Narrative Literature Research Articles

The Impact of Wearable Devices on Public Health Outcomes in The Treatment of Chronic Diseases Through Continuous Physiological Monitoring

Chronic illnesses contribute to elevated levels of disability and death. The active involvement of patients in the treatment of chronic diseases is a crucial element of healthcare systems that are focused on chronic diseases. Wearable devices provide real-time health information focused on the patient, enabling them to make informed decisions about self-management. Although wearables are believed to offer advantages in enhancing the self-management of chronic illnesses, their impact on healthcare outcomes still needs to be well comprehended. This study sought to investigate the effect of wearables on healthcare results in adults with chronic conditions by conducting a comprehensive analysis of existing evidence for physiological monitoring. A narrative systematic literature review was performed by searching six databases for randomized and observational research published from January 2018 to July 2023. These studies focused on utilizing a wearable intervention in a group of individuals with chronic diseases to evaluate its effect on a predetermined end measure. The outcomes were defined as any impact on patient or practitioner experience, cost-effectiveness, or healthcare outcomes resulting from the wearable intervention. The findings from the research included in the analysis were gathered according to 6 main themes, which were used as the foundation for a qualitative summary. This research adhered to the requirements outlined in the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) declaration.

The benefits of nursing professional governance nursing research and evidenced-based practice councils for new graduate nurses

New graduate nurses are an untapped population for nursing professional governance and nursing research and evidenced-based practice councils. New graduate nurses can offer new insights into the management of patient care and nursing workflow. By educating new graduate nurses about the benefits of nursing research and evidence-based practice councils at the start of their careers, an early standard of excellence in the empowerment of applying evidenced-based practice principles to improve patient care quality can occur. This narrative literature inquiry explores new graduate nurses perspective of research and evidence-based practice councils, with the targeted goal of engagement for professional and personal growth as a nurse leader.

Preoperative coagulation tests: A narrative review of current guidelines

IntroductionHemostasis tests are traditionally requested for all patients requiring any surgical act or invasive diagnostic-therapeutic procedure to prevent hemorrhagic complications. The aim of this study is to assess the necessity of requesting standard pre-procedure hemostasis tests. MethodologyA narrative literature review was conducted using the PubMed data-base. Search terms included «Hemostasis» or «Blood coagulation» in combination with «Preoperative care», «Preoperative period», or «Preoperative procedure». Additionally, a targeted search was performed to find recommendations from international societies related to the topic. ResultsA total of 233 articles were found, 17 were pre-selected, and after full-text evaluation, 14 relevant articles were identified. The targeted search yielded an additional 12 articles.The request for tests should be individualized according to the clinical history. Standardized screening questionnaires for hemostasis disorders are useful and complement the aforementioned approach. Factors such as age, ASA classification, bleeding potential-complexity of the procedure, and anesthetic technique may influence their request. DiscussionThe incidence of hemostasis disorders in the general population is very low, and these can mostly be detected through clinical history. Thus, it is the clinical history that should guide the need for laboratory test requests. ConclusionsPreoperative hemostasis tests should not be indiscriminately requested for all patients needing an intervention or invasive diagnostic-therapeutic procedure, but rather when there are doubts about their hemostatic competence or as advised by the nature of the procedure they are undergoing.

Originalarbeiten / Original Articles. Die partizipative, berufsgruppen- und abteilungsübergreifende Entwicklung eines Ethik- Leitbildes in einer kinder- und jugendpsychiatrischen Klinik: Der Ethik-Kompass der UPKKJ Basel

The Participatory, Cross-Professional and Cross-Departmental Development of an EthicalMission Statement in a Child and Adolescent Psychiatric Clinic: The Ethics Compass of theUPKKJ Basel Employees in child and adolescent psychiatry navigate a complex field of ethical requirements. At the Clinic for Children and Adolescents of the University Psychiatric Clinics Basel (UPKKJ), these areas of tension were examined in a project that spanned across numerous departments and professional groups. Based on a survey study and a narrative literature review, ethical guidelines were developed: the UPKKJ Ethics Compass. The Ethics Compass highlights various areas such as participation, child welfare, justice and developmental health, which are relevant to the relationships between children, adolescents, parents, and the treatment team. To implement these principles in everyday clinical practice, the Ethics Compass is now regularly used in case work and as a communication aid with external partners. Furthermore, a procedural action plan was developed for collaboration with the Department of Clinical Ethics at the University Hospitals in Basel.

