scholarly journals Effects of passive smoking on the health of children and ad+olescents: a systematic review

2021 ◽  
Vol 10 (13) ◽  
pp. e582101321275
Author(s):  
Ana Carolina Vieira Azevedo ◽  
Giulia Vittoria Ambrogi Pereira ◽  
Mariana Xavier e Silva ◽  
Kristian Sbolli ◽  
Elaine Rossi Ribeiro

Despite growing global efforts to control tobacco use, it remains a common addiction. Passive smoking is the inhalation of smoke from tobacco derivatives by non-smokers, breathing in the same toxic substances that the smoker inhales. The objective of this systematic review was to identify the possible effects of passive smoking on the health of children and adolescents. The PICO tool was used to prepare the research question. The protocol of this study was submitted to PROSPERO and the PRISMA guidelines were followed. The following databases were used: LILACS, MEDLINE and EMBASE. As a result, 493 articles were identified from the last 5 years, 8 articles were removed for being duplicates, 439 articles were excluded for not meeting the inclusion criteria, 8 articles were excluded for poor methodological quality and 38 were included in the study.  It was concluded, as evidence, that passive smoking has negative effects on the health of children and adolescents and was associated with respiratory, infectious, psychoneurocognitive, metabolic, cardiovascular, otorhinolaryngological, allergic disorders and increased mortality.

Author(s):  
Wenhong Xu ◽  
Chunxiao Li ◽  
Lijuan Wang

Physical activity (PA) is important for the development of children and adolescents with hearing impairments (HI). This systematic review aims to summarise the existing literature pertaining to the PA of children and adolescents with HI. A systematic search was conducted on eight major electronic databases. Two reviewers independently screened and selected the returned articles, performed data extraction, assessed methodological quality and synthesised the data using an inductive approach. A total of 15 articles consisting of 14 survey studies and one single-subject intervention study met the inclusion criteria. These studies had good to excellent methodological quality. Participants with HI showed lower levels of participation in PA than participants without disabilities, but they were more physically active than those with other types of disabilities. Amongst the 12 PA correlates identified (i.e., gender, age, mother’s education and social cognitive constructs), only gender was a relatively consistent determinant, and boys are significantly more physically active than girls. Additional studies are needed to confirm the determinants of the PA in children and adolescents with HI to provide strong evidence for the development and implementation of PA interventions for this target group.


2014 ◽  
Vol 19 (2) ◽  
pp. 46-55 ◽  
Author(s):  
Amanda Osório Ayres de Freitas ◽  
Mariana Marquezan ◽  
Matilde da Cunha Gonçalves Nojima ◽  
Daniela Sales Alviano ◽  
Lucianne Cople Maia

Objective: To investigate whether there is scientific evidence to support the hypothesis that the presence of orthodontic fixed appliances influences the oral microbiota. Methods: The search for articles was conducted in PubMed; ISI Web of Knowledge and Ovid databases, including articles published in English until May 17th, 2012. They should report human observational studies presenting the following keywords: "fixed orthodontic appliance" AND "microbiological colonization"; OR "periodontal pathogens"; OR "Streptococcus"; OR "Lactobacillus"; OR "Candida"; OR "Tannerella forsythia"; OR "Treponema denticola"; OR "Fusobacterium nucleatum"; OR "Actimomyces actinomycetemcomitans"; OR "Prevotella intermedia", OR "Prevotella nigrescens"; OR "Porphyromonas gingivalis". Articles were previously selected by title and abstract. Articles that met the inclusion criteria were analyzed and classified as having low, moderate or high methodology quality. A new detailed checklist for quality assessment was developed based on the information required for applicable data extraction for reviews. The study design, sample, follow-up period, collection and microbial analysis methods, statistical treatment, results and discussion were assessed. Results: The initial search retrieved 305 articles of which 33 articles were selected by title and abstract. After full-text reading, 8 articles met the inclusion criteria, out of which 4 articles were classified as having low and 4 as moderate methodological quality. The moderate methodological quality studies were included in the systematic review. Conclusions: The literature revealed moderate evidence that the presence of fixed appliances influences the quantity and quality of oral microbiota.


