Abrasion injuries on artificial turf : A systematic review
- Twomey, Dara, Petrass, Lauren, Fleming, Paul, Lenehan, Kurt
- Authors: Twomey, Dara , Petrass, Lauren , Fleming, Paul , Lenehan, Kurt
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Journal of Science and Medicine in Sport Vol. 22, no. 5 (2019), p. 550-556
- Full Text: false
- Reviewed:
- Description: Objectives: To review the incidence of abrasion injuries sustained on artificial turf playing fields and the level of evidence existing on player perceptions of abrasion injuries on these surfaces. Design: Systematic review. Method: A systematic search was performed using SPORTDiscus, Medline, Web of Science, Scopus and Science Direct databases. Inclusion criteria included: abrasion type injuries measured; conducted on artificial/synthetic turf; type of sport reported; peer-reviewed original research; English language search terms, but no language restrictions. A quality assessment was conducted using the Newcastle-Ottawa quality scale. Results: The search yielded 76 potential articles, with 25 meeting all inclusion criteria. Twenty articles were injury-based and five were perception–based. The differences in injury definition and the lack of details of the playing surfaces produced varying results on the rate of injuries on artificial turf. Regardless of the condition of the surface, the level of play, or the sport, players perceived the fear of abrasion injuries as a major disadvantage of artificial turf surfaces. Conclusions: The review highlighted the current disparity that exists between players’ perceptions of abrasion injuries and the level of evidence of abrasion injury risk on artificial turf playing surfaces. There is a need for the inclusion of greater detail of playing surfaces’ specifications and condition, and an injury definition sufficiently sensitive to better measure abrasion injury incidence and severity. Without this more detailed information, it is likely that the strongly perceived risk of abrasion injuries will continue as a barrier to the adoption of artificial playing surfaces.
Aerobic training protects cardiac function during advancing age : A meta-analysis of four decades of controlled studies
- Beaumont, Alexander, Grace, Fergal, Richards, Joanna, Campbell, Amy, Sculthorpe, Nicholas
- Authors: Beaumont, Alexander , Grace, Fergal , Richards, Joanna , Campbell, Amy , Sculthorpe, Nicholas
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Sports Medicine Vol. 49, no. 2 (2019), p. 199-219
- Full Text:
- Reviewed:
- Description: Background: In contrast to younger athletes, there is comparatively less literature examining cardiac structure and function in older athletes. However, a progressive accumulation of studies during the past four decades offers a body of literature worthy of systematic scrutiny. Objectives: We conducted a systematic review, meta-analysis and meta-regression of controlled echocardiography studies comparing left ventricular (LV) structure and function in aerobically trained older athletes (> 45 years) with age-matched untrained controls, in addition to investigating the influence of chronological age. Methods: Electronic databases were searched from inception to January 2018 before conducting a random-effects meta-analysis to calculate pooled differences in means, effect size and 95% confidence intervals (CIs). Study heterogeneity was reported using Cochran’s Q and I2 statistic. Results: Overall, 32 studies (644 athletes; 582 controls) were included. Athletes had greater LV end-diastolic diameter (3.65 mm, 95% CI 2.66–4.64), interventricular septal thickness (1.23 mm, 95% CI 0.85–1.60), posterior wall thickness (1.20 mm, 95% CI 0.83–1.56), LV mass (72 g, 95% CI 46–98), LV mass index (28.17 g·m2, 95% CI 19.84–36.49) and stroke volume (13.59 mL, 95% CI 7.20–19.98) (all p < 0.01). Athletes had superior global diastolic function [ratio of early (E) to late (A) mitral inflow velocity (E/A) 0.18, 95% CI 0.13–0.24, p < 0.01; ratio of early (e′) to late (a′) diastolic annular tissue velocity (e′/a′) 0.23, 95% CI 0.06–0.40, p = 0.01], lower A (−8.20 cm·s−1, 95% CI −11.90 to −4.51, p < 0.01) and a′ (−0.72 cm·s−1, 95% CI −1.31 to −0.12, p = 0.02), and more rapid e′ (0.96 cm·s−1, 95% CI 0.05–1.86, p = 0.04). Meta-regression for chronological age identified that athlete–control differences, in the main, are maintained during advancing age. Conclusions: Athletic older men have larger cardiac dimensions and enjoy more favourable cardiac function than healthy, non-athletic counterparts. Notably, the athlete groups maintain these effects during chronological ageing. © 2018, The Author(s).
- Authors: Beaumont, Alexander , Grace, Fergal , Richards, Joanna , Campbell, Amy , Sculthorpe, Nicholas
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Sports Medicine Vol. 49, no. 2 (2019), p. 199-219
- Full Text:
- Reviewed:
- Description: Background: In contrast to younger athletes, there is comparatively less literature examining cardiac structure and function in older athletes. However, a progressive accumulation of studies during the past four decades offers a body of literature worthy of systematic scrutiny. Objectives: We conducted a systematic review, meta-analysis and meta-regression of controlled echocardiography studies comparing left ventricular (LV) structure and function in aerobically trained older athletes (> 45 years) with age-matched untrained controls, in addition to investigating the influence of chronological age. Methods: Electronic databases were searched from inception to January 2018 before conducting a random-effects meta-analysis to calculate pooled differences in means, effect size and 95% confidence intervals (CIs). Study heterogeneity was reported using Cochran’s Q and I2 statistic. Results: Overall, 32 studies (644 athletes; 582 controls) were included. Athletes had greater LV end-diastolic diameter (3.65 mm, 95% CI 2.66–4.64), interventricular septal thickness (1.23 mm, 95% CI 0.85–1.60), posterior wall thickness (1.20 mm, 95% CI 0.83–1.56), LV mass (72 g, 95% CI 46–98), LV mass index (28.17 g·m2, 95% CI 19.84–36.49) and stroke volume (13.59 mL, 95% CI 7.20–19.98) (all p < 0.01). Athletes had superior global diastolic function [ratio of early (E) to late (A) mitral inflow velocity (E/A) 0.18, 95% CI 0.13–0.24, p < 0.01; ratio of early (e′) to late (a′) diastolic annular tissue velocity (e′/a′) 0.23, 95% CI 0.06–0.40, p = 0.01], lower A (−8.20 cm·s−1, 95% CI −11.90 to −4.51, p < 0.01) and a′ (−0.72 cm·s−1, 95% CI −1.31 to −0.12, p = 0.02), and more rapid e′ (0.96 cm·s−1, 95% CI 0.05–1.86, p = 0.04). Meta-regression for chronological age identified that athlete–control differences, in the main, are maintained during advancing age. Conclusions: Athletic older men have larger cardiac dimensions and enjoy more favourable cardiac function than healthy, non-athletic counterparts. Notably, the athlete groups maintain these effects during chronological ageing. © 2018, The Author(s).
