A systematic review: The role of gender in staffs’ experience of working with adult survivors of sexual trauma

2021 ◽  
Vol 2 (2) ◽  
pp. 55-68
Author(s):  
Abbey Woodhouse ◽  
◽  
Sarah Craven-Staines ◽  
Keyword(s):  
Systematic Review ◽  
Sexual Trauma ◽  
Adult Survivors ◽  
Critical Examination ◽  
Female Survivors ◽  
Biological Sex ◽  
Client Group ◽  
Increased Risk ◽  
And Gender

Despite the vast amount of research being devoted to the field of sexual abuse and trauma, literature surrounding a gender informed stance is still very much in its infancy. This article presents a systematic review aiming to provide an impartial critical examination of relevant existing literature with the main aim of exploring the role of gender in staffs’ experience of working with survivors of sexual trauma. Electronic databases were searched online. Studies were eligible for inclusion if they investigated the experience and gender of staff working with adult survivors of sexual trauma. The exclusion criteria were studies that focussed on child and adolescent participants, and survivors with an intellectual disability. Eight studies were eligible for inclusion, and as such reviewed by authors; each highlighted the crucial role gender plays in the unique work between professionals and survivors of sexual trauma. Findings from the review highlighted gender as influencing interpersonal dynamics when focussing in on the client and/or the clinician. Clinician gender was felt to be particularly impactful and potentially detrimental should the gender of the professional be the same of that of the client’s historic abuser. Further societal stereotypes and perceptions of what connotes an abuse survivor has implications for working with male and female survivors of sexual trauma. As a result, there is potential for males being discouraged from making disclosures due to a subconscious reduced openness to males as survivors, rather than abusers. Increased empathy was found more often to be afforded to female survivors, with harsher punishments attributed to their abusers. Evidence was also suggested for the global adverse impact of working with this client group on professionals with an increased risk of vicarious traumatisation and burnout highlighted amongst clinicians. Limitations are highlighted in relation to the review’s ability to truly explore gender as the study only made reference to biological sex.

A systematic review exploring the role of gender in staffs experience of working with sexual offenders

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Abbie Woodhouse ◽  
Sarah Craven-Staines
Keyword(s):  
Systematic Review ◽  
Sex Offenders ◽  
Sexual Offenders ◽  
Research Area ◽  
Critical Examination ◽  
Emotional Impact ◽  
Content Type ◽  
Client Group ◽  
The Impact

Purpose Although literature surrounding sexual criminality is growing; with recent research, this paper aims to focus more upon burnout and emotional impact in therapists who study with sex offenders, little is known about possible gender differences in their experiences. Design/methodology/approach The study presents a systematic review that aims to provide an impartial critical examination of relevant existing literature, with the main aim of exploring the role of gender (both the staff members and the clients) in staffs’ experience of working with sexual offenders. Findings Findings retrieved 10 eligible studies indicating evidence of the influential role in which gender plays in the experienced staff may have when working with sexual offenders. Studies within the review demonstrated variability in views towards sexual offenders across genders; with studies finding female staff to hold more positive perceptions of sexual offenders. Further evidence suggested a global impact of working with the client group; with professionals holding differential and largely more positive views of sexual offenders than the general public. However, an adverse impact of working with sexual offenders was highlighted, particularly for staff who have worked longest within their role or have increased frequency of contact. Research limitations/implications Limitations were highlighted in relation to the reviews ability to truly explore gender; given there are no current studies within this research area defining gender beyond male and female, losing the voices of those non-binary and transgendered individuals. Practical implications The paper includes implications for staff working with sexual offenders; including adverse affects of the clinical contact and the impact of working with same/opposing gendered clients. Research also takes a gender informed stance in exploring how staff gender impacts the relationships with sexual offenders, and the effect this may have on client outcomes. Originality/value Research is the first of its kind in taking a systematic approach to exploring the current literature surrounding staffs experiences of working with sexual offenders, through a gender informed lens.

scholarly journals Role of Dietary Habits in the Prevention of Diverticular Disease Complications: A Systematic Review

