Studies

Studies
  • 文章类型: Journal Article
    目标是在2022年11月至2023年3月期间审查带有COVID-19数字疫苗接种证书的移动应用程序,并评估:(a)符合世卫组织疫苗接种方案证明要求,(b)使用权限累积风险评分(PARS)的应用程序权限的风险级别,以及(c)使用隐私透明度指数(PTI)评分的应用隐私政策的可读性和透明度。我们发现了来自32个国家的49个带有COVID-19数字疫苗接种证书的移动应用程序。大多数应用程序是由政府开发的(37/49,75.51%)。我们发现全国范围内的应用程序总安装量与该国至少接种一次疫苗的人之间存在高度正相关(r=0.93,P=<.001)。大多数应用程序(97.96%)都有符合世卫组织疫苗接种情况证明要求的信息来源。只有两个应用程序包含所有必需的数据项,而大多数应用程序(75%)包含9个项目中的5个或更多数据。我们发现,大多数(97.96%)应用程序都有一个GooglePlay链接来生成Exodus平台许可报告,大多数(95.92%)应用程序都有相关的隐私政策。我们确定了80个独特的权限;一些(23.75%)是危险或特殊的。我们还发现了28种跟踪器。平均PARS为28.58(IQR23.25,范围15-38.25)。大多数应用程序的隐私政策文件很难或很难阅读(中位数等级14,IQR2.6,范围13-15.6)。平均PTI为50.43(SD14.73;范围22.5-75)。总之,需要更高的遵守世卫组织疫苗接种方案证明要求,以支持互操作性。开发人员应限制必要需求的权限数量,并公开其目的。开发人员应该编写更广泛的受众可以理解的隐私政策。
    The goal was to review mobile apps with COVID-19 digital vaccination certificates between November 2022 and March 2023 and evaluate: (a) compliance with the WHO Proof of Vaccination Scenario requirements, (b) risk levels of app permissions using a Permission Accumulated Risk Score (PARS), and (c) readability and transparency of the app\'s privacy policies using a Privacy Transparency Index (PTI) score. We found 49 mobile apps with COVID-19 digital vaccination certificates from across 32 countries. Most apps were developed by governments (37/49, 75.51%). We discovered a high positive correlation between the country-wide app total installs and the people vaccinated with at least one dose in the country (r = 0.93, P = <.001). Most apps (97.96%) had sources of information available for compliance with WHO Proof of Vaccination Scenario requirements. Only two apps included all the required data items, while most apps (75%) included five or more data out of nine items. We found that most (97.96%) apps had a Google Play link to generate the Exodus platform permission report, and most (95.92%) apps had an associated privacy policy available. We identified 80 unique permissions; some (23.75%) were dangerous or special. We also found 28 types of trackers. The average PARS was 28.58 (IQR 23.25, range 15-38.25). Most of the apps\' privacy policies documents were difficult or very difficult to read (median grade level 14, IQR 2.6, range 13-15.6). The average PTI was 50.43 (SD 14.73; range 22.5-75). In conclusion, higher compliance with the WHO Proof of Vaccination Scenario requirements is desirable to support interoperability. Developers should limit the number of permissions for essential needs and disclose their purpose. Developers should write privacy policies that a wider audience can understand.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:法布里病是一种罕见的疾病,进行性X连锁溶酶体贮积症。它是由GLA基因突变引起的,导致α-半乳糖苷酶A(α-GalA)缺乏,导致周围神经病变,心血管疾病,中风,终末期肾病,胃肠道疾病和过早死亡。鉴于疾病进展的长期性,Fabry病的试验通常无法捕获这些临床事件.通常会捕获诸如估计的肾小球滤过率(eGFR)和左心室质量指数(LVMI)之类的临床指标。eGFR和LVMI被认为与长期Fabry病临床事件有关,但是确切的关系尚不清楚。
    目的:我们旨在确定已发表的文献,探讨eGFR/LVMI与Fabry病长期临床事件之间的联系。
    方法:在Embase®和MEDLINE®(使用Embase.com)中进行了全面的文献检索,并进行了有针对性的文献综述。研究报告了eGFR和/或LVMI与法布里病临床事件之间的定量关系,并进行了叙事综合来理解这些预测关系。
    结果:八项研究,由7项患者级回顾性分析和1项前瞻性队列研究组成,符合纳入标准。其中七项研究报告了eGFR,六项研究报告了LVMI,五个人都报告了。所有研究都提供了复合措施的结果,包括一系列关键的法布里病临床事件,或包括至少一个关键法布里病临床事件的复合结局。所有研究均采用Cox比例风险生存模型。研究一致报道eGFR和LVMI是法布里病关键临床事件的预测因子,无论研究中的患者接受何种治疗,研究结果仍然一致。
    结论:确定的证据表明,eGFR和LVMI结果可能是法布里病长期临床事件的适当指标,所有确定的论文都暗示了相同的方向关系。然而,需要更多的研究来进一步了解这些关系的具体细节并对其进行量化.
