scholarly journals Os Efeitos da Drenagem Linfática Manual no Pós-Cirúrgico da Abdominoplastia: Uma Revisão Integrativa da Literatura / The Effects of Manual Lymphatic Drainage in Post-Surgical Abdominoplasty: An Integrative Literature Review

2021 ◽  
Vol 15 (57) ◽  
pp. 709-719
Author(s):  
Isadora Chagas Correia Santos ◽  
Juliana Amorim Borba Santos
Keyword(s):  
Literature Review ◽  
Postoperative Period ◽  
Lymphatic Drainage ◽  
Integrative Review ◽  
Manual Lymphatic Drainage ◽  
Aesthetic Appearance ◽  
The Aesthetic ◽  
And Function

Resumo: A drenagem linfática manual (DLM) realizada por massagem linfática, no pós-operatório de abdominoplastia com core lipoaspiração, pode promover resolução mais rápida do edema. Dessa forma, este presente estudo tem como objetivo demonstrar o efeito da drenagem linfática na abdominoplastia, expondo a importância do emprego da técnica no pós-operatório imediato para a diminuição de edemas. Trata-se de uma revisão integrativa, realizada através do levantamento nas bases de dados Lilacs, Scielo e Medline. A busca das publicações foi realizada no período de 2016 a 2021, através dos seguintes descritores: abdominoplastia, drenagem linfático e pós-operatório. Os estudos analisados acerca da temática proposta permitem inferir que a drenagem linfática manual auxilia na recuperação do pós-operatório da abdominoplastia mostrando ser uma área fundamentada em resultados concretos, onde se busca melhorar a aparência estética e a função, principalmente pela melhora da dor obtida com o tratamento. Palavras – Chave: Abdominoplastia, Drenagem linfática, Pós-operatório.  Abstract:  Manual lymphatic drainage (MLD) performed by lymphatic massage in the postoperative period of abdominoplasty with core liposuction can promote faster resolution of the edema. Thus, this present study aims to demonstrate the effect of lymphatic drainage in abdominoplasty, exposing the importance of using the technique in the immediate postoperative period to reduce edema. This is an integrative review, carried out through a survey in Lilacs, Scielo and Medline databases. The search for publications was carried out from 2016 to 2021, using the following descriptors: abdominoplasty, lymphatic drainage and postoperative period. The studies analyzed on the proposed theme allow us to infer that manual lymphatic drainage helps in the recovery of the postoperative period of abdominoplasty, showing that it is an area based on concrete results, where one seeks to improve the aesthetic appearance and function, mainly by improving the pain obtained with the treatment. Keywords: Abdominoplasty, Lymphatic drainage, Postoperative.

Manual lymphatic drainage versus exercise in the early postoperative period for breast cancer

2014 ◽  
Vol 30 (6) ◽  
pp. 384-389 ◽  
Author(s):  
Mariana Maia Freire de Oliveira ◽  
Laura Ferreira de Rezende ◽  
Maria Teresa Pace do Amaral ◽  
Marcela Ponzio Pinto e Silva ◽  
Sirlei Siani Morais ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Postoperative Period ◽  
Lymphatic Drainage ◽  
Early Postoperative Period ◽  
Manual Lymphatic Drainage

scholarly journals Manual Lymphatic Drainage in Postoperative Abdominoplasty With Core Liposuction Patients

2019 ◽  
Vol 37 (1) ◽  
pp. 45-49
Author(s):  
Talon Maningas ◽  
Lindsay Sturm ◽  
Angela Mangler ◽  
Vanessa K. Pazdernik
Keyword(s):  
Treatment Group ◽  
Postoperative Period ◽  
Study Groups ◽  
Lymphatic Drainage ◽  
Control Group ◽  
Manual Lymphatic Drainage ◽  
Compression Garment ◽  
The Mean

