scholarly journals Educational practices for families of children and adolescents using a permanent venous catheter

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Verônica Braga Corrêa ◽  
Michelle Darezzo Rodrigues Nunes ◽  
Ana Luiza Dorneles da Silveira ◽  
Liliane Faria da Silva ◽  
Selma Petra Chaves Sá ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Web Of Science ◽  
Venous Catheter ◽  
Educational Practices ◽  
Inclusion Criteria ◽  
Educational Materials ◽  
Level Of Evidence ◽  
Printed Educational Materials ◽  
Brazilian Studies

ABSTRACT Objectives: to identify, in the scientific literature, the educational practices performed by nurses with the families of children and adolescents using long-term venous catheters, concerning home care. Methods: integrative review in LILACS, PubMed, SCOPUS, Web of Science and CINAHL databases, from August to September 2018. Results: we analyzed eight articles that met the inclusion criteria. The results showed that all studies are international, mostly North American and with low level of evidence. The educational practices found were home visits, production of printed educational materials, use of mannequins for simulation, creation of an educational video, and combined educational practices. Final Considerations: the care provided by families at home in the countries studied is more complex than in Brazil, and the conclusion is that Brazilian studies need to advance in publications related to this area.

scholarly journals Long-Term Outcomes of All-Arthroscopic Pre-Tied Suture Device Triangular Fibrocartilage Complex Repair

2019 ◽  
Vol 08 (05) ◽  
pp. 403-407 ◽  
Author(s):  
Eric J. Sarkissian ◽  
Matthew B. Burn ◽  
Jeffrey Yao
Keyword(s):  
Range Of Motion ◽  
Grip Strength ◽  
Triangular Fibrocartilage Complex ◽  
Study Cohort ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Triangular Fibrocartilage ◽  
Suture Device

Background A pre-tied suture device has been utilized for all-arthroscopic peripheral triangular fibrocartilage complex (TFCC) repairs with promising early clinical results. Purpose The purpose of this study was to evaluate long-term functional outcomes of these repairs. Patients and Methods A retrospective review of patients undergoing arthroscopic TFCC repair was performed. Inclusion criteria were the Palmer type 1B TFCC tears diagnosed on arthroscopy and repaired using the all-arthroscopic pre-tied suture device. Patients with any evidence of concomitant wrist injury at the time of surgery, history of prior wrist surgery, or nonrepairable and nonperipheral TFCC tears were excluded. Postoperative complications, range of motion, grip strength, and outcome assessments were recorded for each patient. Results Eleven patients (mean age, 36 years; range, 20–64 years) satisfied our inclusion criteria and comprised the study cohort. The mean follow-up period was 7.0 years (range, 4.3–10.9 years). Mean range of motion of the wrist revealed flexion of 76 ± 11 degrees and extension of 73 ± 12 degrees. Mean grip strength was 98 ± 15% of the nonsurgical extremity. QuickDASH, modified Mayo, and patient-rated wrist evaluation (PRWE) average scores were 9 ± 8, 80 ± 6, and 12 ± 12, respectively. No surgical complications were observed and no patient required any further surgical intervention. Conclusions Our cohort of patients following all-arthroscopic pre-tied suture device repair of isolated Palmer type 1B TFCC tears demonstrated excellent clinical function at a mean follow-up of 7 years. These findings indicate that the pre-tied suture device is a reliable, safe, effective, and most importantly, durable treatment option for repair of peripheral TFCC tears. Level of Evidence This is a Level IV, therapeutic study.

scholarly journals Prevalence of weight excess in Brazilian children and adolescents: a systematic review

2018 ◽  
Vol 20 (4) ◽  
pp. 517-531 ◽  
Author(s):  
Caroline Ferraz Simões ◽  
Wendell Arthur Lopes ◽  
Jane Maria Remor ◽  
João Carlos Locateli ◽  
Felipe Bandeira Lima ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Web Of Science ◽  
Age Groups ◽  
Overweight And Obesity ◽  
Treatment Programs ◽  
Prevalence Of Obesity ◽  
Brazilian Studies ◽  
Southeastern Region ◽  
Weight Excess ◽  
Brazilian Children

