scholarly journals Algorithmic approach to the lymphatic leak after vascular reconstruction: a systematic review

2021 ◽  
Vol 48 (4) ◽  
pp. 404-409
Author(s):  
Peter John Nicksic ◽  
Kevin Michael Condit ◽  
Harry Siva Nayar ◽  
Brett Foster Michelotti

Background To date, there are no consensus guidelines for management of lymphatic leak in groin vascular reconstruction patients. The goal of this study is to review the relevant literature to determine alternatives for treatment and to design an evidence-based algorithm to minimize cost and morbidity and maximize efficacy.Methods A systematic review of the literature was conducted per Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Two independent reviewers applied agreed-upon inclusion and exclusion criteria to eligible records. Studies that included patients who underwent groin dissection for oncologic diagnoses and level 5 data were excluded. Interventions were then categorized by efficacy using predetermined criteria.Results Our search yielded 333 records, of which eight studies were included. In four studies, the success of lymphatic ligation ranged from 75% to 100%, with average days to resolution ranging from 0 to 9. Conservative management in the form of elevation, compression, and bedrest may prolong time to resolution of lymphatic leak (14–24 days) and therefore cost.Conclusions The majority of patients should be offered early operative intervention in the form of lymphatic ligation with or without a primary muscle flap. If the patient is not an operative candidate, a trial of conservative management should be attempted before other nonsurgical interventions.

2020 ◽  
Vol 01 ◽  
Author(s):  
Carla Pires ◽  
Ana Fernandes

Background: Natural products are commonly used for treating health problems. These products may be associated with adverse events, which are defined as "noxious and unintended response to a medicinal product" by the European Medicine Agency. Objectives: To identify studies describing at least one adverse event (or with potential to promote an adverse event) related to the use of natural products, as well as to describe the involved product(s) and adverse event(s). Methods: A pre-systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria. Keywords: "natural product(s)" and ["adverse drug reaction(s)" or "adverse effect(s)"]. Screened databases: PubMed, SciELO, DOAJ and Google Scholar. Inclusion criteria: papers describing at least one adverse event associated with the use of natural products and published between 2017 and 2019. Exclusion criteria: Repeated studies, reviews and papers written in other languages than English, Portuguese, French or Spanish. Results: 104 studies were identified (20 PubMed; 0 SciELO; 2 DOAJ; 82 Google Scholar), but only 10 were selected (4 PubMed and 6 Google Scholar): 1 in-vitro study; 2 non-clinical studies, 1 study reporting in-vitro and clinical data and 5 studies were cases reports. Globally, 997 reports of adverse drug reactions with natural products were identified, mainly non-severe cases. Conclusion: Since a limited number of studies was found, we conclude that adverse events due to natural products may be underreported, or natural products may have a good safety profile. This review contributes for assuring the safety of natural products consumers, by evaluating the knowledge/information on the potential adverse events and interactions of these products.


2017 ◽  
Vol 9 (2) ◽  
pp. 39-58 ◽  
Author(s):  
Valerie J.M. Watzlaf ◽  
Leming Zhou ◽  
Dilhari R. DeAlmeida ◽  
Linda M. Hartman

The objective of this systematic review was to systematically review papers in the United States that examine current practices in privacy and security when telehealth technologies are used by healthcare providers. A literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P). PubMed, CINAHL and INSPEC from 2003 – 2016 were searched and returned 25,404 papers (after duplications were removed). Inclusion and exclusion criteria were strictly followed to examine title, abstract, and full text for 21 published papers which reported on privacy and security practices used by healthcare providers using telehealth.  Data on confidentiality, integrity, privacy, informed consent, access control, availability, retention, encryption, and authentication were all searched and retrieved from the papers examined. Papers were selected by two independent reviewers, first per inclusion/exclusion criteria and, where there was disagreement, a third reviewer was consulted. The percentage of agreement and Cohen’s kappa was 99.04% and 0.7331 respectively. The papers reviewed ranged from 2004 to 2016 and included several types of telehealth specialties. Sixty-seven percent were policy type studies, and 14 percent were survey/interview studies. There were no randomized controlled trials. Based upon the results, we conclude that it is necessary to have more studies with specific information about the use of privacy and security practices when using telehealth technologies as well as studies that examine patient and provider preferences on how data is kept private and secure during and after telehealth sessions.Keywords: Computer security, Health personnel, Privacy, Systematic review, Telehealth 


Jurnal NERS ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. 76 ◽  
Author(s):  
Ardila Lailatul Barik ◽  
Rizki Agustin Purwaningtyas ◽  
Dwi Astuti

