scholarly journals Non-invasive interventions in idiopathic scoliosis: a systematic review

2017 ◽  
Vol 30 (suppl 1) ◽  
pp. 325-333
Author(s):  
André Ivaniski Mello ◽  
Ana Carolina Kanitz ◽  
Flávia Gomes Martinez
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Literature Review ◽  
Idiopathic Scoliosis ◽  
Scientific Basis ◽  
Evidence Based ◽  
Therapeutic Exercise ◽  
Non Invasive ◽  
Noninvasive Therapy ◽  
Invasive Intervention

Abstract Introduction: Idiopathic Scoliosis (IS) is an idiopathic curvature of the spine in all three plans, been treated conservatively (non-invasive) or surgicaly (invasive). The effectiveness of noninvasive therapy still remains lacking in a scientific basis to support their evidence-based applicability. Objective: Evaluate the effects of non-invasive interventions in spine lateral inclination in IS through a systematic literature review. Methods: The search of studies in MEDLINE, SCOPUS and COCHRANE databases was performed on 24th March, 2014. The terms used were: Scoliosis, therapeutic exercise, physical therapy. Clinical trials with scoliotic patients undergoing some type of non-invasive intervention were included. The outcome was spine lateral inclination. Results: The research found 941 studies, seven of these were included after a screening performed by two independent reviewers. Six studies (85.7%) have adopted some sort of kinesiotherapeutic technic, and three studies (42.8%) used corrective orthosis. The average intervention time in kinesiotherapeutic technique studies was of 37.6 weeks and 91.6 weeks in the studies of corrective brace. The progression improvement of the spine lateral inclination was reported by 83.3% (5 of 6) of the kinesiotherapeutic technique studies and in 66.6% (2 of 3) of studies with corrective brace. Conclusion: An improvement was found, in general, in the progression of spine lateral inclination in IS subjects of both sexes from 11 to 25 years of age undergoing non-invasive interventions.

Surgical treatment of rectovaginal fistulas (systematic literature review)

2021 ◽  
pp. 30-48
Author(s):  
Andrei Anatolevich Mudrov ◽  
Aleksandr Yur’evich Titov ◽  
Mariyam Magomedovna Omarova ◽  
Sergei Alekseevich Frolov ◽  
Ivan Vasilevich Kostarev ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Meta Analysis ◽  
High Recurrence Rate ◽  
Surgical Interventions ◽  
Rectovaginal Fistulas ◽  
Surgical Treatments

Despite the large number of available surgical interventions aimed at the treatment of rectovaginal fistulas, the results of their use remain extremely disappointing, associated with the high recurrence rate of the disease reaching 80 %, as well as the lack of a single tactic to minimize the risk of anal incontinence and the need for colostomy. Objective: to conduct a systematic literature review in order to summarize information related to the rectovaginal fistulas surgery. The systematic review includes the results of an analysis of 97 clinical trials selected from 756 publications found in databases. Inclusion criteria: a full-text article, the presence of at least 5 patients in the study, as well as data on the outcome of surgery. Clinical trials with different surgical treatments were identified and classified into the following categories: elimination of the rectovaginal septal defect with a displaced flap (rectal and vaginal); Martius surgery; gracilis muscle transposition; transperineal procedure; abdominal procedure including endoscopic and laparoscopic methods; use of biological or biocompatible materials. Treatment outcomes vary significantly from 0 % to > 80 %. None of the studies were randomized. Due to the low quality of the identified studies, comparison of results and meta-analysis conduction were not possible. Conclusion: as a result of the systematic review, data for the analysis and development of any strategic and tactical algorithms for the treatment of RVF were not obtained. The most important questions still remain open: what and when surgical method to choose, is it necessary to form a disconnecting stoma?

