'When no means no' - adolescent right to refuse an elective surgical procedure : a case study
- Authors: Gilbert, Julia , Gillespie, Brigid
- Date: 2017
- Type: Text , Journal article , Review
- Relation: ACORN Vol. 30, no. 2 (2017), p. 33-36
- Full Text:
- Reviewed:
- Description: At law, adults are presumed to have legal competency to provide consent for or refusal to consent to health care treatments unless they have cognitive impairment. But what of the adolescent who is, at law, a child but who refuses to undergo elective surgical treatment? This paper discusses the issues surrounding the case of Keith, a 14-year-old boy with ulcerative colitis, who refuses consent to undergo an elective ileostomy.
A brief review of exercise, bipolar disorder, and mechanistic pathways
- Authors: Thomson, Daniel , Turner, Alyna , Lauder, Sue , Gigler, Margaret , Berk, Lesley , Singh, Ajeet , Pasco, Julie , Berk, Michael , Sylvia, Louisa
- Date: 2015
- Type: Text , Journal article , Review
- Relation: Frontiers in Psychology Vol. 6, no. (2015), p. 1-10
- Full Text:
- Reviewed:
- Description: Despite evidence that exercise has been found to be effective in the treatment of depression, it is unclear whether these data can be extrapolated to bipolar disorder. Available evidence for bipolar disorder is scant, with no existing randomized controlled trials having tested the impact of exercise on depressive, manic or hypomanic symptomatology. Although exercise is often recommended in bipolar disorder, this is based on extrapolation from the unipolar literature, theory and clinical expertise and not empirical evidence. In addition, there are currently no available empirical data on program variables, with practical implications on frequency, intensity and type of exercise derived from unipolar depression studies. The aim of the current paper is to explore the relationship between exercise and bipolar disorder and potential mechanistic pathways. Given the high rate of medical co-morbidities experienced by people with bipolar disorder, it is possible that exercise is a potentially useful and important intervention with regard to general health benefits; however, further research is required to elucidate the impact of exercise on mood symptomology. © 2015 Thomson, Turner, Lauder, Gigler, Berk, Singh, Pasco, Berk and Sylvia.
A century-scale, human-induced ecohydrological evolution of wetlands of two large river basins in Australia (Murray) and China (Yangtze)
- Authors: Kattel, Giri , Dong, Xuhui , Yang, Xiangdong
- Date: 2016
- Type: Text , Journal article , Review
- Relation: Hydrology and Earth System Sciences Vol. 20, no. 6 (2016), p. 2151-2168
- Full Text:
- Reviewed:
- Description: Recently, the provision of food and water resources of two of the world's largest river basins, the Murray and the Yangtze, has been significantly altered through widespread landscape modification. Long-term sedimentary archives, dating back for some centuries from wetlands of these river basins, reveal that rapid, basin-wide development has reduced the resilience of biological communities, resulting in considerable decline in ecosystem services, including water quality. Large-scale human disturbance to river systems, due to river regulation during the mid-20th century, has transformed the hydrology of rivers and wetlands, causing widespread modification of aquatic biological communities. Changes to cladoceran zooplankton (water fleas) were used to assess the historical hydrology and ecology of three Murray and Yangtze river wetlands over the past century. Subfossil assemblages of cladocerans retrieved from sediment cores (94, 45, and 65 cm) of three wetlands: Kings Billabong (Murray), Zhangdu, and Liangzi lakes (Yangtze), showed strong responses to hydrological changes in the river after the mid-20th century. In particular, river regulation caused by construction of dams and weirs together with river channel modifications, has led to significant hydrological alterations. These hydrological disturbances were either (1) a prolonged inundation of wetlands or (2) reduced river flow, both of which caused variability in wetland depth. Inevitably, these phenomena have subsequently transformed the natural wetland habitats, leading to a switch in cladoceran assemblages to species preferring poor water quality, and in some cases to eutrophication. The quantitative and qualitative decline of wetland water conditions is indicative of reduced ecosystem services, and requires effective restoration measures for both river basins which have been impacted by recent socioeconomic development and climate change. © 2016 Author(s).
A comprehensive review of computational methods for automatic prediction of schizophrenia with insight into indigenous populations
- Authors: Ratana, Randall , Sharifzadeh, Hamid , Krishnan, Jamuna , Pang, Shaoning
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Frontiers in Psychiatry Vol. 10, no. (2019), p.
