Pub Date : 2011-05-11DOI: 10.11124/JBISRIR-2011-410
A. Cyr, Tara Byxbe
Review Questions/Objectives The systematic review objective is to synthesise the best available research evidence related to the effectiveness of femoral arterial closure devices as compared to traditional compression methods post femoral sheath removal in the cardiovascular patient. The specific review question to be addressed is: • What effects do femoral arterial closure devices, as compared to traditional compression methods, have on outcomes post femoral sheath removal in the cardiovascular patient? Inclusion Criteria Types of participants This review will consider studies that included all types of cardiovascular adult patients (18+ years old) with post femoral sheath removal following endovascular procedures regardless of previous treatments. The femoral artery is preferable access site due to the larger diameter of the artery compared to the radial or brachial arteries. Due to the larger diameter of the femoral artery, time to hemostatis and complications are significantly different than that of the brachial or radial arteries.For accurate comparison, patients undergoing procedures using radial or brachial access will not be included. Types of interventions The interventions of interest are arterial closure devices and traditional compression methods used following femoral arterial sheath removal. Studies that compare arterial closure devices and compression methods post endovascular procedure will be included in this review. Similarly, studies that compare various compression methods post endovascular procedure will be included in this review. Studies that compare radial or brachial access to femoral access and hemostasis will not be included in this review to allow for accurate comparison. Femoral access has significantly differing times to hemostatis and complication rates than radial or brachial access. Types of outcome measures The primary outcome of interest is the difference in effectiveness of femoral arterial closure devices and traditional compression methods on patient outcomes. Studies meeting criteria for participants and intervention which include outcomes related to bleeding risks and vascular complications, such as hematoma, bleeding at the site, retroperitoneal bleeding, pseudoanuerysm, and AV-fistula creation will be considered for inclusion in this review. In addition, studies describing attainment of hemostasis following femoral sheath removal will be considered.
{"title":"Effectiveness of femoral arterial closure devices compared to traditional compression methods following femoral sheath removal: A Systematic Review.","authors":"A. Cyr, Tara Byxbe","doi":"10.11124/JBISRIR-2011-410","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-410","url":null,"abstract":"Review Questions/Objectives \u0000The systematic review objective is to synthesise the best available research evidence related to the effectiveness of femoral arterial closure devices as compared to traditional compression methods post femoral sheath removal in the cardiovascular patient. \u0000 \u0000The specific review question to be addressed is: \u0000• What effects do femoral arterial closure devices, as compared to traditional compression methods, have on outcomes post femoral sheath removal in the cardiovascular patient? \u0000 \u0000Inclusion Criteria \u0000 \u0000Types of participants \u0000This review will consider studies that included all types of cardiovascular adult patients (18+ years old) with post femoral sheath removal following endovascular procedures regardless of previous treatments. \u0000 \u0000The femoral artery is preferable access site due to the larger diameter of the artery compared to the radial or brachial arteries. Due to the larger diameter of the femoral artery, time to hemostatis and complications are significantly different than that of the brachial or radial arteries.For accurate comparison, patients undergoing procedures using radial or brachial access will not be included. \u0000 \u0000Types of interventions \u0000The interventions of interest are arterial closure devices and traditional compression methods used following femoral arterial sheath removal. Studies that compare arterial closure devices and compression methods post endovascular procedure will be included in this review. Similarly, studies that compare various compression methods post endovascular procedure will be included in this review. Studies that compare radial or brachial access to femoral access and hemostasis will not be included in this review to allow for accurate comparison. Femoral access has significantly differing times to hemostatis and complication rates than radial or brachial access. \u0000 \u0000Types of outcome measures \u0000The primary outcome of interest is the difference in effectiveness of femoral arterial closure devices and traditional compression methods on patient outcomes. Studies meeting criteria for participants and intervention which include outcomes related to bleeding risks and vascular complications, such as hematoma, bleeding at the site, retroperitoneal bleeding, pseudoanuerysm, and AV-fistula creation will be considered for inclusion in this review. In addition, studies describing attainment of hemostasis following femoral sheath removal will be considered.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 32 Suppl 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2011-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-05-04DOI: 10.11124/JBISRIR-2011-75
Tay Zhi Ru, D. Hegney
Objectives The aim of this review is to critically appraise, synthesize and present the best available evidence related to the experiences of self-management among community-dwelling older women with chronic illnesses, specifically non-communicable illnesses which include cardiovascular disease (CVD), chronic respiratory diseases, diabetes mellitus (DM) and arthritis. Specific questions on their experiences include the following: -What does living with chronic illnesses mean to community-dwelling older women? -What self-management strategies do community dwelling older women with chronic illnesses use? -What issues do community-dwelling older women with chronic illnesses face in self-management? -What feelings do community-dwelling older women with chronic illnesses have about self-management? INCLUSION CRITERIA Types of participants The review will consider publications that include all older women who have the following characteristics: -Age sixty-five years and above (with no limitations to any specific age groups within this population) -Live in their own community dwelling -Community setting is rural, suburban or urban -May live alone or with others (i.e. families) -Have comorbidity/comorbidities, defined as having at least two non-cancer chronic illnesses, which include the following four common chronic diseases: cardiovascular disease (CVD), chronic respiratory diseases, diabetes mellitus (DM) and arthritis. The rationale for excluding cancer as a chronic illness is to draw focus on the experience of living with non-cancer chronic illnesses, which likely present challenges different from cancer. -Have chronic illnesses for a minimum duration of one year Phenomenon of interest The review will consider studies that investigate the experiences of self-management among community-dwelling older women with chronic illnesses.
