Behavior

行为
  • 文章类型: Journal Article
    本研究旨在评估早期暴露于脑损伤和营养不良对情景记忆和行为的影响。
    为此,在Medline/Pubmed,WebofScience,Scopus,和LILACS数据库没有年份或语言限制。
    最初,共检测到1759项研究。筛选后,53项研究仍有待全文阅读。荟萃分析表明,暴露于双重伤害会恶化情节识别记忆,但不会影响空间记忆。已证明早期接触低蛋白饮食会加重运动和咀嚼后遗症。此外,它减轻了比目鱼肌和咬肌和腹肌的肌纤维的重量。早期接触高脂肪饮食会促进大脑中氧化应激和炎症的增加,增加焦虑和抑郁样行为,减少运动。
    在海马中注意到表观遗传修饰,下丘脑,和前额叶皮层取决于早期饮食暴露的类型。这些发现证明了双重侮辱对涉及认知和行为过程的区域的影响。进一步的研究对于了解关键时期双重侮辱的实际影响至关重要。
    UNASSIGNED: The present study aims to evaluate the impact of early exposure to brain injury and malnutrition on episodic memory and behavior.
    UNASSIGNED: For this, a systematic review was carried out in the Medline/Pubmed, Web of Science, Scopus, and LILACS databases with no year or language restrictions.
    UNASSIGNED: Initially, 1759 studies were detected. After screening, 53 studies remained to be read in full. The meta-analysis demonstrated that exposure to double insults worsens episodic recognition memory but does not affect spatial memory. Early exposure to low-protein diets has been demonstrated to aggravate locomotor and masticatory sequelae. Furthermore, it reduces the weight of the soleus muscle and the muscle fibers of the masseter and digastric muscles. Early exposure to high-fat diets promotes an increase in oxidative stress and inflammation in the brain, increasing anxiety- and depression-like behavior and reducing locomotion.
    UNASSIGNED: Epigenetic modifications were noted in the hippocampus, hypothalamus, and prefrontal cortex depending on the type of dietetic exposure in early life. These findings demonstrate the impact of the double insult on regions involved in cognitive and behavioral processes. Additional studies are essential to understand the real impact of the double insults in the critical period.
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  • 文章类型: Journal Article
    背景:运动和饮食等健康行为强烈影响幸福感和疾病风险,提供针对不同个人环境的干预机会。精确的行为干预在青春期和成年期(10-25岁)至关重要,塑造终身福祉的形成期。我们将对青少年和年轻人(AYAs)的健康行为和福祉的及时适应性干预措施(JITAI)进行系统审查。JITAI是一种新兴的数字健康设计,通过监测和调整个人,提供精确的健康支持。实时的特定和不断变化的环境。尽管显示了潜力,没有发表的评论探讨了JITAIs如何动态适应各种AYA的交叉健康因素。我们将确定JITAI的远端和近端结果及其定制机制,并报告其有效性。我们还将探讨健康公平的研究考虑因素。这将形成对JITAIs及其在促进AYA健康行为中的作用的全面评估。我们将整合证据指导制定和实施精准,为AYAs提供有效和公平的数字卫生干预措施。
    方法:遵守系统评价和荟萃分析指南的首选报告项目,我们将在多个数据库中进行系统的搜索,包括中央,MEDLINE和WHO全球指数Medicus。我们将以多种语言纳入针对AYA健康的JITAI的同行评审研究。两名独立评审员将对研究和参与者特征进行筛选和数据提取,JITAI设计,健康结果衡量和公平考虑。我们将提供研究结果的叙述性综合,如果数据允许,进行荟萃分析。
    背景:由于我们不会收集主要数据,我们不需要道德批准。我们将通过同行评审的期刊出版物传播审查结果,会议和利益相关者会议,以告知参与性研究。
    CRD42023473117。
    BACKGROUND: Health behaviours such as exercise and diet strongly influence well-being and disease risk, providing the opportunity for interventions tailored to diverse individual contexts. Precise behaviour interventions are critical during adolescence and young adulthood (ages 10-25), a formative period shaping lifelong well-being. We will conduct a systematic review of just-in-time adaptive interventions (JITAIs) for health behaviour and well-being in adolescents and young adults (AYAs). A JITAI is an emerging digital health design that provides precise health support by monitoring and adjusting to individual, specific and evolving contexts in real time. Despite demonstrated potential, no published reviews have explored how JITAIs can dynamically adapt to intersectional health factors of diverse AYAs. We will identify the JITAIs\' distal and proximal outcomes and their tailoring mechanisms, and report their effectiveness. We will also explore studies\' considerations of health equity. This will form a comprehensive assessment of JITAIs and their role in promoting health behaviours of AYAs. We will integrate evidence to guide the development and implementation of precise, effective and equitable digital health interventions for AYAs.
