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Double Product as a Predictor of Coronary Artery Disease in Males with Normal Blood Pressure 双产物作为血压正常男性冠状动脉疾病的预测因子
Pub Date : 2021-10-01 DOI: 10.26417/671vbj78j
Temali Indrit, Kamberi Ahmet
Abstract Aim: This study investigates whether in males with normal blood pressure that underwent exercise stress test Double Product (DB) or Double Product Ratios to workload (DPR) are self-sufficient in predicting the presence of coronary artery disease (CAD). Method: 78 male patients with normal blood pressure went through bicycle exercise stress test (EST) and within four weeks they underwent coronary angiography. 34 of them resulted with normal coronary arteries and 44 of them were diagnosed with one or multiple vessel CAD. Pressure rate double product was calculated in rest, in the first stage of the exercise test, in the peak of exercise, and also in the second, fourth and sixth minutes of recovery of the stress test. Also, the ratios of pressure rate double product with the workload, which reflects the relative growth of double product to the workload, were calculated. The results were compared between the two groups, the one with normal coronary arteries, and those with abnormal coronary angiography. Results: DP in rest and in the first stage of the exercise are not significantly different for normotensive males with or without CAD, while the peak DB value of the exercise, as well as the econd and sixth minutes of the recovery are significantly lower for the group of patients with CAD. The starting peak workloads were significantly lower in the patients’ group with CAD (p=0.0002 and p<0.0001). On the other hand, the double product to workload ratio at the first stage was significantly lower in males with normal blood pressure and CAD. Significant lower DPR are detected also in the fourth and sixth minutes of recovery. Conclusion: The values of DP in the peak exercise and at the second and sixth minutes of the recovery phase are significantly lower in normotensive males with abnormal coronary angiography compared to those with normal coronary arteries, and these findings can be used to detect the presence of CAD despite the ECG changes and they are not affected by the baseline characteristics of the patients. The ratios between DP and workload at the first stage, and in the fourth and sixth minutes of recovery are significantly lower in normotensive male patients with coronary artery disease compared to those without CAD and can be independent predictive parameters for the disease.
摘要:目的:本研究探讨在接受运动应激试验的正常血压男性中,双积(DB)或双积工作量比(DPR)是否能自给自足地预测冠状动脉疾病(CAD)的存在。方法:78例血压正常的男性患者进行自行车运动负荷试验,并在四周内行冠状动脉造影。其中34例冠状动脉正常,44例诊断为单支或多支冠心病。在休息时、运动试验第一阶段、运动高峰时以及压力试验恢复的第2、4、6分钟时计算压力率双积。计算了压力倍率双乘积与工作量的比值,反映了双乘积与工作量的相对增长。将冠状动脉正常组与冠状动脉造影异常组的结果进行比较。结果:血压正常的男性冠心病患者与非冠心病患者在休息和运动第一阶段的DP无显著差异,而冠心病患者在运动和恢复第2、6分钟的峰值DB值明显较低。冠心病患者组的起始峰值工作负荷显著降低(p=0.0002和p<0.0001)。另一方面,在血压正常且患有冠心病的男性中,第一阶段的双产品与工作量比明显较低。在恢复的第4分钟和第6分钟也检测到明显较低的DPR。结论:与冠状动脉正常者相比,血压正常者冠状动脉造影异常男性在运动高峰及恢复期第2分钟和第6分钟的DP值明显较低,尽管心电图改变,但可用于检测冠心病的存在,且不受患者基线特征的影响。与没有冠心病的男性冠心病患者相比,血压正常的男性冠心病患者在第一阶段、恢复后第4分钟和第6分钟的DP和工作量之比明显较低,可以作为该疾病的独立预测参数。
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引用次数: 1
Preliminary Data Regarding Pharmaceutical Forms Type Gels Based on Marine Algae Extracts with Antioxidant Activity 具有抗氧化活性的海藻提取物制备凝胶的初步研究
Pub Date : 2021-10-01 DOI: 10.26417/859cnk51g
T. Negreanu-Pîrjol, B. Negreanu-Pirjol, D. Popoviciu, F. Roncea