{"title":"A qualitative systematic review on the experiences of self-management in community-dwelling older women living with chronic illnesses.","authors":"Tay Zhi Ru, D. Hegney","doi":"10.11124/JBISRIR-2011-75","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-75","url":null,"abstract":"Objectives \u0000The aim of this review is to critically appraise, synthesize and present the best available evidence related to the experiences of self-management among community-dwelling older women with chronic illnesses, specifically non-communicable illnesses which include cardiovascular disease (CVD), chronic respiratory diseases, diabetes mellitus (DM) and arthritis. \u0000 \u0000Specific questions on their experiences include the following: \u0000-What does living with chronic illnesses mean to community-dwelling older women? \u0000-What self-management strategies do community dwelling older women with chronic illnesses use? \u0000-What issues do community-dwelling older women with chronic illnesses face in self-management? \u0000-What feelings do community-dwelling older women with chronic illnesses have about self-management? \u0000 \u0000INCLUSION CRITERIA \u0000 \u0000Types of participants \u0000The review will consider publications that include all older women who have the following characteristics: \u0000-Age sixty-five years and above (with no limitations to any specific age groups within this population) \u0000-Live in their own community dwelling \u0000-Community setting is rural, suburban or urban \u0000-May live alone or with others (i.e. families) \u0000-Have comorbidity/comorbidities, defined as having at least two non-cancer chronic illnesses, which include the following four common chronic diseases: cardiovascular disease (CVD), chronic respiratory diseases, diabetes mellitus (DM) and arthritis. The rationale for excluding cancer as a chronic illness is to draw focus on the experience of living with non-cancer chronic illnesses, which likely present challenges different from cancer. \u0000-Have chronic illnesses for a minimum duration of one year \u0000 \u0000Phenomenon of interest \u0000The review will consider studies that investigate the experiences of self-management among community-dwelling older women with chronic illnesses.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 32 Suppl 1","pages":"1-21"},"PeriodicalIF":0.0,"publicationDate":"2011-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2011-75","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-04-13DOI: 10.11124/JBISRIR-2011-337
D. Arbon, Dora Lang Siew Ping, J. Lumby, C. Tufanaru
Review Objective The principle objective of this review will be to critically appraise and present the best available evidence for setting different levels of vacuum / suction pressures when patients are receiving endotracheal suctioning. Specifically the review will seek to answer the following questions. What is the best evidence for regulating vacuum pressure in the performance of endotracheal suctioning? What is the best evidence for regulating vacuum pressure for endotracheal suction as opposed to setting no regulated pressure in the performance of endotracheal suctioning? What is the best evidence for a limit to which vacuum should be regulated for endotracheal suction? To what extent does the developed airflow impact on the safety and effectiveness of the suction apparatus? Inclusion Criteria Types of Participants Patients receiving mechanical ventilator support through endotracheal tube or tracheostomy in the acute care setting. Participants may present with a variety of pathologies but studies will not be excluded on the bases of diagnosis. Patients may require intubation and endotracheal suctioning at any age; vacuum applied in the performance of suction may have health implications and be of interest to the clinician. Papers regarding either spontaneously breathing and/or machine ventilated subjects will be also included so long as the participants require endotracheal suctioning in the acute stage of their hospitalisation. Types of intervention / Phenomena of interest The setting of a level of vacuum / suction pressure, taking into account the developed flow, to facilitate safe endotracheal suctioning in the acute care setting of the Intensive Care unit, High Dependency or Emergency Area will be examined. Types of outcomes Outcomes related to mortality, morbidity, and health benefits of regulating suction / vacuum pressure as opposed to having no regulation, i.e. Using the unguarded wall outlet, will be sought. The effects of negative pressure within the tracheo-bronchial tree including Atelectasis; Reported and shown by radiological exam as early as the 1940’s Pulmonary haemorrhage has been seen with rapid decompression of segmental lung, with mechanical trauma from catheter impaction or sudden explosive decompression. TRUNCATED AT 350 WORDS
