Methods: Using data collection and analysis strategies from a qua

Methods: Using data collection and analysis strategies from a qualitative design called ethnoscience, we interviewed 12 patients experiencing

taste and smell alterations during chemotherapy. We asked participants to provide a description of a meal and the process by which they decide what and how to eat. Each person was interviewed https://www.selleckchem.com/products/AZD1152-HQPA.html twice. We compared participants’ descriptions of eating, and used this comparison to identify some core beliefs about eating. Participants also completed measures of dietary intake, symptom burden and quality of life.

Results: Based on the interviews, we identified specific constraints to eating, beliefs about the value of eating, and behaviours participants used to work around the constraints to eat during chemotherapy. Chemosensory complaints and other symptoms (i.e. pain, anorexia, tiredness), personal experiences and food preferences were the main

constraints. Core beliefs about the value of eating included its social https://www.selleckchem.com/products/cobimetinib-gdc-0973-rg7420.html benefits, benefits of eating for health per se, and benefits related to preparing for the next chemotherapy cycle. These beliefs reframed the purpose of eating and were used by participants to develop specific strategies to work around the constraints to eating.

Conclusion: To date, interventions to promote eating among cancer patients have focused extensively on symptom management and on recommendations for macro/micronutrient intake. This study underscores the importance of understanding beliefs about eating. These beliefs may help clinicians develop patient-centered nutritional interventions. (C) 2011 Elsevier Ltd. All rights reserved.”
“In this work, the results of our detailed investigations on the electroforming procedure in Pt/SrTi0.99Fe0.01O3/SrTi0.99Nb0.01O3

[Pt/STO(Fe)/Nb:STO] metal-insulator-metal (MIM)-devices and its impact on the performance of resistive switching memory devices are presented. Questions about the exact location of the modifications triggered by the electroforming procedure within the investigated MIM-devices will be addressed. From a technological point of view, the thermal stability of formed devices becomes important. Milciclib solubility dmso An increase in the device resistances during retention measurements has been observed indicating the presence of internal redistribution effects. These may result from an oxygen vacancy gradient induced by the forming process. However, these internal relaxation effects will not end up in the unformed state. Annealing experiments under defined atmospheric conditions allowed distinguishing between internal and external rediffusion effects. We found that SrTiO3 starts to interact with the surrounding atmosphere at moderate temperatures. The occurring external reoxidation effect set the device back to its initial (unformed) state. As a result, the investigated MIM-structures can no longer be regarded as closed systems and presented the large implication on the retention of such devices.

After 24 weeks of treatment, 39 patients (16%) were nonresponders

After 24 weeks of treatment, 39 patients (16%) were nonresponders. In multivariate analysis, lower serum ribavirin concentrations, HCV genotype 14 and higher baseline

?-GT predicted nonresponse. Week-24 ribavirin concentrations (2.2 vs 2.8 mg/L, P < 0.001), average ribavirin doses (14.5 vs 15.2 mg/kg per day, P = 0.03) and week-24 haemoglobin decreases (1.7 vs 2.0 mm, P = 0.02) were lower in nonresponders. Nonresponse rates increased progressively at decreasing ribavirin concentrations: 4%, 11%, 13% and 36% in case of serum ribavirin concentrations =4, 34, 23 Nutlin 3 and =2 mg/L, respectively (P = 0.001). Ribavirin concentrations correlated with both week-24 haemoglobin decreases (r = 0.42, P < 0.001) and ribavirin doses (r = 0.17, P = 0.01). Subgroup analysis in HCV genotype 14 patients revealed essentially the same results. Nonresponse was exceptional in HCV genotype

selleck compound 23 patients and associated with ribavirin concentrations <2 mg/L. Presumed interferon-related factors (average PEG-interferon doses and decreases in leucocytes, granulocytes, platelets and body weight) did not differ between nonresponders and responders. In conclusion, ribavirin- rather than PEG-interferon-related factors are independent and potentially modifiable predictors of nonresponse in treatment-naive CHC patients.”
“Detailed spectral response (SR) modeling for heterojunction bipolar phototransistors (HPTs) is presented in this work. All the related physical parameters are taken into account for the resolution of photogenerated excess minority carrier continuity equations in

