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1.
Sci Rep ; 14(1): 22144, 2024 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-39333685

RESUMO

The drainage and imbibition processes are critical mechanisms in petroleum engineering. These processes in a porous medium are controlled by surface forces and pressure gradients. The study of these processes in the pore scale by common simulators always has limitations in multiphase flow modeling. Also, obtaining relative permeability curves through laboratory analysis requires expensive equipment. Additionally, these laboratory experiments are quite expensive and may introduce significant uncertainties. For this purpose, this study investigated the creation of relative permeability curves and their effect on oil production. Initially, single-phase fluid and two-phase droplet flow within a fracture with both soft and rough surfaces were utilized to validate the formulation of the Smoothed Particle Hydrodynamics (SPH) method. Then, by using three randomly constructed porous medium models, the imbibition and drainage processes have been studied. Finally, sensitivity study has been carried out on critical parameters related to fluid flow dynamics in the porous environment, including pressure changes, wettability, and heterogeneity in drainage and imbibition processes. The simulation results were consistent with current theories; therefore, it is reasonable to consider SPH to characterize the fluid flow dynamic during the drainage and imbibition processes. According to sensitivity studies, pressure gradient (residual saturation of displaced fluid is about 5.65% and 8.44%) and heterogeneity (the residual saturation of the displaced fluid was 4.04% and 2.98%) have the largest impact on flow modeling in both drainage and imbibition processes and wettability (the residual saturation became 36.62% and 5.12%) has significant effect on the drainage process through porous medium. In general, fluid flow dynamic studies can be performed using the SPH method to model fluid flow in simple and complex porous medium under various flow conditions. The SPH method can also be used as an applicable tool to investigate the hydrocarbon fluids flow within larger geometries in the future.

2.
Saf Health Work ; 15(3): 245-254, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39309277

RESUMO

Background: In recent years, the rise of workplace racial discrimination and microaggressions has decreased the efficiency and productivity of organizations and institutions, and realization of organizational goals globally. Accordingly, it was decided to conduct a systematic review and meta-analysis in the present study with the aim of investigating the prevalence of microaggression and racial discrimination in the workplace. Methods: The PubMed, Scopus, Web of Science, ScienceDirect and Google Scholar databases were systematically searched for studies that had reported the effects of work stress among managers. The search did include a lower time limit and was conducted in June 2023. The heterogeneity of the studies was investigated using the I 2 index, and accordingly random effects method was adopted for meta-analysis. Data analysis was conducted with the Comprehensive Meta-Analysis (v.2) software. Results: In the review of seven studies with a sample size of 2998 people, the overall prevalence of microaggression and racial discrimination in the workplace was found to be 73.6% and 18.8%, respectively. Publication bias within the selected studies was examined with the Egger's test, which indicated the absence of publication bias for the pooled prevalence of workplace microaggression (p: 0.264) and for the pooled prevalence of workplace racial discrimination (p: 0.061). Conclusion: The results obtained from this report indicate the high impact of micro-aggression and racial discrimination in the workplace. Considering the negative effects of such behaviours, the findings from this study will be helpful to managers and health policymakers.

3.
Nanoscale Adv ; 6(18): 4625-4634, 2024 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-39263400

RESUMO

Nowadays, researchers from various fields are aiming to replace petro-based and other fossil fuels with green and renewable alternatives. One of the potential candidates, requiring a highly pure reactant, is biofuel. The use of alcohol-containing water as a reactant can lead to different types of problems including the generation of side reactions, hydrolysis, equilibrium shifts, catalyst deactivation and process complexity. A metal-organic framework, MIL-101(Cr), was successfully synthesized using the hydrothermal method and subsequently employed for the dehydration of a standard biofuel. With this goal in mind, we aimed to optimize the effects of operational parameters-specifically, initial water concentration, adsorbent dosage, and temperature-using the central composite design (CCD) method, while also analyzing their behaviors by applying variance analysis. To predict the process behavior, we propose a refined quadratic equation under various conditions, achieving an R 2 value of 95.26. The results showed that the process was more influenced by temperature variations than the other two parameters. The optimal conditions were predicted with an initial concentration of 1.41, catalyst dosage of 0.14, and a temperature of 302.5 K, resulting in a capacity of 1349.72 and a desirability value of 0.95. Additionally, the synthesized MIL-101(Cr) was characterized using XRD, SEM, DSC/TGA, and N2 physisorption techniques. The results indicated that the particles possessed microporous windows and mesoporous cages, exhibiting a uniform octahedral shape with an average size ranging between 200 and 500 nm.

