involvement

employment
  • 文章类型: Journal Article
    背景:大数据计划的成功取决于公众的支持。公众参与和参与可能是建立公众对大数据研究支持的一种方式。
    目的:本综述旨在综合公众参与和参与大数据研究的证据。
    方法:本范围审查绘制了当前关于公众参与和参与大数据研究活动的证据。我们检索了5个电子数据库,其次是其他手动搜索谷歌学者和灰色文献。总的来说,2名公共捐助者参与了审查的所有阶段。
    结果:共有53篇论文被纳入范围审查。该评论显示了公众参与和参与大数据研究的方式。论文讨论了广泛的参与活动,可能参与或参与的人,以及公众参与和参与的背景的重要性。调查结果表明,公众的参与,订婚,可以在大数据研究中进行咨询。此外,该审查提供了通过让公众参与和参与大数据研究而产生的潜在结果的示例。
    结论:本综述概述了当前公众参与和参与大数据研究的证据。虽然证据主要来自讨论文件,它在说明公众如何参与和参与大数据研究以及它们可能产生的结果方面仍然很有价值。需要进一步研究和评估公众参与和参与大数据研究,以更好地了解如何有效地让公众参与大数据研究。
    RR2-https://doi.org/10.1136/bmjopen-2021-050167。
    BACKGROUND: The success of big data initiatives depends on public support. Public involvement and engagement could be a way of establishing public support for big data research.
    OBJECTIVE: This review aims to synthesize the evidence on public involvement and engagement in big data research.
    METHODS: This scoping review mapped the current evidence on public involvement and engagement activities in big data research. We searched 5 electronic databases, followed by additional manual searches of Google Scholar and gray literature. In total, 2 public contributors were involved at all stages of the review.
    RESULTS: A total of 53 papers were included in the scoping review. The review showed the ways in which the public could be involved and engaged in big data research. The papers discussed a broad range of involvement activities, who could be involved or engaged, and the importance of the context in which public involvement and engagement occur. The findings show how public involvement, engagement, and consultation could be delivered in big data research. Furthermore, the review provides examples of potential outcomes that were produced by involving and engaging the public in big data research.
    CONCLUSIONS: This review provides an overview of the current evidence on public involvement and engagement in big data research. While the evidence is mostly derived from discussion papers, it is still valuable in illustrating how public involvement and engagement in big data research can be implemented and what outcomes they may yield. Further research and evaluation of public involvement and engagement in big data research are needed to better understand how to effectively involve and engage the public in big data research.
    UNASSIGNED: RR2-https://doi.org/10.1136/bmjopen-2021-050167.
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  • 文章类型: Journal Article
    背景:龋齿在儿童中普遍存在,包括残疾人。尽管世界卫生组织建议以学校为基础的有教师参与的口腔健康促进计划,有限的研究探索了教师的角色和观点。
    目的:评估特殊教育教师在口腔健康教育(OHE)方面的参与和困难,对OHP的态度以及残疾学生(SWDs)口腔医疗服务的障碍。
    方法:这项描述性横断面研究,在Al-Ahsa进行,沙特阿拉伯,涉及264名特殊教育教师使用经过验证的,自我管理问卷,采用描述性和分析性统计进行数据分析。
    结果:只有39%的教师将OHE纳入他们的教学,只有20.8%的人接受了OHE交付培训。教师表示强烈支持将OHE纳入课程(84.1%)和无糖政策(78%)。有,然而,对学校刷牙的支持减少(39%)。OHE障碍包括资源不足(56.1%),对拔牙的认识有限(29.2%)和误解(47.4%)。口腔医疗服务最常见的三个障碍是延长等候名单(75.0%),等待时间长(73.1%)和对牙科设备的恐惧(67.4%)。
    结论:这项研究强调了医疗保健专业人员之间合作的必要性,教育工作者和家长在特殊教育内外加强OHE和加强OHP。
    BACKGROUND: Dental caries is prevalent among children, including those with disabilities. Although the World Health Organization recommends school-based oral health promotion (OHP) programmes involving teachers, limited research has explored teachers\' roles and perspectives.
    OBJECTIVE: To assess special education teachers\' involvement and difficulties regarding oral health education (OHE), attitudes towards OHP and barriers to oral healthcare access for students with disabilities (SWDs).