the active layers of the HPT. The layer dependence of the optical flux absorption profile at near-bandgap wavelengths is also investigated and its generalization as a single-exponential has been refuted for HPTs based on GaAs material systems (InGaP-GaAs/AlGaAs-GaAs). The variation in the responsivity of the device with Selleck QNZ changing base width is analyzed at various wavelengths and a detailed experimental setup for optical characterization of HPTs is also provided. The measured results at 635, 780, 808, and 850 nm show good agreement to the modeled data, validating the newly developed theoretical model. (C) 2011 American Institute of Physics. [doi:10.1063/1.3585846]“
“B7 ligands deliver both costimulatory and coinhibitory signals to the CD28 family of receptors on T lymphocytes, the balance between which determines the ultimate immune response. Although B7-H4, a recently discovered member of the B7 family, is known to negatively regulate T cell immunity in autoimmunity and cancer, its role in solid organ allograft rejection and tolerance has not been established. Targeting the B7-H4 molecule by a blocking antibody or use of B7-H4-/- mice as recipients of fully MHC-mismatched cardiac allografts did not affect graft survival. However, B7-H4 blockade resulted in accelerated allograft rejection in CD28-deficient recipients.

(Circ Cardiovasc Genet 2012;5:91-99 )”
“Angular distributio

(Circ Cardiovasc Genet. 2012;5:91-99.)”
“Angular distributions of 13 different metals ejected by laser ablation using fourth harmonics (wavelength=266 nm) of neodymium doped yttrium aluminum garnet laser and a fluence close to near-threshold value (2.3 J/cm(2)) have been investigated with a high angular resolution. The angular distribution which Lonafarnib is characterized by the exponent n of cos(n) theta distribution showed very broad range of values between 3 and 24 for different metals. A simple relation that the exponent n is proportional to the square root of particle atomic weight as reported previously has not been observed. Instead, a general trend has been found that

the metals with higher sublimation energy such as Ta and Zr show narrower angular distribution than those with lower sublimation energy such as Sn and In. While the sublimation energy of metals has a great influence on the angular distribution of ejected atoms, a simple consideration suggests that their thermal conductivity

and specific heat have little effect on it.”
“The effect of low temperature on growth, sucrose-starch partitioning and related enzymes in salt-stressed and salt-acclimated cotyledons of quinoa (Chenopodium quinoa Willd.) was studied. The growth of cotyledons and growing axes in seedlings grown at 25/20 degrees C (light/dark) and shifted to 5/5 degrees C was lower than in those only growing at 25/20 degrees selleck chemical C (unstressed). However, there were no significant differences between low-temperature control and salt-treated seedlings. The higher activities of sucrose phosphate synthase (SPS, EC 2.4.1.14) and soluble acid invertase (acid INV, EC 3.2.1.25) were observed in salt-stressed cotyledons; selleck screening library however, the highest acid INV activity was observed in unstressed cotyledons. ADP-glucose pyrophosphorylase (ADP-GPPase,

EC 2.7.7.27) was higher in unstressed cotyledons than in stressed ones. However, between 0 and 4 days the highest value was observed in salt-stressed cotyledons. The lowest value of ADP-GPPase was observed in salt-acclimated cotyledons. Low temperature also affected sucrose synthase (SuSy. EC 2.4.1.13) activity in salt-treated cotyledons. Sucrose and glucose were higher in salt-stressed cotyledons, but fructose was essentially higher in low-temperature control. Starch was higher in low-temperature control; however, the highest content was observed at 0 day in salt-acclimated cotyledons. Results demonstrated that low temperature induces different responses on sucrose-starch partitioning in salt-stressed and salt-acclimated cotyledons. Data also suggest that in salt-treated cotyledons source-sink relations (SSR) are changed in order to supply soluble sugars and proline for the osmotic adjustment. Relationships between starch formation and SuSy activity are also discussed. (C) 2009 Elsevier Masson SAS. All rights reserved.”
“Background-Genetic determinants of peripheral arterial disease (PAD) remain largely unknown.

Increasing the Al mole fraction to 0 44, we observe an enhancemen

Increasing the Al mole fraction to 0.44, we observe an enhancement of misfit relaxation resulting in dislocation densities above 10(10) cm(-2). In the case of growth on AlGaN, strain relaxation is systematically stronger, with the corresponding increase in the dislocation density. In addition to the average relaxation trend of the SL, in situ measurements indicate a periodic fluctuation of the in-plane lattice parameter, which is explained by the different elastic response of the GaN and AlGaN surfaces to the Ga excess at the growth front.

