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Arredondo Montero J, Bardají Pascual C. From Aviation to Pediatric Surgery. Clin Pediatr (Phila) 2024; 63:557-559. [PMID: 37246755 DOI: 10.1177/00099228231176631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Aviation is a tremendously complex process involving multiple factors that can be subsidiary to human error. The implementation of checklists, tools that reduce this risk, has often been extrapolated to other fields, especially medicine. Through this reflection, we comment on the critical and relevant aspects of pediatric surgical patient safety, briefly discussing the existing literature and analyzing potential areas for improvement.
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Affiliation(s)
| | - Carlos Bardají Pascual
- Pediatric Surgery Department, Hospital Universitario de Navarra, Pamplona, Navarra, Spain
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Yesantharao LV, Sriram S, Litvack JR, Chandrasekhar SS, Galaiya DJ. Is a Simple Checklist Associated With Improvement in Gender Representation at the AAO-HNSF Annual Meeting? Otolaryngol Head Neck Surg 2024. [PMID: 38591747 DOI: 10.1002/ohn.743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2023] [Revised: 02/29/2024] [Accepted: 03/03/2024] [Indexed: 04/10/2024]
Abstract
OBJECTIVE In September 2017, the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) added 2 questions querying panel organizers if gender/racial diversity was considered in selecting panel presenters, beginning with the 2018 Annual Meeting (AM). This study examines how this checklist impacted the gender diversity of panel presenters at the AAO-HNS AM. STUDY DESIGN This was a cross-sectional investigation comparing female representation before and after the addition of questions inquiring about diversity in 2018. SETTING A review of abstract submissions for the AMs from 2015 to 2021. METHODS AM Official Program Abstracts were used to obtain presenter names and specialty area for each panel. The percentage of female presenters, in total and stratified by specialty area, were compared before and after 2018 to quantify changes following the addition of the checklist. RESULTS There was a significant increase in the proportion of female panel presenters from 22.3% (total n = 1199) in 2015 to 2017 to 33.0% (total n = 1868) in 2018 to 2021 (P < .001) and in all panel specialties. The number of female moderated panels also significantly increased after checklist implementation from 22% to 38% (P < .001). Correspondingly, the number of panels with no female representation decreased from 42% in 2015 to 2017 to 23% in 2018 to 2021 (P < .001). CONCLUSION The addition of a checklist asking panel organizers to consider diversity in selecting panelists was associated with an increased proportion of female presenters at the AM. This simple strategy can be implemented by all medical conferences to help close the gender gap.
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Affiliation(s)
- Lekha V Yesantharao
- Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA
| | - Shreya Sriram
- Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA
| | - Jamie R Litvack
- Elson S. Floyd College of Medicine, Washington State University, Spokane, Washington, USA
| | | | - Deepa J Galaiya
- Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA
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Xian C, Leong CM, Luo J, Jia F, Han H, Xie Q. Diversity pattern of insects from Macao based on an updated species checklist after 25 years. Biodivers Data J 2024; 12:e118110. [PMID: 38617834 PMCID: PMC11016162 DOI: 10.3897/bdj.12.e118110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Accepted: 03/22/2024] [Indexed: 04/16/2024] Open
Abstract
Background Insects represent one of the most diverse groups in the organism world with extremely rich species and morphological diversity, playing important roles in natural and city ecosystems. Regional compilation of insect species lists helps to clarify the richness of insect species in a region, enhances our understanding the structure and function of a local ecosystem and promotes the protection and development of insect resources. Moreover, it also serves as a valuable reference for cities with small area, large population and high urbanisation like Macao. Macao (Macau) Special Administrative Region (SAR) is situated at the Pearl River Delta on the southeast coast of mainland China. With urban development accelerating at great rate in a quite restricted area, Macao still has rich fauna, within which the insect diversity is surprisingly high. New information In this study, we systematically sorted out major references items of manuals or handbooks, monographs, articles, dissertations, official websites and other publicly available information sources about the insects recorded in Macao and, thus, generated a checklist of 15 orders, 166 families, 868 genera, 1,339 species and 118 subspecies. During this process, the preliminarily summarised list was re-examined to eliminate synonyms and invalid species, based on many more extensive literature reviews. Besides, spelling errors of scientific names, authors and years were corrected. Meanwhile, the catalogue revealed a different composition pattern of species diversity between orders from those of the world and China. Even based on the most conservative estimates, the number of insect species in Macao should not be lower than 3,340 species, which hints at the necessity of deeper investigations with adequate collecting in the future to achieve more comprehensive recognition and understanding of Macao's insect biodiversity.
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Affiliation(s)
- Chunlan Xian
- School of Life Sciences, State Key Laboratory of Biocontrol, Sun Yat-sen University, Guangzhou, ChinaSchool of Life Sciences, State Key Laboratory of Biocontrol, Sun Yat-sen UniversityGuangzhouChina
| | - Chi Man Leong
- Department of Life Sciences, Faculty of Science and Technology, Beijing normal university – Hong Kong Baptist University United International College, Zhuhai, ChinaDepartment of Life Sciences, Faculty of Science and Technology, Beijing normal university – Hong Kong Baptist University United International CollegeZhuhaiChina
- Macao Entomological Society, Estrada Coronel Nicolau de Mesquita, Macao SAR, ChinaMacao Entomological Society, Estrada Coronel Nicolau de MesquitaMacao SARChina
| | - Jiuyang Luo
- School of Life Sciences, State Key Laboratory of Biocontrol, Sun Yat-sen University, Guangzhou, ChinaSchool of Life Sciences, State Key Laboratory of Biocontrol, Sun Yat-sen UniversityGuangzhouChina
| | - Fenglong Jia
- School of Life Sciences, State Key Laboratory of Biocontrol, Sun Yat-sen University, Guangzhou, ChinaSchool of Life Sciences, State Key Laboratory of Biocontrol, Sun Yat-sen UniversityGuangzhouChina
| | - Hongxiang Han
- Key Laboratory of Zoological Systematics and Evolution, Institute of Zoology, Chinese Academy of Sciences, Beijing, ChinaKey Laboratory of Zoological Systematics and Evolution, Institute of Zoology, Chinese Academy of SciencesBeijingChina
| | - Qiang Xie
- School of Life Sciences, State Key Laboratory of Biocontrol, Sun Yat-sen University, Guangzhou, ChinaSchool of Life Sciences, State Key Laboratory of Biocontrol, Sun Yat-sen UniversityGuangzhouChina
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Ben-Zion S, Naifeh MM, Abramson E, Li STT. Getting the Most Out of Your Medical Education Survey: 11 Tips From the Association of Pediatric Program Directors Research and Scholarship Learning Community. Acad Pediatr 2024; 24:514-518. [PMID: 37865170 DOI: 10.1016/j.acap.2023.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 10/09/2023] [Accepted: 10/13/2023] [Indexed: 10/23/2023]
Abstract
OBJECTIVE Surveys in medical education are commonplace. However, survey studies often lack scientific rigor. Well-designed surveys can ensure improved response rates and higher likelihood of dissemination. The purpose of this paper is to provide guidance for investigators planning to survey pediatric residency leaders METHODS: We examined the Association of Pediatric Program Directors Research and Scholarship Learning Community (APPD-RSLC) submissions, acceptances, and outcomes between 2015 and 2020. Additionally, we performed a literature review of survey design methods with the help of a research librarian. We established a list of tips and settled on the 11 included here by group discussion and consensus. CONCLUSION These 11 tips provide specific recommendations for successful design of medical education surveys distributed by the APPD based on experience from current and former leaders of the RSLC and literature review in survey design and implementation.
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Affiliation(s)
- Sabrina Ben-Zion
- Department of Pediatrics (M Naifeh), University of Oklahoma Health Sciences Center
| | - Monique M Naifeh
- Department of Pediatrics (S Ben-Zion), Akron Children's Hospital, Akron, Ohio.
| | - Erika Abramson
- Department of Pediatrics (E Abramson), New York Presbyterian Hospital
| | - Su-Ting T Li
- Department of Pediatrics (S-TT Li), University of California Davis, Sacramento, Calif
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Brogaard L, Rosvig L, Hjorth-Hansen KR, Hvidman L, Hinshaw K, Kierkegaard O, Uldbjerg N, Manser T. Team performance during vacuum-assisted vaginal delivery: video review of obstetric multidisciplinary teams. Front Med (Lausanne) 2024; 11:1330457. [PMID: 38572162 PMCID: PMC10987771 DOI: 10.3389/fmed.2024.1330457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 02/12/2024] [Indexed: 04/05/2024] Open
Abstract
Introduction Vacuum extraction is generally considered an operator-dependent task, with most attention directed toward the obstetrician's technical abilities (1-3). Little is known about the effect of the team and non-technical skills on clinical outcomes in vacuum-assisted delivery. This study aimed to investigate whether the non-technical skills of obstetricians were correlated with their level of clinical performance via the analysis of video recordings of teams conducting actual vacuum extractions. Methods We installed between two or three video cameras in each delivery room at Aarhus University Hospital and Horsens Regional Hospital and obtained 60 videos of teams managing vacuum extraction. Appropriate consent was obtained. Two raters carefully reviewed the videos and assessed the teams' non-technical skills using the Assessment of Obstetric Team Performance (AOTP) checklist, rating all items on a Likert scale score from 1 to 5 (1 = poor; 3 = average; and 5 = excellent). This resulted in a total score ranging from 18 to 90. Two different raters independently assessed the teams' clinical performance (adherence to clinical guidelines) using the TeamOBS-Vacuum-Assisted Delivery (VAD) checklist, rating each item (0 = not done, 1 = done incorrectly; and 2 = done correctly). This resulted in a total score with the following ranges (low clinical performance: 0-59; average: 60-84; and high: 85-100). Interrater agreement was analyzed using intraclass correlation (ICC), and the risk of high or low clinical performance was analyzed on a logit scale to meet the assumption of normality. Results Teams that received excellent non-technical scores had an 81% probability of achieving high clinical performance, whereas this probability was only 12% among teams with average non-technical scores (p < 0.001). Teams with a high clinical performance often had excellent behavior in the non-technical items of "team interaction," "anticipation," "avoidance fixation," and "focused communication." Teams with a low or average clinical performance often neglected to consider analgesia, had delayed abandonment of the attempted vaginal delivery and insufficient use of appropriate fetal monitoring. Interrater reliability was high for both rater-teams, with an ICC for the non-technical skills of 0.83 (95% confidence interval [CI]: 0.71-0.88) and 0.84 for the clinical performance (95% CI: 0.74-0.90). Conclusion Although assisted vaginal delivery by vacuum extraction is generally considered to be an operator-dependent task, our findings suggest that teamwork and effective team interaction play crucial roles in achieving high clinical performance. Teamwork helped the consultant anticipate the next step, avoid fixation, ensure adequate analgesia, and maintain thorough fetal monitoring during delivery.
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Affiliation(s)
- L. Brogaard
- Department of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark
- Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - L. Rosvig
- Department of Obstetrics and Gynecology, Randers Hospital, Randers, Denmark
| | | | - L. Hvidman
- Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - K. Hinshaw
- Department of Obstetrics and Gynecology, Sunderland Royal Hospital, Sunderland, United Kingdom
| | - O. Kierkegaard
- Department of Obstetrics and Gynecology, Horsens Regional Hospital, Horsens, Denmark
| | - N. Uldbjerg
- Department of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark
- Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - T. Manser
- FHNW School of Applied Psychology, University of Applied Sciences and Arts Northwestern Switzerland, Olten, Switzerland
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Raggi A, Bernard RM, Toppo C, Sabariego C, Salvador Carulla L, Lukersmith S, Hakkaart-van Roijen L, Merecz-Kot D, Olaya B, Antunes Lima R, Gutiérrez-Marín D, Vorstenbosch E, Curatoli C, Cacciatore M. The EMPOWER Occupational e-Mental Health Intervention Implementation Checklist to Foster e-Mental Health Interventions in the Workplace: Development Study. J Med Internet Res 2024; 26:e48504. [PMID: 38488846 PMCID: PMC10980995 DOI: 10.2196/48504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 11/29/2023] [Accepted: 12/21/2023] [Indexed: 03/19/2024] Open
Abstract
BACKGROUND Occupational e-mental health (OeMH) interventions significantly reduce the burden of mental health conditions. The successful implementation of OeMH interventions is influenced by many implementation strategies, barriers, and facilitators across contexts, which, however, are not systematically tracked. One of the reasons is that international consensus on documenting and reporting the implementation of OeMH interventions is lacking. There is a need for practical guidance on the key factors influencing the implementation of interventions that organizations should consider. Stakeholder consultations secure a valuable source of information about these key strategies, barriers, and facilitators that are relevant to successful implementation of OeMH interventions. OBJECTIVE The objective of this study was to develop a brief checklist to guide the implementation of OeMH interventions. METHODS Based on the results of a recently published systematic review, we drafted a comprehensive checklist with a wide set of strategies, barriers, and facilitators that were identified as relevant for the implementation of OeMH interventions. We then used a 2-stage stakeholder consultation process to refine the draft checklist to a brief and practical checklist comprising key implementation factors. In the first stage, stakeholders evaluated the relevance and feasibility of items on the draft checklist using a web-based survey. The list of items comprised 12 facilitators presented as statements addressing "elements that positively affect implementation" and 17 barriers presented as statements addressing "concerns toward implementation." If a strategy was deemed relevant, respondents were asked to rate it using a 4-point Likert scale ranging from "very difficult to implement" to "very easy to implement." In the second stage, stakeholders were interviewed to elaborate on the most relevant barriers and facilitators shortlisted from the first stage. The interview mostly focused on the relevance and priority of strategies and factors affecting OeMH intervention implementation. In the interview, the stakeholders' responses to the open survey's questions were further explored. The final checklist included strategies ranked as relevant and feasible and the most relevant facilitators and barriers, which were endorsed during either the survey or the interviews. RESULTS In total, 26 stakeholders completed the web-based survey (response rate=24.8%) and 4 stakeholders participated in individual interviews. The OeMH intervention implementation checklist comprised 28 items, including 9 (32.1%) strategies, 8 (28.6%) barriers, and 11 (39.3%) facilitators. There was widespread agreement between findings from the survey and interviews, the most outstanding exception being the idea of proposing OeMH interventions as benefits for employees. CONCLUSIONS Through our 2-stage stakeholder consultation, we developed a brief checklist that provides organizations with a guide for the implementation of OeMH interventions. Future research should empirically validate the effectiveness and usefulness of the checklist.