    METHODS: This descriptive cross-sectional study, conducted in Al-Ahsa, Saudi Arabia, involved 264 special education teachers using a validated, self-administered questionnaire, and descriptive and analytical statistics were used for data analysis.
    RESULTS: Only 39% of teachers incorporated OHE into their teaching, and just 20.8% received training for OHE delivery. Teachers showed strong support for integrating OHE into the curriculum (84.1%) and a no-sugar policy (78%). There was, however, less support for school-based toothbrushing (39%). OHE barriers included insufficient resources (56.1%), limited knowledge (29.2%) and misconceptions about primary teeth removal (47.4%). The three most common barriers to oral healthcare access were extended waiting lists (75.0%), long waiting times (73.1%) and fear of dental equipment (67.4%).
    CONCLUSIONS: This study highlights the need for collaboration between healthcare professionals, educators and parents to enhance OHE and reinforce OHP for SWDs within special education and beyond.
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  • 文章类型: Journal Article
    背景:职业参与被认为对个人的健康和福祉至关重要。参与是一种多维结构,包含了在生命过程中转变的客观和主观维度。尽管如此,缺乏全面的措施来检查年轻人参与适合年龄的活动。因此,我们开发了青少年每日参与量表(YADAPS),并旨在探讨其心理测量特性。
    方法:在研究1中,基于9位专家建立了YADAPS的内容效度。其内部一致性,判据,convergent,并在115名典型青年(21-35岁)中探索了结构效度。使用不同的样本,研究2检查了YADAPS在33名患有发育协调障碍(DCD)的年轻成年人和52名典型同龄人中的判别效度。
    这些研究中没有包括消费者和社区的参与。
    结果:YADAPS项目的相关性是足够的。内部一致性在大多数尺度(.74≤α≤.89)上是可以接受的。主观参与量表与幸福感之间的相关性支持了标准效度。所有量表都有收敛效度。未观察到性别效应(p≥0.05)。然而,有和没有DCD的个体之间存在显着差异(p≤0.05)。
    结论:YADAPS似乎是对年轻人参与的客观和主观维度的一种有希望的衡量标准。结果支持审查各种参与层面的重要性,包括职业经验。因此,它可以用于年轻人的临床目的以及职业科学研究,扩大我们对青年时期各种生活情况下参与维度之间相互作用的理解。然而,需要进一步研究心理测量特性,最适合的评分方法,并巩固他们在不同群体的年轻人中的稳健性。
    结论:参与,或者一个人如何参与日常生活活动,极大地影响福祉。一个人的日常活动在生命周期中发生变化,按照一个人的发展阶段。现有的参与评估有局限性,比如不考虑年轻人的担忧,或者只关注参与的某些方面。通过关注参与的客观可观察和主观体验方面,青年成人每日参与量表(YADAPS)致力于成为一种全面的评估工具,专门设计用于反映与青年有关的活动。本手稿为YADAPS提供了初步的有效性和可靠性,一份新的问卷,评估参与与年轻成年个体相关的活动的客观和主观方面。此外,问卷能够区分有和没有参与困难的年轻人;因此,它适合研究和临床使用。
    BACKGROUND: Participation in occupations is considered essential for individuals\' health and wellbeing. Participation is a multidimensional construct that encompasses objective and subjective dimensions that transform over the course of life. Nonetheless, there is a lack of comprehensive measures that examine young adults\' participation in age-appropriate activities. Therefore, we developed the Young Adults\' Daily Participation Scale (YADAPS) and aimed to explore its psychometric properties.
    METHODS: In Study 1, the content validity of the YADAPS was established based on nine experts. Its internal consistency, criterion, convergent, and construct validity were explored among 115 typical young adults (21-35 years). Using a different sample, Study 2 examined YADAPS discriminant validity among 33 young adults with developmental coordination disorder (DCD) and 52 typical peers.
    UNASSIGNED: No consumer and community involvement was included in these studies.
    RESULTS: The relevance of YADAPS items was sufficient. Internal consistency was acceptable to excellent in most scales (.74 ≤ α ≤ .89). Criterion validity was supported by correlations between the subjective participation scales and a wellbeing measure. Convergent validity was found for all scales. No gender effect was observed (p ≥ .05). However, significant differences (p ≤ .05) were found between individuals with and without DCD.
