scholarly journals Do training programs improve a paramedic’s ability to identify and report child abuse and neglect? A systematic review

2018 ◽  
Vol 15 (3) ◽  
Author(s):  
Kate Brooke Johnson ◽  
Elizabeth Doecke ◽  
Raechel A Damarell ◽  
Hugh Grantham

IntroductionParamedics are often the first trained personal to assess sick or injured children. This raises the question of how well trained paramedics are to identify signs of child abuse or neglect. This systematic literature review seeks to establish the extent to which training programs improve a paramedic’s competence and confidence when it comes to identifying and reporting child abuse and neglect.MethodsSelected search terms were entered into eight databases to identify potentially relevant publications. Inclusion and exclusion criteria were applied and articles were categorised as relevant or irrelevant based on a review of title and abstract and, when necessary, full text review.ResultsThe initial electronic search yielded 872 articles. After duplicates were removed and the inclusion and exclusion criteria applied, four publications were identified as relevant and included in this systematic literature review. Of these, three were cross-sectional studies and one was a one-group pre-test post-test study. In total, 2499 subjects were examined across the four articles. Despite the limitations of each study, the results for all four studies were consistent with one another, demonstrating that higher levels of training correlated with greater knowledge and/or confidence regarding both the identification process and the correct procedures for reporting child abuse.ConclusionThe limited evidence published so far suggests that training improves confidence and ability levels of the paramedic in recognising and reporting child abuse. However, the limitations of these studies need to be considered before drawing robust conclusions. We call for further research into the topic and suggest that, owing to the complexity of the issue, a qualitative study may be the best way of exploring the variety of barriers to reporting, and the extent to which training would overcome these.

Buildings ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 244
Author(s):  
Ana Maria Bueno ◽  
Antonio Augusto de Paula Xavier ◽  
Evandro Eduardo Broday

The thermal environment is one of the main factors that influence thermal comfort and, consequently, the productivity of occupants inside buildings. Throughout the years, research has described the connection between thermal comfort and productivity. Mathematical models have been established in the attempt to predict changes in productivity according to thermal variations in the environment. Some of these models have failed for a number of reasons, including the understanding of the effect that several environment variables have had on performance. From this context, a systematic literature review was carried out with the aim of verifying the connection between thermal comfort and productivity and the combinations of different thermal and personal factors that can have an effect on productivity. A hundred and twenty-eight articles were found which show a connection between productivity and some thermal comfort variables. By means of specific inclusion and exclusion criteria, 60 articles were selected for a final analysis. The main conclusions found in this study were: (i) the vast majority of research uses subjective measures and/or a combination of methods to evaluate productivity; (ii) performance/productivity can be attained within an ampler temperature range; (iii) few studies present ways of calculating productivity.


Author(s):  
Stefania Della Vecchia ◽  
Alessandra Tessa ◽  
Claudia Dosi ◽  
Jacopo Baldacci ◽  
Rosa Pasquariello ◽  
...  

2018 ◽  
Vol 34 (12) ◽  
Author(s):  
Clovis Wanzinack ◽  
Marcos Claudio Signorelli ◽  
Clóvis Reis

Abstract: Brazil currently has the highest absolute number of homicides in the world, which results from a complex range of factors. This study aimed at understanding the associations between socio-environmental determinants of health (SDH) and homicides in Brazil through a systematic literature review. The review followed PRISMA guidelines, selecting quantitative and qualitative studies published in Portuguese, English, and Spanish carried out between 2002 and 2017, available in the PubMed, MEDLINE, LILACS, SciELO and BVS-BIREME databases. Two trilingual reviewers tracked studies independently by basing on the eligibility criteria. We critically assessed the selected studies with the Critical Appraisal Skills Programme (CASP) or the Checklist for Analytical Cross-Sectional Studies, depending on the study design. We considered 60 studies and grouped their SDH into categories to develop a narrative synthesis about each SDH. These categories were: territory; race/ethnicity; gender; age; social inequalities and economic factors; development; education; work and employment; drugs and trafficking; other SDH. We found some SDH were more associated with homicides, such as being young, black, male, of low education level, and also people who lived in places of high social inequality, such as urban suburbs and agricultural frontiers. Unemployment and drug trafficking, as well as intersections between various SDH were also prominent. Education seems to be a protective factor for homicide. Despite the limited capacity of interpretation due to the high range of methodological approaches, this review shows the importance of considering SDH and their intersections when developing homicide prevention policies.