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Affiliation(s)
- Alberto Raggi
- Neurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy
| | | | - Claudia Toppo
- Neurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy
| | - Carla Sabariego
- Swiss Paraplegic Research, Nottwil, Switzerland
- Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
- Center for Rehabilitation in Global Health Systems, University of Lucerne, Lucerne, Switzerland
| | - Luis Salvador Carulla
- Health Research Institute, University of Canberra, Canberra, Australia
- Healthcare Information Systems (CTS553), University of Cadiz, Cadiz, Spain
| | - Sue Lukersmith
- Health Research Institute, University of Canberra, Canberra, Australia
| | | | | | - Beatriz Olaya
- Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
| | - Rodrigo Antunes Lima
- Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
| | - Desirée Gutiérrez-Marín
- Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
| | - Ellen Vorstenbosch
- Swiss Paraplegic Research, Nottwil, Switzerland
- Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
| | - Chiara Curatoli
- Neurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy
| | - Martina Cacciatore
- Neurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy
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Hodecek J, Fumagalli L, Jakubec P. All insects matter: a review of 160 entomology cases from 1993 to 2007 in Switzerland-part I (Diptera). J Med Entomol 2024; 61:400-409. [PMID: 38157316 PMCID: PMC10936168 DOI: 10.1093/jme/tjad164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 11/22/2023] [Accepted: 12/06/2023] [Indexed: 01/03/2024]
Abstract
Necrophagous Diptera are the most important group of insects used for the purposes of forensic entomology. While the most utilized fly family in this context is the family Calliphoridae, there are several other families that can be of great importance during real-case investigations. This article analyzes the necrophagous flies of all families recorded from 160 real cases in Switzerland between 1993 and 2007. A total of 56 species belonging to 16 families was identified with Calliphoridae being the most dominant family (90.63% of all cases), followed by Muscidae (26.25%), Sarcophagidae (19.38%), Phoridae (14.38%), and Fanniidae (12.50%). For specimens that were difficult to identify morphologically, a new PCR primer has been specifically designed for the amplification of a short, informative COI barcode in degraded museum samples of forensically important Diptera taxa. The richest family in terms of species was the family Muscidae with 16 species. Fannia fuscula (Fallen) and Fannia monilis (Haliday) were recorded from human cadavers for the first time. The study highlights the importance of different fly families in forensic investigation, enhancing our comprehension of their prevalence and dispersion in real cases in Central Europe. The results pave the way for additional exploration, especially regarding the involvement of less frequently observed species in forensic entomology.
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Affiliation(s)
- Jiri Hodecek
- Swiss Human Institute of Forensic Taphonomy, University Centre of Legal Medicine, Lausanne, Switzerland
- Musée Cantonal de Zoologie, Palais de Rumine, Lausanne, Switzerland
| | - Luca Fumagalli
- Swiss Human Institute of Forensic Taphonomy, University Centre of Legal Medicine, Lausanne, Switzerland
- Laboratory for Conservation Biology, Department of Ecology and Evolution, Biophore, University of Lausanne, Lausanne, Switzerland
| | - Pavel Jakubec
- Department of Ecology, Faculty of Environmental Sciences, Czech University of Life Sciences Prague, Suchdol, Czech Republic
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Powell EK, Betzold R, Kundi R, Anderson D, Haase D, Keville M, Galvagno S. Derivation of a Procedural Performance Checklist for Bifemoral Veno-Venous Extracorporeal Membrane Oxygenation Cannula Placement in Operational Environments. J Spec Oper Med 2024:Y177-KRQV. [PMID: 38278770 DOI: 10.55460/y177-krqv] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/28/2024]
Abstract
BACKGROUND Veno-venous extracorporeal membrane oxygenation (VV ECMO) is a low-frequency, high-intensity procedure used for severe lung illness or injury to facilitate rapid correction of hypoxemia and respiratory acidosis. This technology is more portable and extracorporeal support is more frequently performed outside of the hospital. Future conflicts may require prolonged causality care and more specialized critical care capabilities including VV ECMO to improve patient outcomes. We used an expert consensus survey based on a developed bifemoral VV ECMO cannulation checklist with an operational focus to establish a standard for training, validation testing, and sustainment. METHODS A 36-item procedural checklist was provided to 14 experts from multiple specialties. Using the modified Delphi method, the checklist was serially modified based on expert feedback. RESULTS Three rounds of the study were performed, resulting in a final 32-item checklist. Each item on the checklist received at least 70% expert agreement on its inclusion in the final checklist. CONCLUSION A procedural performance checklist was created for bifemoral VV ECMO using the modified Delphi method. This is an objective tool to assist procedural training and validation for medical providers performing VV ECMO in austere environments.
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Wallis JA, Shepperd S, Makela P, Han JX, Tripp EM, Gearon E, Disher G, Buchbinder R, O'Connor D. Factors influencing the implementation of early discharge hospital at home and admission avoidance hospital at home: a qualitative evidence synthesis. Cochrane Database Syst Rev 2024; 3:CD014765. [PMID: 38438114 PMCID: PMC10911892 DOI: 10.1002/14651858.cd014765.pub2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2024]
Abstract
BACKGROUND Worldwide there is an increasing demand for Hospital at Home as an alternative to hospital admission. Although there is a growing evidence base on the effectiveness and cost-effectiveness of Hospital at Home, health service managers, health professionals and policy makers require evidence on how to implement and sustain these services on a wider scale. OBJECTIVES (1) To identify, appraise and synthesise qualitative research evidence on the factors that influence the implementation of Admission Avoidance Hospital at Home and Early Discharge Hospital at Home, from the perspective of multiple stakeholders, including policy makers, health service managers, health professionals, patients and patients' caregivers. (2) To explore how our synthesis findings relate to, and help to explain, the findings of the Cochrane intervention reviews of Admission Avoidance Hospital at Home and Early Discharge Hospital at Home services. SEARCH METHODS We searched MEDLINE, CINAHL, Global Index Medicus and Scopus until 17 November 2022. We also applied reference checking and citation searching to identify additional studies. We searched for studies in any language. SELECTION CRITERIA We included qualitative studies and mixed-methods studies with qualitative data collection and analysis methods examining the implementation of new or existing Hospital at Home services from the perspective of different stakeholders. DATA COLLECTION AND ANALYSIS Two authors independently selected the studies, extracted study characteristics and intervention components, assessed the methodological limitations using the Critical Appraisal Skills Checklist (CASP) and assessed the confidence in the findings using GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative research). We applied thematic synthesis to synthesise the data across studies and identify factors that may influence the implementation of Hospital at Home. MAIN RESULTS From 7535 records identified from database searches and one identified from citation tracking, we included 52 qualitative studies exploring the implementation of Hospital at Home services (31 Early Discharge, 16 Admission Avoidance, 5 combined services), across 13 countries and from the perspectives of 662 service-level staff (clinicians, managers), eight systems-level staff (commissioners, insurers), 900 patients and 417 caregivers. Overall, we judged 40 studies as having minor methodological concerns and we judged 12 studies as having major concerns. Main concerns included data collection methods (e.g. not reporting a topic guide), data analysis methods (e.g. insufficient data to support findings) and not reporting ethical approval. Following synthesis, we identified 12 findings graded as high (n = 10) and moderate (n = 2) confidence and classified them into four themes: (1) development of stakeholder relationships and systems prior to implementation, (2) processes, resources and skills required for safe and effective implementation, (3) acceptability and caregiver impacts, and (4) sustainability of services. AUTHORS' CONCLUSIONS Implementing Admission Avoidance and Early Discharge Hospital at Home services requires early development of policies, stakeholder engagement, efficient admission processes, effective communication and a skilled workforce to safely and effectively implement person-centred Hospital at Home, achieve acceptance by staff who refer patients to these services and ensure sustainability. Future research should focus on lower-income country and rural settings, and the perspectives of systems-level stakeholders, and explore the potential negative impact on caregivers, especially for Admission Avoidance Hospital at Home, as this service may become increasingly utilised to manage rising visits to emergency departments.
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Affiliation(s)
- Jason A Wallis
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
- Cabrini Health, Malvern, Australia
| | - Sasha Shepperd
- Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - Petra Makela
- Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK
| | - Jia Xi Han
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - Evie M Tripp
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - Emma Gearon
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - Gary Disher
- New South Wales Ministry of Health, St Leonards, Australia
| | - Rachelle Buchbinder
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - Denise O'Connor
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
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Woodward W, Carrannante J, Dua K. PRESS (Propofol, Remifentanil, Electricity/EEG, Setup and Setting) to Start: Introducing a Total Intravenous Anaesthesia Checklist at a Large Teaching Hospital. Cureus 2024; 16:e56026. [PMID: 38606212 PMCID: PMC11008608 DOI: 10.7759/cureus.56026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/12/2024] [Indexed: 04/13/2024] Open
Abstract
Total intravenous anaesthesia (TIVA) is becoming more widely used, and as of yet there are few safety checks for the use of TIVA when compared to inhaled anaesthesia. This study aims to assess the feasibility and utility of introducing a TIVA checklist at a large teaching hospital. Methods A survey was sent out to all consultant and trainee anaesthetists at our hospital regarding their use of TIVA and errors in practice related to its use. A checklist was created based on common errors reported in the survey, errors described in NAP5 and our hospital's standard operating procedure. The checklist was introduced, and another survey was distributed a month later to assess compliance and utility and to gain feedback. Results In the first survey, there were 39 responses. A total of 64% had seen an error with the use of TIVA. For those using TIVA 70% of the time or more, 31% had seen an error in the last three months. Twelve per cent of those who had seen errors found that the errors led to patient harm. Only 33% used a method to double-check for errors prior to commencing TIVA. In the follow-up survey, 80% of those who used the checklist had found it useful, and 30% had corrected an error while using the checklist. Eighty-seven per cent felt the checklist would prevent errors from being made. Eighty per cent of respondents said they would use the checklist in their future practice. The checklist was found to be more useful for trainees, and for those who use TIVA less often. Discussion The 'PRESS to start TIVA" checklist has been shown to be a useful tool to prevent errors and a majority of anaesthetists at our hospital plan to use it going forward. Our data suggests that anaesthetists who are less experienced with TIVA benefit more from having a checklist. There was a marked increase in the number of anaesthetists who would use a checklist in the future, compared to those who used one in the initial survey. This shows that introducing a checklist is feasible and is likely to reduce errors going forward.
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Affiliation(s)
| | | | - Kanika Dua
- Anaesthesia, St George's Hospital, London, GBR
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Binda CJ, Adams J, Livergant R, Lam S, Panchendrabose K, Joharifard S, Haji F, Joos E. Defining a Framework and Evaluation Metrics for Sustainable Global Surgical Partnerships: A Modified Delphi Study. Ann Surg 2024; 279:549-553. [PMID: 37539584 PMCID: PMC10829902 DOI: 10.1097/sla.0000000000006058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/05/2023]
Abstract
OBJECTIVE The aim of this study was to use expert consensus to build a concrete and realistic framework and checklist to evaluate sustainability in global surgery partnerships (GSPs). BACKGROUND Partnerships between high-resourced and low-resourced settings are often created to address the burden of unmet surgical need. Reflecting on the negative, unintended consequences of asymmetrical partnerships, global surgery community members have proposed frameworks and best practices to promote sustainable engagement between partners, though these frameworks lack consensus. This project proposes a cohesive, consensus-driven framework with accompanying evaluation metrics to guide sustainability in GSPs. METHODS A modified Delphi technique with purposive sampling was used to build consensus on the definitions and associated evaluation metrics of previously proposed pillars (Stakeholder Engagement, Multidisciplinary Collaboration, Context-Relevant Education and Training, Bilateral Authorship, Multisource Funding, Outcome Measurement) of sustainable GSPs. RESULTS Fifty global surgery experts from 34 countries with a median of 9.5 years of experience in the field of global surgery participated in 3 Delphi rounds. Consensus was achieved on the identity, definitions, and a 47-item checklist for the evaluation of the 6 pillars of sustainability in GSPs. In all, 29% of items achieved consensus in the first round, whereas 100% achieved consensus in the second and third rounds. CONCLUSIONS We present the first framework for building sustainable GSPs using the input of experts from all World Health Organization regions. We hope this tool will help the global surgery community to find noncolonial solutions to addressing the gap in access to quality surgical care in low-resource settings.
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Affiliation(s)
- Catherine J. Binda
- Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Jayd Adams
- Faculty of Science, University of British Columbia, Vancouver, British Columbia, Canada
| | - Rachel Livergant
- Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Sheila Lam
- Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | | | - Shahrzad Joharifard
- Department of Surgery, British Columbia Children’s Hospital, Vancouver, British Columbia, Canada
| | - Faizal Haji
- Department of Surgery, British Columbia Children’s Hospital, Vancouver, British Columbia, Canada
| | - Emilie Joos
- Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada
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Koçak B, Keleş A, Köse F. Meta-research on reporting guidelines for artificial intelligence: are authors and reviewers encouraged enough in radiology, nuclear medicine, and medical imaging journals? Diagn Interv Radiol 2024; 0:0-0. [PMID: 38375627 DOI: 10.4274/dir.2024.232604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2024]
Abstract
PURPOSE To determine how radiology, nuclear medicine, and medical imaging journals encourage and mandate the use of reporting guidelines for artificial intelligence (AI) in their author and reviewer instructions. METHODS The primary source of journal information and associated citation data used was the Journal Citation Reports (June 2023 release for 2022 citation data; Clarivate Analytics, UK). The first- and second-quartile journals indexed in the Science Citation Index Expanded and the Emerging Sources Citation Index were included. The author and reviewer instructions were evaluated by two independent readers, followed by an additional reader for consensus, with the assistance of automatic annotation. Encouragement and submission requirements were systematically analyzed. The reporting guidelines were grouped as AI-specific, related to modeling, and unrelated to modeling. RESULTS Out of 102 journals, 98 were included in this study, and all of them had author instructions. Only five journals (5%) encouraged the authors to follow AI-specific reporting guidelines. Among these, three required a filled-out checklist. Reviewer instructions were found in 16 journals (16%), among which one journal (6%) encouraged the reviewers to follow AI-specific reporting guidelines without submission requirements. The proportions of author and reviewer encouragement for AI-specific reporting guidelines were statistically significantly lower compared with those for other types of guidelines (P < 0.05 for all). CONCLUSION The findings indicate that AI-specific guidelines are not commonly encouraged and mandated (i.e., requiring a filled-out checklist) by these journals, compared with guidelines related to modeling and unrelated to modeling, leaving vast space for improvement. This meta-research study hopes to contribute to the awareness of the imaging community for AI reporting guidelines and ignite large-scale group efforts by all stakeholders, making AI research less wasteful. CLINICAL SIGNIFICANCE This meta-research highlights the need for improved encouragement of AI-specific guidelines in radiology, nuclear medicine, and medical imaging journals. This can potentially foster greater awareness among the AI community and motivate various stakeholders to collaborate to promote more efficient and responsible AI research reporting practices.