{"title":"Setting a Regulated Suction Pressure for Endotracheal Suctioning; A Systematic Review.","authors":"D. Arbon, Dora Lang Siew Ping, J. Lumby, C. Tufanaru","doi":"10.11124/JBISRIR-2011-337","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-337","url":null,"abstract":"Review Objective \u0000The principle objective of this review will be to critically appraise and present the best available evidence for setting different levels of vacuum / suction pressures when patients are receiving endotracheal suctioning. \u0000Specifically the review will seek to answer the following questions. \u0000What is the best evidence for regulating vacuum pressure in the performance of endotracheal suctioning? \u0000What is the best evidence for regulating vacuum pressure for endotracheal suction as opposed to setting no regulated pressure in the performance of endotracheal suctioning? \u0000What is the best evidence for a limit to which vacuum should be regulated for endotracheal \u0000suction? \u0000To what extent does the developed airflow impact on the safety and effectiveness of the suction apparatus? \u0000 \u0000Inclusion Criteria \u0000Types of Participants \u0000Patients receiving mechanical ventilator support through endotracheal tube or tracheostomy in the acute care setting. \u0000 \u0000Participants may present with a variety of pathologies but studies will not be excluded on the bases of diagnosis. \u0000 \u0000Patients may require intubation and endotracheal suctioning at any age; vacuum applied in the performance of suction may have health implications and be of interest to the clinician. \u0000Papers regarding either spontaneously breathing and/or machine ventilated subjects will be also included so long as the participants require endotracheal suctioning in the acute stage of their hospitalisation. \u0000 \u0000Types of intervention / Phenomena of interest \u0000The setting of a level of vacuum / suction pressure, taking into account the developed flow, to facilitate safe endotracheal suctioning in the acute care setting of the Intensive Care unit, High Dependency or Emergency Area will be examined. \u0000 \u0000Types of outcomes \u0000Outcomes related to mortality, morbidity, and health benefits of regulating suction / vacuum pressure as opposed to having no regulation, i.e. Using the unguarded wall outlet, will be sought. \u0000 \u0000The effects of negative pressure within the tracheo-bronchial tree including Atelectasis; Reported and shown by radiological exam as early as the 1940’s Pulmonary haemorrhage has been seen with rapid decompression of segmental lung, with mechanical trauma from catheter impaction or sudden explosive decompression. \u0000 \u0000TRUNCATED AT 350 WORDS","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 16 Suppl 1","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2011-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2011-337","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-04-13DOI: 10.11124/JBISRIR-2011-334
S. Richards, Christina Hagger
Objective & Review Questions The objective of this review is to establish the meaning of moving into long term residential care and the experiences associated with the move. The specific question to be addressed is: What is it like for older people when they make a permanent move from home into residential aged care? CRITERIA FOR CONSIDERING STUDIES FOR THIS REVIEW Types of Participants The review will consider the experiences of older people who have been admitted on a permanent basis to a residential long term care institution. The institution must be one that provides some level of personal or clinical care service and not just board and lodgings. The review will not differentiate between studies involving subsets of older people (eg subsets based on specific morbidities such as dementia, ethnicity, gender or other specific differentiating characteristics). Should the data synthesis and analysis indicate differing results associated with subsets of older people these will be separately reported. The review will be limited to participants who have lived in the residential aged care facility for one year or less as the phenomenon of interest is the experiences associated with the move into the facility. Definition of “older person”. In developed countries there is no consensus as to an age delineator for “old age”. Denton and Spencer comment that the age marker of 65 has been regarded as the commencement of “old age” in developed countries for many years, while Foot and Fisher note that the medical literature commonly uses 70 and the World Health Organisation suggests that the “chronological age of 60 or 65” has been used in developed countries. The use of a specific age is regarded as arbitrary because unlike puberty there is no commonly experienced specific physiologically event to signify the onset of “old age” because ageing is a continuing process experienced differently by different people and the definition often arise out of the establishment of an official retirement age. TRUNCATED AT 350 WORDS
