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Isabela Silva Rocha, Luiz Fernando Lolli, Mitsue Fujimaki, André Gasparetto, Najara Barbosa da Rocha
Breastfeeding is a practice directly related to the health of the mother and especially the baby. Despite being a natural process, many mothers report difficulties with breastfeeding. This study aimed to seek scientific evidence on the issue: "Can a mother with more confidence in breastfeeding exclusively breastfeed her baby for 06 months?". We conducted a systematic review with a search in five electronic databases, and included four cohort studies for evaluation. We conducted a qualitative analysis of the results, considering the methodological differences and lack of data, and were unable to perform meta-analysis...
November 2018: Ciência & Saúde Coletiva
Massimo Bongiovanni, Luca Giovanella, Francesco Romanelli, Pierpaolo Trimboli
BACKGROUND: The recent introduction of non-invasive follicular thyroid neoplasms with papillary-like nuclear features (NIFTP) in the WHO classification of thyroid tumors has significantly modified the risk of malignancy of cytological diagnoses. In fact, while this tumor was previously classified as a carcinoma (the encapsulated, non-invasive form follicular variant of papillary thyroid carcinoma), it is now considered a neoplasm with low malignant potential. Given that the NIFTP cytological features are not specific and overlap with other pathologic entities, there is no specific cytological diagnostic category for NIFTP...
November 14, 2018: Thyroid: Official Journal of the American Thyroid Association
Anne Brunstad, Katrine Aasekjær, Ingvild Aune, Anne Britt Vika Nilsen
AIM: The aim of this study was to explore and describe fathers' experiences during the first postnatal week after early discharge of mother and baby from the maternity unit. METHODS: A meta-synthesis. INCLUSION CRITERIA: peer-reviewed qualitative single studies of fathers' experiences during the first week after early discharge (defined as less than 72 hours postpartum) from hospital after the birth of a healthy singleton baby born between weeks 37 and 40...
November 14, 2018: Scandinavian Journal of Public Health
K Degeling, M J IJzerman, H Koffijberg
Metamodels, also known as meta-models, surrogate models, or emulators, are used in several fields of research to negate runtime issues with analyzing computational demanding simulation models. This study introduces metamodeling and presents results of a review on metamodeling applications in health economics. Areas covered: A scoping review was performed to identify studies that applied metamodeling methods in a health economic context. After search and selection, 13 publications were found to employ metamodeling methods in health economics...
November 14, 2018: Expert Review of Pharmacoeconomics & Outcomes Research
Pouran Mokhtari Zanjani, Elahe Ahmadnia, Roghieh Kharaghani
OBJECTIVE: There are some studies on the prevalence of ectopic pregnancy (EP) in a different population of Iranian women. This study aimed to estimate the ectopic pregnancy prevalence in obstetrical clients and infertile patients treated by assisted reproductive technologies in Iran. METHODS: International and national databases including PubMed, Web of Science, Ovid, Scopus, ScienceDirect, Magiran, Iran doc, and Iran Medex were searched up to January 2016. Also, conference databases were searched...
November 13, 2018: Journal of Evidence-based Medicine
Yael Barer, Ohad Cohen, Tali Cukierman-Yaffe
Controversy exists with respect to the role of intensive glucose control in people with type 2 diabetes and pre-existing cardiovascular disease (CVD). Thus, the aim of this systematic-review and meta-analysis was to determine in the subset of people with type 2 diabetes and pre-existing CVD, the CV effect of intensive glucose control versus standard of care. We searched Medline, the Cochrane library, EMBASE and the NIH Trial registration database for randomized controlled trials that evaluated the effect of intensive glucose control versus standard glucose control in people with type 2 diabetes on incident CVD...
November 13, 2018: Diabetes, Obesity & Metabolism
Diane Goff, Joanne Patterson
BACKGROUND: Speech and language therapists (SLT) lack consensus with regard to assessing the swallow function of a patient with a cuff-inflated tracheostomy. In the UK, one-third would not accept such a referral due to perceived negative effects on swallow safety. Patients may be spending longer hospitalized and fed enterally as a result. AIMS: To establish the evidence base for aspiration risk in the adult population when eating/drinking with a cuff-inflated tracheostomy...
