Digital Library Of Theses Research Articles

A PROFISSIONALIDADE DOCENTE NA PERSPECTIVA INCLUSIVA NA EDUCAÇÃO SUPERIOR

This article aims to explain teaching professionalism from the perspective of inclusive education in the context of higher education, establishing dialogues with the Theory of Social Representations (TRS). In this work, we adopted a qualitative approach, through an exploratory and bibliographical study, whose content sheds light on why the perceptions, senses and meanings of university teachers, around their professionalism for inclusive education, comprise a relevant phenomenon of social thickness, decisive to be considered when idealizing a pedagogical practice that materializes the social and educational ideals of education from an inclusive perspective, in the context of a higher education institution. The research was carried out on a national and international scale in the SciELO, Web of Science, SCOPUS and Digital Library of Theses and Dissertations databases, in a time frame from 2017 to 2023 and adopting the areas of Social Sciences, Education, Arts as search criteria. and Humanities and the following key words: teacher training, continuing training, inclusive education, people with disabilities and higher education. The results indicated a fertile field of studies, given the incipient productions around the nexus of teaching professionalism and inclusive education, particularly in the context of higher education.

Knowledge, attitudes and practice on sudden infant death: study protocol of a scoping review

IntroductionSudden infant death syndrome (SIDS) is the unexpected death of an infant less than 1 year old, which occurs without presentation of any signs of mortality risk and it is...

Psychosocial interventions promoting personal recovery in people with schizophrenia: a scoping review protocol

IntroductionPersonal recovery is an important aspect for many individuals diagnosed with schizophrenia, as people can live rich, fulfilling lives despite ongoing symptoms. Prior reviews have found several factors to be...

Effects of immersive and non-immersive virtual reality-based rehabilitation training on cognition, motor function, and daily functioning in patients with mild cognitive impairment or dementia: A systematic review and meta-analysis

Objective To examine the effectiveness of virtual reality (VR)-based rehabilitation training in improving cognition, motor function, and daily functioning in patients with mild cognitive impairment and dementia. Data sources A systematic review of published literature was conducted using PubMed, Web of Science, Elsevier, Embase, Cochrane, CNKI, Networked Digital Library of Theses and Dissertations. Methods The search period was from inception to 7 October 2023. Eligible studies were randomized controlled trials evaluating the efficacy of VR-based rehabilitation training in patients with mild cognitive impairment or dementia versus control subjects. Methodologic quality was assessed with the Cochrane risk of bias tool, and outcomes were calculated as the standard mean difference between participant groups with 95% confidence interval. Results A total of 21 randomized controlled trials with 1138 patients were included. The meta-analysis showed that VR-based rehabilitation training had significant effects on Montreal Cognitive Assessment (SMD: 0.50; 95%CI: 0.05 to 0.95; P = 0.030), Trail-making test A (SMD: −0.38; 95%CI: −0.61 to −0.14; P = 0.002), and Berg Balance Scale scores (SMD: 0.79; 95%CI: 0.13 to 1.45; P = 0.020). A subgroup analysis revealed that the type of VR, and duration and frequency of interventions had statistically significant effects on cognition and motor function. Conclusion VR-based rehabilitation training is a beneficial nonpharmacologic approach for managing mild cognitive impairment or dementia. Immersive VR-based training had greater effects on cognition and motor function than non-immersive VR-based training, but non-immersive VR-based training was more convenient for patients with limitations imposed by their disease. Also, an intervention lasting 5–8 weeks and for >30 min at a frequency of ≥3 times/week achieved the best results. It indicated that a longer intervention cycle may not achieve the best intervention effect and training duration and schedule should be carefully considered when managing patients.

