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Microorganisms and antibiotic sensitivity/resistance patterns in spontaneous bacterial peritonitis 自发性细菌性腹膜炎的微生物和抗生素敏感性/耐药模式
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230118073548
Ahmed Alhilly, Abdullah Alyouzbaki
Objective: To investigates Spontaneous Bacterial Peritonitis (SBP) bacteria, their antibiotic sensitivity and resistance. Methodology: From January 2013 to October 2019, 99 adult patients of both gender with cirrhosis and ascites were admitted to Baghdad Medical city complex with decompensated cirrhosis as encephalopathy, new gastrointestinal bleeding, increasing ascites, abdominal pain, and/or fever and were labelled SBP after ascetic fluid analysis. Causative agent, its antibiotic sensitivity and resistance were recorded. Results: Mean age of patients was 52±11 years, 72.7% were men and 27.3% women, 53.5% are middle-aged adults, and 31.3% are geriatrics (over 60). E-coli (36.36%) was the most common bacterium recovered, followed by enterobacter (15.15%) and staphylococcus (13.13%). There was a correlation between age and bacteria. E-coli infected 46.7% of young adults, 32.1% of middle-aged, and 38.7% of geriatrics. S. aureus infected 26.7% of young people and Enterobacter 20.8% of middle-aged individuals. Ampicillin and cefepime were very effective to Stenotrophomonas maltophilia and Streptococcus pneumoniae. Amikacin and ciprofloxacin had good Pseudomonas and Proteus sensitivity. Cefotaxime, ceftazidime, ceftriaxone, cotrimoxazole, imipenem, meropenem, piperacillin-tazobactam, and vancomycin were effective against their pathogens. Conclusion: E-coli and Enterobacter caused SBP, which affected middle-aged men. These findings highlight the need of choosing antibiotics based on pathogen susceptibility to optimise SBP therapy.
目的:了解自发性细菌性腹膜炎(SBP)病原菌及其对抗生素的敏感性和耐药性。方法:2013年1月至2019年10月,在巴格达医疗城综合医院收治了99例肝硬化和腹水合并失代偿性肝硬化患者,患者表现为脑病、新发胃肠道出血、腹水增加、腹痛和/或发热,并在进行苦行液分析后标记为收缩压。记录病原菌及其对抗生素的敏感性和耐药性。结果:患者平均年龄为52±11岁,男性占72.7%,女性占27.3%,中年人占53.5%,老年(60岁以上)占31.3%。大肠杆菌(36.36%)、肠杆菌(15.15%)、葡萄球菌(13.13%)次之。年龄和细菌之间存在相关性。大肠杆菌感染的年轻人为46.7%,中年人为32.1%,老年人为38.7%。年轻人感染金黄色葡萄球菌26.7%,中年人感染肠杆菌20.8%。氨苄西林和头孢吡肟对嗜麦芽窄养单胞菌和肺炎链球菌均有较好的疗效。阿米卡星和环丙沙星对假单胞菌和变形杆菌均有良好的敏感性。头孢噻肟、头孢他啶、头孢曲松、复方新诺明、亚胺培南、美罗培南、哌拉西林-他唑巴坦、万古霉素对病原菌均有较好的抑制作用。结论:大肠杆菌和肠杆菌引起的收缩压主要发生在中年男性。这些发现强调了根据病原体敏感性选择抗生素以优化收缩压治疗的必要性。
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引用次数: 0
Evaluation of instructional program on nurses’ knowledge regarding care bundle guideline in Mosul Hospitals, Iraq 伊拉克摩苏尔医院护士护理包指南知识教学方案评估
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230425101817
Adel Ayed, Mohammed Sultan
Objective: To assess the nurse’s knowledge regarding care bundle guidelines in pediatric wards. Methodology: This quasi-experimental study was carried out from 1st of November 2022 to 1st May 2023. It included 30 nurses working in pediatric departments chosen using non-random selecting purposively in Mosul Hospitals. We used structured questionnaire to evaluate the effectiveness of bundle care guidelines for nurses’ knowledge at pre-test and post-test 1 and post-test 2. Results: All parts of the nurses’ knowledge in pre-test were at an unacceptable level while in Post-test 1 at excellent level, but in post-test 2 at good level. Conclusions: Nurses working at the pediatric department in Mosul Hospital do not have appropriate and adequate nurses’ knowledge regarding care bundle guidelines.