    CONCLUSIONS: The YADAPS appears to be a promising measure of objective and subjective dimensions of participation in young adults. The results support the importance of examining various participation dimensions, including occupational experience. Thus, it may be used for clinical purposes among young adults as well as for occupational science research, to broaden our understanding on the interplay between participation dimensions in various life situations in young adulthood. However, further research is needed on psychometric properties, the most suited scoring method, and to consolidate their robustness among diverse populations of young adults.
    CONCLUSIONS: Participation, or how one engages in daily life activities, greatly affects wellbeing. The activities in one\'s routine change over the lifespan, in accordance with one\'s developmental phase. Existing assessments of participation have limitations, like not considering young adults\' concerns or only focussing on certain aspects of participation. By focussing on both the objective-observable and subjective-experiential aspects of participation, the Young Adults\' Daily Participation Scale (YADAPS) strives to be a comprehensive assessment tool designed specifically for reflecting activities relevant in young adulthood. This manuscript provides preliminary validity and reliability for the YADAPS, a new questionnaire that assesses objective and subjective aspects of participation in activities relevant for individuals in young adulthood. Furthermore, the questionnaire is able to distinguish between young adults with and without participation difficulties; therefore, it is suitable for research and clinical use.
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  • 文章类型: Journal Article
    背景:历史上,研究人员一直倾向于进行研究,而不是与,人们是他们努力的焦点。这种方法往往不能有效地支持和造福于他们想要的人群。这项研究旨在探索有生活经验的人参与研究的偏好,无论是作为研究中的研究参与者,或通过积极参与心理健康研究。
    方法:本文的数据是在2013年至2022年的9年期间进行的三项独立的生活经验议程设置研究中收集的;两个小组讨论和一个开放式在线调查。合并数据并进行专题分析。
    结果:参与者将生活经验描述为心理健康研究中的关键因素和最高水平的知识和专业知识,这将导致知识生成和研究议程。与会者讨论了能够分享经验和故事的研究的重要性和价值,表示需要灵活选择和代理的研究方法,并支持在所有研究阶段都有生活经验的人更积极地参与。与会者还谈到需要从有生活经验的人那里产生的观点和知识,以便在研究中拥有平等的权力,在研究的多个方面为生活体验的声音腾出空间,以及对生活经验价值的更大尊重和认可。
    结论:心理健康研究的生活经验正在成熟,但专注,需要共同创造的发展才能把它做好。有生活经验的人越来越理解他们的经验知识给心理健康研究工作带来的价值,并描述了研究人员可以支持他们成为研究参与者的各种方式,并积极参与。权力共享,尊重和承认生活经验是有效心理健康研究的核心,是“保持真实”的关键。
    有精神健康问题或痛苦经历的人,和/或作为照顾者,家庭和亲属团体成员,参与了这项研究的共聚和设计。所有作者都认为是有生活经验的人。
    BACKGROUND: Historically, researchers have been apt at conducting research on, rather than with, the people who are the focus of their efforts. Such approaches often fail to effectively support and benefit the populations they are intended to. This study aimed to explore the preferences of people with lived experience for engagement with research either as research participants within studies, or through active involvement in mental health research.
    METHODS: Data for this paper were collected in three separate lived experience agenda-setting studies conducted over a 9-year period from 2013 to 2022; two group discussions and an open-ended online survey. Data were combined and thematic analysis undertaken.
    RESULTS: Participants described the inclusion of lived experience as a critical ingredient and the highest level of knowledge and expertise in mental health research that should lead to knowledge generation and research agendas. Participants discussed the importance and value of research that enables sharing experiences and stories, expressed a need for flexibility in research methods for choice and agency, and support for greater active involvement of people with lived experience across all stages of research. Participants also spoke to the need for perspective and knowledge generated from people with lived experience to have equal power in research, making space for lived experience voices across multiple aspects of research, and greater respect and recognition of the value of lived experience.