4.
Dent Res J (Isfahan) ; 21: 31, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39188399

RESUMO

Background: Dental pulp regeneration aims to restore the function and vitality of the dental pulp, which is the soft tissue inside the tooth. Research in this field is effective in trying to improve clinical practices and procedures. This study aimed to analyze the literature related to dental pulp regeneration and to create a documented research perspective for this field. Materials and Methods: This bibliometric study analyzes the research outputs of the subject area of dental pulp regeneration indexed in the Web of Science database between 2013 and 2023. SciMAT software was used to visualize and predict the trends in research on the topic. Results: In general, it has been observed that the stem cell cluster consistently had the highest number of articles across all periods. As we progressed through time, the significance of this cluster continued to grow, eventually becoming a crucial component in the motor theme during the last period. In addition, a significant portion of the studies conducted during different periods focused on identifying suitable materials for scaffold formation. Various materials, including polymers and bioactive glasses, were proposed as viable options for scaffold formation in different periods. Conclusion: Dental pulp stem cells (DPSCs), scaffold networks, growth factors, and regulatory factors are the three main factors that influence dental pulp regeneration. By analyzing maps and thematic clusters in dental pulp regeneration research, as well as considering indicators such as repetition frequency, centrality, and citation of these clusters, researchers can identify the strengths, weaknesses, and gaps in current research.

5.
Dent Res J (Isfahan) ; 21: 34, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39188398

RESUMO

Clinical decision-making and biomedical research heavily rely on imaging techniques to visualize tissue morphology. To examine tissues in detail, it is necessary to use special histochemical stains to enhance contrast. This meta-analysis aimed to assess the sensitivity and specificity of these stains in diagnosing oral pathologic specimens. We conducted a search in 8 databases, including EMBASE, PubMed, Web of Science, Scopus, ProQuest, Ovid, Cinahl, and Cochrane, up to June 2022. Of 87,393 studies, 41 articles were selected for inclusion in our study. The results revealed that the specificity and sensitivity of the special histochemical stains were 86% with confidence interval (CI) 95%: 80%-90% and 83% with CI 95%: 75%-89%, respectively. Among the stains evaluated, toluidine blue, Papanicolaou, silver stain, Giemsa, Gram, feulgen, and periodic acid-Schiff (PAS) were the most frequently used for the detection of malignancy, premalignant lesions, dysplasia, and candidiasis. The specificity and sensitivity of each stain were analyzed individually, considering the type of specimen. Toluidine blue was the most commonly utilized special histochemical stain, particularly effective, for detecting malignancy, with a specificity of 97% with CI 95%: 88%-99% and sensitivity of 76% with CI 95%: 56%-89%. In conclusion, special histochemical stains are effective in diagnosing oral lesions, exhibiting reasonable specificity and sensitivity, especially in cases of premalignant and malignant lesions. Based on the reviewed articles in our study, the silver stain was identified as highly sensitive, while Giemsa and Papanicolaou stain exhibited the highest specificity.

6.
Langmuir ; 40(35): 18512-18524, 2024 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-39166535

RESUMO

This study presents the synthesis and characterization of a novel phosphotungstic acid-functionalized hercynite@SiO2 magnetic core-shell through a three-step procedure. The characterization involved various analyses including Fourier-transform infrared spectroscopy, P-XRD, TGA-DSC, EDAX, inductively coupled plasma optical emission spectroscopy, elemental mapping, scanning electron microscopy, transmission electron microscopy, and value stream mapping. The catalytic performance of the hercynite@SiO2-PTA nanomagnetic composite was examined in the esterification of chloroacetic acid. Results indicate that the developed procedure enables the production of chloroacetic acid esters using a wide range of primary, secondary, and tertiary aliphatic and aromatic alcohols with good to excellent yields and high selectivity. The significance of this work lies in its straightforward synthesis method, minimal time requirement, reduced utilization of hazardous chemicals, and cost-effectiveness. Additionally, the catalyst exhibited magnetic recyclability for up to five cycles with negligible loss in activity. Notably, the synthesized catalyst demonstrated nontoxicity and environmental friendliness.

