scholarly journals Guidelines on Standard and Therapeutic Diets for Adults in Hospitals by the French Association of Nutritionist Dieticians (AFDN) and the French Speaking Society of Clinical Nutrition and Metabolism (SFNCM)

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2434
Author(s):  
Marie-France Vaillant ◽  
Maud Alligier ◽  
Nadine Baclet ◽  
Julie Capelle ◽  
Marie-Paule Dousseaux ◽  
...  
Keyword(s):  
Scientific Evidence ◽  
Clinical Nutrition ◽  
French Society ◽  
Diet Patterns ◽  
French Speaking ◽  
Therapeutic Diets ◽  
Production Organization ◽  
French Association ◽  
Therapeutic Food

Aim: Hospital food provision is subject to multiple constraints (meal production, organization, health safety, environmental respect) which influence the meal tray offered to the patient. Multiple diets can add complexity and contribute to non-consumption of the meal. To avoid undernutrition, it appeared necessary to propose guidelines for foods and diets in hospitals. Methods: These guidelines were developed using the Delphi method, as recommended by the HAS (French Health Authority), based on a formal consensus of experts and led by a group of practitioners and dieticians from the AFDN (French Association of Nutritionist Dieticians) and SFNCM (French Society of Clinical Nutrition and Metabolism). Results: Twenty-three recommendations were deemed appropriate and validated by a panel of 50 national experts, following three rounds of consultations, modifications and final strong agreement. These recommendations aim to define in adults: 1—harmonized vocabulary related to food and diets in hospitals; 2—quantitative and qualitative food propositions; 3—nutritional prescriptions; 4—diet patterns and patient adaptations; 5—streamlining of restrictions to reduce unnecessary diets and without scientific evidence; 6—emphasizing the place of an enriched and adapted diet for at-risk and malnourished patients. Conclusion: These guidelines will enable catering services and health-care teams to rationalize hospital food and therapeutic food prescriptions in order to focus on individual needs and tasty foods. All efforts should be made to create meals that follow these recommendations while promoting the taste quality of the dishes and their presentation such that the patient rediscovers the pleasure of eating in the hospital.

scholarly journals Effectiveness of Shock Wave Therapy as a Treatment for Spasticity: A Systematic Review

2020 ◽  
Vol 11 (1) ◽  
pp. 15
Author(s):  
Isabel María Martínez ◽  
Nuria Sempere-Rubio ◽  
Olga Navarro ◽  
Raquel Faubel
Keyword(s):  
Shock Wave ◽  
Botulinum Toxin ◽  
Methodological Quality ◽  
Scientific Evidence ◽  
Motor Impairment ◽  
Functional Independence ◽  
Shock Wave Therapy ◽  
Jadad Scale ◽  
Type Of Injury

Background: The purpose of this study was to collect and analyse the available scientific evidence on the effectiveness of shock wave therapy as a treatment for spasticity. Methods: the search was performed in the following databases: PubMed, PEDro, Cochrane, Embase, and the Virtual Health Library. All publications from November 2009 to November 2019 were selected that included a sample of patients with spasticity and prior suspension of botulinum toxin, to whom shock wave therapy was applied. The methodological quality of the articles was evaluated using the Jadad scale and the pyramid of quality of scientific evidence. Results: 25 studies involving 866 participants with spasticity were selected. The results obtained suggest that shock wave therapy appears to be effective in reducing spasticity levels irrespective of the age of the participants, the type of injury, and the tool used to measure the effect. Conclusions: shock wave therapy reports evidence of improvement in motor function, motor impairment, pain, and functional independence, applied independently of botulinum toxin. However, due to the heterogeneity of the protocols, there is no optimum protocol for its application, and it would be appropriate to gain more high-quality scientific evidence through primary studies.

scholarly journals Percutaneous versus Transcutaneous Electrical Stimulation of the Posterior Tibial Nerve in Idiopathic Overactive Bladder Syndrome with Urinary Incontinence in Adults: A Systematic Review

