Preoperative rehabilitation in patients undergoing pulmonary resections

Introduction: Pulmonary resections result in permanent impairment of the respiratory function due to reduction of the gas-exchange surface. Most of these procedures are elective, which makes it possible to implement a preoperative rehabilitation programme, aimed at increasing general fitness, improving chest and diaphragm mobility, muscle strength and lung ventilation, and also at training the proper breathing pattern, effective coughing and pain-relief techniques. Improvement of patients' respiratory function and general fitness may contribute to the limitation of postoperative functional impairment, and therefore morbidity. Objectives: The aim of this systematic review was analysis of the effect of the preoperative rehabilitation on the postoperative course following pulmonary resections in lung cancer patients. Method: Systematic review of the literature published within the last 15 years was performed using PubMed and Worldcat databases. Methodological quality of selected papers was assessed using the PEDro scale. Results: Eight out of the 236 initially retrieved papers met the pre-set criteria, and search of the attached references found an additional 2 papers. In 9 of the papers included in the final analysis positive impact of the preoperative rehabilitation was shown, and no effect was found in one of them. There were no studies showing any negative effect of the preoperative rehabilitation. Conclusions: Preoperative rehabilitation may be beneficial, and its effects may last for several months after surgery. Rehabilitation programmes longer than 2 weeks were associated with functional improvement.

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Wearable Solutions for Patients with Parkinson’s Disease and Neurocognitive Disorder: A Systematic Review

Sensors ◽

10.3390/s20092713 ◽

2020 ◽

Vol 20 (9) ◽

pp. 2713 ◽

Cited By ~ 5

Author(s):

Asma Channa ◽

Nirvana Popescu ◽

Vlad Ciobanu

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

Positive Impact ◽

Wearable Devices ◽

Neurocognitive Disorder ◽

Research Findings ◽

Early Diagnose

Prevalence of neurocognitive diseases in adult patients demands the use of wearable devices to transform the future of mental health. Recent development in wearable technology proclaimed its use in diagnosis, rehabilitation, assessment, and monitoring. This systematic review presents the state of the art of wearables used by Parkinson’s disease (PD) patients or the patients who are going through a neurocognitive disorder. This article is based on PRISMA guidelines, and the literature is searched between January 2009 to January 2020 analyzing four databases: PubMed, IEEE Xplorer, Elsevier, and ISI Web of Science. For further validity of articles, a new PEDro-inspired technique is implemented. In PEDro, five statistical indicators were set to classify relevant articles and later the citations were also considered to make strong assessment of relevant articles. This led to 46 articles that met inclusion criteria. Based on them, this systematic review examines different types of wearable devices, essential in improving early diagnose and monitoring, emphasizing their role in improving the quality of life, differentiating the various fitness and gait wearable-based exercises and their impact on the regression of disease and on the motor diagnosis tests and finally addressing the available wearable insoles and their role in rehabilitation. The research findings proved that sensor based wearable devices, and specially instrumented insoles, help not only in monitoring and diagnosis but also in tracking numerous exercises and their positive impact towards the improvement of quality of life among different Parkinson and neurocognitive patients.

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Attitude and Barriers of Community Pharmacists towards Cancer Health Promotion: A Systematic Review

Asian Pacific Journal of Cancer Care ◽

10.31557/apjcc.2018.3.1.13 ◽

2018 ◽

Vol 3 (1) ◽

pp. 13

Author(s):

Kofi Boamah Mensah ◽

Frasia Oosthuizen ◽

Adwoa Bemah Bonsu

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Health Promotion ◽

Cancer Patients ◽

Community Pharmacists ◽

Bibliographic Databases ◽

Lung Cancer Patients ◽

Health Promotions ◽

Depth Analysis

Health promotion promotes quality of life and shows several positive outcomes for cancer patients and survivors. Studies indicate a decrease in mortality rates among women with breast cancer, improvement in the emotional state and quality of life among lung cancer patients. Community pharmacists are advocating, facilitating and providing cancer-related health promotions. This systematic review analyses attitude and barriers of community pharmacist towards cancer health promotion. Searches of major bibliographic databases identified primary studies published in English from 2005 to July 2017. A total of 323 records were identified and 5 were considered as been eligible based on the inclusion standard. Findings from the eligible studies revealed a favorable attitude of community pharmacists towards cancer health promotion but have perceived barriers towards it. The review was limited to five studies, hence regional or country studies will have to be carried out for an in-depth analysis of the attitude and barriers of community pharmacists and ways to address it.

