Oral Sensory-Motor Intervention for Children and Adolescents (3-18 Years) With Dysphagia or Impaired Saliva Control Secondary to Congenital or Early-Acquired Disabilities: A Review of the Literature, 2000 to 2016

2018 ◽  
Vol 127 (12) ◽  
pp. 978-985
Author(s):  
Lotta Sjögreen ◽  
Margareta Gonzalez Lindh ◽  
Madeleine Brodén ◽  
Corinna Krüssenberg ◽  
Irvina Ristic ◽  
...  
Keyword(s):  
Developmental Disabilities ◽  
Children And Adolescents ◽  
Systematic Reviews ◽  
Study Groups ◽  
Evidence Base ◽  
Review Of The Literature ◽  
Assessment Development ◽  
Oral Sensory ◽  
Sensory Motor ◽  
Grade Scale

Objectives: Dysphagia and impaired saliva control are common in children and adolescents with congenital and developmental disabilities. The aim of the present review was to investigate the evidence base for oral sensory-motor interventions in children and adolescents with dysphagia or impaired saliva control secondary to congenital or early-acquired disabilities and to make recommendations regarding methods for intervention. Methods: A review of the literature from 2000 to 2016, including oral sensory-motor intervention studies for children and adolescents (3-18 years of age) with dysphagia or impaired saliva control secondary to congenital or early-acquired disabilities, was performed. The literature search included the PubMed, CINAHL, Medline, SpeechBITE, OVID, ERIC, Cochrane, and Google Scholar databases. Primary studies were evaluated on a 4-grade scale using the Grading of Recommendations Assessment, Development and Evaluation. Results: Twenty primary studies of oral sensory-motor interventions for dysphagia and 6 studies for the treatment of impaired saliva control fulfilled the inclusion criteria. Of these, 3 were randomized, controlled trials. Five systematic reviews and 16 narrative reviews were also included. Limited and moderately strong recommendations were made on the basis of the grading results from the primary studies. The studies reported good results, but study design was often insufficient, and the study groups were small. The systematic reviews confirmed the lack of high scientific support for oral sensory-motor interventions in children and adolescents with congenital and developmental disabilities. Conclusions: There is an urgent need for high-quality studies that could serve as the basis for strong recommendations relating to oral sensory-motor interventions for children with dysphagia and impaired saliva control.

scholarly journals The Evidence-Base for Psychodynamic Psychotherapy With Children and Adolescents: A Narrative Synthesis

2021 ◽  
Vol 12 ◽  
Author(s):  
Nick Midgley ◽  
Rose Mortimer ◽  
Antonella Cirasola ◽  
Prisha Batra ◽  
Eilis Kennedy
Keyword(s):  
Children And Adolescents ◽  
Systematic Reviews ◽  
Psychodynamic Psychotherapy ◽  
Clinical History ◽  
Evidence Base ◽  
Small Sample ◽  
Psychodynamic Therapy ◽  
Narrative Synthesis ◽  
High Quality Research ◽  
Wide Range

Despite a rich theoretical and clinical history, psychodynamic child and adolescent psychotherapy has been slow to engage in the empirical assessment of its effectiveness. This systematic review aims to provide a narrative synthesis of the evidence base for psychodynamic therapy with children and adolescents. Building on two earlier systematic reviews, which covered the period up to 2017, the current study involved two stages: an updated literature search, covering the period between January 2017 and May 2020, and a narrative synthesis of these new studies with those identified in the earlier reviews. The updated search identified 37 papers (28 distinct studies). When combined with papers identified in the earlier systematic reviews, this resulted in a combined total of 123 papers (82 distinct studies). The narrative synthesis of findings indicates that there is evidence of effectiveness for psychodynamic therapy in treating a wide range of mental health difficulties in children and adolescents. The evidence suggests this approach may be especially effective for internalizing disorders such as depression and anxiety, as well as in the treatment of emerging personality disorders and in the treatment of children who have experience of adversity. Both the quality and quantity of empirical papers in this field has increased over time. However, much of the research demonstrates a range of methodological limitations (small sample sizes, lack of control groups etc.), and only 22 studies were Randomized Controlled Trials. Further high-quality research is needed in order to better understand the effectiveness of psychodynamic psychotherapy for children and young people.

