scholarly journals Practice guideline update summary: Acute treatment of migraine in children and adolescents

Neurology ◽  
2019 ◽  
Vol 93 (11) ◽  
pp. 487-499 ◽  
Author(s):  
Maryam Oskoui ◽  
Tamara Pringsheim ◽  
Yolanda Holler-Managan ◽  
Sonja Potrebic ◽  
Lori Billinghurst ◽  
...  

ObjectiveTo provide evidence-based recommendations for the acute symptomatic treatment of children and adolescents with migraine.MethodsWe performed a systematic review of the literature and rated risk of bias of included studies according to the American Academy of Neurology classification of evidence criteria. A multidisciplinary panel developed practice recommendations, integrating findings from the systematic review and following an Institute of Medicine–compliant process to ensure transparency and patient engagement. Recommendations were supported by structured rationales, integrating evidence from the systematic review, related evidence, principles of care, and inferences from evidence.ResultsThere is evidence to support the efficacy of the use of ibuprofen, acetaminophen (in children and adolescents), and triptans (mainly in adolescents) for the relief of migraine pain, although confidence in the evidence varies between agents. There is high confidence that adolescents receiving oral sumatriptan/naproxen and zolmitriptan nasal spray are more likely to be headache-free at 2 hours than those receiving placebo. No acute treatments were effective for migraine-related nausea or vomiting; some triptans were effective for migraine-related phonophobia and photophobia.RecommendationsRecommendations for the treatment of acute migraine in children and adolescents focus on the importance of early treatment, choosing the route of administration best suited to the characteristics of the individual migraine attack, and providing counseling on lifestyle factors that can exacerbate migraine, including trigger avoidance and medication overuse.


Author(s):  
Nádya Santos Moura ◽  
Maria Luziene Sousa Gomes ◽  
Ivana Rios Rodrigues ◽  
Daniel Lorber Rolnik ◽  
Fabrício Silva Costa ◽  
...  

Abstract Objective To identify the most effective procedures recommended for the prevention of preeclampsia. Data Sources A systematic review was performed in the following databases: Pubmed/MEDLINE, CINAHL, Web of Science, Cochrane and LILACS via the Virtual Health Library (VHL). A manual search was also performed to find additional references. The risk of bias, the quality of the evidence, and the classification of the strength of the recommendations were evaluated using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. Selection of Studies In the initial search in the databases, the total number of articles retrieved was 351, and 2 were retrieved through the manual search; after duplicate articles were removed, 333 citations remained. After a thorough review of the titles and abstracts, 315 references were excluded. Accordingly, 18 articles were maintained for selection of the complete text (phase 2). This process led to the exclusion of 6 studies. In total, 12 articles were selected for data extraction and qualitative synthesis. Data Collection The articles selected for the study were analyzed, and we inserted the synthesis of the evidence in the online software GRADEpro Guideline Development Tool (GDT) (McMaster University and Evidence Prime Inc. All right reserved. McMaster University, Hamilton, Ontário, Canada); thus, it was possible to develop a table of evidence, with the quality of the evidence and the classification of the strength of the recommendations. Data Synthesis In total, seven studies recommended the individual use of aspirin, or aspirin combined with calcium, heparin or dipyridamole. The use of calcium alone or in combination with phytonutrients was also highlighted. All of the studies were with women at a high risk of developing preeclampsia. Conclusion According to the studies evaluated, the administration of aspirin is still the best procedure to be used in the clinical practice to prevent preeclampsia.



2021 ◽  
Vol 37 (12) ◽  
Author(s):  
Walbert de Andrade Vieira ◽  
Vanessa Gallego Arias Pecorari ◽  
Rodolfo Figueiredo-de-Almeida ◽  
Nelson Carvas Junior ◽  
Júlio Vargas-Neto ◽  
...  

Abstract: This study aimed to investigate the prevalence of dental trauma in Brazilian children and adolescents. A systematic review was conducted considering eight databases: MEDLINE (via PubMed), LILACS, BBO, Scopus, Embase, Web of Science, Open Access Theses and Dissertations, and OpenThesis. Only prevalence studies that used a probabilistic sampling method were included, without restriction on year or language of publication. The JBI critical appraisal tools for prevalence studies were used to assess the individual risk of bias. The individual studies were combined in the meta-analysis using the random-effects model. The heterogeneity between the studies was analyzed by Cochran’s Q and the I-square statistics. A meta-regression analysis was performed to evaluate the sources of heterogeneity. The GRADE approach assessed the certainty of evidence across included studies. The search resulted in 2,069 records, of which 36 were included in the study. The eligible studies were published from 2000 to 2021, with a total sample of 40,194 children and adolescents. Most studies (75%) had a low risk of bias. In permanent teeth, the prevalence of dental trauma was 21% (95%CI: 16.0; 26.0) and in deciduous teeth; 35% (95%CI: 26.0; 44.0). The prevalence of dental trauma among boys was higher than among girls for both dentitions. Based on a low certainty, the prevalence of traumatic dental injuries in Brazilian children and adolescents is higher than that found worldwide both in deciduous and permanent teeth. Also, the prevalence of dental trauma among boys is higher than among girls.



