Edlin Mathias - Academia.edu (original) (raw)

Papers by Edlin Mathias

Current Nutrition Reports

Purpose of Review Human milk is the best source of nutrients for all infants. When a mother’s own... more Purpose of Review Human milk is the best source of nutrients for all infants. When a mother’s own milk is unavailable, the World Health Organization suggests using donor human milk for premature neonates with or without medical complications. Exploring the barriers and facilitators for breast milk donation and its acceptability is essential for developing this intervention. A scoping review was conducted based on a methodological framework developed by Arksey and O’Malley (Int J Soc Res Methodol 8:19–32, 2005). A search was conducted in PubMed (NCBI), CINAHL (EBSCO), and Web of Science (Elsevier). A two-stage sequential screening process was adopted. Data extraction was done using a piloted data extraction form. Recent Findings We included 20 articles for narrative synthesis. Barriers and facilitators for donating and accepting breast milk were categorized under six themes: individual, family, community, workplace, health system, and policy-related. The common individual barriers we...

Naunyn-Schmiedeberg's Archives of Pharmacology

Journal of Child Health Care, Jan 31, 2022

A hospitalized child experiences anxiety more frequently as compared to non-hospitalized children... more A hospitalized child experiences anxiety more frequently as compared to non-hospitalized children. Surgery can be emotionally distressing for children, and subsequently their parents and caregivers, this distress can cause profound adverse impacts on children. We aimed to identify the effect of non-pharmacological interventions on children’s (1–18 years) anxiety undergoing surgery. The following databases: Medical Literature Analysis and Retrieval System Online (MEDLINE), Cumulative Index of Nursing and Allied Health Literature (CINAHL), Proquest, Web" of Science, and Cochrane Central Register of Controlled Trials were systematically searched for full-text articles. The review included 15 randomized controlled trials. The risk of bias was assessed using Cochrane Risk of Bias tool. The interventions included in the study were preoperative education, puppet play, therapeutic play, distraction activities, parental presence, and clown therapy. The review presents a narrative reporting of the findings. This review identifies that non-pharmacological interventions are effective in reducing anxiety among children undergoing surgery. There are a limited number of studies from developing countries. Further research is required to underpin the use of these interventions with children before surgery.

Surgery of a child is a stressful event for the parents and the family. Pain management is an imp... more Surgery of a child is a stressful event for the parents and the family. Pain management is an important part of treatment among children undergoing surgical procedures. The aim of this study was to examine the parent satisfaction level related to child's post-operative pain management. The study included 160 mothers of children aged 2-7 years undergoing elective surgery. In the study the mothers were randomly allocated either to the intervention (n=80) or control group (n=80). The children in the intervention group received age-appropriate distraction interventions for three postoperative days along with the usual care. Children in the control group received only usual care. Data on parent satisfaction related to postoperative pain management interventions was assessed on the day of discharge using a Parent satisfaction scale. It was found that majority 68 (85%) of mothers in the intervention and 27 (33.7%) in the control group were "very satis ed" with pain management interventions. However, 12 (15%) mothers in the intervention and 53 (66.2%) were "moderate satis ed". The mean and standard deviation of parent satisfaction in the intervention group was 42 ±5.237 and 34 ± 6.642 in the control group. Results from One-way ANOVA identi ed that there was a signi cant difference in the parent satisfaction between the intervention and control group (p<0.05). Conclusion: Nurses worldwide must engage parents in the management of their child's postoperative pain by clearly expressing their responsibilities and roles, as well as providing ample opportunities for parent's active participation in their child's postoperative pain management. What Is Known? Surgery of a child is a stressful event for the parents and the family. In younger children effective pain management is an important component of treatment during postoperative period. Satisfaction with care is one way to assess the effectiveness of the current practice. What is New? Parent satisfaction with age appropriate distraction interventions is a new concept Involvement of the parents in the child's postoperative pain management provides positive impact on the child's pain Assessing parent satisfaction is one method to evaluate the effectiveness of non-pharmacologic therapies

Manipal Journal of Nursing and Health Sciences, 2022

Introduction: Hospitalization and surgery are stressful periods for the family. Families of child... more Introduction: Hospitalization and surgery are stressful periods for the family. Families of children undergoing surgery are facing the financial burden of direct and indirect costs. Objective: To systematically analyse the available evidence on the economic burden of hospitalization among parents of children who underwent surgery. Methods and analysis: This systematic review protocol is developed based on "The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols" (PRISMA-P) guidelines. A comprehensive electronic bibliographic search will be conducted in MEDLINE (Medical Literature Analysis and Retrieval System Online), CINAHL (Cumulative Index of Nursing and Allied Health Literature), ProQuest, Web of Science for full-text articles. The outcomes of this review will measure medical, non-medical and indirect costs related to hospitalization and surgery of the child. Consolidated Health Economic Evaluation Reporting Standards (CHEERS) and DRUMMOND checklist for economic evaluation quality assessment will be used. A quantitative synthesis of the data will be done to summarize the findings from the included studies. Conclusion: This systematic review protocol will guide in understanding the economic burden of hospitalization on parents of children inpatient for surgery. Escalating healthcare expenditures, knowing the health economics of child surgery is important for developing cost-cutting strategies and introducing beneficiary support programs.

