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The roles of traditional Chinese medicine within an interdisciplinary team in predominantly Western medical settings:A scoping review 认领 引用 被引量：1
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作者 Arkers Kwan Ching Wong Nuo Shi +1 位作者 Annie Ho Janice Yuen Shan Ho 《Journal of Integrative Medicine》 SCIE CAS CSCD 2026年第1期65-80,共16页
Background:Traditional Chinese medicine(TCM)is increasingly recognized for its holistic approach and effectiveness.Integrated medicine,emphasizing collaboration between TCM and Western medicine(WM),is promoted globall... Background:Traditional Chinese medicine(TCM)is increasingly recognized for its holistic approach and effectiveness.Integrated medicine,emphasizing collaboration between TCM and Western medicine(WM),is promoted globally to enhance healthcare delivery.However,the roles and responsibilities of TCM practitioners in predominantly Western medical settings are underexplored,potentially hindering their engagement in interprofessional collaboration.Objective:This scoping review investigated the roles and responsibilities of TCM practitioners and identified facilitators and barriers to TCM integration in Western medical contexts.Search strategy:We conducted a scoping review using data from eleven Chinese and English databases,including Cumulative Index of Nursing and Allied Health,MEDLINE,Pub Med,Embase,Web of Science,Cochrane Library,Psyc INFO,China National Knowledge Infrastructure.Wanfang,Chinese Scientific Journal Database,and the Chinese Science Citation Database.Inclusion criteria:Eligibility was limited to studies on TCM practitioners in interdisciplinary teams with Western professionals,published in Chinese or English,while excluding articles that lacked documentation of TCM involvement,or focused exclusively on TCM practices.Data extraction and analysis:Thematic analysis following Braun and Clarke's six-step framework was used to summarize data on the roles of TCM and TCM practitioners,and factors that facilitate and hinder the integration of TCM and WM.Results:Our systematic search yielded 31 relevant papers.We identified eight key roles of TCM practitioners:mitigating WM-induced side effects,facilitating WM tapering and prevention,attenuating disease progression,improving mental health,providing pain relief,supporting stroke rehabilitation,managing symptoms,and regulating the immune system.TCM practitioners fulfill these roles through accurate diagnosis,prescription,and collaborative care while also serving as educators.Five facilitators for TCM integration were identified:safety,recognition,policy support,accessibility,and treatment guidelines.Barriers included:safety concerns,lack of research,insufficient TCM knowledge among WM practitioners,attitudinal barriers,limited access,and inconvenience.Conclusion:Our review highlights the potential of TCM to enrich interdisciplinary teams in Western medical settings.Although there are successful integration models,significant barriers persist,including cost disparities and insufficient research.To achieve seamless integration,a multi-faceted approach that includes research collaboration,equitable policies,enhanced interprofessional education,and efforts to shift societal perceptions is essential. 展开更多
关键词 Chinese medicine Integrative medicine Scoping review Western medicine
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Role of family medicine on health systems in the Americas:scoping review 认领 引用
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作者 Erwin Hernando Hernandez Rincon July Andrea Hernandez Rincon +3 位作者 Laura Daniela Saza Salas Mauricio Fernando Ulloa Roddriguez Claudia Liliana Jaimes Peñuela Diana Marcela Diaz Quijano 《Family Medicine and Community Health》 2026年第2期105-117,共13页
Objective To synthesise the available evidence on the reported role of family physicians in health systems in the Americas.Design A scoping review was conducted following the methodology of the Joanna Briggs Institute... Objective To synthesise the available evidence on the reported role of family physicians in health systems in the Americas.Design A scoping review was conducted following the methodology of the Joanna Briggs Institute.The results were grouped into thematic categories and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews(PRISMA-ScR)guidelines.Eligibility criteria Peer-reviewed articles and relevant grey literature published between 2010 and 2025 examining the role or impact of family physicians within health systems in the Americas.Studies that did not explicitly address family physicians or lacked accessible full text were excluded.Information sources A comprehensive search was performed in PubMed,Scopus,Embase,LILACS and the Virtual Health Library(BIREME).Grey literature was identified through institutional repositories,policy reports and targeted searches of official websites.Results Of 1397 records identified,34 studies met the inclusion criteria.Most publications were produced between 2013 and 2024 and represented diverse health system contexts across the region.The attributes most frequently associated with family physicians were comprehensiveness,accessibility,continuity of care,coordination and family and community orientation.Across multiple national settings,the included studies consistently reported that stronger integration of family physicians within primary healthcare systems was associated with improved access to services,greater continuity of care,more efficient coordination across levels of care and a more rational use of diagnostic and therapeutic resources.Conclusions Family physicians appear to represent an important component of effective primary healthcare systems in the Americas.Their integration within health services is associated with improved service accessibility,greater care continuity and more efficient resource use.Strengthening family medicine workforce capacity and its institutional role may contribute to more equitable,resilient and sustainable health systems across the region.Trial registration number Protocol registered and available on this OSF project http://gffzz4d453efe4f964d56s6569kooobbnx6u6c.ffgz.tsg.suse.edu.cn/pnf2b/. 展开更多
关键词 Family Medicine Americas grey literature systematic reviews synthesise available evidence scoping review Health Systems Role