    BACKGROUND: Fabry disease is a rare, progressive X-linked lysosomal storage disorder. It is caused by mutations in the GLA gene resulting in deficiency of α-galactosidase A (α-Gal A), leading to peripheral neuropathy, cardiovascular disease, stroke, end-stage renal disease, gastrointestinal disorders and premature death. Given the long-term nature of disease progression, trials in Fabry disease are often not powered to capture these clinical events. Clinical measures such as estimated glomerular filtration rate (eGFR) and left ventricular mass index (LVMI) are often captured instead. eGFR and LVMI are believed to be associated with long-term Fabry disease clinical events of interest, but the precise relationships are unclear.
    OBJECTIVE: We aimed to identify published literature exploring the link between eGFR/LVMI and long-term clinical events in Fabry disease.
    METHODS: A comprehensive literature search was conducted in Embase® and MEDLINE® (using Embase.com), and a targeted literature review was conducted. Studies reporting a quantitative relationship between eGFR and/or LVMI and clinical events in Fabry disease were extracted, and narrative synthesis was conducted to understand these predictive relationships.
    RESULTS: Eight studies, consisting of seven patient-level retrospective analyses plus one prospective cohort study, met the inclusion criteria. Seven of these studies reported eGFR and six reported LVMI, with five reporting both. All studies presented results for either a composite measure including a range of key Fabry disease clinical events, or a composite outcome that included at least one key Fabry disease clinical event. All studies employed Cox proportional hazards survival modelling. The studies consistently reported that eGFR and LVMI are predictors of key clinical events in Fabry disease, with the findings remaining consistent regardless of the therapy received by patients in the studies.
    CONCLUSIONS: The evidence identified suggests that eGFR and LVMI outcomes may be appropriate indicators for long-term clinical events in Fabry disease, and all identified papers implied the same directional relationship. However, additional research is needed to further understand the specific details of these relationships and to quantify them.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:传统的遗传流行病学研究对于改善与服务用户及其家庭的准确风险沟通是必要的。本范围审查旨在描述现有家庭研究证据的数量和范围,SSA中严重精神障碍(SMD)的双胞胎和收养研究。这是为了找出文献中的差距和数据的充分性,以便进行系统的审查和荟萃分析。
    方法:使用PubMed和MEDLINE对SSA中关于该主题的所有原始同行评审研究文章进行了文献检索。包括的出版物是同行评审的原始文章,不管质量如何,从1970年代到3月9日在该地区进行,2022年,有英文版本或翻译成英文。病例报告,摘要,生活在该地区以外人群的研究被排除在外。
    结果:在该地区的46个国家共确定了5项符合纳入标准的研究。在三个重点主题领域中,只有SMD的家庭研究有SSA的研究工作。这些研究提供了SSA中SMD家族性聚集的证据。该地区没有关于SMD的双胞胎和收养研究。然而,审查注意到在几内亚比绍和尼日利亚建立了两个双登记册。SSA中SMD的双胞胎和采用研究领域存在巨大差距。
    结论:关于SMD的传统家族遗传研究的研究证据量严重不足以考虑对SSA进行系统评价。我们建议进行研究以纠正这种情况。
    OBJECTIVE: The traditional genetic epidemiological studies are necessary to improve accurate risk communication to service users and their families. This scoping review aimed to describe the volume and scope of existing research evidence on family, twin and adoption studies of severe mental disorders (SMDs) in SSA. This is with a view to identifying gaps in the literature and the adequacy of data for a systematic review and meta-analysis.
    METHODS: Literature search was done for all original peer-reviewed research articles on the topic in SSA using PubMed and MEDLINE. Publications included were peer-reviewed original articles, irrespective of their quality, carried out in the region from the 1970s till 9th March, 2022, which were available in English or translated to English. Case reports, abstracts, and studies among populations living outside the region were excluded.
    RESULTS: A total of five studies that met the inclusion criteria across the 46 countries in the region were identified. Of the three thematic areas of focus, only family studies on SMDs had research work in SSA. These studies provided evidence of familial clustering of SMDs in SSA. There were no twin and adoption studies on SMDs in the region. However, the review noted the establishment of two twin registries in Guinea-Bissau and Nigeria. A huge gap exists in the area of twin and adoption studies on SMDs in SSA.
