scholarly journals Rehabilitative Ultrasound Imaging Evaluation in Physiotherapy: Piloting a Systematic Review

2019 ◽  
Vol 9 (1) ◽  
pp. 181 ◽  
Author(s):  
Samuel Fernández Carnero ◽  
José Arias Buria ◽  
Juan Cuenca Zaldivar ◽  
Alejandro Leal Quiñones ◽  
Cesar Calvo-Lobo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Reports ◽  
Daily Practice ◽  
Lumbar Region ◽  
Validity And Reliability ◽  
Exclusion Criteria ◽  
Imaging Evaluation ◽  
Review Protocol ◽  
Text Reading ◽  
Full Systematic Review

Background: Research of ultrasound use in physiotherapy and daily practice has led to its use as an everyday tool. Methods: The aims were: (1) Checking the proposed systematic review protocol methodology; (2) evaluating the evidence from the last five years; and (3) coordinating the work of the team of reviewers in performing a complete systematic review. Thus, this is a pilot study prior to a full systematic review. The findings in databases related to health sciences with the meta-search engine Discovery EBSCO, Covidence, and Revman were used. Inclusion and exclusion criteria were described for eligibility. Results: Search provided 1029 references regarding the lumbar region on ultrasound scans. Of these, 33 were duplicates. After Covidence, 996 studies were left for screening. A full-text reading brought one randomized clinical trial (RCT). Conclusions: Validity and reliability references were found. The most suitable points were novice versus expert, and ultrasound versus electromyography (EMG) with just one RCT cohort, and observational and case reports. The lines of investigation increasingly endorsed the validity of using ultrasound in physiotherapy. Post-acquisition image analysis could also be a future line of research.

scholarly journals Applicability of Moyers analysis in mixed dentition: A systematic review

2013 ◽  
Vol 18 (6) ◽  
pp. 100-105 ◽  
Author(s):  
Mariana de Aguiar Bulhões Galvão ◽  
Gladys Cristina Dominguez ◽  
Sérgio Thomaz Tormin ◽  
Alex Akamine ◽  
André Tortamano ◽  
...  
Keyword(s):  
Systematic Review ◽  
Literature Review ◽  
Clinical Case ◽  
Case Reports ◽  
Mixed Dentition ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Theoretical Probability ◽  
Study Population ◽  
Mixed Dentition Analysis

INTRODUCTION: Moyers analysis is widely used for analyzing mixed dentition, however, the accuracy of its theoretical probability tables has been recently questioned. Taking into consideration the fact the mixed dentition analysis is of paramount importance to precisely determine the space needed for alignment of canines and premolars, this research aimed at objectively assessing in the literature such an important step for orthodontic diagnosis. METHODS: A computerized search involving articles published on PubMed and Lilacs between 1990 and September, 2011 was conducted in accordance with the method described in the Cochrane 5.1.0 handbook. RESULTS: The research resulted in a sample composed of 629 articles. The inclusion criteria were: Articles using the Moyers analysis with a sample greater or equal to 40 patients. Conversely, the exclusion criteria were: Dental casts of patients with syndromes or oral cleft, researches conducted with a literature review, only, or clinical case reports and researches conducted before 1990. For this systematic review, 19 articles were selected. CONCLUSION: Based on the literature available, we can conclude that the Moyers mixed dentition analysis must be carefully used, since the majority of the articles analyzed showed that the probability of 75% was not as accurate as expected, leading to the need of adapting the probability levels depending on the study population.

scholarly journals Treatment of chikungunya chronic arthritis: A systematic review

2018 ◽  
Vol 64 (1) ◽  
pp. 63-70 ◽  
Author(s):  
Gabriella Maria Pitt Gameiro Sales ◽  
Izabel Crystine Pereira Barbosa ◽  
Laura Maia Sampaio Canejo Neta ◽  
Paloma Lopes de Melo ◽  
Raphael de Azevedo Leitão ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Case Reports ◽  
Case Control ◽  
Sudden Onset ◽  
Chronic Arthritis ◽  
Exclusion Criteria ◽  
Daily Life Activities ◽  
Expert Opinions ◽  
Inflammatory Drugs