THE INFLUENCE OF SOCIAL NETWORKS ON HYPERCONSUMPTION IN POST MODERN SOCIETY

This work aims to reflect the use of social networks, in which people consume products incessantly and transform themselves into an object of consumption. Initially, the path of development of social networks will be covered and, subsequently, the characteristics of postmodern society and guiding principles will be explored, as well as the demand for psychotherapy within this immediate context. In sequence, an understanding of the mechanisms for inducing consumption will be sought. The research is a bibliographical review with a qualitative approach, developed through an exploration of the literature deemed relevant to the theme with a period of publication between 1993 and 2019 with free access and in the Portuguese language based mainly on the thoughts of Bauman and Lipovetsky, found in the databases of online data Google Scholar, Digital Library of Theses and Dissertations (BDTD) Electronic Journals in Psychology (PEPSIC) and Scientif Electronic Library Online (SCIELO), and support from own collection. It can be seen that social networks influence exacerbated consumption, due to their persuasive nature and manipulation strategies.

Review articles (Meta-Analyses) effects of walking on cognitive function in individuals with mild cognitive impairment: a systematic review and meta-analysis

BackgroundMild cognitive impairment (MCI) is the stage between the expected cognitive decline of normal aging and the more serious decline of dementia. Previous studies have shown that regular exercise can improve cognition and physical performance in older adults. Walking is a low-technology and low-cost exercise that has been proven to improve cognition and mobility in healthy elderly individuals. However, no systematic review or meta-analysis has explored whether walking can improve cognitive function in older adults with MCI. This study aimed to explore the effects of walking interventions on cognitive functions in individuals with MCI.MethodsIn accordance with the PRISMA guidelines, MEDLINE, PubMed, SPORTDiscus, Cochrane Central Register of Controlled Trials, CINAHL, Web of Science, Airiti Library, and the National Digital Library of Theses and Dissertations in Taiwan were searched from inception to July 2023. Independent reviewers selected randomized clinical trials (RCT) that compared the effects of walking with no intervention or other exercises in individuals with MCI. The primary outcomes were cognitive functions, and the secondary outcome was walking endurance. Three reviewers independently conducted data extraction. The risk of bias was assessed using the Revised Cochrane Risk of Bias assessment tool.ResultsFourteen RCTs were included in this review. The quality of evidence in these studies was rated as good to excellent. The results of the meta-analysis showed that the individuals with MCI had no significant improvement in cognitive function but had significant improvement in the 6-min walk test (Mean Difference=23.70, p=0.008) after walking interventions compared to no intervention or other exercises.ConclusionWalking intervention has no significant improvement on cognitive functions in older adults with MCI. However, walking induces beneficial effects on aerobic capacity.Trial registrationThis systematic review has the registration number CRD42021283753 on PROSPERO.

Recursos Educacionais Abertos (REA) nas teses e dissertações brasileiras entre 2002 e 2019

An analysis of the research scenario on integrating OER in the teaching-learning process is systematized. We analyzed 118 pieces of research produced in Brazil from 2002 to 2019, composing a set of 25 dissertations, 57 academic theses, and 36 professional theses. The texts were extracted from the databases of the CAPES Catalog of Dissertations and Theses and the Digital Library of Dissertations and Theses (BDTD, from the Portuguese Biblioteca Digital de Teses e Dissertações). The scenario design started from the aggregation of results focusing on a) the temporal evolution of the research, b) the localities, c) the administrative dependence of the Teaching Institutions, and d) the area of knowledge. Complementarily, the findings from the four guiding questions made it possible to conclude that there were few pieces of research investigating the integration of OER in the teaching-learning process, especially within the context of Technical and Vocational Education (TVE) and Graduate School. Moreover, the study revealed that, among the 5Rs of OER, the practice most promoted by the pieces of research within the scope of the teaching-learning process was reuse, which is directly associated with retain and redistribute. This indicates the need to expand and strengthen the continuing education actions aimed at the practice of the other two Rs: revise and remix. Finally, the study pointed out the need for research that performs articulations with educational public policies so that they may generate creation and sharing, in addition to consolidating the international open education movement.

