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Movimento (Porto Alegre) ; 25(1): e25067, jan.- dez. 2019.
Artigo em Inglês | LILACS | ID: biblio-1047352


The purpose of this paper was to provide a critical review of the literature related to pedagogy of physical education in urban schools using culturally sustaining pedagogy as a lens. Data was collected via keyword searches, table of contents searches in three U.S.-based journals, and additional references from retrieved articles. The sample included 54 studies which were analyzed in depth and coded for various factors. The findings provide descriptive statistics about the literature, as well as three major themes highlighting cultural relevance in PE, urban student resistance to traditional curriculum, and urban PE to address deficits. The discussion suggests "loving critiques" that could apply to the field of PE, especially in urban contexts

O objetivo deste artigo foi providenciar uma revisão crítica na literatura relacionada com pedagogia da Educação Física em escolas urbanas utilizando como "lente" uma pedagogia sustentada culturalmente. Dados foram coletados por meio da busca de palavras-chaves e nos sumários de três revistas norte-americanas, bem como em adicionais referências recuperadas dos artigos. A amostra incluiu 54 estudos que foram analisados em profundidade e codificados em vários fatores. Os resultados providenciam estatísticas descritivas sobre literatura, bem como três temas principais que destacam a relevância cultural em Educação Física, a resistência de estudantes urbanos ao currículo tradicional e os déficits a serem enfrentados pela Educação Física urbana. A discussão sugere "críticas carinhosas" que podem ser aplicadas no campo da Educação Física, especialmente em contextos urbanos

El objetivo de ese artículo fue presentar una revisión crítica en la literatura relacionada con pedagogía de la Educación Física en escuelas urbanas usando como "lente" una pedagogía sostenida culturalmente. Los datos fueron recolectados por medio de la búsqueda de palabras-clave y en los índices de tres revistas norteamericanas, al mismo tiempo en referencias adicionales recuperadas de los artículos. La muestra incluyó 54 estudios que fueron analizados a profundidad y codificados en varios factores. Los resultados presentan estadísticas descriptivas y también tres temas principales, que destacan la relevancia cultural en Educación Física, la resistencia de los alumnos urbanos al currículo tradicional y los déficits a ser enfrentados por la Educación Física urbana. La discusión sugiere "críticas cariñosas" que pueden ser aplicadas al campo de la Educación Física, especialmente en contextos urbanos

Humanos , Masculino , Feminino , Educação Física e Treinamento , Instituições Acadêmicas , Área Urbana , Ensino , Literatura de Revisão como Assunto
Medicine (Baltimore) ; 98(38): e17129, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31567952


BACKGROUND: Pulmonary rehabilitation (PR) is an indispensable component in the nonpharmacological management of patients with chronic obstructive pulmonary disease (COPD) with significant improvements in quality of life and exercise capacity. It is strongly supported by systematic reviews (SR) as part of the treatment of these patients. However, it is not known which PR components are essential, such as duration, ideal locations, type and intensity of training, degree of supervision, adherence, cost-effectiveness challenge, and how long the program effects last. This overview aims to evaluate and describe different pulmonary rehabilitation interventions for individuals with COPD. METHODS: Only systematic reviews of randomized controlled trials (RCTs) published in the Cochrane Database of Systematic Reviews will be included. The following results were analyzed: health-related quality of life, functional capacity, mortality, dyspnea, cost-effectiveness, and adverse events. The risk of bias will be assessed by the Risk of Bias in Systematic Reviews (ROBIS). The methodological quality will be analyzed through the Assessment of Multiple Systematic Reviews (AMSTAR-2). We will use the evaluations of the Classification of Recommendations, Evaluation, Development and Evaluation (GRADE) of the authors of the included systematic reviews. The screening of systematic reviews, eligibility evaluation, data extraction, methodological quality, and quality of evidence will be performed in pairs by independent reviewers. The results that have been reported in the included reviews will be summarized in an "Overview of Reviews" table. The main conclusions about the effects of the interventions studied in the included reviews will be summarized and organized in clinically meaningful categories. RESULTS: The article in this overview will be submitted for publication in a peer-reviewed journal. The results will also be included in a doctoral thesis and disclosed in medical conferences. CONCLUSIONS: We expect to compile evidence from multiple systematic reviews of pulmonary rehabilitation in people with COPD in an accessible and useful document. REGISTRATION NUMBER PROSPERO: CRD42019111564.

