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Sexual Dysfunction and Its Predictors amongMale Patients with Epilepsy Attending PublicHospitals, East Ethiopia: A Cross-Sectional Study 埃塞俄比亚东部公立医院男性癫痫患者的性功能障碍及其预测因素:一项横断面研究
Pub Date : 2021-01-01 DOI: 10.36648/1791-809X.21.15.841
Bahar Suleyman, Sewbesew Yitayih, T. Fanta, Alemi Kebede, Derebe Madoro
Introduction: Sexual dysfunction is common Comorbid conditions in patients with epilepsy; however, its causes are complex and multifactorial. Nearly five fold increased risk compared to the general population. However, there is limited study that examined prevalence and determinants of sexual dysfunction among male epileptic patients. Objective: To determine prevalence of Sexual Dysfunction and its predictors among male epileptic patient attending public hospitals, East Ethiopia. Methods: An institutional-based cross-sectional study was conducted between May 15 - June 15, 2019 among 581 participants, who were selected using a systematic random sampling technique. A sexual dysfunction was measured by the Change in Sexual Functioning Questionnaires (CSFQ-M-C) Clinical Version. The association between outcome and independent variables was identified by bi-variable and multivariate logistic regression. Finally, variables with P-value less than 0.05 were considered statistically significant at 95% CI. Results: The prevalence of global sexual dysfunction was 59.4 % with 95% CI - 57.6, 64.9. Factors like, age ≥ 45 years (AOR - 5.43; 95% CI - 1.22, 7.18), uncontrolled seizure (AOR - 3.11; 95% CI-1.8, 5.29), current khatuse (AOR - 3.66, 95% CI - 2.21, 6.04) and psychological distress (AOR - 2.01; 95% CI - 1.19, 3.38) were significant predictors. Conclusion: The question of sexual activity should be raised by health-care professionals as a routine part of the management of patients with epilepsy and needs to refer to psychiatry clinic accordingly.
简介:性功能障碍是癫痫患者常见的合并症;然而,其原因是复杂和多因素的。与普通人群相比,患病风险增加了近5倍。然而,关于男性癫痫患者中性功能障碍的患病率和决定因素的研究有限。目的:了解埃塞俄比亚东部公立医院男性癫痫患者的性功能障碍患病率及其预测因素。方法:采用系统随机抽样技术,于2019年5月15日至6月15日对581名参与者进行了基于机构的横断面研究。性功能障碍采用临床版性功能变化问卷(CSFQ-M-C)进行测量。结果与自变量之间的关系通过双变量和多变量逻辑回归来确定。最后,p值小于0.05的变量在95% CI处被认为具有统计学意义。结果:全球性功能障碍患病率为59.4%,95% CI为57.6,64.9。年龄≥45岁(AOR - 5.43;95% CI - 1.22, 7.18),未控制的癫痫发作(AOR - 3.11;95% CI-1.8, 5.29),当前的khatuse (AOR - 3.66, 95% CI- 2.21, 6.04)和心理困扰(AOR - 2.01;95% CI - 1.19, 3.38)是显著的预测因子。结论:医务人员应将性行为问题作为癫痫患者管理的常规内容提出,并应及时转诊到精神科诊所。
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引用次数: 0
Prevalence of Voluntary Medical MaleCircumcision and Factors Associated withLow Uptake amongMen Aged 20 Yearsand Older in Mpanda Municipal Council Mpanda市议会20岁及以上男性自愿医疗包皮环切术的流行率及低接受率的相关因素
Pub Date : 2021-01-01 DOI: 10.36648/1791-809X.15.1.795
Alex H Semwali
Background: Voluntary Medical Male Circumcision (VMMC) is among the important and popular interventions for the prevention of new HIV infections. The overall coverage of male circumcision is still low to some of the regions especially Katavi region The situation is worse among adults this is known due to high numberof young boysattending VMMC clinicsThis study assessed prevalence and factors affecting VMMC uptake among 20 years and older in Mpanda Municipal Council. Methods: Cross-sectional community based study was undertaken in Mpanda Municipal council in Katavi Region , from August 2017 toSeptember 2018.Multistage sampling was used to obtainvillages then households with study participants. A total of 570 men were interviewed. Quantitative data were analyzed using logistic regression. Results: Overall uptake of VMMC among men aged 20 years and older islow only (53.5%). Majority of respondents were knowledgeable on VMMC with 92.2% (525).However, more than half of the respondents393 (69%) know health benefits of VMMC andreported that HIV could be prevented through medical Male Circumcision. 