The prevalence of obesity is rapidly increasing worldwide, no mattering age groups and socioeconomic status. In Brazil, it is still unclear the prevalence of obesity in children and adolescents, since most Brazilian studies have only verified regional prevalence of obesity. Therefore, the aim of the present study was to analyze the scientific production regarding the prevalence of weight excess in Brazilian children and adolescents. A search in the relevant electronic databases Medline/Pubmed, Web of Science, Lilacs, Scielo and BVS was performed. After analyzing 61 studies, the overall prevalence was 25.5%.When sample was stratified weight excess degree, a prevalence of17% and 11.6% for overweight and obesity were observed, respectively. Analyzing differences by sex, boys presented higher prevalence of overall weight excess (e.g., 26.4% vs 23.5%), overweight (17% vs 16%) and obesity (11.9% vs 9.1%) than girls. With respect to Brazilian regions and its differences, individuals from southern presented the highest prevalence of overall weight excess (33.2%) and overweight (20.1%). The southeastern region showed the highest prevalence of obesity (18.2%).The results obtained in the current study indicate that Brazil presents a scenario of crescent increasing on the prevalence of weight excess. These results are in accordance with studies from other countries,and reinforce the increase of the overall weight excess prevalence in Brazilian children and adolescents, highlighting the increasing of obesity rates, since it is a more concerning condition than overweight. Therefore, preventive measures to reduce weight excess increase, as well as treatment programs aiming to tackle obesity in childhood should be public health system top priority.

scholarly journals Antibiotic Resistance inStreptococcus pneumoniaeafter Azithromycin Distribution for Trachoma

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Derek K-H. Ho ◽  
Christian Sawicki ◽  
Nicholas Grassly
Keyword(s):  
Antibiotic Resistance ◽  
Web Of Science ◽  
Macrolide Antibiotic ◽  
Control Strategies ◽  
Risk Of Bias ◽  
Community Settings ◽  
Inclusion Criteria ◽  
Potential Sources ◽  
Blinding Trachoma

Trachoma is caused byChlamydia trachomatisand is a leading cause of blindness worldwide. Mass distribution of azithromycin (AZM) is part of the strategy for the global elimination of blinding trachoma by 2020. Although resistance to AZM inC. trachomatishas not been reported, there have been concerns about resistance in other organisms when AZM is administered in community settings. We identified studies that measured pneumococcal prevalence and resistance to AZM following mass AZM provision reported up to 2013 in Medline and Web of Science databases. Potential sources of bias were assessed using the Cochrane Risk of Bias Tool. A total of 45 records were screened, of which 8 met the inclusion criteria. We identified two distinct trends of resistance prevalence, which are dependent on frequency of AZM provision and baseline prevalence of resistance. We also demonstrated strong correlation between the prevalence of resistance at baseline and at 2-3 months (r=0.759). Although resistance to AZM inC. trachomatishas not been reported, resistance to this commonly used macrolide antibiotic in other diseases could compromise treatment. This should be considered when planning long-term trachoma control strategies.

scholarly journals Serum Urate and the Risk of Parkinson's Disease: Results From a Meta-Analysis

2013 ◽  
Vol 40 (1) ◽  
pp. 73-79 ◽  
Author(s):  
Chunhong Shen ◽  
Yi Guo ◽  
Wei Luo ◽  
Chen Lin ◽  
Meiping Ding
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Web Of Science ◽  
Meta Analysis ◽  
Serum Urate ◽  
High Serum ◽  
Protective Effects ◽  
Inclusion Criteria ◽  
Serum Urate Level