Grey Zone Lymphoma in Children and Adolescents: Experience of Pediatric Hodgkin and Non-Hodgkin Study Groups

2014 ◽  
Vol 226 (02) ◽  
Author(s):  
B Burkhardt ◽  
D Körholz ◽  
W Klapper ◽  
W Woessmann ◽  
C Mauz-Körholz
Keyword(s):  
Children And Adolescents ◽  
Study Groups ◽  
Grey Zone

scholarly journals A Human Machine Hybrid Approach for Systematic Reviews and Maps in International Development and Social Impact Sectors

Forests ◽  
2021 ◽  
Vol 12 (8) ◽  
pp. 1027
Author(s):  
Murat Sartas ◽  
Sarah Cummings ◽  
Alessandra Garbero ◽  
Akmal Akramkhanov
Keyword(s):  
International Development ◽  
Systematic Reviews ◽  
Digital Literacy ◽  
Social Impact ◽  
Semantic Analysis ◽  
Hybrid Approach ◽  
Evidence Base ◽  
Societal Relevance ◽  
Lexical Databases ◽  
Very High

The international development and social impact evidence community is divided about the use of machine-centered approaches in carrying out systematic reviews and maps. While some researchers argue that machine-centered approaches such as machine learning, artificial intelligence, text mining, automated semantic analysis, and translation bots are superior to human-centered ones, others claim the opposite. We argue that a hybrid approach combining machine and human-centered elements can have higher effectiveness, efficiency, and societal relevance than either approach can achieve alone. We present how combining lexical databases with dictionaries from crowdsourced literature, using full texts instead of titles, abstracts, and keywords. Using metadata sets can significantly improve the current practices of systematic reviews and maps. Since the use of machine-centered approaches in forestry and forestry-related reviews and maps are rare, the gains in effectiveness, efficiency, and relevance can be very high for the evidence base in forestry. We also argue that the benefits from our hybrid approach will increase in time as digital literacy and better ontologies improve globally.

scholarly journals Active Video Games for Improving Mental Health and Physical Fitness—An Alternative for Children and Adolescents during Social Isolation: An Overview

2021 ◽  
Vol 18 (4) ◽  
pp. 1641 ◽  
Author(s):  
Isis Kelly dos Santos ◽  
Rafaela Catherine da Silva Cunha de Medeiros ◽  
Jason Azevedo de Medeiros ◽  
Paulo Francisco de Almeida-Neto ◽  
Dianne Cristina Souza de Sena ◽  
...  
Keyword(s):  
Mental Health ◽  
Video Games ◽  
Physical Fitness ◽  
Children And Adolescents ◽  
Social Isolation ◽  
Systematic Reviews ◽  
Cochrane Library ◽  
Active Video Games ◽  
Moderate Quality ◽  
Active Video

The aim of this study was to synthesize the evidence on the effects of active video games (AVGs) on mental health, physical fitness and body composition of children and adolescents. A search was conducted in the following databases: PubMed; MEDLINE (by Ovid); SportDiscus, Cochrane library systematic reviews (CENTRAL) and EMBASE with no language restrictions during October 2020. Reviews on the use of AVGs were included in the study. We use the AMSTAR (A MeaSurement Tool to Assess systematic Reviews) scale to analyze the methodological quality of the studies. Seventeen systematic reviews and meta-analyzes were included on the effects of AVGs with 30 to 4728 children and adolescents of both sexes with ages ranging from 6 to 19 years. In five studies, the population was overweight or obese. Regarding the quality, 12 studies were of moderate quality, two had high quality, two had low quality and one showed very low quality. The analyzed data indicate that the use of AVGs with a frequency of 1 to 3 times a week with durations of between 10 and 90 min per day shows positive effects on mental health and physical functioning. There was moderate quality evidence that AVGs can result in benefits for self-esteem, increased energy expenditure, physical activity and reduced body mass index in children and adolescents who used AVGs in the home environment. Further research is needed on this tool to help in the process of social isolation and consequently in promoting health and well-being.

Visual Cortex Alterations in Early and Late Blind Subjects During Tactile Perception

Perception ◽  
2021 ◽  
Vol 50 (3) ◽  
pp. 249-265
Author(s):  
A. Ankeeta ◽  
S. Senthil Kumaran ◽  
Rohit Saxena ◽  
Sada N. Dwivedi ◽  
Naranamangalam R. Jagannathan
Keyword(s):  
Visual Cortex ◽  
Children And Adolescents ◽  
Age Of Onset ◽  
Human Subjects ◽  
Functional Results ◽  
Blood Oxygen Level Dependent ◽  
Tactile Perception ◽  
Blood Oxygen Level ◽  
Sensory Motor ◽  
Post Hoc

