Plants and intestinal parasitosis: a review on ethnopharmacological use by the Kantaruré-Batida indigenous community of Brazil

Indigenous knowledge is one of the most notable traditional sources about plants used to treat diseases. Thus, the aim of this study was to describe the botanical features and to investigate the pharmacological properties of plants used by the Kantaruré-Batida community to treat intestinal parasitosis. Botanical characterization was performed based on integrative review and on access to ‘Flora do Brasil’ platform, whereas plants’ pharmacological properties were investigated through systematic review. Among the 21 ethnospecies used, 48% were described as having activity against intestinal parasites. Although 52% had no such activity described, other properties can account for their use, that indicates that further studies are required. Therefore, this review reinforces the importance of valuing indigenous knowledge as tool to guide antiparasitic agent trials.

Dilemmas of resistance: How concerns for cultural identity shape and constrain resistance among minority groups

A major theme in social psychological models of collective action is that a sense of shared social identity is a critical foundation for collective action. In this review, we suggest that for many minority groups, this foundational role of social identity can be double edged. This is because material disadvantage is also often coupled with the historical erosion of key aspects of ingroup culture and other group-defining attributes, constituting a threat to the very sense of who “we” are. This combination presents a set of dilemmas of resistance for minority groups seeking to improve their ingroup’s position. Focusing on the role of ingroup language and history, we present an integrative review of our research on five different dilemmas. We conclude that the central role of social identity in collective action and resistance can itself present challenges for groups whose core sense of who they are has been eroded.

What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: an integrative review

Background Improving the patient experience is one of the quadruple aims of healthcare. Therefore, understanding patient experiences and perceptions of healthcare interactions is paramount to quality improvement. This integrative review aimed to explore how patients with chronic conditions experience Interprofessional Collaborative Practice in primary care. Methods An integrative review was conducted to comprehensively synthesize primary studies that used qualitative, quantitative, and mixed methods. Databases searched were Medline, Embase, CINAHL and Web of Science on June 1st, 2021. Eligible studies were empirical full-text studies in primary care that reported experiences or perceptions of Interprofessional Collaborative Practice by adult patients with a chronic condition, in any language published in any year. Quality appraisal was conducted on included studies using the Mixed Method Appraisal Tool. Data on patients’ experiences and perceptions of Interprofessional Collaborative Practice in primary care were extracted, and findings were thematically analyzed through a meta-synthesis. Results Forty-eight (n = 48) studies met the inclusion criteria with a total of n = 3803 participants. Study quality of individual studies was limited by study design, incomplete reporting, and the potential for positive publication bias. Three themes and their sub-themes were developed inductively: (1) Interacting with Healthcare Teams, subthemes: widening the network, connecting with professionals, looking beyond the condition, and overcoming chronic condition collectively; (2) Valuing Convenient Healthcare, subthemes: sharing space and time, care planning creates structure, coordinating care, valuing the general practitioner role, and affording healthcare; (3) Engaging Self-care, subthemes: engaging passively is circumstantial, and, engaging actively and leading care. Conclusions Patients overwhelmingly had positive experiences of Interprofessional Collaborative Practice, signaling it is appropriate for chronic condition management in primary care. The patient role in managing their chronic condition was closely linked to their experience. Future studies should investigate how the patient role impacts the experience of patients, carers, and health professionals in this context. Systematic review registration PROSPERO: CRD42020156536.

The Evolution of the Role of U.S. School Nurses in Adolescent Mental Health at the Individual, Community, and Systems Level: An Integrative Review

School nurses are crucial to addressing adolescent mental health, yet evidence concerning their evolving role has not been synthesized to understand interventions across levels of practice (i.e., individual, community, systems). We conducted an integrative review of school nurse roles in mental health in the U.S. related to depressive symptoms, anxiety, and stress. Only 18 articles were identified, published from 1970 to 2019, and primarily described school nurses practicing interventions at the individual level, yet it was unclear whether they were always evidence-based. Although mental health concerns have increased over the years, the dearth of rigorous studies made it difficult to determine the impact of school nurse interventions on student mental health outcomes and school nurses continue to feel unprepared and under supported in this area. More research is needed to establish best practices and systems to support school nursing practice in addressing mental health at all levels of practice.

The Sleep Benefit in Episodic Memory: An Integrative Review and a Meta-Analysis

People recall more information after sleep than after an equally long period of wakefulness. This sleep benefit in episodic memory has been documented in almost a century of research. However, an integrative review of hypothesized underlying processes, a comprehensive quantification of the benefit, and a systematic investigation of potential moderators has been missing so far. Here, we address these issues by analyzing 823 effect sizes from 271 independent samples that were reported in 177 articles published between 1967 and 2019. Using multilevel meta-regressions with robust variance estimates, we found a moderate overall sleep benefit in episodic memory (g = 0.44). Moderator analyses revealed four important findings: First, the sleep benefit is larger when stimuli are studied multiple times instead of just once. Second, for word materials, the effect size depends on the retrieval procedure: It is largest in free recall, followed by cued recall and recognition tasks. Third, the sleep benefit is stronger in pre-post difference measures of retention than in delayed memory tests. Fourth, sleep benefits are larger for natural sleep and nighttime naps than foralternative sleep-study designs (e.g., SWS-deprived sleep, daytime naps). Although there was no obvious evidence for selective reporting, it is a potential threat to the validity of the results. When accounting for selective reporting bias, the overall effect of sleep on episodic memory is reduced but still significant (g = 0.28). We argue that our results support an integrative, multi-causal theoretical account of sleep-induced episodic memory benefits and provide guidance to increase their replicability.