Analysis of injuries in Judo athletes: A systematic review (Análisis de lesiones en deportistas de judo: revisión sistemática)

Retos ◽  
2021 ◽  
Vol 43 ◽  
pp. 560-566
Author(s):  
Marcelo Colonna ◽  
Yuri Rolim ◽  
Rodrigo Vale ◽  
Juliana Castro ◽  
Rodolfo Nunes ◽  
...  
Keyword(s):  
Learning Strategies ◽  
Critical Appraisal ◽  
Neck Injuries ◽  
Severe Injuries ◽  
Revisión Sistemática ◽  
Competition Level ◽  
Study Country ◽  
Judo Athletes ◽  
Critical Appraisal Skills

  This article aimed to identify general characteristics, etiology, and location of injuries in Judo athletes. A systematic literature search was carried out up to July 2020 on the databases MEDLINE (via PubMed), LILACS (via BVS), and Science Direct to find studies that focused on the type, location, and causes of injuries in Judo athletes of both sexes and older than 18 years old. The following data were extracted from the studies: author/year, study country, sample size, competition level, injury type, location, and context of the injury. The methodological quality of the included studies was assessed by the Critical Appraisal Skills Programme (CASP) tool. A total of 727 studies were retrieved from the databases and 12 were selected. The selected studies involved athletes from national and international levels. The situation of training and competition was the most cited context of injury. Considering injury etiology, the location was generalized in most of the studies and the more frequent injury types were: sprains, strains, dislocations, and fractures. In relation to severity, head and neck injuries were described in 66% of the studies. Our results suggest higher awareness related to technical learning strategies to Judo practitioners that is independent of skill level. Since injury etiology is a multifaceted process, increased efforts must be invested to lower or avoid more severe injuries that are more prone to produce negative outcomes like death or disabilities.  Resumen. El objeto de este estudio consiste en identificar las características generales, etiología y ubicación de las lesiones en los deportistas de Judo. Se llevó a cabo una búsqueda bibliográfica sistemática hasta julio de 2020 en las bases de datos MEDLINE (a través de PubMed), LILACS (a través de BVS) y Science Direct para encontrar estudios que se centraran en el tipo, la ubicación y las causas de las lesiones en los atletas de Judo de ambos sexos y sexos mayores de 18 años. Se extrajeron los siguientes datos de los estudios: autor/año, país del estudio, tamaño de la muestra, nivel de competencia, tipo de lesión, ubicación y contexto de la lesión. La calidad metodológica de los estudios incluidos se evaluó mediante la herramienta Critical Appraisal Skills Program (CASP). Se recuperaron un total de 727 estudios de las bases de datos y se seleccionaron 12. Los estudios seleccionados involucraron a deportistas de nivel nacional e internacional. La situación de entrenamiento y competición fue el contexto de lesión más citado. Teniendo en cuenta la etiología de la lesión, la ubicación fue generalizada en la mayoría de los estudios y los tipos de lesión más frecuentes fueron: esguinces, distensiones, luxaciones y fracturas. En relación con la gravedad, las lesiones de cabeza y cuello se describieron en el 66% de los estudios. Nuestros resultados sugieren una mayor conciencia relacionada con las estrategias de aprendizaje técnico para los practicantes de Judo que es independiente del nivel de habilidad. Dado que la etiología de las lesiones es un proceso multifacético, se deben invertir mayores esfuerzos para reducir o evitar lesiones más graves que son más propensas a producir resultados negativos como muerte o discapacidades.

scholarly journals Costo-efectividad de las intervenciones de enfermería para el manejo de úlceras por pie diabético: revisión sistemática

Medunab ◽  
2021 ◽  
Vol 24 (1) ◽  
pp. 13-40
Author(s):  
Skarlet Marcell Vásquez-Hernández ◽  
Dayana Lizeth Rico-Ardila ◽  
Lesly Nathali Gómez-Camargo ◽  
Lynda María Álvarez-Quintero
Keyword(s):  
Critical Appraisal ◽  
Beta Glucan ◽  
Revisión Sistemática ◽  
Critical Appraisal Skills