Research Square (Research Square), Nov 4, 2021

Background Hospitalization of a neonate is a signi cant stressor for the parents as well as famil... more Background Hospitalization of a neonate is a signi cant stressor for the parents as well as family members especially when a high-risk neonate is admitted to the Neonatal Intensive Care Unit (NICU) requiring continued intensive care. This prolonged physical separation from parent can have a negative psychological effect on both the neonate and the parent. These adverse health effects may last beyond hospitalization, impacting parental behavior and causing long-term emotional complications and health alteration. The neonatal period is crucial for initiating interaction and bonding between mother and child. Undue stress during this period can compromise the establishment and maintenance of a healthy mother-child bonding, which may negatively impact their long-term relationship. Methods The systematic review will include hospital-based observational studies, cross-sectional surveys, descriptive studies, qualitative studies, and mixed-method studies from India. Studies will be retrieved from global databases like CINAHL via EBSCO host, MEDLINE via PubMed, EMBASE, SCOPUS, Ovid, Web of Science, ProQuest Medical Library, Microsoft academic, DOAJ, and Indian databases like Indian Citation Index, J-Gate, and Neonatal Database (JCDR) using database-speci c keywords. Additionally, online hand searching will be done on Indian websites of relevant institutions, women and child welfare departments, NGOs, repositories, registries, search engines, pediatric journals, and grey literature. All the primary studies reference lists will be scrutinized for additional references. Two review authors will independently screen, extract data, and critically appraise included studies. In case of any disagreements, it will be resolved in consultation with a third reviewer. Results will be reported as per the PRISMA-P guidelines. Discussion This systematic review will identify and highlight the stress and stressors among high-risk neonates admitted to NICU and their parents, which will guide the health care team in planning and developing comprehensive family-centered programs or interventions to reduce stress and stressors among high-risk neonates and their parents. Registration of systematic review: Protocol is registered in PROSPERO (International prospective register of systematic reviews), Reg ID:

Journal of perioperative nursing, Nov 8, 2022

Mothers' satisfaction with distraction as a postoperative pain Mothers' satisfaction with distrac... more Mothers' satisfaction with distraction as a postoperative pain Mothers' satisfaction with distraction as a postoperative pain management intervention for their child: An interventional study management intervention for their child: An interventional study

Journal of PeriAnesthesia Nursing, Aug 1, 2022

PURPOSE Anxiety and pain are experienced by most children undergoing surgical procedures. Untreat... more PURPOSE Anxiety and pain are experienced by most children undergoing surgical procedures. Untreated anxiety delays postoperative recovery and also increases the risk of complications. The purpose of this scoping review was to examine the relationship between perioperative anxiety and postoperative pain among children. DESIGN A scoping review METHODS: A comprehensive literature search was done on the following databases: PubMed-MEDLINE (Medical Literature Analysis and Retrieval System Online), CINAHL (Cumulative Index of Nursing and Allied Health Literature), ProQuest, and Cochrane library to identify the original research studies published in English between January 01, 2000 to March 31, 2021. Two authors independently screened the studies based on pre-specified criteria. The results of the search are described narratively. FINDINGS A total of eleven studies were included in this review from 1,180 studies initially retrieved. Most of the studies revealed that children who had higher levels of perioperative anxiety experienced higher levels of postoperative pain. CONCLUSIONS This review identified that perioperative anxiety has a significant effect on postoperative pain among children. The review results indicate the need to develop age-appropriate interventions to reduce perioperative anxiety and postoperative pain among children to reduce further postoperative complications.

