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.
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- 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 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.
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- 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 preceptor's experience in supervising undergraduate nursing students : lessons learned for mental health nursing
- Authors: Benny, Jessy , Porter, Joanne , Joseph, Bindu
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Nursing Open Vol. 10, no. 4 (2023), p. 2003-2014
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- Description: Background: Preceptorship in nursing has been a valued concept in nursing. Speciality area such as mental health nursing has a massive gap in research study. To develop sturdy mental health nursing workforce, it is necessary to conduct more studies. Aim: This literature review aims to explore preceptor's experience in precepting undergraduate nursing students in mental health. Design: Systematic review of literature. Methods: The systematic review was conducted from January 2021 to August 2021. Population of the studies included Registered Nurses supervising nursing students in the clinical area. Only studies conducted in English were included. A systematic search using EBSCO Host databases, CINAHL Complete, MEDLINE APA Psycinfo & APA PsycArticles, has been used in this review paper. Papers were also selected from the citation reference of included papers. The new version of the PRISMA 2020 guidelines used to represent the process of selection of papers has been incorporated as part of this review. The final set of data included 14 original papers meeting the eligibility criteria which involved quantitative (n = 5), qualitative (n = 4) and mixed-method studies (n = 5). Result: Results were presented under three major themes: time-consuming, lack of recognition and need extra support. Further research is required in the mental health clinical setting to effectively explore the impact of relationships between preceptors and the preceptees. Conclusion: Preceptors reported supervising students in the clinical area has many benefits. However, some challenges they raised were increase in workload, requiring some guidance and acknowledgement from the organization. © 2022 The Authors. Nursing Open published by John Wiley & Sons Ltd.
A systematic review of wheelchair and mobility scooter containment systems used internationally on public transit buses
- Authors: Unsworth, Carolyn , Timmer, Amanda
- Date: 2023
- Type: Text , Journal article , Review
- Relation: International Journal of Environmental Research and Public Health Vol. 20, no. 20 (2023), p.
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- Description: Despite the daily need for people to travel on public transit buses using their wheeled mobility devices, relatively little information is available regarding the most efficacious, affordable, and independent approaches to assist passengers with keeping their mobility devices in the designated wheelchair access space. A systematic review was undertaken to summarize this literature, place it within a geographical and temporal context, appraise its quality, and establish common themes. Key academic and grey literature transportation databases and government websites searched from 1990 to May 2022 identified 33 documents, which were appraised using the Mixed Methods Appraisal Tool (MMAT) or the Authority, Accuracy, Coverage, Objectivity, Date, Significance (AACODS) tool. Overall, the documents included were of good quality. The literature retrieved focused on the development and testing of the active containment systems favored for use in North America with a contrastingly small examination of the effectiveness of passive or semi-passive containment systems. Almost no literature was retrieved in English from European researchers documenting the use or effectiveness of rearward-facing passive systems. While tip or slide events are relatively rare among mobility device users, the effective use of containment systems is vital to minimize these. Further research is required to support transport policy makers, operators, and bus drivers to identify and correctly implement optimal containment systems to promote safety for all passengers on public buses. © 2023 by the authors.