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Affiliation(s)
- Burak Koçak
- University of Health Sciences, Başakşehir Çam and Sakura City Hospital, Clinic of Radiology, İstanbul, Turkey
| | - Ali Keleş
- University of Health Sciences, Başakşehir Çam and Sakura City Hospital, Clinic of Radiology, İstanbul, Turkey
| | - Fadime Köse
- University of Health Sciences, Başakşehir Çam and Sakura City Hospital, Clinic of Radiology, İstanbul, Turkey
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Li BL, Hu PH, Guo L, Che YL, Wang ZQ. Discovery of five new species of Allacta from Yunnan and Hainan, China (Blattodea, Pseudophyllodromiidae). Zookeys 2024; 1191:1-21. [PMID: 38357249 PMCID: PMC10862344 DOI: 10.3897/zookeys.1191.113043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 01/12/2024] [Indexed: 02/16/2024] Open
Abstract
We examined new Allacta materials from Yunnan and Hainan Province, China, and discovered new species using both morphological and molecular species delimitation (ABGD) methods. Five new species are described: A.bifolium Li & Wang, sp. nov., A.hemiptera Li & Wang, sp. nov., A.lunulara Li & Wang, sp. nov., A.redacta Li & Wang, sp. nov., and A.unicaudata Li & Wang, sp. nov. All five species are placed under the hamifera species group. An updated key and checklist of Allacta species from China are provided.
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Affiliation(s)
- Bian-Lun Li
- College of Plant Protection, Southwest University, Beibei, Chongqing 400715, ChinaSouthwest UniversityChongqingChina
| | - Peng-Hui Hu
- College of Plant Protection, Southwest University, Beibei, Chongqing 400715, ChinaSouthwest UniversityChongqingChina
| | - Lin Guo
- College of Plant Protection, Southwest University, Beibei, Chongqing 400715, ChinaSouthwest UniversityChongqingChina
| | - Yan-Li Che
- College of Plant Protection, Southwest University, Beibei, Chongqing 400715, ChinaSouthwest UniversityChongqingChina
| | - Zong-Qing Wang
- College of Plant Protection, Southwest University, Beibei, Chongqing 400715, ChinaSouthwest UniversityChongqingChina
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Shang J, Zhao M, Liu Z, Zhang X, Miao S, Sulaymon ID, Cai W. Community-Level Practice Checklists for Health Protection During Cold Spells in China. China CDC Wkly 2024; 6:83-87. [PMID: 38410530 PMCID: PMC10894710 DOI: 10.46234/ccdcw2024.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 01/22/2024] [Indexed: 02/28/2024] Open
Abstract
Communities play a crucial role in protecting the health of vulnerable populations such as the elderly, low-income groups, and high-risk individuals during cold spells. However, current strategies for responding to cold spells primarily consist of programmatic policies that lack practicality, specificity, and detailed implementation guidelines for community workers. Therefore, this study aims to identify and analyze the challenges faced by communities in responding to cold spells, review international experiences, and develop a set of practical checklists for community-level health protection. These checklists will assist community workers and volunteers in effectively preparing for, responding to, and recovering from cold spells.
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Affiliation(s)
- Jing Shang
- Institute of Urban Meteorology, CMA, Beijing, China
| | - Mengzhen Zhao
- School of Management and Economics, Beijing Institute of Technology, Beijing, China
| | - Zhao Liu
- School of Airport Economics and Management, Beijing Institute of Economics and Management, Beijing, China
| | - Xiya Zhang
- Institute of Urban Meteorology, CMA, Beijing, China
| | | | - Ishaq D. Sulaymon
- Sand and Dust Storm Warning Regional Center, National Center for Meteorology, Jeddah, Saudi Arabia
- Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control, Collaborative Innovation Center of Atmospheric Environment and Equipment Technology, School of Environmental Science and Engineering, Nanjing University of Information Science and Technology, Nanjing City, Jiangsu Province, China
| | - Wenjia Cai
- Department of Earth System Science, Tsinghua University, Beijing, China
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Brogaard L, Hinshaw K, Kierkegaard O, Manser T, Uldbjerg N, Hvidman L. Developing the TeamOBS-vacuum-assisted delivery checklist to assess clinical performance in a vacuum-assisted delivery: a Delphi study with initial validation. Front Med (Lausanne) 2024; 11:1330443. [PMID: 38371513 PMCID: PMC10869485 DOI: 10.3389/fmed.2024.1330443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 01/08/2024] [Indexed: 02/20/2024] Open
Abstract
Introduction In Northern Europe, vacuum-assisted delivery (VAD) accounts for 6-15% of all deliveries; VAD is considered safe when conducted by adequately trained personnel. However, failed vacuum extraction can be harmful to both the mother and child. Therefore, the clinical performance in VAD must be assessed to guide learning, determine a performance benchmark, and evaluate the quality to achieve an overall high performance. We were unable to identify a pre-existing tool for evaluating the clinical performance in real-life vacuum-assisted births. Objective We aimed to develop and validate a checklist for assessing the clinical performance in VAD. Methods We conducted a Delphi process, described as an interactive process where experts answer questions until answers converge toward a "joint opinion" (consensus). We invited international experts as Delphi panelists and reached a consensus after four Delphi rounds, described as follows: (1) the panelists were asked to add, remove, or suggest corrections to the preliminary list of items essential for evaluating clinical performance in VAD; (2) the panelists applied weights of clinical importance on a Likert scale of 1-5 for each item; (3) each panelist revised their original scores after reviewing a summary of the other panelists' scores and arguments; and (4) the TeamOBS-VAD was tested using videos of real-life VADs, and the Delphi panel made final adjustments and approved the checklist. Results Twelve Delphi panelists from the UK (n = 3), Norway (n = 2), Sweden (n = 3), Denmark (n = 3), and Iceland (n = 1) were included. After four Delphi rounds, the Delphi panel reached a consensus on the checklist items and scores. The TeamOBS-VAD checklist was tested using 60 videos of real-life vacuum extractions. The inter-rater agreement had an intraclass correlation coefficient (ICC) of 0.73; 95% confidence interval (95% CI) of [0.58, 0.83], and that for the average of two raters was ICC 0.84 95% CI [0.73, 0.91]. The TeamOBS-VAD score was not associated with difficulties in delivery, such as the number of contractions during vacuum extraction delivery, cephalic level, rotation, and position. Failed vacuum extraction occurred in 6% of the video deliveries, but none were associated with the teams with low clinical performance scores. Conclusion The TeamOBS-VAD checklist provides a valid and reliable evaluation of the clinical performance of vaginal-assisted vacuum extraction.
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Affiliation(s)
- Lise Brogaard
- Department of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark
- Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - Kim Hinshaw
- Department of Obstetrics and Gynecology, Sunderland Royal Hospital, Sunderland, United Kingdom
| | - Ole Kierkegaard
- Department of Obstetrics and Gynecology, Horsens Regional Hospital, Horsens, Denmark
| | - Tanja Manser
- Fachhochschule Nordwestschweiz (FHNW) School of Applied Psychology, University of Applied Sciences and Arts Northwestern Switzerland, Olten, Switzerland
| | - Niels Uldbjerg
- Department of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark
- Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - Lone Hvidman
- Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
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16
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Devakumar H, Tailor BV, Perkins V, Ioannidis D. 'How to stop a nosebleed': a combined objective and subjective assessment of YouTube videos on first-aid management of epistaxis. J Laryngol Otol 2024; 138:169-177. [PMID: 37409457 DOI: 10.1017/s0022215123001184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/07/2023]
Abstract
OBJECTIVE A previous study in 2016 found that the quality of YouTube videos on epistaxis first-aid management was highly variable. This study aimed to reassess the accuracy and patient understandability of such YouTube videos. METHOD YouTube was searched using the phrase 'How to stop a nosebleed'. The highest 50 ranking videos, based on relevance, were screened. Each video was assessed objectively using a standardised 'advice score', and subjectively using a video understandability and actionability checklist, the Patient Education Materials Assessment Tool for Audiovisual Materials ('PEMAT-A/V'). RESULTS The mean advice score was 4.1 out of 8. The mean (standard deviation) understandability and actionability scores were 76 per cent (17 per cent) and 89 per cent (18 per cent), respectively. There was a strong positive correlation between the actionability scores and the advice scores (ρ = 0.634; p < 0.001), and between the actionability scores and the understandability scores (ρ = 0.519; p = 0.002). CONCLUSION YouTube videos are providing increasingly relevant advice for patients seeking healthcare information. YouTube is proposed as a useful medium for teaching epistaxis management to patients and community practitioners.
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Affiliation(s)
- Haran Devakumar
- Department of Otolaryngology, Broomfield Hospital, Mid and South Essex NHS Foundation Trust, Chelmsford, UK
| | - Bhavesh V Tailor
- Department of Otolaryngology, Broomfield Hospital, Mid and South Essex NHS Foundation Trust, Chelmsford, UK
| | - Victoria Perkins
- Department of Otolaryngology, Broomfield Hospital, Mid and South Essex NHS Foundation Trust, Chelmsford, UK
| | - Dimitris Ioannidis
- ENT Department, Colchester Hospital, East Suffolk and North Essex NHS Foundation Trust, Colchester, UK
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17
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Makhene NL, Steyn H, Vorster M, Lubbe MS, Burger JR. Assessment of pharmacovigilance guidelines in the Southern African Development Community: A document review. Pharmacoepidemiol Drug Saf 2024; 33:e5755. [PMID: 38362654 DOI: 10.1002/pds.5755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 12/04/2023] [Accepted: 01/08/2024] [Indexed: 02/17/2024]
Abstract
BACKGROUND Lack of harmonization in pharmacovigilance (PV) practice in resource-limited states in Africa has led to differentiation and marginalization, thus creating an environment where weak or absent PV systems may benefit from regional guidelines. PURPOSE To compare the PV guidelines of Southern African Development Community (SADC) member states to international guidelines and identify areas for improvement for aligning PV practice within the SADC region. METHODS We utilized a 73-item checklist to assess the PV guidelines of the SADC member states. Checklist parameters were rated using binary scoring. RESULTS Only seven (Botswana, Mauritius, Namibia, South Africa, Tanzania, Zambia, and Zimbabwe) of the 16 SADC member states had guidelines to assess. Of these, only four had supporting legislation. All seven national medicines regulatory authorities (NMRA)'s guidelines required reporting of local serious adverse drug reactions (ADRs). Four NMRAs implemented device vigilance; none specified submission timelines for ADRs associated with substandard or falsified medicines. Only three NMRAs required electronic transmission of individual case safety reports in the E2B format. Five NMRAs mandated safety monitoring during interventional clinical trials. Five NMRAs required aggregate reporting through periodic safety update reports. Only two NMRAs required submission of the development safety update report. Regarding risk management, four NMRAs required notification of actions taken by foreign NMRAs and four NMRAs expected to review Dear Healthcare Professional Letters before distribution by the marketing authorization holder. CONCLUSIONS Areas for improvement of guidelines to establish common process standards and allow for synchronized submissions of comparable data to SADC NMRAs are provided.
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Affiliation(s)
- Nokuthula L Makhene
- Medicine Usage in South Africa, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
| | - Hanlie Steyn
- Medicine Usage in South Africa, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
| | - Martine Vorster
- Medicine Usage in South Africa, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
| | - Martha S Lubbe
- Medicine Usage in South Africa, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
| | - Johanita R Burger
- Medicine Usage in South Africa, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
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18
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Zeng X, Liu MZ, Shen SH, Yang SQ, Zhang J, Shen H, Luo DY, Jin T. The design and evaluation of a quick checklist for urodynamic quality control: A prospective single-center small sample study. Neurourol Urodyn 2024; 43:382-389. [PMID: 38078752 DOI: 10.1002/nau.25357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 10/23/2023] [Accepted: 11/29/2023] [Indexed: 02/06/2024]
Abstract
PURPOSE To design a quick checklist for urodynamic study (UDS), aiming to reduce the occurrence of errors in the process, which may help to increase the quality of UDS. And further to analyze the effectiveness of this quick checklist for UDS quality control. METHODS First, a quick checklist for uroflow study and pressure-flow study was developed, based on the International Continence Society-Good Urodynamic Practice standards, our previous studies, and recent literature, as well as expert suggestions. Then, patients who underwent UDS between January 2023 to February 2023 were randomly assigned to a study group or a control group. For the study group, the quick checklist was used throughout the UDS process, while the control group did not. The main artefacts were chosen to verify the effectiveness of the quick checklist for improving the UDS quality. RESULTS The quick checklist comprised three subtypes: checklist for patients, checklist for environment and device, and checklist for UDS test process. 38 UDS traces per group were included. The incidence of missing the standard cough test decreased significantly from 18.4% to 0 (p = 0.012), with the checklist implementation. The baseline drift frequency rate also declined significantly from 39.5% to 5.3% (p < 0.05). Volume < 150 mL on uroflow study occurred in 68.4% of cases and its frequency rate decreased significantly with checklist implementation (p < 0.05). CONCLUSION A quick checklist for quality control of UDS was developed. The quick checklist as a convenient, quick, and easy used urodynamic quality control method, may help to reduce the technical artefacts and improve fundamental urodynamic quality control. Future research with a larger sample size is needed to confirm the effectiveness of the checklist.
