Uses and misuses of the STROBE statement: bibliographic study

Objectives Appropriate reporting is central to the application of findings from research to clinical practice. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) recommendations consist of a checklist of 22 items that provide guidance on the reporting of cohort, case-control and cross-sectional studies, in order to facilitate critical appraisal and interpretation of results. STROBE was published in October 2007 in several journals including The Lancet, BMJ, Annals of Internal Medicine and PLoS Medicine. Within the framework of the revision of the STROBE recommendations, the authors examined the context and circumstances in which the STROBE statement was used in the past. Design The authors searched the Web of Science database in August 2010 for articles which cited STROBE and examined a random sample of 100 articles using a standardised, piloted data extraction form. The use of STROBE in observational studies and systematic reviews (including meta-analyses) was classified as appropriate or inappropriate. The use of STROBE to guide the reporting of observational studies was considered appropriate. Inappropriate uses included the use of STROBE as a tool to assess the methodological quality of studies or as a guideline on how to design and conduct studies. Results The authors identified 640 articles that cited STROBE. In the random sample of 100 articles, about half were observational studies (32%) or systematic reviews (19%). Comments, editorials and letters accounted for 15%, methodological articles for 8%, and recommendations and narrative reviews for 26% of articles. Of the 32 observational studies, 26 (81%) made appropriate use of STROBE, and three uses (10%) were considered inappropriate. Among 19 systematic reviews, 10 (53%) used STROBE inappropriately as a tool to assess study quality. Conclusions The STROBE reporting recommendations are frequently used inappropriately in systematic reviews and meta-analyses as an instrument to assess the methodological quality of observational studies

The effect of ionic composition on acoustic phonon speeds in hybrid perovskites from Brillouin spectroscopy and density functional theory

© The Royal Society of Chemistry 2018. Hybrid organic-inorganic perovskites (HOIPs) have recently emerged as highly promising solution-processable materials for photovoltaic (PV) and other optoelectronic devices. HOIPs represent a broad family of materials with properties highly tuneable by the ions that make up the perovskite structure as well as their multiple combinations. Interestingly, recent high-efficiency PV devices using HOIPs with substantially improved long-term stability have used combinations of different ionic compositions. The structural dynamics of these systems are unique for semiconducting materials and are currently argued to be central to HOIPs stability and charge-transport properties. Here, we studied the impact of ionic composition on phonon speeds of HOIPs from Brillouin spectroscopy experiments and density functional theory calculations for FAPbBr3, MAPbBr3, MAPbCl3, and the mixed halide MAPbBr1.25Cl1.75. Our results show that the acoustic phonon speeds can be strongly modified by ionic composition, which we explain by analysing the lead-halide sublattice in detail. The vibrational properties of HOIPs are therefore tuneable by using targeted ionic compositions in the perovskite structure. This tuning can be rationalized by non-trivial effects, for example, considering the influence of the shape and dipole moment of organic cations. This has an important implications for further improvements in the stability and charge-transport properties of these systems

Ecocide in the Cerrados (Brazilian Savanna): agribusiness, water spoliation and pesticide contamination

