scholarly journals Povidone iodine — new possibilities of a familiar dressing (literature review)

2021 ◽  
Vol 8 (3) ◽  
pp. 14-20
Author(s):  
I. V. Borisov
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Povidone Iodine ◽  
Good Sensitivity ◽  
Review Of The Literature

The article provides a review of the literature on the assessment of the efficacy, safety and indications for the use of povidone iodine in modern clinical practice. The preservation of good sensitivity to the drug, despite its long-term use, as well as new opportunities associated with the effectiveness against biofilm forms of pathogens and viruses, in particular SARS-CoV-2, has been shown.

scholarly journals Long-term outcomes of acromegaly treated with fractionated stereotactic radiation: case series and literature review

2017 ◽  
Vol 4 (4) ◽  
pp. 255-262
Author(s):  
Ryan Rhome ◽  
Isabelle M Germano ◽  
Ren-Dih Sheu ◽  
Sheryl Green
Keyword(s):  
Systematic Review ◽  
Literature Review ◽  
Case Series ◽  
Tumor Control ◽  
Pituitary Neoplasms ◽  
Review Of The Literature ◽  
Biochemical Control ◽  
Low Incidence

Abstract Background Growth hormone (GH)-secreting pituitary adenomas represent an uncommon subset of pituitary neoplasms. Stereotactic radiosurgery (SRS) and fractionated stereotactic radiotherapy (FSRT) have been used as primary or adjuvant treatment. The purpose of this study is to report the long-term tumor control and toxicity from our institution and to perform a systematic literature review of acromegaly patients treated with FSRT. Methods We retrospectively reviewed all patients treated with FSRT (median dose 50.4 Gray [Gy], range 50.4–54 Gy) between 2005 and 2012 who had: 1) GH-secreting adenoma with persistently elevated insulin growth factor-1 (IGF-1) despite medical therapy and 2) clinical follow up >3 years after FSRT. Patients were treated with modern FSRT planning techniques. Biochemical control was defined as IGF-1 normalization. Systematic review of the literature was performed for FSRT in acromegaly. Results With a median follow-up of 80 months, radiographic control was achieved in all 11 patients and overall survival was 100%. Long-term biochemical control was achieved in 10 patients (90.9%) with either FSRT alone (36.4%) or FSRT with continued medical management (45.5%). No patient experienced new hypopituitarism, cranial nerve dysfunctions, or visual deficits. Our systematic review found published rates of biochemical control and hypopituitarism vary, with uniformly good radiographic control and low incidence of visual changes. Conclusions Adjuvant FSRT offered effective long-term biochemical control and radiographic control, and there was a lower rate of complications in this current series. Review of the literature shows variations in published rates of biochemical control after FSRT for acromegaly, but low incidence of serious toxicities.

scholarly journals Hypodermoclysis: a literature review to assist in clinical practice

2015 ◽  
Vol 13 (1) ◽  
pp. 122-128 ◽  
Author(s):  
Vanessa Galuppo Bruno
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Nursing Staff ◽  
Negative Impact ◽  
Specific Information ◽  
Review Of The Literature ◽  
Therapeutic Goals ◽  
Routes Of Administration ◽  
Safe Option ◽  
Lack Of Information

The aim of this study was to analyze the information available in the literature about the drugs that can be administered through hypodermoclysis and the resulting impact that this information may have on the routine of the pharmacist working at a hospital. The study was based on a review of the literature. The results showed positive points of the procedure, but little specific information about medications such as routes of administration, standard dilutions, optimal doses, etc. Thus, it was possible to verify that there is no definite information as to the correct way to administer the drugs in this route, even though this is an effective and safe option, according to the literature. The lack of information has a negative impact on the support provided by the pharmacist to the nursing staff to ensure that the drug actually reaches its therapeutic goals safely.

Influence of preheating on the properties of composite filling material. Systematic literature review

2021 ◽  
pp. 24-32
Author(s):  
Z.S. Khabadze ◽  
Yu.A. Generalova ◽  
Ya.A. Negorelova ◽  
S.M. Abdulkerimova
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Polymer Composite ◽  
Systematic Literature Review ◽  
Organic Matrix ◽  
Filling Material ◽  
Review Of The Literature ◽  
Heating Device ◽  
The Moment ◽  
Aesthetic Characteristics

The article presents a review of the literature (57 sources) devoted to the influence of preheating on the manipulation, physical, mechanical and aesthetic characteristics of composite filling material. The literature obtained by searching in the databases Google Scholar, PubMed, as well as in the article biographical lists is studied. For improving the physical-mechanical, adaptive and, of course, manipulative properties of the polymer composite, researchers have proposed various protocols that allow us to achieve the best values of the basic properties of the filling material. The method of preheating the composite can positively affect various characteristics of the material, such as manipulative and aesthetic properties, as well as increase the values of microhardness and the final conversion of monomers of the organic matrix of the material. However, it is necessary to remember that in clinical practice it is difficult to reach the desired temperature, since the composite cools down from the moment the syringe is removed from the heating device, so the increments in the values of these properties may be lower than those obtained experimentally.

Lateral subtalar dislocation. A literature review and unusual case report

1992 ◽  
Vol 82 (3) ◽  
pp. 162-166 ◽  
Author(s):  
CL Sands ◽  
N Daly ◽  
JM Karlin ◽  
BL Scurran
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Subtalar Joint ◽  
Unusual Case ◽  
Long Term Results ◽  
Review Of The Literature ◽  
Joint Dislocation ◽  
Subtalar Dislocation ◽  
Unusual Case Report

An unusual case of suspected lateral subtalar joint dislocation was reported. A review of the literature found that medial dislocations were reported four times more frequently than lateral dislocations. Half of the cases of subtalar dislocation reviewed here described associated fractures, the incidence of which was higher in lateral dislocations. In both types of dislocations examined, almost half were reduced nonoperatively. In most cases, long-term results of repair of these injuries were considered favorable.

