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Increased preanalytical errors during Covid-19 Pandemic Covid-19大流行期间分析前错误增加
Pub Date : 2023-07-15 DOI: 10.18231/j.jchm.2023.014
S. Tyagi
The clinical laboratories worldwide have faced numerous obstacles due to the COVID-19 pandemic. In the midst of this outbreak, mistakes that occur during the preanalytical phase of sample collection, transportation, and processing can result in unfavorable clinical outcomes. Therefore, the aim of this investigation was to ascertain and contrast the rate at which blood specimens are rejected by a clinical laboratory and to analyze and compare the types of preanalytical errors during the pre-pandemic and pandemic periods. The present retrospective study was done in Chhatrapati Shivaji Subharti Hospital; India. Information was gathered from two distinct time periods - the pre-pandemic phase, which spanned from December 30th, 2019 to March 22, 2020, and the pandemic phase, which ran from March 23th to November 30, 2020. The rate of rejection for blood samples was established by determining the percentage of blood collection tubes containing preanalytical mistakes out of the total number of tubes received. A total of 102,000 blood samples were examined, out of which 40,800 (40%) were collected during the pandemic. The pandemic phase witnessed a significantly higher rate of rejection of blood samples (4%) as compared to the pre-pandemic phase (1%) (P < 0.001). In both phases, the most common preanalytical error was the clotting of samples. There was a significant increase in improperly labeled samples during the pandemic, while there was a notable decrease in hemolyzed samples. Given the prevailing situation of the Corona pandemic, altered logistics have led to a significant surge in preanalytical errors and consequent rejection of blood specimens in clinical laboratories. Therefore, it is imperative to take corrective measures at different levels to minimize preanalytical errors, which would ultimately enhance patient care and optimize the utilization of resources.
由于COVID-19大流行,世界各地的临床实验室面临着许多障碍。在本次疫情期间,在样品采集、运输和处理的分析前阶段发生的错误可能导致不利的临床结果。因此,这项调查的目的是确定和比较临床实验室拒收血液标本的比率,并分析和比较大流行前和大流行期间的分析前错误类型。本回顾性研究在Chhatrapati Shivaji Subharti医院进行;印度。信息是从两个不同的时间段收集的——大流行前阶段,从2019年12月30日到2020年3月22日,以及大流行阶段,从2020年3月23日到11月30日。血液样本的拒绝率是通过确定含有分析前错误的采血管占收到的采血管总数的百分比来确定的。共检查了102 000份血液样本,其中40 800份(40%)是在大流行期间收集的。与大流行前阶段(1%)相比,大流行阶段的血液样本排斥率(4%)明显更高(P < 0.001)。在这两个阶段中,最常见的分析前错误是样品的凝固。在大流行期间,不正确标记的样本显著增加,而溶血样本显著减少。鉴于冠状病毒大流行的普遍情况,后勤工作的改变导致分析前错误大幅增加,从而导致临床实验室对血液标本的拒收。因此,必须采取不同层次的纠正措施,最大限度地减少分析前错误,最终提高患者护理水平,优化资源利用。
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引用次数: 0
Plastic pollution- Think and act now! 塑料污染-现在思考和行动!
Pub Date : 2023-07-15 DOI: 10.18231/j.jchm.2023.010
Sarit Sharma
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引用次数: 0
Human monkeypox disease: An overview 人类猴痘病:综述
Pub Date : 2023-04-15 DOI: 10.18231/j.jchm.2023.009
Vidya DC, K. Annadurai, K. Arunadevi
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引用次数: 0
A cross-sectional study on health status of convicted prisoners in a central jail of central India 印度中部一所中央监狱中被定罪囚犯健康状况的横断面研究
Pub Date : 2023-04-15 DOI: 10.18231/j.jchm.2023.007
Shyam Rathod, S. Thakre, A. Jadhao, Subhash B. Thakre, S. Agrawal
: Health care in prisons is one of the neglected health areas in our country, looking in to the health problem of prisons will show us a way for the approach in providing a healthcare for prisoners.The planning and implementing prevention strategies and interventions can bring about long-term reductions in expenditure on criminal justice, health and other services. There is clear evidence that well planned crime prevention strategies not only prevent crime and victimization, but also promote community safety and contribute to the sustainable development of countries. This study aims to assess the health status of convicted prisoners along with study socio-demographic profile of prisoners and to give suitable recommendation based on study findings. A cross-sectional study was conducted among convicted prisoners of central jail in central India for the period of one year (July 2021 to July 2022). This study was conducted among 225 convicted prisoners by using Pre-designed and pretested proforma.participant was selected by systemic random sampling. Face to face interview was carried out for obtaining data.: Data was checked for consistency and completeness and entered in SPSS 20. Descriptive statistics like mean, standard deviation and percentages was will be used to describe the findings. : It is observe that 153 (68%) were anaemic followed by 111(49%) participants were depressed, 59 (26%) had hypertension, 16(7.1%) had type II DM, 11(4.8%) had mental illness, 20(8.8%) had ringworm infestation, 11(4.8%) had Asthma, 7(3.1%) had haemorrhoids, 27 (12%) complained of low back pain, 3(1.3%) had epilepsy.