Introduction: The use of health promotion media in the digital era, such as e-health and m-health, is increasing. However, traditional health promotion media, such as posters and leaflets, are still used. This review aimed to identify the effectiveness of the use of traditional health promotion media (leaflets and posters) in a community setting in the digital era.Methods: The data was gathered using the following steps: (1) determining the topic, (2) determining the keyword chain, (3) looking for the relevant literature in the database and (4) analyzing the article. The search using a predetermined keyword chain in Scopus, Science Direct and Sage Journals produced 208 publications.Results: After applying the inclusion and exclusion criteria, 16 publications were selected for review.Conclusion: Traditional health promotion media such as leaflets and posters are still useful in the current digital era, especially for adult respondents. This form of media will be more effective when combined with other media such as videos, telephone interactions, games and others.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Nyan M. Aung ◽  
Kyaw K. Myint

Introduction. Evidence of second canal in permanent mandibular incisors is frequently questioned in dentistry. The difference in evidence between the two teeth is an interesting argument across different countries and ethnicities. So the aim of the systematic review was to investigate the evidence of second canal between permanent mandibular central and lateral incisors in China. Materials and Methods. The papers were selected from the electronic databases and hand searching according to inclusion and exclusion criteria. All qualified studies were judged by the reviewers. The selected studies were checked with Joanna Briggs Institute Critical Appraisal tool for prevalence studies. Finally, three studies were selected for the review and meta-analyses. The proportion of the second canal with its confidence interval and forest plot for the meta-analyses were calculated. Results. The evidences of second canal in permanent mandibular central and lateral incisors in China were 5.6% and 14.1%. Only one study reported bilateral symmetry of the second canal as 58.7% and 76.1% in the two types of teeth. Out of all canal anatomies, Vertucci’s type ΙΙΙ was dominant comprising 4.1% and 11.2% together with other second-canal types comprising 1.4% and 3% in permanent mandibular central and lateral incisors. When the proportions were meta-analyzed, mandibular central incisors had been less numerous OR = 0.35 [0.31, 0.40], 0.33[0.28, 0.39], and 0.42 [0.22, 0.79] in the evidence of second canal, of Type ΙΙΙ, and of other types except Type ΙΙΙ than mandibular lateral incisors in China. Out of all second-canal anatomies, Type ΙΙΙ presented 72.5% and 78.9% along with other second-canal types comprising 24.3% and 21.1% in the two teeth in China. Discussion. There was the evidence of second canal which deviated toward the permanent mandibular lateral incisor also in case of bilateral symmetry, the prevalence of Vertucci’s Type ΙΙΙ, and other second-canal types out of all canal anatomies.


2018 ◽  
Vol 21 (2) ◽  
pp. 223-231
Author(s):  
Elisa Priscila Sousa de Assis ◽  
Barbara Gazolla de Macêdo ◽  
Hanna Sette Camara de Oliveira ◽  
Poliana de Paula Dias Rezende ◽  
Carlos Maurício Figueiredo Antunes

Abstract Objective: To evaluate the association between anemia and the onset of the frailty syndrome amongst the elderly living in the community. Method: A systematic literature review of articles from the MEDLINE and LILACS databases published in English, Spanish and Portuguese over the last ten years was carried out. Articles were included in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: The search identified 193 studies. After deleting duplicated articles and applying the exclusion criteria only seven articles remained. Three articles used standardized criteria to define frailty, whereas four evaluated functional capacity as a synonym for the frailty syndrome. Conclusion: Anemia was related to a worsening of functional capacity and to the presence of the frailty syndrome in elderly persons living in the community. However, the risk of bias in the studies was high in relation to the selection of the criteria and instruments used to assess and define frailty.


2021 ◽  
pp. 155005942199712
Author(s):  
Géssika Araújo de Melo ◽  
Marcela Laís Lima Holmes Madruga ◽  
Nelson Torro

Introduction. The evaluation of individuals with fibromyalgia is challenging. Electroencephalography is a promising resource for identifying physiological biomarkers in fibromyalgia, contributing to its diagnosis. Objective. To review studies involving the use of electroencephalography to evaluate individuals with fibromyalgia. Method. A systematic review of studies published in the PubMed, Lilacs, and SciELO databases from 2001 to 2020 was conducted. The keywords used were electroencephalogram, electroencephalography, and fibromyalgia. The database search complied with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) criteria. Results. A total of 136 articles were identified after a database search using the keywords “fibromyalgia” AND “electroencephalography”, and 131 articles were found using the keywords “fibromyalgia” AND “electroencephalogram” (EEG). In the end, 20 articles remained after applying the exclusion criteria. The data was organized into subcategories related to the form of use, protocols, electroencephalographic findings in patients with fibromyalgia, and the EEG analysis method. Conclusion. Electroencephalography is a promising method for identifying and characterizing biomarkers for fibromyalgia.


