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Inflammatory bowel disease in pediatrics 儿科炎症性肠病
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj20220813013434
D. Darmadi, R. Ruslie
Inflammatory bowel disease (IBD) comprises of Crohn’s disease (CD) and ulcerative colitis (UC). This is a chronic inflammation involving gastrointestinal tract. The prevalence of IBD is increasing recently. Approximately, 25% of all IBD cases develope during childhood. Intrinsic and extrinsic factors play important role in the pathogenesis of IBD. Mild form of IBD is more common in children with symptoms ranging from weight loss, rectal bleeding, diarrhea, and abdominal pain. Diagnosis is established based on history, physical examination, laboratory examination, imaging, endoscopy and colonoscopy, and ultimately, histopathology examination. Management includes utilization of aminosalicylates, corticosteroids, immunomodulators, and biologic agents. Nutritional support, psychosocial approach and surgical approach are other therapeutic options. The complications may occur such as micronutrient deficiency, growth failure, increased risk of malignancies, and psychiatric disorders. Routine monitoring of disease progress and growth achievement is mandatory in the management of IBD.
炎症性肠病(IBD)包括克罗恩病(CD)和溃疡性结肠炎(UC)。这是一种累及胃肠道的慢性炎症。近年来,IBD的患病率呈上升趋势。大约25%的IBD病例发生在儿童时期。内因和外因因素在IBD的发病机制中起重要作用。轻度IBD在儿童中更为常见,症状包括体重减轻、直肠出血、腹泻和腹痛。诊断的基础是病史、体格检查、实验室检查、影像学检查、内窥镜检查和结肠镜检查,最后是组织病理学检查。治疗包括使用氨基水杨酸盐、皮质类固醇、免疫调节剂和生物制剂。营养支持、社会心理治疗和手术治疗是其他治疗选择。并发症可能出现,如微量营养素缺乏、生长衰竭、恶性肿瘤风险增加和精神障碍。在IBD的管理中,对疾病进展和生长情况进行常规监测是必须的。
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引用次数: 0
COVID-19 vaccine hesitancy and its related factors among Iraqi diabetic patients 伊拉克糖尿病患者COVID-19疫苗犹豫及其相关因素
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230308035353
H. Dabis, R. Abed
Objective: To assess COVID-19 vaccine hesitancy rate and its predictor in diabetic patients. Methodology: The researchers conducted the study in Thi-Qar governorate, Iraq involving 500 diabetic patients at specialized center for diabetes and endocrinology. Results: Uptake rate was 64.4%. Three factors showed significant relationship to vaccine hesitancy (fear of side effects, previous COVID-19 infection, and believing in conspiracy theory). Also, older persons, females, lower education and who lived in rural areas were less likely to take COVID-19 vaccine. Conclusion: The study concluded fairly high hesitancy rate, and recommend that effective education for these patients could eliminate any fears or misinformed thoughts about the vaccine.
目的:评价糖尿病患者COVID-19疫苗犹豫率及其预测因素。研究方法:研究人员在伊拉克Thi-Qar省进行了这项研究,涉及500名糖尿病和内分泌专业中心的糖尿病患者。结果:吸收率为64.4%。3个因素与疫苗犹豫有显著关系(担心副作用、之前感染过新冠病毒、相信阴谋论)。此外,老年人、女性、受教育程度较低和生活在农村地区的人接种COVID-19疫苗的可能性较小。结论:该研究得出了相当高的犹豫率,并建议对这些患者进行有效的教育,以消除对疫苗的任何恐惧或错误的想法。
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引用次数: 0
Re-feeding syndrome in children treated for severe acute malnutrition 治疗严重急性营养不良儿童的再喂养综合征
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj13443127-1672162726
A. Farhat, Hamayun Anwar, Rabia Zeb, M. Qasim
Objective: To determine the prevalence of re-feeding syndrome in children treated for severe acute malnutrition (SAM). Methodology: This cross-sectional study was performed at Department of Pediatrics, King Abdullah Teaching Hospital, Mansehra, Pakistan from October 2020 to April 2021. A total of 186 children of either gender aged 1-5 years and admitted with SAM were included. Children with SAM were given F75-proxy every two hours for 2 days and then were fed with a locally made formula aimed to replace F-100 (F100-proxy), 6 times a day for a further duration of 2 days. After completing three days at the hospital, blood was drawn for measurements of blood and serum levels of phosphate, potassium, calcium and magnesium. Results: In a total of 186 children with SAM, the mean age was 3±1.21 years while 100 (53.8%) children were aged between 1-3 years. There were 146 (78.5%) boys and 40 (21.5%) girls representing a male to female ratio of 3.5:1. Re-feeding syndrome was noted among 25 (13.4%) children. Conclusion: Children with SAM were found to have high prevalence of re-feeding syndrome. Early recognition with appropriate treatment can be the key to a successful outcome in these children.
