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https://www.readbyqxmd.com/read/29442412/effect-of-chewing-gum-on-gastrointestinal-function-after-gynecological-surgery-a-systematic-literature-review-and-meta-analysis
#1
Chao Xu, Jie Peng, Su Liu, Dun-Yi Qi
AIM: Recently, several randomized controlled trials (RCT) reported the effect of chewing gum on gastrointestinal function after gynecological surgery; however, these results are inconsistent. The aim of this study was to systematically analyze the effect of chewing gum on postoperative gastrointestinal function and complications in women undergoing gynecological surgery. METHODS: Pumbed, Embase, Cochrane Library, Web of Science, Chinese Wanfang databases, China National Knowledge Infrastructure and http://clinicaltrials...
February 14, 2018: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29440235/do-patients-with-blunt-thoracic-aortic-injury-present-to-hospital-with-unstable-vital-signs-a-systematic-review-and-meta-analysis
#2
Jordan Bade-Boon, Joseph K Mathew, Mark C Fitzgerald, Biswadev Mitra
BACKGROUND: Blunt thoracic aortic injury (BTAI) is an uncommon diagnosis, usually developing as a consequence of high-impact acceleration-deceleration mechanisms. Timely diagnosis may enable early resuscitation and reduction of shear forces, essential to prevent worsening of the injury prior to definitive management. Death is commonly due to haemorrhagic shock, but clinical features may be absent until sudden and massive haemorrhage. OBJECTIVES: The aim of this systematic review was to determine the proportion of patients with BTAI who present with unstable vital signs...
February 9, 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29438575/primary-care-professionals-providing-non-urgent-care-in-hospital-emergency-departments
#3
REVIEW
Daniela Gonçalves-Bradley, Jaspreet K Khangura, Gerd Flodgren, Rafael Perera, Brian H Rowe, Sasha Shepperd
BACKGROUND: In many countries emergency departments (EDs) are facing an increase in demand for services, long waits, and severe crowding. One response to mitigate overcrowding has been to provide primary care services alongside or within hospital EDs for patients with non-urgent problems. However, it is unknown how this impacts the quality of patient care and the utilisation of hospital resources, or if it is cost-effective. This is the first update of the original Cochrane Review published in 2012...
February 13, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29433865/electricity-and-generator-availability-in-lmic-hospitals-improving-access-to-safe-surgery
#4
Sagar Chawla, Shaheen Kurani, Sherry M Wren, Barclay Stewart, Gilbert Burnham, Adam Kushner, Thomas McIntyre
BACKGROUND: Access to reliable energy has been identified as a global priority and codified within United Nations Sustainable Goal 7 and the Electrify Africa Act of 2015. Reliable hospital access to electricity is necessary to provide safe surgical care. The current state of electrical availability in hospitals in low- and middle-income countries (LMICs) throughout the world is not well known. This study aimed to review the surgical capacity literature and document the availability of electricity and generators...
March 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29430809/morbidity-and-mortality-meetings-gold-silver-or-bronze
#5
REVIEW
Thomas D Vreugdenburg, Deanne Forel, Nicholas Marlow, Guy J Maddern, John Quinn, Richard Lander, Stephen Tobin
BACKGROUND: Morbidity and mortality (M&M) meetings contribute to surgical education and improvements in patient care through the review of surgical outcomes; however, they often lack defined structure, objectives and resource support. The aim of this study was to investigate the factors that impact the effective conduct of M&M meetings. METHODS: We conducted a rapid systematic literature review. Three biomedical databases (PubMed, the Cochrane Library and the University of York Centre for Reviews and Dissemination), clinical practice guideline clearinghouses and grey literature sources were searched from May 2009 to September 2016...
February 11, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29429465/-effect-of-vitamin-a-as-an-adjuvant-therapy-for-pneumonia-in-children-a-meta-analysis
#6
Nan Hu, Qu-Bei Li, Shan-Ye Zou
OBJECTIVE: To investigate the effect and safety of vitamin A supplementation in children with pneumonia through a systematic review. METHODS: Cochrane Library, EMbase, PubMed, China Biology Medicine disc, CNKI, and Wanfang Data were searched for randomized controlled trials (RCTs) on vitamin A as an adjuvant therapy for pneumonia in children. Two reviewers independently screened the studies and evaluated their quality according to the inclusion and exclusion criteria...