Addressing global disparities in blood pressure control : perspectives of the International Society of Hypertension
- Authors: Schutte, Aletta , Jafar, Tazeen , Poulter, Neil , Damasceno, Albertino , Khan, Nadia , Nilsson, Peter , Alsaid, Jafar , Neupane, Dinesh , Kario, Kazuomi , Beheiry, Hind , Brouwers, Sofie , Burger, Dylan , Charchar, Fadi , Cho, Myeong-Chan , Guzik, Tomasz , Haji Al-Saedi, Ghazi , Ishaq, Muhammad , Itoh, Hiroshi , Jones, Erika , Khan, Taskeen , Kokubo, Yoshihiro , Kotruchin, Praew , Muxfeldt, Elizabeth , Odili, Augustine , Patil, Mansi , Ralapanawa, Udaya , Romero, Cesar , Schlaich, Markus , Shehab, Abdulla , Mooi, Ching
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Cardiovascular Research Vol. 119, no. 2 (2023), p. 381-409
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- Description: Raised blood pressure (BP) is the leading cause of preventable death in the world. Yet, its global prevalence is increasing, and it remains poorly detected, treated, and controlled in both high- and low-resource settings. From the perspective of members of the International Society of Hypertension based in all regions, we reflect on the past, present, and future of hypertension care, highlighting key challenges and opportunities, which are often region-specific. We report that most countries failed to show sufficient improvements in BP control rates over the past three decades, with greater improvements mainly seen in some high-income countries, also reflected in substantial reductions in the burden of cardiovascular disease and deaths. Globally, there are significant inequities and disparities based on resources, sociodemographic environment, and race with subsequent disproportionate hypertension-related outcomes. Additional unique challenges in specific regions include conflict, wars, migration, unemployment, rapid urbanization, extremely limited funding, pollution, COVID-19-related restrictions and inequalities, obesity, and excessive salt and alcohol intake. Immediate action is needed to address suboptimal hypertension care and related disparities on a global scale. We propose a Global Hypertension Care Taskforce including multiple stakeholders and societies to identify and implement actions in reducing inequities, addressing social, commercial, and environmental determinants, and strengthening health systems implement a well-designed customized quality-of-care improvement framework. © 2022 The Author(s). Published by Oxford University Press on behalf of the European Society of Cardiology. **Please note that there are multiple authors for this article therefore only the name of the first 30 including Federation University Australia affiliate “Fadi Charchar” is provided in this record**
An educator's anthology of virtual simulation applications for nursing curricula : a mapping review
- Authors: Cant, Robyn , Ryan, Colleen
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Clinical Simulation in Nursing Vol. 74, no. (2023), p. 87-97
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- Description: Virtual (screen-based) simulations have been utilized to help progress pre-licensure nursing students’ remote clinical learning during the recent pandemic. This mapping review, reports an anthology of virtual simulation technology sources from simulation education web sites and library sources. Two authors verified available sources and categorized these based on cost; either open access, or subscription-based. A list of 40 virtual simulation sources including virtual simulations, virtual reality simulations and virtual games, is presented. These provide faculty with a choice of virtual simulation modalities for various levels of nurse learners. Numerous virtual simulation technology applications are available for educators to utilize in teaching nursing students. Results from this review meet a need for educators to access virtual simulation applications to include in their education curricula. © 2022
An exploration into early childhood physical literacy programs : a systematic literature review
- Authors: Porter, Joanne , Dabkowski, Elissa , Prokopiv, Val , Missen, Karen , Barbagallo, Michael , James, Michelle
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Australasian Journal of Early Childhood Vol. 48, no. 1 (2023), p. 34-49
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- Description: This review explored the impact of physical literacy programs designed to engage two- to five-year-old preschool children. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was used. Six EBSCO host databases were searched for the period 2011 to April 2021 using the search terms “physical literacy,” “early childhood,” and “impact.” Articles were excluded if physical literacy was not the focal intervention. The final data set consisted of seven-peer reviewed articles meeting the eligibility criteria and quality assessment for this review. Three themes were created using Braun and Clark’s (2006) approach to thematic analysis: Holistic benefits of physical literacy, Barriers to physical literacy and Education begins at home. Early childhood physical literacy programs provide holistic benefits for children; however, further research is needed in an Australian context. Families and community members working in the early childhood sector could benefit from further education and training to improve physical literacy awareness. © The Author(s) 2022.
An overview of long covid support services in australia and international clinical guidelines, with a proposed care model in a global context
- Authors: Luo, Shiqi , Zheng, Zhen , Bird, Stephen , Plebanski, Magdalena , Figueiredo, Bernardo , Jessup, Rebecca , Stelmach, Wanda , Robinson, Jennifer , Xenos, Sophia , Olasoji, Micheal , Wan, Dawn , Sheahan, Jacob , Itsiopoulos, Catherine
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Public Health Reviews Vol. 44, no. (2023), p.
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- Description: Objective: To identify gaps among Australian Long COVID support services and guidelines alongside recommendations for future health programs. Methods: Electronic databases and seven government health websites were searched for Long COVID-specific programs or clinics available in Australia as well as international and Australian management guidelines. Results: Five Long COVID specific guidelines and sixteen Australian services were reviewed. The majority of Australian services provided multidisciplinary rehabilitation programs with service models generally consistent with international and national guidelines. Most services included physiotherapists and psychologists. While early investigation at week 4 after contraction of COVID-19 is recommended by the Australian, UK and US guidelines, this was not consistently implemented. Conclusion: Besides Long COVID clinics, future solutions should focus on early identification that can be delivered by General Practitioners and all credentialed allied health professions. Study findings highlight an urgent need for innovative care models that address individual patient needs at an affordable cost. We propose a model that focuses on patient-led self-care with further enhancement via multi-disciplinary care tools. Copyright © 2023 Luo, Zheng, Bird, Plebanski, Figueiredo, Jessup, Stelmach, Robinson, Xenos, Olasoji, Wan, Sheahan and Itsiopoulos.