Abstract Particularly interest on herbs and plant extracts is due to their content of active principles with remarkable pharmacological properties. Different vegetal species contain natural antioxidants (polyphenols) used for their dermatological anti-inflammatory and healing activity, justified by their action on free radicals. The aim of this paper was to obtain selected phytopharmaceuticals formulations type gels with an increased antioxidant potential based on a mixture of fluid extracts from seaweeds species in the phylum Chlorophyta, Cladophora vagabunda (L.) C. Hoek, in the family Cladophoraceae, Ulva lactuca (L.) syn. Ulva rigida (L.), in the family Ulvaceae (sea lettuce) and species in the phylum Rhodophyta, Ceramium rubrum C. Agardh, in the famiy Ceramiaceae, frequently presents along the Romanian Black Sea coast. Fluid extracts concentration 10% were obtained using cold maceration extraction method, in solvents ethylic alcohol 40% and 70%. The obtained vegetal extracts were mixed in different ratio and analysed for physico-chemical properties, for the content of total phenols, chlorophylls, cartenoids, flavonoids and antioxidative capacity by photochemiluminescence method (ACL, Analytik Jena AG procedure). The selected mixed fluid extracts with greatest content of polyphenols and antioxidant activity were used for obtaining pharmaceutical forms type gels which were analyzed for the physical-chemical properties appearance, pH, spredability and total antioxidative capacity. Preliminary results emphasized that proposed pharmaceutical forms type gels had an appreciable antioxidant activity correlated with a good stability, an increased polyphenols content and would represent a possible new dermatological anti-inflammatory and healing preparation.
人们对草药和植物提取物特别感兴趣,是因为它们含有具有显著药理特性的活性成分。不同的植物种类含有天然抗氧化剂(多酚),用于皮肤的抗炎和愈合活动,证明了它们对自由基的作用。本文的目的是通过对绿藻门(Cladophora vagabunda, L.)中海藻的液体提取物进行混合,以获得具有更高抗氧化能力的植物药物配方型凝胶。C. Hoek, Cladophoraceae科,Ulva lactuca (L.), Ulva rigida (L.), Ulvaceae科(海莴苣)和Rhodophyta门,Ceramium rubrum C. Agardh, Ceramiaceae科,经常出现在罗马尼亚黑海沿岸。冷浸法提取液浓度为10%,乙醇溶剂浓度为40%和70%。将得到的植物提取物按不同比例混合,采用光化学发光法(ACL, Analytik Jena AG程序)测定其理化性质、总酚、叶绿素、类胡萝卜素、类黄酮含量和抗氧化能力。选取多酚类物质含量最高、抗氧化活性最高的混合液提取物,制备药物剂型凝胶,对其理化性质、外观、pH值、涂抹性和总抗氧化能力进行分析。初步结果强调,所提出的药物形式类型凝胶具有明显的抗氧化活性,具有良好的稳定性,多酚含量增加,可能是一种新的皮肤抗炎和愈合制剂。
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引用次数: 0
Study of Antimicrobial Activity of Vegetable Alcoholic Extracts Obtained from Vinca Minor L. 小长春花植物酒精提取物的抑菌活性研究。
Pub Date : 2021-10-01 DOI: 10.26417/965yje50d
A. Dumitrescu, R. Sîrbu, A. Lepădatu
Abstract Important natural antimicrobial compounds derived from Vinca minor L. plant contain a wide variety of secondary metabolites which are useful for brain health (increasing blood circulation in the brain, supporting brain metabolism, preventing memory loss and problems with concentration and premature aging of the cell), and externally they play a role in tissue repair and skin lesion healing. The testing of the antimicrobial activity of the alcoholic plant extracts obtained from Vinca minor plant was performed on two types of pathogenic germs: a Gram-positive strain, Staphylococcus aureus ATCC 25923 and a Gram-negative strain, Escherichia Coli ATCC 25922, as well as on a yeast strain pathogenic, Candida albicans ATCC 900288. Quantitative evaluation of antimicrobial activity was performed by a variant of the Kirby-Bauer diffusimetric method, a simple and fast method that allows the determination of the spectrum of sensitivity / resistance to antibiotics of the microorganism. Experimental studies have shown that all samples of alcoholic extract of 70% concentration, in volumes of 7µL, exerted a total antibacterial inhibitory action against the reference strains E. coli ATCC 25922 and C. albicans ATCC 10231 and moderate against the strain S. aureus ATCC 25923, results that agree with the literature. Regarding the alcoholic plant extracts with a concentration of 40% ethyl alcohol, obtained from the leaf and stem of Vinca minor plant, they did not show antimicrobial activity, which suggests that 40% ethyl alcohol does not extract bioactive compounds with antimicrobial activity.