7.
J Prev (2022) ; 2024 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-39048892

RESUMO

The prevalence of metabolic syndrome in patients with schizophrenia has significantly increased and can be associated with severe complications such as chronic diseases and mortality. Despite numerous studies, a comprehensive estimate of the prevalence of metabolic syndrome in schizophrenia patients is lacking. Therefore, this study aimed to estimate the global prevalence of metabolic syndrome in schizophrenia patients through a systematic review and meta-analysis. This study was conducted as a systematic review and meta-analysis based on PRISMA guidelines without time restrictions until April 1, 2024. Relevant articles were identified through searches in databases including Scopus, Web of Science (WoS), PubMed, Science Direct, Embase, and Google Scholar, using key terms combined with AND & OR operators. After removing duplicates and conducting primary and secondary screening, 12 studies were included in the meta-analysis. Data were analysed using the random-effects model in Comprehensive Meta-Analysis Version 2 software. This analysis included 12 studies with 1,953 participants. The pooled prevalence of metabolic syndrome was 41.3% (95% CI: 28.8-55.1), with significant heterogeneity (I2: 96.3%). The highest prevalence was reported in France (79.1%) and the lowest in China (18.03%). Over one-third of patients with schizophrenia are affected by metabolic syndrome. Hence, greater attention should be paid to the prevention and reduction of complications and mortality associated with metabolic syndrome in schizophrenia patients.

8.
ACS Omega ; 9(26): 28114-28128, 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38973916

RESUMO

The present work aims at preparing the EDTA-Zn(II) complex-supported on the amine-functionalized MIL-101(Cr) MOF-as a new and effective heterogenized catalyst. The optimization of the hydrothermal process shows that 120 °C is the best condition to grow the MIL-101(Cr)-NH2 MOF crystals. Moreover, regarding the use of the postsynthetic modification (PSM) method, hexadentate EDTA was grafted on this support via a simple aminolysis process before further coordinating it with Zn ions to create the corresponding Zn(II) catalytic complex. The catalytic activity of this compound was then investigated in the context of a one-pot synthesis of polyhydroquinolines. This approach has a number of advantages including the following: the use of a solvent that is not hazardous, applying a porous catalyst that is inexpensive, secure, and recyclable; rapid reaction times, high levels of efficiency, and the simplicity of MOF catalyst separation. Accordingly, the process in question can be given the label of "green chemistry".

9.
J Prev (2022) ; 2024 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-38852119

RESUMO

Social anxiety disorder is a prevalent mental health condition that significantly impairs social interactions, academic performance, and professional functioning in children, adolescents, and youth. This study aimed to investigate the global prevalence of social anxiety disorder across these developmental stages. Six electronic databases (PubMed, Scopus, Web of Science, Embase, ScienceDirect and Google Scholar) were systematically searched for studies related to the prevalence of social anxiety disorder in children, adolescents and youth. Random-effects models were employed for data analysis and Comprehensive Meta-Analysis Version 2.0. Heterogeneity was assessed using the I2 index. A total of 38 studies were included in the final analysis. The global prevalence of social anxiety disorder was estimated to be 4.7% in children, 8.3% in adolescents, and 17% in youth. These findings suggest a progressive increase in the prevalence of SAD across these developmental stages. Considering the prevalence of social anxiety disorder in this study, policymakers can use the findings of this study to inform and develop effective prevention strategies for individuals and communities most susceptible to this disorder.