508(88%) of the respondents reported that the service was accepted by the community. Regarding on the Factorsreportedto affect VMMCincludes servicesdiscourages men to take the services (P-value= 0.001), Services conducted in few days per week (special days) (P-value<0.001) and cultural beliefs of not taking circumcision(P-value= 0.033.), services encourages other to go for the service (P- value <0.001). Regarding onhealth personnel negative behavior of not observing confidentiality(P-value 0.0250). Conclusion: In general, the Uptake of Voluntary Medical Male Circumcision was found to be high as compared to the TACAIDS report of 2013. Few days of the service, Health workers behavior was among the factors showed significant association in VMMC service provision. Therefore, there is a need of addressingand strengthening VMMC in all health facilities and equip health facilities with adequate and competent health workers.
背景:自愿医学男性包皮环切术(VMMC)是预防新的艾滋病毒感染的重要和流行的干预措施之一。在一些地区,特别是卡塔维地区,男性包皮环切术的总体覆盖率仍然很低,成年人的情况更糟,这是因为有大量的年轻男孩在包皮环切术诊所就诊。本研究评估了Mpanda市议会20岁及以上人群包皮环切术的患病率和影响因素。方法:于2017年8月至2018年9月在卡塔维地区的潘达市议会进行了基于社区的横断面研究。采用多阶段抽样的方法对研究对象所在的村庄和家庭进行抽样。共有570名男性接受了采访。定量资料采用logistic回归分析。结果:在20岁及以上的男性中,VMMC的总体摄取较低(53.5%)。大多数受访者(92.2%,525人)了解VMMC。然而,超过一半的受访者(69%)知道男性包皮环切术的健康益处,并报告说可以通过男性包皮环切术预防艾滋病毒,508(88%)的受访者报告说该服务被社区接受。至于影响男性包皮环切术的因素,包括服务不鼓励男性接受包皮环切术(P值= 0.001)、每周几天(特殊日)进行的服务(P值<0.001)和不接受包皮环切术的文化信仰(P值= 0.033),服务鼓励其他人接受包皮环切术(P值<0.001)。关于医务人员不遵守保密规定的消极行为(p值为0.0250)。结论:总体而言,与2013年TACAIDS报告相比,自愿医学男性包皮环切术的使用率较高。服务天数、卫生工作者行为是影响VMMC服务提供的因素之一。因此,有必要在所有卫生设施中处理和加强自愿医疗保健服务,并为卫生设施配备足够和称职的卫生工作者。
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引用次数: 2
Save Our Cities 2021: Building Sustainable, Resilient, and Healthy Cities by 2030 through Prevention of and Reduction in Spread of Disease 拯救我们的城市2021:通过预防和减少疾病传播,到2030年建设可持续、有韧性和健康的城市
Pub Date : 2021-01-01 DOI: 10.36648/1791-809X.21.S3.004
Nicholas Kokiko
For many individuals, cities are the hubs for which all facets of their life revolve around. The COVID-19 pandemic poses a threat to the health and wellbeing of individuals as well as the sustainability of cities in the future. Cities are a resource hub that have existed for thousands of years. Today’s cities not only provide jobs for millions of people but also function as a place to get educated and interact with other people. Throughout history, cities have been faced at some point with the need to increase their capacity to meet the needs of residents especially during times of distress. The COVID-19 pandemic poses a challenge to cities that do not have the necessary health infrastructure in place when it comes to dealing with pandemics. The very nature of cities-being interconnected to one another primarily through transportation-can be antithetical to any progress made at slowing down the spread of the virus. In the today’s globalized world, people move from one place to the other instantaneously in a very seamless manner. Such movements lead to the creation of so many networks among people who might have never even met face-to- face. As a result, government stakeholders have to exercise the highest form of leadership when it comes to addressing the daily needs of the populace. The government response to this pandemic is also one that needs to be timely since an untimely response not only adds an additional burden to health systems but also leads to mass casualties. With so many variable factors, this paper seeks to explore what a 21st century campaign aimed at tackling COVID-19 ought to have. Throughout this paper, there is special emphasis on contextualizing the response of a city based on trusted data that looks at the local context at hand as well as the heterogeneous makeup of the population being served.
