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Access to medicines and patient satisfaction in healthcare facilities: A cross-sectional study of a Peruvian population-based survey. 在医疗保健设施中获得药品和患者满意度:秘鲁人口调查的横断面研究。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-23 DOI: 10.5867/medwave.2024.11.3004
Valeria Gianell Olivera-Molina, Juan Carlo Maita-Durand, J Jhonnel Alarco

Introduction: Shortage of medicines in Peruvian healthcare facilities is a significant public health issue that may affect patient satisfaction.

Objective: To estimate the association between access to medicines and the level of satisfaction with the received care from users of healthcare facilities in Peru during 2016.

Methods: An analytical cross-sectional study was conducted using data from the 2016 National Survey of User Satisfaction in Health (ENSUSALUD). Access to medicines at the healthcare facilities' pharmacy and patient satisfaction were measured using self-report questions. Crude and adjusted ordinal logistic regression models were used to estimate Odds ratios with 95% confidence intervals. The complex sample design of the 2016 National Health User Satisfaction Survey was considered in all calculations.

Results: Data from 10 386 healthcare facility users were included. After receiving medical care, 19.6% had partial access to medications, 6.8% had no access, and 6% were dissatisfied with the care received. Users with partial access to drugs had 87% higher odds of dissatisfaction (Odds ratio: 1.87; 95% confidence interval: 1.56 to 2.23), while users without access to medications had 51% higher odds of dissatisfaction (OR: 1.51; 95% CI: 1.06 to 2.16), compared to users with full access to drugs, adjusted for confounding variables.

Conclusions: Patients with limited access to medicine at pharmacies in Peruvian healthcare facilities reported higher dissatisfaction with the care received.

导言:秘鲁卫生保健机构药品短缺是一个可能影响患者满意度的重大公共卫生问题。目的:估计药物可及性与秘鲁2016年医疗机构用户对所接受护理的满意度之间的关系。方法:采用2016年全国用户健康满意度调查(ENSUSALUD)数据进行分析性横断面研究。使用自我报告问题来测量医疗机构药房的药品获取情况和患者满意度。采用粗糙和调整后的有序逻辑回归模型估计比值比,置信区间为95%。所有计算均考虑了2016年全国健康用户满意度调查的复杂样本设计。结果:纳入了10386名医疗机构使用者的数据。接受医疗护理后,19.6%的人部分获得药物治疗,6.8%的人无法获得药物治疗,6%的人对所获得的治疗不满意。部分获得药物的使用者不满意的几率高出87%(比值比:1.87;95%可信区间:1.56至2.23),而无法获得药物的使用者不满意的几率高出51% (OR: 1.51;95% CI: 1.06至2.16),与完全获得药物的使用者相比,调整了混杂变量。结论:在秘鲁卫生保健机构药房获得药物的机会有限的患者报告对所接受的护理的不满程度较高。
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引用次数: 0
General concepts on health economic evaluations. 卫生经济评价的一般概念。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-13 DOI: 10.5867/medwave.2024.11.2981
Fernando Briceño Muga, Javier Gallegos, Eva Madrid, Camila Quirland, Roberto Garnham

Health economics is an area of study that has critical tools for evidence-based healthcare decision making, among which are economic evaluations. These tools allow us to weigh the costs incurred for a given intervention in relation to its health outcomes. The main utility of these studies lies in accomplishing decision-making in healthcare and the formulation of public policies. This article is the first of two reviews on whose main purpose is to address fundamental theoretical concepts of health economic evaluations to facilitate their understanding and critical analysis. The text is part of a methodological series on clinical epidemiology, biostatistics and research methodology conducted by the Evidence-based Medicine team at the School of Medicine of the University of Valparaíso, Chile.