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1288
Author(s):  
Marilia Carabotti ◽  
Francesca Falangone ◽  
Rosario Cuomo ◽  
Bruno Annibale
Keyword(s):  
Systematic Review ◽  
Diverticular Disease ◽  
Dietary Habits ◽  
Acute Diverticulitis ◽  
High Quality ◽  
Eligibility Criteria ◽  
Diverticular Bleeding ◽  
Recurrent Diverticulitis ◽  
Increased Risk

Recent evidence showed that dietary habits play a role as risk factors for the development of diverticular complications. This systematic review aims to assess the effect of dietary habits in the prevention of diverticula complications (i.e., acute diverticulitis and diverticula bleeding) in patients with diverticula disease. PubMed and Scopus databases were searched up to 19 January 2021, 330 records were identified, and 8 articles met the eligibility criteria and were subjected to data extraction. The quality of the studies was evaluated by the Newcastle-Ottawa quality assessment form. No study meets the criteria for being a high-quality study. A high intake of fiber was associated to a decreased risk of diverticulitis or hospitalization due to diverticular disease, with a protective effect for fruits and cereal fiber, but not for vegetable fiber; whereas, a high red meat consumption and a generally Western dietary pattern were associated with an increased risk of diverticulitis. Alcohol use seemed to be associated to diverticular bleeding, but not to recurrent diverticulitis or diverticular complications. Further high-quality studies are needed to better define these associations. It is mandatory to ascertain the role of dietary habits for the development of recurrent acute diverticulitis and diverticular bleeding.

scholarly journals Chemoprophylaxis and vaccination in preventing subsequent cases of meningococcal disease in household contacts of a case of meningococcal disease: a systematic review

2015 ◽  
Vol 143 (11) ◽  
pp. 2259-2268 ◽  
Author(s):  
L. TELISINGHE ◽  
T. D. WAITE ◽  
M. GOBIN ◽  
O. RONVEAUX ◽  
K. FERNANDEZ ◽  
...  
Keyword(s):  
Systematic Review ◽  
Risk Ratio ◽  
Meningococcal Disease ◽  
Index Case ◽  
Sub Saharan Africa ◽  
Number Needed To Treat ◽  
Household Contacts ◽  
Increased Risk ◽  
Sub Saharan

SUMMARYHousehold contacts of an index case of invasive meningococcal disease (IMD) are at increased risk of acquiring disease. In revising WHO guidance on IMD in sub-Saharan Africa, a systematic review was undertaken to assess the effect of chemoprophylaxis and of vaccination in preventing subsequent cases of IMD in household contacts following an index case. A literature search for systematic reviews identified a single suitable review on chemoprophylaxis in 2004 (three studies meta-analysed). A search for primary research papers published since 2004 on chemoprophylaxis and without a date limit on vaccination was therefore undertaken. There were 2381 studies identified of which two additional studies met the inclusion criteria. The summary risk ratio for chemoprophylaxis vs. no chemoprophylaxis (four studies) in the 30-day period after a case was 0·16 [95% confidence interval (CI) 0·04-0·64, P = 0·008]; the number needed to treat to prevent one subsequent case was 200 (95% CI 111-1000). A single quasi-randomized trial assessed the role of vaccination. The risk ratio for vaccination vs. no vaccination at 30 days was 0·11 (95% CI 0·01–2·07, P = 0·14). The results support the use of chemoprophylaxis to prevent subsequent cases of IMD in household contacts of a case. Conclusions about the use of vaccination could not be drawn.

scholarly journals The Differential Role of Human Cationic Trypsinogen (PRSS1) p.R122H Mutation in Hereditary and Nonhereditary Chronic Pancreatitis: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Cheng Hu ◽  
Li Wen ◽  
Lihui Deng ◽  
Chenlong Zhang ◽  
Aurelia Lugea ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Pancreatitis ◽  
Environmental Factors ◽  
Genetic Factors ◽  
Meta Analysis ◽  
Case Control Studies ◽  
Complex Disorder ◽  
Increased Risk ◽  
Cationic Trypsinogen

