scholarly journals Mapping Evidence on the Management of Diabetic Retinopathy Using Teleophthalmology to Complement Human Resources for Eye Health: A Scoping Review Protocol

2020 ◽  
Vol 12 (7) ◽  
pp. 11
Author(s):  
Thembile Zikhali ◽  
Zamadonda Nokuthula Xulu-Kasaba

INTRODUCTION: Diabetic Retinopathy is the leading cause of blindness in working adults, and remains a serious public health concern, globally. Whilst extensive research has been done in this area, the prevention of diabetic retinopathy is still very poor. Attributing factors in previous studies have included shortage of Human Resources for Eye Health in primary health centres, and a shortage of technology and skill in most countries. In some countries, teleophthalmology has been introduced to assist in the management of diabetic retinopathy by capacitating Eye Health professionals in primary health care settings since diabetes is diagnosed at this level. Where implemented, management of diabetic retinopathy through teleophthalmology has further contributed to reduction in preventable blindness while minimizing turnaround times as patients no longer have to wait for an Ophthalmologist appointment. The main objective of this scoping review is to map evidence on the use of teleophthalmology in the management of diabetic retinopathy globally. METHODS & ANALYSIS: Methodology will be guided by Arksey and O’Malley scoping review framework. We will search for literature from the following EBSCO Host databases: MEDLINE, Health source: Nursing/Academic Edition, Health source – Consumer, CINAHL and Academic Search Complete. PubMed, Google Scholar and Science Direct will also be searched for studies. Where articles are not accessible online, the author will be contacted for the article, failing which the University of KwaZulu-Natal library services will be asked for assistance. The literature search will be done for the period from January 2014 to October 2019 where all studies in English will be accepted. After the initial search, title, abstract and full text screening will be conducted by two independent reviewers. To assess the methodological rigour of included studies, the Mixed Method Appraisal tool (MMAT) 2018 will be used. Study results will be presented using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) chart. DISCUSSION: It is anticipated that this scoping review will identify suitable literature on diabetic retinopathy and its management through teleophthalmology. The findings of this review will be disseminated through peer-reviewed journals and information summarized will be used to guide future research.

Pain Medicine ◽  
2021 ◽  
Author(s):  
Daly Geagea ◽  
Zephanie Tyack ◽  
Roy Kimble ◽  
Lars Eriksson ◽  
Vince Polito ◽  
...  

Abstract Objective Inadequately treated pain and distress elicited by medical procedures can put children at higher risks of acute and chronic biopsychosocial sequelae. Children can benefit from hypnotherapy, a psychological tailored intervention, as an adjunct to pharmacological agents to address the multiple components of pain and distress. Despite providing evidence on the effectiveness and potential superiority of hypnotherapy to other psychological interventions, research on hypnotherapy for paediatric procedural pain and distress has been predominantly limited to oncology and needle procedures. Plus, there is a lack of reporting of intervention manuals, factors influencing hypnotic responding, pain unpleasantness outcomes, theoretical frameworks, adverse events, as well as barriers and facilitators to the feasibility of delivering the intervention and study procedures. The proposed review aims to map the range and nature of the evidence on hypnotherapy for procedural pain and distress in children to identify gaps in literature and areas requiring further investigation. Methods This review will follow the Arksey and O'Malley (2005) methodology and incorporate additional scoping review recommendations by The Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses. Relevant studies will be identified through searching published literature databases (PubMed, Cochrane Library, PsycINFO, Embase, CINAHL, Scopus and Web of Science) and grey literature in addition to hand-searching of reference lists and key journals. Two authors will independently screen titles and abstracts of search results followed by full-texts review against eligibility criteria. Conclusion Findings are anticipated to guide future research and inform the development of tailored hypnotic interventions in children.