Beyond the chain of survival:a scoping review of artifi cial intelligence applications in cardiac arrest 认领 引用 被引量：1
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作者 Xing Luo Jinzhao Zhang +2 位作者 Fanrong Lin Siqi Liu Zhengfei Yang 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2026年第1期7-14,共8页
BACKGROUND:To provide a comprehensive analysis of the landscape of artifi cial intelligence(AI)applications in cardiac arrest(CA).METHODS:Comprehensive searches were conducted in PubMed,the Cochrane Library,Webof Scie... BACKGROUND:To provide a comprehensive analysis of the landscape of artifi cial intelligence(AI)applications in cardiac arrest(CA).METHODS:Comprehensive searches were conducted in PubMed,the Cochrane Library,Webof Science,and EMBASE from database inception through 10 June 2025.Studies that applied AI inboth in-hospital cardiac arrest(IHCA)and out-of-hospital cardiac arrest(OHCA)populations acrossthe following domains were included:prediction of cardiac arrest occurrence,prognostication ofCA outcomes,applications of large language models(LLMs),and evaluation of cardiopulmonaryresuscitation(CPR)and other AI-driven interventions related to CA.RESULTS:The scoping review included 114 studies,encompassing data from 9,574,462patients in total.AI was most commonly applied to the prediction of CA(overall,n=40;IHCA,n=30;OHCA,n=4;and both,n=6),CPR-related decision support during CA(n=16),and post-arrestprognosis and rehabilitation outcomes(overall,n=38;OHCA,n=21;IHCA,n=3;and both,n=14).Additional application areas included LLM-based applications(n=8),emergency call handling(n=4),wearable device-based detection(n=3),heart rhythm identification(n=2),education(n=2),and extracorporeal cardiopulmonary resuscitation(ECPR)candidate identifi cation(n=1).Across allapplication scenarios,the highest area under the receiver operating characteristic curve(AUROC)value for pre-arrest CA prediction in IHCA patients was 0.998 using a multilayer perceptron(MLP)model,whereas the optimal AUROC for pre-arrest CA prediction in OHCA patients was 0.950 usingextreme gradient boosting(XGBoost)or random forest(RF)models.For CPR-related decisionsupport during CA,the highest AUROC achieved was 0.990 with a convolutional neural network(CNN)model.In prognostic prediction,the optimal AUROC for IHCA patients was 0.960 usingXGBoost,while for OHCA patients it reached 0.976 using an MLP model.CONCLUSION:This review shows that AI is most commonly used for the prediction of CA andCPR-related support,as well as post-arrest and rehabilitation outcomes.Future research directions includedrug discovery,post-resuscitation management,neurorehabilitation,and clinical trial innovation.Furtherstudies should prioritize multicenter clinical trials to evaluate AI models in real-world settings and validatetheir eff ectiveness across diverse patient populations.Overall,AI has signifi cant potential to improve clinicalpractice,and its role in CA application is increasingly important. 展开更多
关键词 Cardiac arrest Artificial intelligence Machine learning Large language model Scoping review
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The use of virtual reality in cancer patient health education:A scoping review 认领 引用 被引量：1
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作者 Fangping Chen Xingyue Guo +5 位作者 Dingyuan Wei Mengxing Wang Jiayan Wang Didi Xu Luyang Jin Xuemei Xian 《International Journal of Nursing Sciences》 CSCD 2026年第1期27-35,I0003,共9页
Objectives This scoping review aimed to identify and summarize the current research on virtual reality(VR)technologies used for health education in cancer patients,as well as to identify key areas of application.Metho... Objectives This scoping review aimed to identify and summarize the current research on virtual reality(VR)technologies used for health education in cancer patients,as well as to identify key areas of application.Methods In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines,a comprehensive literature search was performed across 11 electronic databases and gray literature sources from inception to 12 September 2025.Studies employing immersive VR tools to improve health education outcomes in cancer patients were included.Data extraction and thematic synthesis were conducted to map evidence regarding VR modalities,educational applications,and outcome measures.Results Twenty-eight studies met the inclusion criteria.VR was applied across four primary educational scenarios,including radiotherapy,chemotherapy,surgery,and healthy behavior(including rehabilitation,smoking cessation,and self-management).Eight distinct VR modalities were identified,namely VR videos,virtual environments,virtual environment for radiotherapy training(VERT),VR interactions,3D models,VR games,VR non-player characters(VR NPCs),and virtual libraries.Among these,VR videos(50.0%),virtual environments(46.4%),and VR interactions(28.6%)were the most frequently employed.The interventions led to significant improvements in patient knowledge,skills,attitudes,health behaviors,and psychological well-being.A clear evolution in VR educational approaches has been observed,shifting from static environmental familiarization toward interactive,gamified,and intelligence-driven experiences.Nevertheless,notable gaps remain regarding safety protocols and data privacy protections,with only a minority of studies addressing these issues.Conclusions VR technologies demonstrate considerable promise as an innovative educational tool in oncology care,enhancing patient understanding,psychological preparedness,and engagement throughout the cancer journey.Future implementation must address infrastructural,ethical,and user-centered design barriers to facilitate the scalable and sustainable integration of this approach into clinical practice. 展开更多
关键词 Health education Neoplasms Nursing Scoping review Virtual reality
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Application of artificial intelligence in cancer rehabilitation:A scoping review 认领 引用
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作者 Na Li Yaxin Wang +3 位作者 Jin Zhang Jingui Huang Jie Zou Zhaoli Zhang 《Intelligent Oncology》 CAS 2026年第3期15-23,共9页