Background. Environmental factors and genetic mutations have been increasingly recognized as risk factors for chronic pancreatitis (CP). ThePRSS1p.R122H mutation was the first discovered to affect hereditary CP, with 80% penetrance. We performed here a systematic review and meta-analysis to evaluate the associations ofPRSS1p.R122H mutation with CP of diverse etiology.Methods. The PubMed, EMBASE, and MEDLINE database were reviewed. The pooled odds ratio (OR) with 95% confidence intervals was used to evaluate the association of p.R122H mutation with CP. Initial analysis was conducted with all etiologies of CP, followed by a subgroup analysis for hereditary and nonhereditary CP, including alcoholic or idiopathic CP.Results. A total of eight case-control studies (1733 cases and 2415 controls) were identified and included. Overall,PRSS1p.R122H mutation was significantly associated with an increased risk of CP (OR = 4.78[1.13–20.20]). Further analysis showed p.R122H mutation strongly associated with the increased risk of hereditary CP (OR = 65.52[9.09–472.48]) but not with nonhereditary CP, both alcoholic and idiopathic CP.Conclusions. Our study showing the differential role of p.R122H mutation in various etiologies of CP indicates that this complex disorder is likely influenced by multiple genetic factors as well as environmental factors.

Transitions to adulthood and psychological distress in young adults born 12 years apart: constraints on and resources for development

2009 ◽  
Vol 40 (2) ◽  
pp. 301-313 ◽  
Author(s):  
A. Sacker ◽  
N. Cable
Keyword(s):  
Young Adults ◽  
Psychological Distress ◽  
Social Class ◽  
Transition To Adulthood ◽  
Well Being ◽  
Structural Constraints ◽  
Increased Risk ◽  
And Gender ◽  
Adult Roles

BackgroundLater transitions to adult roles and responsibilities have been linked with better psychological well-being yet psychological distress has risen despite young people making the transition to adulthood at older ages over recent years.MethodWe examine the role of structural constraints and adolescent resources in the relationship between the timing of transitions and psychological distress in early adult life in the 1958 National Child Development Study and the 1970 British Cohort Study. Graphical chain models were used to examine the influences on timing of four key transitions and their relationship with psychological distress (Malaise Inventory). The role of structural factors at birth (gender, social class) and adolescent resources (psychosocial problems, exam grades) were modelled.ResultsAn earlier transition to adult roles was associated with an increased risk for psychological distress but so was failing to make some key transitions. Structural constraints had negative effects on successful development. Persistent social class and gender inequalities in psychological distress were evident in both cohorts. Social class constraints were mediated by educational resources whereas gender constraints were mediated by psychosocial resources. The influence of structural constraints on the timing of transitions to adult roles was more complex with evidence of positive and negative mediation and moderation effects.ConclusionsDelaying transition to adulthood promotes psychological health but failure of transition to independent living is associated with psychological distress. Life-course transitions are constrained by social origin and gender and possibly economic environment. Adolescent resources help young adults to make timely transitions to adult roles.

Edible Medicinal Plants on Facilitating Childbirth: A Systematic Review

2021 ◽  
Vol 18 ◽  
Author(s):  
Fatemeh Rahmani Ivari ◽  
Atiyeh Mohamadzadeh Vatanchi ◽  
Mahdi Yousefi ◽  
Fateme Badaksh ◽  
Roshanak Salari
Keyword(s):  
Systematic Review ◽  
Medicinal Plants ◽  
Positive Impact ◽  
Date Syrup ◽  
Increased Risk ◽  
Plant Effects ◽  
The Impact ◽  
Labor Onset ◽  
Positive Effect

