Health sciences review (Oxford, England)最新文献

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Best Evidence for exercise management to prevent lymphedema in patients with breast cancer 运动管理预防乳腺癌患者淋巴水肿的最佳证据
Health sciences review (Oxford, England) Pub Date : 2024-09-01 Epub Date: 2024-05-29 DOI: 10.1016/j.hsr.2024.100178
Chen Shufang, Wu Sijing, Kuang Yingdie, Xie Zhuoxian
{"title":"Best Evidence for exercise management to prevent lymphedema in patients with breast cancer","authors":"Chen Shufang,&nbsp;Wu Sijing,&nbsp;Kuang Yingdie,&nbsp;Xie Zhuoxian","doi":"10.1016/j.hsr.2024.100178","DOIUrl":"https://doi.org/10.1016/j.hsr.2024.100178","url":null,"abstract":"<div><p>In order to provide nursing staff with optimal exercise interventions for preventing lymphedema in patients with breast cancer, the AGREE II score, the systematic review tool, the literature evaluation criteria and the evidence grading system of the Joanna Briggs Institute (JBI) Center for Evidence-Based Health Care were used to evaluate the included Based on the guidelines, systematic reviews, and expert consensus, 6 people independently evaluated the quality of the literature, and combined with the judgment of personnel with relevant evidence-based nursing knowledge, the qualified literature was evaluated and the evidence grade was assessed. The included research documents are 2 relevant evidence summaries; 1 guideline; 1 expert consensus; 16 systematic reviews, ranging from exercise contraindications, pre-exercise assessment and testing, exercise intensity, exercise safety, exercise programs, precautions, Eight aspects of health education were summarized and analyzed. This article summarizes the exercise intervention measures and management experience for preventing lymphedema in breast cancer patients, providing a basis for nursing staff to guide breast cancer patients to implement exercise intervention measures, thereby effectively preventing the occurrence of lymphedema.</p></div>","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"12 ","pages":"Article 100178"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277263202400031X/pdfft?md5=73068720fa366bb2b353fbae898e86c9&pid=1-s2.0-S277263202400031X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Human health effects associated with occupational and environmental acoustic trauma 职业和环境声创伤对人类健康的影响
Health sciences review (Oxford, England) Pub Date : 2024-09-01 Epub Date: 2024-06-10 DOI: 10.1016/j.hsr.2024.100181
Noura Gannouni , Jing Wang , Khémais Ben Rhouma , Abada Mhamdi
{"title":"Human health effects associated with occupational and environmental acoustic trauma","authors":"Noura Gannouni ,&nbsp;Jing Wang ,&nbsp;Khémais Ben Rhouma ,&nbsp;Abada Mhamdi","doi":"10.1016/j.hsr.2024.100181","DOIUrl":"10.1016/j.hsr.2024.100181","url":null,"abstract":"<div><p>Noise is ubiquitous in daily life and can cause both auditory and non-auditory health problems. Noise effects involve both direct and indirect pathways through which noise affects human health. A direct pathway encompasses the interactions between the central auditory system and other regions of the brain. The indirect pathway involves the cognitive and emotional response to a noise-exposure.</p><p>This review begins by summarizing both auditory and non-auditory health effects of occupational and environmental noise exposures. It then guides the reader to adequate mitigation strategies and preventive measures to reduce the consequences of noise nuisance.</p></div>","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"12 ","pages":"Article 100181"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772632024000345/pdfft?md5=dd271a900242192021b6bac9275e8528&pid=1-s2.0-S2772632024000345-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141402152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unravelling the genomic maze: Bioinformatics unleashes insights into Sotos syndrome (Cerebral Gigantism) 揭开基因组迷宫:生物信息学揭示索托斯综合征(脑巨人症)的奥秘