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416 A NARRATIVE SYSTEMATIC REVIEW OF POSTOPERATIVE REHABILITATION FOLLOWING SURGERY FOR ESOPHAGEAL CANCER

Diseases of the Esophagus ◽

10.1093/dote/doaa087.105 ◽

2020 ◽

Vol 33 (Supplement_1) ◽

Author(s):

P Prasad ◽

K Hardy ◽

J Chmelo ◽

M Navidi ◽

A Phillips

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Positive Impact ◽

Controlled Trial ◽

Randomised Trial ◽

Risk Of Bias ◽

Moderate Intensity ◽

Cochrane Library ◽

The Impact

Abstract Esophagectomy is a complex procedure with associated high levels of morbidity. Rehabilitation programmes are being developed and increasingly utilised in the perioperative period and comprise a variety of physical, nutritional and psychological interventions. Such strategies may help reduce the incidence of postoperative complications, mitigate sarcopenia, prevent progressive frailty and restore quality of life. This systematic review aimed to identify and analyse studies reporting outcomes of post-esophagectomy rehabilitative interventions. Methods Major reference databases (PubMed, Medline, EMBASE, Cochrane Library and Google scholar) were interrogated and a systematic search with a pre-defined search strategy was performed up until January 2020. All eligible articles were screened in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study quality was assessed using the MINORS (Methodological Index for Non-Randomized Studies) criteria for cohort studies and the Cochrane risk of bias tool for randomised studies. Results Three studies (n = 1 pilot study; n = 1 feasibility study and n = 1 randomised controlled trial) including some 108 patients were included in this narrative review, of whom 64 patients had undergone esophagectomy. Rehabilitative strategies utilised included a combination of physical activities such as walking and low- to moderate-intensity exercises, dietary counselling, psychological support and occupational therapy input. There was wide variation in the outcomes assessed between studies. Postoperative physical activity with exercises consistently demonstrated maximum positive impact upon cardiopulmonary fitness. The median MINORS score for included studies was 9 (8-10) and the risk of bias in the included randomised trial was low. Conclusion There is a paucity of data currently to help determine the impact that rehabilitation may have on clinical outcomes and quality of life following esophagectomy. While improved physical function has been demonstrated, there is a need to determine which interventions patients deem most important and acceptable to help them return to as close to baseline as possible. Additionally, there is a need to further understand the impact rehabilitation may have upon long-term outcomes.

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The ideal amount of physical activity to improve quality of life and symptoms in lung cancer patients: A systematic review.

Journal of Clinical Oncology ◽

10.1200/jco.2019.37.15_suppl.e23158 ◽

2019 ◽

Vol 37 (15_suppl) ◽

pp. e23158-e23158

Author(s):

