Efficacy of diathermy on healing power of cesarean section scar: A randomized control trail

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Amgad Mohamed Abdel Monem Mehawed ◽  
Mohamed Abd Elfattah Elsenity ◽  
Kareem Mohamed Labib ◽  
Mohammed AbdElHameed M NasrAdDeen
Keyword(s):  
Blood Loss ◽  
Data Extraction ◽  
Controlled Trial ◽  
Cesarean Sections ◽  
Eligibility Criteria ◽  
Developed Country ◽  
Post Operative Pain ◽  
Healing Power ◽  
Ethical Approval ◽  
Study Quality Assessment

Abstract Background Over several decades, has come to a dramatic increase In the number of cesarean sections performed across the world, especially in developed country The use of diathermy in the opening of anterior abdominal wall during CS decreases blood loss and operative time. The current study will investigate if diathermy cutting from skin through anterior abdominal is better or the same in cosmoses and post-operative pain Objective To compare the effects of electro-surgery on healing power of CS scar as a primary outcome (from skin to the peritoneum. A randomized controlled trial Data Sources Medline databases (PubMed, Medscape, ScienceDirect. EMF-Portal) and all materials available in the Internet till 2019. Data Extraction If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures. Conclusion Our study showed that with the use of diathermy for incising skin during CS is not inferior to the use of scalpel regarding healing power of the scar but also adds benefits of decreasing post-operative pain. Therefore the use of diathermy can be safely recommended for the opening of the skin during cesarean sections as it decrease post-operative pain and blood loss.

Surgical Outcomes and adverse effects for Minimally Invasive versus Open Posterior Lumbar Interbody Fusion

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Abdelsalam Wafa ◽  
Tameem Shafik Elkhateeb ◽  
Reda Shaaban Abdelhameed
Keyword(s):  
Minimally Invasive ◽  
Interbody Fusion ◽  
Data Extraction ◽  
Posterior Lumbar Interbody Fusion ◽  
Minimal Invasive ◽  
Lumbar Interbody Fusion ◽  
Eligibility Criteria ◽  
Safe Alternative ◽  
Ethical Approval ◽  
Long Term Follow Up

Abstract Background Minimal invasive techniques for lumbar interbody fusion is a novel surgical procedure developed to reduce approach-related morbidity associated with traditional open techniques. Objective To determine the clinical comparative effectiveness and adverse event rates of posterior minimally invasive surgery (MIS) compared to open transforaminal or posterior lumbar interbody fusion (TLIF/PLIF) for early and late outcomes by using the visual analogue scale for back pain (VAS–back) and the Oswestry Disability Index (ODI). Data Sources Medline databases (PubMed, Medscape, ScienceDirect. EMF-Portal) and all materials available in the Internet till 2018. Data Extraction If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures. Conclusion MIS techniques for lumbar interbody fusion is a safe alternative for classic open procedures but due to the limited number of the included RCTs, more well-designed multicenter RCTs with larger sample sizes and long-term follow-up are still needed to compare the clinical efficacy and safety of both techniques.

scholarly journals Role of MSCT in Diagnosis of Interstitial Lung Disease in Children

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
K A Ahmad ◽  
L A Hegazy ◽  
M A Nasr ◽  
A A A Matar
Keyword(s):  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Data Extraction ◽  
Systemic Disease ◽  
Imaging Study ◽  
Eligibility Criteria ◽  
Data Synthesis ◽  
Study Selection ◽  
Ethical Approval

Abstract Introduction Children interstitial lung dieses (CHILD) is a heterogeneous group of disorders that overlap with ILD seen in adults, some are primary lung disorders while others are associated with systemic disease processes. Objectives This review aims to role of MSCT in Diagnosis of Interstitial Lung Disease in Children. Data Sources Medline databases (PubMed, Medscape, Science Direct. EMF-Portal) and all materials available in the Internet till 2018. Study Selection This search presented 55 articles. The articles studied the Role of MSCT in Diagnosis of Interstitial Lung Disease in Children. Data Extraction If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures. Data Synthesis Comparisons were made by structured review with the results tabulated. Conclusions MSCT continues to be the preferred imaging study for the initial evaluation of suspected child.

