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Legal framework governing Short-Term Medical Missions 管理短期医疗任务的法律框架
Pub Date : 2021-04-06 DOI: 10.31579/2690-8794/072
P. Clarós
The presence and influence of Non-Governmental Organizations (NGOs) in the landscape of global health and development have dramatically increased over the past several decades. Increasingly, Medical Practitioners in industrialized countries have become interested in global health issues, an interest that often takes the form of Short-Term international Medical Missions (STMMs). His article will aim to help Medical Practitioners to have a synthetic overview of the legal framework governing medical volunteering in STMMs and give them some recommendations. The idea of this article started from the need to have an overview of the legal framework governing medical volunteering missions organized by the Claros’s Foundation named "Foundation Clarós" (hereinafter also "FC"). To better understand who this article is addressed to, it is interesting to bring to your attention the concrete case from which this article was born. The following is a brief outline of what FC is all about. FC is a private, non-profit organization (NGO) whose aim is to provide medical care and alleviate the suffering of people in health and medical precarious situations.
过去几十年来,非政府组织在全球卫生和发展领域的存在和影响急剧增加。工业化国家的医疗从业者对全球健康问题越来越感兴趣,这种兴趣往往以短期国际医疗任务(stmm)的形式出现。他的文章旨在帮助医生对管理stmm医疗志愿服务的法律框架有一个综合的概述,并给他们一些建议。本文的想法源于需要概述由Claros基金会组织的医疗志愿服务任务的法律框架,该基金会名为“基金会Clarós”(下称“FC”)。为了更好地理解这篇文章是写给谁的,有必要让您注意到这篇文章产生的具体案例。以下是FC的简要概述。FC是一个私营的非营利性组织(NGO),其目的是提供医疗护理,减轻处于健康和医疗不稳定状况的人们的痛苦。
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引用次数: 0
Caffeine and blood flow 咖啡因和血液流动
Pub Date : 2021-04-06 DOI: 10.31579/2690-8794/078
G. Merrill
Arguably, caffeine is the world’s leading drug of choice. It is estimated that in the U.S. and Europe at least ninety per cent of the adult populations consume caffeine-containing beverages several times each day. It is also known that consumers prefer their hot coffee to be in the range of 45-60°C (i.e. as hot as 140°F). If such a drink is spilled on the exposed skin it can cause full-thickness, third degree burns within 5 seconds. These are the kinds of burns that produce permanent damage and scarring for life. The prudence of consuming hot coffee and other hot drinks at such temperatures is questionable, especially when children and adolescents are involved.
可以说,咖啡因是世界上最受欢迎的毒品。据估计,在美国和欧洲,至少有90%的成年人每天要喝几次含咖啡因的饮料。众所周知,消费者更喜欢热咖啡的温度在45-60°C之间(即高达140°F)。如果这种饮料洒在暴露的皮肤上,它会在5秒内造成全身三度烧伤。这些烧伤会造成永久性损伤和终生疤痕。在这种温度下饮用热咖啡和其他热饮的谨慎性值得怀疑,尤其是涉及儿童和青少年的情况下。
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引用次数: 0
Covid-19 pandemic ARDS lockdown will end within <2 months: Depends on cooperation of scholars of doctors and researchers Covid-19大流行ARDS封锁将在2个月内结束:取决于医生和研究人员学者的合作
Pub Date : 2021-03-20 DOI: 10.31579/2690-8794/069
Ahmed N. Ghanem
Coronavirus is here to stay In January, Nature asked more than 100 immunologists, infectious-disease researchers and virologists working on SARS-CoV-2 whether it could be eradicated. Almost 90% of respondents think that the coronavirus will become endemic — meaning that it will continue to circulate in pockets of the global population for years to come. But failure to eradicate the virus does not mean that death, illness and social isolation will continue on the scales seen so far. The future will depend heavily on the type of immunity people acquire and how the virus evolves. A different opinion: A minority report of one: Coronavirus may not go completely away but will be reduced in size and severity and its mortality greatly reduced: An optimistic hopeful minority report, Covid-19 pandemic war lockdown will end triumphantly before the start of May.