对许多人来说,城市是他们生活的各个方面都围绕着的中心。2019冠状病毒病大流行对个人健康和福祉以及城市未来的可持续性构成威胁。城市是一个已经存在了数千年的资源中心。今天的城市不仅为数百万人提供了就业机会,而且还提供了一个受教育和与他人互动的场所。纵观历史,城市在某些时候都面临着需要提高其能力以满足居民需求的问题,尤其是在困难时期。COVID-19大流行对那些在应对大流行方面没有必要卫生基础设施的城市构成了挑战。城市的本质——主要通过交通工具相互联系——可能与减缓病毒传播的任何进展背道而驰。在当今全球化的世界里,人们以一种非常无缝的方式从一个地方瞬间移动到另一个地方。这样的运动导致人们之间建立了如此多的网络,这些人甚至可能从未面对面见过面。因此,当涉及到解决民众的日常需求时,政府利益相关者必须行使最高形式的领导。政府对这次大流行的反应也需要及时,因为不及时的反应不仅会给卫生系统增加额外负担,还会导致大规模伤亡。鉴于如此多的可变因素,本文试图探讨21世纪旨在应对COVID-19的运动应该具备什么。在本文中,特别强调了基于可信数据的城市响应情境化,这些数据着眼于手头的当地环境以及所服务人口的异质构成。
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引用次数: 0
Assessment of Induced Abortion and Its Associated Factors among Reproductive Age Group Women in Debre Markos Referral Hospital, Amhara region, Northwest Ethiopia 埃塞俄比亚西北部阿姆哈拉地区Debre Markos转诊医院育龄妇女人工流产及其相关因素评估
Pub Date : 2021-01-01 DOI: 10.36648/1791-809X.21.15.852
Sileshi Berihun, Enat Kefyalew, H. Tadele, Belsity Temesgen
Background: Nearly 56 million induced abortions (safe and unsafe) were performed worldwide every year between 2010-2014, and from these about 25 million accounts for unsafe abortion and over half of all estimated unsafe abortions globally had taken place in Asia. In developing countries, the risk of death following complications of unsafe abortion procedures was several hundred times higher than that of an abortion performed professionally under safe conditions. Worldwide women of all ages seek abortion, but there was highest burden of illness and deaths due to abortion among the youths. So, the aim of this study was to assess induced abortion and its associated factors among reproductive age group women in Debre Markos Referral Hospital, Northwest Ethiopia. Methods: Institutional based cross sectional study design was conducted in Debre Markos Referral Hospital among reproductive age group women from September, 1/2017 to December, 20/2017. Sample size was determined by using single population proportion formula. Systematic sampling technique was used. The data were entered into Epi-Data version 3.1 and were exported to SPSS version 23 software for further analysis. Logistic regression model was fitted to determine the predictors of induced abortion and those variables with p value <0.2 in binary logistic regression were entered into a multi-variable logistic regression analysis. Finally variables with a p value of <0.05 in multi-variable logistic regression model were declared as statistically significant. Result: In our finding the magnitude of induced abortion was 32(18.2%). Unwanted pregnancy [AOR=0.28 (95%CI (0.87-0.89)], utilizing of family planning [AOR=7.4 (95%CI) (2.7-20.3)], maternal illness in the last one month [AOR=4.28 (95%CI) (1.27- 15.1)] were statistically significant factors associated with induced abortion. Conclusion: This study had shown the undeniable fact that the problem of induced abortion was still the highest as compared with previous studies. Majority of induced abortion was the result of unwanted pregnancy. Federal ministry of health in collaboration with different stake holders had better work on strengthening comprehensive reproductive health education, particularly on the consequences of abortion.