10.
Arch Gynecol Obstet ; 310(3): 1303-1314, 2024 09.
Artigo em Inglês | MEDLINE | ID: mdl-38922413

RESUMO

BACKGROUND: Polycystic ovary syndrome (PCOS) is the most common metabolic disorder among women of reproductive age. Many factors are involved in the development of PCOS, among which genetic predisposition is probably the main contributor that is also influenced by lifestyle and environmental factors. This study aims to determine the prevalence of PCOS in different continents based on Rotterdam, AES and NIH diagnostic criteria. METHODS: We conducted a systematic review and meta-analysis to evaluate the prevalence of polycystic ovary syndrome in women according to (Preferred Reporting Items for Systematic Review and Meta-Analysis) PRISMA guidelines. PubMed, Scopus, Science Direct, Web of Science and Google Scholar databases were comprehensively searched until February 2021 for relevant articles. Heterogeneity between the studies was assessed using the I2 index. Begg and Mazumdar's test was used to evaluate publication bias. RESULTS: A total of 35 studies with 12,365,646 subjects were retrieved. The mean age ranged from 10-45 years. Global prevalence of PCOS was 9.2% (95% CI: 6.8-12.5%) based on meta-analysis, our results showed that the global prevalence of PCOS was 5.5% (95% CI: 3.9-7.7%) based on NIH criteria, 11.5 (95% CI: 6.6-19.4) based on Rotterdam criteria, and 7.1% (95% CI: 2.3-20.2%) based on AES criteria. According to self-report subgroup analysis, the prevalence of PCOS was found to be 11% (95% CI: 5.2-21.8%). CONCLUSION: Based on the results of the present study, the prevalence of PCOS in the world was 9.2% (95% CI: 6.8-12.5%). According to the results of the present study and the high prevalence of PCOS, especially in the Africa continent, it is necessary for health systems to implement measures to timely prevent and treat this syndrome.


Assuntos
Saúde Global , Síndrome do Ovário Policístico , Síndrome do Ovário Policístico/epidemiologia , Humanos , Feminino , Prevalência , Saúde Global/estatística & dados numéricos , Adulto , Adolescente , Adulto Jovem , Pessoa de Meia-Idade
11.
J Prev (2022) ; 45(4): 611-649, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38822990

RESUMO

The changes in human lifestyle over the past few decades have impacted the prevalence of skin diseases within different societies. Skin diseases may result in various physical and mental disorders. The most common mental disorders observed among the patients are stress, anxiety, and depression. This study aims to investigate the global prevalence of anxiety, depression, and stress in patients with skin diseases. In this Systematic Review and Meta-Analysis study, the PubMed, Scopus, Science Direct, Embase, Web of science, and Google Scholar repositories were searched without a lower time limit. Heterogeneity among the identified studies was examined using the I2 index, and accordingly random effects model was adopted for analysis. Data analysis was conducted within the Comprehensive Meta-Analysis software (v. 2). In total, 113 studies were included for the final analysis. The overall pooled prevalence of stress, depression, and anxiety in skin disease patients was found to be 39.4%, 27.2% and 28.8%, respectively. Among patients with psoriasis, acne, vitiligo or atopic dermatitis diseases, the highest number of patients suffering from stress was related to patients with acne (75.7%). The highest prevalence of depression, and anxiety was reported in patients with vitiligo (38.3%) and acne (36.5%), respectively. Considering the high prevalence of mental disorders among patients with skin diseases and recognising the impacts of mental health challenges on patients' well-being, the findings of this study provide valuable insights for identifying specific populations that require targeted interventions for the diagnosis, treatment, and prevention of mental illnesses. Accordingly, healthcare policymakers should incorporate psychological treatment and support measures as integral components of comprehensive care strategies for patients with skin diseases.


