Multisource feedback to assess pediatric practice:  a systematic review

Introduction: The assessment and maintenance of competence for pediatricians has recently received increased attention. The aim of the present study was to investigate further the use of multisource feedback for assessing pediatricians in practice. Methods: A systematic literature review was conducted using the electronic databases EMBASE, PsycINFO, MEDLINE, PUBMED, and CINAHL for English-language articles. Results: 762 articles were identified with the initial search and 756 articles were excluded for a total of six studies that met the inclusion criteria for this systematic review. Internal consistency reliability was reported in five studies with α > 0.95 for both subscales and full scales. Generalizability was also reported in two studies with Ep2 generally > 0.78. These adequate Ep2 coefficients were achieved with different numbers of raters. Evidence for content, criterion-related (e.g., Pearson’s r) and construct validity (e.g., principal component factor analysis) was reported in all 6 studies. Conclusion: Multisource feedback is a feasible, reliable, and valid method to assess pediatricians in practice. The results indicate that multisource feedback system can be used to assess key competencies such as communication skills, interpersonal skills, collegiality, and medical expertise. Further implementation of multisource feedback is desirable.

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Barriers to Implementing the ACGME Outcome Project: A Systematic Review of Program Director Surveys

Journal of Graduate Medical Education ◽

10.4300/jgme-d-11-00222.1 ◽

2012 ◽

Vol 4 (4) ◽

pp. 425-433 ◽

Cited By ~ 28

Author(s):

Mohammad U. Malik ◽

David A. Diaz Voss Varela ◽

Charles M. Stewart ◽

Kulsoom Laeeq ◽

Gayane Yenokyan ◽

...

Keyword(s):

Systematic Review ◽

English Language ◽

Medical Knowledge ◽

Program Directors ◽

Faculty Support ◽

Inclusion Criteria ◽

Competency Based Education ◽

Inadequate Knowledge ◽

Competency Based

Abstract Introduction The Accreditation Council for Graduate Medical Education (ACGME) introduced the Outcome Project in July 2001 to improve the quality of resident education through competency-based learning. The purpose of this systematic review is to determine and explore the perceptions of program directors regarding challenges to implementing the ACGME Outcome Project. Methods We used the PubMed and Web of Science databases and bibliographies for English-language articles published between January 1, 2001, and February 17, 2012. Studies were included if they described program directors' opinions on (1) barriers encountered when attempting to implement ACGME competency-based education, and (2) assessment methods that each residency program was using to implement competency-based education. Articles meeting the inclusion criteria were screened by 2 researchers. The grading criterion was created by the authors and used to assess the quality of each study. Results The survey-based data reported the opinions of 1076 program directors. Barriers that were encountered include: (1) lack of time; (2) lack of faculty support; (3) resistance of residents to the Outcome Project; (4) insufficient funding; (5) perceived low priority for the Outcome Project; (6) inadequate salary incentive; and (7) inadequate knowledge of the competencies. Of the 6 competencies, those pertaining to patient care and medical knowledge received the most responses from program directors and were given highest priority. Conclusions The reviewed literature revealed that time and financial constraints were the most important barriers encountered when implementing the ACGME Outcome Project.

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Randomized Controlled Trials of Headache Treatments in Pregnancy: A Systematic Review

American Journal of Perinatology ◽

10.1055/s-0040-1705180 ◽

2020 ◽

Author(s):

Elisa T. Bushman ◽

Gabriella Cozzi ◽

Rachel G. Sinkey ◽

Catherine H. Smith ◽

Michael W. Varner ◽

...