Health sciences review (Oxford, England) Pub Date : 2024-09-01 Epub Date: 2024-07-17 DOI: 10.1016/j.hsr.2024.100194
Ravinder Sharma , Simarjeet Kaur , Vikas Gupta , Harpreet Grover , Kiran Yadav , Viney Chawla , Pooja A Chawla
{"title":"Unravelling the genomic maze: Bioinformatics unleashes insights into Sotos syndrome (Cerebral Gigantism)","authors":"Ravinder Sharma ,&nbsp;Simarjeet Kaur ,&nbsp;Vikas Gupta ,&nbsp;Harpreet Grover ,&nbsp;Kiran Yadav ,&nbsp;Viney Chawla ,&nbsp;Pooja A Chawla","doi":"10.1016/j.hsr.2024.100194","DOIUrl":"10.1016/j.hsr.2024.100194","url":null,"abstract":"<div><p>The overgrowth condition known as Sotos syndrome is distinguished by its characteristic facial gestalt, macrocephaly, excessive development during childhood, varying degrees of learning problems, and a variety of other abnormalities. Due to abnormally high height, occipitofrontal circumference (OFC), advanced bone age, neonatal problems such as hypotonia and feeding issues, and facial gestalt, the diagnosis is typically recognized after birth. The current work aims to identify potential therapeutic treatments through bioinformatics analysis, focusing on key genes and pathways implicated in the disease. Text mining techniques were employed to identify 41 genes associated with Sotos syndrome, 37 of which were enriched with Gene Ontology (GO) terms and 24 with Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways. Using protein-protein interaction (PPI) network analysis, two gene modules were extracted using the Molecular Complex Detection (MCODE) algorithm, highlighting 15 hub genes as central candidates. Furthermore, leveraging drug-gene interaction databases and network pharmacology tools, 23 FDA-approved drugs were identified that target 11 of these core hub genes, suggesting potential therapeutic avenues for Sotos syndrome. Only bioinformatics tools were used in this study further in-vitro and in-vivo studies are required because phenotypic differences will vary from person to person depending on the expressivity of the gene. In future this approach may help to collaborate with clinical researchers to integrate bioinformatics findings with real-world clinical data. This will enhance understanding of clinical relevance of the identified genes and pathways and validate bioinformatics predictions with patient-derived samples and clinical histories.</p></div>","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"12 ","pages":"Article 100194"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772632024000473/pdfft?md5=466e0f40a2696c6b51eb1d2b00049450&pid=1-s2.0-S2772632024000473-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of rate of nicotine metabolism, as measured by the nicotine metabolite ratio (NMR), on smoking behaviours during pregnancy: A scoping review 以尼古丁代谢物比值(NMR)衡量的尼古丁代谢率对孕期吸烟行为的影响:范围界定综述
Health sciences review (Oxford, England) Pub Date : 2024-09-01 Epub Date: 2024-06-30 DOI: 10.1016/j.hsr.2024.100186
Min-Tz Weng , Angela Ratsch , Jared A Miles , Qiuda Zheng , Kathryn J Steadman
{"title":"The impact of rate of nicotine metabolism, as measured by the nicotine metabolite ratio (NMR), on smoking behaviours during pregnancy: A scoping review","authors":"Min-Tz Weng ,&nbsp;Angela Ratsch ,&nbsp;Jared A Miles ,&nbsp;Qiuda Zheng ,&nbsp;Kathryn J Steadman","doi":"10.1016/j.hsr.2024.100186","DOIUrl":"https://doi.org/10.1016/j.hsr.2024.100186","url":null,"abstract":"<div><p>Smoking during pregnancy is detrimental to the foetus and the mother, but quitting smoking can be challenging for pregnant women. The nicotine metabolite ratio (NMR), the ratio between 3-hydroxycotinine and cotinine, indicates the rate of nicotine metabolism and is associated with smoking behaviours and cessation success in the general population. Our goal was to establish what is currently known about the rate of nicotine metabolism during pregnancy. A search was conducted from inception to January 2024 using