Assuntos
Ansiedade , Depressão , Dermatopatias , Estresse Psicológico , Humanos , Dermatopatias/epidemiologia , Dermatopatias/psicologia , Prevalência , Estresse Psicológico/epidemiologia , Depressão/epidemiologia , Depressão/psicologia , Ansiedade/epidemiologia , Saúde Global
12.
Langmuir ; 40(26): 13397-13411, 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38900039

RESUMO

Herein, we present a highly efficient dual-functionalized acid-base nanocatalyst, denoted as Fe3O4@GLYMO-HEPES, featuring sulfuric acid and tertiary amines as its dual functional components. This catalyst is synthesized through the immobilization of 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) as the source of these functionalities onto magnetite (Fe3O4) using 3-glycidoxypropyltriethoxysilane (GLYMO) as a linker. Characterization studies confirm the integrity of the Fe3O4 core, with the GLYMO-HEPES coating exhibiting no phase changes. Furthermore, Fe3O4@GLYMO-HEPES nanoparticles demonstrate a uniform size distribution without aggregation. Notably, the catalyst exhibits remarkable stability up to 200 °C and possesses a saturation magnetization value of 31.5 emu/g, facilitating easy recovery via magnetic separation. These findings underscore the potential of Fe3O4@GLYMO-HEPES as a versatile and recyclable nanocatalyst for various applications. Its catalytic ability was evaluated in the synthesis of various pyrano[2,3-c]pyrazoles and 2-amino-3-cyano-4H-chromenes through a tandem Knorr-Knoevenagel-Michael-Thorpe-Ziegler-type heterocyclization mechanism, using different aldehydes. A wide range of fused heterocycles was synthesized having good to excellent yields. The process is cost-effective, safe, sustainable, and scalable, and the catalyst can be reused up to five times. The prepared catalyst was found to be highly stable and heterogeneous and showed good recyclability.

13.
Nanoscale Adv ; 6(12): 3158-3168, 2024 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-38868818

RESUMO

In this research, a heterogeneous acid catalyst was synthesized by room temperature encapsulation of phosphomolybdic acid (PMA) in the pores of the MIL-53 (Fe) metal organic framework (MOF) under ultrasonic conditions. Then the catalytic activity of PMA@MIL-53 (Fe) was investigated in Friedel-Crafts C-acylation of para-fluorophenol, and this procedure was optimized using response surface methodology based on central composite design (RSM-CCD). The impact of critical reaction parameters including reaction duration, catalyst dosage, and PMA amount in the catalyst was optimized, leading to the formation of the target product in excellent yield at a short reaction time.

14.
J Diabetes Metab Disord ; 23(1): 395-403, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38932831

RESUMO

Introduction: fluctuation in serum levels of thyroid hormones or thyroid-associated dysfunction can negatively affect the sexual behaviors or performance, and disruption in couples` relationship or satisfaction. Thus, this systematic review and meta-analysis study was aimed to investigate the global prevalence of sexual dysfunction in men with thyroid gland disorders (TGD). Methods: this systematic review and meta-analysis study conducted based on PRISMA statement criteria regarding the available evidences representing the prevalence of sexual dysfunction in men with TGD. The initial searching process was applied on July, 2023. In this era, the main keywords of "Prevalence", "Sexual disorders", "Sexual disorder", "Sexual dysfunction", "Male sexual dysfunction", "Erectile dysfunction", "Males", "Men", "Thyroid disorders", "Thyroid diseases", "Hyperthyroidism", "Thyroid", and "Thyroiditis" were hired. Also, "AND" and "OR" operators were used for keywords combination. All intended studies were searched using the databases of Web of Science, Google Scholar, Scopus, ScienceDirect, PubMed, and Embase. Random effects model was used to perform the analysis and the heterogeneity of the studies was assessed through I2 index. Data analysis was applied with CMA software (v.2). Results: following the assessment of 17 eligible studies with a sample size of 501 individuals, the global prevalence of male sexual dysfunction with TGD was found 51.5% (95% CI:38.7-64). Also, the prevalence of male sexual dysfunction in hypothyroidism and hyperthyroidism cases was 59.1% (95% CI:37.2-77.8) and 41.5% (95% CI:25.9-59.1), respectively. The meta-regression analysis showed that following incremental trend in sample size, the global prevalence of male sexual dysfunction with TGD decreases. This assessment also revealed that the prevalence of male sexual dysfunction increases with the year of study conduction, significantly (p < 0.05). Conclusion: the global prevalence of sexual dysfunction in men with TGD was found relatively high. also, the highest prevalence of sexual disorders was reported in hypothyroid cases. Thus, health policymakers are suggested to inform the individuals prone to this pathology regarding the negative effects of TGD on sexual dysfunction. Besides, TGD-affected cases can prevent sexual disorders and unpleasant consequences through timely medical treatments.

