Effect of temporomandibular disorder therapy on otologic signs and symptoms: a systematic review

2016 ◽  
Vol 43 (6) ◽  
pp. 468-479 ◽  
Author(s):  
J. Stechman-Neto ◽  
A. L. Porporatti ◽  
I. Porto de Toledo ◽  
Y. M. Costa ◽  
P. C. R. Conti ◽  
...  
Keyword(s):  
Systematic Review ◽  
Temporomandibular Disorder ◽  
Signs And Symptoms

scholarly journals Is Bisphosphonate-Related Osteonecrosis of the Jaw an Infection? A Histological and Microbiological Ten-Year Summary

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
A. M. Hinson ◽  
C. W. Smith ◽  
E. R. Siegel ◽  
B. C. Stack
Keyword(s):  
Systematic Review ◽  
Disease Severity ◽  
Large Scale ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Osteonecrosis Of The Jaw ◽  
Multifactorial Disease ◽  
Clinical Signs And Symptoms ◽  
Surgical Treatments

The role of infection in the etiology of bisphosphonate-related osteonecrosis of the jaw (BRONJ) is poorly understood. Large-scale epidemiological descriptions of the histology and microbiology of BRONJ are not found in the literature. Herein, we present a systematic review of BRONJ histology and microbiology (including demographics, immunocompromised associations, clinical signs and symptoms, disease severity, antibiotic and surgical treatments, and recovery status) validating that infection should still be considered a prime component in the multifactorial disease.

scholarly journals Cervical spine dysfunction signs and symptoms in individuals with temporomandibular disorder

2012 ◽  
Vol 24 (2) ◽  
pp. 134-139 ◽  
Author(s):  
Priscila Weber ◽  
Eliane Castilhos Rodrigues Corrêa ◽  
Fabiana dos Santos Ferreira ◽  
Juliana Corrêa Soares ◽  
Geovana de Paula Bolzan ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Temporomandibular Disorder ◽  
Signs And Symptoms ◽  
Cervical Pain ◽  
Pain Symptom ◽  
Significant Difference ◽  
The Common ◽  
Cervical Spine Dysfunction ◽  
Posture Assessment ◽  
Craniocervical Dysfunction

PURPOSE: To study the frequency of cervical spine dysfunction (CCD) signs and symptoms in subjects with and without temporomandibular disorder (TMD) and to assess the craniocervical posture influence on TMD and CCD coexistence. METHODS: Participants were 71 women (19 to 35 years), assessed about TMD presence; 34 constituted the TMD group (G1) and 37 comprised the group without TMD (G2). The CCD was evaluated through the Craniocervical Dysfunction Index and the Cervical Mobility Index. Subjects were also questioned about cervical pain. Craniocervical posture was assessed by cephalometric analysis. RESULTS: There was no difference in the craniocervical posture between groups. G2 presented more mild CCD frequency and less moderate and severe CCD frequency (p=0.01). G1 presented higher percentage of pain during movements (p=0.03) and pain during cervical muscles palpation (p=0.01) compared to G2. Most of the TMD patients (88.24%) related cervical pain with significant difference when compared to G2 (p=0.00). CONCLUSION: Craniocervical posture assessment showed no difference between groups, suggesting that postural alterations could be more related to the CCD. Presence of TMD resulted in higher frequency of cervical pain symptom. Thus the coexistence of CCD and TMD signs and symptoms appear to be more related to the common innervations of the trigeminocervical complex and hyperalgesia of the TMD patients than to craniocervical posture deviations.

