Introduction: Research Synthesis in Evidence-Based Clinical Decision-Making

Chiappelli, Francesco; Brant, Xenia Maria Caldeira; Oluwadara, Oluwadayo; Neagos, Negoita; Ramchandani, Manisha

doi:10.1007/978-3-642-05025-1_1

Cited by 3 publications

(8 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One limitation was the relatively small number of studies that could be included. By performing a meta-analysis, however, small but clinically relevant effects could be detected and a global hypothesis could be formed because of the heterogeneous groups [39]. Because the majority of studies used ORs as effect measures, we also calculated ORs in our meta-analyses.…”

Section: Discussionmentioning

confidence: 99%

Prenatal maternal psychological stress and childhood asthma and wheezing: a meta-analysis

Gelder²,

et al. 2015

View full text Add to dashboard Cite

The aim of this study was to systematically review and meta-analyse observational studies on prenatal maternal psychological stress and the subsequent development of asthma and wheezing in early childhood.All available published literature from 1960 until November 2013 was systematically searched through electronic databases (PubMed, Embase, PsycInfo and Web of Science). All observational studies assessing associations between any form of prenatal maternal psychological stress and respiratory morbidity in the child were included. Data extraction, quality assessment and meta-analyses were performed.The overall meta-analysis included 10 studies and showed that the prevalence of wheezing, asthma and other respiratory symptoms is higher in children of mothers who were exposed to or experienced some form of psychological stress during pregnancy than in mothers who did not ( pooled OR 1.56 (95% CI 1.36-1.80)). Comparable results were observed in subgroup analyses of stress exposure, perceived stress, asthma and wheezing.This study demonstrates that prenatal maternal psychological stress is associated with respiratory morbidity, including asthma and wheezing in the child. Future studies examining the early origins of asthma and wheezing need to account for the impact of prenatal maternal stress. @ERSpublications Study showing an association between prenatal psychological stress and subsequent respiratory morbidity in children

show abstract

Section: Discussionmentioning

confidence: 99%

Prenatal maternal psychological stress and childhood asthma and wheezing: a meta-analysis

Gelder²,

et al. 2015

View full text Add to dashboard Cite

show abstract

“…This method of choosing the variables for Prakriti determination hs earlier been described in some recent studies. [5,14]…”

Section: Methodsmentioning

confidence: 99%

“…Remaining variables were found convincing for their dependable examination through inspection or interrogation methods. [5,13]…”

Section: Methodsmentioning

confidence: 99%

“…[3,4] Due to its complex, yet prospective bearings upon preventive and curative decision making related to Ayurvedic health care, Prakriti examination has attracted significant attention since antiquity. [5] For its apparent resemblance, Ayurvedic somatotypical classification based upon Prakriti is often correlated to the constitutional psychology classification proposed by Sheldon. [6] The concept of Prakriti , however, remains novel for its distinct rooting in Ayurvedic theory of Pancha-Mahabhuta and also by a clear proposal of the factors which may possibly influence the performance of variables in a particular Prakriti .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Development and validation of a Prototype Prakriti Analysis Tool (PPAT): Inferences from a pilot study

Rastogi

2012

AYU

Self Cite

View full text Add to dashboard Cite

Prakriti, for its tangible impacts upon decision making in Ayurvedic clinical practice, requires a thorough and fool-proof method of examination. Conventional methods adopted for Prakriti examination are found inconsistent with huge inter- and intra-rater inference variability. By observing the gaps in the field, the present study aims to develop a prototype Prakriti analysis tool and its evaluation on inter-rater validity grounds. The study observes that Vata and Pitta constructs of Prakriti identification in Ayurveda have a significant inter-rater correlation (P ` 0.001 and P ` 0.01), whereas Kapha has less (P ` 0.02) correlation. It is inferred that for less correlated variables like those of Kapha, a better understanding is required to reach a better consensus.

show abstract

“…The PC results related to MTM show that there is a positive clinical impact on the reduction in blood pressure and cardiovascular risk, but the impact of different models, as well as their results regarding the scenario in which it is inserted, are unknown in the literature [ 13 , 14 ]. Furthermore, in health management and planning, decision-making based on the highest possible degree of evidence is necessary [ 15 , 16 , 17 ]. Even if the PC produces good results for the treatment of hypertension, it is necessary to evaluate the existing MTM-PC models, their characteristics and the influence of the scenarios for their insertion in order to define a profile adjustable for each reality that generates results with greater precision, in order to incorporate this service as a feasible health technology for different realities of healthcare systems [ 8 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Medication Therapy Management by Pharmaceutical Care on Blood Pressure and Cardiovascular Risk in Hypertension: A Systematic Review, Meta-Analysis, and Meta-Regression

et al. 2023

View full text Add to dashboard Cite

Medication therapy management by pharmaceutical care (MTM-PC) has been shown to improve the effectiveness of antihypertensive treatments. The aim was to answer the question: what are the MTM-PC models and their impact on hypertensive patients’ outcomes? This is a systematic review with meta-analysis. The search strategies were run on 27 September 2022 in the following databases: PubMed, EMBASE, Scopus, LILACs, Central Cochrane Library, Web of Science; and International Pharmaceutical Abstracts. The quality and bias risk was assessed by the Downs and Black instrument. Forty-one studies met the eligibility criteria and were included, Kappa = 0.86; 95% CI, 0.66–1.0; (p < 0.001). Twenty-seven studies (65.9%) had MTM-PC models outlined by the clinical team, showing as characteristics the mean of 10.0 ± 10.7 months of follow-up of hypertensive patients, with 7.7 ± 4.9 consultations. Instruments to assess the quality of life measured the enhancement by 13.4 ± 10.7% (p = 0.047). The findings of the meta-analysis show a mean reduction of −7.71 (95% CI, −10.93 to −4.48) and −3.66 (95% CI, −5.51 to −1.80), (p < 0.001) in mmHg systolic and diastolic pressures, respectively. Cardiovascular relative risk (RR) over ten years was 0.561 (95% CI, 0.422 to 0.742) and RR = 0.570 (95% CI, 0.431 to 0.750), considering homogeneous studies, I² = 0%. This study shows the prevalence of MTM-PC models outlined by the clinical team, in which there are differences according to the models in reducing blood pressure and cardiovascular risk over ten years with the improvement in quality of life.

show abstract

Introduction: Research Synthesis in Evidence-Based Clinical Decision-Making

Cited by 3 publications

References 35 publications

Prenatal maternal psychological stress and childhood asthma and wheezing: a meta-analysis

Prenatal maternal psychological stress and childhood asthma and wheezing: a meta-analysis

Development and validation of a Prototype Prakriti Analysis Tool (PPAT): Inferences from a pilot study

Effect of Medication Therapy Management by Pharmaceutical Care on Blood Pressure and Cardiovascular Risk in Hypertension: A Systematic Review, Meta-Analysis, and Meta-Regression

Contact Info

Product

Resources

About