Background: Despite advances and the availability of newer drugs to facilitate childbirth, the interest in using natural treatments is on the rise. More than 20 percent of pregnancies require induction of labor, which is associated with side effects and increased risk of cesarean surgery. For this reason, the use of medicinal plants is considered healthier. Objective: The present study is a systematic review of the role of oral herbs in facilitating childbirth. Results: Twenty clinical trials investigated the impact of edible plants on increasing cervical readiness, stimulating labor onset, reducing pain intensity, and shortening the duration of labor. Five studies have revealed the positive impact of saffron. Two studies reported the same effect by chamomile. Three studies showed the positive impact of boiled dill seeds, and two studies showed the impact of date and date syrup. Another study reported the impact of Descurainia Sophia, and six studies also showed the positive effect of castor oil on uterine stimulation, strengthening and relieving labor pains, which eventually lead to facilitating labor. One study also showed no improvement in bishop score after consumption of primrose capsules. Conclusion: The positive effect of edible medicinal plants on facilitating childbirth has been shown in the mentioned studies. However, more studies with a larger sample size are needed, and there is also a need for a more detailed study of the possible mechanisms of plant effects.

Pre-Eclamptic Pregnancies: An Opportunity to Identify Women at Risk for Future Cardiovascular Disease

2008 ◽  
Vol 4 (2) ◽  
pp. 133-135 ◽  
Author(s):  
Iasmina M Craici ◽  
Steven J Wagner ◽  
Suzanne R Hayman ◽  
Vesna D Garovic
Keyword(s):  
Systematic Review ◽  
Cardiovascular Disease ◽  
Risk Factor ◽  
Meta Analysis ◽  
Later Life ◽  
Future Studies ◽  
Increased Risk ◽  
All Cause Mortality ◽  
History Of

Evaluation of: Bellamy L, Casas JP, Hingorani AD, Williams DJ: Pre-eclampsia and risk of cardiovascular disease and cancer in later life: systematic review and meta-analysis. Br. Med. J. 335(7627), 974 (2007). Evidence has emerged over the years suggesting that women who develop hypertensive pregnancy disorders, most notably pre-eclampsia, are at an increased risk for cardiovascular disease later in life. In this study, a systematic review and meta-analysis were performed, assessing the future risks of cardiovascular disease, cancer and all-cause mortality in women with a history of pre-eclampsia and eclampsia. Women with a history of pre-eclampsia or eclampsia, compared with women without such a history, had an increased risk for cardiovascular disease, including a fourfold increased risk for hypertension, a twofold increased risk for ischemic heart disease, stroke and deep venous thrombosis, and a 1.5-times higher all-cause mortality. The study suggests that affected women may be eligible for preventive therapies at an earlier age, especially if future studies establish the role of pre-eclampsia as an independent cardiovascular risk factor.

scholarly journals The role of obesity and adipokines in coronary microvascular dysfunction: a systematic review and meta-analysis

2021 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
M Spezia ◽  
A Bonato ◽  
G De Fortunato ◽  
A Bossi ◽  
M Glauber
Keyword(s):  
Systematic Review ◽  
Blood Flow ◽  
Coronary Flow ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Cochrane Library ◽  
Flow Reserve ◽  
Increased Risk ◽  
Significant Difference

Abstract Funding Acknowledgements Type of funding sources: None. Background Patients with obesity present structural and functional changes in the heart and in the coronary circulation, which ultimately leads to an increased risk of cardiovascular disease. Obesity is associated with a low chronic state of inflammation which seems to be linked to a compromised coronary vasoreactivity, which is shown to be a forerunner and a long-term predictor of clinically relevant cardiovascular events. Methods A systematic review was performed by searching PubMed, Embase and Cochrane Library database. Selection criteria were applied leading to the inclusion of studies of any level of evidence published in peer-reviewed journals reporting clinical or preclinical results. Relative data were extracted and critically analysed. PRISMA guidelines were applied and risk of bias was assessed, as well as the methodological quality of the included studies. After this assessment, we excluded all the articles with serious risk of bias and/or low quality. Meta-analysis was conducted on the data collected regarding coronary blood flow (CFR) and hyperemic myocardial blood flow (MBF), while for the other parameters a descriptive analysis was performed. Results After applying the described criteria, we included 15 articles on human and animal literature assessed as medium or high quality. The data of 1399 patients were examined, 456 of which with obesity (BMI ≥ 30). A pooled effect size analysis shows that coronary flow reserve (CFR) is significantly reduced in patients with obesity [Random Effect (RE): -47.7%, 95% confidence interval (CI) -80.2% – -15.2%; n = 422]. Increased BMI is associated with reduced CFR. The same trend is found evaluating pharmacological induced stress MBF, which was reduced in patients with obesity [RE: -47.8%, 95% CI -73.7% – -21.8%; n = 409]. Nevertheless, MBF at rest did not show a significant difference in patients with obesity from our analysis [RE: 15%, 95% CI -24% - 53%; n = 409]. Pro-inflammatory adipokines secretion, as leptin and CRP, seems to correlate with a significant decrease of stress-induced MBF and reduced CFR. Conclusions Obesity is associated with a significant higher risk of coronary microvascular disfunction, which is reflected by diminished CFR and stress MBF. Systemic inflammation and the imbalance of adipokines related to obesity has been closely linked to a blunt coronary flow. CMD is a pre-clinical heart conditions that often remains undiagnosed. Further evidence is required to clear out the role of Obesity from a molecular point of view on the coronary endothelium.