Summary Introduction: Chikungunya (CHIK) is a tropical arbovirus, transmitted by the female mosquito Aedes aegypti and Aedes albopictus. In Brazil, there have been cases reported since 2014. The initial manifestations of this virus are sudden onset high fever, headache, chills, rashes, myalgia and intense joint pain. Usually, CHIK presents the acute and chronic phases, the latter characterized by bilateral polyarthralgia, which can last for months or even years. During this period, autoimmune diseases can be triggered, making the picture even more complicated. Method: A systematic review was performed on the PubMed and Scielo databases in January 2017. Clinical trials, cohorts, case-control and case reports were included in the study. Expert opinions, societal consensuses and literary reviews were exclusion criteria. Studies were conducted in English, Spanish and Portuguese. The studies were descriptively analyzed and the data was grouped according to methodological similarity. Results: Twenty-four (24) articles were selected and, in compliance with the inclusion and exclusion criteria, 18 were eliminated, with six studies remaining in the present review: five clinical trials and one case report. Conclusion: When the manifestations of CHIK become chronic and, the longer they last, more complications arise. Polyarthralgia can be immaterial, distancing individuals from their daily-life activities. Anti-inflammatory drugs (either steroid or not), in addition to immunosuppressants, homeopathy and physiotherapy are measures of treatment that, according to the literature, have been successful in relieving or extinguishing symptoms. However, it is fundamental that studies of CHIK treatment be further developed.

scholarly journals Bobble Head Doll Syndrome: what have we described in the scientific literature?

2021 ◽  
Author(s):  
Felipe dos Santos Souza ◽  
Alvaro Moreira Rivelli
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Selection Criteria ◽  
Scientific Literature ◽  
Case Reports ◽  
Dorsomedial Nucleus ◽  
Specific Knowledge ◽  
Exclusion Criteria ◽  
The Third ◽  
Repetitive Movements

Introduction: The bobble head syndrome (BHDS) is described in the literature as a complex and rare syndrome with repetitive movements of the anteroposterior head. Furthermore, it is known that this movement disorder is due to the effect of pressure from the third dilated ventricle, which distorts the red dorsomedial nucleus and the dentatorubrotalamic pathways. Objective: to evaluate the number of studies on the syndrome and, added to the findings, describe the manifestations about the Bobble Head Doll Syndrome, elucidating the main neurological exams, treatments used and reported prognoses, in order to make it a potential diagnosis in children who present a compatible clinic. Methodology: a systematic review based on databases (SCIELO <LILACS and PUBMED), using the PRISMA method with the following descriptor: Bobble Head Doll Syndrome. The selection criteria included: studies made available in full, case reports, reviews and clinical trials. Exclusion criteria: articles not available in full, duplicates and works that only touched on the theme. Results: it was found in the scientific literature, PUBMED: 52 studies and SCIELO: 0. SCIELO: 2. Conclusions: the articles selected based on the established criteria showed a significant scientific scarcity around the Bobble Head Doll Syndrome. The dissemination of new studies and documentation of case reports is essential in understanding both the general syndrome and the specific knowledge of the procedures in which neurologists must take it. In this sense, the epidemiology is approximately between 2 and less than 5 years of age in children.

scholarly journals Pharmaceutical interventions in smoking cessation: systematic review protocol

2021 ◽  
Vol 10 (12) ◽  
pp. e52101220170
Author(s):  
Daniela Santos Silva Ferreira de Almeida ◽  
Fernando Henrique Oliveira de Almeida ◽  
Izabella de Sousa Cristino ◽  
Carlos Adriano Santos Souza ◽  
Francilene Amaral da Silva
Keyword(s):  
Systematic Review ◽  
Smoking Cessation ◽  
Clinical Evidence ◽  
Socioeconomic Conditions ◽  
Systematic Review Protocol ◽  
Exclusion Criteria ◽  
Review Protocol ◽  
Search And Selection ◽  
Pharmaceutical Interventions ◽  
Selection Of

