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Exposure to electromagnetic fields and users' health 暴露于电磁场与使用者的健康
Pub Date : 2021-10-01 DOI: 10.4103/iahs.iahs_181_21
B. Dehaghi, Alireza Ghamar, L. Ghavamabadi, S. Latifi
Aims: This study has examined exposure to electromagnetic fields (EMFs) and its effect on the general health of computer users. Materials and Methods: This cross-sectional study was performed by participating 73 employees. A calibrated galactooligosaccharide meter model HI-3603 was used to measure EMF and a general health questionnaire examined their health status. Statistical Analysis Used: For analyzing data, the t-test and Chi-square test were applied. Results: The electric field intensities in desktop monitors and laptops were 0.26–1.2 and 0.28–0.87 volts/m, respectively, which is higher than the standard levels. The results from the public health questionnaire revealed that 39% of computer users had some problems in general health status. A significant difference was observed between the general health of the two groups (P < 0.001). Conclusions: The role of using electronic equipment for communication and daily activities became more prominent. Therefore, it is clear that with the widespread use of this equipment, all members of society will be exposed to some kind of EMF. Therefore, people who work with computers due to their job will use this equipment to do things during other nonworking hours. As a result of this increase in the time of using electronic equipment, their health will be at risk.
目的:本研究调查了接触电磁场及其对计算机用户总体健康的影响。材料与方法:本横断面研究以73名员工为研究对象。使用校准过的半乳低聚糖计HI-3603型测量EMF,并使用一般健康问卷检查他们的健康状况。使用统计分析:数据分析采用t检验和卡方检验。结果:台式显示器和笔记本电脑的电场强度分别为0.26 ~ 1.2伏/m和0.28 ~ 0.87伏/m,均高于标准水平。公共健康问卷调查结果显示,39%的电脑使用者一般健康状况有问题。两组总体健康状况差异有统计学意义(P < 0.001)。结论:使用电子设备进行交流和日常活动的作用日益突出。因此,很明显,随着这种设备的广泛使用,所有社会成员都将接触到某种电磁场。因此,由于工作需要使用电脑的人会在其他非工作时间使用电脑来做事情。由于使用电子设备的时间增加,他们的健康将受到威胁。
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引用次数: 0
Assessing the safety status of Kashan University of Medical Sciences faculties by audit method in 2018 用审计法评估2018年卡山医学院院系安全状况
Pub Date : 2021-07-01 DOI: 10.4103/iahs.iahs_127_20
A. Khajevandi, Zahra Shafiei, H. Zamani-Badi, M. Hanani, S. Esmaeili
Aims: In any organization, there is a set of safety hazards that, if ignored, can lead to accidents. Universities can be considered a small example of organizations with all kinds of risks. The aim of this study was to investigate the level of safety noncompliance of Kashan University of Medical Sciences with the safety audit method. Materials and Methods: The present study is a descriptive cross-sectional study in which the safety status of faculties of Kashan University of Medical Sciences was assessed by audit. Audit checklists were prepared in accordance with national safety standards and regulations as well as the expert opinion of safety experts, including electrical safety, fire safety, general safety, safety requirements, beam safety, emergency response program, safety the pressure system, the safety of the elevators, and the general specifications of the faculties. Results: Based on this study, it was observed that in the areas of public safety, the highest noncompliance was reported in the areas of emergency, safety requirements, and pressure system with 88 cases (88.23%) and no noncompliance in the areas of public safety and elevators 0 (0%). According to the year of construction, the highest noncompliance was reported in the areas of emergency and safety requirements (100%) in 17 cases and the lowest noncompliance was in the field of public safety, which had no noncompliance 0 (0%). Conclusion: The safety situation of the classes of the studied faculties, especially in the subjects of safety requirements, emergency response program, and safety system under pressure, was at an unfavorable level. The most important reason for this was the lack of clear responsibilities and the lack of organizational structure in the field of safety issues, which in order to improve it, universities need to establish a safety management system.
