Research synthesis

研究综合
  • 文章类型: Journal Article
    背景:医疗保健学生教育中经常隐藏的元素是公众参与的教学法,然而,公众参与可以为学生带来深度学习,对参与的公众产生积极影响。
    目的:本文旨在综合已发表的文献综述,描述公众参与对医护生教育的影响。
    方法:我们搜索了MEDLINE,EMBASE,ERIC,心理信息,CINAHL,PubMed,JBI系统评价和实施报告数据库,Cochrane系统评价数据库,效果评论摘要数据库和PROSPERO注册,用于公众参与医疗保健学生教育的文献评论。
    方法:包括过去10年发表的评论,如果他们描述了患者或公众参与医疗保健学生的教育,并报告了对学生的影响,公众,课程或医疗保健系统。
    方法:使用预先设计的数据提取表提取数据,并进行叙述合成。
    结果:20条评论符合我们的纳入标准,报告与学生有关的结果,公众,课程和未来的专业实践。
    结论:我们的发现提高了公众参与医疗保健学生教育的好处和挑战的认识,并可能为未来的研究提供信息,探索如何在高等教育中最好地利用公众参与。
    这项审查的灵感来自与公共医疗保健消费者的对话,他们看到了公众参与医疗保健学生教育的价值。研究包括公众参与者,更深入地了解公众参与对医疗保健学生教育的影响。
    BACKGROUND: An often-hidden element in healthcare students\' education is the pedagogy of public involvement, yet public participation can result in deep learning for students with positive impacts on the public who participate.
    OBJECTIVE: This article aimed to synthesize published literature reviews that described the impact of public participation in healthcare students\' education.
    METHODS: We searched MEDLINE, EMBASE, ERIC, PsychINFO, CINAHL, PubMed, JBI Database of Systematic Reviews and Implementation Reports, the Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects and the PROSPERO register for literature reviews on public participation in healthcare students\' education.
    METHODS: Reviews published in the last 10 years were included if they described patient or public participation in healthcare students\' education and reported the impacts on students, the public, curricula or healthcare systems.
    METHODS: Data were extracted using a predesigned data extraction form and narratively synthesized.
    RESULTS: Twenty reviews met our inclusion criteria reporting on outcomes related to students, the public, curriculum and future professional practice.
    CONCLUSIONS: Our findings raise awareness of the benefits and challenges of public participation in healthcare students\' education and may inform future research exploring how public participation can best be utilized in higher education.
    UNASSIGNED: This review was inspired by conversations with public healthcare consumers who saw value in public participation in healthcare students\' education. Studies included involved public participants, providing a deeper understanding of the impacts of public participation in healthcare students\' education.
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  • 文章类型: Systematic Review
    背景:恢复策略用于提高运动员的表现并降低受伤风险。在以前的系统综述中,研究了个人康复策略,以阐明其对混合组运动员的有效性。然而,目前的证据含糊不清,并且仍然缺乏对耐力运动员(训练)恢复的清晰概述。
    方法:我们根据PubMed的文献检索进行了综述,Cochrane系统评价数据库,和WebofScience。包括在2022年12月之前以英文发布的评论。如果在耐力运动员的训练后,与安慰剂或对照组相比,系统评价和荟萃分析调查了一种或多种恢复策略的有效性,则符合资格。
    结果:22篇综述(9篇系统综述,三个荟萃分析,和包含荟萃分析的十篇系统综述)符合纳入标准。总的来说,我们对1100名耐力运动员的63项研究纳入了我们的综述。在63项研究中,8提供了有关数据合成的训练恢复时间框架的信息。其中,冷冻疗法和压缩服装显示出积极的效果,而应用按摩没有效果。总的来说,纳入的恢复策略均未显示对耐力运动员的持续获益.
