scholarly journals Physical Examination Tools Used to Identify Swollen and Tender Lower Limb Joints in Juvenile Idiopathic Arthritis: A Scoping Review

Arthritis ◽  
2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Antoni Fellas ◽  
Davinder Singh-Grewal ◽  
Derek Santos ◽  
Andrea Coda

Background. Juvenile idiopathic arthritis (JIA) is the most common form of rheumatic disease in childhood and adolescents, affecting between 16 and 150 per 100,000 young persons below the age of 16. The lower limb is commonly affected in JIA, with joint swelling and tenderness often observed as a result of active synovitis. Objective. The objective of this scoping review is to identify the existence of physical examination (PE) tools to identify and record swollen and tender lower limb joints in children with JIA. Methods. Two reviewers individually screened the eligibility of titles and abstracts retrieved from the following online databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and CINAHL. Studies that proposed and validated a comprehensive lower limb PE tool were included in this scoping review. Results. After removal of duplicates, 1232 citations were retrieved, in which twelve were identified as potentially eligible. No studies met the set criteria for inclusion. Conclusion. Further research is needed in developing and validating specific PE tools for clinicians such as podiatrists and other allied health professionals involved in the management of pathological lower limb joints in children diagnosed with JIA. These lower limb PE tools may be useful in conjunction with existing disease activity scores to optimise screening of the lower extremity and monitoring the efficacy of targeted interventions.

2020 ◽  
Vol 3 (1) ◽  
pp. 16
Author(s):  
Aniello Alfieri ◽  
Sveva Di Franco ◽  
Maria Beatrice Passavanti ◽  
Maria Caterina Pace ◽  
Agata Stanga ◽  
...  

Our objective is to review the scientific literature on the use of antimicrobial lock therapy (ALT). To achieve this result, our scoping review will address the following seven key questions: (1) Who are the patients who will benefit from this technique? (2) What are the techniques utilized? (3) What are the settings in which the technique is performed? (4) When the technique is performed? (5) Why the technique is performed? (6) How the technique is performed? (7) In how much amount, of such technique performed? This review considers all studies published in full and in peer-reviewed journals, with no restrictions on language, on the year of publication and age of the participants. Both randomized controlled trials and observational studies will be included. This scoping review has been planned on a five-stage framework: 1. Identifying the review question; 2. identifying relevant studies; 3. study selection; 4. charting the data; 5. collating, summarizing, and reporting the results. It is conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guidelines. The databases utilized will include MEDLINE via PubMed, EMBASE and Cochrane Central Register of Controlled Trials and Grey Literature. SCOPING REVIEW REGISTRATION: Open Science Framework https://osf.io/vphwm/.


2020 ◽  
Author(s):  
Paula Enes de Oliveira ◽  
Carlos Sequeira ◽  
Núria Albacar Riobocó ◽  
Francisco Miguel Correia Sampaio

Introduction – Addictive behavior can be defined by a person's compulsion to engage in a continuous activity or behavior, despite the negative impact on their ability to remain mentally and/or physically healthy and functional in the home and community. The person may find the behavior rewarding psychologically and be satisfied while involved in the activity, but later he may feel guilt, remorseful or even be overwhelmed by the consequences of this choice on an ongoing basis1. Addressing this complexity requires multidisciplinary approaches and a range of responses and devices that, articulately and congruently, act in the various aspects of this phenomenon.Objective – This review aims to map programs or interventions in a community context with an impact on the cessation / reduction of addictive behaviors in adults, as well as to identify the characteristics of the participants and the contexts of implementation.Inclusion criteria – Will be considered published and unpublished primary and secondary studies on programs/interventions with an impact on the cessation/reduction of addictive tolls in adults between 18 and 40 years of age in community context, written in Portuguese, Spanish, or English, between 2013 and 2019.Methods – The Scoping Review will be carried out in accordance with the guidelines of the Joanna Briggs Institute and PRISMA-ScR. From the objective and research questions, the databases and research repositories will be selected, CINAHL Plus with full text (via EBSCO) and MEDLINE with full text (via PubMed), SciELO, Scopus JBI Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Cochrane Systematic Reviews and Scientific Repositories; OpenGrey (European repository) and Open Access Scientific Repository of Portugal (Portuguese repository) using all pre-defined Boolean keywords, terms and expressions, to identify studies with inclusion criteria. Duplicate documents will be deleted. The selection of articles will be made by two reviewers independently by reading the title, abstract and full text. The extraction and synthesis of the data will also be performed by two reviewers independently through the analysis grid previously created for this purpose, based on the model of the Joanna Briggs Institute. The data synthesis will be presented in a narrative and table format.


