Impairment of Caloric Function After Cochlear Implantation

2015 ◽  
Vol 58 (4) ◽  
pp. 1387-1395 ◽  
Author(s):  
Heide Kuang ◽  
Heather H. Haversat ◽  
Elias M. Michaelides
Keyword(s):  
Systematic Review ◽  
Cochlear Implantation ◽  
English Language ◽  
Review Article ◽  
Slow Phase ◽  
Evidence Based ◽  
Slow Phase Velocity ◽  
Overlapping Data ◽  
Vestibular Symptoms ◽  
Review Current

Purpose This article seeks to review current literature on caloric function following cochlear implantation while analyzing any correlations of caloric function changes with vestibular symptoms. Method This article is a systematic review of evidence-based literature. English language articles published between 1980 and 2014 that presented some form of caloric data from cochlear implant (CI) patients and that did not solely analyze overlapping data from a previous study were reviewed. Twenty-five articles met these criteria. Results Of the 439 individuals tested, 37% of patients demonstrated reduced maximum slow-phase velocity, and 34% had onset of caloric asymmetry post-CI. Conclusions This review article found that cochlear implantation can affect caloric responses but is variable. When counseling patients preoperatively, possible effects of CI on labyrinthine function should be discussed.

scholarly journals Estimating the incubation period of acute Q fever, a systematic review

2018 ◽  
Vol 146 (6) ◽  
pp. 665-672 ◽  
Author(s):  
D. Todkill ◽  
T. Fowler ◽  
J.I. Hawker
Keyword(s):  
Systematic Review ◽  
Incubation Period ◽  
Full Text ◽  
English Language ◽  
Q Fever ◽  
Expert Advice ◽  
Evidence Based ◽  
Individual Level ◽  
Level Data ◽  
Acute Q Fever

AbstractEstimates of the incubation period for Q fever vary substantially between different reviews and expert advice documents. We systematically reviewed and quality appraised the literature to provide an evidence-based estimate of the incubation period of the Q fever by the aerosolised infection route. Medline (OVIDSP) and EMBASE were searched with the search limited to human studies and English language. Eligible studies included persons with symptomatic, acute Q fever, and defined exposure toCoxiella burnetti. After review of 7115 titles and abstracts, 320 records were screened at full-text level. Of these, 23 studies contained potentially useful data and were quality assessed, with eight studies (with 403 individual cases where the derivation of incubation period was possible) being of sufficient quality and providing individual-level data to produce a pooled summary. We found a median incubation period of 18 days, with 95% of cases expected to occur between 7 and 32 days after exposure.

scholarly journals Prevalence and determinants of anemia among women of reproductive age in developing countries of Asia and Africa: A systematic review protocol

2020 ◽  
Author(s):  
Savera Savera ◽  
Sumera Aziz Ali
Keyword(s):  
Systematic Review ◽  
Developing Countries ◽  
English Language ◽  
Reproductive Age ◽  
Evidence Based ◽  
Women Of Reproductive Age ◽  
African Countries ◽  
Cross Sectional ◽  
Review Protocol ◽  
Detailed Search

Abstract Background The burden of anemia among women of reproductive age (WRA) is significantly higher in developing countries. Studies have been conducted to estimate the prevalence and magnitude of anemia among women of reproductive age and its associated factors mainly in African and Asian countries. However, findings from the existing literature are not synthesized in a systematic way to make evidence-based decisions. Given the high burden of anemia in Asian and African countries and an enormous amount of literature on the prevalence and determinants of anemia, there is a need to undertake a systematic review on prevalence and determinants of anemia among WRA in developing countries of Asia and Africa. Hence, the objective of this study is to conduct a systematic review on the prevalence and determinants of anemia among WRA in developing countries of Asia and Africa. This synthesis of literature will help to understand the determinants of anemia to design targeted and context-based interventions primarily for WRA. In addition, this systematic review will also assist policymakers, stakeholders and managers to make informed and evidence-based decisions mainly in developing countries of Asia and Africa.Methods The review will focus on assessing the burden of anemia and its determinants in the developing countries of Asia and Africa. PubMed, CINAHL Plus, Science Direct, Medline and Cochrane will be explored using a detailed search strategy. A study will be considered eligible, if it will be a primary epidemiological research conducted through quantitative observational study designs (cross-sectional, case-control or cohort studies) on prevalence and determinants or only determinants of anemia among WRA (15-49 years) in the developing country of Africa or Asia and published in the English language in a peer-reviewed local or international journal from 2000 to 2020.Discussion This systematic review will provide an opportunity to critically appraise and synthesize the findings from individual studies on the prevalence and determinants of anemia to finally generate a summary. These aggregated findings, in turn, can guide practice and inform policymakers to make evidence-based decisions to address the problem of anemia among women of reproductive age. The results of the review will be disseminated through presentations and peer-reviewed publications.