    CONCLUSIONS: Lived experience in mental health research is coming of age, but dedicated, cocreated development is needed to get it right. People with lived experience increasingly understand the value their experiential knowledge brings to the mental health research effort, and describe a wide range of ways that researchers can support them to be research participants, and to get actively involved. Power-sharing, respect and recognition of lived experience as central to effective mental health research are the keys to \'keeping it real\'.
    UNASSIGNED: People with lived experience of mental health problems or distress either personally, and/or as carers, family and kinship group members, were involved in the coideation and codesign of this research. All authors identify as people with lived experience.
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  • 文章类型: Journal Article
    背景:客户参与儿科康复的兴趣与日俱增。本文研究了服务提供者对情感的感知的心理测量特性,残疾儿童及其父母在儿科康复治疗中的认知和行为参与。
    方法:使用60个服务提供者对77名儿童和73名父母的参与评分,对参与服务提供者版本(PRIME-SP)的儿科康复干预措施的重测可靠性进行了检验。使用已知组效度技术检查结构效度,利用服务提供商对与服务提供商参加同一会议的父母及其子女的参与度进行评级。我们假设会有很大的不同,然而,儿童及其父母的参与度等级是适度相关的。
    结果:有证据表明儿童评分的重测可靠性中等,指示跨场合的动态性,还有一定程度的一致性,符合我们的期望。服务提供者对父母和孩子参与的评分没有显着相关,配对t检验表明父母的参与得分明显高于孩子。
    结论:该研究提供了初步证据来支持PRIME-SP作为服务提供商记录的工具的可靠性和有效性,反映和监控孩子和/或父母的参与。
    BACKGROUND: There is growing interest in client engagement in pediatric rehabilitation. This article investigated the psychometric properties of a measure of service providers\' perceptions of the affective, cognitive and behavioural engagement of both children with disabilities and their parents in pediatric rehabilitation therapy sessions.
    METHODS: Test-retest reliability of the Pediatric Rehabilitation Intervention Measure of Engagement-Service Provider version (PRIME-SP) was examined using engagement ratings made by 60 service providers for 77 children and 73 parents. Construct validity was examined using the known-group validity technique, utilizing service providers\' ratings of the engagement of parents and their children attending the same session with the service provider. We hypothesized that there would be significantly different, yet moderately correlated engagement ratings for children and their parents.
    RESULTS: There was evidence of moderate test-retest reliability for the child ratings, indicative of dynamicity across occasions, but also a degree of consistency, as aligned with our expectations. Service providers\' ratings of parent and child engagement were not significantly correlated and paired t-tests indicated significantly higher engagement scores for parents than children.
    CONCLUSIONS: The study provides preliminary evidence to support the reliability and validity of the PRIME-SP as a tool for service providers to document, reflect on and monitor child and/or parent engagement.
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  • 文章类型: Journal Article
    目的:确定并绘制促进获得性脑损伤(ABI)或恶性脑肿瘤(MBT)患者亲属受累的干预措施的证据。
    背景:ABI或MBT是严重的疾病,对患者及其亲属的生活产生深远影响。病人的健康状况可能会恶化,和亲戚可能会经历一个新的角色和变化的照顾任务。亲属的参与似乎是必不可少的,并且有必要确定促进参与的干预措施。
    方法:范围审查。
    方法:本综述使用了JoannaBriggsInstitute方法,并根据PRISMA扩展范围审查报告了该综述。
    方法:文献检索在MEDLINE,Embase,CINAHL和Cochrane图书馆。纳入研究的参考清单,还搜索了GoogleScholar和WebofScience。
    结果:总计,纳入46项研究,其中36项(78%)涉及卒中患者。研究干预的中位持续时间为8周,在23项(50%)研究中,护士作为干预提供者参与.30项(65%)研究使用了多组分干预。使用60个独特的结果测量结果确定了35个独特的结果。
    结论:促进亲属参与的干预措施在研究干预措施的关键特征上存在重要差异,以及与使用它们的上下文有关。在结果选择和结果测量方面没有达成共识。我们的结果强调了该领域干预措施的复杂性。
    据我们所知,这是第一次范围审查,检查促进获得性脑损伤或恶性脑肿瘤患者亲属参与的干预措施。这篇综述提出了在未来研究中对“参与”的明确定义,并且需要开发用于促进参与的干预措施的核心结果集。
    范围审查是根据PRISMA范围审查扩展报告的。
    作者决定在没有患者和公众贡献的情况下进行这项范围审查。然而,该方案是在审查之前发布的,并向公众开放,但我们没有收到任何意见。
    OBJECTIVE: To identify and map the evidence on interventions facilitating the involvement of relatives of patients with an acquired brain injury (ABI) or a malignant brain tumour (MBT).
