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Isolation of Bacteria from Milk Based Indian Sweets Sold in and Around Kolkata Using MPN Method 使用 MPN 方法从加尔各答及其周边地区销售的印度奶制糖果中分离细菌
Pub Date : 2024-01-15 DOI: 10.55529/jhtd.41.39.47
Dr. Manoj Yogi, Dr. Sayan Bhattacharyya, Dr. Atul Raj, Amit Banik
Milk is frequently used as a vital ingredient in the preparation of Indian sweets, which are renowned for their rich flavour and cultural significance. To guarantee consumer health, it is essential that these traditional treats are microbiologically safe. This study used the multiple tube test to evaluate the microbiological quality of milk- based Indian sweets sold in and around Kolkata. 80 samples in all were gathered, and the microbial contamination was examined. According to the findings, 64 of the 80 samples (or 80%) tested positively for different bacterial species. The identified bacterial strains included Acinetobacter baumannii (2.5%), Aeromonas schubertii (1.25%), Citrobacter freundii (2.5%), Citrobacter koseri (8.75%), Enterobacter cloacae (15%), Escherichia coli (12.5%), Klebsiella pneumoniae (2.5%), Klebsiella aerogenes (28.75%), and Klebsiella oxytoca (6.25%). The quality and safety of the region's milk-based Indian sweets are questioned by the presence of these pathogenic and opportunistic bacteria. The likelihood of foodborne infections linked to these sweets is shown by the prevalence of Enterobacteriaceae members. Since these traditional treats are prepared, stored, and distributed by regulatory agencies and sweet vendors, strict hygiene and quality control standards must be put in place.
牛奶经常被用作制作印度糖果的重要原料,这些糖果以其浓郁的风味和文化意义而闻名。为了保证消费者的健康,这些传统食品的微生物安全至关重要。本研究采用多管测试法来评估加尔各答及其周边地区销售的以牛奶为基础的印度糖果的微生物质量。共收集了 80 个样本,并对微生物污染情况进行了检测。结果显示,80 个样本中有 64 个(或 80%)的不同细菌种类检测呈阳性。鉴定出的细菌菌株包括鲍曼不动杆菌(2.5%)、舒伯特气单胞菌(1.25%)、弗氏柠檬酸杆菌(2.5%)、柯氏柠檬酸杆菌(8.75%)、泄殖腔肠杆菌(15%)、大肠埃希菌(12.5%)、肺炎克雷伯菌(2.5%)、产气克雷伯菌(28.75%)和氧乐菌(6.25%)。由于这些致病菌和机会性细菌的存在,该地区以牛奶为原料的印度糖果的质量和安全性受到了质疑。这些糖果中肠杆菌科细菌的流行表明,食源性感染很可能与这些糖果有关。由于这些传统食品是由监管机构和糖果商贩制作、储存和分销的,因此必须制定严格的卫生和质量控制标准。
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引用次数: 0
Health Impact of Indoor Air Quality: Biological, Physical and Economic Considerations 室内空气质量对健康的影响:生物、物理和经济因素
Pub Date : 2023-12-18 DOI: 10.55529/jhtd.41.27.38
A. O. Ukpene, O. C. Molua, C. Ukpene, J.U. Emagbetere, J.C. Igbogbor
This article delves into the intricate realm of indoor air quality and its substantial influence on human health. This research investigates the intricate correlation between indoor environments and individuals' well-being by analyzing the interaction of biological elements (such as mold and pollutants), physical aspects (such as ventilation systems), and the economic ramifications of investing in enhancements to home air quality. This article emphasizes the significance of collaborative research and innovation in addressing the complex interplay between biology, physics, and home economics to promote healthier living environments. This is accomplished by synthesizing extant literature, employing methodologies from multiple disciplines, and analyzing the resulting outcomes.
