USING THE SIMULATED PATIENT METHODOLOGY TO ASSESS THE QUALITY OF COUNSELLING IN GERMAN COMMUNITY PHARMACIES: A SYSTEMATIC REVIEW FROM 2005 TO 2018

Author(s):  
CHRISTIAN KUNOW ◽  
BERNHARD LANGER

The simulated patient methodology (SPM) is a form of participatory observation and can be used to assess the quality of counselling. The aim is to review those papers reporting the use of the SPM in German community pharmacies (CPs) from the beginning of 2005 to the end of 2018. The reporting items in the study were derived from the PRISMA Statement. We conducted a systematic search in the GVK-Plus, Embase, Web of Science, PubMed and Google Scholar databases. Additional sources included the personal literature collection of 1 of the reviewers and the reference lists from international systematic reviews and potentially relevant papers. The quality of the papers included was evaluated using the AXIS tool. A total of 5 papers were included. The SPM that was used varied greatly in the papers. The quality of counselling was assessed in the papers as being rather poor. The quality of the papers differed for specific assessment criteria. Only an extremely small number of papers could be included, in contrast to other countries. The papers for Germany demonstrate that there is a considerable need for improvement in the quality of counselling in CPs. Also, the deficits identified here for the application of the SPM should be avoided in future papers. It must also be recommended that the SPM be reported in future papers using uniform reporting standards, which are yet to be developed, to ensure better comparability.

Retos ◽  
2018 ◽  
pp. 247-251
Author(s):  
Jose Antonio Rodríguez-Gandullo ◽  
Francisco Álvarez-Barbosa

El objetivo del estudio fue investigar los efectos de un entrenamiento de fuerza más una suplementación adicional sobre deportistas adultos no profesionales y vegetarianos. Una revisión sistemática de las bases de datos MEDLINE (PubMed), Scopus, SportDiscus y WOS (Web of Science) fue realizada siguiendo el modelo PICO, utilizando términos que representasen a personas vegetarianas de entre 18 y 64 años que hubiesen realizado una intervención basada en un entrenamiento de fuerza más suplementación. Siguiendo el procedimiento PRISMA, de los 62 estudios encontrados tan solo 3 cumplieron todos los criterios por lo que fueron analizados en su totalidad para poder ser incluidos en la revisión. La calidad metodológica de los estudios se evaluó mediante la escala PEDro. El estudio de Shomrat et al. (2000) la suplementación con creatina provocó un incremento de la masa corporal y potencia media. El estudio de Burke et al. (2003) obtuvo con la suplementación de creatina incrementos en la fosfocreatina (PCr), creatina total (TCr), fuerza, fibras musculares de tipo II y tejido magro, siendo estos cambios más significativos en las personas vegetarianas. Por último, en el estudio de Burke et al. (2008), el factor de crecimiento insulínico de tipo 1 (IGF-1) se incrementó en un 67%, con mayor acumulación en el grupo que fue suplementado con creatina. A raíz de estos resultados se puede concluir que la suplementación con creatina puede provocar efectos positivos en el rendimiento de los deportistas vegetarianos, ya que puede cubrir ciertas carencias derivadas de la dieta vegetariana.Abstract: The aim of the study was to investigate the effects of strength training plus additional supplementation on non-professional adult athletes who are vegetarian. A systematic review of MEDLINE (PubMed), Scopus, SportDiscus, and WOS (Web of Science) databases was performed following the PICO model, using terms related to vegetarians aged between 18 and 64 years who realized an intervention based on strength training and supplementation. Following the PRISMA statement, of the 62 studies found only 3 met all the inclusion criteria and were analyzed entirely to be included in the review. The methodological quality of the studies was performed using the PEDro scale. The study of Shomrat et al. (2000) with creatine supplementation resulted in an increase in body mass and power. The study of Burke et al. (2003), based on creatine supplementation, obtained an increase of phosphocreatine (PCr), total creatine (TCr), strength, type II muscle fibers, and lean tissue. These changes were significant in vegetarians. Finally, in a study of Burke et al. (2008), insulin-like growth factor-1 (IGF-1) increased by 67%, with higher accumulation in the group that was supplemented with creatine. As a consequence of these results we can conclude that creatine supplementation could have positive effects on the performance of vegetarians due to the fact that it could cover certain shortcomings derived from the vegetarian diet.