摘要:从长春花植物中提取的重要天然抗菌化合物含有多种对大脑健康有益的次生代谢物(促进大脑血液循环,支持大脑代谢,防止记忆丧失和注意力不集中和细胞过早衰老问题),并在组织修复和皮肤损伤愈合中发挥作用。从蔓长春花中提取的酒精植物提取物对两种致病菌进行了抗菌活性测试:革兰氏阳性菌株金黄色葡萄球菌ATCC 25923和革兰氏阴性菌株大肠杆菌ATCC 25922,以及酵母致病性菌株白色念珠菌ATCC 900288。采用Kirby-Bauer扩散法进行抗菌活性的定量评价,这是一种简单快速的方法,可以确定微生物对抗生素的敏感/耐药谱。实验研究表明,在体积为7µL时,所有浓度为70%的酒精提取物样品对参比菌株大肠杆菌ATCC 25922和白色念珠菌ATCC 10231均有完全的抑菌作用,对金黄色葡萄球菌ATCC 25923有中等抑菌作用,结果与文献一致。从小蔓长春花叶和茎中提取的乙醇浓度为40%的植物提取物均未表现出抑菌活性,说明40%乙醇不能提取出具有抑菌活性的生物活性化合物。
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引用次数: 1
Prevalence of Oral Habits in Dentalanomalies 口腔习惯在口腔畸形中的流行
Pub Date : 2021-09-29 DOI: 10.26417/369eft80t
Rozela Xhemnica, Elsena Mataj, Rroço Milton
There are a lot of oral habits in which are included even non-nutritional habits. The role of these habits has been evidenced in the development of different malocclusion in each plane, vertical, transversal and sagittal ones. The reason why habits can cause such problems is based on equilibrium theory. The main purpose of this study is to assess the prevalence of non-nutritional habits and their effect development of dental anomalies. The method of this study was descriptive in prospectively. Its duration was 20 months. The age of children taken in this study vary from 6 to 15 years old and was selected casually at clinics of “University of Mother of Good Council” and two private clinics. Results we were able to fill the questionnaires of 194 patients in which 50.3% of them were females and 43.1% of them were males. According to the age of children, there was a frequency of 46.7% of 6-10 years old children and 53.3% of 11-15 years old ones. Results on the frequency of non-nutritive habits were about 64% of fake pacifier usage, in which there was a variety of percentage of time when it was used. Meanwhile, thumb sucking resulted in 10.20 % of results, lip biting or sucking 7.10%. Conclusions: This group age was very often in predisposition to have such habits. Our results confirm the impact of these habits in the development of different malocclusions. We recommend applying preventive strategies so we can avoid the installation of these habits and such malocclusions.