本文深入探讨了室内空气质量的复杂领域及其对人类健康的重大影响。这项研究通过分析生物因素(如霉菌和污染物)、物理因素(如通风系统)的相互作用,以及投资改善家庭空气质量的经济影响,调查了室内环境与个人健康之间错综复杂的关联。本文强调了合作研究和创新在解决生物学、物理学和家政学之间复杂的相互作用以促进更健康的生活环境方面的重要意义。本文通过综合现有文献、采用多个学科的方法并分析由此产生的结果来实现这一目标。
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引用次数: 0
Essentials of Employee Safety Measures in Organization 企业员工安全措施要点
Pub Date : 2023-12-07 DOI: 10.55529/jhtd.41.1.14
V. Francina, Naveenkumar S., Sushmitha Raj K. R.
The Occupational Safety Act of 2007 was established after multiple amendments to the Manufactories Act of 1951. These amendments expanded its scope beyond just industrial workplaces, applying to all working environments and individuals, whether temporary or permanent employees. The main objective of this Act is to ensure the safety and well-being of individuals at work, as well as providing protection to non-employees who may be affected by work-related hazards. Employers are obligated to comply with all safety regulations, rules, instructions, and procedures outlined in the Act. They must take necessary precautions to safeguard their own safety, as well as that of their employees, by implementing appropriate systems of work, preventive measures, and control mechanisms.The purpose of this study is to examine the safety measures implemented by a mining company for its workers. The aim is to assess the level of satisfaction among workers regarding these safety measures. The analysis and findings from this study will be valuable in improving the existing safety measures. Ultimately, the results will contribute to an overall sense of satisfaction among the workforce in relation to the company's safety practices.
2007年的《职业安全法》是在对1951年的《制造业法》进行多次修订后制定的。这些修正案将其范围扩大到工业工作场所之外,适用于所有工作环境和个人,无论是临时雇员还是长期雇员。该法的主要目的是确保个人在工作中的安全和福祉,并为可能受到与工作有关的危害影响的非雇员提供保护。雇主有义务遵守法案中列出的所有安全规定、规则、指示和程序。他们必须采取必要的预防措施,通过实施适当的工作制度、预防措施和控制机制来保障自己及其雇员的安全。本研究的目的是考察一家矿业公司为其工人实施的安全措施。目的是评估工人对这些安全措施的满意程度。这项研究的分析和结果将对改善现有的安全措施有价值。最终,结果将有助于提高员工对公司安全实践的总体满意度。
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引用次数: 0
The pH of Drinking Water and Its Human Health Implications: A Case of Surrounding Communities in the Dormaa Central Municipality of Ghana 饮用水的 pH 值及其对人体健康的影响:加纳多尔马中央市周边社区的一个案例
Pub Date : 2023-12-07 DOI: 10.55529/jhtd.41.15.26
Emmanuel Arhin, Jeff Dacosta Osei, P. Anima, Peter Damoah- Afari, L. L. Yevugah
Of all the things to consider about safe water, the pH of drinking water probably has been overlooked. Most spoken about, however, is alkaline water which has a host of supposed health benefits? For instance, it is known to help the body to clear toxins thereby improving metabolism. Meanwhile, research has shown that most diseases, illnesses, and bad bacteria thrive in an over-acidic environment. Additionally, the acidic water indirectly may impact on budget as this would contribute to the metallic or sour taste of drinking water, and stained laundry and provide blue-green staining of sinks and other household fixtures. Acidic water having low pH often are known to contain high amounts of heavy metals. Also, research has found that solutions with low pH are more likely to have heavy metals from the environment. Other researchers have identified that acidic water can be high in Pb, As, Cu, Ni, Cb, Cr, and Zn. All these elements fall under heavy metals and exposure to them can be dangerous, and could lead to heavy metal poisoning and toxicity. This is concerning as water is said to be life and the population within Dormaa Central Municipality is most likely to have symptoms such as diarrhoea, nausea and vomiting, abnormal pains, weakness, shortness of breath, suppression of the immune system, organ damage, and enamel wearout leading to dental cavities. Water samples and their corresponding spatial locations were collected from (how many?) communities within the Dormaa Central Municipality. The potential for hydrogen (pH) readings of the respective water samples was measured using a pH meter. The results obtained range from 0.2 mmHg to 6.5 mmHg.