Background:Cancer rehabilitation faces challenges,including resource limitations,workforce shortages,and a lack of personalized care.Artificial intelligence(AI)offers promising solutions with the potential to personal... Background:Cancer rehabilitation faces challenges,including resource limitations,workforce shortages,and a lack of personalized care.Artificial intelligence(AI)offers promising solutions with the potential to personalize and scale rehabilitation services.However,realizing this potential requires a systematic understanding of current applications and knowledge gaps,which remains lacking.Objective:This scoping review aims to map AI applications in cancer rehabilitation,identify relevant technologies and clinical scenarios,and highlight existing knowledge gaps.Methods:Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines,eight databases(China National Knowledge Infrastructure,Wanfang,VIP China Science and Technology Journal Database,Chinese Biomedical Literature Database,PubMed,Web of Science,Embase,and Cochrane Library)were searched from January 2011 to March 2026.Studies applying AI in cancer rehabilitation were included.Two reviewers independently extracted data and assessed study quality using the Quality Assessment with Diverse Studies tool.Results:Of 3,032 records identified,49 studies were included.Breast cancer was the most frequently studied cancer type(27%),followed by studies involving multiple cancer types(35%),lung cancer(12%),and head and neck cancer(6%).Machine learning was the predominant AI approach(41%),followed by conversational AI(22%)and neural networks(12%).Six application scenarios were identified:postoperative rehabilitation,adverse drug reaction management,psychological rehabilitation,personalized nutrition and exercise,survival prediction,and remote follow-up.Remote monitoring systems consistently lowered symptom burden and improved quality of life.AI-powered platforms promoted functional recovery,whereas conversational AI was associated with reduced distress,anxiety,and depression.Ensemble machine learning models outperformed traditional staging systems in predicting recurrence and survival.Conclusions:AI shows considerable promise in cancer rehabilitation,particularly for symptom monitoring,functional recovery,and survival prediction.However,gaps remain,including a lack of large-scale randomized controlled trials,limited long-term follow-up,and insufficient attention to psychological rehabilitation.Future research should prioritize rigorous trials,standardized outcome measures,and equitable access to AI-enabled rehabilitation services. 展开更多
关键词 Artificial intelligence Cancer rehabilitation Personalized medicine Scoping review
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Content and Effects of Hand Function Exercises in Patients with Rheumatoid Arthritis:A Scoping Review 认领 引用
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作者 Yuqi Liu Yuexian Tao Siying Qiu 《Journal of Clinical and Nursing Research》 2026年第4期184-197,共14页
Objective:This study aimed to systematically review and synthesize the current research status,core components of intervention protocols,and outcome measures of hand function exercises in patients with rheumatoid arth... Objective:This study aimed to systematically review and synthesize the current research status,core components of intervention protocols,and outcome measures of hand function exercises in patients with rheumatoid arthritis,in order to provide references for healthcare professionals in developing and implementing related interventions.Methods:Following the scoping review framework,a systematic search was conducted in PubMed,Embase,Web of Science,the Cochrane Library,China National Knowledge Infrastructure(CNKI),VIP Database,WanFang Database,and China Biomedical Literature Database(CBM).The search period ranged from 1 August 2015 to 1 August 2025.The identified studies were screened and synthesized according to the inclusion criteria.Results:A total of 10 studies were included.The intervention content of hand function exercises comprised joint range-of-motion training,resistance training,and functional training for daily activities,among which joint range-of-motion training and resistance training were the most commonly used.The intervention delivery modes included offline interventions,online interventions,and hybrid interventions.Outcome measures involved three domains:clinical indicators,clinical efficacy,and hand function assessment tools.Conclusion:This scoping review analyzed the existing literature and found that hand function exercises can effectively improve hand symptoms and functional outcomes in patients with rheumatoid arthritis,with 12 weeks being a typical intervention duration.However,evidence remains limited regarding exercise duration and patient-reported outcomes.Therefore,further studies are needed to explore their effects on patient-reported outcomes and to consider patients’exercise-related needs and goals. 展开更多
关键词 Hand function exercises Rheumatoid arthritis Nursing Scoping review Rehabilitation nursing
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A Scoping Review of Shared Decision-Making and Patient Decision Aids for Patients with Peripheral Arterial Disease 认领 引用
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作者 Jiabei Lu Yuexian Tao +3 位作者 Qiuying Lou Yating Liu Yeqin Xu Siying Qiu 《Journal of Clinical and Nursing Research》 2026年第7期210-222,共13页
Objective:To review the current evidence on shared decision-making(SDM)and patient decision aids(PDAs)for patients with peripheral arterial disease(PAD),focusing on application characteristics,intervention effects,and... Objective:To review the current evidence on shared decision-making(SDM)and patient decision aids(PDAs)for patients with peripheral arterial disease(PAD),focusing on application characteristics,intervention effects,and implementation factors to inform clinical decision support models.Methods:A scoping review was conducted following the Joanna Briggs Institute(JBI)framework and PRISMA-ScR guidelines.A systematic search was performed in eight Chinese and English databases,including PubMed,Embase,the Cochrane Library,CINAHL,CNKI,Wanfang,VIP,and the China Biomedical Literature Database,up to 2025.Eligible studies included randomized controlled trials,crosssectional studies,qualitative studies,and mixed-methods studies.Data were extracted and descriptively synthesized.Results:Fifteen studies published between 2011 and 2025 were included,mainly from Europe,North America,and Asia.Studies explored SDM preferences,the development and application of PDAs,decision support tools,SDM training,multimedia decision-making interventions,and patients’experiences.SDM and PDAs improved patient knowledge,participation,decision quality,and satisfaction,while reducing decisional conflict and negative emotions.Implementation was affected by time constraints,information complexity,provider–patient communication,and healthcare system factors.Conclusion:SDM and PDA research in PAD is increasing;however,tool standardization and clinical integration remain limited.Future research should develop patient-centered decision-support tools and promote nurse-led SDM models to improve long-term PAD management and patient decision-making experiences. 展开更多