Animal movements in fire-prone landscapes
- Nimmo, Dale, Avitabile, Sarah, Banks, Sam, Bird, Rebecca, Callister, Kate, Clarke, Michael, Dickman, Chris, Doherty, Tim, Driscoll, Don, Greenville, Aaron, Haslem, Angie, Kelly, Luke, Kenny, Sally, Lahoz-Monfort, Jose, Lee, Connie, Leonard, Steven, Moore, Harry, Newsome, Thomas, Parr, Catherine, Ritchie, Euan, Schneider, Kathryn, Turner, James, Watson, Simon, Westbrooke, Martin, Wouters, Mike, White, Matthew, Bennett, Andrew
- Authors: Nimmo, Dale , Avitabile, Sarah , Banks, Sam , Bird, Rebecca , Callister, Kate , Clarke, Michael , Dickman, Chris , Doherty, Tim , Driscoll, Don , Greenville, Aaron , Haslem, Angie , Kelly, Luke , Kenny, Sally , Lahoz-Monfort, Jose , Lee, Connie , Leonard, Steven , Moore, Harry , Newsome, Thomas , Parr, Catherine , Ritchie, Euan , Schneider, Kathryn , Turner, James , Watson, Simon , Westbrooke, Martin , Wouters, Mike , White, Matthew , Bennett, Andrew
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Biological Reviews Vol. 94, no. 3 (2019), p. 981-998
- Full Text: false
- Reviewed:
- Description: Movement is a trait of fundamental importance in ecosystems subject to frequent disturbances, such as fire-prone ecosystems. Despite this, the role of movement in facilitating responses to fire has received little attention. Herein, we consider how animal movement interacts with fire history to shape species distributions. We consider how fire affects movement between habitat patches of differing fire histories that occur across a range of spatial and temporal scales, from daily foraging bouts to infrequent dispersal events, and annual migrations. We review animal movements in response to the immediate and abrupt impacts of fire, and the longer-term successional changes that fires set in train. We discuss how the novel threats of altered fire regimes, landscape fragmentation, and invasive species result in suboptimal movements that drive populations downwards. We then outline the types of data needed to study animal movements in relation to fire and novel threats, to hasten the integration of movement ecology and fire ecology. We conclude by outlining a research agenda for the integration of movement ecology and fire ecology by identifying key research questions that emerge from our synthesis of animal movements in fire-prone ecosystems.
Benefits of pilates in Parkinson's Disease : A systematic review and meta-analysis
- Suarez-Iglesias, David, Miller, Kyle, Seijo-Martinez, Manuel, Ayan, Carlos
- Authors: Suarez-Iglesias, David , Miller, Kyle , Seijo-Martinez, Manuel , Ayan, Carlos
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Medicina-Lithuania Vol. 55, no. 8 (2019), p. 1-14
- Full Text:
- Reviewed:
- Description: Pilates may be a beneficial method of exercise for people with Parkinson's disease (PD). However, no studies have critically reviewed the scientific evidence in this regard. The purpose of this study was to conduct a systematic review and meta-analysis on the effectiveness of Pilates as a rehabilitation strategy for PD. A systematic search of the electronic databases PubMed, PEDro, Scopus, and SPORTDiscus was conducted to identify studies related to the effect of Pilates on PD. The search timeframe ranged from the inception of each database to March 2019. The search resulted in the identification of four randomized controlled trials (RCTs) and four non-RCT studies. The methodological quality of the investigations ranged from poor to fair. The descriptive analysis of the eight investigations showed that Pilates resulted in beneficial effects on fitness, balance and functional autonomy. A subsequent meta-analysis on the four RCTs indicated that Pilates was more effective than traditional training programmes in improving lower limb function. Pilates can be safely prescribed for people with mild-to-moderate PD. Preliminary evidence indicates that its practice could have a positive impact on fitness, balance and physical function. Its benefits on lower-body function appear to be superior to those of other conventional exercises. Future randomized studies with greater samples are needed to confirm these observations.
- Authors: Suarez-Iglesias, David , Miller, Kyle , Seijo-Martinez, Manuel , Ayan, Carlos
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Medicina-Lithuania Vol. 55, no. 8 (2019), p. 1-14
- Full Text:
- Reviewed:
- Description: Pilates may be a beneficial method of exercise for people with Parkinson's disease (PD). However, no studies have critically reviewed the scientific evidence in this regard. The purpose of this study was to conduct a systematic review and meta-analysis on the effectiveness of Pilates as a rehabilitation strategy for PD. A systematic search of the electronic databases PubMed, PEDro, Scopus, and SPORTDiscus was conducted to identify studies related to the effect of Pilates on PD. The search timeframe ranged from the inception of each database to March 2019. The search resulted in the identification of four randomized controlled trials (RCTs) and four non-RCT studies. The methodological quality of the investigations ranged from poor to fair. The descriptive analysis of the eight investigations showed that Pilates resulted in beneficial effects on fitness, balance and functional autonomy. A subsequent meta-analysis on the four RCTs indicated that Pilates was more effective than traditional training programmes in improving lower limb function. Pilates can be safely prescribed for people with mild-to-moderate PD. Preliminary evidence indicates that its practice could have a positive impact on fitness, balance and physical function. Its benefits on lower-body function appear to be superior to those of other conventional exercises. Future randomized studies with greater samples are needed to confirm these observations.
Binge eating in patients with polycystic ovary syndrome : Prevalence, causes, and management strategies
- Krug, Isabel, Giles, Sarah, Paganini, Chiara
- Authors: Krug, Isabel , Giles, Sarah , Paganini, Chiara
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Neuropsychiatric Disease and Treatment Vol. 15, no. (2019), p. 1273-1285
- Full Text:
- Reviewed:
- Description: Emerging evidence suggests that disordered eating, particularly binge-eating symptomatology, is overrepresented within Polycystic Ovary Syndrome (PCOS) populations. This comorbidity presents a clinical dilemma as current treatment approaches for PCOS emphasize the importance of weight management, diet, exercise, and the potential for harm of such treatment approaches in PCOS patients with comorbid disordered eating. However, limited research has assessed the occurrence of binge eating and disordered eating in PCOS patients. Consequently, little is known about the prevalence of binge eating in PCOS, and the possible etiological processes to explain this comorbidity remain poorly understood. Given the paucity of research on this topic, the aims of this narrative review are fourfold: 1) to outline the main symptoms of PCOS and binge eating; 2) to provide an overview of the prevalence of binge eating in PCOS; 3) to outline possible etiological factors for the comorbidity between PCOS and binge eating; and 4) to provide an overview of management strategies of binge eating in PCOS.