{"title":"\"The experiences of older adults from moving into residential long term care. A systematic review of qualitative studies.\"","authors":"S. Richards, Christina Hagger","doi":"10.11124/JBISRIR-2011-334","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-334","url":null,"abstract":"Objective & Review Questions \u0000The objective of this review is to establish the meaning of moving into long term residential care and the experiences associated with the move. The specific question to be addressed is: \u0000What is it like for older people when they make a permanent move from home into residential aged care? \u0000 \u0000CRITERIA FOR CONSIDERING STUDIES FOR THIS REVIEW \u0000 \u0000Types of Participants \u0000The review will consider the experiences of older people who have been admitted on a permanent basis to a residential long term care institution. The institution must be one that provides some level of personal or clinical care service and not just board and lodgings. \u0000 \u0000The review will not differentiate between studies involving subsets of older people (eg subsets based on specific morbidities such as dementia, ethnicity, gender or other specific differentiating characteristics). Should the data synthesis and analysis indicate differing results associated with subsets of older people these will be separately reported. \u0000 \u0000The review will be limited to participants who have lived in the residential aged care facility for one year or less as the phenomenon of interest is the experiences associated with the move into the facility. \u0000 \u0000Definition of “older person”. \u0000In developed countries there is no consensus as to an age delineator for “old age”. Denton and Spencer comment that the age marker of 65 has been regarded as the commencement of “old age” in developed countries for many years, while Foot and Fisher note that the medical literature commonly uses 70 and the World Health Organisation suggests that the “chronological age of 60 or 65” has been used in developed countries. The use of a specific age is regarded as arbitrary because unlike puberty there is no commonly experienced specific physiologically event to signify the onset of “old age” because ageing is a continuing process experienced differently by different people and the definition often arise out of the establishment of an official retirement age. \u0000 \u0000TRUNCATED AT 350 WORDS","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 16 Suppl 1","pages":"1-23"},"PeriodicalIF":0.0,"publicationDate":"2011-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2011-334","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-03-25DOI: 10.11124/JBISRIR-2011-325
T. Gollaher, Kathy M Baker
Review Questions/Objectives This systematic review seeks to synthesize the best available evidence on the administration of propofol for sedation by anesthesia providers and non-anesthesia trained providers of non-mechanically ventilated patients in non-critical care settings. Inclusion Criteria Types of participants This systematic review will consider non-anesthesia trained health care providers, and anesthesia providers administering propofol for sedation in non-critical care situations on (all adult and paediatric) patients who are not mechanically ventilated while undergoing gastrointestinal endoscopy, cardiac catheterization, and procedural sedation for emergency room and radiology procedures. Types of interventions The intervention of interest is the use of propofol sedation administered by non-anesthesia trained health care providers, and formally trained anesthesia providers for patients in non-critical care environments who were not mechanically ventilated while undergoing gastrointestinal endoscopies, cardiac catheterization, and procedural sedation for emergency room and radiology procedures. Types of outcome measures This systematic review will consider as outcomes: procedure time, return to baseline functioning, postoperative recovery time, mean amount of propofol administered, patient satisfaction, incidence of adverse hemodynamic and respiratory events, unplanned admission to hospital, and death of patients undergoing gastrointestinal endoscopy, cardiac catheterization, or procedural sedation for emergency room and radiology procedures while administering propofol for sedation. Adverse hemodynamic and respiratory events that will be considered are respiratory arrest, airway obstruction, hypoxia requiring intervention, hypotension, bradycardia, and arrhythmias.
