Objective: Sarcopenia is more common in maintenance hemodialysis (MHD) patients, and the aim of this study is to analyze the risk factors associated with sarcopenia in MHD patients, along with its correlation to emotional status and quality of life. Methods: This is a cross-sectional cohort study. A total of 111 MHD patients who were treated in the Department of Nephrology of our hospital were selected as the study subjects by convenience sampling. The quality of life and emotional status were evaluated by health survey scale (SF-36), self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Regression analysis was used to explore the influencing factors of sarcopenia. Correlation analysis was used to investigate the correlation between sarcopenia and quality of life and emotional status. Results: The prevalence of sarcopenia was 59.8%. The results showed that age, gender, body mass index (BMI), dialysis time, economic status, marital status and pre-dialysis creatinine were significant factors affecting the development of sarcopenia in hemodialysis patients (p< 0.05). The SF-36 total score was significantly lower in the sarcopenia group (72.05± 12.28 vs 78.03± 10.55) than in the non-sarcopenia group, but the anxiety scale score (52.97± 4.67 vs 36.2± 3.36) and depression scale score (57.67± 4.58 vs 38.71± 3.77) were significantly higher than those in the non-sarcopenia group (p< 0.001). Correlation analysis showed that sarcopenia was positively correlated with SAS and SDS scores and negatively correlated with SF-36 total score (p < 0.05). Conclusion: The risk of sarcopenia was higher among MHD patients who were older, male, single, with a longer MHD duration, lower economic status, lower BMI, comorbid diabetes and lower levels of creatinine.
研究目的本研究旨在分析维持性血液透析（MHD）患者肌肉疏松症的相关风险因素，以及其与情绪状态和生活质量的相关性：这是一项横断面队列研究。方法：这是一项横断面队列研究，以方便抽样法选取了在本院肾内科接受治疗的 111 名肌肉疏松症患者作为研究对象。通过健康调查量表（SF-36）、焦虑自评量表（SAS）和抑郁自评量表（SDS）对患者的生活质量和情绪状况进行评估。回归分析用于探讨肌肉疏松症的影响因素。相关分析用于研究肌肉疏松症与生活质量和情绪状态之间的相关性：结果：肌肉疏松症的发病率为 59.8%。结果显示，年龄、性别、体重指数（BMI）、透析时间、经济状况、婚姻状况和透析前肌酐是影响血液透析患者出现肌肉疏松症的重要因素（p< 0.05）。肌肉疏松症组的 SF-36 总分（72.05± 12.28 vs 78.03±10.55）明显低于非肌肉疏松症组，但焦虑量表得分（52.97± 4.67 vs 36.2±3.36）和抑郁量表得分（57.67± 4.58 vs 38.71±3.77）明显高于非肌肉疏松症组（p< 0.001）。相关分析显示，肌肉疏松症与 SAS 和 SDS 评分呈正相关，与 SF-36 总分呈负相关（p < 0.05）：关键词：维持性血液透析；肌肉疏松症；生活质量；风险因素；横断面研究
{"title":"Analysis of Risk Factors of Sarcopenia in Patients with Maintenance Hemodialysis and Its Correlation with Emotional Status and Quality of Life","authors":"Yong-Yao Wu, Jun-Yuan Li, Qiao-Jing Xia, Yi-Yi Gao, Chao Zhang, Peng-Jie Xu, Jiang Liu, Hao-Jie Zhang, Ri-Zhen Yu","doi":"10.2147/jmdh.s469900","DOIUrl":"https://doi.org/10.2147/jmdh.s469900","url":null,"abstract":"<strong>Objective:</strong> Sarcopenia is more common in maintenance hemodialysis (MHD) patients, and the aim of this study is to analyze the risk factors associated with sarcopenia in MHD patients, along with its correlation to emotional status and quality of life.<br/><strong>Methods:</strong> This is a cross-sectional cohort study. A total of 111 MHD patients who were treated in the Department of Nephrology of our hospital were selected as the study subjects by convenience sampling. The quality of life and emotional status were evaluated by health survey scale (SF-36), self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Regression analysis was used to explore the influencing factors of sarcopenia. Correlation analysis was used to investigate the correlation between sarcopenia and quality of life and emotional status.