scholarly journals A Systematic Review on Tracheostomy in COVID-19 Patients: Current Guidelines and Safety Measures

2020 ◽  
Author(s):  
Amitabha Mandal ◽  
Sourabh Nandi ◽  
Madiwalesh Chhebbi ◽  
Abhijit Basu ◽  
Mukurdipi Ray
Keyword(s):  
Systematic Review ◽  
Safety Measures ◽  
Current Guidelines

scholarly journals Ecotourism in Times of Covid-19: A Systematic Review from the Five Continents on How This Activity is Being Carried Out and What Proposals They Have for the Near Future

2021 ◽  
Vol 10 (6) ◽  
pp. 1
Author(s):  
Víctor Hugo Fernández-Bedoya ◽  
Monica Elisa Meneses-La-Riva ◽  
Josefina Amanda Suyo-Vega
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Local Culture ◽  
Public Health Measure ◽  
Safety Measures ◽  
International Borders ◽  
Health Measure ◽  
Illegal Acts ◽  
Transportation Routes ◽  
Near Future

The emergence of the covid-19 virus has prompted governments in several countries to close their international borders, close transportation routes and decree quarantines as a public health measure to prevent the spread of the virus among the population. Globally, essential businesses have continued to operate, while others such as tourism must wait. Ecotourism is a sustainable activity that attracts tourists concerned about the environment and local culture, which generates income for the locals. In order to have a broader picture of how the ecotourism sector is dealing with covid-19, a systematic review was conducted to identify Scopus records detailing such evidence disclosed from 2020 to the first quarter of 2021. As results, records were identified in the five continents, which agree that the pandemic has negatively affected the income of local people, who have been forced to close their businesses and even perform illegal acts; however, there are also encouraging proposals of economic reactivation plans presented by villagers, who expect the opening of this activity to operate keeping all the health safety measures decreed by their governments.   Received: 6 May 2021 / Accepted: 27 September 2021 / Published: 5 November 2021

Nutritional interventions in community-dwelling Alzheimer patients with (risk of) undernutrition: a systematic review

2014 ◽  
Vol 26 (9) ◽  
pp. 1445-1453 ◽  
Author(s):  
Erika Droogsma ◽  
Dieneke van Asselt ◽  
Jolanda van Steijn ◽  
Nic Veeger ◽  
Ingeborg van Dusseldorp ◽  
...  
Keyword(s):  
Systematic Review ◽  
Nutritional Supplements ◽  
Cochrane Collaboration ◽  
Risk Of Bias ◽  
Community Dwelling ◽  
Nutritional Interventions ◽  
Oral Nutritional Supplements ◽  
The Cochrane Collaboration ◽  
Negative Health Outcomes ◽  
Current Guidelines

ABSTRACTBackground:Weight loss and undernutrition are common in patients with Alzheimer's disease (AD) and associated with negative health outcomes. In the current guidelines on diagnosis and treatment of AD, no recommendations for treatment of (risk of) undernutrition in community-dwelling AD patients are given.Methods:We conducted a systematic review on the effect of nutritional interventions in community-dwelling AD patients with (risk of) undernutrition, according to the methods outlined by the Cochrane Collaboration. Three electronic databases and three trial registers were searched from inception till April 2013.Results:Literature search in the electronic databases yielded 546 records of which one was relevant for this review. This study, with a high risk of bias, demonstrated that oral nutritional supplements improved nutritional outcomes without effect on clinical and biochemical outcomes. The search in the trial registers yielded 369 records of which two were relevant. One trial was terminated because of failing inclusion, the other is ongoing.Conclusions:This systematic review on the effect of nutritional interventions in community-dwelling AD patients with (risk of) undernutrition, reveals a serious lack of evidence. Therefore, it is not possible to state what the best approach is.

Electroconvulsive Therapy in Elderly Patients With Cerebral Aneurysms: A Systematic Review With Clinical Recommendations

2021 ◽  
pp. 089198872110390
Author(s):  
Syed Muhammad Ahsan Mehdi ◽  
D. P. Devanand
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Blood Pressure ◽  
Elderly Patients ◽  
Electroconvulsive Therapy ◽  
Cerebral Aneurysms ◽  
Adverse Outcomes ◽  
Safety Measures ◽  
Effective Prevention ◽  
Blood Pressure Elevation

Introduction: Electroconvulsive therapy (ECT) is commonly used in the elderly due to its proven efficacy and safety profile. However, presence of cardiovascular comorbidities such as cerebral aneurysms may complicate the course of treatment. Our knowledge about the possible risk factors and precautionary measures remains limited. Methods: We performed a systematic review of published case reports of elderly patients with cerebral aneurysms treated with ECT. Results: A total of 11 cases were included for the review. One patient died because of subarachnoid hemorrhage (SAH) secondary to ictal hypertensive surge during treatment with ECT. Discussion: Risk factors such as history of hypertension, age of the patient, extent of the ictal surge in blood pressure, efficacy of prophylactic treatment to control surge in blood pressure and characteristics of cerebral aneurysm each elevated the risk of complication in these cases. We reviewed safety measures based on the evidence from the current literature available. Conclusion: ECT is safe in elderly patients with cerebral aneurysms provided appropriate safety measures are employed. Screening for cerebral aneurysms in high risk patients, effective prevention and management of blood pressure elevation acutely during ECT is the best practice to avoid adverse outcomes.

scholarly journals Protocol for a systematic review and meta-analysis of observational studies examining the impact of COVID-19 safety measures on physical activity patterns in adults

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Fabian Schwendinger ◽  
Denis Infanger ◽  
Elena Pocecco ◽  
Joséphine Gander ◽  
Timo Hinrichs ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Observational Studies ◽  
Meta Analysis ◽  
Vigorous Physical Activity ◽  
Activity Patterns ◽  
Safety Measures ◽  
Physical Activity Patterns ◽  
Standardized Mean Difference ◽  
The Impact

Abstract Background The primary objective of this study is twofold: (1) to examine the effect of COVID-19 safety measures, enacted to prevent transmission of SARS-nCOV-2, on total physical activity in the adult general population (≥ 18 years) and (2) to analyze the impact of the factor “severity of safety measures” on potential changes in physical activity. The secondary objective is to investigate the effects of safety measures on the respective PA intensities, i.e., sedentary behavior, light, moderate, and vigorous physical activity. Methods A systematic literature search will be performed in the following online databases: Medline (on Ovid), Web of Science, Scopus, L.OVE Coronavirus disease by Epistemonikos, and ProQuest Dissertations & Theses A&I. All obtained citations will undergo title and abstract as well as full-text screening by two independent reviewers. Observational studies investigating the effects of safety measures on physical activity patterns in the adult general population will be included. The standardized mean difference in total physical activity per time unit between pre- and during COVID-19 or between normative data and during COVID-19 will be the primary outcome. The standardized mean difference in sedentary time, light, moderate, and vigorous physical activity will be assessed as secondary outcomes. Eligible studies will be divided between the reviewers for data extraction using a pilot-tested data form. Risk of bias assessment will be performed using a standard assessment tool. If suitable, a random-effects meta-analysis and meta-regression with a unit of safety measure severity as the independent variable will be performed. Discussion This study will synthesize available data reporting the effect of COVID-19 safety measures on physical activity patterns in adults. Furthermore, we will incorporate a unit for the severity of safety measures for better generalizability of the results. These findings will be of great value for public health policymaking and estimating future health consequences. Systematic review registration PROSPERO CRD42021231039.

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