Doença Pulmonar Obstrutiva Crônica/reabilitação , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Literatura de Revisão como Assunto , Resultado do Tratamento
Prensa méd. argent ; 105(9 especial): 546-555, oct 2019. fig
Artigo em Inglês | LILACS, BINACIS | ID: biblio-1046472


The article is devoted to the review of the most developed systems of registration and control of patients suffering from oncological diseases. The creation of registries is based on the public health needs of countries in monitoring, storing and analyzing national data on such serious chronic diseases as cancer. The world and national experience in creating data storage systems shows the need to unify the information collection, to consolidate sources, and to use high quality information technologies that make it possible to exchange, analyze, protect and store data. In European countries and the USA, registries have specialized websites and provide information on epidemiology, trends, forecasts, and survival rate. This information is public.

Humanos , Institutos de Câncer/estatística & dados numéricos , Literatura de Revisão como Assunto , Registros Eletrônicos de Saúde , Acesso a Medicamentos Essenciais e Tecnologias em Saúde
Prensa méd. argent ; 105(9 especial): 556-562, oct 2019. tab
Artigo em Inglês | LILACS, BINACIS | ID: biblio-1046483


The access to education for children and young people with special needs is an indicator of the humanization of society, a sign that this society can care for one of its most vulnerable groups. This paper reviews the principles and trends in studying the issues of organising an inclusive education environment. Particular emphasis is placed on the scientific novelty of the research, research methods and goals, the main purpose of which is to create a comfortable educational environment and find a solution to the problems of inclusive space. Further, the authors provide a detailed analysis of the project content in the conditions of Kazakhstan. They develop an experimental model of a spatial solution for an inclusive education environment. The results of this study contribute to the architectural and compositional improvement of educational buildings, increasing their comfort. The paper analyzes the role of the virtual environment in the development of experimental projects. It contains a diagram of the project time frame, a sample schedule and a description of the research group composition.

Humanos , Grupos de Risco , Inclusão Educacional , Literatura de Revisão como Assunto , Modelos Educacionais , Pessoas com Deficiência/educação , Políticas Públicas Antidiscriminatórias
Rev Med Suisse ; 15(664): 1694-1698, 2019 Sep 25.
Artigo em Francês | MEDLINE | ID: mdl-31553532


Narrative overviews of scientific literature contribute to the updating and critique of available medical knowledge. Indirectly, they help to formulate new research projects based on the synthesis and interpretation of the results of a non-systematic selection of published studies. To facilitate both optimal reading and synthesis of studies we deem useful to propose a standardized approach to the various steps of the development and writing of a narrative literature overview.

Narração , Literatura de Revisão como Assunto , Redação/normas
Nephrol Nurs J ; 46(4): 413-445, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31490051


Pediatric patients with chronic kidney disease (CKD) have an increased risk of developing vaccine-preventable diseases due to reduced immunization coverage. Studies have demonstrated that reduced immunization coverage in this population is related to barriers, such as frequent hospitalization, lack of knowledge, and concerns about safety and efficacy. This article examines a nurse practitioner-led quality improvement project (QIP) conducted in an outpatient pediatric nephrology clinic. The QIP focused on educating pediatric providers related to age-appropriate immunizations for children with CKD or nephrotic syndrome, and those who are renal transplant candidates and recipients. A process is now in place to review immunization records upon initial visit and annually, and to notify primary care providers of current recommendations for this population.

Imunização/normas , Transplante de Rim , Síndrome Nefrótica , Insuficiência Renal Crônica , Criança , Humanos , Profissionais de Enfermagem Pediátrica , Guias de Prática Clínica como Assunto , Melhoria de Qualidade , Literatura de Revisão como Assunto
Braz J Cardiovasc Surg ; 34(4): 396-405, 2019 08 27.
Artigo em Inglês | MEDLINE | ID: mdl-31454193