Bibliometric study on Ergonomics and Sustainability

Reflections on ergonomics in the context of the sustainability of organizations are an important strategy for the improvement of safe working environments. In the literature, the discussion that encompasses the relationship between ergonomics and business sustainability is a topic little explored. The objective of the present research is to map and explore the scientific production in the field of ergonomics and sustainability in the period from 2010 to 2020, in order to show the temporal evolution of research and the existing articulation between the themes. The research method is exploratory. To carry out the research, the bibliometric technique was chosen. To this end, articles were searched in the SciELO and Scopus databases, and theses and dissertations in the Digital Library of Theses and Dissertations (BDTD) of CAPES on the theme of ergonomics and sustainability. The bibliometric research allows to identify limits, contributions and potentialities that highlight the need for the production of research and new knowledge that associate the theme of ergonomics with sustainability. The development of an ergonomics program associated with the principles of sustainability seems to be a way to manage occupational risks with preventive measures in occupational safety and health.

The Use of Spatial Analysis in Syphilis-Related Research: Protocol for a Scoping Review

Latin America, Africa, and Asia have high incidences of syphilis. New approaches are needed to understand and reduce disease transmissibility. In health care, spatial analysis is important to map diseases and understand their epidemiologic aspects. The proposed scoping review will identify and map the use of spatial analysis as a tool for syphilis-related research in health care. This protocol was based on the Joanna Briggs Institute manual, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). We will conduct searches in Embase; Lilacs, via the Virtual Health Library (Biblioteca Virtual en Salud; BVS), in Portuguese and English; Medline/PubMed; Web of Science; Cumulative Index to Nursing and Allied Health Literature (CINAHL); and Scopus. Gray literature will be searched for in Google Scholar, the Digital Library of Theses and Dissertations, the Catalog of Theses and Dissertations of the Coordination of Improvement of Higher Education Personnel (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior; CAPES), Open Access Theses and Dissertations, ProQuest Dissertations and Theses Global, and the Networked Digital Library of Theses and Dissertations. The main research question is "How has spatial analysis been used in syphilis-related research in health care?" Studies are included if they have the full text available, address syphilis, and use geographic information systems software and spatial analysis techniques, regardless of sample characteristics or size. Studies published as research articles, theses, dissertations, and government documents will also be considered, with no location, time, or language restrictions. Data will be extracted using a spreadsheet adapted from the Joanna Briggs Institute. Quantitative and qualitative data will be analyzed using descriptive statistics and a thematic analysis, respectively. The results will be presented according to the PRISMA-ScR guidelines and will summarize the use of spatial analysis in syphilis-related research in health care in countries with different contexts, factors associated with spatial cluster formation, population health impacts, contributions to health systems, challenges, limitations, and possible research gaps. The results will guide future research and may be useful for health and safety professionals, managers, public policy makers, the general population, the academic community, and health professionals who work directly with people with syphilis. Data collection is projected to start in June 2023 and end in July 2023. Data analysis is scheduled to take place in August and September 2023. We expect to publish results in the final months of 2023. The review may reveal where syphilis incidence has the highest incidence, which countries most use spatial analysis to study syphilis, and whether spatial analysis is applicable to syphilis in each continent, thereby contributing to discussion and knowledge dissemination on the use of spatial analysis as a tool for syphilis-related research in health care. Open Science Framework CNVXE; https://osf.io/cnvxe. PRR1-10.2196/43243.

School dropout in Integrated High School - state of knowledge

School dropout is considered a complex and multifactorial phenomenon thus, public policies are needed to address the particularities of this complex scenario. This article elaborates an analysis anchored in bibliographic documental sources that deal with a little explored problem about school dropout in the integrated high school of the Federal Institutes of Education (IFs), from the Digital Library of Theses and Dissertations and Scientific Electronic Library Online, between the period 2011 and 2021. The methodology used was based on bibliographic research called state of knowledge, with the purpose of expanding the visibility of a serious phenomenon regarding integrated high school education implemented in FIs and contribute to the deepening of its analysis. It was observed that school dropout is a phenomenon composed of multiple factors and its nature is dynamic, a fact that has hindered the implementation of efficient public policies to address the problem. The results found allowed us to consider possible reasons that lead the student to dropout, but allow us to conclude that the research directed to the issue of dropout in integrated education is still insufficient.

