scholarly journals Cervical Spine Involvement in Mild Traumatic Brain Injury: A Review

2016 ◽  
Vol 2016 ◽  
pp. 1-20 ◽  
Author(s):  
Michael Morin ◽  
Pierre Langevin ◽  
Philippe Fait
Keyword(s):  
Cervical Spine ◽  
Reference Lists ◽  
Keyword Search ◽  
Scientific Evidence ◽  
Signs And Symptoms ◽  
Original Data ◽  
Cochrane Library ◽  
Postconcussion Syndrome ◽  
Health Care Practitioners ◽  
Literature Reviews

Background. There is a lack of scientific evidence in the literature on the involvement of the cervical spine in mTBI; however, its involvement is clinically accepted.Objective. This paper reviews evidence for the involvement of the cervical spine in mTBI symptoms, the mechanisms of injury, and the efficacy of therapy for cervical spine with concussion-related symptoms.Methods. A keyword search was conducted on PubMed, ICL, SportDiscus, PEDro, CINAHL, and Cochrane Library databases for articles published since 1990. The reference lists of articles meeting the criteria (original data articles, literature reviews, and clinical guidelines) were also searched in the same databases.Results. 4,854 records were screened and 43 articles were retained. Those articles were used to describe different subjects such as mTBI’s signs and symptoms, mechanisms of injury, and treatments of the cervical spine.Conclusions. The hypothesis of cervical spine involvement in post-mTBI symptoms and in PCS (postconcussion syndrome) is supported by increasing evidence and is widely accepted clinically. For the management and treatment of mTBIs, few articles were available in the literature, and relevant studies showed interesting results about manual therapy and exercises as efficient tools for health care practitioners.

Pork Consumption in Relation to Body Weight and Composition: A Systematic Review and Meta-analysis

2020 ◽  
Vol 44 (4) ◽  
pp. 513-525
Author(s):  
Ruopeng An ◽  
Jianxiu Liu ◽  
Ruidong Liu
Keyword(s):  
Body Weight ◽  
Lean Mass ◽  
Keyword Search ◽  
Meta Analysis ◽  
Scientific Evidence ◽  
Experimental Studies ◽  
Cochrane Library ◽  
Fat Percentage ◽  
Eligibility Criteria ◽  
Pork Consumption

Objectives: In this study, we systematically synthesized scientific evidence on pork consumption in relation to body weight and composition among adults. Methods: We performed a keyword search using Cochrane Library, PubMed, Web of Science, CINAHL, and Google Scholar. We conducted a meta-analysis to estimate the pooled effect size of pork consumption on body weight and composition. Results: Overall, 12 studies met the eligibility criteria for inclusion in the review. Among the experimental studies without daily total energy intake restrictions, pork intake was associated with a reduction in body weight by 0.86 kg (95% CI = 0.17-1.55) and body fat percentage by 0.77% (95% CI = 0.11%-1.43%); pork intake was not associated with change in lean mass. Among the experimental studies with energy restrictions, pork intake was associated with a reduction in body weight by 5.56 kg (95% CI = 0.55-10.59), lean mass by 1.50 kg (95% CI = 1.39-1.62), and fat mass by 6.60 kg (95% CI = 6.42-6.79). Among the observational studies, pork intake was not associated with overweight/obesity. Conclusions: Findings on pork consumption in relation to body weight/composition differed by study design. Future experimental studies using representative samples are warranted to examine the effect of fresh/lean pork consumption on body weight and composition in the general population and by subgroups.

scholarly journals Alterations of Temporomandibular Disorders before and after Orthognathic Surgery

2007 ◽  
Vol 77 (4) ◽  
pp. 729-734 ◽  
Author(s):  
Cecilia Abrahamsson ◽  
Ewa Carin Ekberg ◽  
Thor Henrikson ◽  
Lars Bondemark
Keyword(s):  
Temporomandibular Disorders ◽  
Orthognathic Surgery ◽  
Search Strategy ◽  
Scientific Evidence ◽  
Signs And Symptoms ◽  
Cochrane Library ◽  
Inclusion Criteria ◽  
Method Error ◽  
Before And After

