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0 research question study design sample size and method independent variables and method dependable variables and measures results general strengths general weakness overall summary quality of study
Azarpazhooh, A., Lawrence, H. P., & Shah, P. S. (2016). Xylitol for preventing acute otitis media in children up to 12 years of age. Cochrane database of systematic reviews, (8). To evaluate the efficacy and safety of xylitol for the prevention of acute myeloid leukemia (AOM) in children ages 12 and under Meta-analysis - no reviews of any type allowed Randomised controlled trials Xylitol acute myeloid Leukemia In the initial systematic search, 1826 articles were found, with potentially eligible articles being retrieved in full text. The network meta - analysis (equivalent to 3 RCTs) with 3405 participants that met the inclusion criteria A natural sweetener called xylitol has been shown to reduce the risk of tooth decay in products such as chewing gum, candy, toothpaste, and prescription medications over time. There were only a few papers included in the meta-analysis, and the vast majority of those studies all came from the same study organization. The administration of xylitol as a preventative measure to healthy children in childcare centers has been shown in studies of moderate quality to minimize the occurrence of AOM. good
Ferreira, L. A., Grossmann, E., Januzzi, E., Gonçalves, R. T. R. F., Mares, F. A. G., Paula, M. V. Q. D., & Carvalho, A. C. P. (2015). Ear acupuncture therapy for masticatory myofascial and temporomandibular pain: a controlled clinical trial. Evidence-based complementary and alternative medicine, 2015 Is Ear Acupuncture Therapy for Masticatory Myofascial and Temporomandibular Pain, A Controlled Clinical Trial ? - this has nothing to do with ear infections, children, or chewing gum clinical trial 20 patience were randomized to 2 groups of 10 each Ear acupuncture pain sensation In both groups, symptoms of muscle and joint pain decreased statistically significantly with therapy with either of the two well-established therapeutic approaches. Adjunctive therapies like acupuncture can help patients improve their quality of life by reducing chronic symptoms. Small sample size, long-term monitoring, comparison with a placebo control group, and post-treatment evaluation are the key issues that arise. Ear acupuncture adjunct therapy has reduced muscle and joint TMD pain symptoms more quickly and dramatically than solitary occlusal therapy in short-term treatment. fair
Rai, S., Koirala, K., & Sharma, V. (2013). Role of nasal decongestants in spontaneous healing of traumatic tympanic membrane perforation. Nepalese Journal of ENT Head and Neck Surgery, 5(1), 14-16 To examine the role of nasal decongestants in the healing of tympanic membrane ruptures that result from trauma. - this also has nothing to do with your PICO prospective studies randomized study sample size 58 patientss divided into 2 groups Traumatic Perforation decongestants On average, 51.7% of patients in our series had damage to their left side, while 32.8% of patients had damage to their right ear, and 15.5% of patients had injuries on both sides of their ears. This could be due to the fact that because the majority of people are right-handed and because the left ear was slapped as a result of slapping Oral and nasal decongestants were found to aid in the creation of an environment conducive for the spontaneous repair of traumatic TM perforation in this study. patients' eustachian tubes often become dysfunctional as a result of the common cold's rapid and repetitive weather changes in our region. The likelihood of spontaneous healing of traumatic tympanic membrane perforations rises with regular use of nasal decongestants. good
Ngo, C. C., Massa, H. M., Thornton, R. B., & Cripps, A. W. (2016). Predominant bacteria detected from the middle ear fluid of children experiencing otitis media: a systematic review. PloS one, 11(3), e0150949. Are bacteria found in the middle ear fluid of children with Otitis Media? meta-analysis random sampling, AOM/RAOM microbial etiology ear infection In the initial systematic search, 9617 articles were found, with 888 potentially eligible articles being retrieved in full text. The network meta - analysis includes 66 publications (equivalent to 126 RCTs) with 10483 participants that met the inclusion criteria. Continuous monitoring of OM pathogens using proper detection technologies can aid in the development of better vaccinations to guard against the complex combination of otopathogens found in the middle ear. The pathophysiology of this condition is poorly understood, making it difficult to create effective intervention options. S. pneumoniae, H. influenzae, and M. catarrhalis have remained surprisingly consistent as the leading bacteria causative for OM locally within the middle ear of children over the world for the past 40 years. good
Marom, T., Marchisio, P., Tamir, S. O., Torretta, S., Gavriel, H., & Esposito, S. (2016). Complementary and alternative medicine treatment options for otitis media: a systematic review. Medicine, 95(6). what are the alternativ medicine treatment of ear infection? prospective studies - this is also a review article Randomized controlled trials sample were children conventory and alternative medicine, medical therapies otitis media Alternative treatments for ear infection include probiotics, vitamin D supplementation, chiropractic, osteopathy, and acupuncture. CAM makes an attempt to provide a customised approach to the sick child, taking into consideration the parents' previous experiences. The value of complementary and alternative medicine (CAM) therapies in the treatment of Otitis media has not been established. The medical profession no longer considers complementary and alternative medicine (CAM) a legitimate treatment option for OM because of the lack of scientific data backing it. moderate
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https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0150949 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0150950
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007095.pub3/abstract?cookiesEnabled https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007095.pub3/abstract?cookiesEnabled https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007095.pub3/abstract?cookiesEnabled
https://www.hindawi.com/journals/ecam/2015/342507/
https://sci-hub.se/10.3126/njenthns.v5i1.16854
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753897/
PICO Is chewing gum(I) effective in reducing pain(O) in children with ear infection(P) when compared to decongestants(C)
Database googlescholar.com
keywords Otitis media, Decongestanta, chewing gum,troumer perferation,ear acupuncture, pain sensation, Xylitol, Acute Myloid Leukemia
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0150949 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0150949 https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007095.pub3/abstract?cookiesEnabled https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007095.pub3/abstract?cookiesEnabled https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007095.pub3/abstract?cookiesEnabled https://www.hindawi.com/journals/ecam/2015/342507/ https://sci-hub.se/10.3126/njenthns.v5i1.16854 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753897/