2020 ◽  
Author(s):  
Paula Enes de Oliveira ◽  
Carlos Sequeira ◽  
Núria Albacar Riobocó ◽  
Francisco Miguel Correia Sampaio

Introduction – Addictive behavior can be defined by a person's compulsion to engage in a continuous activity or behavior, despite the negative impact on their ability to remain mentally and/or physically healthy and functional in the home and community. The person may find the behavior rewarding psychologically and be satisfied while involved in the activity, but later he may feel guilt, remorseful or even be overwhelmed by the consequences of this choice on an ongoing basis1. Addressing this complexity requires multidisciplinary approaches and a range of responses and devices that, articulately and congruently, act in the various aspects of this phenomenon.Objective – This review aims to map programs or interventions in a community context with an impact on the cessation / reduction of addictive behaviors in adults, as well as to identify the characteristics of the participants and the contexts of implementation.Inclusion criteria – Will be considered published and unpublished primary and secondary studies on programs/interventions with an impact on the cessation/reduction of addictive tolls in adults between 18 and 40 years of age in community context, written in Portuguese, Spanish, or English, between 2013 and 2019.Methods – The Scoping Review will be carried out in accordance with the guidelines of the Joanna Briggs Institute and PRISMA-ScR. From the objective and research questions, the databases and research repositories will be selected, CINAHL Plus with full text (via EBSCO) and MEDLINE with full text (via PubMed), SciELO, Scopus JBI Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Cochrane Systematic Reviews and Scientific Repositories; OpenGrey (European repository) and Open Access Scientific Repository of Portugal (Portuguese repository) using all pre-defined Boolean keywords, terms and expressions, to identify studies with inclusion criteria. Duplicate documents will be deleted. The selection of articles will be made by two reviewers independently by reading the title, abstract and full text. The extraction and synthesis of the data will also be performed by two reviewers independently through the analysis grid previously created for this purpose, based on the model of the Joanna Briggs Institute. The data synthesis will be presented in a narrative and table format.


Author(s):  
Herney Andrés García-Perdomo ◽  
Juan Camilo Gómez-Ospina ◽  
Leonardo Oliveira Reis

Purpose: This study aimed to determine the efficacy and safety of Oncoxin as an antitumoral supplement, and to describe its mechanism of action. Methods: We performed this scoping review according to the recommendations of the Joanna Briggs Institute and included patients older than 18 years-old who have any kind of tumor and receive Oncoxin as a supplement. We focused on the efficacy in terms of antitumoral properties, quality of life and survival, safety in terms of adverse events, and the mechanism of action. We did not limit for language or setting. We searched MEDLINE (Pubmed), EMBASE (Scopus), LILACS, and the Cochrane Central Register of Controlled Trials (CENTRAL) from inception to nowadays. Results: We found a promising increment of survival when taking Oncoxin as a supplementary treatment. Additionally, the quality of life increased in terms of Karnofsky and EORTC scales. Regarding the mechanism of action, studies suggest it modifies inflammatory mediators’ expression, as evidenced by the reduction of COX-2, IL-1β, IL-6, TNF-α, IL-1β, IL-12, and IFN-γ. Besides, it promotes an arrest in the progression of cells from G1 into S, along with an increase in p27 and a decrease in cyclin D1 and pRb. Conclusions: We found promising complementary effects of Oncoxin to the standard treatment of cancer patients in diverse scenarios, with putative robust mechanisms of action. In addition to clinically relevant impacts verified in clinical trials, as well as it decreases the levels of pro-inflammatory cytokines, it can also decrease cytokines with antitumor activity such as IFN-γ, which should be further explored in larger trials and the long term.


BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e039460
Author(s):  
Sara Massicotte ◽  
Ronda Lun ◽  
Vignan Yogendrakumar ◽  
Brian Dewar ◽  
Alexandra Davies ◽  
...  

IntroductionClinical trials for intracerebral haemorrhage typically measure outcomes in the same way and at the same time points as trials for ischaemic stroke. However, there is growing evidence that the trajectory of recovery following intracerebral haemorrhage may differ significantly from that following ischaemic stroke. A better understanding of current approaches to outcome assessment is essential to ensure that future trials examining treatments for intracerebral haemorrhage are designed appropriately.ObjectiveTo determine when and how outcomes are measured in patients with intracerebral haemorrhage.Methods and analysisWith the assistance of an information specialist, we will conduct a scoping review by searching MEDLINE, Embase, Cochrane Central Register of Controlled Trials and Web of Science for prospective studies of adults with primary intracerebral haemorrhage and documented outcomes with specified times. Two reviewers will independently collect data on included studies pertaining to publication data, study population information, timing of outcome and details of the outcome measurement tools used. The extracted data will be used to demonstrate the type and timing of outcome measures.Ethics and disseminationPrimary data will not be collected therefore formal ethics is not required. The findings of this study will be disseminated through peer-reviewed publications and through presentation at academic conferences.


2015 ◽  
Vol 8 (1) ◽  
pp. 79 ◽  
Author(s):  
Mirella Veras ◽  
Dahlia Kairy ◽  
Marco Rogante ◽  
Claudia Giacomozzi

<p>Despite the increased interest about tele-rehabilitation, virtual reality and outcome measures for stroke rehabilitation, surprisingly little research has been done to map and summarize the most common outcome measures used in tele-rehabilitation. For this review, we propose to conduct a systematic search of the literature that reports outcome measures used in tele-rehabilitation or virtual reality for stroke rehabilitation. Specific objectives include: 1) to identify the outcome measures used in tele-rehabilitation studies; 2) to describe the psychometric properties of the outcome measures in the included studies; 3) to describe which parts of the International Classification of Functioning are measured in the studies. Methods: we will conduct a comprehensive search of relevant electronic databases (e.g., PUBMED, CINAHL, EMBASE, PSYCOINFO, Cochrane Central Register of Controlled Trial and PEDRO). The scoping review will include all study designs. Two reviewers will pilot-test the data extraction forms and will independently screen all the studies and extract the data. Disagreements about inclusion or exclusion will be resolved by consensus or by consulting a third reviewer. The results will be synthesized and reported considering the implications of the findings within the clinical practice and policy context. Dissemination: we anticipate that this scoping review will contribute to inform researchers and end-users (ie, clinicians and policy-makers), regarding the most appropriate outcome measures for tele-rehabilitation or virtual reality as well as help to identify gaps in current measures. Results will be disseminated through reports and open access journals, conference presentations, as well as newsletters, podcasts and meetings targeting all the relevant stakeholders.</p>


2021 ◽  
Vol 6 (1) ◽  
pp. 12
Author(s):  
Tamara Rial Rebullido ◽  
Cinta Gómez-Tomás ◽  
Avery D. Faigenbaum ◽  
Iván Chulvi-Medrano

This review aimed to synthesize the most up-to-date evidence regarding the prevalence of urinary incontinence (UI) among adolescent female athletes. We conducted a systematic review of studies regarding UI in female athletes less than 19 years of age. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRIMSA). The electronic databases of PubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, and Web of Science (WOS) were searched between October and November 2020. After blinded peer evaluation, a total of 215 studies were identified and nine were included. Risk of bias was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. This review identified a prevalence of UI in adolescent female athletes between 18% to 80% with an average of 48.58%. The most prevalent sports were trampolining followed by rope skipping. The prevalence of UI among adolescent female athletes practicing impact sports was significantly prevalent. There is a need for further research, education, and targeted interventions for adolescent female athletes with UI.