Retos ◽  
2017 ◽  
pp. 208-213
Author(s):  
Alejandro Martínez-Rodríguez ◽  
Jaime Mira-Alcaraz ◽  
Bernardo J. Cuestas-Calero ◽  
José Antonio Pérez-Turpín ◽  
Pedro E. Alcaraz

El voleibol femenino se práctica en todo el mundo a nivel profesional y amateur. Los saltos verticales son una parte fundamental para el desarrollo de este deporte, por lo que el entrenamiento pliométrico puede ser eficaz para un aumento del rendimiento. El propósito de estudio fue describir cuáles han sido los métodos y programas de entrenamiento pliométrico en mujeres que practican voleibol, así como el resultado obtenido en función de estos. El proceso de búsqueda en las bases de datos se llevó a cabo desde Marzo hasta Junio de 2016. Las bases de datos consultadas fueron Pubmed, Web of Science, Cochrane y SPORTDiscus. La revisión sistemática fue realizada bajo las recomendaciones de la declaración PRISMA. La calidad metodológica de los estudios fue evaluada mediante la Escala PEDro. Como resultado, se obtuvieron un total de 205 artículos tras eliminar aquellos que estaban por duplicado. Finalmente 7 artículos fueron seleccionados. Los resultados principales fueron que aquellos estudios que utilizan deportistas amateurs obtienen mejores resultados que los realizados con deportistas profesionales cuando se realizan programas de entrenamiento pliométrico. También se indica que un período de entrenamiento pliométrico de baja intensidad puede prevenir una disminución en la altura del salto vertical; así como es necesario programar la pretemporada para evitar pérdida en la capacidad de salto. Todo ello parece indicar, como conclusión, que es necesario una disminución del volumen y un aumento de la intensidad en el entrenamiento pliométrico.Abstract. Female volleyball is practiced all over the world at a professional and amateur level. Vertical jumps are a fundamental part of the development of this sport. In this sense, plyometric training can be effective for increased performance. The purpose of the study was to describe the methods and programs of plyometric training in women volleyball players, as well as the results obtained from them. The following electronic databases were searched March to June 2016. Electronic databases consulted were Pubmed, Web of Science, Cochrane and SPORTDiscus. This systematic review was performed following PRISMA statement. PEDro scale was used to evaluated the methodological quality of the included studies. As total of 205 articles were obtained after remove duplicates. Finally 7 articles were selected. The main results were that those studies using amateur athletes obtain better results than those performed with professional athletes when performing plyometric training programs. It is also indicated that a period of low intensity plyometric training could prevent a decrease in vertical jump height; As well as it is necessary to schedule the preseason to avoid loss in the ability to jump. All this seems to indicate, in conclusion, that a decrease in volume and an increase in intensity in the training of plyometric training is necessary.


Author(s):  
Pablo Campos-Garzón ◽  
Javier Sevil-Serrano ◽  
Yaira Barranco-Ruíz ◽  
Palma Chillón

There are no systematic reviews that have identified the existing studies assessing active commuting physical activity (PA) to and from (to/from) school using objective measures, as well as the contribution of both walking and cycling to/from school to PA levels. To fill this gap in the literature, this systematic review will aim (a) to identify existing studies that assess active commuting PA to/from school with objective measures in young people and to examine the contribution of walking and cycling to/from school to PA levels, and (b) to propose an appropriate methodology and practical considerations to assess active commuting PA to/from school based on the studies identified. The review protocol was registered in PROSPERO (CRD42020162004). We will conduct a systematic search up to 2020 in five databases: PubMed, Web of Science, SPORTdiscuss, Cochrane Library, and National Transportation Library. Both the risk of bias and the quality of the identified studies will be evaluated through different instruments according to the design of each study. This systematic review will help to choose the most appropriate objective measures to assess active commuting PA to/from school and to promote walking and cycling to/from school to increase PA levels.