November 14, 2018: International Journal of Language & Communication Disorders
P D McArdle, S M Greenfield, S K Rilstone, P Narendran, M Sayeed Haque, P S Gill
AIM: To conduct a systematic review and meta-analysis to evaluate the effect of carbohydrate restriction on glycaemic control in Type 2 diabetes. METHODS: We searched Medline, EMBASE and CINAHL for the period between 1976 and April 2018. We included randomized controlled trials comparing carbohydrate restriction with a control diet which aimed to maintain or increase carbohydrate intake, and that reported HbA1c as an outcome and reported the amount of carbohydrate consumed during or at the end of the study, with outcomes reported at ≥3 months...
November 13, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
Linda Kalilani, Xuezheng Sun, Barbara Pelgrims, Matthias Noack-Rink, Vicente Villanueva
OBJECTIVE: The definition of drug-resistant epilepsy (DRE) affects case identification and treatment, and impacts prevalence or incidence estimates and health burden estimation in epidemiology. The objective of this systematic review is to evaluate the consistency between definitions of DRE in the literature and the official definition in the International League Against Epilepsy (ILAE) guidelines, and to estimate the incidence, prevalence, and risk factors for DRE. METHODS: MEDLINE and EMBASE were searched for observational studies of DRE published between January 1980 and July 2015...
November 13, 2018: Epilepsia
Tiago Gregório, Sara Pipa, Pedro Cavaleiro, Gabriel Atanásio, Inês Albuquerque, Paulo Castro Chaves, Luís Azevedo
BACKGROUND/OBJECTIVE: Intracerebral hemorrhage (ICH) is a devastating disorder, responsible for 10% of all strokes. Several prognostic scores have been developed for this population to predict mortality and functional outcome. The aim of this study was to determine the four most frequently validated and most widely used scores, assess their discrimination for both outcomes by means of a systematic review with meta-analysis, and compare them using meta-regression. METHODS: PubMed, ISI Web of Knowledge, Scopus, and CENTRAL were searched for studies validating the ICH score, ICH-GS, modified ICH, and the FUNC score in ICH patients...
November 13, 2018: Neurocritical Care
Kyle M Gardiner, Susan E Tett, Christine E Staatz
BACKGROUND: Globally, enteric-coated mycophenolate sodium (EC-MPS) is replacing mycophenolate mofetil (MMF) in maintenance immunosuppressant regimens. The predominant reason for conversion is the purported improvement in gastrointestinal (GI) quality of life. This paper considers the level of bias associated with studies comparing EC-MPS and MMF for GI-related improvement and provides insight into whether conversion is supported by evidence. METHODS: Using a pre-determined protocol, a literature search was conducted...
November 13, 2018: Drugs in R&D
Yuan Xiong, Qipeng Wu, Bobin Mi, Wu Zhou, Yi Liu, Jing Liu, Hang Xue, Liangcong Hu, Adriana C Panayi, Guohui Liu
BACKGROUND: Corticosteroid (CS) injections have been proven to be effective in ameliorating symptoms of plantar fasciitis. Shock-wave (SW) therapy is another common treatment of plantar fasciitis, and several meta-analyses have documented its advantages when compared to placebo treatment. Despite this, few studies have focused on comparing the use of CS and SW in the treatment of plantar fasciitis. The purpose of this meta-analysis is to assess whether SW is superior to CS in managing plantar fasciitis, both in terms of ameliorating pain as well as improving functionality...
November 13, 2018: Archives of Orthopaedic and Trauma Surgery
Reza Tabrizi, Omid Reza Tamtaji, Kamran B Lankarani, Naghmeh Mirhosseini, Maryam Akbari, Ehsan Dadgostar, Payam Peymani, Zatollah Asemi
There are several current trials investigating the effect of resveratrol supplementation on biomarkers of inflammation and oxidative stress among patients with metabolic syndrome (MetS); however, their findings are controversial. This systematic review and meta-analysis of randomized controlled trials (RCTs) were conducted to summarize the existing evidence and collectively determine the effects of resveratrol supplementation on biomarkers of inflammation and oxidative stress among patients with MetS and related disorders...
