scholarly journals Promoting Diet and Physical Activity in Nurses

2016 ◽  
Vol 31 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Luciana Torquati ◽  
Toby Pavey ◽  
Tracy Kolbe-Alexander ◽  
Michael Leveritt
Keyword(s):  
Physical Activity ◽  
English Language ◽  
Data Extraction ◽  
Student Nurses ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Data Synthesis ◽  
Diet And Physical Activity ◽  
Data Source

Objective. To systematically review the effectiveness of intervention studies promoting diet and physical activity (PA) in nurses. Data Source. English language manuscripts published between 1970 and 2014 in PubMed, Scopus, CINAHL, and EMBASE, as well as those accessed with the PICO tool, were reviewed. Study Inclusion and Exclusion Criteria. Inclusion criteria comprised (1) nurses/student nurses working in a health care setting and (2) interventions where PA and/or diet behaviors were the primary outcome. Exclusion criteria were (1) non–peer-reviewed articles or conference abstracts and (2) interventions focused on treatment of chronic conditions or lifestyle factors other than PA or diet in nurses. Data Extraction. Seventy-one full texts were retrieved and assessed for inclusion by two reviewers. Data were extracted by one reviewer and checked for accuracy by a second reviewer. Data Synthesis. Extracted data were synthesized in a tabular format and narrative summary. Results. Nine (n = 737 nurses) studies met the inclusion criteria. Quality of the studies was low to moderate. Four studies reported an increase in self-reported PA through structured exercise and goal setting. Dietary outcomes were generally positive, but were only measured in three studies with some limitations in the assessment methods. Two studies reported improved body composition without significant changes in diet or PA. Conclusions. Outcomes of interventions to change nurses’ PA and diet behavior are promising, but inconsistent. Additional and higher quality interventions that include objective and validated outcome measures and appropriate process evaluation are required.

Intranasal Glucagon: A New Way to Treat Hypoglycemic Emergencies

2020 ◽  
Vol 54 (8) ◽  
pp. 780-787
Author(s):  
Rachel N. Lowe ◽  
Jennifer M. Trujillo
Keyword(s):  
Adverse Events ◽  
English Language ◽  
Data Extraction ◽  
Severe Hypoglycemia ◽  
Data Synthesis ◽  
Language Studies ◽  
Study Selection ◽  
Free Treatment ◽  
Patients With Diabetes ◽  
Data Source

Objective: To review the safety, efficacy, and administration of intranasal (IN) glucagon for the management of hypoglycemia. Data Source: A literature search of PubMed/MEDLINE (1995 to November 2019) using the terms intranasal glucagon, nasal glucagon, glucagon, hypoglycemia treatment, and hypoglycemia management was completed. Study Selection and Data Extraction: English-language studies evaluating IN glucagon were evaluated. Data Synthesis: IN glucagon is a newly approved product for the treatment of hypoglycemia in patients with diabetes, 4 years and older. Administered as a 3-mg dose, it was shown to be noninferior to intramuscular (IM) glucagon. In comparison trials, more than 98% of hypoglycemic events were treated successfully with IN glucagon in both pediatric and adult patients. In simulated and real-world studies, IN glucagon was administered in less than a minute for the majority of scenarios. IM glucagon took longer to administer, ranging from 1 to 4 minutes, and often, patients did not receive the intended full dose. Nausea and vomiting, known adverse events for glucagon, as well as local adverse events were most commonly reported with IN glucagon. Relevance to Patient Care and Clinical Practice: IN glucagon is safe, effective, easy to use, and does not require reconstitution prior to use, which can lead to faster delivery in a severe hypoglycemic event. It does not require age- or weight-based dosing. This delivery method offers an option for someone who fears needles or is uncomfortable with injections. Conclusion: IN glucagon is a safe, effective, easy to use, needle-free treatment option for severe hypoglycemia.

