scholarly journals ¿Es efectiva la terapia administrada vía internet para la depresión?: Una Revisión Sistemática (Is Online Therapy Effective for Depression? A Systematic Review)

Enfoques ◽  
2015 ◽  
Vol 2 (1) ◽  
pp. 83-116
Author(s):  
Claudia Liliana Valencia Granados ◽  
Juan Camilo Vargas-Nieto
Keyword(s):  
Systematic Review ◽  
Latin American ◽  
Trial Design ◽  
Clinical Trial Design ◽  
Clinical Effectiveness ◽  
Research Articles ◽  
Systematic Analysis ◽  
Symptoms Of Depression ◽  
Revisión Sistemática ◽  
Ensayo Clínico

ResumenEl objetivo de este estudio es el de explorar la efectividad clínica de las intervenciones administradas vía internet para la depresión, a partir de la revisión sistemática de artículos de investigación con diseño de ensayo clínico aleatorizado, publicados en revistas con revisión de pares de los últimos 10 años, en inglés o español sobre tratamientos administrados vía online para la depresión. De un total de 745 referencias bibliográficas detectadas, se seleccionaron 63 artículos. El análisis sistemático de estos estudios indicó que las terapias asistidas por internet son efectivas para la reducción de síntomas de depresión. Sin embargo, son necesarios más estudios en el contexto latinoamericano teniendo en cuenta los aspectos culturales y contextuales de la población y así establecer la efectividad de esta modalidad de intervención en países de habla hispana.Palabras clave: Terapia asistidas por internet, depresión, revisión sistemática.AbstractThe scope of this study is to explore the clinical effectiveness of interventions conducted by the internet for treat depression. The background of the study comprises a systematic review of research articles with randomized clinical trial design published in peer-reviewed journals of the last 10 Years (both in English and Spanish) on treatments administered online for depression (of a total of 745 bibliographical references detected, 63 articles were selected). The study concludes through systematic analysis of these studies that internet-assisted therapies are truly effective in reducing symptoms of depression. However, more studies are needed at the Latin American setting (taking into account the cultural and contextual aspects of this region population), to widely establish the broad effectiveness of these kind of interventions.Keywords: internet delivered, depression, systematic review.

scholarly journals Do Nanofilled/Nanohybrid Composites Allow for Better Clinical Performance of Direct Restorations Than Traditional Microhybrid Composites? A Systematic Review

2018 ◽  
Vol 43 (4) ◽  
pp. E191-E209 ◽  
Author(s):  
D Angerame ◽  
M De Biasi
Keyword(s):  
Systematic Review ◽  
Latin American ◽  
Clinical Performance ◽  
Surface Characteristics ◽  
Clinical Effectiveness ◽  
Present Review ◽  
Cochrane Library ◽  
Anterior Teeth ◽  
The Moment ◽  
Meta Analyses

SUMMARY This systematic review was carried out to assess the clinical effectiveness of nanofilled and nanohybrid composites used for direct restorations in comparison with microhybrid composites. The guidelines for the preferred reporting items for systematic reviews and meta-analyses were followed. A search of articles published from July 1996 to February 2017 was performed in PubMed, SciVerse Scopus, Latin American and Caribbean Health Sciences, the Scientific Electronic Library Online, and the Cochrane Library. The present review selected only randomized controlled trials comparing the clinical performance of a nanofilled or nanohybrid composite for direct restorations with that of a microhybrid composite. The research found 201 studies. Twenty-one articles fulfilled the criteria of the present review. However, the included studies were characterized by great methodological diversities. As a general trend, nanofilled and nanohybrid composites were found to be capable of clinical performance, marginal quality, and resistance to wear similar to that of traditional composites without showing improved surface characteristics. The risk of bias of included studies was judged unclear or high. The clinical performance of nanofilled/nanohybrid composites was found to be comparable to that of traditional composites in the posterior area. The data concerning anterior and cervical restorations were insufficient. With regard to the esthetic properties, there is a compelling need for studies on anterior teeth in which the operators are kept unaware of the restorative material. Nanofilled/nanohybrid composites seem to be a valid alternative to traditional microhybrid composites, and at the moment, there is low-level evidence attesting a lack of their superiority.

