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Infrastructure, policy and regulatory interventions to increase physical activity to prevent cardiovascular diseases and diabetes: a systematic review

Durão, S.; Burns, J.; Schmidt, B. et al. BMC Public Health (2023) CC

Background Noncommunicable diseases are major contributors to morbidity and mortality worldwide. Modifying the risk factors for these conditions, such as physical inactivity, is thus essential. Addressing the context or circumstances in which physical activity occurs may promote physical activity a...t a population level. We assessed the effects of infrastructure, policy or regulatory interventions for increasing physical activity. Methods We searched PubMed, Embase and clinicaltrials.gov to identify randomised controlled trials (RCTs), controlled before-after (CBAs) studies, and interrupted time series (ITS) studies assessing population-level infrastructure or policy and regulatory interventions to increase physical activity. We were interested in the effects of these interventions on physical activity, body weight and related measures, blood pressure, and CVD and type 2 diabetes morbidity and mortality, and on other secondary outcomes. Screening and data extraction was done in duplicate, with risk of bias was using an adapted Cochrane risk of bias tool. Due to high levels of heterogeneity, we synthesised the evidence based on effect direction. Results We included 33 studies, mostly conducted in high-income countries. Of these, 13 assessed infrastructure changes to green or other spaces to promote physical activity and 18 infrastructure changes to promote active transport. The effects of identified interventions on physical activity, body weight and blood pressure varied across studies (very low certainty evidence); thus, we remain very uncertain about the effects of these interventions. Two studies assessed the effects of policy and regulatory interventions; one provided free access to physical activity facilities and showed that it may have beneficial effects on physical activity (low certainty evidence). The other provided free bus travel for youth, with intervention effects varying across studies (very low certainty evidence). Conclusions Evidence from 33 studies assessing infrastructure, policy and regulatory interventions for increasing physical activity showed varying results. The certainty of the evidence was mostly very low, due to study designs included and inconsistent findings between studies. Despite this drawback, the evidence indicates that providing access to physical activity facilities may be beneficial; however this finding is based on only one study. Implementation of these interventions requires full consideration of contextual factors, especially in low resource settings. more

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Job satisfaction among healthcare workers in Ghana and Kenya during the COVID-19 pandemic: Role of perceived preparedness, stress, and burnout

Afulani PA, Nutor JJ, Agbadi P, Gyamerah AO, Musana J, Aborigo RA, et al. PLOS Global Public Health (2021) CC

The COVID-19 pandemic has affected job satisfaction among healthcare workers; yet this has not been empirically examined in sub-Saharan Africa (SSA). We addressed this gap by examining job satisfaction and associated factors among healthcare workers in Ghana and Kenya during the COVID-19 pandemic. W... more

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Factors associated with depression among HIV/AIDS children in China

E. Zhou; Z. Qiao; Y. Cheng; et al. International Journal of Mental Health Systems; BioMed Central (2019) CC

Zhou et al. Int J Ment Health Syst (2019) 13:10 https://doi.org/10.1186/s13033-019-0263-1

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Isoniazid preventive therapy for tuberculosis in South Africa: An assessment of the local evidence base

R Wood, L-G. Bekker (2014) CC

Review S Afr Med J 2014;104(3):174-177. DOI: 10.7196/SAMJ.7968

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Coronavirus 2019 and health systems affected by protracted conflict: The case of Syria

Abbara, A.; et al. (2020) CC

May 2020 International Journal of Infectious Diseases 96 DOI: 10.1016/j.ijid.2020.05.003

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Strengthening multisectoral coordination on antimicrobial resistance: a landscape analysis of efforts in 11 countries

Joshi, M.P.; et al. (2021) CC

J of Pharm Policy and Pract 14, 27 (2021). https://doi.org/10.1186/s40545-021-00309-8

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A position statement and practical guide to the use of particulate filtering facepiece respirators (N95, FFP2, or equivalent) for South African health workers exposed to respiratory pathogens includin

Dheda, K.; et al. (2022) CC

Afr J Thoracic Crit Care Med 2021;27(4):Published online 22 October 2021. https://doi.org/10.7196/AJTCCM.2021.v27i4.173

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World Health Organization-World Federation of Societiesof Anaesthesiologists (WHO-WFSA) International Standardsfor a Safe Practice of Anesthesia

A.W. Gelb, W.W. Morriss, W. Johnson, et al. (2018) CC

Can J Anesth/J Can Anesth June 2018, Volume 65, Issue 6, pp 698–708

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Tuberculosis and HIV co-infection—focus on the Asia-Pacific region