有很多口腔习惯包括甚至是非营养的习惯。这些习惯的作用已经在各个平面,垂直,横向和矢状面不同错颌畸形的发展中得到了证明。习惯会导致这些问题的原因是基于均衡理论的。本研究的主要目的是评估非营养习惯的流行程度及其对牙齿畸形的影响。本研究采用描述性前瞻性研究方法。其持续时间为20个月。本研究的儿童年龄从6岁到15岁不等,在“善母理事会大学”的诊所和两个私人诊所随意选择。结果194例患者成功填写问卷,其中女性占50.3%,男性占43.1%。按儿童年龄分,6-10岁儿童患病率为46.7%,11-15岁儿童患病率为53.3%。结果显示,非营养习惯的使用频率约占假奶嘴使用频率的64%,其中使用时间的百分比各不相同。吮吸拇指占10.20%,咬唇或吮吸占7.10%。结论:该年龄组易发生此类行为。我们的研究结果证实了这些习惯在不同错咬合发展中的影响。我们建议应用预防策略,这样我们就可以避免这些习惯的安装和这样的错咬合。
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引用次数: 1
Time Management Experience for 1st Year Students of the Faculty of Medicine 医学院一年级学生时间管理经验
Pub Date : 2021-09-29 DOI: 10.26417/821aco34x
R. Koka, Rīga Koka, I. Skadiņš
Rīga Stradiņš University (RSU) has almost 70-year-experience in implementing health care and 20-year-experience social science studies. RSU has more than 9000 students, 26% of whom are international students. Beginning of studies at Rīga Stradiņš university (RSU) Faculty of Medicine, students have to change several aspects of studies compare to high school: much deeper study content and scope of studies, type of learning, more emphasis on full-time work, practical class and lecture schedule for day, week, semester, types examinations and their regularity, new organizational culture, study year members, study course lecturers, must learn new concepts, such as matriculation, study regulations, study course, department, colloquium and others. Some students of the Faculty of Medicine do not set priorities in time and end up lacking time, do not fulfill their goals, are not satisfied with their study results, even have health problems. Therefore, time planning, selection of appropriate study strategies, setting priorities is a challenge for 1st year students and lecturers to make a pedagogical contribution to help students successfully move forward in the study process. The aim of the research is to find out the student’s opinion about time management, the set goals and their implementation and implement and test a support system at the university level.
Rīga Stradiņš大学在实施卫生保健方面有近70年的经验,在社会科学研究方面有20年的经验。RSU有9000多名学生,其中26%是国际学生。在r ā ga Stradiņš大学(RSU)医学院开始学习,与高中相比,学生必须改变几个方面的学习:更深入的学习内容和学习范围,学习类型,更强调全职工作,实践班和讲座安排,天,周,学期,考试类型及其规律,新的组织文化,学习年度成员,学习课程讲师,必须学习新的概念,如入学,学习规定,学习课程,部门,研讨会等。医学院的一些学生没有及时设置优先级,最终导致时间不足,无法实现目标,对学习结果不满意,甚至出现健康问题。因此,时间规划,选择适当的学习策略,设置优先级是一年级学生和讲师的挑战,以帮助学生在学习过程中成功地向前发展。本研究的目的是了解学生对时间管理、设定目标及其实施的看法,并在大学层面实施和测试一个支持系统。
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引用次数: 0
Role of Arterial Hypertension and Diabetes Mellitus in Hemodialysis Patients with Sensorineural Hearing Loss 高血压和糖尿病在血液透析伴感音神经性听力损失患者中的作用
Pub Date : 2021-09-29 DOI: 10.26417/498vzb81
Emirjona Vajushi, Z. Shabani
Cases of chronic kidney disease (CKD) patients have increased significantly in the past few years. The main causes of chronic kidney disease are arterial hypertension and diabetes mellitus. The aim of this study is to identify arterial hypertension as one of the causes of neurosensorial hearing loss in patients under hemodialysis treatment. Methodology: This is a transversal study. The study population is 65 patients who are undergoing hemodialysis treatment at the American Hospital during the years 2015-2016. All collected data were calculated with SPSS program. Pearson R correlation, ꭓ² test, and ANOVA test were used to analyze the sample. Results: In this study were included 65 patients where 27 are from 2015 and 38 from 2016. 32.3% of patients were female and 67.7% male. Age min 32 years and max 83 years, mean = 62.69 years, DEV Std ± 11.32 years. In our study 81.5% of patients had problems with sensorineural hearing loss of varying degrees, ranging from mild sensorineural hearing loss 15.4%, moderate sensorineural hearing loss 50.8%, severe sensorineural hearing loss 9.2% and profound sensorineural hearing loss 6.2%. Conclusion: Hemodialysis patients with arterial hypertension are more likely to have sensorineural hearing loss than hemodialysis patients without hypertension. The presence or absence of DM in patients undergoing dialysis does not affect hearing problems.