    结论:没有特别的恢复策略可以建议在耐力运动员的训练或比赛之间提高恢复。然而,个别研究表明,压缩服装和冷冻疗法是有效的训练恢复策略。进一步的研究应改进方法,并侧重于恢复过程的不同时间过程。
    背景:审查方案已在国际前瞻性系统审查注册中心注册,编号为CRD42021260509。
    BACKGROUND: Recovery strategies are used to enhance performance and reduce injury risk in athletes. In previous systematic reviews, individual recovery strategies were investigated to clarify their effectiveness for mixed groups of athletes. However, the current evidence is ambiguous, and a clear overview of (training) recovery for endurance athletes is still lacking.
    METHODS: We conducted an umbrella review based on a literature search in PubMed, Cochrane Database of Systematic Reviews, and Web of Science. Reviews published in English and before December 2022 were included. Systematic reviews and meta-analyses were eligible if they investigated the effectiveness of one or more recovery strategies compared with a placebo or control group after a training session in endurance athletes.
    RESULTS: Twenty-two reviews (nine systematic reviews, three meta-analyses, and ten systematic reviews with meta-analyses included) met the inclusion criteria. In total, sixty-three studies with 1100 endurance athletes were included in our umbrella review. Out of the sixty-three studies, eight provided information on training recovery time frame for data synthesis. Among them, cryotherapy and compression garments showed positive effects, while applying massage showed no effect. In general, none of the included recovery strategies showed consistent benefits for endurance athletes.
    CONCLUSIONS: There is no particular recovery strategy that can be advised to enhance recovery between training sessions or competitions in endurance athletes. However, individual studies suggest that compression garments and cryotherapy are effective training recovery strategies. Further research should improve methodology and focus on the different time courses of the recovery process.
    BACKGROUND: The review protocol was registered with the International Prospective Register of Systematic Reviews with the number CRD42021260509.
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  • 文章类型: Journal Article
    在Covid-19大流行导致学校关闭期间,教育技术(EdTech)经常被用来继续提供教育。在这篇文章中,我们使用整体框架来考虑EdTech的有效性,并综合10项关于在疫情期间在低收入和中等收入国家进行的EdTech干预措施的主要研究研究结果。该框架包括五个主要镜头:学习成果,加强公平,实施上下文,成本和负担能力,以及对齐和缩放。虽然面对面教育已经基本恢复,EdTech继续进一步融入全球教育系统。此分析提供了基于证据的见解,并突出了知识差距,以形成对EdTech主流化和未来研究的整体分析,以有效利用EdTech来加强学习。
    During school closures prompted by the Covid-19 pandemic, educational technology (EdTech) was often used to continue educational provision. In this article, we consider EdTech effectiveness using a holistic framework, and synthesise findings from 10 primary research studies of EdTech interventions conducted in low- and middle-income countries during the pandemic. The framework includes five main lenses: learning outcomes, enhancing equity, implementation context, cost and affordability, and alignment and scale. While in-person schooling has largely resumed, there continues to be further integration of EdTech into education systems globally. This analysis provides evidence-based insights and highlights knowledge gaps to shape holistic analysis of both EdTech mainstreaming and future research into the effective use of EdTech to strengthen learning.
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  • 文章类型: Journal Article
    综合多项研究的结果是提高科学发现稳健性的一种流行方法。最著名的方法是荟萃分析。然而,因为荟萃分析需要具有相同统计形式的概念上可比的效应大小,当研究的研究设计高度多样化时,荟萃分析可能是不可能的,参与者特征,或关键变量的可操作性。在这些情况下,贝叶斯证据综合可能构成一种灵活可行的替代方案,因为这种方法结合了假设水平的研究,而不是效应大小水平的研究。因此,这种方法对要合并的研究提出了较少的限制。在这项研究中,我们引入贝叶斯证据综合,并通过模拟显示该方法何时偏离荟萃分析中的预期,以帮助研究人员正确解释综合结果.作为经验证明,我们还将贝叶斯证据综合应用于已发表的关于有和没有发育性语言障碍的人的统计学习的荟萃分析。我们强调了所提出方法的优缺点,并为未来的研究提供了建议。
    Synthesizing results across multiple studies is a popular way to increase the robustness of scientific findings. The most well-known method for doing this is meta-analysis. However, because meta-analysis requires conceptually comparable effect sizes with the same statistical form, meta-analysis may not be possible when studies are highly diverse in terms of their research design, participant characteristics, or operationalization of key variables. In these situations, Bayesian evidence synthesis may constitute a flexible and feasible alternative, as this method combines studies at the hypothesis level rather than at the level of the effect size. This method therefore poses less constraints on the studies to be combined. In this study, we introduce Bayesian evidence synthesis and show through simulations when this method diverges from what would be expected in a meta-analysis to help researchers correctly interpret the synthesis results. As an empirical demonstration, we also apply Bayesian evidence synthesis to a published meta-analysis on statistical learning in people with and without developmental language disorder. We highlight the strengths and weaknesses of the proposed method and offer suggestions for future research.