目的:了解严重急性营养不良患儿再喂养综合征的发生率。方法:本横断面研究于2020年10月至2021年4月在巴基斯坦曼塞赫拉阿卜杜拉国王教学医院儿科进行。本研究共纳入186名年龄在1-5岁之间的儿童,不论男女,均有SAM。患有SAM的儿童每两小时给予F75-proxy 2天,然后用当地配制的配方奶粉替代F-100 (F100-proxy),每天6次,持续2天。在医院住了三天后,抽血测量血液和血清中磷酸盐、钾、钙和镁的含量。结果:共186例SAM患儿,平均年龄(3±1.21)岁,其中100例(53.8%)患儿年龄在1 ~ 3岁之间。男生146名(78.5%),女生40名(21.5%),男女比例为3.5:1。25例(13.4%)患儿出现再喂养综合征。结论:SAM患儿再喂养综合征患病率较高。早期识别和适当的治疗是这些儿童取得成功的关键。
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引用次数: 0
Elevated lactate dehydrogenase (LDH) and C- reactive protein (CRP) level as a risk factor for critical COVID-19 乳酸脱氢酶(LDH)和C-反应蛋白(CRP)水平升高是COVID-19危重症的危险因素
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230909063129
Wafaa Salih
Objective: To identify correlation of elevated LDH & CRP levels with the outcomes of COVID-19. Methodology: The cross-sectional retrospective study consisted of 200 COVID-19 patients who presented at a private clinical in Baghdad, Iraq. It was carried out from February 2021 to February 2022. Data included age, gender and clinical presentation. Blood samples were taken for high sensitivity CRP and LDH in the serum. Results: Out of 200 patients, 50 were critical and 150 severe according to clinical features. LDH and CRP showed a significant increase (p=0.000) in critical patients. This group involved admission to the respiratory intensive care unit requiring mechanical ventilation than in patients with severe COVID-19 (760.5±6.3 vs. 290.3±4.1 and 44.9±7.6 vs. 25.4±2.3, respectively) Conclusions: LDH and CRP in critical COVID-19 patients may be considered as a risk factor for predicting the bad progression of the disease.
目的:探讨LDH和amp升高的相关性;CRP水平与COVID-19预后的关系方法:横断面回顾性研究包括在伊拉克巴格达一家私人诊所就诊的200名COVID-19患者。它从2021年2月到2022年2月进行。数据包括年龄、性别和临床表现。取血检测血清中高敏感性CRP和LDH。结果:200例患者中,根据临床特点,危重型50例,重症150例。危重患者LDH、CRP明显升高(p=0.000)。本组患者进入呼吸重症监护病房需要机械通气的人数比重症患者多(分别为760.5±6.3∶290.3±4.1和44.9±7.6∶25.4±2.3)。结论:LDH和CRP可作为预测重症患者病情恶化的危险因素。
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引用次数: 0
Early detection of Toxoplasmosis in Iraqi pregnant women 伊拉克孕妇弓形虫病的早期检测
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230121090847
Yossra Khudhur
Objective: To investigate the levels of IL8 and immunoglobulins (IgM and IgG) in women with Toxoplasma gondii infection during pregnancy if they were different from those in the control group. Methodology: This comparative cross-sectional study included 70 pregnant and non-pregnant females who were enrolled at Tikrit general hospital, Tikrit from January 1, to July 1, 2022. Inclusion criteria include pregnant women with toxoplasmosis. Anti-toxoplasma IgM and IgG antibodies (Torch-IgG, IgM) and IL8 levels were determined in all women. Results: The survey indicated a high number (48.5%) among ages 20, followed by 40% among ages 21-29. At age >20 years, the most positive IgM and IgG cases were reported (3 and 12), respectively, while only (2 and 7) were reported at age 21-29. In women who had a miscarriage with IgM positive as (8.5%) compared to miscarriage (11%), while women with miscarriage and positive IgG as (10.5%) compared without miscarriage (70%). The study found pregnant women had higher IL-8 levels than the control group (p=0.0001). Conclusion: Those under 20 years old had the largest total, followed by those in 21-29 years age. There were fewer cases of positive antibodies (M and G) seen in women aged 21–29 (8 and 7 cases). The levels of IL-8 were significantly higher in pregnant women who had experienced a miscarriage with a positive IgM (8.5%) than in those who had not (11%).