Punctal occlusion for dry eye syndrome: summary of a Cochrane systematic review

2018 ◽  
Vol 103 (3) ◽  
pp. 301-306 ◽  
Author(s):  
Ann-Margret Ervin ◽  
Andrew Law ◽  
Andrew D Pucker
Keyword(s):  
Systematic Review ◽  
Dry Eye ◽  
Signs And Symptoms ◽  
Symptomatic Improvement ◽  
Pooled Analysis ◽  
Trial Methodology ◽  
Cochrane Systematic Review ◽  
Punctal Plugs ◽  
Punctal Occlusion ◽  
Punctal Plug

Dry eye disease is a disorder of the tear film associated with ocular signs and symptoms. Punctal occlusion aids the preservation of natural tears. We conducted a Cochrane systematic review to assess the effectiveness of punctal plugs for managing dry eye. Randomised and quasi-randomised trials were included. The primary outcome was symptomatic improvement (SI) at 2–12 months. Nine databases were searched with no date or language restrictions. Two authors assessed trial quality and extracted data. Summary risk ratios and mean differences were calculated. Ten trials were included. In two trials of punctal plugs versus observation, there was less dryness with punctal plugs. The mean difference (MD) in the dry eye symptom score at 2 months was −28.20 points (95% CI –33.61 to −22.79, range 0 to 105, one trial). Three trials compared punctal plugs with artificial tears. In a pooled analysis of two trials, punctal plug participants reported more SI at 3 months than artificial tear participants (MD −4.20 points, 95%  CI −5.87 to −2.53, scales varied from 0 to 6). In the remaining five trials comparing punctal plug placement, acrylic and silicone plugs, or comparing plugs with cyclosporine or pilocarpine, none of the investigators reported a clinically or statistically meaningful difference in symptomatic improvement at 2–12 months. The effectiveness of punctal plugs for treating dry eye symptoms and common signs are inconclusive. Heterogeneity in the type of punctal plug, type and severity of dry eye being treated, and trial methodology confounds the ability to make decisive statements regarding the effectiveness of punctal plugs.

scholarly journals Opioid tapering and weaning protocols in pediatric critical care units: a systematic review

2018 ◽  
Vol 64 (10) ◽  
pp. 909-915 ◽  
Author(s):  
Pedro Bichaff ◽  
Karina T Setani ◽  
Emiliana H. G Motta ◽  
Artur F Delgado ◽  
Werther B Carvalho ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intensive Care ◽  
Initial Dose ◽  
Assessment Tool ◽  
Experimental Studies ◽  
Pediatric Intensive Care ◽  
Signs And Symptoms ◽  
Abstinence Syndrome ◽  
Great Heterogeneity ◽  
Weaning Protocols

SUMMARY OBJECTIVE: Opioid abstinence syndrome is common in the pediatric intensive care environment because sedation is often needed during the children's treatment. There is no specific guideline regarding the management of these patients; and lately, methadone is an important drug for the prevention of abstinence symptoms during the weaning of opioids. This study gathers the available research to establish the initial dose of methadone, the rate of taper and tools to recognize this syndrome and act promptly. METHODS: A systematic review was made from data of four different databases. Forty-nine articles of observational and experimental studies were selected based on the inclusion criteria (critical pediatric patients in acute use of opioids) and exclusion criteria (previous chronic use of opioids, other medications). The data regarding specific themes were separated in sections: initial dose of methadone, use of protocols in clinical practice, abstinence scales and adjuvant drugs. RESULTS: The articles showed a great heterogeneity of ways to calculate the initial dose of methadone. The pediatric intensive care units of the study had different weaning protocols, with a lower incidence of abstinence when a pre-defined sequence of tapering was used. The Withdrawal Assessment Tool – 1 was the most used scale for tapering the opioids, with good sensitivity and specificity for signs and symptoms. CONCLUSION: There is still little evidence of other medications that can help prevent the abstinence syndrome of opioids. This study tries to promote a better practice during opioid weaning.

scholarly journals Are Occlusal Characteristics, Headache, Parafunctional Habits and Clicking Sounds Associated with the Signs and Symptoms of Temporomandibular Disorder in Adolescents?