背景:2010-2014年期间,全世界每年进行近5600万例人工流产(安全和不安全),其中约2500万例为不安全流产,全球估计的不安全流产有一半以上发生在亚洲。在发展中国家,不安全堕胎手术并发症后的死亡风险比在安全条件下专业堕胎高出数百倍。全世界所有年龄的妇女都寻求堕胎,但青年因堕胎而患病和死亡的负担最高。因此,本研究的目的是评估埃塞俄比亚西北部Debre Markos转诊医院育龄妇女的人工流产及其相关因素。方法:采用基于机构的横断面研究设计,于2017年9月1日至2017年12月20日在Debre Markos转诊医院对育龄妇女进行研究。样本量采用单总体比例公式确定。采用系统抽样技术。数据录入Epi-Data 3.1版,导出至SPSS 23版软件进行进一步分析。拟合Logistic回归模型确定人工流产的预测因素,将二元Logistic回归中p值<0.2的变量纳入多变量Logistic回归分析。最后,在多变量logistic回归模型中,p值<0.05的变量被认为具有统计学意义。结果:本组人工流产例数为32例(18.2%)。意外妊娠[AOR=0.28 (95%CI(0.87 ~ 0.89))]、计划生育利用[AOR=7.4 (95%CI)(2.7 ~ 20.3)]、产妇最近一个月患病[AOR=4.28 (95%CI)(1.27 ~ 15.1)]是人工流产的相关因素,具有统计学意义。结论:本研究显示了一个不可否认的事实,即与以往的研究相比,人工流产问题仍然是最高的。大多数人工流产是意外怀孕的结果。联邦卫生部与不同利益攸关方合作,更好地开展工作,加强全面的生殖健康教育,特别是关于堕胎后果的教育。
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引用次数: 0
In Search for the Truth aboutHydroxychloroquine Prophylaxis ofCovid-19 探索羟氯喹预防covid -19的真相
Pub Date : 2021-01-01 DOI: 10.36648/1791-809X.21.S3.005
Elena Filipova, Elitsa Gotseva, K. Uzunova, V. Pavlova, S. Hristova, T. Vekov
Introduction: COVID-19, caused by the coronavirus SARS-CoV-2 has quickly spread around the world. Currently there is an active search for vaccines and therapeutics, including repurposing of well-known drugs. COVID-19 continues to be a challenge with only a few therapeutic and no chemoprophylactic interventions to combat the virus. Methods: We aimed to review available data for the application of hydroxychloroquine (HCQ) as a chemoprophylactic agent for COVID-19, outline weakness of published trials and assess the objectivity of conclusions regarding the possible benefits of HCQ prophylaxis against the novel coronavirus disease. Results: Our search turned 15 articles describing trials investigating the application of HCQ as a chemoprophylactic agent for COVID-19. Different cohorts of subjects were used, mainly health care workers exposed to coronavirus patients; people with rheumatic arthritis and systemic lupus erythematosus; cases of household transmission. Conclusions: Trials investigating the potential of HCQ to be a prophylactic agent for SARS-CoV-2 have quite conflicting results. Further research is required in the form of large randomized trials with carefully considered methodological approach which will help avoid limitations making the potential results unreliable.
