Oral care experiences of palliative care patients, their relatives/carers and healthcare professionals

Aim: To explore the oral care experiences of palliative care patients and of those who support or deliver oral care to these patients: nurses, doctors, dentists, their relatives and carers. Data Sources: An electronic search of the databases included: Embase, MEDLINE, DOSS, AMED and PsycINFO was performed. Data selection: Six articles were included in the final synthesis. Data extraction: Thematic analysis was applied by two researchers. Data synthesis: Three themes were identified: ‘performing oral care’, ‘effects on oral health’ and ‘challenges in palliative care’. Conclusions: Despite similarities of oral care experiences, this review identified some differences, crucially in terms of the wider impact of oral symptoms, namely social interactions with others and challenges to oral care. This confirms the need to investigate these topics further in relation to different stakeholders, such as nurses; and to have consistent guidance to facilitate the provision of effective oral care to palliative care patients.

Recommendation Systems on E-Learning and Social Learning: A Systematic Review

E-learning is renowned as one of the highly effective modalities of learning. Social learning, in turn, is considered to be of major importance as it promotes collaboration between learners. For properly managing learning resources, recommender systems have been implemented in e-learning to enhance learners' experience. Whilst recommender systems are of widespread concern in online learning, it is still unclear to educators how recommender systems can improve the learning process and have a positive impact on learning. This paper seeks to provide an overview of the recommender systems proposed in e-learning between 2007 and the first part of 2021. Out of 100 initially identified publications for the period between 2007 and the first part of 2021, 51 articles were included for final synthesis, according to specific criteria. The descriptive results show that most of the disciplines involved in educational recommender systems papers have approached e-learning in a general way without putting as much emphasis on social learning, and that recommender systems based on explicit feedbacks and ratings were the most frequently used in empirical studies. The synthesis of results presents several recommender systems types in e-learning: (1) Content-based recommender systems, (2) Collaborative-filtering recommender systems, (3) Hybrid recommender systems and (4) Recommender systems based on supervised and unsupervised algorithms. The conclusions reflect on the almost lack of critical reflection on the importance of addressing recommender systems in social learning and social educational networks in particular, especially as social learning has particular requirements, the weak databases size used in some research work, the importance of acknowledging the strengths and weaknesses of each type of recommender system in an educational context and the need for further exploration of implicit feedbacks more than explicit learners’ feedbacks for more accurate recommendations.

When Agency Turns Into a Risk Factor: A Literature Review of the Negative Consequences of Children’s Agentic Behaviors on Their Physical and Psychological Well-Being

Background: Research has widely documented how, even in conditions of extreme poverty, deprivation, or oppression, children are competent and situated actors, capable of actively mobilizing internal, external, or social resources to protect themselves from their environments and safeguard their everyday lives. Yet, the ways in which their agency might support their well-being or instead increase their own vulnerability has remained underexplored. Aims: The present study aims to provide an assessment of all those contributions which, over the past 20 years, have focused on both the positive and negative consequences of children’s actionability, revealing children’s self-destructive acts alongside their self-empowering and protective ones. In the process, it highlights several major theoretical breakthroughs and findings in this area of research. Method: We provide an assessment of peer-reviewed studies that have focused on both positive and negative consequences of children’s actionability, through a qualitative narrative literature review. Results: Of the 168 studies identified from online searches of the literature and the three additional sources gathered through bibliography mining, 76 qualified for full review, with 12 studies included in the final synthesis. Overall, the literature explored the different conditions in which children’s agentic practices expose them to trauma symptoms and to dangerous or self-harmful situations, thereby failing to safeguard their health and overall well-being. Conclusion: The review highlights the need to focus on the dangerous effect of the agentic practices activated by children in terms of their physical and psychological health.

Which forest-risk commodities imported to the UK have the highest overseas impacts? A rapid evidence synthesis

Background: Commodity-driven deforestation is a major driver of forest loss worldwide, and globalisation has increased the disconnect between producer and consumer countries. Recent due-diligence legislation aiming to improve supply chain sustainability covers major forest-risk commodities. However, the evidence base for specific commodities included within policy needs assessing to ensure effective reduction of embedded deforestation. Methods: We conducted a rapid evidence synthesis in October 2020 using three databases; Google Scholar, Web of Science, and Scopus, to assess the literature and identify commodities with the highest deforestation risk linked to UK imports. Inclusion criteria include publication in the past 10 years and studies that didn’t link commodity consumption to impacts or to the UK were excluded. The development of a review protocol was used to minimise bias and critical appraisal of underlying data and methods in studies was conducted in order to assess the uncertainties around results. Results: From a total of 318 results, 17 studies were included in the final synthesis. These studies used various methodologies and input data, yet there is broad alignment on commodities, confirming that those included in due diligence legislation have a high deforestation risk. Soy, palm oil, and beef were identified as critical, with their production being concentrated in just a few global locations. However, there are also emerging commodities that have a high deforestation risk but are not included in legislation, such as sugar and coffee. These commodities are much less extensively studied in the literature and may warrant further research and consideration. Conclusion: Policy recommendations in the selected studies suggests further strengthening of the UK due diligence legislation is needed. In particular, the provision of incentives for uptake of policies and wider stakeholder engagement, as well as continual review of commodities included to ensure a reduction in the UK’s overseas deforestation footprint.

