Is Incisura Fibularis a Reliable Landmark for Assessing Syndesmotic Stability? A Systematic Review of Morphometric Studies

2016 ◽  
Vol 10 (3) ◽  
pp. 246-251 ◽  
Author(s):  
Akilesh Anand Prakash

Incisura fibularis (IF) is an important landmark in assessing syndesmotic stability radiologically postinjury. The purpose of this review was to explore the anatomy and morphometrics of this widely used anatomical landmark and to further the understanding of the same. A systematic review was conducted online using PubMed and Google Scholar, per PRISMA guidelines. Predefined eligibility criteria were applied, and the data thus compiled were analyzed. Wide variability in morphometrics and, thus, anatomy of IF were observed in the present review, which was influenced by gender. There was no side-to-side variability seen in this study. The study stresses the need to consider the anatomical and gender-based variability while assessing syndesmotic stability and further supports the recommendation of side-to-side comparison. Levels of Evidence: Anatomical, Level V

Author(s):  
Andreea C. Brabete ◽  
Lorraine Greaves ◽  
Natalie Hemsing ◽  
Julie Stinson

There is evidence that sex- and gender-related factors are involved in cannabis patterns of use, health effects and biological mechanisms. Women and men report different cannabis use disorder (CUD) symptoms, with women reporting worse withdrawal symptoms than men. The objective of this systematic review was to examine the effectiveness of cannabis pharmacological interventions for women and men and the uptake of sex- and gender-based analysis in the included studies. Two reviewers performed the full-paper screening, and data was extracted by one researcher. The search yielded 6098 unique records—of which, 68 were full-paper screened. Four articles met the eligibility criteria for inclusion. From the randomized clinical studies of pharmacological interventions, few studies report sex-disaggregated outcomes for women and men. Despite emergent evidence showing the influence of sex and gender factors in cannabis research, sex-disaggregated outcomes in pharmacological interventions is lacking. Sex- and gender-based analysis is incipient in the included articles. Future research should explore more comprehensive inclusion of sex- and gender-related aspects in pharmacological treatments for CUD.


Hand ◽  
2020 ◽  
pp. 155894472097436
Author(s):  
Rowa H. M. Taha ◽  
Douglas Grindlay ◽  
Sandeep Deshmukh ◽  
Alan Montgomery ◽  
Tim R. C. Davis ◽  
...  

Metacarpal shaft fractures are common hand injuries that predominantly affect younger patients. There is wide variability in their treatment with no consensus on best practice. We performed a systematic review to assess the breadth and quality of available evidence supporting different treatment modalities for metacarpal shaft fractures of the finger digits in adults. A comprehensive search was conducted across multiple databases, in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A total of 1600 records were identified; 7 studies fulfilled eligibility criteria and were included. No randomized controlled trials directly comparing surgery with nonsurgical treatment were found. One retrospective study compared nonsurgical with surgical treatment, whereas 6 compared surgical or nonsurgical treatments. Considerable heterogeneity between studies along with a high or critical risk of bias restricts direct comparison and conclusions. There is a lack of high-quality evidence to guide treatment, supporting the need for well-designed, multicenter trials to identify the most effective and cost-efficient treatment for metacarpal shaft fractures in adults.


2019 ◽  
pp. 152483801987569
Author(s):  
Julie E. Williams ◽  
Wendy Gifford ◽  
Brandi Vanderspank-Wright ◽  
J. Craig Phillips

Indigenous women experience a disproportionate burden of intimate partner violence (IPV) compared to other women in post-colonial countries such as Canada. Intersections between IPV and other forms of structural violence including racism and gender-based discrimination create a dangerous milieu where ‘help seeking’ may be deterred and poor health outcomes occur. The aim of this review was to explore the perspectives of First Nations, Métis and Inuit (FNMI) women living in Canada about how violence influenced their health and wellbeing. This systematic review of qualitative research used thematic analysis to produce a configurative synthesis. A comprehensive search of electronic databases was conducted. Two reviewers screened studies for relevance and congruence with eligibility criteria. Sixteen studies were included in the review. Four themes with subthemes emerged: 1) ruptured connections between family and home, 2) that emptiness… my spirit being removed, 3) seeking help and being unheard, and 4) a core no one can touch. Together these themes form complex pathways that influenced health among women exposed to violence. Findings from this review highlight the need for collaboration with FNMI women and their communities to prevent IPV and ensure access to trauma and violence informed care (TVIC). The strength and resiliency of FNMI women is fundamental to healing from violence. Working with FNMI women and their communities to build effective interventions and promote culturally meaningful care will be important directions for researchers and policy makers.


