Translating research into clinical practice is a global priority because of its potential impact on health services delivery and outcomes. Despite the ever-increasing depth and breadth of health research, most areas across the globe seem to be slow to translate relevant research evidence into clinical practice. Thus, this review sought to synthesise existing literature to elucidate the barriers and facilitators to the translation of health research into clinical practice. A systematic review of reviews approach was utilised. Review studies were identified across PubMed, Scopus, Embase, CINAHL and Web of Science databases, from their inception to 15 March 2021. Searching was updated on 30 March 2022. All retrieved articles were screened by two authors; reviews meeting the inclusion criteria were retained. Based on the review type, two validated tools were employed to ascertain their quality: A Measurement Tool to Assess Systematic Reviews-2 and International Narrative Systematic assessment. The framework synthesis method was adopted to guide the analysis and narrative synthesis of data from selected articles. Ten reviews met the inclusion criteria. The study revealed
Objective: To determine the prevalence and level of anxiety and depression among mothers of newborns admitted to neonatal intensive care units in Gaza Strip. Methods: It is a cross-sectional study including 195 mothers who’s their neonates has been admitted to NICU at the three governmental hospitals in Gaza Strip between November 2017 to September 2018. Two psychological tests were applied, the Hamilton Anxiety Rating Scale and the Beck Depression Inventory. Collected data include sociodemographic profile for mother and neonates who include characteristic of mothers, number and types of deliveries, level of education, work status and family income. In addition, characteristics of neonates, gender, gestational age and birth weight, cause of admission and length of stay. Results: The results of our study indicated that 50.8% of mothers have severe to very severe symptoms of anxiety, 38.5% of mothers have severe to very severe symptoms of depression. There was a statistically significant differences in levels of anxiety (p = 0.044) and levels of depression (p = 0.005) among mothers related to hospital. The mothers of preterm and low birth weight babies had higher levels of anxiety (p = 0.010, 0.026), but there were insignificant differences in levels of depression, while there were no insignificant differences in levels of anxiety and depression among mothers related to gender of neonate, cause of admission, and length of stay in NICU. Conclusion: The effect of different maternal and neonatal factors on levels of anxiety and depression were examined and most of them revealed insignificant differences, which means that admission to NICU as a stressful event caused elevation in levels of anxiety and depression among mothers regardless of any other factors.
The emergence of the coronavirus pandemic led to the implementation of several precautionary measures across the globe. For densely populated regions in the world, this may have been challenging given the proximity of people to one other. Thus, this brief report sought to compare the measures across 2 densely populated locations, Hong Kong and Gaza. Epidemiological data was obtained from governmental online repositories and was compared with the data presented by the Johns Hopkins coronavirus map to ensure consistency. Descriptive statistics were used to interpret the data obtained over the period of the study. The data suggested that although Hong Kong and Gaza implemented similar strategies, Gaza recorded marginally higher cases compared with Hong Kong in the same timeframe. The strategies implemented in both settings included border closures, social distancing, proper hand hygiene, and mask usage. Cultural and socio-demographic differences may have played a part in this variation in case numbers, in addition to lessons Hong Kong had previously learned from a similar outbreak. As the pandemic is ongoing it is essential that public sensitization to adherence to precautionary measures at the personal/family level does not occur.
Worldwide, Diabetes Mellitus (DM) is now one of common non-communicable diseases. Diabetic Foot Ulcer (DFU) is one of the most important complications of DM due to its frequency and its high risk of evolution to amputation. This study aimed to investigate the characteristics of diabetic foot (DF) patients and their foot ulcers in the Gaza governorate, in order to establish effective national preventive programs in Palestine. Quantitative hospital based descriptive study was carried out between January and April 2014 including all patients (N = 148) attending DFU clinic. Medical archives of included patients were utilized and necessary data was collected using predesigned data collection tool. Findings shows, 97 (65.5%) of study participants were males with mean age 58.5 years. About 96.6% of DF had type II diabetes. Eighty percent (80%) of the patient had DM duration for more than 10 years, 91.5% of patients were doing follow up to control their DM, about two third of cases had poor DM control, and 79.0% of the patients had hypertension. All DF patients had a sensory neuropathy, 72.6% had a severe motor neuropathy and 79.9% had autonomic neuropathy. About 60.8% had neuropathic ulcer. The amputation rate was 25.7%, with most of them being in the toes 68.4%. In conclusion, DF is most likely to develop in 5th and 6th decades with a long duration of DM and uncontrolled blood glucose level. Male, hypertensive, and type II DM patients are at high risk. Sensory, motor and autonomic neuropathy of patient with neuropathic ulcer is a major etiologic component of most diabetic foot. Emphasis should be directed toward patient education, changes in lifestyle and application of multidisciplinary approach to decrease the incidence of diabetic foot complications in the Gaza Governorate.
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