Author(s):  
Jessica K. Gill

Abstract Elder abuse is a serious public health concern requiring immediate intervention; however, the under-reporting of elder abuse by victims to formal and informal networks remains a major obstacle. This scoping review aims to identify barriers to help seeking that older adults experiencing abuse confront. The goal is to inform public policies and practices in the Canadian context and identify research gaps in the extant literature. Seven scholarly databases were searched from which 12 articles met the inclusion criteria and were extracted for analysis. The findings from this scoping review revealed three levels at which barriers exist: individual focused, abuser/family focused, and community/culture focused barriers. The results suggest that there are several complex obstacles that older adults face when contemplating disclosure of abuse. Future research into help seeking in the Canadian context should more readily incorporate the voices of elder abuse victim-survivors to develop effective assessment strategies and responsive service provisions.


Author(s):  
Nina Pocuca ◽  
T Jordan Walter ◽  
Arpi Minassian ◽  
Jared W Young ◽  
Mark A Geyer ◽  
...  

Abstract Background Older adults (≥50 years) represent the fastest-growing population of people who use cannabis, potentially due to the increasing promotion of cannabis as medicine by dispensaries and cannabis websites. Given healthy aging and cannabis use are both associated with cognitive decline, it is important to establish the effects of cannabis on cognition in healthy aging. Objective This systematic scoping review used preferred reporting items for systematic reviews and meta-analyses guidelines to critically examine the extent of literature on this topic and highlight areas for future research. Method A search of six databases (PubMed, EMBASE, PsycINFO, Web of Science, Family and Society Studies Worldwide, and CINAHL) for articles published by September 2019, yielded 1,014 unique results. Results Six articles reported findings for older populations (three human and three rodent studies), highlighting the paucity of research in this area. Human studies revealed largely null results, likely due to several methodological limitations. Better-controlled rodent studies indicate that the relationship between ∆9-tetrahydrocannabinol (THC) and cognitive function in healthy aging depends on age and level of THC exposure. Extremely low doses of THC improved cognition in very old rodents. Somewhat higher chronic doses improved cognition in moderately aged rodents. No studies examined the effects of cannabidiol (CBD) or high-CBD cannabis on cognition. Conclusions This systematic scoping review provides crucial, timely direction for future research on this emerging issue. Future research that combines neuroimaging and cognitive assessment would serve to advance understanding of the effects of age and quantity of THC and CBD on cognition in healthy aging.


BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e036203
Author(s):  
Aislinn Conway ◽  
Jessica Reszel ◽  
Mark C Walker ◽  
Jeremy M Grimshaw ◽  
Sandra I Dunn

IntroductionOptimising the safety of obstetric patient care is a primary concern for many hospitals. Performance indicators measuring aspects of patient care processes can lead to improvements in health systems and the prevention of harm to the patient. We present our protocol for a scoping review to identify indicators for obstetric safety in low risk births. We aim to identify indicators addressing preventable hospital harms, to summarise the data and synthesise results.Methods and analysisWe will use methods described by Arksey and O’Malley and further expanded by Levacet al. We will search electronic databases such as Medline, Embase, CINAHL and the Cochrane Library, and websites from professional bodies and other organisations, using an iterative search strategy.Two reviewers will independently screen titles and abstracts of search results to determine eligibility for inclusion. If eligibility is not clear, the reviewers will screen the full text version. If reviewers’ decisions regarding eligibility differ, a third reviewer will review the record. Two reviewers will independently extract data from records that meet our inclusion criteria using a standardised data collection form. We will narratively describe quantitative data, such as the frequency with which indicators are identified, and conduct a thematic analysis of the qualitative data. We will compile a comprehensive list of patient safety indicators and organise them according to concepts that best suit the data such as the Donabedian model or the Hospital Harm Framework. We will discuss the implications for future research, clinical practice and policy-making. We will report the conduct of the review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews checklist.Ethics and disseminationThe sources of information included in this scoping review will be available to the public. Therefore, ethics approval is not warranted. We will disseminate results in a peer-reviewed publication, conference/event presentation(s) and stakeholder communications.


