University of Westminster

About: University of Westminster is a education organization based out in London, United Kingdom. It is known for research contribution in the topics: Population & Context (language use). The organization has 2944 authors who have published 8426 publications receiving 200236 citations. The organization is also known as: Westminster University & Royal Polytechnic Institution.

Quality of reporting in systematic reviews of adverse events: Systematic review

Abstract: Objectives To examine the quality of reporting of harms in systematic reviews, and to determine the need for a reporting guideline specific for reviews of harms. Design Systematic review. Data sources Cochrane Database of Systematic Reviews (CDSR) and Database of Abstracts of Reviews of Effects (DARE). Review methods Databases were searched for systematic reviews having an adverse event as the main outcome, published from January 2008 to April 2011. Adverse events included an adverse reaction, harms, or complications associated with any healthcare intervention. Articles with a primary aim to investigate the complete safety profile of an intervention were also included. We developed a list of 37 items to measure the quality of reporting on harms in each review; data were collected as dichotomous outcomes (“yes” or “no” for each item). Results Of 4644 reviews identified, 309 were systematic reviews or meta-analyses primarily assessing harms (13 from CDSR; 296 from DARE). Despite a short time interval, the comparison between the years of 2008 and 2010-11 showed no difference on the quality of reporting over time (P=0.079). Titles in fewer than half the reviews (proportion of reviews 0.46 (95% confidence interval 0.40 to 0.52)) did not mention any harm related terms. Almost one third of DARE reviews (0.26 (0.22 to 0.31)) did not clearly define the adverse events reviewed, nor did they specify the study designs selected for inclusion in their methods section. Almost half of reviews (n=170) did not consider patient risk factors or length of follow-up when reviewing harms of an intervention. Of 67 reviews of complications related to surgery or other procedures, only four (0.05 (0.01 to 0.14)) reported professional qualifications of the individuals involved. The overall, unweighted, proportion of reviews with good reporting was 0.56 (0.55 to 0.57); corresponding proportions were 0.55 (0.53 to 0.57) in 2008, 0.55 (0.54 to 0.57) in 2009, and 0.57 (0.55 to 0.58) in 2010-11. Conclusion Systematic reviews compound the poor reporting of harms data in primary studies by failing to report on harms or doing so inadequately. Improving reporting of adverse events in systematic reviews is an important step towards a balanced assessment of an intervention.

Cultural Influences on Body Size Ideals

Abstract: Given that an important component of perceptual body dissatisfaction is the discrepancy between ideal and current body sizes, understanding how body size ideals are shaped and transmitted remains an important task for scholars. This review begins by examining cross-cultural patterns of body size ideals. Evidence is presented to indicate that the largest differences in body size ideals are no longer found between Western and non-Western cultures, but between sites differing in socioeconomic status. It is further argued that a thin ideal is now prevalent in most socioeconomically developed, urban sites. In explanation, it has been suggested that both Westernization and modernization bring cultural changes that promote a thin ideal. The present article reviews evidence in favor of both factors and concludes by looking at clinical implications for understanding corporeal experiences in a globalized world.

European airline delay cost reference values

Abstract: The objective of this report is to provide users with updated reference values for the cost of delay to European airlines. It updates previous reporting (appended herewith) based on 2010 as the reference year. This new report presents costs for the reference year 2014 and extends the range of aircraft covered from 12 to 15, generated by a fully updated version of the model.

Secretory immunoglobulin A and cardiovascular reactions to mental arithmetic and cold pressor

Abstract: Secretory immunoglobulin A (sIgA) in saliva and cardiovascular reactions to mental arithmetic and cold pressor tasks were recorded in 16 healthy young men on two sessions, 4 weeks apart. Both tasks elicited significant increases in sIgA secretion rate, reflecting increases in both salivary volume and sIgA concentration. Whereas mental arithmetic elicited a mixed pattern of alpha- and beta-adrenergic cardiovascular reactions, the pattern of reactions to cold pressor was predominantly alpha-adrenergic. Task levels of sIgA secretion rate, sIgA concentration, and saliva volume showed moderate to high test-retest reliability (r = .52-.83), although test-retest correlations were less impressive for change scores (r = -.19-.53). The pattern of correlations between change in sIgA secretion rate and cardiovascular reactivity variables was inconsistent.