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  1. Article ; Online: Primary caregiver's experiences in caring paranoid schizophrenia patients

    Alwin Issac / Renjulal Yesodharan / Leena Sequira

    Clinical Epidemiology and Global Health, Vol 24, Iss , Pp 101413- (2023)

    A qualitative study

    2023  

    Abstract: Background: Mental disorders are accompanied by tremendous suffering for the patient and caregiver and can bring forth significant disability. A descriptive phenomenological study was conducted to explore primary caregiver's experiences of caring for ... ...

    Abstract Background: Mental disorders are accompanied by tremendous suffering for the patient and caregiver and can bring forth significant disability. A descriptive phenomenological study was conducted to explore primary caregiver's experiences of caring for patients diagnosed with paranoid schizophrenia. Methods: Caregivers were selected as study participants if they were the patient's family members and the primary caregiver for the patient for the past six months. The participants were recruited through maximum variation sampling, and the researcher used a semi-structured interview guide to collect the data from the participants. Codes were identified, patterns analyzed, and themes were recorded using Braun and Clarke's six phases of thematic analysis. Results: The study found that the mean age of the participants was 47 years, and the duration of caregiving ranged from one to three years. Major themes identified from the study were: encountering gloom, challenges in caregiving, expectations, and coping strategies. Conclusion: Caregivers of paranoid schizophrenic patients have significant challenges during their everyday lives. Whereas caregivers who receive adequate support from their family members and community better cope with their daily challenges.
    Keywords Caregivers ; Schizophrenia ; Adaptation ; Caregiver burden ; Qualitative research ; Public aspects of medicine ; RA1-1270
    Subject code 150
    Language English
    Publishing date 2023-11-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article: The Impact of Exercise on Fatigue among Patients Undergoing Adjuvant Radiation Therapy: A Systematic Review and Meta-analysis.

    Halemani, Kurvatteppa / Issac, Alwin / Mishra, Prabhakar / Mathias, Edlin

    Journal of caring sciences

    2021  Volume 11, Issue 1, Page(s) 46–55

    Abstract: Introduction: ...

    Abstract Introduction:
    Language English
    Publishing date 2021-11-14
    Publishing country Iran
    Document type Journal Article ; Review
    ZDB-ID 2667363-0
    ISSN 2251-9920
    ISSN 2251-9920
    DOI 10.34172/jcs.2022.02
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Efficacy of body position on gastric residual in preterm infant: a systematic review and meta-analysis.

    Halemani, Kurvatteppa / Issac, Alwin / Dhiraaj, Sanjay / Mishra, Prabhaker

    Clinical and experimental pediatrics

    2022  Volume 66, Issue 6, Page(s) 262–270

    Abstract: Background: Preterm babies are born before completion of 37 weeks of gestational. Compared to term neonates, preterm babies are difficult to adjust to extra uterine life and 15 million babies (11%) born before 37 weeks of gestation.: Purpose: This ... ...

    Abstract Background: Preterm babies are born before completion of 37 weeks of gestational. Compared to term neonates, preterm babies are difficult to adjust to extra uterine life and 15 million babies (11%) born before 37 weeks of gestation.
    Purpose: This systematic review and meta-analysis aimed to evaluate evidence concerning the efficacy of body position on gastric residual volume among preterm infants.
    Methods: We conducted a systematic search of studies trials published in PubMed, MEDLINE, CINHAL, Clinical Key, Cochrane Library, and Google scholar. Two authors independently appraised the selected randomized control trials for evaluating the effectiveness of body position on gastric emptying. This systematic review and meta-analysis was conducted based on the Cochrane risk bias assessment tool using Revman 5.3 software.
    Results: On assessment this systematic review and meta-analysis comprised 289 preterm infants from the included 7 trials, with the sample size ranging from 20-63. The gestational age ranged from 28-37 weeks, with an average gestational age of 31.7 weeks. The age of the participants postnatal ranged from 6.6 days to 33.4 days, with an average age of 18±6 days. The weight of the participants during data collection ranged from 1,272-2,683 g, with an average of 1,795 g.
    Conclusion: This systematic review and meta-analysis revealed that right lateral and prone position lesser gastric residual volume in comparison to preterm infants placed in supine and left lateral position.
    Language English
    Publishing date 2022-11-30
    Publishing country Korea (South)
    Document type Journal Article
    ISSN 2713-4148
    ISSN (online) 2713-4148
    DOI 10.3345/cep.2021.01508
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  4. Article: Transitional Challenges and Role of Preceptor among New Nursing Graduates.

