Effects of Different Recovery Positions on the Postpercutaneous Liver Biopsy Complications: A Metaanalysis

Objective: We aim to evaluate the effects of different recovery positions on the adverse events and the patient acceptability in those who underwent percutaneous liver biopsy (PLB).Methods: A literature search was conducted in the Cochrane Library, Embase, Scopus, PubMed, CNKI, Sinomed, and Wanfang databases. The time for the article extraction was until July 2020. The articles were screened by two independent researchers, together with the bias risk evaluation and data extraction. The RevMan 5.4 software was utilized for the metaanalysis.Results: Finally, two articles involving 180 subjects were eligible for this study. Metaanalysis showed that at T0, the alternation between right-side and combined position (CRP) would induce an elevation of post-PLB pain compared with the dorsal/supine position (SRP) [WMD = −2.00, 95% CI (−3.54, −0.47), p = 0.01]. There were no statistical differences in the postoperative pain among the CRP, SRP, and right-side position (RRP). The patient acceptability of SRP and RRP was higher than that of the CRP. Finally, two eligible studies were included, which showed no incidence of pneumothorax and abdominal bleeding.Conclusions: CRP would induce post-PLB pain at T0. SRP was the most acceptable position for the cases that underwent PLB. There were no statistical differences in the incidence of pneumothorax and abdominal bleeding.Systematic Review Registration:https://www.crd.york.ac.uk/PROSPERO, identifier: CRD42020196633.

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Addressing barriers to the conduct and application of research in complementary and alternative medicine: a scoping review

BMC Complementary Medicine and Therapies ◽

10.1186/s12906-021-03371-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yasamin Veziari ◽

Saravana Kumar ◽

Matthew Leach

Keyword(s):

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Scoping Review ◽

Data Extraction ◽

Grey Literature ◽

Evidence Base ◽

Cochrane Library ◽

Educational Strategies ◽

The Cochrane Library ◽

Complementary And Alternative

Abstract Background Over the past few decades, the popularity of complementary and alternative medicine (CAM) has grown considerably and along with it, scrutiny regarding its evidence base. While this is to be expected, and is in line with other health disciplines, research in CAM is confronted by numerous obstacles. This scoping review aims to identify and report the strategies implemented to address barriers to the conduct and application of research in CAM. Methods The scoping review was undertaken using the Arksey and O’Malley framework. The search was conducted using MEDLINE, EMBASE, EMCARE, ERIC, Scopus, Web of Science, The Cochrane Library, JBI and the grey literature. Two reviewers independently screened the records, following which data extraction was completed for the included studies. Descriptive synthesis was used to summarise the data. Results Of the 7945 records identified, 15 studies met the inclusion criteria. Using the oBSTACLES instrument as a framework, the included studies reported diverse strategies to address barriers to the conduct and application of research in CAM. All included studies reported the use of educational strategies and collaborative initiatives with CAM stakeholders, including targeted funding, to address a range of barriers. Conclusions While the importance of addressing barriers to the conduct and application of research in CAM has been recognised, to date, much of the focus has been limited to initiatives originating from a handful of jurisdictions, for a small group of CAM disciplines, and addressing few barriers. Myriad barriers continue to persist, which will require concerted effort and collaboration across a range of CAM stakeholders and across multiple sectors. Further research can contribute to the evidence base on how best to address these barriers to promote the conduct and application of research in CAM.

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Recombinant human thyrotropin stimulated 131I treatment for multinodular goiter

Nuklearmedizin ◽

10.3413/nukmed-0808-16-03 ◽

2016 ◽

Vol 55 (06) ◽

pp. 228-235 ◽

Cited By ~ 1

Author(s):

Limin Tang ◽

Tiekun Ma ◽

Fengyu Wu

Keyword(s):