在所有关于安全饮用水的考虑因素中,饮用水的pH值可能被忽视了。然而,人们谈论最多的是碱性水,因为它有很多所谓的健康益处。例如,它可以帮助身体清除毒素,从而促进新陈代谢。与此同时,研究表明,大多数疾病和有害细菌在过酸的环境中繁殖。此外,酸性水可能间接影响预算,因为这将导致饮用水的金属味或酸味,并使衣物染色,并使水槽和其他家用装置染成蓝绿色。众所周知,pH值低的酸性水通常含有大量重金属。此外,研究发现,pH值低的溶液更有可能含有来自环境的重金属。其他研究人员已经发现,酸性水中的铅、砷、铜、镍、Cb、Cr和Zn含量可能很高。所有这些元素都属于重金属,接触它们可能是危险的,并可能导致重金属中毒和中毒。这令人担忧,因为据说水是生命,Dormaa中部市的居民最有可能出现腹泻、恶心和呕吐、异常疼痛、虚弱、呼吸短促、免疫系统抑制、器官损伤和牙釉质磨损导致蛀牙等症状。水样及其相应的空间位置采集自(多少?)多马中部市的社区。使用pH计测量了各自水样的氢电位(pH)读数。得到的结果范围从0.2 mmHg到6.5 mmHg。
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引用次数: 0
Uncovering the Impact of Social Media Disseminated Misinformation on Public Health: A Study of the Effects of False and Misleading Information on Social Media on Consumer Health Behaviours and Decision Making 揭示社交媒体传播的错误信息对公共卫生的影响:社交媒体上虚假和误导性信息对消费者健康行为和决策的影响研究
Pub Date : 2023-06-17 DOI: 10.55529/jhtd.34.43.55
Ms. Nishtha Sachdev, Dr. Rubaid Ashfaq
Human beings are inquisitive creatures who are always looking for new information everywhere they go, and from everyone they meet. In the current tech savvy scenario, we seek information from various Social Media platforms. There is significant proclivity in the way information reaches the audience the speed at which it reaches the audience. Social media is a very powerful medium of spreading any kind of information, but not all information is right and useful for the audience. Sometimes the information shared on social media can be misleading and have negative impacts on the course of life of the audience which is consuming it. In adverse situations the information available on public health can either be a boon or curse for the audience. The objective of this study is to understand the impact social media disseminated misinformation has on the decision making of people, further uncovering the impact it has on their health. The data will be collected by conducting a survey with the audience that spends a significant amount of their day on social media platforms. Data will also be collected by reading various papers on misinformation regarding public health. The study will aid in understanding if the impact of misinformation on public health is positive or negative and in which proportion.