PubMed, EMBASE, CINAHL, PsycINFO, Web of Science, and Medline. Inclusion criteria encompassed pregnant women actively using any tobacco or nicotine-containing products for whom cotinine and 3-hydroxycotinine levels were assessed in maternal saliva, blood, or urine samples. Exclusion criteria comprised non-English articles, passive exposure to smoking, and absence of cotinine and 3-hydroxycotinine measurements. In half of the studies, more than 75% of participants were White. Four studies demonstrated that NMR (i.e. rate of nicotine metabolism) increased during pregnancy. Two studies found opioid use can increase NMR, and higher NMR correlated with greater nicotine dependence during pregnancy. One study found that higher NMR was associated with heavy cigarette use during pregnancy. Similarly, one study revealed pregnant women with higher NMR are less likely to quit smoking. However, one study linked lower NMR to lower birth weight, particularly among African-American populations compared to White populations. NMR tends to increase during pregnancy, complicating smoking cessation. Although race is an important determinant of NMR, the limited range of ethnic backgrounds highlights a need for further research in diverse populations.</p></div>","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"12 ","pages":"Article 100186"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772632024000394/pdfft?md5=b735b2d48bc89c954adf1cc8f39be48d&pid=1-s2.0-S2772632024000394-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transforming multidrug-resistant tuberculosis care: The potentials of telemedicine in resource-limited settings 转变耐多药结核病护理:远程医疗在资源有限环境中的潜力
Health sciences review (Oxford, England) Pub Date : 2024-09-01 Epub Date: 2024-06-24 DOI: 10.1016/j.hsr.2024.100185
David B. Olawade , Judith Eberhardt , Aanuoluwapo Clement David-Olawade , Malik A. Balogun , Obasanjo A. Bolarinwa , Deborah T. Esan
{"title":"Transforming multidrug-resistant tuberculosis care: The potentials of telemedicine in resource-limited settings","authors":"David B. Olawade ,&nbsp;Judith Eberhardt ,&nbsp;Aanuoluwapo Clement David-Olawade ,&nbsp;Malik A. Balogun ,&nbsp;Obasanjo A. Bolarinwa ,&nbsp;Deborah T. Esan","doi":"10.1016/j.hsr.2024.100185","DOIUrl":"https://doi.org/10.1016/j.hsr.2024.100185","url":null,"abstract":"<div><p>Multidrug-resistant tuberculosis (MDR-TB) is a significant public health challenge in low-resource settings owing to limited healthcare access and quality. However, telemedicine can potentially improve healthcare delivery by overcoming geographical barriers. This comprehensive review aimed to provide an overview of the current trends in utilizing telemedicine for MDR-TB control in low-resource settings. A systematic literature search were conducted in PubMed and CINAHL electronic databases and Google Scholar search engine to identify relevant articles on telemedicine and MDR-TB control in low-resource settings. The selected articles were analyzed and synthesized to provide a comprehensive overview of telemedicine's current trends and applications in MDR-TB control. The review results shows that telemedicine allows remote screening and diagnosis, facilitating early detection and timely treatment, provides access to experts through teleconsultation, which ensures optimal treatment outcomes, fosters training and education of healthcare providers, and supports follow-up care through teleconsultation and remote monitoring. Furthermore, telemedicine integration with data collection methods could improve MDR-TB surveillance and intervention. Findings from this review show the potential of telemedicine to improve MDR-TB control and patient health in low-resource settings. This makes it a promising prevention and management option. However, successful implementation requires overcoming limitations such as connectivity, infrastructure, and cultural barriers. Telemedicine can considerably improve MDR-TB control and reduce disease burden in underserved populations by utilizing possibilities and addressing the challenges.