{"title":"A systematic review contrasting the administration of propofol for sedation of non-mechanically ventilated patients in non-critical care areas by anesthesia providers to that of non-anesthesia trained healthcare providers.","authors":"T. Gollaher, Kathy M Baker","doi":"10.11124/JBISRIR-2011-325","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-325","url":null,"abstract":"Review Questions/Objectives \u0000This systematic review seeks to synthesize the best available evidence on the administration of propofol for sedation by anesthesia providers and non-anesthesia trained providers of non-mechanically ventilated patients in non-critical care settings. \u0000 \u0000Inclusion Criteria \u0000 \u0000Types of participants \u0000This systematic review will consider non-anesthesia trained health care providers, and anesthesia providers administering propofol for sedation in non-critical care situations on (all adult and paediatric) patients who are not mechanically ventilated while undergoing gastrointestinal endoscopy, cardiac catheterization, and procedural sedation for emergency room and radiology procedures. \u0000 \u0000Types of interventions \u0000The intervention of interest is the use of propofol sedation administered by non-anesthesia trained health care providers, and formally trained anesthesia providers for patients in non-critical care environments who were not mechanically ventilated while undergoing gastrointestinal endoscopies, cardiac catheterization, and procedural sedation for emergency room and radiology procedures. \u0000 \u0000Types of outcome measures \u0000This systematic review will consider as outcomes: procedure time, return to baseline functioning, postoperative recovery time, mean amount of propofol administered, patient satisfaction, incidence of adverse hemodynamic and respiratory events, unplanned admission to hospital, and death of patients undergoing gastrointestinal endoscopy, cardiac catheterization, or procedural sedation for emergency room and radiology procedures while administering propofol for sedation. Adverse hemodynamic and respiratory events that will be considered are respiratory arrest, airway obstruction, hypoxia requiring intervention, hypotension, bradycardia, and arrhythmias.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 16 Suppl 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2011-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2011-325","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-03-23DOI: 10.11124/JBISRIR-2011-323
Rosa Aguilera‐Martinez, Emília Ramis-Ortega, Concha Carratalá-Munuera, José Manuel Fernández‐Medina, M. D. Saiz-Vinuesa, M. J. Barrado‐Narvión
Review Questions/Objectives The Review objective is to synthesise the best available evidence on the effectiveness of continuous versus intermittent enteral feeding in adult patients with nasogastric tube admitted to the ICU, in respect to their nutritional status, digestive tolerance and complications Inclusion Criteria Types of participants Patients of nineteen years of age or more, carrying a nasogastric tube, enteral feeding recipients and who were admitted to an intensive care unit, with either a medical or a surgical pathology, and that received enteral feeding during their stay in the Intensive Care Unit. Types of interventions Intervention: Continuous enteral feeding. Comparator: Intermittent enteral feeding. Types of outcomes Studies must include at least one of the following primary outcomes: Primary outcome: 1.-Patient’s nutritional status. 2.-Digestive tolerance. 3.-Bronchoaspiration. The following secondary outcomes, will also be considered: 1. Start day and duration of enteral feeding. 2. Length of hospital stay and ICU stay. 3. Causes of interruption of enteral feeding because of complications.
{"title":"Enteral Feeding via Nasogastric Tube. Effectiveness of continuous versus intermittent administration for greater tolerance in adult patients in Intensive Care: A systematic review.","authors":"Rosa Aguilera‐Martinez, Emília Ramis-Ortega, Concha Carratalá-Munuera, José Manuel Fernández‐Medina, M. D. Saiz-Vinuesa, M. J. Barrado‐Narvión","doi":"10.11124/JBISRIR-2011-323","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-323","url":null,"abstract":"Review Questions/Objectives \u0000The Review objective is to synthesise the best available evidence on the effectiveness of continuous versus intermittent enteral feeding in adult patients with nasogastric tube admitted to the ICU, in respect to their nutritional status, digestive tolerance and complications \u0000 \u0000Inclusion Criteria \u0000 \u0000Types of participants \u0000Patients of nineteen years of age or more, carrying a nasogastric tube, enteral feeding recipients and who were admitted to an intensive care unit, with either a medical or a surgical pathology, and that received enteral feeding during their stay in the Intensive Care Unit. \u0000 \u0000Types of interventions \u0000Intervention: Continuous enteral feeding. \u0000Comparator: Intermittent enteral feeding. \u0000 \u0000Types of outcomes \u0000Studies must include at least one of the following primary outcomes: \u0000Primary outcome: \u00001.-Patient’s nutritional status. \u00002.-Digestive tolerance. \u00003.-Bronchoaspiration. \u0000The following secondary outcomes, will also be considered: \u00001. Start day and duration of enteral feeding. \u00002. Length of hospital stay and ICU stay. \u00003. Causes of interruption of enteral feeding because of complications.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 16 Suppl 1","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2011-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2011-323","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-03-22DOI: 10.11124/JBISRIR-2011-320
A. Constantine, George Adjei, F. Julius, Y. Enuameh
Objective of review To conduct a systematic review in order to synthesis the experiences of people living with epilepsy in developing countries, with the aim of providing evidence for clinicians and policy makers. Specific review questions 1. What are the experiences of people living with epilepsy regarding the causes of their condition? 2. What are their experiences regarding the treatment of epilepsy? 3. How has epilepsy shaped the social relationships of affected persons? Criteria for considering studies of this review Types of participants This review will consider studies where the focus is the experiences of people living with epilepsy including men, women and children who reside in developing countries found in Africa, Asia and Latin America and Eastern Europe. The present review will therefore exclude any study that is not directly focused on the experiences of people living with epilepsy and falls out of the above mentioned geographical regions. Phenomena of interest This review will consider studies where the phenomenon of interest which is the experiences of people living with epilepsy in developing countries. Types of outcome Anticipated outcomes include the experience of people living with epilepsy related to the causes, treatment and its impact on social relationships.
