Psychosocial Impact and Protective Factor of COVID-19 Confirmed Patient During Isolation Enactment: A Systematic Review

ABSTRACT This study aims to present a systematic review and synthesized evidence on the epidemiological factors, diagnostic methods and treatment options available for this phenomenon. A multi-database search (OVID Medline, EMBASE and PubMed) was performed according to PRISMA guidelines on 18 June 2019. All studies of any study design discussing on the epidemiological factors, diagnostic methods, classification systems and treatment options of the wave sign were included. The Newcastle–Ottawa quality assessment tool was used to appraise articles. No quantitative analysis could be performed due to heterogeneous data reported; 11 studies with a total of 501 patients with the wave sign were included. Three studies examined risk factors for wave sign and concluded that cam lesions were most common. Other risk factors include alpha angle >65° (OR=4.00, 95% CI: 1.26–12.71, P=0.02), male gender (OR 2.24, 95% CI: 1.09–4.62, P=0.03) and older age (OR=1.04, 95% CI: 1.01–1.07, P=0.03). Increased acetabular coverage in setting of concurrent cam lesions may be a protective factor. Wave signs most commonly occur at the anterior, superior and anterosuperior acetabulum. In terms of staging accuracy, the Haddad classification had the highest coefficients in intraclass correlation (k=0.81, 95% CI: 0.23–0.95, P=0.011), inter-observer reliability (k=0.88, 95% CI: 0.72–0.97, P<0.001) and internal validity (k=0.89). One study investigated the utility of quantitative magnetic imaging for wave sign, concluding that significant heterogeneity in T1ρ and T2 values (P<0.05) of acetabular cartilage is indicative of acetabular debonding. Four studies reported treatment techniques, including bridging suture repair, reverse microfracture with bubble decompression and microfracture with fibrin adhesive glue, with the latter reporting statistically significant improvements in modified Harris hip scores at 6-months (MD=19.2, P<0.05), 12-months (MD=22.0, P<0.05) and 28-months (MD=17.5, P<0.001). No clinical studies were available for other treatment options. There is a scarcity of literature on the wave sign. Identifying at risk symptomatic patients is important to provide prompt diagnosis and treatment. Diagnostic techniques and operative options are still in early developmental stages. More research is needed to understand the natural history of wave sign lesions after arthroscopic surgery and whether intervention can improve long-term outcomes. Level IV, Systematic review of non-homogeneous studies.

Download Full-text

The Effect of Green Space on the Physiologic Function of the Adult: A Systematic Review

10.28971/532021fb99 ◽

2021 ◽

Author(s):

Brenna Franco

Keyword(s):

Diabetes Mellitus ◽

Systematic Review ◽

Cohort Studies ◽

Protective Factor ◽

Green Space ◽

Inclusion Criteria ◽

Disease Awareness ◽

Obesity And Diabetes ◽

Physiologic Function ◽

Cardiovascular Illness

Environmental greenness is often associated with improved psychological outcomes, but the use of green space as a protective factor for maintaining physiologic health is understudied. However, growing evidence exists on the benefit of greenness on physiologic health. The purpose of this systematic review was to evaluate the effect of green space on the physiologic function of the adult. Cohort studies were searched for that had all elements of inclusion criteria. Six final studies were included in this systematic review utilizing PRISMA guidelines and CASP tool for cohort studies. Data from the studies was collected and a cross study analysis was conducted to compare all studies and assess for themes in study outcomes. Results of this review demonstrate that green space has a protective effect on physiologic health. Areas with higher levels of greenness are associated with lower prevalence of central obesity, diabetes mellitus, and self-reported rates of cardiovascular disease and stroke as well as decreased rates of mortality from cancers, and kidney and respiratory diseases. Implications of this study include the importance in understanding risk factors for development of disease. Awareness of a patient’s environment that includes natural spaces should be identified as a potential risk factor for the development of cardiovascular illness, obesity, and diabetes mellitus.

Download Full-text

A Systematic Review of Evolutionary-Based Conceptualisations of Family Violence and the Development of an Alternative Motivational-Emotional Systems Approach

10.26686/wgtn.15932910 ◽

2021 ◽

Author(s):

◽

Joanne Riley

Keyword(s):