</p></div>","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"12 ","pages":"Article 100185"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772632024000382/pdfft?md5=aefc45a9a91fc0b78cad95ea8b3c6833&pid=1-s2.0-S2772632024000382-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141483581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of take-home methadone treatment among patients with opioid use disorders during COVID-19: A systematic review 在 COVID-19 期间对阿片类药物使用障碍患者进行美沙酮带回家治疗的有效性:系统回顾
Health sciences review (Oxford, England) Pub Date : 2024-09-01 Epub Date: 2024-08-07 DOI: 10.1016/j.hsr.2024.100195
Shabnam Naher , Sabbir Pervez , Feroz Ahmed , Odunayo Elijah , Md. Toslim Mahmud , KM Saif-Ur-Rahman
{"title":"Effectiveness of take-home methadone treatment among patients with opioid use disorders during COVID-19: A systematic review","authors":"Shabnam Naher ,&nbsp;Sabbir Pervez ,&nbsp;Feroz Ahmed ,&nbsp;Odunayo Elijah ,&nbsp;Md. Toslim Mahmud ,&nbsp;KM Saif-Ur-Rahman","doi":"10.1016/j.hsr.2024.100195","DOIUrl":"10.1016/j.hsr.2024.100195","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic has exacerbated the global overdose crisis, increased opioid-related deaths and highlighted the need for innovative treatment strategies. This study critically evaluates the efficacy of take-home methadone for patients with opioid use disorders (OUDs) during public health emergencies.</p></div><div><h3>Methods</h3><p>Adhering to PRISMA reporting guidelines, this systematic review scrutinized RCTs and quasi-experimental studies on opioid agonist treatments (OATs), notably methadone, from Medline, Web of Science (core collection), Embase, Cochrane Library, and Scopus, spanning January 2020 to May 2024. It targeted global patients of any age, contrasting take-home methadone with in-clinic dosing, omitting non-English studies or those solely analyzing program delivery modifications without take-home dose discussions. Key outcomes included emergency room (ER) visits, treatment retention, overdose rates, alongside secondary outcomes like patient health, quality of life (QoL), and satisfaction. Registered with PROSPERO (CRD42023474723), the review prioritized treatment impacts and language inclusivity.</p></div><div><h3>Findings</h3><p>The final search yielded 1,222 records, with two studies included (four records). Despite included only two studies (four records) due to a focused selection criterion, findings indicate overall participant satisfaction with take-home methadone, suggesting its potential as a viable treatment modality during public health emergencies. However, the limited study number and focus on indirect outcome measures underscore the need for further comprehensive research.</p></div><div><h3>Interpretation</h3><p>This review champions flexible dosing, technology integration, and stigma reduction in OUD treatment, urging longitudinal research on take-home methadone's continued impacts. Despite constraints, it enriches OUD management for enhanced public health outcomes, highlighting future research avenues.</p></div>","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"12 ","pages":"Article 100195"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772632024000485/pdfft?md5=8bd31289558931817ddcf45aa0a4d193&pid=1-s2.0-S2772632024000485-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The prevalence of Vitiligo and its associated risk factors in the middle East and Africa: A systematic review and meta-analysis 中东和非洲的白癜风发病率及其相关风险因素:系统回顾与荟萃分析
Health sciences review (Oxford, England) Pub Date : 2024-09-01 Epub Date: 2024-06-24 DOI: 10.1016/j.hsr.2024.100187
Michael Khoury, Toufic Dabit, Hanna Siniora, Julie Fashho, Ahmad A. Toubasi