- Authors: Krug, Isabel , Giles, Sarah , Paganini, Chiara
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Neuropsychiatric Disease and Treatment Vol. 15, no. (2019), p. 1273-1285
- Full Text:
- Reviewed:
- Description: Emerging evidence suggests that disordered eating, particularly binge-eating symptomatology, is overrepresented within Polycystic Ovary Syndrome (PCOS) populations. This comorbidity presents a clinical dilemma as current treatment approaches for PCOS emphasize the importance of weight management, diet, exercise, and the potential for harm of such treatment approaches in PCOS patients with comorbid disordered eating. However, limited research has assessed the occurrence of binge eating and disordered eating in PCOS patients. Consequently, little is known about the prevalence of binge eating in PCOS, and the possible etiological processes to explain this comorbidity remain poorly understood. Given the paucity of research on this topic, the aims of this narrative review are fourfold: 1) to outline the main symptoms of PCOS and binge eating; 2) to provide an overview of the prevalence of binge eating in PCOS; 3) to outline possible etiological factors for the comorbidity between PCOS and binge eating; and 4) to provide an overview of management strategies of binge eating in PCOS.
Biochar versus bone char for a sustainable inorganic arsenic mitigation in water : What needs to be done in future research?
- Alkurdi, Susan, Herath, Indika, Bundschuh, Jochen, Al-Juboori, Raed, Vithanage, Meththika, Mohan, Dinesh
- Authors: Alkurdi, Susan , Herath, Indika , Bundschuh, Jochen , Al-Juboori, Raed , Vithanage, Meththika , Mohan, Dinesh
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Environment International Vol. 127, no. (2019), p. 52-69
- Full Text:
- Reviewed:
- Description: Arsenic (As) is an emerging contaminant on a global scale posing threat to environmental and human health. The relatively brief history of the applications of biochar and bone char has mapped the endeavors to remove As from water to a considerable extent. This critical review attempts to provide a comprehensive overview for the first time on the potential of bio- and bone-char in the immobilization of inorganic As in water. It seeks to offer a rational assessment of what is existing and what needs to be done in future research as an implication for As toxicity of human health risks through acute and chronic exposure to As contaminated water. Bio- and bone-char are recognized as promising alternatives to activated carbon due to their lower production and activation cost. The surface modification via chemical methods has been adopted to improve the adsorption capacity for anionic As species. Surface complexation, ion exchange, precipitation and electrostatic interactions are the main mechanisms involved in the adsorption of As onto the char surface. However, arsenic-bio-bone char interactions along with their chemical bonding for the removal of As in aqueous solution is still a subject of debate. Hence, the proposed mechanisms need to be scrutinized further using advanced analytical techniques such as synchrotron-based X-ray. Moving this technology from laboratory phase to field scale applications is an urgent necessity in order to establish a sustainable As mitigation in drinking water on a global scale.
- Authors: Alkurdi, Susan , Herath, Indika , Bundschuh, Jochen , Al-Juboori, Raed , Vithanage, Meththika , Mohan, Dinesh
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Environment International Vol. 127, no. (2019), p. 52-69
- Full Text:
- Reviewed:
- Description: Arsenic (As) is an emerging contaminant on a global scale posing threat to environmental and human health. The relatively brief history of the applications of biochar and bone char has mapped the endeavors to remove As from water to a considerable extent. This critical review attempts to provide a comprehensive overview for the first time on the potential of bio- and bone-char in the immobilization of inorganic As in water. It seeks to offer a rational assessment of what is existing and what needs to be done in future research as an implication for As toxicity of human health risks through acute and chronic exposure to As contaminated water. Bio- and bone-char are recognized as promising alternatives to activated carbon due to their lower production and activation cost. The surface modification via chemical methods has been adopted to improve the adsorption capacity for anionic As species. Surface complexation, ion exchange, precipitation and electrostatic interactions are the main mechanisms involved in the adsorption of As onto the char surface. However, arsenic-bio-bone char interactions along with their chemical bonding for the removal of As in aqueous solution is still a subject of debate. Hence, the proposed mechanisms need to be scrutinized further using advanced analytical techniques such as synchrotron-based X-ray. Moving this technology from laboratory phase to field scale applications is an urgent necessity in order to establish a sustainable As mitigation in drinking water on a global scale.
Bone char as a green sorbent for removing health threatening fluoride from drinking water
- Alkurdi, Susan, Al-Juboori, Raed, Bundschuh, Jochen, Hamawand, Ihsan
- Authors: Alkurdi, Susan , Al-Juboori, Raed , Bundschuh, Jochen , Hamawand, Ihsan
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Environment International Vol. 127, no. (2019), p. 704-719
- Full Text:
- Reviewed:
- Description: Millions of people around the world suffer from or prone to health problems caused by high concentration of fluoride in drinking water sources. One of the environmentally friendly and cost-effective ways for removing fluoride is the use of bone char. In this review, the structural properties and binding affinity of fluoride ions from different water sources was critically discussed. The effect of experimental conditions on enhancing the adsorption capacity of fluoride ions using bone char samples was addressed. It appears that surface properties, and conditions of the bone char production such as temperature and residence time play an important role in designing the optimal fluoride removal process. The optimum temperature for fluoride removal seems to be in the range of 500–700 °C and a residence time of 2 h. Applying various equilibrium adsorption isotherms for understanding fluoride adsorption mechanism was presented. The effect of bone char modification with different elements were discussed and recommendations for a further increase in the removal efficiency was proposed. Cost of bone char production and large-scale treatment systems were also discussed based on information available from scientific and commercial sources. Challenges with existing domestic defluoridation designs were highlighted and suggestions for new conceptual designs were provided.
- Authors: Alkurdi, Susan , Al-Juboori, Raed , Bundschuh, Jochen , Hamawand, Ihsan
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Environment International Vol. 127, no. (2019), p. 704-719
- Full Text:
- Reviewed:
- Description: Millions of people around the world suffer from or prone to health problems caused by high concentration of fluoride in drinking water sources. One of the environmentally friendly and cost-effective ways for removing fluoride is the use of bone char. In this review, the structural properties and binding affinity of fluoride ions from different water sources was critically discussed. The effect of experimental conditions on enhancing the adsorption capacity of fluoride ions using bone char samples was addressed. It appears that surface properties, and conditions of the bone char production such as temperature and residence time play an important role in designing the optimal fluoride removal process. The optimum temperature for fluoride removal seems to be in the range of 500–700 °C and a residence time of 2 h. Applying various equilibrium adsorption isotherms for understanding fluoride adsorption mechanism was presented. The effect of bone char modification with different elements were discussed and recommendations for a further increase in the removal efficiency was proposed. Cost of bone char production and large-scale treatment systems were also discussed based on information available from scientific and commercial sources. Challenges with existing domestic defluoridation designs were highlighted and suggestions for new conceptual designs were provided.