关键词 Peripheral arterial disease Shared decision-making Patient decision-making aids Scoping review Evidence-based nursing
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Erratum:Insecticide resistance status of malaria vectors in endemic states of India(2017-2024):A scoping review 认领 引用
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作者 Kamaraju Raghavendra Poonam Sharma Velamuri +1 位作者 Vartika Singhal Roop Kumari 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2026年第4期191-192,共2页
The authors would like to correct an error in Table 1 where the rows corresponding to Reference[8]and Reference[30]were interchanged during alphabetical arrangement of district data,with discrepancies in data for Maha... The authors would like to correct an error in Table 1 where the rows corresponding to Reference[8]and Reference[30]were interchanged during alphabetical arrangement of district data,with discrepancies in data for Maharashtra,Odisha and Uttar Pradesh that have now been rectified.The correct insecticide susceptibility status is provided below.The error does not affect the conclusion of the study.The authors apologize for the error and the inconvenience it might have caused to readers. 展开更多
关键词 scoping review India malaria vectors erratum insecticide susceptibility status alphabetical arrangement insecticide resistance
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Exercise interventions in adolescents with depression: a scoping review 认领 引用
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作者 Wen-Wen Wu Hai-Xia Feng +2 位作者 Si-Qin Wang Wu Zhou Liang-Liang Tan 《Nursing Communications》 2026年第1期1-7,共7页
This scoping review aims to synthesize evidence on exercise interventions for adolescents with depression by examining their components and evaluating their effects,thereby informing the development of standardized ex... This scoping review aims to synthesize evidence on exercise interventions for adolescents with depression by examining their components and evaluating their effects,thereby informing the development of standardized exercise programs for this population.Based on the Arksey and O’Malley framework for scoping reviews,the following databases were systematically searched:PubMed,Web of Science,Cochrane Library,Embase,EBSCO,China National Knowledge Infrastructure,Wanfang Database,VIP Database,and China Biomedical Literature Database.Based on the inclusion and exclusion criteria,the original studies applying exercise intervention in adolescents with depression were screened.A total of 9 papers were included,including 7 randomized controlled trials,1 quasi-experimental study,and 1 mixed study.The types of exercise interventions included aerobic exercise,resistance training,anti-gravity exercise,and stretching.The frequency of exercise was 30–60 min,3–5 times per week in most studies,with most intensities being moderate to high.Exercise intervention is feasible and effective in adolescents with depression.Nursing staff play a crucial role in implementing and supervising these interventions,from initial assessment to continuous monitoring of motivation and safety.In future studies,healthcare professionals should focus on assessing the condition and physical functional status of adolescents with depression and improving the specific content of exercise intervention to develop a scientific and standardized exercise training program for adolescents with depression. 展开更多
关键词 adolescent depression exercise rehabilitative care scoping review
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Kinesiophobia in Primary Caregivers of Patients with Chronic Heart Failure: A Scoping Review 认领 引用
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作者 Jiaqi Chen Wenjuan Lai +3 位作者 Yumei He Mingjie Cai Pinmei Zou Hui Xu 《Journal of Clinical and Nursing Research》 2026年第2期28-39,共12页
Objective: To conduct a scoping review of kinesiophobia among primary caregivers of patients with chronic heart failure (CHF). Methods: Following a scoping review methodological framework, PubMed, Web of Science, Emba... Objective: To conduct a scoping review of kinesiophobia among primary caregivers of patients with chronic heart failure (CHF). Methods: Following a scoping review methodological framework, PubMed, Web of Science, Embase, Cochrane Library, CINAHL, CNKI, SinoMed, Wanfang, and VIP were searched from inception to 30 June 2025. Relevant studies on kinesiophobia in primary caregivers of CHF patients were identified, summarized, and analyzed. Results: A total of 24 studies were included. Caregivers generally showed insufficient exercise-related knowledge, particularly regarding appropriate exercise intensity and risk recognition. At the cognitive-affective level, caregivers exhibited a pronounced “substitutive” kinesiophobia, characterized by excessive worry about potential adverse events induced by patients’ physical activity. At the behavioral level, this was reflected in restricting patients’ activities and avoiding assisting with exercise, which in turn reduced patients’ adherence to cardiac rehabilitation. Conclusion: Kinesiophobia among primary caregivers of CHF patients arises mainly from cognitive deficits and protective psychological mechanisms. Individualized education and professional guidance are needed to enhance caregivers’ exercise management competence and thereby optimize patients’ rehabilitation outcomes. 展开更多
关键词 Chronic heart failure Caregivers Kinesiophobia Homebased rehabilitation Scoping review
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A Scoping Review of Risk Prediction Models for Oral Mucosal Pressure Injury in ICU Patients with Oral Tracheal Intubation 认领 引用
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作者 Xuan Shen Yingzi Yuan +1 位作者 Qianqian Guan Ying Zhang 《Journal of Clinical and Nursing Research》 2026年第5期67-76,共10页