人类是好奇的生物,无论他们走到哪里,从他们遇到的每个人那里,他们总是在寻找新的信息。在当前精通技术的情况下,我们从各种社交媒体平台上寻求信息。信息传递给受众的方式和速度有很大的倾向性。社交媒体是传播各种信息的强大媒介,但并非所有信息对受众都是正确和有用的。有时,社交媒体上分享的信息可能会产生误导,并对消费这些信息的受众的生活产生负面影响。在不利的情况下,现有的公共卫生信息对受众来说可能是福音,也可能是祸患。本研究的目的是了解社交媒体传播的错误信息对人们决策的影响,进一步揭示它对人们健康的影响。这些数据将通过对每天在社交媒体平台上花费大量时间的观众进行调查来收集。还将通过阅读关于公共卫生方面的错误信息的各种论文来收集数据。这项研究将有助于了解错误信息对公共卫生的影响是积极的还是消极的,以及在哪个比例。
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引用次数: 2
Evaluation of Treatment Modalities for Pure Asthenospermia Regarding Changes in Seminal Fluid Parameters 纯弱精子症治疗方式对精液参数改变的评价
Pub Date : 2023-06-15 DOI: 10.55529/jhtd.34.22.31
Dr. Nafea Taha Salih, Dr. Gailan Adil Saeed
Background: Asthenospermia is one of the most common findings in the seminal fluid analysis of patients with infertility. In spite of a full diagnostic workup, the causes of Asthenospermia are not always clear; accordingly, there are a lot of controversies about the best treatment for such a condition. Aim of the study: To evaluate the validity of two treatment modalities for patients with pure Asthenospermia, one surgical (varicocelectomy) and the other medical (L-carnitine supplementation), by following changes in seminal fluid parameters. Patients and methods: A prospective study was conducted at AL-Yarmouk Teaching Hospital/Urology Department from 23rd August 2021 to 18th April 2022. One hundred eighteen infertile male patients were included. Patients were divided in two groups: Surgical arm (71 patients with different grades of varicoceles) and the medical arm (47 patients with no overt clinical varicoceles). For all patients, a full assessment had been done, including at least two seminal fluid analyses as a baseline (to document the presence of pure Asthenospermia). Surgical arm patients were treated with subinguinal varicocelectomy, and medical arm patients were treated with oral supplementation of L-carnitine 1 gm/day. Patients in both groups were followed for 6-12 months by repeated seminal fluid analyses to check the changes in sperm motility. Adverse effects of the treatment were also checked during follow-up visits. Results and Discussion: Surgical arm patients included were 26,23, and 12 patients with varicocele grades 1,2, and 3, respectively, and ten patients with subclinical varicoceles. Medical arm patients included were 32 patients with no varicoceles and 15 patients with subclinical varicoceles. Changes in seminal fluid parameters (total Sperms motility status) after treatment were statistically significant in the varicocelectomy group, and improvement in the seminal fluid parameters was directly related to the grade of the varicoceles with no significant improvement in the patients with subclinical varicoceles. In the medical arm, we achieved an improvement in sperm motility status, but it was not statistically significant. Conclusion: Patients with pure Asthenospermia and clinically detected varicoceles are best treated by varicocelectomy, and the more grade varicoceles, the better results are achieved. L-carnitine supplementation for patients with pure Asthenospermia proved to be beneficial and safe, but when given alone, it was not enough to raise sperm motility status to normal values.