2020 ◽  
Vol 64 ◽  
pp. 102365
Author(s):  
Amanda Alderton ◽  
Nicola Henry ◽  
Sarah Foster ◽  
Hannah Badland

2009 ◽  
Vol 48 (175) ◽  
Author(s):  
Sunil Kumar Joshi ◽  
S Shrestha

Introduction: Nepal lacks suffi cient data on injury and violence. Studies have been done in differentregions but there is not a nationwide study on this topic. So, we have designed this systematic reviewto get a cumulative picture of injury and violence status in Nepal.Methods: We searched Medline database, Google scholar database and also all the national medicaljournals for relevant studies on injuries and violence. Our eligibility criteria included studies donein Nepal, evaluating the incidence of different forms of injuries, and their causes and effects. Weexcluded case reports, editorials and reviews. All together, we had 23 studies. We made cumulativeanalysis wherever possible.Results: All the studies were descriptive. In overall, the incidence of injuries was twice as commonin male as in female with the ratio of 2.1:1. The economically active population between 20-50 yearsof age was mostly involved in injuries. Road traffi c injuries were the most common form of injuries,most of which (42.5%) involved motorcycles. Pedestrians (48.6%) were the most vulnerable group ofpopulation. Falls (48.9%) were the most common cause of neuro traumatic accidents.Conclusions: Our systematic review suggests that injuries and violence pose a big problem; roadtraffi c accidents make the most part of it.Key Words: burn, falls, injury, ocular trauma, road traffi c accident


2020 ◽  
Vol 50 (4) ◽  
pp. 285-291 ◽  
Author(s):  
Reza Shafiei ◽  
Mohammad T Rahimi ◽  
Reza Zolfaghari Emameh ◽  
Mehdi Mirzaei ◽  
Gregorio Perez-Cordon ◽  
...  

Although human toxocariasis can lead to serious complications including neurological, ocular and visceral complications, there is a lack of comprehensive epidemiological information about the seroprevalence of Toxocara species in humans. In the present study, we analysed and reviewed the overall seroprevalence of human toxocariasis in Iran. The data collection was systematically undertaken on published articles using the PubMed, Google Scholar, ScienceDirect and Scopus databases. A total of 27 studies from the past two decades reporting seroprevalence of human toxocariasis met our eligibility criteria. The pooled proportion of Toxocara infection was estimated as 6.58% (95% confidence interval = 3.98–9.77). A wide variation between different studies was observed (Q statistic = 799.37, df = 26, P < 0.0001, and I2 = 96.7%). The seroprevalence rate of toxocariasis in the Iranian population is relatively high; contamination of the environment by eggs from the host as well as from household dogs and cats should be blamed.


2020 ◽  
Vol 49 (1) ◽  
pp. 31-53
Author(s):  
Cristina Cruz-González ◽  
Carmen Lucena Rodríguez ◽  
Jesús Domingo Segovia

There is growing interest in the role that principals play as school leaders. Exploring how principals build their professional leadership identity is crucial to understanding their influence on school performance. A systematic review was conducted to examine how educational leaders develop their professional identity. Our objectives were: (a) to identify the factors that determine how educational leaders develop their professional identity; (b) to identify shared traits of educational leadership identity; and (c) to describe the implications that the results obtained may have for research and professional practice. A literature search on Web of Science (WOS), SCOPUS and Education Resources Information Center (ERIC) yielded a total of 38 articles published in international journals. Thematic analysis was conducted using the Nvivo software package. Emerging topics include: leadership identity of school principals as the key to educational success; influence of politics and context on the construction of principals’ professional identity; race- and gender-based barriers to the development of leadership identity; and the influence of experience, training and transition on the construction of a professional leadership identity.


2021 ◽  
Vol 9 (1) ◽  
pp. 1-12
Author(s):  
Ninik Ambar Sari ◽  
Merina Widyastuti ◽  
Putri Aprilia Rifah

The critical care room is an independent hospital with special staff and special equipment for observation, care and therapy of patients suffering from life-threatening illnesses, injuries or complications. Families in critical rooms usually experience anxiety, fear, and panic. One of the efforts to reduce anxiety is to get closer to God Almighty to increase spirituality. The review aims to obtain information about the spiritual level with anxiety in patients' families in critical care rooms at the hospital. A systematic review was carried out using the PRISMA (Prefered Reporting Items for Systematic Reviews and Meta-analysis) reporting technique with article selection using eligibility criteria. Search journals using Elsevier, PubMed, ScienceDirect, Google Scholar, Springer, and ProQuest databases from June to July 2021. Using English keywords, three journals are obtained; through Indonesian, six journals are obtained. The results of nine journals that have been analyzed by researchers as a whole are 57.5% of good family spiritual and 52.5% moderate family anxiety. This decrease in anxiety was caused by the spiritual services provided to respondents in the form of praying. The spiritual approach can be used as input for nurses to provide interventions to all patients' families in the hospital, especially those who experience anxiety.  


2022 ◽  
Vol 13 (2) ◽  
pp. 25-39
Author(s):  
Tiago de Oliveira Silva ◽  
Luis do Nascimento Ortega

There is a growing concern about the multi-resistant capabilities presented by microorganisms to antimicrobials. Society is harmed by the redirection of financial resources from other areas, also lacking the population, to purchase more potent antimicrobials and in larger quantities. This study describes the consumption of antimicrobial drugs and their impact generated through a systematic review, following the recommendations of the Prisma method. Searches were performed in four databases (Portal BVS, PubMed, Embase and Science Direct). A total of 196 articles were found, 11 of which were selected after applying the eligibility criteria. A prospective study showed that the difference in expenditures can reach $31.17 patients/day between prophylactics and those with nosocomial infections. Studies have shown that the increase in costs is related to the increase in the length of stay. Mortality and admission to the ICU also increased. Further studies with high levels of evidence are recommended.


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