2021 ◽  
Vol 20 (1) ◽  
pp. 489-538
Author(s):  
Ana Lúcia Brantes ◽  
Maria Alice dos Santos Curado ◽  
Inês Rebelo Cruz

Introducción: La alimentación oral es una actividad sensoriomotora muy compleja y exigente en relación con la coordinación oromotora del recién nacido prematuro requiriendo de los enfermeros la implementación de cuidados neuroprotectores. En el cuidado de enfermería para recién nacidos prematuros, no hay consenso sobre la elección de la técnica de alimentación oral más adecuada para el desarrollo de habilidades oromotoras, lo que ciertamente influirá en la autonomía de alimentación.Objetivo: Identificar y mapear la literatura científica, las técnicas de la alimentación oral promotores de las competencias oromotoras del recién nacido prematuro.Método: Se realizó una scoping review c que permitió el mapeo de artículos publicados en cuatro bases de datos: Medline; CINAHL; Cochrane Central Register of Controlled Trials y Scielo y no publicados (Google scholar, tesis de maestría y doctorado), entre 2000 y 2018.Resultados: Se incluyeron 28 estudios, de los cuales 21 son primarios, seis son secundarios y una tesis de doctorado. De estos surgieron tres técnicas de alimentación (biberón, taza y finger-feeding). Biberón aparece como un promotor de patrones de succión más maduros; la taza aparece como el más abierto, pero poco consensuado con respecto a los beneficios para el desarrollo oromotor y finger-feeding aparece como un facilitador del entrenamiento de succión y complementario a la lactancia materna.Conclusión: Las publicaciones analizadas se centran principalmente en aspectos de estabilidad hemodinámica, aumento de peso y autonomía alimentaria, con el consiguiente alta hospitalaria temprana. Por lo tanto, es esencial comprender cómo cada técnica promueve el desarrollo de habilidades oromotoras, y también es esencial contemplar los deseos y expectativas de los padres con respecto a la alimentación, como la lactancia materna exclusiva. Background: Oral feeding is a highly complex and coordinated sensorimotor activity for the preterm infants, requiring nurses to implement neuroprotective care. In nursing care, there is no consensus on the choice of the most appropriate oral feeding method for the development of oro-motor skills and the consequent feeding autonomy of the preterm infant. Objective: identify and map, in the scientific literature, the oral feeding method that promotes the development of oro-motor skills in preterm in preterm infants.Method: A scoping review was carried out with a research that allowed the mapping of articles published in databases (Medline, CINAHL, Cochrane Central Register of Controlled Trials and Scielo) and unpublished (Google scholar, master's and doctoral theses), between 2000 and 2018.Results: This scoping review included 28 studies: 21 are primary studies, 6 secondary studies and a doctoral thesis. Three feeding methods emerged (bottle, cup and finger-feeding). The bottle appears as a promoter of more mature suction patterns; the cup is the must studied method but little consensual regarding the benefits for oro-motor development and finger-feeding appears as a facilitator of suction training and breastfeeding.Conclusion: The publications focus mainly on aspects of hemodynamic stability, weight gain and feeding autonomy, with consequent early hospital discharge. It is therefore essential to understand how each method promotes the development of oro-motor skills, and it is also essential to contemplate the wishes and expectations of parents regarding food, such as exclusive breastfeeding. Introdução: A alimentação oral é uma atividade sensoriomotora altamente complexa e exigente relativamente à coordenação oro-motora do recém-nascido pré-termo, requerendo dos enfermeiros a implementação de cuidados neuroprotetores. Nos cuidados de enfermagem ao recém-nascido pré-termo, não existe consenso na escolha da técnica de alimentação oral mais adequada ao desenvolvimento das competências oro-motoras, o que decerto vai influenciar a autonomia alimentar. Objetivo: Identificar e mapear na literatura científica, as técnicas de alimentação oral promotoras das competências oro-motoras do recém-nascido pré-termo. Método: Foi realizada uma scoping review com uma pesquisa que permitiu o mapeamento de artigos publicados em bases de dados (Medline, CINAHL, Cochrane Central Register of Controlled Trials e Scielo) e não publicados (Google Académico, teses de mestrado e doutoramento), entre o ano 2000 e 2018.Resultados: Selecionaram-se 28 estudos, 21 primários, 6 secundários e uma tese de doutoramento. Destes emergiram três técnicas de alimentação (biberão, copo e finger-feeding). O biberão surge como promotor de padrões de sucção mais maturos; o copo surge como o mais descortinado, mas pouco consensual relativamente aos benefícios para o desenvolvimento oro-motor e o finger-feeding surge como facilitadora do treino da sucção e complementar da amamentação.Conclusão: As publicações analisadas focam-se sobretudo em aspetos de estabilidade hemodinâmica, de ganho ponderal e da autonomia alimentar, com consequente alta hospitalar precoce. É por isso essencial compreender de que forma cada técnica promove o desenvolvimento das competências oro-motoras, sendo também essencial contemplar os desejos e expectativas dos pais quanto à alimentação, como por exemplo a realização da amamentação exclusiva.