卫生经济学是一个研究领域,它拥有循证医疗决策的重要工具,其中包括经济评估。通过这些工具,我们可以权衡特定干预措施的成本与其健康结果之间的关系。这些研究的主要用途在于完成医疗保健决策和公共政策的制定。本文是两篇综述中的第一篇,其主要目的是阐述卫生经济评估的基本理论概念,以促进对其的理解和批判性分析。这篇文章是智利瓦尔帕莱索大学医学院循证医学团队开展的临床流行病学、生物统计学和研究方法论系列文章的一部分。
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引用次数: 0
Current concepts on the use of the partogram to monitor labor progression. 目前的概念,使用部分监控劳动进展。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-09 DOI: 10.5867/medwave.2024.11.2966
Luis Rojas Cedeño, Jorge A Carvajal

The partogram is a graphic tool used to monitor labor progression. This article reviews the recent literature on the use of the partogram, aiming to evaluate whether its implementation reduces cesarean section rates and to determine which model is more appropriate. Studies that compared using the partogram with not using it were analyzed, as well as studies that contrasted different partogram models. The results indicate that partogram use is not associated with a significant reduction in cesarean section rate, particularly in countries with low cesarean section rates. However, the modified World Health Organization partogram, which eliminates the latent phase, appears to have advantages over the classic 1994 model, with significantly lower cesarean section rates. Although the partogram has not shown significant benefits in reducing cesarean sections, it is still a useful tool for graphically documenting the progress of labor, which could improve clinical decision-making. In Chile, the high cesarean section rates, close to 45%, suggest that implementing the WHO 2000 partogram could be beneficial. However, local studies are needed to confirm the potential benefits of reducing cesarean sections.

产程图是一种用于监测产程进展的图形工具。本文回顾了近期有关分型图使用的文献,旨在评估分型图的使用是否会降低剖宫产率,并确定哪种模式更合适。文章分析了使用产程分层图与不使用产程分层图的对比研究,以及不同产程分层图模式的对比研究。结果表明,使用分型图与剖宫产率的显著降低无关,尤其是在剖宫产率较低的国家。然而,与 1994 年的经典模型相比,去除了潜伏期的修改版世界卫生组织分层图似乎更有优势,剖宫产率明显降低。尽管剖宫产图在降低剖宫产率方面并没有显示出明显的优势,但它仍然是一个有用的工具,可以用图表记录产程进展,从而改善临床决策。智利的剖宫产率很高,接近 45%,这表明实施世界卫生组织 2000 版分娩图可能是有益的。然而,需要在当地进行研究,以确认减少剖宫产的潜在益处。
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引用次数: 0
Tomographic presentation with miliary appearance in an immunocompromised patient with pulmonary candidiasis: A case report. 肺念珠菌病免疫功能低下患者的层析表现与军事外观:1例报告。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-06 DOI: 10.5867/medwave.2024.11.2975
Luis Alejandro Rodríguez-Hidalgo, Diana Cecilia Ruiz-Caballero, Colunche-Narváez César Augusto, Vega-Fernández Amalia Guadalupe, Rodríguez-Sáenz Theresina Elizabeth

Introduction: Candida albicans infection shows a wide range of patterns on chest computed tomography, including ground glass opacities and consolidation, with the miliary pattern being the least frequent. The miliary pattern is not exclusive to tuberculosis. Fungal lung infections are rare and potentially fatal. Colonization by Candida albicans, associated with impaired immunity, requires early empirical antifungal therapy to improve survival.

Case report: 48-year-old male patient with persistent productive cough, mucopurulent expectoration, dyspnea on moderate exertion, night sweats, elevated temperature, and weight loss. Chest tomography revealed miliary interstitial lung disease, and he was prescribed antituberculosis treatment. The pathologic result of the biopsy concluded the presence of moderately differentiated keratinized infiltrating squamous cell carcinoma. The patient died.

Dicussion: The miliary tomographic pattern requires a broader approach for accurate diagnosis. The reported case presented with oral candidiasis and impaired immunity. Previous colonization associated with impaired immunity is the most important factor found for disseminated candidiasis.

Conclusion: The miliary radiological pattern is not exclusive to tuberculosis, warranting a more precise diagnostic approach. It is important to diagnose disseminated candidiasis in order to initiate early antifungal therapy and thus improve survival.

