Ongoing pH testing to confirm nasogastric tube position before feeding to reduce the risk of adverse outcomes in adult and paediatric patients: A systematic literature review

2021 ◽  
Vol 45 ◽  
pp. 9-18
Author(s):  
Kate Glen ◽  
Mary Hannan-Jones ◽  
Merrilyn Banks ◽  
Christine Elizabeth Weekes
2021 ◽  
Vol 12 ◽  
pp. 215013272110593
Author(s):  
Sadia Usmani ◽  
Elona Greca ◽  
Sana Javed ◽  
Medha Sharath ◽  
Zouina Sarfraz ◽  
...  

Introduction: The COVID-19 pandemic has had a devastating worldwide effect on mental health. Recent studies correlate the spreading of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with symptoms of depression, most prominent in postpartum women. Our systematic literature review scope is to identify the risk factors and predictors for postpartum depression (PPD) and describe the steps that should be taken to help postpartum women. This study will help clinicians, researchers, and policymakers to elucidate the predictors of PPD during this pandemic and prevent these adverse outcomes in future crises. Methods: We conducted a systematic search by employing databases PubMed, Google Scholar, Scopus, and Embase to identify articles published before March 2021. About 463 publications were generated during our search process and from those, 36 were reviewed, summarized, and synthesized. Studies qualified the criteria if they (1) utilized qualitative or quantitative design, (2) explored the risk factors for PPD, and (3) were written in English. Quality evaluation of each study was achieved by using criteria set by Lincoln and Guba. Results: Prevalence of depression symptoms ranged from 7% to 80.8% in postpartum women during the SARS-COV 2 pandemic. The risk factors for PPD were classified into 6 major categories: socio-demographic, psychological, pre-existing pathology, metabolic factors, previous events of miscarriage, and media misinformation. Conclusion: It is extremely vital to care for women’s mental health during pregnancy and after childbirth during these unprecedented times. This review urges the need to design adequate interventions for this vulnerable population to prevent negative consequences of PPD.


Author(s):  
José Guida ◽  
Fernanda Surita ◽  
Mary Parpinelli ◽  
Maria Costa

Introduction Preeclampsia, a multifactorial disease with pathophysiology not yet fully understood, is a major cause of maternal and perinatal morbidity and mortality, especially when preterm. The diagnosis is performed when there is an association between arterial hypertension and proteinuria or evidence of severity. There are unanswered questions in the literature considering the timing of delivery once preterm preeclampsia has been diagnosed, given the risk of developing maternal complications versus the risk of adverse perinatal outcomes associated with prematurity. The objective of this systematic review is to determine the best timing of delivery for women diagnosed with preeclampsia before 37 weeks of gestation. Methods Systematic literature review, performed in the PubMed database, using the terms preeclampsia, parturition and timing of delivery to look for studies conducted between 2014 and 2017. Studies that compared the maternal and perinatal outcomes of women who underwent immediate delivery or delayed delivery, in the absence of evidence of severe preeclampsia, were selected. Results A total of 629 studies were initially retrieved. After reading the titles, 78 were selected, and their abstracts, evaluated; 16 were then evaluated in full and, in the end, 6 studies (2 randomized clinical trials and 4 observational studies) met the inclusion criteria. The results were presented according to gestational age range (< 34 weeks and between 34 and 37 weeks) and by maternal and perinatal outcomes, according to the timing of delivery, considering immediate delivery or expectant management. Before 34 weeks, the maternal outcomes were similar, but the perinatal outcomes were significantly worse when immediate delivery occurred. Between 34 and 37 weeks, the progression to severe maternal disease was slightly higher among women undergoing expectant management, however, with better perinatal outcomes. Conclusions When there is no evidence of severe preeclampsia or impaired fetal well-being, especially before 34 weeks, the pregnancy should be carefully surveilled, and the delivery, postponed, aiming at improving the perinatal outcomes. Between 34 and 37 weeks, the decision on the timing of delivery should be shared with the pregnant woman and her family, after providing information regarding the risks of adverse outcomes associated with preeclampsia and prematurity.