Gilberto Castro ◽

Alberto Codima ◽

Willian das Neves ◽

Ana Paula Souza Borges

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Lung Cancer ◽

Systematic Review ◽

Cancer Patients ◽

Risk Of Bias ◽

Improve Quality ◽

Eligibility Criteria ◽

Lung Cancer Patients

e23158 Background: The symptoms which burden lung cancer patients contribute to a vicious cycle of physical inactivity as the disease progresses. Some studies have shown that exercise is feasible and safe for this population, and it improves their symptoms and quality of life. However, the current recommendations are non-specific, and little is known about the optimal amount and type of exercise in this scenario. Here we aimed to identify a specific recommendation of physical activity that could work more efficiently, benefiting lung cancer patients, in terms of diminishing their symptom burden and improving quality of life. Methods: A systematic review was undertaken through structured searches on PubMed, Medline, Embase, Scopus, Web of Science and SciELO. The search protocol was registered on the Prospero platform. Rayyan QCRI was used for data extraction and determining eligible studies after a blind screening of titles and abstracts by the three authors. The Physiotherapy Evidence Database (PEDro) scale was used for quality assessment of each eligible trial in regards of risk of bias. Trials which had clear eligibility criteria and a summary score equal or superior than 6 were considered to have low risk of bias, and accepted for full text review. Results: From September/1998 to January/2019, a total amount of 1998 studies were returned from the aforementioned databases, and 17 studies were established to be eligible for quality assessment. All the 17 quality-assessed studies were randomized clinical trials. However, two of them did not clearly report the eligibility criteria and were immediately excluded. Five other studies were considered to have high risk of bias. Therefore, we considered only 10 trials to be fully reviewed, including 843 patients. Only 3 trials found significant improvement in the quality of life after their interventions, and included 243 patients. Two studies associated aerobic exercise and resistance training from 10 to 20 weeks post surgery, while the other studied intervention was Tai Chi for 10 days after each chemotherapy cycle. Conclusions: Evidence from this review suggests that exercise may improve quality of life of lung cancer patients. However, we could not identify an ideal amount nor type of physical activity given the limited available data and the heterogeneity of methods. Further studies are warranted.

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Ethical challenges in palliative sedation of adults: protocol for a systematic review of current clinical practice guidelines

10.21203/rs.3.rs-1170023/v1 ◽

2021 ◽

Author(s):

Martyna TOMCZYK ◽

Cécile JAQUES ◽

Ralf J. JOX

Keyword(s):

Systematic Review ◽

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Positive Impact ◽

Grey Literature ◽

Palliative Sedation ◽

Current Clinical Practice ◽

Ethical Challenges

Abstract Introduction: This study aims to identify the full spectrum of ethical challenges of all forms of palliative sedation for adults as presented in current clinical practice guidelines (CPGs), and to determine whether CPGs specify ethical challenges of this therapy for cancer and non-cancer patients and, if so, how exactly they do this. To the best of our knowledge, no studies have yet investigated this topic. The purpose is purely descriptive; our aim is not to make any kind of normative judgements on these challenges. Nor is our aim to assess the quality of the CPGs. Methods and analysis : We will perform a systematic review of CPGs on palliative sedation for adults via five electronic databases, grey literature search tools, citation tracking, and contact with palliative care experts. Current CPGs validated by an international, national, or regional authority, published in English, German, French, Italian, or Polish, from 2000 to the date of the search, will be subjected to content analysis at the textual, linguistic, and thematic levels. This study protocol is reported in accordance with the PRISMA-P criteria and registered on PROSPERO. Discussion The results of our systematic review can help raise awareness and understanding of the complexity of ethical problems, rigorously guide reflection in this field, and be useful in elaborating ethical guidelines in an interdisciplinary approach, in order to have a positive impact on the quality of patient care, education and training, and research in respect of this complex and challenging practice.

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Physical functionality of alternative communication resources on people with cerebral palsy: A systematic review

Technology and Disability ◽

10.3233/tad-200299 ◽

2021 ◽

pp. 1-11

Author(s):

Rosana Carla do Nascimento Givigi ◽

Edênia Menezes da Cunha ◽

Jerriany Tainá Pereira de Souza ◽

Lillian Muniz Oliveira ◽

Solano Sávio Figueiredo Dourado

Keyword(s):