Oral manifestations of COVID-19 in children: a narrative literature review

COVID-19 triggers an acute inflammatory response in organs, tissues, tongue mucosa, and salivary glands. Some symptoms such as lesions on the tongue and oral mucosa, oral pseudomembranous candidiasis, pharyngitis, taste alteration, gingivitis, canker sores, and even multisystem inflammatory syndrome have been reported in children with COVID-19. Early diagnosis of oral manifestations improves patients' prognosis and quality of life. A narrative literature review was conducted based on studies published in PubMed and LiLacs from January 2020 to April 2024, related to oral manifestations in COVID-19 in children. Of the 68 articles found, 7 were selected after analysis. The main manifestations presented were: abscesses, mucositis, ulcerative lesions, gingivitis, pseudomembranous candidiasis, mucosal lesions, lip and tongue fissures, hemorrhagic crust, inflammation of salivary glands, lip swelling, and reactive infectious mucocutaneous eruption. The selected articles showed that these oral manifestations of COVID-19 can affect children in various age groups, serving as indicators of the disease and signs of worsening infection.

Paraneoplastic neurological syndromes associated with anti-Hu antibodies in an ovarian cancer patient: a case report and narrative literature review

Paraneoplastic neurological syndromes associated with anti-Hu antibodies in an ovarian cancer patient: a case report and narrative literature review

FOSTERING SELF-AWARENESS AND SELF-LOVE FOR MINDSET TRANSFORMATION AND PERSONAL GROWTH: INSIGHTS FROM THE HEALING JOURNEY OF A LITERATURE CHARACTER

This paper investigates the educational function of literature via the development of self-love through the self-healing journey of Nora Seed in the novel “The Midnight Library” by Matt Haig. Using the Totally-Inclusive Self-love framework (Van & Whitehead, 2024), this study looks into the role of certain dimensions of self-love in guiding Nora toward joy and motivation to live despite facing others’ expectations and social norms. The findings indicate that Nora's journey is motivated by several inner strengths, particularly self-awareness and Totally Inclusive Self-love. Furthermore, self-awareness plays a transformative role in her journey toward liberating herself from the negative impact of external factors, empowering her to discover her authentic aspirations, become resilient against these pressures, and have the courage to determine her own path. The results highlight the power of literary narratives in encouraging self-reflection and empowerment. Through Nora's journey, readers are invited to reflect on their inner strengths and weakness as well as their attitude towards their own circumstance and apply the lessons learned from her narrative to their own journey toward personal growth and fulfillment.

A Study on the Image and Meanings of the Underground World in Mongolian Oral Narrative Literature

A Study on the Image and Meanings of the Underground World in Mongolian Oral Narrative Literature

THE EMERGING FUTURE OF AI CHATBOTS IN HIGHER EDUCATION

Incorporating Artificial Intelligence (AI) chatbots within Higher Education Institutions (HEIs) is revolutionizing the educational domain, presenting new avenues for improved student support and administrative effectiveness. This research delves into the prospective impacts of AI chatbots in HEIs, focusing on their influence on teaching, learning, and research activities. Adopting a Narrative Literature Review (NLR) approach, the study compiles and synthesizes existing research on the role of AI chatbots in higher education, drawing from a wide range of academic sources and scholarly literature. The results underscore the significant potential of AI chatbots to streamline administrative functions, enrich student learning experiences, and facilitate research endeavours. Nonetheless, challenges such as concerns over academic integrity, difficulties in accurately interpreting user inputs, and the need for appropriate resource allocation present substantial barriers to the successful adoption of AI chatbots in HEIs. The study emphasizes the critical need for proactive strategies to address ethical issues, ensure comprehensive training for all stakeholders, and formulate clear guidelines for the responsible deployment of AI chatbots in higher education. By overcoming these challenges and capitalizing on the advantages of AI technologies, HEIs can fully exploit the capabilities of AI chatbots, thereby fostering a more efficient, effective, inclusive, and forward-thinking educational environment.