    CONCLUSIONS: The volume of research evidence on traditional family genetic studies of SMDs is grossly inadequate to consider a systematic review in SSA. We have suggested studies to remedy the situation.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    这项研究描述了在处理巴西背景的研究中如何解决工业共生关系。本研究基于Scopus和WebofScience数据库中的系统文献综述,依靠Prisma方法和研究协议。结果包括数量和质量方面,如出版物数量,研究的领土范围,作者和关键词网络。样本也被分为三类,理论工作,机会和形成的网络,在现有文献中报告了巴西工业共生的存在。这项研究的主要贡献是汇总已经发表在国际文献中的研究,演示如何报告IS,以及如何在尚未描绘的地区或商业案例中扩展IS。
    This study describes how industrial symbiosis is reposed in studies dealing with the Brazilian context. This study was based on a systematic literature review in the Scopus and Web of Science databases, relying on the Prisma method and a research protocol. The results embrace quantitative and qualitative aspects such as the number of publications, the territorial scope of the studies, authors and keywords networks. The sample was also segregated into three categories, theoretical works, opportunities and formed networks, reporting the presence of industrial symbiosis in Brazil in the extant literature. The main contribution of this research is to aggregate the studies already published in the international literature, demonstrate how the IS is reported and how they can be expanded in territories or business cases not yet portrayed.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Systematic Review
    出现精神障碍的年轻人的早期心理社会康复是一项重大挑战。在法国,治疗性住宿护理称为“soins-études,“结合护理和教育提供,在法国艺术基金会(FSEF)可以在这种康复中发挥作用。在回顾了精神病学中的历史和思想基础之后,我们基于PRISMA声明,通过搜索关于soins-études设施的定量研究,对文献进行了系统回顾.在1956年至2016年第一个单位开业期间,对FSEF精神科住院的10个不同年轻人样本进行了11项定量研究。涉及的年轻人大多年龄在16-20岁之间,反映了FSEF机构涵盖的课程。这些年轻人通常会出现严重的慢性精神疾病。他们以前的护理轨迹持续了3年以上,其中24-55%的人至少尝试过一次自杀。他们的逗留持续了6个多月。根据疾病的严重程度,44-63%的年轻人被认为在出院时有所改善。对这些年轻人来说,肥皂的贡献似乎很有价值,由于住院1-15年后有54-74%的临床改善,随着学校的恢复,在60-75%的情况下进行专业培训或就业。将这些结果与有关治疗性住宿护理的国际文献中的数据进行比较,并确定了未来研究的路线。
    Early psychosocial rehabilitation of young people presenting mental disorders is a major challenge. In France, the therapeutic residential care called \"soins-études,\" combining care and educational provision, in the Fondation Santé des Etudiants de France (FSEF) can have a role in this rehabilitation. After recalling the history and the concept underpinning soins-études in psychiatry, we performed a systematic review of the literature based on the PRISMA statement via a search for quantitative studies on soins-études facilities. Eleven quantitative studies on 10 different samples of young people hospitalised in psychiatry in FSEF were identified between the opening of the first unit in 1956 and 2016. The young people involved were mostly aged 16-20 years, which reflects the curricula covered in the FSEF establishments. These young people generally presented severe chronic psychiatric disorders. Their previous care trajectory had lasted for more than 3 years and 24-55% of them had attempted suicide at least once. Their stays lasted more than 6 months. Depending on the severity of the disorders, 44-63% of the young people were considered to have improved at discharge. The contribution of soins-études appears valuable for these young people, since there was a clinical improvement for 54-74% of them 1-15 years after their hospitalisation, with resumption of schooling, professional training or entry into employment in 60-75% of the cases. These results are compared with data in the international literature concerning therapeutic residential care, and lines for future research are identified.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:腹侧疝(VHs)经常在手术修复后复发,随后的修复尝试尤其具有挑战性。需要进行严格的研究以减少复发,但此类研究必须精心设计并报告代表性和全面的结果。
    目的:我们旨在通过系统评价评估VH修复的非随机介入研究的方法学质量。
    方法:我们在索引文献中搜索了VH修复干预的非随机研究,1995年1月至2017年12月。每个前瞻性研究与相应的回顾性研究结合使用预先指定的标准,以提供匹配的,可比群体。我们通过结合现有已发布工具的相关项目,将定制的方法学工具用于疝气试验。研究简介和基本原理,设计,参与者纳入标准,报告的结果,并采用统计学方法进行评估。
    结果:确定了50项研究(17,608例患者):25项前瞻性研究和25项回顾性研究。总的来说,前瞻性研究的方法学质量略高于回顾性研究,中位数得分17(IQR:14-18)与15(IQR12-18),分别。对于调查的子类别,前瞻性研究获得了更高的中位数分数,\'介绍\',\'研究设计\'和\'参与者\'。令人惊讶的是,没有研究表明事先编写了方案.只有18项(36%)研究定义了主要结果,只有2项研究(4%)描述了功率计算。没有研究引用VH复发的标准化定义和复发的检测方法差异很大。方法质量没有随着出版年份或期刊影响因子的增加而提高。
    结论:目前,VH修复的非随机介入研究在方法学上较差。需要明确的结果定义和标准化的最小数据集。
    BACKGROUND: Ventral hernias (VHs) often recur after surgical repair and subsequent attempts at repair are especially challenging. Rigorous research to reduce recurrence is required but such studies must be well-designed and report representative and comprehensive outcomes.