    METHODS: In adherence to Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, we will conduct a systematic search across multiple databases, including CENTRAL, MEDLINE and WHO Global Index Medicus. We will include peer-reviewed studies on JITAIs targeting health of AYAs in multiple languages. Two independent reviewers will conduct screening and data extraction of study and participant characteristics, JITAI designs, health outcome measures and equity considerations. We will provide a narrative synthesis of findings and, if data allows, conduct a meta-analysis.
    BACKGROUND: As we will not collect primary data, we do not require ethical approval. We will disseminate the review findings through peer-reviewed journal publication, conferences and stakeholder meetings to inform participatory research.
    UNASSIGNED: CRD42023473117.
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  • 文章类型: Journal Article
    背景:全球产后抑郁症(PPD)的估计患病率,在中国,上海是17.2%,18.0%和23.2%,分别。2021年,上海容纳了320万育龄妇女,由于经济原因,他们中的大多数人与丈夫一起移居城市。由于人们认为存在社会污名化的风险,中国的精神障碍普遍缺乏寻求帮助的行为。在上海,70%的妇女没有为围产期心理健康问题寻求专业帮助。我们的目标是从多个角度收集信息,例如患有PPD和围产期抑郁症(PND)的移民妇女,他们的照顾者,卫生服务提供者和社区,了解中国产后流动妇女PPD或PND的求助行为。
    方法:系统审查的首选报告项目和范围审查的荟萃分析框架将指导本次审查。一位双语研究图书馆员制定了一项全面的搜索策略,以检索已发表和未发表的中英文研究,这些研究涉及影响中国女性PPD或PND寻求帮助行为的因素。这些文献包括感知,视图,模式,接受和拒绝,倾向,概率,服务可访问性和利用率,和事实。我们将搜索PubMed,Embase,科学网和CINAHL为英国文学和CINKI为中国文学。后向和前向雪球方法将用于从选定论文的参考列表中识别其他相关论文。两名独立的审稿人将筛选标题和摘要,并审查所选论文的全文,以确定符合条件的文章进行数据提取。我们将建立一个MicrosoftAccess数据库来记录提取的数据。结果将在表格和因果图中显示,以证明提取的变量与PPD和PND的求助行为之间的关系。将根据文献中的信息制定概念模拟模型,以验证变量之间关系的逻辑,确定知识差距,并深入了解潜在的干预方法。将邀请专家和利益相关者在上海的小组模型构建(GMB)研讨会上对结果进行评论和评论。这些评论对于验证调查结果至关重要,接收反馈并获得更多见解。
    背景:我们研究的文献综述部分不需要伦理批准,因为收集的信息和数据将从公开可用的来源获得,并且不会涉及人类受试者。我们的合作研究伙伴,国际桃子妇幼医院,获得IRB批准(GKLW-A-2023-020-01),用于筛选和招募GMB研讨会的参与者。斯坦福大学根据第67419号方案获得IRB批准。完整的审查将在相关会议上提交,并提交给同行评审的科学期刊发表,以报告发现。
    BACKGROUND: The estimated prevalence of postpartum depression (PPD) worldwide, in China, and Shanghai is 17.2%, 18.0% and 23.2%, respectively. In 2021, Shanghai housed a population of 3.2 million childbearing-age migrant women, most of whom migrated to the city with their husbands for economic reasons. There is a general lack of help-seeking behaviour for mental disorders in China due to the perceived risk of social stigmatisation. In Shanghai, 70% of women did not seek professional help for perinatal mental health problems. We aim to gather information from multiple perspectives, such as the migrant women with PPD and perinatal depression (PND), their caregivers, health service providers and communities, to understand the help-seeking behaviour of postpartum migrant women with PPD or PND in China.
    METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework for Scoping Reviews will guide this review. A bilingual research librarian developed a comprehensive search strategy to retrieve published and unpublished English and Chinese studies involving factors influencing women\'s PPD or PND help-seeking behaviour in China. This literature includes perceptions, views, patterns, acceptance and refusal, tendencies, probability, service accessibility and utilisation, and facts. We will search PubMed, Embase, Web of Science and CINAHL for English literature and CINKI for Chinese literature. Backward and forward snowball approaches will be used to identify additional relevant papers from the reference lists of selected papers. Two independent reviewers will screen the title and abstract and review the full text of selected papers to identify eligible articles for data extraction. We will build a Microsoft Access database to record the extracted data. The results will be presented in tables and a causal map to demonstrate the relationships between extracted variables and help-seeking behaviours for PPD and PND. A conceptual simulation model will be formulated based on the information from the literature to validate the logic of the relationships between variables, identify knowledge gaps and gain insights into potential intervention approaches. Experts and stakeholders will be invited to critique and comment on the results during group model building (GMB) workshops in Shanghai. These comments will be essential to validate the findings, receive feedback and obtain additional insights.
    BACKGROUND: The literature review component of our study does not require ethical approval because the information and data collected will be obtained from publicly available sources and will not involve human subjects. Our collaborating research partner, International Peach Maternal Child Hospital, obtained the IRB approval (GKLW-A-2023-020-01) for screening and enrolling participants in GMB workshops. Stanford University received IRB approval under protocol number 67 419. The full review will be presented at a relevant conference and submitted to a peer-reviewed scientific journal for publication to report findings.
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  • 文章类型: Journal Article
    开发用于神经性疼痛治疗的新型镇痛药至关重要。有希望的药物在临床试验中的失败可能与临床前药物测试中过度依赖基于反射的反应(诱发疼痛)有关。这可能不能完全代表临床神经性疼痛,以自发性非诱发疼痛(NEP)为特征。因此,在临床前研究中评估NEP的策略出现了。本系统综述确定了443篇文章,评估了神经性疼痛模型(主要是雄性啮齿动物的创伤性神经损伤)中的NEP。观察到NEP评估呈指数增长,使用48种不同的测试进行评估,这些测试分为12种与NEP相关的结果:焦虑,探索/运动,举爪,抑郁症,有条件的地方偏好,步态,自体切开术,幸福,面部美容,认知障碍,面部疼痛的表情和发声。尽管这些结果中的大多数都显示出明显的局限性,我们的分析表明,条件相关的结果,疼痛相关的合并症,步态评估可能是最有效的策略。此外,一小部分研究评估了标准镇痛药.更加强调评估NEP与临床疼痛症状的一致性可能会增强镇痛药物的开发。改善临床翻译。
    The development of new analgesics for neuropathic pain treatment is crucial. The failure of promising drugs in clinical trials may be related to the over-reliance on reflex-based responses (evoked pain) in preclinical drug testing, which may not fully represent clinical neuropathic pain, characterized by spontaneous non-evoked pain (NEP). Hence, strategies for assessing NEP in preclinical studies emerged. This systematic review identified 443 articles evaluating NEP in neuropathic pain models (mainly traumatic nerve injuries in male rodents). An exponential growth in NEP evaluation was observed, which was assessed using 48 different tests classified in 12 NEP-related outcomes: anxiety, exploration/locomotion, paw lifting, depression, conditioned place preference, gait, autotomy, wellbeing, facial grooming, cognitive impairment, facial pain expressions and vocalizations. Although most of these outcomes showed clear limitations, our analysis suggests that conditioning-associated outcomes, pain-related comorbidities, and gait evaluation may be the most effective strategies. Moreover, a minimal part of the studies evaluated standard analgesics. The greater emphasis on evaluating NEP aligning with clinical pain symptoms may enhance analgesic drug development, improving clinical translation.