Effectiveness of Workplace Exercise Interventions on Body Composition: A Systematic Review and Meta-Analysis

2021 ◽  
pp. 089011712110147
Author(s):  
Guillermo García Pérez de Sevilla ◽  
Fernando Cobo Vicente-Arche ◽  
Israel John Thuissard ◽  
Olga Barcelo ◽  
Margarita Perez-Ruiz
Keyword(s):  
Body Composition ◽  
Strength Training ◽  
Data Extraction ◽  
Meta Analysis ◽  
Moderate Intensity ◽  
Exclusion Criteria ◽  
Exercise Interventions ◽  
Body Adiposity ◽  
Data Source

Objective: The aim of this review was to analyze the effectiveness of workplace exercise interventions on body composition (BC). Data Source: Studies published in PubMed, Scopus, SPORTDiscus, Web of Science, CINAHL and PsycINFO, from the earliest time point until 8 July 2020. Study Inclusion and Exclusion Criteria: Inclusion criteria were worksite interventions, in adults, Randomized Controlled Trials (RCTs), real exercise practice, and measuring BC outcomes. Exclusion criteria were full-text non-available, abstract not in English, and exercise protocol missing. Data Extraction: 157 studies were retrieved and assessed for inclusion by 2 independent reviewers, who also used the Cochrane’s Collaboration Tool to assess study quality and risk of bias. Data Synthesis: We performed a meta-analysis to determine the effect size of the interventions on BC outcomes reported in at least 5 studies. Results: Twelve RCTs were included (n = 1270, 66% women), quality of studies being low to high (25% moderate, 67% high). Interventions achieved a statistically significant decrease in waist circumference (SMD = 0.24; 95% confidence interval (CI): 0.06 to 0.41; p = 0.008), total mass fat (SMD = 0.21; 95%CI: 0.00 to 0.41; p = 0.047), and body adiposity index (SMD = 0.20; 95%CI: 0.00 to 0.41; p = 0.049). No changes were observed in body weight (SMD = 0.08 95%CI: −0.02 to 0.18; p = 0.128). Additionally, muscle mass increased in interventions that included strength training. There were no adverse events reported. Conclusion: The most effective workplace exercise interventions to improve BC combined supervised, moderate-intensity aerobic and strength training, for at least 4 months.

scholarly journals Scientifically validated applications for monitoring the practice of physical activities and energy expenditure using the smartphone accelerometer: a integrative review

2021 ◽  
Vol 10 (13) ◽  
pp. e511101321399
Author(s):  
Nicoli Bertti Zanin ◽  
William Tsutomu Watanabe ◽  
Wilson Rogério Rescigno ◽  
Márcio Tadashi Ishizaki ◽  
Robson Rodrigues da Silva ◽  
...  
Keyword(s):  
Physical Activity ◽  
Energy Expenditure ◽  
Mobile Technologies ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Indicator Method ◽  
Validation Criteria ◽  
Questionnaire Result ◽  
Scientific Validation

Introduction: Mobile technologies, especially smartphone applications, have contributed a lot in the area of health and physical activity, but there is an increasing concern with the validation criteria of these tools. It is extremely important to know if the physiological parameters used are safe and reliable to promote and monitor the practice of physical activity. With technological innovation, it is possible to process the data of accelerometer to measure energy expenditure. Objective: this study searched for evidence of scientific validation in Apps that uses smartphone’s accelerometer as energy expenditure indicator. Method: The keywords, inclusion and exclusion criteria were defined. The selected articles were categorized using an adapted questionnaire. Result: In a total of 1923 articles, eight articles meted all inclusion criteria that developed and validated apps for physical activity analysis. Conclusion: The results induced the effectiveness of smartphone's accelerometer to recognize physical activity and energy expenditure. It can be used to encourage healthy and safe practices, leading to improvements in quality of life. The limited number of articles with scientifically validated Applications indicates the need for more research.

scholarly journals A protocol for a systematic map of review studies on the potential environmental impacts of shale gas development

2019 ◽  
Author(s):  
Dr Sarah A Clancy ◽  
Rachel Brown ◽  
Gavin stewart ◽  
Rob Ward ◽  
Richard Davies
Keyword(s):  
Environmental Impacts ◽  
Shale Gas ◽  
Data Extraction ◽  
Gas Extraction ◽  
Systematic Map ◽  
Exclusion Criteria ◽  
Data Synthesis ◽  
Gas Industry ◽  
The Uk