<br/><strong>Results:</strong> The prevalence of sarcopenia was 59.8%. The results showed that age, gender, body mass index (BMI), dialysis time, economic status, marital status and pre-dialysis creatinine were significant factors affecting the development of sarcopenia in hemodialysis patients (<em>p</em>< 0.05). The SF-36 total score was significantly lower in the sarcopenia group (72.05± 12.28 vs 78.03± 10.55) than in the non-sarcopenia group, but the anxiety scale score (52.97± 4.67 vs 36.2± 3.36) and depression scale score (57.67± 4.58 vs 38.71± 3.77) were significantly higher than those in the non-sarcopenia group (p< 0.001). Correlation analysis showed that sarcopenia was positively correlated with SAS and SDS scores and negatively correlated with SF-36 total score (p < 0.05).<br/><strong>Conclusion:</strong> The risk of sarcopenia was higher among MHD patients who were older, male, single, with a longer MHD duration, lower economic status, lower BMI, comorbid diabetes and lower levels of creatinine.<br/><br/><strong>Keywords:</strong> maintenance hemodialysis, sarcopenia, quality of life, risk factors, cross-sectional studies<br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141867408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Letter for the article Effectiveness of Husbands’ Support Exclusive Breastfeeding Facebook Programme During the COVID-19 Pandemic
致 COVID-19 大流行期间丈夫支持纯母乳喂养 Facebook 计划的效果一文的信
{"title":"Effectiveness of Husbands’ Support Exclusive Breastfeeding Facebook Programme During the COVID-19 Pandemic [Letter]","authors":"Hem Jivani, Aditi Popli","doi":"10.2147/jmdh.s486859","DOIUrl":"https://doi.org/10.2147/jmdh.s486859","url":null,"abstract":"Letter for the article Effectiveness of Husbands’ Support Exclusive Breastfeeding Facebook Programme During the COVID-19 Pandemic","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141867409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Sustained hyperlipidemia contributes to fatty liver and liver cirrhosis. Red yeast rice (RYR) effectively improved the lipid profile; however, the effects of RYR on the risk of incident liver cirrhosis remain to be elucidated. We aimed to evaluate the beneficial effects of RYR use on the risk and outcome of liver cirrhosis. Patients and methods: We identified 156,587 adults who had newly diagnosed hyperlipidemia in 2010– 2016 from health insurance data in this retrospective cohort study. Using propensity score matching, we selected 34,367 patients who used RYR and 34,367 patients who used lovastatin. Events of incident liver cirrhosis that occurred in the two cohorts during the follow-up period of 2010– 2019 were identified. We calculated adjusted hazard ratios (HRs) and 95% confidence intervals (Cis) for liver cirrhosis risk associated with RYR use in the multiple Cox proportional hazard model. Results: Compared with patients who used lovastatin, patients who used RYR had a decreased risk of liver cirrhosis (HR 0.60, 95% CI 0.57– 0.63), and this association was significant in various subgroups. A biological gradient relationship between the frequency of RYR use and decreased liver cirrhosis was observed (p for trend < 0.0001). Reduced postcirrhosis jaundice (HR 0.56, 95% CI 0.43– 0.72), ascites (HR 0.37, 95% CI 0.28– 0.50), hepatic coma (HR 0.36, 95% CI 0.26– 0.50), and mortality (HR 0.48, 95% CI 0.38– 0.61) were also associated with RYR use. Conclusion: We demonstrated the beneficial effects of RYR use on the risk and outcome of liver cirrhosis; however, the lack of compliance data should be considered. However, our study did not infer causality or claim the superiority of RYR over lovastatin.