Objective:Serum urate may exert protective effects against Parkinson's disease (PD) through its antioxidant capacities. In this article, we examine the hypothesis that high serum urate levels are associated with lower risk of PD.Methods:We searched NCBI (PubMed), ISI Web of Science and EMBASE for studies that reported the risk of PD associated with serum urate. Fixed or random effects meta-analysis was used to pool results across studies, and further analysis was used to assess the effects by gender.Results:Six studies met the inclusion criteria involving a total of 33 185 participants. Overall, we found a 33% reduction in PD incidence among persons with high serum urate level (relative risk [RR]=0.67; 95% confidence interval [CI], 0.50-0.91). Subgroup analysis was performed with 20 641 men and 12 544 women included, indicating statistically significant protective effects of serum urate in men (RR=0.60; 95% CI, 0.40-0.90) but not in women. A dose-response trend of serum urate to reduce PD risk was also observed involving 11 795 participants (RR=0.77; 95% CI, 0.68-0.88). Additionally, high serum urate levels seemed to slow the clinical decline of PD patients (RR=0.56; 95% CI, 0.43-0.72).Conclusions:In light of these findings, our study confirms previous findings of a robust association between high serum urate level and PD risk, especially in men. It also suggests that long-term exposure to high serum urate may be linked to the delay of PD progression, however more well-designed investigations are needed.

scholarly journals Phytosterol supplementation in the treatment of dyslipidemia in children and adolescents: a systematic review

2021 ◽  
Vol 39 ◽  
Author(s):  
Luisa Montone Mantovani ◽  
Camila Pugliese
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Web Of Science ◽  
Ldl Cholesterol ◽  
Hdl Cholesterol ◽  
Data Synthesis ◽  
Good Tolerance ◽  
Cholesterol Levels ◽  
Long Term Effect

ABSTRACT Objective: To carry out a systematic review on the effects of phytosterol supplementation on the treatment of dyslipidemia in children and adolescents. Data sources: Review in the SciELO, Lilacs, Bireme, PubMed and Web of Science databases, with no time limit. Descriptors: phytosterols or plant sterols and dyslipidemias, hypercholesterolemia, cholesterol, children, adolescent, in English and Portuguese. The articles included were published in Portuguese, English or Spanish and evaluated the effect of phytosterol supplementation in pediatric patients with dyslipidemia. Documents that involved adults or animals, review papers, case studies and abstracts were excluded. Two authors performed independent extraction of articles. Of 113 abstracts, 19 were read in full and 12 were used in this manuscript. Data synthesis: Phytosterol supplementation to reduce cholesterol levels has been shown to be effective in reducing LDL-cholesterol levels by approximately 10%, with reductions above 10% in LDL-cholesterol levels observed after 8 to 12 weeks of intervention. Studies have not shown significant changes in HDL-cholesterol and triglyceride levels. Based on the absence of adverse effects, its use seems to be safe and of good tolerance in children and adolescents. Conclusions: Phytosterol supplementation seems to be of great therapeutic aid for the treatment of hypercholesterolemia in children and adolescents. Further studies assessing the long-term effect of phytosterol supplementation are necessary.

scholarly journals Thirteen Years of Hyoid Suspension Experience in Multilevel OSAHS Surgery: The Short-Term Results of a Bicentric Study

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Pietro Canzi ◽  
Anna Berardi ◽  
Carmine Tinelli ◽  
Filippo Montevecchi ◽  
Fabio Pagella ◽  
...  
Keyword(s):  
Case Control ◽  
Inclusion Criteria ◽  
Short Term ◽  
Level Of Evidence ◽  
Control Series ◽  
Hyoid Suspension ◽  
Prospective Trials ◽  
Multilevel Treatment

Aims. To evaluate thirteen years of hyoid suspension experience in multilevel OSAHS surgery, for which hyoidthyroidpexia represented the exclusive hypopharyngeal approach applied.Materials and Methods. From 1998 to 2011, a bicentric retrospective study was conducted: all adult patients with a diagnosis of OSAHS were enrolled. Specific eligible criteria were established. Pre-/postoperative data concerning ENT and sleep findings were recorded. Recruited subjects were surveilled for a follow-up range from 6 to 18 months.Results. A total of 590 hyoid suspensions were evaluated, but only 140 patients met the specific inclusion criteria. A success rate of 67% was obtained. No intraoperative adverse events or major complications occurred. Excessive daytime sleepiness was observed in 28% of nonresponders. Despite the homogeneous candidate anatomy, ENT awake findings changed differently after surgery. Statistical analysis revealed multilevel surgery to be more effective when AHI < 30. Postoperative AHI was statistically not influenced by preoperative BMI.Conclusions. Hyoid suspension in multilevel treatment is effective when short-term results are considered. The necessity of a more valuable anatomic-based diagnostic approach is crucial to guide the patient selection. Long-term followups and randomized prospective trials with case-control series are needed to increase the level of evidence of this surgery.