目的:在任何组织中,都存在一系列安全隐患,如果忽视,可能导致事故。大学可以被看作是组织中存在各种风险的一个小例子。本研究的目的是利用安全审计方法调查卡山医科大学的安全不合规程度。材料与方法:本研究为描述性横断面研究,采用审计法对喀山医科大学院系安全状况进行评估。根据国家安全标准和法规以及安全专家的专家意见编制了审计检查清单,包括电气安全、消防安全、一般安全、安全要求、梁安全、应急响应方案、压力系统安全、电梯安全、院系一般规范等。结果:本研究发现,在公共安全领域中,突发事件、安全要求和压力系统领域的不合规报告最多,为88例(88.23%),公共安全领域和电梯领域无违规报告(0%)。按建设年份划分,在应急和安全要求领域报告的不合规情况最多(100%)17例,在公共安全领域报告的不合规情况最少,没有不合规情况0(0%)。结论:所研究院系班级的安全状况处于不利水平,特别是在安全要求、应急响应程序和压力下的安全系统方面。最重要的原因是在安全问题领域缺乏明确的责任和组织结构,为了改善安全问题,大学需要建立安全管理体系。
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引用次数: 1
Effectiveness of acceptance and commitment therapy on perfectionism and resilience in migraine patients 接受承诺疗法对偏头痛患者完美主义和心理弹性的影响
Pub Date : 2021-07-01 DOI: 10.4103/iahs.iahs_115_20
Nazila Esmaeili, P. Asgari, N. Khorami, S. Bakhtiarpour
Aims: According to the World Health Organization, migraine is the twentieth rank among all disability-causing disorders. The present study aimed to evaluate the effectiveness of acceptance and commitment therapy (ACT) on perfectionism and resilience in migraine patients. Materials and Methods: The research method was semi-experimental with a pretest–posttest design and a control group. The statistical population of the study included all patients with migraine who presented to neurologists in Tehran in the fall of 2018, from which thirty patients were selected using convenience sampling method and randomly assigned to experimental and control groups. The data were collected by the Connor-Davidson Resilience Scale and Ahvaz Perfectionism Scale (APS). The experimental group received ACT in eight weekly sessions, while the control group was on the waiting list. The data were analyzed using the multivariate analysis of covariance. Results: Findings showed that there was a difference between the control and experimental groups in perfectionism and resilience means at the posttest level. Regarding the means of the variables after the intervention, results showed that those patients who received the intervention had more resilience and lower perfectionism than those who were in the waitlist control group. Therefore, the ACT was effective on perfectionism (P < 0.001) and resilience (P < 0.001) of migraine patients. Conclusion: Given the effectiveness of ACT, it is recommended to use the ACT as a supplementary therapy with medical treatments for migraine patients. Theoretical and practical implications are discussed in the discussion section.
目的:根据世界卫生组织,偏头痛在所有致残疾病中排名第20位。本研究旨在评估接受与承诺疗法(ACT)对偏头痛患者完美主义和心理弹性的影响。材料与方法:研究方法为半实验,采用前测后测设计,并设对照组。该研究的统计人群包括2018年秋季在德黑兰向神经科医生就诊的所有偏头痛患者,其中30名患者采用方便抽样方法,随机分配到实验组和对照组。数据采用Connor-Davidson弹性量表和Ahvaz完美主义量表(APS)收集。实验组接受每周一次的ACT治疗,而对照组则在等待名单上。采用多变量协方差分析对数据进行分析。结果:在测试后水平上,控制组和实验组在完美主义和弹性手段上存在差异。对于干预后的变量均值,结果显示,接受干预的患者比等待名单对照组的患者有更高的弹性和更低的完美主义。因此,ACT对偏头痛患者的完美主义(P < 0.001)和恢复力(P < 0.001)有效。结论:鉴于ACT的有效性,建议将ACT作为偏头痛患者药物治疗的补充疗法。理论和实践意义将在讨论部分讨论。
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引用次数: 1
The correlation of character traits with job burnout among Beheshti Hospital nurses in Kashan during 2015 2015年喀山Beheshti医院护士性格特征与工作倦怠的相关性研究
Pub Date : 2021-07-01 DOI: 10.4103/iahs.iahs_155_20
M. Kashani, Maryam Alam, Mahdieh Kaveh, Mitra Hannani, H. Akbari
