scholarly journals Início da mobilização em pacientes com hemorragia subaracnoidea aneurismatica

2021 ◽  
Vol 29 ◽  
pp. 1-21
Author(s):  
Jozilane Santos Domingos ◽  
Emília De Alencar Andrade ◽  
Rogleson Albuquerque Brito ◽  
Aila Maria da Silva Bezerra
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Systematic Reviews ◽  
Intracranial Aneurysms ◽  
Early Mobilization ◽  
Early Ambulation ◽  
Meta Analyses

Introdução. As diretrizes para o manejo de pacientes com Hemorragia Subaracnóidea Aneurismática não apontam o momento ideal para iniciar a mobilização. Objetivo. Identificar critérios de segurança para o início da fisioterapia motora nesses pacientes. Método. Foi realizada uma revisão sistemática, desenvolvida conforme as recomendações do Preferred Reporting Intens for Systematic Reviews and Meta-Analyses (PRISMA). A busca foi feita por dois pesquisadores independentes nas bases de dados eletrônicos LILACS, SciELO, MedLine/PubMed e PEDro, utilizando a combinação dos termos: “Early Ambulation”, “Early Mobilization”, “Intracranial aneurysms”, “Subarachnoid hemorrhage. Definidos os critérios de inclusão: artigos publicados desde o início das bases até agosto de 2020, sem restrição de idioma, que abordam sobre intervenção com fisioterapia motora e/ou sobre efeitos da quebra do repouso no paciente adulto com Hemorragia Subaracnóidea Aneurismática. Resultados.  Foram incluídos nove artigos a partir dos 95 estudos encontrados na busca. Foram excluídos estudos que não atenderam aos critérios acima estabelecidos e revisões de literatura. A qualidade metodológica dos ensaios clínicos foi avaliada de acordo com a escala PEDro. O nível de evidência destes variou de quatro a cinco, sendo considerados de qualidade baixa e intermediária respectivamente. Os resultados permitiram a sumarização dos critérios de segurança em três categorias: cardiovascular, respiratória e neurológica. Nesta obtivemos maior número de itens com variáveis a serem consideradas para a elegibilidade do paciente a iniciar a mobilização. Conclusão. Os critérios de segurança concentraram-se em garantir a estabilidade neurológica e fisiológica do paciente antes do início das primeiras sessões de mobilização.

Hotspots in Psychology – 2020 Edition

2020 ◽  
Vol 228 (1) ◽  
pp. 1-2
Author(s):  
Michael Bošnjak ◽  
Nadine Wedderhoff
Keyword(s):  
Systematic Reviews ◽  
Research Synthesis ◽  
Synthesis Methods ◽  
Common Denominator ◽  
The Common ◽  
Meta Analyses

Abstract. This editorial gives a brief introduction to the six articles included in the fourth “Hotspots in Psychology” of the Zeitschrift für Psychologie. The format is devoted to systematic reviews and meta-analyses in research-active fields that have generated a considerable number of primary studies. The common denominator is the research synthesis nature of the included articles, and not a specific psychological topic or theme that all articles have to address. Moreover, methodological advances in research synthesis methods relevant for any subfield of psychology are being addressed. Comprehensive supplemental material to the articles can be found in PsychArchives ( https://www.psycharchives.org ).

Exercise as early mobilization in patients using vasoactive drugs

2020 ◽  
Vol 19 (4) ◽  
pp. 301
Author(s):  
Amanda Mariano Morais ◽  
Daiane Naiara Da Penha ◽  
Danila Gonçalves Costa ◽  
Vanessa Beatriz Aparecida Fontes Schweling ◽  
Jaqueline Aparecida Almeida Spadari ◽  
...  
Keyword(s):  
Intensive Care ◽  
Cardiovascular Response ◽  
Ventilatory Support ◽  
Early Mobilization ◽  
Scientific Basis ◽  
Routine Practice ◽  
Vasoactive Drugs ◽  
Early Ambulation ◽  
Early Mobility ◽  
The Face

Introduction: The functional benefits of Early Mobilization (EM) capable of minimizing limitations and deformities in the face of immobility are clear, but there are many barriers to conduct EM as a routine practice in the Intensive Care Unit (ICU), including the use of vasoactive drugs (VAD), since it is directly related to weakness acquired in the ICU, in addition to the resistance of the multidisciplinary team to mobilize the patient using VAD. Objective: The objective of this literature review is to raise a scientific basis in the management of critically ill patients using DVAs for EM in the ICU. Methods: It is an integrative review of the literature, with research in the databases: PEDro, Pubmed, Lilacs, with articles published between 2011 and 2018, in Portuguese and English, using the terms: vasoactive drugs, early mobility, exercise in UCI, vasopressor and its equivalents in Portuguese. Results: Nine studies were included that analyzed the EM intervention in patients using VAD, with or without ventilatory support. There was no homogeneous treatment among the researched works, varying between exercises in bed and outside, with passive and / or active action. However, regardless of the conduct, there was an improvement in the cardiovascular response without relevant changes regarding the use of VAD. Conclusion: EM is not contraindicated for patients in the ICU with the use of VAD, and it was shown to be effective and safe without promoting relevant hemodynamic and cardiorespiratory changes, which would determine its absolute contraindication.Keywords: vasodilator agents, early ambulation, intensive care units, physical therapy specialty.