在过去的几年中,慢性肾脏疾病(CKD)患者的病例显著增加。慢性肾脏疾病的主要原因是动脉高血压和糖尿病。本研究的目的是确定动脉高血压是血液透析治疗患者神经感觉性听力损失的原因之一。方法:这是一项横向研究。研究人群为2015-2016年间在美国医院接受血液透析治疗的65例患者。所有收集的数据用SPSS软件进行计算。采用Pearson R相关、ꭓ²检验和ANOVA检验对样本进行分析。结果:本研究纳入65例患者,其中2015年27例,2016年38例。女性占32.3%,男性占67.7%。年龄最小32岁,最大83岁,平均= 62.69岁,DEV Std±11.32岁。在我们的研究中,81.5%的患者存在不同程度的感音神经性听力损失,其中轻度感音神经性听力损失15.4%,中度感音神经性听力损失50.8%,重度感音神经性听力损失9.2%,重度感音神经性听力损失6.2%。结论:伴有高血压的血液透析患者比无高血压的血液透析患者更易发生感音神经性听力损失。透析患者是否存在糖尿病并不影响听力问题。
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引用次数: 0
Fighting Infodemic Becomes Must After Covid-19 Pandemic's Onslaught on Truth, Knowledge 在2019冠状病毒病大流行对真理和知识的冲击之后,抗击信息流行病成为必须
Pub Date : 2021-09-29 DOI: 10.26417/778kzy96j
Bora Erdem
Abstract Due to the Coronavirus (COVID-19) pandemic, which has resulted in tens of thousands of deaths and hundreds of thousands of infected cases, the international community has been confronted with one of the most urgent health crises in recent decades. With the COVID-19 pandemic, we confronted a new phenomenon known as an "Infodemic" or "epidemic of misleading information" regarding COVID-19. Presently, a large amount of unsubstantiated material on various elements of the COVID-19 disease, disease control and prevention techniques and its effects is being distributed via social media, news agencies and television networks. Due to their accessibility, social networks are increasingly becoming an integral part of our lives. They provide avenues where anybody can convey their ideas and post information without impeding or regulating their publishing validation. As a consequence, it facilitates the spread of "Fake News," material that is deliberately false. Because of the amount of social media users and the volume of followers, fake social media news could have major adverse social repercussions. Misinformation and disinformation can have detrimental effects on people's mental and physical health, increase stigma, jeopardize valuable health gains, and result in poor adherence to public health measures, hence reducing their efficiency and jeopardizing their ability to manage the pandemic. Misinformation can result in death. Without trust and accurate information, diagnostic tests go unutilized, immunization campaigns (or initiatives to enhance effectiveness of vaccines) fall short of their goals, and the virus thrives. What's more, disinformation is creating a rift in public debate on COVID-19-related issues, intensifying hate speech, increasing the chances of conflict, violent acts, and violations of human rights, and jeopardizing long-term prospects for advancing social cohesion, human rights, and democracy.