Adverse Effects ◽

Data Extraction ◽

Thyroid Volume ◽

131I Therapy ◽

Cochrane Library ◽

131I Treatment ◽

Significant Difference ◽

High Doses ◽

Recombinant Human Thyrotropin ◽

The Cochrane Library

SummaryThe aim of the study was to investigate the effects of rhTSH stimulation before 131I treatment in patients with MNG. Methods: Sources included the Cochrane Library, MEDLINE, EMBASE, and SCOPUS database (all until January 2016). Randomized controlled trials (RCTs) that assessed the efficacy of rhTSH-stimulated 131I treatment compared to placebo or 131I treatment alone were collected. Two authors performed the data extraction independently. Results: Six RCTs involving 294 patients with MNG were included in this review. Altogether 168 patients were randomized to rhTSH-stimulated 131I therapy, and 126 to either placebo and 131I or 131I alone. rhTSH-stimulated 131I vs placebo and 131I or 131I alone for MNG showed no statistically significant difference in quality of life and all-cause mortality. rhTSH- (at a dose of 0.03 mg and above) stimulated 131I treatment for MNG showed significant benefits in thyroid volume reduction. 131I treatment with rhTSH stimulation at high doses (0.03 mg, 0.1 mg, 0.3 mg and 0.45 mg) for MNG caused significantly higher adverse effects and hypothyroidism. Conclusions: The overall results indicated that using rhTSH at high doses of 0.03–0.45 mg before 131I therapy resulted in a greater TVR than 131I therapy alone for patients with non-toxic MNG. However, an increased incidence of adverse effects and hypothyroidism was observed in patients receiving highdose of rhTSH pretreatment than in patients who received low-dose rhTSH pretreatment. Therefore, a dose of 0.03 mg rhTSH pretreatment before 131I therapy may be more potent than 131I alone in treating patients with non-toxic MNG who either had a contraindication for or declined surgery.

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Percutaneous Liver Biopsy Complications in Patients with Chronic Renal Failure

Nephron ◽

10.1159/000189358 ◽

1996 ◽

Vol 74 (2) ◽

pp. 442-443 ◽

Cited By ~ 13

Author(s):

Mete Özdo&gbreve;an ◽

Orhan Özgür ◽

Sedat Boyacio&gbreve;lu ◽

Mehmet Co&scedil;kun ◽

Hamide Kart ◽

...

Keyword(s):

Renal Failure ◽

Chronic Renal Failure ◽

Liver Biopsy ◽

Percutaneous Liver Biopsy ◽

Biopsy Complications

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Acute sickle cell hepatopathy represents a potential contraindication for percutaneous liver biopsy

Blood ◽

10.1182/blood-2002-06-1823 ◽

2003 ◽

Vol 101 (1) ◽

pp. 101-103 ◽

Cited By ~ 47

Author(s):

Nada Zakaria ◽

Alex Knisely ◽

Bernard Portmann ◽

Giorgina Mieli-Vergani ◽

Julia Wendon ◽

...

Keyword(s):

Sickle Cell Disease ◽

Liver Biopsy ◽

Sickle Cell ◽

Percutaneous Liver Biopsy ◽

Cell Disease ◽

Sinusoidal Dilatation ◽

Clinicopathologic Findings ◽

Venous Outflow Obstruction ◽

Group 2 ◽

Biopsy Complications

Abstract After several complications following percutaneous liver biopsy in patients with sickle cell disease, we reviewed our experience. We examined 14 patients with sickle cell disease who underwent a percutaneous liver biopsy. Clinicopathologic findings were correlated with outcome. Of 14 patients, 5 (36%) suffered serious hemorrhage; 4 died (80%; 28% of all patients). None of the 9 patients without biopsy complications was in an acute sickling crisis at the time of biopsy; 4 of 5 patients with complications were in acute sickling crisis. Of the 5 patients with complications, 4 underwent biopsy for an emergency indication. Chronic venous outflow obstruction, marked hepatic sequestration of erythrocytes, and sinusoidal dilatation were strongly associated with complications. Data obtained by biopsy in group 1 were not of substantial value in clinical management, in contrast to group 2 (8/9; 89%). Acute hepatic disease complicating sickle cell anemia represents a newly identified contraindication to percutaneous liver biopsy.

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Aromatherapy for Managing Pain in Primary Dysmenorrhea: A Systematic Review of Randomized Placebo-Controlled Trials

Journal of Clinical Medicine ◽

10.3390/jcm7110434 ◽

2018 ◽

Vol 7 (11) ◽

pp. 434 ◽

Cited By ~ 10

Author(s):

Myeong Lee ◽

Hye Lee ◽

Mohamed Khalil ◽

Hyun Lim ◽

Hyun-Ja Lim

Keyword(s):

