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Diaphragmatic Ultrasound Advantages in Chronic Obstructive Pulmonary Disease (COPD) Patients: A Systematic Review and Metaanalysis. 慢性阻塞性肺病(COPD)患者膈肌超声检查的优势:系统综述与元分析》。
IF 1.2 Q3 Medicine Pub Date : 2023-09-01 DOI: 10.4314/ejhs.v33i5.20
Hadi Eshaghi Sani Kakhaki, Samira Alesaeidi, Goli Siri, Amir Arya, Hadi Sarafraz, Khadijeh Otadi, Niloofar Ayoobi Yazdi, Kobra Abedinzadeh

Background: Diaphragmatic ultrasound is increasingly used to assess patients with Chronic Obstructive Pulmonary Disease (COPD). The present study aims to investigate diaphragmatic dysfunction in COPD patients through a systematic review and meta-analysis.

Methods: In December 2022,The researchers studied four international databases such as Medline/PubMed, ProQuest, ISI/WOS, and Scopus. Joanna Briggs Institute (JBI) checklist was used to review and control the quality of articles.

Results: Finally, 6 articles were included in the analysis. Based on the meta-analysis results, forced expiratory volume (FEV1) was significantly lower in COPD patients compared to the control group (Hedges's g= -2.99, 95 % CI -4.78, -1.19; P =0.001). Forced vital capacity (FVC) was significantly lower in COPD patients compared to the control group (Hedges's g= -1.12, 95 % CI -1.91, - 0.33; P =0.005). COPD patients had significantly lower FEV1/FVC than the control group (Hedges's g= -1.57, 95 % CI -2.33, -0.81; P <0.001).

Conclusion: The present study showed that the diaphragm ultrasound (DUS) method could identify the difference in FEV1, FVC, and FEV1/FVC indices in two groups of COPD patients and healthy people.

背景:膈肌超声越来越多地被用于评估慢性阻塞性肺病(COPD)患者。本研究旨在通过系统综述和荟萃分析研究 COPD 患者的膈肌功能障碍:2022 年 12 月,研究人员研究了 Medline/PubMed、ProQuest、ISI/WOS 和 Scopus 等四个国际数据库。研究人员使用乔安娜-布里格斯研究所(JBI)的核对表来审查和控制文章的质量:最后,6 篇文章被纳入分析。根据荟萃分析结果,与对照组相比,慢性阻塞性肺病患者的用力呼气容积(FEV1)明显较低(Hedges's g= -2.99, 95 % CI -4.78, -1.19; P =0.001)。与对照组相比,慢性阻塞性肺病患者的用力肺活量(FVC)明显降低(Hedges's g= -1.12, 95 % CI -1.91, - 0.33; P =0.005)。慢性阻塞性肺病患者的 FEV1/FVC 明显低于对照组(Hedges's g= -1.57, 95 % CI -2.33, -0.81;P 结论:本研究表明,膈肌超声(DUS)方法可识别两组慢性阻塞性肺疾病患者和健康人在 FEV1、FVC 和 FEV1/FVC 指数上的差异。
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引用次数: 0
Blood Pressure Control among Adults with Hypertension at a Tertiary Hospital in Ethiopia. 埃塞俄比亚一家三级医院成人高血压患者的血压控制情况。
IF 1.2 Q3 Medicine Pub Date : 2023-07-01 DOI: 10.4314/ejhs.v33i4.2
Binyam Barega, Lissane Seifu, Addisu Melkie, Sintayehu Abebe, Melaku Taye

Background: Uncontrolled hypertension is a leading modifiable risk factor for cardiovascular disease morbidity and mortality. Despite the availability of several effective blood pressure lowering drugs, hypertension control rates remain poor globally. This study aimed to define the level of blood pressure control and to determine the factors associated with poor hypertension control.

Methods: A hospital-based cross-sectional study was conducted from January to March 2019 at Tikur Anbessa Specialized Hospital among randomly selected 369 patients with hypertension. Data were collected using a pre-tested structured questionnaire. Multivariate binary logistic regression was used to identify determinants of blood pressure control.