Com 65 milhões de anos, os Cerrados constituem-se de intensa biodiversidade, que tem relação com sua abundância em águas e a dinâmica do ciclo hidrológico, perenizando rios de seis das oito regiões hidrográficas do país e transbordando suas águas para outros países do subcontinente americano. O bioma abriga diversos povos e comunidades tradicionais que constituíram modos de vida e saberes ancestrais. Nas últimas décadas, o Estado vem implementando nesse território políticas de desenvolvimento subordinadas ao neoextrativismo e à acumulação por espoliação de grandes corporações. Assim, os Cerrados têm sido invadidos pela expansão do agronegócio, que resultam em intensa conflitividade no bioma, além de tentar exterminar os modos de vida dos diferentes povos. Foram reunidas informações e análises para caracterizar o Ecocídio dos Cerrados, onde mais de 110 milhões de hectares do bioma estão ocupados pelo agronegócio – com área plantada para produzir 75% das commodities soja-cana-milho-algodão cultivadas no Brasil e as áreas de pastagem destinadas à produção de carne bovina. Isso implica na destruição de 52% da vegetação nativa e no consumo de 91,8% das águas superficiais e subterrâneas usadas na irrigação por pivôs centrais, resultando na migração de nascentes, na interrupção dos fluxos dos rios e na redução dos volumes dos aquíferos, como se aprofunda na análise dos conflitos em curso no oeste da Bahia e na bacia dos rios Formoso e Javaés/TO. A isso, somam-se os impactos do uso intensivo de agrotóxicos sobre todas as formas de vida – são mais de 600 milhões de litros de venenos anualmente, concentrando 73,5% do total de agrotóxicos consumidos no país em 2018, sobre a saúde humana resulta em taxas de intoxicação exógena e câncer infanto-juvenil nos Cerrados maiores que as médias nacionais. Os Cerrados caracterizam-se como zona de sacrifício do desenvolvimento brasileiro, em que natureza e povos são saqueados para garantir a acumulação de poucos, num processo de Ecocídio que é o produto moderno-colonial racista no bioma.At 65 million years old, the Cerrados biome is constituted of wide biodiversity related to its water’s abundance and hydrological cycle’s dynamics, perpetuating rivers in six of eight Brazilian river basins and overflowing its waters to other countries of the South American subcontinent. The biome hosts a diverse set of traditional communities that constituted livelihoods based on their ancestral knowledge. In recent decades, the Brazilian State has been implementing development policies in these territories that are subordinated to neo-extractivism and growth by the plunder of large corporations. Thus, the Cerrados biome was invaded by the agribusiness accelerated expansion that results in intense conflicts, threatening or refraining the livelihood of different populations. Information and analysis were gathered to characterize the Cerrados biome Ecocide, where around 120 million acres are destined to produce 75% of Brazilian commodities soy-cane-corn-cotton, which destroyed 52% of the native vegetation, and consumed 91.8% of surface water and groundwater in pivot irrigation systems, resulting in the migration of springs, the interruption of river flows and the reduction of aquifer volumes, as observed in the analysis of ongoing conflicts in western Bahia and the basin of the Formoso and Javaés rivers, in Tocantins State. Also, the impacts of intensive use of pesticides on all forms of life are observed: there are more than 600 million liters of poison annually, concentrating 73.5% of the total pesticides consumed in the country in 2018, which, regarding human health, results in rates of exogenous poisoning and childhood cancer higher than the national averages. The Cerrado biome is characterized as a sacrificial zone of the Brazilian development model where nature, and populations, are plundered to guarantee the growth of few in an Ecocide process that is a modern-colonial racist product in this territory

Curvature effects on collective excitations in dumbbell-shaped hollow nanotubes

We investigate surface-curvature induced alteration in the Tomonaga-Luttinger liquid (TLL) states of a one-dimensional (1D) deformed hollow nanotube with a dumbbell-shape. Periodic variation of the surface curvature along the axial direction is found to enhance the TLL exponent significantly, which is attributed to an effective potential field that acts low-energy electrons moving on the curved surface. The present results accounts for the experimental observation of the TLL properties of 1D metallic peanut-shaped fullerene polymers whose enveloping surface is assumed to be a dumbbell-shaped hollow tube.Comment: 4 pages, 4 figure

An invitation to grieve: reconsidering critical incident responses by support teams in the school setting

This paper proposes that consideration could be given to an invitational intervention rather than an expectational intervention when support personnel respond to a critical incident in schools. Intuitively many practitioners know that it is necessary for guidance/counselling personnel to intervene in schools in and following times of trauma. Most educational authorities in Australia have mandated the formulation of a critical incident intervention plan. This paper defines the term critical incident and then outlines current intervention processes, discussing the efficacy of debriefing interventions. Recent literature suggests that even though it is accepted that a planned intervention is necessary, there is scant evidence as to the effectiveness of debriefing interventions in stemming later symptoms of post traumatic stress disorder. The authors of this paper advocate for an expressive therapy intervention that is invitational rather than expectational, arguing that not all people respond to trauma in the same way and to expect that they will need to recall and retell what has happened is most likely a dangerous assumption. A model of invitation using Howard Gardner’s (1983) multiple intelligences is proposed so that students are invited to grieve and understand emotionally what is happening to them following a critical incident

Population density, water supply, and the risk of dengue fever in Vietnam: cohort study and spatial analysis.