Keywords: hyperlipidemia, liver cirrhosis, lovastatin, outcome, red yeast rice, risk
目的：持续的高脂血症会导致脂肪肝和肝硬化。红酵母米（RYR）能有效改善血脂状况；然而，红酵母米对肝硬化发病风险的影响仍有待阐明。我们的目的是评估服用红酵母米对肝硬化风险和结果的有益影响：在这项回顾性队列研究中，我们从医疗保险数据中确定了156587名在2010-2016年间新诊断出高脂血症的成年人。通过倾向得分匹配，我们选择了34367名使用RYR的患者和34367名使用洛伐他汀的患者。我们确定了两个队列在 2010 年至 2019 年随访期间发生的肝硬化事件。我们在多重 Cox 比例危险模型中计算了与使用 RYR 相关的肝硬化风险的调整后危险比（HRs）和 95% 置信区间（Cis）：与使用洛伐他汀的患者相比，使用 RYR 的患者罹患肝硬化的风险较低（HR 0.60，95% CI 0.57-0.63），而且这种关联在不同的亚组中都很显著。使用 RYR 的频率与肝硬化发生率的降低之间存在生物梯度关系（趋势 p 为 0.0001）。肝硬化后黄疸（HR 0.56，95% CI 0.43-0.72）、腹水（HR 0.37，95% CI 0.28-0.50）、肝昏迷（HR 0.36，95% CI 0.26-0.50）和死亡率（HR 0.48，95% CI 0.38-0.61）的降低也与使用 RYR 有关：结论：我们的研究表明，使用 RYR 对肝硬化的风险和预后都有益处，但应考虑到缺乏依从性数据。然而，我们的研究并未推断出因果关系，也未宣称红酵母米优于洛伐他汀。关键词：高脂血症 肝硬化 洛伐他汀 结局 红酵母米 风险
{"title":"Real-World Risk and Outcome of Liver Cirrhosis in Patients with Hyperlipidemia Treated with Red Yeast Rice: A Retrospective Cohort Study","authors":"Chuen-Chau Chang, Chun-Chieh Yeh, Cheng Tiong, Mao-Feng Sun, Jaung-Geng Lin, Yih-Giun Cherng, Ta-Liang Chen, Chien-Chang Liao","doi":"10.2147/jmdh.s466696","DOIUrl":"https://doi.org/10.2147/jmdh.s466696","url":null,"abstract":"<strong>Objective:</strong> Sustained hyperlipidemia contributes to fatty liver and liver cirrhosis. Red yeast rice (RYR) effectively improved the lipid profile; however, the effects of RYR on the risk of incident liver cirrhosis remain to be elucidated. We aimed to evaluate the beneficial effects of RYR use on the risk and outcome of liver cirrhosis.<br/><strong>Patients and methods:</strong> We identified 156,587 adults who had newly diagnosed hyperlipidemia in 2010– 2016 from health insurance data in this retrospective cohort study. Using propensity score matching, we selected 34,367 patients who used RYR and 34,367 patients who used lovastatin. Events of incident liver cirrhosis that occurred in the two cohorts during the follow-up period of 2010– 2019 were identified. We calculated adjusted hazard ratios (HRs) and 95% confidence intervals (Cis) for liver cirrhosis risk associated with RYR use in the multiple Cox proportional hazard model.<br/><strong>Results:</strong> Compared with patients who used lovastatin, patients who used RYR had a decreased risk of liver cirrhosis (HR 0.60, 95% CI 0.57– 0.63), and this association was significant in various subgroups. A biological gradient relationship between the frequency of RYR use and decreased liver cirrhosis was observed (p for trend < 0.0001). Reduced postcirrhosis jaundice (HR 0.56, 95% CI 0.43– 0.72), ascites (HR 0.37, 95% CI 0.28– 0.50), hepatic coma (HR 0.36, 95% CI 0.26– 0.50), and mortality (HR 0.48, 95% CI 0.38– 0.61) were also associated with RYR use.<br/><strong>Conclusion:</strong> We demonstrated the beneficial effects of RYR use on the risk and outcome of liver cirrhosis; however, the lack of compliance data should be considered. However, our study did not infer causality or claim the superiority of RYR over lovastatin.<br/><br/><strong>Keywords:</strong> hyperlipidemia, liver cirrhosis, lovastatin, outcome, red yeast rice, risk<br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141867473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Letter for the article Effectiveness of Husbands’ Support Exclusive Breastfeeding Facebook Programme During the COVID-19 Pandemic
致 COVID-19 大流行期间丈夫支持纯母乳喂养 Facebook 计划的效果一文的信