The results are compared with GaN/AlN SLs designed for near-infrared intersubband absorption. (C) 2011 American Institute of Physics. [doi:10.1063/1.3618680]“
“Sustained dexa methasone VX-770 concentration administration to horses results in insulin resistance, which may see more predispose them to laminitis. A single dose of dexamethasone is commonly used as a diagnostic aid, yet the effect of a single

dose of dexa methasone on glucose homeostasis in horses is not well defined. The objective of this study was to characterize the change in glucose dynamics over time in response to a single dose of dexa methasone. A combined glucose-insulin tolerance test (CGIT) was performed on 6 adult geldings before and at 2, 24, and 72 h postdexa methasone (40 mu g/kg of BW, i.v.); a minimum of 1 wk of rest was allowed between treatments. Before any treatment, the CGIT resulted in a hyperglycemic phase followed by a hypoglycemic phase. Dexa methasone affected glucose dynamics in 3 ways: 1) at 2 h, dexa methasone shortened the ascending branch of the negative phase ( P < 0.001) of the test, indicating moderate insulin resistance; 2) at 24 h, dexa methasone impaired glucose clearance by extending the positive phase and eliminating the negative phase while insulin was elevated before the CGIT, indicating a decreased response to insulin; and 3) at 72 h, dexa methasone caused a deeper nadir value (P < 0.001) click here compared with predexa methasone, indicating an increased response

to insulin. It was concluded that dexa methasone decreased the response to insulin as early as 2 h and maximally at 24 h. At 72 h, dexa methasone caused an increased response to insulin, which was unexpected.”
“Purpose: To determine the maternofetal pharmacokinetics of gadoterate meglumine in mice during the first 48 hours following maternal intravenous injection of a high dose of 0.5 mmol of gadolinium per kilogram.

Materials and Methods: All the studies complied with French law and the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health. Balb/C mice (n = 23) at 16 days of gestation were examined for 48 hours after maternal intravenous administration of 0.5 mmol gadolinium per kilogram of gadoterate meglumine.

The incidence of NVCFs and affecting risk factors were investigat

The incidence of NVCFs and affecting risk factors were investigated.

The authors retrospectively analyzed the occurrence of NVCFs in 147 patients treated with PVP or PKP for osteoporotic VCFs. Possible risk factors, such as age, gender, body mass index, bone mineral Quisinostat datasheet density (BMD), location of treated vertebra, treatment modality,

amount of bone cement injected, anterior-posterior ratio of the fractured vertebra, cement leakage into the disc space, and pattern of cement distribution, were assessed.

Twenty-seven patients (18.4%) had subsequent symptomatic NVCFs with a median time to new fracture was of 70 days. The 1-year symptomatic fracture-free rate was 85.0% by the Kaplan-Meier estimate. Eighteen (66.7%) of the 27 patients had an NVCF on the adjacent vertebra. Significant differences (P < 0.05) were found between the NVCF and control groups in regard to age, treatment modality, BMD, and the proportion of cement leakage into the disc space. Discal cement leakage and low BMD affected on adjacent NVCFs.

The most important risk factors affecting NVCFs were osteoporosis and intervertebral discal R115777 cement leakage.”
“Numerous systemic diseases may affect the oral cavity and vice versa, in particular severe diseases that involve the heart valve. In these cases, additional measures or a modification to our dental treatment need to be taken.

We are aware of various diseases that can cause the emergence of bacterial endocarditis

(BE), such as; rheumatic fever, valve lesions due to intravenous drug use, Kawasaki disease and valve surgery, among others. Due to

its severity when it is not taken into account in dental treatment, we intend to show the evolution of the antimicrobial prophylaxis towards this condition. Furthermore, we intend to publish the current guidelines of institutions and societies which increasingly encourage rational antimicrobial use.

In addition, we intend to examine the evidence of the possible origins of this disease during dental treatment and at the same time describe the necessary considerations that need to Quizartinib order be taken during dental treatment.”
“Longitudinal imaging studies are frequently used to investigate temporal changes in brain morphology and often require spatial correspondence between images achieved through image registration. Beside morphological changes, image intensity may also change over time, for example when studying brain maturation. However, such intensity changes are not accounted for in image similarity measures for standard image registration methods. Hence, 1) local similarity measures, 2) methods estimating intensity transformations between images, and 3) metamorphosis approaches have been developed to either achieve robustness with respect to intensity changes or to simultaneously capture spatial and intensity changes. For these methods, longitudinal intensity changes are not explicitly modeled and images are treated as independent static samples.