Parâmetros e efeitos do laser não ablativo no tratamento de melasma facial

2018 ◽  
Vol 19 (3) ◽  
pp. 342
Author(s):  
Felipe Soares Macedo ◽  
Marthina Santos Rosa ◽  
Suélia De Siqueira Rodrigues Fleury Rosa ◽  
Hellen Batista De Carvalho ◽  
Luisiane De Ávila Santana
Keyword(s):  
Systematic Reviews ◽  
Evidence Database ◽  
Meta Analyses

O uso do laser não ablativo no tratamento do melasma tem sido abordado em diversos estudos, porém, não há consenso na literatura quanto aos parâmetros e feitos de intervenções baseadas neste recurso. O objetivo deste estudo foi identificar e descrever parâmetros e efeitos do laser não ablativo no tratamento de hiperpigmentação de pele (melasma). Trata-se de uma revisão sistemática da literatura baseada no Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A busca eletrônica compreendeu as seguintes bases de dados: PubMed, Physiotherapy Evidence Database (PEDro), Science Direct e SciELO. Foram identificados inicialmente 641 documentos nas bases de dados eletrônicas, enquanto na busca manual 26 artigos foram encontrados, após leitura e análise 7 artigos foram selecionados. Foram analisados 7 artigos correspondentes as bases de dados PubMed e Science Direct, todos na língua inglesa e publicados a partir do ano de 2010. Apenas um estudo utilizou uma amostra maior que 30 indivíduos, os demais utilizaram em média 16 participantes, com predomínio do sexo feminino e classificação segundo Fitzpatrick entre III-V. O comprimento de onda variou entre 1064 nm a 1550 nm e a energia máxima não ultrapassou 4 J/cm². De acordo com as variáveis avaliadas, os protocolos testados demonstraram que o laser não ablativo foi ineficaz no tratamento de melasma facial, sobretudo após a interrupção da terapia.Palavras-chave: hiperpigmentação, laser não ablativo, fisioterapia dermato-funcional, revisão sistemática.

Les troubles périnéosphinctériens chez les patients souffrant de troubles du comportement alimentaire

2019 ◽  
Vol 13 (4) ◽  
pp. 188-194
Author(s):  
C. Pourtal ◽  
L. Volondat ◽  
S. Lambert ◽  
J. Robert ◽  
M. Rousselet ◽  
...  
Keyword(s):  
Systematic Reviews ◽  
Revue De La Littérature ◽  
Prolapsus Rectal ◽  
Comportement Alimentaire ◽  
Prise De Poids ◽  
Meta Analyses ◽  
Troubles Du Comportement ◽  
Troubles Du Comportement Alimentaire

Contexte : Les troubles périnéosphinctériens (TPS) survenant chez les patients souffrant de trouble du comportement alimentaire (TCA) sont des complications sous-abord ées dans la littérature. Le but de cette revue de la littérature était de faire le point sur l’état des connaissances actuelles pour aider le clinicien prenant en charge les TPS à les mettre en lien avec les TCA, et le clinicien prenant en charge les TCA à les prévenir et à les repérer le plus précocement possible, dans une perspective de réduction des risques et des dommages. Méthode : Deux revues de littérature ont été conduites, l’une portant sur les TPS d’origine digestive, l’autre sur les TPS d’origine urinaire. La sélection des articles s’est faite en nous référant aux recommandations PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) et à partir des bases de données PubMed et ScienceDirect. Résultats : Douze articles ont été retenus. Les TPS identifies sont la constipation, l’incontinence fécale, l’incontinence urinaire et le prolapsus rectal. Ils sont secondaires aux effets de la malnutrition sur la composante musculaire ainsi qu’à la pression abdominale exercée par des comportements visant à réguler la prise de poids, tels que les exercices physiques réalisés en hyperpression, les efforts de poussée lors de l’émission des selles et les vomissements provoqués. Conclusion : Une anamnèse précise et méticuleuse chez les personnes présentant un indice de masse corporel bas semble primordiale. L’usage de laxatifs est à proscrire avant un programme de renutrition d’au moins trois semaines.