{"title":"Response to “Effectiveness of Husbands’ Support Exclusive Breastfeeding Facebook Programme During the COVID-19 Pandemic” [Letter]","authors":"Norlaila Sofia","doi":"10.2147/jmdh.s486963","DOIUrl":"https://doi.org/10.2147/jmdh.s486963","url":null,"abstract":"Letter for the article Effectiveness of Husbands’ Support Exclusive Breastfeeding Facebook Programme During the COVID-19 Pandemic","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141867472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Reasonable surgical scheduling management is crucial to optimize the utilization rate of operating room. This study aims to understand the context, frontier and hot spots of surgical scheduling management research, in order to provide reference for surgical scheduling optimization. Methods: Literature on operation scheduling management collected in Web of Science core collection database was searched from the database establishment to June 21, 2023. HisCite Pro 2.1 software was used to analyze the publication time, countries, research institutions, journals, authors, keywords and highly cited papers. Results: A total of 1383 literatures were included, and research institutions in the United States, Canada and other countries played a leading role in this field. Among them, the combination of machine algorithm and system model optimization to improve the accuracy of surgical duration prediction is the future research focus in this field. Conclusion: Improving operation efficiency is one of the key issues in operating room management. Managers should find the best operation scheduling plan from a more detailed and comprehensive perspective to improve operation efficiency.
Keywords: surgery, schedule, manage
目的：合理的手术排期管理是优化手术室利用率的关键。本研究旨在了解手术排班管理研究的背景、前沿和热点，为手术排班优化提供参考：检索 Web of Science 核心文库中自数据库建立至 2023 年 6 月 21 日有关手术排班管理的文献。使用 HisCite Pro 2.1 软件对论文的发表时间、国家、研究机构、期刊、作者、关键词和高被引论文进行分析：结果：共收录 1383 篇文献，美国、加拿大和其他国家的研究机构在该领域处于领先地位。其中，结合机器算法和系统模型优化来提高手术时间预测的准确性是该领域未来的研究重点：提高手术效率是手术室管理的关键问题之一。管理者应从更细致、更全面的角度出发，找到最佳的手术排期计划，以提高手术效率。
{"title":"Bibliometric Research on Surgical Scheduling Management from the Perspective of Web of Science","authors":"Ke Wang, Xuelu Wang, Chenying Xu, Lina Bai","doi":"10.2147/jmdh.s458410","DOIUrl":"https://doi.org/10.2147/jmdh.s458410","url":null,"abstract":"<strong>Objective:</strong> Reasonable surgical scheduling management is crucial to optimize the utilization rate of operating room. This study aims to understand the context, frontier and hot spots of surgical scheduling management research, in order to provide reference for surgical scheduling optimization.<br/><strong>Methods:</strong> Literature on operation scheduling management collected in Web of Science core collection database was searched from the database establishment to June 21, 2023. HisCite Pro 2.1 software was used to analyze the publication time, countries, research institutions, journals, authors, keywords and highly cited papers.<br/><strong>Results:</strong> A total of 1383 literatures were included, and research institutions in the United States, Canada and other countries played a leading role in this field. Among them, the combination of machine algorithm and system model optimization to improve the accuracy of surgical duration prediction is the future research focus in this field.<br/><strong>Conclusion:</strong> Improving operation efficiency is one of the key issues in operating room management. Managers should find the best operation scheduling plan from a more detailed and comprehensive perspective to improve operation efficiency.<br/><br/><strong>Keywords:</strong> surgery, schedule, manage<br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141867478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hui Sun, Yan Liu, Ling Wang, Xiaoling Liu, WenHui Wang