目的:探讨刚地弓形虫感染妇女妊娠期白细胞介素8和免疫球蛋白(IgM、IgG)水平与对照组的差异。方法:这项比较横断面研究纳入了2022年1月1日至7月1日在提克里特综合医院登记的70名孕妇和非孕妇。纳入标准包括患有弓形虫病的孕妇。检测所有女性抗弓形虫IgM、IgG抗体(Torch-IgG、IgM)和il - 8水平。结果:20岁人群中患此病的比例最高(48.5%),其次是21 ~ 29岁人群(40%)。20岁时IgM和IgG阳性病例最多(分别为3例和12例),21-29岁时仅有2例和7例。在有IgM阳性流产的妇女中(8.5%)与未流产的妇女(11%)相比,而有IgM阳性流产的妇女(10.5%)与未流产的妇女(70%)相比。研究发现,孕妇的IL-8水平高于对照组(p=0.0001)。结论:以20岁以下人群居多,21 ~ 29岁人群次之。21-29岁女性抗体阳性(M和G)较少(8例和7例)。IgM阳性流产的孕妇IL-8水平(8.5%)明显高于未流产的孕妇(11%)。
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引用次数: 0
Consanguineous marriages and poor pregnancy outcomes 近亲结婚和糟糕的怀孕结果
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230124065756
Ban Mousa, Vian Alqani, Hadeel Awadh
Objective: To examine the influence of consanguineous marriage on pregnancy outcomes and highlight the factors, such as rural region residency, unemployment, and poor education. Methodology: This prospective study used a questionnaire for women in Babylon teaching hospital and some private clinics from the 1st of June 2021 to the 1st of July 2022. Randomly, 500 women were taken, 150 of them had history of consanguineous marriage. Results: Mean age of women was 30 years; 77% were rural, 4.1% were employed, 21.6% had congenital abnormalities, 8.8% experienced recurrent miscarriages, and 10.1% suffered unexplained intrauterine mortality. 350 had no history of consanguineous marriage, a mean age of 34, 46.6% resided in rural areas, 79.3% were employed, 8.2% had congenital abnormalities, 3.4% had recurrent miscarriages, and 4% experienced unexplained intrauterine mortality. Consanguinity and rural living (p=0.0001) and employment (p=0.0001) were substantially correlated. Consanguinity was correlated with congenital abnormalities (p=0.0001), recurrent miscarriage (p=0.022), and unexplained intrauterine death (p=0.036). Conclusion: Consanguineous marriage is prevalent in our region (30%), especially in rural areas and jobless groups, which increases prenatal abnormalities, miscarriage, and intrauterine mortality.