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  • 文章类型: Journal Article
    尽管受伤,但在两次会议之间没有停止的情况下过度参与体育锻炼,持续思考锻炼感觉疯狂的想法和经历戒断症状都是运动成瘾(EA)的特征,上瘾的行为。虽然主要的运动成瘾是由强迫性运动直接引起的,许多研究强调了饮食失调(ED)和EA之间的关系,定义二级EA。EA之间的相关性,社交媒体使用(SMU)和其他个体特征仍然是一个相对未充分开发的领域。因此,这篇综述旨在研究关于EA之间关系的最新证据,SMU,和一些人格特质,如完美主义和身体形象。
    电子数据库,包括PubMed,Medline,心术,Embase,根据PRISMA指南,从2019年1月至2023年10月搜索了WebofScience。
    本次审查共审查并合并了15篇文章。EA被发现与完美主义等不同的个体特征有关,身体不满,抑郁症,强迫性人格障碍.虽然关于EA和SMU之间的关系发现了有争议的结果。
    心理健康之间的相互作用,运动成瘾和社交媒体使用是复杂的。尽管有潜在的好处,但过度参与后者可能会导致负面的心理健康后果。了解个体差异并制定有效的干预措施对于促进健康习惯和减轻EA风险至关重要。最终提高心理健康。进一步的研究应侧重于识别风险和保护因素,最终目标是制定和实施有效的预防战略。
    UNASSIGNED: The excessive involvement in physical activity without stopping in between sessions despite injuries, the continuous thinking to exercise feeling insane thoughts and experiencing withdrawal symptoms are all characteristics of the Exercise Addiction (EA), an addictive behavior. While the primary exercise addiction is directly caused by compulsive exercise, many studies highlighted the relationship between Eating Disorders (ED) and EA, defining the secondary EA. The correlation between EA, social media use (SMU) and other individual traits remains a relatively underexplored domain. Therefore, this review aimed to examine the latest evidence on the relationship between EA, SMU, and some personality traits such as perfectionism and body image.
    UNASSIGNED: Electronic databases including PubMed, Medline, PsycARTICLES, Embase, Web of Science were searched from January 2019 to October 2023, following the PRISMA guidelines.
    UNASSIGNED: A total of 15 articles were examined and consolidated in this review. EA was found to be related to different individual traits such perfectionism, body dissatisfaction, depression, obsessive-compulsive personality disorders. While controversial results were found regarding the relationship between EA and SMU.
    UNASSIGNED: The interaction between mental health, exercise addiction and social media use is complex. Excessive engagement in these latter may result in negative mental health consequences despite their potential benefits. Understanding individual differences and developing effective interventions is crucial to promoting healthy habits and mitigating the EA risks, ultimately enhancing mental well-being. Further research should focus on the identification of risks and protective factors with the eventual aim of developing and implementing effective prevention strategies.