Objective: Accurate diagnosis is very important to block the transmission of tuberculosis. The quality of sputum culture affects the diagnostic accuracy. The quality of sputum samples is not optimistic. Therefore, this study investigated whether health care failure mode and effect analysis (HFMEA) can improve specimen quality and detection efficiency in sputum specimen management in tuberculosis departments. Methods: This study is a non-randomized controlled trial study. A convenience sampling method was used to select 110 patients who visited the Department of Tuberculosis of the Second Hospital of Nanjing from September to November 2022 and December 2022 to February 2023 as the control group and the experimental group. Control groups followed standard operating procedures for sputum specimen collection. In the experimental group, HFMEA model was used to control the quality on this basis. After 3 months of intervention, the qualified rate and positive detection rate of sputum samples were compared between the two groups. Results: A total of 634 sputum specimens were included in the experimental group and 647 in the control group. Compared with the control group, the qualification rate of sputum specimens was higher in the experimental group (84.54% vs 79.13%); the positive detection rates of the X-Pert assay (27.88% vs 16.19%), sputum culture (20.29% vs 12.68%), and sputum smear (22.29% vs 15.81%) were all higher in the experimental group (all P < 0.05). Patients in the experimental group had higher knowledge mastery and nurse sputum sample management scores (P < 0.05). However, patient satisfaction with sputum specimen management in the experimental group was lower than in the control group (7.72 ± 0.74 vs 8.38 ± 0.85, P < 0.001). Conclusion: The application of the HFMEA model in sputum specimen management can effectively improve specimen quality and positive detection rates.
Keywords: healthcare failure mode and effect analysis (HFMEA), tuberculosis, sputum, nursing care, risk management
目的：准确的诊断对于阻止结核病的传播非常重要。痰培养的质量影响诊断的准确性。痰标本的质量不容乐观。因此，本研究探讨了医疗失效模式与效应分析（HFMEA）能否提高结核病科痰标本管理中的标本质量和检测效率：本研究为非随机对照试验研究。方法：本研究为非随机对照试验研究，采用方便抽样法，选取2022年9月至11月、2022年12月至2023年2月在南京市第二医院结核科就诊的110名患者作为对照组和实验组。对照组按照标准操作程序采集痰标本。实验组在此基础上采用HFMEA模型进行质量控制。干预 3 个月后，比较两组痰标本的合格率和阳性检出率：结果：实验组共纳入 634 份痰标本，对照组共纳入 647 份痰标本。与对照组相比，实验组的痰标本合格率更高（84.54% vs 79.13%）；实验组的 X-Pert 检测阳性检出率（27.88% vs 16.19%）、痰培养阳性检出率（20.29% vs 12.68%）和痰涂片阳性检出率（22.29% vs 15.81%）均高于对照组（均为 P <0.05）。实验组患者的痰液样本管理知识掌握程度和护士痰液样本管理得分更高（P <0.05）。然而，实验组患者对痰标本管理的满意度低于对照组（7.72 ± 0.74 vs 8.38 ± 0.85，P <0.001）：关键词：医疗失效模式与效应分析（HFMEA）；肺结核；痰液；护理；风险管理
{"title":"Effect Analysis of the HFMEA Model Applied in Sputum Specimen Management Among Patients with Tuberculosis","authors":"Hui Sun, Yan Liu, Ling Wang, Xiaoling Liu, WenHui Wang","doi":"10.2147/jmdh.s462929","DOIUrl":"https://doi.org/10.2147/jmdh.s462929","url":null,"abstract":"<strong>Objective:</strong> Accurate diagnosis is very important to block the transmission of tuberculosis. The quality of sputum culture affects the diagnostic accuracy. The quality of sputum samples is not optimistic. Therefore, this study investigated whether health care failure mode and effect analysis (HFMEA) can improve specimen quality and detection efficiency in sputum specimen management in tuberculosis departments.