{"title":"The prevalence of Vitiligo and its associated risk factors in the middle East and Africa: A systematic review and meta-analysis","authors":"Michael Khoury,&nbsp;Toufic Dabit,&nbsp;Hanna Siniora,&nbsp;Julie Fashho,&nbsp;Ahmad A. Toubasi","doi":"10.1016/j.hsr.2024.100187","DOIUrl":"https://doi.org/10.1016/j.hsr.2024.100187","url":null,"abstract":"<div><p>Vitiligo is a prevalent chronic autoimmune skin disorder. However, the data about its prevalence and risk factors in the Middle East (ME) and Africa is scarce. Thus, we decided to conduct a systematic review and meta-analysis to assess the prevalence and risk factors of vitiligo in the ME and African regions. On the 25th of June 2023 a systematic search of the following database: PubMed, Scopus, Web of Sciences and Cochrane was conducted. All articles were included if they were observational studies that reported the prevalence or risk factors of any type of Vitiligo in one or more ME or African countries with no restriction to the type of vitiligo, age group, or gender. The total number of the included participants was 226,115 from 38 studies. The overall prevalence of vitiligo was 3 % (95 %CI: 2 %-4 %) while the prevalence among males and females were 1 % (95 %CI: 1 %-2 %) and 1 % (95 %CI: 1 %-2 %), respectively. The prevalence among pediatrics was 2 % (95 %CI: 1 %-2 %) while it was 10 % (95 %CI: 7 %-13 %) among adults. The models showed that the prevalence of vitiligo in Africa was 3 % (95 %CI: 1 %-4 %) while the pooled prevalence of vitiligo in Arabian countries was 2 % (95 %CI: 1 %-3 %). Sub-group analysis according to the year of publication showed that the pooled prevalence before 2010 was 3 % (95 %CI: 2 %-4 %). On the other hand, the pooled prevalence after 2010 was 2 % (95 %CI: 1 %-4 %). Clinicians should pay attention to the high prevalence of vitiligo and the characteristics of vitiligo patients. Also, governmental efforts should be taken to increase the awareness about vitiligo in the ME and African countries to increase early diagnosis and management of the disease resulting in better outcomes.</p></div>","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"12 ","pages":"Article 100187"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772632024000400/pdfft?md5=1121730b9d14abfe8fa530b7aed5a0eb&pid=1-s2.0-S2772632024000400-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Targeted therapy for Chronic Obstructive Pulmonary Disease: Dupilumab's role in patients with elevated eosinophils 慢性阻塞性肺病的靶向治疗:杜匹单抗在嗜酸性粒细胞升高患者中的作用
Health sciences review (Oxford, England) Pub Date : 2024-09-01 Epub Date: 2024-07-02 DOI: 10.1016/j.hsr.2024.100189
Muzamil Akhtar , Mehmood Akhtar
{"title":"Targeted therapy for Chronic Obstructive Pulmonary Disease: Dupilumab's role in patients with elevated eosinophils","authors":"Muzamil Akhtar ,&nbsp;Mehmood Akhtar","doi":"10.1016/j.hsr.2024.100189","DOIUrl":"https://doi.org/10.1016/j.hsr.2024.100189","url":null,"abstract":"","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"12 ","pages":"Article 100189"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772632024000424/pdfft?md5=cd635a3905357fab4960c372a45f9318&pid=1-s2.0-S2772632024000424-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141582683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current status of tertiary healthcare services and its accessibility in rural and remote Australia: A systematic review 澳大利亚农村和偏远地区三级医疗服务的现状及其可及性:系统回顾
Health sciences review (Oxford, England) Pub Date : 2024-06-01 Epub Date: 2024-03-07 DOI: 10.1016/j.hsr.2024.100158
Mazen Baazeem , Estie Kruger , Marc Tennant