Objective:To conduct a comprehensive review of risk prediction models for oral mucosal pressure injury in ICU patients with oral tracheal intubation,aiming to provide a reference for the development and clinical appli... Objective:To conduct a comprehensive review of risk prediction models for oral mucosal pressure injury in ICU patients with oral tracheal intubation,aiming to provide a reference for the development and clinical application selection of risk prediction models in the future.Methods:Using the scope review methodology framework,this study searched PubMed,Web of Science,Embase,Cochrane Library,China Biomedical Literature Database,CNKI and Wanfang from database construction until December 31.Two researchers independently screened and extracted data for aggregated analysis.Results:Seven studies were finally included.The subjects were mainly ICU patients with oral tracheal intubation.Logistic regression model was used as the model construction method,and nomogram was used as the model presentation.The three most frequently occurring predictors were tracheal intubation indwelling time,APACHEⅡscore,and dental pad usage.Conclusion:The included models had good overall predictive power.However,to establish models with a low risk of bias,good predictive performance,and strong operability,a high overall risk of bias needed to be addressed to provide some guidance for clinical practice. 展开更多
关键词 ICU Pressure injury of oral mucosa Predictive model Risk assessment Scope review
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Methodological challenges and recommendations for acupuncture clinical study:A scoping review 认领 引用 被引量：2
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作者 Xiang-yu HU Wen-cui XIU +7 位作者 Zi-yu TIAN Rui-min JIAO Huan CHEN Xiao-yi HU Lan-jun SHI Tian-yu MING Wei-juan GANG Xiang-hong JING 《World Journal of Acupuncture-Moxibustion》 CAS CSCD 2025年第1期1-9,共9页
Background:Methodological issues and challenges hinder the high-quality development of acupuncture clinical studies.Objective:To systematically summarize the methodological issues,challenges,and recommendations in acu... Background:Methodological issues and challenges hinder the high-quality development of acupuncture clinical studies.Objective:To systematically summarize the methodological issues,challenges,and recommendations in acupuncture clinical research using the participant,intervention,comparison,outcome,and study design(PICOS)framework to generate a comprehensive list of methodological questions and recommendations.Methods:We searched seven databases for articles on the methodological aspects of clinical acupuncture research from their inception to March 24,2023.Two researchers independently screened the titles,ab-stracts,and full text of each article.Data extraction and analyses were performed for the eligible studies.Finally,the methodological challenges and recommendations for acupuncture clinical studies are listed,and the frequency of methodological challenges is displayed in a sunburst chart.Results:A total of 226 studies were included in the review,most of which originated in China(173,77%),followed by the United States(25,11%)and the United Kingdom(12,5%).Clinical research on acupuncture faces methodological challenges that span the five elements of the PICOS framework.The most frequently mentioned issues were related to comparison,followed by study design and interven-tions.If further categorized,the establishment of the control group is undoubtedly the most concerning issue for researchers.Conclusion:This review provides a comprehensive overview of the challenges and recommendations for each aspect of the PICOS framework in clinical acupuncture research. 展开更多
关键词 Acupuncture Clinical study Methodological challenge Scoping review
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Decolonizing global health:a scoping review of its key components,proposed actions,and contributors 认领 引用
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作者 Michelle Amri Jan Filart +3 位作者 Jinny Yang Johanna Manga Kathryn Barrett Jesse B.Bump 《Global Health Research and Policy》 CSCD 2025年第1期133-153,共21页
Introduction Although there has been attention paid to decolonizing global health,there is no consensus around the concept.To act in the face of various crises,including neocolonialism,there is a need to understand th... Introduction Although there has been attention paid to decolonizing global health,there is no consensus around the concept.To act in the face of various crises,including neocolonialism,there is a need to understand the key components of this concept within mainstream global health,how it can be acted on,and who is contributing to these discussions.Methods A scoping review was undertaken to assess the academic literature for discussions on decolonizing global health.The PRISMA guidelines for Scoping Reviews(PRISMA-ScR)were used to guide reporting.OVID Medline,OVID Embase,EBSCO CINAHL Plus,Web of Science Core Collection,PAIS Index,Worldwide Political Science Abstracts,and the International Bibliography of the Social Sciences databases were searched from inception to August 8,2023.The inclusion criterion was that texts had to:(i)use the exact phrasing of“decoloni*global health”or“anticolonial global health,”(ii)include substantive discussion of what decolonizi*global health or anticolonial global health means(i.e.,single mentions that do not include an explanation,elaboration,or context were excluded),and(iii)be published in English.Results When analyzing how scholars understand“decolonizing global health”,its meaning is rooted in three key components:(i)power asymmetries between the global north and south;(ii)a legacy of colonialism in global health or neocolonialism;and(iii)epistemic injustice.The second part of the analysis looked to understand if decolonizing global health can be acted on,and if so,how?The analysis demonstrated that decolonization of global health involves:(i)overhauling existing power structures;(ii)establishing agency and self-determination of the global south;(iii)epistemic reformation and epistemic and ontological pluralism;(iv)education;and(v)inclusivity,solidarity,and allyship.Lastly,in assessing which scholars'work was retrieved in this systematic search of the literature,most first authors were situated in the Americas Region(n=45/99;46%),followed by the European Region(n=29/99;29%).When combining these two regions,this accounted for almost 75%of all included articles.Notably,only 22%of first authors of retrieved articles had an affiliation in a low-and/or middle-income country.Conclusions The findings from this scoping review are anticipated to bring much needed clarity to discussions around decolonizing global health,in terms of key components,gaps,and possible actions.For instance,this review presents ongoing challenges faced in coming to a comprehensive and agreed upon definition of decolonizing global health in mainstream global health. 展开更多
