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Analysis of depression, activity of daily of living and balance among elderly with knee osteoarthritis in Malang, Indonesia 印尼玛琅地区老年膝关节骨关节炎患者抑郁、日常生活活动及平衡状况分析
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230523054728
Sri Wardojo, Rakhmad Rosadi, Owen Nkoka, Sun Qianhui, Aqila Cintia, Prasasti Seputri
Objective: To investigate the relationship between depression and activity daily living (ADL) towards balance among knee osteoarthritis patients in Malang. Methodology: This cross-sectional study with purposive sampling technique was conducted in primary healthcare centers in Malang and included 166 participants. Patients aged above 60 years, diagnosed with knee osteoarthritis with Kellgren-Lawrence grade 1-2, had symptoms of depression/mild depression (based on medical diagnosis), did not have severe visual disturbances; did not have neurological problems and did not consume any antidepressants were included in the study. We used Geriatric Depression Scale, Barthel Index, and Single Leg Standing test. All the data were analyzed using the Independent T-test and Pearson Correlation. Results: Depression negatively correlated with balance ability (p<0.05; r1=-0.25). Ability to do daily activities was positively correlated with balance ability (p<0.05; r = 0.55). Conclusion: It is urged to focus on maintaining and promoting knee osteoarthritis patients’ psychological health and recommend it to be included in the policy of geriatric health management. This will minimize the occurrence of potentially harmful secondary effects and gain an optimal quality of life for the elderly.
目的:探讨麻郎地区膝骨性关节炎患者抑郁与日常生活活动平衡的关系。方法:本横断面研究采用有目的抽样技术,在玛琅的初级卫生保健中心进行,包括166名参与者。患者年龄60岁以上,诊断为Kellgren-Lawrence分级1-2级膝骨关节炎,有抑郁/轻度抑郁症状(基于医学诊断),无严重视力障碍;没有神经问题,也没有服用任何抗抑郁药的人被纳入研究。采用老年抑郁量表、Barthel指数和单腿站立测试。所有数据均采用独立t检验和Pearson相关分析。结果:抑郁与平衡能力呈负相关(p<0.05;r1 = -0.25)。日常活动能力与平衡能力呈正相关(p<0.05;R = 0.55)。结论:应重视维护和促进膝关节骨性关节炎患者的心理健康,并建议将其纳入老年健康管理政策。这将最大限度地减少潜在有害的二次效应的发生,并为老年人获得最佳的生活质量。
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引用次数: 0
Evaluation of biochemical parameters in Iraqi women patients with preeclampsia 伊拉克妇女先兆子痫患者的生化指标评价
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230409073401
Reem Haddad
Objective: To evaluate some biochemical parameters in Iraqi women patients with preeclampsia (PE). Methodology: In this study, data were collected from December 2022 and March 2023 at Department of Obstetrics and Gynecology, Al-Elwiya Maternity Teaching Hospital from 31 pregnant women with PE. We had 31 pregnant women in the control group who were healthy. Age, gestational age, BMI, and renal function tests are performed. Results: There was no difference in age, and gestational age (weeks), between PE women and the control group. Serum total bilirubin, creatinine, and urea levels were all considerably higher in PE than in the control group. There were no statistically significant differences in serum albumin and total protein levels, although the SBP and DBP from PE patients were significantly higher than those of the control group. Conclusion: Pregnant women should be evaluated because elevated serum levels of total bilirubin, creatinine, and urea may signal the onset of preeclampsia. The best biochemical test for diagnosing preeclampsia was serum creatinine level.