背景:弱精子症是不孕患者精液分析中最常见的发现之一。尽管进行了全面的诊断检查,但弱精子症的病因并不总是很清楚;因此,对于这种情况的最佳治疗方法存在很多争议。研究目的:通过观察精液参数的变化,评估纯弱精子症患者的两种治疗方式的有效性,一种是手术治疗(精索静脉曲张切除术),另一种是药物治疗(补充左旋肉碱)。患者和方法:一项前瞻性研究于2021年8月23日至2022年4月18日在AL-Yarmouk教学医院/泌尿外科进行。其中包括118名不育男性患者。患者分为两组:外科组(71例有不同程度精索静脉曲张的患者)和内科组(47例无明显临床精索静脉曲张的患者)。对所有患者都进行了全面评估,包括至少两次精液分析作为基线(以记录纯弱精子症的存在)。手术组患者行腹股沟下精索静脉曲张切除术,内科组患者口服左旋肉碱1 gm/天。两组患者随访6-12个月,反复进行精液分析,以检查精子活力的变化。在随访期间也检查了治疗的不良反应。结果和讨论:手术臂患者分别为1级、2级和3级精索静脉曲张患者26例、23例和12例,亚临床精索静脉曲张患者10例。医疗组纳入32例无精索静脉曲张患者和15例亚临床精索静脉曲张患者。精索静脉曲张切除术组治疗后精液参数(总精子运动状态)的变化有统计学意义,且精液参数的改善与精索静脉曲张的分级直接相关,而亚临床精索静脉曲张组无明显改善。在医疗方面,我们改善了精子活力状况,但没有统计学意义。结论:单纯弱精子症和临床发现精索静脉曲张的患者最好行精索静脉曲张切除术,且精索静脉曲张级别越多,效果越好。纯弱精子症患者补充左旋肉碱被证明是有益和安全的,但当单独给予时,它不足以将精子活力状态提高到正常值。
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引用次数: 0
The Effect of Using Astragalus Spinosus Extracts as a Treatment for Leishmania Parasite in Terms of Histological Changes 棘黄芪提取物对利什曼原虫的组织学影响
Pub Date : 2023-06-15 DOI: 10.55529/jhtd.34.32.42
Lara Musaad Juwad, Prof. Dr. Omaima Ibrahim Mahmood, Assit. Prof. Dr. Bader khatlan Hameed
In the experimental study on laboratory animals, the alcoholic extract of Astragalus spinosus was used on rabbits at a concentration of 75% in the first group. It was observed that the ulcer diameter started decreasing until it completely disappeared after 22 days from the start of the experiment. Additionally, the aqueous extract of Astragalus spinosus was also used on mice at a concentration of 75% in the second group to treat the ulcer caused by Leishmania parasite. The ulcer size decreased from 5 mm after three days of the experiment to 1 mm after twenty days of the experiment, and then it completely disappeared after 22 days from the start of the experiment. The role of Astragalus spinosus extracts in healing the skin tissues infected with Leishmania parasite involves reducing inflammation and stimulating the immune system. This is due to the active compounds present in Astragalus spinosus, such as flavonoids and triterpenoids, which possess anti-inflammatory and antioxidant properties. These properties make it effective in treating skin injuries. The epidermal cells of the skin organized in rows surrounded from the outside by keratin material in the form of darkcolored threads, while the dermis contained numerous bundles of fibrous tissue with infiltrated white blood cells and macrophages around the hair follicles.
在实验动物的实验研究中,第一组以75%浓度的棘黄芪醇提物用于家兔。实验开始22天后,溃疡直径开始减小,直至完全消失。另外,第二组小鼠也用75%浓度的棘黄芪水提液治疗利什曼原虫引起的溃疡。溃疡大小由试验第3天的5 mm减小至试验第20天的1 mm,试验开始后22天完全消失。棘黄芪提取物在治疗感染利什曼原虫的皮肤组织中的作用包括减少炎症和刺激免疫系统。这是由于黄芪中存在的活性化合物,如黄酮类化合物和三萜,具有抗炎和抗氧化特性。这些特性使它对治疗皮肤损伤有效。皮肤的表皮细胞成行排列,从外部被角蛋白物质以深色线的形式包围,而真皮层含有大量纤维组织束,毛囊周围浸润着白细胞和巨噬细胞。
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引用次数: 0
Role of Community Pharmacist in Public Health Intervention on Hypertension Associate with Diabetes 社区药师在高血压合并糖尿病公共卫生干预中的作用
Pub Date : 2023-06-13 DOI: 10.55529/jhtd.34.1.10
Pooja Khanpara, Rushi K. Bhimani
About 70% of diabetic patients experience hypertension, which is roughly twice as frequent in people with diabetes as it is in people without it. variable ethnic, racial, and social groupings have variable rates of co-occurring hypertension and diabetes. Importantly, people with diabetes who also have hypertension have a significantly higher risk of vascular problems, and both of these disorders enhance the chance of developing chronic kidney disease. The definition of hypertension in relation to both forms of diabetes, risk factors, signs and symptoms, diagnoses, treatments, and cases are all included in the current research. Recent experience using natural medicines to treat diabetes and hypertension.