关键词 legacy colonialism prisma guidelines understand key components decolonizing global healththere scoping reviews pr decolonizing global health scoping review power asymmetries
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The role and value of self-employed nurses in the allocation of nursing human resources:A scoping review 认领 引用
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作者 Nianqi Cui Wei Yang +1 位作者 Yulin Lu jingfen Jin 《International Journal of Nursing Sciences》 CSCD 2025年第5期445-453,共9页
Objective:This study aimed to conduct a scoping review to determine the role and value of selfemployed nurses in the allocation of nursing human resources.Methods:Following the scoping review methodological framework ... Objective:This study aimed to conduct a scoping review to determine the role and value of selfemployed nurses in the allocation of nursing human resources.Methods:Following the scoping review methodological framework proposed by Arksey and O'Malley,China National Knowledge Infrastructure(CNKI),WanFang,CINAHL,PubMed,Web of Science,and Scopus databases were searched from inception to February 2025 on self-employed nurses in the nursing field.Thematic content analysis was used to collate,summarize,and narratively report themes and subthemes on nursing data practices.Results:A total of 60 articles were ultimately included.Four themes emerged from the scoping review.Among them,14 articles focused on the qualification certification and competency requirements of selfemployed nurses,24 articles delved into the roles and responsibilities,24 articles focused on the value,and the remaining four articles focused on the registration and legalization.Self-employed nurses must have a bachelor's degree in nursing and pass relevant exams,while specialist nurses need even more skills.They offer personalized care through clinics or home visits,providing a flexible and autonomous career path,reducing healthcare costs,and encouraging interdisciplinary collaboration.Conclusions:This study highlights the various roles and values of self-employed nurses.However,selfemployed nurses face challenges,including nonuniform regulations,practice risks,a lack of medical insurance policies,shortages in remote areas,and inadequate educational support.Key strategies for enabling effective contributions to the healthcare system include the standardization of entry requirements,the strengthening of certification processes,the enhancement of safety measures,the development of medical insurance policies,the attraction of talent,and the reinforcement of educational frameworks. 展开更多
关键词 Nursing human resources Role Scoping review Self-employed nurse Value
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The role of Chinese medical teams in bridging healthcare gaps in Africa:a scoping review 认领 引用 被引量：1
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作者 Emmanuel Kwasi Afriyie Samuel Egyakwa Ankomah +4 位作者 Duqiao Li Yuqing Guo Huijuan Liang Dadong Wu Dong Xu 《Global Health Research and Policy》 CSCD 2025年第1期478-493,共16页
Background Sub-Saharan Africa has faced profound healthcare challenges,including severe shortages of professionals and infrastructural deficits.Despite significant international aid,the full impact of Chinese Medical ... Background Sub-Saharan Africa has faced profound healthcare challenges,including severe shortages of professionals and infrastructural deficits.Despite significant international aid,the full impact of Chinese Medical Teams(CMTs)in addressing these issues had remained underexplored.This scoping review aimed to synthesise existing literature on the role of CMTs in Africa,identifying key drivers,barriers,and gaps in research that could enhance the effectiveness of these programmes.Methods A comprehensive search was conducted across major English and Chinese databases up to February 2023,following the Arksey and O'Malley framework and adhering to the PRISMA-ScR checklist.Studies providing qualitative or quantitative insights into the modality,effectiveness,and challenges of CMTs were included.Thematic analysis,supported by NVivo 11 software,was used to synthesise the findings.Results The review included 20 English articles and 27 Chinese articles from 2009 to 2022,highlighting CMTs'significant role in improving healthcare through direct medical assistance,training of local healthcare workers,and infrastructure development.Key drivers of CMT initiatives included diplomatic goals,economic cooperation,and humanitarian efforts.Conversely,operational challenges such as cultural differences,language barriers,and infrastructural inadequacies were prominent.Conclusions CMTs have effectively addressed healthcare disparities in Africa through a distinctive,governmentled,and non-conditional programme.Their flexible,long-term engagement has strengthened healthcare systems across underserved regions,offering a model for sustainable global health aid.However,challenges such as cultural barriers and logistical constraints suggest a need for improved cultural competency and flexible staffing.Further empirical research,particularly involving African researchers,is essential to fully understand CMTs'long-term impact and refine strategies for future international health initiatives that align with local needs. 展开更多
关键词 Chinese medical team Africa Healthcare gaps Modality Effectiveness Scoping review
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Infrastructure-health nexus in Brazil:a scoping review 认领 引用
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作者 Flavio Pinheiro Martins Carol Vigurs +3 位作者 Mariana Matera Veras Lusi Morhayim Monica Lakhanpaul Priti Parikh 《Global Health Research and Policy》 CSCD 2025年第1期281-294,共14页