目的:评价伊拉克妇女先兆子痫(PE)的一些生化指标。方法:在本研究中,数据收集于2022年12月至2023年3月在Al-Elwiya妇产教学医院妇产科,来自31名PE孕妇。我们有31名健康的孕妇作为对照组。进行年龄、胎龄、BMI和肾功能检查。结果:PE妇女与对照组在年龄和胎龄(周)方面无差异。PE组的血清总胆红素、肌酐和尿素水平均明显高于对照组。两组血清白蛋白和总蛋白水平差异无统计学意义,但PE患者的收缩压和舒张压明显高于对照组。结论:孕妇应该进行评估,因为血清总胆红素、肌酐和尿素水平升高可能是子痫前期发病的信号。血清肌酐水平是诊断子痫前期最好的生化指标。
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引用次数: 0
Use of two insulin sensitizers in ovulation induction for women with polycystic ovary syndrome 两种胰岛素增敏剂在多囊卵巢综合征女性促排卵中的应用
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230121104735
Dhai Rashid, Raghda Bardan
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引用次数: 0
Clinico-epidemiological profile and short-term outcomes of patients withmetastatic malignant pleural effusion in Baghdad, Iraq 伊拉克巴格达转移性恶性胸腔积液患者的临床流行病学概况和短期预后
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230130063627
N. Fayadh, Abbas Anbari, Luma K. Mohammed
Objectives: To describe the epidemiological profile of metastatic malignant pleural effusion (MPE) in patients admitted to the surgical wards at a tertiary hospital in Baghdad, Iraq. Methodology: The study was single-center, cross-sectional, and comprised 90 successive patients who were hospitalized with MPE. Results: Out of 90 patients, 60% were females and the age group 46-55 years formed the highest percentage (33.3%). We found that 97.8% had pre-existing malignancy, mainly breast cancer and 85.5% suffered non-specific generalized symptoms related to the primary malignancy. All the cases presented with shortness of breath, cough, and chest pain, and only 3.3% were asymptomatic. Pleurodesis was done in 84 patients and in the majority of them (86.7%) bleomycin was used. The majority of the pleural fluid aspirates were exudate according to Light criteria. 40% patients improved during hospitalization. Better improvement was observed among unilateral, and small MPE. Less than one-third of the cases had recurrent effusion, which was mostly in those with bilateral and secondary MPE. The survival rate was relatively good (82%). Around 6% cases were referred to oncologists. Conclusion: Although the therapeutic approaches of MPE were mostly palliative not curative, a substantial improvement in outcome after the management of MPE was noted. Parameters that predict favorable short-term outcomes are unilateral and small pleural effusions.
目的:描述伊拉克巴格达一家三级医院外科病房收治的转移性恶性胸腔积液(MPE)患者的流行病学概况。方法:本研究为单中心、横断面研究,纳入90例连续住院的MPE患者。结果:90例患者中,女性占60%,46 ~ 55岁年龄组比例最高(33.3%)。我们发现97.8%的患者既往存在恶性肿瘤,主要是乳腺癌,85.5%的患者存在与原发恶性肿瘤相关的非特异性全身性症状。所有病例均表现为呼吸急促、咳嗽和胸痛,只有3.3%无症状。84例患者行胸膜固定术,其中大多数(86.7%)使用博来霉素。根据Light标准,大多数胸腔积液为渗出物。40%的患者在住院期间得到改善。单侧MPE和小MPE改善较好。不到三分之一的病例复发积液,主要发生在双侧和继发性MPE患者。生存率相对较好(82%)。约6%的病例转诊给肿瘤学家。结论:虽然MPE的治疗方法大多是姑息性的,而不是治愈性的,但经过MPE的治疗后,结果有了实质性的改善。预测短期预后良好的参数是单侧和少量胸腔积液。
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引用次数: 0
Knowledge of new nursing college alumni concerning complications of COVID-19 护理学院新校友对新冠肺炎并发症的了解情况
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230904104203
Faisal Sameen, Qassim Abed
Objective: To measure knowledge of new nursing college alumni concerning complications of COVID-19 and to determine the relationship between demographic characteristics and their knowledge. Methodology: In this purposive survey, we included 35 new nursing alumina and collected demographic data and knowledge regarding complications of COVID-19. The study was carried out from July 1 to October 1, 2022 and included all sections units of General Kirkuk Hospital, Kirkuk City. We used a questionnaire with 20 items. The data were analyzed using both descriptive and inferential statistical approaches. Results: The recent nursing college graduates had little understanding about COVID-19 problems. Conclusions: The current investigation showed that the graduates of new nursing colleges had little understanding of COVID-19 complications.