简介:白色念珠菌感染在胸部计算机断层扫描上表现为多种类型,包括磨玻璃混浊和实变,军事型最不常见。这种军事模式并非肺结核所独有。真菌性肺部感染很少见,而且可能致命。白色念珠菌的定植与免疫力受损有关,需要早期经验性抗真菌治疗以提高生存率。病例报告:男性,48岁,持续性咳痰,粘液化脓性痰,中度用力时呼吸困难,盗汗,体温升高,体重减轻。胸部断层扫描显示他患有军人间质性肺病,医生给他开了抗结核治疗。活检病理结果为中度分化角化浸润性鳞状细胞癌。病人死了。讨论:军用断层扫描模式需要更广泛的方法来准确诊断。报告的病例表现为口腔念珠菌病和免疫功能受损。先前与免疫受损相关的定植是播散性念珠菌病最重要的因素。结论:军事放射模式并非肺结核所独有,需要更精确的诊断方法。弥散性念珠菌病的诊断对于早期抗真菌治疗和提高生存率是非常重要的。
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引用次数: 0
The first attending physicians of the San Juan de Dios Hospital in La Serena and the organization of the sanitary taxation in the mid-19th century. 拉塞雷纳圣胡安-德迪奥斯医院的首批主治医生和 19 世纪中叶的卫生税收组织。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-26 DOI: 10.5867/medwave.2024.10.2971
Alex Ovalle Letelier, Daniel Briones Molina

The article analyzes the arrival of attending physicians in the province of Coquimbo between 1840 and 1870. Through communication with the physicians assigned to the San Juan de Dios Hospital of La Serena, the modernization of the medical practice in a local space is confirmed, characterized by the gradual installation of sanitary taxation. The study's methodology was based on direct research in documents from the National Historical Archive of Chile. Thus, it was found that in the context of a mining export boom, it was necessary to modernize an infrastructure that would accompany the welfare policies before consolidating the republic. Based on the evidence, it is postulated that the political authorities and the physicians in charge of the hospital tended to control and eradicate the informal practice of medicine and pharmacology. Finally, we note the intention of the physicians to generate an orderly public healthcare system.

文章分析了 1840 年至 1870 年间主治医生来到科金博省的情况。通过与拉塞雷纳的圣胡安-德迪奥斯医院(San Juan de Dios Hospital of La Serena)派驻医生的交流,证实了当地医疗实践的现代化,其特点是逐步建立卫生税收制度。研究方法是基于对智利国家历史档案馆文件的直接研究。因此,研究发现,在矿业出口蓬勃发展的背景下,有必要在巩固共和国之前实现与福利政策相配套的基础设施的现代化。根据证据推测,政治当局和负责医院的医生倾向于控制和消除非正规的医学和药理学实践。最后,我们注意到医生们打算建立一个有序的公共医疗系统。
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引用次数: 0
Key elements for understanding and developing qualitative research for health professionals. 了解和发展卫生专业人员定性研究的关键要素。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-22 DOI: 10.5867/medwave.2024.10.2972
Nicole Molina-González, Felipe Álvarez-Busco, Carlos Cabrera-Ubilla, Sebastián Villagrán-Pradena, Fanny Leyton-Álvarez, María Guerra-Zúñiga

Qualitative research plays an essential role in health sciences, aiming to achieve a deep understanding of phenomena, experiences, perceptions, and behaviors in their natural contexts. In this article, we outline essential aspects to consider when conducting qualitative research, starting from formulating the research question to analyzing and reporting the obtained data. We present the main qualitative design methods and sampling techniques, emphasizing the importance of reaching data saturation and the data production methods. This article offers a roadmap for conducting qualitative research in health care, contributing to a more humanized and evidence-based clinical practice.