Bevacizumab for Epistaxis in Hereditary Hemorrhagic Telangiectasia: An Evidence-based Review

2018 ◽  
Vol 32 (4) ◽  
pp. 258-268 ◽  
Author(s):  
Ashleigh A. Halderman ◽  
Matthew W. Ryan ◽  
Bradley F. Marple ◽  
Raj Sindwani ◽  
Douglas D. Reh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hereditary Hemorrhagic Telangiectasia ◽  
English Language ◽  
Angiogenic Factor ◽  
Laser Coagulation ◽  
Evidence Based ◽  
Submucosal Injection ◽  
Humanized Monoclonal Antibody ◽  
Meta Analyses ◽  
Endothelial Growth Factor

Objective Epistaxis is a primary complaint in 90% to 96% of patients with hereditary hemorrhagic telangiectasia (HHT). Numerous surgical and medical treatments aim to decrease the frequency and severity of epistaxis in this patient population. Bevacizumab is a recombinant, humanized monoclonal antibody to vascular endothelial growth factor, an angiogenic factor elevated in HHT. It has been used in several forms to treat epistaxis in HHT but thus far, evidence-based recommendations are limited. Study Design Systematic review with evidence-based recommendations. Methods A systematic review of the literature following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed using Embase, MEDLINE, MEDLINE In-Process/Epub, and Cochrane databases. English language abstracts were reviewed for relevance. Results Eleven manuscripts met inclusion criteria and were analyzed. Submucosal injection, submucosal injection plus laser coagulation, intravenous (IV), and topical formulations of bevacizumab were evaluated for their therapeutic impact on epistaxis in patients with HHT. Three randomized controlled trials failed to show topical bevacizumab to be more effective in controlling epistaxis than saline or other moisturizers. Conclusions The use of submucosal and IV bevacizumab shows promise, but further study is necessary to determine the true efficacy in the treatment of epistaxis as only grade C level exists currently. Based on the available literature, the use of topical bevacizumab is not recommended (grade B).

scholarly journals Using the Methodology of Systematic Review of Reviews for Evidence-Based Medicine

1970 ◽  
Vol 29 (6) ◽  
Author(s):  
Edris Hasanpoor ◽  
Jamal Hallajzadeh ◽  
Yibeltal Siraneh ◽  
Ebrahim Hasanzadeh ◽  
Elaheh Haghgoshayie
Keyword(s):  
Systematic Review ◽  
Evidence Based Medicine ◽  
Review Article ◽  
Evidence Based ◽  
Review Of Reviews ◽  
Based Medicine

Systematic Review of Reviews without abstract. Authors' invited you to read the whole review article since it is short.

scholarly journals Complementary and Alternative Medicine: The Mozart Effect on Childhood Epilepsy—A Systematic Review

2017 ◽  
Vol 34 (1) ◽  
pp. 28-37 ◽  
Author(s):  
Dana E. Brackney ◽  
Jessica L. Brooks
Keyword(s):  
Systematic Review ◽  
English Language ◽  
Rating Scale ◽  
Seizure Activity ◽  
Experimental Studies ◽  
Evidence Based ◽  
Inclusion Criteria ◽  
Mozart Effect ◽  
Epileptiform Discharges ◽  
Quasi Experimental

This systematic review examines the effectiveness of Mozart’s music in decreasing seizures in children with epilepsy (Mozart Effect) using the Johns Hopkins Nursing Evidence-Based Practice rating scale©. A search for articles with “Mozart Effect,” “child*,” and “epilepsy” was conducted in CINAHL Complete, Science Direct, Cochrane, and PubMed databases. Eight studies were selected based on the exclusion and inclusion criteria after removal of duplicates ( n = 17) and others ( n = 46). Studies included were English language, peer reviewed, published between April 2010 and February 2017, and available in full text with an abstract. Quasi-experimental studies demonstrate that the Mozart Effect May reduce epileptiform discharges or seizures in children and has potential as an adjunct to medical management of seizure activity or alone when medication or surgery is not accepted. A causal relationship between the music of Mozart and decreased seizure activity has yet to be demonstrated.