    BACKGROUND: An ABI or a MBT are severe diseases that have profound impact on the lives of patients and their relatives. The well-being of the patient may be deteriorated, and relatives may experience a new role and changing caregiving tasks. Involvement of relatives seems essential, and there is a need for identifying interventions facilitating the involvement.
    METHODS: Scoping review.
    METHODS: The Joanna Briggs Institute methodology was used in this review and the review was reported in accordance with the PRISMA extension for scoping reviews.
    METHODS: The literature search was conducted in MEDLINE, Embase, CINAHL and Cochrane Library. Reference lists of included studies, Google Scholar and Web of Science were also searched.
    RESULTS: In total, 46 studies were included of which 36 (78%) involved patients with stroke. Median duration of study interventions were 8 weeks, and nurses were involved as providers of the intervention in 23 (50%) studies. Thirty (65%) studies used a multicomponent intervention. Thirty-five unique outcomes were identified using 60 unique outcome measurements.
    CONCLUSIONS: Interventions facilitating the involvement of relatives differed importantly in key characteristics of study interventions, and in relation to the context in which they were used. There was no consensus regarding choice of outcomes and outcome measurements. Our results highlight the complexity of interventions in this field.
    UNASSIGNED: To our knowledge this is the first scoping review examining interventions facilitating the involvement of relatives of patients with an acquired brain injury or a malignant brain tumour. This review suggests a clear definition of \'involvement\' in future research and there is a need of development of a core outcome set for use in interventions facilitating the involvement.
    UNASSIGNED: The scoping review was reported in accordance with the PRISMA extension for scoping reviews.
    UNASSIGNED: The authors decided to undertake this scoping review without patient and public contribution. However, the protocol was published prior to review conduct and available to the public but we did not receive any comments on it.
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  • 文章类型: Journal Article
    背景:社会化的第一代理人是家庭,预计将促进儿童参与社会活动。虽然母亲的声音已经在文学中被广泛捕捉到了关于她们抚养残疾儿童的经历,父亲对他们对残疾儿童发展的知识和参与的看法没有得到充分研究,特别是在非西方背景下。
    目的:本研究的主要目的是研究在阿拉伯联合酋长国,父亲对他们参与抚养残疾儿童的看法。
    方法:总共,招募了469名父亲,以了解他们对抚养残疾儿童的参与。父亲参与发展和康复量表用于收集数据,使用SPSS和AMOS进行了分析。
    结果:结果显示,父亲对自己的态度评价很高,支持,并参与培训以支持其残疾儿童。人口统计变量,如国籍和学历,为他们参与抚养残疾儿童提供了更多的见解。
    结论:该研究最后提出了有关培训计划的建议,以改变父亲对残疾儿童的态度,因为这样的方案可以使他们更好地支持孩子的发展。
    BACKGROUND: The first agent of socialisation is the family, who are expected to facilitate the inclusion of children in societal activities. While mothers\' voices have been widely captured in the literature regarding their experiences raising children with disabilities, fathers\' perceptions of their knowledge of and involvement in the development of children with disabilities have been understudied, particularly in non-Western contexts.
    OBJECTIVE: The main aim of this study was to examine fathers\' perceptions of their involvement in raising children with disabilities in the United Arab Emirates.
    METHODS: In total, 469 fathers were recruited to understand their involvement in raising their children with disabilities. The Fathers\' Involvement in Development and Rehabilitation Scale was used to collect data, which were analysed using SPSS and AMOS.
    RESULTS: The results showed that fathers rated themselves highly for their attitudes, support, and participation in training to support their children with disabilities. Demographic variables, such as nationality and educational qualifications, provided additional insight into their involvement in raising their children with disabilities.
    CONCLUSIONS: The study concludes with suggestions for training programmes to change fathers\' attitudes towards children with disabilities, as such programmes can enable them to better support their children\'s development.