Results: The mean (SD) age of the study participants was 55.5 (13.2) years; 188 (50.9%) were males and 28 (7.6%) were active smokers. More than half of the patients (56.0%) were overweight or obese. The most commonly identified comorbidities were diabetes mellitus (48.0%), dyslipidemia (50.9%), and chronic kidney disease (56.1%). The mean (SD) systolic blood pressure was 140.6 (22) mmHg, and diastolic blood pressure was 85.8 (14) mmHg. About two-thirds of the patients (60.2%) had uncontrolled blood pressure. The factors associated with poor blood pressure control with an AOR (95% CI) were increasing age: 1.05 (1.00-1.11), increasing household income: 1.25 (1.04-1.49), being physically inactive: 7.64 (1.14-51.13), chronic kidney disease: 5.36 (1.14-5.16), and use of home blood pressure monitoring: 0.31 (0.102-0.94).

Conclusion: The rate of blood pressure control in patients with hypertension was suboptimal. Age, household income, level of physical activity, chronic kidney disease, and use of home blood pressure monitoring were independent predictors of blood pressure control. It is important to optimize the treatment of hypertension in this high-risk group by implementing effective strategies.

背景:无法控制的高血压是心血管疾病发病率和死亡率的主要可改变风险因素。尽管有多种有效的降压药物,但全球高血压控制率仍然很低。本研究旨在确定血压控制水平,并确定与高血压控制不佳相关的因素:2019年1月至3月,蒂库尔安贝萨专科医院在随机抽取的369名高血压患者中开展了一项基于医院的横断面研究。数据采用预先测试的结构化问卷收集。采用多变量二元逻辑回归确定血压控制的决定因素:研究参与者的平均(标清)年龄为 55.5(13.2)岁;188 人(50.9%)为男性,28 人(7.6%)为主动吸烟者。超过一半的患者(56.0%)超重或肥胖。最常见的合并症是糖尿病(48.0%)、血脂异常(50.9%)和慢性肾病(56.1%)。平均(标清)收缩压为 140.6(22)毫米汞柱,舒张压为 85.8(14)毫米汞柱。约三分之二的患者(60.2%)血压未得到控制。与血压控制不佳相关的因素有:年龄增加:1.05(1.00-1.11);家庭收入增加:1.25(1.04-1.11):1.25 (1.04-1.49),不运动:7.64 (1.14-51.13),慢性肾病:5.36 (1.14-51.13):5.36(1.14-5.16),使用家庭血压监测:结论:结论:高血压患者的血压控制率并不理想。年龄、家庭收入、体力活动水平、慢性肾病和使用家庭血压监测是血压控制的独立预测因素。对这一高风险人群实施有效策略,优化高血压治疗非常重要。
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引用次数: 0
Merkel Cell Polyomavirus and their Association with the Pathogenesis of Cervical Squamous Cell Carcinomas and Adenocarcinomas: A Review Article. 梅克尔细胞多瘤病毒及其与宫颈鳞状细胞癌和腺癌发病机制的关系:综述文章。
IF 1.2 Q3 Medicine Pub Date : 2023-07-01 DOI: 10.4314/ejhs.v33i4.18
Hatim Makhdoom

Background: This review aims to determine the potential role of Merkel Cell Polyomavirus (MCPyV) in the pathogenesis of cervical squamous cell carcinomas and adenocarcinomas.

Methods: A PRISMA systematic search appraisal was conducted. The Scopus, Web of Science, PubMed, EMBASE, Google Scholar, and MEDLINE databases for publications in English were searched up to September 2022 for all relevant articles. All articles that have outlined the contributions of the MCPyV to cervical squamous cell carcinomas and adenocarcinomas were included.

Results: The six databases produced 6806 articles. Only six articles met the inclusion criteria and were included. The protocol of this review was submitted and registered with the PROSPERO (Code no. CRD42022369197). The total sample size across the articles was 1135; the age of the participants ranged between 18 and 75 years. In addition, the included articles were conducted between 2012 to 2016. All included articles have a cross-sectional design.Furthermore, different kinds of samples were collected in the reviewed articles, namely cervical tissue biopsies, cervical smears, formalin-fixed paraffin-embedded resection specimens, and cervical adenocarcinomas. Moreover, five articles showed no statistically significant association between the MCPyV and cervical squamous cell carcinomas and adenocarcinomas. In contrast, one article revealed a positive association between MCPyV and cervical squamous cell carcinomas and adenocarcinomas.

Conclusions: MCPyV could not be associated with the pathogenesis of cervical squamous cell carcinomas and adenocarcinomas. Further attention should be given to examining this association, and further studies with a large sample size are recommended to confirm these findings.