Association between Sarcopenia, Falls, and Cognitive Impairment in Older People: A Systematic Review with Meta-Analysis.

With the aging process, elderly people present changes in their bodies that can lead them to suffer several geriatric syndromes. The present study aimed to analyze and synthesize the literature produced concerning the association of sarcopenia with falls in elderly people with cognitive impairment. This is a systematic review study on etiology and risk, conducted according to the JBI methodology using the Medline (Pubmed), Cinahl, Embase, Scopus, and Web of Science databases. The gray literature search was conducted in the CAPES Brazilian Digital Library of Theses and Dissertations, Google Scholar, Networked Digital Library of Theses and Dissertations (NDLTD), EBSCO Open Dissertations, DART-e, and ACS Guide to Scholarly Communication. The identification of the association between the variables was extracted from the articles themselves (Odds Ratio and the 95% Confidence Intervals). Four articles published between 2012 and 2021 were included in this review. A prevalence of falls was identified, ranging from 14.2% to 23.1%, of cognitive impairment ranging from 24.1% to 60.8%, and of sarcopenia ranging from 6.1 to 26.6%. The meta-analysis found that elderly people with cognitive impairment who suffer falls are at a 1.88 times greater risk of presenting sarcopenia (p = 0.01). There is evidence of an association between the variables, but it is necessary to conduct follow-up studies to support this association as well as other factors that may influence the senescence and senility process.

The peri-implant ligament

The peri-implant ligament is formed from the interface of bone tissue, through the anchoring of proteins and the surface of the dental implant. In this sense, it is relevant to understand the extent to which this ligament is structured and biomimics the periodontal ligament functions. Aim: The goal of this scoping review is to present and analyze the peri-implant ligament composition and compare the extent to which this ligament is structured and biomimics the periodontal ligament functions. Methods: This scoping review was performed according to the Joanna Briggs Institute methodology for scoping reviews and following the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping review. Two independent researchers searched Pubmed, Cochrane, Embase, Virtual Health Library, Scielo, Scopus, Web of Science, Brazilian Bibliography of Dentistry, Latin American and Caribbean Literature in Health Sciences, Digital Library of Theses and Dissertations from the University of São Paulo and Portal Capes. Studies published in English, Portuguese and Spanish, over the last 21 years (2000-2021). Results: A total of 330 titles were identified and after applying inclusion and exclusion factors, 27 studies were included in this review. All proteins were identified regarding their tissue function and classified into 6 major protein groups. After that this new protein ligament was compared with the periodontal ligament regarding its function and composition. The main proteins associated with osseointegration, and thus, with the peri-implant ligament are recognized as belonging to the periodontal ligament. Conclusion: This scoping review results suggest evidence of the composition and function of the periimplant ligament. However, variations may still exist due to the existence of several modulants of the osseointegration process.

Restrição da venda de produtos de tabaco apenas em tabacarias: uma medida necessária para o fortalecimento da Política Nacional de Controle do Tabaco

Abstract Objective To investigate and analyze current legislation, existing experiences and scenarios regarding the restriction of the sale of tobacco products only in tobacconists, in order to prepare recommendations for the public authorities, aiming to strengthen the National Tobacco Control Policy. Method Scope review conducted according to the Joanna Briggs Institute methodology, based on the PRISMA Checklist and Explanation framework. The databases used were the Virtual Health Library (BVS), Epistemonikos, Latin American and Caribbean Health Sciences Literature (LILACS), Medical Literature Analysis and Retrieval System (MEDLINE) via Pubmed, SCIELO electronic library, SCOPUS, Web of Science, Digital Library of Theses and Dissertations (BDTD) and Johns Hopkins. Data collected in March 2021, considering studies published from January 2005 to December 2020. Articles and academic research developed in the Brazilian scenario and published between January 1994 and December 2020 were included. Results Low-income neighborhoods generally have a higher density of tobacco outlets and have higher rates of tobacco use, leading to health inequities. Studies indicate that children are more likely to smoke when they live or go to school in neighborhoods with a high density of tobacco retailers. Conclusion This study shows that it is necessary to set up the sale of tobacco products exclusively in tobacconists in Brazil, but such establishments would be subject to a new legal order to be instituted at the national level.