Background Health system development requires robust infrastructure systems support,particularly in countries with significant regional and socioeconomic disparities.Brazil's experience with its Unified Health Sys... Background Health system development requires robust infrastructure systems support,particularly in countries with significant regional and socioeconomic disparities.Brazil's experience with its Unified Health System offers important insights into how the infrastructure and built environment is linked to health outcomes especially in underserved populations.This scoping review examines how different infrastructure systems such as sanitation,transportation,educational facilities,housing,influence population health in Brazil through two key pathways:(1)their role in shaping environmental conditions that affect health,and(2)their impact on healthcare service delivery among vulnerable populations.Methods Following PRISMA-ScR checklist,we conducted a systematic search of studies published between 2013-2024 across Scopus,Web of Science,and PubMed databases.Search terms included infrastructure systems(sanitation,transportation,housing,educational facilities),health outcomes(universal health coverage,infectious diseases,maternal health),and population descriptors(vulnerable,indigenous,underserved)combined with Brazil-specific terms.Inclusion criteria focused on studies examining physical infrastructure's impact on health outcomes in underserved Brazilian communities,published in English or Portuguese.After applying exclusion criteria including publication year restrictions,language filters,geographic limitations,duplicate removal,and non-article format exclusions,68 studies met inclusion criteria following screening and quality assessment using the Critical Appraisal Skills Programme(CASP)checklist.Our analysis applied an infrastructure framework examining institutional,personal,and material infrastructure dimensions.Data extraction captured infrastructure systems,healthcare service tiers(primary,secondary,tertiary),and specific health outcomes.Synthesis involved thematic analysis to identify patterns in infrastructure-health relationships,revealing three interconnected dimensions that form the Infrastructure-Health Nexus framework.Results The study revealed three interconnected dimensions of infrastructure impact:Supporting Health&Wellbeing,Service Access and Delivery,and Community Engagement.This framework shows how sanitation,transportation,educational,housing,and waste management systems affect health outcomes,with underserved populations facing particular challenges.Healthcare workforce programs serve as interim solutions,with educational facilities simultaneously functioning as health hubs for service delivery and community engagement.The study highlights misalignment between infrastructure investment and UHC objectives.Conclusions The Infrastructure-Health Nexus framework,building on Buhr's complementarity concept,shows how infrastructure shapes health outcomes through pathways requiring integrated planning.While current research focuses predominantly on primary care aspects,Brazil's epidemiological transition calls for broader health system considerations,suggesting reconceptualization of infrastructure systems planning as integral to health system development. 展开更多
关键词 Health infrastructure Population health Scoping review Brazil Health system SUS Public health policy Healthcare access
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Privacy-preserving computation meets quantum computing:A scoping review 认领 引用
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作者 Aitor Gómez-Goiri Iñaki Seco-Aguirre +1 位作者 Oscar Lage Alejandra Ruiz 《Digital Communications and Networks》 SCIE EI CSCD 2025年第6期1707-1721,共15页
Privacy-Preserving Computation(PPC)comprises the techniques,schemes and protocols which ensure privacy and confidentiality in the context of secure computation and data analysis.Most of the current PPC techniques rely... Privacy-Preserving Computation(PPC)comprises the techniques,schemes and protocols which ensure privacy and confidentiality in the context of secure computation and data analysis.Most of the current PPC techniques rely on the complexity of cryptographic operations,which are expected to be efficiently solved by quantum computers soon.This review explores how PPC can be built on top of quantum computing itself to alleviate these future threats.We analyze quantum proposals for Secure Multi-party Computation,Oblivious Transfer and Homomorphic Encryption from the last decade focusing on their maturity and the challenges they currently face.Our findings show a strong focus on purely theoretical works,but a rise on the experimental consideration of these techniques in the last 5 years.The applicability of these techniques to actual use cases is an underexplored aspect which could lead to the practical assessment of these techniques. 展开更多
关键词 Quantum computing Privacy-preserving computation Oblivious transfer Secure multi-party computation Homomorphic encryption Scoping review
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Advance care planning among stroke patients:A scoping review 认领 引用
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作者 Margareta Hesti Rahayu Sri Sutarni +1 位作者 Heny Suseani Pangastuti Eva Marti 《International Journal of Nursing Sciences》 CSCD 2025年第5期501-508,共8页
Objective:This study aimed to describe the implementation of advance care planning(ACP)in patients with stroke.Methods:A scoping review was conducted according to the Arksey and O'Malley framework.Accordingly,we s... Objective:This study aimed to describe the implementation of advance care planning(ACP)in patients with stroke.Methods:A scoping review was conducted according to the Arksey and O'Malley framework.Accordingly,we searched for articles published in ScienceDirect,PubMed,Scopus,ProQuest,and Medline.The inclusion criteria were original research on ACP among adult or elderly stroke patients,hospital-or community-based studies,and those published in English or Indonesian.Qualitative analysis was then used to identify keywords,categories,and themes.Results:Among the 1,050 articles identified,only 8 satisfied the inclusion criteria,indicating that limited studies were available for ACP interventions among stroke patients.Four themes were ultimately identified:the strategy implementation of AC,the challenges of ACP implementation,the