今年1月,《自然》杂志询问了100多名从事SARS-CoV-2研究的免疫学家、传染病研究人员和病毒学家,看它是否可以被根除。近90%的受访者认为,冠状病毒将成为地方性疾病,这意味着未来几年它将继续在全球部分人群中传播。但是,不能根除这种病毒并不意味着死亡、疾病和社会隔离将以目前所见的规模继续下去。未来将在很大程度上取决于人们获得的免疫类型以及病毒如何演变。一种不同的观点:一份少数派报告:冠状病毒可能不会完全消失,但规模和严重程度会降低,死亡率会大大降低:一份乐观而充满希望的少数派报告,新冠肺炎大流行战争封锁将在5月初之前圆满结束。
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引用次数: 0
Psychiatric Hospitalizations, Suicides & At Math 精神病住院,自杀和数学
Pub Date : 2021-03-20 DOI: 10.31579/2690-8794/059
P. Cusack
This paper is a brief investigation of the mathematical laws that undergird psychiatric hospitalizations. I wondered with all the mental illness, whether it is increasing over the centuries or staying the same, but perhaps more diagnosed and hospitalized. The answer is that mental illness is not growing (except for slight increases in suicide). The golden mean parabola, known since the times of the Egyptians and Babylonians, is the function that governs the human mind. It’s what goes on inside the black box.
本文是对精神病学住院治疗的数学规律的简要调查。我想知道所有的精神疾病,是几个世纪以来在增加,还是保持不变,但可能更多的诊断和住院治疗。答案是,精神疾病并没有增长(除了自杀率略有上升)。黄金抛物线,自埃及和巴比伦时代就为人所知,是支配人类思维的功能。而是黑盒里发生的事。
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引用次数: 0
Can we predict colorectal cancer? 我们能预测结直肠癌吗?
Pub Date : 2021-03-17 DOI: 10.31579/2690-8794/065
A. Chandio
Background: Colorectal cancer is a common and lethal cancer worldwide, In the UK, it is the second most common cause of cancer death. 5% of UK population is at risk of colorectal carcinoma during lifetime. 30% of patients with colorectal cancer present with a metastatic disease. Detecting colorectal cancer is challenging patients may present with slight symptoms or asymptomatic. By the time patients becomes symptomatic, the cancer may be more advanced. Therefore, screening for colorectal cancer is recommended for people at average risk. Method: All patients diagnosed with colorectal cancer at the Luton and Dunstable University Hospital UK from January 2015 through December 2019 were retrospectively identified from the referral database created by colorectal specialist nurses in the colorectal service. Data were retrieved by detailed review of the hospital case notes, ICE/Evolve (Computer database for investigations and correspondence) including endoscopy; radiographic imaging; operative course and cancer follow up. Results: In the study period 976 patients were diagnosed with colorectal cancer, Male 52.6% (513) Female 47.4% (463). The mean age of 74.14 years (range, 25 to 101). Sixty six 6.76% patients were excluded from the study, therefore the percentages of studied participant were Male 53 % (482) and Female 47 % (428) ratio 1: 1.12. Incidence of colorectal cancer among young adult was low 1.75% (16) up to 39 years of age) and 94.61% are diagnosed in people over the age of 50 years, 60.43% are diagnosed in people aged 70 or over. Conclusion: Increasing awareness of the symptoms and signs of colorectal cancer be helpful and beneficial. Establish integrated care pathways, centralization of complex procedures and comparison of international cancer outcomes.