Finally, the comparison of optical effects for several crystals h

Finally, the comparison of optical effects for several crystals having the same structural characteristics of BABF is Summarized, and the difference in the optical properties of these crystals is illuminated. (C) 2009 American Institute of Physics. [doi:10.1063/1.3259438]“
“Three months previously, a 17-year-old girl had complained

of right-hand side hemiparesis, and her brain magnetic resonance imaging (MRI) showed a signal change in the left temporoparietooccipital area. The 3243A>G mutation was found in mitochondrial DNA. She was diagnosed with mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like Wnt beta-catenin pathway episodes (MELAS) and was prescribed dichloroacetic acid to treat lactic acidosis. Her health improved. Two months later, she developed drowsiness and generalized weakness. A New lesion was not found on brain MRI, and electrodiagnostic findings were compatible with acute motor sensory axonal neuropathy.

Her negative symptoms, such as depressed mood, loss of interest in activities, psychomotor retardation, and hypersomnia, were aggravated. She was prescribed antidepressants and psychostimulants by a psychiatrist after diagnosis of severe depression episode with catatonic features. One month later, her catatonic condition had improved with medication. Our experience shows that psychiatric diagnostic evaluation of abruptly regressed neurologic and clinical features is important, even in a patient with devastating underlying disease.”
“This paper presents the ultrahigh excitation intensity-dependent photoluminescence (UEIPL) spectra ML323 clinical trial of self-assembled MK2206 InAs/GaAs quantum dots (QDs) excited by femtosecond laser with power intensity up to 450 kW/cm(2). Upon ultraintensive excitation, many emission features from QDs and underneath wetting layer (WL) have been observed. As

a result of band filling, two emission features D1 and D3 due to the ground (n=1) and second excited state (n=3) transitions, and an emission band from GaAs barrier layer state transition have been distinguished at the experimental temperature of 77K. In addition, an emission feature DD has been identified as the superposition of n=2 (first excited state) in QD and defect state transitions. Moreover, both heavy-hole (HH) and light-hole (LH) states in WL, which are usually optically inactive in emission type of experiment, have been derived from the sample subjected to ultraintensive laser excitation. The ultraintensive excitation generates ultrahigh transient carrier density in QDs and WL. As a result of very strong carrier-carrier and carrier-phonon scattering, all emission peaks shift toward lower photon energy with the increasing excitation power due to lattice heating effect. Further investigations also show that WL Could effectively assist in the thermally escape of carriers in QDs; it. acts as a channel to facilitate the thermal redistribution of excitons in QDs as well.

3 +/- 4 6, New York Heart Association class 2 6 +/- 0 5, left ven

3 +/- 4.6, New York Heart Association class 2.6 +/- 0.5, left ventricular ejection fraction 29.4 +/- 7.9%, N-terminal pro-brain natriuretic peptide, NT-proBNP, level 2,209 +/- 3,315 pg/ml) without sleep-disordered breathing (SDB; Apnea-Hypopnea Index, AHI, < 5/h) or various degrees of CSA, documented by in-hospital cardiorespiratory polygraphy or polysomnography. Results: The BI 2536 cost CRP concentration in CHF patients was 0.550 +/- 0.794 mg/dl in patients without SDB (AHI 0-4/h, n = 403) versus 0.488 +/- 0.708 mg/dl in patients with mild CSA (AHI 5-14/h, n = 123, p = n.s.) and 0.660 +/- 0.963 mg/dl in patients with moderate CSA (AHI 15-29/h, n = 160,

p = n.s.). In patients with severe CSA (AHI = 30/h, n = 280), significantly

higher CRP concentrations were documented (0.893 +/- 1.384 mg/dl, p < 0.05). Stepwise regression analysis revealed AHI, NT-proBNP and heart rate to be independently associated with elevated CRP levels. Conclusion: Severe CSA in CHF patients is associated with elevated levels of CRP, a systemic marker of inflammation and cardiovascular risk. This might explain in part the negative prognostic impact of CSA in these patients. DAPT research buy Copyright (C) 2013 S. Karger AG, Basel”
“In this paper, by means of the Mie theory and Monte Carlo simulations we investigate modification of optical properties of the superficial layer of human skin (stratum corneum) for 310- and 400-nm ultraviolet (UV) radiation by embedding of 35-200-nm-sized particles of titanium dioxide (TiO(2)) and silicon (Si). Problem of skin protection against UV light is of major importance due to increased frequency of skin cancer provoked by excessive doses of accepted UV radiation. For 310-nm light, the optimal sizes of the TiO(2) and Si particles are found to be 62 and 55 nm, respectively,