目的:了解护理学院应届毕业生COVID-19并发症相关知识,探讨人口学特征与相关知识的关系。方法:在本目的调查中,我们纳入了35名新的护理人员,并收集了有关COVID-19并发症的人口统计学数据和知识。该研究于2022年7月1日至10月1日进行,包括基尔库克市基尔库克综合医院的所有科室。我们使用了一份包含20个项目的问卷。使用描述性和推断性统计方法对数据进行分析。结果:护理学院应届毕业生对新冠肺炎相关问题了解程度较低。结论:目前调查显示,新设护理学院毕业生对新冠肺炎并发症的了解程度较低。
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引用次数: 0
Acute limb ischemia associated with COVID-19 in Basra province, Iraq 伊拉克巴士拉省与COVID-19相关的急性肢体缺血
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230213012921
Thamir Muhmood, Mohammed Alshukoor, Abdulkareem Musawi, Adel Abdulateef
Objective: To investigate acute limb ischemia (ALI) incidence, characteristics, and clinical outcomes at Basra Tertiary Hospital during the COVID-19 Pandemic. Methodology: This cross-sectional investigation included 53 COVID-19-infected patients with limb ischemia in Al-Sader teaching hospital from April 2020 to May 2022. Each patient's gender, age, smoking status, and medical history like diabetes, hypertension, hypercholesterolemia, and respiratory failure were recorded. Results: Mean age of patients was 63 ± 8 years. Out of 53 patients, 88.7% were males and most (67.9%) were 60 years old or more. 75.5 of patients were smokers, 50.9%, 39.6%, 22.6%, 28.3% had diabetes mellitus, hypertension, hypercholesterolemia and respiratory failure, respectively. There was a significant association between embolectomy, actylase anticoagulant, death and amputation. 84.6% of patients with embolectomy had amputation while 80% who took actylase anticoagulant had no amputation. Conclusion: In covid-19 related ALI, amputation was common in embolectomy patients while it was rare in patients who received actylase. Most of deceased patients had amputations.
目的:了解新冠肺炎大流行期间巴士拉三级医院急性肢体缺血(ALI)的发病率、特点及临床结局。方法:对Al-Sader教学医院2020年4月至2022年5月收治的53例肢体缺血感染的新冠肺炎患者进行横断面调查。记录每位患者的性别、年龄、吸烟状况以及糖尿病、高血压、高胆固醇血症、呼吸衰竭等病史。结果:患者平均年龄63±8岁。53例患者中,88.7%为男性,大多数(67.9%)为60岁及以上。75.5%的患者为吸烟者,50.9%、39.6%、22.6%、28.3%的患者患有糖尿病、高血压、高胆固醇血症和呼吸衰竭。栓子切除术、乙酰化酶抗凝、死亡和截肢之间存在显著相关性。栓塞切除术患者截肢率为84.6%,而服用乙酰化酶抗凝剂患者无截肢率为80%。结论:在与covid-19相关的ALI中,截肢在栓塞切除术患者中很常见,而在接受酰基化酶治疗的患者中很少见。大多数死者都截肢了。
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引用次数: 0
Effect of an educational program to improve nursing staff knowledge toward preventing urinary tract infection associated with catheters at Kirkuk City, Iraq 伊拉克基尔库克市一项提高护理人员预防导尿管相关尿路感染知识的教育计划的效果
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230604041646
Ali Alwan, Abid Kumait
Objective: To evaluate the effect of an educational program on nursing staff regarding urinary tract infection associated with catheters (UTIAC) prevention in Kirkuk General Hospital, Kirkuk City. Methodology: This pre-experimental (pre-post) one group study was conducted by purposive sample of 54 nurses recruited from respiratory, coronary, and intensive care units at Kirkuk General Hospital. A questionnaire was completed by all participants. It had two parts: Part I: Socio-demographic questionnaire and Part II: Level of nurses’ knowledge questionnaire. Data collection was carried out from December 2022 to February 2023 and were analyzed by SPSS version 22. Results: The males were 55.6%, and 51.9% belonged to age group <25 years. Most (83.3%) were from nursing college, 40.7% had between 1-2 years’ experience as nurses, while 87% had not received any training about UTIAC prevention. There were highly significant statistical differences between pre- and post-program at p<0.001 for nurse’s knowledge about preventing UTIAC. There was no significant relationship between nurses’ level of knowledge and their demographic characteristics. Conclusion: The educational program had a significant and positive effect on nursing staffsꞌ knowledge about preventing UTIAC.
目的:评价在基尔库克市基尔库克总医院对护理人员进行导尿管相关尿路感染预防教育的效果。方法:本实验前(实验前后)一组研究由基尔库克综合医院呼吸、冠状动脉和重症监护病房招募的54名护士进行。所有参与者都完成了一份调查问卷。调查分为两部分:第一部分:社会人口调查问卷和第二部分:护士知识水平调查问卷。数据收集时间为2022年12月至2023年2月,使用SPSS 22版进行分析。结果:男性占55.6%,25岁年龄组占51.9%。大多数(83.3%)为护理学院学历,40.7%为1-2年护理经验,87%未接受过预防utac的培训。护理人员预防utac的知识在项目前和项目后有显著的统计学差异,差异为0.001。护士知识水平与人口学特征无显著相关。结论:教育项目对护理人员预防utac的知识有显著的积极作用。
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引用次数: 0
Case of nasolabial cyst excised by transnasal endoscopic approach: A rare case report 经鼻内镜入路切除鼻唇囊肿一例:罕见病例报告
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20221031085300
Y. Kim
We report a case of complete endoscopic removal of a nasolabial cyst. A 46-year-old woman visited our hospital with right nasal congestion and runny nose. Non-enhanced paranasal sinus computed tomography showed a 2.0 cm sized low-density lesion in the right nasolabial fold, suggesting a nasolabial cyst. Endoscopic excision of the cyst was performed. A 12 months follow-up was uneventful.