Balinese Language and Local Identity in a Multicultural Context; Issues, Challenges, and Preservation Efforts

This research aims to present the issues, challenges and opportunities of Balinese regional languages ​​in the context of multicultural society and culture. In the current context, the Balinese language is experiencing a decline in interest and use in daily life which is being eroded by the use of Indonesian and English by the people. The great influence of multiculturalism is detected in this context. This is proven by the proliferation of international standard Kindergarten, Elementary, Middle and High Schools, where these schools present and promise English as the language of instruction. The narrative literature review method is used as empirical data to support arguments. Some of the issues facing the Balinese language currently and in the future include the code mixing habits of parents in Bali, the proliferation of international schools, and the position of the Balinese language in the Indonesian curriculum. These issues refer to several challenges faced by the existence of the Balinese language, namely the shift in the identity of the younger generation, changes in the educational curriculum, and the shift in the function of regional languages. Several efforts have been made by various parties in order to preserve the Balinese language in the context of a multicultural society. Steps that should be taken as preservation tips in the future are packaging the language with local culture, stabilizing diglossia, using Balinese as an introductory subject, training and community development, as well as linguistic research for documentation. With this research, it is hoped that the Balinese people will pay more attention to and preserve the Balinese language. Research related to Balinese is still limited. It is hoped that this paper will be able to contribute to literature studies for parties interested in researching the Balinese language further.

Analysis of the Therapeutic Efficacy of Rhizotomy in Pain Treatment

Considering the growing burden of chronic pain and the urgent need for effective, minimally invasive treatments, rhizotomy has gained prominence as a viable therapeutic option. However, the variability in techniques, such as endoscopic, radiofrequency, and chemical rhizotomy, and the differing outcomes across patient populations underscore the necessity for a comprehensive evaluation of its efficacy. This study aims to systematically review the therapeutic effectiveness of various rhizotomy techniques in managing chronic pain, focusing on their application in conditions like lumbar facet joint pain, trigeminal neuralgia, and cancer-related pain. To achieve this, a narrative literature review was conducted, employing a structured methodology based on established guidelines from experts in the field. The review covered studies published between 2000 and 2023, sourced from reputable academic databases such as PubMed, Scopus, and Web of Science, using specific descriptors like "rhizotomy," "pain management," "endoscopic rhizotomy," and "radiofrequency." The inclusion criteria were stringent, focusing on studies that reported quantitative or qualitative outcomes related to pain relief, complications, and the impact on patients' quality of life following rhizotomy. The results of this review indicate that rhizotomy, particularly the endoscopic and radiofrequency variants, consistently provides significant pain relief and functional improvement across various conditions. The long-term benefits of selective dorsal rhizotomy, especially in reducing pain and improving function in patients with spastic cerebral palsy, were notably highlighted. However, the review also points out that the efficacy of rhizotomy can vary depending on the specific technique employed, the underlying condition being treated, and individual patient characteristics. This comprehensive analysis allows us to conclude that rhizotomy is indeed a valuable option in the realm of pain management, offering substantial benefits in terms of both pain relief and enhanced quality of life. Nevertheless, it also emphasizes the need for further research to optimize these techniques and better understand the factors that influence patient outcomes, ultimately paving the way for more personalized and effective pain management strategies.

Wetland Restoration and Conservation. Case of Uganda

Wetlands are the “natural filters with a variety of important ecosystem benefits and are more relevant in improving people’s livelihoods. However, as a result of increasing global economic pressures, they have drastically decreased resulting in more global environmental challenges such as climate change. This has attracted international and regional attention for wetland management through restoration which has several success and failure stories. This review aimed at establishing the dynamics for wetland restoration success and failure in Uganda through narrative literature review. This showed that institutional and policy environment, land tenure systems, traditional and indigenous knowledge, and project scope significantly affect the restoration outcomes. Therefore, there is a need for comprehensive interdisciplinary collaboration for effective and efficient governance and alternative live- hoods analysis, the integration of traditional knowledge for land tenure system support, fostering gender sensitive and a multisectoral, approach and prioritizing community-centered practices to address land tenure system complexities and ensure the sustainability of wetland ecosystems for future generations in restoration initiatives