OBJECTIVE: To evaluate whether there is any difference on the results of patients treated with coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) in the setting of ischemic heart failure (HF). METHODS: Databases (MEDLINE, Embase, Cochrane Controlled Trials Register [CENTRAL/CCTR],, Scientific Electronic Library Online [SciELO], Literatura Latino-americana e do Caribe em Ciências da Saúde [LILACS], and Google Scholar) were searched for studies published until February 2019. Main outcomes of interest were mortality, myocardial infarction, repeat revascularization, and stroke. RESULTS: The search yielded 5,775 studies for inclusion. Of these, 20 articles were analyzed, and their data were extracted. The total number of patients included was 54,173, and those underwent CABG (N=29,075) or PCI (N=25098). The hazard ratios (HRs) for mortality (HR 0.763; 95% confidence interval [CI] 0.678-0.859; P<0.001), myocardial infarction (HR 0.481; 95% CI 0.365-0.633; P<0.001), and repeat revascularization (HR 0.321; 95% CI 0.241-0.428; P<0.001) were lower in the CABG group than in the PCI group. The HR for stroke showed no statistically significant difference between the groups (random effect model: HR 0.879; 95% CI 0.625-1.237; P=0.459). CONCLUSION: This meta-analysis found that CABG surgery remains the best option for patients with ischemic HF, without increase in the risk of stroke.

Ponte de Artéria Coronária/mortalidade , Insuficiência Cardíaca/cirurgia , Isquemia Miocárdica/cirurgia , Intervenção Coronária Percutânea/mortalidade , Acidente Vascular Cerebral/etiologia , Idoso , Brasil/epidemiologia , Ponte de Artéria Coronária/efeitos adversos , Métodos Epidemiológicos , Medicina Baseada em Evidências , Feminino , Humanos , Masculino , Metanálise como Assunto , Estudos Multicêntricos como Assunto , Isquemia Miocárdica/mortalidade , Intervenção Coronária Percutânea/efeitos adversos , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/mortalidade , Guias de Prática Clínica como Assunto , Ensaios Clínicos Controlados Aleatórios como Assunto , Literatura de Revisão como Assunto , Acidente Vascular Cerebral/mortalidade , Resultado do Tratamento
Rev Panam Salud Publica ; 43, August 2019
Artigo em Espanhol | PAHO-IRIS | ID: phr-51435


[RESUMEN]. Objetivos. Sintetizar la información disponible sobre el efecto del etiquetado nutricional frontal en la elección, compra y consumo de alimentos y bebidas, y el estado nutricional de los consumidores, e identificar los factores que influyen en su efectividad. Métodos. Se realizó una sinopsis de revisiones sistemáticas (RS) conforme a las recomendaciones PRISMA. La búsqueda bibliográfica se realizó en Medline (Pubmed), The Cochrane Library, LILACS, EBSCOhost y Scopus, limitada a estudios publicados en español o inglés sin restricción por fecha de publicación. La calidad metodológica se evaluó utilizando la herramienta AMSTAR 2. Resultados. Se incluyeron siete RS. El etiquetado frontal facilitó la elección de alimentos saludables y tuvo un efecto variable sobre las dimensiones de consumo y compra. Ninguna RS evaluó el efecto sobre el estado nutricional. El costo y sabor, los hábitos alimentarios, el nivel educativo y los sistemas dominantes de procesamiento de información en el consumidor influyeron en su efectividad. La mayoría de RS mostraron limitaciones metodológicas y un nivel de confianza críticamente bajo. Conclusiones. El etiquetado frontal tuvo efecto positivo en la elección de alimentos saludables, con resultados variables en las dimensiones de compra y consumo. Se necesitan estudios locales con una adecuada calidad metodológica para identificar el formato de etiquetado más efectivo en cada país. Su implementación como política de salud pública debe acompañarse de estrategias para mejorar el acceso a alimentos saludables, promover la actividad física y brindar educación nutricional a los consumidores.

[ABSTRACT]. Objectives. Synthesize available information on the effects of front-of-package nutritional labeling on choice, purchase, and consumption of food and beverages, and nutritional status of consumers, and identify factors that influence its effectiveness. Methods. A synopsis of systematic reviews was carried out following PRISMA recommendations. A literature search was performed in MEDLINE (PubMed), Cochrane Library, LILACS, EBSCOhost, and Scopus, limited to studies published in Spanish or English with no restrictions on date of publication. Methodological quality was evaluated using AMSTAR 2. Results. Seven systematic reviews were included. Front-of-package labeling facilitated healthy food choices and had a variable effect on consumption and purchase dimensions. No systematic review evaluated effects on nutritional status. Cost and flavor, eating habits, educational level, and dominant information processing systems in the consumer influenced labeling effectiveness. Most of the systematic reviews showed methodological limitations and critically low confidence levels. Conclusions. Front-of-package labeling had a positive effect on healthy food choices, with variable results on purchase and consumption dimensions. Local studies with adequate methodological quality are needed to identify the most effective labeling format in each country. Implementation of labeling as public health policy should be accompanied by strategies to improve access to healthy foods, promote physical activity, and provide nutrition education to consumers.