我们报告一个病例完全内镜切除鼻唇囊肿。一名46岁女性以右鼻塞、流鼻水就诊。非增强鼻窦ct示右鼻唇沟一2.0 cm大小的低密度病灶,提示鼻唇囊肿。经内镜切除囊肿。12个月的随访平安无事。
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引用次数: 0
Service quality dimensions associated with user satisfaction in health laboratory center in Makassar, Indonesia 印度尼西亚望加锡卫生实验室中心服务质量维度与用户满意度相关
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230117034447
Irmawaty Haeruddin, Amran Razak, Indar Indar, Darmawansyah Darmawansyah, Lalu Shaleh, A. Salmah
Objective: To assess overall satisfaction and identify the service quality dimensions most associated with user satisfaction in health laboratory center (Balai Besar Laboratorium Kesehatan/BBLK) Makassar, Indonesia. Methodology: This cross-sectional analytical study was conducted in June-August 2022 among 250 participants who were selected using a purposive sampling technique. Those 17 year and above adults visiting the laboratory were included and those who coult read and write were excluded from the study. We used a validated questionnaire. Statistical analyses using univariate, bivariate, and multivariate regression analyses were performed. Results: Most participants (61.2%) had a generally positive appreciation of the provider with a feeling of satisfaction with BBLK Makassar service. Reliability dimension was the higher (80%) than with other service quality dimensions. Multivariate model showed a relationship between service quality dimensions and user satisfaction (61.0%). Conclusion: The service quality of BBLK Makassar as a healthcare provider was good. Improving services other than the satisfaction dimensions is necessary to increase user satisfaction.
目的:评估印尼望加锡Balai Besar Laboratorium Kesehatan/BBLK卫生检验中心的总体满意度,并确定与用户满意度最相关的服务质量维度。方法:这项横断面分析研究于2022年6月至8月在250名参与者中进行,这些参与者采用有目的抽样技术。访问实验室的17岁及以上的成年人被包括在内,那些能读写的人被排除在研究之外。我们使用了一份有效的问卷。采用单变量、双变量和多变量回归分析进行统计分析。结果:大多数参与者(61.2%)对BBLK望加锡医疗服务提供者总体上有积极的评价,对BBLK望加锡医疗服务感到满意。可靠性维度比其他服务质量维度更高(80%)。多变量模型显示服务质量维度与用户满意度之间的关系(61.0%)。结论:望加锡BBLK医疗服务质量良好。提高用户满意度需要改进满意度维度以外的服务。
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引用次数: 0
Epidemiology of leukemia among children in Nineveh Province, Iraq 伊拉克尼尼微省儿童白血病流行病学研究
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj20221101110317
Rian Ibrahim, Nada Idrees, N. Younis
Objective: To determine the prevalence of leukemia among children during 2018-2021 in Mosul city. Methodology: This retrospective study was conducted on leukemia patients in Oncology Center at Ibn Al-Atheer Hospital from 10th January to 30th April 2022. Data were collected from patients’ records. Results: Out of 153 patients, 99 (64.8%) were males and 54 (35.2%) females. The disease was found in children of school age more than in the rest of the ages and more males and those belonging to urban areas were affected. Acute lymphatic leukemia was commonest form found. Conclusion: The prevalence of the disease is very high and is constantly increasing. The incidence of the disease in school-age children is relatively high.
目的:了解2018-2021年摩苏尔市儿童白血病患病率。方法:回顾性研究于2022年1月10日至4月30日在Ibn Al-Atheer医院肿瘤中心进行的白血病患者。数据从患者记录中收集。结果:153例患者中,男性99例(64.8%),女性54例(35.2%)。该疾病在学龄儿童中的发病率高于其他年龄段,男性和城市地区的男性发病率更高。急性淋巴白血病是最常见的形式。结论:本病发病率高且呈持续上升趋势。这种疾病在学龄儿童中的发病率相对较高。
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引用次数: 7
期刊
Rawal Medical Journal
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