Objective: To describe the methodological steps to carry out a systematic review of pharmaceutical interventions for smoking cessation. Review Method: The protocol for this Systematic Review was developed according to the recommendations of the Prism P guidelines. Will be used as exclusion criteria: comments, editorials, articles that were not in Portuguese, Spanish, and English or articles that were not available in full. Also, articles indexed repeatedly in two or more databases will only be considered once. Two independent reviewers will evaluate titles, abstracts and full texts. Differences in selection will be resolved through a third reviewer. Discussion: This review will aim to critically synthesize the clinical evidence surrounding pharmaceutical interventions for smoking cessation, including data on ethnicity, age, socioeconomic conditions, level of health care, and the intervention environment. Therefore, the use of validated procedures and instruments to assess pharmaceutical interventions in support of smoking patients is essential. Conclusion: This protocol aims to describe the methodological steps to carry out a systematic review of pharmaceutical interventions for smoking cessation, aiming to reduce biases in the search and selection of references, making these criteria clear and uniform among reviewers.

Endovascular Treatment of Persistent Sciatic Artery Aneurysms With Primary Stenting: A Systematic Review of the Literature

2020 ◽  
Vol 54 (3) ◽  
pp. 264-271 ◽  
Author(s):  
Nektarios Charisis ◽  
Stefanos Giannopoulos ◽  
George Tzavellas ◽  
Apostolos Tassiopoulos ◽  
George Koullias
Keyword(s):  
Systematic Review ◽  
Endovascular Treatment ◽  
Endovascular Repair ◽  
Case Reports ◽  
Covered Stent ◽  
Acute Limb Ischemia ◽  
Imaging Evaluation ◽  
Stent Deployment ◽  
Persistent Sciatic Artery

Persistent sciatic artery (PSA) is an embryologic remnant of the internal iliac artery, and when is present, it undergoes aneurysmal degeneration in up to 60% of the cases. Endovascular repair is an increasingly utilized treatment strategy for PSA aneurysms (PSAAs). The objective was to demonstrate the safety and efficacy of the endovascular repair in patients with PSAA and to identify potential risk factors for loss of patency or limb loss. This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and eligible studies were identified through search of the PubMed, Scopus, and Cochrane Central databases. Fifteen case reports, comprising 15 patients overall, were included. The median age of the patients was 68 years old (mean age 66 ± 13.4 years) with half of the reported patients being women. Most patients presented with progressive limb claudication, complaining about an enlarging palpable pulsatile buttock mass. The onset of symptoms was sudden in 78% of the reported cases. Additionally, the distal pulses on PSAA side were diminished or absent in 91% of the patients. Acute limb ischemia was the primary diagnosis in 75% of the cases. All patients underwent endovascular repair of the PSAA with a covered stent. Procedural outcomes were favorable in all patients demonstrating no symptoms recurrence, aneurysmal regression, or total obliteration evaluated by angiographic studies (computed tomography angiography [CTA] and angiogram). Periprocedural imaging evaluation was determined either with CTA or duplex ultrasound (DUS). Periprocedural complications included only 1 endoleak with distal dissection. This endoleak was identified after stent deployment and dissection distal to the aneurysm. Mean follow-up (with CTA and/or DUS) was 22 months, with all patients being asymptomatic with no recurrence of symptom. The endovascular treatment of PSAA with covered stent is safe and effective. Persistent sciatic artery aneurysms is associated with high procedural success, low periprocedural compilations, and favorable mid-term follow-up.

scholarly journals Therapeutic Management of COVID-19 Patients: A systematic review

2020 ◽  
Author(s):  
Mansour Tobaiqy ◽  
Mohammed Qashqary ◽  
Shrooq Al-Dahery ◽  
Alaa Mujallad ◽  
Almonther Abdullah Hershan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Observational Studies ◽  
Treatment Guidelines ◽  
Case Reports ◽  
Case Series ◽  
Systematic Review Protocol ◽  
Search Terms ◽  
Global Pandemic ◽  
Prisma Statement ◽  
Review Protocol