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 879
Author(s):  
Aida Agost-González ◽  
Isabel Escobio-Prieto ◽  
Azahara M. Pareja-Leal ◽  
María Jesús Casuso-Holgado ◽  
María Blanco-Diaz ◽  
...  
Keyword(s):  
Systematic Review ◽  
Urinary Incontinence ◽  
Electrical Stimulation ◽  
Overactive Bladder ◽  
Tibial Nerve ◽  
Scientific Evidence ◽  
Transcutaneous Electrical Stimulation ◽  
Posterior Tibial Nerve ◽  
Posterior Tibial

Background: Percutaneous electrical stimulation and transcutaneous electrical stimulation (PTNS and TTNS) of the posterior tibial nerve are internationally recognized treatment methods that offer advantages in terms of treating patients with overactive bladder (OAB) who present with urinary incontinence (UI). This article aims to analyze the scientific evidence for the treatment of OAB with UI in adults using PTNS versus TTNS procedures in the posterior tibial nerve. Methods: A systematic review was conducted, between February and May 2021 in the Web of Science and Scopus databases, in accordance with the PRISMA recommendations. Results: The research identified 259 studies, 130 of which were selected and analyzed, with only 19 used according to the inclusion requirements established. The greatest effectiveness, in reducing UI and in other parameters of daily voiding and quality of life, was obtained by combining both techniques with other treatments, pharmacological treatments, or exercise. Conclusions: TTNS has advantages over PTNS as it is more comfortable for the patient even though there is equality of both therapies in the outcome variables. More research studies are necessary in order to obtain clear scientific evidence.

scholarly journals Personalized, Predictive, Participatory, Precision, and Preventive (P5) Medicine in Rotator Cuff Tears

2021 ◽  
Vol 11 (4) ◽  
pp. 255
Author(s):  
Umile Giuseppe Longo ◽  
Arianna Carnevale ◽  
Carlo Massaroni ◽  
Daniela Lo Presti ◽  
Alessandra Berton ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rotator Cuff ◽  
Environmental Factors ◽  
Multidisciplinary Approach ◽  
Musculoskeletal Disorder ◽  
Scientific Evidence ◽  
Rotator Cuff Tears ◽  
Diagnosis And Therapy

Rotator cuff (RC) disease is a common musculoskeletal disorder of the shoulder entailing pain, with reduced functionality and quality of life. The main objective of this study was to present a perspective of the current scientific evidence about personalized, predictive, participatory, precision, and preventive approaches in the management of RC diseases. The personalized, predictive, participatory, precision and preventive (P5) medicine model is an interdisciplinary and multidisciplinary approach that will provide researchers and clinicians with a comprehensive patrimony of knowledge in the management of RC diseases. The ability to define genetic predispositions in conjunction with the evaluation of lifestyle and environmental factors may boost the tailoring of diagnosis and therapy in patients suffering from RC diseases.

An Analysis of Apps with a Medication List Functionality for Older People with Heart Failure: Evaluation using the Mobile Application Rating Scale (MARS) and the IMS Institute for Healthcare Informatics Functionality Score (Preprint)

2021 ◽  
Author(s):  
Yohanca Maria Diaz-Skeete ◽  
David McQuaid ◽  
Adewale Samuel Akinosun ◽  
Idongesit Ekerete ◽  
Natacha Carragher ◽  
...  
Keyword(s):  
Heart Failure ◽  
Mobile Application ◽  
Rating Scale ◽  
Scientific Evidence ◽  
Medication List ◽  
Healthcare Informatics ◽  
Medication History ◽  
Clinic Efficiency ◽  
Google Play