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  • 文章类型: Journal Article
    在过去的25年中,研究综合和系统评论的兴起得到了一系列软件包的帮助,这些软件包提供了简单易用的GUI界面,这些界面直观地易于新手分析师和用户使用。由于各种因素,随着时间的推移,许多这些软件包的开发已经被放弃,在可用于荟萃分析的软件基础设施中留下了空白。为了满足对基于GUI的元分析系统的持续需求,我们现在已经免费发布了MetaWin3,开源,多平台软件。MetaWin3是用Python编写的,相对于早期版本从头开始开发。代码库在Github上可用,使用MetaWin网站上提供的Windows和macOS的预编译可执行文件。MetaWin包括标准化的效果大小计算,探索性和发表偏倚分析,并允许在元分析框架内的简单和复杂的变化解释模型,包括元回归,使用传统的最小二乘/矩估计。
    The rise of research synthesis and systematic reviews over the last 25 years has been aided by a series of software packages providing simple and accessible GUI interfaces which are intuitively easy to use by novice analysts and users. Development of many of these packages has been abandoned over time due to a variety of factors, leaving a gap in the software infrastructure available for meta-analysis. To fulfill the continued demand for a GUI-based meta-analytic system, we have now released MetaWin 3 as free, open-source, multi-platform software. MetaWin3 is written in Python and developed from scratch relative to earlier versions. The codebase is available on Github, with pre-compiled executables for both Windows and macOS available from the MetaWin website. MetaWin includes standardized effect size calculations, exploratory and publication bias analyses, and allows for both simple and complex explanatory models of variation within a meta-analytic framework, including meta-regression, using traditional least-squares/moments estimation.
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  • 文章类型: Journal Article
    本章首先概述了鼓励和促进更多使用研究综合的最新发展,包括荟萃分析,指导教育公共政策和实践,劳动力发展,和社会服务。它讨论了元分析在提高项目有效性知识方面的作用,政策,和实践,以及该知识对研究样本和环境所代表的条件以外的条件的适用性和普遍性。本章最后提出了通过改变我们的设计方式来提高元分析潜力以加速知识发展的建议,行为,并报告个别研究的结果,以最大限度地提高它们在荟萃分析中的有用性,以及我们如何产生和报告荟萃分析结果。该文件包括支持建议的资源参考。
    This chapter begins with an overview of recent developments that have encouraged and facilitated greater use of research syntheses, including Meta-Analysis, to guide public policy and practice in education, workforce development, and social services. It discusses the role of Meta-Analysis for improving knowledge of the effectiveness of programs, policies, and practices and the applicability and generalizability of that knowledge to conditions other than those represented by the study samples and settings. The chapter concludes with recommendations for improving the potential of Meta-Analysis to accelerate knowledge development through changing how we design, conduct, and report findings of individual studies to maximize their usefulness in Meta-Analysis as well as how we produce and report Meta-Analysis findings. The paper includes references to resources supporting the recommendations.