Keyword(s):

Systematic Review ◽

At Risk ◽

English Language ◽

Statistical Significance ◽

Cochrane Library ◽

Control Group ◽

Inclusion Criteria ◽

Headache Diagnosis ◽

Registration Number ◽

In Pregnancy

Abstract Objective Headaches affect 88% of reproductive-aged women. Yet data are limited addressing treatment of headache in pregnancy. While many women experience improvement in pregnancy, primary and secondary headaches can develop. Consequently, pregnancy is a time when headache diagnosis can influence maternal and fetal interventions. This study was aimed to summarize existing randomized control trials (RCTs) addressing headache treatment in pregnancy. Study Design We searched PubMed, CINAHL, EMBASE, ClinicalTrials.gov, Cochrane Library, CINAHL, and SCOPUS from January 1, 1970 through June 31, 2019. Studies were eligible if they were English-language RCTs addressing treatment of headache in pregnancy. Conference abstracts and studies investigating postpartum headache were excluded. Three authors reviewed English-language RCTs addressing treatment of antepartum headache. To be included, all authors agreed each article to meet the following criteria: predefined control group, participants underwent randomization, and treatment of headache occurred in the antepartum period. If inclusion criteria were met no exclusions were made. Our systematic review registration number was CRD42019135874. Results A total of 193 studies were reviewed. Of the three that met inclusion criteria all were small, with follow-up designed to measure pain reduction and showed statistical significance. Conclusion Our systematic review of RCTs evaluating treatment of headache in pregnancy revealed only three studies. This paucity of data limits treatment, puts women at risk for worsening headache disorders, and delays diagnosis placing both the mother and fetus at risk for complications.

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Yoga as an Alternative and Complementary Treatment for Patients With Low Back Pain

Journal of Evidence-Based Complementary & Alternative Medicine ◽

10.1177/2156587212458693 ◽

2012 ◽

Vol 18 (1) ◽

pp. 23-28 ◽

Cited By ~ 4

Author(s):

Manoj Sharma ◽

Taj Haider

Keyword(s):

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

English Language ◽

Holistic Approach ◽

The United States ◽

Low Back ◽

Inclusion Criteria ◽

Complementary Treatment ◽

Study Inclusion

Low back pain is not only a leading cause of disability in the United States but also one of the most expensive to treat. Exercise proves to be inconsistent, and surgery often leads to disease reappearance. Yoga offers a holistic approach to overcome the psychological and physical aspects of low back pain. A systematic review was performed to determine the efficacy of yoga for low back pain. Study inclusion criteria were studies ( a) published in the English language, ( b) published between January 2000 and June 2012, ( c) included any form of yoga as an intervention, ( d) used any quantitative study design, and (5) measured low back pain as an outcome. Of the 13 studies included, 9 demonstrated a reduction in low back pain using yoga as part of the intervention. Limitations include lack of theory-based approaches, unclear definitions of low back pain, and multiple instruments used to measure the outcome.

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A systematic review of evidence on psychometric properties of information literacy tests

Library Review ◽

10.1108/lr-02-2017-0015 ◽

2017 ◽

Vol 66 (6/7) ◽

pp. 442-455

Author(s):

Khalid Mahmood

Keyword(s):

Systematic Review ◽

Psychometric Properties ◽

Information Literacy ◽

English Language ◽

Discriminant Validity ◽

Classical Test Theory ◽

Internal Consistency Reliability ◽

Test Theory ◽

Content Type ◽

Properties Of Information

Purpose This paper aims to present the results of a systematic review of the evidence on psychometric properties of information literacy (IL) tests. Design/methodology/approach A two-stage search strategy was used to find relevant studies in two subject and three general databases. A descriptive review of test characteristics and psychometric properties was presented. The review included 29 studies describing psychometric properties of 18 IL tests. Findings It was found that the classical test theory was applied for all tests. However, the item response theory was also applied in three cases. Most of the psychometric tests were developed in the USA using ACRL IL competency standards. The most commonly used psychometric analyses include content validity, discriminant validity and internal consistency reliability. Research limitations/implications Only studies in English language are included in this review. Practical implications The study recommends that standards should be developed for the use and reporting of psychometric measures in designing IL tests. Librarians need to be trained in psychometric analysis of tests. Originality/value It is the first study that systematically reviewed psychometric properties of IL tests. The findings are useful for librarians who are teaching IL courses.