February 2018: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/29427259/intraoperative-cerebral-oximetry-based-management-for-optimizing-perioperative-outcomes-a-meta-analysis-of-randomized-controlled-trials
#7
Andres Zorrilla-Vaca, Ryan Healy, Michael C Grant, Brijen Joshi, Lucia Rivera-Lara, Charles Brown, Marek A Mirski
PURPOSE: Although evidence from observational studies in a variety of clinical settings supports the utility of cerebral oximetry as a predictor of outcomes, prospective clinical trials thus far have reported conflicting results. This systematic review and meta-analysis was designed to evaluate the influence of management associated with intraoperative cerebral oximetry on postoperative outcomes. The primary outcome was postoperative cognitive dysfunction (POCD), with secondary outcomes that included postoperative delirium, length of intensive care unit (ICU) stay, and hospital length of stay (LOS)...
January 18, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29419680/mir-664a-3p-expression-in-patients-with-obstructive-sleep-apnea-a-potential-marker-of-atherosclerosis
#8
Kun Li, Zhiting Chen, Yanwen Qin, Yongxiang Wei
The early prediction of atherosclerosis (AS) is important in the management of obstructive sleep apnea patients (OSA). MicroRNA (miRNA) plays a vital role in the evolution of OSA and AS. Its differential expression may therefore serve as a diagnostic and prognostic biomarker of AS in OSA. The aim of this study was to identify specific serum miRNAs that could serve as a novel screening signature of AS in OSA patients. The specificity and sensitivity of these miRNAs in the early diagnosis of AS in OSA patients were then determined...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29409711/phosphocreatine-in-cardiac-surgery-patients-a-meta-analysis-of-randomized-controlled-trials
#9
Fang Mingxing, Giovanni Landoni, Alberto Zangrillo, Fabrizio Monaco, Vladimir V Lomivorotov, Cao Hui, Maxim Novikov, Valery Nepomniashchikh, Evgeny Fominskiy
OBJECTIVE: There is experimental evidence that phosphocreatine (PCr) can decrease ischemia/reperfusion injury of the heart. The authors investigated if PCr would improve heart performance as compared with standard treatment in cardiac surgery. DESIGN: Meta-analysis of randomized controlled trials. SETTING: Hospitals. PARTICIPANTS: Adult and pediatric patients undergoing cardiac surgery. INTERVENTIONS: The ability of PCr to improve cardiac outcomes as compared with standard treatment was investigated...
July 24, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29408016/clostridium-difficile-infection-in-hospitalized-patients-with-antibiotic-associated-diarrhea-a-systematic-review-and-meta-analysis
#10
REVIEW
Mohammad Javad Nasiri, Mehdi Goudarzi, Bahareh Hajikhani, Mona Ghazi, Hossein Goudarzi, Ramin Pouriran
Clostridium difficile is the main infectious cause of antibiotic associated diarrhea (AAD). The objective of this study was to determine the frequency of C. difficile AAD in hospitalized patients. We searched MEDLINE (Pubmed), Embase, Web of Science and Cochrane library for subject headings and text words related to C. difficile AAD. Studies that investigated the prevalence or frequency of C. difficile AAD in health care settings were considered eligible. Using a random-effects model, data obtained from the identified studies were combined...
January 31, 2018: Anaerobe
https://www.readbyqxmd.com/read/29407078/long-term-survival-of-hypoplastic-left-heart-syndrome-infants-meta-analysis-comparing-outcomes-from-the-modified-blalock-taussig-shunt-and-the-right-ventricle-to-pulmonary-artery-shunt
#11
Jacob Y Cao, Kevin Phan, Julian Ayer, David S Celermajer, David S Winlaw
BACKGROUND: Stage 1 palliation of hypoplastic left heart syndrome (HLHS) involves the Norwood procedure combined with a modified Blalock-Taussig shunt (mBTS) or right ventricle to pulmonary artery shunt (RVPAS). Short-term survival has been described previously, whereas longer-term outcomes remain a subject of debate. This meta-analysis aimed to describe the short and long-term survival outcomes of these two shunts, and explore factors that might influence survival. METHODS: Medline, Cochrane Libraries and EMBASE were systematically searched, and 32 studies were included for statistical synthesis, comprising 1348 mBTS and 1258 RVPAS patients...