2013 ◽  
Vol 25 (10) ◽  
pp. 1331-1334 ◽  
Author(s):  
Leandro Lauriti ◽  
Lara Jansiski Motta ◽  
Paula Fernanda da Costa Silva ◽  
Camila Haddad Leal de Godoy ◽  
Thays Almeida Alfaya ◽  
...  
Keyword(s):  
Temporomandibular Disorder ◽  
Signs And Symptoms

scholarly journals Maternal Coronavirus Infections and Neonates Born to Mothers with SARS-CoV-2: A Systematic Review

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 511
Author(s):  
Waldemar Naves do Amaral ◽  
Carolina Leão de Moraes ◽  
Ana Paula dos Santos Rodrigues ◽  
Matias Noll ◽  
Jalsi Tacon Arruda ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pregnant Women ◽  
Case Reports ◽  
Signs And Symptoms ◽  
Fetal Distress ◽  
Intrauterine Fetal Death ◽  
Fetal Outcomes ◽  
Fetal Movements ◽  
Pregnancy And Delivery ◽  
The Impact

The coronavirus disease 2019 (COVID-19) pandemic is continuously affecting the lives of all people. Understanding the impact of COVID-19 on pregnancy in terms of morbidity, mortality, and perinatal maternal and fetal outcomes is essential to propose strategies for prevention and infection control. Here, we conducted a systematic review to investigate pregnant women infected with COVID-19 in terms of signs and symptoms, type of delivery, comorbidities, maternal and neonatal outcomes, and the possibility of vertical transmission. A search on Embase and PubMed databases was performed on 31 October 2020. Observational studies and case reports on pregnant women infected with COVID-19 were included without language restrictions. The 70 selected studies included a total of 1457 pregnant women diagnosed with COVID-19 in the first, second, and third trimesters of pregnancy. The most common signs and symptoms were fever, cough, and nausea. The most frequent comorbidities were obesity, hypertensive disorders, and gestational diabetes. Among maternal and fetal outcomes, premature birth (n = 64), maternal death (n = 15), intrauterine fetal death or neonatal death (n = 16), cases of intrauterine fetal distress (n = 28), miscarriage (n = 7), decreased fetal movements (n = 19), and severe neonatal asphyxia (n = 5) were the most frequent. Thirty-nine newborns tested positive for SARS-CoV-2. Additionally, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA was detected in the placenta (n = 13) and breast milk (n = 6). This review indicates that COVID-19 during pregnancy can result in maternal, fetal, and neonatal complications. In addition, SARS-CoV-2 viral exposure of neonates during pregnancy and delivery cannot be ruled out. Thus, we highlight the need for long-term follow-up of newborns from mothers diagnosed with COVID-19 to establish the full implications of SARS-CoV-2 infection in these children.

scholarly journals Prevalence of Sepsis and Possible Severe Bacterial Infection among Neonates in Nepal

2018 ◽  
Vol 16 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Gambhir Shrestha ◽  
Rashmi Mulmi ◽  
Nibaran Joshi ◽  
Parashu Ram Shrestha
Keyword(s):  
Systematic Review ◽  
Bacterial Infection ◽  
Neonatal Sepsis ◽  
Signs And Symptoms ◽  
Nationwide Survey ◽  
Community Based ◽  
Eligibility Criteria ◽  
Severe Bacterial Infection ◽  
Review Criteria ◽  
Adequate Data

Nepal lacks adequate data on the prevalence of sepsis and Possible Severe Bacterial Infection (PSBI) among neonates. Thus, this systematic review was designed to estimate the prevalence of neonatal sepsis and PSBI status in Nepal. We searched PubMed and Nepal Journal Online for relevant studies on PSBI and neonatal sepsis published from 2006 to 2016. The eligibility criteria included those studies done in Nepal, evaluating the prevalence of PSBI/neonatal sepsis with denominators as the population at risk that is either total live births or total cases evaluated. Altogether, four studies met the review criteria, out of which three were hospital-based and one community-based. There is a vast difference in prevalence rate between hospital-based (2-4%) and community-based (9%) studies. Two studies used haematological scoring system and blood culture to base their diagnosis; one used signs and symptoms for PSBI while the other did not mention the diagnostic criteria. This systematic review suggests that though neonatal sepsis poses a big problem, it lacks a significant number of related studies. There is a need to conduct a nationwide survey on the prevalence of sepsis and PSBI among neonates, which will help to develop health policy.

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