Data Extraction ◽

Pain Reduction ◽

Systemic Review ◽

Cochrane Library ◽

Controlled Trials ◽

Primary Dysmenorrhea ◽

Level Of Evidence ◽

Medical Databases ◽

Standard Mean Difference ◽

The Cochrane Library

Aromatherapy, the therapeutic use of essential oils, is often used to reduce pain in primary dysmenorrhea. Eleven databases, including four English (PubMed, AMED, EMBASE, and the Cochrane Library) and seven Korean medical databases, were searched from inception through August 2018 without restrictions on publication language. Randomized controlled trials (RCTs) testing aromatherapy for pain reduction in primary dysmenorrhea were considered. Data extraction and risk-of-bias assessments were performed by two independent reviewers. All of the trials reported superior effects of aromatherapy for pain reduction compared to placebo (n = 1787, standard mean difference (SMD): −0.91, 95% CI: −1.17 to −0.64, p < 0.00001) with high heterogeneity (I2 = 88%). A sub-analysis for inhalational aromatherapy for the alleviation of pain also showed superior effects compared to placebo (n = 704, SMD: −1.02, 95% CI: −1.59 to −0.44, p = 0.0001, I2 = 95%). With regard to aromatherapy massage, the pooled results of 11 studies showed favorable effects of aromatherapy massage on pain reduction compared to placebo aromatherapy massage (n = 793, SMD: −0.87, 95% CI: −1.14 to −0.60, p < 0.00001, I2 = 70%). Oral aromatherapy had superior effects compared to placebo (n = 290, SMD: −0.61, 95% CI: −0.91 to −0.30, p < 0.0001, I2 = 0%). In conclusion, our systemic review provides a moderate level of evidence on the superiority of aromatherapy (inhalational, massage, or oral use) for pain reduction over placebo in primary dysmenorrhea.

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Videolaparoscopic Management of Percutaneous Liver Biopsy Complications

Surgical Laparoscopy Endoscopy & Percutaneous Techniques ◽

10.1097/00129689-200104000-00015 ◽

2001 ◽

Vol 11 (2) ◽

pp. 134-138

Author(s):

Joaquim Gama-Rodrigues ◽

Cláudio Bresciani ◽

Victor Edmond Seid

Keyword(s):

Liver Biopsy ◽

Percutaneous Liver Biopsy ◽

Biopsy Complications

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Cochrane corner: water for wound cleansing

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193412443640 ◽

2012 ◽

Vol 37 (4) ◽

pp. 375-376 ◽

Cited By ~ 1

Author(s):

J. Henton ◽

A. Jain

Keyword(s):

Tap Water ◽

Data Extraction ◽

Healing Process ◽

Cost Effective ◽

Cochrane Library ◽

Controlled Trials ◽

Cochrane Central Register ◽

Ovid Medline ◽

Central Register ◽

The Cochrane Library

Background: Although various solutions have been recommended for cleansing wounds, normal saline is favoured as it is an isotonic solution and does not interfere with the normal healing process. Tap water is commonly used in the community for cleansing wounds because it is easily accessible, efficient and cost effective; however, there is an unresolved debate about its use. Objectives: The objective of this review was to assess the effects of water compared with other solutions for wound cleansing. Search strategy: For this update we searched the Cochrane Wounds Group Specialised Register (Searched 22 February 2010); The Cochrane Central Register of Controlled Trials (CENTRAL) ( The Cochrane Library, 2010 Issue 1); Ovid MEDLINE – 2007 to February Week 2 2010; Ovid MEDLINE – In-Process & Other Non-Indexed Citations (Searched19 February 2010); Ovid EMBASE – 2007 to 2010 Week 06; EBSCO CINAHL – 2007 to 22 February 2010. Selection criteria: Randomized and quasi-randomized controlled trials that compared the use of water with other solutions for wound cleansing were eligible for inclusion. Additional criteria were outcomes that included objective or subjective measures of wound infection or healing. Data collection and analysis: Two review authors independently carried out trial selection, data extraction and quality assessment. We settled differences in opinion by discussion. We pooled some data using a random-effects model.

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Dental Bulk-Fill Resin Composites Polymerization Efficiency: A Systematic Review and Meta-Analysis

Journal of Composites Science ◽

10.3390/jcs5060149 ◽

2021 ◽

Vol 5 (6) ◽

pp. 149

Author(s):

Reem A. Ajaj ◽

Nada J. Farsi ◽

Lama Alzain ◽

Nour Nuwaylati ◽

Raneem Ghurab ◽

...

Keyword(s):

Data Extraction ◽

Meta Analysis ◽

Relevant Information ◽

Cochrane Library ◽

Random Effects Model ◽

Inclusion Criteria ◽

Medical Subject Headings ◽

Future Studies ◽

Comprehensive Search ◽

The Cochrane Library

Dental Bulk-Fill Composites (BFCs) and Bulk-Fill Flowables (BFFs) were introduced in the market to facilitate efficient bulk filling of cavities up to 5 mm. The aim of this study was to synthesize the literature investigating their polymerization efficiency. A comprehensive search of PubMed and the Cochrane Library from 2010 to January 2019 was performed using the medical subject headings. Screening of the titles, abstracts and full text was performed. Data extraction for relevant information was done on the included studies. Clinically relevant parameters were selected to present the study estimates (meta-analysis) using a random effects model for polymerization efficiency (Degree of Conversion (DC) and Depth of Cure (DoC)). Twenty one studies fulfilled the inclusion criteria and were included in the analysis reporting seven BFCs and nine BFFs. Ten materials reported acceptable DC values of above 55% and ten materials reported adequate DoC values. Most of the stated materials reported adequate DC and DoC values in at least one investigation with BFFs showing higher and more acceptable values compared to packable BFCs. It is suggested that future studies be carried out using a standard methodology following the ISO 4049 standard and manufacturer’s instructions to compare results.