Choking interventions in sports : A systematic review
- Gröpel, Peter, Mesagno, Christopher
- Authors: Gröpel, Peter , Mesagno, Christopher
- Date: 2019
- Type: Text , Journal article , Review
- Relation: International Review of Sport and Exercise Psychology Vol. 12, no. 1 (2019), p. 176-201
- Full Text:
- Reviewed:
- Description: Choking under pressure describes suboptimal sport performance in stressful situations, which has led to two fundamental ‘choking’ models: distraction and self-focus. The purpose of this review was to provide an overview of empirical studies that have tested interventions used to alleviate choking. The systematic review includes 47 empirical studies published up to April 2017, including experimental, quasi-experimental, and single-case studies with athletes. These studies encompassed a variety of interventions (n = 13) that were either distraction based or self-focus based. In addition, a third group–acclimatisation interventions–was identified. The results indicate that, in general, choking interventions based on both choking models and on acclimatisation provide a benefit to performance under pressure. The most reported effective interventions were pre-performance routines, quiet eye training, left-hand contractions, and acclimatisation training. The use of dual task was beneficial for performance under pressure but harmful when used in training. Mixed evidence was found for analogy learning, and null effects were reported for goal setting, neurofeedback training, and reappraisal cues. These results may help athletes and coaches select and implement effective strategies and methods to improve performance under pressure.
- Authors: Gröpel, Peter , Mesagno, Christopher
- Date: 2019
- Type: Text , Journal article , Review
- Relation: International Review of Sport and Exercise Psychology Vol. 12, no. 1 (2019), p. 176-201
- Full Text:
- Reviewed:
- Description: Choking under pressure describes suboptimal sport performance in stressful situations, which has led to two fundamental ‘choking’ models: distraction and self-focus. The purpose of this review was to provide an overview of empirical studies that have tested interventions used to alleviate choking. The systematic review includes 47 empirical studies published up to April 2017, including experimental, quasi-experimental, and single-case studies with athletes. These studies encompassed a variety of interventions (n = 13) that were either distraction based or self-focus based. In addition, a third group–acclimatisation interventions–was identified. The results indicate that, in general, choking interventions based on both choking models and on acclimatisation provide a benefit to performance under pressure. The most reported effective interventions were pre-performance routines, quiet eye training, left-hand contractions, and acclimatisation training. The use of dual task was beneficial for performance under pressure but harmful when used in training. Mixed evidence was found for analogy learning, and null effects were reported for goal setting, neurofeedback training, and reappraisal cues. These results may help athletes and coaches select and implement effective strategies and methods to improve performance under pressure.
- Al-Moteri, Modi, Plummer, Virginia, Cooper, Simon, Symmons, Mark
- Authors: Al-Moteri, Modi , Plummer, Virginia , Cooper, Simon , Symmons, Mark
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Australian Critical Care Vol. 32, no. 5 (2019), p. 411-420
- Full Text: false
- Reviewed:
- Description: Aim: The aim of this review was to identify and synthesise published accounts of recognising and responding to patient deterioration in the presence of deterioration antecedents. Design: The systematic review canvassed four electronic databases/ search engines for studies of adult ward patients who had altered physiological parameters before developing major adverse events. Synthesis Methods: The findings were synthesised using a narrative approach. Results: Clinical deterioration can be missed by nurses, even with adequate charting. Delays in recognising and responding to patient deterioration remains an international patient safety concern, and strategies to enhance recognition of patient deterioration have not achieved consistent improvements. The lack of significant and sustained improvement through targeted training suggests the problem may be rooted in human behaviour and local ward culture. Nurses play a pivotal role in recognising and responding to patient deterioration; however, patient records do not facilitate tracking of all nurse decisions and actions, and any undocumented care cannot be easily captured by auditing processes. Conclusion: Failure to recognise clinical deterioration was evident even with adequate charting. It is not clear if nurses do not recognise clinical deterioration because they failed to interpret the signs of deterioration or they made a conscious decision not to escalate based on their clinical judgement or they lacked attention at the time of the event. Whatever the reason, focus is warranted for nurses' decisionmaking after the recording of clinical deterioration signs and the role of human factors in delayed recognition, before maximum benefit of any strategy can be achieved.
Communication training and its effects on carer and care-receiver outcomes in dementia settings : A systematic review
- Nguyen, Hoang, Terry, Daniel, Phan, Hoang, Vickers, James, McInerney, Fran
- Authors: Nguyen, Hoang , Terry, Daniel , Phan, Hoang , Vickers, James , McInerney, Fran
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Journal of Clinical Nursing Vol. 28, no. 7-8 (2019), p. 1050-1069
- Full Text:
- Reviewed:
- Description: Aims and objectives To review communication interventions that aim to improve regular care interactions between people with dementia and their carers in various settings; and to examine the impact of such interventions on both carer and care-receiver outcomes. Background Effective communication is imperative to ensure quality of care for people living with dementia. Due to neurodegenerative changes, people with dementia encounter ongoing and progressive difficulties in both understanding and expressing themselves. This in turn creates challenges for carers, which highlights the need for equipping them with necessary communication skills to respond to the specific communication needs of people with dementia. Design Systematic review and meta-analysis. Method Medline, Embase, CINAHL, ProQuest and PsycINFO databases were searched for eligible interventions with any date of the publication. Hand searching was also conducted through reviewing the reference lists of relevant articles. The screening and selection of studies were based on the inclusion/exclusion criteria for eligibility and the methodological quality assessment checklist. Random-effects meta-analyses were conducted on comparable quantitative data. The review is reported following the PRISMA reporting guidelines. Results Seventeen studies were included in the final review, including 12 randomised controlled trials (RCTs), three nonrandomised controlled trials (NRCTs) and two controlled before-after interventions. The intervention designs, settings and outcome measures were varied. The findings suggest that the communication training had a positive impact on both carer and care-receiver outcomes, albeit to different degrees. The intervention effects were found to be strongest on carer communication skills and knowledge. Conclusion There is solid evidence for the positive impact of communication training on the skills and knowledge of carers. More research is needed regarding the effects of such educational interventions on carer physio-psychological outcomes and care-receiver neuropsychiatric symptoms. It is important to establish best practices in training design, develop validated outcome measures and adopt consistent reporting approaches. Relevance to clinical practice The increasing global prevalence of people with dementia manifests across clinical and community contexts. The profound impact of dementia on communication and associated care raises the imperative for enhanced health worker and carer communication skills to meet the needs of this particular client group. The findings of this review indicate that educational interventions incorporating face-to-face and diverse instructional delivery methods in dementia communication showed positive outcomes for communication skills in all carer groups and warrant inclusion as strategies in dementia training.
