A meta-analysis of the pros and cons of partial superficial parotidectomy versus superficial parotidectomy for the treatment of benign parotid neoplasms

2020 ◽  
Vol 48 (6) ◽  
pp. 590-598
Author(s):  
Chenxi Li ◽  
Levi Matthies ◽  
Xinshan Hou ◽  
Christian Knipfer ◽  
Martin Gosau ◽  
...  
Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 381 ◽  
Author(s):  
Zini ◽  
Bellini ◽  
Masala ◽  
Marcia

A comprehensive description of the literature regarding interspinous process devices (IPD) mainly focused on comparison with conservative treatment and surgical decompression for the treatment of degenerative lumbar spinal stenosis. Recent meta-analysis and articles are listed in the present article in order to establish IPD pros and cons.


2021 ◽  
Author(s):  
Cheng-Chieh Huang ◽  
Kuan-Chih Chen ◽  
Zih-Yang Lin ◽  
Yu-Hsuan Chou ◽  
Wen-Liang Chen ◽  
...  

Abstract ObjectiveThe pros and cons of the head-up position (HUP) in cardiopulmonary resuscitation (CPR) have been controversial in previous studies. This study aims to clarify the effect of HUP CPR compared to supine position (SUP) CPR.MethodThree databases were comprehensively searched (PubMed, EMBASE and the Cochrane Library) for articles published from database inception to 10 May 2021. The primary outcome was cerebral perfusion pressure (CerPP). The secondary outcomes were mean intracranial pressure (ICP), mean artery pressure (MAP), coronary artery perfusion pressure (CoPP) and the return of spontaneous circulation (ROSC) rate.ResultA total of 7 studies including 138 animals were included. We found that CerPP (SMD, 1.58; 95% CI, 0.98–2.19; p < 0.01; I2 = 51%) and ICP (SMD, -3.59; 95% CI, -5.16– -2.02; p < 0.01; I2 = 87%) were decreased significantly in the HUP group. HUP had a similar MAP (SMD, -0.54; 95% CI, -1.75–0.66; p = 0.38; I2 = 87%) and ROSC rate (RR, 0.9; 95% CI, 0.31–2.60; p = 0.84; I2 = 65%) to SUP. In addition, there was an increased CoPP trend in HUP, but the difference was not statistically significant (SMD, 0.92; 95% CI, -0.24–2.08; p = 0.12; I2 = 84%)ConclusionThe HUP 30° in active compression-decompression CPR (ACD-CPR) with an impedance threshold device (ITD) can increase CerPP by significantly lowering ICP and maintaining MAP compared to SUP, and the effect is immediate and lasts the whole CPR duration. In addition, CoPP might also be increased compared to that with SUP.


2018 ◽  
Vol 1 (1) ◽  
pp. 1-23 ◽  
Author(s):  
Brian J. Galli

This article introduces the basic idea of continuous improvement and its implications regarding logistics. Using a meta-analysis research methodology, the author analyzes the relationship and role that continuous improvement methods can play in the field of logistics. The study finds that the logistics field can benefit from using different forms of continuous improvement. These different methods to implement continuous improvement to logistics along with their pros and cons are discussed. Those methods include Lean, Six Sigma and PDCA cycle, which are explained in detail. Other methods are briefly introduced and reviewed. Some future ideas for further research are discussed in length. Although there are an infinite number of benefits in implementing continuous improvement to logistics, there are various limitations. Thus, this research will also explain each deficiency in depth.


2020 ◽  
Author(s):  
Jia Wang ◽  
Bin Liu ◽  
Yu Cui ◽  
Jianfeng Chen

Abstract Background: Rocuronium-associated injection pain/withdrawal response (RAIPWR) was non-ideal but occurred frequently when injection intravenously during anesthesia induction. Many studies had reported that pretreating with antipyretic analgesics (AAs) could reduce the occurrence of RAIPWR, but there was no consensus yet. Therefore, this meta-analysis was designed to systematically evaluate the benefits of AAs on RAIPWR in patients. Methods: PubMed, Cochrane Library, Ovid, EMbase, Chinese National Knowledge Infrastructure (CNKI), Wan Fang Data were searched by January 1st 2019 for randomized controlled trials (RCTs) applying AAs to alleviate RAIPWR in patients underwent elective surgery under general anesthesia. Two investigators assessed quality of RCTs and extracted data respectively and the meta-analysis was carried on Revman 5.3 software. Moreover, we compared AAs in pros and cons directly with lidocaine, the most reported medicine to prevent RAIPWR. Results: Data were analyzed from 9 RCTs totaling 819 patients. The results of Meta-analysis showed that compared to the control group, pretreating with AAs could prevent the total occurrence of RAIPWR [Risk ratio (RR), 0.52; 95% confidence interval (CI), 0.42 to 0.66; P < 0.0001], and took effect on moderate (RR, 0.56; 95%CI, 0.43 to 0.73; P<0.0001) and severe RAIPWR (RR=0.14; 95%CI, 0.08 to 0.24; P<0.00001). When compared to lidocaine, the preventive effect was not so excellent as the latter but injection pain induced by prophylactic occurred less. Conclusion: The currently available evidence suggested that pretreating with AAs intravenously could alleviate RAIPWR.