2017 ◽  
Vol 52 (16) ◽  
pp. 1039-1039 ◽  
Author(s):  
Adilson Marques ◽  
Diana A Santos ◽  
Charles H Hillman ◽  
Luís B Sardinha

ObjectiveThis report aimed to systematically review the evidence for a differential association between objective and self-reported physical activity and cardiorespiratory fitness on academic achievement.DesignSystematic review.Data sourcesStudies were identified from searches in Embase, Education Resources Information Center, PubMed, PsycINFO, SPORTdiscus and Web of Science databases from January 2000 to December 2016.Eligibility criteria for selecting studiesEligibility criteria included cross-sectional, longitudinal and interventional study designs. Outcomes included students’ school grade or a standardised test or measure of academic achievement. Explanatory variables were cardiorespiratory fitness and objective and self-reported physical activity. Inclusion criteria included school-aged children and adolescents aged–18 years (or students from primary to secondary school when student’s participants age was not described) and articles published in English, Portuguese or Spanish.ResultsA total of 51 articles met inclusion criteria: 41 cross-sectional, 2 intervention and 8 longitudinal studies. Results from 11 studies were inconsistent regarding the relationship between objectively measured physical activity and academic achievement. Ten of the 16 articles reported positive associations between self-reported physical activity and academic achievement. From the 22 studies that analysed the relationship between cardiorespiratory fitness and academic achievement, it was verified that they all generally support the beneficial effect of cardiorespiratory fitness on students’ academic achievement.ConclusionHigher cardiorespiratory fitness may be important to enhance children and adolescents’ health and, additionally, academic achievement. Due to a lack of consensus across studies, methodological issues associated with the assessment of physical activity should be considered when investigating physical activity and academic achievement.


2015 ◽  
Vol 101 (1) ◽  
pp. e1.66-e1
Author(s):  
Rym Boulkedid ◽  
Armiya Yousouf Abdou ◽  
Emilie Desselas ◽  
Marlène Monegat ◽  
Corinne Alberti ◽  
...  

BackgroundApproximately 15 to 30% of children and adolescents suffer from daily pain persistent over more than 3 months and there is evidence supporting that the prevalence of chronic pain is steadily increasing in this population. Chronic pain is known to have a negative impact on children's development and social behaviour, leading often to severe psychological distress and physical disability. We reviewed medical literature to assess the characteristics and quality of randomized controlled trials (RCTs) on pharmacological and non-pharmacological therapies in chronic and recurrent pain in the paediatric population.MethodsWe performed a systematic search of PubMed, Embase and the Cochrane Library up to March 2014. Bibliographies of relevant articles were also hand-searched. We included all RCTs that involved children and adolescents (age 0 to 18 years) and evaluated the use of a pharmacological agent or a non-pharmacological approach in the context of chronic or recurrent pain. The latter was defined as pain persisting for more than 3 months. Methodological quality was evaluated using the Cochrane Risk of Bias Tool. Two reviewers independently assessed studies for inclusion and evaluated methodological quality.ResultsA total of 52 randomized controlled trials were selected and included in the analysis. The majority were conducted in single hospital institutions, with no information on study funding. Median sample size was 45 (34–57) participants. Almost 50% of the RCTs included both adults and children with a median age at inclusion of 13 years. Non-pharmacological approaches were more commonly tested whereas evaluation of pharmacological agents concerned less than 30% of RCTs. Abdominal pain and headache were the most common types of chronic pain experienced among trial participants. Overall, the methodological quality was poor and did not parallel the number of RCTs that increased over the years. The risk of bias was high or unclear in 70% of the trials.ConclusionsThis is the first systematic review of RCTs conducted to evaluate pharmacological and non-pharmacological therapies in chronic and recurrent pain in children and adolescents. Although, management of pain in adults has significantly improved over the years due to the evaluation of numerous analgesic therapies, our results highlight the existing knowledge gap with regards to children and adolescents. Therapeutic strategies, in particular pharmacological agents, applied to relieve chronic or recurrent pain in children and adolescents are not evaluated through high quality RCTs. The need to improve analgesic therapy in children and adolescents with chronic pain is still unmet. We discuss possible research constraints and challenges related to this fact as well as adequate methodologies to circumvent them.