Applications of Computed Tomography (CT) in environmental soil and plant sciences
- Authors: Zhang, Huan , He, Hailong , Gao, Yanjun , Mady, Ahmed , Filipović, Vilim , Dyck, Miles , Lv, Jialong , Liu, Yang
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Soil and Tillage Research Vol. 226, no. (2023), p.
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- Description: Computed tomography (CT) in combination with advanced image processing can be used to non-invasively and non-destructively visualize complex interiors of living and non-living media in 2 and 3-dimensional space. In addition to medical applications, CT has also been widely used in soil and plant science for visual and quantitative descriptions of physical, chemical, and biological properties and processes. The technique has been used successfully on numerous applications. However, with a rapidly evolving CT technologies and expanding applications, a renewed review is desirable. Only a few attempts have been made to collate and review examples of CT applications involving the integrated field of soil and plant research in recent years. Therefore, the objectives of this work were to: (1) briefly introduce the basic principles of CT and image processing; (2) identify the research status and hot spots of CT using bibliometric analysis based on Web of Science literature over the past three decades; (3) provide an overall review of CT applications in soil science for measuring soil properties (e.g., porous soil structure, soil components, soil biology, heat transfer, water flow, and solute transport); and (4) give an overview of applications of CT in plant science to detect morphological structures, plant material properties, and root-soil interaction. Moreover, the limitations of CT and image processing are discussed and future perspectives are given. © 2022 Elsevier B.V.
Applications of machine learning and deep learning in antenna design, optimization, and selection : a review
- Authors: Sarker, Nayan , Podder, Prajoy , Mondal, M. , Shafin, Sakib , Kamruzzaman, Joarder
- Date: 2023
- Type: Text , Journal article , Review
- Relation: IEEE Access Vol. 11, no. (2023), p. 103890-103915
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- Description: This review paper provides an overview of the latest developments in artificial intelligence (AI)-based antenna design and optimization for wireless communications. Machine learning (ML) and deep learning (DL) algorithms are applied to antenna engineering to improve the efficiency of the design and optimization processes. The review discusses the use of electromagnetic (EM) simulators such as computer simulation technology (CST) and high-frequency structure simulator (HFSS) for ML and DL-based antenna design, which also covers reinforcement learning (RL)-bases approaches. Various antenna optimization methods including parallel optimization, single and multi-objective optimization, variable fidelity optimization, multilayer ML-assisted optimization, and surrogate-based optimization are discussed. The review also covers the AI-based antenna selection approaches for wireless applications. To support the automation of antenna engineering, the data generation technique with computational electromagnetics software is described and some useful datasets are reported. The review concludes that ML/DL can enhance antenna behavior prediction, reduce the number of simulations, improve computer efficiency, and speed up the antenna design process. © 2013 IEEE.
Deep learning and federated learning for screening COVID-19 : a review
- Authors: Mondal, M. , Bharati, Subrato , Podder, Prajoy , Kamruzzaman, Joarder
- Date: 2023
- Type: Text , Journal article , Review
- Relation: BioMedInformatics Vol. 3, no. 3 (2023), p. 691-713
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- Description: Since December 2019, a novel coronavirus disease (COVID-19) has infected millions of individuals. This paper conducts a thorough study of the use of deep learning (DL) and federated learning (FL) approaches to COVID-19 screening. To begin, an evaluation of research articles published between 1 January 2020 and 28 June 2023 is presented, considering the preferred reporting items of systematic reviews and meta-analysis (PRISMA) guidelines. The review compares various datasets on medical imaging, including X-ray, computed tomography (CT) scans, and ultrasound images, in terms of the number of images, COVID-19 samples, and classes in the datasets. Following that, a description of existing DL algorithms applied to various datasets is offered. Additionally, a summary of recent work on FL for COVID-19 screening is provided. Efforts to improve the quality of FL models are comprehensively reviewed and objectively evaluated. © 2023 by the authors.