{"title":"The experience of people living with epilepsy in developing countries: a systematic review.","authors":"A. Constantine, George Adjei, F. Julius, Y. Enuameh","doi":"10.11124/JBISRIR-2011-320","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-320","url":null,"abstract":"Objective of review \u0000To conduct a systematic review in order to synthesis the experiences of people living with epilepsy in developing countries, with the aim of providing evidence for clinicians and policy makers. \u0000 \u0000Specific review questions \u00001. What are the experiences of people living with epilepsy regarding the causes of their condition? \u00002. What are their experiences regarding the treatment of epilepsy? \u00003. How has epilepsy shaped the social relationships of affected persons? \u0000 \u0000Criteria for considering studies of this review \u0000 \u0000Types of participants \u0000This review will consider studies where the focus is the experiences of people living with epilepsy including men, women and children who reside in developing countries found in Africa, Asia and Latin America and Eastern Europe. The present review will therefore exclude any study that is not directly focused on the experiences of people living with epilepsy and falls out of the above mentioned geographical regions. \u0000 \u0000Phenomena of interest \u0000This review will consider studies where the phenomenon of interest which is the experiences of people living with epilepsy in developing countries. \u0000 \u0000Types of outcome \u0000Anticipated outcomes include the experience of people living with epilepsy related to the causes, treatment and its impact on social relationships.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 16 Suppl 1","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2011-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-03-22DOI: 10.11124/JBISRIR-2011-316
R. Watts, J. Robertson
Review Objectives The objective of this systematic review is to establish what non-pharmacological practices are effective in managing fever in children, three months to 12 years of age, who are otherwise healthy. More specifically, the review question(s) are: What non-pharmacological methods are effective and safe in reducing fever in children? What non-pharmacological methods in children are effective in relieving discomfort in children with fever? Does the use of these types of interventions reduce parental anxiety? Does the use of these types of interventions reduce unnecessary visits to health services? What implications do these interventions have for the care of feverish children who are otherwise well, by health professionals and parents or other care givers? Criteria for considering studies for this review Types of participants This review will consider studies that include children who are not critically ill and are aged between three months and 12 years of age and have a fever i.e. a temperature ranging from 37.5oC (tympanic or oral)/380C (rectal) to 41oC. Exclusions: Children who are critically ill or have hyperthermia, head injuries, malaria, severe anaemia, compromised cardiopulmonary function, gram negative sepsis with septic shock, meningitis, or mycobacteriosis. Infants less than three months of age. Types of interventions This review will consider studies that include but are not restricted to the following interventions: Physiological e.g. maintenance of hydration, rest, and External cooling measures: – direct e.g. sponging, clothing – environmental e.g. fans, ambient temperature Studies involving medical diagnosis and treatment of underlying conditions e.g. infection, will not be included. Studies including antipyretics as a comparator will be included. Types of outcome measures This e review will consider studies that include but are not confined to the following outcomes: -Effect on fever -Increased comfort e.g. decreased irritability, increased sleep -Decreased parental anxiety -Reduction in unnecessary use of health services
{"title":"Non-pharmacological Management of Fever in Children.","authors":"R. Watts, J. Robertson","doi":"10.11124/JBISRIR-2011-316","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-316","url":null,"abstract":"Review Objectives \u0000The objective of this systematic review is to establish what non-pharmacological practices are effective in managing fever in children, three months to 12 years of age, who are otherwise healthy. \u0000More specifically, the review question(s) are: \u0000What non-pharmacological methods are effective and safe in reducing fever in children? \u0000What non-pharmacological methods in children are effective in relieving discomfort in children with fever? \u0000Does the use of these types of interventions reduce parental anxiety? \u0000Does the use of these types of interventions reduce unnecessary visits to health services? \u0000What implications do these interventions have for the care of feverish children who are otherwise well, by health professionals and parents or other care givers? \u0000 \u0000Criteria for considering studies for this review \u0000 \u0000Types of participants \u0000This review will consider studies that include children who are not critically ill and are aged between three months and 12 years of age and have a fever i.e. a temperature ranging from 37.5oC (tympanic or oral)/380C (rectal) to 41oC. \u0000Exclusions: \u0000Children who are critically ill or have hyperthermia, head injuries, malaria, severe anaemia, compromised cardiopulmonary function, gram negative sepsis with septic shock, meningitis, or