    Joseph, Hepsi Bai / Issac, Alwin / George, Ann Gicy / Gautam, Gunjan / Jiji, Melby / Mondal, Sampa

    Journal of caring sciences

    2022  Volume 11, Issue 2, Page(s) 56–63

    Abstract: Introduction: ...

    Abstract Introduction:
    Language English
    Publishing date 2022-04-30
    Publishing country Iran
    Document type Journal Article
    ZDB-ID 2667363-0
    ISSN 2251-9920
    ISSN 2251-9920
    DOI 10.34172/jcs.2022.16
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The Impact of Exercise on Fatigue among Patients Undergoing Adjuvant Radiation Therapy

    Kurvatteppa Halemani / Alwin Issac / Prabhakar Mishra / Edlin Mathias

    Journal of Caring Sciences, Vol 11, Iss 1, Pp 46-

    A Systematic Review and Meta-analysis

    2022  Volume 55

    Abstract: Introduction: Cancer is a leading cause of death among all age groups. Globally, cancer patients undergo one or more treatment modules, which often bring about fatigue, depression, anxiety, and muscle weakness. Therefore, this systemic review and meta- ... ...

    Abstract Introduction: Cancer is a leading cause of death among all age groups. Globally, cancer patients undergo one or more treatment modules, which often bring about fatigue, depression, anxiety, and muscle weakness. Therefore, this systemic review and meta-analysis aims to investigate randomized control trials (RCTs) on this subject. Method: We conducted a systemic search of studies published in PubMed, MEDLINE, CINAHL, ClinicalKey, Cochrane Library, and Google scholar, in English language between 2005-2020. Two authors independently appraised the selected RCTs for evaluating the effectiveness of physical exercise on fatigue among patients undergoing adjuvant radiation therapy (RT). This systemic review and meta-analysis was conducted based on the Cochrane risk bias assessment tool, using RevMan 5.3 software. Results: A total of 1440 participants from 12 trials were involved in the systemic review, 6 trials comprised 718 participants picked for meta-analysis. Physical exercise was found an effective intervention for reducing general fatigue and physical fatigue and some other variables (e.g. anxiety, depression, pain, quality of life, and sleep pattern) among patients undergoing adjuvant radiotherapy in the treatment group as compared to the control group. Conclusion: Physical exercise is an effective intervention on multidimensional fatigue among patients undergoing adjuvant RT. The studies are registered with PROSPERO and available in online.
    Keywords radiotherapy ; exercise ; fatigue ; anxiety ; neoplasms ; Medicine (General) ; R5-920 ; General works ; R5-130.5
    Subject code 796
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher Tabriz University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: The Impact of Early Enteral Nutrition on Post-operative Hospital Stay and Complications in Infants Undergoing Congenital Cardiac Surgery: A Systematic Review and Meta-analysis.

    Dhiraaj, Sanjay / Thimmappa, Latha / Issac, Alwin / Halemani, Kurvatteppa / Mishra, Prabhaker / Mavinatop, Anusha

    Journal of caring sciences

    2022  Volume 12, Issue 1, Page(s) 14–24

    Abstract: Introduction: ...

    Abstract Introduction:
    Language English
    Publishing date 2022-12-03
    Publishing country Iran
    Document type Systematic Review
    ZDB-ID 2667363-0
    ISSN 2251-9920
    ISSN 2251-9920
    DOI 10.34172/jcs.2023.31750
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Efficacy of Early Enteral Nutrition on Gastrointestinal Surgery Outcomes: A Systematic Review and Meta-Analysis.

    Issac, Alwin / Dhiraaj, Sanjay / Halemani, Kurvatteppa / Thimmappa, Latha / Mishra, Prabhakar / Kumar, Basant / Mavinatop, Anusha

    European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie

    2023  Volume 33, Issue 6, Page(s) 454–462

    Abstract: Congenital anomalies, congenital malformations, or birth defects can be defined as any structural or functional anomalies that develop prenatally and could be identified before, at birth, or later in life. Approximately 6% of babies are born with a ... ...