Manual lymphatic drainage (MLD) performed by lymphatic massage, in the postoperative period after abdominoplasty with core liposuction, may promote a faster resolution of edema. The purpose of this study was to determine the benefits of MLD by assessing the amount of edema at 6 and 8 weeks after abdominoplasty with core liposuction in patients who did or did not receive MLD for 3 weeks. The study used a prospective, comparative design. A total of 20 women aged 30 to 60 years, who underwent an abdominoplasty and core liposuction, were recruited from 2 clinics. Participants were divided into 2 equal groups based on clinic location. All participants wore a standard compression garment for 8 weeks after surgery. Starting at 6 weeks after surgery, the treatment group was treated by a certified lymphedema specialist twice a week for 3 weeks (6 visits). At 6 and 8 weeks after surgery, the waist circumferences of all participants were measured in 3 locations: at the navel, 3 cm above the navel, and 3 cm below the nave. Data from the 2 groups were compared to determine the change in edema. The mean age of participants was 41.6 years (range = 32-59 years) in the treatment group and 40.8 years (range = 30-59 years) in the control group. The mean (SD) reduction in edema between weeks 6 and 8 in the treatment group was 9.8 cm; 1 participant lost 18.2 cm during that period. The mean (SD) reduction in edema between weeks 6 and 8 in the control group was 6.6 cm; a few participants lost 12.0 cm during that period. No differences in mean reductions were found between groups ( P = .11). No differences were found between groups based on clinic location ( P = .84). Our results suggested that receiving MLD after abdominoplasty and core liposuction reduced edema more than the standard compressive garments, but not by a statistically significant amount. Furthermore, differences in the study groups were not dependent on clinic location.

Modern criteria for evaluation of aesthetic results of dental treatment (literature review)

2015 ◽  
Vol 9 (2) ◽  
pp. 0-0
Author(s):  
Васильева ◽  
T. Vasileva ◽  
Тихонов ◽  
V. Tikhonov ◽  
Митин ◽  
...  
Keyword(s):  
Literature Review ◽  
Dental Treatment ◽  
Negative Impact ◽  
Aesthetic Perception ◽  
Social Functions ◽  
Actual Problem ◽  
Aesthetic Appearance ◽  
Aesthetic Results ◽  
The Aesthetic ◽  
Criteria For Evaluation

In this literature review, the authors examine the actual problem in dentistry - the modern criteria for evaluation of aesthetic results of orthopedic treatment, they analyze the main objectives of treatment to improve the aesthetic parameters, such as: restore the functions of mastication and speech formation, normalization aesthetic appearance and eliminating the negative impact of a partial or complete absence of teeth, and defects and deformities of the jaws that affect the mental state of the patient. Often, the desire to eliminate blemishes, enhance facial contours encourages patients to visit a dental clinic. Thus, the functional defects bother them less. Evaluation of aesthetic results is a very important problem in dental treatment, as because of violations of the communicative and social functions associated with the aesthetic perception of their own persons, patients in many cases, feel the psychological tension and discomfort, especially teenagers, children, women suffer from this. Often these patients turn in on themselve, their social circle is shrinking and interest in life decreases. Aesthetic dental defects of the mouth constrain open smile, people tend to speak slightly opening the lips, many people think that others are carefully looking out for their defects. Based on this problem the authors describe the basic criteria for evaluation of aesthetic results of dental treatment.

scholarly journals AB0602 IMPACT OF SOCIOECONOMIC FACTORS ON PAIN AND FUNCTION IN KNEE OSTEOARTHRITIS: A SYSTEMATIC LITERATURE REVIEW

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1337.2-1337
Author(s):  
T. W. Swinnen ◽  
M. Willems ◽  
I. Jonkers ◽  
F. P. Luyten ◽  
J. Vanrenterghem ◽  
...  
Keyword(s):  
Risk Factors ◽  
Literature Review ◽  
Knee Osteoarthritis ◽  
Socioeconomic Factors ◽  
Systematic Literature Review ◽  
Intervention Effects ◽  
Socioeconomic Outcomes ◽  
And Function ◽  
The Impact