2021 ◽  
Author(s):  
Zahra Sharifiheris ◽  
Juho Laitala ◽  
Antti Airola ◽  
Amir M Rahmani ◽  
Miriam Bender

BACKGROUND Preterm birth (PTB) as a common pregnancy complication is responsible for 35% of the 3.1 million pregnancy-related deaths each year and significantly impacts around 15 million children annually across the world. Conventional approaches to predict PTB may neither be applicable for first-time mothers nor possess reliable predictive power. Recently, machine learning (ML) models have shown the potential as an appropriate complementary approach for PTB prediction. OBJECTIVE In this article we systematically reviewed the literature concerned with PTB prediction using ML modeling. METHODS This systematic review was conducted in accordance with the PRISMA statement. A comprehensive search was performed in seven bibliographic databases up until 15 May 2021. The quality of studies was assessed, and the descriptive information including socio-demographic characteristics, ML modeling processes, and model performance were extracted and reported. RESULTS A total of 732 papers were screened through title and abstract. Of these, 23 studies were screened by full text resulting in 13 papers that met the inclusion criteria. CONCLUSIONS We identified various ML models used for different EHR data resulting in a desirable performance for PTB prediction. However, evaluation metrics, software/package used, data size and type, and selected features, and importantly data management method often varied from study to study threatening the reliability and generalizability of the model. CLINICALTRIAL n.a.


2020 ◽  
Vol 25 (264) ◽  
pp. 139-152
Author(s):  
Manoela Abreu ◽  
Franciele Carvalho Santos ◽  
Ana Laura Nogueira ◽  
Matheus Lima Zampieri ◽  
Dernival Bertoncello

The aim of this study was to perform a systematic review of the literature in order to investigate the effects of the Pilates Method on athletes of different sports. Methods: Researches were carried out in databases (SciELO, LILACS, PubMed, Web of Science and SCOPUS) and to evaluate the methodological quality of the studies, the PEDro scale was used. Results: Of the 87 studies found, only four were included. Meta-analyzes to assess flexibility using the Wells Bank's Sit and Reach test and a fleximeter indicated improvement after Pilates application, although there were no statistically significant differences compared to the control groups (Wells Bank's Sit and Reach test: 2 , 83 95% CI: -0.73 to 6.38, I² = 99%; Fleximeter: -0.78, 95% CI: -1.84 to 0.27, I² = 0%). Conclusion: There is evidence of benefits after Pilates intervention. Future studies with standardized protocols, according to the chosen sport, are necessary to determine how the Pilates Method can improve athletes' performance.


2021 ◽  
Vol 12 ◽  
Author(s):  
Roser Bono ◽  
Rafael Alarcón ◽  
María J. Blanca

Generalized linear mixed models (GLMMs) estimate fixed and random effects and are especially useful when the dependent variable is binary, ordinal, count or quantitative but not normally distributed. They are also useful when the dependent variable involves repeated measures, since GLMMs can model autocorrelation. This study aimed to determine how and how often GLMMs are used in psychology and to summarize how the information about them is presented in published articles. Our focus in this respect was mainly on frequentist models. In order to review studies applying GLMMs in psychology we searched the Web of Science for articles published over the period 2014–2018. A total of 316 empirical articles were selected for trend study from 2014 to 2018. We then conducted a systematic review of 118 GLMM analyses from 80 empirical articles indexed in Journal Citation Reports during 2018 in order to evaluate report quality. Results showed that the use of GLMMs increased over time and that 86.4% of articles were published in first- or second-quartile journals. Although GLMMs have, in recent years, been increasingly used in psychology, most of the important information about them was not stated in the majority of articles. Report quality needs to be improved in line with current recommendations for the use of GLMMs.


2020 ◽  
Vol 21 (18) ◽  
pp. 6758
Author(s):  
Mojgan Gharipour ◽  
Majid Barekatain ◽  
Johoon Sung ◽  
Naghmeh Emami ◽  
Ladan Sadeghian ◽  
...  

(1) Background: Obesity and mood disorders are considered as the most prevalent morbidities in many countries. We suppose that epigenetic mechanisms may induce higher rates of obesity in subjects who suffer from mood disorders. In this systematic review, we focused on the potential roles of DNA methylation on mood disorders and obesity development. (2) Methods: This systematic review was conducted in accordance with the PRISMA statement and registered in Prospero. A systematic search was conducted in MEDLINE, Scopus, Web of Science, Cochrane Central database, EMBASE, and CINHAL. We also conducted a Grey literature search, such as Google Scholar. (3) Results: After deduplication, we identified 198 potentially related citations. Finally, ten unique studies met our inclusion criteria. We have found three overlap genes that show significant DNA methylation changes, both in obesity and depression. Pathway analysis interaction for TAPBP, BDNF, and SORBS2 confirmed the relation of these genes in both obesity and mood disorders. (4) Conclusions: While mechanisms linking both obesity and mood disorders to epigenetic response are still unknown, we have already known chronic inflammation induces a novel epigenetic program. As the results of gene enrichment, pathways analysis showed that TAPBP, BDNF, and SORBS2 linked together by inflammatory pathways. Hypermethylation in these genes might play a crucial rule in the co-occurrence of obesity and mood disorders.