BACKGROUND: Aedes aegypti, the major vector of dengue viruses, often breeds in water storage containers used by households without tap water supply, and occurs in high numbers even in dense urban areas. We analysed the interaction between human population density and lack of tap water as a cause of dengue fever outbreaks with the aim of identifying geographic areas at highest risk. METHODS AND FINDINGS: We conducted an individual-level cohort study in a population of 75,000 geo-referenced households in Vietnam over the course of two epidemics, on the basis of dengue hospital admissions (n = 3,013). We applied space-time scan statistics and mathematical models to confirm the findings. We identified a surprisingly narrow range of critical human population densities between around 3,000 to 7,000 people/km² prone to dengue outbreaks. In the study area, this population density was typical of villages and some peri-urban areas. Scan statistics showed that areas with a high population density or adequate water supply did not experience severe outbreaks. The risk of dengue was higher in rural than in urban areas, largely explained by lack of piped water supply, and in human population densities more often falling within the critical range. Mathematical modeling suggests that simple assumptions regarding area-level vector/host ratios may explain the occurrence of outbreaks. CONCLUSIONS: Rural areas may contribute at least as much to the dissemination of dengue fever as cities. Improving water supply and vector control in areas with a human population density critical for dengue transmission could increase the efficiency of control efforts. Please see later in the article for the Editors' Summary

The interpretation of systematic reviews with meta-analyses: an objective or subjective process?

<p>Abstract</p> <p>Background</p> <p>Discrepancies between the conclusions of different meta-analyses (quantitative syntheses of systematic reviews) are often ascribed to methodological differences. The objective of this study was to determine the discordance in interpretations when meta-analysts are presented with identical data.</p> <p>Methods</p> <p>We searched the literature for all randomized clinical trials (RCT) and review articles on the efficacy of intravenous magnesium in the early post-myocardial infarction period. We organized the articles chronologically and grouped them in packages. The first package included the first RCT, and a summary of the review articles published prior to first RCT. The second package contained the second and third RCT, a meta-analysis based on the data, and a summary of all review articles published prior to the third RCT. Similar packages were created for the 5^thRCT, 10^thRCT, 20^thRCT and 23^rdRCT (all articles). We presented the packages one at a time to eight different reviewers and asked them to answer three clinical questions after each package based solely on the information provided. The clinical questions included whether 1) they believed magnesium is now proven beneficial, 2) they believed magnesium will eventually be proven to be beneficial, and 3) they would recommend its use at this time.</p> <p>Results</p> <p>There was considerable disagreement among the reviewers for each package, and for each question. The discrepancies increased when the heterogeneity of the data increased. In addition, some reviewers became more sceptical of the effectiveness of magnesium over time, and some reviewers became less sceptical.</p> <p>Conclusion</p> <p>The interpretation of the results of systematic reviews with meta-analyses includes a subjective component that can lead to discordant conclusions that are independent of the methodology used to obtain or analyse the data.</p

A review of the methodological features of systematic reviews in maternal medicine