Background:The personal and societal burden of knee osteoarthritis (KOA) urges the research community to identify factors that predict its onset and progression. A mechanistic understanding of disease is currently lacking but needed to develop targeted interventions. Traditionally, risk factors for KOA are termed ‘local’ to the joint or ‘systemic’ referring to whole-body systems. There are however clear indications in the scientific literature that contextual factors such as socioeconomic position merit further scientific scrutiny, in order to justify a more biopsychosocial view on risk factors in KOA.Objectives:The aims of this systematic literature review were to assess the inclusion of socioeconomic factors in KOA research and to identify the impact of socioeconomic factors on pain and function in KOA.Methods:Major bibliographic databases, namely Medline, Embase, CINAHL, Web of Science and Cochrane, were independently screened by two reviewers (plus one to resolve conflicts) to identify research articles dealing with socioeconomic factors in the KOA population without arthroplasty. Included studies had to quantify the relationship between socioeconomic factors and pain or function. Main exclusion criteria were: a qualitative design, subject age below 16 years and articles not written in English or Dutch. Methodological quality was assessed via the Cochrane risk of bias tools for randomized (ROB-II) and non-randomized intervention studies (ROBIN-I) and the Newcastle-Ottawa Scale for assessing the quality of non-randomised studies. Due to heterogeneity of studies with respect to outcomes assessed and analyses performed, no meta-analysis was performed.Results:Following de-duplication, 7639 articles were available for screening (120 conflicts resolved without a third reader). In 4112 articles, the KOA population was confirmed. 1906 (25%) were excluded because of knee arthroplasty and 1621 (21%) because of other issues related to the population definition. Socioeconomic factors could not be identified in 4058 (53%) papers and were adjusted for in 211 (3%) articles. In the remaining papers covering pain (n=110) and/or function (n=81), education (62%) and race (37%) were most frequently assessed as socioeconomic factors. A huge variety of mainly dichotomous or ordinal socioeconomic outcomes was found without further methodological justification nor sensitivity analysis to unravel the impact of selected categories. Although the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was the most popular instrument to assess pain and function, data pooling was not possible as socioeconomic factors estimates were part of multilevel models in most studies. Overall results showed that lower education and African American race were consistent predictors of pain and poor function, but those effects diminished or disappeared when psychological aspects (e.g. discrimination) or poverty estimates were taken into account. When function was assessed using self-reported outcomes, the impact of socioeconomic factors was more clear versus performance-based instruments. Quality of research was low to moderate and the moderating or mediating impact of socioeconomic factors on intervention effects in KOA is understudied.Conclusion:Research on contextual socioeconomic factors in KOA is insufficiently addressed and their assessment is highly variable methodologically. Following this systematic literature review, we can highlight the importance of implementing a standardised and feasible set of socioeconomic outcomes in KOA trials1, as well as the importance of public availability of research databases including these factors. Future research should prioritise the underlying mechanisms in the effect of especially education and race on pain and function and assess its impact on intervention effects to fuel novel (non-)pharmacological approaches in KOA.References:[1]Smith TO et al. The OMERACT-OARSI Core Domain Set for Measurement in Clinical Trials of Hip and/or Knee Osteoarthritis J Rheumatol 2019. 46:981–9.Disclosure of Interests:None declared.

scholarly journals Pathophysiology of acute respiratory syndrome coronavirus 2 infection: a systematic literature review to inform EULAR points to consider

RMD Open ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. e001549 ◽  
Author(s):  
Aurélie Najm ◽  
Alessia Alunno ◽  
Xavier Mariette ◽  
Benjamin Terrier ◽  
Gabriele De Marco ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Immune Cell ◽  
Severe Disease ◽  
Cell Phenotype ◽  
Loss Of Function ◽  
Humoral And Cellular Immunity ◽  
Host Immune Responses ◽  
Disease Spectrum ◽  
And Function