- Authors: Nguyen, Hoang , Terry, Daniel , Phan, Hoang , Vickers, James , McInerney, Fran
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Journal of Clinical Nursing Vol. 28, no. 7-8 (2019), p. 1050-1069
- Full Text:
- Reviewed:
- Description: Aims and objectives To review communication interventions that aim to improve regular care interactions between people with dementia and their carers in various settings; and to examine the impact of such interventions on both carer and care-receiver outcomes. Background Effective communication is imperative to ensure quality of care for people living with dementia. Due to neurodegenerative changes, people with dementia encounter ongoing and progressive difficulties in both understanding and expressing themselves. This in turn creates challenges for carers, which highlights the need for equipping them with necessary communication skills to respond to the specific communication needs of people with dementia. Design Systematic review and meta-analysis. Method Medline, Embase, CINAHL, ProQuest and PsycINFO databases were searched for eligible interventions with any date of the publication. Hand searching was also conducted through reviewing the reference lists of relevant articles. The screening and selection of studies were based on the inclusion/exclusion criteria for eligibility and the methodological quality assessment checklist. Random-effects meta-analyses were conducted on comparable quantitative data. The review is reported following the PRISMA reporting guidelines. Results Seventeen studies were included in the final review, including 12 randomised controlled trials (RCTs), three nonrandomised controlled trials (NRCTs) and two controlled before-after interventions. The intervention designs, settings and outcome measures were varied. The findings suggest that the communication training had a positive impact on both carer and care-receiver outcomes, albeit to different degrees. The intervention effects were found to be strongest on carer communication skills and knowledge. Conclusion There is solid evidence for the positive impact of communication training on the skills and knowledge of carers. More research is needed regarding the effects of such educational interventions on carer physio-psychological outcomes and care-receiver neuropsychiatric symptoms. It is important to establish best practices in training design, develop validated outcome measures and adopt consistent reporting approaches. Relevance to clinical practice The increasing global prevalence of people with dementia manifests across clinical and community contexts. The profound impact of dementia on communication and associated care raises the imperative for enhanced health worker and carer communication skills to meet the needs of this particular client group. The findings of this review indicate that educational interventions incorporating face-to-face and diverse instructional delivery methods in dementia communication showed positive outcomes for communication skills in all carer groups and warrant inclusion as strategies in dementia training.
Communication training and its effects on carer and care-receiver outcomes in dementia settings : A systematic review
- Nguyen, Hoang, Terry, Daniel, Phan, Hoang, Vickers, James, McInerney, Fran
- Authors: Nguyen, Hoang , Terry, Daniel , Phan, Hoang , Vickers, James , McInerney, Fran
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Journal of Clinical Nursing Vol. 28, no. 7-8 (2019), p. 1050-1069
- Full Text:
- Reviewed:
- Description: Aims and objectives To review communication interventions that aim to improve regular care interactions between people with dementia and their carers in various settings; and to examine the impact of such interventions on both carer and care-receiver outcomes. Background Effective communication is imperative to ensure quality of care for people living with dementia. Due to neurodegenerative changes, people with dementia encounter ongoing and progressive difficulties in both understanding and expressing themselves. This in turn creates challenges for carers, which highlights the need for equipping them with necessary communication skills to respond to the specific communication needs of people with dementia. Design Systematic review and meta-analysis. Method Medline, Embase, CINAHL, ProQuest and PsycINFO databases were searched for eligible interventions with any date of the publication. Hand searching was also conducted through reviewing the reference lists of relevant articles. The screening and selection of studies were based on the inclusion/exclusion criteria for eligibility and the methodological quality assessment checklist. Random-effects meta-analyses were conducted on comparable quantitative data. The review is reported following the PRISMA reporting guidelines. Results Seventeen studies were included in the final review, including 12 randomised controlled trials (RCTs), three nonrandomised controlled trials (NRCTs) and two controlled before-after interventions. The intervention designs, settings and outcome measures were varied. The findings suggest that the communication training had a positive impact on both carer and care-receiver outcomes, albeit to different degrees. The intervention effects were found to be strongest on carer communication skills and knowledge. Conclusion There is solid evidence for the positive impact of communication training on the skills and knowledge of carers. More research is needed regarding the effects of such educational interventions on carer physio-psychological outcomes and care-receiver neuropsychiatric symptoms. It is important to establish best practices in training design, develop validated outcome measures and adopt consistent reporting approaches. Relevance to clinical practice The increasing global prevalence of people with dementia manifests across clinical and community contexts. The profound impact of dementia on communication and associated care raises the imperative for enhanced health worker and carer communication skills to meet the needs of this particular client group. The findings of this review indicate that educational interventions incorporating face-to-face and diverse instructional delivery methods in dementia communication showed positive outcomes for communication skills in all carer groups and warrant inclusion as strategies in dementia training.
- Authors: Nguyen, Hoang , Terry, Daniel , Phan, Hoang , Vickers, James , McInerney, Fran
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Journal of Clinical Nursing Vol. 28, no. 7-8 (2019), p. 1050-1069
- Full Text:
- Reviewed:
- Description: Aims and objectives To review communication interventions that aim to improve regular care interactions between people with dementia and their carers in various settings; and to examine the impact of such interventions on both carer and care-receiver outcomes. Background Effective communication is imperative to ensure quality of care for people living with dementia. Due to neurodegenerative changes, people with dementia encounter ongoing and progressive difficulties in both understanding and expressing themselves. This in turn creates challenges for carers, which highlights the need for equipping them with necessary communication skills to respond to the specific communication needs of people with dementia. Design Systematic review and meta-analysis. Method Medline, Embase, CINAHL, ProQuest and PsycINFO databases were searched for eligible interventions with any date of the publication. Hand searching was also conducted through reviewing the reference lists of relevant articles. The screening and selection of studies were based on the inclusion/exclusion criteria for eligibility and the methodological quality assessment checklist. Random-effects meta-analyses were conducted on comparable quantitative data. The review is reported following the PRISMA reporting guidelines. Results Seventeen studies were included in the final review, including 12 randomised controlled trials (RCTs), three nonrandomised controlled trials (NRCTs) and two controlled before-after interventions. The intervention designs, settings and outcome measures were varied. The findings suggest that the communication training had a positive impact on both carer and care-receiver outcomes, albeit to different degrees. The intervention effects were found to be strongest on carer communication skills and knowledge. Conclusion There is solid evidence for the positive impact of communication training on the skills and knowledge of carers. More research is needed regarding the effects of such educational interventions on carer physio-psychological outcomes and care-receiver neuropsychiatric symptoms. It is important to establish best practices in training design, develop validated outcome measures and adopt consistent reporting approaches. Relevance to clinical practice The increasing global prevalence of people with dementia manifests across clinical and community contexts. The profound impact of dementia on communication and associated care raises the imperative for enhanced health worker and carer communication skills to meet the needs of this particular client group. The findings of this review indicate that educational interventions incorporating face-to-face and diverse instructional delivery methods in dementia communication showed positive outcomes for communication skills in all carer groups and warrant inclusion as strategies in dementia training.
Completing reflective practice post undergraduate nursing clinical placements : A literature review
- Authors: Barbagallo, Michael
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Teaching and Learning in Nursing Vol. 14, no. 3 (2019), p. 160-165
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- Reviewed:
- Description: Reflective practice post clinical placement in nursing education is essential to integrate knowledge, skills, attitudes, and experiences. Many nursing programs in-cooperate reflective practice to permit the integration of core nursing education with clinical experiences to develop safe and component nurses. The purpose of this literature review is to examine the current trends in nursing education around reflective practice post clinical practice experiences.
- Authors: Barbagallo, Michael
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Teaching and Learning in Nursing Vol. 14, no. 3 (2019), p. 160-165
- Full Text:
- Reviewed:
- Description: Reflective practice post clinical placement in nursing education is essential to integrate knowledge, skills, attitudes, and experiences. Many nursing programs in-cooperate reflective practice to permit the integration of core nursing education with clinical experiences to develop safe and component nurses. The purpose of this literature review is to examine the current trends in nursing education around reflective practice post clinical practice experiences.