With the possible development of a shale gas industry within the UK, many review studies have been written in an attempt to further understand and identify potential environmental impacts related to shale gas extraction. However, until now, these review studies have not been critically assessed to determine their rigor. This article outlines the protocol for a systematic map of review studies on the potential environmental impacts of shale gas extraction by hydraulic fracturing. The main aim of this study is to systematically map peer-reviewed and non-peer-reviewed review studies and assess the abundance and quality of the evidence. Secondary objectives will also be explored in relation to assessing the distribution of the literature available on different environmental impacts, including impacts to water, land and air. The results of this systematic map will be used to inform recommendations for further research. This protocol outlines the reasoning, objectives, inclusion and exclusion criteria, search strategy and the screening processes for the systematic map. This report includes details on the plans for data extraction and data synthesis

scholarly journals Physical activity in patients with rheumatoid arthritis - an agile lifelong behaviour: a qualitative meta-synthesis

RMD Open ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. e001635
Author(s):  
Emma Swärdh ◽  
Christina Opava ◽  
Nina Brodin
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Web Of Science ◽  
Body Awareness ◽  
Main Theme ◽  
Inclusion Criteria ◽  
Online Databases ◽  
Taking Action ◽  
The Impact

BackgroundPhysical activity (PA) in rheumatoid arthritis (RA) is considered a cornerstone in the treatment. To highlight aspects involved in supporting a positive PA behaviour, it is important to understand the patients’ perceptions of the phenomenon.ObjectiveThe aim of this qualitative meta-synthesis was to explore and synthesise patient perceptions of PA in RA.MethodsA purposeful search was conducted across three online databases (PubMed, CINAHL and Web of Science). The methodological quality of the included studies was appraised, and data were extracted and analysed using an interpretive inductive thematic synthesis.ResultsFifteen studies met the inclusion criteria and were included. PA was identified as an agile lifelong behaviour, with one main theme: The disease as a persistent catalyst for or against PA illustrating how the constant presence of the disease itself underlies the entire process of a life with or without regular PA. Seven subthemes: ‘considering aggravated symptoms’, ‘acknowledging the impact on health’, ‘becoming empowered and taking action’, ‘keeping informed to increase awareness’, ‘creating body awareness’, ‘dealing with social support’ and ‘feeling satisfied with circumstances and achievements’ were interpreted as facilitators and/or challenges.ConclusionThis synthesis has identified PA as an agile lifelong behaviour in which the disease pervades all aspects of an individuals’ perception of PA. Placed in a theoretical context, our findings outline a model for tailoring PA support to the drivers and determinants of a certain individual, which will improve clinical practice for the benefit of both health professionals and patients with RA.

Pegfilgrastim-Induced Bone Pain: A Review on Incidence, Risk Factors, and Evidence-Based Management

2017 ◽  
Vol 51 (9) ◽  
pp. 797-803 ◽  
Author(s):  
Donald C. Moore ◽  
Annie E. Pellegrino
Keyword(s):  
Risk Factors ◽  
Bone Pain ◽  
English Language ◽  
Data Extraction ◽  
Treatment Modalities ◽  
Management Options ◽  
Data Synthesis ◽  
Pharmacological Management ◽  
Study Selection ◽  
Incidence Risk

Objective: To review the incidence, risk factors, and management of pegfilgrastim-induced bone pain (PIBP). Data Sources: PubMed was searched from 1980 to March 31, 2017, using the terms pegfilgrastim and bone pain. Study Selection and Data Extraction: English-language, human studies and reviews assessing the incidence, risk factors, and management of PIBP were incorporated. Data Synthesis: A total of 3 randomized, prospective studies and 2 retrospective studies evaluated pharmacological management of PIBP. Naproxen compared with placebo demonstrated a reduction in the degree, incidence, and duration of bone pain secondary to pegfilgrastim. Loratadine was not effective in reducing the incidence of bone pain prophylactically, but a retrospective study evaluating dual antihistamine blockade with loratadine and famotidine demonstrated a decreased incidence in bone pain when administered before pegfilgrastim. Conclusion: Naproxen is effective at managing PIBP. Although commonly used, antihistamines have a paucity of data supporting their use. Dose reductions of pegfilgrastim and opioids may also be potential management options; however, data supporting these treatment modalities are scarce.

