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    38 What a difference a systematic review makes
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    Abstract:

    Introduction

    Systematic reviews aim to identify, evaluate, and summarise all the evidence meeting pre-specified eligibility criteria for a given clinical question. However, they face criticisms including long completion timeframes and level of impact. Whilst systematic reviews represent a robust methodology, evidence synthesis must address the challenges of timeliness and impacting at pace on care delivery.

    Aims

    We use the example of a rapidly conducted narrative systematic review on the challenge of supporting large numbers of bereaved people to demonstrate how evidence can be gathered at pace and impact quickly on palliative care practice and policy.

    Method

    We followed Palliative Care Evidence Review Service (PaCERS) methodology1 with narrative synthesis, developed to conduct rapid reviews requested by clinicians/clinical services. A systematic search was conducted on four databases and supplementary search methods were employed to identify additional papers.

    Results

    Six studies were included, reporting on system responses to man-made disasters and natural disasters. Through narrative synthesis we sought to draw consistent lessons from the available evidence. The review was completed in 10 weeks and rapidly published in a peer reviewed journal2 adding to the emergent Covid literature, informing a subsequent UK wide study and provided evidence in support of a national bereavement framework for Wales.

    Conclusion

    The COVID-19 pandemic has resulted in unprecedented research worldwide. Our review highlighted common features for effective service delivery that can be identified for bereavement support beyond the pandemic, which will have a long-lasting impact.

    Impact

    Informed the successful funding application and project design for: Supporting people bereaved during COVID–19: a mixed methods study of bereaved people's experiences and the bereavement services supporting them. Informed steering group discussions for the new National Framework for Bereavement Care in Wales Review published July 2020, up to now 16 citations. Placed at the top 5% of all research outputs scored by Altmetric.