目的:探讨近亲婚姻对妊娠结局的影响,并突出农村地区居住、失业、教育程度低等因素。方法:本前瞻性研究对巴比伦教学医院和一些私人诊所2021年6月1日至2022年7月1日期间的妇女进行了问卷调查。随机抽取500名女性,其中150人有近亲婚姻史。结果:女性平均年龄30岁;77%为农村,4.1%为就业,21.6%为先天性异常,8.8%为复发性流产,10.1%为不明原因的宫内死亡。350例无近亲婚姻史,平均年龄34岁,46.6%居住在农村,79.3%就业,8.2%有先天性异常,3.4%有复发性流产,4%有不明原因的宫内死亡。血缘关系与农村生活(p=0.0001)和就业(p=0.0001)有显著相关性。血亲关系与先天性异常(p=0.0001)、复发性流产(p=0.022)和不明原因的宫内死亡(p=0.036)相关。结论:近亲婚姻在我区普遍存在(30%),特别是在农村和失业人群中,增加了产前异常、流产和宫内死亡率。
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引用次数: 0
Effectiveness of intervention program on nurses' practices regarding movement and ambulation instructions for orthopedic patients treated by internal fixation devices 干预方案对骨科内固定装置治疗患者运动和行走指导护士实践的有效性
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230308031648
Thani Radhi, Hussein Atiyah
Objective: To determine the interventional program effectiveness on nurses' practices concerning safety of home movement and ambulation for orthopedic patients treated by internal fixation devices. Methodology: This quantitative pre-experimental study was conducted from 1st of April to 15th of December, 2022 in south of Iraq. A non-probability, purposive sample of 30 nurses was selected. Nurses’ practice was assessed before and after an interventional program. SPSS 23 were used to analyze and assess results of study. Results: Out of 30 participants, 23 (76.7%) were nursing institute graduates. More than 50% had 1 to 5 years’ experience in orthopedic wards. Statistically, there were highly significant differences between pretest and posttest in all items for nurses' practices related to safety home movement and ambulation. Conclusion: Level of nursing practices in pretest was very poor. Interventional program had positive effect on nurses’ practices.
目的:探讨干预方案对骨科内固定装置治疗患者居家活动和活动安全护理实践的效果。方法:这项定量实验前研究于2022年4月1日至12月15日在伊拉克南部进行。选取非概率、有目的样本30名护士。在介入计划前后评估护士的实践情况。采用SPSS 23软件对研究结果进行分析和评价。结果:30名参与者中,有23名(76.7%)是护理学院毕业生。超过50%的人有1至5年的骨科病房工作经验。统计上,前测和后测在护士安全回家运动和步行相关的所有项目上都有极显著差异。结论:前测期护理水平较差。干预方案对护士执业有积极影响。
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引用次数: 0
Nurses’ knowledge about electrocardiogram interpretation: A cross-sectional study 护士对心电图解读知识的横断面研究
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230722032424
Khadija Jassim, Abdulkareem Khudhair, Zainab Dawood, Ali Tiryag
Objective: To determine the level of nurses’ knowledge about electrocardiograms. Methodology: This cross-sectional design study was conducted from November 2022 and March 2023. It included 100 nurses who were working in Al-Fayhaa Hospital and the Basrah Teaching Hospital. The competence of nurses was assessed using a standardized questionnaire that was developed and distributed to the respondents involved. The data collected were analyzed using SPSS version 26. Results: Nearly to half of nurses had fair understanding regarding ECG interpretation, while one third of study participants had good knowledge. Conclusion: Most nurses have a solid understanding of ECG interpretation.
目的:了解护理人员对心电图知识的了解程度。方法:横断面设计研究于2022年11月至2023年3月进行。其中包括在Al-Fayhaa医院和巴士拉教学医院工作的100名护士。使用一份标准化的问卷对护士的能力进行评估,该问卷被开发并分发给所涉及的受访者。收集的数据使用SPSS version 26进行分析。结果:近一半的护士对心电图解释有一定的了解,而三分之一的研究参与者对心电图解释有一定的了解。结论:大多数护士对心电判读有一定的了解。
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引用次数: 0
Impact of socio-demographic factors on the climate in medical organizations 社会人口因素对医疗机构气候的影响
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230613082042
Kamal Ameen, Hassan Hussein
Objective: To examine the effect of the socio-demographic factors of staff as an independent variable on identified organizational climate dimensions. Methodology: This descriptive cross-sectional study was conducted at Psycho-social Health Units in Primary Health Care Centers among nurses in Kirkuk Governorate, Iraq. A convenient sample of 84 nurses was selected. The data were collected through self-report questionnaire from 25th August to 10th October 2022. The questionnaire was composed of socio-demographic variables, and Organizational Climate Scale (OCQ). The data were analyzed using SPSS version 26.0. Results: Nurses perceived a favorable organizational climate, in which 73.8% of them associated with favorable level assessment related to dimensions of (structure, motivation, communication, training and learning, friendship, and support). They perceived moderately favorable organizational climate regarding (salary and recognition), while perceiving high organizational climate regarding “identity”. There was a significant relationship between Nurses’ age group, years of employment, and interest in their work with Organizational Climate. A highly significant relationship was found between Nurses’ marital status with Organizational Climate. Conclusion: The study highlights the importance of most socio-demographic characteristics as a strong indicator of positive organizational behavior of nurses. This can increase their self-efficacy, ultimately leading to improvement and elevation of efficiency of care provided.