大约70%的糖尿病患者患有高血压,糖尿病患者患高血压的频率大约是非糖尿病患者的两倍。不同的民族、种族和社会群体有不同的高血压和糖尿病共存率。重要的是,患有高血压的糖尿病患者患血管问题的风险明显更高,这两种疾病都增加了患慢性肾脏疾病的机会。高血压的定义与两种形式的糖尿病、危险因素、体征和症状、诊断、治疗和病例都包括在当前的研究中。最近使用天然药物治疗糖尿病和高血压的经验。
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引用次数: 0
Epidemiology and Public Health Importance of Bovine Salmonellosis 牛沙门氏菌病的流行病学和公共卫生重要性
Pub Date : 2023-06-13 DOI: 10.55529/jhtd.34.11.21
Teshale Adere Senbeta
One of the most common foodborne illnesses in the world, bovine salmonellosis is an infectious zoonotic disease that affects both humans and animals. This essay reviewed the most recent epidemiology and public health information on bovine salmonellosis. It is brought on by S. typhimurium and Dublin species, which are the aetiological agents of diarrhoeal and systemic infections in humans. These species are most frequently found as secondary contaminants in food derived from animals and the environment, usually as a result of subclinical infection in food animals leading to contamination of meat, eggs, and milk or secondary contamination of fruits and vegetables that have been fertilized or irrigated by faecal wastes. Salmonellae are frequently found in large quantities in the environment, farm waste, human sewage, and any material that has been contaminated by feces. The normal inhibition of Salmonella is primarily disrupted in the rumen and small intestine when I starvation or reduced feed intake occur, (ii) the feeding strategy results in an increased pH in the abomasum, and (iii) antibiotic treatment kills the normal competing microflora of the intestine. These bacteria have developed mechanisms to survive and cope with the host inhibiting factors. Through the columnar enterocytes and specialized microfold enterocytes, the bacteria cling to and infiltrate intestinal cells in the mucosa mostly linked with the Peyer's patches in the terminal jejunum and ileum (M cells). Treatment for Salmonella infections that are not typhoidal in humans differs from that for typhoidal infections. Antibiotics should not be routinely used in the treatment of nontyphoidal Salmonella infection. Antibiotics should only be used when absolutely necessary because most non-typhoidal Salmonella infections are of the self-limiting variety, and their usage has little to no effect on the length of diarrhea or fever. Subacute antibiotic medication can potentially lengthen gastrointestinal carrier states and promote infection relapse. Therefore, spreading knowledge about the virus's significance for public health, using management techniques based on science, and practicing good hygiene are essential to reducing the risks of contracting the infection.
牛沙门氏菌病是世界上最常见的食源性疾病之一,是一种影响人类和动物的传染性人畜共患疾病。本文综述了最近关于牛沙门氏菌病的流行病学和公共卫生信息。它是由鼠伤寒沙门氏菌和都柏林种引起的,它们是人类腹泻和全身感染的病原。这些物种最常作为次生污染物出现在动物性食物和环境中,通常是由于食用动物的亚临床感染导致肉、蛋和牛奶受到污染,或由粪便废物施肥或灌溉的水果和蔬菜受到二次污染。沙门氏菌经常大量存在于环境、农场废物、人类污水和任何被粪便污染的物质中。当发生饥饿或采食量减少时,正常的沙门氏菌抑制主要在瘤胃和小肠中被破坏,(ii)喂养策略导致皱胃pH值升高,(iii)抗生素治疗杀死肠道中正常的竞争微生物群。这些细菌已经发展出了生存和应对宿主抑制因子的机制。细菌通过柱状肠细胞和特化的微折叠肠细胞,附着并浸润于粘膜内的肠细胞,主要与末端空肠和回肠的Peyer's斑块(M细胞)相连。人类非伤寒沙门氏菌感染的治疗不同于伤寒感染的治疗。抗生素不应常规用于治疗非伤寒沙门氏菌感染。抗生素只应在绝对必要时使用,因为大多数非伤寒沙门氏菌感染是自限性的,它们的使用对腹泻或发烧的持续时间几乎没有影响。亚急性抗生素治疗可能会延长胃肠道携带者状态并促进感染复发。因此,传播有关该病毒对公共卫生的重要性的知识、使用基于科学的管理技术以及保持良好的卫生习惯对于减少感染风险至关重要。