    References

    Mann M, Woodward A, Nelson A, Byrne A. Palliative care evidence review service (PaCERS): a knowledge transfer partnership. Health Research Policy and Systems 2019;17(1):100. doi:10.1186/s12961-019-0504-4 Harrop E, Mann M, Semedo L, Chao D, Selman LE, Byrne A. What elements of a systems' approach to bereavement are most effective in times of mass bereavement? A narrative systematic review with lessons for COVID-19. Palliative Medicine, 2020;34(9):1165–1181. doi:10.1177/0269216320946273
    Keywords:
    Pace
    Grey Literature
    Evidence-Based Practice
    Pandemic
    Narrative review
    With keeping pace with the times,Marxism shows great vigor and power.And those outstanding Marxists advance the development of Marxism by sticking to keeping pace with the times.TheThree Representsis another brilliant example of Marxism in keeping pace with the times.We should try to explore howto grasp and stick to the spirit of keeping pace with the times in practice.
    Pace
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    Carry through three representations lies in insisting pace with the time, keeping pace with the is the all theories and the characteristic of period which our work must show on, taking hold of law and do well creating, We should bring the work of quitting and retiring a new situation, we must do the following well: insisting the new idea of pace with the time, making the old comrades' political treatment specific, the spirit state pace with the time and widening the new way in the field of thought and political work, helping forward the spirit of pace with the time strongly, renewing the service concept that regarding persons as core continuously.
    Pace
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    Pace of play is an important characteristic in hockey as well as other team sports. We provide the first comprehensive study of pace within the sport of hockey, focusing on how teams and players impact pace in different regions of the ice, and the resultant effect on other aspects of the game. First we examined how pace of play varies across the surface of the rink, across different periods, at different manpower situations, between different professional leagues, and through time between seasons. Our analysis of pace by zone helps to explain some of the counter-intuitive results reported in prior studies. For instance, we show that the negative correlation between attacking speed and shots/goals is likely due to a large decline in attacking speed in the OZ. We also studied how pace impacts the outcomes of various events. We found that pace is positively-correlated with both high-danger zone entries (e.g. odd-man rushes) and higher shot quality. However, we find that passes with failed receptions occur at higher speeds than successful receptions. These findings suggest that increased pace is beneficial, but perhaps only up to a certain extent. Higher pace can create breakdowns in defensive structure and lead to better scoring chances but can also lead to more turnovers. Finally, we analyzed team and player-level pace in the NHL, highlighting the considerable variability in how teams and players attack and defend against pace. Taken together, our results demonstrate that measures of team-level pace derived from spatio-temporal data are informative metrics in hockey and should prove useful in other team sports.
    Pace
    Possession (linguistics)
    Ice hockey
    Citations (1)
    Marxism has the nature of keeping pace with the times. Seen from the history of Marxism, keeping pace with the times is the major feature; seen from the inner need of Marxism, keeping pace with the times is the essential nature; seen from the development of Marxism, keeping pace with the times is the inevitable requirement; seen from historic mission, keeping pace with the times is the eternal theme.
    Pace
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    Under the guidance of the report of the Party's 16th Congress, the author expounds that Marxism is a scientific theory keeping pace with the times from the following three aspects: Marxism is the crystallization of a scientific theory keeping pace with the times, keeping pace with the times is one essential attribute of Marxism and the inner law of developing Marxism.
    Pace
    Scientific theory
    Scientific progress
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    PACE is the measurement of an autho's ability to generate new words as the length of his manuscript increases It is the ratio of Types to Tokens Pace = 1 /TT ratio As it turns out Pace is a strong indicator of an author's development exhibiting immaturity, maturity and finally decline, when studied against a canon sized sample, such as Marlowe's or Shakespeare's Moreover Pace appears to be independent of textual length and even of genre, within obvious limitations, contrary to the expectations of Muller's calculations In this study of Marlowe's and Skakespeare's works, Marlowe's Pace is shown to be superior to Shakespeare's
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    Citations (17)
    Keeping pace with the times-- the key in Marxism,the essay not only stated briefly in three ways,but also stated on how to stick tokeeping pace with the times and developing marxism.
    Pace
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    The internal relations between 搆eep pace with the times?and the 揟hree Represents?should be acknowledged, in the basic commander standpoint of the 揝peech on July1st? Marxism-Leninism is the science developing with the times. It is put forward that the thoughts of keeping pace with the times should be the main condition for cadres of colleges and universities. The cadres personnel system reform should be accelerated and deepened according to the spirit of the 揟hree Represents?
    Pace
    Citations (0)
    Pace of play is an important characteristic in hockey as well as other team sports. We provide the first comprehensive study of pace within the sport of hockey, focusing on how teams and players impact pace in different regions of the ice, and the resultant effect on other aspects of the game. First we examined how pace of play varies across the surface of the rink, across different periods, at different manpower situations, between different professional leagues, and through time between seasons. Our analysis of pace by zone helps to explain some of the counter-intuitive results reported in prior studies. For instance, we show that the negative correlation between attacking speed and shots/goals is likely due to a large decline in attacking speed in the OZ. We also studied how pace impacts the outcomes of various events. We found that pace is positively-correlated with both high-danger zone entries (e.g. odd-man rushes) and higher shot quality. However, we find that passes with failed receptions occur at higher speeds than successful receptions. These findings suggest that increased pace is beneficial, but perhaps only up to a certain extent. Higher pace can create breakdowns in defensive structure and lead to better scoring chances but can also lead to more turnovers. Finally, we analyzed team and player-level pace in the NHL, highlighting the considerable variability in how teams and players attack and defend against pace. Taken together, our results demonstrate that measures of team-level pace derived from spatio-temporal data are informative metrics in hockey and should prove useful in other team sports.
    Pace
    Possession (linguistics)
    Ice hockey
    Citations (1)
    The 16th Report of CPC made by comrade JIANG Ze-min imbues with the spirit of keeping pace with the times and innovation,and embodies the innovation of the party's ideology, system and mechanism,and the construction of the party,and is the excellent example of keeping pace with the times. In his report comrade JIANG Ze-min not merely regards keeping pace with the times as essence, but also elaborates the connotation profoundly and proposes creatively a series of new ideas,concepts and policies,embodying the essence of keeping pace with the times.
    Pace
    Connotation
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