定性研究在健康科学中发挥着重要作用,旨在深入了解自然环境中的现象、经验、认知和行为。在本文中,我们将概述开展定性研究时需要考虑的重要方面,从提出研究问题到分析和报告所获得的数据。我们介绍了主要的定性设计方法和抽样技术,强调了达到数据饱和的重要性以及数据生成方法。本文为在医疗保健领域开展定性研究提供了路线图,有助于提高临床实践的人性化和循证性。
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引用次数: 0
Translation and cultural adaptation of the Long Coronavirus Disease (COVID) Symptom and Impact Tools for the Chilean population. 针对智利人口的长冠状病毒病(COVID)症状和影响工具的翻译和文化调整。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-13 DOI: 10.5867/medwave.2024.10.2992
Vivienne C Bachelet, Rosa Jiménez-Paneque, Sergio Muñoz, Patricio Gomolán, Amanda Sánchez, Ignacio Silva-Ayarza, Mercedes López Nitsche

Introduction: The Long Coronavirus Disease (COVID) Symptom and Impact Tools (ST and IT) were published in English in 2022 to monitor the symptoms and impact of persistent COVID-19. ST includes 53 symptoms selected by the patient. IT includes six aspects of life that the patient must rate from 1 to 10 points. We aim to report the results of the cultural adaptation of both instruments for the Chilean population, together with the content validity of the adapted instrument.

Methods: The cultural adaptation was carried out in five steps: 1) translation from English to Spanish, 2) synthesis, 3) back-translation, 4) review by the editorial board, and 5) testing the questionnaire with ten patients; they answered both questionnaires and seven questions assessing their understanding of the TI and their opinion on whether the instrument reflected the impact of prolonged COVID-19 on their lives. The content validity of the final version of the IT was assessed by 14 experts.

Results: The main outcome is the two final questionnaires adapted for use in Chile. Most patients responded with the best concept or approval for all items. Content validity showed acceptable results, with an average content validity index of 0.9 and Aiken's V for the relevance of the questionnaire in general of 0.83 (95% CI 0.69 to 0.92). For one item, Aiken's V was less than 0.7 (95% CI 0.5 to 0.8).

Conclusions: This study provides Chilean health authorities and health providers with an instrument for assessing the impact of prolonged COVID-19 on core aspects of people's lives.

导言:长冠状病毒病(COVID)症状和影响工具(ST 和 IT)的英文版于 2022 年发布,用于监测 COVID-19 的持续性症状和影响。ST 包括患者选择的 53 种症状。IT 包括六个生活方面,患者必须从 1 到 10 分进行评分。我们旨在报告针对智利人群对这两种工具进行文化调整的结果,以及调整后工具的内容效度:文化改编分五个步骤进行:1)从英语翻译成西班牙语;2)合成;3)回译;4)由编辑委员会审查;5)对 10 名患者进行问卷测试;他们回答了两份问卷和 7 个问题,评估他们对 TI 的理解以及他们对该工具是否反映了长期 COVID-19 对其生活的影响的看法。14 位专家对最终版信息技术的内容有效性进行了评估:主要结果是两份最终问卷经调整后适用于智利。大多数患者对所有项目的回答都是 "最佳概念 "或 "认可"。内容效度显示结果尚可接受,平均内容效度指数为 0.9,艾肯相关性 V 值为 0.83(95% CI 0.69 至 0.92)。有一个项目的艾肯 V 值小于 0.7(95% CI 0.5 至 0.8):本研究为智利卫生当局和医疗服务提供者提供了一种工具,用于评估长期 COVID-19 对人们生活核心方面的影响。
{"title":"Translation and cultural adaptation of the Long Coronavirus Disease (COVID) Symptom and Impact Tools for the Chilean population.","authors":"Vivienne C Bachelet, Rosa Jiménez-Paneque, Sergio Muñoz, Patricio Gomolán, Amanda Sánchez, Ignacio Silva-Ayarza, Mercedes López Nitsche","doi":"10.5867/medwave.2024.10.2992","DOIUrl":"https://doi.org/10.5867/medwave.2024.10.2992","url":null,"abstract":"<p><strong>Introduction: </strong>The Long Coronavirus Disease (COVID) Symptom and Impact Tools (ST and IT) were published in English in 2022 to monitor the symptoms and impact of persistent COVID-19. ST includes 53 symptoms selected by the patient. IT includes six aspects of life that the patient must rate from 1 to 10 points. We aim to report the results of the cultural adaptation of both instruments for the Chilean population, together with the content validity of the adapted instrument.</p><p><strong>Methods: </strong>The cultural adaptation was carried out in five steps: 1) translation from English to Spanish, 2) synthesis, 3) back-translation, 4) review by the editorial board, and 5) testing the questionnaire with ten patients; they answered both questionnaires and seven questions assessing their understanding of the TI and their opinion on whether the instrument reflected the impact of prolonged COVID-19 on their lives. The content validity of the final version of the IT was assessed by 14 experts.</p><p><strong>Results: </strong>The main outcome is the two final questionnaires adapted for use in Chile. Most patients responded with the best concept or approval for all items. Content validity showed acceptable results, with an average content validity index of 0.9 and Aiken's V for the relevance of the questionnaire in general of 0.83 (95% CI 0.69 to 0.92). For one item, Aiken's V was less than 0.7 (95% CI 0.5 to 0.8).</p><p><strong>Conclusions: </strong>This study provides Chilean health authorities and health providers with an instrument for assessing the impact of prolonged COVID-19 on core aspects of people's lives.</p>","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"24 10","pages":"e2992"},"PeriodicalIF":1.2,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Forensic and legal medicine in Chile: Cinderella without a prince. 智利的法医和法律医学:没有王子的灰姑娘
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-12 DOI: 10.5867/medwave.2024.10.2978
Leonardo González-Wilhelm, Mauricio Duce