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引用次数: 0
Evaluate the Outcomes of Patients with Sepsis and Find out the Mortality Rate 评估脓毒症患者的预后并了解死亡率
Pub Date : 2023-03-30 DOI: 10.55529/jhtd.32.31.42
Dr. Ali Tariq Hussein, Dr. Raghad S. Ismail, Dr. Shadan Ahmed Falih Al-Tameemi
Background: Sepsis is a phenomenon caused by an infection that causes physiologic, pathologic, as well as biochemical problems. Objective: This paper aims to evaluate the outcomes of patients with sepsis and find out the mortality rate. Patients and methods: This paper was presented as a cross-sectional study where specialize to evaluate the outcomes of patients with sepsis and find out the mortality rate which get 100 cases in different hospitals in Iraq from 26th August to 18th 2022. This paper was analysed and evaluated of mortality rate with sepsis patients by SPSS program. The characteristics of demographic baseline outcomes were progressed with females and males for ages older than 25 and under than 70 years. Discussion: The interdisciplinary sepsis quality improvement project resulted in a considerable improvement in organizational sepsis mortality at the study hospital, with an observed sepsis mortality decrease of 8%. This resulted in a 37% decrease in sepsis O/E mortality. Patients having sepsis were considerably fewer likely to die following the intervention despite adjusting for patient variables and predicted mortality (OR = 0.64). Septic patients had an ICU stay that was 1.3 days shorter and an overall hospital stay that was 2.6 days shorter. With a baseline rate of death of 30% and an observed rate of mortality of 18.9%, the study team believes that the sepsis campaign saved 56 lives. There is significant evidence that sepsis teaching initiatives have a good impact. The study of complications was found to be fewer in comparisons with previous studies were, got 46 cases, and the risk factor of complications was got a higher percentage considered as death and gangrene, with 24 cases, where that result to blood loss during operative and reduce with blood pressure. Conclusion: The implementation of our study into the sepsis quality improvement program resulted in a decrease within the overall in-hospital sepsis death rate. Patients with sepsis during the treatment period had an approximate 35% decreased probability of dying. ICU days and total hospital LOS were also considerably reduced. Although 44 instances reduced projected direct consequences, the effect was not considered statistically significant.
背景:脓毒症是一种由感染引起的生理、病理和生化问题的现象。目的:评价脓毒症患者的预后,了解脓毒症患者的死亡率。患者和方法:本文是一项横断面研究,专门评估了从2022年8月26日至18日在伊拉克不同医院的100例败血症患者的结局并找出死亡率。采用SPSS统计软件对脓毒症患者的死亡率进行分析和评价。在年龄大于25岁和小于70岁的人群中,女性和男性的人口统计学基线结果的特征有所进展。讨论:跨学科脓毒症质量改善项目使研究医院的组织脓毒症死亡率显著提高,观察到脓毒症死亡率下降了8%。这导致脓毒症O/E死亡率降低37%。尽管调整了患者变量和预测死亡率,但脓毒症患者在干预后死亡的可能性大大降低(OR = 0.64)。脓毒症患者在ICU的住院时间缩短了1.3天,总住院时间缩短了2.6天。基线死亡率为30%,观察到的死亡率为18.9%,研究小组认为败血症运动挽救了56人的生命。有显著的证据表明,脓毒症教学的主动性有良好的影响。与以往的研究相比,并发症的研究较少,有46例,并发症的危险因素死亡和坏疽的比例更高,有24例,导致术中失血和血压下降。结论:我们在脓毒症质量改进项目中实施的研究导致了院内脓毒症总体死亡率的下降。在治疗期间脓毒症患者的死亡概率大约降低了35%。ICU天数和总住院时间也显著减少。虽然44例减少了预期的直接后果,但这种影响在统计上并不显著。
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Journal Healthcare Treatment Development
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