The role of sex and gender in search behavior for political information on the internet

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Sabrina Heike Kessler ◽  
Klara Langmann
Keyword(s):  
Eye Tracking ◽  
Search Behavior ◽  
Political Interest ◽  
The Internet ◽  
Sex And Gender ◽  
Online Search ◽  
Biological Sex ◽  
And Gender ◽  
Online Search Behavior

AbstractPrevious studies have emphasized a person’s biological sex as a factor which influences online search behavior. This study aims to investigate how people (N = 44 students) search online for political information (N = 220 search tasks) and if gendered online search exists. We examined online search behavior via eye tracking while the participants searched for information about political party positions on the Internet. A content analysis of the eye tracking data followed and was evaluated with a special focus on the role of biological sex and social gender, and the relationship of both factors with other variables, such as self-reported prior political knowledge, political interest, and Internet skills (via an online survey). The results accord with previous studies in that the sex influences the online search process. However, this relationship was partially mediated by self-reported political interest and prior knowledge. This outcome calls for a more critical use of the sex variable in reference to political online search behavior, and the inclusion of sex and gender related variables.

scholarly journals Elevated D-Dimer Levels are Associated with Increased Risk of Mortality in COVID-19: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Siddharth Shah ◽  
Kuldeep Shah ◽  
Siddharth B Patel ◽  
Forum S Patel ◽  
Mohammed Osman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Severe Disease ◽  
Case Fatality ◽  
Inclusion Criteria ◽  
Risk Of Mortality ◽  
Increased Risk ◽  
Novel Coronavirus ◽  
D Dimer

AbstractIntroductionThe 2019 novel Coronavirus (2019-nCoV), now declared a pandemic has an overall case fatality of 2–3% but it is as high as 50% in critically ill patients. D-dimer is an important prognostic tool, often elevated in patients with severe COVID-19 infection and in those who suffered death. In this systematic review, we aimed to investigate the prognostic role of D-dimer in COVID-19 infected patients.MethodsWe searched PubMed, Medline, Embase, Ovid, and Cochrane for studies reporting admission D-dimer levels in COVID-19 patients and its effect on mortality.Results18 studies (16 retrospective and 2 prospective) with a total of 3,682 patients met the inclusion criteria. The pooled mean difference (MD) suggested significantly elevated D-dimer levels in patients who died versus those survived (MD 6.13 mg/L, 95% CI 4.16 − 8.11, p <0.001). Similarly, the pooled mean D-dimer levels were significantly elevated in patients with severe COVID-19 infection (MD 0.54 mg/L, 95% CI 0.28 − 0.8, p< 0.001). In addition, the risk of mortality was four-fold higher in patients with positive D-dimer vs negative D-dimer (RR 4.11, 95% CI 2.48 − 6.84, p< 0.001) and the risk of developing the severe disease was two-fold higher in patients with positive D-dimer levels vs negative D-dimer (RR 2.04, 95% CI 1.34 − 3.11, p < 0.001).ConclusionOur meta-analysis demonstrates that patients with COVID-19 presenting with elevated D-dimer levels have an increased risk of severe disease and mortality.

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