BACKGROUND Managing the care of older patients with heart failure (HF) largely centres on medication management. Due to their frequent medication or dosing changes, an app supporting them to keep an up-to-date list of medication could be advantageous. During COVID-19 times, HF outpatients’ consultations are taking place virtually or by phone. An app with the capability to share the medication list with healthcare professionals before consultation could support the clinic efficiency, for example, reducing consultation time. However, the influence of apps on maintaining an up to date medication history for older adults with HF in Ireland remains largely unexplored. OBJECTIVE The objectives of this review are twofold: to review apps with a medication list functionality and to evaluate the quality of the apps included in the review using the Mobile Application Rating Scale (MARS) and the IMS Institute for Healthcare Informatics functionality scale. METHODS A systematic search of apps was conducted in June 2019 using the Google Play StoreTM and iTunes App StoreTM. The MARS was used independently by four researchers to assess the quality of the apps using an Android phone and an iPad. Apps were also evaluated using the IMS Institute for Healthcare Informatics functionality score. RESULTS Google play and iOS app stores searches identified 483 potential apps (292 from Android stores and 191 from Apple stores). Six apps met the inclusion criteria. Medisafe app had the highest overall MARS score (4/5) and the medication list & medical records app had the lowest overall score (2.5/5). Five out of the six apps achieved an acceptable quality MARS score (>3.0). Two apps scored the maximum number of features (n=11) according to the IMS Institute for Healthcare Informatics functionality score and two scored the lowest (n=5). The apps had on average 8 functions based on the IMS functionality criteria (range 5 to 11). CONCLUSIONS The quality of current apps with a medication list functionality varies regarding their technical aspects. Most of the apps reviewed have an acceptable MARS objective quality. However, the subjective quality or satisfaction with the apps was poor. Only three apps are based on scientific evidence and have been previously tested. Two apps featured all the IMS Institute for Healthcare Informatics functionalities and half do not provide clear instructions on how to enter medication data, do not display vital parameters data in an easy to understand format and do not guide users on how or when to take their medication. CLINICALTRIAL N/A

Systematic Analysis Underlying the Quality of the Scientific Evidence and Conflicts of Interest in Gastroenterology Practice Guidelines

2013 ◽  
Vol 108 (11) ◽  
pp. 1686-1693 ◽  
Author(s):  
Joseph D Feuerstein ◽  
Anne E Gifford ◽  
Mona Akbari ◽  
Jonathan Goldman ◽  
Daniel A Leffler ◽  
...  
Keyword(s):  
Practice Guidelines ◽  
Conflicts Of Interest ◽  
Scientific Evidence ◽  
Systematic Analysis

scholarly journals The Use of Evidence-Based Acupuncture: Current Evidence

2022 ◽  
Author(s):  
Dedi Ardinata
Keyword(s):  
Clinical Evidence ◽  
Scientific Evidence ◽  
Current Evidence ◽  
Systematic Research ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Quality Of Evidence ◽  
Assessment Development ◽  
Evidence Quality

Evidence-based medicine (EBM), which emphasizes that medical decisions must be based on the most recent best evidence, is gaining popularity. Individual clinical expertise is combined with the best available external clinical evidence derived from systematic research in the practice of EBM. The key and core of EBM is the hierarchical system for categorizing evidence. The Grading of Recommendations, Assessment, Development and Evaluations (GRADE) system divides evidence quality into four categories: high, moderate, low, and very low. GRADE is based on the lowest quality of evidence for any of the outcomes that are critical to making a decision, reducing the risk of mislabeling the overall evidence quality, when evidence for a critical outcome is lacking. This principle is also used in acupuncture as a complementary and integrative treatment modality, but incorporating scientific evidence is more difficult due to a number of factors. The goal of this chapter is to discuss how to establish a clinical evidence system for acupuncture, with a focus on the current quality of evidence for a variety of conditions or diseases.

scholarly journals Evidências científicas sobre a qualidade de vida dos pacientes com insuficiência cardíaca: revisão integrativa*

2019 ◽  
Vol 82 (20) ◽  
Author(s):  
Flávia Ribeiro do Carmo ◽  
Harriet Bárbara Maruxo ◽  
Willian Alves dos Santos
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Scientific Evidence ◽  
Physical Activities ◽  
Microsoft Excel ◽  
Exclusion Criteria ◽  
Patients With Heart Failure ◽  
Insuficiencia Cardiaca ◽  
Main Factors