背景:结直肠癌是世界范围内常见且致命的癌症,在英国,它是癌症死亡的第二大常见原因。5%的英国人一生中有患结直肠癌的风险。30%的结直肠癌患者存在转移性疾病。检测结直肠癌具有挑战性,患者可能表现为轻微症状或无症状。当病人出现症状时,癌症可能已经很晚期了。因此,建议处于平均风险的人群进行结直肠癌筛查。方法:回顾性分析2015年1月至2019年12月在英国卢顿和邓斯特布尔大学医院诊断为结直肠癌的所有患者,这些患者来自结直肠科结直肠专科护士创建的转诊数据库。通过详细审查医院病例记录,ICE/Evolve(调查和通信计算机数据库)检索数据,包括内窥镜检查;射线成像;手术过程及肿瘤随访。结果:研究期间确诊结直肠癌976例,男性513例,占52.6%,女性463例,占47.4%。平均年龄74.14岁(25 ~ 101岁)。66例6.76%的患者被排除在研究之外,因此研究参与者的百分比为男性53%(482)和女性47%(428),比例为1:1 .12。年轻人结直肠癌的发病率较低,39岁以下的发病率为1.75%(16),50岁以上的发病率为94.61%,70岁以上的发病率为60.43%。结论:提高对结直肠癌症状体征的认识是有益的。建立综合护理途径,集中复杂程序和比较国际癌症结局。
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引用次数: 0
The role of Fever in Covid-19 发烧在Covid-19中的作用
Pub Date : 2021-03-17 DOI: 10.31579/2690-8794/062
K. Yacob
We are living with a lot of diseases related to fevers with different names like Chikungunya fever, West Nile fever, rheumatic fever, Relapsing fever, Rat-bite fever (sodoku), Haver hill fever, Dengue fever, Typhoid fever, Scarlet fever, Viral hemorrhagic fever, etc.
我们生活在许多与发烧有关的疾病中,这些疾病的名称不同,如基孔肯雅热、西尼罗热、风湿热、回复热、鼠咬热(数独)、哈弗山热、登革热、伤寒、猩红热、病毒性出血热等。
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引用次数: 0
Clinical Decision Support Systems in Critical Care during Covid-19 Covid-19期间重症监护临床决策支持系统
Pub Date : 2021-03-17 DOI: 10.31579/2690-8794/064
J. Lázaro
We congratulate Alexander Supady and colleagues for their recent informative work on rationing decisions for COVID-19 patients when resources are scarce. We appreciate the proposal of involving triage committees in the application of rationing. However, we suggest that the clinical needs are somewhat broader than those discussed in this work.
我们祝贺Alexander Supady及其同事最近在资源稀缺的情况下就COVID-19患者配给决策所做的有益工作。我们赞赏让分诊委员会参与实行配给的建议。然而,我们认为临床需要比本工作中讨论的更广泛。
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引用次数: 0
A Case of Bradycardia and Hypersensitivity with Intravenous Ketamine Monotherapy 静脉氯胺酮单药治疗心动过缓和过敏1例
Pub Date : 2021-03-17 DOI: 10.31579/2690-8794/066
Priyanka Mishra
Anaphylaxis during anesthesia is an unforeseeable and potentially life threatening syndrome that is dose independent. Ketamine is a widely used hypnotic for procedural sedation in the emergency department, in anesthesia and intensive care units (ICU). It is popularly employed for both children and adult patients. Though, dose dependent adverse effects of ketamine have been described, the hypersensitive reactions with the same are extremely rare. We are hereby presenting a case of an allergic reaction and isolated bradycardia with ketamine, given as intravenous monotherapy in a patient with no previous history of atopic disease. Our article aims at reminding all the medical professionals to never let a drug (however commonly used) throw away caution, be vigilant to timely diagnose an adverse drug reaction (even the most infrequent and rare) and be prepared to tackle the worst with the necessary supportive measures like hemodynamic support and advanced airway procedures.
