Abstract. Background: Periprosthetic joint infection is the most common infection due to joint replacement. It has been reported that, over a 5-year time span,
3.7 % of cases occurred annually. This statistic has increased to 6.86 %
over 16 years. Thus, an effective method is required to reduce these
complications. Several strategies such as coating methods with various
materials, such as antibiotics, silver, and iodine, have been reported.
However, the best preventive strategy is still undetermined. Therefore, this
systematic review aims to evaluate the outcome of coating methods on joint
arthroplasty as a treatment or preventive management for infection
complications.
Methods: Eligible articles were systematically searched from multiple
electronic databases (PubMed, Cochrane library, and ScienceDirect) up to 2 June 2022. Based on the criterion inclusion, eight articles were selected for this study. The Newcastle–Ottawa scale (NOS) was used to assess the quality
of the study, and the meta-analysis test was conducted with Review Manager 5.4.
Results: The quality of the articles in this study is in the range of
moderate to good. It was found that the application of modified antibiotic coatings significantly reduced the occurrence of periprosthetic joint
infection (PJI) (p 0.03), and silver coating could not significantly (p 0.47) prevent the occurrence of PJI. However, according to the whole aspect of coating modification, the use of antibiotics, silver, and iodine can minimize the occurrence of PJI (p <0.0001).
Conclusion: Coating methods using antibiotics are an effective method that
could significantly prevent the occurrence of PJI. On the other hand,
coating with non-antibiotic materials such as silver could not significantly
prevent the incidence of PJI.
Background: People with schizophrenia require long-term care and treatment. The high cost of treatment for sufferers makes many families decide to do their treatment at home. Government programs and policies such as Community Mental Health Nursing (CMHN) are one of the hopes of families to help them. Changes in the situation due to caring for people with schizophrenia need to be balanced with psychological adaptation by family members so that family acceptance characterizes an adaptive response. Objective: This article will provide information about factors related to family acceptance. Methods: This research used the systematic review method by utilizing eight electronic databases such as Scopus, DOAJ, ProQuest, Web of Science, ScienceDirect, PubMed, and SAGE from January 2012 to 2022. Articles obtained from electronic databases are related to relevant topics in a total of 79 articles, displaying only 20 articles analyzed that meet the criteria. The keywords used are "family acceptance" and "schizophrenia", "schizophrenia OR family OR acceptance". Results: Acceptance is an essential aspect of the family's psychological adaptation journey. Acceptance is related to a person's ability to face and undergo situations that are presented to him voluntarily. Stigma can reduce family confidence in caring for sufferers, thus requiring expectations, attitudes, experiences, social support, and convenience in health services. Conclusions: Other efforts are needed, apart from the sufferer's family, but also the support of other people and the community. In addition, health professionals like physicians or nurses are needed as role models not to discriminate against and stigmatize families and sufferers.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.