scholarly journals RESILIENCIA Y ESPIRITUALIDAD. APORTES PARA SU ESTUDIO DESDE UNA PERSPECTIVA PSICOLÓGICA

2017 ◽  
Vol 2 (2) ◽  
pp. 205-216
Author(s):  
Juan Ignacio Irurzun ◽  
Joaquín Mezzadra ◽  
Maximiliano Preuss
Keyword(s):  
Systematic Review ◽  
Latin American ◽  
Empirical Investigation ◽  
Review Of The Literature ◽  
Revisión Sistemática ◽  
Bibliographic Search

En la actualidad, distintos autores han sugerido que el concepto de resiliencia se encuentra asociado a la espiritualidad, de modo que aquellas personas que se consideran espirituales podrían presentar características resilientes (Poseck, Baquero & Jiménez, 2006; Girard, 2007). Sin embargo, son pocos los trabajos que se proponen realizar una revisión sistemática de la literatura en relación al vínculo entre ambos constructos. Por este motivo, el presente trabajo se propone realizar una búsqueda bibliográfica en bases de datos - SCIELO, LATINDEX, entre otras - con el objeto de revisar críticamente los hallazgos empíricos reportados por los diferentes estudios.  Se concluye que, si bien se han incrementado la cantidad de trabajos en el área en los últimos años, aún se requiere un mayor número de investigaciones, particularmente en el contexto latinoamericano. A la vez, la definición y evaluación de la espiritualidad ha presentado considerables dificultades, por lo que aún se precisa mejorar las herramientas disponibles para su indagación empírica. AbstractCurrently, different authors have suggested that the concept of resilience is associated with spirituality, so that those who consider themselves spiritual could have resilient characteristics (Poseck, Baquero & Jiménez, 2006, Girard, 2007). However, there are few works that propose to perform a systematic review of the literature in relation to the link between both constructs. For this reason, the present work intends to carry out a bibliographic search in databases - SCIELO, LATINDEX, among others - in order to review critically the empirical findings reported by the different studies. It is concluded that, although the number of jobs in the area has increased in the last few years, it is still necessary to increase the amount of research, particularly in the Latin American context. At the same time, the definition and evaluation of spirituality has presented considerable difficulties, so it is still necessary to improve the tools available for its empirical investigation.

scholarly journals Mastication in children and adolescents with overweight or obesity: a systematic review

2021 ◽  
Vol 34 ◽  
Author(s):  
Renata Emmanuele Assunção SANTOS ◽  
Diego Cabral LACERDA ◽  
Maria Giselda da SILVA ◽  
Danielly Alves Mendes BARBOSA ◽  
Isabeli Lins PINHEIRO ◽  
...  
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Latin American ◽  
Web Of Science ◽  
Meta Analysis ◽  
Caribbean Literature ◽  
Systematic Analysis ◽  
Review Protocol ◽  
Materials Used ◽  
Overweight Or Obesity

ABSTRACT Studies have shown that changes in mastication are related to overweight in children and adolescents as these changes influence the increase in food consumption. The objective of this article was to characterize, through a systematic review, the mastication in children and adolescents with overweight or obesity. For this, two independent authors performed a systematic review of the electronic databases: Medical Literature Analysis and Retrieval System Online, Scopus, Cumulative Index to Nursing and Allied Health, Web of Science and Latin American and Caribbean Literature in Health Sciences. Masticatory characteristics were considered as primary outcomes; the methods of analyzing mastication, the physical characteristics of the foods/materials used in the analyses and the fasting time were considered as secondary outcomes. This review was prepared in accordance with the items of the preferential reports for systematic analysis and meta-analysis. The systematic review protocol was submitted to the International Prospective Registry of Systematic Reviews. Nine articles were included in this review. The reviewed articles suggest that children and/or adolescents with overweight or obese present masticatory damages because they have worse masticatory performance and altered orofacial myofunctional characteristics.