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  • 文章类型: Journal Article
    行为科学对各种组织的影响在全球范围内都在经历着显着的增长。随着最近技术进步的整合,行为科学的影响已经扩展到金融和政策等多个领域。“人工智能”(AI)一词越来越普遍,但在继续之前提供清晰度是至关重要的。AI涉及能够执行通常需要人类智能的任务的系统的理论和创建。在儿科牙科中集成人工智能(AI)已成为增强患者护理的有希望的途径。提高诊断准确性,简化治疗计划,并增强患者的参与度。人工智能驱动的工具,如图像分析,自然语言处理,机器学习算法有助于早期龋齿检测,正畸治疗计划,行为管理,对儿科患者进行个性化口腔卫生教育。本文概述了人工智能在儿科牙科中的应用,尤其是行为管理,强调其彻底改变传统儿科牙科实践的潜力。
    The influence of behavioral science on various organizations has been experiencing remarkable growth worldwide. With the integration of recent technological advancements, behavioral science\'s impact has expanded into diverse fields such as finance and policy. The term \"artificial intelligence\" (AI) has become increasingly prevalent, but it is essential to provide clarity before proceeding. AI pertains to the theory and creation of systems capable of executing tasks that typically necessitate human intelligence. Integrating artificial intelligence (AI) in pediatric dentistry has emerged as a promising avenue to enhance patient care, improve diagnostic accuracy, streamline treatment planning, and augment patient engagement. AI-driven tools such as image analysis, natural language processing, and machine learning algorithms assist in early caries detection, orthodontic treatment planning, behavior management, and personalized oral hygiene education for pediatric patients. This paper presents an overview of AI\'s applications in pediatric dentistry, particularly behavior management, highlighting its potential to revolutionize traditional pediatric dental practices.
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  • 文章类型: Journal Article
    背景:自闭症儿童表现出更高的一般和牙科焦虑,由于感官敏感性的改变。
    目的:当前的系统评价旨在评估感官适应的牙齿环境(SADE)相对于常规牙齿环境(RDE)对行为,自闭症谱系障碍(ASDs)儿童的生理压力和明显的焦虑。
    方法:Prospero注册(CRD42024508336)。PubMed,科克伦,Scopus数据库从1980年1月1日至2024年1月1日使用预定义的搜索策略进行搜索。
    结果:总共269个标题,是在应用过滤器后从包含的数据库中获得的,排除重复和评论以及不相关的文章导致最终纳入12篇文章进行全文筛选,三项研究维持了有针对性的PICO搜索。
    结论:ASD患儿在SADE环境中皮肤电导水平(表示生理应激的参数)较低,其他行为应激相关参数在SADE和RDE环境中没有显著差异。
    BACKGROUND: Children with autism exhibit a higher general and dental anxiety, due to altered sensory sensibilities.
    OBJECTIVE: This current systematic review aims to evaluate the effectiveness of Sensory adapted dental environment (SADE) over regular dental environment (RDE) on behavioral, physiological stress and overt anxiety in children with autism spectrum disorders (ASDs).
    METHODS: Prospero registered (CRD42024508336). PubMed, Cochrane, Scopus databases are searched from years January 1, 1980-January 1, 2024 using pre-defined search strategy.
    RESULTS: A total of 269 titles, were obtained from the included databases after application of filters, exclusion of duplicates and reviews and irrelevant articles led to the final inclusion of 12 articles for full text screening from which, three studies sustained the targeted PICO search.
    CONCLUSIONS: Skin conductance level (parameter indicating physiological stress) is lower in SADE environment in children with ASD, other behavior stress related parameters there is no significant difference between SADE and RDE environments.
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  • 文章类型: Journal Article
    背景:在健康饮食和饮食行为方面,青少年和年轻人是易感人群。这个年龄段越来越多地使用社交媒体为促进健康的饮食习惯提供了独特的机会。社交媒体已成为促进健康干预的热门平台,尤其是年轻人。然而,对于社交媒体干预在这一人群中的有效性缺乏共识.这项混合方法的系统评价旨在综合社交媒体干预对年轻人健康饮食行为的影响的现有证据。他们的定性观点和用户体验,以及干预的特点,用于促进健康饮食的行为改变理论和技术。
    方法:我们将对七个电子数据库进行全面搜索,包括ASSIA,科克伦图书馆,Embase,MEDLINE,PsycINFO,Scopus和WebofScience搜索策略将使用涵盖三个领域的医学主题词和关键词的组合:社交媒体,饮食行为和年轻人。搜索将仅限于任何语言的同行评审发表的论文,2000年出版。三名独立审稿人将根据预定的资格标准筛选研究。将使用收敛的分离混合方法方法提取和分析数据。我们将对定量数据使用随机效应荟萃分析或无荟萃分析的综合,对定性数据使用主题综合。最后,使用并行三角测量的叙事综合将用于汇集混合方法数据分析的结果,以提供对社交媒体干预的影响和其他特征的全面和综合的理解.此系统审查将遵循系统审查和荟萃分析的首选报告项目。
    背景:不需要道德批准,因为本系统审查不会收集原始数据。本次审查的结果将通过同行评审的出版物和会议演讲分享,并将有助于主要作者的博士论文。
    CRD42023414476。
    BACKGROUND: Adolescents and young adults are susceptible population when it comes to healthy eating and dietary behaviours. The increasing use of social media by this age group presents a unique opportunity to promote healthy eating habits. Social media has become a popular platform for promoting health interventions, particularly among young people. However, there is a lack of consensus on the effectiveness of social media interventions in this population. This mixed-method systematic review aims to synthesise the available evidence on the impact of social media interventions on healthy eating behaviours among young people, their qualitative views and user experiences, and the intervention characteristics, behaviour change theories and techniques used to promote healthy eating.
