scholarly journals Is prophylactic fixation preferable to active surveillance of the unaffected contralateral hip in unilateral slipped capital femoral epiphysis?- A Systematic Review

2021 ◽  
Vol 4 (1) ◽  
pp. 18-24
Author(s):  
Vishvas Shetty ◽  
◽  
Kash Akhtar ◽  
◽  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Qualitative Analysis ◽  
Musculoskeletal Disorders ◽  
Active Surveillance ◽  
Treatment Modality ◽  
Slipped Capital Femoral Epiphysis ◽  
Initial Presentation ◽  
Treatment Modalities ◽  
Endocrine Disorders

Slipped capital femoral epiphysis is one of the commonest musculoskeletal disorders amongst children. Whilst its management is reasonable well established, the treatment of the unaffected contralateral hip is controversial. The incidence of subsequent contralateral slip has been reported to be between 19 and 63%. The two treatment modalities are prophylactic fixation at initial presentation or active surveillance and fixation on diagnoses of subsequent slip. Both approaches have their merits but there is no clear consensus. Known risk factors include age, sex, young age at initial presentation, endocrine disorders and obesity. Clinical, epidemiological and radiological predictors have been assessed retrospectively but have limited prospective accuracy. We performed a systematic review of the existing literature as per PRISMA guidelines to determine which treatment modality is more effective. Qualitative analysis of the literature also yielded interesting insights into different aspects of the management of the contralateral hip in unilateral SCFE.

scholarly journals The prevalence and risk factors of work-related musculoskeletal disorders among adults in Ethiopia: a study protocol for extending a systematic review with meta-analysis of observational studies

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Tsiwaye Gebreyesus ◽  
Kalkidan Nigussie ◽  
Moges Gashaw ◽  
Balamurugan Janakiraman
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Musculoskeletal Disorders ◽  
Observational Studies ◽  
Meta Analysis ◽  
Work Related ◽  
Work Related Musculoskeletal Disorders ◽  
Abstract Data ◽  
Size Type ◽  
The Individual

Abstract Background Work-related musculoskeletal disorders impose a significant and most often underappreciated burden to the individual, nation, healthcare system, and society as a whole. To the best of our knowledge, there is a lack of reliable estimates on the prevalence of work-related musculoskeletal disorders in Ethiopia. The objective of this study will be to assess the existing literature on the prevalence rates and determinant factors of work-related musculoskeletal disorders in Ethiopia. Method We will search PubMed/MEDLINE, Embase, SCOPUS, PsycINFO, PEDro, and Ebsco (from January 2000 onwards). Gray literature will be identified through searching Google Scholar and dissertation databases. Observational studies reporting on the prevalence of work-related musculoskeletal disorders among adult Ethiopians will be included. The primary outcome will be the prevalence of work-related musculoskeletal disorders. Secondary outcomes will be the prevalence of any risk factors in association with work-related musculoskeletal disorders. Two reviewers will independently screen all citations, full-text articles, and abstract data. The study methodological quality (or bias) will be appraised using an appropriate tool. If feasible, we will conduct random effects meta-analysis of observational data. Subgroup analyses will be conducted to explore the potential sources of heterogeneity (e.g., gender, sample size, type of occupation). Publication bias and heterogeneity between the included studies will also be assessed and reported. Discussion This systematic review will provide a synthesis of the literature on the prevalence of work-related musculoskeletal disorders and their risk factors in Ethiopia. The results of this review could help the policymakers in occupational health and healthcare sectors in identifying priority areas for interventions in work-related musculoskeletal disorders and will also serve as a baseline for the decision-making processes of musculoskeletal health promotion, work exposure implementations, and prevention programs in workplaces. Systematic review registration PROSPERO, CRD42020164240

scholarly journals Systematic review: risk factors for musculoskeletal disorders in musicians

2016 ◽  
Vol 66 (8) ◽  
pp. 614-622 ◽  
Author(s):  
V. A. E. Baadjou ◽  
N. A. Roussel ◽  
J. A. M. C. F. Verbunt ◽  
R. J. E. M. Smeets ◽  
R. A. de Bie
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Musculoskeletal Disorders

scholarly journals Analysis of Prognostic Factors and Treatment Modes of Patients with Recurrent Endometrial Carcinoma