Involvement of visual cortex varies during tactile perception tasks in early blind (EB) and late blind (LB) human subjects. This study explored differences in sensory motor networks associated with tactile task in EB and LB subjects and between children and adolescents. A total of 40 EB subjects, 40 LB subjects, and 30 sighted controls were recruited in two subgroups: children (6–12 years) and adolescents (13–19 years). Data were acquired using a 3T MR scanner. Analyses of blood oxygen level dependent (BOLD), functional connectivity (FC), correlation, and post hoc test for multiple comparisons were carried out. Difference in BOLD activity was observed in EB and LB groups in visual cortex during tactile perception, with increased FC of visual with dorsal attention and sensory motor networks in EB. EB adolescents exhibited increased connectivity with default mode and salience networks when compared with LB. Functional results correlated with duration of training, suggestive of better performance in EB. Alteration in sensory and visual networks in EB and LB correlated with duration of tactile training. Age of onset of blindness has an effect in cross-modal reorganization of visual cortex in EB and multimodal in LB in children and adolescents.

scholarly journals Polyphenols and Cognition In Humans: An Overview of Current Evidence from Recent Systematic Reviews and Meta-Analyses

2020 ◽  
pp. 1-15
Author(s):  
Daniel Joseph Lamport ◽  
Claire Michelle Williams
Keyword(s):  
Systematic Reviews ◽  
Evidence Base ◽  
Epidemiological Studies ◽  
Cognitive Outcome ◽  
Current Evidence ◽  
Duration Of Treatment ◽  
Current Evidence Base ◽  
Cognitive Benefits ◽  
Meta Analyses ◽  
The Impact

There is increasing interest in the impact of dietary influences on the brain throughout the lifespan, ranging from improving cognitive development in children through to attenuating ageing related cognitive decline and reducing risk of neurodegenerative diseases. Polyphenols, phytochemicals naturally present in a host of fruits, vegetables, tea, cocoa and other foods, have received particular attention in this regard, and there is now a substantial body of evidence from experimental and epidemiological studies examining whether their consumption is associated with cognitive benefits. The purpose of this overview is to synthesise and evaluate the best available evidence from two sources, namely meta-analyses and systematic reviews, in order to give an accurate reflection of the current evidence base for an association between polyphenols and cognitive benefits. Four meta-analyses and thirteen systematic reviews published between 2017–2020 were included, and were categorised according to whether they reviewed specific polyphenol-rich foods and classes or all polyphenols. A requirement for inclusion was assessment of a behavioural cognitive outcome in humans. A clear and consistent theme emerged that whilst there is support for an association between polyphenol consumption and cognitive benefits, this conclusion is tentative, and by no means definitive. Considerable methodological heterogeneity was repeatedly highlighted as problematic such that the current evidence base does not support reliable conclusions relating to efficacy of specific doses, duration of treatment, or sensitivity in specific populations or certain cognitive domains. The complexity of multiple interactions between a range of direct and indirect mechanisms of action is discussed. Further research is required to strengthen the reliability of the evidence base.

scholarly journals Scoping review assessing the evidence used to support the adoption of mobile health (mHealth) technologies for the education and training of community health workers (CHWs) in low-income and middle-income countries

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e019827 ◽  
Author(s):  
Niall Winters ◽  
Laurenz Langer ◽  
Anne Geniets
Keyword(s):  
Systematic Reviews ◽  
Scoping Review ◽  
Low Income ◽  
Health Workers ◽  
Education And Training ◽  
Evidence Base ◽  
Mobile Technologies ◽  
Middle Income ◽  
And Training ◽  
Formal Theories

ObjectivesUndertake a systematic scoping review to determine how a research evidence base, in the form of existing systematic reviews in the field of mobile health (mHealth), constitutes education and training for community health workers (CHWs) who use mobile technologies in everyday work. The review was informed by the following research questions: does educational theory inform the design of the education and training component of mHealth interventions? How is education and training with mobile technology by CHWs in low-income and middle-income countries categorised by existing systematic reviews? What is the basis for this categorisation?SettingThe review explored the literature from 2000 to 2017 to investigate how mHealth interventions have been positioned within the available evidence base in relation to their use of formal theories of learning.ResultsThe scoping review found 24 primary studies that were categorised by 16 systematic reviews as supporting CHWs’ education and training using mobile technologies. However, when formal theories of learning from educational research were used to recategorise these 24 primary studies, only four could be coded as such. This identifies a problem with how CHWs’ education and training using mobile technologies is understood and categorised within the existing evidence base. This is because there is no agreed on, theoretically informed understanding of what counts as learning.ConclusionThe claims made by mHealth researchers and practitioners regarding the learning benefits of mobile technology are not based on research results that are underpinned by formal theories of learning. mHealth suffers from a reductionist view of learning that underestimates the complexities of the relationship between pedagogy and technology. This has resulted in miscategorisations of what constitutes CHWs’ education and training within the existing evidence base. This can be overcome by informed collaboration between the health and education communities.

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