Agrochemicals Residues In Human Milk, Scientific Evidence Or Overestimated Risk?

Author(s):  
Rodrigo Daminello Raimundo ◽  
Tamara Martins da Silva ◽  
Amanda Vidal Ferreira ◽  
Bárbara Soraya Santos ◽  
Tatiana Dias Carvalho ◽  
...  

Background: Exposures to agrochemicals can be directly through the handling of chemicals as well as indirectly when consuming food containing residues of them. Such exposure may affect the health of the population if accumulated in the human body, including in human milk. Objective: This literature review aims to assess the potential impact of agrochemical residues in human milk as a barrier for breastfeeding. Method: The search followed PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta Analyses), by selecting original articles published between 1995 and 2019, extracted from the free access databases PubMed, Scielo, Web of Sciences and Scopus using as key words: agrochemicals, pesticides, breastfeeding, human milk, contamination and infant. Medical Subject Headings (MeSH) were used as descriptors. Results: We selected 11 studies. Taking as inclusion criteria those most aligned with the objective of our study. Conclusion: The studies presented in this review ratified the benefits of breastfeeding compensate the potential risks of agrochemicals residues in human milk.

2017 ◽  
Vol 74 (3) ◽  
pp. 221
Author(s):  
Odilma Mariana Gonçalves Furtado ◽  
Caroline Felipe Magalhães Girelli ◽  
Viviane Ferreira Guimarães Xavier ◽  
Mariane Floriano Lopes Santos Lacerda ◽  
Renato Girelli Coelho ◽  
...  

Objective: the purpose of this literature review was to evaluate apical debris extrusion after root canal preparation with Protaper Universal and Protaper Next Rotary systems. Material and Methods: the question that supported the collection of scientific evidence for the present study was: Which rotary system presents the best performance regarding the apical extrusion of debris: Protaper Universal or Protaper Next? From the online search databases, a bibliographic research was carried out covering original research studies, using as descriptors: Apical extrusion debris, Protaper Universal and Protaper Next. Articles had to meet the following inclusion criteria: should have been published in the English language from 2014 to 2017 and should compare both mentioned rotary files systems regarding apical extrusion of debris in the same study. Ninety-six articles were found after research and six were included for this integrative review. Results: six studies remained included after the inclusion criteria analysis. Of these, 50% were published in 2016, 16.6% in 2015 and and 33% in 2014. Weight establishment of the extruded material was the methodology used in all studies to evaluate the performance of the files By analyzing the amount of apically extruded material, it was found that the Protaper Universal system extruded more quantity than the Protaper Next system. Conclusion: it was concluded that, although there is no system capable of performing the instrumentation without promoting apical extrusion, the Protaper Next rotary files system presented better performance when compared to the Protaper Universal files system, regarding the apical debris extrusion.


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

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.


2013 ◽  
Vol 18 (2) ◽  
pp. 21e1-21e7 ◽  
Author(s):  
Helder B. Jacob ◽  
Peter H. Buschang ◽  
Ary dos Santos-Pinto

OBJECTIVE: To systematically review the scientific evidence pertaining to the effectiveness of high-pull headgear in growing Class II subjects. METHODS: A literature survey was performed by electronic database search. The survey covered the period from January 1966 to December 2008 and used Medical Subject Headings (MeSH). Articles were initially selected based on their titles and abstracts; the full articles were then retrieved. The inclusion criteria included growing subjects between 8 to 15 years of age, Class II malocclusion treatment with high-pull headgear, and a control group with Class II malocclusion. References from selected articles were hand-searched for additional publications. Selected studies were evaluated methodologically. RESULTS: Four articles were selected; none were randomized controlled trials. All of the articles clearly formulated their objectives and used appropriate measures. The studies showed that high-pull headgear treatment improves skeletal and dental relationship, distal displacement of the maxilla, vertical eruption control and upper molars distalization. One of the studies showed a slight clockwise rotation of the palatal plane; the others showed no significant treatment effect. The mandible was not affected by the treatment. CONCLUSION: While there is still a lack of strong evidence demonstrating the effects of high-pull headgear with a splint, other studies indicate that the AP relations improve due to distalization of the maxilla and upper molars, with little or no treatment effects in the mandible. Greater attention to the design should be given to improve the quality of such trials.


2022 ◽  
Vol 75 (1) ◽  
Author(s):  
Thayná Champe da Silva ◽  
Elisabeta Albertina Nietsche ◽  
Silvana Bastos Cogo

ABSTRACT Objectives: to analyze scientific evidence on the implementation and performance of palliative care in Primary Health Care. Methods: an integrative literature review, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, carried out in the PubMed, SciVerse Scopus and LILACS databases, in December 2020, without a time frame. Results: 22 original scientific articles were analyzed, 14 classified as evidence level VI. The objective was to understand the experiences and roles of professionals, patients and families on palliative care in Primary Health Care, articles focused on the theme of management and organization of health services and on the importance of educational interventions on the subject. Final Considerations: evidence found relating palliative care in Primary Health Care points to the possibility of this care; health teams work closely with the family and their home, but the need to expand this theme is still perceived.