由新型冠状病毒SARS-CoV-2引起的新型冠状病毒COVID-19在全球迅速蔓延。目前正在积极寻找疫苗和治疗方法,包括重新利用众所周知的药物。COVID-19仍然是一个挑战,只有少数治疗性干预措施,没有化学预防干预措施来对抗该病毒。方法:我们旨在回顾羟氯喹(HCQ)作为新型冠状病毒化学预防药物应用的现有数据,概述已发表试验的弱点,并评估关于HCQ预防新型冠状病毒疾病可能获益的结论的客观性。结果:我们检索了15篇描述研究HCQ作为COVID-19化学预防性药物应用的试验的文章。使用不同队列的受试者,主要是接触冠状病毒的医护人员;风湿性关节炎和系统性红斑狼疮患者;家庭传播病例。结论:研究HCQ作为SARS-CoV-2预防剂的潜力的试验结果非常矛盾。进一步的研究需要以大型随机试验的形式进行,采用仔细考虑的方法学方法,这将有助于避免使潜在结果不可靠的局限性。
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引用次数: 0
Comparison of the Analgesic Effectof Intramuscular Pethidine andIntramuscular Morphine on anOrthopedic Population in a CaribbeanTerritory 肌肉注射哌替啶和肌肉注射吗啡对加勒比海地区骨科人群镇痛效果的比较
Pub Date : 2021-01-01 DOI: 10.36648/1791-809X.15.2.806
Michele A Ragoonath, Dale Ventour
Introduction: Comparison of the analgesic effect of Intramuscular Pethidine and Intramuscular Morphine on an Orthopedic Population. Settings and Design: 1) Single Blinded Randomized Controlled study: Patients were divided into Morphine group or Pethidine group 2) Patient Satisfaction survey was administered to patients at the end of stay. Material and Methods: 1) Visual Analogue Scores (VAS) were taken at eight hourly intervals for three consecutive days or until the day of discharge. Incidence of opioid related complications was noted 2) A patient satisfaction survey was administered at the end of stay. Statistical Analysis: Average VAS during movement on day one during the 8am to 4pm period was calculated for both the morphine group and pethidine group. The percentage decrease in VAS was calculated for morphine vs. pethidine group on movement on Day 1. Pearson’s correlation was used to assess the relationship between opioid, side effects and overall patient satisfaction. T-test was used to evaluate the relationship between morphine, pethidine and twenty-four-hour pain relief.A one-way ANOVA test was used to evaluate the statistical significance between the morphine and the pethidine group and patient satisfaction. Results: The morphine group as compared with the pethidine group experienced an 18.5% decrease in Visual Analogue Score for pain on movement on day 1 (8 am-4 pm period). The morphine group was associated more drowsiness and prolonged time to first bowel action compared to the pethidine group. Only 1.4% (1) of patients experienced desaturation during the study which occurred in the morphine group. Overall, opioids were associated with minimal side effects and were generally safe to use. Patients who underwent regional anaesthesia used more morphine equivalents compared to those undergoing general anaesthesia. The morphine group was associated with overall increased patient satisfaction when compared to the Pethidine group. Conclusion: The study demonstrated a notable 18.5% decrease in VAS on movement with the morphine group as compared to pethidine group. Statistical significance was placed at 15%. Opioids were found to have a limited adverse side effect profile, with drowsiness and time to first bowel action being the most predominant. Only one patient representing 1.4% of the population had an episode of desaturation (Sp02 < 90%). Due to the minimal side effect profile opioids should be considered safe to use.