- Full Text:
- Reviewed:
- Description: Psychiatrists rely on language and speech behavior as one of the main clues in psychiatric diagnosis. Descriptive psychopathology and phenomenology form the basis of a common language used by psychiatrists to describe abnormal mental states. This conventional technique of clinical observation informed early studies on disturbances of thought form, speech, and language observed in psychosis and schizophrenia. These findings resulted in language models that were used as tools in psychosis research that concerned itself with the links between formal thought disorder and language disturbances observed in schizophrenia. The end result was the development of clinical rating scales measuring severity of disturbances in speech, language, and thought form. However, these linguistic measures do not fully capture the richness of human discourse and are time-consuming and subjective when measured against psychometric rating scales. These linguistic measures have not considered the influence of culture on psychopathology. With recent advances in computational sciences, we have seen a re-emergence of novel research using computing methods to analyze free speech for improving prediction and diagnosis of psychosis. Current studies on automated speech analysis examining for semantic incoherence are carried out based on natural language processing and acoustic analysis, which, in some studies, have been combined with machine learning approaches for classification and prediction purposes. © Copyright © 2019 Ratana, Sharifzadeh, Krishnan and Pang.
A flourishing brain in the 21st century : a scoping review of the impact of developing good habits for mind, brain, well-being, and learning
- Authors: Ekman, Rolf , Fletcher, Anna , Giota, Joanna , Eriksson, Axel , Thomas, Bertil , Bååthe, Frederik
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Mind, Brain, and Education Vol. 16, no. 1 (2022), p. 13-23
- Full Text:
- Reviewed:
- Description: Emerging scientific knowledge such as the role of epigenetics and neuroplasticity—the brain's capability to constantly rewire with every action, experience, and thought—is fundamentally changing our understanding of the potential impact we can have on our brain. Our brain is formed by our habits in interaction with our body, the environment, influenced by our lifestyle, successes, failures, and traumas. Neuroplasticity proves that every student's brain is a work in progress, and it is never too late to take better care of one's cognitive fitness. This review presents a repertoire of good habits (GHs). Combined, we suggest that these GHs provide conditions for optimal brain health, by acting as a “Mental Vaccine” which enhances the brain's resilience to brain health-degrading challenges. We argue that schools have a crucial role to play in empowering students to increase their own stress resilience, well-being, and learning by developing their own GHs profile. © 2021 The Authors. Mind, Brain, and Education published by International Mind, Brain, and Education Society and Wiley Periodicals LLC.
A guide to the short, long and circular RNAs in hypertension and cardiovascular disease
- Authors: Prestes, Priscilla , Maier, Michelle , Woods, Bradley , Charchar, Fadi
- Date: 2020
- Type: Text , Journal article , Review
- Relation: International Journal of Molecular Sciences Vol. 21, no. 10 (2020)
- Full Text:
- Reviewed:
- Description: Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in adults in developed countries. CVD encompasses many diseased states, including hypertension, coronary artery disease and atherosclerosis. Studies in animal models and human studies have elucidated the contribution of many genetic factors, including non-coding RNAs. Non-coding RNAs are RNAs not translated into protein, involved in gene expression regulation post-transcriptionally and implicated in CVD. Of these, circular RNAs (circRNAs) and microRNAs are relevant. CircRNAs are created by the back-splicing of pre-messenger RNA and have been underexplored as contributors to CVD. These circRNAs may also act as biomarkers of human disease, as they can be extracted from whole blood, plasma, saliva and seminal fluid. CircRNAs have recently been implicated in various disease processes, including hypertension and other cardiovascular disease. This review article will explore the promising and emerging roles of circRNAs as potential biomarkers and therapeutic targets in CVD, in particular hypertension. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.
A literature review of the COVID-19 pandemic’s effect on sustainable HRM
- Authors: Liang, Xiaoyan , Zhang, Xiwei , Paulet, Renee , Zheng, Leven
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Sustainability (Switzerland) Vol. 14, no. 5 (2022), p.