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Yi Li ◽  
Dong Yang ◽  
Shuangjian Yang
Keyword(s):  
Risk Factors ◽  
Endometrial Cancer ◽  
Treatment Modality ◽  
Poor Prognosis ◽  
Treatment Plan ◽  
Treatment Modalities ◽  
Factors Affecting ◽  
Multifactorial Analysis ◽  
Primary Surgery ◽  
First Choice

Objective. Recurrence of endometrial cancer after initial treatment can be complex and difficult to treat. The current main treatment modalities for patients with recurrent endometrial cancer (REC) include chemotherapy, radiotherapy, and surgery, which vary according to the individual patient. However, REC is often associated with a poor prognosis, and it is therefore important to investigate the risk factors affecting REC prognosis and to explore appropriate treatment modalities to improve the prognosis and treatment strategies for patients with REC. Methods. Totally, 100 patients with REC admitted to our hospital from January 2013 to January 2018 were chosen to be research objects. Their pathological data were analyzed, including age, disease-free interval (DFI), recurrence site, and treatment plan after relapse (definitive local therapy (DLT) and palliative chemotherapy (PC)). According to these parameters, univariate and multivariate factors affecting the prognosis of REC patients and the curative effect of PC were analyzed, and the 3-year overall survival (OS) curve and progression-free survival (PFS) curve were drawn. Results. After 3 years of follow-up, 30 patients had a poor prognosis and 70 had a good prognosis, according to which a single multifactorial analysis was performed for different prognoses, where the results of the single-factor analysis showed significant differences between patients with different prognoses in terms of pathomorphology, pathological grading, TFI, and treatment modality after relapse. Further multifactorial analysis showed that TFI and treatment modality after recurrence were independent factors affecting poor prognosis in REC patients. The 3-year OS and 3-year PFS of REC patients were 74.00% and 70.00%, respectively. Patients whose DFI was less than 12 months or treated with PC after relapse were notably associated with lower levels of 3-year OS and 3-year PFS. In addition, radiotherapy and chemotherapy, DFI, and chemotherapy plan after primary surgery were independent risk factors that affected the PC efficacy of REC patients. Conclusion. DFI and treatment mode after relapse are independent factors affecting the prognosis of REC patients. DLT can obviously improve the prognosis of REC patients. For patients who can only choose PC, chemoradiotherapy and DFI after primary surgery are helpful to predict the chemotherapy effect, and the combination of paclitaxel and platinum drugs should be the first choice for chemotherapy.

scholarly journals STUDY PROTOCOL The prevalence and risk factors of work-related musculoskeletal disorders among adults in Ethiopia: a study protocol for extending a systematic review with meta-analysis of observational studies

2020 ◽  
Author(s):  
Tsiwaye Gebreyesus ◽  
Kalkidan Nigussie ◽  
Moges Gashaw Getnet ◽  
Balamurugan Janakiraman
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Musculoskeletal Disorders ◽  
Study Protocol ◽  
Observational Studies ◽  
Meta Analysis ◽  
Grey Literature ◽  
Work Related ◽  
Work Related Musculoskeletal Disorders ◽  
The Individual

Abstract Background: Work-related musculoskeletal disorders impose a significant and most often underappreciated burden to the individual, nation, healthcare system, and society as a whole. To the best of our knowledge, there is a lack of reliable estimates on the prevalence of work-related musculoskeletal disorders in Ethiopia. The objective of this study will be to assess the existing literature on the prevalence rates and determinant factors of work-related musculoskeletal disorders in Ethiopia.Method: We will search PubMed/MEDLINE, Embase, SCOPUS, PsycINFO, PEDro and Ebsco (from January 2000 onwards). Grey literature will be identified through searching Google Scholar and dissertation databases. Observational studies reporting on the prevalence of work-related musculoskeletal disorders among adult Ethiopians will be included. The primary outcome will be the prevalence of work-related musculoskeletal disorders. Secondary outcomes will be the prevalence of any risk factors in association with work-related musculoskeletal disorders. Two reviewers will independently screen all citations, full-text articles, and abstract data. The study methodological quality (or bias) will be appraised using an appropriate tool. If feasible, we will conduct random effects meta-analysis of observational data. Subgroup analyses will be conducted to explore the potential sources of heterogeneity (e.g. gender, sample size, type of occupation).Publication bias and heterogeneity between the included studies will also be assessed and reported.Discussion: This systematic review will provide a synthesis of the literature on the prevalence of work-related musculoskeletal disorders and their risk factors in Ethiopia. The results of this review could help the policymakers in occupational health and health care sectors in identifying priority areas for interventions in work-related musculoskeletal disorders and will also serve as a baseline for the decision-making processes of musculoskeletal health promotion, work exposure implementations, and prevention programs in workplaces. Systematic review registration: PROSPERO CRD42020164240