<br/><strong>Methods:</strong> This study is a non-randomized controlled trial study. A convenience sampling method was used to select 110 patients who visited the Department of Tuberculosis of the Second Hospital of Nanjing from September to November 2022 and December 2022 to February 2023 as the control group and the experimental group. Control groups followed standard operating procedures for sputum specimen collection. In the experimental group, HFMEA model was used to control the quality on this basis. After 3 months of intervention, the qualified rate and positive detection rate of sputum samples were compared between the two groups.<br/><strong>Results:</strong> A total of 634 sputum specimens were included in the experimental group and 647 in the control group. Compared with the control group, the qualification rate of sputum specimens was higher in the experimental group (84.54% vs 79.13%); the positive detection rates of the X-Pert assay (27.88% vs 16.19%), sputum culture (20.29% vs 12.68%), and sputum smear (22.29% vs 15.81%) were all higher in the experimental group (all <em>P</em> < 0.05). Patients in the experimental group had higher knowledge mastery and nurse sputum sample management scores (<em>P < 0.05</em>). However, patient satisfaction with sputum specimen management in the experimental group was lower than in the control group (7.72 ± 0.74 vs 8.38 ± 0.85, <em>P < 0.001</em>).<br/><strong>Conclusion:</strong> The application of the HFMEA model in sputum specimen management can effectively improve specimen quality and positive detection rates.<br/><br/><strong>Keywords:</strong> healthcare failure mode and effect analysis (HFMEA), tuberculosis, sputum, nursing care, risk management<br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141867479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Letter for the article Electronic Health Record Implementation Enhances Financial Performance in High Medicaid Nursing Homes
电子病历的实施提高了高医疗补助养老院的财务绩效》一文的来信
{"title":"Response to “Electronic Health Record Implementation Enhances Financial Performance in High Medicaid Nursing Homes” [Letter]","authors":"Avid Wijaya, Puguh Yudho Trisnanto, Eiska Rohmania Zein, Chyntia Vicky Alvionita","doi":"10.2147/jmdh.s487196","DOIUrl":"https://doi.org/10.2147/jmdh.s487196","url":null,"abstract":"Letter for the article Electronic Health Record Implementation Enhances Financial Performance in High Medicaid Nursing Homes","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141867475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract: The central nervous system (CNS) is less prone to infection owing to protection from the brain-blood barrier. However, craniotomy destroys this protection and increases the risk of infection in the brain of patients who have undergone craniotomy. CNS infection after craniotomy significantly increases the patient’s mortality rate and disability. Controlling the occurrence of intracranial infection is very important for post-craniotomy patients. CNS infection after craniotomy is caused by several factors such as preoperative, intraoperative, and post-operative factors. Craniotomy may lead to postsurgical intracranial infection, which is mainly associated with surgery duration, infratentorial (posterior fossa) surgery, cerebrospinal fluid leakage, drainage tube placement, unregulated use of antibiotics, glucocorticoid use, age, diabetes, and other systemic infections. Understanding the risk factors of CNS infection after craniotomy can benefit reducing the incidence of intracranial infectious diseases. This will also provide the necessary guidance and evidence in clinical practice for planning to control intracranial infection in patients with craniotomy.