2022 ◽  
Vol 12 ◽  
Author(s):  
Margarida Pocinho ◽  
Soraia Garcês ◽  
Saúl Neves de Jesus

The United Nations World Tourism Organization (UWTO) has acknowledged 2020 as the worst year in tourism history due to the worldwide pandemic COVID-19. Destinations, tourists, local communities, stakeholders, and residents, and their daily activities were affected. Thus, wellbeing and resilience are two crucial variables to help the industry and the people recover. This research aims to analyze early positive approaches and attitudes to respond to the negative impact of COVID-19 in tourism everyday activities that have at its core wellbeing and resilience, the two main variables of the Positive Psychology field of studies. A systematic literature review was conducted, following PRISMA guidelines to achieve this aim. The research was done using the Online Knowledge Library (B-on) and all the available databases. The research led to 32 articles that were screened using the inclusion and exclusion criteria. A total of 18 scientific articles met all criteria. Overall, results show that a positive and resilient approach to deal with the adverse outcomes of the pandemic is a concern for stakeholders and the future of the organizations in the tourism and hospitality sector, as is tourists’ wellbeing. However, less research has been done on wellbeing and a clear lack of research regarding residents’ wellbeing and resilience is evident. A deeper study of wellbeing and resilience in tourism is needed, and actual practices and interventions to ensure that all tourism actors have the resources to overcome the pandemic and restart the industry’s daily lives feeling well and safe.


2020 ◽  
Author(s):  
Asghar Dalvandi ◽  
Nasrin Jafari-golestan ◽  
Mohammadali Hosseini ◽  
Masoud Fallahi-Khoshknab ◽  
Abbas Ebadi ◽  
...  

Abstract BackgroundStroke has several adverse outcomes and is accompanied by physical, cognitive, perceptual, mental, emotional, and sensory disorders. These disorders influence patients’ perceived self-care ability. There is no single agreed-upon definition for the perceived self-care ability in stroke patients living at home, and such a definition may differ based on different cultures and settings, for example in the Middle East compared to advanced countries. The main objective of this systematic Literature review is to summarize the literature on the topic and propose a definition that might help stroke research in the future. MethodsThe databases PubMed, Scopus, CINAHL, PsycINFO, PEDro, Web of Science, ProQuest, ScienceDirect, Index Medicus, EMRO, Google Scholar, Magiran, SID, IranDoc, and stroke-related literature will be queried individually to retrieve relevant literature on perceived self-care ability in stroke patients using subject headings and appropriate MeSH terms. The inclusion and exclusion criteria will be developed and refined by the research team. Two independent reviewers will participate in each search stage, including abstract/title and full-text screening, study selection, data collection, and quality assessment steps. We will restrict our search to articles published in the English languages in biomedical journals between 1970 and 2018. The result will be presented in tabular form, and meta-synthesis will be performed.DiscussionThe results of this systematic literature review can present a more accurate definition of perceived self-care ability in stroke patients living at home in Middle East countries, for researchers who aim to conduct new studies on the subject.


2020 ◽  
Author(s):  
Nasrin Jafari-Golestan ◽  
Asghar Dalvandi ◽  
Mohammadali Hosseini ◽  
Masoud Fallahi-Khoshknab ◽  
Abbas Ebadi ◽  
...  

BACKGROUND Stroke brings about several adverse outcomes so that a stroke patient faces numerous physical, and sensory together with cognitive, and psychological disorders. These disorders influence patients’ perceived self-care ability. There is no agreement on what the perceived self-care ability in stroke patients living at home is Because of various cultures and medical systems, such an ambiguity may be more serious when it comes to the Middle East countries compared to advanced ones. OBJECTIVE This Systematic Literature Review aims to summarize the literature on this concept and propose a definition which might help similar research on the stroke in the future. METHODS The databases PubMed, Scopus, CINAHL, PsycINFO, PEDro, Web of Science, ProQuest, ScienceDirect, Index Medicus, EMRO, Google Scholar, Magiran, SID, IranDoc, and stroke-related literature will individually be queried to retrieve relevant literature on the perceived self-care ability in stroke patients, using subject headings and appropriate MeSH terms. The inclusion and exclusion criteria will be developed and refined by the research team. Two independent reviewers will participate in each search stage including abstract/title and full-text screening, study selection, data collection, and quality assessment steps. We will restrict our search to articles published in the English language in biomedical journals since 1970 to 2018. RESULTS The result will be tabulated, and meta-synthesis will be performed. CONCLUSIONS This Systematic Literature Review can present a more accurate perception of the perceived self-care ability in stroke survivors living at home in Middle East countries. CLINICALTRIAL Systematic review registration: CRD42018100520


Sign in / Sign up

Export Citation Format

Share Document