Post-concussive Signs and Symptoms in Preschool Children: A Systematic Review

BACKGROUND The increasing screen time exposure among young children in general and the reported negative consequences associated with excessive ST, calls for focused strategies to reduce ST, especially among young children. OBJECTIVE This systematic review aimed to identify effective parental intervention strategies to reduce ST among preschool children. METHODS A total of five databases, namely Cochrane Central Register of Controlled Trials, CINAHL, Medline Complete, PubMed, and Scopus, were searched for randomised controlled trials that involved intervention strategies in ST reduction among preschool children. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines were used. RESULTS A total of nine studies were assessed. The results showed that besides providing knowledge and awareness regarding ST, having restrictive practices, offering alternative activities to parents, and removal of screen from child’s bedroom were the most common strategies used by studies that reported successful intervention. Intervention duration of between six to eight weeks was sufficient to produce ST reduction. Face-to-face method was the commonest mode of delivery. Theoretical constructs that aimed at increasing parental self-efficacy, listing outcome expectations, and offering reinforcement of strategies that targeted both the parents and home environment were beneficial in reducing ST. CONCLUSIONS By offering appropriate strategies to parents, a reduction in the amount of ST was observed among the children. Future intervention studies could benefit in exploring culturally adapted strategies, especially in developing countries. Trials of higher quality would also facilitate the drawing of conclusions in future research. CLINICALTRIAL PROSPERO No: CRD42020199398

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The impact of preterm birth on the executive functioning of preschool children: A systematic review

Applied Neuropsychology Child ◽

10.1080/21622965.2021.1915145 ◽

2021 ◽

pp. 1-18

Author(s):

Carolina Cruvinel Sandoval ◽

Cláudia Maria Gaspardo ◽

Maria Beatriz Martins Linhares

Keyword(s):

Systematic Review ◽

Preterm Birth ◽

Preschool Children ◽

Executive Functioning ◽

The Impact

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

Journal of Oral Rehabilitation ◽

10.1111/joor.12380 ◽

2016 ◽

Vol 43 (6) ◽

pp. 468-479 ◽

Cited By ~ 9

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

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

International Journal of Dentistry ◽

10.1155/2014/452737 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 24

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.

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

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2018-313267 ◽

2018 ◽

Vol 103 (3) ◽

pp. 301-306 ◽

Cited By ~ 5

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.

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Systematic Review of Measures Used to Diagnose Attention-Deficit/Hyperactivity Disorder in Research on Preschool Children

Topics in Early Childhood Special Education ◽

10.1177/02711214070270030701 ◽

2007 ◽

Vol 27 (3) ◽

pp. 164-173 ◽

Cited By ~ 15

Author(s):

KatheriNe G. Smith ◽

Penny Corkum

Keyword(s):

Systematic Review ◽

Attention Deficit Hyperactivity Disorder ◽

Preschool Children ◽

Attention Deficit ◽

Hyperactivity Disorder

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

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.64.10.909 ◽

2018 ◽

Vol 64 (10) ◽

pp. 909-915 ◽

Cited By ~ 1

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.

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Parenting Patterns with Sibling Rivalry Incidents in Preschooler: A Systematic Review

D'Nursing and Health Journal (DNHJ) ◽

10.36835/dnursing.v1i2.42 ◽

2020 ◽

Vol 1 (2) ◽

pp. 55-60

Author(s):

Nessy Anggun Primasari ◽

Siti Riskika ◽

Niswa Salamung ◽

Melinda Restu Pertiwi

Keyword(s):

Systematic Review ◽

Preschool Children ◽

Parenting Style ◽

Parenting Styles ◽

Sibling Rivalry ◽

World Health ◽

Journal Articles ◽

Parent Child Interactions ◽

Level Of Knowledge ◽

Health Organization

Introduction: Parenting style is a comprehensive unity between parent-child interactions. Different parenting styles in children have an impact on the incidence of sibling rivalry in preschool children. According to WHO (World Health Organization) the incidence of sibling rivalry in parenting, the known data from research on 52 respondents: democratic parenting (32.7%), authoritarian (3.8%), permissive (46.2%), abandonment (17.3%), there was Sibling Rivalry (65.4%) and there was no Sibling Rivalry (34.6%). This paper aims to assess the effect of parenting style on the incidence of sibling rivalry in preschool children. Method: This writing uses a systematic review design. The data is taken from the Science Direct, Poquest and Google Cendikia databases, with a period of 2016-2020. Search for journals and articles using the keywords parenting (parenting), sibling rivalry, prescooler (pre-school children). Result: There were ten selected journal articles from 2508 journal articles found from three databases. All journal articles say that there is a relationship between the type of parenting style of parents and the incidence of sibling rivalry in preschool children. Discussion: The results of the analysis in this systematic review show that modern parents, who have a level of knowledge that continues to develop, are more proactive in seeking information about parenting styles and sibling rivalry. Conclusion: The majority of parenting styles adopted by parents are democratic parenting so that parents become more pro-active in seeking information about the best parenting styles and the incidence of sibling rivalry.

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