432,855 research outputs found

    Promoting physical activity among university students: a systematic review of controlled trials

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    Objective: University study is often accompanied by a decline in physical activity (PA) levels but can offer the opportunity to promote a lifelong active lifestyle. This review aims to summarize controlled trials of interventions promoting PA among uni- versity students, describing the quality of the evidence, effective strategies, and deficiencies in the interventions employed, to provide directions for future research and for practical implementations. Data Source: PubMed, PsychINFO, Cochrane Library, Education Source, and SPORTDiscus. Study Inclusion Criteria: Randomized or nonrandomized controlled trial, describing an intervention to promote PA in uni- versity students, where PA was one of the outcomes and results were published in English. Data Extraction: Country, study design, participants\u2019 inclusion criteria, participation rate and characteristics, randomization, blinding, theoretical framework, intervention characteristics, participant retention rate and withdrawal reasons, measures employed, data analysis, PA results, and findings regarding PA correlates. Data Synthesis: Data were synthetized considering study characteristics, strategies used, and outcomes. Results: Two thousand five hundred eighty-five articles were identified. Twenty-seven studies met the inclusion criteria. Sixteen studies reported an increase in PA levels. Conclusion: Physical Activity promotion interventions should address a range of behavioral determinants. Personalized approaches and PA sessions should be considered in future studies. The high risk of bias of many studies (mainly due to attrition and poor reporting) and missing information about intervention components limit the strength of conclusions about the most effective strategies and the evidence of effectiveness, highlighting the need for further high-quality studies

    Mapping the crime reduction evidence base: a descriptive analysis of the WP1 Systematic Review Database.

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    This document gives some summary statistics for the sample of systematic reviews that met the WP1 inclusion criteria. These criteria are documented in the systematic review protocol for this work package. In summary, the final list of studies constituted 337 separate systematic reviews

    What effect does transition have on health and well-being in young people with intellectual disabilities? A systematic review

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    Background: Transition to adulthood might be a risk period for poor health in people with intellectual disabilities. However, we could find no synthesis of evidence on health and wellbeing outcomes during transition in this population. This review aimed to answer this question. Method: PRISMA/MOOSE guidelines were followed. Search terms were defined, electronic searches of six databases were conducted, reference lists and key journals were reviewed and grey literature was searched. Papers were selected based on clear inclusion criteria. Data was extracted from the selected papers, and their quality was systematically reviewed. The review was prospectively registered on PROSPERO: CRD42015016905. Results: 15,985 articles were extracted; of these 17 met the inclusion criteria. The results of these articles were mixed but suggested the presence of some health and wellbeing issues in this population during transition to adulthood, including obesity and sexual health issues. Conclusion: This review reveals a gap in the literature on transition and health, and points to the need for future work in this area

    Muscle dysmorphia research neglects DSM-5 diagnostic criteria

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    This systematic review aimed to collect, evaluate, and synthesize the research on muscle dysmorphia (MD) post official recognition as a specifier for body dysmorphic disorder (BDD) in the DSM-5, and provide recommendations for future research. Literature searches were conducted in four databases to see if inclusion criteria were met. Results revealed 33 studies meeting inclusion criteria, none of which utilized DSM-5 criteria for MD and/or acknowledged the criterion in their research. Few studies acknowledged the association between MD and BDD, and the methodological quality of recent MD research was considered low due to a lack of clinical samples, measurements not using validated cut-off scores, and the research designs. In conclusion, future MD research is encouraged to utilize DSM-5 diagnostic criteria to better inform clinical practice; and significantly improve the methodological quality. As such, more effective treatment options may be developed reducing the risk of health harming consequences in these individuals

    Systematic review of the psychometric properties of patient-reported outcome measures for foot and ankle in rheumatoid arthritis

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    Background Foot problems and pain are common in patients with rheumatoid arthritis. Patient-reported outcome measures provide a standardized method of capturing patients’ perspectives of their functional status and wellbeing. There are many instruments specific to people with feet affected by rheumatoid arthritis but knowledge of their psychometric validation or methodological quality is lacking Objectives To identify patient-reported outcome measures specific to the foot and ankle and rheumatoid arthritis and investigate their methodological quality and psychometric properties Design Systematic review. Data source : A search was conducted for psychometric or validation studies on patient-reported outcomes in Rheumatoid Arthritis published in different languages, by examining the Pubmed; Scopus, CINAHL; PEDro and Google Scholar databases. Review methods . The systematic review performed was based on the following inclusion criteria: psychometric or clinimetric validation studies on patient-reported outcomes specific to the foot and ankle that included patients with Rheumatoid arthritis. Two authors independently assessed the quality of the studies and extracted datas Results Of the initial 431 studies, fourteen instruments met the inclusion criteria. Significant methodological flaws were detected in most with only SEFAS met the COSMIN quality criteria. Conclusion SEFAS had the best quality and was ranked most appropriate for use with patients living with Rheumatoid Arthriti