目的:了解儿科病房护士对护理包指南的了解情况。方法:准实验研究时间为2022年11月1日至2023年5月1日。其中包括在摩苏尔医院儿科工作的30名护士,有目的地采用非随机选择方法。我们采用结构化问卷调查的方法来评估捆绑护理指南在测试前、测试后1和测试后2对护士知识的有效性。结果:前测护士的各项知识均处于不合格水平,后测护士的各项知识处于优秀水平,后测护士的各项知识处于良好水平。结论:在摩苏尔医院儿科工作的护士对护理包指南缺乏适当和足够的护士知识。
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引用次数: 0
What's Making a COVID-19 a dangerous disease for long time? 是什么让COVID-19长期成为一种危险的疾病?
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230414104523
Diaa Ali, Ahmed Shlash, Mohammed Shamran, Ibrahim Ashour
Objective: To evaluate COVID-19 complications among recovered patients and determine the association between these complications and patients' demographic data. Methodology: This descriptive retrospective study was conducted from December 15th, 2021 to May 1st, 2022 in the city of Al-Najaf. A convenience (non-probability) sampling was used and 157 patients with COVID-19 disease were enrolled. The information was gathered using a specially designed questionnaire that was divided into three sections: sociodemographic traits, medical history, and the systematic COVID-19 Complications. Results: Out of 157 patients, 73 were women and 84 men. Even after recovering from COVID-19, the patients continue to experience difficulties. Acute respiratory failure (46.5%), pneumonia (15.35%), blood hypercoagulability (35.7%), diarrhea (33.1%), myalgias (19.1%), and arthralgias (15.3%) were the most frequent consequences. Conclusion: The study concluded that COVID-19 is a deadly virus that affects every system of the body and might lead to serious consequences that could endanger the patients' lives.
目的:评价康复患者的新冠肺炎并发症,并确定这些并发症与患者人口统计学资料的关系。方法:这项描述性回顾性研究于2021年12月15日至2022年5月1日在Al-Najaf市进行。采用方便(非概率)抽样方法,纳入157例COVID-19患者。通过专门设计的问卷收集信息,该问卷分为三个部分:社会人口统计学特征、病史和系统性COVID-19并发症。结果:157例患者中,女性73例,男性84例。即使从COVID-19中恢复过来,患者仍会遇到困难。急性呼吸衰竭(46.5%)、肺炎(15.35%)、血液高凝(35.7%)、腹泻(33.1%)、肌痛(19.1%)和关节痛(15.3%)是最常见的后果。结论:研究得出结论,COVID-19是一种致命的病毒,可以影响身体的每个系统,并可能导致严重后果,危及患者的生命。
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引用次数: 0
Quality of life among cancer patients receiving chemotherapy at oncology and hematology center in Kirkuk City, Iraq 伊拉克基尔库克市肿瘤和血液学中心接受化疗的癌症患者的生活质量
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230606070654
Moayad Samin, Younus Baeez
Objective: To assess quality of life as well as to find the relationship between demographic characteristics and quality of life among cancer patients receiving chemotherapy at oncology & hematology center, Kirkuk. Methodology: This quantitative descriptive study was carried out using non-probability (purposive) sample and included 267 patients receiving chemotherapy treatment at Kirkuk Oncology and Hematology Center in Kirkuk. Constructed tool which contained 48 items was used for data collection and was divided in six parts. We used a questionnaire-based interview technique. The data were analyzed through descriptive statistical and inferential statistical analysis. Results: Out of 267 patients, 51.7% were male, 81.28% were aged 40 years and more and 50.5% had primary school education. 53.9% were unemployed, and 82.8% ware married. Regarding patient’s quality of life, the grand mean of score for all domains, as well as the overall mean of score for quality-of-life aspects were moderate. Conclusion: Most of patients were 40 years and more, male, illiterate, most of them were unemployed, housewife and married. The overall mean of scores for quality-of-life aspects were moderate.