新型冠状病毒(COVID-19)大流行已造成数万人死亡,数十万人感染,国际社会面临着近几十年来最紧迫的健康危机之一。随着COVID-19大流行,我们面临着一种新的现象,即关于COVID-19的“信息大流行”或“误导性信息流行”。目前,大量关于COVID-19疾病、疾病控制和预防技术及其效果的未经证实的材料正在通过社交媒体、新闻机构和电视网络传播。由于其可访问性,社交网络正日益成为我们生活中不可或缺的一部分。它们提供了任何人都可以表达想法和发布信息的途径,而不会阻碍或规范他们的发布验证。因此,它促进了“假新闻”的传播,也就是故意制造虚假信息的材料。由于社交媒体用户的数量和粉丝的数量,虚假的社交媒体新闻可能会产生重大的负面社会影响。错误信息和虚假信息可能对人们的身心健康产生不利影响,增加污名,危及宝贵的健康成果,并导致公共卫生措施得不到遵守,从而降低其效率并危及其管理大流行的能力。错误的信息会导致死亡。没有信任和准确的信息,诊断测试就无法得到利用,免疫运动(或提高疫苗有效性的举措)无法实现其目标,病毒就会猖獗。此外,虚假信息正在就covid -19相关问题的公开辩论中制造裂痕,加剧仇恨言论,增加冲突、暴力行为和侵犯人权的可能性,并危及促进社会凝聚力、人权和民主的长期前景。
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引用次数: 1
Importance of Health Promotion and Education to Young People in Educational Institutions (Schools) 教育机构(学校)青少年健康促进和教育的重要性
Pub Date : 2021-09-29 DOI: 10.26417/312xos50p
Genta Nallbani
It is important that in educational institutions to develop trainings and classes with a focus on health education and the acquisition of necessary knowledge.This study aims to give a specific approach regarding the importance of health education promotion in educational institutions with a focus on educational and health-educational activities in particular based on health and which aims to increase the level of health education to learn and implement healthy behaviours.In this study were included 130 students in elementary and secondary schools aged 14-18,of whom (n=81) females and (n=49) males.The questionnaire was based on the knowledge of these students about health promotion and education as well as organizational activities related to health education by progressing in terms of the level of knowledge, attitudes and behaviours related to health.In the results of this survey was observed that a small number of them 21% had information on the promotion and development of various activities related to health. With a total of 56% women and 44% men responding that some form of activities or programs to promote public health such as posters or tasks related to certain topics have started to be developed by teachers.The lack of these activities and promotional programs requires that in the future to increase support in this direction enabling to plan in detail the development of educational and health promotional activities where the information is scientifically based and the way of communication and information is as clear and accurate as possible to have more acceptability,liking and the highest reliability.Key words: Health education, promotion, young people, educational institutions1.
重要的是,在教育机构中开展以健康教育和获取必要知识为重点的培训和课程。这项研究的目的是就教育机构中促进健康教育的重要性提出具体办法,重点是教育和健康教育活动,特别是基于健康的活动,目的是提高健康教育水平,以学习和实施健康行为。本研究共纳入130名14-18岁的中小学生,其中女性81人,男性49人。问卷是根据这些学生对健康促进和教育的了解以及与健康教育有关的组织活动,根据与健康有关的知识水平、态度和行为进行进展。调查结果显示,其中21%的人了解促进和开展与健康有关的各种活动的情况。共有56%的女性和44%的男性回答说,教师已经开始制定某种形式的促进公共卫生的活动或方案,如海报或与某些主题有关的任务。由于这些活动和宣传方案的缺乏,要求今后在这方面加大支持力度,以便详细规划教育和健康宣传活动的发展,这些活动的信息是科学的,沟通和信息的方式尽可能清晰准确,具有更高的可接受性,喜欢性和最高的可靠性。关键词:健康教育;促进;青少年;
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引用次数: 0
Sensorineural Hearing Loss as a Common Finding in Chronic Kidney Failure Patients Undergoing Hemodialysis 感觉神经性听力损失是慢性肾衰竭患者接受血液透析的常见发现
Pub Date : 2021-09-29 DOI: 10.26417/219vlj44
Emirjona Vajushi, Z. Shabani
Background: Chronic renal failure affects all organ systems. Senses are not exception and hearing impairment in this group of patients is very common, particularly sensorineural hearing loss (SNHL). The aim of this study is to put in evidence the situation of sensorineural hearing in hemodialysis patients that are presented at our department. Methodology: This is a transversal study. In this study were included 65 patients.21 (32.3%) female patients and 44 (67.7%) male patients Study was performed in the American Hospital 2 of Tirana during years 2015-2016. 27 (41.5%) patients during 2015 and 38 (58.5 %) patients during 2016. Results: 81.5 % of patients under hemodialysis had sensorineural hearing loss. 18.5 % of patients under hemodialysis had normal hearing. 15.4% of patients had mild sensorineural hearing loss, 50.8% of patients had moderate sensorineural hearing loss, 9.2 % had severe sensorineural hearing loss and 6.2% of patients had profound hearing loss. Hearing loss was mostly in high frequencies but without a specific pattern. All patients with sensorineural hearing loss (100%) had two sides damage of hearing. Conclusions: Sensorineural hearing loss is very common in hemodialysis patients. The hearing loss affects more the high frequencies. In the patient care of hemodialysis patients should be included the routine hearing monitoring test.