Categorization of Different Clamp Types Used For The Endurance Test of Human Grafts – A Systematic Review

BackgroundThe use of tendon allografts for orthopedic repair has gained wide acceptance in recent years, most notably in anterior cruciate tendon reconstruction. Multiple studies support the use of tendon allografts and the benefits of its use are well accepted and understood. One of the important criteria of the use of tendon allografts is statistically similar histological and biomechanical properties to autographs. Five major scientific literature databases (Web of Science, Science Direct, Scopus, PloS ONE, Hindawi) and additional sources were used. ResultsThe objective of this systematic literature review is to investigate and categorize existing clamps used in the determination of the biomechanical properties (maximum load, maximum strength, modulus of elasticity, ultimate strain, stiffness) of tendons. Studies had to use an endurance test of tendons and clamps in detail. The database search and additional sources resulted in 274 records. 216 records eliminated during the screening for various reasons. The number of articles used in the final synthesis was 58. Search for publications dated between 1991 and Oct 31st, 2020. A variety of clamps for use during the endurance test of tendons were identified and categorized according to the temperature used during the measurement. The clamps are divided into three groups: room temperature, cooled or heated clamps.ConclusionsOn the basis of the systematic literature review, mechanical parameters determined by usage with cooled clamps proved to be more reliable than with those at room temperature and with heated clamps. The main advantage of the cooled clamps is that there is no limit to the type and length of the tendon. This study provides an overview of clamps and does not represent the modernity of any method.

A Scoping Review of Text-Matching Software Used for Student Academic Integrity in Higher Education

Text-matching software has been used widely in higher education to reduce student plagiarism and support the development of students’ writing skills. This scoping review provides insights into the extant literature relating to commercial text-matching software (TMS) (e.g., Turnitin) use in postsecondary institutions. Our primary research question was “How is text-matching software used in postsecondary contexts?” Using a scoping review method, we searched 14 databases to find peer-reviewed literature about the use of TMS among postsecondary students. In total, 129 articles were included in the final synthesis, which comprised of data extraction, quality appraisal, and the identification of exemplar articles. We highlight evidence about how TMS is used for teaching and learning purposes to support student success at the undergraduate and graduate levels.

A Systematic Literature Review of Ethical Challenges Related to Medical and Public Health Data Sharing in China

Although stakeholders in China have begun promoting medical and public health data sharing, a large portion of data cannot flow freely across research teams and borders and be converted into “big data.” To identify the ethical challenges that are considered to hinder medical and public health data sharing, we performed a systematic literature review pertaining to medical and health data sharing in China. A total of 2959 unique records were retrieved through the database search, 61 of which were included in the final synthesis after full-text screening. This review provides an overview of the current ethical challenges and barriers involved in data sharing for healthcare purposes in China. Through the systematic review of evidence from peer-reviewed literature and dissertations, we identified barriers and ethical challenges grouped in a taxonomy of capacity building needs, balancing different stakeholders’ interests, scientific and social value, and the data subjects’ rights, public trust and engagement. Best practices and educational implications were suggested based on our findings.

How Do We Assess How Agentic We Are? A Literature Review of Existing Instruments to Evaluate and Measure Individuals' Agency

The importance and centrality of the construct of agency is wellknown amongst social scientists. Yet, there is still little agreement on how this construct should be understood and defined, as demonstrated by the diversity of instruments that are used to investigate it. Indeed, there is no current consensus or standardized methodology to assess agency. This paper provides a synthetic overview of the studies that have evaluated and measured individuals' agency. More specifically, the purpose is to review research that quantitatively investigates the agency of adults, as well as children and youth, across different social contexts. In the process, it offers recommendations to inform future research, practice, and policy. We identified published peer-reviewed studies relating to the assessment of agency across countries and across age through a narrative literature review. The findings were grouped according to whether agency was measured in its most comprehensive conception or in a precise single domain or dimension, which was then discussed separately for children, adults, and women. Of the 3879 studies identified from online searches of the literature and the five additional sources gathered through bibliography mining, 106 qualified for full review, with 34 studies included in the final synthesis. Multiple different instruments were found to be currently adopted or developed to assess agency. The present review offers an exhaustive overview of the different conceptualizations of agency and of the available instruments to assess it, providing critical information for researchers and policymakers to improve intervention and empowerment programs.

Systematic Review on Mentalization as Key Factor in Psychotherapy

Background: Mentalization processes seem to be of high relevance for social learning and seem important in all psychotherapies. The exact role of mentalization processes in psychotherapy is still unknown. The aim of the present systematic review is to investigate whether mentalization is related to the therapeutic outcome and, if so, whether it has a moderating, mediative, or predictive function. Method: A systematic review with an electronic database search was conducted. A total of 2567 records were identified, and 10 studies were included in the final synthesis. Results: Psychotherapy research is still in an initial phase of examining and understanding the impact of mentalization on psychotherapy outcome. The small number of studies and the executed study designs and statistical analyses indicate the possible role that mentalization has in psychotherapy. Conclusion: Generally, strongly elaborated study designs are needed to identify the role of mentalization in psychotherapy. Mentalization seems to be differently represented in differential treatment approaches. Nevertheless, it should be noted that the patient’s mentalizing capacity seems to be relevant to the psychotherapy process. Psychotherapies should be adapted to this.