Systematic Review ◽

Cerebral Palsy ◽

Augmentative And Alternative Communication ◽

Functional Performance ◽

Positive Impact ◽

Final Analysis ◽

Cochrane Collaboration ◽

Alternative Communication ◽

Data Registration ◽

The Cochrane Collaboration

BACKGROUND: Augmentative and Alternative Communication (AAC) systems are used by people with motor disabilities, such as those with cerebral palsy (CP). The assessment of physical functional skills is crucial for appropriately choosing the computer access tool. OBJECTIVE: This study aimed to do a systematic literature review addressing the importance of the analysis of physical functional performance for the construction of specific tools to support communication. METHODS: The review followed PRISMA guidelines. We searched articles from 2009 to 2021 using three databases (PubMed, Lilacs in Portuguese, and SciELO). Three reviewers extracted the data. Registration was made to PROSPERO. The risk of bias was assessed using the Cochrane Collaboration tool. RESULTS: We found 132 articles in the databases. First, we excluded 31 articles because they did not provide evidence for the use of alternative communication in people with CP and did not use high technology resources. We also excluded 57 duplicated articles. At the end of this first step, 44 articles were left, 38 of them were excluded because they are not clinical trials. We selected 6 articles for the final analysis. CONCLUSIONS: The systematic review had a positive impact on the precise dissemination of knowledge ensuring comparisons of interventions and articles such as assistive technology programs.

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The effects of telemedicine on the quality of life of patients with lung cancer: a systematic review and meta-analysis

Therapeutic Advances in Chronic Disease ◽

10.1177/2040622320961597 ◽

2020 ◽

Vol 11 ◽

pp. 204062232096159

Author(s):

Lanlan Pang ◽

Zefu Liu ◽

Sheng Lin ◽

Zhidong Liu ◽

Hengyu Liu ◽

...

Keyword(s):

Quality Of Life ◽

Lung Cancer ◽

Systematic Review ◽

Usual Care ◽

Cancer Patients ◽

Usual Care Group ◽

Meta Analysis ◽

Care Group ◽

Lung Cancer Patients

Background and aims: Lung cancer patients suffer from deterioration in their physical and psychological function, which exerts a negative influence on their quality of life (QOL). Telemedicine has been proven to be an effective intervention for patients with several chronic diseases. The aim of this systematic review and meta-analysis was to investigate the efficacy of telemedicine in improving QOL in lung cancer patients. Methods: PubMed, Cochrane Library, EMBASE, Web of Science and Scopus databases were searched for randomized controlled trials that investigated the effectiveness of telemedicine in lung cancer patients. Review Manager 5.3 and Stata 15.1 were used to perform data analysis. Results: Our meta-analysis included eight clinical trials with a total of 635 lung cancer patients. The results showed that the telemedicine group had significantly higher QOL than the usual care group [standard mean difference (SMD) 0.96, 95% confidence interval (CI) 0.29–1.63, I2 = 91%]. In addition, the telemedicine group had lower anxiety (SMD −0.44, 95% CI −0.66 to −0.23, I2 = 3%) and depression scores (SMD −0.48, 95% CI −0.91 to −0.05, I2 = 66%) than the usual care group. However, no significant differences were found in fatigue and pain outcomes between the two groups. Conclusion: Telemedicine may be an effective method of improving QOL in lung cancer patients and the further development and use of telemedicine care is recommended.

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Current Status and Quality of Machine Learning-Based Radiomics Studies for Glioma Grading: A Systematic Review

Oncology ◽

10.1159/000515597 ◽

2021 ◽

pp. 1-11

Author(s):

Mohsen Tabatabaei ◽

Ali Razaei ◽

Amir Hossein Sarrami ◽

Zahra Saadatpour ◽

Aparna Singhal ◽

...

Keyword(s):