麻醉期间的过敏反应是一种不可预见的、可能危及生命的、与剂量无关的综合征。氯胺酮是一种广泛应用于急诊科、麻醉和重症监护病房(ICU)的程序性镇静催眠药物。它广泛用于儿童和成人患者。虽然氯胺酮的剂量依赖性不良反应已被描述,但其过敏反应极为罕见。我们在此提出一个病例过敏反应和孤立性心动过缓与氯胺酮,给予静脉单药治疗的病人没有以往的特应性疾病史。我们的文章旨在提醒所有的医疗专业人员,永远不要让药物(无论多么常用)放弃谨慎,保持警惕,及时诊断药物不良反应(即使是最罕见和罕见的),并准备好应对最坏的情况,采取必要的支持措施,如血流动力学支持和先进的气道手术。
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引用次数: 0
The impact of COVID-19 on Farmers' Economic Income in Hubei Province of China 新冠肺炎疫情对湖北省农民经济收入的影响
Pub Date : 2021-02-26 DOI: 10.15520/SSLEJ.V6I2.2768
Bin Zhao
This paper discusses the statistical measurement of the impact of COVID-19 major emergencies on farmers' economic income in Hubei Province. Hubei Province was selected as the object of analysis, and five data of total output value of agriculture, forestry, animal husbandry, fishery and per capita disposable income of farmers in Hubei Province from the first quarter of 2013 to the second quarter of 2020 were collected by using the Internet. Since all the collected data were macroeconomic data, these data were taken the logarithm to meet the economic significance. The per capita disposable income of farmers was taken as the response variable, and the main factors affecting farmers' income were obtained by factor analysis. Livestock husbandry and fishery industries were the main industries in Hubei Province. Then the score of factor analysis were taken as explained variable to establish regression model composed of influencing factors. This paper use the multiple linear regression, support vector regression to fitting and forecasting data, ARIMA model of time series analysis, introduced at the same time, through the AIC model choice, with the first quarter of 2013 to 2019 in the second quarter fitting training, backward prediction two quarters, and three or four quarter of 2019 compared with the real data, through to the predicted results of the sequence diagram and evaluation index model to compare the mean square error (RMSE). Three models predict per capita disposable income of farmers in the first and second quarter of 2020. It has been found that performance better ARIMA model in the model compare is worse than before, and three kinds of predicted values are higher than the real value of the model, showed the outbreak to the influence of the agricultural economy in hubei province is serious. On this basis, taking into account the characteristics of geomorphic climate in Hubei province, the constructive suggestions are put forward.
本文探讨了新冠肺炎重大突发事件对湖北省农民经济收入影响的统计度量方法。选取湖北省作为分析对象,利用互联网收集了2013年第一季度至2020年第二季度湖北省农、林、牧、渔业总产值和农民人均可支配收入五项数据。由于所收集的数据均为宏观经济数据,因此为了满足经济意义,对这些数据取对数。以农民人均可支配收入作为响应变量,通过因子分析得到影响农民收入的主要因素。畜牧业和渔业是湖北省的主要产业。然后以因子分析得分为被解释变量,建立影响因素组成的回归模型。本文采用多元线性回归、支持向量回归对数据进行拟合和预测,对ARIMA模型进行时间序列分析,同时通过AIC模型的选择,用2013年第一季度至2019年第二季度进行拟合训练,后向预测二季度,并与2019年三、四季度的真实数据进行对比,通过对序列图和评价指标模型的预测结果进行均方误差(RMSE)的比较。三种模型预测了2020年第一季度和第二季度农民的人均可支配收入。结果发现,ARIMA模型在模型比较中的表现较好反而较差,且三种预测值均高于模型的实际值,说明此次疫情对湖北省农业经济的影响较为严重。在此基础上,结合湖北省地貌气候的特点,提出了建设性的建议。
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引用次数: 0
Case Report: Management of Dengue Fever in the U.S. 病例报告:登革热在美国的管理
Pub Date : 2021-02-20 DOI: 10.31579/2690-8794/053
L. Ranasinghe
A patient diagnosed with dengue fever was recently treated at a hospital in California. This rare case raises the concern that dengue fever may become a larger threat in the future for the contiguous United States, which is not currently considered endemic for the disease. Over the past decade, there has been an increase in the number of cases; therefore, dengue fever must be given greater consideration in the differential diagnosis, especially with a patient travel history to endemic parts of the world. This case report examines the management of a patient presenting with dengue fever and demonstrates that continued vigilance, prompt testing, and patient education can improve patient care and decrease disease prevalence in the future.
一名被诊断患有登革热的病人最近在加州的一家医院接受了治疗。这一罕见病例引起了人们的关注,即登革热可能在未来对毗邻的美国构成更大的威胁,目前美国尚未被认为是登革热的地方性疾病。在过去十年中,病例数量有所增加;因此,在鉴别诊断中必须更多地考虑登革热,特别是在患者有到世界流行地区旅行史的情况下。本病例报告探讨了对登革热患者的管理,并表明持续警惕、及时检测和患者教育可以改善患者护理,并在未来降低疾病患病率。
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引用次数: 0
期刊
Clinical Medical Reviews and Reports
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