The effectiveness of compassion-based interventions among cancer patients: A systematic review and meta-analysis.

This study examined the effects of compassion-based intervention on mental health in cancer patients by using systematic review and meta-analysis of randomized controlled trials (RCTs). Eleven bibliographic databases were searched from their earliest data available date up to March 1, 2022. The databases were PubMed, CINAHL, MEDLINE, PsycINFO, WOS, Cochrane, Embase, Scopus, ProQuest Dissertations, Airiti Library, and the National Digital Library of Theses and Dissertations in Taiwan. Ten studies from 2015 to 2021 were included with a total of 771 cancer patients. Most were targeted at women with breast cancer. Brief compassion-based interventions of approximately 30minutes were conducted by audio file, paper, and web-based self-guided writing prompts. Most were conducted after the completion of active treatment. Anxiety was the most measured outcome. Constructive compassion-based interventions with 4- to 12-week sessions were conducted by a trained facilitator. Most were conducted for patients who had undergone treatment, and depression was the most measured outcome. The meta-analysis indicated that compassion-based interventions had a significant effect of reducing depression and increasing self-compassion. Moderation analysis indicated that constructive intervention showed more benefits of increased self-compassion than brief intervention. Both face-to-face and non-face-to-face web-delivered formats had benefits for increasing self-compassion compared with the control condition. Compassion-based interventions might provide an effective strategy for improving self-compassion and depression among patients with breast cancer. Suggestions for further research and health-care providers follow.

Improving the Learning in Life Education for Young Children Aged 3 to 6 Years: A Review on the Research Themes of Early Childhood Life Education in Taiwan

The National Digital Library of Theses and Dissertations and the NCL (National Central Library) Taiwan Periodical Literature database were used to analyze dissertations and journal articles on early childhood life education. The researcher explored the research themes of life education for young children aged 3 to 6 years in Taiwan and offered strategies for improving learning in early childhood life education. Eight categories of themes were examined. In addition, the curriculum development of learning in early childhood life education was identified: (1) life event core curriculum, (2) sympathy core curriculum, (3) example core curriculum, and (4) anima core curriculum. Several teaching approaches of learning in early childhood life education are proposed: (1) teaching through picture books, (2) learning through experience, (3) teaching through instructional media, (4) teaching through concept mapping, (5) teaching through stories, and (6) teaching through parent–teacher collaboration. Developing and implementing the strategies of learning in early childhood life education is crucial for cultivating psychological wellbeing in young children and improving the quality of Taiwan’s early childhood education system.

O USO/ABUSO DE SUBSTÂNCIAS PSICOATIVAS NA COMUNIDADE ACADÊMICA DO ENSINO SUPERIOR: PESQUISA BIBLIOGRÁFICA

This article investigates the use/abuse of psychoactive drugs in academic environments, since research indicates a significant increase in the recurrence of illicit drugs in public and private schools, opening space for reflection on the possible use/abuse in teaching. higher education, especially in the investigation of the effects of a neoliberal society that goes beyond the demands of results, thus inflicting new forms of malaise. To this end, a bibliographic review was carried out using the Scientific Electronic Library Online database, SciELO, Capes Periodicals, Digital Library of Theses and Dissertations, Academic Virtual Library, Academic Google, as well as the theoretical foundation by the psychoanalytic framework. Through these resources, it was possible to verify that in the last ten years the population of working age, highlighting the age group between 19-45 years of age, has been using psychoactive drugs a little more than expected, considering the regulation and prevention policies. Thus, it was possible to build reflection paths about the possible reverberations of the results found, regardless of the agreement with a prohibitionist and legalistic perspective.