Machine Learning ◽

Systematic Review ◽

External Validation ◽

Class Imbalance ◽

Final Analysis ◽

Current Status ◽

Maximum Score ◽

Glioma Grading ◽

Minimum Score

Introduction: Radiomics now has significant momentum in the era of precision medicine. Glioma is one of the pathologies that has been extensively evaluated by radiomics. However, this technique has not been incorporated into clinical practice. In this systematic review, we selected and reviewed the published studies about glioma grading by radiomics to evaluate this technique’s feasibility and its challenges. Material and Methods: Using seven different search strings, we considered all published English manuscripts from 2015 to September 2020 in PubMed, Embase, and Scopus databases. After implementing the exclusion and inclusion criteria, the final papers were selected for the methodological quality assessment based on our in-house Modified Radiomics Standard Scoring (RQS) containing 43 items (minimum score of 0, maximum score of 44). Finally, we offered our opinion about the challenges and weaknesses of the selected papers. Results: By our search, 1,177 manuscripts were found (485 in PubMed, 343 in Embase, and 349 in Scopus). After the implementation of inclusion and exclusion criteria, 18 papers remained for the final analysis by RQS. The total RQS score ranged from 26 (59% of maximum possible score) to 43 (97% of maximum possible score) with a mean of 33.5 (76% of maximum possible score). Conclusion: The current studies are promising but very heterogeneous in design with high variation in the radiomics software, the number of extracted features, the number of selected features, and machine learning models. All of the studies were retrospective in design; many are based on small datasets and/or suffer from class imbalance and lack of external validation datasets.

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Physics Forceps in Tooth Extraction—A Systematic Review of Randomized Controlled Trials

Applied Sciences ◽

10.3390/app12010254 ◽

2021 ◽

Vol 12 (1) ◽

pp. 254

Author(s):

Krishnamachari Janani ◽

Kavalipurapu Venkata Teja ◽

Mohammad Khursheed Alam ◽

Ahmed Ismail Nagy ◽

Sulphi Abdul Basheer ◽

...

Keyword(s):

Systematic Review ◽

Bone Fractures ◽

Meta Analysis ◽

Final Analysis ◽

Risk Of Bias ◽

Marginal Bone Loss ◽

Current Systematic Review ◽

Socket Healing ◽

Present Systematic Review

The present systematic review aims to evaluate the efficiency of Physics forceps over the conventional forceps for the extraction of a tooth. The study began with targeted electronic searches of MEDLINE, PubMed, Cochrane, Science Direct and Google Scholar databases. All selected articles were reviewed by four independent reviewers for eligibility. The Cochrane Risk of Bias tool was used to analyze the studies for bias. Due to heterogeneity of the selected studies, a meta-analysis of the current systematic review was not possible. A total of five studies were considered for the final analysis. The risk of bias showed high risk for all five included articles. Various parameters, such as fracture of the root, dry socket, healing, pain, postoperative infection, crown fractures, buccal bone fractures, extraction time, gingival and marginal bone loss, gingival laceration, bleeding and healing were assessed. Based on the data available, there is an insufficient quality of evidence to conclude the superiority of the Physics forceps over conventional forceps.

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Impact Free School On The Quality Of Education In Indonesia

10.31227/osf.io/4wm2y ◽

2019 ◽

Author(s):

Susy Yuliastanty

Keyword(s):

Education Program ◽

Negative Impact ◽

Positive Impact ◽

Compulsory Education ◽

Quality Of Education ◽

Free School ◽

Negative Effect ◽

The Government ◽

The Impact

The purpose of this paper is to determine the impact of a free school for the quality of education in Indonesia in view of the aspects, background and purpose of the establishment of free schools, positive and negative impacts holding of free schools, Solutions negative impact of free school program, Effects of Free School Policy on the Quality / quality Education and the Master. The results of the analysis that the economic situation is a portrait of the people who still support the cause of increasing lower the school dropout rates from time to time. While the legislation of our country mandated to continue to educate the children of the nation, the compulsory education program launched by the government be constrained. Efforts to realize the education budget of 20% of the state budget.Free education program does provide a lot of positive impact on education in Indonesia, among which: the inequality of education in Indonesia, providing opportunities for children who are less able to be able to get an education bench, reduce the level of ignorance, unemployment, and poverty, education levels Indonesia will increase, generating qualified human resources, realize the ideals of the Indonesian nation that is participating educate the children of the nation, to promote education and the nation's economy. In addition to a positive impact, free schools also have a negative effect, such as a lack of operating funds because it is centered on the BOS funds, the declining quality of education, lack of motivation and enthusiasm to learn some students because of the effects of free, reduced awareness of parents will be the responsibility of financing education, opportunities misappropriation of budget funds if not closely monitored.

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