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Affiliation(s)
- Xiao Zeng
- Laboratory of Reconstructive Urology, Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China
- Pelvic Floor Diseases Center, West China Tianfu Hospital, Sichuan University, Chengdu, China
| | - Meng-Zhu Liu
- Laboratory of Reconstructive Urology, Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China
| | - Si-Hong Shen
- Laboratory of Reconstructive Urology, Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China
| | - Shi-Qin Yang
- Laboratory of Reconstructive Urology, Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China
| | - Jie Zhang
- Laboratory of Reconstructive Urology, Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China
- Pelvic Floor Diseases Center, West China Tianfu Hospital, Sichuan University, Chengdu, China
| | - Hong Shen
- Laboratory of Reconstructive Urology, Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China
- Pelvic Floor Diseases Center, West China Tianfu Hospital, Sichuan University, Chengdu, China
| | - De-Yi Luo
- Laboratory of Reconstructive Urology, Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China
- Pelvic Floor Diseases Center, West China Tianfu Hospital, Sichuan University, Chengdu, China
| | - Tao Jin
- Laboratory of Reconstructive Urology, Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China
- Pelvic Floor Diseases Center, West China Tianfu Hospital, Sichuan University, Chengdu, China
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Olivera LA, Campião KM. Diversity of Acanthocephala parasites in Neotropical amphibians. J Helminthol 2024; 98:e11. [PMID: 38263742 DOI: 10.1017/s0022149x23000986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2024]
Abstract
Acanthocephalans constitute a small taxonomic group related to rotifers and specialized in a parasitic lifestyle. Anurans act as paratenic and definitive hosts and infections always occur trophically. Our objective is to describe and summarize the richness of acanthocephalans in Neotropical anurans. We conducted a literature review in the main research databases, compiling data published until August 2021. We identified 66 articles with records of acanthocephalan-anuran association, 53.03% were carried out in Brazil. We detected 108 species of anurans from 11 families parasitized by acanthocephalans. With the exception of Bufonidae, Hylidae and Leptodactylidae, which are relatively well-studied families, interaction with acanthocephalans remains largely unexplored for most anuran species. We found six families of acanthocephalans: Centrorhynchidae, Echinorhynchidae, Oligacanthorhynchidae, Cavisomidae, Neoechinorhynchidae and Plagiorhynchidae. Centrorhynchidae and Echinorhynchidae presented the largest number of taxa associated with anurans. The largest number of records corresponded to acanthocephalans in the larval stage (cystacanths), for which anurans act as paratenic hosts. We observed a lack of specific taxonomic resolution in the identifications of most reports, because a large part of the records in the larval stage make morphological identification difficult. Brazil, Mexico, Paraguay, Argentina, Ecuador and Peru are the countries with the most records, while Costa Rica, Venezuela, Colombia, Chile and Uruguay exhibited the lowest publication numbers, resulting in gaps in the distribution of acanthocephalans. We expanded the known number of anuran species parasitized by acanthocephalans, compared to the last published review. Overall, we aim to contribute to the understanding of diversity within this intriguing but understudied group.
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Affiliation(s)
- L A Olivera
- Postgraduate Program in Zoology, Federal University of Paraná. Curitiba, Brazil
- Laboratory of Biological Interactions, Federal University of Paraná, UFPR-Curitiba, Paraná, Brazil
| | - K M Campião
- Laboratory of Biological Interactions, Federal University of Paraná, UFPR-Curitiba, Paraná, Brazil
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Sennikov AN, Lazkov GA. Alien Plants of Kyrgyzstan: The First Complete Inventory, Distributions and Main Patterns. Plants (Basel) 2024; 13:286. [PMID: 38256839 PMCID: PMC10821502 DOI: 10.3390/plants13020286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2023] [Revised: 01/12/2024] [Accepted: 01/15/2024] [Indexed: 01/24/2024]
Abstract
The first inventory of casual and naturalised alien plants of Kyrgyzstan is based on an overview of published data, which were re-assessed and re-evaluated using modern standards. Altogether, 151 alien species were registered in the country, of which nearly 40% became naturalised. The total number of alien plant species and the proportion of casual aliens are relatively low due to the harsh climatic conditions (high aridity and continentality) and predominantly high elevations. The highest number of alien plant species in Kyrgyzstan originated from the Mediterranean, which can be explained by some common climatic features between this area and Central Asia, but half of the ten most harmful aliens originated from the Americas. The intensity of plant invasions was the greatest during the period of the Russian Empire and the USSR, and this rapid accumulation of alien plants continues in independent Kyrgyzstan. The uneven distribution of alien plants in Kyrgyzstan is explained by different elevations and climatic conditions across its regions, as well as by the concentration of agricultural activities and human population along warm lowland depressions. More research is required to uncover pathways and particular times of introduction and to produce detailed distribution maps.
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Affiliation(s)
- Alexander N. Sennikov
- Botanical Museum, Finnish Museum of Natural History, University of Helsinki, 00014 Helsinki, Finland
| | - Georgy A. Lazkov
- Institute of Biology, Academy of Sciences of Kyrgyzstan, Bishkek 720010, Kyrgyzstan;
- Research Centre for Ecology and Environment of Central Asia, Bishkek 720040, Kyrgyzstan
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Hübner JJ, Chemyreva V. Review of German Spilomicrus Westwood (Hymenoptera, Diapriidae, Spilomicrini). Biodivers Data J 2024; 12:e114515. [PMID: 38230309 PMCID: PMC10790369 DOI: 10.3897/bdj.12.e114515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 12/20/2023] [Indexed: 01/18/2024] Open
Abstract
Background This study provides an integrative taxonomy-based review for the genus Spilomicrus Westwood in Germany using DNA barcoding and classic morphology. New information Spilomicrussimplex Tomsik, 1947 is placed in synonymy with S.antennatus Jurine, 1807; Spilomicrusthomsoni Kieffer, 1911 is removed from synonymy with S.hemipterus Marshall, 1868. A lectotype is designated for Spilomicrusnigripes Thomson, 1858. Newly recorded for Germany are the following species: S.thomsoni Kieffer, 1911, S.crassiclavis Marshall, 1868, S.lusitanicus Kieffer, 1910 and S.diversus Chemyreva, 2021. Three species, Spilomicrusbrevimalaris sp. nov., S.flavecorpus sp. nov. and S.politus sp. nov. are described as new to science. The 23 DNA-barcodes with species identification present a substantial addition over the previous German checklist. This study aims to update the number of nationwide known Spilomicrus species from fifteen to twenty. Furthermore, a new key to identify all European Spilomicrus species is provided.
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Affiliation(s)
- Jeremy Joshua Hübner
- Zoologische Staatssammlung München, Munich, GermanyZoologische Staatssammlung MünchenMunichGermany
| | - Vasilisa Chemyreva
- Zoological Institute, Russian Academy of Sciences, St. Petersburg, RussiaZoological Institute, Russian Academy of SciencesSt. PetersburgRussia
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Anderson RM, Peña A, Magee T, Perkins D, Johnson BS, Breau RH, Vassar M. Reporting of Harms in Randomized Controlled Trials Published in Urology Journals: An Updated Analysis. J Urol 2024; 211:48-54. [PMID: 38063168 DOI: 10.1097/ju.0000000000003740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 09/26/2023] [Indexed: 12/18/2023]
Abstract
PURPOSE Harms are often overlooked, but important, outcomes of randomized controlled trial reporting. Our goal was to determine if harms reporting has improved in high-impact urology journals. MATERIALS AND METHODS Randomized controlled trials published in The Journal of Urology®, Urology, European Urology, and BJU International in 2012 and 2020 were analyzed. Each randomized controlled trial was evaluated by 2 authors in a masked-duplicate fashion to evaluate for adherence to harms reporting guidelines recommended by the Consolidated Standards of Reporting Trials (CONSORT) group. RESULTS One hundred and thirty-two published studies met inclusion criteria. Between 2012 and 2020, there was a statistically significant increase in the median number of harms criteria reported between 2012 and 2020 (5.3 vs 7.2; P = .01). Methods criteria demonstrating the greatest improvements included item #3 "which harms were assessed," item #4a "when harm information was collected," and item #4b "methods to attribute harm to intervention." Results sections with the most improvement in reporting include item #6 "reasons for patient withdrawal," item #8a "effect size for harms," and item #8b "stratified serious + minor harms." CONCLUSIONS Reporting of adverse events in randomized trials published in several top urology journals has demonstrated marked improvement. Studies published in 2020 reported approximately 70% of CONSORT-Harms criteria-an increase of nearly 40% since 2004. While these improvements mark significant change, deficits remain present and should be addressed to provide clinicians with the most complete perspective possible.
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Affiliation(s)
- Reece M Anderson
- Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma
| | - Andriana Peña
- Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma
| | - Trevor Magee
- Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma
| | - Del Perkins
- Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma
| | - Bradley S Johnson
- Sparrow Hospital, Department of Urology, Lansing, Michigan
- Michigan State Urology, Michigan State University, East Lansing, Michigan
| | - Rodney H Breau
- The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario
| | - Matt Vassar
- Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma
- Department of Psychiatry and Behavioral Sciences, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma
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Boswell CL, Minteer SA, Herasevich S, Garcia-Mendez JP, Dong Y, Gajic O, Barwise AK. Early Prevention of Critical Illness in Older Adults: Adaptation and Pilot Testing of an Electronic Risk Score and Checklist. J Prim Care Community Health 2024; 15:21501319241231238. [PMID: 38344983 PMCID: PMC10863481 DOI: 10.1177/21501319241231238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Revised: 01/10/2024] [Accepted: 01/22/2024] [Indexed: 02/15/2024] Open
Abstract
OBJECTIVE Given limited critical care resources and an aging population, early interventions to prevent critical illness are vital. In this work, we measured post-implementation outcomes after introducing a novel electronic scoring system (Elders Risk Assessment-ERA) and a risk-factor checklist, Checklist for Early Recognition and Treatment of Acute Illness (CERTAIN), to detect older patients at high risk of critical illness in a primary care setting. METHODS The study was conducted at a family medicine clinic in Kasson, MN. The ADAPT-ITT framework was used to modify the CERTAIN checklist for primary care during 2 co-design workshops involving interdisciplinary clinicians, held in April 2023. The ERA score and modified CERTAIN checklist were implemented between May and July 2023 and identify and assess all patients age ≥60 years at risk of critical illness during their primary care visits. Implementation outcomes were evaluated at the end of the study via an anonymous survey and EHR data extraction. RESULTS Fourteen clinicians participated in 2 co-design workshops. A total of 19 clinicians participated in a post-pilot survey. All survey items were rated on a 5-point Likert type scale. Mean acceptability of the ERA score and checklist was rated 3.35 (SD = 0.75) and 3.09 (SD = 0.64), respectively. Appropriateness had a mean rating of 3.38 (SD = 0.82) for the ERA score and 3.19 (SD = 0.59) for the checklist. Mean feasibility was rated 3.38(SD = 0.85) and 2.92 (SD = 0.76) for the ERA score and checklist, respectively. The adoption rate was 50% (19/38) among clinicians, but the reach was low at 17% (49/289) of eligible patients. CONCLUSIONS This pilot study evaluated the implementation of an intervention that introduced the ERA score and CERTAIN checklist into a primary care practice. Results indicate moderate acceptability, appropriateness, and feasibility of the ERA score, and similar ratings for the checklist, with slightly lower feasibility. While checklist adoption was moderate, reach was limited, indicating inconsistent use. RECOMMENDATIONS We plan to use the open-ended resurvey responses to further modify the CERTAIN-FM checklist and implementation process. The ADAPT-ITT framework is a useful model for adapting the checklist to meet the primary care clinician needs.
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Baker J, Stringer H, McKean C. Ensuring treatment fidelity in intervention studies: Developing a checklist and scoring system within a behaviour change paradigm. Int J Lang Commun Disord 2024; 59:379-395. [PMID: 37715525 DOI: 10.1111/1460-6984.12955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 08/28/2023] [Indexed: 09/17/2023]
Abstract
BACKGROUND Treatment fidelity refers to the degree to which an intervention is implemented as intended. Promoting treatment fidelity is important to achieve a valid comparison in intervention research. However, it is often underreported: few studies detail the use and development of fidelity measures. This study aims to promote the treatment fidelity of a modified version of the Derbyshire Language Scheme (M-DLS), a manualised intervention for children with language difficulties, by exploring participants' opinions on training and intervention delivery. Results inform development of a checklist and scoring system to monitor and promote treatment fidelity in a comparison trial. METHOD Ten student speech and language therapists (SLTs) and two research assistants (RAs) participated in the study. All received training on the M-DLS, and 10 were video-recorded completing role-plays of an M-DLS session in small groups. Feedback was gathered after training and role-plays in focus groups and interviews. Feedback was interpreted using the constructs of the Theoretical Domains Framework (TDF). A treatment fidelity checklist was then developed using the feedback. The first author and two RAs rated role-play videos using the checklist to trial it to inform amendments and to promote interrater reliability. Interrater agreement was calculated using Spearman's test of correlation. RESULTS Participants discussed the importance of having clear materials and time to practise sessions. They suggested amendments to the materials and training to promote treatment fidelity. The checklist and scoring system accounted for participants' suggestions, with amendments detailed in a log. Spearman's correlation results suggested agreement between the raters was strong. CONCLUSIONS Results emphasise the importance of training quality, practice and reflective opportunities and clear materials to promote treatment fidelity. The construction of the checklist and scoring system was described in detail, informing the development of future checklists. After further trialling, the checklist can be used to ensure the M-DLS is delivered with high treatment fidelity in the comparison trial. WHAT THIS PAPER ADDS What is already known on this subject Treatment fidelity is an essential component of intervention effectiveness and efficacy studies, ensuring the intervention is delivered as intended. It is also an essential component of evidence-based clinical practice. However, few research studies report the treatment fidelity process or publish the checklists used, depriving clinicians of useful information for implementation. What this study adds This study describes in detail the iterative process of treatment fidelity checklist development, engaging those implementing the intervention in development. This ensured clarity and interrater reliability of the checklist. Furthermore, a novel scoring system was developed so that accuracy of implementation can be easily compared across users and across practice attempts. What are the clinical implications of this work? The importance of treatment fidelity when implementing effective and efficacious interventions cannot be overstated. The treatment fidelity checklist developed for research can be easily adopted to support accurate implementation in clinical practice through an audit process.
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Affiliation(s)
- Jo Baker
- Newcastle University, Newcastle upon Tyne, UK
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25
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Murni IP, Ardiyanto A. Cross-cultural adaptation and reliability assessment of the Indonesian version of the Computer Workstation Ergonomics: Self-Assessment Checklist. Work 2024; 77:711-717. [PMID: 37742687 DOI: 10.3233/wor-230201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/26/2023] Open
Abstract
BACKGROUND Prolonged use of computer devices can have adverse health effects, but these can be mitigated by setting up computer workstations according to ergonomic principles. The Computer Workstation Ergonomics: Self-Assessment Checklist can guide workers in implementing these principles. However, the checklist is only available in English, which may reduce the accuracy of the instrument when used by non-English speakers, including Indonesians. OBJECTIVE The objective of this study was to cross-culturally adapt the Computer Workstation Ergonomics: Self-Assessment Checklist for use in Indonesia. Additionally, a reliability assessment was conducted on the adapted checklist. METHODS This study followed a six-stage cross-cultural adaptation process, including translation, synthesis of translation, back translation, expert committee review, pretesting, and documentation submission. The final version of the adapted checklist underwent testing for intra-rater reliability, inter-rater reliability, and internal consistency. RESULTS The cross-cultural adaptation process resulted in an Indonesian version of the Computer Workstation Ergonomics: Self-Assessment Checklist. Furthermore, the Krippendorff's alpha values for the intra-rater and inter-rater reliability of the adapted checklist ranged from 0.59 to 0.78 (mean = 0.70) and 0.20 to 0.82 (mean = 0.56), respectively. CONCLUSION The study produced an Indonesian version of the Computer Workstation Ergonomics: Self-Assessment Checklist that had an adequate reliability. The adapted checklist can serve as a practical tool for evaluating and improving computer workstations in Indonesia.