Do health service waiting areas contribute to the health literacy of consumers? A scoping review
- Authors: McDonald, Cassie , Voutier, Catherine , Govil, Dhruv , D'Souza, Aruska , Truong, Dominic , Abo, Shaza , Remedios, Louisa , Granger, Catherine
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Health Promotion International Vol. 38, no. 4 (2023), p.
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- Description: Health service waiting areas commonly provide health information, resources and supports for consumers; however, the effect on health literacy and related outcomes remains unclear. This scoping review of the literature aimed to explore the use of waiting areas as a place to contribute to the health literacy and related outcomes of consumers attending health appointments. Articles were included if they focussed on health literacy or health literacy responsiveness (concept) in outpatient or primary care health service waiting areas (context) for adult consumers (population) and were published after 2010. Ten bibliographic databases, one full-text archive, dissertation repositories and web sources were searched. The search yielded 5095 records. After duplicate removal, 3942 title/abstract records were screened and 360 full-text records assessed. Data were charted into a standardized data extraction tool. A total of 116 unique articles (published empirical and grey literature) were included. Most articles were set in primary and community care (49%) waiting areas. A diverse range of health topics and resource types were available, but results demonstrated they were not always used by consumers. Outcomes measured in intervention studies were health knowledge, intentions and other psychological factors, self-reported and observed behaviours, clinical outcomes and health service utilization. Intervention studies overall demonstrated positive trends in health literacy-related outcomes, although the benefit declined after 3-6 months. Research on using waiting areas for health literacy purposes is increasing globally. Future research investigating the needs of consumers to inform optimal intervention design is needed. © 2023 The Author(s). Published by Oxford University Press.
Dynamics of transforming growth factor
- Authors: Wu, Siqi , Luwor, Rodney , Zhu, Hong-Jian
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Growth Factors Vol. 41, no. 2 (2023), p. 82-100
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- Description: Transforming growth factor
Effects of physical training on change of direction performance : a systematic review with meta-analysis
- Authors: Carvajal-Espinoza, Rafael , Talpey, Scott , Salazar-Rojas, Walter
- Date: 2023
- Type: Text , Journal article , Review
- Relation: International Journal of Sports Science and Coaching Vol. 18, no. 5 (2023), p. 1850-1866
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- Description: Background: One of the most sought-after skills for performance in team sports is change of direction. Training the physical qualities of strength, speed, and power has been used to improve change of direction. These qualities of change of direction have been studied extensively for the last 20 years, and their influence is still questioned. Additionally, it is currently unknown how moderating training variables affect COD performance. Objective: This study examines the impact of strength, power, and speed training on change of direction performance. Method: Following the PRISMA guidelines, a meta-analysis was conducted. Electronic databases were searched for studies conducted from 1991 to April 2021. All studies identified for inclusion were peer-reviewed and published in English and Spanish and used an athlete population as participants. For all analyses, a significance level is set at p < 0.05. Results: Sixty-six articles were included in this meta-analysis. Two hundred fifty-one effect sizes were calculated, representing 2056 participants aged between 12 and 25 years. The global effect size (ES) for each quality is reported and Cochran's Q test: Strength (N = 48) ES: 0.844 Q = 77.63 (95%CI: 0.65;1.07); Speed (N = 17) ES: 0.70 Q = 5.69 (CI95% = 0.35;1.05); Power (N = 49) ES: 0.85 Q = 47.58 (CI95% = 0.64;1.06); Agility (N = 57) ES: 1.05 Q = 79.63 (CI95% = 0.86;1.24); Combined training (N = 13) ES: 0.51 Q = 13.79 (CI95% = 0.14;0.93), and the Control Group (N = 67) ES: 0.53 Q = 47.40 (IC95% =
Exploring greener pathways and catalytic systems for ethylene carbonate production
- Authors: Ng, Wei , Minh Loy, Adrian , McManus, David , Gupta, Ashwani , Sarmah, Ajit , Bhattacharya, Sankar
- Date: 2023
- Type: Text , Journal article , Review
- Relation: ACS Sustainable Chemistry and Engineering Vol. 11, no. 39 (2023), p. 14287-14307
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- Description: The production of cyclic carbonates is pivotal in carbon capture and utilization (CCU), providing an opportunity to utilize recycled CO2. Ethylene carbonate (EC) holds significance among cyclic carbonates in industrial settings due to its extensive applications in lithium-ion batteries and industrial lubricants and as a precursor for green polycarbonate production. However, the current synthesis of EC relies on toxic, fossil-based epoxide reactants, which poses sustainability challenges. To meet the growing demand for green chemistry, three greener alternative pathways for EC synthesis have been proposed, involving the reaction of carbon-based reactants (CO2, urea, and dimethyl carbonate) with ethylene glycol (EG) derived from biodiesel waste. This Perspective addresses key inquiries surrounding alternative EC synthesis pathways through quantitative and qualitative assessments. Specifically, we elucidate (a) possible sustainable routes, (b) current advances in the first principle of kinetic and operational methods, and (c) differences in reactions from the perspectives of thermodynamics, safety, and greenness of production. Notably, the direct carboxylation of CO2 with EG emerges as a promising green synthesis route, but challenges persist, such as catalyst development and water inhibition. Finally, future prospects for overcoming challenges in the green manufacturing of EC are discussed, providing insights into advancing CCU. © 2023 American Chemical Society.
