria, France, England, and the United States. They devoted scientific inquiry to the malady and mourned the loss of each life to suicide.

The Politics of Precaution

2012 ◽  
Author(s):  
David Vogel
Keyword(s):  
United States ◽  
Animal Feed ◽  
The United States ◽  
Hazardous Substances ◽  
Risk Regulation ◽  
Scientific Certainty ◽  
European Public ◽  
Wide Range ◽  
Regulatory Controls ◽  
Milk Hormones

This book examines the politics of consumer and environmental risk regulation in the United States and Europe over the last five decades, explaining why America and Europe have often regulated a wide range of similar risks differently. It finds that between 1960 and 1990, American health, safety, and environmental regulations were more stringent, risk averse, comprehensive, and innovative than those adopted in Europe. But since around 1990 global regulatory leadership has shifted to Europe. What explains this striking reversal? This book takes an in-depth, comparative look at European and American policies toward a range of consumer and environmental risks, including vehicle air pollution, ozone depletion, climate change, beef and milk hormones, genetically modified agriculture, antibiotics in animal feed, pesticides, cosmetic safety, and hazardous substances in electronic products. The book traces how concerns over such risks—and pressure on political leaders to do something about them—have risen among the European public but declined among Americans. The book explores how policymakers in Europe have grown supportive of more stringent regulations while those in the United States have become sharply polarized along partisan lines. And as European policymakers have grown more willing to regulate risks on precautionary grounds, increasingly skeptical American policymakers have called for higher levels of scientific certainty before imposing additional regulatory controls on business.

The Use of Digital Clinical Trial Methods in the Evaluation of Digital Therapeutics: A Scoping Review (Preprint)

2019 ◽  
Author(s):  
Allison Hirsch ◽  
Mahip Grewal ◽  
Anthony James Martorell ◽  
Brian Michael Iacoviello
Keyword(s):  
Clinical Trial ◽  
Clinical Trials ◽  
Clinical Research ◽  
Scoping Review ◽  
Digital Technologies ◽  
Good Clinical Practice ◽  
The United States ◽  
Clinical Trial Research ◽  
Digital Methods ◽  
Clinical Trial Methods

BACKGROUND Digital Therapeutics (DTx) provide evidence based therapeutic health interventions that have been clinically validated to deliver therapeutic outcomes, such that the software is the treatment. Digital methodologies are increasingly adopted to conduct clinical trials due to advantages they provide including increases in efficiency and decreases in trial costs. Digital therapeutics are digital by design and can leverage the potential of digital and remote clinical trial methods. OBJECTIVE The principal purpose of this scoping review is to review the literature to determine whether digital technologies are being used in DTx clinical research, which type are being used and whether publications are noting any advantages to their use. As DTx development is an emerging field there are likely gaps in the knowledge base regarding DTx and clinical trials, and the purpose of this review is to illuminate those gaps. A secondary purpose is to consider questions which emerged during the review process including whether fully remote digital clinical research is appropriate for all health conditions and whether digital clinical trial methods are inline with the principles of Good Clinical Practice. METHODS 1,326 records were identified by searching research databases and 1,227 reviewed at the full-article level in order to determine if they were appropriate for inclusion. Confirmation of clinical trial status, use of digital clinical research methods and digital therapeutic status as well as inclusion and exclusion criteria were applied in order to determine relevant articles. Digital methods employed in DTx research were extracted from each article and these data were synthesized in order to determine which digital methods are currently used in clinical trial research. RESULTS After applying our criteria for scoping review inclusion, 11 articles were identified. All articles used at least one form of digital clinical research methodology enabling an element of remote research. The most commonly used digital methods are those related to recruitment, enrollment and the assessment of outcomes. A small number of articles reported using other methods such as online compensation (n = 3), or digital reminders for participants (n = 5). The majority of digital therapeutics clinical research using digital methods is conducted in the United States and increasing number of articles using digital methods are published each year. CONCLUSIONS Digital methods are used in clinical trial research evaluating DTx, though not frequently as evidenced by the low proportion of articles included in this review. Fully remote clinical trial research is not yet the standard, more frequently authors are using partially remote methods. Additionally, there is tremendous variability in the level of detail describing digital methods within the literature. As digital technologies continue to advance and the clinical research DTx literature matures, digital methods which facilitate remote research may be used more frequently.

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