Q.M. Trinh; H.L. Nguyen; V.N. Nguyen International Journal of Infectious Diseases; Elsevier Ltd (2014) C2

International Journal of Infectious Diseases 32 (2015) 170–178 http://dx.doi.org/10.1016/j.ijid.2014.11.023 1201-9712/ß 2014 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http:... more

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Clinical Spectrum of Cerebral Palsy and Associated Disability in South Egypt: A Local Survey Study

Osama Abas, Faten Abdelaziem & Ayman Kilany Macedonian Journal of Medical Sciences (2017) CC

Open Access Maced J Med Sci. 2017 Mar 15; 5(1):37-41.

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Pharmacists' knowledge and perceptions about herbal medicines: A case study of Jos and environs

Jimann, N.S.; et al. (2017) CC

Med J DY Patil Univ 2017;10:229-33

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Rehabilitation Interventions for Children With Cerebral Palsy: A Systematic Review

Abhaskhanian, A.; V. Rashedi; A. Delpak, et al. (2015) CC

J Pediatr Rev 2015, vol.3 (1) e361

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Targeting stroke risk and improving outcomes in patients with atrial fibrillation in Latin America

B. StamblerI; F. ScazzusoII Sao Paulo Medical Journal (2016) C2

Identificando o risco de acidente vascular cerebral e melhorando desfechos em pacientes com fibrilação atrial na América Latina DOI: 10.1590/1516-3180.2015.0222110716 Sao Paulo Med J. 2016; 134(6):534-42

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Spiritual Needs and Care of Patients from Nurses’ Perspectives on ICU

Ku, Ya Lie Journal of Nursing Care (2016) C2

The semi-structured guided interviewing on ICU nurses in a medical center of southern Taiwan wasapproved by the IRB at the research department of the hospital and data collection was carried out from January toJune 2012. The investigator repeatedly read the transcribed text, and found statements rel... more

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A 20-year follow-up study on chronic respiratory effects of exposure to cotton dust

Wang, X-R.; Zhang, H-X.; Sun, B-X.; et al. European Respiratory Journal, part of the European Respiratory Society (ERS) (2005) CC2

The article "A 20-year follow-up study on chronic respiratory effects of exposure to cotton dust" evaluates the long-term impact of cotton dust exposure on respiratory health. It followed a cohort of Chinese cotton and silk workers from 1981 to 2001, comparing lung function and symptoms. Results sho... more

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Dengue virus: epidemiology, biology, and disease aetiology

Kumar Roy., S. and S. Bhattacharjee (2021) CC

Canadian Journal of Microbiology 25 June 2021 https://doi.org/10.1139/cjm-2020-0572

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The Critical Role of the Staff Nurse in Antimicrobial Stewardship—Unrecognized, but Already There

Olans R. N. , R. D. Olans, A. DeMaria Jr Clinical Infectious Diseases (2016) C2

An essential participant in antimicrobial stewardship who has been unrecognized and underutilized is the“staff nurse.”Although the role of staff nurses has not formally been recognized in guidelines for implementing and operating antimicrobial stewardship programs (ASPs) or defined in the medica... more

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Molecular and Clinical Aspects of Chronic Manifestations in Chagas Disease: A State-of-the-Art Review

Medina-Rincón, G.; Gallo-Bernal, S.; Jiménez, P.; et al. (2021) CC

Pathogens . 2021 Nov 16;10(11):1493.doi: 10.3390/pathogens10111493 .Chronic manifestations of Chagas disease present as disabling and life-threatening condi-tions affecting mainly the cardiovascular and gastrointestinal systems. Although meaningful research has outlined the different molecular mech... more

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Guidelines for the management of adult lower respiratory tract infections - Summary

Woodhead M., F. Blasi, S. Ewig, et al. (2011) C2

The guidelines are to be used to guide the management of adults with lower respiratory tract infection (LRTI). As will be seen in the following text, this diagnosis, and the other clinical syndromes within this grouping, can be difficult to make accurately. In the absence of agreed definitions of th... more

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Summary of WHO infection prevention and control guideline for Ebola and Marburg disease: a call for evidence based practice

World Health Organisation (WHO) (2024) C_WHO

This article summarises the process involved in developing the updated guideline and includes an infographic to highlight key IPC recommendations from the guideline, following the patient care pathway from the community to a healthcare facility to discharge.