March 1, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29406457/bearing-dislocation-and-progression-of-osteoarthritis-after-mobile-bearing-unicompartmental-knee-arthroplasty-vary-between-asian-and-western-patients-a-meta-analysis
#12
Kyung-Han Ro, Jae-Won Heo, Dae-Hee Lee
BACKGROUND: Implant survivorship is reported to be lower and complications, particularly bearing dislocation, are reported to be more frequent in Asian than in Western patients with medial knee osteoarthritis (OA) undergoing Oxford Phase III unicompartmental knee arthroplasty (UKA). To date, however, these complications have not been compared between these groups of patients. QUESTIONS/PURPOSES: The purpose of this study was to perform a meta-analysis comparing the standardized incidence rates of (1) all-cause reoperation; (2) reoperation related to bearing dislocation; and (3) reoperation related to progression of lateral compartment arthritis in Asian and Western patients with medial knee OA who underwent Oxford Phase III UKA...
February 2, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29405898/efficacy-and-safety-of-tigecycline-monotherapy-versus-combination-therapy-for-the-treatment-of-hospital-acquired-pneumonia-hap-a-meta-analysis-of-cohort-studies
#13
Xiang-Rong Bai, Jia-Ming Liu, De-Chun Jiang, Su-Ying Yan
The broad spectrum antibiotic tigecycline shows promising efficacy against many multiple drug resistant (MDR) pathogens. However, its clinical efficacy in the treatment of hospital-acquired pneumonia (HAP) is unclear. Several studies have reported on the treatment failures of tigecycline monotherapy, suggesting that it may not be sufficient to control severe infections. Combination therapy has become an option to treat MDR bacterial infections. We conducted a literature search using PubMed, Cochrane Library, Embase, Elsevier and the Web of Knowledge databases up to 29 February 2017 to identify relevant published studies...
February 6, 2018: Journal of Chemotherapy
https://www.readbyqxmd.com/read/29405022/-the-pain-relief-efficacy-of-passive-music-based-interventions-in-cancer-patients-undergoing-diagnostic-biopsies-and-surgery-a-systematic-review-and-meta-analysis
#14
Tsai-Tzu Hung, Yu-Chen Liu, Pei-Cheng Tsai, Mei-Feng Lin
BACKGROUND: Music-based intervention is commonly used as a non-pharmacological strategy to reduce pain in hospitalized patients. PURPOSE: To conduct a systematic review and meta-analysis to examine the effects of passive music-based interventions on pain relief in cancer patients undergoing diagnostic biopsies and surgeries and to identify the moderating variables in order to identify clinically validated interventional strategies and related suggestions. METHODS: Studies using an RCT (randomized clinical trial) design that were published before 2016 were collected from the following databases: Cochrane Library/Trials, PubMed, PsycINFO, CINHAL, and Index to Taiwan Periodical Literature System...
February 2018: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/29404599/association-of-rooming-in-with-outcomes-for-neonatal-abstinence-syndrome-a-systematic-review-and-meta-analysis
#15
Kathryn Dee L MacMillan, Cassandra P Rendon, Kanak Verma, Natalie Riblet, David B Washer, Alison Volpe Holmes
Importance: Rising incidence of neonatal abstinence syndrome (NAS) is straining perinatal care systems. Newborns with NAS traditionally receive care in neonatal intensive care units (NICUs), but rooming-in with mother and family has been proposed to reduce the use of pharmacotherapy, length of stay (LOS), and cost. Objective: To systematically review and meta-analyze if rooming-in is associated with improved outcomes for newborns with NAS. Data Sources: MEDLINE, CINAHL, The Cochrane Library, and clinicaltrials...