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Affiliation(s)
- Indah Puspa Murni
- Department of Mechanical and Industrial Engineering, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Ardiyanto Ardiyanto
- Department of Mechanical and Industrial Engineering, Universitas Gadjah Mada, Yogyakarta, Indonesia
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Bucek Psenkova M, Hlavinkova L, Visnansky M, Grega D, Ondrusova M. The Checklist for Standard Methodological Requirements and Reporting of Economic Evaluation of Medicines in Slovakia. Value Health Reg Issues 2024; 39:14-19. [PMID: 37967490 DOI: 10.1016/j.vhri.2023.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 08/30/2023] [Accepted: 09/14/2023] [Indexed: 11/17/2023]
Abstract
OBJECTIVES We have developed a scientifically well-grounded, methodological, and reporting checklist for economic evaluation (EE) of medicines in the Slovak health technology assessment process, which serves as a supplement to the Slovak pharmacoeconomic guidelines. METHODS The checklist was developed using an iterative process in which items were generated and gradually added to the baseline checklist based on shortcomings identified in an analysis of Slovak EEs, using relevant published checklists, and Slovak, as well as international, methodological guidance that was identified in the systematic literature review. The selection of checklist recommendations, their clarity, and relevance to the Slovak setting were validated in the online survey. RESULTS From the sample of 151 price and reimbursement submissions published between January 2018 and July 2021, almost half of them (n = 73) received at least 1 request from the Ministry of Healthcare to justify or modify the methodology used in the EE; and in 18 proceedings, a negative opinion was issued because of shortcomings identified in the EE. The 25-items preliminary checklist, resulting from an iterative working process, has been validated in an online survey conducted among members of ISPOR Chapter Slovakia. After incorporating relevant comments, the final proposal for the Slovak checklist consists of 55 recommendations. CONCLUSIONS The research represented the first attempt to create a Slovak EE checklist, which serves as a part of ISPOR Slovakia pharmacoeconomic guidelines. Implementation of the checklist allows checking whether EE meets legislative and methodological requirements and thus helps in improving the appropriateness and standardization of EEs in Slovakia.
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Affiliation(s)
| | | | - Martin Visnansky
- University of Veterinary Medicine and Pharmacy, Kosice, Slovakia
| | - Dominik Grega
- Pharm-In, Ltd., Bratislava, Slovakia; Department of Applied Pharmacy, Faculty of Pharmacy, Masaryk university, Brno, Czech Republic
| | - Martina Ondrusova
- Pharm-In, Ltd., Bratislava, Slovakia; Department of Preventive and Clinical Medicine, Faculty of Public Health, Slovak Medical University, Bratislava, Slovakia
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Wat SKS, Wesolowski B, Cierniak K, Roberts P. Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. J Oncol Pharm Pract 2023:10781552231223511. [PMID: 38151027 DOI: 10.1177/10781552231223511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2023]
Abstract
PURPOSE Chemotherapies are medications with narrow therapeutic indices and potential for severe adverse events that account for at least 1 to 3% of medication errors in all adult and pediatric oncology patients. The use of an electronic chemotherapy order verification (ECOV) checklist can standardize the steps of chemotherapy verification by pharmacists, which can potentially increase medication error detection at the point of dispensing. This study evaluated the implementation of a standardized chemotherapy order verification checklist on pharmacist error reporting, particularly good-catches or near-misses type errors. METHODS This retrospective, quasi-experimental, pre-/post-analysis of internal voluntary medication errors reported from 12 University Hospitals Seidman oncology infusion centers from June 2022 through December 2022. Error reports, categorized based on severity, were compared pre/post-implementation of the ECOV checklist. RESULTS A total of 62 and 71 cases of medication errors were reported in the pre-intervention and post-intervention periods, respectively. The rate of pharmacy reported medication errors was 2.4 times greater in the post-intervention period of the ECOV checklist (p < 0.006). Pharmacy reported errors increased among all error severities reported. However, the finding did not deduce a statistically significant difference (p < 0.244). CONCLUSION This study demonstrates the effectiveness of implementing the ECOV checklist in increasing the rate of pharmacy reported medication errors. The checklist was designed to complement existing pharmacist workflow and provide a source of documentation for steps of sequential pharmacist evaluation.
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Affiliation(s)
| | - Bryan Wesolowski
- Department of Pharmacy Service, University Hospitals, Cleveland OH, USA
| | - Kayla Cierniak
- Department of Pharmacy Service, University Hospitals, Cleveland OH, USA
| | - Patricia Roberts
- Department of Pharmacy Service, University Hospitals, Cleveland OH, USA
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Silva JC, Felix MMDS, Gonçalves RHA, Calegari IB, Raponi MBG, Barbosa MH. Safe practices for bed bathing in the intensive care unit: validation of a checklist. Rev Bras Enferm 2023; 77:e20230135. [PMID: 38088689 PMCID: PMC10704670 DOI: 10.1590/0034-7167-2023-0135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 09/18/2023] [Indexed: 12/18/2023] Open
Abstract
OBJECTIVE To validate a checklist for safe bathing in critically ill patients. METHODS This is a methodological and quantitative study. Researchers developed a checklist for safe bathing in critically ill patients consisting of 41 items, which were submitted to the apparent and content validation process, evaluated by eleven judges, and interobserver reliability. For reliability analysis, the instrument was applied in 54 bed bath procedures in the ICU; Kappa and CHF tests were used. RESULTS In the apparent and content validation, adjustments were made according to the judges' suggestions. Kappa values ranged from moderate to almost perfect (0.462 to 0.962), and, in some items, there was 100% agreement; the reliability of the instrument was excellent (ICC = 0.962). CONCLUSION The instrument proved to be dependable and easy to apply. Its use will contribute to safe bed bathing and subsidize interventions aimed at increasing the quality of care.
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Aboling S. Do Poisonous Plants in Pastures Communicate Their Toxicity? Meta-Study and Evaluation of Poisoning Cases in Central Europe. Animals (Basel) 2023; 13:3795. [PMID: 38136831 PMCID: PMC10740430 DOI: 10.3390/ani13243795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 11/09/2023] [Accepted: 11/17/2023] [Indexed: 12/24/2023] Open
Abstract
One of the possible roles of secondary plant metabolites, including toxins, is facilitating plant-animal communication. Lethal cases of pasture poisoning show that the message is not always successfully conveyed. As the focus of poisoning lies in the clinical aspects, the external circumstances of pasture poisoning are widely unknown. To document poisoning conditions in cattle, sheep, goats, and horses on pastures and to compile a checklist of plants involved in either poisoning or co-existence (zero poisoning), published case reports were evaluated as primary sources. The number of affected animal individuals was estimated within abundance classes from 0 to more than 100. The checklist of poisonous plants comprised 52 taxa. Of these, 13 taxa were deemed safe (no reference was found indicating poisoning), 11 taxa were associated with evidence-based zero poisoning (positive list), and 28 taxa were associated with poisoning (negative list). Nine plant taxa caused poisoning in more than 100 animal individuals. Zero poisoning accounted for 40% and poisoning accounted for 60% of a total of 85 cases. Poisoning was most often associated with a limited choice of feed (24.7%), followed by overgrazing (12.9%), seasonally scarce feed (10.6%), and co-ingestion of grass (4.7%). Hunger interferes with plant-animal co-existence, while zero poisoning improves it. In conclusion, poisonous plants in pastures may communicate their toxicity if the animals have enough alternative feed plants. An individual animal might utterly perceive the communication of toxicity by the plant species but be forced to ignore the message owing to a limited choice of feed options.
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Affiliation(s)
- Sabine Aboling
- Institute of Animal Nutrition, University of Veterinary Medicine Hannover, Bischofsholer Damm 15, 30173 Hannover, Germany
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30
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Salarvand A, Khoshvaghti A, Sharififar S, Jame SZB, Markazi-Moghaddam N, Zareiyan A. Hospital Performance Evaluation Checklist in Context of COVID-19 Pandemic: Design and Validation. Disaster Med Public Health Prep 2023; 17:e570. [PMID: 38057973 DOI: 10.1017/dmp.2023.220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/08/2023]
Abstract
OBJECTIVE Around the world, pandemics have been considered among the main hazards in the last 2 decades. Hospitals are 1 of the most important organizations responding to pandemics. The aim of this study was to design and develop a valid checklist for evaluating the hospitals' performance in response to COVID-19 pandemic, for the first time. METHODS This study is a mixed method research design that began in February, 2020 and was conducted in 3 phases: Designing a conceptual model, designing a primary checklist structure, and checklist psychometric evaluation. Known-groups method has been used to evaluate construct validity. Two groups of hospitals were compared: group A (COVID-19 Hospitals) and group B (the other hospitals). RESULTS The checklist's main structure was designed with 6 main domains, 23 sub-domains, and 152 items. The content validity ratio and index were 0.94 and 0.79 respectively. Eleven items were added, 106 items were removed, and 40 items were edited. Independent t-test showed a significant difference between the scores of the 2 groups of hospitals (P < 0.0001). Pearson correlation coefficient test also showed a high correlation between our checklist and the other. The internal consistency of the checklist was 0.98 according to Cronbach's alpha test. CONCLUSIONS Evaluating the hospitals' performance and identifying their strengths and weaknesses, can help health system policymakers and hospital managers, and leads to improved performance in response to COVID-19.
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Affiliation(s)
- Abbas Salarvand
- Department of Health Management and Economics, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
| | - Amir Khoshvaghti
- Infectious Diseases Research Center, Aerospace and Subaquatic Medicine Faculty, Aja University of Medical Sciences, Tehran, Iran
| | - Simintaj Sharififar
- Department of Health in Disasters and Emergencies, Aja University of Medical Sciences, Tehran, Iran
| | - Sanaz Zargar Balaye Jame
- Department of Health Management and Economics, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
| | - Nader Markazi-Moghaddam
- Department of Health Management and Economics, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
| | - Armin Zareiyan
- Department of Public Health, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
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Tang X, Jeewon R, Lu YZ, Alrefaei AF, Jayawardena RS, Xu RJ, Ma J, Chen XM, Kang JC. Morphophylogenetic evidence reveals four new fungal species within Tetraplosphaeriaceae (Pleosporales, Ascomycota) from tropical and subtropical forest in China. MycoKeys 2023; 100:171-204. [PMID: 38098977 PMCID: PMC10719940 DOI: 10.3897/mycokeys.100.113141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 11/09/2023] [Indexed: 12/17/2023] Open
Abstract
Tetraplosphaeriaceae (Pleosporales, Ascomycota) is a family with many saprobes recorded from various hosts, especially bamboo and grasses. During a taxonomic investigation of microfungi in tropical and subtropical forest regions of Guizhou, Hainan and Yunnan provinces, China, several plant samples were collected and examined for fungi. Four newly discovered species are described based on morphology and evolutionary relationships with their allies inferred from phylogenetic analyses derived from a combined dataset of LSU, ITS, SSU, and tub2 DNA sequence data. Detailed illustrations, descriptions and taxonomic notes are provided for each species. The four new species of Tetraplosphaeriaceae reported herein are Polyplosphaeriaguizhouensis, Polyplosphaeriahainanensis, Pseudotetraploayunnanensis, and Tetraploahainanensis. A checklist of Tetraplosphaeriaceae species with available details on their ecology is also provided.
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Affiliation(s)
- Xia Tang
- Engineering and Research Center for Southwest Biopharmaceutical Resource of National Education Ministry of China, Guizhou University, Guiyang, 550025, Guizhou Province, China
- Center of Excellence in Fungal Research, Mae Fah Luang University, Chiang Rai, 57100, Thailand
| | - Rajesh Jeewon
- School of Science, Mae Fah Luang University, Chiang Rai, 57100, Thailand
- Department of Health Sciences, Faculty of Medicine and Health Sciences, University of Mauritius, Reduit, Mauritius
| | - Yong-Zhong Lu
- Engineering and Research Center for Southwest Biopharmaceutical Resource of National Education Ministry of China, Guizhou University, Guiyang, 550025, Guizhou Province, China
- Department of Zoology, College of Science, King Saud University, P.O. Box 2455, Riyadh 11451, Saudi Arabia
| | - Abdulwahed Fahad Alrefaei
- Department of Health Sciences, Faculty of Medicine and Health Sciences, University of Mauritius, Reduit, Mauritius
| | | | - Rong-Ju Xu
- Center of Excellence in Fungal Research, Mae Fah Luang University, Chiang Rai, 57100, Thailand
| | - Jian Ma
- Center of Excellence in Fungal Research, Mae Fah Luang University, Chiang Rai, 57100, Thailand
| | - Xue-Mei Chen
- School of Food and Pharmaceutical Engineering, Guizhou Institute of Technology, Guiyang, Guizhou Province550003, China
| | - Ji-Chuan Kang
- Engineering and Research Center for Southwest Biopharmaceutical Resource of National Education Ministry of China, Guizhou University, Guiyang, 550025, Guizhou Province, China
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Roden AC, Judge M, den Bakker MA, Fang W, Jain D, Marx A, Moreira AL, Rajan A, Stroebel P, Szolkowska M, Cooper WA. Dataset for reporting of thymic epithelial tumours: recommendations from the International Collaboration on Cancer Reporting (ICCR). Histopathology 2023; 83:967-980. [PMID: 37722860 DOI: 10.1111/his.15047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 08/11/2023] [Accepted: 08/25/2023] [Indexed: 09/20/2023]
Abstract
AIMS Thymic epithelial tumours (TET), including thymomas and thymic carcinomas and thymic neuroendocrine neoplasms, are malignant neoplasms that can be associated with morbidity and mortality. Recently, an updated version of the World Health Organization (WHO) Classification of Thoracic Tumours 5th Edition, 2021 has been released, which included various changes to the classification of these neoplasms. In addition, in 2017 the Union for International Cancer Control (UICC) / American Joint Committee on Cancer (AJCC) published the 8th Edition Staging Manual which, for the first time, includes a TNM staging that is applicable to thymomas, thymic carcinomas, and thymic neuroendocrine neoplasms. METHODS AND RESULTS To standardize reporting of resected TET and thymic neuroendocrine neoplasms the accrediting bodies updated their reporting protocols. The International Collaboration on Cancer Reporting (ICCR), which represents a collaboration between various National Associations of Pathology, updated its 2017 histopathology reporting guide on TET and thymic neuroendocrine neoplasms accordingly. This report will highlight important changes in the reporting of TET and thymic neuroendocrine neoplasms based on the 2021 WHO, emphasize the 2017 TNM staging, and also comment on the rigour and various uncertainties for the pathologist when trying to follow that staging. CONCLUSION The ICCR dataset provides a comprehensive, standardized template for reporting of resected TET and thymic neuroendocrine neoplasms.