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Tai Chi as an Alternative or Complementary Therapy for Patients With Depression

Journal of Evidence-Based Complementary & Alternative Medicine ◽

10.1177/2156587212465625 ◽

2012 ◽

Vol 18 (1) ◽

pp. 43-49 ◽

Cited By ~ 4

Author(s):

Manoj Sharma ◽

Taj Haider

Keyword(s):

Systematic Review ◽

Disease Burden ◽

English Language ◽

Tai Chi ◽

Alternative Therapy ◽

Holistic Approach ◽

Complementary Therapy ◽

Assessment Tools ◽

Inclusion Criteria ◽

Complementary Treatment

Considering depression ranks high among the contributors to worldwide disease burden and conventional treatments have severe limitations, Tai Chi, due to its holistic approach, is being explored as an alternative therapy. A systematic review was conducted to determine the efficacy of Tai Chi as a treatment option for depression. Inclusion criteria included the following: ( a) studies published in the English language, ( b) studies published between January 2007 and July 2012, ( c) studies that included Tai Chi as a therapy in an intervention, ( d) studies that used any quantitative study design, and ( e) studies that measured depression as an outcome. A total of 11 studies met these criteria. The efficacy of Tai Chi as an alternative and complementary treatment for depression is mixed. Limitations of the reviewed interventions included a mixed usage of instruments, high dropout rates, low sample sizes, and a lack of quality assessment tools for Tai Chi.

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Patients With Diabetes Mellitus Have a Higher Risk of Tendon Retear After Arthroscopic Rotator Cuff Repair: A Meta-analysis

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967120961406 ◽

2020 ◽

Vol 8 (11) ◽

pp. 232596712096140 ◽

Cited By ~ 1

Author(s):

Chih-Kai Hong ◽

Chao-Jui Chang ◽

Fa-Chuan Kuan ◽

Kai-Lan Hsu ◽

Yueh Chen ◽

...

Keyword(s):

Diabetes Mellitus ◽

Systematic Review ◽

Rotator Cuff ◽

Rotator Cuff Repair ◽

English Language ◽

Arthroscopic Rotator Cuff Repair ◽

Inclusion Criteria ◽

Level Of Evidence ◽

Arthroscopic Rotator Cuff ◽

Cuff Repair

Background: Retear of a repaired rotator cuff tendon is a major issue for shoulder surgeons. It is possible that diabetes mellitus (DM) is associated with a greater risk of tendon retear after arthroscopic rotator cuff repair. Purpose: To determine whether patients with DM have a higher tendon retear risk after arthroscopic rotator cuff repair. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using the Web of Science, PubMed, and Embase databases. Inclusion criteria were articles written in the English language that included patients undergoing arthroscopic rotator cuff repair surgeries, reported the numbers of patients with and those without DM, and reported the number of rotator cuff retears. Data relevant to this study were extracted and statistically analyzed. Random-effects models were used to generate pooled odds ratio estimates and CIs. Results: A total of 160 studies were identified from the initial search, and 5 of them met the inclusion criteria. A total of 1065 patients (207 patients with DM and 858 patients without DM) were included. The pooled results showed that the patients in the DM group had a significantly higher tendon retear risk than did those in the non-DM group (relative risk, 2.25; 95% CI, 1.14-4.45; P = .02). Conclusion: Patients with DM have a 2.25 times higher risk of tendon retear after arthroscopic rotator cuff repair compared with patients without DM.

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Nandrolone Decanoate: Use, Abuse and Side Effects

Medicina ◽

10.3390/medicina56110606 ◽

2020 ◽

Vol 56 (11) ◽

pp. 606

Author(s):

Federico Giuseppe Patanè ◽

Aldo Liberto ◽

Andreana Nicoletta Maria Maglitto ◽

Pasquale Malandrino ◽

Massimiliano Esposito ◽

...