Introduction: Occupational burnout is one of the complications of work and a psychological syndrome including emotional exhaustion, depersonalization, and feeling of inadequacy. Furthermore, personality traits such as openness, conscientiousness, extroversion, agreeableness, and neuroticism can affect the degree of occupational burnout. This study is to investigate the relationship between these two factors. Materials and Methods: This descriptive study was performed on 87 nurses from Kashan Beheshti Hospital. We used Neo and Maslach questionnaires to investigate the personality traits and occupational burnout. Sampling was performed by a simple random sampling method, and the data were collected by Neo and Maslach questionnaires. Statistical analysis was performed using Chi-square, Fisher exact test, independent t-test, and Pearson correlation coefficient. Results: In general, there is a significant relationship between different aspects of occupational burnout with personality traits. There was no significant relationship between occupational burnout and age (P < 0.262), while there was a relationship between occupational desirability and age. There was no significant relationship between the frequency and severity of occupational burnout in the various aspects of age, sex, and marital status of nurses. There is also no relationship between personality traits and these three factors. Conclusion: The study showed that the personality traits of nurses are effective in their occupational burnout. Furthermore, compare to depersonalization, emotional exhaustion, and feeling of inadequacy in nurses is more related to personality traits and the modification of work environment and reduction of work stress are recommended for these employees.
职业倦怠是工作的并发症之一,是一种心理综合症,包括情绪衰竭、人格解体和不足感。此外,开放性、严谨性、外向性、亲和性、神经质等人格特质也会影响职业倦怠的程度。本研究旨在探讨这两个因素之间的关系。材料与方法:对喀山贝赫什蒂医院87名护士进行描述性研究。采用Neo和Maslach问卷调查人格特质与职业倦怠的关系。抽样采用简单随机抽样法,数据采用Neo和Maslach问卷收集。统计学分析采用卡方检验、Fisher精确检验、独立t检验和Pearson相关系数。结果:总体而言,职业倦怠各方面与人格特质之间存在显著相关。职业倦怠与年龄无显著相关(P < 0.262),职业渴望与年龄有显著相关。护士职业倦怠的发生频率与严重程度在年龄、性别、婚姻状况等各方面均无显著相关。人格特质和这三个因素之间也没有关系。结论:人格特质对护士职业倦怠有显著影响。此外,与人格解体相比,护士的情绪耗竭和不足感与人格特质的关系更大,建议护士改善工作环境,减轻工作压力。
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引用次数: 0
The effect of adobe connect virtual classrooms on medical students' technical vocabulary learning: Achievements and challenges adobeconnect虚拟教室对医学生技术词汇学习的影响:成就与挑战
Pub Date : 2021-07-01 DOI: 10.4103/iahs.iahs_15_21
M. Najafi, M. Heidari-Shahreza, S. Ketabi
Aims: With advances in computer technology, the recent decade has witnessed a growth in resources and an increase in the availability of devices for language learning and teaching. This study aimed at investigating the effect of Adobe Connect virtual classrooms on technical vocabulary learning of students of medicine as well as to explore their attitudes toward Adobe Connect virtual classrooms. Materials and Methods: This quasi-experimental study was performed on 60 EFL students of medicine studying at Kashan University of Medical Sciences, Kashan, Iran. To ensure the participants' homogeneity in terms of language proficiency, the Oxford Quick Placement Test was used. The participants were randomly divided into two groups (n = 30): conventional teacher-centered and Adobe Connect virtual groups. Data were collected using pre- and post-tests of technical medical vocabularies to evaluate vocabulary knowledge and a five-point Likert scale to evaluate the students' attitudes toward Adobe Connect virtual classrooms. Data were analyzed using an independent t-test and a paired t-test by SPSS version 22. Results: The results revealed no significant difference in the mean scores of the vocabulary test between the conventional teacher-centered and Adobe Connect virtual groups before training (P = 0.757); however, the mean vocabulary scores after training in the Adobe Connect virtual group was significantly higher than the conventional group (P < 0.001). Conclusion: The findings of the present study show the effectiveness of the Adobe Connect virtual classrooms and students' satisfaction with such a virtual environment in terms of technical medical vocabulary learning.