benefits of ACP,and the factors influencing ACP.Strategy ACP implementation included the ACP method,the communication style,participation role,media used,and ACP documentation.Lack of information about ACP,facilities,incapacitated patients,and reluctance to implement have become challenges to implementation in stroke.The benefits of ACP,particularly the outcomes of the ACP program,included awareness of ACP engagement,patients can express their wishes,and increased advance directive(AD)documentation.The factors influencing ACP included patient condition,knowledge,and appropriate ACP methods.Conclusion:ACP has not been widely used when providing interventions for stroke patients.The implementation of ACP in stroke patients is full of challenges due to various patient conditions.Effective strategies are needed to improve ACP in stroke patients.It is necessary to develop an ACP for stroke patients'method that involves interprofessional collaboration,and studies on AcP in stroke patients need to be further conducted through interprofessional collaboration. 展开更多
关键词 Advance care planning Patients Scoping review Stroke
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Mapping evidence and identifying risks:A systematic scoping review of meal replacements in type 2 diabetes 认领 引用
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作者 Leong Chen Lew Arimi Fitri Mat Ludin +2 位作者 Zahara Abdul Manaf Noorlaili Mohd Tohit Suzana Shahar 《World Journal of Diabetes》 SCIE 2025年第8期285-315,共31页
BACKGROUND Type 2 diabetes(T2D)is a major health concern globally and its prevalence is expected to continue to escalate.Lifestyle intervention is an integral part of T2D management.Meal replacements are often used as... BACKGROUND Type 2 diabetes(T2D)is a major health concern globally and its prevalence is expected to continue to escalate.Lifestyle intervention is an integral part of T2D management.Meal replacements are often used as part of lifestyle intervention programs in T2D and weight management programs.There are various trials being carried out to date;however,a thorough review regarding the usage of meal replacement on its types,dosage and associated outcomes and adverse events is still lacking.AIM To provide a comprehensive overview on existing studies regarding meal replacement usage among patients with T2D,and map out glycemic and weightrelated outcomes along with adverse effects incidences.METHODS This scoping review is conducted based on Arksey and O’Malley’s seminal framework for scoping reviews.A systematic search has been done for studies published between January 2020 and January 2024 across six online databases(Cochrane Library,PubMed,Science Direct,Scopus,Web of Science and Ebscohost Discovery)using specific keywords.Two researchers independently assessed the eligibility of the studies and extracted the data.The selected articles and extracted data were reviewed by all researchers.RESULTS The initial search resulted in an initial count of 53922 articles from which 133 articles were included in this review after eligibility screening.Included studies were categorized based on meal replacement type into low calorie/energy,low glycemic index,protein-rich,low-fat,diabetes-specific formulas,and combined lifestyle intervention programs.Fifty-nine studies reported improvements on hemoglobin A1c,and 70 studies reported positive changes in weight or BMI after the meal replacement intervention.The combination of meal replacements with education,counseling or structured lifestyle interventions has proved to be effective.Only 13 studies reported occurrence of adverse events related to the intervention.Most of the reported incidents were of mild occurrences with constipation being the most reported adverse event.CONCLUSION The results suggest that meal replacements,especially when combined with lifestyle intervention programs and counseling,are an effective and safe strategy in glycemic and weight management among patients with T2D. 展开更多
关键词 Scoping review Meal replacement Type 2 diabetes Glycemic management Weight reduction
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The assessment tools and influencing factors of benefit finding in patients with chronic diseases: a scoping review 认领 引用
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作者 Xiao-Ge Ding Yin-Ji Jin 《Nursing Communications》 2025年第1期1-8,共8页
To describe and analyze the current status of benefit-finding research in patients with chronic diseases and to provide a reference for clinical practice and future research in this field.Using Arksey and O’Malley’s... To describe and analyze the current status of benefit-finding research in patients with chronic diseases and to provide a reference for clinical practice and future research in this field.Using Arksey and O’Malley’s scoping review methodology as a framework,we searched PubMed,Web of Science,Science Direct,and CINAHL(4 English databases);and China National Knowledge Infrastructure,the VIP Database for Chinese Technical Periodicals,the Wan Fang Database and China Biomedical Database(4 Chinese databases)for literature on benefit finding in patients with chronic diseases,with a search time frame of construction to April 20,2024,and the literature was screened,extracted,and summarized.A total of 44 papers were included,comprising 18 in Chinese and 26 in English.Among them,a total of 19 assessment tools were used,and the influential factors investigated were categorized into socio-demographic characteristics,disease-related characteristics,psychological and behavioral characteristics,coping styles,and social support.Benefit finding is found to be a positive psychological experience and important for patients with chronic diseases,and the influencing factors are complex and diverse,with a wide range of assessment tools.However,domestic tools lack autonomy and specificity.Clinical caregivers and staff should develop relevant assessment tools and formulate a personalized research plan based on the characteristics of patients with chronic diseases in China to promote the adoption of healthy lifestyles by patients with chronic diseases,improve their self-management ability,and provide a practical basis for improving the quality of life of patients with chronic diseases. 展开更多
关键词 patients with chronic diseases benefit finding assessment tools scoping review
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