Author(s):  
Kerim Koc ◽  
Asli Pelin Gurgun

Various Multiple Criteria Decision Making (MCDM) methods are being commonly used in the area of construction risk management to deal with decisions that are subjected to several factors affecting the selection of the best possible choice in the projects. There are many techniques developed to provide assistance to decision-makers during decision-making process, each having different advantages and disadvantages. This study discusses some of the most frequently applied MCDM methods in construction risk management such as: AHP, ANP, TOPSIS, VIKOR, and DEMATEL, with their own application principles. It aims to introduce a meta-analysis about the use of MCDM methods within the last two decades and provide an extensive literature review study about construction risk management. It is expected to assist practitioners and researchers to suggest effective methods for specific type of risks to be addressed in construction projects. The discussion of pros and cons of each method will also provide some insights to get use of multiple MCDM methods rather than a single means to enhance the analysis outputs.


2015 ◽  
Vol 41 (6) ◽  
pp. 615-639 ◽  
Author(s):  
Simplice A. Asongu

Purpose – The purpose of this paper is to bridge the gap between the pros and cons of a questionable finance-growth nexus. Design/methodology/approach – Over 20 fundamental characteristics that have influenced the debate over the last decades have been examined. The empirical evidence is based on 196 outcomes from 20 studies. The author assesses the degree of heterogeneity and identify causes of the observed differentiation. Findings – The findings also show evidence of publication bias. Overall, a genuine effect exists between financial development and economic growth. A finance-growth nexus might not be appealing in our era because of: endogeneity-based estimations, publication bias, and effects of financial activity. A historical justification has also been discussed. Practical implications – Encouraging the publication of results with findings that are not consistent with the mainstream positive finance-growth nexus should provide new scholarly insights into the relationship. Depending on the specific context of sampled countries, the role of policy has also been to encourage financial development through measures that may expose countries to negative external shocks like financial crises. Policy makers that have been viewing the challenges of development exclusively from this point of view for the rewards of growth may not be getting the financial dynamics correctly. Originality/value – Very few meta-analysis studies have focused on the finance-growth nexus.


2017 ◽  
Vol 64 (2) ◽  
pp. 59-65 ◽  
Author(s):  
Gowri Sivaramakrishnan ◽  
Kannan Sridharan

Nitrous oxide and midazolam have been used as sedative agents to decrease fear and anxiety associated with dental procedures. Although these agents have been widely used individually, the combination of the two is also commonly used. Four clinical trials were identified that compared the combination technique with the individual use of the drugs. The standardized mean difference (SMD) for each outcome measure was considered for final analysis. Three studies with 534 participants were included in the final meta-analysis, and the SMD [95% CI] was obtained as −0.15 [−0.32, 0.03] and was not statistically significant for cooperation scores. Two studies reported the dose of midazolam required for inducing sedation in 450 participants, and the pooled estimate of SMD [95% CI] was obtained as −0.29 [−0.48, −0.10] and was significant. Two studies with 450 participants reported the time taken to recover from sedation, and the pooled estimate of SMD [95% CI] was obtained as −0.20 [−0.39, −0.01] and favored the combination technique. To conclude, the combination technique combines the pros and cons of both drugs in causing fewer adverse effects due to midazolam by reducing the total dose and also helps to provide better acceptance of nitrous oxide inhalation.


2017 ◽  
Vol 24 (4) ◽  
pp. 595-603 ◽  
Author(s):  
Seline R. Goudeketting ◽  
Stefan G. H. Heinen ◽  
Çağdaş Ünlü ◽  
Daniel A. F. van den Heuvel ◽  
Jean-Paul P. M. de Vries ◽  
...  

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