目的:考察员工社会人口因素作为自变量对组织氛围维度的影响。方法:这项描述性横断面研究是在伊拉克基尔库克省初级卫生保健中心的心理社会卫生单位对护士进行的。我们方便地选取了84名护士作为样本。数据于2022年8月25日至10月10日通过自我报告问卷收集。问卷由社会人口学变量和组织气候量表(OCQ)组成。数据采用SPSS 26.0版本进行分析。结果:护士认为组织氛围良好,其中73.8%的护士在组织结构、动机、沟通、培训与学习、友谊、支持等维度上评价良好。他们认为在薪酬和认可方面的组织氛围较为有利,而在“身份”方面的组织氛围较高。护士的年龄、工作年限、工作兴趣对组织氛围有显著的影响。护士的婚姻状况与组织氛围呈极显著相关。结论:该研究强调了大多数社会人口特征作为护士积极组织行为的强有力指标的重要性。这可以增加他们的自我效能,最终导致改善和提高所提供的护理效率。
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引用次数: 0
Assessment of the use and awareness of health applications among the public in Najran City, Saudi Arabia: A cross sectional study 评估沙特阿拉伯纳季兰市公众对保健应用的使用和认识:一项横断面研究
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230914102028
Mugahed khadher
Objectives: To explore the awareness and use of health applications among general public in Najran city, Saudi Arabia. Methodology: This descriptive cross-sectional used convenience random sampling technique to select 351 participants of general population of Najran City. They answered an electronic survey to collect data on their socio-demographic characteristics and the types of mobile applications they used. The data were analyzed using SPSSS version 24. Results: The majority of study participants were male (76.6%) and were aged between 21 and 30 years (53.8%). The majority of participants (97.7%) owned a smartphone, but the mobile applications they used the most were social media applications (68.4%) and that the usage of health applications was very low (15.1%). Of those that were used, the most common were fitness and exercise apps (83.9%), diet and nutrition apps (5.6%), body mass index apps (3.7.%), and quit-smoking apps (5.6%). Conclusion: The use of social media applications was significantly higher than the use of health applications among study participants. Despite the growing number of Health apps, the level of awareness and usability of such apps was still relatively low. In order to increase the use of health apps among public, it is important to first increase awareness and knowledge of these apps benefit on health.
目的:探讨沙特阿拉伯纳吉兰市公众对卫生应用的认识和使用情况。方法:采用描述性横断面抽样方法,从纳季兰市普通人群中抽取351人。他们回答了一项电子调查,以收集他们的社会人口特征和他们使用的移动应用程序类型的数据。使用spss version 24分析数据。结果:研究对象以男性为主(76.6%),年龄在21 ~ 30岁之间(53.8%)。大多数参与者(97.7%)拥有智能手机,但他们使用最多的移动应用程序是社交媒体应用程序(68.4%),健康应用程序的使用率非常低(15.1%)。在这些应用中,最常见的是健身和锻炼应用(83.9%)、饮食和营养应用(5.6%)、体重指数应用(3.7%)和戒烟应用(5.6%)。结论:社交媒体应用程序的使用显著高于健康应用程序的使用。尽管健康应用越来越多,但人们对这些应用的认识和可用性仍然相对较低。为了增加公众对健康应用程序的使用,重要的是首先要提高对这些应用程序对健康有益的认识和知识。
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引用次数: 0
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Rawal Medical Journal
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