前言:肌注哌替啶与肌注吗啡对骨科人群镇痛效果的比较。设置与设计:1)单盲随机对照研究:将患者分为吗啡组和哌啶组;2)在患者出院时进行患者满意度调查。材料与方法:1)连续3天,每隔8小时进行视觉模拟评分(VAS),直至出院。记录阿片类药物相关并发症的发生率2)住院结束时进行患者满意度调查。统计分析:吗啡组和哌替啶组分别计算第一天上午8点至下午4点运动时VAS的平均值。计算吗啡组与哌替啶组在第1天运动时VAS下降百分比。使用Pearson相关性来评估阿片类药物、副作用和总体患者满意度之间的关系。采用t检验评价吗啡、哌替啶与24小时疼痛缓解的关系。采用单因素方差分析比较吗啡组和哌替啶组与患者满意度的差异有统计学意义。结果:与哌替啶组相比,吗啡组第1天(上午8时至下午4时)运动疼痛视觉模拟评分降低18.5%。与哌啶组相比,吗啡组更嗜睡,第一次排便时间更长。只有1.4%(1)的患者在研究期间发生了吗啡组的去饱和。总的来说,阿片类药物的副作用很小,而且通常是安全的。与接受全身麻醉的患者相比,接受区域麻醉的患者使用了更多的吗啡当量。与哌替啶组相比,吗啡组总体上增加了患者的满意度。结论:与哌啶组相比,吗啡组运动VAS评分明显降低18.5%。统计学显著性为15%。阿片类药物被发现具有有限的不良副作用,嗜睡和首次排便时间是最主要的。仅有1例患者(占总人数的1.4%)发生过血饱和度过低(Sp02 < 90%)。由于副作用最小,阿片类药物应该被认为是安全的。
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引用次数: 0
Strength Training as an Assistant Tool in the Prevention of Falls in Elderly Sarcopenics: a Review 力量训练作为预防老年肌肉减少症患者跌倒的辅助工具:综述
Pub Date : 2021-01-01 DOI: 10.36648/1791-809X.15.2.804
Jerônimo Ramos de Lima Silva, M. D. D. Silva, Adelmo José de Andrade, Katarina Kelly Dias Fern, es, P. P. Gomes, G. Santos, Thiago de Amorim Carvalho, Matheus Santos de Sousa Fern, Camila Tenório Calazans de Lira
An elderly society has been growing gradually in Brazil and after retirement some tend to show levels of sedentary behavior index. In addition, the aging process creates a weakness in physical and emotional health, in addition to other things, the increase in the number of falls, caused by dysfunction and loss of muscle mass, called Sarcopenia. Considering all the benefits of strength training for the most varied audiences and that the aging process is gradual and irreversible resulting in the development of Sarcopenia that tends to worsen with the lack of physical exercises, the objective of this study was to investigate how strength training can generate benefits in elderly people who present with Sarcopenia and promote the reduction of falls. From a literature review in the Scielo and PubMed databases, eight articles were selected to compose the results. Thus, it was possible to conclude that this protocol is known as an alternative for the prevention of falls due to Sarcopenia, since it is capable of promoting a significant increase in muscle mass, as well as improving the balance and functional capacity of the elderly.