{"title":"Current status of tertiary healthcare services and its accessibility in rural and remote Australia: A systematic review","authors":"Mazen Baazeem ,&nbsp;Estie Kruger ,&nbsp;Marc Tennant","doi":"10.1016/j.hsr.2024.100158","DOIUrl":"https://doi.org/10.1016/j.hsr.2024.100158","url":null,"abstract":"<div><p>The study evaluated the current state and accessibility of tertiary healthcare services in rural Australia. A systematic literature review from 2010 to 2022 was undertaken, utilising databases such as PubMed, MEDLINE, Cochrane Library, ProQuest, and Google Scholar. The PRISMA method was employed to retrieve an initial total of 4768 papers. Upon removal of 2806 duplicates and 1587 irrelevant records, 1962 articles were screened. From these, 375 were assessed for eligibility, leading to the inclusion of eleven studies in the systematic review. Criteria for exclusion included a focus on primary and secondary healthcare, absence of peer review, and unclear methodology.</p><p>A collective survey of 230,339 individuals, focusing on access to tertiary healthcare in rural and remote areas of Australia, was reported in the chosen studies. Several barriers to healthcare access for rural populations were identified, including lack of informed leadership, inadequate clinical governance, limited awareness of modern care models, suboptimal workforce planning and resource utilisation, incorrect risk perception, and insufficient community engagement.</p><p>In conclusion, there is an urgent need to address healthcare disparities and improve service accessibility in Australia's rural and remote areas.</p></div>","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"11 ","pages":"Article 100158"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772632024000114/pdfft?md5=a8e3569a392efe80df6faae087c7415c&pid=1-s2.0-S2772632024000114-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140103388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of standard Del Nido cardioplegia for the intracardiac repair of tetralogy of Fallot: A systematic review and meta-analysis of randomized controlled trials 在法洛四联症的心内修复中使用标准德尔尼多心脏麻痹术:随机对照试验的系统回顾和荟萃分析
Health sciences review (Oxford, England) Pub Date : 2024-06-01 Epub Date: 2024-05-17 DOI: 10.1016/j.hsr.2024.100179
Shajie Ur Rehman Usmani , Syed Umar Hasan , Syeda Hoorulain Ahmed , Neha Pervez , Amna Zia , Qiudong Chen , George Gill , Georgina Rowe , Saba Alvi , Muhammad Mujeeb Zubair
{"title":"Use of standard Del Nido cardioplegia for the intracardiac repair of tetralogy of Fallot: A systematic review and meta-analysis of randomized controlled trials","authors":"Shajie Ur Rehman Usmani ,&nbsp;Syed Umar Hasan ,&nbsp;Syeda Hoorulain Ahmed ,&nbsp;Neha Pervez ,&nbsp;Amna Zia ,&nbsp;Qiudong Chen ,&nbsp;George Gill ,&nbsp;Georgina Rowe ,&nbsp;Saba Alvi ,&nbsp;Muhammad Mujeeb Zubair","doi":"10.1016/j.hsr.2024.100179","DOIUrl":"10.1016/j.hsr.2024.100179","url":null,"abstract":"<div><p>This meta-analysis compares the efficacy of the standard Del Nido cardioplegia with other agents during intra-cardiac tetralogy of Fallot repair. Meta-analysis was performed on studies comparing standard Del Nido cardioplegia with other types of cardioplegia. Outcomes were pooled using inverse variance and random effects analysis models to calculate the standardized mean difference (SMD) and odds ratio (OR). The SMD for ICU length of stay, duration of mechanical ventilation, and time taken for the heart to return to normal rhythm were -0.06 (<em>P</em> = 0.67), -0.21 (<em>P</em> = 0.06), and 0.23 (<em>P</em> = 0.48), respectively. The OR for the incidence of postoperative arrhythmias was 0.65 (<em>P</em> = 0.32). The standardized mean differences for twenty-four-hour post-operative IL-6, TNF-α, and cTnI levels were 0.29 (<em>P</em> = 0.16), -0.27 (<em>P</em> = 0.01), and -0.60 (<em>P</em> = 0.01), respectively. Del Nido cardioplegia is protective on the myocardium, with lower levels of inflammatory cytokines 24 h post-operation and a significantly reduced incidence of post-operative arrhythmias.</p></div>","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"11 ","pages":"Article 100179"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772632024000321/pdfft?md5=cc70f29df5b9ee667428da07cfd28159&pid=1-s2.0-S2772632024000321-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141039486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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