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Affiliation(s)
- Anja C Roden
- Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
| | - Meagan Judge
- International Collaboration on Cancer Reporting, Sydney, NSW, Australia
| | - Michael A den Bakker
- Maasstad Hospital, Rotterdam, The Netherlands
- Academic Hospital Erasmus MC, Rotterdam, The Netherlands
| | - Wentao Fang
- Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai, China
| | - Deepali Jain
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - Alexander Marx
- Institute of Pathology, University Medical Centre Mannheim, University of Heidelberg, Mannheim, Germany
- Institute of Pathology, University Medical Center Göttingen, University of Göttingen, Göttingen, Germany
| | - Andre L Moreira
- Department of Pathology, New York University Grossman School of Medicine, New York, NY, USA
| | - Arun Rajan
- Thoracic and Gastrointestinal Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Philipp Stroebel
- Institute of Pathology, University Medical Center Göttingen, University of Göttingen, Göttingen, Germany
| | - Malgorzata Szolkowska
- Department of Pathology, Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
| | - Wendy A Cooper
- Department of Tissue Pathology and Diagnostic Oncology, NSW Health Pathology, Royal Prince Alfred Hospital, NSW, Sydney, Australia
- Institute of Medicine and Health Pathology, University of Sydney, NSW, Sydney, Australia
- School of Medicine, Western Sydney University, Sydney, NSW, Australia
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Hesselberg JO, Dalsbø TK, Stromme H, Svege I, Fretheim A. Reviewer training for improving grant and journal peer review. Cochrane Database Syst Rev 2023; 11:MR000056. [PMID: 38014743 PMCID: PMC10683016 DOI: 10.1002/14651858.mr000056.pub2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2023]
Abstract
BACKGROUND Funders and scientific journals use peer review to decide which projects to fund or articles to publish. Reviewer training is an intervention to improve the quality of peer review. However, studies on the effects of such training yield inconsistent results, and there are no up-to-date systematic reviews addressing this question. OBJECTIVES To evaluate the effect of peer reviewer training on the quality of grant and journal peer review. SEARCH METHODS We used standard, extensive Cochrane search methods. The latest search date was 27 April 2022. SELECTION CRITERIA We included randomized controlled trials (RCTs; including cluster-RCTs) that evaluated peer review with training interventions versus usual processes, no training interventions, or other interventions to improve the quality of peer review. DATA COLLECTION AND ANALYSIS We used standard Cochrane methods. Our primary outcomes were 1. completeness of reporting and 2. peer review detection of errors. Our secondary outcomes were 1. bibliometric scores, 2. stakeholders' assessment of peer review quality, 3. inter-reviewer agreement, 4. process-centred outcomes, 5. peer reviewer satisfaction, and 6. completion rate and speed of funded projects. We used the first version of the Cochrane risk of bias tool to assess the risk of bias, and we used GRADE to assess the certainty of evidence. MAIN RESULTS We included 10 RCTs with a total of 1213 units of analysis. The unit of analysis was the individual reviewer in seven studies (722 reviewers in total), and the reviewed manuscript in three studies (491 manuscripts in total). In eight RCTs, participants were journal peer reviewers. In two studies, the participants were grant peer reviewers. The training interventions can be broadly divided into dialogue-based interventions (interactive workshop, face-to-face training, mentoring) and one-way communication (written information, video course, checklist, written feedback). Most studies were small. We found moderate-certainty evidence that emails reminding peer reviewers to check items of reporting checklists, compared with standard journal practice, have little or no effect on the completeness of reporting, measured as the proportion of items (from 0.00 to 1.00) that were adequately reported (mean difference (MD) 0.02, 95% confidence interval (CI) -0.02 to 0.06; 2 RCTs, 421 manuscripts). There was low-certainty evidence that reviewer training, compared with standard journal practice, slightly improves peer reviewer ability to detect errors (MD 0.55, 95% CI 0.20 to 0.90; 1 RCT, 418 reviewers). We found low-certainty evidence that reviewer training, compared with standard journal practice, has little or no effect on stakeholders' assessment of review quality in journal peer review (standardized mean difference (SMD) 0.13 standard deviations (SDs), 95% CI -0.07 to 0.33; 1 RCT, 418 reviewers), or change in stakeholders' assessment of review quality in journal peer review (SMD -0.15 SDs, 95% CI -0.39 to 0.10; 5 RCTs, 258 reviewers). We found very low-certainty evidence that a video course, compared with no video course, has little or no effect on inter-reviewer agreement in grant peer review (MD 0.14 points, 95% CI -0.07 to 0.35; 1 RCT, 75 reviewers). There was low-certainty evidence that structured individual feedback on scoring, compared with general information on scoring, has little or no effect on the change in inter-reviewer agreement in grant peer review (MD 0.18 points, 95% CI -0.14 to 0.50; 1 RCT, 41 reviewers, low-certainty evidence). AUTHORS' CONCLUSIONS Evidence from 10 RCTs suggests that training peer reviewers may lead to little or no improvement in the quality of peer review. There is a need for studies with more participants and a broader spectrum of valid and reliable outcome measures. Studies evaluating stakeholders' assessments of the quality of peer review should ensure that these instruments have sufficient levels of validity and reliability.
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Affiliation(s)
- Jan-Ole Hesselberg
- Department of Psychology, University of Oslo, Oslo, Norway
- Stiftelsen Dam, Oslo, Norway
| | | | | | - Ida Svege
- Stiftelsen Dam, Oslo, Norway
- Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Atle Fretheim
- Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
- Centre of Epidemic Interventions Research, Norwegian Institute of Public Health, Oslo, Norway
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Phillips WR, Sturgiss E, Glasziou P, Olde Hartman TC, Orkin AM, Prathivadi P, Reeve J, Russell GM, van Weel C. Improving the Reporting of Primary Care Research: Consensus Reporting Items for Studies in Primary Care-the CRISP Statement. Ann Fam Med 2023; 21:549-555. [PMID: 37788942 PMCID: PMC10681700 DOI: 10.1370/afm.3029] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 05/22/2023] [Accepted: 05/31/2023] [Indexed: 10/05/2023] Open
Abstract
Primary care (PC) is a unique clinical specialty and research discipline with its own perspectives and methods. Research in this field uses varied research methods and study designs to investigate myriad topics. The diversity of PC presents challenges for reporting, and despite the proliferation of reporting guidelines, none focuses specifically on the needs of PC. The Consensus Reporting Items for Studies in Primary Care (CRISP) Checklist guides reporting of PC research to include the information needed by the diverse PC community, including practitioners, patients, and communities. CRISP complements current guidelines to enhance the reporting, dissemination, and application of PC research findings and results. Prior CRISP studies documented opportunities to improve research reporting in this field. Our surveys of the international, interdisciplinary, and interprofessional PC community identified essential items to include in PC research reports. A 2-round Delphi study identified a consensus list of items considered necessary. The CRISP Checklist contains 24 items that describe the research team, patients, study participants, health conditions, clinical encounters, care teams, interventions, study measures, settings of care, and implementation of findings/results in PC. Not every item applies to every study design or topic. The CRISP guidelines inform the design and reporting of (1) studies done by PC researchers, (2) studies done by other investigators in PC populations and settings, and (3) studies intended for application in PC practice. Improved reporting of the context of the clinical services and the process of research is critical to interpreting study findings/results and applying them to diverse populations and varied settings in PC.Annals "Online First" article.
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Affiliation(s)
| | - Elizabeth Sturgiss
- School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia
| | | | - Tim C Olde Hartman
- Radboud Institute of Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
| | | | | | | | | | - Chris van Weel
- Radboud Institute of Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
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Pittman J, Black JM, de Jesus A, Padula WV. The Standardized Pressure Injury Prevention Protocol (SPIPP) Checklist 2.0: Content validation. J Adv Nurs 2023. [PMID: 37994188 DOI: 10.1111/jan.15964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Revised: 10/19/2023] [Accepted: 11/02/2023] [Indexed: 11/24/2023]
Abstract
BACKGROUND Pressure injury prevention is complex, and rates continue to rise. Checklists reduce human error, improve adherence and standardization with complex processes, focus attention on evidence-based practices derived from clinical practice guidelines and are arranged in a systematic manner to manage the entirety of a patient's risk for preventable outcomes. The original Standardized Pressure Injury Prevention Protocol was created to provide a checklist of pressure injury prevention measures but needed revision and validation. PURPOSE This article describes the revision and content validity testing of the Standardized Pressure Injury Prevention Protocol Checklist 2.0 that took place in 2022. METHODS Using the International 2019 Clinical Practice Guideline as a foundation, items were identified/revised, and expert review of the items was obtained. The Standardized Pressure Injury Prevention Protocol 2.0 underwent three rounds of revision by experts from the National Pressure Injury Advisory Panel. A panel of eight national experts completed the content validity survey. Individual item content validity index and total scale content validity index were used to summarize the content validity survey scores. RESULTS The individual item content validity index scores ranged from 0.5 to 1.0. One item (using a mirror to look at heels) was rated as 0.5, three items were 0.75, 20 items were 0.875 and 23 items were 1.0. The item scoring 0.5 was deleted. Those items scoring 0.75 were revised using the content experts' recommendations. The total scale content validity index was 0.93. CONCLUSION The Standardized Pressure Injury Prevention Protocol 2.0 provides a standardized checklist of evidence-based items that operationalize a rigorous clinical practice guideline for the prevention of pressure injuries. Early intervention using a standardized approach and evidence-based checklist that can be integrated into the workflow of the direct-care nurse and provider provides the best opportunity for successful and sustainable pressure injury prevention.
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Affiliation(s)
- Joyce Pittman
- College of Nursing, University of South Alabama, Mobile, Alabama, USA
| | - Joyce M Black
- College of Nursing, University of Nebraska, Omaha, Nebraska, USA
| | | | - William V Padula
- Department of Pharmaceutical & Health Economics, University of Southern California Mann School of Pharmacy & Pharmaceutical Sciences, Los Angeles, California, USA
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Tschernosterová K, Trávníčková E, Grattarola F, Rosse C, Keil P. SPARSE 1.0: a template for databases of species inventories, with an open example of Czech birds. Biodivers Data J 2023; 11:e108731. [PMID: 38046930 PMCID: PMC10690794 DOI: 10.3897/bdj.11.e108731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 11/09/2023] [Indexed: 12/05/2023] Open
Abstract
Here, we introduce SPARSE (acronym for "SPecies AcRoss ScalEs"), a simple and portable template for databases that can store data on species composition derived from ecological inventories, surveys and checklists, with emphasis on metadata describing sampling effort and methods. SPARSE can accommodate resurveys and time series and data from different spatial scales, as well as complex sampling designs. SPARSE focuses on inventories that report multiple species for a given site, together with sampling methods and effort, which can be used in statistical models of true probability of occurrence of species. SPARSE is spatially explicit and can accommodate nested spatial structures from multiple spatial scales, including sampling designs where multiple sites within a larger area have been surveyed and the larger area can again be nested in an even larger region. Each site in SPARSE is represented either by a point, line (for transects) or polygon, stored in an ESRI shapefile. SPARSE implements a new combination of our own field definitions with Darwin Core biodiversity data standard and its Humboldt core extension. The use of Humboldt core also makes SPARSE suitable for biodiversity data with temporal replication. We provide an example use of the SPARSE framework by digitising data on birds from the Czech Republic, from 348 sites and 524 sampling events, with 15,969 unique species-per-event observations of presence, abundance or population density. To facilitate use without the need for a high-level database expertise, the Czech bird example is implemented as MS Access .accdb file, but can be ported to other database engines. The example of Czech birds complements other bird datasets from the Czech Republic, specifically the four gridded national atlases and the breeding bird survey which cover a similar temporal extent, but different locations and spatial scales.
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Affiliation(s)
- Kateřina Tschernosterová
- Czech University of Life Sciences Prague, Praha - Suchdol, Czech RepublicCzech University of Life Sciences PraguePraha - SuchdolCzech Republic
| | - Eva Trávníčková
- Czech University of Life Sciences Prague, Praha - Suchdol, Czech RepublicCzech University of Life Sciences PraguePraha - SuchdolCzech Republic
| | - Florencia Grattarola
- Czech University of Life Sciences Prague, Praha - Suchdol, Czech RepublicCzech University of Life Sciences PraguePraha - SuchdolCzech Republic
| | - Clara Rosse
- German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Leipzig, GermanyGerman Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-LeipzigLeipzigGermany
| | - Petr Keil
- Czech University of Life Sciences Prague, Praha - Suchdol, Czech RepublicCzech University of Life Sciences PraguePraha - SuchdolCzech Republic
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Orsoni M, Dubé A, Prandi C, Giovagnoli S, Benassi M, Mazzoni E, Benvenuti M. Learning Landscape in Gamification: The Need for a Methodological Protocol in Research Applications. Perspect Psychol Sci 2023:17456916231202489. [PMID: 37983480 DOI: 10.1177/17456916231202489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Abstract
In education, the term "gamification" refers to of the use of game-design elements and gaming experiences in the learning processes to enhance learners' motivation and engagement. Despite researchers' efforts to evaluate the impact of gamification in educational settings, several methodological drawbacks are still present. Indeed, the number of studies with high methodological rigor is reduced and, consequently, so are the reliability of results. In this work, we identified the key concepts explaining the methodological issues in the use of gamification in learning and education, and we exploited the controverses identified in the extant literature. Our final goal was to set up a checklist protocol that will facilitate the design of more rigorous studies in the gamified-learning framework. The checklist suggests potential moderators explaining the link between gamification, learning, and education identified by recent reviews, systematic reviews, and meta-analyses: study design, theory foundations, personalization, motivation and engagement, game elements, game design, and learning outcomes.