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  • 文章类型: Journal Article
    牛皮癣是一种打蜡和脱落的皮肤病,通常与过多的合并症有关,包括银屑病关节炎(PsA),一种严重的慢性炎症性关节炎.所有形式的牛皮癣和PsA都是免疫介导的疾病,其中患者的免疫系统在刺激和激活某些免疫细胞功能的某些因子的产生中过度活跃。最近的证据揭示了细胞介导的免疫在银屑病和PsA的病因和病程中的重要作用。促炎IL-23/TH17轴发挥关键作用。一起来看,这些新的证据提示了银屑病和PsA患者的新的和改进的治疗干预措施.假设驱动的最佳可用证据的探究过程及其含义,临床实践中的应用和评估涉及循证医疗保健(EBHC)的元科学.EBHC包括研究综合的初始步骤和对最佳可用证据的系统审查的生成,定性和定量估计(即,荟萃分析)。循证决策,由临床医生的专业知识以及患者的临床需求和个人需求驱动和控制的过程,是校长,循证实践的最及时和最关键的方面。关于银屑病和PsA治疗的最新和系统综述不断更新,以获取新的和修订的数据(即,生活系统评价)证实甲氨蝶呤(MTX)在遏制和控制银屑病方面的疗效和有效性。MTX干预PsA的结果仍然参差不齐,尚无定论。
    Psoriasis is a waxing and waning skin disorder, often associated with a plethora of co-morbidities, including psoriatic arthritis (PsA), a severe form of chronic inflammatory arthritis. All forms of psoriasis and PsA are immune-mediated diseases where the patient\'s immune system is overactive in the production of certain factors that stimulate and activate the function of certain immune cells. Recent evidence has uncovered an important role for cell-mediated immunity in the aetiology and course of psoriasis and PsA, with a critical role played by the pro-inflammatory IL-23/TH17 axis. Taken together, these new lines of evidence suggest new and improved therapeutic interventions for patients with psoriasis and PsA. The hypothesis-driven process of inquiry of the best available evidence and its implication, application and evaluation in the context of clinical practice pertains to the meta-science of evidence-based health care (EBHC). EBHC consists in the initial step of research synthesis and generation of the systematic review of the best available evidence, estimated both qualitatively and quantitatively (i.e., meta-analysis). Evidence-based decision-making, a process driven and controlled by the expertise of the clinician and by the clinical needs and personal wants of the patient, is the principal, most timely and critical aspect of evidence-based practice. Recent and systematic reviews for the treatment of psoriasis and PsA consistently updated for emerging new and revised data (i.e., living systematic reviews) confirm the efficacy and the effectiveness of methotrexate (MTX) in containing and controlling psoriasis. The outcomes of MTX intervention for PsA remain mixed and inconclusive.
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  • 文章类型: Meta-Analysis
    对数响应比率,lnRR,是生态学荟萃分析中最常用的效应大小统计量。然而,经常缺少标准差(SD)会阻止对lnRR采样方差的估计。我们提出了新的方法来通过加权平均变异系数(CV)来处理缺失的SD,该系数是从报告SD的数据集中的研究中估计的。在一系列模拟条件下,我们发现使用平均CV来估计所有观测值的采样方差,不管不幸,以最小的偏差执行。令人惊讶的是,即使缺少SD,这种简单的方法优于具有完整数据的常规方法(每个效应大小基于其个体研究特定的CV).这是因为与使用来自多个研究的合并CV相比,常规方法最终得到的采样方差的精确估计更少。我们的方法广泛适用,可以在所有lnRR的荟萃分析中实施,不管“不幸”。
    The log response ratio, lnRR, is the most frequently used effect size statistic for meta-analysis in ecology. However, often missing standard deviations (SDs) prevent estimation of the sampling variance of lnRR. We propose new methods to deal with missing SDs via a weighted average coefficient of variation (CV) estimated from studies in the dataset that do report SDs. Across a suite of simulated conditions, we find that using the average CV to estimate sampling variances for all observations, regardless of missingness, performs with minimal bias. Surprisingly, even with missing SDs, this simple method outperforms the conventional approach (basing each effect size on its individual study-specific CV) with complete data. This is because the conventional method ultimately yields less precise estimates of the sampling variances than using the pooled CV from multiple studies. Our approach is broadly applicable and can be implemented in all meta-analyses of lnRR, regardless of \'missingness\'.