2021 ◽  
Author(s):  
Louise Thornton

BACKGROUND Poor diet, alcohol use and tobacco smoking have been identified as strong determinants of chronic disease, such as cardiovascular disease, diabetes and cancers. Smartphones have the potential to provide a real-time, pervasive, unobtrusive and cost-effective way to measure these health behaviours and deliver instant feedback to users. Despite this, the validity of using smartphones to measure these behaviours is largely unknown. OBJECTIVE The aim of our review was to identify existing smartphone—based approaches to measure these health behaviours and critically appraise the quality of their measurement properties. METHODS We conducted a systematic search of the Ovid MEDLINE, Embase (Elsevier), Cochrane Library (Wiley), PsychINFO (EBSCOhost), CINAHL (EBSCOHost), Web of Science (Clarivate), SPORTDiscus (EBSCOhost), and IEEE Xplore Digital Library databases in March 2020. Studies that were written in English, reported measuring diet, alcohol use and/or tobacco use via a smartphone, and reported on at least one measurement property (eg validity, reliability and/or responsiveness) were eligible. Outcomes were summarised in a narrative synthesis. This systematic review is registered with PROSPERO, identifier CRD42019122242. RESULTS Of 12,261 records, 72 studies describing the measurement properties of smartphone—based approaches to measure diet (n=48), alcohol use (n=16) and tobacco use (n=8) were identified and included in the current review. Across the health behaviours, 18 different measurement techniques were used within smartphones. The measurement properties most commonly examined were construct validity, measurement error and criterion validity. Results varied by behaviour and measurement approach and the methodological quality of studies varied widely. Most studies investigating the measurement of diet and alcohol received ‘very good’ or ‘adequate’ methodological quality ratings (72.9%, 35/48, and 68.8%, 11/16, respectively), while only one study (12.5%, 1/8) investigating the measurement of tobacco use received a ‘very good’ or ‘adequate’ rating. CONCLUSIONS This review is the first to bring together evidence regarding the different types of smartphone—based approaches currently used to measure key behavioural risk factors for chronic disease (diet, alcohol use and tobacco use) and the quality of their measurement properties. Nineteen measurement techniques were identified, the majority of which assessed dietary behaviours (67%, n=48/72). Some evidence exists to support the reliability and validity of using smartphones to assess these behaviours, however results varied by behaviour and measurement approach. The methodological quality of included studies also varied. Overall, more high-quality studies validating smartphone based approaches against criterion measures are needed. More research investigating the use of smartphones to assess alcohol and tobacco use, and objective measurement approaches is also needed. INTERNATIONAL REGISTERED REPORT RR2-https://doi.org/10.1186/s13643-020-01375-w


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Gemma H. Kitsos ◽  
Isobel J. Hubbard ◽  
Alex R. Kitsos ◽  
Mark W. Parsons

Objective. Neurological dysfunction commonly occurs in the upper limb contralateral to the hemisphere of the brain in which stroke occurs; however, the impact of stroke on function of the ipsilesional upper limb is not well understood. This study aims to systematically review the literature relating to the function of the ipsilesional upper limb following stroke and answer the following research question: Is the ipsilesional upper limb affected by stroke?Data Source. A systematic review was carried out in Medline, Embase, and PubMed.Review Methods. All studies investigating the ipsilesional upper limb following stroke were included and analysed for important characteristics. Outcomes were extracted and summarised.Results. This review captured 27 articles that met the inclusion criteria. All studies provided evidence that the ipsilesional upper limb can be affected following stroke.Conclusion. These findings demonstrate that clinicians should consider ipsilesional upper limb deficits in rehabilitation and address this reduced functional capacity. Furthermore, the ipsilesional upper limb should not be used as a “control” measure of recovery for the contralateral upper limb.


Author(s):  
Yustika Rahmawati Pratami ◽  
◽  
Nurul Kurniati ◽  

Background: Comprehensive Sexuality Education (CSE) plays an important role in preparing safe and productive lives of adolescents through understanding about HIV/ AIDS, sexually transmitted infections, unintended pregnancy, gender-based violence, and gender disparity. This scoping review aimed to investigate the appropriate method of sex education and information for adolescents. 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 research question was identified using population, exposure, and outcome(s) (PEOS) framework. The search included PubMed, ScienceDirect, Wiley Online Library, ProQuest, and EBSCO databases. The inclusion criteria were English-language and full-text articles published between 2009 and 2019. A total of 460 articles was obtained from the searched database. After the review process, twenty articles were eligible for this review. The data were reported by the PRISMA flow chart. Results: Eleven articles from developing countries (Nigeria, Thailand, Iran, California, Vietnam, Spain, South Africa, Indonesia) and nine articles from developed countries (USA, England, Australia) met the inclusion criteria with quantitative (cross-sectional, quasi-experiments, cohort, RCT) and qualitative design studies. The findings discussed available sources of sex education for adolescents including peers, school, media, and other adults. Digital media (internet and TV) contributed as preferable sources for adolescents. The parents and teacher’s involvement in providing sex education remained inadequate. Inappropriate sources of sex education like invalid information from the internet and other adults caused negative consequences on the sexual and reproductive health of children and adolescents. Conclusion: Parents-school partnership strategies play an important role in delivering appropriate information about sex education for children and adolescents. Keywords: digital media, sex education, parents, schools, adolescents Correspondence: Yustika Rahmawati Pratami. Jl. Siliwangi No. 63, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: [email protected]. Mobile: +6282198915596. DOI: https://doi.org/10.26911/the7thicph.02.27


2019 ◽  
Vol 33 (11) ◽  
pp. 1788-1799 ◽  
Author(s):  
Ana Belen Ortega-Avila ◽  
Laura Ramos-Petersen ◽  
Pablo Cervera-Garvi ◽  
Christopher J Nester ◽  
José Miguel Morales-Asencio ◽  
...  