2019 ◽  
Vol 33 (12) ◽  
pp. 1963-1977 ◽  
Author(s):  
Sally Davenport ◽  
Angela Dickinson ◽  
Catherine Minns Lowe

Objectives: Many patients do not meet recommended levels of therapy-based exercise. This review aims to explore how adult patients view being prescribed therapy-based exercise, the information/education they are given and receive and if/how they independently practise and adhere. Design: A qualitative systematic review conducted using an ethnographic approach and in accordance with the PRISMA statement. Sources: PubMed, CINAHL, SCOPUS and EMBASE databases (01 January 2000–31 December 2018). Methods: Qualitative studies with a focus on engagement/adherence with therapy-based exercise were included. Data extraction and quality appraisal were undertaken by two reviewers. Results were discussed and data synthesized. Results: A total of 20,294 titles were screened, with data extracted from 39 full texts and data from 18 papers used to construct three themes. ‘The Guidance received’ suggests that the type of delivery desired to support and sustain engagement was context-dependent and individually situated. ‘The Therapist as teacher’ advocates that patients see independent therapy-based exercise as a shared activity and value caring, kind and professional qualities in their therapist. ‘The Person as learner’ proposes that when having to engage with and practise therapy-based exercise because of ill-health, patients often see themselves as new learners who experience fear and uncertainty about what to do. Patients may have unacknowledged ambivalences about learning that impact on engagement and persistence. Conclusion: The quality of the interaction between therapists and patients appears integral to patients engaging with, and sustaining practice of, rehabilitation programmes. Programmes need to be individualized, and health care professionals need to take patients’ previous experiences and ambivalences in motivation and empowerment into account.


2013 ◽  
Vol 47 (4) ◽  
pp. 799-812 ◽  
Author(s):  
Alexandre Emidio Ribeiro Silva ◽  
Ana Maria Baptista Menezes ◽  
Flavio Fernando Demarco ◽  
Fabiana Vargas-Ferreira ◽  
Marco Aurelio Peres

OBJECTIVE Identifying, through a systematic literature review, evidence of a possible association between obesity and dental caries. METHODS A search of articles published between 2005 and January 2012 was performed in the Medline/PubMed, LILACS and Web of Science databases. The quality of scientific evidence of the selected articles was assessed by the items proposed for observational studies in the Downs & Black instrument. RESULTS Initially, 537 references were found; after checking the titles and abstracts by two independent researchers, twenty-eight articles were selected for complete reading. Ten of them that assessed the primary and/or permanent dentition observed a positive association between obesity and dental caries and one study found an inverse association. According to the Downs & Black classification, thirteen articles with good scientific evidence were found. CONCLUSIONS The present review did not find sufficient evidence regarding the association between obesity and dental caries, and it did not clarify the possible role of diet and other possible effect modifiers on this association.


2015 ◽  
Vol 9 (2) ◽  
pp. 110-119 ◽  
Author(s):  
Allan Gustavo Brigola ◽  
Estefani Serafim Rossetti ◽  
Bruna Rodrigues dos Santos ◽  
Anita Liberalesso Neri ◽  
Marisa Silvana Zazzetta ◽  
...  

OBJECTIVE: The aim of this study was to analyze the relationship between cognition and frailty in the elderly. METHODS: A systematic review on the currently existing literature concerning the subject was carried out. The search strategy included LILACS, SCOPUS, SciELO, PsycINFO, PubMed and Web of Science databases. RESULTS: A total of 19 studies were selected for review, from which 10 (52.6%) were cross-sectional and 9 (47.4%) longitudinal, and the majority Brazilian. All of the studies established a link between cognition and frailty. There was a relationship between components of frailty and the cognitive domains. Risk of Mild Cognitive Impairment (MCI), dementia and mortality were all evidenced in the relationship between frailty and cognitive impairment. CONCLUSION: The theory remains limited, but results show the variables that appear to be linked to cognition and frailty in elderly. This data can help in implementing actions to improve the quality of life among elderly.


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