目的:随着计算机技术的进步,近十年来,用于语言学习和教学的资源和设备的可用性不断增加。本研究旨在调查Adobe Connect虚拟教室对医学专业学生技术词汇学习的影响,并探讨他们对Adobe Connect虚拟教室的态度。材料和方法:本准实验研究在伊朗卡尚医学大学的60名EFL医学学生中进行。为了保证被试在语言能力上的同质性,我们使用了牛津快速分班测试。参与者被随机分为两组(n = 30):传统的以教师为中心的组和Adobe Connect虚拟组。采用医学技术词汇的前测和后测来评估词汇知识,采用李克特五点量表来评估学生对Adobe Connect虚拟教室的态度。数据分析采用SPSS version 22独立t检验和配对t检验。结果:培训前以教师为中心的传统组与Adobe Connect虚拟组词汇测试均分差异无统计学意义(P = 0.757);然而,adobeconnect虚拟组训练后的平均词汇得分显著高于常规组(P < 0.001)。结论:本研究结果显示了Adobe Connect虚拟教室在医学技术词汇学习方面的有效性和学生对虚拟环境的满意度。
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引用次数: 1
Differential expression of blaCTX-M-33 with vancomycin/trimethoprim combination in Escherichia coli-producing extended-spectrum β-lactamase isolated from intensive care unit-acquired urinary tract infection blaCTX-M-33与万古霉素/甲氧苄氨嘧啶联合在重症监护病房获得性尿路感染产大肠杆菌延伸谱β-内酰胺酶中的差异表达
Pub Date : 2021-07-01 DOI: 10.4103/iahs.iahs_39_21
F. Hosseini, A. Khodavandi, F. Alizadeh
Aim: The aim of this study was to develop combination approach for the treatment of Escherichia coli-producing extended-spectrum β-lactamases (ESBLs) isolated from intensive care unit (ICU)-acquired urinary tract infections (UTIs). Materials and Methods: The observational study was conducted between January 5, 2018- June 5, 2019 to isolate and detect E. coli from UTI patients admitted to ICUs in Shahid Rajaee hospital, Gachsaran, Iran. Morphological, biochemical and molecular methods were conducted to identify E. coli isolates. Phenotypic confirmation of E. coli producing ESBL was performed using ESBL disc diffusion test according to the Clinical and Laboratory Standards Institute (CLSI) guidelines. The combination index assay set-up was based on CLSI guidelines to investigate antibacterial susceptibilities to vancomycin alone and in combination with trimethoprim and interpreted with the fractional inhibitory concentration (FIC) index. Eventually, the expression levels of blaCTX-M-33 gene were determined by real-time quantitative reverse transcription–polymerase chain reaction. Results: A total of 90 ICU-acquired UTIs occurred among 255 patients. The combination index assay results showed that vancomycin/trimethoprim combination would be reduced its minimal inhibitory concentration90 value. The vancomycin/trimethoprim combination revealed partial synergistic and indifferent effects (FIC = 0.52–1.50) in the isolates of E. coli-producing ESBL. The results of gene expression analysis indicated that vancomycin/trimethoprim combination caused downregulation of blaCTX-M-33 gene at negligible levels by 55.56–58.82-fold and stopped drug resistant. Conclusion: Vancomycin/trimethoprim combination may diminish resistance in the E. coli-producing ESBL isolated from ICU-acquired UTI patients.