背景:本综述旨在确定梅克尔细胞多瘤病毒(MCPyV)在宫颈鳞癌和腺癌发病机制中的潜在作用:本综述旨在确定梅克尔细胞多瘤病毒(MCPyV)在宫颈鳞状细胞癌和腺癌发病机制中的潜在作用:方法:进行了 PRISMA 系统检索评估。在 Scopus、Web of Science、PubMed、EMBASE、Google Scholar 和 MEDLINE 数据库中检索了截至 2022 年 9 月的所有相关英文文献。所有概述了MCPyV对宫颈鳞状细胞癌和腺癌的贡献的文章均被纳入:结果:六个数据库共收录了 6806 篇文章。只有六篇文章符合纳入标准并被纳入。本综述的方案已提交并在 PROSPERO 注册(代码号:CRD42022369197)。文章的总样本量为 1135 个;参与者的年龄介于 18 岁至 75 岁之间。此外,所纳入的文章均在 2012 年至 2016 年间进行。此外,综述文章收集了不同类型的样本,即宫颈组织活检、宫颈涂片、福尔马林固定石蜡包埋切除标本和宫颈腺癌。此外,有五篇文章显示 MCPyV 与宫颈鳞状细胞癌和腺癌之间没有统计学意义。相反,一篇文章显示 MCPyV 与宫颈鳞状细胞癌和腺癌之间存在正相关:结论:MCPyV与宫颈鳞状细胞癌和腺癌的发病机制无关。结论:MCPyV与宫颈鳞状细胞癌和腺癌的发病机制无关,应进一步关注这种关联性,建议进一步开展大样本研究以证实这些发现。
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引用次数: 0
RDW Predicts Fibrosis in Patients with Chronic Hepatitis B Having Persistently Normal ALT Levels. RDW 可预测 ALT 水平持续正常的慢性乙型肝炎患者的纤维化。
IF 1.2 Q3 Medicine Pub Date : 2023-07-01 DOI: 10.4314/ejhs.v33i4.5
Basak Yilmaz Guller, Erdinc Gulumsek, Hilmi Erdem Sumbul, Begum Seyda Avci, Adnan Tas

Background: There are studies on the determination of hepatic fibrosis with noninvasive markers but data about liver biopsy results and noninvasive markers in patients with chronic hepatitis B (CHB) are limited. The aim of this study is to determine the relationship between pathological findings and noninvasive markers, and to determine the marker that predicts fibrosis in patients with consistently normal serum alanine aminotransferase (ALT) levels, diagnosed with CHB and undergoing liver biopsy.

Methods: A total of 122 patients with CHB, 29 of them with HbeAg (+), aged 30 years and older, HBV DNA > 2000 IU / ml, and serum ALT levels measured four times in the last year, were consistently normal, and 93 of them with HbeAg (-) were included in the study. Demographic characteristics of patients, laboratory parameters, histological activity index (HAI) and fibrosis values obtained in liver biopsy, and noninvasive markers (AP (age-platelet) index, APRI (AST/Platelet ratio) and FIB-4 score, neutrophil/lymphocyte ratio, mean platelet volume (MPV) and erythrocyte distribution width (RDW) were recorded.

Results: The relationship between RDW value and fibrosis was statistically significant in the HbeAg (+) group (p<0.001). The relationship between AP index, APRI and FIB-4 score, neutrophil/lymphocyte ratio and MPV with fibrosis was not statistically significant (>0.05 for each).

Conclusion: It has been shown that the RDW value can be used to predict fibrosis in CHB patients with normal ALT and HbeAg (+), and the cut-off value for RDW is 12.

背景:有研究表明,非侵入性标志物可确定肝纤维化,但有关慢性乙型肝炎(CHB)患者肝活检结果和非侵入性标志物的数据却很有限。本研究旨在确定病理结果与无创标记物之间的关系,并确定在血清丙氨酸氨基转移酶(ALT)水平持续正常、确诊为慢性乙型肝炎并接受肝活检的患者中预测肝纤维化的标记物:研究共纳入122名CHB患者,其中29名患者HbeAg(+),年龄在30岁及以上,HBV DNA > 2000 IU / ml,且在过去一年中四次测量血清ALT水平均持续正常,93名患者HbeAg(-)。研究记录了患者的人口学特征、实验室参数、肝活检获得的组织学活性指数(HAI)和纤维化值,以及无创标记物(AP(年龄-血小板)指数、APRI(谷草转氨酶/血小板比率)和 FIB-4 评分、中性粒细胞/淋巴细胞比率、平均血小板体积(MPV)和红细胞分布宽度(RDW)):结果:在 HbeAg(+)组中,RDW 值与纤维化之间的关系具有统计学意义(P0.05):结论:研究表明,RDW值可用于预测ALT正常且HbeAg(+)的CHB患者的纤维化,RDW的临界值为12。
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引用次数: 0
Quality of Life among Patients with Glaucoma in the West Bank, Palestine: A Cross-Sectional Study. 巴勒斯坦约旦河西岸青光眼患者的生活质量:一项横断面研究。
IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-07-01 DOI: 10.4314/ejhs.v33i4.4
Wejdan Khatib, Raj'a Zyoud