BackgroundThe SARS-CoV-2 pandemic is a global health problem. Beside the specific pathogenic effect of SARS-CoV-2, incompletely understood deleterious and aberrant host immune responses play critical roles in severe disease. Our objective was to summarise the available information on the pathophysiology of COVID-19.MethodsTwo reviewers independently identified eligible studies according to the following PICO framework: P (population): patients with SARS-CoV-2 infection; I (intervention): any intervention/no intervention; C (comparator): any comparator; O (outcome) any clinical or serological outcome including but not limited to immune cell phenotype and function and serum cytokine concentration.ResultsOf the 55 496 records yielded, 84 articles were eligible for inclusion according to question-specific research criteria. Proinflammatory cytokine expression, including interleukin-6 (IL-6), was increased, especially in severe COVID-19, although not as high as other states with severe systemic inflammation. The myeloid and lymphoid compartments were differentially affected by SARS-CoV-2 infection depending on disease phenotype. Failure to maintain high interferon (IFN) levels was characteristic of severe forms of COVID-19 and could be related to loss-of-function mutations in the IFN pathway and/or the presence of anti-IFN antibodies. Antibody response to SARS-CoV-2 infection showed a high variability across individuals and disease spectrum. Multiparametric algorithms showed variable diagnostic performances in predicting survival, hospitalisation, disease progression or severity, and mortality.ConclusionsSARS-CoV-2 infection affects both humoral and cellular immunity depending on both disease severity and individual parameters. This systematic literature review informed the EULAR ‘points to consider’ on COVID-19 pathophysiology and immunomodulatory therapies.

Manual Lymphatic Drainage in Chronic Venous Disease: Call-Up or Reabsorption Maneuver?

PM&R ◽  
2013 ◽  
Vol 5 ◽  
pp. S156-S157
Author(s):  
Rute S.S. Crisóstomo ◽  
Miguel S. Candeias ◽  
Ana M.M. Ribeiro ◽  
Catarina L.B. Martins ◽  
Paulo A.S. Armada-da-Silva
Keyword(s):  
Lymphatic Drainage ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Manual Lymphatic Drainage

Genetic manipulation on human beings

2010 ◽  
pp. 52-72
Author(s):  
Serena Zacchigna ◽  
Mauro Giacca
Keyword(s):  
Gene Therapy ◽  
Genetic Manipulation ◽  
Human Beings ◽  
Ethical Challenges ◽  
Genetic Characteristics ◽  
Safety Issues ◽  
The Public ◽  
Aesthetic Appearance ◽  
The Aesthetic ◽  
Definition Of

Since the early days of gene therapy, both the scientific community and the public have perceived the ethical challenges intrinsic to this discipline. First, the technology exploited by gene therapy is still experimental and burdened by important safety issues. Second, in several instances gene therapy aims at stably modifying the genetic characteristics of individuals. Third, the same modifications could in principle be applied also to embryos, foetuses or germ cells. Finally, while gene therapy applications are generally accepted for therapeutic purposes, the same gene transfer technologies could also be exploited to improve the aesthetic appearance, or the physical and intellectual performance of people. The definition of suitable guidelines for a controlled, ethically accepted translation of gene therapy to the clinics remains a major challenge for the near future.

The use of manual lymphatic drainage on clinical presentation of musculoskeletal injuries: A systematic review

2021 ◽  
pp. 101469
Author(s):  
Anne-Marie Provencher ◽  
Élizabeth Giguère-Lemieux ◽  
Emilie Croteau ◽  
Stephanie-May Ruchat ◽  
Laurie-Ann Corbin-Berrigan
Keyword(s):  
Systematic Review ◽  
Clinical Presentation ◽  
Lymphatic Drainage ◽  
Musculoskeletal Injuries ◽  
Manual Lymphatic Drainage
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