- Full Text:
- Reviewed:
- Description: The ramifications of the COVID-19 pandemic continue to emerge across all facets of the world of work, including the field of human resource management (HRM). Sustainable HRM, drawing on the triple bottom line elements of the economic, environmental and social pillars of sustainability, provides an ideal basis from which to understand the intersection of the COVID-19 pandemic and HRM. In this systematic literature review, we analyze peer reviewed articles published in the nexus of the pandemic and sustainable HRM, identifying the dimensions and extent of research in this topical area of study. Our CEDEL model—complicator–exposer–disruptor–enabler– legitimizer—conceptualizes our understanding of the role of COVID-19 in sustainable HRM. This paper provides a framework from which future studies can benefit when investigating the impacts of COVID-19, and a comprehensive identification of future research avenues. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
A literature review of the positive displacement compressor : current challenges and future opportunities
- Authors: Lu, Kui , Sultan, Ibrahim , Phung, Truong
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Energies Vol. 16, no. 20 (2023), p.
- Full Text:
- Reviewed:
- Description: Positive displacement compressors are essential in many engineering systems, from domestic to industrial applications. Many studies have been devoted to providing more insights into the workings and proposing solutions for performance improvements of these machines. This study aims to present a systematic review of published research on positive displacement compressors of various geometrical structures. This paper discusses the literature on compressor topics, including leakage, heat transfer, friction and lubrication, valve dynamics, port characteristics, and capacity control strategies. Moreover, the current status of the application of machine learning methods in positive displacement compressors is also discussed. The challenges and opportunities for future work are presented at the end of the paper. © 2023 by the authors.
A logical approach to experience-based reasoning
- Authors: Sun, Zhaohao
- Date: 2017
- Type: Text , Journal article , Review
- Relation: New Mathematics and Natural Computation Vol. 13, no. 1 (2017), p. 21-40
- Full Text:
- Reviewed:
- Description: Experience-based reasoning (EBR) is a paradigm used in almost every human activity as a part of human reasoning. However, EBR has not been seriously studied from a logical viewpoint. This paper will attempt to fill this gap by providing a unified logical approach to EBR. More specifically, this paper first examines EBR and inference rules. Then it proposes eight different rules of inference for EBR, which cover all possible EBRs from a logical viewpoint. These eight different rules of inference constitute the fundamentals for all EBR paradigms, and therefore will be the theoretical foundation for EBR. The proposed approach will facilitate research and development of EBR, human reasoning, and common sense reasoning. © 2017 World Scientific Publishing Company.
A narrative review of the current state of extended reality technology and how it can be utilised in sport
- Authors: Le Noury, Peter , Polman, Remco , Maloney, Michael , Gorman, Adam
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Sports Medicine Vol. 52, no. 7 (2022), p. 1473-1489
- Full Text:
- Reviewed:
- Description: Extended reality is an umbrella term used to describe three computer-generated technologies including virtual reality, augmented reality and mixed reality. Extended reality is an emerging technology that has been utilised in many high-performance domains including psychology, medicine and the military, with the aim of enhancing perceptual-cognitive skills and motor skills. However, the use of extended reality in sport, particularly at the elite level, has only recently started to receive attention. While the growth of extended reality technology continues to accelerate at a rapid rate, empirical evidence aimed at understanding how these devices can best be applied in high-performance sport has not followed suit. Therefore, the purpose of this review is to provide clarity for high-performance sport organisations, researchers, sport scientists, coaches and athletes about the current state of extended reality technology and how it has been utilised in sport. In doing so, we first define and give examples of the types of extended reality technology including virtual reality, augmented reality and mixed reality that are available at the present time. Second, we detail how skill acquisition principles underpinned by the theoretical framework of ecological dynamics can be used to help inform the design and assessment of extended reality training tools. Third, we describe how extended reality has been utilised in sport, including how extended reality tools have been assessed for their level of representativeness, and the effectiveness of extended reality training interventions for improving perceptual-cognitive skills and motor skills. Finally, we discuss the future utilisation of extended reality in sport, including the key learnings that can be drawn from other domains, future research directions, practical applications and areas for consideration related to the use of extended reality for training skills in sport. © 2022, The Author(s).
A new era of integration between multiomics and spatio-temporal analysis for the translation of EMT towards clinical applications in cancer
- Authors: Fonseca Teixeira, Adilson , Wu, Siqi , Luwor, Rodney , Zhu, Hong-Jian
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Cells Vol. 12, no. 23 (2023), p.