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

2012 ◽  
Vol 4 (4) ◽  
pp. 425-433 ◽  
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.

scholarly journals Quality of life in siblings of autistic patients

2005 ◽  
Vol 27 (1) ◽  
pp. 67-69 ◽  
Author(s):  
Adriana Regina Ferreira Marciano ◽  
Cláudia Ines Scheuer
Keyword(s):  
Quality Of Life ◽  
Mental Disorder ◽  
Speech Disorders ◽  
Speech Disorder ◽  
Control Group ◽  
Psychiatric Diseases ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
School Exclusion

OBJECTIVE: To evaluate the Quality of Life (QoL) among siblings of autistic patients. METHODS: Casuistic: siblings of autistic patients (n = 31) and, as a control group, siblings of patients with speech disorder (n = 30). Inclusion criteria: age between 7 and 11 years old; absence of current mental disorder; regular attendance to school. Exclusion criteria: antecedents of clinical or psychiatric diseases; disabilities (visual, auditive or motor); antecedents of cognitive and/or intelligence disabilities. Instruments included a questionnaire which evaluated the quality of life in a subjective way. RESULTS: it was observed worse QoL among siblings of autistic patients (p = 0.000). CONCLUSION: The hypothesis that the quality of life was compromised in children (aged 7 to 11) by the presence of an autistic sibling was confirmed, and was worse than that of siblings of children with speech disorders.

scholarly journals Perancangan Data Warehouse Rumah Sakit Berbasis Online Analytical Processing (OLAP)

2021 ◽  
Vol 8 (5) ◽  
pp. 1077
Author(s):  
Joko Purwanto ◽  
Renny Renny
Keyword(s):  
Information Technology ◽  
Health Services ◽  
Data Warehouse ◽  
Data Extraction ◽  
Online Analytical Processing ◽  
Data Source ◽  
Analytical Processing ◽  
Quality Of Health Services ◽  
Warehouse Design

<p class="BodyCxSpFirst">Pemanfaatan teknologi informasi sangat penting bagi rumah sakit, karena berpengaruh pula terhadap kualitas pelayanan kesehatan yang secara manual diubah menjadi digital dengan menggunakan teknologi informasi.Dalam penelitian ini penulis menggunakan metodologi <em>Nine step</em> sebagai acuan dalam merancang suatu <em>data warehouse</em><em>,</em> untuk pemodelan menggunakan skema konstelasi fakta dengan 3 tabel fakta dan 11 tabel dimensi. Perbedaan penelitian ini dengan penelitian sebelumnya terletak pada sumber data yang diekstrak langsung dari <em>database</em> SIMRS yang digunakan rumah sakit, sehingga tidak ada ekstraksi data secara manual.Penelitian ini bertujuan untuk menghasilkan desain data warehouse berbasis Online Analytical Processing (OLAP) sebagai sarana penunjang kualitas pelayanan kesehatan rumah sakit. OLAP yang dihasilkan akan berupa desain data warehouse dengan berbagai dimensi yang akan menghasilkan tampilan informasi berupa Chart maupun Grafik sehingga informasinya mudah dibaca dan dipahami oleh berbagai pihak.</p><p class="BodyCxSpFirst"> </p><p class="BodyCxSpFirst"><em><strong>Abtract</strong></em></p><p class="BodyCxSpFirst"><em>The use of information technology is very important for hospitals, because it also affects the quality of health services, which manualy changed to digital using information technology. In this study, the authors used the Nine step methodology as a reference in designing a data warehouse for modeling using a fact constellation schema with 3 fact tables and 11 dimension tables. the different in this study from previous research is that the data source was taken directly from the SIMRS database used by the hospital, so there is no manual data extraction.</em><em>The aim of this research is to be able to produce a Data Warehouse design based on Online Analytical Processing (OLAP) as a means of supporting the quality of hospital health services. The resulting OLAP will be a data warehouse design with various dimensions will produce the displays information in the form of a graph or chart so that the information is easy to read and understand by various parties.</em></p><p class="BodyCxSpLast"><em> </em></p><p class="BodyCxSpFirst"><em><strong><br /></strong></em></p>

scholarly journals Effect of Neuro-Linguistic Programming (NLP) on Anxiety: A Systematic Literature Review

2021 ◽  
pp. 496-507
Author(s):  
Rifki S. Nompo ◽  
Andria Pragholapati ◽  
Angela L. Thome
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
English Language ◽  
Self Management ◽  
Life Changes ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Good Communication ◽  
Sensory Acuity ◽  
Keywords Anxiety

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

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