Analysis of Intravenous Ketamine Bolus in Pediatric Emergency Care

Considering the increasing use of intravenous ketamine in pediatric emergency care, particularly for sedation, analgesia, and management of severe conditions such as traumatic brain injury and suicidal ideation, there is a need to critically evaluate its efficacy and safety in these settings. This study aims to systematically review and analyze various studies that have investigated the use of intravenous ketamine bolus in pediatric emergency care, focusing on its clinical outcomes, safety profile, and overall effectiveness. To achieve this, a narrative literature review was conducted, examining studies published between 2014 and 2023. The review included randomized controlled trials, observational studies, and case reports sourced from reputable databases such as PubMed, Scopus, and Web of Science. The results of the review indicate that intravenous ketamine is effective in providing rapid sedation and analgesia, with a favorable safety profile when administered by trained healthcare professionals. Specifically, it was observed that ketamine significantly reduces pain intensity, lowers suicidal ideation, and effectively manages intracranial pressure in children with severe traumatic brain injury. However, the review also highlights the variability in recovery times and the incidence of mild to moderate side effects, such as dizziness, nausea, and drowsiness. In addition, the need for rescue doses was more frequent in intravenous administration compared to intramuscular routes, though intravenous administration offered quicker onset and shorter duration of action. It is concluded that while intravenous ketamine is a valuable tool in pediatric emergency care, its administration should be carefully monitored, particularly in high-risk patients, to mitigate potential adverse effects. Further research is needed to refine dosing strategies, explore long-term outcomes, and establish standardized protocols to maximize the therapeutic benefits of ketamine while minimizing risks.

Infiltration and Extravasation Risk with Midline Catheters: A Narrative Literature Review

Midline catheters have recently gained popularity in clinical use, with a common reason being the reduction of central venous catheter use and central line-associated bloodstream infections. At the same time, the number of nononcology vesicant medications has increased, and midline catheters are frequently being used for infusions of vesicant medications. The Infusion Nurses Society (INS) Vesicant Task Force identified midline catheter use as a possible risk factor for extravasation and concluded that a thorough literature review was necessary. This review highlights the variations in catheter terminology and tip locations, the frequency of infiltration and extravasation in published studies, and case reports of infiltration and extravasation from midline catheters. It also examines the many clinical issues requiring evidence-based decision-making for the most appropriate type of vascular access devices. After more than 30 years of clinical practice with midline catheters and what appears to be a significant number of studies, evidence is still insufficient to answer questions about infusion of vesicant and irritant medications through midline catheters. Given the absence of consensus on tip location, inadequate evidence of clinical outcomes, and importance of patient safety, the continuous infusion of vesicants, all parenteral nutrition formulas, and infusates with extremes in pH and osmolarity should be avoided through midline catheters.

The impact of psychiatric facility design on reducing aggressive behaviours in an adult population: a narrative literature review.

This review examines the literature to determine whether physical design features of psychiatric facilities can help reduce aggressive behaviours in an adult patient population. Using PRISMA's methodology, we conducted a narrative review of peer-reviewed primary studies on the physical design features and aggressive behaviours in psychiatric facilities. The Joanna Briggs Institute's (JBI) critical appraisal tool was used to assess the quality of included studies. A total of eight studies were identified. The findings revealed underlying themes in physical design efforts to reduce the incidences of aggressive behaviours, which included changes in structural design (e.g. single rooms; visiting/living/recreational areas; views of outdoors/nature; and uncrowded spaces) and changes in interior design (e.g. art and home-like/comforting environment). There were varying measures of patient aggression. There was mixed evidence that superficial or structural design changes to psychiatric wards reduced patient aggression. Some studies found reduced aggression; others found no changes, while one study found increased aggression following the implementation of physical design changes. The methodological limitations of the available studies made it difficult to draw causative links and further research on the topic is needed.