Background: Glaucoma is a serious eye disease that impairs eyesight and negatively impacts quality of life. If left untreated, glaucoma can lead to blindness. This study aims at assessing the quality of life among glaucoma patients in the West Bank (WB) of Palestine and main influencing the factors.

Methods: This is a cross-sectional study and included two questionnaires; the Short-Form 36 Health Survey (SF-36) and Glaucoma Quality of Life-15 (GQL-15). Data were collected from a systematically randomized 100 glaucoma patients in the WB. ANOVA test was used to compare means of continuous variables at a statistically significant P value ≤ to 0.05.

Results: The overall quality of life among glaucoma patients was relatively suboptimal. The analysis revealed that the glaucoma quality of life is worse among older patients (mean=3.55±0.64), patients who are less educated (mean=3.91±0.77), among patients who were unemployed (mean=3.44±0.86), and patients who were treated in private clinics (3.57±0.8). Patients with good health (mean=2.48±0.94), type of glaucoma (close glaucoma; mean=3.22±0.9), less than 5 years duration of glaucoma (mean=2.88±1.13), and less than 5 years duration of cryonic diseases (mean=2.48±0.73 have a better glaucoma quality of life.

Conclusions: This study revealed numerous factors that can impact the quality of life of glaucoma patients in WB. Health professionals, specialists, ophthalmologists, and health educators should be aware of how various socioeconomic and general health factors impact the quality of life of glaucoma patients in order to better diagnose, manage, guide, and educate patients for better health outcomes.

背景:青光眼是一种严重的眼科疾病,会损害视力并对生活质量产生负面影响。如果不及时治疗,青光眼可导致失明。本研究旨在评估巴勒斯坦约旦河西岸(WB)青光眼患者的生活质量及主要影响因素:这是一项横断面研究,包括两份问卷:短表 36 健康调查 (SF-36) 和青光眼生活质量-15 (GQL-15)。数据收集自 WB 系统随机抽取的 100 名青光眼患者。采用方差分析检验比较连续变量的均值,P值≤0.05时具有统计学意义:结果:青光眼患者的总体生活质量相对较低。分析显示,年龄较大的患者(平均值=3.55±0.64)、受教育程度较低的患者(平均值=3.91±0.77)、失业患者(平均值=3.44±0.86)和在私人诊所接受治疗的患者(3.57±0.8)的青光眼生活质量较差。健康状况良好(平均值=2.48±0.94)、青光眼类型(近距离青光眼;平均值=3.22±0.9)、青光眼病程少于 5 年(平均值=2.88±1.13)、冰冻病病程少于 5 年(平均值=2.48±0.73)的患者的青光眼生活质量更高:这项研究揭示了影响世行青光眼患者生活质量的诸多因素。医务人员、专家、眼科医生和健康教育工作者应了解各种社会经济因素和一般健康因素如何影响青光眼患者的生活质量,以便更好地诊断、管理、指导和教育患者,使其获得更好的健康结果。
{"title":"Quality of Life among Patients with Glaucoma in the West Bank, Palestine: A Cross-Sectional Study.","authors":"Wejdan Khatib, Raj'a Zyoud","doi":"10.4314/ejhs.v33i4.4","DOIUrl":"10.4314/ejhs.v33i4.4","url":null,"abstract":"<p><strong>Background: </strong>Glaucoma is a serious eye disease that impairs eyesight and negatively impacts quality of life. If left untreated, glaucoma can lead to blindness. This study aims at assessing the quality of life among glaucoma patients in the West Bank (WB) of Palestine and main influencing the factors.</p><p><strong>Methods: </strong>This is a cross-sectional study and included two questionnaires; the Short-Form 36 Health Survey (SF-36) and Glaucoma Quality of Life-15 (GQL-15). Data were collected from a systematically randomized 100 glaucoma patients in the WB. ANOVA test was used to compare means of continuous variables at a statistically significant P value ≤ to 0.05.</p><p><strong>Results: </strong>The overall quality of life among glaucoma patients was relatively suboptimal. The analysis revealed that the glaucoma quality of life is worse among older patients (mean=3.55±0.64), patients who are less educated (mean=3.91±0.77), among patients who were unemployed (mean=3.44±0.86), and patients who were treated in private clinics (3.57±0.8). Patients with good health (mean=2.48±0.94), type of glaucoma (close glaucoma; mean=3.22±0.9), less than 5 years duration of glaucoma (mean=2.88±1.13), and less than 5 years duration of cryonic diseases (mean=2.48±0.73 have a better glaucoma quality of life.</p><p><strong>Conclusions: </strong>This study revealed numerous factors that can impact the quality of life of glaucoma patients in WB. Health professionals, specialists, ophthalmologists, and health educators should be aware of how various socioeconomic and general health factors impact the quality of life of glaucoma patients in order to better diagnose, manage, guide, and educate patients for better health outcomes.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combination Effect of Deferoxamine and Arsenic Trioxide on Viability and Vitality of APL Like Cell Line. 去铁胺和三氧化二砷对类似 APL 细胞株的存活率和活力的联合影响
IF 1.2 Q3 Medicine Pub Date : 2023-07-01 DOI: 10.4314/ejhs.v33i4.17
Kazem Ghaffari, Ali Bayat, Ali Ghasemi