S10-2 Instruments for the analysis of national-level physical activity and sedentary behaviour policies: a systematic review

BackgroundResearchers and policy makers have developed and used a variety of instruments to assess physical activity policies. Data on the available instruments and their properties have never been summarised in a systematic way. In this review we, therefore, aimed to identify and critically assess available instruments for the analysis of national-level physical activity and sedentary behaviour policies and provide recommendations for their future use.MethodsA systematic search of grey and academic literature was conducted in Scopus, SPORTDiscus, PubMed/MEDLINE, Web of Science, Networked Digital Library of Theses and Dissertations, and Open Access Theses and Dissertations, on the websites of three large international organisations for physical activity promotion, and using Google. The Comprehensive Analysis of Policy on Physical Activity (CAPPA) framework was used to assess and classify the instruments, based on their purpose, the policy sectors and scope of analysis they cover, and the policy types and stages of policy cycle they inquire about.ResultsAmong a total of 22,071 screened references, we found 26 publications describing 16 instruments that met the inclusion criteria. All the available instruments are intended for analysing some aspects of physical activity policy. Only two instruments include questions about sedentary behaviour policy. None of the instruments can be used to analyse all the relevant policy components. Only a few instruments refer to the agenda-setting and endorsement/legitimisation stages, the effects of policy, and the research and tourism sectors. The termination and succession stages of the policy cycle and unwritten formal statements and informal policies were not addressed by any of the available instruments.ConclusionOur findings indicated there is a need to design new instruments or adapt the existing ones to facilitate a more comprehensive analysis of national physical activity and sedentary behaviour policy. It would be extremely time-consuming to analyse all important components of physical activity and sedentary behaviour policy in a single analysis; hence the development of complementary instruments, where each one of them inquires about a specific policy component, might be a way forward.

The Effect of Dry Care on the Time of Umbilical Cord Separation in Newborns: A Systematic Review and Meta-Analysis

There are many different approaches to umbilical cord care in clinical practice. Dry care is recommended by the WHO based on its ease of implementation and relatively low cost. However, the effect of dry care on the time of umbilical cord separation and related complications require further study. The aim of this study was to conduct a systematic review and meta-analysis of randomized controlled trials to evaluate the effect of dry care on the time of umbilical cord separation and related adverse events in newborns. A literature search was conducted of articles published before December 2021 in the Cochrane Library, PubMed, Medline, CINAHL, Embase, Airiti Library, and National Digital Library of Theses in Taiwan databases. The research quality of the identified articles was assessed using the Modified Jadad Scale. Statistical analyses were performed using Review Manager, version 5.3, with statistics reported as mean differences with 95% confidence intervals. Seven randomized controlled trials covering a total of 27,037 newborns were identified for analysis. Umbilical cord care in these studies included the following approaches: dry care, alcohol, chlorhexidine (CHX), mother's milk, and salicylic sugar powder (SSP). The results of the meta-analysis showed that umbilical cord separation time was significantly lower for the dry care approach compared to the alcohol approach (MD: -1.78 days, 95% CI: -2.4 to -1.16, three studies, n = 2,102) but not significantly different than the CHX approach (MD: -0.15 days, 95% CI [-1.99, 1.69], two studies, n = 10,519). Notably, the umbilical cord separation time for both mother's milk (MD: 1.19 days, 95% CI [0.82, 1.56], three studies, n = 730) and SSP (MD: 4.9 days, 95% CI [3.71, 6.09], one study, n = 92) approaches were reported as significantly less than the dry care approach. In addition, the CHX approach was associated with significantly fewer cord-related adverse events, while the alcohol, mother's milk, and SSP approaches were associated with rates of cord-related adverse advents similar to dry care. Because using dry care for umbilical cord care shortens the cord separation time compared to the alcohol approach and does not increase the incidence of omphalitis, this approach should be the first choice for cord care. Both mother's milk and SSP approaches are also associated with shorter umbilical cord separation times without adverse effects, and may be used as alternatives to dry care in umbilical cord care.