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  • 文章类型: Journal Article
    单宁是一组酚类化合物,可以修饰多不饱和脂肪酸(PUFA)的瘤胃生物氢化(BH),但迄今为止获得的结果不一致。因此,本研究旨在对与单宁对瘤胃BH和发酵的影响有关的科学文献进行荟萃分析。
    总共从各种科学数据库中收集了28篇文章,比如Scopus,科学直接和谷歌学者,并使用随机效应模型和瘤胃BH的荟萃回归分析数据。使用漏斗图和Egger检验评估了瘤胃发酵主要变量的发表偏倚。
    单宁水平的增加显着降低了甲烷的产生(p<0.001)和丁威弧菌的数量(p<0.05)。日粮单宁还降低了SFA的比例(p<0.001),并增加了瘤胃单不饱和脂肪酸(MUFA)和多不饱和脂肪酸(PUFA)的比例(p<0.001)。Inadditions,膳食单宁水平与C18:2n-6和C18:3n-3的BH率呈负相关(p<0.05)。
    膳食单宁调节瘤胃发酵曲线,减少甲烷排放,并抑制PUFA的瘤胃BH。
    UNASSIGNED: Tannins are a group of phenolic compounds that can modify the rumen biohydrogenation (BH) of polyunsaturated fatty acids (PUFA), but to date results obtained have been inconsistent. This study therefore aims to conduct a meta-analysis of the scientific literature related to the effects of tannins on rumen BH and fermentation.
    UNASSIGNED: A total of 28 articles were collected from various scientific databases, such as Scopus, Science Direct and Google Scholar, and the data were analysed using a random effects model and meta-regression for rumen BH. The publication bias on the main variables of rumen fermentation was assessed using a funnel plot and Egger\'s test.
    UNASSIGNED: An increase in tannin levels significantly reduced methane production (p < 0.001) and the population of Butyrivibrio fibrisolvens (p < 0.05). Dietary tannins also decreased the SFA proportion (p < 0.001) and increased (p < 0.001) the rumen monounsaturated fatty acid (MUFA) and polyunsaturated fatty acid (PUFA) proportions. In additions, there were negative relationships between dietary tannin levels and BH rates of C18:2 n-6 and C18:3 n-3 (p < 0.05).
    UNASSIGNED: Dietary tannins modulate the rumen fermentation profile, mitigate methane emissions, and inhibit rumen BH of PUFA.
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  • 文章类型: Multicenter Study
    我们提出了因果可解释荟萃分析的方法,该方法结合了来自多个随机试验的信息,以得出具有实质性兴趣的目标人群的因果推论。我们考虑可识别性条件,推导条件对观测数据规律的影响,并获得鉴定结果,用于将一组独立随机试验的因果推断转移到可能没有实验数据的新目标人群。我们提出了在试验中研究的每种治疗方法下,目标人群中潜在结果平均值的估计方法。估计器使用协变量,治疗,以及来自试验收集的结果数据,但只有来自目标群体样本的协变量数据。我们证明,当它所依赖的至少一个模型被正确指定时,它是一致且渐近正态的,从某种意义上说,它是双重鲁棒的。我们在模拟研究中研究了估计器的有限样本属性,并使用多中心随机试验的数据演示了其实现。
    We present methods for causally interpretable meta-analyses that combine information from multiple randomized trials to draw causal inferences for a target population of substantive interest. We consider identifiability conditions, derive implications of the conditions for the law of the observed data, and obtain identification results for transporting causal inferences from a collection of independent randomized trials to a new target population in which experimental data may not be available. We propose an estimator for the potential outcome mean in the target population under each treatment studied in the trials. The estimator uses covariate, treatment, and outcome data from the collection of trials, but only covariate data from the target population sample. We show that it is doubly robust in the sense that it is consistent and asymptotically normal when at least one of the models it relies on is correctly specified. We study the finite sample properties of the estimator in simulation studies and demonstrate its implementation using data from a multicenter randomized trial.
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