- Full Text:
- Reviewed:
- Description: Epithelial-mesenchymal transition (EMT) is crucial to metastasis by increasing cancer cell migration and invasion. At the cellular level, EMT-related morphological and functional changes are well established. At the molecular level, critical signaling pathways able to drive EMT have been described. Yet, the translation of EMT into efficient diagnostic methods and anti-metastatic therapies is still missing. This highlights a gap in our understanding of the precise mechanisms governing EMT. Here, we discuss evidence suggesting that overcoming this limitation requires the integration of multiple omics, a hitherto neglected strategy in the EMT field. More specifically, this work summarizes results that were independently obtained through epigenomics/transcriptomics while comprehensively reviewing the achievements of proteomics in cancer research. Additionally, we prospect gains to be obtained by applying spatio-temporal multiomics in the investigation of EMT-driven metastasis. Along with the development of more sensitive technologies, the integration of currently available omics, and a look at dynamic alterations that regulate EMT at the subcellular level will lead to a deeper understanding of this process. Further, considering the significance of EMT to cancer progression, this integrative strategy may enable the development of new and improved biomarkers and therapeutics capable of increasing the survival and quality of life of cancer patients. © 2023 by the authors.
A review of instrumented equipment to investigate head impacts in sport
- Authors: Patton, Declan
- Date: 2016
- Type: Text , Journal article , Review
- Relation: Applied Bionics and Biomechanics Vol. 2016, no. (2016), p. 1-17
- Full Text:
- Reviewed:
- Description: Contact, collision, and combat sports have more head impacts as compared to noncontact sports; therefore, such sports are uniquely suited to the investigation of head impact biomechanics. Recent advances in technology have enabled the development of instrumented equipment, which can estimate the head impact kinematics of human subjects in vivo. Literature pertaining to head impact measurement devices was reviewed and usage, in terms of validation and field studies, of such devices was discussed. Over the past decade, instrumented equipment has recorded millions of impacts in the laboratory, on the field, in the ring, and on the ice. Instrumented equipment is not without limitations; however, in vivo head impact data is crucial to investigate head injury mechanisms and further the understanding of concussion. © 2016 Declan A. Patton.
A review of practical tools for rapid monitoring of membrane bioreactors
- Authors: Scholes, Emily , Verheyen, Vincent , Brook-Carter, Phillip
- Date: 2016
- Type: Text , Journal article , Review
- Relation: Water Research Vol. 102, no. (2016), p. 252-262
- Full Text:
- Reviewed:
- Description: The production of high quality effluent from membrane bioreactors (MBRs) arguably requires less supervision than conventional activated sludge (CAS) processes. Nevertheless, the use of membranes brings additional issues of activated sludge filterability, cake layer formation and membrane fouling. From a practical standpoint, process engineers and operators require simple tools which offer timely information about the biological health and filterability of the mixed liquor as well as risks of membrane fouling. To this end, a range of analytical tools and biological assays are critically reviewed from this perspective. This review recommends that Capillary Suction Time (CST) analysis along with Total Suspended and Volatile Solids (TSS/VSS) analysis is used daily. For broad characterisation, total carbon and nitrogen analysis offer significant advantages over the commonly used chemical and biological oxygen demand (COD/BOD) analyses. Of the technologies for determining the vitality of the microbial biomass the most robust and reproducible, are the second generation adenosine-5'-triphosphate (ATP) test kits. Extracellular polymer concentrations are best monitored by measurement of turbidity after centrifugation. Taken collectively these tools can be used routinely to ensure timely intervention and smoother operation of MBR systems. © 2016 Elsevier Ltd.
A review of sediment carbon sampling methods in mangroves and their broader impacts on stock estimates for blue carbon ecosystems
- Authors: Fest, Benedikt , Swearer, Stephen , Arndt, Stefan
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Science of the Total Environment Vol. 816, no. (2022), p.