    METHODS: We will conduct a comprehensive search of seven electronic databases, including ASSIA, Cochrane Library, Embase, MEDLINE, PsycINFO, Scopus and Web of Science. The search strategy will use a combination of Medical Subject Headings terms and keywords covering three domains: social media, eating behaviours and young people. The search will be limited to peer-reviewed published papers in any language, published from 2000. Three independent reviewers will screen studies based on predetermined eligibility criteria. Data will be extracted and analysed using a convergent segregated mixed-method approach. We will use random-effect meta-analysis or Synthesis Without Meta-analysis for quantitative data and thematic synthesis for qualitative data. Finally, narrative synthesis using concurrent triangulation will be used to bring together the results of the mixed-method data analysis to provide a comprehensive and integrated understanding of the impact and other features of social media interventions. This systematic review will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.
    BACKGROUND: Ethical approval is not required since this systematic review will not collect original data. The outcomes of this review will be shared through peer-reviewed publications and conference presentations and will contribute to the PhD thesis of the primary author.
    UNASSIGNED: CRD42023414476.
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  • 文章类型: Journal Article
    目的:评估口服暴露前预防(PrEP)摄取,在撒哈拉以南非洲(SSA)通过社区和设施提供模式接受护理的女性性工作者(FSW)的保留和依从性。
    方法:系统评价和荟萃分析。
    方法:我们搜索了在线数据库(PubMed,MEDLINE,Scopus,EMBASE,谷歌学者,Cochrane系统评论数据库和WebofScience),2012年1月至2022年4月3日。
    随机对照试验,队列研究,具有PrEP摄取的横断面研究和准实验研究,SSA中FSW的依从性和保留结果。
    方法:7位编码员提取数据。Cochrane消费者和传播审查小组的框架指导数据综合。非随机干预研究中的偏倚风险工具用于评估偏倚风险。采用随机效应模型进行Meta分析。进行了叙述性综合分析PrEP摄取的主要结果,坚持和保留。
    结果:在评估的8538条记录中,该分析包括23项研究和40669个FSW。在基于设施的模型的研究中,发起PrEP的FSW的合并比例为70%(95%CI:56%至85%),在基于社区的模型中为49%(95%CI:10%至87%)。6个月时,对于基于设施的模型,FSW的合并保留比例为66%(95%CI:15%~100%),对于基于社区的模型,FSW的合并保留比例为83%(95%CI:75%~91%).与PrEP摄取增加相关的因素是访问性工作者计划(调整后的OR(aOR)2.92;95%CI:1.91至4.46),每天有≥10个客户(aOR1.71;95%CI:1.06~2.76),政府开办的诊所无法获得免费医疗服务(相对危险度:1.16;95%CI:1.06~1.26)。
    结论:混合方法结合了基于设施的策略来增加吸收和基于社区的策略来提高保留率和依从性,可以有效提高FSW的PrEP覆盖率。
    CRD42020219363。
    OBJECTIVE: To evaluate oral pre-exposure prophylaxis (PrEP) uptake, retention and adherence among female sex workers (FSWs) receiving care through community and facility delivery models in sub-Saharan Africa (SSA).