目的:探讨肿瘤医院化疗患者的生活质量及人口学特征与生活质量的关系。基尔库克血液学中心。方法:本定量描述性研究采用非概率(目的)样本,包括在基尔库克肿瘤和血液学中心接受化疗的267例患者。使用包含48项的construct tool进行数据收集,分为6个部分。我们使用了基于问卷的访谈技术。对数据进行描述性统计和推理性统计分析。结果:267例患者中男性占51.7%,40岁及以上占81.28%,小学文化程度占50.5%。53.9%的人失业,82.8%的人已婚。在患者的生活质量方面,各领域的总体平均得分以及生活质量方面的总体平均得分均为中等。结论:患者以40岁及以上男性居多,文盲居多,无业、家庭主妇、已婚居多。生活质量方面的总体平均得分是中等的。
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引用次数: 0
Assessment of late adulthood knowledge about psychological frailty at Technical Institute-Suwaira, Middle Technical University, Iraq 伊拉克中级技术大学苏瓦伊拉技术学院对成年后期心理脆弱知识的评估
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230308082858
Ammar A. Okab, S. Ahmed
Objective: To assess late adulthood knowledge about psychological frailty and to determine correlation between knowledge with regard to their socio-demographic characteristics. Methodology: This descriptive study was carried out at Technical Institute-Suwaira, Middle Technical University, Iraq from 28th April 2022 to 15th August 2022 and included 100 of late adults’ staff to assess their knowledge about psychological frailty. Non-probability sample convenience sampling was used. The study tool was direct interview by researchers. The data were analyzed using SPSS 25. Results: We found that 64% of participants were 49-56 years old and 61% were male. Late adults showed that more than half had fair knowledge about psychological frailty. Further, 61% showed highly positive significant relationship between their knowledge and age, gender, job title, life style and do exercise regularly. Conclusion: More than half of late adults showed fair knowledge about psychological frailty. There was positive relationship between their knowledge and socio-demographic characteristics.
目的:评估成年后期心理脆弱的知识,并确定知识与他们的社会人口学特征之间的相关性。方法:这项描述性研究于2022年4月28日至2022年8月15日在伊拉克中级技术大学苏瓦拉技术学院进行,包括100名老年工作人员,以评估他们对心理脆弱性的了解。采用非概率抽样方便抽样。研究工具为研究人员直接访谈。数据采用SPSS 25进行分析。结果:我们发现64%的参与者年龄在49-56岁之间,61%为男性。年龄较晚的人表明,超过一半的人对心理脆弱有一定的了解。此外,61%的受访学生的知识水平与年龄、性别、职称、生活方式和经常锻炼呈高度正相关。结论:半数以上的老年人对心理脆弱有一定的认识。他们的知识与社会人口学特征呈正相关。
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引用次数: 0
Single-step versus stepwise dilatation technique in percutaneous nephrolithotomy 单步与逐步扩张技术在经皮肾镜取石术中的应用
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230311075832
Batool Attallah, Majed Mohammad
Objective: To compare single-step dilatation technique with the stepwise (serial) dilatation technique in order to create a nephrostomy tract during percutaneous nephrolithotomy. Methodology: This comparative interventional single-center study was conducted from May 2020 to November 2021 at Basra Teaching Hospital, Iraq. Fifty patients in group A underwent the single-step dilatation and 70 patients in group B were subjected to the stepwise dilatation technique in percutaneous nephrolithotomy. We recorded number of punctures, operation time, complications and success. Results: There were no significant statistical differences in both groups regarding success rate, hospital stay, intra and postoperative complications, and bleeding that required blood transfusion. The stepwise dilatation technique had a considerably longer mean dilatation time than the single-step method did. The single-step dilatation technique had a much shorter mean radiation exposure a shorter mean total operating time than the stepwise strategy. Conclusion: The construction and dilatation of a percutaneous nephrolithotomy nephrostomy tract can be successfully carried out using a single-step dilatation procedure, which requires less radiation exposure, less time during surgery, and shorter dilatation time.