scholarly journals A systematic review of utilisation of diurnal timing information in clinical trial design for Long QT syndrome

2020 ◽  
Author(s):  
Lydia M Seed ◽  
Timothy J Hearn
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Long Qt Syndrome ◽  
Cardiac Electrophysiology ◽  
Trial Design ◽  
Clinical Trial Design ◽  
Time Of Day ◽  
Long Qt ◽  
Timing Information ◽  
Qt Syndrome

Diurnal oscillations in human cardiac electrophysiology are thought to be under the control of the endogenous circadian clock. The incidence of arrhythmic events in patients with Long QT syndrome (LQTS) varies diurnally. The diurnal variation in QT interval has previously been identified as a potential for error in clinical trials which utilise ECG measurement. We performed a systematic review of clinical trials for LQTS to identify practice around specification of timing information for point electrocardiogram (ECG) measurements, analysis of continual ECG recordings ≥24 hours, and drug delivery. Despite guidelines having been issued around the analysis of 24-hour ECG recordings, we identify a lack of usage of detailed time of day information in trial design for LQTS studies, which has the potential to affect the interpretation of the results of drug trials. We identify that, in contrast, clinical trials for QT prolonging drugs demonstrate increased incorporation of time of day information of both QT analysis and drug dosing. We provide a visual portal to allow trial designers and clinicians to better understand timing of common cardiac-targeting drugs, and to bear this concept in mind in the design of future clinical trials.

scholarly journals Clinical characterization of Lassa fever: A systematic review of clinical reports and research to inform clinical trial design

2021 ◽  
Vol 15 (9) ◽  
pp. e0009788
Author(s):  
Laura Merson ◽  
Josephine Bourner ◽  
Sulaiman Jalloh ◽  
Astrid Erber ◽  
Alex Paddy Salam ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trial ◽  
Trial Design ◽  
Clinical Care ◽  
Clinical Trial Design ◽  
Evidence Base ◽  
Lassa Fever ◽  
World Health ◽  
Treatment Recommendation ◽  
Presenting Symptoms

Background Research is urgently needed to reduce the morbidity and mortality of Lassa fever (LF), including clinical trials to test new therapies and to verify the efficacy and safety of the only current treatment recommendation, ribavirin, which has a weak clinical evidence base. To help establish a basis for the development of an adaptable, standardised clinical trial methodology, we conducted a systematic review to identify the clinical characteristics and outcomes of LF and describe how LF has historically been defined and assessed in the scientific literature. Methodology Primary clinical studies and reports of patients with suspected and confirmed diagnosis of LF published in the peer-reviewed literature before 15 April 2021 were included. Publications were selected following a two-stage screening of abstracts, then full-texts, by two independent reviewers at each stage. Data were extracted, verified, and summarised using descriptive statistics. Results 147 publications were included, primarily case reports (36%), case series (28%), and cohort studies (20%); only 2 quasi-randomised studies (1%) were found. Data are mostly from Nigeria (52% of individuals, 41% of publications) and Sierra Leone (42% of individuals, 31% of publications). The results corroborate the World Health Organisation characterisation of LF presentation. However, a broader spectrum of presenting symptoms is evident, such as gastrointestinal illness and other nervous system and musculoskeletal disorders that are not commonly included as indicators of LF. The overall case fatality ratio was 30% in laboratory-confirmed cases (1896/6373 reported in 109 publications). Conclusion Systematic review is an important tool in the clinical characterisation of diseases with limited publications. The results herein provide a more complete understanding of the spectrum of disease which is relevant to clinical trial design. This review demonstrates the need for coordination across the LF research community to generate harmonised research methods that can contribute to building a strong evidence base for new treatments and foster confidence in their integration into clinical care.

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