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Affiliation(s)
| | - Adam Dubé
- Department of Educational and Counselling Psychology, McGill University
| | - Catia Prandi
- Department of Computer Science and Engineering, University of Bologna
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Chung H, Hyatt A, Crone E, Milne D, Aranda S, Gough K, Krishnasamy M. Clinical Utility Assessment of a Nursing Checklist Identifying Complex Care Needs Due to Inequities Among Ambulatory Patients With Cancer: Protocol for a Mixed Methods Study. JMIR Res Protoc 2023; 12:e48432. [PMID: 37943601 PMCID: PMC10667971 DOI: 10.2196/48432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Revised: 08/25/2023] [Accepted: 08/27/2023] [Indexed: 11/10/2023] Open
Abstract
BACKGROUND Disparities in cancer incidence, complex care needs, and poor health outcomes are largely driven by structural inequities stemming from social determinants of health. To date, no evidence-based clinical tool has been developed to identify newly diagnosed patients at risk of poorer outcomes. Specialist cancer nurses are well-positioned to ameliorate inequity of opportunity for optimal care, treatment, and outcomes through timely screening, assessment, and intervention. We designed a nursing complexity checklist (the "Checklist") to support these activities, with the ultimate goal of improving equitable experiences and outcomes of care. This study aims to generate evidence regarding the clinical utility of the Checklist. OBJECTIVE The primary objectives of this study are to provide qualitative evidence regarding key aspects of the Checklist's clinical utility (appropriateness, acceptability, and practicability), informed by Smart's multidimensional model of clinical utility. Secondary objectives explore the predictive value of the Checklist and concordance between specific checklist items and patient-reported outcome measures. METHODS This prospective mixed methods case series study will recruit up to 60 newly diagnosed patients with cancer and 10 specialist nurses from a specialist cancer center. Nurses will complete the Checklist with patient participants. Within 2 weeks of Checklist completion, patients will complete 5 patient-reported outcome measures with established psychometric properties that correspond to specific checklist items and an individual semistructured interview to explore Checklist clinical utility. Interviews with nurses will occur 12 and 24 weeks after they first complete a checklist, exploring perceptions of the Checklist's clinical utility including barriers and facilitators to implementation. Data describing planned and unplanned patient service use will be collected from patient follow-up interviews at 12 weeks and the electronic medical record at 24 weeks after Checklist completion. Descriptive statistics will summarize operational, checklist, and electronic medical record data. The predictive value of the Checklist and the relationship between specific checklist items and relevant patient-reported outcome measures will be examined using descriptive statistics, contingency tables, measures of association, and plots as appropriate. Qualitative data will be analyzed using a content analysis approach. RESULTS This study was approved by the institution's ethics committee. The enrollment period commenced in May 2022 and ended in November 2022. In total, 37 patients with cancer and 7 specialist cancer nurses were recruited at this time. Data collection is scheduled for completion at the end of May 2023. CONCLUSIONS This study will evaluate key clinical utility dimensions of a nursing complexity checklist. It will also provide preliminary evidence on its predictive value and information to support its seamless implementation into everyday practice including, but not limited to, possible revisions to the Checklist, instructions, and training for relevant personnel. Future implementation of this Checklist may improve equity of opportunity of access to care for patients with cancer. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/48432.
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Affiliation(s)
- Holly Chung
- Academic Nursing Unit, Peter MacCallum Cancer Centre, Melbourne, Australia
- Department of Health Services Research and Implementation Science, Peter MacCallum Cancer Centre, Melbourne, Australia
| | - Amelia Hyatt
- Department of Health Services Research and Implementation Science, Peter MacCallum Cancer Centre, Melbourne, Australia
- Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Australia
- Department of Nursing, School of Health Sciences, University of Melbourne, Melbourne, Australia
| | - Elizabeth Crone
- Academic Nursing Unit, Peter MacCallum Cancer Centre, Melbourne, Australia
| | - Donna Milne
- Department of Nursing, School of Health Sciences, University of Melbourne, Melbourne, Australia
- Skin and Melanoma Service, Peter MacCallum Cancer Centre, Melbourne, Australia
| | - Sanchia Aranda
- Department of Nursing, School of Health Sciences, University of Melbourne, Melbourne, Australia
| | - Karla Gough
- Department of Health Services Research and Implementation Science, Peter MacCallum Cancer Centre, Melbourne, Australia
- Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Australia
- Department of Nursing, School of Health Sciences, University of Melbourne, Melbourne, Australia
| | - Meinir Krishnasamy
- Academic Nursing Unit, Peter MacCallum Cancer Centre, Melbourne, Australia
- Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Australia
- Department of Nursing, School of Health Sciences, University of Melbourne, Melbourne, Australia
- Victorian Comprehensive Cancer Centre Alliance, Victoria, Australia
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Schellenberger Costa D, Boehnisch G, Freiberg M, Govaerts R, Grenié M, Hassler M, Kattge J, Muellner-Riehl AN, Rojas Andrés BM, Winter M, Watson M, Zizka A, Wirth C. The big four of plant taxonomy - a comparison of global checklists of vascular plant names. New Phytol 2023; 240:1687-1702. [PMID: 37243532 DOI: 10.1111/nph.18961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 04/12/2023] [Indexed: 05/29/2023]
Abstract
Taxonomic checklists used to verify published plant names and identify synonyms are a cornerstone of biological research. Four global authoritative checklists for vascular plants exist: Leipzig Catalogue of Vascular Plants, World Checklist of Vascular Plants, World Flora Online (successor of The Plant List, TPL), and WorldPlants. We compared these four checklists in terms of size and differences across taxa. We matched taxon names of these checklists and TPL against each other, identified differences across checklists, and evaluated the consistency of accepted names linked to individual taxon names. We assessed geographic and phylogenetic patterns of variance. All checklists differed strongly compared with TPL and provided identical information on c. 60% of plant names. Geographically, differences in checklists increased from low to high latitudes. Phylogenetically, we detected strong variability across families. A comparison of name-matching performance on taxon names submitted to the functional trait database TRY, and a check of completeness of accepted names evaluated against an independent, expert-curated checklist of the family Meliaceae, showed a similar performance across checklists. This study raises awareness on the differences in data and approach across these checklists potentially impacting analyses. We propose ideas on the way forward exploring synergies and harmonizing the four global checklists.
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Affiliation(s)
- David Schellenberger Costa
- Department of Special Botany and Functional Biodiversity, Faculty of Life Sciences, University of Leipzig, Johannisallee 21-23, 04103, Leipzig, Germany
- German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstr 4, 04103, Leipzig, Germany
| | - Gerhard Boehnisch
- Research Group Functional Biogeography, Max Planck Institute for Biogeochemistry, Hans-Knoell-Str. 10, 07745, Jena, Germany
| | - Martin Freiberg
- Department of Special Botany and Functional Biodiversity, Faculty of Life Sciences, University of Leipzig, Johannisallee 21-23, 04103, Leipzig, Germany
| | - Rafaël Govaerts
- Jodrell Laboratory, Royal Botanic Gardens, Kew, Kew Road, Richmond, TW9 3DS, UK
| | - Matthias Grenié
- German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstr 4, 04103, Leipzig, Germany
| | | | - Jens Kattge
- Research Group Functional Biogeography, Max Planck Institute for Biogeochemistry, Hans-Knoell-Str. 10, 07745, Jena, Germany
| | - Alexandra N Muellner-Riehl
- German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstr 4, 04103, Leipzig, Germany
- Department of Molecular Evolution and Plant Systematics & Herbarium (LZ), Faculty of Life Sciences, University of Leipzig, Johannisallee 21-23, 04103, Leipzig, Germany
| | - Blanca M Rojas Andrés
- Departamento de Botánica y Fisiología Vegetal, Universidad de Salamanca, Ave Licenciado Méndez Nieto s/n, 37007, Salamanca, Spain
- Biobanco de ADN Vegetal, Edificio Multiusos I+D+i, Universidad de Salamanca, Calle Espejo s/n, 37007, Salamanca, Spain
| | - Marten Winter
- German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstr 4, 04103, Leipzig, Germany
| | - Mark Watson
- Royal Botanic Garden Edinburgh, 20a Inverleith Row, Edinburgh, EH3 5LR, UK
| | - Alexander Zizka
- German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstr 4, 04103, Leipzig, Germany
- Department of Biology, Philipps-University Marburg, 35043, Marburg, Germany
| | - Christian Wirth
- Department of Special Botany and Functional Biodiversity, Faculty of Life Sciences, University of Leipzig, Johannisallee 21-23, 04103, Leipzig, Germany
- German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstr 4, 04103, Leipzig, Germany
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Robitzsch A. To Check or Not to Check? A Comment on the Contemporary Psychometrics (ConPsy) Checklist for the Analysis of Questionnaire Items. Eur J Investig Health Psychol Educ 2023; 13:2150-2159. [PMID: 37887152 PMCID: PMC10606083 DOI: 10.3390/ejihpe13100151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 10/03/2023] [Accepted: 10/04/2023] [Indexed: 10/28/2023] Open
Abstract
In a recent paper, the first version of the contemporary psychometrics (ConPsy) checklist for assessing measurement tool quality has been published. This checklist aims to provide guidelines and references to researchers to assess measurement properties for newly developed measurement instruments. The ConPsy checklist recommends appropriate statistical methods for measurement instrument evaluation to guide researchers in instrument development and to support peer review. In this opinion article, I critically review some aspects of the checklist and question the usefulness of certain psychometric analyses in research practice.
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Affiliation(s)
- Alexander Robitzsch
- IPN—Leibniz Institute for Science and Mathematics Education, Olshausenstraße 62, 24118 Kiel, Germany;
- Centre for International Student Assessment (ZIB), Olshausenstraße 62, 24118 Kiel, Germany
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Blaiss M, DuBuske L, Nolte H, Opstrup M, Rance K. A practical guide to prescribing sublingual immunotherapy tablets in North America for pediatric allergic rhinoconjunctivitis: an injection-free allergy immunotherapy option. Front Pediatr 2023; 11:1244146. [PMID: 37859770 PMCID: PMC10582981 DOI: 10.3389/fped.2023.1244146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 09/12/2023] [Indexed: 10/21/2023] Open
Abstract
Allergic rhinoconjunctivitis (ARC) is a common disease that affects individuals of all ages. Pediatricians may be the first (and only) point of care for children with ARC. Sublingual immunotherapy (SLIT)-tablets are a convenient at-home, injection-free allergy immunotherapy option that can be used for the treatment of ARC. This paper provides a practical guide for pediatricians to aid in prescribing SLIT-tablets to children with ARC in North America. Topics include a summary of the available SLIT-tablets and their efficacy and safety, guidance on when SLIT-tablets are an appropriate option, and how to diagnose ARC and identify culprit allergens. Practical guidance is also provided through a proposed decision tree, a prescribing checklist and prescribing procedures, and suggested follow-up assessments.
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Affiliation(s)
- Michael Blaiss
- Department of Pediatrics, Medical College of Georgia, Augusta, GA, United States
| | - Lawrence DuBuske
- Department of Medicine, The George Washington University Hospital, Washington, DC, United States
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Atiqah NS, Pesiu E, Sarimi MS, Shafie NA, Koid CW, Norhazrina N, Syazwana N, Lee GE. Bryophyte flora of Mount Tebu Forest Reserve, Terengganu, Peninsular Malaysia. PhytoKeys 2023; 234:35-49. [PMID: 37841962 PMCID: PMC10568474 DOI: 10.3897/phytokeys.234.105783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 08/27/2023] [Indexed: 10/17/2023]
Abstract
A checklist of the bryophyte flora of Mount Tebu Forest Reserve in Terengganu, Peninsular Malaysia, is presented. A total of 189 taxa in 71 genera and 26 families were enumerated. This figure represents 63% of the 298 bryophyte species recorded so far for the State of Terengganu. Out of 189 taxa of bryophytes, 26 liverworts are new additions to the bryoflora of Terengganu. The most prominent liverwort family is represented by Lejeuneaceae, with 54 species from 17 genera, while the moss family is the Sematophyllaceae, with 34 taxa in 13 genera. The majority of the species are epiphytes, either corticolous or ramicolous. Almost half of the bryophyte species have wider elevational ranges and occur from the lowlands to the summit of Mount Tebu.
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Affiliation(s)
- Nur Saidatul Atiqah
- Faculty of Science and Marine Environment, 21030 Kuala Nerus, Universiti Malaysia Terengganu, Terengganu, Malaysia
| | - Elizabeth Pesiu
- Faculty of Science and Marine Environment, 21030 Kuala Nerus, Universiti Malaysia Terengganu, Terengganu, Malaysia
| | - Muhammad Syafiq Sarimi
- Faculty of Science and Marine Environment, 21030 Kuala Nerus, Universiti Malaysia Terengganu, Terengganu, Malaysia
| | - Nor Aishah Shafie
- Faculty of Science and Marine Environment, 21030 Kuala Nerus, Universiti Malaysia Terengganu, Terengganu, Malaysia
| | - Chin Wen Koid
- Faculty of Science and Marine Environment, 21030 Kuala Nerus, Universiti Malaysia Terengganu, Terengganu, Malaysia
| | - Nik Norhazrina
- Department of Biological Sciences and Biotechnology, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, 43600 Selangor, Malaysia
| | - Nur Syazwana
- Department of Biological Sciences and Biotechnology, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, 43600 Selangor, Malaysia
| | - Gaik Ee Lee
- Faculty of Science and Marine Environment, 21030 Kuala Nerus, Universiti Malaysia Terengganu, Terengganu, Malaysia
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Björndahl L, Esteves SC, Ferlin A, Jørgensen N, O'Flaherty C. Improving standard practices in studies using results from basic human semen examination. Andrology 2023; 11:1225-1231. [PMID: 37740519 DOI: 10.1111/andr.13504] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 07/27/2023] [Accepted: 07/28/2023] [Indexed: 09/24/2023]
Abstract
The purpose of this article is to provide an explanation of the background behind a checklist that declares the laboratory methods used in a scientific study. It focuses primarily on implementing laboratory procedures to yield reliable results in basic semen examinations. While the World Health Organization (WHO) and international standards provide recommendations for basic semen examination, manuscripts submitted to Andrology frequently lack transparency regarding the specific techniques used. In addition, the terminology used for semen examination results often fails to provide a clear definition of the groups under study. Furthermore, the WHO's reference limits are often misinterpreted as strict boundaries between fertility and infertility. It is important to note that valid clinical andrological diagnoses and treatments cannot rely solely on semen examination results; they require proper laboratory procedures as a foundation for diagnosing and treating male patients. Therefore, scientific journals should promote the adoption of robust laboratory practices and an accurate definition of patient groups. A checklist can facilitate the design of high-quality studies and the creation of informative publications. Further, it can help journals assess submitted manuscripts and improve the overall quality of their publications.