- Full Text:
- Reviewed:
- Description: Blue carbon ecosystems (BCEs), such as mangroves, tidal marshes, and seagrasses, are attracting interest for their potential to mitigate climate change arising from their high rates of carbon accumulation and the significant carbon stocks in their sediments. However, current sediment carbon sampling methods present a mixture of approaches adopted from paleoenvironmental methods focused on historical reconstruction of carbon accumulation, and from soil science methods developed to provide highly accurate and spatially representative carbon stock measurements. Currently, no international standard method for sediment carbon stock analysis exists. Consequently, current estimates of sediment carbon stock values for BCEs may have large uncertainties due to variable methodology. We reviewed and analysed the methods used 217 studies included in two recent global syntheses of carbon stocks in mangrove forest ecosystems to illustrate a lack of consistency in sediment sampling. We then outline how the choice of study design and field sampling methods can introduce inaccuracies and uncertainties in sediment carbon stock analysis. We conclude with examples of how each of these challenges can be resolved and how greater carbon stock quantification accuracy and higher spatial integration can be achieved for blue carbon ecosystems in the future. © 2021 Elsevier B.V.
A review of the scaled boundary finite element method for two-dimensional linear elastic fracture mechanics
- Authors: Song, Chongmin , Ooi, Ean Tat , Natarajan, Sundararajan
- Date: 2018
- Type: Text , Journal article , Review
- Relation: Engineering Fracture Mechanics Vol. 187, no. (2018), p. 45-73
- Full Text:
- Reviewed:
- Description: The development and the application of the scaled boundary finite element method for fracture analysis is reviewed. In this method, polygonal elements (referred to as subdomains) of arbitrary number of edges are constructed, with the only limitation that the whole boundary is directly visible from the scaling centre. The element solution is semi-analytical. When applied to two-dimensional linear fracture mechanics, any kinds of stress singularities are represented analytically without local refinement, special elements and enrichment functions. The flexibility of polygons to represent arbitrary geometric shapes leads to simple yet efficient remeshing algorithms to model crack propagation. Coupling procedures with the extended finite element method, meshless method and boundary element method to handle changes in the crack morphology have been established. These developments result in an efficient framework for fracture modelling. Examples of applications are provided to demonstrate their feasibility. © 2017 Elsevier Ltd
A role for MAIT cells in colorectal cancer
- Authors: Berzins, Stuart , Wallace, Morgan , Kannourakis, George , Kelly, Jason
- Date: 2020
- Type: Text , Journal article , Review
- Relation: Frontiers in Immunology Vol. 11, no. (2020), p.
- Full Text:
- Reviewed:
- Description: MAIT cells are MR1-restricted T cells that are well-known for their anti-microbial properties, but they have recently been associated with different forms of cancer. Several studies have reported activated MAIT cells within the microenvironment of colorectal tumors, but there is conjecture about the nature of their response and whether they are contributing to anti-tumor immunity, or to the progression of the disease. We have reviewed the current state of knowledge about the role of MAIT cells in colorectal cancer, including their likely influence when activated and potential sources of stimulation in the tumor microenvironment. The prospects for MAIT cells being used in clinical settings as biomarkers or as targets of new immunotherapies designed to harness their function are discussed. © Copyright © 2020 Berzins, Wallace, Kannourakis and Kelly.
A scoping review of community-based adult suicide prevention initiatives in rural and regional australia
- Authors: Dabkowski, Elissa , Porter, Joanne , Barbagallo, Michael , Prokopiv, Valerie , Jackson, Megan
- Date: 2022
- Type: Text , Journal article , Review
- Relation: International Journal of Environmental Research and Public Health Vol. 19, no. 12 (2022), p.
- Full Text:
- Reviewed:
- Description: The need for continued research into suicide prevention strategies is undeniable, with high global statistics demonstrating the urgency of this public health issue. In Australia, approximately 3000 people end their lives each year, with those living in rural and regional areas identified as having a higher risk of dying by suicide. Due to decreased access and support services in these areas, community-based suicide prevention initiatives provide opportunities to educate and support local communities. A scoping review was conducted to explore the literature pertaining to such programs in rural and/or regional communities in Australia. This review follows the five-stage Arksey and O’Malley (2005) framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. Nine databases were searched, from which studies were considered eligible if suicide prevention programs were community-based and catered for adults (aged
A survey of commercial and industrial demand response flexibility with energy storage systems and renewable energy
- Authors: Yasmin, Roksana , Amin, B.M. Ruhu , Shah, Rakibuzzaman , Barton, Andrew
- Date: 2024
- Type: Text , Journal article , Review
- Relation: Sustainability (Switzerland) Vol. 16, no. 2 (2024), p.