scholarly journals Medical Informatics Applications in COVID-19 Crisis Control: Protocol for Systematic Literature Review

2021 ◽  
Vol 10 (1) ◽  
pp. 56
Author(s):  
Saeed Eslami HassanAbady ◽  
Raheleh Ganjali
Keyword(s):  
Systematic Review ◽  
Medical Informatics ◽  
English Language ◽  
World Health ◽  
Medical Informatics Applications ◽  
Evidence Based ◽  
Eligibility Criteria ◽  
Screening Process ◽  
Services Delivery ◽  
Health Organization

Introduction: SARS-CoV-2 has disseminated globally, and COVID-19 has been labeled as a public health emergency of global concern by the World Health Organization. Since 2019-nCoV (2019 new coronavirus) has a long incubation period and high infectivity, e-Health and its subsets in medical informatics (MI) have evolved as a suitable solution to enable the continuity of health services delivery. Also, new health care models are required during the COVID-19 pandemic. The proposed systematic review aims to examine and summarize evidence related to medical informatics applications in COVID-19 crisis, as evidence-based approaches. Methods and Analysis: A research team consisting of experts in the fields of medical informatics and systematic review methods were guided this review according to the Cochrane Handbook and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) reporting guidelines. PubMed and Scopus databases were searched. Eligibility criteria for including studies reviewed was randomized and non-randomized controlled trials published in English language. Articles performed on medical informatics applications in COVID-19 pandemic during 2019-2020 were identified. Two independent reviewers will assess articles eligibility and extract data into a spreadsheet using a structured pilot-tested form. Collected data and evidence will be synthesized using a thematic synthesis approach. The risk of bias will be assessed in all included studies using appropriate tools. Results: The literature search led to the identification of a total of 1882 and 854 articles retrieved from the PubMed and Scopus databases, respectively. After removing duplicates, 2716 articles remained and underwent title and abstract screening process. Conclusion: This systematic review aims to identify the applications of medical informatics in COVID-19 pandemic. To the best of our knowledge, this review is the first attempt undertaken to develop an evidence-based method using a systematic review approach.

Vestibular Function and Motion Sickness Susceptibility: Videonystagmographic Evidence From Oculomotor and Caloric Tests

2020 ◽  
Vol 29 (2) ◽  
pp. 188-198
Author(s):  
Cynthia G. Fowler ◽  
Margaret Dallapiazza ◽  
Kathleen Talbot Hadsell
Keyword(s):  
Phase Velocity ◽  
Motion Sickness ◽  
Repeated Measures ◽  
Short Form ◽  
Vestibular Function ◽  
Slow Phase ◽  
Test Results ◽  
Normal Range ◽  
Slow Phase Velocity ◽  
Caloric Tests

Purpose Motion sickness (MS) is a common condition that affects millions of individuals. Although the condition is common and can be debilitating, little research has focused on the vestibular function associated with susceptibility to MS. One causal theory of MS is an asymmetry of vestibular function within or between ears. The purposes of this study, therefore, were (a) to determine if the vestibular system (oculomotor and caloric tests) in videonystagmography (VNG) is associated with susceptibility to MS and (b) to determine if these tests support the theory of an asymmetry between ears associated with MS susceptibility. Method VNG was used to measure oculomotor and caloric responses. Fifty young adults were recruited; 50 completed the oculomotor tests, and 31 completed the four caloric irrigations. MS susceptibility was evaluated with the Motion Sickness Susceptibility Questionnaire–Short Form; in this study, percent susceptibility ranged from 0% to 100% in the participants. Participants were divided into three susceptibility groups (Low, Mid, and High). Repeated-measures analyses of variance and pairwise comparisons determined significance among the groups on the VNG test results. Results Oculomotor test results revealed no significant differences among the MS susceptibility groups. Caloric stimuli elicited responses that were correlated positively with susceptibility to MS. Slow-phase velocity was slowest in the Low MS group compared to the Mid and High groups. There was no significant asymmetry between ears in any of the groups. Conclusions MS susceptibility was significantly and positively correlated with caloric slow-phase velocity. Although asymmetries between ears are purported to be associated with MS, asymmetries were not evident. Susceptibility to MS may contribute to interindividual variability of caloric responses within the normal range.