and for 400-nm radiation, 122 and 70 nm, respectively.”
“Regulation of human olfactory receptor (hOR) genes is a complex process of control and signalization with various structures and functions that are not clearly understood. To date, nearly 390 functional selleck inhibitor hOR genes and 462 pseudogenes have been discovered in the human genome. Enhancer models and trans-acting elements for the regulation of different hOR genes are among the few examples of our knowledge concerning regulation of these genes. We looked for upstream control elements that might help explain these complex control mechanisms. To analyze the human olfactory gene family, we looked for functional genes and pseudogenes common to all hOR genes obtained from public databases. Subsequently, we analyzed sequences upstream of the transcription start sites with data mining and bioinformatics tools. We found two highly conserved regions, which we called HCR I and HCR II, upstream of the transcription start sites in 77 hOR genes and 87 pseudogenes.

Our findings open a new area for modeling the spin-wave spectra o

Our findings open a new area for modeling the spin-wave spectra of patterned magnetic multilayers with potential applications, and for studying the role of the microscopic magnetic structure in forming spin-wave spectra. (C) 2011 American Institute of Physics. [doi:10.1063/1.3586249]“
“Effect of doping of 8-hydroxyquinolinatolithium (Liq) on the electron transport properties of tris(8-hydroxyquinolinato)aluminum (Alq(3)) has been investigated as a function of temperature and doping concentration by fabricating electron only

devices. SNX-5422 ic50 It has been observed that current density in the devices increases with the doping of Liq up to a doping concentration of 33 wt. % and then decreases. Current density-voltage (J-V) characteristics of 0, 15, and 33 wt. % Liq doped Alq(3) devices were found to be bulk limited and analyzed on the basis of trap charge limited conduction model. The J-V characteristics of 50 and Protein Tyrosine Kinase inhibitor 100 wt. % Liq doped Alq(3) devices were found to be injection limited and were analyzed using the Fowler-Nordheim model. The increase in current density with doping up to 33 wt. % was found to be due to an increase in electron mobility upon doping, whereas the decrease in current

density above 33 wt. % was due to the switching of transport mechanism from bulk limited to injection limited type due

to an increase in barrier height. Electron mobility and variance of energy distribution have been measured by using transient electroluminescence technique to support our analysis. Electron mobility for pure Alq(3) was found to be 1 x 10(-6) cm(2)/V s, which increased to 3 x 10(-5) cm(2)/V s upon doping with 33 wt. % Liq. The measured values of variance were 95, 87.5, 80, 72, and 65 meV for 0, 15, 33, 50, and 100 wt. % Liq doped Alq(3) respectively. The increase in electron mobility upon doping has been attributed to a decrease in energetic disorder upon doping as evidenced by the decrease find more in variance. The increase in barrier height for the higher doping concentration was due to the disorder related correction sigma(2)/2kT in the barrier height, which decreases with the increase in doping concentration. (C) 2011 American Institute of Physics. [doi:10.1063/1.3596523]“
“Chromosome evolution is one of the major mechanisms of disease progression and resistance in chronic myeloid leukemia (CML) patients. However, the clinical significance of chromosomal evolution in the Philadelphia (Ph)-negative clone during therapy is not fully understood. We evaluated 94 CML patients in the chronic phase of CML during treatment of the disease. Six of them had Ph-negative chromosome abnormalities during treatment.

Patients affected by AIS showed a slight posterior imbalance and

Patients affected by AIS showed a slight posterior imbalance and the intervention of scoliosis correction seems to cause a slight further posterior imbalance, especially in Lenke 1 type curves and in patients with hypokyphosis. The clinical significance of this slight imbalance must be carefully evaluated. Further studies are necessary to better establish which could be Omipalisib the best surgical strategy to obtain an optimal spinal sagittal balance.”
“Background: An increasing interest has been shown in potential l., 11 With heart failure (HF), a serious condition for the individual. To evaluate whether there are any differences ill the prevalence of HF, cardiac function, biomarkers. and the treatment

of HF with respect to gender.