    METHODS: Systematic review and meta-analysis.
    METHODS: We searched online databases (PubMed, MEDLINE, SCOPUS, EMBASE, Google Scholar, Cochrane Database of Systematic Reviews and Web of Science) between January 2012 and 3 April 2022.
    UNASSIGNED: Randomised controlled trials, cohort studies, cross-sectional studies and quasi-experimental studies with PrEP uptake, adherence and retention outcomes among FSWs in SSA.
    METHODS: Seven coders extracted data. The framework of the Cochrane Consumers and Communication Review Group guided data synthesis. The Risk of Bias In Non-Randomized Studies of Interventions tool was used to evaluate the risk of bias. Meta-analysis was conducted using a random-effects model. A narrative synthesis was performed to analyse the primary outcomes of PrEP uptake, adherence and retention.
    RESULTS: Of 8538 records evaluated, 23 studies with 40 669 FSWs were included in this analysis. The pooled proportion of FSWs initiating PrEP was 70% (95% CI: 56% to 85%) in studies that reported on facility-based models and 49% (95% CI: 10% to 87%) in community-based models. At 6 months, the pooled proportion of FSWs retained was 66% (95% CI: 15% to 100%) for facility-based models and 83% (95% CI: 75% to 91%) for community-based models. Factors associated with increased PrEP uptake were visiting a sex worker programme (adjusted OR (aOR) 2.92; 95% CI: 1.91 to 4.46), having ≥10 clients per day (aOR 1.71; 95% CI: 1.06 to 2.76) and lack of access to free healthcare in government-run health clinics (relative risk: 1.16; 95% CI: 1.06 to 1.26).
    CONCLUSIONS: A hybrid approach incorporating both facility-based strategies for increasing uptake and community-based strategies for improving retention and adherence may effectively improve PrEP coverage among FSWs.
    UNASSIGNED: CRD42020219363.
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  • 文章类型: Journal Article
    Frontotemporal dementia (FTD) is a progressive neurodegenerative disorder defined by the selective deterioration of the frontal and temporal lobes of the brain. This comprehensive review explored the effect of FTD on language, speech, and behavior. Early symptoms include difficulty in word finding, reduced speech output, and comprehension deficits, often leading to aphasia. The study discussed the profound behavioral changes observed in FTD patients, including apathy, disinhibition, compulsive behaviors, and loss of empathy, the importance of an accurate and early diagnosis, and its challenges. We even reviewed the potential for targeted therapies and the essential role of multidisciplinary care in managing the language, speech, and behavioral aspects of FTD. By examining objective data and comprehensive research on the subject, this study offers valuable insights into FTD\'s profound effects on language, speech, and behavior, assisting in improved clinical management and potential therapeutic strategies for this devastating condition.
    A demência frontotemporal (DFT) é uma doença neurodegenerativa progressiva definida pela deterioração seletiva dos lobos frontal e temporal do cérebro. Esta revisão abrangente explorou o efeito da DFT na linguagem, na fala e no comportamento. Os primeiros sintomas incluem dificuldade em encontrar palavras, redução da produção de fala e déficits de compreensão, muitas vezes levando à afasia. A revisão discutiu as profundas mudanças comportamentais observadas em pacientes com DFT, incluindo apatia, desinibição, comportamentos compulsivos e perda de empatia, a importância de um diagnóstico preciso e precoce e seus desafios. Também foi revisado o potencial para terapias direcionadas e o papel essencial do cuidado multidisciplinar no gerenciamento dos aspectos de linguagem, fala e comportamentais da DFT. Ao examinar os dados objetivos e a pesquisa abrangente sobre o assunto, esta revisão oferece insights valiosos sobre os efeitos profundos da DFT na linguagem, na fala e no comportamento, auxiliando no melhor manejo clínico e em possíveis estratégias terapêuticas para essa condição devastadora.
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