scholarly journals Conventional laboratory housing increases morbidity and mortality in research rodents: results of a meta-analysis

BMC Biology ◽  
2022 ◽  
Vol 20 (1) ◽  
Author(s):  
Jessica Cait ◽  
Alissa Cait ◽  
R. Wilder Scott ◽  
Charlotte B. Winder ◽  
Georgia J. Mason
Keyword(s):  
Cardiovascular Disease ◽  
Web Of Science ◽  
Meta Analysis ◽  
Inclusion Criteria ◽  
Ethical Concerns ◽  
Data Variability ◽  
All Cause Mortality ◽  
Disease Risks ◽  
Meta Analyses

Abstract Background Over 120 million mice and rats are used annually in research, conventionally housed in shoebox-sized cages that restrict natural behaviours (e.g. nesting and burrowing). This can reduce physical fitness, impair thermoregulation and reduce welfare (e.g. inducing abnormal stereotypic behaviours). In humans, chronic stress has biological costs, increasing disease risks and potentially shortening life. Using a pre-registered protocol (https://atrium.lib.uoguelph.ca/xmlui/handle/10214/17955), this meta-analysis therefore tested the hypothesis that, compared to rodents in ‘enriched’ housing that better meets their needs, conventional housing increases stress-related morbidity and all-cause mortality. Results Comprehensive searches (via Ovid, CABI, Web of Science, Proquest and SCOPUS on May 24 2020) yielded 10,094 publications. Screening for inclusion criteria (published in English, using mice or rats and providing ‘enrichments’ in long-term housing) yielded 214 studies (within 165 articles, using 6495 animals: 59.1% mice; 68.2% male; 31.8% isolation-housed), and data on all-cause mortality plus five experimentally induced stress-sensitive diseases: anxiety, cancer, cardiovascular disease, depression and stroke. The Systematic Review Center for Laboratory animal Experimentation (SYRCLE) tool assessed individual studies’ risks of bias. Random-effects meta-analyses supported the hypothesis: conventional housing significantly exacerbated disease severity with medium to large effect sizes: cancer (SMD = 0.71, 95% CI = 0.54–0.88); cardiovascular disease (SMD = 0.72, 95% CI = 0.35–1.09); stroke (SMD = 0.87, 95% CI = 0.59–1.15); signs of anxiety (SMD = 0.91, 95% CI = 0.56–1.25); signs of depression (SMD = 1.24, 95% CI = 0.98–1.49). It also increased mortality rates (hazard ratio = 1.48, 95% CI = 1.25–1.74; relative median survival = 0.91, 95% CI = 0.89–0.94). Meta-regressions indicated that such housing effects were ubiquitous across species and sexes, but could not identify the most impactful improvements to conventional housing. Data variability (assessed via coefficient of variation) was also not increased by ‘enriched’ housing. Conclusions Conventional housing appears sufficiently distressing to compromise rodent health, raising ethical concerns. Results also add to previous work to show that research rodents are typically CRAMPED (cold, rotund, abnormal, male-biased, poorly surviving, enclosed and distressed), raising questions about the validity and generalisability of the data they generate. This research was funded by NSERC, Canada.

scholarly journals Genetic Polymorphisms Implicated in Major Pregnancy Complications: a Review

Folia Medica ◽  
2020 ◽  
Vol 62 (2) ◽  
pp. 230-237
Author(s):  
Georgios Dryllis ◽  
Panagiota Liakou ◽  
Marianna Politou
Keyword(s):  
Genetic Polymorphisms ◽  
Pregnancy Complications ◽  
Intrauterine Growth Retardation ◽  
Web Of Science ◽  
Placental Abruption ◽  
Strong Correlations ◽  
Inclusion Criteria ◽  
Intrauterine Growth ◽  
Risk Condition