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Perspectives of People Who Are Overweight and Obese on Using Wearable Technology for Weight Management: Systematic Review

JMIR mhealth and uhealth ◽

10.2196/12651 ◽

2020 ◽

Vol 8 (1) ◽

pp. e12651 ◽

Cited By ~ 4

Author(s):

Ruiqi Hu ◽

Michelle Helena van Velthoven ◽

Edward Meinert

Keyword(s):

Randomized Controlled Trials ◽

Weight Management ◽

Data Extraction ◽

Wearable Technology ◽

Risk Of Bias ◽

Qualitative Studies ◽

Cochrane Library ◽

Controlled Trials ◽

Randomized Controlled ◽

The Cochrane Library

Background Obesity is a large contributor to preventable chronic diseases and health care costs. The efficacy of wearable devices for weight management has been researched; however, there is limited knowledge on how these devices are perceived by users. Objective This study aimed to review user perspectives on wearable technology for weight management in people who are overweight and obese. Methods We searched the online databases Pubmed, Scopus, Embase, and the Cochrane library for literature published from 2008 onward. We included all types of studies using a wearable device for delivering weight-loss interventions in adults who are overweight or obese, and qualitative data were collected about participants' perspectives on the device. We performed a quality assessment using criteria relevant to different study types. The Cochrane risk of bias tool was used for randomized controlled trials. The Risk of Bias in Non-randomized Studies - of Interventions (ROBINS-I) was used for nonrandomized studies. The Oxman and Guyatt Criteria were used for systematic reviews. We used the critical appraisal checklist for qualitative studies. Data were extracted into a data extraction sheet and thematically analyzed. Results We included 19 studies: 5 randomized controlled trials, 6 nonrandomized studies, 5 qualitative studies, and 3 reviews. Mixed perceptions existed for different constructs of wearable technologies, which reflects the differences in the suitability of wearable technology interventions for different individuals in different contexts. This also indicates that interventions were not often tailored to participants' motivations. In addition, very few wearable technology interventions included a thorough qualitative analysis of the participants' view on important features of the intervention that made it successful. Conclusions This study highlights the importance of determining the type of intervention most suitable for an individual before the intervention is used. Our findings could help participants find a suitable intervention that is most effective for them. Further research needs to develop a user-centered tool for obtaining comprehensive user feedback. Trial Registration PROSPERO CRD42018096932; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=96932

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Bridging knowledge, policies and practices across the ageing and disability fields: a protocol for a scoping review to inform the development of a taxonomy

BMJ Open ◽

10.1136/bmjopen-2017-016741 ◽

2017 ◽

Vol 7 (10) ◽

pp. e016741 ◽

Cited By ~ 2

Author(s):

Emily Joan Nalder ◽

Michelle Putnam ◽

Luis Salvador-Carulla ◽

Andria Spindel ◽

Zinnia Batliwalla ◽

...

Keyword(s):

Scoping Review ◽

Qualitative Content Analysis ◽

Data Extraction ◽

Grey Literature ◽

Knowledge Exchange ◽

Cochrane Library ◽

Data Abstraction ◽

Conference Presentations ◽

Data Extraction Form ◽

The Cochrane Library

IntroductionBridging is a term used to describe activities, or tasks, used to promote collaboration and knowledge exchange across fields. This paper reports the protocol for a scoping review which aims to identify and characterise peer reviewed evidence describing bridging activities, between the ageing and disability fields. The purpose is to clarify the concepts underpinning bridging to inform the development of a taxonomy, and identify research strengths and gaps.MethodsA scoping review will be conducted. We will search Medline, Cumulative Index to Nursing and Allied Health Literature, Embase, PsycInfo, Sociological Abstracts and the Cochrane Library, to identify peer reviewed publications (reviews, experimental, observational, qualitative designs and expert commentaries) describing bridging activities. Grey literature, and articles not published in English will be excluded. Two investigators will independently complete article selection and data abstraction to minimise bias. A data extraction form will be iteratively developed and information from each publication will be extracted: (1) bibliographic, (2) methodological, (3) demographic, and (4) bridging information. Qualitative content analysis will be used to describe key concepts related to bridging.ConclusionsTo our knowledge, this will be the first scoping review to describe bridging of ageing and disability knowledge, services and policies. The findings will inform the development of a taxonomy to define models of bridging that can be implemented and further evaluated to enable integrated care and improve systems and services for those ageing with disability.Ethics and disseminationEthics is not required because this is a scoping review of published literature. Findings will be disseminated through stakeholder meetings, conference presentations and peer reviewed publication.

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