2020 ◽  
Author(s):  
Eric Martin ◽  
George Beckham

Abstract Background: Since World Rugby changed the laws regarding scrums in the 2013-2014 season, the sustained push phase of the scrum has increased in tactical importance. Therefore, the purpose of this systematic literature review was to examine the biomechanical demands during the sustained push phase of individual, unit, and full pack scrummaging. Methods: Pubmed, EBSCO (specifically and simultaneously searching Academic Search Premier, CINAHL, and SPORTDiscus), and Google Scholar were searched for any research that presented force production in a live or simulated rugby scrum. Study quality was appraised using the National Institute of Health's Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Recorded scrum forces, positioning of players including joint angles, and testing procedures were extracted and narratively synthesized. Results: Twenty six studies were included in the review. 50% of included studies were rated good, 31% fair, and 19% poor. Major limitations included not reporting any effect size, statistical power, or reliability. Reported group mean values for average sustained forces against a machine generally ranged from 1000-2000 N in individual scrums and 4000-8000 N for full packs of male rugby players older than high school age. Individuals seem to optimize their force generation when their shoulders are set against scrum machine pads at approximately 40% of body height, with feet parallel, and with knee and hip angles around 120°. A 10% difference in pack force seems to be necessary for one pack to drive another back in the scrum, but little data exist to quantify differences in force production between winning and losing packs during live scrums. Data collection within studies was not standardized, making comparisons difficult. There is a lack of data in live scrums, and the current research indicates that machine scrums may not replicate many of the demands of live scrums. There is a lack of data for female rugby players. Conclusions: This review indicates an optimal individual body position for players to strive to achieve during scrummaging, consisting of a low body height (40% of stature) and large extended hip and knee angles (120° each).


2021 ◽  
pp. 496-507
Author(s):  
Rifki S. Nompo ◽  
Andria Pragholapati ◽  
Angela L. Thome

Anxiety is a feeling of helplessness, and worry about things that are not clear, as well as a comprehensive feeling that something bad is going to happen. Anxiety is experienced subjectively and communicated interpersonally, at the same time feelings of anxiety are a necessary survival instinct. The Neuro-Linguistic Programming (NLP) is a communicative approach employs a positive view of anxiety and how it can help shape life changes, and that is the topic of this article. This research method uses a Systematic Literature Review, investigating Garuda, Pubmed, ScienceDirect, and Proquest, using boolean for keyword neurolinguistics programming (NLP) and anxiety. The inclusion criteria used were Indonesian and English language articles written within the last 5 years (from 2015 until 2020). The exclusion criteria used by the article were abstract writing style, inaccessible, or lacking national accreditation. Articles were tested with Critical Appraisal Tools. The studies indicate that good communication using NLP can help reduce anxiety and can promote changes in a person’s behavior patterns. There are several NLP techniques including sensory acuity, reframing, anchoring, rapport, and pacing, and leading. NLP can improve knowledge, skills and attitudes, communication skills, self-management, mental health, reduce work stress, and self-efficacy.   Keywords: Anxiety, Neuro-Linguistic Programming, NLP


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Prashant Kumar Gupta ◽  
Seema Sharma

PurposeThe authors present a systematic literature review on microfinance institutions’ (MFIs) effect on poverty and how they can ensure their sustainability. The purpose of this article is to review the effect of MFIs on poverty in South Asian countries. The analysis and review of the selected corpus of literature also provide avenues for future research.Design/methodology/approachA total of 95 papers from 49 journals in 4 academic libraries and publishers were systematically studied and classified. The authors define the keywords and the inclusion/exclusion criteria for the identification of papers. The review includes an analysis of the selected papers that give insights about publications with respect to themes, number of themes covered in individual publications, nations, scope, methodology, number of methods used and publication trend.FindingsThe literature indicates the positive effect of microfinance on poverty but with a varying degree on various categories of poor. The relation between poverty and microfinance is, however, dependent on the nation under the scanner. While sustainability and outreach co-exist, their trade-off is still a matter of debate.Originality/valueThis is the first systematic literature review on MFIs’ effect on poverty in South Asian nations. Additionally, the authors discuss the literature on the trade-off between sustainability and outreach for MFIs.


2017 ◽  
Vol 32 (4) ◽  
pp. 227-234 ◽  
Author(s):  
Marianna E Kapsetaki ◽  
Charlie Easmon

PURPOSE: Previous literature on dancers and athletes has shown a large impact of eating disorders (EDs) on these individuals, but there is limited research on EDs affecting non-dance performing artists (i.e., musicians, actors, etc.). This systematic review aimed to identify and evaluate the literature on EDs in non-dance performing artists. METHODS: A systematic review of the literature was performed on 24 databases, using search terms related to EDs and non-dance performing artists. All results from the databases were systematically screened for inclusion and exclusion criteria. RESULTS: The initial search returned 86,383 total articles, which after screening and removal of duplicates and irrelevant papers yielded 129 results. After screening the 129 full-text results for eligibility, 10 studies met criteria for inclusion: 6 papers addressed EDs in musicians, and 4 papers addressed EDs in theatre performers. Most studies used questionnaires and body mass index (BMI) as diagnostic tools for EDs. Most were small-scale studies and participants were mostly students. Because of the studies’ heterogeneity and varying quality, the results obtained were often contradictory and questionable. CONCLUSIONS: Although there has been a lot of literature in dancers, we found relatively few studies associating EDs with other performing artists, and most were inconsistent in their information.