Introducción. Las intervenciones de enfermería usadas para el tratamiento de las úlceras por pie diabético incluyen técnicas de cura tradicionales y avanzadas. Frecuentemente su elección depende del criterio personal de la enfermera, en lugar del reconocimiento de la relación costo-efectividad. El objetivo de este estudio es identificar las intervenciones de enfermería de mayor costo-efectividad para el manejo de pacientes con úlceras por pie diabético. Metodología. Se realizó una revisión sistemática en Pubmed, Cochrane y la Biblioteca Virtual De La Salud. Se incluyeron estudios aleatorizados y no aleatorizados de cualquier intervención de enfermería usada para el manejo de úlcera por pie diabético con reporte de costo-efectividad. La selección de los artículos elegibles fue realizada por dos evaluadores independientes. El riesgo de sesgos fue evaluado con las guías Critical Appraisal Skills Programme. Resultados. Seis de los ocho artículos incluidos fueron clasificados con alto riesgo de sesgos. Las dos intervenciones en las que se evidenció una mejor relación costo-efectividad en comparación con el grupo control fueron el uso de Beta-Glucan gel (comparado con placebo) y la terapia de presión negativa (comparada con terapia de herida húmeda avanzada). Discusión. Guías nacionales e internacionales para el manejo de enfermería de úlceras por pie diabético proponen al menos 15 diferentes intervenciones. Sin embargo, la escasa disponibilidad de estudios de alta calidad sobre la relación costo-efectividad dificulta la selección y genera mayor variabilidad en las prácticas de enfermería. Conclusión. Es necesario realizar estudios de la relación costo-efectividad con comparaciones directas de las intervenciones de enfermería para el manejo de úlceras por pie diabético.

Research in anaesthesia

2017 ◽  
Author(s):  
Gary Minto ◽  
J. Robert Sneyd
Keyword(s):  
Clinical Practice ◽  
Clinical Research ◽  
Basic Science ◽  
Critical Appraisal ◽  
Perioperative Medicine ◽  
Limited Information ◽  
Priority Areas ◽  
Number Of Patients ◽  
Critical Appraisal Skills

Clinicians need critical appraisal skills to weigh up the quality of the literature and to decide whether it has implications for their practice. Every belief in medicine is a construct created from the limited information available and carries a degree of uncertainty. A centralized approach to research identifies the highest priority areas of uncertainty so as to bring about the most improvement for the largest number of patients. This patient-centred model classifies studies into basic science, translational, and clinical research. Adequately powered mega-trials are required to bridge the translational gap between efficacy (does a treatment work?) and effectiveness (does a treatment work when applied in ordinary clinical practice?). There is a paucity of these in perioperative medicine.

scholarly journals Las poblaciones vulnerables enfrentando los desafíos durante la pandemia del covid-19: una revisión sistemática

2021 ◽  
Vol 20 (3) ◽  
pp. 601-621
Author(s):  
Lina Anisa Nasution ◽  
Anung Ahadi Pradana ◽  
Casman Casman
Keyword(s):  
Older Adults ◽  
Pregnant Women ◽  
Vulnerable Populations ◽  
Revisión Sistemática ◽  
Apoyo Social ◽  
The Government ◽  
Critical Appraisal Skills ◽  
Los Grupos ◽  
Specific Health