[RESUMO]. Objetivos. Sumarizar os dados disponíveis referentes ao efeito da rotulagem nutricional frontal na escolha, compra e consumo de alimentos e bebidas e no estado nutricional dos consumidores e identificar os fatores que influenciam a efetividade desta medida. Métodos. Foi realizado um sumário de estudos de revisão sistemática segundo as recomendações PRISMA. Foi feita uma busca da literatura nas bases de dados MEDLINE (PubMed), Cochrane Library, LILACS, EBSCOhost e Scopus de estudos publicados em espanhol ou inglês, sem restrição de data de publicação. A qualidade metodológica foi avaliada com o uso da ferramenta AMSTAR 2. Resultados. Sete estudos de revisão sistemática foram selecionados. A rotulagem frontal facilitou a escolha de alimentos saudáveis e teve um efeito variável nas dimensões de consumo e compra. Nenhum estudo avaliou o efeito no estado nutricional. Custo e sabor, hábitos alimentares, nível educacional e sistemas dominantes de processamento de informação do consumidor tiveram influência na efetividade desta medida. Os estudos de revisão apresentaram, na sua maioria, limitações metodológicas e um grau de confiança criticamente baixo. Conclusões. A rotulagem nutricional frontal teve efeito positivo na escolha de alimentos saudáveis, com resultados variáveis nas dimensões de compra e consumo. É preciso realizar estudos locais com qualidade metodológica adequada para identificar o formato de rotulagem mais efetivo em cada país. A implementação desta medida como política de saúde pública deve ser acompanhada por estratégias para melhorar o acesso a alimentos saudáveis, promover a atividade física e proporcionar educação nutricional aos consumidores.

Rotulagem Nutricional , Comportamento do Consumidor , Estado Nutricional , Literatura de Revisão como Assunto , Rotulagem Nutricional , Comportamento do Consumidor , Estado Nutricional , Literatura de Revisão como Assunto , Rotulagem Nutricional , Comportamento do Consumidor , Literatura de Revisão como Assunto
Medicine (Baltimore) ; 98(30): e16517, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31348264


BACKGROUND: Prostate cancer (PCa) is common, with it being the 2nd most prevalent cancer in men worldwide and the 6th leading cause of death in men. Screening for any type of cancer aims to increase the chances of successful treatment through early detection of the disease. There were some systematic reviews (SRs) evaluated the diagnostic value of biomarkers for the diagnosis of PCa and no studies have been conducted to analyze the quality of these SRs. We are not clear which kind of marker is the best choice. Thus, this study aims to assess the methodologic quality of the SRs and reanalyze the published data based on SRs for the biomarkers to find the optimal biomarker for the early diagnosis of PCa. METHODS: We performed a systematic literature search of PubMed, Embase, Web of Science, and Cochrane Library and to identify relevant SRs from inception to April 2019. Diagnostic accuracy studies included any type of single biomarker or combined biomarkers aimed at evaluating the diagnostic value is considered eligible for this overview. The Assessment of Multiple Systematic Reviews-2 (AMSTAR-2) instrument will be used to evaluate the risk of bias of the included SRs. Standard pairwise meta-analysis and adjusted indirect comparison will be used to compare the diagnostic value of different biomarkers. RESULTS: The results of this study will be submitted to a peer-reviewed journal for publication. CONCLUSION: This study will reanalyze the published data based on SRs. We hope that the results will help find a biomarker with the superior diagnostic performance for the diagnosis of PCa. PROSPERO REGISTRATION NUMBER: CRD42019125880.

Detecção Precoce de Câncer/métodos , Neoplasias da Próstata/diagnóstico , Biomarcadores Tumorais , Humanos , Masculino , Meta-Análise em Rede , Projetos de Pesquisa , Literatura de Revisão como Assunto , Sensibilidade e Especificidade
Stud Health Technol Inform ; 262: 101-104, 2019 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-31349276


Tuberculosis (TB) represents a global challenge in terms of prevention, care and control. Decision support systems (DSS) can supply the necessary knowledge basis to underpin investigators, policy makers and health personnel actions and to provide crucial elements that can help reducing TB burden. Thus, the objectives of this work are to present the protocol to be followed for carrying out a scoping review to identify topics where DSSs are used, to define appropriate categories and to clarify main outcomes and research gaps. As part of the protocol, five electronic bibliographic databases will be searched for articles from 2006 to 2019 and two investigators will independently screen each work using the study inclusion criteria. Data extraction will be performed, and findings will be reported. The results will be used to provide a broad understanding of how DSSs for TB are being used.