Comparison of Milligan Morgan Hemorrhoidectomy and Stapled Hemorrhoidectomy In Recent Years For Patients With Grade III And IV Hemorrhoids: A Meta-Analysis

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Kandel Abd-Elfattah ◽  
Ibrahim Magid Abd-Elmaksud ◽  
Aya Essam Mohamed Abd-Elmoniem
Keyword(s):  
Data Extraction ◽  
Meta Analysis ◽  
Current Evidence ◽  
Anal Stenosis ◽  
Stapled Hemorrhoidectomy ◽  
Eligibility Criteria ◽  
Surgical Methods ◽  
Internal Hemorrhoids ◽  
Ethical Approval ◽  
Grade Iii

Abstract Background Hemorrhoids are one of the most common conditions in the world, and grade III and IV internal hemorrhoids are mainly treated with surgery. However, there are many different surgical methods, and many postoperative complications occur. Therefore, we aimed to compare of milligan morgan (MM) hemorrhoidectomy and stapled hemorrhoidectomy (ST) for patients with grade III And IV Hemorrhoids. Objective To compere between Milligan-Morgan hemorrhoidectomy and Stapled hemorrhoidectomy as regards postoperative anal stenosis and fecal incontinence in recent years for treatment grade III and IV hemorrhoids using a meta-analysis approach. Data Sources Medline databases (PubMed, Medscape, ScienceDirect. EMF-Portal) and all materials available in the Internet till 2020. Data Extraction If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures. Conclusion It is concluded that ST appeared to be the best surgical procedure than MM for grade III and IV hemorrhoids based on the current evidence.

Recent management of surgically correctable hypertension

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Emad EL-Din Farid Ibrahim ◽  
Shaaban Mohammed Abd-Elmgeed ◽  
Fawzy Salah Fawzy Eweda ◽  
Gerges Hosney Loka Felebs
Keyword(s):  
Renal Artery ◽  
Data Extraction ◽  
Young Patients ◽  
Life Quality ◽  
Coarctation Of The Aorta ◽  
Secondary Hypertension ◽  
Eligibility Criteria ◽  
Obstructive Sleep ◽  
Ethical Approval ◽  
Parenchymal Disease

Abstract Background Surgical hypertension is elevated blood pressure that results from an underlying, identifiable, often correctable cause. Obstructive sleep Apnea, Aldosteronism, presence of renal artery Bruits (suggesting renal artery stenosis), renal parenchymal disease (Bad kidneys), excess Catecholamines, Coarctation of the aorta, Cushing's syndrome, Drugs, Diet, polycythemia, and some neuroendocrine tumors. Objective To assess, through the available literature. The role of surgery in the management of endocrine, renal and vascular causes of hypertension and outcome benefits of surgery. Data Sources Medline databases (PubMed, Medscape, Science Direct. EMF-Portal) and all materials available in the Internet till 2018. Data Extraction If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures. Conclusion Secondary hypertension may be due to underlying correctable cause. Diagnosis and surgical correction of the underlying cause may improve hypertension and improve life quality of the patient especially in young patients resistant to medical therapy for hypertension.

scholarly journals Use of AbobotulinumtoxinA for Cosmetic Treatments in the Neck, and Middle and Lower Areas of the Face: A Systematic Review

Toxins ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 169
Author(s):  
Hassan Galadari ◽  
Ibrahim Galadari ◽  
Riekie Smit ◽  
Inna Prygova ◽  
Alessio Redaelli
Keyword(s):  
Systematic Review ◽  
Masseter Muscle ◽  
Data Extraction ◽  
Controlled Trial ◽  
Cochrane Library ◽  
Eligibility Criteria ◽  
Serious Adverse Events ◽  
Relevant Evidence ◽  
The Face ◽  
Positive Results

AbobotulinumtoxinA (aboBoNT-A) has been used for various cosmetic purposes, including minimization of moderate to severe lines, or other cosmetic indications, in the face and neck. We carried out a systematic review to identify all relevant evidence on the treatment approaches and outcomes of aboBoNT-A as a cosmetic treatment of the middle and lower areas of the face, and the neck. Embase, MEDLINE, Cochrane Library, congress proceedings and review bibliographies were searched for relevant studies. Identified articles were screened against pre-specified eligibility criteria. Of 560 unique articles identified, 10 were included for data extraction (three observational studies, 1 randomized controlled trial [with two articles] and five non-randomized trials). The articles provided data on gummy/asymmetric smile (2), marionette lines (5), masseter muscle volume (2), nasal wrinkles (2), perioral wrinkles (3) and the platysma muscle (4). All articles reporting on efficacy of aboBoNT-A demonstrated positive results, including reduction of wrinkles (5), reduction of masseter muscle (2) and degree of gummy smile (1) compared with before treatment. No serious adverse events were reported and patient satisfaction was high. In conclusion, positive findings support further research of aboBoNT-A for the middle and lower areas of the face, and in the neck, which are largely unapproved indications.

