Research Project (systematic review) Long term cognitive and neuropsychiatric consequences of repetitive concussion in contact sports

TItle: Long term cognitive and neuropsychiatric consequences of repetitive concussion in contact sports

 
Start from here …
Fifth page: Abstract (maximum 250 words)
The abstract should convey why the review is important (background), the purpose of the review (objectives), summary of     
search approach used – e.g., data sources, study eligibility criteria, participants, interventions and study appraisal (if               
applicable) (methods), summary of key findings (results), and the conclusions that can be drawn from the review alongside     wider implications.
Sixth page onwards:
Introduction (up too 1500 words slighly more if needed)
The introduction should be used to provide context and a clear rationale for the proposed review. You should show that you   are familiar with previous research associated with your review by critically assessing it. You should synthesise the current state of knowledge and identify its limitations. The introduction should finish by clearly stating what the review aims to add to    the evidence base and to what extent it may address the limitations identified. 
introduction includes a literature review 
Definitions
Overview of topic
 Briefing and backround to title
Context
Main sports ( american football, rugby, boxing )
Why it’s important
Short term concussion vs Long term
Repetitive vs first time
Helmet sports vs non helmet (technological advancements)
Head trauma 
Method  (a big chunck of word count)
This should include clear, concise thorough descriptions and justification for the search process that you used. This section should be sub-divided, where appropriate, to describe different aspects of the review. You must describe your search strategy (including databases with dates of coverage), search terms, inclusion and exclusion criteria, screening process (e.g. abstract, title, full text and who/how many individuals completed this), data extraction, how disagreement of inclusion was decided between reviewers and method of quality assessment/risk of bias (if appropriate). The methods should be written in the past passive tense. This should include clear, concise thorough descriptions and justification for the search process that you used. This section should be sub-divided, where appropriate, to describe different aspects of the review. You must describe your search strategy (including databases with dates of coverage), search terms, inclusion and exclusion criteria, screening process (e.g. abstract, title, full text and who/how many individuals completed this), data extraction, how disagreement of inclusion was decided between reviewers and method of quality assessment/risk of bias (if appropriate). The methods should be written in the past passive tense. 
Subheadings 
Search strategy = Databases preferably 2 different ones(PubMed, medline, sports discuss etc) , dates of coverage (dont limit ie last 10 years), dates of search
Search terms= present full electronic search strategy for at least one database (this is so its reproducable)
Study selection criteria= Inclusion (eg repetitive concussion, long term effect, cognitive decline) and exclusion (eg                    non-contact sports, army, youth, first time concussion implications) criteria (study and report characteristics); screening         process
Data extraction= Infomaton extracted from each included study to summarise evidence
Quality assesment = Describe methods used for assessing risk of bias of individual studies, describe scale used (PEDro)
 
Screening articles (Done in excel)
should be a few hundred up 800
go through all articles in an order and decide if they should be included in the sytematic review
1) remove duplicates
2) Go through titles and exclude those that are not relevent
3) Move to abstracts and excluded irrelevents
4) At this point around 30 articles left. Reads the text especially methods and discussion to determine if it fits the inclusion          criteria and look at data/ results to see if the outcome is related to there being ‘long term consequences if repetitive                  concussion in contact sports’. Reasons must be given for exclusion of articles at this point 

how to do
 Reseach question= ‘Long term effects OR consequences (repetitive OR repeated) sports Concussion’ 
(if you feel you can improve or want to change the question and make your own chart please do)
-excel chart made which is uploaded below (csvlongterm..) with coloumns for ‘screenig process’ 
– put a ‘0’ for exclusion of article or a ‘1’ for inclusion next to the article under each screening process heading
– after each screening click arrow next to sub heading to only show ‘1s’ 
– For ‘abstracts’ and ‘full text’ type in the ‘DOI’ in google scholar or pubmed to read article. exclude any reviews ie sytematic    and literature
– reasons given afrer full text for exclusion
Results
-PRISMA flow diagram 
-Summary table of studies included in Systematic review with headings (eg participants, outcomes, etc)
-assesment of study quality using PEDro scale  can be made as a table with a score out of 10 or 11 for each study (example    provided)
 Disscusion 
The discussion should provide a balanced summary of the main findings, including the strength of evidence for each main outcome. It should also highlight any contradictory data and provide suggestions as to how these could be addressed by future research. The results from the review should be applied to what is already known and how this review has (or has not) generated a novel perspective on the topic. This section should also discuss thelimitations at both the study and review level and the wider applicability of the review’s findings. This section should conclude with a general interpretation of the results in the context of other evidence and the implications for future research. 
 Conclusion 
Summary of how it answers the research question (the ‘take home’ message)
Significance of the findings
Reminder of the limitations
Implications and recommendations for further research.
References
There should be a a lot of  refernces 
Vancouver Style
▪ Numbered in text, first reference is 1
and so on
▪ List of corresponding articles in your reference list
Appendices 
if relevent 

Figures and Tables
These are generally associated with your results, but could also form part of the introduction or discussion. Ensure all tables and figures have clear legends, labels and titles. A lot of effort is needed to make your displays clear and concise. Each figure and table must have an informative title and must have a concise legend that allows the display to be understood without reference to the text. All figures and tables must be referenced in the text.
 

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