Sistemas de Apoio a Decisões Clínicas , Tuberculose , Assistência à Saúde , Pessoal de Saúde , Humanos , Projetos de Pesquisa , Pesquisadores , Literatura de Revisão como Assunto , Tuberculose/terapia
Zhonghua Yu Fang Yi Xue Za Zhi ; 53(7): 664-667, 2019 Jul 06.
Artigo em Chinês | MEDLINE | ID: mdl-31288335


Post-marketing surveillance of vaccine safety is an important measure to detect adverse events following immunization and therefore reduce the harms to public health. The conventional method for safety surveillance is a passive way through spontaneous reporting, which suffer from under-reporting and incomplete. While active surveillance, a newly proposed surveillance method in developed countries, is capable to make up the deficiencies of passive surveillance. The surveillance system of vaccine safety in China is currently using passive surveillance, and facing many problems and challenges. This arouses a need to promote development of an active surveillance system for vaccine safety in China, learning from the experience world-wide. This commentary aims to throw out suggestions for establishing the active surveillance system, according to the specific situation in China and based on a scoping review of literature.

Vigilância de Produtos Comercializados/métodos , Vacinas/efeitos adversos , China , Humanos , Literatura de Revisão como Assunto
Z Evid Fortbild Qual Gesundhwes ; 143: 1-7, 2019 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-31296451


Reviews of primary research studies are becoming increasingly important as the concept of evidence-based practice in healthcare is gaining more and more influence and the number of research projects is increasing enormously. One of the less well-known types of review is the "scoping review." Scoping reviews are conducted when one first needs to take stock of the research literature. For example, scoping reviews are conducted in order to establish provisional working definitions or to define topics or subject areas conceptually. Preparing a scoping review also makes sense if the literature has not yet been comprehensively assessed or if it contains a complex or heterogeneous problem so that a more precise systematic review of the evidence is not appropriate. Scoping reviews can also serve to determine the scope and significance of a prospective classical systematic review. Finally, scoping reviews are also a good way to bundle and communicate research results, identify research gaps, and formulate recommendations for future research. This article explains the methodology of scoping reviews, their differences as compared to systematic reviews, and the reasons why they could be conducted. This guide to conducting scoping reviews is based on the methodology developed by the Joanna Briggs Institute (JBI).

Prática Clínica Baseada em Evidências , Relatório de Pesquisa , Literatura de Revisão como Assunto , Assistência à Saúde , Alemanha , Humanos , Estudos Prospectivos
Work ; 63(3): 435-446, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31282452


BACKGROUND: Progressive workplaces should be aware of emerging neurodiversity related issues. People are sharing their narratives of high functioning anxiety in a variety of forums. Despite news text reporting upon this phenomenon, the concept has managed to escape a research spotlight. OBJECTIVE: To critically investigate the evidence base of news article reporting of anxiety-related work performance strengths, challenges and support measures. METHODS: Thematic analysis was applied to news texts derived from CrossSearch database and internet enquiries and journal articles obtained from Scopus, Medline and Science Direct databases. RESULTS: The analysis of eight news texts and 36 journal articles produced evidence-based themes including those of work performance strengths (quality, quantity, creativity) challenges (overreaching, perfectionism, overthinking, communication) and support measures (medical, cognitive, physical, flexibility). CONCLUSION: This investigative review reveals that anxiety-related work performance strengths, challenges and support measures as identified within news text reporting of the high functioning anxiety concept have at least some basis in the literature. It might therefore be the case that organizations who invest in supporting employees who identify with high functioning dimensions of their anxiety disorders are the ones who are ultimately rewarded with work performance advantages.

Ansiedade/complicações , Meios de Comunicação de Massa/normas , Desempenho Profissional/normas , Ansiedade/psicologia , Humanos , Meios de Comunicação de Massa/estatística & dados numéricos , Literatura de Revisão como Assunto , Desempenho Profissional/tendências