Developing Evidence-Based Assessment to Prevent Over- or Underidentification of Disorders for New Language Learners

2020 ◽  
Vol 5 (4) ◽  
pp. 1026-1038
Author(s):  
Sandra Levey ◽  
Li-Rong Lilly Cheng ◽  
Diana Almodovar
Keyword(s):  
Language Learners ◽  
Grade Level ◽  
Reading Skills ◽  
Language Disorder ◽  
Academic Development ◽  
Review Article ◽  
Evidence Based ◽  
Clinical Knowledge ◽  
Language And Literacy ◽  
Support Evidence

Purpose The purpose of this review article is to present certain linguistic domains to consider in the assessment of children learning a new language. Speech-language pathologists frequently face difficulty when determining if a bilingual or multilingual child possesses a true speech or language disorder. Given the increased number of new language learners across the world, clinicians must understand differences versus disorders to prevent underidentification or overidentification of a disorder. Conclusions Early identification of a true disorder has been shown to prevent language and literacy difficulties, given that children are able to achieve grade-level reading skills when given intervention. Clinical knowledge and skills are strongly required so that children receive evidence-based assessment to support their academic development. Learning Goal Readers will gain an understanding of the factors that support evidence-based assessment of bilingual and multilingual language learners.

Treatment Considerations for Adolescents Who Exhibit Cognitive/Communication Problems: A Neuroscience Perspective

2020 ◽  
Vol 5 (6) ◽  
pp. 1767-1775
Author(s):  
Martha S. Burns
Keyword(s):  
Social Communication ◽  
Transition Period ◽  
Clinical Intervention ◽  
Review Article ◽  
Sensitive Period ◽  
Clinical Implications ◽  
Evidence Based ◽  
Communication Problems ◽  
Treatment Considerations ◽  
Behavioral Growth

Purpose Adolescence is a period of substantial neurophysiological and behavioral growth, representing a second sensitive period of brain development. It is a psychological and social transition period between childhood and adulthood with many beneficial changes occurring, especially with respect to potential responsiveness to clinical intervention. However, adolescent behavioral complexities introduce clinical challenges as well. The purpose of this review article is to review the current neuroimaging research on neurophysiological changes observed during adolescence and the cognitive and social behavioral counterparts, with specific attention to the clinical implications. The review article will then summarize currently available intervention tools that can be utilized by speech-language pathologists working with this population. It will conclude with available evidence-based social-communication approaches that may be applicable as well as available evidence-based supplemental technological cognitive interventions that may be useful in working with adolescents who exhibit language and communication issues. Conclusion As a transition period between childhood and adulthood, adolescence represents a second sensitive period during which there is opportunity for clinically derived beneficial cognitive and communication growth.

The Speech-Language Assessment of English Language Learning Students: A Non-Standardized Approach

2013 ◽  
Vol 14 (4) ◽  
pp. 95-101 ◽  
Author(s):  
Robert Kraemer ◽  
Allison Coltisor ◽  
Meesha Kalra ◽  
Megan Martinez ◽  
Bailey Savage ◽  
...  
Keyword(s):  
Language Learning ◽  
Language Impairment ◽  
Specific Language Impairment ◽  
English Language ◽  
Language Assessment ◽  
The United States ◽  
English Language Learning ◽  
Assessment Practices ◽  
Evidence Based ◽  
English Speaking

English language learning (ELL) children suspected of having specific-language impairment (SLI) should be assessed using the same methods as monolingual English-speaking children born and raised in the United States. In an effort to reduce over- and under-identification of ELL children as SLI, speech-language pathologists (SLP) must employ nonbiased assessment practices. This article presents several evidence-based, nonstandarized assessment practices SLPs can implement in place of standardized tools. As the number of ELL children SLPs come in contact with increases, the need for well-trained and knowledgeable SLPs grows. The goal of the authors is to present several well-establish, evidence-based assessment methods for assessing ELL children suspected of SLI.

Sign in / Sign up

Export Citation Format

Share Document