February 5, 2018: JAMA Pediatrics
https://www.readbyqxmd.com/read/29402361/-meta-analysis-of-the-effects-between-endotracheal-intubation-and-laryngeal-mask-airway-for-patients-with-out-of-hospital-cardiac-arrest
#16
Xiangjun Tao, Wei Gu, Xiaojuan Liu, Kaisheng Dong, Ying Wang, Shu Ding
OBJECTIVE: To comprehensively evaluate the resuscitation effect of endotracheal intubation (ETI) ventilation and laryngeal mask airway (LMA) for out-of-hospital cardiac arrest (OHCA). METHODS: Databases such as Cochrane Library, PubMed, Embase, Ebsco, Elsevier, OVID, Springer, Proquest, and China biomedical literature database (CBMdisc), CNKI, Wanfang database, Chinese Science and Technology Journal Full-text Database, VIP Chinese biomedical journal database were searched from the establishment of literature database to December 2017 to study the difference of effects between ETI and LMA for patients with OHCA...
February 2018: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/29398539/synthesis-kinetics-and-inhibition-of-escherichia-coli-heptosyltransferase-i-by-monosaccharide-analogues-of-lipid-a
#17
Noreen K Nkosana, Daniel J Czyzyk, Zarek S Siegel, Joy M Cote, Erika A Taylor
Gram-negative bacteria comprise the majority of microbes that cause infections that are resistant to pre-existing antibiotics. The complex cell wall architecture contributes to their ability to form biofilms, which are often implicated in hospital-acquired infections. Biofilms promote antibiotic resistance by enabling the bacteria to survive hostile environments such as UV radiation, pH shifts, and antibiotics. The outer membrane of Gram-negative bacteria contains lipopolysaccharide (LPS), which plays a role in adhesion to surfaces and formation of biofilms...
February 2, 2018: Bioorganic & Medicinal Chemistry Letters
https://www.readbyqxmd.com/read/29395772/effectiveness-of-prehospital-trauma-triage-systems-in-selecting-severely-injured-patients-is-comparative-analysis-possible
#18
REVIEW
Eveline A J van Rein, Rogier van der Sluijs, R Marijn Houwert, Amy C Gunning, Rob A Lichtveld, Luke P H Leenen, Mark van Heijl
INTRODUCTION: In an optimal trauma system, prehospital trauma triage ensures transport of the right patient to the right hospital. Incorrect triage results in undertriage and overtriage. The aim of this systematic review is to evaluate and compare prehospital trauma triage system quality worldwide and determine effectiveness in terms of undertriage and overtriage for trauma patients. METHODS: A systematic search of Pubmed/MEDLINE, Embase, and Cochrane Library databases was performed, using "trauma", "trauma center," or "trauma system", combined with "triage", "undertriage," or "overtriage", as search terms...
January 27, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29390482/is-peritoneal-drainage-essential-after-pancreatic-surgery-a-meta-analysis-and-systematic-review
#19
Lu Huan, Qilin Fei, Huapeng Lin, Lun Wan, Yue Li
AIM: Our objective is to assess the function of peritoneal drainage, which is placed after pancreatic surgery. BACKGROUND: With the medical advancement some study put forward that peritoneal drainage is not the necessary after pancreatic surgery; it cannot improve the complications of postoperation even leading to more infection and so on. However, there is no one study can clear and definite whether omitting the drainage after surgery or not. METHOD: Searching databases consist of all kinds of searching tools, such as Medline, The Cochrane Library, Embase, PubMed, etc...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390357/association-between-rs11200014-rs2981579-and-rs1219648-polymorphism-and-breast-cancer-susceptibility-a-meta-analysis
#20
Yafei Zhang, Hongwei Lu, Hong Ji, Le Lu, Pengdi Liu, Ruofeng Hong, Yiming Li
BACKGROUND: Research on the polymorphism of breast cancer (BC) helps to search the BC susceptibility gene for mass screening, early diagnosis, and gene therapy, which has become a hotspot in BC research field. Previous studies have suggested associations between rs11200014, rs2981579, and rs1219648 polymorphisms and cancer risk. The aim of this study was to evaluate the relationship between rs11200014, rs2981579, and rs1219648 polymorphism and BC risk. METHODS: PubMed, Web of science, and the Cochrane Library databases were searched before October 11, 2015, to identify relevant studies...
December 2017: Medicine (Baltimore)
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