Objetivo: Durante la pandemia, la aplicación del distanciamiento social determina que las poblaciones vulnerables se conviertan en uno de los grupos que experimentan los peores impactos, especialmente niños, mujeres embarazadas y adultos mayores. El propósito de este estudio es analizar los obstáculos que experimentan las poblaciones vulnerables.Método: Este estudio utiliza un método de búsqueda de literatura en varias bases de datos como CINAHL, Proquest, Wiley, ScienceDirect de 2015-2020.Resultados: Los resultados de la búsqueda obtuvieron 17 artículos. La revisión crítica que se llevó a cabo siguió las directrices del Programa de Habilidades de Evaluación Crítica (CASP) de Cochrane. Los resultados de este estudio fueron las condiciones pandémicas que ocurren durante un largo período y pueden afectar a poblaciones vulnerables de la sociedad, que consisten en niños, mujeres embarazadas y adultos mayores. Las poblaciones vulnerables tienen varios mecanismos de supervivencia y están significativamente influenciadas por la presencia o ausencia de apoyo social de la familia, la comunidad y el gobierno.Conclusiones: La importancia del papel del gobierno en prestar atención a la calidad de los servicios especiales de salud para poblaciones vulnerables puede mejorar el bienestar y el estado de salud de estas poblaciones. Primary Goal: During the pandemic, the application of social distancing resulting in vulnerable populations becoming one of the groups experiencing the worst impacts, especially those who are children, pregnant women, and older adults. The purpose of this study is to analyze the obstacles encountered by these vulnerable populations. Methods: This study uses a literature search method on several databases, namely CINAHL, Proquest, Wiley, and ScienceDirect, in the 20152020 period. Results: The search resulted in 17 articles. The critical review carried out followed the Critical Appraisal Skills Program guidelines from Cochrane. This study's results were pandemic conditions that occur over a long period can affect vulnerable populations in society, consisting of children, pregnant women, and older adults. Vulnerable people have various coping mechanisms and are significantly affected by the presence or absence of social support from family, community, and the Government. Conclusions: The importance of the Government's role in paying attention to the quality of specific health services for vulnerable populations can improve these populations' welfare and health status.

scholarly journals La evidencia cualitativa y el cuidado del paciente en diálisis peritoneal

2016 ◽  
Vol 19 (2) ◽  
pp. 154-163
Author(s):  
Ana Julia Carrillo-Algarra ◽  
Nathaly Duque Salazar ◽  
Kimberly Julieth Nieto Parra
Keyword(s):  
Critical Appraisal ◽  
Web Of Science ◽  
Nursing Intervention ◽  
Revisión Sistemática ◽  
Critical Appraisal Skills ◽  
Nursing Diagnoses

Introducción: La atención de enfermería como relación entre un sujeto de cuidado y un profesional con capacidad para hacerlo requiere que éste último comprenda las vivencias que la enfermedad y los tratamientos generan en la persona. Objetivo: Establecer interrelación entre las evidencias cualitativas disponibles en la literatura científica cualitativa publicada entre 1997-2014 respecto al cuidado de enfermería a pacientes en Diálisis Peritoneal con las taxonomías enfermeras. Material y Métodos: Estudio cualitativo en el cuál, previa autorización del comité de ética e investigación, se realizó revisión sistemática de estudios cualitativos en tres etapas: 1. Búsqueda en las bases de datos: PubMed, Embase, CUIDEN, CINAHL, Dialnet, Scielo, Biblioteca Virtual en Salud y Web of Science. 2. Evaluación de calidad metodológica por pares independientes utilizando el Critical Appraisal Skills Programme, en español; 3. Síntesis de evidencias cualitativas, que se interrelacionaron con las taxonomías Nursing Diagnoses: definitions and classification, y Nursing Intervention Classification. Resultados: Se incluyeron 19 estudios que permitieron, desde la voz de los sujetos de investigación reportadas por los autores y homologadas con las características definitorias, formular diagnósticos y determinar intervenciones de enfermería enmarcadas en los 13 dominios establecidos por la Nursing Diagnoses: definitions and classification. Algunos resultados y conclusiones en sí mismos son evidencias cualitativas del cuidado que requieren las personas en diálisis peritoneal. Discusión y conclusiones: La diálisis peritoneal interfiere en todos los dominios, afectando al sujeto, su familia y su entorno. En general requiere de educación y apoyo permanente para lograr adherencia.