November 14, 2018: Food & Function
Xige Wang, Changli Zhou, Yuewei Li, Huimin Li, Qinqin Cao, Feng Li
Objective: Numerous studies have investigated the prognostic role of frailty in elderly patients with heart failure (HF), but the limited size of the reported studies has resulted in continued uncertainty regarding its prognostic impact. The aim of this study was to integrate the findings of all available studies and estimate the impact of frailty on the prognosis of HF by performing a systematic review and meta-analysis. Methods: PubMed, Embase, Cochrane, and Web of Science databases were searched from inception to November 8th 2017 to identify eligible prospective studies...
2018: BioMed Research International
Jeremy Meyer, Nicolas Christian Buchs, Frédéric Ris
Colorectal cancer constitutes an important burden on the healthcare system. Screening at-risk populations to reduce colorectal cancer-related morbidity and mortality has become part of good clinical practice. However, recommendations regarding subgroups of patients with diverticular disease are subject to controversy. Herein, we review the most recent literature regarding the prevalence of colorectal cancer in patients with diverticular disease, diverticulitis and uncomplicated diverticulitis. The recent literature does not identify diverticular disease as a long-term risk factor for colorectal cancer...
October 24, 2018: World Journal of Clinical Oncology
Jianqing Li, Jiayi Xu, Yiyi Chen, Jiaju Zhang, Yihong Cao, Peirong Lu
Purpose: Intravitreal antivascular endothelial growth factor (anti-VEGF) therapy has been widely used for the treatment of neovascularization (NV) secondary to age-related macular degeneration (AMD). This study aimed to compare the efficacy among different subtypes of neovascular age-related macular degeneration (nAMD). Methods: PubMed, Embase, and the Cochrane Library were searched for eligible studies. We performed meta-analysis using Review Manager 5.3 and Stata/SE 12...
2018: Journal of Ophthalmology
John Ong, Michael F Bath, Carla Swift, Yasseen Al-Naeeb
Aim: The aim of this systematic review was to determine if the human colon, through the lower gut-liver axis, drives PSC activity by assessing the progression of the disease in patients with and without colectomy for colonic disease. Background: The gut-liver axis is involved in the pathogenesis of liver disease. Abnormal immune-mediated responses to intestinal microbiome are implicated in primary sclerosing cholangitis (PSC) however the mechanisms remain poorly understood...
2018: Gastroenterology and Hepatology From Bed to Bench
Carol Stephanie C Tan-Lim, Natasha Ann R Esteban-Ipac
Background: The burden of disease of food allergy is increasing worldwide. The standard of management is allergen avoidance and symptomatic treatment. Probiotics have been proposed to be beneficial for treatment and prevention of food allergy. Objective: To determine the effectiveness of probiotic administration in treating food allergies among pediatric patients. Methods: A systematic search of electronic medical literature databases was conducted...
2018: World Allergy Organization Journal
Rama Jayaraj, Chellan Kumarasamy, Madurantakam Royam Madhav, Venkatesh Pandey, Shanthi Sabarimurugan, N Ramesh, K M Gothandam, Siddhartha Baxi
No abstract text is available yet for this article.
2018: Disease Markers
Mingyue Rao, Chenlin Gao, Man Guo, Betty Yuen Kwan Law, Yong Xu
Purpose: Metformin is a key pharmaceutical for patients with diabetes mellitus (DM). Metformin also can enhance tumor radiosensitivity in vitro and in vivo. Some retrospective cohort studies have indicated that metformin can improve the efficacy of radiotherapy in patients with cancer and DM. The aim of this systematic review was to evaluate the radiotherapy efficacy of metformin in patients with cancer and DM. Methods: Multiple databases were queried for studies that address the efficacy of metformin in radiotherapy of patients with cancer and DM...
2018: Cancer Management and Research
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