Methods and Results: All persons ages 70 to 80 in a rural municipality were invited to participate ill the project 876 persons accepted. Three cardiologists evaluated the patients including a new history, clinical examination. electrocardiogram, chest x-ray. blood samples. and Doppler echocardiography

to assess both Systolic and diastolic function. The patients were followed during a mean period of 8 years.

Conclusion: Females hypertension more frequently and included fewer smokers than their male Counterparts. A Female preponderance was seen in those with preserved systolic function. whereas males predominated among those with systolic dysfunction. During the follow-up period, 20% of the males and 14% of the females died of cardiovascular diseases. The results did PRIMA-1MET not show any inferior treatment of females with HF. but it clearly was more difficult to correctly classify female patients presenting with symptoms of HE (J Cardiac Fail 2009:15:501-507)”
“The EPZ 6438 organochlorine pesticide p,p’-Dichlorodiphenyltrichloroethane (DDT) was widely used in the early 1960s-70s for vector control in tropical and subtropical areas of South America. Due to its persistence, DDT has a high potential to bioaccumulate in the food chain and living organisms and is a major public health concern, especially in South America.

The main purpose

of the present study was to investigate predictors of serum and adipose tissue concentrations of p,p’-DDT and its main metabolite, p,p’-dichlorodiphenyldichloroethylene (p,p’-DDE), in an adult cohort (n = 112) from Santa Cruz de la Sierra, Bolivia, using multiple linear regression models. These models explained 29.3-47.8% of the variability in adipose tissue concentrations of p,p’-DDT and p,p’-DDE, respectively, and 32.9-47.0% of that in serum. Main exposure predictors included age, occupational class, residence, diet, smoking habit, and accumulated breastfeeding time.

This is one of the few studies to explore predictors of human exposure to these chemicals using a multivariate approach in a South American population.

This article discusses how providers can use a benefit-to-harm fr

This article discusses how providers can use a benefit-to-harm framework to make and communicate decisions Angiogenesis inhibitor about the initiation, continuation, and discontinuation of opioids for managing chronic nonmalignant pain. Such an approach focuses decisions and discussions on judging the treatment, not the patient. It allows the provider and the patient to ally together and make shared decisions regarding a common goal. Moving to a risk-benefit framework may allow providers to provide more patient-centered care, while also increasing provider and

patient comfort with adequately monitoring for harm.”
“Background: Scoping studies are increasingly common for broadly searching the literature on a specific topic, yet researchers lack an agreed-upon definition of and framework for the methodology. In 2005, Arksey and O’Malley offered a methodological framework for conducting scoping studies. In their subsequent work,

Levac et al. responded to Arksey and O’Malley’s call for advances to their framework. Our paper builds on this collective work to further enhance the methodology.

Discussion: This paper begins with a background on what constitutes a scoping study, followed by a discussion about four primary subjects: (1) the types of questions for which Arksey and O’Malley’s framework is most appropriate, (2) a contribution to the discussion aimed at enhancing the six steps Crenigacestat of Arskey and O’Malley’s framework, (3) the strengths and challenges of our experience working with Arksey and O’Malley’s framework as a large, inter-professional team, and (4) lessons learned. Our goal in this paper is to add to the discussion encouraged by Arksey and O’Malley to further enhance this methodology.

Summary: Performing a scoping study using Arksey and O’Malley’s framework was a valuable process for our research team even if how it was useful was unexpected. Based on our experience, we recommend researchers be aware of their expectations for how Arksey and O’Malley’s

framework might be useful in relation to their research question, and remain flexible to clarify concepts and to revise the research question as the team becomes familiar with Selleckchem Vorinostat the literature. Questions portraying comparisons such as between interventions, programs, or approaches seem to be the most suitable to scoping studies. We also suggest assessing the quality of studies and conducting a trial of the method before fully embarking on the charting process in order to ensure consistency. The benefits of engaging a large, inter-professional team such as ours throughout every stage of Arksey and O’Malley’s framework far exceed the challenges and we recommend researchers consider the value of such a team. The strengths include breadth and depth of knowledge each team member brings to the study and time efficiencies.