目的:本研究的目的是开发联合治疗从重症监护病房(ICU)获得性尿路感染(uti)分离的产大肠杆菌广谱β-内酰胺酶(ESBLs)的方法。材料与方法:该观察性研究于2018年1月5日至2019年6月5日期间在伊朗Gachsaran Shahid Rajaee医院icu住院的尿路感染患者中分离和检测大肠杆菌。采用形态学、生化和分子学方法对分离的大肠杆菌进行鉴定。根据临床和实验室标准协会(CLSI)的指南,采用ESBL圆盘扩散试验对产生ESBL的大肠杆菌进行表型确认。联合指数试验建立基于CLSI指南,以调查万古霉素单独使用和与甲氧苄啶联合使用的抗菌敏感性,并用分数抑制浓度(FIC)指数进行解释。最终通过实时定量逆转录-聚合酶链反应测定blaCTX-M-33基因的表达水平。结果:255例患者共发生icu获得性尿路感染90例。联合指数测定结果表明,万古霉素/甲氧苄氨嘧啶联用可降低其最小抑菌浓度90值。万古霉素/甲氧苄氨嘧啶联合用药对大肠杆菌ESBL有部分增效作用(FIC = 0.52 ~ 1.50)。基因表达分析结果显示,万古霉素/甲氧苄氨嘧啶联合用药可使blaCTX-M-33基因在可忽略水平下调55.56 ~ 58.82倍,停止耐药。结论:万古霉素/甲氧苄啶联用可降低icu获得性尿路感染患者产大肠杆菌ESBL的耐药性。
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引用次数: 0
An overview of comparing chemical oxygen demand removal methods from landfill leachate 垃圾渗滤液化学除氧方法的比较综述
Pub Date : 2021-07-01 DOI: 10.4103/iahs.iahs_43_21
Fatemeh Mohebbi, R. Dehghani, Faezeh Tarazouj, Marzieh Akbari, Mahsa Rovan, G. Mostafaii
Aims: Landfill leachate contains many pollutants including chemical oxygen demand (COD), biological oxygen demand, ammonia nitrogen, organic matter, minerals, and toxins. Given the importance of COD removal from landfill leachate, this study was conducted to evaluate and compare different methods used for the removal of COD from leachate. Materials and Methods: This study was conducted as a narrative review using keywords of leachate, COD, landfill in related journals issued in scientific databases such as Web of Science, PubMed, SID, and Google Scholar. We reviewed different aspects of COD removal from leachate to find better options in this respect. Results: The highest rate of COD removal was observed for batch reactor methods of anaerobic and aerobic granular activated carbon and electro Fenton by 98.4% COD removal, and the lowest one was 22.7% for the electro-Fenton method. The most commonly used methods for removing COD from solidwaste leachate have been physical and chemical methods. Conclusion: This study showed that a wide range method has been used to remove COD from leachate. It seems that combined methods are more effective to reduce the content of leachate COD. Besides, methods such as Fenton and absorption are more preferable because of simple application and low energy consumption.
目的:垃圾渗滤液含有化学需氧量(COD)、生物需氧量、氨氮、有机物、矿物质和毒素等多种污染物。鉴于垃圾渗滤液中COD去除的重要性,本研究对垃圾渗滤液中COD去除的不同方法进行了评价和比较。材料与方法:本研究以Web of Science、PubMed、SID、Google Scholar等科学数据库发表的相关期刊上的渗滤液、COD、填埋场等关键词为叙述性综述。我们检讨了从渗滤液中去除COD的不同方面,以寻找在这方面更好的选择。结果:厌氧、好氧颗粒活性炭和电芬顿间歇式反应器法COD去除率最高,为98.4%,电芬顿法最低,为22.7%。从固体废物渗滤液中去除COD最常用的方法是物理和化学方法。结论:本研究表明,该方法可广泛用于去除渗滤液中的COD。综合处理方法对降低渗滤液COD含量更为有效。此外,Fenton法和吸收法应用简单,能耗低,是较好的方法。
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引用次数: 0
The prevalence of latex sensitivity among operating room personnel: A systematic review and meta-analysis 手术室人员乳胶敏感性的流行:一项系统回顾和荟萃分析
Pub Date : 2021-07-01 DOI: 10.4103/iahs.iahs_119_20
Reza Tavakkol, N. Hatami, Soheil Hassanipour, Mahdi Malakoutikhah
Aims: Latex sensitivity has been a concern for health-care workers in recent years. Due to the excessive exposure to latex products in the operating room, the personnel of this department are exposed to high sensitivity to these products. Therefore, the present study was conducted to investigate the prevalence of latex sensitivity among operating room personnel. Materials and Methods: This systematic review and meta-analysis conducted based on a Preferred Reporting Items for Systematic Reviews and Meta-Analysis checklist. The present study researchers explored four international databases, namely Medline/PubMed, ProQuest, Scopus, and Embase in February 2020. The selected keywords for international databases were classified into three categories (a) operating room personnel, (b) latex sensitivity, and (c) prevalence. The collected data were entered into the EndNote X8 software and analytical analysis was performed by STATA statistical software version 12. Results: Seventy-five articles were found by searching for databases. After several screening steps, 12 articles entered the final analysis. The results show that the prevalence of latex sensitivity in total is 14.76 (confidence interval 95%: 9.27–20.25). Meta-regression results showed that the relationship between the years of study and the prevalence of latex sensitivity is not statistically significant (P = 0.222). Conclusion: The results of the present study showed that sensitivity to latex is significantly prevalent among operating room staff. Due to the importance of sterility and sensitive working conditions in the operating room, as well as frequent contact with latex products, it is important to pay attention to the side effects caused by latex powder.