2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Daiane Trentin ◽  
Mara Ambrosina de Oliveira Vargas ◽  
Monica Motta Lino ◽  
Sandra Maria Cezar Leal ◽  
Micheli Leal Ferreira ◽  
...  

Abstract Objective: to identify Brazilian and international scientific evidence about women in situation of sexual violence service by a multidisciplinary health team. Method: an integrative literature review carried out in four databases and in a digital library, with the following inclusion criteria: type of study, language and temporal cut. The final sample consisted of 34 studies. Results: nine categories emerged: service network; teamwork; health professional in the service network; qualification and training; comprehensiveness; protocols; services; access to services and support from managers. They were organized into potentialities, demands and weaknesses, constituting elements necessary for assistance effectiveness by the multidisciplinary team to women in situation of sexual violence. Conclusion an Implications for practice: despite the potential of providing women care in situations of sexual violence, weaknesses stand out as an incipient and inexistent articulation of the intersectoral care network, generating demands for the networks’ construction, articulation and sustainability. In addition, professional qualification and support of managers in the performance of public policies make possible care comprehensiveness, updates and service evidence.


2011 ◽  
Vol 5 (2) ◽  
pp. 496
Author(s):  
Maria Da Luz Ferreira Barros

ABSTRACTObjective: to identify in the scientific literature the perception on the type of delivery from the perspective of professionals and women. Methodology: this is a literature review, study held in November 2010 in the electronic database of the Virtual Health Library using the keywords: cesarean, childbirth, and professional insight. Inclusion criteria: Studies published from 2005 to 2010, available in full text, free access and focus on the second type of delivery and perception of professional women. We found 35 articles and selected 17. The analysis was done by identifying categories of perception. Results: the categories of perception of delivery with higher expression were: concern for and given birth to the baby, fear and suffering; care professionals, caregivers presence, experience, preference for vaginal delivery, preference by caesarean. Conclusion: it appears that birth is a much studied phenomenon involving living, humane care and concern about needing better care for women during childbirth. Vaginal birth is still considered the safest and most desired, but women may be influenced by opinions of others, needing to be informed for their decision making. Decriptors: professional; delivery; awareness; cesarean section.RESUMOObjetivo: identificar na literatura científica a percepção sobre o tipo de parto na perspectiva dos profissionais e mulheres. Metodologia: trata-se de um estudo de revisão de literatura, realizada em novembro de 2010, na base de dados eletrônica da Biblioteca Virtual em Saúde utilizando os descritores: cesárea, parto, percepção e profissionais. Critérios de inclusão: estudos publicados 2005 a 2010, disponíveis em texto completo, acesso livre e foco no tipo de parto segundo percepção de profissionais e mulheres. Encontraram-se 35 artigos e selecionados 17. A análise foi feita através da identificação de categorias de percepção. Resultados: as categorias de percepção do parto com maior expressão foram: preocupação com a puérpera e com o bebé; medo e sofrimento; atenção dos profissionais; presença de acompanhante; experiência; preferência por parto vaginal; preferência por parto por cesariana. Conclusão: constata-se que o parto é um fenómeno muito estudado que implica vivência, humanização e cuidados necessitando de preocupação com melhor assistência à parturiente. O parto vaginal é ainda considerado o mais seguro e desejado, mas as mulheres podem ser influenciadas por opiniões de terceiros, necessitando estar informadas para suas tomadas de decisão. Descritores: profissionais; parto; percepção; cesárea.RESUMENObjetivo: identificar en la literatura científica la percepción sobre el tipo de parto desde la perspectiva de los profesionales y las mujeres. Metodologia: se trata de una revisión de la literatura, celebrada en Noviembre de 2010 en la base de datos electrónica de la Biblioteca Virtual en Salud utilizando las palabras clave: cesárea, parto, percepción, y profesionales. Los criterios de inclusión: estudios publicados desde 2005 hasta 2010, disponibles en texto completo, libre acceso que se centran en el tipo de parto según la percepción de las mujeres y los profesionales. Se han encontrado 35 artículos y seleccionados 17. El análisis se realiza mediante la identificación de las categorías de percepción. Resultados: las categorías de la percepción de la prestación con mayor expresión fueron los siguientes: la preocupación por el parto y el bebé, el miedo y sufrimiento; atención de los profesionales, un compañero, la experiencia, la preferencia por el parto vaginal, la preferencia por el parto por cesárea. Conclusión: parece que el nacimiento es un fenómeno muy estudiado que comprende el cuidado por la vida, integridad personal y la preocupación en la necesidad de una mejor atención para las mujeres durante el parto. El parto vaginal sigue siendo considerado el más seguro y más deseado, pero las mujeres pueden estar influidas por las opiniones de los demás, todavía hay necesidad de informar las mujeres para tomar su decisión. Descriptores: Profesionales; entrega; percepción; cesárea.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1430-1430
Author(s):  
Z. Latif ◽  
D. Nerval

