Rosalesriis6541

The objective of this review was to evaluate the effects of preoperative intrathecal morphine (ITM) in addition to patient-controlled analgesia with morphine (PCAM) versus PCAM without preoperative ITM on total morphine dosage in the first 24 hours postoperatively in adult patients undergoing abdominal or thoracic surgery.

Postoperative pain is a significant problem for patients undergoing major abdominal and thoracic surgery. Intrathecal morphine can reduce postoperative pain and reduce intravenous (IV) morphine requirements during the first 24 hours after surgery; however, the amount of IV morphine dose reduction achieved has not been well established. This knowledge could help anesthesia providers determine if ITM is an appropriate analgesic option for patients.

This review included studies with participants 18 years of age or older receiving general anesthesia (GA) for abdominal or thoracic surgery. Studies were included that used the intervention of preoperative ITM in addition to PCAM) versus PCAMlready administered (WMD = -25.93, 95% CI -32.05 to -19.80 mg). Two studies with 75 participants were described narratively because total morphine dosage was reported as median rather than mean values.

In this review, ITM provided a significant decrease in overall total morphine dosage during the first 24 hours after surgery in abdominal surgery patients. The addition of IV non-opioids to the postoperative analgesia protocol showed no additional reduction in postoperative IV morphine dosage between groups.

In this review, ITM provided a significant decrease in overall total morphine dosage during the first 24 hours after surgery in abdominal surgery patients. The addition of IV non-opioids to the postoperative analgesia protocol showed no additional reduction in postoperative IV morphine dosage between groups.

The objective of this review was to evaluate the experiences of transgender men in seeking gynecological and reproductive health care.

Discrimination has led to barriers in care for the transgender community. This is most evident in gender-based care such as gynecological care. Transgender men may continue to require gynecological and reproductive health care despite having a masculine identity and appearance. It is crucial that transgender men have access to gynecological and reproductive health care that is culturally and clinically competent. learn more This review aimed to identify and synthesize the available qualitative data about their experiences in seeking gynecological care.

This review considered all studies that included natal females who identified as transgender men, gender non-binary, gender expressive, or gender queer. It included studies that explored the experiences of transgender men seeking gynecological care, obstetrical care, fertility care, or reproductive care in all care environments. As peable about their individualized needs. Recommendations put forth as a result of this review cover policy change, changes to education for staff and providers, changes to academic curricula, and further research.

The objective of the review is to map and analyze midwifery interventions to reduce fear of childbirth in pregnant women.

Fear of childbirth is a phenomenon negatively affecting women's health and well-being before and during pregnancy, as well as after childbirth. During the previous few decades, there has been a growing interest in research into interventions to reduce the fear of childbirth in childbearing women. Currently, providing an appropriate model of care for pregnant women with fear of childbirth is a challenge in midwifery care. Therefore, further efforts are needed to identify and examine the characteristics of different midwifery interventions to reduce fear of childbirth in pregnant women.

This scoping review will consider studies that include interventions to reduce fear of childbirth in pregnant women, led and implemented by midwives, during the antenatal period, in all possible birth scenarios. Quantitative, qualitative, and mixed methods studies will be included.

The JBI methodology for conducting scoping reviews will be employed. Published and unpublished literature in English, Portuguese, and Spanish, from 1981 to the present, will be included. MEDLINE, CINAHL Complete, Scopus, Web of Science, Embase, and Cochrane Library databases will be searched. Searches for gray literature will be performed. Data will be extracted using a tool developed specifically for the scoping review objectives.

The JBI methodology for conducting scoping reviews will be employed. Published and unpublished literature in English, Portuguese, and Spanish, from 1981 to the present, will be included. MEDLINE, CINAHL Complete, Scopus, Web of Science, Embase, and Cochrane Library databases will be searched. Searches for gray literature will be performed. Data will be extracted using a tool developed specifically for the scoping review objectives.

This systematic review aims to identify, critically appraise, and synthesize the best available literature on the experiences of people with progressive memory disorders who are involved in non-pharmacological interventions.

Some non-pharmacological interventions have been demonstrated to have a significant effect in reducing functional decline in people with progressive memory disorders. Additionally, there is evidence that people with progressive memory disorders have a need for activities tailored to their abilities and interests.

This review will consider studies that describe the experiences of people with progressive memory disorders with non-pharmacological interventions. No limitations regarding care facilities will be made.

The databases to be searched will include PubMed, CINAHL, Medic, Scopus and PsycARTICLES, as well as MedNar for unpublished studies. Studies published in English, Finnish and Swedish will be considered for inclusion in this review, which will use a three-step search strategy. The papers selected for retrieval will be assessed by two independent reviewers for methodological validity prior to inclusion in the review using standardized critical appraisal instruments and findings will be pooled using meta-aggregation.

The databases to be searched will include PubMed, CINAHL, Medic, Scopus and PsycARTICLES, as well as MedNar for unpublished studies. Studies published in English, Finnish and Swedish will be considered for inclusion in this review, which will use a three-step search strategy. The papers selected for retrieval will be assessed by two independent reviewers for methodological validity prior to inclusion in the review using standardized critical appraisal instruments and findings will be pooled using meta-aggregation.