scholarly journals Evidence for the effects of viewing visual artworks on stress outcomes: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e043549
Author(s):  
Mikaela Law ◽  
Nikita Karulkar ◽  
Elizabeth Broadbent
Keyword(s):  
Heart Rate ◽  
Scoping Review ◽  
English Language ◽  
Data Extraction ◽  
Controlled Trial ◽  
Included Study ◽  
Individual Characteristics ◽  
Eligibility Criteria ◽  
Scoping Reviews ◽  
Randomised Controlled

ObjectiveTo review the existing evidence on the effects of viewing visual artworks on stress outcomes and outline any gaps in the research.DesignA scoping review was conducted based on the Joanna Briggs Institute methodology for scoping reviews and using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Two independent reviewers performed the screening and data extraction.Data sourcesMedline, Embase, APA PsycINFO, Cochrane CENTRAL, Scopus, Google Scholar, Google, ProQuest Theses and Dissertations Database, APA PsycExtra and Opengrey.eu were searched in May 2020.Eligibility criteriaStudies were included if they investigated the effects of viewing at least one visual artwork on at least one stress outcome measure. Studies involving active engagement with art, review papers or qualitative studies were excluded. There were no limits in terms of year of publication, contexts or population types; however, only studies published in the English language were considered.Data extraction and synthesisInformation extracted from manuscripts included: study methodologies, population and setting characteristics, details of the artwork interventions and key findings.Results14 primary studies were identified, with heterogeneous study designs, methodologies and artwork interventions. Many studies lacked important methodological details and only four studies were randomised controlled trials. 13 of the 14 studies on self-reported stress reported reductions after viewing artworks, and all of the four studies that examined systolic blood pressure reported reductions. Fewer studies examined heart rate, heart rate variability, cortisol, respiration or other physiological outcomes.ConclusionsThere is promising evidence for effects of viewing artwork on reducing stress. Moderating factors may include setting, individual characteristics, artwork content and viewing instructions. More robust research, using more standardised methods and randomised controlled trial designs, is needed.Registration detailsA protocol for this review is registered with the Open Science Framework (osf.io/gq5d8).

scholarly journals Guillotine versus dissection tonsillectomy: randomised, controlled trial

2012 ◽  
Vol 126 (11) ◽  
pp. 1142-1149 ◽  
Author(s):  
S J Frampton ◽  
M J A Ward ◽  
V S Sunkaraneni ◽  
H Ismail-Koch ◽  
Z A Sheppard ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Blood Loss ◽  
Operative Time ◽  
Controlled Trial ◽  
Operative Blood Loss ◽  
Post Operative Pain ◽  
Significant Difference ◽  
Secondary Haemorrhage ◽  
Randomised Controlled ◽  
Cold Steel Dissection

AbstractObjective:This trial aimed to compare the guillotine technique of tonsillectomy with ‘cold steel’ dissection, the current ‘gold standard’.Design:A single centre, randomised, controlled trial.Methods:One hundred children aged 3 to 11 years who were listed for bilateral tonsillectomy were recruited. Patients had one tonsil removed by each technique, and were blinded to the side. The operative time, intra-operative blood loss, haemostasis requirement and post-operative pain scores were recorded and compared.Results:Operative time and intra-operative blood loss were both significantly less for the guillotine technique (p < 0.001) and there was a significantly reduced haemostasis requirement (p < 0.001). Pain was also less on the guillotine side (p < 0.001). There were no tonsillar remnants or palatal trauma for either technique. There was no significant difference between techniques in the frequency of secondary haemorrhage.Conclusion:This study provides level Ib evidence that guillotine tonsillectomy in children with mobile tonsils is an effective and time-efficient procedure which produces less intra-operative blood loss and post-operative pain than cold steel dissection.

scholarly journals What Is Known about Community Pharmacy-Based Take-Home Naloxone Programs and Program Interventions? A Scoping Review

Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 30
Author(s):  
Ashley Cid ◽  
George Daskalakis ◽  
Kelly Grindrod ◽  
Michael A. Beazely
Keyword(s):  
Community Pharmacy ◽  
Data Extraction ◽  
Controlled Trial ◽  
Grey Literature ◽  
Screening Tools ◽  
Future Research ◽  
Opioid Overdose ◽  
Patient Knowledge ◽  
Knowledge Gaps ◽  
Eligibility Criteria

A variety of new sources describing community pharmacy-based take-home naloxone (THN) programs have emerged recently in the literature. There is a need to define the types of take-home naloxone programs being offered to support future research designs in implementing and evaluating standardized programs that fill pharmacist and patient knowledge gaps and lift current barriers for optimal community pharmacy naloxone provision. The objective of this paper is to summarize the literature on community pharmacy-based THN programs, including specific program interventions used to increase naloxone dispensing, naloxone availability and dispensing patterns, facilitators and barriers for the THN programs, and knowledge gaps. Online databases such as PubMed, EMBASE, Scopus, and International Pharmaceutical Abstracts (IPA) and a search of the grey literature were used to identify eligible sources. Sources were screened by two reviewers for eligibility in COVIDENCE software. Both reviewers compared screening results and resolved conflicts through discussion. A data extraction form for all identified full texts was completed by both reviewers and results were compiled through reviewer discussion. Fifty-two sources met the eligibility criteria. The top three barriers identified were: cost/coverage of naloxone, stigma, and education/training for pharmacists. THN program interventions included screening tools, checklists, pocket cards, patient brochures, and utilizing the pharmacy management system to flag eligible patients. Patient knowledge gaps included naloxone misinformation and lack of awareness, while pharmacists demonstrated administrative, clinical, and counselling knowledge gaps. Naloxone availability was found to be highly variable, where independent and rural pharmacies were less likely to stock or dispense naloxone. Further, pharmacies located in districts with higher rates of opioid overdose deaths and lower household income were also less likely to have naloxone available. This review identified multiple new programs, showcasing that the implementation and evaluation of THN programs are an expanding area of research. Future research should focus on implementing and evaluating a THN program through a randomized controlled trial design that incorporates solutions for the barriers and knowledge gaps identified in this study.

scholarly journals Characterization and Critical Appraisal of Physiotherapy Intervention Research in Nigeria: A Systematic Review

2021 ◽  
Author(s):  
Martins Nweke ◽  
Emeriewen Ejiroghene ◽  
Henrietta. O. Fawole ◽  
Mshunqane Nombeko
Keyword(s):  
Systematic Review ◽  
Clinical Research ◽  
Data Extraction ◽  
Controlled Trial ◽  
Eligibility Criteria ◽  
Intention To Treat ◽  
Clinical Innovation ◽  
Registration Number ◽  
Clinical Experiments ◽  
Treat Analysis

Abstract Objectives Clinical research is the bedrock of clinical innovation, education and practice. We characterized and critically appraised physiotherapy clinical research to avoid implementing misleading research findings into practice and to task the Nigerian physiotherapy societies on responsible conduct of clinical research. Methods This is a systematic review of articles published in English between 2009 and 2021. We searched Pubmed, Medline, Cumulative Index to Nursing and Allied Health Literature, Academic Search Complete, PsycINFO and African Journal Online, and reference lists of relevant articles. Data were selected and extracted according to predesigned eligibility criteria and using a standardized data extraction table. Where appropriate, the Pedro and Cochrane ROBINS1 were used to examine the risk of bias. Results Of the clinical experiments, the randomized controlled trial (RCT) was the most common design (87.5%). Musculoskeletal conditions (39.3%) were the most studied disorder. Most of the studies (76.8%) were of suboptimal quality. Interventions constituted exercise therapy (76.3%), manual therapy (8.5%) and electrotherapy (8.5%). More than half (67.8%) of the studies recorded medium to large effect sizes. A fair proportion (48.2%) of the studies had a confounding-by-indication bias. A few studies conducted normality tests (10.9%) and intention-to-treat analysis (37.5%). Discussion Of the clinical research, the volume of clinical experiments in the Nigeria Physiotherapy research community is small; notwithstanding, RCT is the most frequent clinical experiment. Physiotherapy interventions especially exercise appears effective, although incongruence between effect size and study quality limits inference. Sources of bias include absent/inadequate covariate analysis, blinding and intention-to-treat analysis approach. Registration: We registered the protocol with PROSPERO. The registration number: CRD42021228514.

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