Systematic Review ◽

Family Violence ◽

Protective Factor ◽

Genetic Relatedness ◽

Empirical Studies ◽

Life History Strategy ◽

Reproductive Value ◽

Future Research ◽

Emotional Systems ◽

Fundamental Motives

<p>Evolutionary psychology is a field that provides distal explanations of behaviour. Although it has potential to enhance current understandings of family violence, the present state of the literature is conceptually messy. The aim of the current thesis was to bring coherence to this domain by conducting a systematic review of evolutionary conceptualisations of family violence over the past four decades. Four databases (PsycINFO, PsycArticles, ProQuest Central, and Web of Science) were searched using relevant search terms to identify any work that examined family violence from an evolutionary perspective. A total of 54 publications were included in the review, ranging from theoretical pieces and empirical studies through to several commentaries. Findings indicated family violence was conceptualised as an adaptation, by-product, or pathology. However, numerous authors had contradictory perspectives as to how certain offences should be conceptualised, others failed to make a conceptual claim at all, and there was a tendency among authors to describe the behaviour as an adaptation rather than the underlying psychological mechanisms. To make sense of the findings, six recurrent themes were developed: lack of resources, genetic relatedness as a protective factor, fast life history strategy, reproductive value, lethal violence as pathology, and male sexual and familial proprietariness. The second aim of the thesis was to develop a novel theoretical framework that conceptualised family violence in a more clear and coherent manner. This new model was labelled the Fundamental Motives Framework and mapped findings from the systematic review onto a range of motivational-emotional systems. The Fundamental Motives Framework was discussed as a promising way of providing a multi- faceted, coherent perspective of family violence that accommodates for the heterogeneity in offending. Limitations and directions for future research were also discussed.</p>

Download Full-text

Refractive errors, ocular biometry and diabetic retinopathy: a systematic review

10.1101/2020.02.17.20024000 ◽

2020 ◽

Author(s):

Miao He ◽

Haiying Chen ◽

Wei Wang

Keyword(s):

Systematic Review ◽

Diabetic Retinopathy ◽

Axial Length ◽

Protective Factor ◽

Posterior Vitreous Detachment ◽

Anterior Chamber Depth ◽

Protective Role ◽

Protective Mechanism ◽

Ocular Biometry ◽

Systemic Factors

ABSTRACTDiabetic retinopathy (DR) is one of the major causes of visual impairment and blindness worldwide. The onset and progression of DR are influenced by systemic factors such as hyperglycemia and hypertension as well as ocular parameters. A better knowledge of the risk factors for DR is vital to improving the outcome of patients with DR and risk stratification. More recently, there has been increasing focus on the influence of myopia on DR development. Some observational studies have reported myopia being a protective factor for the development of DR, however the findings were inconsistent. In addition, it remains unclear whether it was myopia, axial length (AL), or other refractive factors that play the protective role. The protective mechanism against DR may be related to ocular elongation, posterior vitreous detachment, low perfusion in the retina and the abnormal cytokine profile. This systematic review will summarize the association of DR with refractory status as well as different refractive components including anterior chamber depth, refractory power of the lens, AL, and axial length-to-corneal radius ratio.

Download Full-text

14 A systematic review of the psychosocial impact of paediatric demyelinating disorders

10.1136/archdischild-2019-gosh.14 ◽

2019 ◽

Author(s):

Rebecca Cockburn ◽

Morvwen Duncan ◽

Claudia Johnston ◽

Hayley Bullock ◽

Sophie Mitchell ◽

...

Keyword(s):

Systematic Review ◽

Psychosocial Impact ◽

Demyelinating Disorders

Download Full-text

How are the kids holding up? A systematic review and meta-analysis on the psychosocial impact of maternal breast cancer on children

Cancer Treatment Reviews ◽

10.1016/j.ctrv.2016.07.005 ◽

2016 ◽

Vol 49 ◽

pp. 45-56 ◽

Cited By ~ 8

Author(s):

Rebecca Purc-Stephenson ◽

Annelise Lyseng

Keyword(s):

Breast Cancer ◽

Systematic Review ◽

Meta Analysis ◽

Psychosocial Impact

Download Full-text

Correlation between Traditional Chinese Medicine Constitution and Dyslipidemia: A Systematic Review and Meta-Analysis

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2017/1896746 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Ye-lin Ma ◽

Hui Yao ◽

Wei-jia Yang ◽

Xuan-xuan Ren ◽

Long Teng ◽

...

Keyword(s):

Systematic Review ◽

Chinese Medicine ◽

Traditional Chinese Medicine ◽

North China ◽

Protective Factor ◽

Meta Analysis ◽

High Quality ◽

Prevention And Treatment ◽

Chinese Medicine Constitution ◽

Review Manager

Objective. To study the correlation between Traditional Chinese Medicine (TCM) constitution and dyslipidemia. Methods. CNKI, VIP, Wanfang database, CBMdisc, PubMed, and Embase were searched, and meta-analysis was performed by Review Manager 5.2 software. Results. Altogether 11 studies were included with 12890 individuals. The results showed that balanced constitution was a protective factor of dyslipidemia (OR = 0.62, 95% CI 0.47~0.82) while phlegm-dampness constitution was a risk factor of it (OR = 2.50, 95% CI 2.22~2.80), and the effect of phlegm-dampness constitution in South China (OR = 3.31, 95% CI 1.71~6.43) was more obvious than that in East (OR = 2.40, 95% CI 2.06~2.80) and North China (OR = 2.24, 95% CI 1.81~2.78). Conclusion. This study provides evidence for the prevention and treatment of dyslipidemia in TCM. However, most of the studies included are of moderate quality; more high quality, multicenter, large-sample studies are expected to provide higher level evidence.