Background: Arsenic trioxide is an activist agent in the treatment of acute promyelocytic leukemia (APL), which acts alone, but has an adverse effect on patients. Moreover, deferoxamine has antiproliferative activity and induces leukopenia. In order to enhance antileukemic effectiveness and to reduce the dosage of arsenic trioxide, the combination effect of it with deferoxamine (DFO) was evaluated on the APL cell line (NB4).

Methods: In this experimental study, to investigate the cytotoxic effects of ATO/DFO in acute promyelocytic leukemia, the NB4 cell line (provided by Pasteur Institute of Iran) was treated with different doses and then at 24, 48, and 72 hrs intervals, the percentage of survival, cell count, metabolic activity and apoptosis induction were investigated respectively. Also, hTERT gene expression was analyzed by the RT-PCR method.

Results: We found that DFO alone and in combination with ATO has cytotoxic and antiproliferative effects, and reduces viability and cell metabolic activity in the NB4 cell line in a dose and time-dependent manner. In addition, this combination causes an increase in apoptosis, up-regulation of Caspase-3, and down-regulation of hTERT genes in cells.

Conclusion: Combined ATO/ DFO treatment cooperatively decreased the mRNA levels of the hTERT and increased the mRNA levels of Caspase-3 in a time-dependent manner compared to DFO alone.

背景:三氧化二砷是治疗急性早幼粒细胞白血病(APL)的积极药物,它可单独发挥作用,但对患者有不良影响。此外,去铁胺具有抗增殖活性,并可诱导白细胞减少。为了提高抗白血病的效果并减少三氧化二砷的用量,研究人员评估了三氧化二砷与去铁胺(DFO)对 APL 细胞系(NB4)的联合作用:在这项实验研究中,为了研究 ATO/DFO 对急性早幼粒细胞白血病的细胞毒性作用,对 NB4 细胞株(由伊朗巴斯德研究所提供)进行了不同剂量的处理,然后分别在 24、48 和 72 小时后检测存活率、细胞计数、代谢活性和凋亡诱导。此外,还采用 RT-PCR 方法分析了 hTERT 基因的表达:结果:我们发现 DFO 单独或与 ATO 联用都具有细胞毒性和抗增殖作用,并以剂量和时间依赖的方式降低 NB4 细胞系的存活率和细胞代谢活性。此外,这种组合还可导致细胞凋亡增加、Caspase-3 上调和 hTERT 基因下调:结论:与单独使用 DFO 相比,ATO/DFO 联合治疗可协同降低 hTERT 的 mRNA 水平,并以时间依赖性的方式增加 Caspase-3 的 mRNA 水平。
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引用次数: 0
A Comparison of the Acute Effects of Percussion Massage Therapy and Static Stretching on Hamstring Elasticity. 比较冲击按摩疗法和静态拉伸对腘绳肌弹性的急性影响。
IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-07-01 DOI: 10.4314/ejhs.v33i4.16
Rumeysa Ateş, Pinar Yaşar, Ferdi Başkurt, Zeliha Başkurt, Sabriye Ercan

Background: The effect of percussion massage on hamstring flexibility is unknown. This study aimed to investigate the acute effects of percussion massage on hamstring flexibility and to compare its effectiveness with static stretching.