Forensic medicine is of enormous importance in the functioning of contemporary justice systems worldwide. Therefore, in order to characterize the current state of medicolegal and forensic activity in Chile, a non-systematic review of the biomedical and legal literature on the subject was carried out. An analysis of open sources of information was also incorporated, including the National Registry of Individual Health Care Providers, the latest public accounts of the Forensic Medical Service, relevant background information available on the active transparency portal of that institution, exempt resolutions included in the "Chile Law" database (of the Department of Legislative and Documentary Services of the Library of the National Congress) and the lists of judicial experts appointed by the Courts of Appeals of the country for the biennium 2024 to 2025. We note that Chile maintains an unacceptable historical debt in terms of academic development and training of qualified professionals in forensic matters. Likewise, national scientific productivity in this field is practically null. Currently, forensic medicine is the medical specialty with the deepest shortage of professionals nationwide. Consequently, as in the early part of the last century, medical expert opinions are frequently performed by professionals untrained in forensic medicine. This scenario, taking into account the attitudes of certain lawyers and judges (detailed in the article), increases the risk of a miscarriage of justice. National public policies must take urgent action to address the deficits and provide solutions.

法医学对当代世界司法系统的运作具有极其重要的意义。因此,为了描述智利法医活动的现状,我们对有关这一主题的生物医学和法律文献进行了非系统性的审查。此外,还对公开信息来源进行了分析,其中包括国家个人保健提供者登记册、法医处的最新公开账目、该机构主动透明门户网站上提供的相关背景信息、"智利法律 "数据库(国民议会图书馆立法和文献服务部)中收录的免责决议,以及该国上诉法院任命的 2024 至 2025 两年期司法专家名单。我们注意到,智利在法医领域的学术发展和合格专业人员的培训方面有着不可接 受的历史欠账。同样,该领域的国家科学生产力几乎为零。目前,法医学是全国最缺乏专业人员的医学专业。因此,与上世纪初一样,医学专家的意见往往是由未经法医学培训的专业人员提出的。考虑到某些律师和法官的态度(详见文章),这种情况增加了误判的风险。国家公共政策必须采取紧急行动,弥补不足并提供解决方案。
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引用次数: 0
Preventive behaviors for COVID-19 in Chile: Lessons from a population follow-up for 2021 and 2022. 智利 COVID-19 的预防行为:从 2021 年和 2022 年人口跟踪中汲取的经验教训。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-11 DOI: 10.5867/medwave.2024.10.2939
Paola Rubilar, Loreto Núñez-Franz, Mauricio Apablaza, Muriel Ramírez-Santana, Xaviera Molina, Luis Canales