Objetiva-se identificar evidências científicas sobre a qualidade de vida em pacientes diagnosticados com insuficiênciacardíaca. Revisão integrativa realizada nas bases de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde(LILACS), Base de Dados de Enfermagem (BDENF) e Sistema Online de Busca e Análise de Literatura Médica (MEDLINE)com a seguinte questão norteadora: Como a insuficiência cardíaca interfere na qualidade de vida dos pacientescardiológicos? Foi utilizada a estratégia PICO com recorte temporal de 2011 a 2016, nos idiomas português, inglês eespanhol. As informações foram tabuladas em programa Microsoft Excel® e processadas a partir de estratégia: médiaaritmética descritiva simples, frequência absoluta e relativa. Encontrou-se 712 artigos na sua totalidade, após aplicaçãodos critérios de inclusão e exclusão foram selecionados 17 artigos científicos avaliados a partir da categoria: os principaisfatores que comprometem a qualidade de vida dos pacientes com insuficiência cardíaca. Conclui-se que os pacientes cominsuficiência cardíaca apresentam intolerância à realização de atividades físicas e têm seu sono prejudicado por conta dadispneia e fadiga, sintomas que contribuem para o declínio da qualidade de vida.Palavras-chave: Insuficiência Cardíaca; Qualidade de Vida; Enfermagem. ABSTRACTThe aim is to identify scientific evidence on the quality of life in patients diagnosed with heart failure. Integrativereview carried out in the Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Base de Dadosde Enfermagem (BDENF) e Sistema Online de Busca e Análise de Literatura Médica (MEDLINE) databases withthe question: How does heart failure interfere with the quality of life of cardiology patients? The PICO strategywith time cut from 2011 to 2016 was used in Portuguese, English and Spanish. The information was tabulated inMicrosoft Excel® program and processed from strategy: simple descriptive arithmetic mean, absolute and relativefrequency. It found 712 articles in their totality, after applying the inclusion and exclusion criteria, were selected17 scientific articles evaluated from the category: the main factors that compromise the quality of life of patientswith heart failure. It concludes that the patients with heart failure are intolerant to physical activities and sleepimpaired due to dyspnea and fatigue, such symptoms that contribute to the decline of quality of life.Keywords: Heart failure; Quality of life; Nursing.

scholarly journals Addiction journals and the management of conflicts of interest

2016 ◽  
Vol 5 (1) ◽  
pp. 9-10 ◽  
Author(s):  
Kerstin Stenius
Keyword(s):  
Decision Making ◽  
Drug Research ◽  
Conflicts Of Interest ◽  
Scientific Evidence ◽  
Research Articles ◽  
Policy Makers ◽  
Research Findings ◽  
New Research ◽  
Political Decisions

Stenius, K. (2016). Addiction journals and the management of conflicts of interest. The International Journal Of Alcohol And Drug Research, 5(1), 9-10. doi:http://dx.doi.org/10.7895/ijadr.v5i1.233Scientific journals are crucial for a critical and open exchange of new research findings and as guardians of the quality of science. Today, as policy makers increasingly justify decision-making with references to scientific evidence, and research articles form the basis for evidence for specific measures, journals also have an indirect responsibility for how political decisions will be shaped.

scholarly journals ASSESSMENT OF IMPORTANCE OF WORKING LIFE QUALITY ELEMENTS WHILE LABOR EFFICIENCY RESEARCH OF INDUSTRIAL WORKERS

2018 ◽  
Vol 15 (3) ◽  
pp. 460-469
Author(s):  
M. S. Mizya ◽  
E. P. Tevs
Keyword(s):  
Life Quality ◽  
Working Life ◽  
Industrial Sector ◽  
Industrial Workers ◽  
Decent Work ◽  
Quality Of Working Life ◽  
Labor Efficiency ◽  
Production Organization ◽  
Safe Working

Introduction. The article is devoted to analysis of the indicators’ dynamic that characterizes the quality of working life level in the Russian industrial sector. The aim of research is to identify and assess the influence of working life quality on economic efficiency of labor.Methods. The system of indicators for the period from 2005 to 2015 is determined on the basis of the analysis of existing assessment methods of working life quality and on official statistics data, which reflects the main elements of working life quality. Therefore, the most significant indicators of working life elements in terms of labor efficiency are determined by means of correlation analysis.Results. It is revealed that social guarantees, decent wages and safe working conditions, i.e. objective characteristics of working life quality, have the greatest impact on labor efficiency. As a result, the subjective characteristics such as job satisfaction and opportunities for self-expression and selfrealization, despite the long period of the market economy development, continue to play a secondary role. The demonstrated problem confirms the fact that the main block of working life quality for industrial workers is not fully ensured and is deterrent to the growth of labor efficiency as a socio-economic category.Discussion and conclusions. The results of this research indicate the availability of reserves to improve labor efficiency through the usage of modern methods of production organization to ensure economic conditions of decent work of industrial workers.

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