Methods: Fifty-four healthy individuals aged 18-25 years with at least 15 degrees of active knee extension were included in the study. The study was conducted between February and May 2022. The participants were randomly divided into 3 groups in this cross-randomization study as percussion massage (n=18), static stretching (n=18), and control (n=18). The Active Knee Extension test and the Sit and Reach test were used as evaluation parameters, and assessments were performed pre-intervention and 30 min post-intervention (acute).

Results: In both percussion and stretching intervention groups, the range of motion (ROM) gain in the Active Knee Extension test was statistically significant (p<0.05) compared to the control group. Active knee extension angle gain was similar between percussion and stretching interventions (p>0.05). It was found that hamstring flexibility improved significantly in both percussion massage and static stretching groups (p<0.05). However, considering the last measurement and flexibility gain values, it was found that percussion massage and static stretching had similar acute effects on hamstring muscle flexibility (p>0.05).

Conclusion: Percussion massage had an acute positive effect on hamstring flexibility and ROM, and it was as effective as static stretching. Therefore, percussion massage devices are recommended as part of pre-exercise in a structured warm-up for increase in joint range of motion and flexibility.

背景:叩击按摩对腿筋柔韧性的影响尚不清楚。本研究旨在调查叩击按摩对腿筋柔韧性的急性影响,并比较其与静态拉伸的效果:研究纳入了 54 名年龄在 18-25 岁、膝关节主动伸展至少 15 度的健康人。研究于 2022 年 2 月至 5 月间进行。在这项交叉随机研究中,参与者被随机分为三组,分别为叩击按摩组(18 人)、静态拉伸组(18 人)和对照组(18 人)。评估参数为膝关节主动伸展测试和坐立伸展测试,评估时间为干预前和干预后30分钟(急性期):结果:在叩击和拉伸干预组中,膝关节主动伸展测试的活动范围(ROM)增加具有统计学意义(P0.05)。叩击按摩组和静态拉伸组的腘绳肌柔韧性均有明显改善(P0.05):结论:叩击按摩对腘绳肌的柔韧性和活动度有积极的影响,其效果不亚于静态拉伸。因此,建议将叩击按摩装置作为结构化热身中运动前的一部分,以增加关节的活动范围和灵活性。
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引用次数: 0
Effects of Educational Interventions on Dietary Adherence among Type 2 Diabetics in Zahedan: Using the Health Action Process Approach. 教育干预对扎黑丹 2 型糖尿病患者坚持饮食的影响:使用健康行动过程方法
IF 1.2 Q3 Medicine Pub Date : 2023-07-01 DOI: 10.4314/ejhs.v33i4.3
Sara Moghimi, Abolfazl Payandeh, Soheila Ranjbaran, Maryam Seraji

Background: Type 2 diabetes is the most common type of diabetes, and dietary adherence is a self-care practice. This research aims to improve dietary adherence among type 2 diabetics in Zahedan using the HAPA model.

Methods: In this cross-sectional study, a total of 210 type 2 diabetics admitted to hospital clinics in Zahedan during summer 2022 were selected. The intervention group (n = 105) and the control group (n = 105) were from hospitals in Zahedan. Samples were selected by the simple random sampling method among the diabetics. After data collection using the demographic characteristics questionnaire and the Dietary Adherence Questionnaire and the HAPA model constructs questionnaire, the pre-test analysis was performed. One and three months after the educational intervention, the questionnaires on HAPA model constructs and self-care behavior were filled out by the patients. Next, data were analyzed using independent t-test, chi-square test, and the Shapiro-Wilk test in SPSS 23.

Results: The results showed that all of the HAPA model constructs had significant differences, one and three months after the educational intervention (P = 0.001), indicating the effectiveness of education in the intervention group. However, there was no significant difference in the control group (P = 0.009).

Conclusion: After the intervention using the HAPA model, the model's constructs had a significant impact on the patients' self-care of dietary adherence following the training.