目的:乳胶敏感性近年来一直是卫生保健工作者关注的问题。由于在手术室中接触乳胶制品过多,本科室人员对乳胶制品的敏感性较高。因此,本研究旨在调查手术室人员乳胶敏感性的流行情况。材料和方法:本系统评价和荟萃分析基于系统评价和荟萃分析清单的首选报告项目进行。本研究研究人员于2020年2月对Medline/PubMed、ProQuest、Scopus和Embase四个国际数据库进行了探索。选定的国际数据库关键词分为三类(a)手术室人员,(b)乳胶敏感性,(c)患病率。采集数据输入EndNote X8软件,采用STATA统计软件12版进行分析分析。结果:检索到文献75篇。经过几个筛选步骤,12篇文章进入最终分析。结果表明,总乳胶敏感性患病率为14.76(置信区间95%:9.27 ~ 20.25)。meta回归结果显示,研究年限与乳胶敏感性患病率之间的关系无统计学意义(P = 0.222)。结论:本研究结果表明,手术室工作人员对乳胶的敏感性明显普遍。由于手术室无菌和敏感工作条件的重要性,以及与乳胶制品的频繁接触,因此要注意乳胶粉引起的副作用。
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引用次数: 0
The simultaneous effect of ambient temperature and light intensity on performance: A cross-sectional study 环境温度和光照强度对性能的同时影响:一项横断面研究
Pub Date : 2021-07-01 DOI: 10.4103/iahs.iahs_125_20
Mahdi Malakoutikhah, H. Rabiei, Asma Zare, A. Omidvar
Aims: Environmental conditions affect workers health and performance. The present study aimed to investigate the simultaneous effect of ambient temperature and light intensity on human error. Materials and Methods: This cross-sectional study was conducted on 50 students from Shiraz University of Medical Sciences. Each participant performed 9 tests in 5 min at 3 different temperatures (20°C, 25°C, and 30°C) and 3 lighting conditions (50, 500, and 1000 lux). The participants were asked to select a text randomly. Participants asked to read the text in just 6 min and identify the mistakes. In each step, the number of remaining lines, number of spelling mistakes found, and task completion time were estimated. Results: There was no significant relationship between the temperature and the number of remaining lines, the number of spelling mistakes, and the task completion time (P > 0.05). However, the relationship between different light intensity and the number of remaining lines and number of spelling mistakes was statically significant (P < 0.05). At a lighting of 500, 1000 lux, and a temperature of 25°C, male subjects performed better. Unlike men, women's performance was not affected that much by the light intensity and only declined slightly in the 1000 lux and at 20°C. Conclusions: The results showed that light intensity could be important to create a suitable environment for reducing human error. If the temperature could not increase in an environment due to the nature of a job or economic issues, reducing human errors could achieve by increasing light intensity.