背景:慢性肾功能衰竭影响所有器官系统。感觉也不例外,这类患者的听力损害非常普遍,尤其是感觉神经性听力损失(SNHL)。本研究的目的是为了证明在我科就诊的血液透析患者的感觉神经性听力的情况。方法:这是一项横向研究。本研究纳入65例患者研究于2015-2016年在地拉那美国第二医院进行,女性占32.3%,男性占44例(67.7%)。2015年27例(41.5%),2016年38例(58.5%)。结果:81.5%的血液透析患者存在感音神经性听力损失。18.5%的血液透析患者听力正常。15.4%的患者为轻度感音神经性听力损失,50.8%的患者为中度感音神经性听力损失,9.2%的患者为重度感音神经性听力损失,6.2%的患者为重度听力损失。听力损失主要发生在高频,但没有特定的模式。感音神经性听力损失患者均有双侧听力损害(100%)。结论:感觉神经性听力损失在血液透析患者中很常见。听力损失主要影响高频。在患者护理中应包括血透患者的常规听力监测测试。
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引用次数: 0
Changing of Health Anxiety in Disadvantaged Population During the Pandemic 疫情期间弱势群体健康焦虑的变化
Pub Date : 2021-09-29 DOI: 10.26417/736ipd29g
A. Rucska, Csilla Lakatos
Abstract We have lived our lives in the spirit of the COVID-19 pandemic in the latest period, which demanded serious sacrifices in Hungary as well. By the spread of the epidemic, more and more and younger people fought with the disease, several people worried about their relatives’ and friends’ health. The period of the pandemic and the central provisions aiming at stopping the spread of the epidemic affected people in several different ways, but it has no doubt that confinement, restrictions and the lack of interactions had mental effects on everyone. Over the fear from becoming infected, the reorganization of the healthcare system also influenced people’s mental status, and increased their anxiety and health anxiety, since the care of pre-existing chronic diseases and the diagnostics and therapy of new acute diseases were performed based on a new unknown protocol. Our research examined the population’s health anxiety in a highly disadvantaged region of Hungary along more dimensions in the second and third wave of the pandemic. Our research goal was to get to know the level of health anxiety according to different settlement types, genders, ages and occupations, and to compare its change with the measured data of the option and willingness for vaccination. Our special goal was the assessment of the healthcare workers’ mental status and monitoring of its changes. For the on-line survey research, we used standard questionnaires also validated in Hungarian language: the Short Health Anxiety Inventory - Hungarian version (SHAI-H) (Köteles at al, 2011), the 5-item WHO Well-being Index (Susánszky et al, 2006) and the Adult Hope Scale - Hungarian version (AHS-H) (Martos et al, 2014). During data recording, we queried labour market status, relationship status and the size of the residential settlement besides the socio-demographic data (gender, age, education). There was one question about the respondent’s