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  • 文章类型: Journal Article
    背景:Pickleball近年来取得了巨大的发展,然而,几乎没有证据表明与pickleball有关的伤害。通过确定与这项运动相关的积极和消极健康影响,本范围审查扩展了当前有关泡菜球参与的工作。我们总结了泡菜球如何影响成年参与者的健康和福祉。
    方法:在MEDLINE上进行搜索,CINAHL,ProQuest护理,ERIC,SPORTDiscus,PsycINFO,Scopus,CBCA完成,Cochrane中央控制试验登记册,Cochrane系统评价数据库,以及ProQuest论文和论文。选定的研究考虑了成年泡菜参与者的健康和/或福祉方面。使用人口/概念/上下文框架,参与者是健康的,身体健全的成年人18岁或以上,他至少玩过一次泡菜球。在pickleball参与的背景下,研究了pickleball对参与者健康和福祉(概念)的积极和消极结果。包括自2013年以来以英语撰写的全文文章。提取的数据被制成表格,并完成了带有主题分析的描述性摘要。
    结果:本范围审查包括27篇符合纳入标准的文章。Pickleball有望成为所有成年人的运动干预措施,有证据表明积极的社会和心理影响,以及老年人参加泡菜球的健康和健身益处。
    结论:虽然我们还处于研究泡菜的早期阶段,有一些记录的健康益处使用这项运动作为成年人的体育锻炼干预。需要对类型进行更多研究,患病率,泡菜球受伤的严重程度以及这项运动对年轻球员的影响。
    BACKGROUND: Pickleball has grown tremendously in recent years, yet little evidence exists regarding pickleball-related injuries. This scoping review extends current work on pickleball participation by identifying positive and negative health effects associated with the sport. We summarize how pickleball impacts the health and well-being of adult participants.
    METHODS: Searches were conducted on MEDLINE, CINAHL, ProQuest Nursing, ERIC, SPORTDiscus, PsycINFO, Scopus, CBCA Complete, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and ProQuest Dissertations and Theses. Selected studies considered aspects of health and/or well-being of adult pickleball participants. Using the population/concept/context framework, participants were healthy, able-bodied adults 18 years of age or over, who had played pickleball at least once. The positive and negative outcomes of pickleball on participants\' health and well-being (concept) within the context of pickleball participation were examined. Full-text articles written in English since 2013 were included. Extracted data were tabulated, and a descriptive summary with thematic analysis was completed.
    RESULTS: This scoping review comprised 27 articles that met the inclusion criteria. Pickleball is promising as an exercise intervention for all adults, and there is evidence of positive social and psychological effects, and health and fitness benefits to participating in pickleball by older adults.
    CONCLUSIONS: Although we are still in the early stages of studying pickleball, there have been some documented health benefits of using the sport as a physical exercise intervention for adults. More research is needed on the types, prevalence, and severity of pickleball injuries and the sport\'s impact on younger players.