15.
Int J Biol Macromol ; 271(Pt 2): 132743, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38821308

RESUMO

Electrospinning is a technology for fabricating ultrafine fibers from natural or synthetic polymers that have novel or enhanced functional properties. These fibers have found applications in a diverse range of fields, including the food, medicine, cosmetics, agriculture, and chemical industries. However, the tendency for electrospun nanofibers to dissociate when exposed to certain environmental conditions limits many of their practical applications. The structural integrity and functional attributes of these nanofibers can be improved using physical and/or chemical crosslinking methods. This review article discusses the formation of polymeric nanofibers using electrospinning and then describes how different crosslinking methods can be used to enhance their mechanical, thermal, and biological attributes. Methods for optimizing the crosslinking reactions are discussed, including proper selection of crosslinker type and reaction conditions. Then, food, medical, and separation applications of crosslinked electrospun fibers are assessed, including in bone and skin tissue engineering, wound healing, drug delivery, air filtration, water filtration, oil removal, food packaging, food preservation, and bioactive delivery. Finally, areas where future research are needed are highlighted, as well as possible future applications of crosslinked nanofibers.


Assuntos
Nanofibras , Engenharia Tecidual , Nanofibras/química , Engenharia Tecidual/métodos , Reagentes de Ligações Cruzadas/química , Humanos , Materiais Biocompatíveis/química , Polímeros/química , Sistemas de Liberação de Medicamentos
16.
Public Health Pract (Oxf) ; 7: 100506, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38817636

RESUMO

Objectives: Smoking, especially cigarettes, is known as one of the most common social and health problems among people. E-cigarettes are another form of tobacco that has been an ordinary daily occurrence.Study Design: systematic review and meta-analysis. Methods: Systematic searching of databases was performed in Scopus, Web of Science, PubMed, Science Direct, MagIran, IranDoc, SID and Google search engine based on the PRISMA 2020 guideline. This search was conducted by the end of May 2021. Following full-text assessments, the related data were extracted from the papers. Newcastle-Ottawa scale was also used to evaluate the quality of methodology of the articles. Finally, study analysis was performed using Comprehensive Meta-Analysis software (version 2) based on the random effect model. Results: Global prevalence of E-cigarette in younger individuals was 16.8 (95 % CI: 10.6-25.6) and 4.8 (95 % CI: 3-7.6) in the Ever and Current modes of E-cigarette, respectively. We also found that E-cigarettes were used more common in young boys than young girls in both Ever and Current modes. In young boys, the prevalence of E-cigarette were 18.8 (95 % CI: 8.4-36.8) and 4.9 (95 % CI: 3-8) in both modes of Ever and Current, respectively. In young girls, these factors were 9.9 (95 % CI: 5-18.6) and 1.6 (95 % CI: 1-3.1) in both modes of Ever and Current, respectively. Conclusions: The global prevalence of e-cigarettes among young people, especially young boys, is increasing. Based on this, the prevention and management of the damage of this social phenomenon requires comprehensive global study, planning and policy.

18.
Appl Nurs Res ; 75: 151768, 2024 02.
Artigo em Inglês | MEDLINE | ID: mdl-38490799

RESUMO

BACKGROUND: Nurses face various ethical conflicts when taking care of patients, and such conflicts require moral courage. This systematic review was conducted with the aim of investigating moral courage and its related factors among nurses. METHODS: To find related studies, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. The PubMed, Web of Science, Google Scholar, Scopus, Embase and Science Direct databases were searched using keywords such as Courage, Moral Courage, and Nurses, and no lower time limit was imposed when conducting the searches. The identified studies were published between January 2000 and March 2023. Quality of articles was assessed using the STROBE checklist. RESULTS: The pooled sample size for the 19 included studies was 7863. All studies were observational and cross-sectional. The results showed that three categories of factors most related to moral courage are individual, moral, and factors related to the organization. Underlying factors of each category are also provided within this paper. CONCLUSION: Moral courage is an integral part of nursing, which as a profession, is becoming even more challenging with the advancement of science and technology. Therefore, there is a need for nurses and especially nursing managers to be considerate of factors affecting moral courage of nurses, with a view to strengthening the positive factors and reducing the negative impacts.