Objective: To identify self-reported outcome measures specific to the foot and ankle in patients with rheumatoid arthritis and to investigate the methodological quality and psychometric properties of these measures. Method: A systematic review focusing on patients with rheumatoid arthritis. Setting: The search was conducted in the PubMed, SCOPUS, CINAHL, PEDro and Google Scholar databases, based on the following inclusion criteria: population (with rheumatoid arthritis) > 18 years; psychometric or clinimetric validation studies of patient-reported outcomes specific to the foot and ankle, in different languages, with no time limit. Two of the present authors independently assessed the quality of the studies located and extracted the relevant data. Terwee’s criteria and the COSMIN checklist were employed to ensure adequate methodological quality. Results: Of the initial 431 studies considered, 14 met the inclusion criteria, representing 7,793 patients (56.8 years). These instruments were grouped into three dimensions (pain, perceived health status and quality of life and disability). The time to complete any of the PROMs varies around 15 minutes. PROMs criterias with the worst scores by COSMIN, 92.85% and 85.71% were criterion validity, measurement error, internal consistency and responsiveness. 28.57% of PROMs were compared with the measurement properties. Conclusion: the Self-Reported Foot and Ankle Score achieved the highest number of positive criteria (according to Terwee and COSMIN), and is currently the most appropriate for patients with Rheumatoid arthritis.


Author(s):  
Ebrahim Khalighi ◽  
Askar Soufinia ◽  
Lale Solaimanizadeh ◽  
Milad Borji ◽  
Asma Tarjoman ◽  
...  

Introduction: Pain is a phenomenon that may be experience d every human being. Pain is one of the symptoms of the disease that has negative effects on patients and causes challenges in medical personnel. The aim of the present systematic review was to determine the knowledge, attitude, and pain management status in Iranian nurses. Methodology: This is a systematic review carried out according to systematic review articles checklist (PRISMA). The search was conducted by two researchers separately. In case of inconsistency, the search was examined by a third researchers. In this study, articles that met the inclusion criteria and published between 2000 to June 2019, were included. The search process was carried out in Iranian and international databases. Data were reported in usinga descriptive method using Excel 2007 software. Result: According to result 180 articles were extracted in the initial search, of which 50 were excluded from the study, and finally        19 articles entered the data extraction phase. The extracted articles were classified into 4 dimensions of knowledge, attitude, and practice in pain management, nurses'understanding of pain management, nurses' problems in pain relief, and the extent of pain management implementation and assessment, which are described as follows. Conclusion: Nurses' knowledge, attitude, and managementregarding painmanagementis not in an excellent condition and many studies in Iran should include educational interventions for nurses to help improve their knowledge, attitude, and pain management. Citation: Khalighi E, Soufinia A, Solaimanizadeh L, Borji M, Tarjoman A, Soltany B, Hydaryian H. Knowledge, attitudes and barriers pain management by nurses in Iran: A systematic review. Anaesth pain & intensive care 2019;23(4):__ Received: 8 September 2019; Reviewed: 24, 30 September 2019; 6, 7 November 2019; Revised: 5 November 2019; Accepted: 12 November 2019


2020 ◽  
pp. 360-369
Author(s):  
Asma Tarjoman [email protected]

Introduction: Pain is a phenomenon that may be experience d every human being. Pain is one of the symptoms of the disease that has negative effects on patients and causes challenges in medical personnel. the aim of the presentsystematic review was to determine the knowledge, attitude, and pain management status in Iranian nurses. Methodology: This is a systematic review carried out according to systematic review articles checklist (PRISMA). The search was conducted by two researchers separately. In case of inconsistency, the search was examined by a third person. In this study, articles that met the inclusion criteria and published between 2000 to June 2019, were included. The search process was carried outin Iranian and international databases. Data were reported in usinga descriptive method using Excel 2007 software. Result: According to result 180 articles were extracted in the initial search, of which 50 were excluded from the study, and finally 17 articles entered the data extraction phase. The extracted articles were classified into 4 dimensions of knowledge, attitude, and practice in pain management, nurses'understanding of pain management, nurses' problems in pain relief, and the extent of pain management implementation and assessment, which are described as follows. Conclusion: Nurses' knowledge, attitude, and managementregarding painmanagementis not in an excellent condition and many studies in Iran should include educational interventions for nurses to help improve their knowledge, attitude, and pain management.  


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