Unexplained Toothache: An Evidence-Based Approach to Diagnosis and Management

2010 ◽  
Vol os17 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Vishal R Aggarwal
Keyword(s):  
Current Evidence ◽  
Evidence Based ◽  
Behaviour Therapy ◽  
Behavioural Interventions ◽  
Non Invasive ◽  
Cognitive Behaviour ◽  
Incorrect Diagnosis ◽  
Invasive Techniques ◽  
Pain Patients ◽  
Invasive Intervention

This ‘in my opinion’ paper uses two case studies to highlight the importance of making an early diagnosis of unexplained orofacial pain. Patients with this condition can present with symptoms that can easily be confused with more common dental pain that is related to an organic pathology. An incorrect diagnosis can lead to invasive and irreversible treatment using advanced surgical or restorative techniques that are not evidence-based. Current evidence supports the use of non-invasive techniques such as behavioural interventions; for example, cognitive behaviour therapy. It is therefore imperative that patients with this condition are recognised early in primary care so that management is appropriate from the outset. This will prevent unnecessary invasive intervention, protecting the patient from harm and the practitioner from litigation.

scholarly journals Kawasaki and COVID-19 disease in children: a systematic review

2020 ◽  
Vol 66 (suppl 2) ◽  
pp. 136-142
Author(s):  
Laura Faustino Gonçalves ◽  
Ana Inês Gonzales ◽  
Fernanda Soares Aurélio Patatt ◽  
Karina Mary de Paiva ◽  
Patrícia Haas
Keyword(s):  
Systematic Review ◽  
Kawasaki Disease ◽  
Literature Review ◽  
Scientific Evidence ◽  
Severe Form ◽  
Evidence Based ◽  
Inclusion Criteria ◽  
Medical Subject Heading ◽  
High Incidence ◽  
Selection Of

SUMMARY OBJECTIVE To present scientific evidence based on a systematic literature review (PRISMA) evaluating the association of Kawasaki Disease (DK) and COVID-19 in children. METHODS For the selection of studies, a combination based on the Medical Subject Heading Terms (MeSH) was used. The Medline (Pubmed), LILACS, SciELO, COCHRANE, and BIREME databases were used. The search period for the articles comprised the last 10 years (2010 to 2020). RESULTS 840 articles with potential for inclusion were retrieved, one of which met the inclusion criteria and the guiding question that consisted of evaluating the association of Kawasaki disease and COVID-19 in children. CONCLUSION A significant increase in the incidence of Kawasaki-type diseases after the onset of the epidemic has been reported, suggesting an association between the COVID-19 epidemic and the high incidence of a severe form of KD. However, further studies are needed to conduct an investigation of the association between these two diseases.

scholarly journals Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 1: Introduction and methodology

2014 ◽  
Vol 14 (Supplement_1) ◽  
pp. 3-7 ◽  
Author(s):  
Ann Marie Flannery ◽  
Laura Mitchell
Keyword(s):  
Systematic Review ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Task Force ◽  
Clinical Information ◽  
Evidence Based ◽  
Educational Tool ◽  
Pediatric Hydrocephalus ◽  
Appropriate Treatment ◽  
Evidence Based Guidelines

This clinical systematic review of and evidence-based guidelines for the treatment of pediatric hydrocephalus were developed by a physician volunteer task force. They are provided as an educational tool based on an assessment of current scientific and clinical information as well as accepted approaches to treatment. They are not intended to be a fixed protocol, because some patients may require more or less treatment. In Part 1, the authors introduce the reader to the complex topic of hydrocephalus and the lack of consensus on its appropriate treatment. The authors describe the development of the Pediatric Hydrocephalus Systematic Review and Evidence-Based Guidelines Task Force charged with reviewing the literature and recommending treatments for hydrocephalus, and they set out the basic methodology used throughout the specific topics covered in later chapters.

Thromboembolic events in advanced pancreatic cancer: A systematic review.

2018 ◽  
Vol 36 (4_suppl) ◽  
pp. 461-461
Author(s):  
Mann Muhsin ◽  
Omar Dabbous ◽  
Blake Morrison ◽  
Piet Vervaet ◽  
Dimitrios Chondros
Keyword(s):  
Systematic Review ◽  
Pancreatic Cancer ◽  
Clinical Trials ◽  
Literature Review ◽  
Observational Studies ◽  
Randomized Clinical Trials ◽  
Advanced Pancreatic Cancer ◽  
Ductal Adenocarcinoma ◽  
Thromboembolic Events ◽  
Ambulatory Patient