scholarly journals Musculoskeletal Disorders in Dentists: A Systematic Review

2018 ◽  
Vol 7 (2) ◽  
pp. 38-42
Author(s):  
Nihar Sultana ◽  
Md Anower Hussain Mian ◽  
Md Golam Rubby ◽  
Palash Chandra Banik
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Musculoskeletal Disorders ◽  
Working Hours ◽  
Large Sample Size ◽  
Dental Equipment ◽  
Dental Practitioners ◽  
Repetitive Movements ◽  
Significant Burden ◽  
Musculoskeletal Problems

Background: Musculoskeletal disorders (MSDs) are the most important occupational health problems particularly in dentists. Technological advancements in the field of dental equipment and material- shave not fully eliminated the musculoskeletal problems of dentists.Methods: This systematic review began with a search of a range of a relevant articles from May to July 2017 in Google Scholar with the key words musculoskeletal disorders, dental practitioners, dentist, risk factors. According to the inclusion and exclusion criteria of the manuscript a total 13 origi- nal articles were included for this review work.Results : This review work observed the highest overall prevalence of MSDs among dental practition- ers were 92% with the most prevalent regions for pain in dentists have been shown to be the neck (41-75.7%), lower back (35–73.5 %) and shoulder (29–43.3%). Different risk factors have been identi- fied, including inadequate postures, long working hours without pause, direct inspection, physical load, repetitive movements etc.Conclusion: Overall, the review emphasizes that MSDs represent a significant burden for the dental professionals. Further studies are required including large sample size to be able to reach valid conclusion and be able to generalize results.Update Dent. Coll. j: 2017; 7 (2): 38-42

Efficacy of Kinesio Taping Compared to Other Treatment Modalities in Musculoskeletal Disorders: A Systematic Review and Meta-Analysis

2021 ◽  
pp. 1-24
Author(s):  
Linh Tran ◽  
Abdelrahman M Makram ◽  
Omar Mohamed Makram ◽  
Muhammed Khaled Elfaituri ◽  
Sara Morsy ◽  
...  
Keyword(s):  
Systematic Review ◽  
Musculoskeletal Disorders ◽  
Meta Analysis ◽  
Treatment Modalities ◽  
Kinesio Taping

scholarly journals Treatment modalities of necrobiosis lipoidica: a concise systematic review

2015 ◽  
Vol 7 (2) ◽  
Author(s):  
Amir Feily ◽  
Shadi Mehraban
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Clinical Trials ◽  
Treatment Modality ◽  
Skin Disorder ◽  
Case Reports ◽  
Google Scholar ◽  
Treatment Modalities ◽  
Small Scale ◽  
Necrobiosis Lipoidica

Necrobiosis lipoidica (NL) is a rare inflammatory granulomatous skin disorder closely associated with diabetes mellitus. The aim of this paper is to review and discuss all the treatment modalities proposed and tested for this disease. A systematic review of the existing literature was conducted to investigate all the available data and summarize all the clinical trials, case reports and original articles on NL. Two major databases (PubMed and Google Scholar) were used. We have examined about 70 articles. Numerous treatment modalities have been currently investigated to compare recalcitrant NL. Being rare, most of the studies regarding this disease are case reports or small-scale clinical trials. We have found that, in spite of plentiful investigations carried out during the years, there is no treatment modality that has proved to be utterly satisfactory in treating NL.

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