Murphey’s teat: history and insight into an enigmatic cerebrovascular eponym

2020 ◽  
Vol 133 (2) ◽  
pp. 369-373
Author(s):  
Daniel M. Heiferman ◽  
Daphne Li ◽  
Joseph C. Serrone ◽  
Matthew R. Reynolds ◽  
Anand V. Germanwala ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Intracranial Aneurysms ◽  
Important Work ◽  
Multiple Intracranial Aneurysms ◽  
Angiographic Evidence ◽  
Insight Into

Dr. Francis Murphey of the Semmes-Murphey Clinic in Memphis recognized that a focal sacculation on the dome of an aneurysm may be angiographic evidence of a culpable aneurysm in the setting of subarachnoid hemorrhage with multiple intracranial aneurysms present. This has been referred to as a Murphey’s “teat,” “tit,” or “excrescence.” With variability in terminology, misspellings in the literature, and the fact that Dr. Murphey did not formally publish this important work, the authors sought to clarify the meaning and investigate the origins of this enigmatic cerebrovascular eponym.

scholarly journals Application of the Subspace-Based Methods in Health Monitoring of Civil Structures: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 10 (10) ◽  
pp. 3607
Author(s):  
Hoofar Shokravi ◽  
Hooman Shokravi ◽  
Norhisham Bakhary ◽  
Mahshid Heidarrezaei ◽  
Seyed Saeid Rahimian Koloor ◽  
...  
Keyword(s):  
System Identification ◽  
Systematic Reviews ◽  
Health Monitoring ◽  
Meta Analysis ◽  
Civil Structures ◽  
Literature Reviews ◽  
Research Gap ◽  
Meta Analyses ◽  
Subspace System Identification ◽  
Insight Into

A large number of research studies in structural health monitoring (SHM) have presented, extended, and used subspace system identification. However, there is a lack of research on systematic literature reviews and surveys of studies in this field. Therefore, the current study is undertaken to systematically review the literature published on the development and application of subspace system identification methods. In this regard, major databases in SHM, including Scopus, Google Scholar, and Web of Science, have been selected and preferred reporting items for systematic reviews and meta-analyses (PRISMA) has been applied to ensure complete and transparent reporting of systematic reviews. Along this line, the presented review addresses the available studies that employed subspace-based techniques in the vibration-based damage detection (VDD) of civil structures. The selected papers in this review were categorized into authors, publication year, name of journal, applied techniques, research objectives, research gap, proposed solutions and models, and findings. This study can assist practitioners and academicians for better condition assessment of structures and to gain insight into the literature.

scholarly journals Evaluation of the Accero Stent for Stent-Assisted Coiling of Unruptured Wide-Necked Intracranial Aneurysm Treatment with Short-Term Follow-Up

2020 ◽  
Vol 9 (9) ◽  
pp. 2808
Author(s):  
Wojciech Poncyljusz ◽  
Kinga Kubiak ◽  
Leszek Sagan ◽  
Bartosz Limanówka ◽  
Katarzyna Kołaczyk
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Intracranial Aneurysms ◽  
Clinical Results ◽  
Class I ◽  
Unruptured Aneurysms ◽  
Patient Demographics ◽  
Stent Deformation ◽  
Unruptured Intracranial Aneurysms ◽  
Occlusion Rate

Background: Stent-assisted coiling is an effective method of treating intracranial aneurysms. The aim of the study was to assess the safety and efficacy of the new Accero stent for the treatment of intracranial aneurysms. Materials and Methods: It was a retrospective, single-center study. Eighteen unruptured intracranial aneurysms were treated using the stent-assisted coiling method with the Accero stent. Patient demographics, aneurysm characteristics, procedural parameters, grade of occlusion, complications, and clinical results were analyzed. Follow-up magnetic resonance (MR) was performed 6 months after intervention. Results: Seventeen patients with 18 incidental unruptured aneurysms were electively treated with coiling and the Accero stent. The aneurysms were located on internal carotid artery (ICA), middle cerebral artery (MCA) and basilar artery (BA). All stents were deployed successfully. Immediate complete occlusion rate Raymond-Roy occlusion classification (RROC) class I was achieved in 13 cases and class II in 4 cases. Complications occurred in 2/17 treatments and included guidewire stent perforation with subarachnoid hemorrhage (SAH) and stent deformation. Vascular spasm in the subarachnoid hemorrhage (SAH) patient subsided before discharge. Ninety days after intervention, the modified Rankin Scale (mRS) value was 0. RROC class I was observed in 88.23% of cases in follow-up. Conclusion: The Accero stent provides excellent support for coil mass. It constitutes an efficacious device with good initial occlusion rate for treating wide-necked unruptured intracranial aneurysms.

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