{"title":"Risk Factors for Central Nervous System Infections After Craniotomy","authors":"Yufeng Liu, Jie Liu, Xiaoyan Wu, Enshe Jiang","doi":"10.2147/jmdh.s476125","DOIUrl":"https://doi.org/10.2147/jmdh.s476125","url":null,"abstract":"<strong>Abstract:</strong> The central nervous system (CNS) is less prone to infection owing to protection from the brain-blood barrier. However, craniotomy destroys this protection and increases the risk of infection in the brain of patients who have undergone craniotomy. CNS infection after craniotomy significantly increases the patient’s mortality rate and disability. Controlling the occurrence of intracranial infection is very important for post-craniotomy patients. CNS infection after craniotomy is caused by several factors such as preoperative, intraoperative, and post-operative factors. Craniotomy may lead to postsurgical intracranial infection, which is mainly associated with surgery duration, infratentorial (posterior fossa) surgery, cerebrospinal fluid leakage, drainage tube placement, unregulated use of antibiotics, glucocorticoid use, age, diabetes, and other systemic infections. Understanding the risk factors of CNS infection after craniotomy can benefit reducing the incidence of intracranial infectious diseases. This will also provide the necessary guidance and evidence in clinical practice for planning to control intracranial infection in patients with craniotomy.<br/><br/><strong>Keywords:</strong> surgery duration, posterior fossa, cerebrospinal fluid leakage, drainage tube, antibiotics, glucocorticoids<br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141867477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gunnhild Berdal, Ingvild Kjeken, Anita Dyb Linge, Ann Margret Aasvold, Kjetil Tennebø, Siv Grødal Eppeland, Anne Sirnes Hagland, Guro Ohldieck-Fredheim, Helene Lindtvedt Valaas, Ingvild Bø, Åse Klokkeide, Maryam Azimi, Turid N Dager, Anne-Lene Sand-Svartrud
Purpose: To identify and describe behavior change techniques (BCTs) used in rehabilitation for patients with rheumatic and musculoskeletal diseases (RMDs), according to their own perceptions. Further, to examine patients’ descriptions of their capability, opportunity, motivation, and readiness for health behavior change. Patients and Methods: Patients were adults in need of specialized, multidisciplinary rehabilitation services due to inflammatory rheumatic disease, systemic connective tissue disease, or fibromyalgia / chronic widespread pain. Semi-structured interviews of 21 patients were analyzed with deductive qualitative content analysis applying three theoretical frameworks: the Behavior Change Technique Taxonomy, the transtheoretical model and stages of change, and the capability, opportunity, and motivation model of behavior. Results: Forty-six BCTs aggregated within 14 BCT groups were identified used by either patients, healthcare professionals (HPs), or both. Goals and planning, feedback and monitoring, social support, shaping knowledge, repetition and substitution were most frequently used to facilitate behavior change. Twenty patients had reached the action stage and made specific lifestyle changes concerning more than half of their goals. Concerning other goals, 6 of these patients reported to be contemplating behavior change and 15 to be preparing for it. The rehabilitation process appeared to strengthen capability, opportunity, motivation, and the desired behaviors. Patient-reported barriers to behavior change were connected with restrictions in physical capability resulting from an unpredictable and fluctuating disease course, weakened motivation, and contextual factors, such as lack of access to healthcare support and training facilities, and high domestic care burden. Conclusion: The rehabilitation process seemed to strengthen individual and contextual prerequisites for behavior change and facilitate the use of required techniques and engagement in the desired behaviors. However, patients with RMDs may need prolonged support from HPs to integrate healthy lifestyle changes into everyday life. The findings can be used to optimize rehabilitation interventions and patients’ persistent engagement in healthy behaviors.
{"title":"Examining the Building Blocks of Health Behavior Change in Rheumatology Rehabilitation: A Theory-Driven Qualitative Study","authors":"Gunnhild Berdal, Ingvild Kjeken, Anita Dyb Linge, Ann Margret Aasvold, Kjetil Tennebø, Siv Grødal Eppeland, Anne Sirnes Hagland, Guro Ohldieck-Fredheim, Helene Lindtvedt Valaas, Ingvild Bø, Åse Klokkeide, Maryam Azimi, Turid N Dager, Anne-Lene Sand-Svartrud","doi":"10.2147/jmdh.s472713","DOIUrl":"https://doi.org/10.2147/jmdh.s472713","url":null,"abstract":"<strong>Purpose:</strong> To identify and describe behavior change techniques (BCTs) used in rehabilitation for patients with rheumatic and musculoskeletal diseases (RMDs), according to their own perceptions. Further, to examine patients’ descriptions of their capability, opportunity, motivation, and readiness for health behavior change.<br/><strong>Patients and Methods:</strong> Patients were adults in need of specialized, multidisciplinary rehabilitation services due to inflammatory rheumatic disease, systemic connective tissue disease, or fibromyalgia / chronic widespread pain. Semi-structured interviews of 21 patients were analyzed with deductive qualitative content analysis applying three theoretical frameworks: the Behavior Change Technique Taxonomy, the transtheoretical model and stages of change, and the capability, opportunity, and motivation model of behavior.