2018 ◽  
Vol 37 (2) ◽  
pp. 163 ◽  
Author(s):  
Josefina Rubiales ◽  
Daina Russo ◽  
Juan Pablo Paneiva Pompa ◽  
Rocío González

<p><em><strong>Español</strong></em></p><p>En las últimas décadas ha aumentado el número de publicaciones sobre programas de entrenamiento socioemocional y se consideran como factores protectores que facilitan la adaptación de la persona al contexto y favorecen un mejor afrontamiento ante diferentes situaciones de la vida, así como ante situaciones de estrés. El objetivo del presente trabajo fue realizar una revisión sistemática de programas de entrenamiento socioemocional realizados en niños y adolescentes con el fin de seleccionar los más apropiados. El proceso de búsqueda se efectuó a partir de las bases de datos: PsycInfo, MedLine, ERIC, Red de Revistas Científicas de América Latina y El Caribe, Scielo, PUBMED, con palabras claves en inglés y español. Los resultados muestran que, de los 19 artículos que fueron seleccionados por cumplir con los criterios, se identificaron 17 programas de entrenamiento, la mayoría realizados en España y en el período 2011-2015. Los objetivos fueron, en mayor medida, destinados a entrenar la inteligencia emocional, seguido por los entrenamientos mixtos y en menor medida los destinados a entrenar las habilidades sociales. Se identificaron las técnicas empleadas en estos programas, la duración promedio de las intervenciones, la modalidad de aplicación, los administradores y los destinatarios. Por último, del total de los estudios analizados, la mayoría evidencia efectividad del entrenamiento para algunas de las variables analizadas. La evidencia presentada puede ser de utilidad para investigadores y profesionales del área de la salud y la educación que trabajen con niños y adolescentes.</p><p><em><strong>English</strong></em></p><p>In recent decades the number of publications on social-emotional training programs has increased, achieving consideration as protective factors that facilitate the adaptation of the individual to their context and allow better coping with different life situations, as well as of stressful situations. The objective of the present study was to perform a systematic review of social-emotional training programs in children and adolescents in order to select the most appropriate ones. The search process was carried out in the following databases: PsycInfo, MedLine, ERIC, Red de Revistas Científicas de América Latina y el Caribe, Scielo, PUBMED, with key words in English and Spanish and certain inclusion criteria. The results showed that of the 19 articles that were selected because they met the criteria, 17 training programs were identified, most of them carried out in Spain during the 2011-2015 period. The objectives of these training programs were to a greater extent, adapted to emotional intelligence, followed to a lesser extent by mixed training. The techniques used in these programs were identified, together with the duration of the interventions, the mode of application, the administrators and the recipients. Finally, of the total studies analyzed, most evidenced the effectiveness of training for some of the variables analyzed. The evidence presented may be useful for researchers and professionals in the area of health and education who work with children and adolescents.</p>



2013 ◽  
Vol 18 (2) ◽  
pp. 126-135 ◽  
Author(s):  
Frosso Motti-Stefanidi ◽  
Ann S. Masten

Academic achievement in immigrant children and adolescents is an indicator of current and future adaptive success. Since the future of immigrant youths is inextricably linked to that of the receiving society, the success of their trajectory through school becomes a high stakes issue both for the individual and society. The present article focuses on school success in immigrant children and adolescents, and the role of school engagement in accounting for individual and group differences in academic achievement from the perspective of a multilevel integrative model of immigrant youths’ adaptation ( Motti-Stefanidi, Berry, Chryssochoou, Sam, & Phinney, 2012 ). Drawing on this conceptual framework, school success is examined in developmental and acculturative context, taking into account multiple levels of analysis. Findings suggest that for both immigrant and nonimmigrant youths the relationship between school engagement and school success is bidirectional, each influencing over time the other. Evidence regarding potential moderating and mediating roles of school engagement for the academic success of immigrant youths also is evaluated.



2018 ◽  
Vol 33 (1) ◽  
pp. 30-43 ◽  
Author(s):  
Katie Eklund ◽  
Eric Rossen ◽  
Taylor Koriakin ◽  
Sandra M. Chafouleas ◽  
Cody Resnick


2010 ◽  
Vol 3 (2) ◽  
pp. 156-180 ◽  
Author(s):  
Renáta Gregová ◽  
Lívia Körtvélyessy ◽  
Július Zimmermann

Universals Archive (Universal #1926) indicates a universal tendency for sound symbolism in reference to the expression of diminutives and augmentatives. The research ( Štekauer et al. 2009 ) carried out on European languages has not proved the tendency at all. Therefore, our research was extended to cover three language families – Indo-European, Niger-Congo and Austronesian. A three-step analysis examining different aspects of phonetic symbolism was carried out on a core vocabulary of 35 lexical items. A research sample was selected out of 60 languages. The evaluative markers were analyzed according to both phonetic classification of vowels and consonants and Ultan's and Niewenhuis' conclusions on the dominance of palatal and post-alveolar consonants in diminutive markers. Finally, the data obtained in our sample languages was evaluated by means of a three-dimensional model illustrating the place of articulation of the individual segments.



2016 ◽  
pp. 45-49
Author(s):  
P.N. Veropotvelyan ◽  
◽  
I.S. Tsehmistrenko ◽  
N.P. Veropotvelyan ◽  
N.S. Rusak ◽  
...  

Was to conduct a systematic review of data on the relationship between polymorphisms genes of detoxification system and development of preeclampsia (РЕ). Рresents the main genes of detoxification system (GSTPI, GSTМI, GSTТI, GРХI, ЕРНХI, SOD-2, SOD-3, CYPIAL, MTHЕR, MTR) and their functions. Of interest is the possibility of calculating the individual risk of PE based on the results about the presence of a combination of different polymorphisms in the genotype of the female. Question about early diagnosis of РЕ remains controversial and not fully understood. It is necessary to conduct further in-depth, extended study of this problem. Key words: preeclampsia, oxidative stress, genes of the detoxification system.



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