Background In maternal medicine, research evidence is scattered making it difficult to access information for clinical decision making. Systematic reviews of good methodological quality are essential to provide valid inferences and to produce usable evidence summaries to guide management. This review assesses the methodological features of existing systematic reviews in maternal medicine, comparing Cochrane and non-Cochrane reviews in maternal medicine. Methods Medline, Embase, Database of Reviews of Effectiveness (DARE) and Cochrane Database of Systematic Reviews (CDSR) were searched for relevant reviews published between 2001 and 2006. We selected those reviews in which a minimum of two databases were searched and the primary outcome was related to the maternal condition. The selected reviews were assessed for information on framing of question, literature search and methods of review. Results Out of 2846 citations, 68 reviews were selected. Among these, 39 (57%) were Cochrane reviews. Most of the reviews (50/68, 74%) evaluated therapeutic interventions. Overall, 54/68 (79%) addressed a focussed question. Although 64/68 (94%) reviews had a detailed search description, only 17/68 (25%) searched without language restriction. 32/68 (47%) attempted to include unpublished data and 11/68 (16%) assessed for the risk of missing studies quantitatively. The reviews had deficiencies in the assessment of validity of studies and exploration for heterogeneity. When compared to Cochrane reviews, other reviews were significantly inferior in specifying questions (OR 20.3, 95% CI 1.1–381.3, p = 0.04), framing focussed questions (OR 30.9, 95% CI 3.7- 256.2, p = 0.001), use of unpublished data (OR 5.6, 95% CI 1.9–16.4, p = 0.002), assessment for heterogeneity (OR 38.1, 95%CI 2.1, 688.2, p = 0.01) and use of meta-analyses (OR 3.7, 95% CI 1.3–10.8, p = 0.02). Conclusion This study identifies areas which have a strong influence on maternal morbidity and mortality but lack good quality systematic reviews. Overall quality of the existing systematic reviews was variable. Cochrane reviews were of better quality as compared to other reviews. There is a need for good quality systematic reviews to inform practice in maternal medicine

Pregnant women with bronchial asthma benefit from progressive muscle relaxation: A randomized, prospective, controlled trial

Background: Asthma is a serious medical problem in pregnancy and is often associated with stress, anger and poor quality of life. The aim of this study was to determine the efficacy of progressive muscle relaxation (PMR) on change in blood pressure, lung parameters, heart rate, anger and health-related quality of life in pregnant women with bronchial asthma. Methods: We treated a sample of 64 pregnant women with bronchial asthma from the local population in an 8-week randomized, prospective, controlled trial. Thirty-two were selected for PMR, and 32 received a placebo intervention. The systolic blood pressure, forced expiratory volume in the first second, peak expiratory flow and heart rate were tested, and the State-Trait Anger Expression Inventory and Health Survey (SF-36) were employed. Results: According to the intend-to-treat principle, a significant reduction in systolic blood pressure and a significant increase in both forced expiratory volume in the first second and peak expiratory flow were observed after PMR. The heart rate showed a significant increase in the coefficient of variation, root mean square of successive differences and high frequency ranges, in addition to a significant reduction in low and middle frequency ranges. A significant reduction on three of five State-Trait Anger Expression Inventory scales, and a significant increase on seven of eight SF-36 scales were observed. Conclusions: PMR appears to be an effective method to improve blood pressure, lung parameters and heart rate, and to decrease anger levels, thus enhancing health-related quality of life in pregnant women with bronchial asthma. Copyright (c) 2006 S. Karger AG, Basel

Neurogenesis Drives Stimulus Decorrelation in a Model of the Olfactory Bulb

The reshaping and decorrelation of similar activity patterns by neuronal networks can enhance their discriminability, storage, and retrieval. How can such networks learn to decorrelate new complex patterns, as they arise in the olfactory system? Using a computational network model for the dominant neural populations of the olfactory bulb we show that fundamental aspects of the adult neurogenesis observed in the olfactory bulb -- the persistent addition of new inhibitory granule cells to the network, their activity-dependent survival, and the reciprocal character of their synapses with the principal mitral cells -- are sufficient to restructure the network and to alter its encoding of odor stimuli adaptively so as to reduce the correlations between the bulbar representations of similar stimuli. The decorrelation is quite robust with respect to various types of perturbations of the reciprocity. The model parsimoniously captures the experimentally observed role of neurogenesis in perceptual learning and the enhanced response of young granule cells to novel stimuli. Moreover, it makes specific predictions for the type of odor enrichment that should be effective in enhancing the ability of animals to discriminate similar odor mixtures