    Abstract Congenital anomalies, congenital malformations, or birth defects can be defined as any structural or functional anomalies that develop prenatally and could be identified before, at birth, or later in life. Approximately 6% of babies are born with a congenital anomaly, which results in 2.4 million newborn deaths worldwide. This systematic review and meta-analysis ascertained the quantitative studies published in PubMed, ClinicalKey, Embase, CINAHL, Cochrane Library, and Google Scholar. Two authors independently screened and extracted the data from the primary studies that analyzed the efficacy of early enteral nutrition (EEN) on the postoperative outcome. This systematic review and meta-analysis adopted Cochrane Collaboration guidelines and reported using the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) statement. The methodological quality of trials was assessed by Cochrane Collaboration's risk of bias tool. Six trials, representing 488 children, with age ranging from 10 days to 6.5 years, fulfilled the inclusion criteria. EEN has significantly shortened hospital stay, induced early fecal movement, and reduced postoperative wound infections in children with congenital gastrointestinal abnormalities undergoing gastrointestinal anastomosis compared with children who received late enteral nutrition. The review also found that the experimental group who received EEN had no significant impact on the anastomosis leakage, vomiting, and abdominal distension. EEN has some positive effects on postsurgery outcomes among children with congenital gastrointestinal anomalies undergoing gastrointestinal anastomosis.
    MeSH term(s) Child ; Infant ; Infant, Newborn ; Humans ; Digestive System Surgical Procedures ; Enteral Nutrition/methods ; Surgical Wound Infection ; Anastomotic Leak ; Anastomosis, Surgical
    Language English
    Publishing date 2023-02-01
    Publishing country United States
    Document type Meta-Analysis ; Systematic Review ; Journal Article
    ZDB-ID 1065043-x
    ISSN 1439-359X ; 0939-7248 ; 0939-6764 ; 0930-7249
    ISSN (online) 1439-359X
    ISSN 0939-7248 ; 0939-6764 ; 0930-7249
    DOI 10.1055/s-0043-1760837
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3140: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Needs, challenges, and coping strategies among primary caregivers of schizophrenia patient: A systematic review & meta-synthesis.

    Issac, Alwin / Nayak, Shalini Ganesh / Yesodharan, Renjulal / Sequira, Leena

    Archives of psychiatric nursing

    2022  Volume 41, Page(s) 317–332

    Abstract: Introduction: Deinstitutionalization and rising psychiatric care in society have led to an increase in the role of caregivers of persons diagnosed with schizophrenia.: Objective: The objective of this systematic review was to identify and synthesize ... ...

    Abstract Introduction: Deinstitutionalization and rising psychiatric care in society have led to an increase in the role of caregivers of persons diagnosed with schizophrenia.
    Objective: The objective of this systematic review was to identify and synthesize qualitative research findings that explored the needs, challenges, and coping strategies among the primary caregivers of a schizophrenia patient.
    Methodology: The electronic databases namely PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Scopus, Web of Science, ProQuest, and ClinicalKey were searched to identify relevant articles published from 2005 to October 2021. The quality of the included articles was independently appraised by two reviewers using Walsh and Downe criteria and was analysed thematically. The meta-synthesis was modelled on Lucas framework.
    Results: The richness of information across 38 papers involving 543 participants was noteworthy. The needs of the primary caregivers were rehabilitation and vocational centre, information and education, self-help groups, augmented healthcare services, and communication and collaboration. The challenges reported were treatment expenses, bizarre beliefs, self and other directed harm and violence, therapeutic noncompliance, onerous caregiving task, crumbling family relations, misconception and discrimination, and self-stigmatization. The coping strategies adopted were problem-focused coping, emotional coping, behavioural coping, coping through social support, religious coping and cognitive reappraisal.
    Conclusion: The primary caregivers provide unparalleled service to the health system and for the patient. The healthcare providers need to give undue attention to the unmet needs and challenges of the caregivers, which would benefit the health system by enabling the caregivers in providing long-term care for the schizophrenic.
    MeSH term(s) Humans ; Caregivers/psychology ; Schizophrenia ; Adaptation, Psychological ; Social Support ; Qualitative Research
    Language English
    Publishing date 2022-09-09
    Publishing country United States
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 639197-7
    ISSN 1532-8228 ; 0883-9417
    ISSN (online) 1532-8228
    ISSN 0883-9417
    DOI 10.1016/j.apnu.2022.09.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2271: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  9. Article ; Online: The Impact of Early Enteral Nutrition on Post-operative Hospital Stay and Complications in Infants Undergoing Congenital Cardiac Surgery