AbstractBackgroundSARS-CoV-2 is the cause of the COVID-19 that has been declared a global pandemic by the WHO in 2020. The COVID-19 treatment guidelines vary in each country, and yet there is no approved therapeutic for COVID-19.Aims of the studythis review aimed to report any evidence of therapeutics used for the management of COVID-19 patients in clinical practice since the emergence of the virus.MethodsA systematic review protocol was developed based on PRISMA Statement. Articles for review were selected from electronic databases (Embase, Medline and Google Scholar). Readily accessible peer-reviewed full articles in English published from December 1 st, 2019 to March 26 th, 2020 were included. The search terms included combinations of: COVID, SARS-COV-2, glucocorticoids, convalescent plasma, antiviral, antibacterial. There were no restrictions on the type of study design eligible for inclusion.ResultsAs of March 26, 2020, of the initial manuscripts identified (n=449) articles. Forty-one studies were included, of which clinical trials (n=3), (case reports n=7), case series (n=10), retrospective (n=11) and prospective (n=10) observational studies. Thirty-six studies were conducted in China (88%).The most common mentioned and reported medicine in this systematic review was corticosteroids (n=25), followed by Lopinavir (n=21) and oseltamivir (n=16).ConclusionsThis is the first systematic review up to date related to the therapeutics used in COVID-19 patients. Only forty-one research articles on COVID-19 and therapeutics were found eligible to be included, most conducted in China, corticosteroid therapy was found to be the most used medicine in these studies.

The relationship between the use of sharp instruments and the risks associated with health service workers: a systematic review protocol

2021 ◽  
Vol 14 (3) ◽  
pp. 116-119
Author(s):  
Trajano Felipe Barrabas Xavier da Silva ◽  
Humberto Costa ◽  
Marcelo Montebello Ribeiro
Keyword(s):  
Systematic Review ◽  
Disease Transmission ◽  
Daily Practice ◽  
Relevant Information ◽  
Hospital Environment ◽  
Occupational Accidents ◽  
Negative Consequences ◽  
Systematic Review Protocol ◽  
Service Workers ◽  
Review Protocol

Work accidents are characterized as those resulting from the exercise of work in the service of a company, which can harm the worker. health care workers suffer from the risk of exposure to contaminants and sharps in their daily practice. The handling of perforating material predominates as a situation of exposure to occupational accidents among health professionals, being the main source of disease transmission within the hospital environment. Thus, a systematic review is proposed to obtain relevant information on these risks in order to plan appropriate future interventions to avoid related negative consequences. Thus, following the preferred reporting items for systematic reviews and meta-analyzes protocols (PRISMA-P), this systematic review protocol was developed in order to provide guidelines appropriate for the development of research that can deliver results to meet objective sought. Five databases will be accessed (SCOPUS, PubMed, Science Direct, EBSCOhost and Web of Science) and a total of 9 keyword combinations will be used. 

Use of Simulated Patients in Disaster Medicine Training: A Systematic Review

2020 ◽  
pp. 1-6 ◽  
Author(s):  
Pier Luigi Ingrassia ◽  
Luca Pigozzi ◽  
Mattia Bono ◽  
Luca Ragazzoni ◽  
Francesco Della Corte
Keyword(s):  
Systematic Review ◽  
Case Reports ◽  
Disaster Medicine ◽  
Simulated Patients ◽  
Teaching Tool ◽  
Exclusion Criteria ◽  
Italian Language ◽  
Human Actors ◽  
Previous Training ◽  
Medicine Education