背景:2 型糖尿病是最常见的糖尿病类型,坚持饮食是一种自我保健做法。本研究旨在利用 HAPA 模型提高扎黑丹 2 型糖尿病患者的饮食依从性:在这项横断面研究中,选取了 2022 年夏季在扎黑丹医院诊所住院的 210 名 2 型糖尿病患者。干预组(n = 105)和对照组(n = 105)均来自扎黑丹的医院。样本通过简单随机抽样法从糖尿病患者中抽取。在使用人口统计学特征问卷、饮食依从性问卷和 HAPA 模型构建问卷收集数据后,进行了测试前分析。教育干预1个月和3个月后,患者填写了关于HAPA模型构建和自我护理行为的问卷。然后,在 SPSS 23 中使用独立 t 检验、卡方检验和 Shapiro-Wilk 检验对数据进行分析:结果显示,在教育干预后的一个月和三个月,HAPA 模型的所有构念都有显著差异(P = 0.001),表明教育在干预组中的有效性。然而,对照组没有明显差异(P = 0.009):结论:在使用 HAPA 模型进行干预后,该模型的建构对患者在接受培训后坚持饮食的自我护理有显著影响。
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引用次数: 0
Anthropometric Predictors of Appropriate-Sized Plastibell for Neonatal Circumcision. 新生儿包皮环切术中适当大小包皮环的人体测量预测因素。
IF 1.2 Q3 Medicine Pub Date : 2023-07-01 DOI: 10.4314/ejhs.v33i4.15
Victor Ifeanyichukwu Modekwe, Jideofor Okechukwu Ugwu, Okechukwu Hyginus Ekwunife, Charles Chidiebele Maduba, Ugochukwu Uzodimma Nnadozie, Ezekiel Uchechukwu Nwankwo

Background: Using anthropometric parameters to determine the appropriate Plastibell size before circumcision ensures that cumbersome carrying of all the sizes before each procedure is eliminated and also complications reduced.

Methods: Male neonates who presented for routine circumcision by Plastibell method were recruited. Collected on a proforma were their age in days, weight in Kg, stretched penile length (SPL) in cm, penile diameter (PD) in cm and the Plastibell size used by the "circumciser". The routine circumcision was carried out for each neonate according to protocol. P value was set at <0.05.

Results: There were 231 neonates who had Plastibell circumcision. Their mean age, weight, SPL and PD were 15.6(±5.73) days, 3.7(±0.58) Kg, 3.66 (±0.58) cm and 3.79 (±0.64) cm, respectively. Plastibell size 1.3 is the most used (53.6%). There was a positive correlation between weight, SPL, PD, on one hand and Plastibell size , on the other hand with P-values of <0.001, <0.001 and <0.001 respectively. The weight was a weak determinant for Plastibell sizes 1.1 and 1.3: (OR 7.104; 95% CI 1.108 - 45.559; P = .039) and (OR 2.044; 95% CI 1.054 - 3.963; P = .034) respectively. The SPL is also a weak predictor for Plastibell sizes 1.2 and 1.5: (OR 2.176; 95% CI 1.136 -4.136; P = .019) and (OR .043; 95% CI .072 - .984; P = .047), respectively.

Conclusion: The anthropometric parameters correlate well with Plastibell sizes. However, they are not effective in predicting the appropriate sized Plastibell for neonatal circumcision.

背景:在包皮环切术前使用人体测量参数来确定合适的 Plastibell 大小,可避免每次手术前携带所有尺寸包皮的麻烦,并减少并发症:方法:招募采用 Plastibell 法进行常规包皮环切术的男性新生儿。在表格中收集的信息包括:年龄(天)、体重(千克)、阴茎拉伸长度(SPL)(厘米)、阴茎直径(PD)(厘米)以及 "包皮环切术 "医生使用的 Plastibell 尺寸。每名新生儿都按照方案进行了常规包皮环切术。P 值设定为 结果:共有 231 名新生儿接受了 Plastibell 包皮环切术。他们的平均年龄、体重、SPL和PD分别为15.6(±5.73)天、3.7(±0.58)千克、3.66(±0.58)厘米和3.79(±0.64)厘米。使用最多的是 1.3 号塑性体(53.6%)。一方面,体重、SPL、PD 与 Plastibell 尺寸之间存在正相关,P 值为 结论:人体测量学参数与体重、SPL、PD 和 Plastibell 尺寸之间存在正相关,P 值为 结论:人体测量学参数与体重、SPL、PD 和 Plastibell 尺寸之间存在正相关:人体测量参数与塑性体尺寸有很好的相关性。然而,这些参数并不能有效预测新生儿包皮环切术中合适的阴茎头大小。
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引用次数: 0
The Impact of Psychiatric Care Program on Empathy of Neonatal Intensive Care Nurses in Iran. 精神病护理计划对伊朗新生儿重症监护护士移情能力的影响。
IF 1.2 Q3 Medicine Pub Date : 2023-07-01 DOI: 10.4314/ejhs.v33i4.11
Mohammad Heidarzadeh, Haydeh Heidari, Shima Heidary, Ali Ahmadi