Download Full-text

Nursing workload and occurrence of adverse events in intensive care: a systematic review

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420160000500020 ◽

2016 ◽

Vol 50 (4) ◽

pp. 683-694 ◽

Cited By ~ 27

Author(s):

Andrea Carvalho de Oliveira ◽

Paulo Carlos Garcia ◽

Lilia de Souza Nogueira

Keyword(s):

Systematic Review ◽

Intensive Care Unit ◽

Intensive Care ◽

Adverse Events ◽

Protective Factor ◽

Nursing Workload ◽

Therapeutic Intervention Scoring System ◽

Patient Falls ◽

Final Sample ◽

Infection Pressure

Abstract OBJECTIVE To identifyevidences of the influence of nursing workload on the occurrence of adverse events (AE) in adult patients admitted to the intensive care unit (ICU). METHOD A systematic literature review was conducted in the databases MEDLINE, CINAHL, LILACS, SciELO, BDENF, and Cochrane from studies in English, Portuguese, or Spanish, published by 2015. The analyzed AE were infection, pressure ulcer (PU), patient falls, and medication errors. RESULTS Of 594 potential studies, eight comprised the final sample of the review. TheNursing Activities Score (NAS; 37.5%) and the Therapeutic Intervention Scoring System(TISS; 37.5%) were the instruments most frequently used for assessing nursing workload. Six studies (75.0%) identified the influence of work overload in events of infection, PU, and medicationerrors. An investigation found that the NAS was a protective factor for PU. CONCLUSION The nursing workload required by patients in the ICU influenced the occurrence of AE, and nurses must monitor this variable daily to ensure proper sizing of staff and safety of care.

Download Full-text

The experiences of adult heart, lung, and heart-lung transplantation recipients: A systematic review of qualitative research evidence

PLoS ONE ◽

10.1371/journal.pone.0241570 ◽

2020 ◽

Vol 15 (11) ◽

pp. e0241570

Author(s):

Claire Stubber ◽

Maggie Kirkman

Keyword(s):

Systematic Review ◽

Lung Transplantation ◽

Qualitative Methods ◽

English Language ◽

Psychosocial Care ◽

Psychosocial Impact ◽

Organ Rejection ◽

Transplantation Surgery ◽

Care And Support ◽

Language Research

Aim To review evidence about the experience of being the recipient of a donated heart, lungs, or heart and lungs. Design A systematic review (registered with PROSPERO: CRD42017067218), in accordance with PRISMA guidelines. Data sources Seven databases and Google Scholar were searched in May 2017 and July 2019 for papers reporting English-language research that had used qualitative methods to investigate experiences of adult recipients. Review methods Quality was assessed and results were analysed thematically. Results 24 papers (reporting 20 studies) were eligible and included. Their results were organised into three chronological periods: pre-transplant (encompassing the themes of ‘dynamic psychosocial impact’, ‘resources and support’), transplant (‘The Call’, ‘intensive care unit’), and post-transplant (‘dynamic psychosocial impact’, ‘management’, ‘rejection’). Sub-themes were also identified. It was evident that contemplating and accepting listing for transplantation entailed or amplified realisation of the precipitating illness’s existential threat. The period surrounding transplantation surgery was marked by profound, often surreal, experiences. Thereafter, although life usually improved, it incorporated unforeseen challenges. The transplantation clinic remained important to the recipient. The meaning of the clinic and its staff could be both reassuring (providing care and support) and threatening (representing onerous medical requirements and potential organ rejection). Conclusion This review has implications for the psychosocial care of transplant recipients and indicates the need for further research to gain insight into the experience of receiving a donated heart and/or lung. Impact Medical consequences of heart and lung transplantation are well documented; this is the first systematic review of research using qualitative methods to investigate the experience of heart, lung, and heart-and-lung transplantation. The psychosocial impact of transplantation was found to be dynamic and complex, with notable features evident before, during, and after transplantation. Clinic staff remained significant to recipients. It is clear that recipients need continuing psychosocial as well as medical support.

Download Full-text