Health challenges of the pacific region : Insights from history, geography, social determinants, genetics, and the microbiome
- Horwood, Paul, Tarantola, Arnaud, Goarant, Cyrille, Matsui, Mariko, Klement, Elise, Umezaki, Masahiro, Navarro, Severine, Greenhill, Andrew
- Authors: Horwood, Paul , Tarantola, Arnaud , Goarant, Cyrille , Matsui, Mariko , Klement, Elise , Umezaki, Masahiro , Navarro, Severine , Greenhill, Andrew
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Frontiers in Immunology Vol. 10, no. (2019), p. 1-16
- Full Text:
- Reviewed:
- Description: The Pacific region, also referred to as Oceania, is a geographically widespread region populated by people of diverse cultures and ethnicities. Indigenous people in the region (Melanesians, Polynesians, Micronesians, Papuans, and Indigenous Australians) are over-represented on national, regional, and global scales for the burden of infectious and non-communicable diseases. Although social and environmental factors such as poverty, education, and access to health-care are assumed to be major drivers of this disease burden, there is also developing evidence that genetic and microbiotic factors should also be considered. To date, studies investigating genetic and/or microbiotic links with vulnerabilities to infectious and non-communicable diseases have mostly focused on populations in Europe, Asia, and USA, with uncertain associations for other populations such as indigenous communities in Oceania. Recent developments in personalized medicine have shown that identifying ethnicity-linked genetic vulnerabilities can be important for medical management. Although our understanding of the impacts of the gut microbiome on health is still in the early stages, it is likely that equivalent vulnerabilities will also be identified through the interaction between gut microbiome composition and function with pathogens and the host immune system. As rapid economic, dietary, and cultural changes occur throughout Oceania it becomes increasingly important that further research is conducted within indigenous populations to address the double burden of high rates of infectious diseases and rapidly rising non-communicable diseases so that comprehensive development goals can be planned. In this article, we review the current knowledge on the impact of nutrition, genetics, and the gut microbiome on infectious diseases in indigenous people of the Pacific region.
- Authors: Horwood, Paul , Tarantola, Arnaud , Goarant, Cyrille , Matsui, Mariko , Klement, Elise , Umezaki, Masahiro , Navarro, Severine , Greenhill, Andrew
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Frontiers in Immunology Vol. 10, no. (2019), p. 1-16
- Full Text:
- Reviewed:
- Description: The Pacific region, also referred to as Oceania, is a geographically widespread region populated by people of diverse cultures and ethnicities. Indigenous people in the region (Melanesians, Polynesians, Micronesians, Papuans, and Indigenous Australians) are over-represented on national, regional, and global scales for the burden of infectious and non-communicable diseases. Although social and environmental factors such as poverty, education, and access to health-care are assumed to be major drivers of this disease burden, there is also developing evidence that genetic and microbiotic factors should also be considered. To date, studies investigating genetic and/or microbiotic links with vulnerabilities to infectious and non-communicable diseases have mostly focused on populations in Europe, Asia, and USA, with uncertain associations for other populations such as indigenous communities in Oceania. Recent developments in personalized medicine have shown that identifying ethnicity-linked genetic vulnerabilities can be important for medical management. Although our understanding of the impacts of the gut microbiome on health is still in the early stages, it is likely that equivalent vulnerabilities will also be identified through the interaction between gut microbiome composition and function with pathogens and the host immune system. As rapid economic, dietary, and cultural changes occur throughout Oceania it becomes increasingly important that further research is conducted within indigenous populations to address the double burden of high rates of infectious diseases and rapidly rising non-communicable diseases so that comprehensive development goals can be planned. In this article, we review the current knowledge on the impact of nutrition, genetics, and the gut microbiome on infectious diseases in indigenous people of the Pacific region.
- Nagle, Cate, McDonald, Susan, Morrow, Jane, Kruger, Gina, Cramer, Rhian, Couch, Sara, Hartney, Nicole, Bryce, Julianne, Birks, Melanie, Heartfield, Marie
- Authors: Nagle, Cate , McDonald, Susan , Morrow, Jane , Kruger, Gina , Cramer, Rhian , Couch, Sara , Hartney, Nicole , Bryce, Julianne , Birks, Melanie , Heartfield, Marie
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Midwifery Vol. 76, no. (2019), p. 8-20
- Full Text: false
- Reviewed:
- Description: Aim: To critically appraise and synthesise the literature regarding the role and scope of midwifery practice, specifically to inform the evidence based development of standards for practice for all midwives in Australia. Design: A structured scoping review of the literature Data sources: CINAHL Complete, MEDLINE Complete and Cochrane Libraries databases, online and grey literature databases Review methods: Comprehensive searches of databases used key words and controlled vocabulary for each database to search for publications 2006-2016. Studies were not restricted by research method. Findings: There is no substantive body of literature on midwifery competency standards or standards for practice. From 1648 papers screened, twenty-eight papers were identified to inform this review. Eight studies including systematic reviews were annotated with three research papers further assessed as having direct application to this review. To inform the development of Midwife standards for practice, the comprehensive role of the midwife across multiple settings was seen to include: woman centred and primary health care; safe supportive and collaborative practice; clinical knowledge and skills with interpersonal and cultural competence. Key conclusions: Midwifery practice is not restricted to the provision of direct clinical care and extends to any role where the midwife uses midwifery skills and knowledge. This practice includes working in clinical and non-clinical relationships with the woman and other clients as well as working in management, administration, education, research, advisory, regulatory, and policy development roles. Implications for practice: This review articulates the definition, role and scope of midwifery practice to inform the development of contemporary standards for practice for the Australian midwife. (C) 2019 Elsevier Ltd. All rights reserved.