目的:比较单步扩张技术与逐级扩张技术在经皮肾镜取石术中形成肾造瘘道的效果。方法:这项比较介入单中心研究于2020年5月至2021年11月在伊拉克巴士拉教学医院进行。A组50例采用单步扩张术,B组70例采用逐级扩张术。记录穿刺次数、手术时间、并发症及成功情况。结果:两组患者在成功率、住院时间、术中及术后并发症、需要输血的出血量等方面均无统计学差异。分步扩张法的平均扩张时间明显长于单步扩张法。与分步扩张法相比,单步扩张法的平均辐照量和平均总手术时间短得多。结论:经皮肾镜取石肾造瘘道的构筑和扩张采用单步扩张术,其辐射暴露少,术中时间短,扩张时间短。
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引用次数: 0
Attitudes and barriers of pregnant women toward prenatal oral health care at antenatal centers of Mosul City, Iraq 伊拉克摩苏尔市产前中心孕妇对产前口腔保健的态度和障碍
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj20221027092359
A. Hashim, A. Ayed, Najwa Aldeen, Shahad D. Ali
Objective: To evaluate pregnant women's attitudes on oral health and the obstacles to promoting it. Methodology: This descriptive, cross-sectional study was carried out from 10th of September, 2022 to 20th of October, 2022. It included 155 pregnant ladies chosen using simple random sampling, and data were collected from 6 antenatal care centers in Mosul city. We used a structured interviewing questionnaire. Results: Average age of women was 28 years and 54.8% agreed that maintaining good oral health during pregnancy affects the health of the fetus. More than 54% said their greatest obstacle to promoting good oral health during pregnancy was their fear that dental treatments will harm the fetus. Conclusion: Most of the study participants had a good attitude toward improving pregnant women's oral health. However, they were afraid that dental treatments will harm their fetuses.
目的:了解孕妇对口腔健康的态度及促进口腔健康的障碍。方法:这项描述性横断面研究于2022年9月10日至2022年10月20日进行。该研究采用简单随机抽样的方法选择了155名孕妇,数据收集自摩苏尔市的6个产前保健中心。我们使用了结构化的访谈问卷。结果:受访女性的平均年龄为28岁,54.8%的女性认为孕期保持良好的口腔健康会影响胎儿的健康。超过54%的人表示,她们在怀孕期间促进良好口腔健康的最大障碍是担心牙科治疗会伤害胎儿。结论:大多数研究对象对改善孕妇口腔健康持良好态度。然而,她们担心牙科治疗会伤害胎儿。
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引用次数: 0
Selection of Prioritized Healthy Family Indicators, Using the Difficulty-Usefulness Pyramid (DUP) 使用困难-有用金字塔(DUP)选择优先健康家庭指标
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj20221121013304
Koekoeh Hardjito, Indah Rahmaningtyas, Heru Nugroho
Objective: This study aimed to select Healthy Family Indicators in order of priority, using the Difficulty-Usefulness Pyramid (DUP). Methodology: This study involved families in Indonesia who were selected using the snowball sampling technique. Data on difficulty and usefulness were collected through filling out an online-questionnaire that included 12 indicators of a healthy family, then analyzed and presented in the form of a pyramid. Results: The usefulness score tends to be homogeneous, with a mean score of 9.41 (very useful), while the difficulty score tends to be heterogeneous, with a mean score of -2.17 (easy). The most difficult indicator to achieve was “family members do not smoke.” Conclusion: All indicators of a healthy family are felt to be very useful for families, with the highest level of difficulty in indicators of non-smoking behavior; while the 3 main priorities are non-smoking behavior, mental disorders treatment, and exclusive breastfeeding.