mycobacteriosis. \u0000Infants less than three months of age. \u0000 \u0000Types of interventions \u0000This review will consider studies that include but are not restricted to the following interventions: \u0000Physiological e.g. maintenance of hydration, rest, and \u0000External cooling measures: \u0000– direct e.g. sponging, clothing \u0000– environmental e.g. fans, ambient temperature \u0000Studies involving medical diagnosis and treatment of underlying conditions e.g. infection, will not be included. \u0000Studies including antipyretics as a comparator will be included. \u0000 \u0000Types of outcome measures \u0000This e review will consider studies that include but are not confined to the following outcomes: \u0000-Effect on fever \u0000-Increased comfort e.g. decreased irritability, increased sleep \u0000-Decreased parental anxiety \u0000-Reduction in unnecessary use of health services","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 16 Suppl 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2011-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2011-316","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-03-22DOI: 10.11124/JBISRIR-2011-313
M. Dodd, Cobie George, A. Pearson, J. Field, Christina Hagger
Review Objectives The overall objective of this systematic review is to determine the best available narrative evidence related to the experiences of health professionals working with people who have survived into old age, and who are now experiencing problems or eliciting behaviour related to the past trauma of their childhood sexual abuse (CSA). The review will consider the experiences of health professionals working with older adults; with and without dementia, living in both community and institutional settings, who are suffering the effects of CSA trauma. Because the first hand experiences of health care professionals may have difficulty being disseminated beyond the care setting, the review will also consider the opinions, comments and conclusions of health care professional researchers who have studied or considered the experiences of health care professionals in the above settings. This latter group of researchers may also provide a voice for the aged persons themselves into this systematic review of text and opinion. The findings of the review will contribute towards the identification and management of elderly people who are experiencing problems related to the past trauma of their childhood sexual abuse. Review Questions The specific review question to be addressed is: What are the experiences of health professionals working with adults who have survived into old age, and who are now experiencing problems or eliciting behaviour related to the past trauma of childhood sexual abuse? Criteria for considering papers for this review The Joanna Briggs Institute (JBI) database and Cochrane Library have been searched and no previous systematic reviews on this specific topic were identified as published or underway. A preliminary search of the literature uncovered almost nothing relevant to the focus of this review; elderly childhood sexual abuse survivors. In view of this, a narrative review of text and opinion was considered the most appropriate type of evidence to address the research question at this time. TRUNCATED AT 350 WORDS
{"title":"Health professionals' experiences with older adults affected by the trauma of their childhood sexual abuse: a systematic review of text and expert opinion.","authors":"M. Dodd, Cobie George, A. Pearson, J. Field, Christina Hagger","doi":"10.11124/JBISRIR-2011-313","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-313","url":null,"abstract":"Review Objectives \u0000The overall objective of this systematic review is to determine the best available narrative evidence related to the experiences of health professionals working with people who have survived into old age, and who are now experiencing problems or eliciting behaviour related to the past trauma of their childhood sexual abuse (CSA). \u0000 \u0000The review will consider the experiences of health professionals working with older adults; with and without dementia, living in both community and institutional settings, who are suffering the effects of CSA trauma. \u0000 \u0000Because the first hand experiences of health care professionals may have difficulty being disseminated beyond the care setting, the review will also consider the opinions, comments and conclusions of health care professional researchers who have studied or considered the experiences of health care professionals in the above settings. This latter group of researchers may also provide a voice for the aged persons themselves into this systematic review of text and opinion. \u0000 \u0000The findings of the review will contribute towards the identification and management of elderly people who are experiencing problems related to the past trauma of their childhood sexual abuse. \u0000 \u0000Review Questions \u0000The specific review question to be addressed is: \u0000What are the experiences of health professionals working with adults who have survived into old age, and who are now experiencing problems or eliciting behaviour related to the past trauma of childhood sexual abuse? \u0000 \u0000Criteria for considering papers for this review \u0000 \u0000The Joanna Briggs Institute (JBI) database and Cochrane Library have been searched and no previous systematic reviews on this specific topic were identified as published or underway. \u0000A preliminary search of the literature uncovered almost nothing relevant to the focus of this review; elderly childhood sexual abuse survivors. In view of this, a narrative review of text and opinion was considered the most appropriate type of evidence to address the research question at this time. \u0000 \u0000TRUNCATED AT 350 WORDS","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 16 Suppl 1","pages":"1-21"},"PeriodicalIF":0.0,"publicationDate":"2011-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2011-313","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-03-18DOI: 10.11124/JBISRIR-2011-305