evaluation regarding his/her own health status and another about religiousness. There were further questions about COVID-19 infection or its suspicion in terms of the person’s own and immediate environment, the severity of the perceived symptoms and the form of the necessary health care. Data recording of this current cross-sectional research was performed in the end of November 2020 and in the beginning of December 2020 at first, and then in March 2021, the questionnaire was filled by 528 persons in the second wave and 515 persons in the third wave. Although the survey, the cohort study performed by on-line sampling is not representative, due to the size of the sample, data provide an informative picture about the mental status of the population of the North-eastern region of Hungary and its changes during the second and third wave of the pandemic. Results: The average age of the 528 persons involved in the first phase of the research was 39.4±13.1 years, the willingness to respond was similar in the second phase (N=515), and there was a small decrea
最近一段时间,我们本着新冠肺炎疫情精神生活,匈牙利也做出了重大牺牲。随着疫情的蔓延,越来越多的年轻人与疾病作斗争,一些人担心他们的亲戚和朋友的健康。大流行时期和旨在阻止该流行病蔓延的中央规定以几种不同的方式影响到人们,但毫无疑问,禁闭、限制和缺乏互动对每个人都产生了心理影响。由于对感染的恐惧,医疗体系的重组也影响了人们的精神状态,增加了他们的焦虑和健康焦虑,因为原有慢性病的护理和新出现的急性疾病的诊断和治疗都是基于一种新的未知方案进行的。我们的研究调查了匈牙利一个高度弱势地区的人口在第二波和第三波大流行中的健康焦虑。我们的研究目的是了解不同定居类型、性别、年龄和职业的健康焦虑水平,并将其与接种疫苗的选择和意愿的测量数据进行比较。我们的特别目标是评估医护人员的精神状态并监测其变化。对于在线调查研究,我们使用了匈牙利语验证的标准问卷:短期健康焦虑量表-匈牙利版(SHAI-H) (Köteles等人,2011),五项世卫组织幸福指数(Susánszky等人,2006)和成人希望量表-匈牙利版(AHS-H) (Martos等人,2014)。在数据记录过程中,除了社会人口统计数据(性别、年龄、教育程度)外,我们还查询了劳动力市场状况、关系状况和居住定居点的规模。有一个问题是关于被访者对其自身健康状况的评价,另一个问题是关于宗教信仰。还有一些关于COVID-19感染或怀疑的问题,涉及个人自身和直接环境、感知到的症状的严重程度以及必要的医疗保健形式。本次横断面研究首先在2020年11月底和12月初进行数据记录,然后在2021年3月,第二波528人填写问卷,第三波515人填写问卷。尽管通过在线抽样进行的队列研究不具有代表性,但由于样本的规模,数据提供了关于匈牙利东北部地区人口精神状态及其在第二和第三波大流行期间变化的信息。结果:第一期528人的平均年龄为39.4±13.1岁,第二期(N=515)患者的应答意愿相似,平均年龄略有下降(x=34.7±13.05岁)。在第一次数据记录时,16.7%的受访者感染了新冠病毒,而在第二次数据记录时,这一比例为24.1%。起初,大多数感染者(50.4%)症状轻微,而47.8%的人幸存下来,症状中等。当我们询问更广泛的环境时,他们报告的感染基本上更多:在所有受访者的家庭中都可以检测到感染。住在一个家庭中的人中,22.7%至少有一名成员,77.3%有一名以上受感染的家庭成员。感染过程的严重程度不同,32%的人认为是非常轻微的,60.9%的人认为是中度的,3.1%的人需要住院治疗,3.5%的人认为感染过程在环境中是致命的。在第二阶段的研究中,大多数感染者(45.1%)的症状较轻,而52.6%的人患有中度症状。居住在一个家庭中的人中,37%至少有一名成员,63%有一名以上的受感染家庭成员。感染过程的严重程度不同:26.5%的人认为感染非常轻微,58%的人认为感染中等,9%的人需要住院治疗,4.5%的人认为感染在环境中是致命的。总体而言,疫情对受调查地区人口的心理状态和健康焦虑产生了明显的负面影响,与主观健康状况存在相关性,目前尚不清楚其长期影响。
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引用次数: 2
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European Journal of Medicine and Natural Sciences
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