IntroductionA growing number‘of patients with schizophrenia are using complementary and alternative medicine (CAM) interventions. In this paper, we review the published scientific evidence on the benefits and risks of a natural supplement Sarcosine in patients with schizophrenia. Sarcosine, also known as N-methylglycine, is thought to modulate N-methyl-D-aspartate (NMDA) function through the glycine modulator. It has been investigated as a putative adjunct therapy for a wide variety of disorders ranging from schizophrenia to prostate cancer.Methods and MaterialsWe performed a comprehensive review of schizophrenia literature, focusing on complementary and alternative approached for augmentation treatment. We identified studies published from 01/1985 through 12/ 2010, by searching the PsycINFO, MEDLINE and CURRENT CONTENTS using the medical subject headings sarcosine, schizophrenia, complementary and alternative therapies and N-methylglycine. We found 6 randomized trials for use NMDA-glycine site agonists or glycine transporter-1 inhibitors. Inclusion criteria included randomized assignment, comparison with placebo and use of standardized outcome measures (PANS). The results are summarized in Table 1.ConclusionsOverall the limited current evidence suggests that intake of 2 g/day sarcosine as adjunctive therapy to certain antipsychotic medication in schizophrenia may have additional benefits on both positive and negative symptoms of schizophrenia. Sarcosine had been tolerated well with no notable side effects in excess of the placebo therapy.Unfortunately most of these studies are small and the routine use of Sarcosine in schizophrenia cannot be recommended without further evidence. In the meantime, patients need to be informed about the possible risks associated with the use of these interventions.


Electronics ◽  
2021 ◽  
Vol 10 (24) ◽  
pp. 3125
Author(s):  
Laraib Aslam Haafza ◽  
Mazhar Javed Awan ◽  
Adnan Abid ◽  
Awais Yasin ◽  
Haitham Nobanee ◽  
...  

The COVID-19 pandemic has frightened people worldwide, and coronavirus has become the most commonly used phrase in recent years. Therefore, there is a need for a systematic literature review (SLR) related to Big Data applications in the COVID-19 pandemic crisis. The objective is to highlight recent technological advancements. Many studies emphasize the area of the COVID-19 pandemic crisis. Our study categorizes the many applications used to manage and control the pandemic. There is a very limited SLR prospective of COVID-19 with Big Data. Our SLR study picked five databases: Science direct, IEEE Xplore, Springer, ACM, and MDPI. Before the screening, following the recommendation, Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) were reported for 893 studies from 2019, 2020 and until September 2021. After screening, 60 studies met the inclusion criteria through COVID-19 data statistics, and Big Data analysis was used as the search string. Our research’s findings successfully dealt with COVID-19 healthcare with risk diagnosis, estimation or prevention, decision making, and drug Big Data applications problems. We believe that this review study will motivate the research community to perform expandable and transparent research against the pandemic crisis of COVID-19.


2016 ◽  
Vol 19 (2) ◽  
pp. 148-158 ◽  
Author(s):  
Karen Admon Livny ◽  
Carmit Katz

Child maltreatment is a worldwide social problem that receives considerable attention. However, prevention efforts remain rare, allowing the phenomenon to continue and spread. The aim of the current article is to systematically review evidence-based prevention efforts that address schools and families as key stakeholders for preventing child maltreatment. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a thorough literature review revealed that only five programs matched the inclusion criteria for the current article. These programs were analyzed for several domains, including level of prevention, target population, participants, and the programs’ outcomes. The current review highlights the urgent needs to develop, modify, and further evaluate prevention programs for child maltreatment in the context of the ecological model. More specifically, it illuminates the need to create and champion programs that enhance the collaboration between families and schools, both of which are key stakeholders within the phenomenon of child maltreatment. Collaboration between policymakers, researchers, and practitioners should guide future efforts by promoting cultural adaptation to such programs and by integrating children’s perceptions to improve these efforts and to benefit everyone involved.


2021 ◽  
Vol 26 (suppl 1) ◽  
pp. 2431-2448
Author(s):  
Diana Fernandes Lopes ◽  
Ana Luísa Ramos ◽  
Eduardo Anselmo de Castro

Abstract Understanding imbalances between the supply and demand of the human resour- ces for health (HRH) is essential for enhancing health outcomes. Addressing the HRH demand is particularly challenging, especially given the deficit of accurate data and surplus of unresolved methodological flaws. This study presents a systematic review of the literature surrounding HRH demand and answers the following key questions: How has HRH demand been addressed? What are the harms and barriers that accompany HRH demand modeling? This systematic review was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) statement. Relevant keywords were used in a thorough search of the PubMed/MEDLINE, SCOPUS, and Web of Science databases. A total of 2,599 papers were retrieved and evaluated according to their title and abstract. Of these, the full-text of 400 papers was analyzed, 53 of which successfully met the inclusion criteria in our study. While the topic’s relevance is widespread, it still lacks a validated approach to model HRH demand adequately. The main characteristics of the applied methods are presented, such as their application complexity by health policymakers. Opportunities and orientations for further research are also highlighted.


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