S. Stelfox, Cate Nagle, B. Kent
REVIEW OBJECTIVES/QUESTIONS: The objective of this review is to explore the experience of separation for mothers and their term newborn infants in order to understand the effect this has on the mother and infant couple. This knowledge will be used to enhance the care experience and minimise harm for mothers and infants when there is or has been an admission to special care nursery within 72 hours of birth. This review aims to answer the following specific question:What is the experience of mothers who are separated from their term infants within 72 hours of birth? INCLUSION CRITERIA Types of Participants This review will consider publications that include experiences of new mothers whose term infants were admitted to special care nursery within 72 hours of birth. Publications will not be excluded on the basis of mode of birth, parity or age of the women. Studies that include the experiences of women who have a condition that prevents their participation in the care of their baby will not be included in this study. Such conditions may require admission to adult intensive or critical care areas and would include severe obstetric haemorrhage, eclampsia or stroke. Infants that are premature (those born before 37 completed weeks) and those that have structural deformities such as clefts of the lip and palate, babies that are admitted to or have been admitted to NICU or maternal or neonatal conditions in which breastfeeding may be contraindicated (chemotherapy, radioactive treatments, HIV-Aids or neonatal gastro-intestinal deformities) will not be included in this review. Phenomena of interest: This qualitative review will consider studies that investigate mother’s experiences of separation on physiological, psychological and social factors when their term infants are admitted to special care nursery within 72 hours of birth. Babies are considered to be separated from their mothers when there is an alteration to the constant close presence of the infant remaining in the same room as the mother (rooming-in) from the time of birth and continuously during the postnatal stay. A second phenomenon of interest is the impact of this separation on the mode of feeding for these mothers and their infants.
{"title":"The experience of new mothers who are separated from their newborn infants: a qualitative systematic review.","authors":"S. Stelfox, Cate Nagle, B. Kent","doi":"10.11124/JBISRIR-2011-305","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-305","url":null,"abstract":"REVIEW OBJECTIVES/QUESTIONS: \u0000The objective of this review is to explore the experience of separation for mothers and their term newborn infants in order to understand the effect this has on the mother and infant couple. This knowledge will be used to enhance the care experience and minimise harm for mothers and infants when there is or has been an admission to special care nursery within 72 hours of birth. \u0000This review aims to answer the following specific question:What is the experience of mothers who are separated from their term infants within 72 hours of birth? \u0000 \u0000INCLUSION CRITERIA \u0000 \u0000Types of Participants \u0000This review will consider publications that include experiences of new mothers whose term infants were admitted to special care nursery within 72 hours of birth. Publications will not be excluded on the basis of mode of birth, parity or age of the women. Studies that include the experiences of women who have a condition that prevents their participation in the care of their baby will not be included in this study. Such conditions may require admission to adult intensive or critical care areas and would include severe obstetric haemorrhage, eclampsia or stroke. \u0000 \u0000Infants that are premature (those born before 37 completed weeks) and those that have structural deformities such as clefts of the lip and palate, babies that are admitted to or have been admitted to NICU or maternal or neonatal conditions in which breastfeeding may be contraindicated (chemotherapy, radioactive treatments, HIV-Aids or neonatal gastro-intestinal deformities) will not be included in this review. \u0000 \u0000Phenomena of interest: \u0000This qualitative review will consider studies that investigate mother’s experiences of separation on physiological, psychological and social factors when their term infants are admitted to special care nursery within 72 hours of birth. Babies are considered to be separated from their mothers when there is an alteration to the constant close presence of the infant remaining in the same room as the mother (rooming-in) from the time of birth and continuously during the postnatal stay. A second phenomenon of interest is the impact of this separation on the mode of feeding for these mothers and their infants.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 16 Suppl 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2011-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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