巴西的老龄化社会正在逐渐扩大,退休后的一些人往往表现出久坐行为指数。此外,衰老过程会造成身体和心理健康的衰弱,除此之外,跌倒次数的增加,引起功能障碍和肌肉量的损失,称为肌肉减少症。考虑到力量训练对大多数不同受众的益处,以及衰老过程是渐进和不可逆转的,导致骨骼肌减少症的发展,并且随着缺乏体育锻炼而恶化,本研究的目的是研究力量训练如何对患有骨骼肌减少症的老年人产生益处,并促进减少跌倒。从Scielo和PubMed数据库的文献综述中,选择了八篇文章来组成结果。因此,可以得出结论,该方案是预防因肌肉减少症而跌倒的一种替代方案,因为它能够促进肌肉质量的显著增加,并改善老年人的平衡和功能能力。
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引用次数: 0
Cardiovascular System and SARS-COV-2 andndash; Etiology, Physiopathology and Clinical Presentation: a Systematic Review 心血管系统与SARS-COV-2的关系病因、生理病理和临床表现:系统回顾
Pub Date : 2021-01-01 DOI: 10.36648/1791-809X.21.15.845
Lucas de Alencar Viana Melo, Wantuil Matias Neto, M. Neto
Background: During SARS-CoV-1 and MiddleEast Respiratory Distress Syndrome (MERS) outbreaks, a particularlyelevated incidence of cardiovascular disease among patients was observed. With COVID-19, this correlation becomes evident again. However, the cardiovascular impacts by COVID-19 pandemic are not yet well established although there are constant publications about its potential deleterious effects. Thus, we aimed to carry a systematic review of the literature with meta-analysis based on thefollowing guiding question: what practical contributionsto the scientific literature produced in theperiod of 2019-2020 does the impact of the COVID-19 on cardiovascular system have to offer? Methods: A systematic review of the literature using the Virtual Health Library (VHL) and PubMed with the following descriptors: #1 "cardiovascular disease" [MeSH] AND #2 "COVID-19" [keyword], as well as their equivalents in the Portuguese and Spanish language, during the period from December 2019 to March 2020 was performed. Results: one hundred articles are found in Pubmed and twenty-seven are selected. In VHL there were 59 articles and four are selected totaling thirty-one papers. The findings were then divided into three subcategories: Etiology, Physiopathology and Risk factors of SARS-CoV-2 in Cardiovascular System; Clinical presentation, laboratory markers and imagenological aspects of SARS-CoV-2 in cardiovascular system; and Anti- Hypertensive Drugs, Cardiovascular System and SARS-CoV-2. Conclusions: It comes to the cardiovascular system, these issues are aggravated and urge as a joint commitment from researchers, medical and governmental organizations for carry out more robust studies with bold methodologies aimed at mapping prognostic factors and assertive therapeutic approaches in the management of cardiovascular complications of COVID- 19.
背景:在SARS-CoV-1和中东呼吸窘迫综合征(MERS)暴发期间,观察到患者中心血管疾病的发病率特别升高。对于COVID-19,这种相关性再次变得明显。然而,COVID-19大流行对心血管的影响尚未得到很好的确定,尽管不断有关于其潜在有害影响的出版物。因此,我们的目标是基于以下指导性问题,通过荟萃分析对文献进行系统综述:2019-2020年期间,COVID-19对心血管系统的影响对科学文献有何实际贡献?方法:在2019年12月至2020年3月期间,使用虚拟健康图书馆(VHL)和PubMed对具有以下描述符的文献进行系统综述:#1“心血管疾病”[MeSH]和#2“COVID-19”[关键词],以及它们在葡萄牙语和西班牙语中的等效词。结果:在Pubmed检索到100篇文章,筛选出27篇。VHL共59篇,入选4篇,共31篇。将研究结果分为3个亚类:SARS-CoV-2在心血管系统的病因学、生理病理和危险因素;SARS-CoV-2在心血管系统的临床表现、实验室标志物和影像学特征抗高血压药物、心血管系统与SARS-CoV-2的关系。结论:在心血管系统方面,这些问题正在加剧,并敦促研究人员、医疗和政府组织共同致力于开展更有力的研究,采用大胆的方法,旨在绘制预后因素,并采取果断的治疗方法,管理COVID- 19的心血管并发症。
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引用次数: 0
Unmet need for Family Planning and Associated Factors among Married and Union Reproductive-Age Women with Disability in Southern Ethiopia: Cross Sectional Study 埃塞俄比亚南部已婚和育龄残疾妇女未满足的计划生育需求及其相关因素:横断面研究
Pub Date : 2021-01-01 DOI: 10.36648/1791-809X.15.1.800
Yibeltal Mesfin
Background or Objectives: Ethiopia has high fertility rate which around 1% of the population is affect by one from of disability. However, a little know about factor affecting unmet need of family planning to disabled women. The aim of this study was to assess the unmet need for family planning and associated factors among married disabled women in southern Ethiopia. Methods: A community-based cross-sectional study was conducted among 312 disabled married and union women. Simple random sampling was adopted. Data were collected by four diploma midwife and one of them proficient in sign language. Epi-info TM version-7 and SPSS version 20 for were used for entry analysis of data respectively. Result: The prevalence of unmet family planning among disabled married and union were 25.17%. Factor significantly associated with unmet need for family planning were: age group 20-24 (AOR=5.4:95% CI,1.6-18.4) time more than age above 30, not discussed with their partners and negative attitude (AOR 3:95% CI, 1.3-7.1) & (AOR 2.4:95% CI, 1.1-5.6) times more likely than counterparts respectively. Conclusion: The level of unmet need of family planning methods was high among disabled married and union women and factors significantly associated were age, discuss with partner and attitude. Therefore governmental and non-governmental organizations should work on case by case. Male involvement on reproductive discussion should address.