    OBJECTIVE: We aimed to assesses methodological quality of non-randomised interventional studies of VH repair by systematic review.
    METHODS: We searched the indexed literature for non-randomised studies of interventions for VH repair, January 1995 to December 2017 inclusive. Each prospective study was coupled with a corresponding retrospective study using pre-specified criteria to provide matched, comparable groups. We applied a bespoke methodological tool for hernia trials by combining relevant items from existing published tools. Study introduction and rationale, design, participant inclusion criteria, reported outcomes, and statistical methods were assessed.
    RESULTS: Fifty studies (17,608 patients) were identified: 25 prospective and 25 retrospective. Overall, prospective studies scored marginally higher than retrospective studies for methodological quality, median score 17 (IQR: 14-18) versus 15 (IQR 12-18), respectively. For the sub-categories investigated, prospective studies achieved higher median scores for their, \'introduction\', \'study design\' and \'participants\'. Surprisingly, no study stated that a protocol had been written in advance. Only 18 (36%) studies defined a primary outcome, and only 2 studies (4%) described a power calculation. No study referenced a standardised definition for VH recurrence and detection methods for recurrence varied widely. Methodological quality did not improve with publication year or increasing journal impact factor.
    CONCLUSIONS: Currently, non-randomised interventional studies of VH repair are methodologically poor. Clear outcome definitions and a standardised minimum dataset are needed.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

  • 文章类型: Journal Article
    当患者患有无法治愈的癌症时,基于药物,全身抗癌治疗通常用于延长生存期,同时最大限度地减少毒性并确保可耐受的生活质量。目前尚不清楚全身肿瘤治疗在多大程度上以及在多大程度上成功用于特异性改善预先存在的疼痛和已经受损的生活质量(QoL)。
    因此,我们对肿瘤治疗研究(PubMed)进行了系统评价.仅选择并描述性评估将全身抗癌治疗的疼痛缓解和QoL增强作用确定为主要终点的研究。
    在使用试点搜索字符串确定的2229个摘要中,只有13项研究符合纳入标准.其中,10项研究显示,通过使用全身性肿瘤治疗,QoL参数得到改善。
    只有少数研究主要集中在改善与生活质量相关的参数上,尽管这是许多患有无法治愈和晚期癌症的患者的主要治疗目标。研究结果鼓励在临床研究中定期纳入症状和QoL相关数据,并更明确地解决全身抗癌治疗在缓解疼痛和其他症状方面的潜力。从而支持姑息治疗的目标。
    When patients suffer from incurable cancer, drug-based, systemic anticancer therapy is usually used with the aim of longer survival, while minimizing toxicity and ensuring a tolerable quality of life. It is unclear to what extent and with what degree of success systemic tumor therapy can be used to specifically improve pre-existing pain and an already compromised quality of life (QoL).
    Therefore, a systematic review of oncological therapy studies (PubMed) was conducted. Only studies that identified the pain-relieving and QoL-enhancing effects of systemic anticancer therapy as the primary endpoint were selected and evaluated descriptively.
    Of the 2229 abstracts identified using a piloted search string, only 13 studies met the inclusion criteria. Of these, 10 studies showed an improvement in QoL-parameters through the use of systemic tumor therapies.