Effect of buttonhole cannulation versus rope-ladder cannulation in hemodialysis patients with vascular access: A systematic review and meta-analysis of randomized/clinical controlled trials.

Background:Safe and effective arteriovenous fistula (AVF) puncture techniques must be used to reduce harm to hemodialysis patients. The relative benefits of buttonhole (BH) cannulation over those of rope ladder (RL) cannulation for AVF remain unclear and inconsistent.Methods:This systematic review and meta-analysis was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Literature searches were conducted in June 2020 in multiple scientific databases including Cochrane library, CINAHL, PubMed/ Medline, Airiti Library, National Digital Library of Theses and Dissertations in Taiwan, Google scholar, Embase, and ProQuest. We included all randomized controlled trials (RCTs) and clinical controlled trials (CCTs) that explored the efficacy of BH cannulation in hemodialysis patients. These included reports published in either English or Chinese that enrolled adults aged 18 years or older who underwent hemodialysis using an autogenous AVF. Studies that showed poor design, such as use of a self-control group or no control group, were excluded from analysis. The critical appraisal skills program checklist for RCTs were used to assess the quality of the evidence and RevMan software were used to perform the meta-analysis.Results:Fifteen studies (11 RCTs and 4 CCTs) met the inclusion criteria and were used for the meta-analysis. Meta-analysis showed that BH cannulation significantly reduced aneurysm formation (RR = 0.18, 95% confidence interval [CI] [0.1, 0.32]), stenosis (RR = 0.44, 95% CI [0.25, 0.77]), thrombosis formation (RR = 0.4, 95% CI [0.2, 0.8]), and hematoma (RR = 0.63, 95% CI [0.40, 0.99]) and showed no differences in AVR infection (≦6 months, RR = 2.17, 95% CI [0.76, 6.23]; >6 months, RR = 2.7, 95% CI [0.92, 7.92]) compared to RL cannulation.Conclusions:Given the benefits of BH, this meta-analysis found that BH cannulation should be recommended as a routine procedure for hemodialysis but that hospitals and hemodialysis clinics should strengthen staff knowledge and skills of BH cannulation to reduce the risk of AVF infection.

Association between delayed initiation of treatment indications and survival in patients with cervical cancer: A systematic review and meta-analysis protocol.

BackgroundCervical cancer is a growing public health problem globally. Despite the availability of management options, the progression of the disease as a function of waiting time may challenge the effort to attain a desired outcome. There is a conflicting report on the role of waiting time to initiate an appropriate treatment in improving patients’ survival.ObjectiveThis review aims to evaluate the association between delayed time to initiate any treatment indication with survival in patients with cervical cancer.MethodsAn internet-based literature search will be performed using text words, MESH terms and truncated words in databases, namely MEDLINE, Cochrane CENTRAL, EMBASE, Web of Science and Scopus. Grey literature searches in Google Scholar, Networked Digital Library of Theses and Dissertations (NDLTD) and Dissertations and Theses Global will be made. All articles published until 30th of December 2021 on human subjects will be searched without a language restriction. Studies which fulfil the inclusion criteria will be screened in full reading, selected, appraised and assessed for methodological quality by two independent reviewers. Data on participants, study methods, interventions, and outcomes will be abstracted. Included studies will be pooled for meta-analysis. Microsoft-Excel and R packages will be employed to carry out the statistical analysis. Heterogeneity will be assessed using Cochrane Q statistic, Tau2, and I2. Results will be reported as a function of 4-week delay in treatment initiation and the corresponding hazard ratio (HR) at 95% confidence interval. Statistical significance will be considered at P<0.05.Trial registrationPROSPERO registration number: CRD42022299689.