(Re)Establishment of fatherhood among fathers of children with mental disorders: A qualitative metasynthesis

2021 ◽  
pp. 136749352110012
Author(s):  
Marcos V Esper ◽  
Francine de Montigny ◽  
Naiara B Polita ◽  
Willyane de A Alvarenga ◽  
Ana Carolina A B Leite ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Mental Disorders ◽  
Thematic Analysis ◽  
Father Involvement ◽  
Critical Appraisal ◽  
Integration Of Care ◽  
Research Results ◽  
Research Grade ◽  
Critical Appraisal Skills

This metasynthesis synthesized and interpreted qualitative research results on the experience of fathers who care for children with mental disorders. It followed the guidelines from the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement. A search was conducted in five databases. The Critical Appraisal Skills Programme qualitative research checklist was used to evaluate the quality of the studies, and the Confidence in the Evidence from Reviews of Qualitative Research (Grade-CERQual) approach was used to assess review findings. Thematic analysis of 12 articles included yielded the theme (re)establishment of fatherhood and four subthemes: redefinition of expectations, redefinition of the fatherhood role, benefits achieved with increased father involvement, and strengths and challenges in fatherhood, all of which demonstrated how repercussions from diagnosis and redefinition of expectations of masculinity and fatherhood affected the way fathers exercise fatherhood. Fathers were participative and attentive to their child’s needs, even in a challenging context demanding integration of care with work obligations. This metasynthesis highlights challenges faced by fathers in acquiring new skills and competencies while caring for their children. The findings identify a need for interventions to facilitate fathers’ involvement in caring for their children.

Living With an Intestinal Stoma: A Qualitative Systematic Review

2019 ◽  
Vol 29 (9) ◽  
pp. 1255-1265 ◽  
Author(s):  
Concepción Capilla-Díaz ◽  
Candela Bonill-de las Nieves ◽  
Sandra Milena Hernández-Zambrano ◽  
Rafael Montoya-Juárez ◽  
José Miguel Morales-Asencio ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Methodological Quality ◽  
Qualitative Methodology ◽  
Critical Appraisal ◽  
Scientific Databases ◽  
Qualitative Systematic Review ◽  
Intestinal Stoma ◽  
Critical Appraisal Skills

The main aim of this article is to explore the experiences and life situations of people living with intestinal stomas. Previous studies indicated the need to investigate the concerns of ostomy patients and how these concerns can affect their quality of life and their approaches to the comprehensive conceptualization of the bodily changes. A qualitative systematic review and metasynthesis design was carried out by using the main scientific databases. Original articles from 2002 to 2015 were selected based on their qualitative methodology. Methodological quality was evaluated using the Critical Appraisal Skills Program. The findings were synthesized using the metasynthesis procedure of Sandelowski. The final number of articles included was 95 and 1,982 participants. Regarding the metasummary, the data generated 191 thematic statements that were organized into eight categories. The findings support an explanatory model of the experience of people with ostomy based on three aspects: Acceptance, Adaptation, and Autonomy.

scholarly journals Health coaching provided by registered nurses described: a systematic review and narrative synthesis

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Jennieffer A. Barr ◽  
Lily P. Tsai
Keyword(s):  
Systematic Review ◽  
Registered Nurses ◽  
Critical Appraisal ◽  
Relevant Literature ◽  
Self Care ◽  
Health Coaching ◽  
Narrative Synthesis ◽  
Produce Change ◽  
Critical Appraisal Skills