Pregnancy short- or long-term complications may involve the mother&rsquo;s health, the fetus&rsquo;s health, or both. A systematic literature review was performed, including studies up to October 2018 from Medline (PubMed), Science Direct, Web of Science and Google Scholar. The following inclusion criteria were applied: studies published until 2018 concerning the genetic background of pregnancy complications such as high blood pressure, gestational diabetes, preeclampsia, pregnancy loss, endometrial death, placental abruption, premature labor, and intrauterine growth retardation which may render pregnancy a high risk condition. We identified 164 articles that met the inclusion criteria and reviewed and analyzed them. The results so far are contradictory and the pathogenicity of these pregnancy complications remains unclear. For most of the polymorphisms studied so far, data refer to small studies size but research is on-going. The identification of genetic polymorphisms with strong correlations with certain pregnancy complications could provide us with useful tools which could be incorporated in diagnostic algorithms that could facilitate early detection and treatment of major pregnancy complications.

scholarly journals Is There Any Association Between Chronic Periodontitis and Anxiety in Adults? A Systematic Review

2021 ◽  
Vol 12 ◽  
Author(s):  
Walessa Alana Bragança Aragão ◽  
de Deiweson Souza-Monteiro ◽  
Deborah Ribeiro Frazão ◽  
Yago Gecy de Sousa Né ◽  
Railson de Oliveira Ferreira ◽  
...  
Keyword(s):  
Systematic Review ◽  
Web Of Science ◽  
Case Control ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Clinical Trial Registration ◽  
Cross Sectional ◽  
Psychosocial Conditions ◽  
Cross Sectional Studies

Periodontitis is a multifactorial disease triggered by dysbiotic biofilms, involving the host's immune response, systemic and behavioral factors, including psychosocial conditions. This systematic review aimed to investigate the possible association between periodontitis and anxiety in adults. Searches were performed in PubMed, Scopus, Web of Science, Lilacs, Cochrane, and OpenGrey databases, without language restrictions, considering studies in adults (P-Participants), with (E-Exposure) and without periodontitis (C- Comparison) in an outcome of association with anxiety (O-outcome). Methodological quality assessment was carried out using the Newcastle-Ottawa protocol for case-control and cross-sectional studies, followed by an analysis of the level of evidence using the GRADE tool. Metanalysis was not performed due to several differences in methods applied by authors in primary studies. Eleven observational studies were selected according to the inclusion criteria from the total of 6,380 studies retrieved from databases. Eight studies demonstrated higher anxiety levels in subjects with periodontitis, among which only one study presented a high risk of bias. The GRADE tool revealed a low level of evidence for the anxiety outcome measured by the State-Trait Anxiety Inventory (STAI), both for case-control and cross-sectional studies. However, since anxiety may affect the quality of life of many subjects, it reinforces the need for further studies that evaluate this association for more extended periods.Clinical Trial Registration:PROSPERO-CRD42020190445.

Participation based intervention with acquired brain injury: Systematic review and meta-analysis

2020 ◽  
pp. 1-11
Author(s):  
Si-nae Ahn
Keyword(s):  
Systematic Review ◽  
Brain Injury ◽  
Meta Analysis ◽  
Acquired Brain Injury ◽  
Randomized Control Trials ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Rehabilitation Programs ◽  
Randomized Control

Background: Continued long-term rehabilitation programs with acquired brain injury are important for their participation in meaningful daily activities. Objective: This paper investigated the participation-based interventions on outcomes in patients with acquired brain injury. Methods: A systematic review and meta-analysis search for randomized control trials published between 1998 and 2019 using PubMed, CINAHL, and MEDLINE was performed. Nine studies were selected and analyzed for systematic review. Five studies analyzed the effectiveness of participation-based intervention using meta-analysis and assessed the level of evidence of qualitative studies. Results: A total of 843 publications were searched. Nine studies met the inclusion criteria and were of high quality. The effective score for improving participation following participation-based interventions in persons with acquired brain injury was 0.32 and significant in this study (p <  0.05). Conclusions: The findings of this systematic review and meta-analysis suggest that, in persons with acquired brain injury, participation-based interventions are essential for community living.

Sign in / Sign up

Export Citation Format

Share Document