Introduction: The rapid emergence of COVID-19 urged policy responses worldwide, focusing on vaccination and mobility restrictions. Chile represents a unique scenario for analyzing personal preventive measures amid intensive communication and vaccination campaigns. This study aims to explore changes in population adherence to non-pharmacological preventive measures during the pandemic and the factors that explain this adherence each year.

Methods: 386 individuals who participated in two population-based studies (2021 and 2022) were considered. An interview was conducted to measure adherence to self-care practices, and case and contact tracing by the health authorities. The Wilcoxon signed-rank test was performed to measure change between 2021 and 2022, bivariate analysis, and a linear regression model for each year were performed.

Results: Mask-wearing in public places was the most commonly used measure (95.9% in 2021, 89.9% in 2022). Follow-up of cases and cases contacts by the health authority had high coverage in 2021 (94.3% and 83% respectively). A greater decrease was observed in contact tracing in 2022 totaling 33.3%. An increase in the score of adherence to preventive practices was observed in 2022 (p < 0.00). The regression model showed in 2021 that women were more likely to adopt preventive behaviors (95% confidence interval: 0.27 to 1.13) and the overweight/obese had higher adherence compared to normal body mass index (95% confidence interval: 0.06 to 0.98). In 2022 being a young adult (30 to 49 years) predicted the adoption of behavioral precautions (95% confidence interval: 0.00 to 1.32).

Conclusions: Adherence to preventive measures increased even with high vaccination coverage, likely due to the epidemiological situation with the Omicron variant circulating in 2022.

导言:COVID-19 的迅速崛起敦促全球采取政策应对措施,重点是疫苗接种和行动限制。智利是分析在密集的宣传和疫苗接种活动中个人预防措施的一个独特场景。本研究旨在探讨大流行期间人们对非药物预防措施的坚持程度的变化,以及每年坚持非药物预防措施的原因。研究人员进行了访谈,以了解自我保健措施的遵守情况,以及卫生部门对病例和接触者的追踪情况。对2021年和2022年之间的变化进行了Wilcoxon符号秩检验,并对每一年进行了双变量分析和线性回归模型:在公共场所佩戴口罩是最常用的措施(2021 年为 95.9%,2022 年为 89.9%)。2021 年,卫生部门对病例和病例接触者的跟踪覆盖率很高(分别为 94.3% 和 83%)。2022 年,接触追踪的覆盖率下降幅度较大,总覆盖率为 33.3%。2022 年,坚持预防措施的得分有所增加(p < 0.00)。回归模型显示,2021 年,女性更有可能采取预防行为(95% 置信区间:0.27 至 1.13),超重/肥胖者与正常体重指数者相比有更高的坚持率(95% 置信区间:0.06 至 0.98)。2022 年,年轻成年人(30 至 49 岁)预测了行为预防措施的采用率(95% 置信区间:0.00 至 1.32):结论:即使疫苗接种率很高,预防措施的坚持率也会增加,这可能是由于2022年流行的奥米克龙变异体的流行病学状况。
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引用次数: 0
Correction to: Daily compliance of the ABCDEF liberation bundle for patients in the intensive care unit: A retrospective descriptive study. 更正:重症监护室病人每日遵守 ABCDEF 解放束的情况:回顾性描述研究。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-05 DOI: 10.5867/medwave.2024.10.6058
{"title":"Correction to: Daily compliance of the ABCDEF liberation bundle for patients in the intensive care unit: A retrospective descriptive study.","authors":"","doi":"10.5867/medwave.2024.10.6058","DOIUrl":"https://doi.org/10.5867/medwave.2024.10.6058","url":null,"abstract":"","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"24 10","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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