2020 ◽  
Vol 3 ◽  
pp. 1-15
Author(s):  
Laura McCosker ◽  
Robert Ware ◽  
Martin J. Downes

Background: In comparison to the general population, people who are homeless have poorer health and health-related outcomes, including for vaccine-preventable diseases. Vaccination is safe, effective and cost-effective, and many vaccination guidelines specifically recommend vaccination in people who are homeless. This systematic review will identify interventions which are effective in delivering vaccination to, and/or at improving vaccination rates in, people who are homeless. Methods/Design: This systematic review is presented according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Searches will be undertaken on eight electronic databases, using combinations of search terms and subject headings or index terms. Citation chaining will also be undertaken. Literature will be screened for relevance against inclusion/exclusion criteria firstly by title/abstract and secondly by full text. The selected studies will be assessed for quality using an evidence-based tool appropriate to their methods. Data relevant to the topic will be extracted and examined using meta-analysis and narrative synthesis. Discussion: This systematic review will address an important gap in the literature about vaccination in people who are homeless. The review’s findings are particularly relevant considering the current coronavirus disease (COVID-19) pandemic, which is likely to be managed through vaccination.


2021 ◽  
Vol 6 (2) ◽  
pp. 156-184
Author(s):  
Ting Pick Dew ◽  
Suyansah Swanto ◽  
Vincent Pang

Background and Purpose: This paper presents a comprehensive review of the research on reading comprehension interventions for ESL learners. Although numerous reviews have reported the effectiveness of reciprocal teaching in improving reading outcomes, only few reviews focused on the use of these strategies in ESL contexts. Hence, this review identified, evaluated and synthesized relevant literature in search of the effectiveness of reciprocal teaching and the features that are associated with improved reading comprehension outcomes.   Methodology: Guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), a thorough search was performed on five major databases using the search terms “reciprocal teaching” or “reciprocal reading” and “reading comprehension” or “text comprehension”.   Findings: The comprehensive search resulted in a total of 18 articles. The analysis coded these articles  into eight main themes with four main themes concentrated on the features of the reciprocal teaching interventions: (a) purposes, (b) learning environment, (c) comprehension-monitoring, and (d) scaffolding, and another four main themes on the outcomes of the interventions: (e) results, (f) comprehension outcome measures, (g) reading strategies, and (h) conceptual change.   Contributions: Conclusively, reciprocal teaching fulfilled the key features of effective intervention as significant gains were mostly observed in the research using reciprocal teaching as intervention. The versatility of reciprocal teaching makes the technique adaptable to learners of varying backgrounds, ages and levels of education.   Keywords: reciprocal teaching, reading strategies, interventions, ESL learners, comprehension.   Cite as: Dew, T. P., Swanto, S., & Pang, V. (2021). The effectiveness of reciprocal teaching as reading comprehension intervention: A systematic review.  Journal of Nusantara Studies, 6(2), 156-184. http://dx.doi.org/10.24200/jonus.vol6iss2pp156-184


Animals ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 342
Author(s):  
Sara Mangiaterra ◽  
Giacomo Rossi ◽  
Maria Teresa Antognoni ◽  
Matteo Cerquetella ◽  
Andrea Marchegiani ◽  
...  

In recent years, blood transfusions have been more commonly given to pets. The importance of determining blood groups in dogs and cats is, therefore, well-known for reducing the risk of adverse reactions in the recipient blood caused by a “non-compatible” donor. This systematic review summarizes data from previously published reports and follows the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for systematic reviews. After applying the inclusion and exclusion criteria, we identified 41 eligible studies using different states and blood-typing methods to determine blood groups in dogs. The dog blood groups that were identified between 1999 and 2020 in 17 different countries were combined to yield the DEA (Dog Erythrocyte Antigen), Kai, and Dal groups. These studies were conducted in Europe, America, Africa, and Asia but not in all the countries of these continents. The methods used to determine blood types have also changed over the years. This systematic review highlights gaps in the literature and should advance future studies synthesizing data with methodological rigor.


2021 ◽  
Vol 15 (03) ◽  
pp. 320-325
Author(s):  
Patricia Batista ◽  
Vitor Duque ◽  
Ana Luzio-Vaz ◽  
Anabela Pereira

Introduction: The COVID-19 epidemic has been causing serious physical, but also psychological effects in society. This systematic review sought to identify studies that describe COVID-19 related anxiety, and to understand the impact of anxiety assessment in defining strategies to be implemented in future studies. Methodology: This systematic review included cross-sectional studies with no publication year limit. It was performed a systematic search through three databases, namely, PubMed, Science Direct and Web of Science using the descriptors “COVID-19” and “anxiety”. PRISMA criteria reporting of systematic reviews and meta-analyses were applied. Eligible articles were selected in accordance with inclusion and exclusion criteria. The inclusion criteria were: research articles related with anxiety measurement during the COVID-19 outbreak; interventions to reduce anxiety; and published in English. Results: From 44 references, just four scientific articles were accepted for inclusion within this review. These studies were analyzed regarding their sample, methodology, instruments used, and its results. Conclusions: This systematic review was based on published data at the onset of the pandemic, and it could serve as a basis for the development of implementations plans to improve anxiety disorders. The importance of this theme, the implications and potential directions for future investigations will be discussed.


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