Exploring the experiences of frontline nurses during the first 6 months of the COVID-19 pandemic : an integrated literature review
- Authors: Jackson, Megan , Porter, Joanne , Mesagno, Christopher
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Nursing Open Vol. 10, no. 5 (2023), p. 2705-2719
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- Description: Aim: The aim of this study was to explore the experiences of frontline nurses caring for patients during the first 6 months of the COVID-19 pandemic. Design: The JBI manual for evidence synthesis and the PRISMA guidelines for reporting. Data sources: CINAHL Complete, MEDLINE, PsycINFO (EBSCO) and Scopus (Elsevier). Review Methods: The JBI Mixed Methods Data Extraction Tool following a Convergent Integrated Approach. Results: Nineteen studies were included in the review, comprising eight countries and 2525 frontline nurses. Six themes emerged encompassing frontline nurses' COVID-19 experiences including emotional experiences, physical symptoms, ethical and moral challenges, professional impact, risk factors for negative emotional experiences and protective factors for future pandemic events. Conclusion: Frontline nurses have faced numerous challenges during the COVID-19 pandemic. Providing frontline nurses with the required resources and support to perform their roles in global healthcare crises allows for an empowered and resilient workforce ensuring nurses remain in their chosen profession. © 2022 The Authors. Nursing Open published by John Wiley & Sons Ltd.
Exploring the therapeutic effectiveness of genograms in family therapy : a literature review
- Authors: Joseph, Bindu , Dickenson, Sarah , McCall, Allira , Roga, Erin
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Family Journal Vol. 31, no. 1 (2023), p. 21-30
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- Description: The primary aim of the literature review is to explore the relevant literature on the use and effectiveness of genograms in family therapy. The literature is predominantly related to the use of genograms in various settings and adaptations. There are minimal studies on the effectiveness of genograms as a therapeutic tool in family therapy. Searches were conducted of MEDLINE, EMBASE, CINAHL, SCOPUS and PsycINFO electronic databases. The international review includes all studies, irrespective of study methodology. This review will inform clinicians working in family therapy and other relevant disciplines on the usefulness of genograms as a therapeutic tool, examples of adaptations to the traditional genogram for specific populations and purposes, and, to a lesser extent, the therapeutic effectiveness of genograms in family therapy. The results and discussion will provide insights on the utilisation of genograms, the range of population, gaps in the existing literature and the need for further research. © The Author(s) 2022.
Food safety considerations in the production of traditional fermented products : Japanese rice koji and miso
- Authors: Allwood, Joanne , Wakeling, Lara , Post, Laurie , Bean, David
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Journal of Food Safety Vol. 43, no. 4 (2023), p.