ABSTRACT Simulation is an effective teaching tool in disaster medicine education, and the use of simulated patients (SPs) is a frequently adopted technique. Throughout this article, we critically analyzed the use and the preparation of SPs in the context of simulation in disaster medicine. A systematic review of English, French, and Italian language articles was performed on PubMed and Google Scholar. Studies were included if reporting the use of SPs in disaster medicine training. Exclusion criteria included abstracts, citations, theses, articles not dealing with disaster medicine, and articles not using human actors in simulation. Eighteen papers were examined. All the studies were conducted in Western countries. Case reports represent 50% of references. Only in 44.4% of articles, the beneficiaries of simulations were students, while in most of cases were professionals. In 61.1% of studies SPs were moulaged, and in 72.2%, a method to simulate victim symptoms was adopted. Ten papers included a previous training for SPs and their involvement in the participants’ assessment at the end of the simulation. Finally, this systematic review revealed that there is still a lack of uniformity about the use of SPs in the disaster medicine simulations.

scholarly journals Factors that influence family and parental preferences and decision making for unscheduled paediatric healthcare: a systematic review protocol

2019 ◽  
Vol 2 ◽  
pp. 11 ◽  
Author(s):  
Emma Nicholson ◽  
Therese McDonnell ◽  
Moayed Hamza ◽  
Michael Barrett ◽  
Christopher Brunsdon ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Decision Making ◽  
Hospital Admissions ◽  
Grey Literature ◽  
Future Health ◽  
Exclusion Criteria ◽  
Policy Makers ◽  
Parental Preferences ◽  
Review Protocol

There is a plethora of factors that dictate where parents and families choose to seek unscheduled healthcare for their child; and the complexity of these decisions can present a challenge for policy makers and healthcare planners as these behaviours can have a significant impact on resources in the health system. The systematic review will seek to identify the factors that influence parents’ and families’ preferences and decision making when seeking unscheduled paediatric healthcare.  Five databases will be searched for published studies (CINAHL, PubMed, SCOPUS, PsycInfo, EconLit) and grey literature will also be searched. Inclusion and exclusion criteria will be applied and articles assessed for quality. A narrative approach will be used to synthesise the evidence that emerges from the review. By collating the factors that influence decision-making and attendance at these services, the review can inform future health policies and strategies seeking to expand primary care to support the provision of accessible and responsive care. The systematic review will also inform the design of a discrete choice experiment (DCE) which will seek to determine parental and family preferences for unscheduled paediatric healthcare. Policies that seek to expand primary care and reduce hospital admissions from emergency departments need to be cognisant of the nuanced and complex factors that govern patients’ behaviour.

scholarly journals A Systematic Review of Pain Assessment in Mechanically Ventilated Patients

2021 ◽  
Vol 14 (1) ◽  
pp. 22-31
Author(s):  
Elaheh Salamat ◽  
Farshad Sharifi ◽  
Mohammad Amin Valizade Hasanloei ◽  
Fatemeh Bahramnezhad
Keyword(s):  
Systematic Review ◽  
Pain Assessment ◽  
Self Report ◽  
Detection Accuracy ◽  
Validity And Reliability ◽  
Exclusion Criteria ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Published Evidence ◽  
Ventilated Patients

Introduction: Pain self-report is the gold standard of pain assessment. Mechanically ventilated patients cannot self-report the pain due to the presence of a tracheal tube and changes in the level of consciousness caused by sedation, exposing them to the risk of inadequate pain management that leads to psychological and physiological consequences. This study aimed to present a review of the published evidence and studies concerning the scales used in pain assessment in mechanically ventilated patients according to their psychometric characteristics and application in the nursing practice. Methods: We conducted a systematic review following PRISMA guidelines. National and international journals in such databases as Science Direct, PubMed, EMBASE, Pro Quest Central, Web of Science, SID, and Magiran were searched using Persian and English keywords, and retrieved articles were included in this review based on the inclusion and exclusion criteria. Results: 22 articles were included in this review based on the inclusion and exclusion criteria. According to the research objectives, findings were extracted from selected articles and reviewed in two sections: 1] validity and reliability, and 2] clinical application. Conclusion: Scales of CPOT and BPS are superior to NVPS, and a combination of BPS and CPOT improves the pain detection accuracy, and vital symptoms should be used cautiously for pain assessment along with objective measures due to poor evidence. Moreover, rapid and effective pain relief plays an important role in the improvement of psychological and physiological consequences.

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