Journal of Health and Allied Sciences NU, Nov 28, 2022

Due to the unfamiliarity of the surroundings, children having surgery endure worry and tension. U... more Due to the unfamiliarity of the surroundings, children having surgery endure worry and tension. Untreated anxiety in children impairs postoperative healing and causes changes in postoperative behavior. The purpose of this review was to determine the efficacy of distraction therapies on anxiety in children undergoing surgery. The systematic review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards. PubMed via MEDLINE, CINAHL, ProQuest, Web of Science, and the Cochrane Central Register of Controlled Trials were used to find relevant trials. Full-text papers published in English from January 1, 2000 to December 31, 2021 were included. Children undergoing surgery aged 1 to 18 years were included. A data extraction form was created to extract data from the selected studies. According to the Cochrane risk of bias assessment tool, studies were classified as "low risk," "high risk," or "unclear risk." Review Manager software was used to do a quantitative meta-analysis. Thirteen studies looked at the effect of distraction intervention on children. Nine of them were selected for meta-analysis. The distraction interventions included in this review were: handheld video game, play dough and play with blocks and puzzles, tablet-based interactive distraction, animated video, painting and storytelling, age-appropriate video, distraction with video glasses, watching a movie, and bringing favorite toy during hospital stay. Meta-analysis showed that distraction interventions are effective on preoperative anxiety in children (standardized mean difference ¼-17.07, 95% confidence interval: 27.11-7.02, p ¼ 0.0009).

Introduction: Under-five age is a crucial and transitional period when a child is struggling to c... more Introduction: Under-five age is a crucial and transitional period when a child is struggling to come into equilibrium with its ecology. According to the World Health organization, over four billion acute cases of childhood diseases occur every year, primarily among children in developing countries. Two billion children die annually from childhood illness. Objectives:The objective of the study was to assess knowledge of mothers on childhood illness, symptom management followed by mothers during the illness of the child and health seeking behaviour on childhood illness. Methods:A cross-sectional study was carried out among 140 mothers of under-five children in selected villages of Udupi District. Systematic sampling was done to select the mothers under the study. Knowledge, symptom management and health seeking behaviour questionnaire was used for data collection. Then the data were analyzed using SPSS version 16.0. Results:The present study revealed that most of the mothers had average knowledge regarding childhood illness. It was found that the mean ± SD and knowledge score for fever 5.17 (±1.42), diarrhoea 4.20 (±1.55), vomiting 2.92 (±1.48), URTI 2.32 (±1.23), malnutrition 3.00 (±1.45), jaundice 3.35 (±1.36), convulsion 2.50 (±1.22), pneumonia 4.25(±1.44) were respectively. Majority of the under-five children suffered from fever 98 (70%), vomiting 20 (20%), URTI 23(16.4%), diarrhea 20 (14.3%). As per the study findings 85 (81%) of the children had suffered from illness for about 1-5 days. Most 77 (73.4%) of the mothers reported major barrier for not using health facility is because no good facilities and there was significant association between knowledge score and mother's education, working status, mother's occupation and working hours. Conclusion:This study concluded that the mothers had poor knowledge on childhood illness. The findings highlight that, the nurses and health care providers can play a significant role to educate the mothers regarding importance of childhood illness.

Stress and Health

The aim of the systematic review and meta‐analysis is to determine the stress and stressors exper... more The aim of the systematic review and meta‐analysis is to determine the stress and stressors experienced by the parents of high‐risk neonates admitted to the neonatal intensive care unit (NICU) in India. We included both quantitative and qualitative studies. The Joanna Briggs Institute Critical Appraisal Checklist and Critical Appraisal Skill Programme checklist were used to assess the quality of included studies. A systematic search was conducted in PubMed, EMBASE, SCOPUS, EBSCOhost, Web of Science, ProQuest, Microsoft Academic, DOAJ, Indian Citation Index, and J‐Gate to identify relevant studies. Additionally, online hand searching was performed on Indian websites of relevant institutions, women and child health departments, repositories, registries, and paediatric journals. Twelve of the 21 quantitative studies found that maternal stress was higher than fathers due to the separation from their babies and the medical condition of the neonate. One qualitative study reported that fin...

Clinical Epidemiology and Global Health

Background: Low levels of Health Literacy (HL) are a global concern as it is unrecognized and wid... more Background: Low levels of Health Literacy (HL) are a global concern as it is unrecognized and widespread. The objective of this review was to identify various community interventions that improved HL rates among the Indian population and to document their health outcomes as reported. Methods: The scoping review was guided by Arskey and O'Malley scoping review methodology. The search was conducted in six databases. Articles were screened at title-abstract and full-text and data was abstracted by two individuals independently. The review was reported according to the (PRISMA-ScR). Intervention data was captured according to the TiDER checklist. Results: A total of nine studies were included from the searches conducted in databases. Of these, five focused on the change in behaviour and four identified the importance of education in improving HL among people in the community. The interventions included: traditional interventions, art-based interventions, interactive learningbased interventions, and technology-based interventions. Conclusion: There are few community-based interventions to improve the health literacy of the population. It is essential to empower communities in making well-informed health decisions. It is important to include healthcare workers in designing and implementing health literacy interventions to improve the outcomes.