The challenges for psychiatric care posed by synthetic drugs

In addition to the drugs that have been known for decades, several hundred mainly synthetic substances have been identified as drugs for the first time in the last 20years. Presentation of the various groups of substances and their psychotropic effects, the epidemiology of their use and the legal and social background of this development. Narrative literature review. The most important new psychoactive substances (NPS) are synthetic cannabinoids, synthetic stimulants (cathinones), halluginogens and new synthetic opioids (NSO), in particular fentanyl and related substances. The new substances do not have any qualitatively new psychotropic effects. They were brought onto the market in particular as substitutes for substances subject to the Narcotics Act but are often associated with dangerous side effects and even mortality. The increasing availability of these substances has gone hand in hand with the establishment of the Internet as asource of knowledge (e.g. for synthesis routes) and as amarketplace. Substance group-related regulations have also been established in Germany (New Psychoactive Substances Act). In Germany the prevalence of NPS use is significantly lower than that of cannabis; however, there are indications that the production and distribution of synthetic drugs is more profitable for drug dealers than with conventional plant-based drugs, such as heroin. In the USA, for example, NSOs are the primarily drugs used for opioid addiction. It remains to be seen whether NPS and NSOs will replace conventional drugs. The availability of synthetic drugs is more difficult to reduce than that of plant-based drugs. Harm reduction measures should be expanded, e.g., early warning systems for new drugs, drug checking and naloxone programs.

The effects of integrated reporting quality: a meta-analytic review

PurposeThe effects of integrated reporting quality (IRQ) have been debated in increasing empirical studies. Several IRQ measures, different theoretical approaches and multiple contexts have been adopted and investigated, leading to mixed results. By using the meta-analytic technique, this study aims to contribute to the accounting literature, reconciling the conflicting results on the effects of IRQ and providing objective conclusions to complement narrative literature reviews.Design/methodology/approachA sample of 45 empirical papers from 2013 to 2022, with 653 effect sizes, was used to assess the effects associated with IRQ. The papers were clustered into five groups (market reaction, financial performance, cost of capital, financial analysts’ properties and managerial decisions) based on the different consequences of IRQ investigated in the primary studies. A random-effects meta-regression model was used to explore all sources of heterogeneity together.FindingsThe meta-regression results confirm that IRQ positively influences firms’ market valuation and financial performance and hampers opportunistic managerial behaviour by improving corporate transparency, mitigating information asymmetry and encouraging accountability. Moreover, differences in the study characteristics affect the strength of the relationship object of interest.Originality/valueThrough meta-analysis, this study provides a broader overview of the effects of IRQ by enhancing the generalisability of the findings. The results also pave the way for additional evidence on the outcome variables affected by the quality of integrated disclosure.

The Use of Birth Ball as A Non-Pharmacological Complementary Therapy in The Reduction of Labor Pain in Phase 1

Childbirth is the process of expelling the fetus to the placenta, the process of giving birth is identical to pain, while to reduce this pain, non-pharmacological methods are carried out, one of which is the Birth Ball method. This study aims to evaluate the effectiveness of using birth ball as a non-pharmacological complementary therapy in reducing labor pain in the first stage. The method used was a narrative literature review by searching for relevant articles on Google Scholar using keywords such as “Birth ball” and “Labor pain”. Inclusion criteria included Indonesian-language articles published between 2021-2023. Of the six studies analyzed, it was found that birth ball use significantly reduced the intensity of labor pain. These studies showed that birth balls can accelerate cervical opening and reduce anxiety of laboring mothers through movements that increase endorphin release. In conclusion, birth balls are effective as an alternative method to reduce labor pain in Stage I, providing the added benefit of increasing maternal comfort and relaxation during the labor process. This study suggests the use of birth ball as part of midwifery practice to reduce labor pain non-pharmacologically.

Analyzing the image of mother in women's prose in the modern world of development of innovative technologies

This article explores the depiction of motherhood in modern women's prose, particularly in the context of the development of innovative technologies and their impact on Russian literature. By analyzing the works of prominent female writers such as Lyudmila Petrushevskaya, Lyudmila Ulitskaya, and others, the study investigates how the image of the mother is portrayed in contemporary literature. The research emphasizes the role of new information technologies in shaping these literary narratives and their significance in reflecting societal changes. The article also examines the intersection of traditional maternal themes with modern technological advancements, offering insights into the evolving portrayal of women’s roles in literature.

Developing a Change Readiness Survey for Health Technology Implementation.

Addressing the challenges of health technology implementation, this study aims to develop a survey that assesses staff readiness for change in clinical settings. The survey items were refined from 67 to 38 through a narrative literature review, expert focus groups, and cognitive interviews. The survey suggests an approach that prioritizes the user's needs in identifying barriers and facilitators to the adoption of health technology in order to ensure successful implementation by proactively addressing potential obstacles.