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  • 文章类型: Journal Article
    目的本研究旨在调查西印度人群的乳腺癌淋巴结受累情况,同时将其与各种组织学参数相关联,并评估前哨淋巴结活检的作用。方法回顾性研究2018年至2021年所有乳腺癌相关活检的组织学报告,共813个样本,已获得。将这些报告中的组织学参数提取到电子表格中,并使用统计产品和服务解决方案(SPSS,版本28.0;IBMSPSSStatisticsforWindows,Armonk,NY)用于TNM分期以及腋窝和前哨淋巴结清扫的软件,在组织学报告中发现的其他领域。结果在44.8%的病例中,患者出现在T2期有相关淋巴结扩散。对于大小为T2和更高的肿瘤,每个T分期涉及的淋巴结比未涉及的淋巴结多。相反,对于T2下分期的肿瘤,未受累的淋巴结通常多于受累的淋巴结。发现较大的肿瘤具有晚期N分期,尤其是在T3类别中,与其他T分期相比,发现N2和N3分期的病例比例明显更高。这种趋势在M分期中也可以看到,较大的肿瘤比较小的肿瘤转移更多(T4a为40%,0%为T1)。尽管观察到明显的淋巴结受累,前哨淋巴结活检通常为阴性。结论该人群中有淋巴结受累的患者多于没有淋巴结受累的患者。较大的乳腺癌肿瘤与较大的淋巴结受累有关,特别是在T2和更高的阶段。前哨淋巴结活检可以省略在较小的乳腺癌肿瘤达2厘米,尽管前哨淋巴结活检的假阴性率约为10%,但局部复发率较低。
    Objective This study aims to investigate breast cancer lymph node involvement in a West Indian population while correlating it with various histological parameters and evaluating the role of the sentinel lymph node biopsy. Method This is a retrospective study where histology reports for all breast cancer-related biopsies from 2018 to 2021, totaling 813 samples, were obtained. Histological parameters from these reports were extracted into a spreadsheet and analyzed using Statistical Product and Service Solutions (SPSS, version 28.0; IBM SPSS Statistics for Windows, Armonk, NY) software for TNM staging and axillary and sentinel lymph node dissections, among other fields found in histology reports. Results In 44.8% of cases, patients present at the T2 stage with associated lymph node spread. Each T stage had more lymph nodes involved than uninvolved for tumors sized T2 and higher. Inversely, for tumors staged under T2, there were generally more uninvolved lymph nodes than involved ones. Larger tumors were found to have advanced N staging, especially in the T3 category, where a significantly higher proportion of cases were found to have N2 and N3 staging compared to the other T stages. This trend is also seen in M staging, where larger tumors metastasize more than smaller tumors (40% for T4a, 0% for T1). Despite significant lymph node involvement being observed, sentinel lymph node biopsies were usually negative. Conclusion More patients in this population present with lymph node involvement than without. Larger breast cancer tumors are associated with greater lymph node involvement, particularly at T2 and higher stages. Sentinel lymph node biopsies can be omitted in smaller breast cancer tumors up to 2 cm in size, and the local recurrence rate is low despite a false-negative rate of around 10% in upfront sentinel lymph node biopsy.
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  • 文章类型: Journal Article
    目的:这项审查的目的是确定和描述有关儿童和青少年在马辅助服务(EAS)期间参与的证据。方法:五个数据库(Scopus,WebofScience,PsycINFO,CINAHL,和MEDLINE)进行了系统搜索。纳入的研究报告了在儿童和青少年中进行的关于EAS的研究,并介绍了有关会议中参与或相关概念的发现,例如动机,参与,和参与。提取的数据(研究类型,马干预,人口,和研究的关键重点)进行了描述性总结,然后对影响参与的主要机制进行归纳内容分析。结果:总的来说,确定了30项研究;然而,只有三个以骑手参与度为主要研究重点。其他出版物涉及服务说明或结果和讨论部分中的会话参与。得出了影响EAS内部参与的三种机制:(1)独特的EAS景观,(2)马-子女关系和(3)供子关系。文献主要将马称为影响儿童和青少年参与EAS会议的最重要因素。很少关注服务提供商的影响,父母\',或者孩子对订婚的偏好。结论:儿童/青年-父母-提供者关系三位一体以及改善EAS课程中骑手参与度的具体策略值得进一步调查。
    Aims: The purpose of this review was to identify and describe the evidence about children and youth engagement during equine-assisted services (EAS). Methods: Five databases (Scopus, Web of Science, PsycINFO, CINAHL, and MEDLINE) were systematically searched. Included studies reported research about EAS conducted in children and youth and presented findings about in-session engagement or associated concepts such as motivation, involvement, and participation. Extracted data (study type, equine intervention, population, and the studies\' key focus) were summarized descriptively, followed by inductive content analysis of the main mechanisms proposed to influence engagement. Results: In total, 30 studies were identified; however, only three centered on rider engagement as the primary focus of research. Other publications addressed in-session engagement within service descriptions or results and discussion sections. Three mechanisms that influence engagement within EAS were derived: (1) the unique EAS landscape, (2) the horse-child relationship and (3) the provider-child relationship. The literature primarily referred to horses as the most important factor influencing child and youth engagement in EAS sessions. Little attention was given to the influence of service providers\', parents\', or child preferences on engagement. Conclusions: The child/youth-parent-provider relational triad and specific strategies to improve rider engagement within EAS sessions warrants further investigation.
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