Background: The main role of nurses is not only to inform about the disease and treatment of the patient but also to establish an effective therapeutic relationship to address concerns and provide empathy, comfort, and support. This issue is very prominent in neonatal intensive care units (NICUs) and doubles the importance of empathetic communication between nurses and parents and promoting empathy skills in nurses working in neonatal intensive care units.

Aim: This study aimed to evaluate the effect of a support program on the empathy of neonatal intensive care nurses across the Iran.

Methods: This study was conducted in 2021 as a semi-experimental intervention in a group of 166 nurses working in the neonatal department all over Iran who met the inclusion criteria. Jefferson's empathy questionnaire was completed electronically by the participants before and after the online education program start. Data were analyzed using SPSS software (V 24.0).

Results: The empathy score of nurses was 60.31 ± 5.76 before and 66.47 ±6.60 after the intervention. The empathy scores of nurses after the intervention increased statistically significantly.

Conclusion: Nurses can communicate empathically with parents by training their verbal and nonverbal communication skills and gaining a common understanding of the feelings of parents of premature infants.

背景:护士的主要职责不仅是告知患者疾病和治疗方法,还要建立有效的治疗关系,以解决患者的担忧,并提供同理心、安慰和支持。这一问题在新生儿重症监护室(NICU)中非常突出,因此护士与家长之间的同理心沟通以及促进新生儿重症监护室护士同理心技能的重要性加倍:这项研究于 2021 年进行,是一项半实验性干预,对象是伊朗各地符合纳入标准的 166 名新生儿科护士。在线教育项目开始前后,参与者通过电子方式填写杰弗逊移情问卷。数据使用 SPSS 软件(V 24.0)进行分析:干预前和干预后,护士的移情得分分别为(60.31 ± 5.76)和(66.47 ± 6.60)。干预后,护士的移情得分在统计学上有明显提高:结论:护士可以通过训练语言和非语言沟通技巧,对早产儿父母的感受有一个共同的理解,从而与父母进行移情沟通。
{"title":"The Impact of Psychiatric Care Program on Empathy of Neonatal Intensive Care Nurses in Iran.","authors":"Mohammad Heidarzadeh, Haydeh Heidari, Shima Heidary, Ali Ahmadi","doi":"10.4314/ejhs.v33i4.11","DOIUrl":"10.4314/ejhs.v33i4.11","url":null,"abstract":"<p><strong>Background: </strong>The main role of nurses is not only to inform about the disease and treatment of the patient but also to establish an effective therapeutic relationship to address concerns and provide empathy, comfort, and support. This issue is very prominent in neonatal intensive care units (NICUs) and doubles the importance of empathetic communication between nurses and parents and promoting empathy skills in nurses working in neonatal intensive care units.</p><p><strong>Aim: </strong>This study aimed to evaluate the effect of a support program on the empathy of neonatal intensive care nurses across the Iran.</p><p><strong>Methods: </strong>This study was conducted in 2021 as a semi-experimental intervention in a group of 166 nurses working in the neonatal department all over Iran who met the inclusion criteria. Jefferson's empathy questionnaire was completed electronically by the participants before and after the online education program start. Data were analyzed using SPSS software (V 24.0).</p><p><strong>Results: </strong>The empathy score of nurses was 60.31 ± 5.76 before and 66.47 ±6.60 after the intervention. The empathy scores of nurses after the intervention increased statistically significantly.</p><p><strong>Conclusion: </strong>Nurses can communicate empathically with parents by training their verbal and nonverbal communication skills and gaining a common understanding of the feelings of parents of premature infants.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Ethiopian Journal of Health Sciences
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