Congenital Lateral Palatal Synechia Associated With Cleft Palate: A Case Report With Long-Term Follow-Up and Review of the Literature

2019 ◽  
Vol 57 (6) ◽  
pp. 778-781
Author(s):  
Yoshimichi Imai ◽  
Masahiro Tachi
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Oral Cavity ◽  
Cleft Palate ◽  
Review Of The Literature ◽  
Long Term Follow Up ◽  
Long Term Prognosis ◽  
Cavity Floor

Lateral palatal synechiae are rare congenital adhesions running from the free borders of the cleft palate to the lateral parts of the tongue or the oral cavity floor, typically found in cleft palate lateral synechiae syndrome. We present a case of congenital lateral palatal synechia associated with a cleft palate that we treated and followed up for 10 years. We present the long-term prognosis. We also discuss variations in intraoral synechiae associated with cleft palate and the etiology of lateral palatal synechiae through a literature review.

scholarly journals Barriers to discontinuing antidepressants in patients with depressive and anxiety disorders: a review of the literature and clinical recommendations

2020 ◽  
Vol 10 ◽  
pp. 204512532093340
Author(s):  
Willemijn Scholten ◽  
Neeltje Batelaan ◽  
Anton Van Balkom
Keyword(s):  
Clinical Practice ◽  
Anxiety Disorders ◽  
Perceived Barriers ◽  
Withdrawal Symptoms ◽  
Evidence Based ◽  
Review Of The Literature ◽  
Clinical Recommendations ◽  
Qualitative And Quantitative ◽  
Evaluation And Monitoring

Use of antidepressants has recently increased, mainly caused by the increase of long-term users. Although evidence-based indications for long-term use are lacking, it is assumed that long-term use is unnecessary or undesirable in some patients. Perceived barriers to discontinuing antidepressants contribute to unnecessary or undesirable long-term use. Identifying barriers prior to, during and following discontinuation may enable strategies to overcome them. This narrative review summarises relevant qualitative and quantitative articles on perceived barriers to discontinuing antidepressants and provides recommendations for clinical practice. We can conclude that implications for clinical practice are diverse and the most important barriers experienced by patients and physicians include the fear of relapse or recurrence, insufficient evaluation and monitoring, withdrawal symptoms, and actual relapse or recurrence.

scholarly journals Discontinuing benzodiazepines: best practices

2016 ◽  
Vol 25 (3) ◽  
pp. 214-216 ◽  
Author(s):  
G. Guaiana ◽  
C. Barbui
Keyword(s):  
Clinical Practice ◽  
Best Practices ◽  
Systematic Reviews ◽  
Clinical Guidelines ◽  
Critical Appraisal ◽  
Review Of The Literature ◽  
Treatment As Usual ◽  
Self Help ◽  
Meta Analyses

In July 2015, the Canadian Agency for Drugs and Technologies in Health (CADTH) released a Rapid Response report summary, with a critical appraisal, on discontinuation strategies for patients with long-term benzodiazepines (BDZ) use. The CADTH document is a review of the literature. It includes studies whose intervention is BDZ discontinuation. Also, clinical guidelines, systematic reviews and meta-analyses are included. What emerges from the CADTH guidelines is that the best strategy remains gradual tapering of BDZ with little evidence for the use of adjunctive medications. The results show that simple interventions such as discontinuation letters from clinicians, self-help information and support in general, added to gradual tapering may be associated with a two- to three-fold higher chance of successful withdrawal, compared with treatment as usual. We suggest possible implications for day-to-day clinical practice.

scholarly journals Outcomes of Lower Extremity Endovascular Revascularization: Potential Predictors and Prevention Strategies

2021 ◽  
Vol 22 (4) ◽  
pp. 2002
Author(s):  
Federico Biscetti ◽  
Elisabetta Nardella ◽  
Maria Margherita Rando ◽  
Andrea Leonardo Cecchini ◽  
Antonio Gasbarrini ◽  
...  
Keyword(s):  
Risk Management ◽  
Clinical Practice ◽  
Literature Review ◽  
Lower Extremity ◽  
Prevention Strategies ◽  
Peripheral Artery ◽  
Surgical Revascularization ◽  
Endovascular Revascularization ◽  
Artery Disease

Peripheral artery disease (PAD) is a manifestation of atherosclerosis, which may affect arteries of the lower extremities. The most dangerous PAD complication is chronic limb-threatening ischemia (CLTI). Without revascularization, CLTI often causes limb loss. However, neither open surgical revascularization nor endovascular treatment (EVT) ensure long-term success and freedom from restenosis and revascularization failure. In recent years, EVT has gained growing acceptance among all vascular specialties, becoming the primary approach of revascularization in patients with CLTI. In clinical practice, different clinical outcomes after EVT in patients with similar comorbidities undergoing the same procedure (in terms of revascularization technique and localization of the disease) cause unsolved issues that need to be addressed. Nowadays, risk management of revascularization failure is one of the major challenges in the vascular field. The aim of this literature review is to identify potential predictors for lower extremity endovascular revascularization outcomes and possible prevention strategies.

Sign in / Sign up

Export Citation Format

Share Document