Long-term aerobic exercise improves vascular function into old age : A systematic review, meta-analysis and meta regression of observational and interventional studies
- Campbell, Amy, Grace, Fergal, Ritchie, Louise, Beaumont, Alexander, Sculthorpe, Nicholas
- Authors: Campbell, Amy , Grace, Fergal , Ritchie, Louise , Beaumont, Alexander , Sculthorpe, Nicholas
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Frontiers in Physiology Vol. 10, no. FEB (2019), p. 1-16
- Full Text:
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- Description: There is an emerging body of literature relating to the effectiveness of frequent aerobic exercise as a prophylactic for age-associated dysfunction of large arteries, yet systematic evaluation and precise estimate of this effect is unknown. We conducted a systematic review and meta-analysis of controlled studies examining flow mediated dilatation (FMD) of athletic older persons and otherwise healthy sedentary counterparts to (i) compare FMD as a determinant of endothelial function between athletes and sedentary individuals and, (ii) summarize the effect of exercise training on FMD in studies of sedentary aging persons. Studies were identified from systematic search of major electronic databases from inception to January 2018. Study quality was assessed before conducting a random effects meta-analysis to calculate a pooled ES (mean difference) with 95% CI's. Thirteen studies [4 interventional (n = 125); 10 cross-sectional [including one study from the interventional analysis; (n = 485)] with age ranges from 62 to 75 years underwent quantitative pooling of data. The majority of study participants were male. Older athletes had more favorable FMD compared with sedentary controls (2.1%; CI: 1.4, 2.8%; P < 0.001). There was no significant improvement in the vascular function of sedentary cohorts following a period of exercise training (0.7%; CI: −0.675, 2.09%; P = 0.316). However, there was a significant increase in baseline diameter from pre to post intervention (0.1 mm; CI: 0.07, 0.13 mm; P < 0.001). In addition, there was no significant difference in endothelial independent vasodilation between the trained and sedentary older adults (1.57%; CI: −0.13, 3.27%; P = 0.07), or from pre to post exercise intervention (1.48%; CI: −1.34, 4.3%; P = 0.3). In conclusion, long-term aerobic exercise appears to attenuate the decline in endothelial vascular function, a benefit which is maintained during chronological aging. However, currently there is not enough evidence to suggest that exercise interventions improve vascular function in previously sedentary healthy older adults.
- Authors: Campbell, Amy , Grace, Fergal , Ritchie, Louise , Beaumont, Alexander , Sculthorpe, Nicholas
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Frontiers in Physiology Vol. 10, no. FEB (2019), p. 1-16
- Full Text:
- Reviewed:
- Description: There is an emerging body of literature relating to the effectiveness of frequent aerobic exercise as a prophylactic for age-associated dysfunction of large arteries, yet systematic evaluation and precise estimate of this effect is unknown. We conducted a systematic review and meta-analysis of controlled studies examining flow mediated dilatation (FMD) of athletic older persons and otherwise healthy sedentary counterparts to (i) compare FMD as a determinant of endothelial function between athletes and sedentary individuals and, (ii) summarize the effect of exercise training on FMD in studies of sedentary aging persons. Studies were identified from systematic search of major electronic databases from inception to January 2018. Study quality was assessed before conducting a random effects meta-analysis to calculate a pooled ES (mean difference) with 95% CI's. Thirteen studies [4 interventional (n = 125); 10 cross-sectional [including one study from the interventional analysis; (n = 485)] with age ranges from 62 to 75 years underwent quantitative pooling of data. The majority of study participants were male. Older athletes had more favorable FMD compared with sedentary controls (2.1%; CI: 1.4, 2.8%; P < 0.001). There was no significant improvement in the vascular function of sedentary cohorts following a period of exercise training (0.7%; CI: −0.675, 2.09%; P = 0.316). However, there was a significant increase in baseline diameter from pre to post intervention (0.1 mm; CI: 0.07, 0.13 mm; P < 0.001). In addition, there was no significant difference in endothelial independent vasodilation between the trained and sedentary older adults (1.57%; CI: −0.13, 3.27%; P = 0.07), or from pre to post exercise intervention (1.48%; CI: −1.34, 4.3%; P = 0.3). In conclusion, long-term aerobic exercise appears to attenuate the decline in endothelial vascular function, a benefit which is maintained during chronological aging. However, currently there is not enough evidence to suggest that exercise interventions improve vascular function in previously sedentary healthy older adults.
Managing human-tiger conflict : Lessons from Bardia and Chitwan National Parks, Nepal
- Bhattarai, Babu, Wright, Wendy, Morgan, Damian, Cook, Simon, Baral, Hem
- Authors: Bhattarai, Babu , Wright, Wendy , Morgan, Damian , Cook, Simon , Baral, Hem
- Date: 2019
- Type: Text , Journal article , Review
- Relation: European Journal of Wildlife Research Vol. 65, no. 3 (2019), p. 1-12
- Full Text:
- Reviewed:
- Description: Successful conservation outcomes for the tiger (Panthera tigris) have been achieved in Nepalese protected areas. However, an unwelcome consequence of greater tiger numbers is the increased prevalence of human-tiger conflict (HTC), particularly in buffer zone areas adjacent to key tiger reserves, which are heavily utilised by farming communities. HTC events may manifest as attacks by tigers on livestock or people, or as people harming tigers. Since 1994, 12 and 99 fatal tiger attacks on people were reported in and near Bardia and Chitwan National Parks, respectively; and since 1979, 34 tigers from these Parks have been killed due to HTC. HTC presents major threats to local people and to the continuing success of tiger conservation programmes. Conservation authorities in Nepal are implementing innovative solutions to prevent and mitigate HTC. These include financial compensation for damage caused by tigers and locally based community projects and programmes focussed on changing livestock husbandry practises, raising awareness of tiger ecology among local residents and supporting families to reduce their reliance on park resources. While these approaches have been successful in mitigating HTC and its effects in Nepal, further developments and refinements are required. This paper provides a synthesis of published and unpublished reports of HTC, in order to demonstrate the magnitude of the problem faced in Nepal. A critical summary of current management practises adopted in two of Nepal’s key tiger reserves is intended to provide a tool for managers to target their efforts towards methods likely to achieve success.
- Authors: Bhattarai, Babu , Wright, Wendy , Morgan, Damian , Cook, Simon , Baral, Hem
- Date: 2019
- Type: Text , Journal article , Review
- Relation: European Journal of Wildlife Research Vol. 65, no. 3 (2019), p. 1-12
- Full Text:
- Reviewed:
- Description: Successful conservation outcomes for the tiger (Panthera tigris) have been achieved in Nepalese protected areas. However, an unwelcome consequence of greater tiger numbers is the increased prevalence of human-tiger conflict (HTC), particularly in buffer zone areas adjacent to key tiger reserves, which are heavily utilised by farming communities. HTC events may manifest as attacks by tigers on livestock or people, or as people harming tigers. Since 1994, 12 and 99 fatal tiger attacks on people were reported in and near Bardia and Chitwan National Parks, respectively; and since 1979, 34 tigers from these Parks have been killed due to HTC. HTC presents major threats to local people and to the continuing success of tiger conservation programmes. Conservation authorities in Nepal are implementing innovative solutions to prevent and mitigate HTC. These include financial compensation for damage caused by tigers and locally based community projects and programmes focussed on changing livestock husbandry practises, raising awareness of tiger ecology among local residents and supporting families to reduce their reliance on park resources. While these approaches have been successful in mitigating HTC and its effects in Nepal, further developments and refinements are required. This paper provides a synthesis of published and unpublished reports of HTC, in order to demonstrate the magnitude of the problem faced in Nepal. A critical summary of current management practises adopted in two of Nepal’s key tiger reserves is intended to provide a tool for managers to target their efforts towards methods likely to achieve success.