Abstract Aims The aim of this systematic review and narrative synthesis was to identify how and why health coaching is delivered by Registered Nurses. Design Systematic review and narrative synthesis. Data sources Articles were identified through a search of CINAHL, Medline, Scopus, and PsychINFO databases. Articles published in English between 2010 and 2021 were included. Review Methods Quality appraisal of relevant literature was independently undertaken by two authors to assess for risk of bias. The Critical Appraisal Skills Program (CASP) was used to appraise quality of potential papers. Results A main purpose of coaching by Registered Nurses is to optimise patient self-care. How coaching was conducted varied across studies, with the most common coaching approaches via telephone or online. Majority of studies highlight some effectiveness of coaching by nurses; however, some results were inconclusive. Health coaching generally reduced mental distress. Other benefits reported by patients included reduced pain and fatigue. Outcomes for changing lifestyle behaviours were mixed. However, for health coaching to be efficient greater evidence is needed to determine length of time to use coaching, number of habits to focus on to produce change, and to determine best training for coaches. Conclusions Registered Nurses are most suitable for implementing health coaching for self-care, including preventing and managing chronic illness and recovering from situations like post-surgical needs. Nurses already promote health, and therefore, are skilled in educating people in self-care. Coaching is an additional strategy for motivating, targeting and assessing progress of self-care. Extending the scope of nursing practice to routinely coach in self-care would be ideal.

scholarly journals Aspectos generales del síndrome de dolor crónico posquirúrgico. Revisión sistemática-cualitativa

1969 ◽  
Vol 53 (3) ◽  
pp. 260-271
Author(s):  
Laura Nathaly Ricaurte Gracia ◽  
Andrés Felipe Rey Rodríguez ◽  
Diego Fernando Ovalle Marroquín
Keyword(s):  
Critical Appraisal ◽  
Revisión Sistemática ◽  
Critical Appraisal Skills

Introducción: El dolor crónico posquirúrgico (DCP) es motivo frecuente de consulta, tiene alta prevalencia y es incapacitante. Dura entre dos y tres meses, y su causa se limita a una cirugía previa sin importar su indicación o técnica.Métodos: Se realizó una búsqueda bibliográfica en Medline, Embase y LILACS sin límites de idioma ni diseño, en procura de evidencias entre enero de 1990 y febrero de 2011. Se incluyeron artículos que trataran algún aspecto del DCP. La calidad de la información se evaluó con herramientas del Critical Appraisal Skills Programme (CASP-UK).Resultados: El DCP se asocia a la intensidad del dolor agudo postoperatorio y factores psicosociales del paciente. Algunas cirugías se asocian más. Analgesia preoperatoria, medicación del dolor agudo y la anestesia epidural son pilares para prevenir y disminuir la incidencia.Conclusiones: Son necesarios más estudios primarios sobre prevención y tratamiento del DCP, pues son escasos los reportes con calidad adecuada.

scholarly journals Learning to Appraise the Quality of Qualitative Research Articles: A Contextualized Learning Object for Constructing Knowledge

2014 ◽  
Author(s):  
Ronald Chenail
Keyword(s):  
Qualitative Research ◽  
Critical Appraisal ◽  
Learning Object ◽  
Research Articles ◽  
Making Sense ◽  
Common Learning ◽  
Critical Appraisal Skills ◽  
Contextualized Learning ◽  
Constructing Knowledge

Helping beginning qualitative researchers critically appraise qualitative research articles is a common learning objective for introductory methodology courses. To aid students in achieving competency in appraising the quality of qualitative research articles, a multi-part activity incorporating the Critical Appraisal Skills Programme's (CASP) Making Sense of Evidence Tool: 10 Questions to Help You Make Sense of Qualitative Research to evaluate the articles is shared. A Contextualized Learning Object for Constructing Knowledge or CLOCK approach is used to represent the appraising activity in terms of its context, content, evaluation components, exemplary outcomes, and options for customizing parts of the assignment.

scholarly journals Faktor Ketidakpuasan Ibu Hamil dalam Pelayanan Asuhan Kehamilan