2021 ◽  
Vol 4 (1) ◽  
pp. 99-110
Author(s):  
Filomena Paulo ◽  
Manuela Ferreira ◽  
Regilnaldo Filho

Enquadramento: o tratamento do cancro da mama traz consigo terapêuticas agressivas e invasivas, trazendo alterações a nível físico e psicológico que afetam a vida da mulher e a vivência da sua sexualidade. Objetivo: mapear o contributo das terapias integrativas na sexualidade da mulher com cancro da mama. Metodologia: a Scoping Review foi construída seguindo as recomendações da extensão PRISMA. A estratégia de pesquisa incluiu as bases de dados: CINAHL Complete; MEDLINE Complete; Nursing & Allied Health Collection: Comprehensive; Cochrane Central Register of Controlled Trials; Cochrane Database of Systematic Reviews; Cochrane Methodology Register; Library, Information Science & Technology Abstracts; MedicLatina, via EBSCOhost - Research Databases, Google Académico, PubMed, B-On, LILACS, MEDLINE e SCIELO. Foi definido como limite cronológico janeiro de 1999 a março de 2020. O corpus da revisão ficou constituído por cinco artigos científicos. Resultados: os estudos analisados são unânimes: demostrando que o recurso às terapias integrativas por parte das mulheres com cancro de mama, mastectomizadas, refletem em efeitos positivos na saúde das mesmas.  Conclusão: as terapias integrativas promovem nas mulheres, através da harmonia dos seus próprios recursos, trazendo efeitos positivos na vivência da sua sexualidade.


2021 ◽  
pp. 152483802110160
Author(s):  
Noa Cohen ◽  
Carmit Katz

There is a worldwide consensus that the prevention of child maltreatment (CM) is critical in promoting children’s safety. Furthermore, a significant part of the prevention efforts targets the children themselves. This scoping review aimed to map the characteristics of CM prevention programs that targeted children by examining studies that described the relevant implemented programs, published in peer-reviewed journals over the last decade. Thirty-one relevant manuscripts were identified from the online databases. The analysis, guided by scoping review guidelines, examined these programs in terms of content, context of delivery, and practitioners involved. A thematic analysis identified the key messages conveyed to the children. The findings showed that the vast majority of programs are school-based and focused on preventing child sexual abuse (CSA) with considerably less attention given to other forms of maltreatment. In addition, most programs did not promote active parental participation. The content descriptions of the CSA prevention programs revealed several common key messages that focused on children’s individual safety skills, specifically recognition, refusal strategies, and disclosure. The discussion addresses the concepts of blame and guilt as crucial to rethinking the CM prevention messages conveyed to children. Key conclusions that were drawn from the current scoping review highlight the need to better align prevention efforts and recent CM research. Additionally, ceiling effects in several studies indicated that children’s participation, as information sources and partners in program development, should be promoted, so that prevention efforts will meet their needs within their various relevant life contexts.


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