Abstract Objective: To answer the question whether orthognathic surgery does affect the prevalence of signs and symptoms of temporomandibular disorders (TMDs). Materials and Methods: A literature survey in the PubMed and Cochrane Library electronic databases was performed and covered the period from January 1966 to April 2006. The inclusion criteria were controlled, prospective or retrospective studies comparing TMDs before and after orthognathic surgery in patients with malocclusion. There were no language restrictions, and three reviewers selected and extracted the data independently. The quality of the retrieved articles was evaluated by four reviewers. Results: The search strategy resulted in 467 articles, of which 3 met the inclusion criteria. Because of few studies with unambiguous results and heterogeneity in study design, the scientific evidence was insufficient to evaluate the effects that orthognathic surgery had on TMD. Moreover, the studies had problems with inadequate selection description, confounding factors, and lack of method error analysis. Conclusion: To obtain reliable scientific evidence, additional well-controlled and well-designed studies are needed to determine how and if orthognathic surgery alters signs and symptoms of TMD.

Review of Prelabor Rupture of the Membranes: Pathophysiologic Concepts and Novel Therapeutic Strategies

2020 ◽  
Vol 16 ◽  
Author(s):  
Saadia Ghafoor
Keyword(s):  
Management Strategies ◽  
Signs And Symptoms ◽  
Cochrane Library ◽  
Main Body ◽  
Scientific Publications ◽  
Timely Diagnosis ◽  
Narrative Literature Review ◽  
Contemporary Management ◽  
Online Library ◽  
Novel Therapeutic Strategies

Background:: Prelabor rupture of membrane (PROM) refers to the breakage of fetal membranes before the onset of labor, resulting in the leakage of amniotic fluid. PROM affects approximately 3% and 8% of preterm and term pregnancies. Because of associated high maternal and perinatal mortality, correct and timely diagnosis together with effective management is highly recommended to prevent adverse fetal and maternal outcomes. Objective:: To provide an overview of the novel concepts in the understanding of PROM including etiology, pathophysiology, risk factors, complications, assessment, diagnostic modalities, and contemporary management strategies for PROM at preterm and term. Methodology:: This narrative literature review was conducted through a literature search using the Cochrane library and electronic databases including PubMed, Web of Science, Medline, Scopus, Crossref, Google Scholar, Wiley online library, ScienceDirect with specific search terms in scientific publications published from March 1980 to March 2020. Main Body:: Preterm PROM has the potential to cause prenatal morbidity and mortality. It is imperative to monitor the signs and symptoms of an impending infection due to the risk of infectious morbidity with PROM at preterm and preterm. PROM at preterm and term requires prompt diagnosis followed by an appropriate management strategy. Conclusion:: The correct and timely diagnosis of PROM is essential for efficacious management. Furthermore, it can reduce avoidable emergent health care visits and related costs in a clinical setting subjected to pregnancy with suspected PROM. Further studies are needed to fill the gaps in identifying better diagnostic predictive tools in high- risk pregnancies.

Burst Suppression for ICP Control

2016 ◽  
Vol 32 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Frederick A. Zeiler ◽  
Eva Akoth ◽  
Lawrence M. Gillman ◽  
Michael West
Keyword(s):  
Reference Lists ◽  
Burst Suppression ◽  
Suppressive Therapy ◽  
Cochrane Library ◽  
Infection Rates ◽  
Assessment Development ◽  
Severe Hypotension ◽  
Grade Methodology ◽  
Clinical Trials Registry ◽  
The Impact