BMJ Innovations

ObjectiveTo identify the barriers and facilitators for uptake of telemedicine services in low-inc... more ObjectiveTo identify the barriers and facilitators for uptake of telemedicine services in low-income and middle-income countries (LMICs).DesignThe rapid review approach to identify the barriers and facilitators for the uptake/delivery of telemedicine in health system from both the provider and the patient’s perspective. A two-stage sequential screening process was adopted. Data extraction was done using a piloted data extraction form.Data sourcesA search on PubMed (NCBI), Embase (Ovid), the Cochrane Library (Wiley), Scopus (Elsevier) and the WHO Global Index Medicus was conducted.Eligibility criteria for selecting studiesStudies published between 1 January 2012 and 1 July 2022 on barriers and facilitators for uptake of telemedicine services in LMICs were included.ResultsDatabase search identified a total of 2829 citations. After removing 1069 duplicates, 1760 were taken forward for title and abstract screening. A total of 43 articles were included at full text stage and 8 articles w...

Journal of Global Health

Background Probiotics are non-invasive therapies composed of live bacteria and yeast. Administrat... more Background Probiotics are non-invasive therapies composed of live bacteria and yeast. Administration of prebiotics improved the health status of pregnant and lactating women, as well as newborns. This review aimed to appraise the evidence concerning the effectiveness of probiotics on the mental health of pregnant women, lactating mother and the microbiota of the newborn. Methods This systematic review and meta-analysis ascertained quantitative studies published in Medline (PubMed), Clinical Key, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Cochrane Library, and Google scholar. Two authors independently screened and extracted the data from the primary studies that analysed the efficacy of probiotics on the mental health of pregnant and lactating women and the microbiota of the newborn. We adopted Cochrane Collaboration guidelines and reported using the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) statement. The qualities of included trials were assessed by Cochrane collaboration's risk of bias tool (ROB-2). Results Sixteen trials comprised 946 pregnant women, 524 were lactating mothers, and 1678 were infants. The sample size of primary studies ranged from 36 to 433. Probiotics were administered as interventions, using either a single strain of Bifidobacterium or Lactobacillus or a double-strain combination of Lactobacillus and Bifidobacterium. Probiotics supplementation reduced anxiety in pregnant (n = 676, standardised mean difference (SMD) = 0.01; 95% confidence interval (CI) =-0.28,0.30, P = 0.04, I 2 = 70) and lactating women (n = 514, SMD =-0.17; 95% CI =-1.62,1.27, P = 0.98, I 2 = 0). Similarly, probiotics decreased depression in pregnant (n = 298, SMD = 0.05; 95% CI =-0.24,0.35, P = 0.20, I 2 = 40) and lactating women (n = 518, SMD =-0.10; 95% CI =-1.29,-1.05, P = 0.11, I 2 = 60%). Similarly, probiotics supplementation improved the gut microbiota and reduced the duration of crying, abdominal distension, abdominal colic and diarrhoea. Conclusion Non-invasive probiotic therapies are more useful to pregnant and lactating women and newborns. Registration The review protocol was registered with PROSPERO (CRD 42022372126).

Journal of Health and Allied Sciences NU

Journal of Perioperative Nursing

Manipal Journal of Nursing and Health Sciences

Journal of PeriAnesthesia Nursing

Manipal Journal of Nursing and Health Sciences, 2019

Background: Among the bacterial infections, urinary tract infection (UTI) is commonly diagnosed a... more Background: Among the bacterial infections, urinary tract infection (UTI) is commonly diagnosed among the children. Although there is a variety of research on diagnosis and treatment of UTI, still the clinician faces many challenges in day-today care of the children. Studies have reported that the incidence of UTI is highest among the first year of life and decreases in the later life. The appropriate interventions to diagnose and manage the UTIs are important to reduce them among children. Purpose: The purpose of this systematic review is to identify the interventions to reduce UTIs among hospitalized children. Data sources: The electronic databases of PubMed, CINHAL and Scopus were searched in January 2017. Study selection: All quantitative studies published in English, whose aim was regarding the care of urinary catheters among hospitalized children were included. Interventional studies with at least catheter associated UTI as an outcome were included in the review. Data extraction: Two authors reviewed the study design, participant and intervention details, outcomes, and quality measures of the articles. Data synthesis: The review included 245 articles (PubMed= 224, CINHAL= 11, Scopus=10). Twenty seven of these articles were present in multiple databases, so their removal meant that 216 unique studies were identified in the search. Each of the articles was independently screened for titles and abstracts of 216 studies. Among these, 166 articles were excluded for various reasons. Hence, the full text of 50 articles was assessed for eligibility. From these, 36 articles were excluded due to lack of resonance with the subject matter. The remaining 14 articles were finally included. Conclusion: Various practices are followed by health care professionals such as hand hygiene, limiting the use of catheters, managing incontinence and sterile techniques during insertion of the catheter.