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Affiliation(s)
- Lars Björndahl
- ANOVA Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden
| | - Sandro C Esteves
- ANDROFERT, Andrology and Human Reproduction Clinic, Campinas, São Paulo, Brazil
- Department of Surgery (Urology Division), University of Campinas (UNICAMP), Campinas, São Paulo, Brazil
- Faculty of Health, Aarhus University, Aarhus, Denmark
| | - Alberto Ferlin
- Department of Medicine, Unit of Andrology and Repoductive Medicine, University of Padova, Padova, Italy
| | - Niels Jørgensen
- Department of Growth and Reproduction, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
- International Center for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Rigshospitalet, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
| | - Cristian O'Flaherty
- Surgery (Urology Division), Montréal, Québec, Canada
- Pharmacology and Therapeutics, Montréal, Québec, Canada
- Anatomy and Cell Biology, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada
- The Research Institute, McGill University Health Centre, Montréal, Québec, Canada
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Rani R, Kaur S, Kaur S, Kaur S. An updated checklist of mosquitoes (Diptera: Culicidae) from Chandigarh, India and its surrounding area. J Vector Borne Dis 2023; 60:439-443. [PMID: 38174524 DOI: 10.4103/0972-9062.374241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2024] Open
Abstract
Background & objectives The affirmation about the prevalence of mosquito species at a particular place and time is very significant, not only to predict the danger of diseases or future outbreaks but also to control the vectors in time. Despite mosquitoes being medically important, the information about its faunal diversity is very scanty as far as Chandigarh in India and its nearby areas are concerned. So, this study was carried out to survey the mosquito fauna from areas in and around Chandigarh in northern India. Methods Detailed mosquito surveys were carried out to explore the mosquito fauna from various habitats of developed urban areas, gardens, slums and surrounding villages of Chandigarh from June 2017-November 2019 using hand nets and oral aspirators. Results A total of 34 mosquito species belonging to 8 genera viz; Anopheles, Aedes, Armigeres, Culex, Coquillet-tidia, Mansonia, Mimomyia and Verrallina were recorded, identified and preserved along with detailed collection data, of which eight are new records from Chandigarh. Interpretation & conclusion The present checklist of mosquito fauna comprising 34 species provides information on the occurrence of mosquito vectors in Chandigarh and its adjoining areas which will be beneficial for the health authorities to adopt appropriate measures in time for the control of these vectors.
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Affiliation(s)
- Ranjana Rani
- P.G. Department of Zoology, DAV College, Chandigarh, India
| | - Sandeep Kaur
- Department of Zoology, Panjab University, Chandigarh, India
| | - Sukhbir Kaur
- Department of Zoology, Panjab University, Chandigarh, India
| | - Sagandeep Kaur
- P.G. Department of Zoology, DAV College, Chandigarh, India
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Mamaril ME, MacDonald R. Documentation of Assessments and Interventions Using a Pediatric Preoperative Risk Assessment Checklist in the Postanesthesia Care Unit: A Quality Improvement Initiative. J Perianesth Nurs 2023; 38:693-702. [PMID: 37269275 DOI: 10.1016/j.jopan.2023.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Revised: 12/22/2022] [Accepted: 01/07/2023] [Indexed: 06/05/2023]
Abstract
PURPOSE Describe the impact of the implementation of an evidence-based pediatric preoperative risk assessment (PPRA) checklist on the frequency of postanesthesia care unit (PACU) nursing assessments and interventions in children at risk for respiratory complications during emergence from anesthesia. DESIGN Prospective pre-/postdesign. METHODS Pediatric perianesthesia nurses assessed 100 children preintervention according to current standard. After nurses received pediatric preoperative risk factor (PPRF) education, another 100 children were assessed postintervention using the PPRA checklist. Pre-/postpatients were unmatched for statistical purposes due to two different groups. Frequency of PACU nursing respiratory assessments/interventions was evaluated. FINDINGS Demographic variables, risk factors, frequency of nursing assessments/interventions were summarized in pre-/postinterventions. Significant differences (P < .001) were noted between pre-/postintervention groups with increased frequency of postnursing assessments/interventions that correlated with increased risk factors and weighted risk factors. CONCLUSIONS By identifying total PPRFs, PACU nurses used their plan of care to frequently assess and pre-emptively intervene with children who had increased risk factors to prevent or mitigate respiratory complications on emergence from anesthesia.
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Affiliation(s)
- Myrna E Mamaril
- Perioperative Services, Johns Hopkins Hospital, Baltimore, MD.
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Chaib E, Pessoa JLE, Struchiner CJ, D'Albuquerque LAC, Massad E. THE OPTIMUM LEVEL OF MELD TO MINIMIZE THE MORTALITY ON LIVER TRANSPLANTATION WAITING LIST, AND LIVER TRANSPLANTED PATIENT IN SÃO PAULO STATE, BRAZIL. Arq Bras Cir Dig 2023; 36:e1746. [PMID: 37729279 PMCID: PMC10510095 DOI: 10.1590/0102-672020230028e1746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 06/20/2023] [Indexed: 09/22/2023]
Abstract
BACKGROUND After validation in multiple types of liver disease patients, the MELD score was adopted as a standard by which liver transplant candidates with end-stage liver disease were prioritized for organ allocation in the United States since 2002, and in Brazil, since 2006. AIMS To analyze the mortality profile of patients on the liver transplant waiting list correlated to MELD score at the moment of transplantation. METHODS This study used the data from the Secretary of Health of the São Paulo State, Brazil, which listed 22,522 patients, from 2006 (when MELD score was introduced in Brazil) until June 2009. Patients with acute hepatic failure and tumors were included as well. We also considered the mortality of both non-transplanted and transplanted patients as a function of the MELD score at presentation. RESULTS Our model showed that the best MELD score for patients on the liver transplant waiting list associated to better results after liver transplantation was 26. CONCLUSIONS We found that the best score for applying to liver transplant waiting list in the State of São Paulo was 26. This is the score that minimizes the mortality in both non-transplanted and liver transplanted patients.
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Affiliation(s)
- Eleazar Chaib
- Department of Gastroenterology, Faculty of Medicine, Universidade de São Paulo - São Paulo (SP), Brazil
| | | | - Claudio José Struchiner
- Applied Mathematics, School of Applied Mathematics, Fundação Getulio Vargas - Rio de Janeiro (RJ), Brazil
| | | | - Eduardo Massad
- Applied Mathematics, School of Applied Mathematics, Fundação Getulio Vargas - Rio de Janeiro (RJ), Brazil
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Squires K, Brighton A, Urquhart L, Kocanda L, Heaney S. Informing online professional dietetics practice: The development and pilot testing of the Social Media Evaluation Checklist. Nutr Diet 2023; 80:351-361. [PMID: 36631069 DOI: 10.1111/1747-0080.12794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 11/22/2022] [Accepted: 12/13/2022] [Indexed: 01/13/2023]
Abstract
AIM To develop and pilot a tool to evaluate Australian dietitians' and student dietitians' ethical and professional practice using social media. METHODS A Social Media Evaluation Checklist was developed based on checklist development literature with a four-staged process. Stage one included a literature review and input from an expert panel to ensure content validity. Stages two and three were to ensure face validity by categorising the checklist and pilot testing the tool. Instagram profiles and posts were audited by two authors using the checklist in the final stage to analyse ethical and professional use. An account purposely created for this study was used, and the first 25 dietitian and first 25 student dietitian profiles identified using the key words 'dietitian', 'student dietitian' and 'dietitian student' and the hashtag '#australiandietitian' were reviewed. RESULTS A total of 50 Instagram profiles and 250 posts were audited based on seven categories; (1) financial disclosure, (2) cultural awareness, (3) evidence-based information, (4) transparency, (5) privacy/confidentiality, (6) professionalism and (7) justifiability. Areas for improvement included advertising transparency which was met in only 12% of dietitian posts, and the provision of evidence-based information, which was met in 56% of dietitian posts and 72% of student dietitian posts. CONCLUSIONS This study provides insight into the ethical and professional use of social media by Australian dietitians and dietetics students. With the evolving nature of social media, guidance is required. This will ensure dietitians remain, now and in the future, the credible source of nutrition information for the public.
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Affiliation(s)
- Kelly Squires
- School of Health Sciences, University of Newcastle, Callaghan, Australia
| | - Alisha Brighton
- Hunter New England Local Health District, New Lambton, Australia
| | - Lisa Urquhart
- Department of Rural Health, University of Newcastle, Callaghan, Australia
| | - Lucy Kocanda
- Department of Rural Health, University of Newcastle, Callaghan, Australia
| | - Susan Heaney
- Department of Rural Health, University of Newcastle, Callaghan, Australia
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Norling B, Jung JH, Hwang EC, Han MA, Khaleel S, Schünemann HJ, Dahm P. GRADE Reporting in Systematic Reviews Published in the Urological Literature (2009-2021). J Urol 2023; 210:529-536. [PMID: 37249554 DOI: 10.1097/ju.0000000000003558] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 05/11/2023] [Indexed: 05/31/2023]
Abstract
PURPOSE We evaluate the reporting of the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach to rating the certainty of evidence in systematic reviews published in the urological literature. MATERIALS AND METHODS Based on a predefined protocol, we identified all systematic reviews published in 5 major urological journals from 1998 to 2021 that reported the use of GRADE. Two authors performed study selection and data abstraction independently to assess reporting in accordance with established criteria for applying GRADE. RESULTS We included 68 of 522 (13.0%) systematic reviews that reported the use of GRADE; the first was published in 2009. Approximately half were published between 2009-2018 (n=36) and the other half between 2019-2021 (n=32). Oncology (24; 35.3%) was the most common clinical topic, and the authors were mostly based in Europe (34; 50%). In their abstract, less than half of all systematic reviews (32; 47.1%) provided any certainty of evidence rating. Only 41 (60.3%) included a tabular result summary in the format of a summary of findings table (24; 35.3%) or evidence profile (17; 25.0%). Few (35.3%) addressed the GRADE certainty of evidence rating in the discussion section. Reporting did not improve over time when comparing the 2 time periods. CONCLUSIONS Whereas GRADE is increasingly being applied for rating the certainty of evidence, systematic reviews published in the urological literature frequently have not followed established criteria for applying or using GRADE. There is a need for better training of authors and editors, as well as for a GRADE reporting checklist for systematic review authors.
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Affiliation(s)
- Brett Norling
- University of Minnesota School of Medicine, Minneapolis, Minnesota
| | - Jae Hung Jung
- Department of Urology, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea
- Center of Evidence Based Medicine, Institute of Convergence Science, Yonsei University, Seoul, Republic of Korea
| | - Eu Chang Hwang
- Department of Urology, Chonnam National University Medical School, Hwasun, Republic of Korea
| | - Mi Ah Han
- Department of Preventive Medicine, College of Medicine, Chosun University, Gwangju, Republic of Korea
| | - Sari Khaleel
- Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Holger J Schünemann
- Department of Health Research Methods, Evidence & Impact, McMaster University, Ontario, Canada
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
- Michael G. DeGroote Cochrane Canada Centre & McMaster GRADE Centre, McMaster University, Hamilton, Ontario, Canada
| | - Philipp Dahm
- Minneapolis VA Healthcare System, Minneapolis, Minnesota
- Department of Urology, University of Minnesota School of Medicine, Minneapolis, Minnesota
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Taylor JC. Mitigating Diagnostic Errors With Point-of-Care Ultrasonography: A New Framework. Tex Heart Inst J 2023; 50:e238234. [PMID: 37641910 PMCID: PMC10660645 DOI: 10.14503/thij-23-8234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
Affiliation(s)
- Jayne Chirdo Taylor
- Department of Anesthesiology and Critical Care Medicine, Baylor College of Medicine, Houston, Texas
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Lupi D, Zanetti A, Triberti P, Facchini S, Rigato F, Jucker C, Malabusini S, Savoldelli S, Cortesi P, Loni A. Insect Biodiversity in a Prealpine Suburban Hilly Area in Italy. Insects 2023; 14:727. [PMID: 37754695 PMCID: PMC10532219 DOI: 10.3390/insects14090727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 08/18/2023] [Accepted: 08/22/2023] [Indexed: 09/28/2023]
Abstract
Human activities and habitat fragmentation are known to greatly influence biodiversity. The aim of this study was to update an entomological checklist of a prealpine area in Italy, and also to evaluate the influence of different habitats and the proximity to cities on the entomological fauna. This study included different areas of a local park in Northern Italy, covering about 4000 ha, and situated at altitudes between 190 and 960 m asl. The surveys were carried out between 2010 and 2013 using different monitoring techniques (pitfall traps, car mounted nets, light traps, direct catches on soil and vegetation, visual sampling, gall collection). Furthermore, to assess the effect of habitat and locality on the composition of epigeic beetles, pitfall traps were set and inspected from April to September. All captured specimens were classified to species level. A total of 409 species were recorded, belonging to 7 orders and 78 families. A total of 76.1% were represented by Coleoptera, 13% Lepidoptera, 9.4% Hymenoptera, followed by other orders. In particular, some species with peculiar characteristics, or whose presence in the area had not been previously reported, were detected, such as Atheta pseudoelongatula, Ocypus rhaeticus, Tasgius tricinctus, Euplagia quadripunctaria, Scotopteryx angularia, Elachista constitella, Parornix bifurca, Oegoconia huemeri, and Lasius (Lasius) alienus. It seems possible that the habitat affected the community more than the locality. The woods showed a reduced biodiversity, and a simplified community structure. The comparison of the same habitats in different localities did not show significant differences.
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Affiliation(s)
- Daniela Lupi
- Department of Food, Environmental and Nutritional Sciences, University of Milan, Via Celoria 2, 20133 Milano, Italy; (C.J.); (S.M.); (S.S.); (P.C.)
| | - Adriano Zanetti
- Museo Civico di Storia Naturale, Lungadige Porta Vittoria, 9, 37129 Verona, Italy; (A.Z.); (P.T.)
| | - Paolo Triberti
- Museo Civico di Storia Naturale, Lungadige Porta Vittoria, 9, 37129 Verona, Italy; (A.Z.); (P.T.)
| | | | - Fabrizio Rigato
- Museo Civico di Storia Naturale, Corso Venezia 55, 20121 Milano, Italy;
| | - Costanza Jucker
- Department of Food, Environmental and Nutritional Sciences, University of Milan, Via Celoria 2, 20133 Milano, Italy; (C.J.); (S.M.); (S.S.); (P.C.)
| | - Serena Malabusini
- Department of Food, Environmental and Nutritional Sciences, University of Milan, Via Celoria 2, 20133 Milano, Italy; (C.J.); (S.M.); (S.S.); (P.C.)
| | - Sara Savoldelli
- Department of Food, Environmental and Nutritional Sciences, University of Milan, Via Celoria 2, 20133 Milano, Italy; (C.J.); (S.M.); (S.S.); (P.C.)
| | - Paolo Cortesi
- Department of Food, Environmental and Nutritional Sciences, University of Milan, Via Celoria 2, 20133 Milano, Italy; (C.J.); (S.M.); (S.S.); (P.C.)
| | - Augusto Loni
- Department of Agriculture, Food and Environment, University of Pisa, Via del Borghetto 80, 56126 Pisa, Italy;
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