目的:环境条件影响工人的健康和工作表现。本研究旨在探讨环境温度和光照强度对人为误差的同时影响。材料与方法:对设拉子医科大学50名学生进行横断面研究。每个参与者在5分钟内在3种不同温度(20°C、25°C和30°C)和3种照明条件(50、500和1000勒克斯)下进行9次测试。参与者被要求随机选择一篇文章。参与者被要求在6分钟内阅读文章并找出错误。在每个步骤中,估计剩余行数、发现的拼写错误数量和任务完成时间。结果:温度与剩余行数、拼写错误数、任务完成时间无显著关系(P > 0.05)。然而,不同光照强度与剩余行数和拼写错误数之间的关系具有统计学意义(P < 0.05)。在500,1000勒克斯的照明和25°C的温度下,男性受试者表现更好。与男性不同,女性的表现不受光照强度的影响太大,只在1000勒克斯和20°C下略有下降。结论:光照强度对营造适宜的环境减少人为失误具有重要意义。如果由于工作性质或经济问题,环境中的温度无法升高,则可以通过增加光照强度来减少人为错误。
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引用次数: 0
The impact of COVID-19 pandemic on the burden and the pattern of hospitalization from COVID-19 unrelated illnesses among children in barbados – A preliminary report from an ongoing study COVID-19大流行对巴巴多斯儿童因COVID-19无关疾病而负担和住院模式的影响——一项正在进行的研究的初步报告
Pub Date : 2021-07-01 DOI: 10.4103/iahs.iahs_6_21
Alok Kumar, Janine Taitt, Prerna Singh
Aims: In this study, we aim to describe the impact of COVID-19 pandemic on the burden and pattern of hospitalization from the COVID-19-unrelated illnesses among children in Barbados. Materials and Methods: This is a population-based prospective clinical audit. It included children (Age <16 years) admitted for COVID-19-unrelated illnesses to the only tertiary care hospital in this country during the ongoing COVID-19 pandemic. This audit covers the period extending from April to July 2020. The audit data for the corresponding period in 2019 and and 2018, which were also collected prospectively, was used as historical control. Results: There were a total of 178 pediatric medical admissions (PMAs) in this country from April to July 2020. This was a decline of 47.2% (95% confidence interval [CI] = 41.6%, 52.5%) compared to the 336 PMA during the corresponding period in 2019 and 2018. The decline in the number of admissions from asthma phenotypes, respiratory infections, and gastrointestinal infections accounted for 88.0% (95% CI – 78.6%, 94.8%) of the total decline in PMA during the pandemic-related lockdown period when compared with the corresponding period in 2019. The difference in the proportion of children who required transfer to the pediatric intensive care unit during the pandemic and the corresponding period in 2019 and 2018 was statistically not significant (P = 0.8234). Conclusions: A sharp decline in the admissions from asthma phenotypes and those from the respiratory tract and gastrointestinal tract infections resulted in a close to 50% decline in hospitalizations from COVID-19-unrelated illnesses among children in this population.
目的:在本研究中,我们旨在描述COVID-19大流行对巴巴多斯儿童因COVID-19无关疾病住院的负担和模式的影响。材料和方法:这是一项基于人群的前瞻性临床审计。它包括在持续的COVID-19大流行期间因与COVID-19无关的疾病而入住该国唯一一家三级保健医院的儿童(年龄<16岁)。本次审计期间为2020年4月至7月。采用前瞻性收集的2019年和2018年同期审计数据作为历史对照。结果:2020年4月至7月,全国共有178例儿科住院(pma)。与2019年和2018年同期的336 PMA相比,下降了47.2%(95%置信区间[CI] = 41.6%, 52.5%)。与2019年同期相比,在与大流行相关的封锁期间,哮喘表型、呼吸道感染和胃肠道感染入院人数的下降占PMA总降幅的88.0% (95% CI - 78.6%, 94.8%)。2019年和2018年大流行期间需要转入儿科重症监护病房的儿童比例与同期差异无统计学意义(P = 0.8234)。结论:哮喘表型以及呼吸道和胃肠道感染入院人数急剧下降,导致该人群中与covid -19无关疾病的儿童住院人数下降了近50%。
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引用次数: 2
期刊
International Archives of Health Sciences
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