May measurement month 2018 : A pragmatic global screening campaign to raise awareness of blood pressure by the international society of hypertension
- Beaney, Thomas, Burrell, Louise, Castillo, Rafael, Charchar, Fadi, Cro, Suzie, Damasceno, Albertino, Kruger, Ruan, Nilsson, Peter, Prabhakaran, Dorairaj, Ramirez, Agustin, Schlaich, Markus, Schutte, Aletta, Tomaszewski, Maciej, Touyz, Rhian, Wang, Ji-Guang, Weber, Michael, Poulter, Neil
- Authors: Beaney, Thomas , Burrell, Louise , Castillo, Rafael , Charchar, Fadi , Cro, Suzie , Damasceno, Albertino , Kruger, Ruan , Nilsson, Peter , Prabhakaran, Dorairaj , Ramirez, Agustin , Schlaich, Markus , Schutte, Aletta , Tomaszewski, Maciej , Touyz, Rhian , Wang, Ji-Guang , Weber, Michael , Poulter, Neil
- Date: 2019
- Type: Text , Journal article , Review
- Relation: European Heart Journal Vol. 40, no. 25 (2019), p. 2006-2017
- Full Text:
- Reviewed:
- Description: Aims: Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. Methods and results: Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140mmHg or diastolic BP ≥ 90 mmHg) hypertension. Conclusion: May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk.
- Authors: Beaney, Thomas , Burrell, Louise , Castillo, Rafael , Charchar, Fadi , Cro, Suzie , Damasceno, Albertino , Kruger, Ruan , Nilsson, Peter , Prabhakaran, Dorairaj , Ramirez, Agustin , Schlaich, Markus , Schutte, Aletta , Tomaszewski, Maciej , Touyz, Rhian , Wang, Ji-Guang , Weber, Michael , Poulter, Neil
- Date: 2019
- Type: Text , Journal article , Review
- Relation: European Heart Journal Vol. 40, no. 25 (2019), p. 2006-2017
- Full Text:
- Reviewed:
- Description: Aims: Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. Methods and results: Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140mmHg or diastolic BP ≥ 90 mmHg) hypertension. Conclusion: May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk.
- Miloyan, Beyon, McFarlane, Kimberley, Suddendorf, Thomas
- Authors: Miloyan, Beyon , McFarlane, Kimberley , Suddendorf, Thomas
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Cortex Vol. 117, no. (2019), p. 371-384
- Full Text: false
- Reviewed:
- Description: Mental time travel is an adaptive capacity that enables humans to engage in deliberate, prudent action on the basis of remembering past episodes (episodic memory) and simulating future scenarios (episodic foresight). This capacity has become a popular and rapidly growing topic of interdisciplinary research. Perhaps the most influential and frequently tested neuroscientific hypothesis in this domain is that the hippocampus is a hub in a critical neural network for mental time travel, support for which is now commonly assumed by most researchers in the area. In light of.recent findings revealing limitations with existing measures of episodic foresight, we critically evaluate the available evidence for this hypothesis and find that it is inconclusive. We suggest that this is due in significant part to the exclusive and widespread reliance on noisy verbal measures and discuss this case as an example of a more general issue pertaining to the measurement of episodic foresight. Accordingly, we suggest that an essential focus of future research should concern the development of objective measures that capture capacity differences by requiring people to put foresight not just into words, but into action. (C) 2019 Elsevier Ltd. All rights reserved.
Multivariate drivers of diversity in temperate Australian native grasslands
- Price, Jodi, Good, Megan, Schultz, Nick, Guja, Lydia, Morgan, John
- Authors: Price, Jodi , Good, Megan , Schultz, Nick , Guja, Lydia , Morgan, John
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Australian Journal of Botany Vol. 67, no. 5 (2019), p. 367-380
- Full Text: false
- Reviewed:
- Description: Disturbance has been considered essential for maintaining biodiversity in temperate grassy ecosystems in Australia. This has been particularly well demonstrated for inter-tussock plant species in C-4 Themeda-dominated grasslands in mesic environments. Disturbance is also thought crucial to maintain the structure of preferred habitat for some animals. Relationships between disturbance and diversity may be contingent on ecosystem productivity, but little is known about the generality of the disturbance-promoting-diversity paradigm across the range of temperate grasslands. To date, the disturbance-promoting-diversity paradigm has taken a univariate approach to the drivers of biodiversity; rainfall is seen as a key driver of productivity, which then drives diversity, mediated by disturbance. We argue that this framework is too simplistic as biodiversity drivers are multivariate. We suggest that the accumulation of phytomass (live and dead plant material) is an important determinant of diversity in grassy ecosystems and that phytomass accumulation is governed by multiple drivers (of which disturbance is just one). For fauna, it is structure - not biomass - that determines habitat suitability, and this can be moderated by both abiotic and biotic drivers. The assumption that there is a consistent effect of disturbance on diversity through the range of temperate grassland settings in southern Australia ignores the likelihood that biodiversity also responds to other factors such as spatial heterogeneity in the environment, resource availability and climatic variation. We developed a conceptual model of the multivariate drivers of grassland diversity that explores mechanisms underpinning patterns of species richness. Despite four decades of research, it is clear that our understanding of the multivariate drivers of diversity across the range of temperate grasslands in Australia is still incomplete. Further research into the conditions under which disturbance is required to maintain biodiversity in grasslands is integral to conservation planning in these endangered systems.
- Chand, Savin, Dowdy, Andrew, Ramsay, Hamish, Walsh, Kevin, Tory, Kevin, Power, Scott, Bell, Samuel, Lavender, Sally, Ye, Hua, Kuleshov, Yuri
- Authors: Chand, Savin , Dowdy, Andrew , Ramsay, Hamish , Walsh, Kevin , Tory, Kevin , Power, Scott , Bell, Samuel , Lavender, Sally , Ye, Hua , Kuleshov, Yuri
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Wiley Interdisciplinary Reviews: Climate Change Vol. 10, no. 5 (2019), p. 1-17
- Full Text: false
- Reviewed:
- Description: Tropical cyclones (TCs) can have severe impacts on Australia. These include extreme rainfall and winds, and coastal hazards such as destructive waves, storm surges, estuarine flooding, and coastal erosion. Various aspects of TCs in the Australian region have been documented over the past several decades. In recent years, increasing emphasis has been placed on human-induced climate change effects on TCs in the Australian region and elsewhere around the globe. However, large natural variability and the lack of consistent long-term TC observations have often complicated the detection and attribution of TC trends. Efforts have been made to improve TC records for Australia over the past decades, but it is still unclear whether such records are sufficient to provide better understanding of the impacts of natural climate variability and climate change. It is important to note that the damage costs associated with tropical cyclones in Australia have increased in recent decades and will continue to increase due to growing coastal settlement and infrastructure development. Therefore, it is critical that any coastal infrastructure planning and engineering decisions, as well as disaster management decisions, strongly consider future risks from tropical cyclones. A better understanding of tropical cyclones in a changing climate will provide key insights that can help mitigate impacts of tropical cyclones on vulnerable communities. An objective assessment of the Australian TCs at regional scale and its link with climate variability and change using improved and up-to-date data records is more imperative now than before. This article is categorized under: Paleoclimates and Current Trends > Modern Climate Change.