    Sanjay Dhiraaj / Latha Thimmappa / Alwin Issac / Kurvatteppa Halemani / Prabhaker Mishra / Anusha Mavinatop

    Journal of Caring Sciences, Vol 12, Iss 1, Pp 14-

    A Systematic Review and Meta-analysis

    2023  Volume 24

    Abstract: Introduction: The congenital cardiac diseases (CHDs) are the leading cause of death in children. The CHDs detection and management have greatly improved over the past few decades. This review aimed to assess the effectiveness of early enteral nutrition ( ... ...

    Abstract Introduction: The congenital cardiac diseases (CHDs) are the leading cause of death in children. The CHDs detection and management have greatly improved over the past few decades. This review aimed to assess the effectiveness of early enteral nutrition (EEN) on postoperative outcomes in infants undergoing congenital cardiac surgery. Methods: Electronic databases PubMed, Clinical Key, UpToDate, the Cochrane Library, and Google Scholar were searched for studies published in the English language, between 2004 and 2021. This review carried out based on PRISMA statement and studies qualities assessed using "Downs and Black score". Hospital stay, intensive care unit (ICU) stay, mechanical ventilation support, aortic cross clamping and cardiopulmonary bypass were as primary outcomes. Similarly infections, vomiting and mortality were as secondary outcomes of included studies. Results: This review consists of 887 infants from 10 studies. Of these, 470 infants were assigned to the intervention group and 417 to the control group. The post-operative hospital stay shorted in the EEN group than the control group (SMD=-0.63, 95% CI: -1.03 to -0.22, P=0.0, I2=87%). Similarly, EEN group lessen the ICU stay (SMD=-0.15, 95% CI: -0.42, 0.11, P=0.0, I2=71%), mechanical ventilation support (SMD=-0.31, 95% CI: -0.51, -08, P=0.08, I2=47%), aortic cross clamping (SMD=-0.92, 95% CI: -0.31, 2.4, P=0.00, I2=96%), and cardiopulmonary bypass (SMD=-0.0, 95% CI: -0.42 to 43, P=0.00, I2=71%). Secondary postoperative complications such as infections (RR=0.68, 95% CI: 0.43 to 1.08, P=0.40, I2=3%). vomiting (RR=1.47, 95% CI: 0.80 to 2.69, P=0.90, I2=0%) and postoperative mortality (RR=0.42, 95% CI: 0.03 to 5.82, P=0.00: I2=80%) significantly reduced. Conclusion: Postoperative outcomes were improved in the intervention group compared to the control group, including shorter hospital stays, ICU stays, mechanical ventilation, and less postoperative complications.
    Keywords infant ; early enteral nutrition (een) ; post-operative period ; congenital heart diseases ; congenital abnormalities ; Medicine (General) ; R5-920 ; General works ; R5-130.5
    Subject code 610
    Language English
    Publishing date 2023-02-01T00:00:00Z
    Publisher Tabriz University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Postpartum depression amidst COVID-19 pandemic: What further could be done?

    Issac, Alwin / Krishnan, Nadiya / Vr, Vijay / Vr, Rakesh / Jacob, Jaison / Stephen, Shine

    Asian journal of psychiatry

    2021  Volume 63, Page(s) 102759

    MeSH term(s) COVID-19 ; Depression, Postpartum/epidemiology ; Female ; Humans ; Pandemics ; Postpartum Period ; SARS-CoV-2
    Language English
    Publishing date 2021-07-12
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 2456678-0
    ISSN 1876-2026 ; 1876-2018
    ISSN (online) 1876-2026
    ISSN 1876-2018
    DOI 10.1016/j.ajp.2021.102759
    Database MEDical Literature Analysis and Retrieval System OnLINE

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