2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Dorte Toudal Viftrup ◽  
Niels Christian Hvidt ◽  
Niels Buus

We systematically reviewed the research literature on spiritually and religiously integrated group psychotherapy to answer the following three questions: first, how are spirituality and religiosity defined; second, how are spiritual and religious factors characterized and integrated into group psychotherapy; and, third, what is the outcome of the group psychotherapies? We searched in two databases: PsycINFO and PubMed. Inclusion and exclusion criteria and checklists from standardized assessment tools were applied to the research literature. Qualitative and quantitative papers were included. In total, 8 articles were considered eligible for the review. Findings from the evaluation suggested that the concepts of spirituality and religiosity were poorly conceptualized and the way in which spiritual and religious factors were integrated into such group psychotherapies, which distinguished it from other types of group psychotherapies, was not fully conceptualized or understood either. However, clear and delimited conceptualization of spiritual and religious factors is crucial in order to be able to conclude the direct influences of spiritual or religious factors on outcomes. Implications for spiritually or religiously integrated group psychotherapy and conducting research in this field are propounded.


2021 ◽  
Vol 1 (2) ◽  
pp. 19-25
Author(s):  
Putri Devy Septya ◽  
Martanty Aditya ◽  
Hendra Godeliva Adriani

Abstrak Pil KB oral merupakan salah satu alat kontrasepsi paling banyak digunakan oleh para wanita untuk mencegah kehamilan. Namun pil KB juga memiliki efek samping yang dapat meningkatkan tekanan darah ?140 mmHg (sistolik) dan ?90 mmHg (diastolik) atau dikenal dengan hipertensi. Penelitian ini bertujuan untuk mengetahui apakah penggunaan kontrasepsi pil KB oral dapat menimbulkan resiko terjadinya hipertensi. Metode yang digunakan dalam penelitian ini adalah literture review dengan sumber data melalui pencarian secara menyeluruh dengan mesin pencari PubMed dan Google Scholar untuk menemukan artikel sesuai kriteria inklusi dan ekslusi dengan kata kunci tertentu dalam periode 2010-2020 kemudian dilakukan review. Hasil penelusuran yang didapatkan yaitu 3 artikel ilmiah secara observasional dengan menggunakan metode cohort dan cross sectional. Hasil dari literature review ini menunjukkan bahwa penggunaan kontrasepsi pil KB oral dapat menimbulkan risiko terjadinya hipertensi. Hal tersebut dibuktikan dari artikel ilmiah yang memiliki nilai p-value dibawah 0,05. Namun adapula yang membuktikan bahwa penggunaan kontrasepsi oral di usia muda tidak menyebabkan hipertensi pascamenopause serta terdapat artikel yang menyatakan bahwa tidak ada hubungan yang signifikan antara penggunaan pil KB kombinasi yang didapatkan dari klinik AS dengan penggunaan pil KB kombinasi yang didapatkan tanpa resep dokter tapi penggunaan pil KB perlu lebih di pantau agar tidak terjadi resiko yang diinginkan. Kata Kunci : Hipertensi, literature review, pil KB Abstract Oral contraceptive pills are one of the most widely used contraceptives for women to prevent pregnancy. However, oral contraceptive pills also have side effects, one of which is increasing blood pressure to ? 140 mmHg (systolic) and ? 90 mmHg (diastolic) or known as hypertension. This study aimed to determine whether the use of oral contraceptive pills poses a risk of developing hypertension. The method used in this study was literature review whose data were sourced from thorough searches with the PubMed and Google Scholar to find articles according to the inclusion and exclusion criteria with certain keywords in the 20102020 and then reviewed. The results obtained were 7 scientific articles observed using a case control and cross sectional methods. The results of this literature review indicate that the use of oral contraceptive pills can increase the risk of developing hypertension. This is evidenced by scientific articles with a p-value below 0.05. However, there is also evidence that the use of oral contraceptives at a young age does not cause postmenopausal hypertension and there is an article stating that there is no significant link between the use of combination birth control pills obtained from U.S. clinics and the use of combination birth control pills obtained without a doctor's prescription but the use of birth control pills needs to be monitored more so that there is no desired risk. Keywords: Hypertension, literature review, oral contraceptive pills


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