    Only a few studies focused primarily on the improvement of parameters related to quality of life-although this is the primary therapeutic goal for many patients suffering from incurable and advanced cancer. The study results encourage regular inclusion of symptom- and QoL-related data in clinical studies and to more explicitly address the potential of systemic anticancer therapy in relieving pain and other symptoms, thereby supporting the goals of palliative care.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    The purpose of this systematic review was to summarize longitudinal studies on swimming physiology and get implications for daily practice. A computerized search of databases according to the PRISMA statement was employed. Studies were screened for eligibility on inclusion criteria: (i) present two testing points; (ii) on swimming physiology; (iii) using adult elite swimmers; (iv) no case-studies or with small sample sizes. Two independent reviewers used a checklist to assess the methodological quality of the studies. Thirty-four studies selected for analysis were gathered into five main categories: blood composition (n=7), endocrine secretion (n=11), muscle biochemistry (n=7), cardiovascular response (n=8) and the energetic profile (n=14). The mean quality index was 10.58 ± 2.19 points demonstrating an almost perfect agreement between reviewers (K = 0.93). It can be concluded that the mixed findings in the literature are due to the diversity of the experimental designs. Micro variables obtained at the cellular or molecular level are sensitive measures and demonstrate overtraining signs and health symptoms. The improvement of macro variables (i.e. main physiological systems) is limited and may depend on the athletes\' training background and experience.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • DOI:
    文章类型: Journal Article
    生活史数据提供了丰富的信息和动态分析。湖北省生活史资料,中国,用于分析婚姻与移民的相互影响以及社会经济因素的影响。这些模型基于DanielGourgeau教授提出的数学模型。非参数模型用于分析婚姻和移民的相互影响,半参数模型用于检验其他因素的影响,可能是独立的或相关的。调查数据是1988年在湖北省52个社区的4390户(15岁以上的7702人)中收集的。获得了关于社区的信息,家庭家庭,和个人关于婚姻的历史,职业,迁移,和分娩。移民意味着改变通常的居住地。数据按年龄分为1950年之前出生的人(第一代),1950年至1959年(第二代),1960年以后(第三代)。世代模式相似,其特征是更多的男性移民和更多的单身人士。政府政策影响了移民,特别是在1960年代,当时有更多的移民。第三代移民响应城市市场经济的发展和繁荣,移民到城市。25岁以上的第二代未婚男性的移民也有所增加。第一代显示迁移模式没有变化。第一代女人结婚早,大约17岁。在1970年代,计划生育政策实施时,结婚年龄集中在23至30岁之间。在1980年代,由于愿望的变化,婚姻比第二代女性早3年,新婚姻法,和复杂的社会经济因素。在半参数模型中,相关变量是迁移前的出生人数和迁移后的职业;独立变量是教育和出生地。调查结果表明,更高的教育水平对移民可能性的增加有明显影响;女性的β值在所有世代中都高于男性。结婚后,出生地有积极的影响,农村地区的移民略高。每一代儿童的数量都是显著的和消极的。移民对婚姻影响不大。
    Life history data provide a wealth of information and dynamic analysis. Life history data from Hubei Province, China, are used to analyze the mutual effects of marriage and migration and the effects of socioeconomic factors. The models are based on mathematical models proposed by Professor Daniel Gourgeau. The nonparametric model is used to analyze the mutual effects of marriage and migration, and the semiparametric model is used to examine the effects of other factors, which might be independent or correlative. Survey data was collected in 1988 among 4390 households in 52 communities in Hubei Province (7702 individuals over the age of 15). Information was obtained on the community, family households, and individuals about the history of marriage, occupation, migration, and childbirth. Migration meant change of usual residence. Data was grouped by age into those born prior to 1950 (first generation), between 1950 and 1959 (second generation), and after 1960 (third generation). The generational patterns were similar and were characterized by more men migrating and more single persons. Government policies have affected migration, particularly in the 1960s when there was more migration. Third generation migrants responded to the growth and prosperity of the urban market economy and migrated to cities. Migration of second generation unmarried men over the age of 25 years also showed increases. The first generation showed no change in migration pattern. First generation women married early, around the age of 17 years. During the 1970s, when family planning policy was being implemented, marriage ages concentrated between 23 and 30 years. In the 1980s, marriage occurred earlier than second generation women by 3 years due to changes in aspirations, the New Marriage Law, and complicated socioeconomic factors. In the semiparametric model, correlative variables are number of births before migration and occupation after migration; independent variables are education and birthplace. The findings indicate that higher levels of education have a clear effect on the increased likelihood of migration; the beta is higher for women than men in all generations. After marriage, birthplace has a positive effect, and migration is slightly higher in the rural areas. The number of children in every generation is significant and negative. Migration has little effect on marriage.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • DOI:
    文章类型: Comparative Study
    The future of the family in Brazil is examined in the context of convergence theory concerning family transformation. In particular, the author considers whether industrialization and urbanization will affect the family in different societies in the same way. Factors considered include declining fertility, increased life expectancy, increased female labor force participation, sexual liberation, the fragility of conjugal relationships, and growing individualism. (SUMMARY IN ENG)
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号