Keyword(s):

Systematic Review ◽

Side Effects ◽

Adverse Effects ◽

English Language ◽

Scientific Literature ◽

Reproductive Organs ◽

Nandrolone Decanoate ◽

Inclusion Criteria ◽

Pubmed Database ◽

Study Results

Background and Objectives: Androgens play a significant role in the development of male reproductive organs. The clinical use of synthetic testosterone derivatives, such as nandrolone, is focused on maximizing the anabolic effects and minimizing the androgenic ones. Class II anabolic androgenic steroids (AAS), including nandrolone, are rapidly becoming a widespread group of drugs used both clinically and illicitly. The illicit use of AAS is diffused among adolescent and bodybuilders because of their anabolic proprieties and their capacity to increase tolerance to exercise. This systematic review aims to focus on side effects related to illicit AAS abuse, evaluating the scientific literature in order to underline the most frequent side effects on AAS abusers’ bodies. Materials and Methods: A systematic review of the scientific literature was performed using the PubMed database and the keywords “nandrolone decanoate”. The inclusion criteria for articles or abstracts were English language and the presence of the following words: “abuse” or “adverse effects”. After applying the exclusion and inclusion criteria, from a total of 766 articles, only 148 were considered eligible for the study. Results: The most reported adverse effects (found in more than 5% of the studies) were endocrine effects (18 studies, 42%), such as virilization, gynecomastia, hormonal disorders, dyslipidemia, genital alterations, and infertility; cardiovascular dysfunctions (six studies, 14%) such as vascular damage, coagulation disorders, and arteriosus hypertension; skin disorders (five studies, 12%) such as pricking, acne, and skin spots; psychiatric and mood disorders (four studies, 9%) such as aggressiveness, sleep disorders and anxiety; musculoskeletal disorders (two studies, 5%), excretory disorders (two studies, 5%), and gastrointestinal disorders (two studies, 5%). Conclusions: Based on the result of our study, the most common adverse effects secondary to the abuse of nandrolone decanoate (ND) involve the endocrine, cardiovascular, skin, and psychiatric systems. These data could prove useful to healthcare professionals in both sports and clinical settings.

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Vocal Fold Immobility due to Birth Trauma: A Systematic Review and Pooled Analysis

Otolaryngology ◽

10.1177/0194599817726773 ◽

2017 ◽

Vol 157 (6) ◽

pp. 948-954 ◽

Cited By ~ 7

Author(s):

Jad Jabbour ◽

Lauren M. North ◽

David Bougie ◽

Thomas Robey

Keyword(s):

Systematic Review ◽

Vocal Fold ◽

English Language ◽

Experimental Studies ◽

Pooled Analysis ◽

Birth Trauma ◽

Data Sources ◽

Inclusion Criteria ◽

Vocal Fold Immobility ◽

Present Understanding

Objectives To describe the present understanding of birth trauma–related vocal fold immobility and quantitatively compare it with idiopathic congenital vocal fold immobility to explore whether it is a discrete entity. Data Sources PubMed, Ovid, and Cochrane databases. Review Methods English-language, observational, or experimental studies involving infants with idiopathic congenital or birth trauma–related vocal fold immobility were included. Data from these studies were pooled with our institution’s vocal fold immobility database, with the resultant idiopathic congenital and birth trauma cohorts compared regarding patterns and outcomes of immobility. Results The search returned 288 articles, with 24 meeting inclusion criteria. Of studies reviewing all-cause immobility, 8 of 9 (88.9%) identified birth trauma as an etiology, although birth trauma definitions and proposed mechanisms of immobility varied. The study subjects, combined with our institution’s database, yielded 188 idiopathic congenital and 113 birth trauma cases. Compared with idiopathic congenital cases, birth trauma cases had a higher proportion of unilateral immobility (72 of 113 [63.7%] vs 52 of 188 [27.7%], P < .001) and rate of resolution (41 of 51 [80.4%] vs 91 of 159 [57.2%], P = .003). Resolution occurred in 24 of 26 (91.3%) unilateral and 17 of 25 (68.0%) bilateral birth trauma cases and in 30 of 40 (75.0%) unilateral and 59 of 109 (54.1%) bilateral idiopathic congenital cases ( P = .11 and .20, respectively). Conclusion While the definition and mechanism of birth trauma–related vocal fold immobility warrant further investigation, these findings suggest that it is distinct from idiopathic congenital vocal fold immobility, with a unique presentation and potentially more favorable outcomes. This can inform counseling and management for infants with otherwise unexplained immobility but known birth trauma.