Assuntos
Coragem , Princípios Morais , Humanos , Ética em Enfermagem , Feminino , Adulto , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem Hospitalar/psicologia , Estudos Transversais , Atitude do Pessoal de Saúde
19.
Arch Gynecol Obstet ; 309(5): 1833-1846, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38459997

RESUMO

BACKGROUND: In recent years, the global prevalence of infertility has increased among women (Talmor and Dunphy, Best Pract Res Clin Obstet Gynaecol 29(4):498-506, 2015) and is considered as a public health concern. One of the impacts of infertility is mental health problems in the patients, which can lead to complications such as stress, anxiety, and depression. The aim of this study is to investigate the global prevalence of major depressive disorder, general anxiety, stress, and depression in infertile women through a systematic review and meta-analysis. METHODS: To identify studies that have reported the prevalence of major depressive disorder, generalized anxiety, stress, and depression in infertile women, the PubMed, Scopus, Web of Science, Embase, ScienceDirect, and Google Scholar repositories were systematically searched. Articles published up until February 2023 were included, while no lower time limit was imposed in the search strategy. Heterogeneity of studies was examined using the I2 test and, thus, random-effects model was used to perform the analysis. Data analysis was conducted within the Comprehensive Meta-Analysis (v.2) software. RESULTS: In the review of 44 studies with a sample size of 53,300 infertile female patients, the overall prevalence of major depressive disorder (clinical depression), generalized anxiety, stress, and depression was found to be 22.9%, 13.3%, 78.8%, and 31.6% respectively. It was also found that mental health complications are more prevalent among infertile women in Asia (continent). CONCLUSION: Considering the prevalence of mental disorders among infertile women, health policymakers can use the results of the present meta-analysis to pay more attention to the mental health of infertile women and devise suitable interventions and programs to reduce and prevent the spread of psychological disorders among infertile women.


Assuntos
Transtorno Depressivo Maior , Infertilidade Feminina , Estresse Psicológico , Humanos , Feminino , Transtorno Depressivo Maior/epidemiologia , Infertilidade Feminina/epidemiologia , Infertilidade Feminina/psicologia , Prevalência , Estresse Psicológico/epidemiologia , Saúde Global/estatística & dados numéricos , Ansiedade/epidemiologia , Depressão/epidemiologia , Transtornos de Ansiedade/epidemiologia
20.
Indian J Orthop ; 58(3): 223-230, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38425824

RESUMO

Background: Vitamin D deficiency is widely prevalent among the elderly, posing significant health risks. This study aims to determine the global prevalence of vitamin D deficiency in the elderly. Methods: A systematic review and meta-analysis was conducted, examining databases including Scientific Information Database (SID), Medline (PubMed), ScienceDirect, Scopus, Embase, and Google Scholar until January 2023. The publication bias of the studies was assessed using the I2 test of heterogeneity and the Egger test. Results: The prevalence of vitamin D deficiency, defined as levels below 20 ng or 50 nmol was found to be 59.7% (95% CI 45.9-72.1). Furthermore, a review of six studies involving 6748 elderly individuals showed a prevalence of 27.5% (95% CI 21.8-34.1) for deficiency defined between 20 and 30 ng or 50-75 nmol. Additionally, a meta-analysis of seven studies with a sample size of 6918 elderly individuals reported a prevalence of 16% (95% CI 10.2-24.1) for deficiency defined above 30 nmol or 75 nmol. Conclusion: The results of the present study reveal that the prevalence of vitamin D deficiency among the elderly is high and requires the attention of health policymakers at the World Health Organization to prioritize extensive information dissemination and screening to mitigate the adverse effects on their quality of life. Supplementary Information: The online version contains supplementary material available at 10.1007/s43465-023-01089-w.

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