背景或目的:埃塞俄比亚的生育率很高,大约1%的人口受到残疾的影响。然而,对影响残疾妇女计划生育需求未得到满足的因素了解甚少。本研究的目的是评估埃塞俄比亚南部已婚残疾妇女中未满足的计划生育需求及其相关因素。方法:以社区为单位,对312名已婚和已婚残疾妇女进行横断面调查。采用简单随机抽样。数据由四名拥有文凭的助产士收集,其中一名助产士精通手语。采用Epi-info TM version-7和SPSS version 20进行数据录入分析。结果:已婚和已婚残疾人计划生育未满足率为25.17%。与未满足计划生育需求显著相关的因素分别是:20-24岁年龄组(AOR=5.4:95% CI,1.6-18.4)比30岁以上年龄组多1倍,未与伴侣讨论和态度消极(AOR= 3:95% CI, 1.3-7.1)和(AOR= 2.4:95% CI, 1.1-5.6)。结论:残疾已婚和已婚妇女计划生育方法未满足程度较高,与年龄、与伴侣讨论和态度有显著相关。因此,政府和非政府组织应逐案工作。应解决男性参与生殖讨论的问题。
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引用次数: 0
Hypoglycemic Influence of PhytochemicalCompounds of Medicinal Plants and theirMechanism Action 药用植物化学成分对降血糖的影响及其作用机制
Pub Date : 2021-01-01 DOI: 10.36648/1791-809X.15.3.815
Walaa Fikry
Diabetes is very common among all social classes and among all age groups. Diabetes is represented in two types, the first type and usually it comes at a young age, and its main reason is the failure of the pancreas, which is the organ responsible for producing insulin, which is the hormone responsible for the metabolism of glucose, which causes its rise in diabetes, the second type and most often affects people after the age of 20 who have it. Some of the factors that cause diabetes, in which the pancreas is an active organ that produces insulin and performs its function, but there is something that prevents it from doing its job due to the presence of insulin resistance, and this is often what appears in people with obesity. Modern science has turned to alternative medicine to treat many diseases, including type 2 diabetes, in order to reduce the side effects of prescription drugsIn this review, some natural compounds will be summarized that may contribute to treating type 2 diabetes or trying to control and control it so that no complications occur.
糖尿病在所有社会阶层和所有年龄组中都很常见。糖尿病有两种类型,第一种类型通常在年轻时出现,其主要原因是胰腺功能衰竭,胰腺是负责产生胰岛素的器官,胰岛素是负责葡萄糖代谢的激素,导致糖尿病的增加,第二种类型最常影响20岁以后的人患有糖尿病。导致糖尿病的一些因素,胰腺是一个活跃的器官,它产生胰岛素并发挥其功能,但由于胰岛素抵抗的存在,有些东西阻止了它的工作,这通常出现在肥胖人群中。现代科学已经转向替代药物治疗许多疾病,包括2型糖尿病,以减少处方药的副作用。本文将总结一些可能有助于治疗2型糖尿病或试图控制和控制它,使其不会发生并发症的天然化合物。
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引用次数: 0
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