461 Background: Pancreatic ductal adenocarcinoma (PDA) is highly associated with thromboembolic events (TEs). There is no consensus for prophylaxis of TEs across thromboprophylactic guidelines in ambulatory patient settings. Published ASCO (2014) and ESMO (2011) guidelines recommend use of primary thromboprophylaxis in pancreatic cancer outpatients at high risk of TEs. This systematic review investigated TE rates and prophylaxis among advanced PDA patients. Methods: A literature review identified clinical trials and observational studies reporting TE rates with and without thromboprophylaxis in PDA patients undergoing chemotherapy. A search was conducted using electronic databases including Medline, Medline In-Process, and Embase; limited to English language and publication between 1990 and April 2017. Retrieved articles were cross-referenced and scrutinized to identify additional publications. Results: Seven studies were identified; 2 randomized clinical trials (RCTs) and 5 observational/retrospective studies met the stated criteria. The TE rate in PDA in the 5 observational studies without prophylaxis ranged from 9.6% to 36.0%. Thromboprophylaxis was used in the 2 RCTs and was associated with lower TE rates. Conclusions: This comprehensive literature review shows that PDA patients face a substantial risk of TE after chemotherapy. The high rates of TEs in PDA, and the effectiveness of thromboprophylaxis in patients with PDA, highlight the importance of having consensus for prophylaxis of TEs across thromboprophylactic guidelines in ambulatory patient settings as a critical early preventive measure during the treatment of patients with advanced PDA. [Table: see text]

scholarly journals Stannous Fluoride Effects on Enamel: A Systematic Review

Biomimetics ◽  
2020 ◽  
Vol 5 (3) ◽  
pp. 41 ◽  
Author(s):  
Luca Fiorillo ◽  
Gabriele Cervino ◽  
Alan Scott Herford ◽  
Luigi Laino ◽  
Marco Cicciù
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Literature Review ◽  
Biofilm Formation ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Gingival Inflammation ◽  
Exclusion Criteria ◽  
Manual Analysis ◽  
Stannous Fluoride

In recent years there has been a lot of talk about toothpastes with a particular chemical compound: stannous fluoride (SnF2). Its presence is currently still highly controversial, as the latter could have negative health effects. The different companies that produce toothpastes express its dosage in ppm. The purpose of this systematic literature review is to analyze all randomized clinical trials in the literature over the last 10 years and to draw clear results on the function of stannous fluoride, for this purpose the authors performed a Mann–Whitney U Test. Materials: The first analysis of the literature produced a number greater than 800 results, subsequently applying the inclusion and exclusion criteria, and following a manual analysis of the results, 26 manuscripts have been obtained. Results: From the results analyzed in this review, it could be shown that stannous fluoride does not present important contraindications, if not those commonly reported for fluorine. A meta-analysis on enamel loss has been conducted, it shows that SnF2 products provide better results with a p < 0.05 value. Conclusion: This compound could have significant effects in favor of erosion and recalcification of the enamel, on the biofilm formation, gingival inflammation, and in addition, it could be an important aid in the removal of tooth stains and halitosis.

scholarly journals Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations

2020 ◽  
Vol 23 (4) ◽  
pp. 487-507 ◽  
Author(s):  
Michele Bertolotto ◽  
◽  
Simon Freeman ◽  
Jonathan Richenberg ◽  
Jane Belfield ◽  
...  
Keyword(s):  
Systematic Review ◽  
Literature Review ◽  
European Society ◽  
Imaging Modality ◽  
Medical Attention ◽  
Evidence Based ◽  
Ultrasound Evaluation ◽  
Guidelines And Recommendations ◽  
Evidence Based Guidelines ◽  
Urogenital Radiology

Abstract Although often asymptomatic and detected incidentally, varicocele is a relatively common problem in patients who seek medical attention for infertility problems. Ultrasound (US) is the imaging modality of choice for evaluation, but there is no consensus on the diagnostic criteria, classification, and examination technique. In view of this uncertainty, the Scrotal and Penile Imaging Working Group of the European Society of Urogenital Radiology (ESUR-SPIWG) undertook a systematic review of the available literature on this topic, to use as the basis for evidence-based guidelines and recommendations. This paper provides the results of the systematic review on which guidelines were constructed.

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