2020 ◽  
Vol 7 (1) ◽  
pp. 011-023
Author(s):  
Dwie Ayu ◽  
Sulistyaningsih Sulistyaningsih
Keyword(s):  
Pregnant Women ◽  
Radio Frequency Identification ◽  
Critical Appraisal ◽  
Wireless Sensor ◽  
Inclusion Criteria ◽  
Pregnancy Care ◽  
Care Services ◽  
Frequency Identification ◽  
Critical Appraisal Skills

Pelayanan asuhan kehamilan sebagai strategi untuk menurunkan angka kematian ibu. Salah satu masalah penting yang terus dihadapi adalah kurangnya kualitas baik pelayanan antenatal sehingga mempengaruhi kepuasan klien. Kepuasan merupakan indikator mutu pelayanan. Kepuasan ibu hamil penting untuk perbaikan lebih lanjut dari kualitas perawatan antenatal terfokus dan untuk memberikan pelayanan kesehatan yang beragam bagi wanita hamil. Tujuan dari systematic literature review ini adalah untuk menyimpulkan dan memeriksa literature yang berhubungan kepuasan ibu hamil terhadap kualitas pelayanan dalam asuhan kehamilan dan untuk mengetahui penyebab ketidakpuasan dalam pelayanan asuhan kehamilan. Studi apprasial menggunaan program Critical Appraisal Skills Program (CASP) dan metode sintesis menggunakan modifikasi PICO dengan sumber data didapatkan dari PubMed dan ProQuest terdapat 734 artikel yang di review. Kriteria inklusi adalah (1) Ibu hamil; (2) Pelayanan dalam Asuhan kehamilan; (3) Kepuasan ibu hamil; (4) Teks lengkap; (5) Artikel yang diterbitkan dari 2013 hingga 2018; dan (6) jurnal internasional. Terdapat 5 artikel yang memenuhi kriteria inklusi. Kepuasan ibu hamil terhadap kualitas pelayanan asuhan kehamilan di fasilitas kesehatan dipengaruhi oleh layanan klinik, aksesibilitas  klinik dan interaksi dokter. Penyebab ketidakpuasan ibu hamil dalam pelayanan asuhan kehamilan diantaranya lamanya waktu menunggu, fasilitas kesehatan dan komunikasi interpersonal. Dari hasil 4 artikel yang diulas didapatkan faktor utama yang menyebabkan ketidakpuasan dalam pelayanan asuhan kehamilan adalah lamanya waktu menunggu. Perlu pelayanan ANC dengan pendekatan HTA (health technology assasment) untuk mempercepat pelayanan administrasi dan observasi awal pada ibu hamil dengan mengintegrasikan teknologi RFID (Radio Frequency identification) dan WSN (wireless sensor network). Pregnancy care services as a strategy to reduce maternal mortality. One important problem that continues to increase is the good quality of antenatal services that affects client satisfaction. Satisfaction is an indicator of service quality. Pregnancy satisfaction is important for further improvement of the quality of focused antenatal care and to provide comprehensive health services for pregnant women. The purpose of this,  systematic literature review is to conclude and examine the literature relating to the satisfaction of pregnant women with the quality of care in care Appraisal studies using the Critical Appraisal Skills Program (CASP) and synthesis methods using PICO with data sources obtained from PubMed and ProQuest containing 734 articles as reviewed. Inclusion criteria are (1) Pregnant women; (2) Services in Pregnancy Care; (3) Satisfaction of pregnant women; (4) Full text; (5) Articles published from 2013 to 2018; and (6) international journals. There are 5 articles that meet the inclusion criteria. Satisfaction of pregnant women towards the quality of pregnancy care services in health facilities as assessed by clinical services, clinic accessibility and physician interaction. The cause of dissatisfied pregnant women in pregnant care services is waiting for the length of waiting time, health facilities and interpersonal communication. From the results of 4 articles worthy of review about the main factors that cause dissatisfaction in care services Need ANC assistance by discussing HTA (health technology assessment) to improve administrative services and early monitoring of pregnant women by integrating RFID technology (Radio Frequency Identification) and WSN (network wireless sensor).

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