<br/><strong>Results:</strong> Forty-six BCTs aggregated within 14 BCT groups were identified used by either patients, healthcare professionals (HPs), or both. Goals and planning, feedback and monitoring, social support, shaping knowledge, repetition and substitution were most frequently used to facilitate behavior change. Twenty patients had reached the action stage and made specific lifestyle changes concerning more than half of their goals. Concerning other goals, 6 of these patients reported to be contemplating behavior change and 15 to be preparing for it. The rehabilitation process appeared to strengthen capability, opportunity, motivation, and the desired behaviors. Patient-reported barriers to behavior change were connected with restrictions in physical capability resulting from an unpredictable and fluctuating disease course, weakened motivation, and contextual factors, such as lack of access to healthcare support and training facilities, and high domestic care burden.<br/><strong>Conclusion:</strong> The rehabilitation process seemed to strengthen individual and contextual prerequisites for behavior change and facilitate the use of required techniques and engagement in the desired behaviors. However, patients with RMDs may need prolonged support from HPs to integrate healthy lifestyle changes into everyday life. The findings can be used to optimize rehabilitation interventions and patients’ persistent engagement in healthy behaviors.<br/><br/><strong>Keywords:</strong> rheumatic diseases, musculoskeletal diseases, rehabilitation, behavior therapy, qualitative research, patient engagement<br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141867476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: This literature review assesses the factors that influence the quality of life of migrant women in the diasporic with the goal of improving their quality of life and creating more supportive social adjustment in the public health field. Methods: The systematic review was conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. We searched the databases of Scopus, PubMed, SAGE journal, Springer, and Google Scholar for scientific articles on the quality of life of diasporic and migrant women. We screened and removed duplicates, analyzed the full text of the articles to identify potentially relevant studies, and extracted data from matched articles. Results: The literature search yielded 34 articles. Only 10 articles that met all inclusion criteria were included in the systematic review after peer review. Conclusion: The literature shows that the quality of life of diasporic women is influenced by four main factors: sociodemographic predictors, social adjustment predictors, health-related predictors, and psychological predictors. Identifying them is important to improve quality of life and find the right solutions to improve the quality of life of marginalized groups in society. To improve the quality of life for diasporic women, I suggest implementing government policies such as language education, vocational training, stronger protection laws, and better healthcare access. Additionally, establishing cultural exchange and networking programs is crucial for fostering cultural understanding.
Keywords: contributing factor, women, immigrant women, public health, quality of life
{"title":"Factors Affecting Diasporic Women’s Quality of Life: A Systematic Review","authors":"Yeonhee Pyo, Ki Han Kwon","doi":"10.2147/jmdh.s467091","DOIUrl":"https://doi.org/10.2147/jmdh.s467091","url":null,"abstract":"<strong>Objective:</strong> This literature review assesses the factors that influence the quality of life of migrant women in the diasporic with the goal of improving their quality of life and creating more supportive social adjustment in the public health field.<br/><strong>Methods:</strong> The systematic review was conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. We searched the databases of Scopus, PubMed, SAGE journal, Springer, and Google Scholar for scientific articles on the quality of life of diasporic and migrant women. We screened and removed duplicates, analyzed the full text of the articles to identify potentially relevant studies, and extracted data from matched articles.<br/><strong>Results:</strong> The literature search yielded 34 articles. Only 10 articles that met all inclusion criteria were included in the systematic review after peer review.<br/><strong>Conclusion:</strong> The literature shows that the quality of life of diasporic women is influenced by four main factors: sociodemographic predictors, social adjustment predictors, health-related predictors, and psychological predictors. Identifying them is important to improve quality of life and find the right solutions to improve the quality of life of marginalized groups in society. To improve the quality of life for diasporic women, I suggest implementing government policies such as language education, vocational training, stronger protection laws, and better healthcare access. Additionally, establishing cultural exchange and networking programs is crucial for fostering cultural understanding.<br/><br/><strong>Keywords:</strong> contributing factor, women, immigrant women, public health, quality of life<br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141867474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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