目的:采用困难-有用金字塔(DUP)对健康家庭指标进行排序。方法:本研究涉及印度尼西亚的家庭,他们采用滚雪球抽样技术进行选择。通过填写一份包含健康家庭12项指标的在线问卷,收集难度和有用性数据,然后分析并以金字塔的形式呈现。结果:有用性得分趋于同质,平均得分为9.41分(非常有用);难度得分趋于异质,平均得分为-2.17分(容易)。最难达到的指标是“家庭成员不吸烟”。结论:健康家庭的各项指标都被认为对家庭非常有用,其中不吸烟行为指标的难度最高;而三个主要重点是不吸烟行为,精神障碍治疗和纯母乳喂养。
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引用次数: 0
Jordanian nurses' knowledge of Evidence-Based Practice 约旦护士的循证实践知识
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj20221201044706
Ahmad Saleh
Objective: To evaluate Jordanian nurses’ knowledge about evidenced based practice. Methodology: This cross-sectional included 120 Jordanian nurses from one private hospital in Amman, Jordan. Evidenced-based practice knowledge tool was used to gain data An informed consent was obtained from all nurses. Of the 120 nurses, 100 responded, resulting in a response rate of 83%. Results: Out of 100 respondents, 75 (75%) nurses were female and average age of 26±2 years. The average score of knowledge regarding evidenced based practice was low at 1.2±1 out of 10. Conclusion: Knowledge of nurses regarding evidenced based practice was low. An evaluation is needed, in order to improve knowledge and skills of nurses.
目的:了解约旦护士对循证实践的了解情况。方法:本横断面研究包括来自约旦安曼一家私立医院的120名约旦护士。采用循证实践知识工具获取数据,并获得所有护士的知情同意。在120名护士中,有100名护士做出了回应,回复率为83%。结果:100名受访护士中,女性75名(75%),平均年龄26±2 岁。关于循证实践的知识平均得分为1.2±1分(满分10分),较低。结论:护士对循证实践的了解程度较低。为了提高护士的知识和技能,有必要进行评估。
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引用次数: 1
Effect of a trans theoretical model in improving behaviors of health care workers related to electronic hookah in Mosul, Iraq 一个跨理论模型在改善伊拉克摩苏尔与电子水烟相关的卫生保健工作者行为中的作用
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj20221209113951
A. Taher, N. Younis
Objective: To assess the effect of a trans theoretical model in improving behaviors in health care workers related Hookah. Methodology: This descriptive cross-sectional study included 58 subjects from Mosul Hospital. They were chosen using a probability simple random sampling. The information was gathered from November 1 and November 15, 2022. Results: All of the Trans Theoretical Model's concepts were found to be (p=0.000) significant, with the exception of the concept of experiential processes. Conclusion: The study found that decision balance, self-efficacy/temptation, processes of change, and behavioral processes were among the many health behaviors that were positively impacted by Trans Theoretical Model.
目的:评价跨理论模型在改善医护人员水烟相关行为中的作用。方法:这项描述性横断面研究包括来自摩苏尔医院的58名受试者。他们是用概率简单随机抽样选择的。这些信息是在2022年11月1日至11月15日收集的。结果:除了经验过程的概念外,所有跨理论模型的概念都被发现是显著的(p=0.000)。结论:研究发现,决策平衡、自我效能/诱惑、改变过程和行为过程是跨理论模型对健康行为的积极影响。
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引用次数: 1
期刊
Rawal Medical Journal
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