Background: The goal of our study was to perform a systematic review of the literature to determine the effect that burst suppression has on intracranial pressure (ICP) control. Methods: All articles from MEDLINE, BIOSIS, EMBASE, Global Health, Scopus, Cochrane Library, the International Clinical Trials Registry Platform (inception to January 2015), reference lists of relevant articles, and gray literature were searched. The strength of evidence was adjudicated using both the Oxford and the Grading of Recommendation Assessment Development and Education (GRADE) methodology. Results: Seven articles were considered for review. A total of 108 patients were studied, all receiving burst suppression therapy. Two studies failed to document a decrease in ICP with burst suppression therapy. There were reports of severe hypotension and increased infection rates with barbiturate-based therapy. Etomidate-based suppressive therapy was linked to severe renal dysfunction. Conclusions: There currently exists both Oxford level 2b and GRADE C evidence to support that achieving burst suppression reduces ICP, and also has no effect on ICP, in severe traumatic brain injury. The literature suggests burst suppression therapy may be useful for ICP reduction in certain cases, although these situations are currently unclear. In addition, the impact on patient functional outcome is unclear. Further prospective study is warranted.

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.

scholarly journals Mobilization and Manipulation of the Cervical Spine in Patients with Cervicogenic Headache: Any Scientific Evidence?

2016 ◽  
Vol 7 ◽  
Author(s):  
Jodan D. Garcia ◽  
Stephen Arnold ◽  
Kylie Tetley ◽  
Kiel Voight ◽  
Rachael Anne Frank
Keyword(s):  
Cervical Spine ◽  
Scientific Evidence ◽  
Cervicogenic Headache

scholarly journals Prediction of sepsis-related outcomes in neonates through systematic genotyping of polymorphisms in genes for innate immunity and inflammation: a narrative review and critical perspective

2013 ◽  
Vol 131 (5) ◽  
pp. 338-350 ◽  
Author(s):  
Juliana Kilesse Carvalho ◽  
Daniella Batalha Moore ◽  
Ricardo Alves Luz ◽  
Pedro Paulo Xavier-Elsas ◽  
Maria Ignez Capella Gaspar-Elsas
Keyword(s):  
Innate Immunity ◽  
Gene Polymorphisms ◽  
Large Scale ◽  
Scientific Evidence ◽  
Cochrane Library ◽  
Increased Risk ◽  
Immunity Genes ◽  
Hemostatic Factors ◽  
Narrative Literature Review ◽  
The Impact

CONTEXT AND OBJECTIVE: Neonatal sepsis is associated with premature birth and maternal infection. Large-scale studies seek to define markers that identify neonates at risk of developing sepsis. Here, we examine whether the scientific evidence supports systematic use of polymorphism genotyping in cytokine and innate immunity genes, to identify neonates at increased risk of sepsis. DESIGN AND SETTING: Narrative literature review conducted at Fernandes Figueira Institute, Brazil. METHODS: The literature was searched in PubMed, Embase (Excerpta Medica Database), Lilacs (Literatura Latino-Americana e do Caribe em Ciências da Saúde), SciELO (Scientific Electronic Library Online) and Cochrane Library. From > 400,000 references, 548 were retrieved based on inclusion/exclusion criteria; 22 were selected for detailed analysis after quality assessment. RESULTS: The studies retrieved addressed the impact of gene polymorphisms relating to immune mechanisms (most often TNF-a, LT-a, IL-6, IL-1β, IL-1ra, L-selectin, CD14 and MBL) or inflammatory mechanisms (ACE and angiotensin II receptors; secretory PLA2; and hemostatic factors). Despite initial reports suggesting positive associations between specific polymorphisms and increased risk of sepsis, the accumulated evidence has not confirmed that any of them have predictive power to justify systematic genotyping. CONCLUSIONS: Sepsis prediction through systematic genotyping needs to be reevaluated, based on studies that demonstrate the functional impact of gene polymorphisms and epidemiological differences among ethnically distinct populations.

scholarly journals The Effect of Trans Fatty Acids on Human Health: Regulation and Consumption Patterns

Foods ◽  
2021 ◽  
Vol 10 (10) ◽  
pp. 2452
Author(s):  
Davit Pipoyan ◽  
Stella Stepanyan ◽  
Seda Stepanyan ◽  
Meline Beglaryan ◽  
Lara Costantini ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Health Effects ◽  
Trans Fatty Acids ◽  
Reference Lists ◽  
Cochrane Library ◽  
Review Of The Literature ◽  
Beneficial Effects ◽  
Adverse Health Effects ◽  
Adverse Health ◽  
Harmful Effects