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- Description: While established in Asia, rice koji and miso are fermented foods that are becoming more popular in western countries. They have been shown to contain a variety of microorganisms, consisting of bacteria, yeasts, and fungal species. Many contemporary miso varieties are not pasteurized as consumers are looking for more natural products, and/or have the desire to consume fermented foods containing live microorganisms. While correctly prepared fermented foods are rarely associated with food safety outbreaks, incidences have been recorded. On these occasions, pathogenic, or spoilage microorganisms were introduced into the products from external sources such as the raw material or the processing environment. Consequently, hygiene and fermentation conditions need to be carefully monitored to ensure food safety. Furthermore, many of the production steps during koji and miso manufacture do not fit into contemporary food safety guidelines for foods. Although pH is a required food safety hurdle for fermented foods, this does not apply to nonacidic foods such as koji or miso. This review focuses on control of microbial pathogens and discusses the processes of miso fermentation, and how fermentation of rice koji and miso fits with current food safety hurdles in western countries. © 2023 The Authors. Journal of Food Safety published by Wiley Periodicals LLC.
Human strongyloidiasis : complexities and pathways forward
- Authors: Buonfrate, Dora , Bradbury, Richard , Watts, Matthew , Bisoffi, Zeno
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Clinical Microbiology Reviews Vol. 36, no. 4 (2023), p.
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- Description: Strongyloidiasis is a World Health Organization neglected tropical disease usually caused by Strongyloides stercoralis, a parasitic worm with a complex life cycle. Globally, 300-600 million people are infected through contact with fecally contaminated soil. An autoinfective component of the life cycle can lead to chronic infection that may be asymptomatic or cause long-term symptoms, including malnourishment in children. Low larval output can limit the sensitivity of detection in stool, with serology being effectivebut less sensitive in immunocompromise. Host immunosuppression can trigger catastrophic, fatal hyperinfection/dissemination, where large numbers of larvae pierce the bowel wall and disseminate throughout the organs. Stable disease is effectivelytreated by single-dose ivermectin, with disease in immunocompromised patients treated with multiple doses. Strategies for management include raising awareness, clarifying zoonotic potential, the development and use of effectivediagnostic tests for epidemiological studies and individual diagnosis, and the implementation of treatment programs with research into therapeutic alternatives and medication safety. © 2023 American Society for Microbiology. All rights reserved.
Identifying complementary and alternative medicine recommendations for anxiety treatment and care : a systematic review and critical assessment of comprehensive clinical practice guidelines
- Authors: Zhao, Fei-Yi , Kennedy, Gerard , Xu, Peijie , Conduit, Russell , Wang, Yan-Mei , Zhang, Wen-Jing , Wang, Hui-Ru , Yue, Li-Ping , Huang, Yu-Ling , Wang, Yin , Xu, Yan , Fu, Qiang-Qiang , Zheng, Zhen
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Frontiers in Psychiatry Vol. 14, no. (2023), p.
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- Description: Background: Clinical practice guidelines (CPGs) are used to guide decision-making, especially regarding complementary and alternative medicine (CAM) therapies that are unfamiliar to orthodox healthcare providers. This systematic review aimed to critically review and summarise CAM recommendations associated with anxiety management included in the existing CPGs. Methods: Seven databases, websites of six international guidelines developing institutions, and the National Centre for Complementary and Integrative Health website were systematically searched. Their reporting and methodological quality were evaluated using the Reporting Items for practice Guidelines in Healthcare checklist and the Appraisal of Guidelines for Research and Evaluation (2nd version) instrument, respectively. Results: Ten CPGs were included, with reporting rates between 51.4 and 88.6%. Seven of these were of moderate to high methodological quality. Seventeen CAM modalities were implicated, involving phytotherapeutics, mind–body practice, art therapy, and homeopathy. Applied relaxation was included in 70% CPGs, which varied in degree of support for its use in the treatment of generalised anxiety disorder. There were few recommendations for other therapies/products. Light therapy was not recommended for use in generalised anxiety disorder, and St John’s wort and mindfulness were not recommended for use in social anxiety disorder in individual guidelines. Recommendations for the applicability of other therapies/products for treating a specific anxiety disorder were commonly graded as “unclear, unambiguous, or uncertain”. No CAM recommendations were provided for separation anxiety disorder, specific phobia or selective mutism. Conclusion: Available guidelines are limited in providing logically explained graded CAM recommendations for anxiety treatment and care. A lack of high-quality evidence and multidisciplinary consultation during the guideline development are two major reasons. High quality and reliable clinical evidence and the engagement of a range of interdisciplinary stakeholders are needed for future CPG development and updating. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022373694, identifier CRD42022373694. Copyright © 2023 Zhao, Kennedy, Xu, Conduit, Wang, Zhang, Wang, Yue, Huang, Wang, Xu, Fu and Zheng.