2017 ◽  
Vol 36 (3) ◽  
pp. 207-229
Author(s):  
G. Mullen

ObjectiveThe aim of this scoping review was to map evidence gathered through systematic reviews regarding adult attachment and mental health difficulties. This review highlights established, emerging, and inconsistent findings, suggesting areas for future research, and implications for theory and practice.MethodsA systematic search for meta-analyses and systematic reviews measuring adult attachment and concerning mental health difficulties was conducted. In total, 17 studies met the selection criteria.ResultsFindings were presented according to four identified themes, (1) measurement of attachment; (2) measurement of mental health difficulty; (3) intrapersonal processes related to attachment and mental health difficulties; and (4) interpersonal processes related to attachment and mental health difficulties.ConclusionsThis review highlights the connection between attachment style and mental health difficulties, and suggests that relationships can facilitate both mental health and illheath. However, the mechanisms through which insecure attachment confers risk for mental health difficulties require further research.


Aquichan ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 1-15
Author(s):  
Cintia Capistrano Teixeira Rocha ◽  
Alcides Viana da Lima Neto ◽  
Ana Beatriz Pereira da Silva ◽  
Victor Alexandre Silva Farias ◽  
Aurean D’Eça Junior ◽  
...  

Objectives: Mapping nursing care in kidney transplant patients. Materials and method: A scoping review was conducted according to the recommendations of the Joanna Briggs Institute Reviewers’ Manual. Data were collected through 13 national and international databases from December 2020 to January 2021, following scientific rigor in the selection of the material. The pre-selection was made by reading the title, abstract and introductory text in advance; the materials included in this stage were read in full to define the content for the study. Results: Fifteen studies were included. Of these, 60% are articles; dissertations, manuals, protocols, guidelines and bulletins totaled 40% of the material studied. 86.6% of the material has a quantitative approach. Regarding the methodological design, 73.3% were descriptive/transversal character studies. Regarding the mapping of nursing care, it was possible to divide them into two categories: nursing care after kidney transplantation (immediate, mediated and late) and nursing care after kidney transplantation in primary health/extra-hospital care. Conclusions: It is concluded that the study allowed mapping nursing care to kidney transplant patients in the immediate, late and primary health care periods.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e038647
Author(s):  
Katie Curran ◽  
Prabhath Piyasena ◽  
Nathan Congdon ◽  
Lisa Duke ◽  
Belma Malanda ◽  
...  

IntroductionThe diabetes mellitus (DM) epidemic is a major public health concern globally, with the highest-burden in low-income and middle-income countries (LMICs). Diabetic retinopathy (DR) is a microvascular complication of diabetes, and if left untreated can lead to visual impairment and blindness. Epidemiological studies suggest that the incidence of sight-threatening DR is decreasing in high-income countries due to improved treatments and management of DM; however, these trends are not replicated in LMICs. In this paper, we outline a scoping review protocol that aims to identify which LMICs have included DR in their national DM, non-communicable disease or prevention of blindness plans. The scoping review also aims to assess gaps when implementing national DR screening programmes in LMICs.Methods and analysisThis scoping review will follow the Arksey and O’Malley (2005) methodology and the Preferred Reporting Items for Systematic Review and Meta-Analysis extension for Scoping Review guidelines. A comprehensive search of peer-reviewed and grey literature will be conducted from October 1989 (St. Vincent Declaration) to February 2020. Studies will be identified from electronic databases; Medline, Embase and CENTRAL (Cochrane Library). To identify further relevant articles, a hand search will be conducted using the reference lists of included studies. Two reviewers will independently screen records for relevant data and disagreements about eligibility will be resolved through consensus or arbitration by a third reviewer. A quantitative analysis will be performed to highlight key findings and thematic analysis will be used to identify emerging themes and subthemes from included studies. The key themes will highlight countries progress in terms of national-level DR service planning and screening implementation.Ethics and disseminationNo ethical approval is required because the scoping review methodology aims to synthesise information from publicly available resources. The results will be disseminated through conference presentations and peer-reviewed publication.


BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e028811 ◽  
Author(s):  
Choon Han Tan ◽  
Willie-Henri Quah ◽  
Colin S H Tan ◽  
Helen Smith ◽  
Lorainne Tudor Car

IntroductionDiabetic retinopathy (DR) is a common microvascular complication of diabetes mellitus and the leading cause of impaired vision in adults worldwide. Early detection and treatment for DR could improve patient outcomes. Traditional methods of detecting DR include the gold standard Early Treatment Diabetic Retinopathy Study seven standard fields fundus photography, ophthalmoscopy and slit-lamp biomicroscopy. These modalities can be expensive, difficult to access and require involvement of specialised healthcare professionals. With the development of mobile phone technology, there is a growing interest in their use for DR identification as this approach is potentially more affordable, accessible and easier to use. Smartphones can be employed in a variety of ways for ophthalmoscopy including the use of smartphone camera, various attachments and artificial intelligence for obtaining and grading of retinal images. The aim of this scoping review is to determine the diagnostic test accuracy of various smartphone ophthalmoscopy approaches for detecting DR in diabetic patients.Methods and analysisWe will perform an electronic search of MEDLINE, Embase and Cochrane Library for literature published from 2000 onwards. Two reviewers will independently analyse studies for eligibility and assess study quality using the QUADAS-2 tool. Data for a 2⨉2 contingency table will be extracted. If possible, we will pool sensitivity and specificity data using the random-effects model and construct a summary receiver operating characteristic curve. In case of high heterogeneity, we will present the findings narratively. Subgroup analysis and sensitivity analysis will be performed where appropriate.Ethics and disseminationThis scoping review aims to provide an overview of smartphone ophthalmoscopy in DR identification. It will present findings on the accuracy of smartphone ophthalmoscopy in detecting DR, identify gaps in the literature and provide recommendations for future research. This review does not require ethical approval as we will not collect primary data.


2018 ◽  
Vol 21 (4) ◽  
pp. 769-778 ◽  
Author(s):  
Emma Heard ◽  
Lisa Fitzgerald ◽  
Maxine Whittaker ◽  
Sina Va’ai ◽  
Allyson Mutch

Intimate partner violence (IPV) is a major, global public health concern with significant impacts, particularly for women, worldwide. There is an immediate need to develop comprehensive understandings of the complex drivers of this multifaceted issue in diverse cultural and social contexts. This scoping review used a systematic approach to gather a broad scope of peer-reviewed, publisher-controlled, and gray literature investigating IPV in Polynesia, a region of the Pacific experiencing high rates of IPV. A total of 181 articles were identified through a comprehensive search that included five cross-disciplinary databases; government, intergovernmental, and nongovernment websites; and consultation with community organizations. Thirty-three articles met the inclusion criteria related to IPV in a Polynesian country or community abroad and were included in this review. Narrative synthesis, which included summarizing and sorting key findings into common themes, was conducted to provide an overview of what is currently known about IPV in Polynesia and Polynesian communities living aboard. Key themes, which arose from the data analysis included: high prevalence of IPV, attitudes supporting IPV, urbanization and migration, traditional protective factors, and formal leadership and laws. The paucity of rigorous literature highlights an immediate need for IPV prevention research and intervention within Polynesian communities. This review includes a discussion of the limitations of this small body of literature and makes recommendations for future research, policy, and program development to include intersectionality in order to deepen understandings and enhance inclusive and meaningful intervention and policy implementation.


2020 ◽  
Author(s):  
Christine Graham ◽  
Ving Fai Chan

Abstract Background The global recognition of uncorrected refractive error as the main cause of vision impairment has increasingly demand for affordable, available and accessible refraction and spectacle dispensing services. Willingness to pay (WTP) for spectacles studies afford context-specific planning for integration of these services into eye care service delivery. The aim of this scoping review was to identify the rationales and the range of methods used when conducting WTP for spectacles studies. Methods We undertook this scoping review, using a search from EBSCO (host), Medline, PubMed, SCOPUS, Google Scholar and ProQuest databases. We also searched Google and eyecare organisation’s websites for grey literature. We analysed the articles using the scoping review methodological framework proposed by Arskey and Marley. Results The search identified 237 from and only 14 were eligible. 79% (n=11) were published articles and 21% (n=3) were grey literature. All studies were from developing countries. Most of the studies reported rationales with a few that were vague. The majority of the studies used survey-based techniques, where the limitation and strengths were reported. Conclusion The scoping review highlighted the knowledge gap in reporting the WTP for spectacles methodologies that need to be considered in reporting future research. Keywords: Willingness to pay, spectacles, eyeglasses


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