    Validation of Diabetes Mellitus Patient Behavior Questionnaire in Primary Health Care Service

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    This study aimed to develop and validation a questionnaire as measurement instrument for knowledge and adherence behavior of DM patients in primary health care. Cross sectional study design was conducted in diabetes mellitus patient. Inclusion criteria were patients in the age group 18-65 years, diagnosed with DM, receiving at least one oral antidiabetic medication. Questionnaire questions for behavioral item were developed based on Diabetes Mellitus management guidelines and references to previous studies. Evaluation and validation by expert was carried out on diabetes mellitus experts and clinical psychologists. The pilot study was conducted on 10 healthy patients and 10 patients with diabetes who enrolled inclusion criteria. Questionnaire validation test was conducted with 41 DM outpatient at PKU Muhammadiyah Hospital in Yogyakarta. Collecting data by interviewing patients based on questionnaire. Statistical analysis was performed using SPSS with Pearson correlation coefficients for validation test and Cronbach alpha coefficients for reliability test of the questionnaire. Adherence behavior questionnaire consists of 12 question items, which are divided into three domains: cognitive, affective, and psychomotor domains. Validation results showed 12 valid items where the pearson correlation value was>0.308 (n=41). Cronbach alpha as reliability test results showed 0.78. This result showed a questionnaire were valid and reliable in Diabetes Mellitus patients. This instrument would be use in primary health care for measuring adherence behavior of DM patients

    Modelling Relevance towards Multiple Inclusion Criteria when Ranking Patients

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    In the medical domain, information retrieval systems can be used for identifying cohorts (i.e. patients) required for clinical studies. However, a challenge faced by such search systems is to retrieve the cohorts whose medical histories cover the inclusion criteria specified in a query, which are often complex and include multiple medical conditions. For example, a query may aim to find patients with both 'lupus nephritis' and 'thrombotic thrombocytopenic purpura'. In a typical best-match retrieval setting, any patient exhibiting all of the inclusion criteria should naturally be ranked higher than a patient that only exhibits a subset, or none, of the criteria. In this work, we extend the two main existing models for ranking patients to take into account the coverage of the inclusion criteria by adapting techniques from recent research into coverage-based diversification. We propose a novel approach for modelling the coverage of the query inclusion criteria within the records of a particular patient, and thereby rank highly those patients whose medical records are likely to cover all of the specified criteria. In particular, our proposed approach estimates the relevance of a patient, based on the mixture of the probability that the patient is retrieved by a patient ranking model for a given query, and the likelihood that the patient's records cover the query criteria. The latter is measured using the relevance towards each of the criteria stated in the query, represented in the form of sub-queries. We thoroughly evaluate our proposed approach using the test collection provided by the TREC 2011 and 2012 Medical Records track. Our results show significant improvements over existing strong baselines

    The Impact of Inclusion Criteria in Health Economic Assessments

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    The article of record as published may be found at https://doi.org/10.2165/11590150-000000000-00000This study aims to present complex network models which analyze professional swimmers of 50-m freestyle Olympic competitions, comparing characteristics and variables that are considered performance determinants. This comparative research includes Olympic medalists’ versus non-medalists’ behavior. Using data from 40 athletes with a mean age, weight and height of 26 ± 2.9 years, 87 ± 5.59 kg, 193 ± 3.85 cm, respectively, at the Olympics of 2000, 2004, 2008, 2012, and 2016 (16-year interval), we built two types of complex networks (graphs) for each edition, using mathematical correlations, metrics and the spectral decomposition analysis. It is possible to show that complex metrics behave differently between medalists and non-medalists. The spectral radius (SR) proved to be an important form of evaluation since in all 5 editions it was higher among medalists (SR results: 3.75, 3.5, 3.39, 2.91, and 3.66) compared to non- medalists (2.18, 2.51, 2.23, 2.07, and 2.04), with significantly differences between. This study introduces a remarkable tool in the evaluation of the performance of groups of swimming athletes by complex networks, and is relevant to athletes, coaches, and even amateurs, regarding how individual variables relate to competition results and are reflected in the SR for the best performance. In addition, this is a general method and may, in the future, be developed in the analysis of other competitive sports
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