- Full Text:
- Reviewed:
- Description: The transition from traditional fuel-dependent energy systems to renewable energy-based systems has been extensively embraced worldwide. Demand-side flexibility is essential to support the power grid with carbon-free generation (e.g., solar, wind.) in an intermittent nature. As extensive energy consumers, commercial and industrial (C&I) consumers can play a key role by extending their flexibility and participating in demand response. Onsite renewable generation by consumers can reduce the consumption from the grid, while energy storage systems (ESSs) can support variable generation and shift demand by storing energy for later use. Both technologies can increase the flexibility and benefit by integrating with the demand response. However, a lack of knowledge about the applicability of increasing flexibility hinders the active participation of C&I consumers in demand response programs. This survey paper provides an overview of demand response and energy storage systems in this context following a methodology of a step-by-step literature review covering the period from 2013 to 2023. The literature review focuses on the application of energy storage systems and onsite renewable generation integrated with demand response for C&I consumers and is presented with an extensive analysis. This survey also examines the demand response participation and potential of wastewater treatment plants. The extended research on the wastewater treatment plant identifies the potential opportunities of coupling biogas with PV, extracting the thermal energy and onsite hydrogen production. Finally, the survey analysis is summarised, followed by critical recommendations for future research. © 2024 by the authors.
A systematic literature review of workplace physical activity programs : an exploration of barriers and enabling factors
- Authors: Dabkowski, Elissa , Porter, Joanne , Barbagallo, Michael , Prokopiv, Val , Snell, Christopher , Missen, Karen
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Cogent Psychology Vol. 10, no. 1 (2023), p.
- Full Text:
- Reviewed:
- Description: Physical inactivity continues to be a global issue with many adolescents and adults failing to meet the recommendations for daily exercise. Efforts to reduce physical inactivity in adults include the incorporation of strategies such as workplace physical activity programs, especially for sedentary workers. In this systematic literature review we examined current literature about the efficacy of workplace physical activity programs, as well as the barriers and enablers to these programs. Six EBSCO databases were searched (Academic Search Complete, CINAHL Complete, MEDLINE, APA PsycInfo, APA PsycArticles and SPORTDiscus with full text) between a ten year period (2011 to 2021). The search terms used were “physical activity”, “workplace” and “program” along with their variations. Following a systematic process, eighteen papers met the eligibility criteria. The authors analysed the findings using a narrative synthesis, in which four themes emerged from the data. These include Benefits to physical health, Benefits to mental health, Barriers to workplace physical activity and Workplace activity enablers. These findings provided several recommendations for organizations that endeavour to improve the health of workplace employees. Generalised workplace physical activity programs were viewed favourably by both employees and employers. Incorporating these practices into daily work structures may provide favourable outcomes such as increased work productivity and reduced physical inactivity. © 2023 The Author(s). This open access article is distributed under a Creative Commons Attribution (CC-BY) 4.0 license.
A systematic review of effort-reward imbalance among health workers
- Authors: Nguyen, Huy , Le, Ma , Nguyen, Thanh , Ngoc, Dung , Ngoc, Anh , Nguyen, Phuong
- Date: 2018
- Type: Text , Journal article , Review
- Relation: International Journal of Health Planning and Management Vol. 33, no. 3 (2018), p. e674-e695
- Full Text:
- Reviewed:
- Description: The purpose of this article is to systematically collate effort-reward imbalance (ERI) rates among health workers internationally and to assess gender differences. The effort-reward (ER) ratio ranges quite widely from 0.47 up to 1.32 and the ERI rate from 3.5% to 80.7%. Many studies suggested that health workers contribute more than they are rewarded, especially in Japan, Vietnam, Greece, and Germany—with ERI rates of 57.1%, 32.3%, 80.7%, and 22.8% to 27.6%, respectively. Institutions can utilize systems such as the new appraisal and reward system, which is based on performance rather than the traditional system, seniority, which creates a more competitive working climate and generates insecurity. Additionally, an increased workload and short stay patients are realities for workers in a health care environment, while the structure of human resources for health care remains inadequate. Gender differences within the ER ratio can be explained by the continued impact of traditional gender roles on attitudes and motivations that place more pressure to succeed for men rather than for women. This systematic review provides some valued evidence for public health strategies to improve the ER balance among health workers in general as well as between genders in particular. An innovative approach for managing human resources for health care is necessary to motivate and value contributions made by health workers. Copyright © 2018 John Wiley & Sons, Ltd.