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IMPACT OF QUR’AN RECITATION THERAPY ON PHYSIOLOGIC RESPONSES IN NEONATES ADMITTED IN NICU: A SYSTEMATIC REVIEW

Journal of Islamic Nursing ◽

10.24252/join.v4i2.9718 ◽

2019 ◽

Vol 4 (2) ◽

pp. 9

Author(s):

Desriati Devi ◽

Yeni Rustina

Keyword(s):

Systematic Review ◽

Oxygen Saturation ◽

Respiratory Rate ◽

Key Words ◽

English Language ◽

Physiological Responses ◽

Inclusion Criteria ◽

Significant Difference ◽

Quasi Experimental ◽

The Impact

Abstract Neonates who are admitted in NICU are exposed to tumultuous care environment originating from medical devices and procedures which may affect their physiological responses.This study aimed to identify the impact of Quran recitation therapy on physiological responses in neonates who were admitted in NICU. A systematic review was conducted by searching literatures of three databases including Science Direct, Scopus (2010-2018), and Google Scholar (2015-2018). The key words included “infants”, “holy Qur’an recitation”, and “Qur’an recitation” with inclusion criteria of literatures published in English language, Quasi-experimental study design, randomized controlled trials, neonates admitted in NICU as study sample, and impact of Quran recitation on physiological responses (oxygen saturation, respiratory rate, and pulse). The searching process resulted in 5 articles which met the inclusion criteria. The intervention of Quran recitation in those studies was performed once per day with duration of 10-25 minutes. The recited chapters included Al-Isra, Yusuf, Ar-Rahman, and Yasin. The intervention was provided through headphone with sound volume ranging from 45 to 65 dB. Four out of five studies reported significant difference. Qur’an recitation therapy had a significant effect on physiological responses in neonates admitted in NICU, including lower pulse and respiratory rate as well as higher oxygen saturation. The therapy may be provided as complementary and supportive intervention in order to improve stability of physiological responses in neonates admitted in NICU. Key words: Qur’an therapy; Physiological Responses; Neonates; NICU

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Depression, anxiety, PTSD, and OCD after stillbirth: a systematic review

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04254-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Cèline Lossius Westby ◽

Andrea Røsberg Erlandsen ◽

Sondre Aasen Nilsen ◽

Endre Visted ◽

Jens C. Thimm

Keyword(s):

Systematic Review ◽

English Language ◽

Inclusion Criteria ◽

Post Traumatic Stress ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Symptoms Of Depression ◽

Short And Long Term ◽

Post Traumatic ◽

And Gender

Abstract Background This systematic review aimed to provide an updated summary of studies investigating depression, anxiety, post-traumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD) in parents after stillbirth (from 20 weeks gestational age until birth). Methods A literature search was conducted in the databases Web of Science and PsychINFO. Main inclusion criteria were 1) peer-reviewed, quantitative, English-language articles published from 1980; (2) studies investigating depression, anxiety, PTSD, or OCD among parents following stillbirth; and (3) studies defining stillbirth as equal to or after 20 weeks of gestation. Results Thirteen quantitative, peer-reviewed articles were eligible for inclusion. Selected articles investigated depression, anxiety, and PTSD, while no studies on OCD met our inclusion criteria. The majority of studies investigated women, while only two studies included men. The results indicated heightened short- and long-term levels of depression, anxiety, and PTSD in parents after stillbirth compared to those of parents with live birth. Studies investigating predictors found that social support, marital status, negative appraisals, and variables related to care and management after stillbirth affected levels of symptoms. Conclusions Parents who experience stillbirth have a considerably higher risk of reporting symptoms of depression, anxiety, and PTSD compared with parents with live births. More longitudinal studies are needed to increase our knowledge of how symptoms develop over time, and more research on fathers, transgender, non-binary and gender fluid individuals is needed. Research on the association between stillbirth and OCD is also warranted. Knowledge of the severity of anxiety, depression, and PTSD after stillbirth, and predictors associated with symptom severity could provide healthcare professionals with valuable information on how to provide beneficial postpartum care.

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