Health effects of trans fatty acids (TFAs) on human organisms can vary according to their type, structure, composition, and origin. Even though the adverse health effects of industrial TFAs (iTFAs) have been widely discussed, the health effects of natural TFAs (nTFAs) are still questionable. Hence, it is important to review the literature and provide an overall picture on the health effects of different TFAs coming from industrial and ruminant sources, underlining those types that have adverse health effects as well as suggesting methods for reducing their harmful effects. Multiple databases (PubMed, Medline, Cochrane Library, etc.) were searched with the key words “trans fatty acid sources”, “ruminant”, “industrial”, “conjugated trans linoleic acid”, “human”, “coronary heart disease”, “cancer”, etc. Reference lists of the studies were scanned discussing the health effects of iTFAs and nTFAs. The review of the literature showed that iTFAs are found to be more harmful than ruminant-produced nTFAs. Although several beneficial effects (such as reduced risk of diabetes) for nTFAs have been observed, they should be used with caution. Since during labeling it is usually not mentioned whether the TFAs contained in food are of industrial or natural origin, the general suggestion is to reduce their consumption.

scholarly journals The Effect of Orthodontic Therapy on Periodontal Health: A Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Samah Alfuriji ◽  
Nora Alhazmi ◽  
Nasir Alhamlan ◽  
Ali Al-Ehaideb ◽  
Moatazbellah Alruwaithi ◽  
...  
Keyword(s):  
English Language ◽  
Literature Search ◽  
Reference Lists ◽  
Web Of Science ◽  
Root Resorption ◽  
Cochrane Library ◽  
Review Of The Literature ◽  
Letters To The Editor ◽  
Periodontal Health ◽  
Orthodontic Therapy

Objectives.This review aims to evaluate the effect of orthodontic therapy on periodontal health.Data.Original articles that reported on the effect of orthodontic therapy on periodontal health were included. The reference lists of potentially relevant review articles were also sought.Sources.A literature search was conducted using the databases, Medline, EMBASE, Cochrane Library, Web of Science, Google Scholar, and Scopus databases for relevant studies. The search was carried out by using a combined text and the MeSH search strategies: using the key words in different combinations: “periodontal disease,” “orthodontics” and “root resorption.” This was supplemented by hand-searching in peer-reviewed journals and cross-referenced with the articles accessed. Articles published only in English language were included. Letters to the Editor, historical reviews and unpublished articles were not sought.Conclusions.Within the limitations of the present literature review, it was observed that there is a very close inter-relationship between the periodontal health and the outcome of orthodontic therapy.

EOSINOPHILIC GRANULOMA OF THE CERVICAL SPINE IN CHILDREN

PEDIATRICS ◽  
1970 ◽  
Vol 45 (5) ◽  
pp. 746-752
Author(s):  
Robin I. Davidson ◽  
John Shillito
Keyword(s):  
Cervical Spine ◽  
Pyramidal Tract ◽  
Eosinophilic Granuloma ◽  
Cervical Vertebra ◽  
Signs And Symptoms ◽  
Neurological Deficits ◽  
Restricted Range ◽  
Cervical Pain ◽  
Range Of Movement

Eosinophilic granuloma of the cervical spine is recorded in six children, two of whom had neurological deficits. A flaccid monoparesis occurred in one child with a C5 arch lesion. Pyramidal tract signs were present in a patient with a defect at the atlanto-occipital joint. Cervical pain, restricted range of movement, torticollis, and tenderness were other presenting signs and symptoms and occurred in all except one patient. A lytic defect in the arch or centrum of a cervical vertebra was associated with this presentation. Treatment following biopsy consisted of immobilization and radiotherapy in a range of 450 to 750 rads. Cure was effected in all instances.

Sign in / Sign up

Export Citation Format

Share Document