监狱卫生保健是我国被忽视的卫生领域之一,调查监狱卫生问题将为我们提供一条为囚犯提供卫生保健的途径。规划和执行预防战略和干预措施可以长期减少刑事司法、保健和其他服务方面的支出。有明确的证据表明,规划良好的预防犯罪战略不仅可以预防犯罪和受害,而且还可以促进社区安全,并有助于各国的可持续发展。这项研究旨在评估被定罪囚犯的健康状况,同时研究囚犯的社会人口特征,并根据研究结果提出适当的建议。对印度中部中央监狱的被定罪囚犯进行了为期一年(2021年7月至2022年7月)的横断面研究。本研究采用预先设计和预先测试的形式对225名已定罪的囚犯进行了调查。采用系统随机抽样的方法选择参与者。为了获取数据,我们进行了面对面的访谈。:对数据进行一致性和完整性检查,并录入SPSS 20。描述性统计,如平均值,标准差和百分比将被用来描述研究结果。:贫血153例(68%),抑郁111例(49%),高血压59例(26%),II型糖尿病16例(7.1%),精神疾病11例(4.8%),癣20例(8.8%),哮喘11例(4.8%),痔疮7例(3.1%),腰痛27例(12%),癫痫3例(1.3%)。
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引用次数: 0
Inequalities in menstrual hygiene practices and social stigma among women of particular vulnerable tribal groups (PVTGs) in Madhya Pradesh 中央邦特别脆弱部落群体(pvtg)妇女的月经卫生习惯不平等和社会耻辱
Pub Date : 2023-04-15 DOI: 10.18231/j.jchm.2023.002
Dinesh Kumar, N. Saxena, S. Shrivastava
This article aimed to understand the menstrual acquaintance, practices and hygiene care of underprivileged women living in difficult terrine. The PVTGs tribes have low literacy and poor socio-economic condition. The study has focused to find out the existing personnel health hygiene by way of the use of sanitary pad and fronting with social stigmas during the menstrual period. Community based cross-sectional study was conducted in all three PVTGs Baiga, Bharia, and Saharia women of Madhya Pradesh. Data collection was done in 2019-20 in selected district Dindori, Chhindwara and Sheopur. A total 302 women were interviewed on menstrual hygiene practices and related issues who were in reproductive age (15-49 years). The related relevant information’s was collected by female trained investigators through structured questionnaire schedule by conducted interview method after obtained consent. Care of menstrual hygiene as use of sanitary pad (absorbent) was found 11.2% among women. Inequality of the use of sanitary pad was seen lower (6%) in Baiga women in comparison considerably higher (17.6%) in Bharia and (10.4%) in Saharia women. Disposing the used absorbent at outside the village were found significantly higher (44.8%), (p<0.05) in Saharia while burn the used absorbent seen significantly higher (78.3%), (p<0.05) in Bharia women. Cleaning the genital with water only were found alarming 16.5% among women particularly 21% in Baiga,17.6% in Bharia and 11.5% in Saharia women due to different culture and norms. As regards 28% women feeling menstruation is Impure details as 42%, 9% and 31% by Baiga, Bharia and Saharia women. Restrictions as social stigma during menstrual period, about 13% of women were reported that they had not involved in the community social and cultural functions. Social stigma was seen noticeably higher (22%) among Saharia while lower (12.4%) in Bharia and 5% in Baiga community.Use of hygiene absorbent during menstruation period was found comparatively very low (11.2%) among tribal women in comparison to national average. The tribal women are having greater risk of own health and her forthcoming baby. Appropriate IEC campaign program on awareness for menstrual hygiene care among women and easily availability of sanitary pad will be upholding of superior menstrual hygiene which correlated to health of mother and reproductive care.
本文旨在了解生活困难地区贫困妇女的经期认识、经期做法及卫生保健。pvtg部落识字率低,社会经济条件差。本研究的重点是了解在月经期间使用卫生巾和面对社会耻辱感的现有人员卫生状况。以社区为基础的横断面研究在中央邦的巴伊加、巴利亚和撒哈拉三名妇女中进行。数据收集于2019- 2020年在选定的Dindori、chindwara和Sheopur地区进行。对302名育龄妇女(15-49岁)进行了月经卫生习惯及相关问题的访谈。相关信息由受过培训的女性调查人员在征得同意后,采用结构化问卷表和访谈法收集。11.2%的女性使用卫生巾(吸收剂)来护理月经卫生。巴伊加妇女使用卫生巾的不平等程度较低(6%),而巴利亚和撒哈拉妇女的不平等程度则高得多(17.6%)。撒哈拉妇女在村外处理用过的吸收剂的比例(44.8%)显著高于其他地区(p<0.05),而焚烧处理用过的吸收剂的比例(78.3%)显著高于其他地区(p<0.05)。由于文化和规范的不同,仅用水清洗生殖器的妇女比例为16.5%,其中尤以巴伊加为21%,巴利亚为17.6%,撒哈拉为11.5%。28%的女性认为月经不洁,而巴伊加、巴利亚和撒哈拉地区的女性分别为42%、9%和31%。作为经期社会耻辱的限制,约13%的妇女被报告没有参与社区的社会和文化职能。社会耻辱感在撒哈拉地区明显较高(22%),而在巴利亚和Baiga社区则较低(12.4%)和5%。与全国平均水平相比,部落妇女在月经期间使用卫生吸收剂的比例相对较低(11.2%)。部落妇女自己的健康和即将出生的孩子面临更大的风险。适当的关于妇女经期卫生保健认识的信息、教育和宣传运动方案和卫生巾的容易获得将维护与母亲健康和生殖保健相关的良好经期卫生。
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引用次数: 0
Comparative study of eosinophil count in peripheral blood, sputum and BAL fluid in patients of bronchial asthma 支气管哮喘患者外周血、痰及BAL液中嗜酸性粒细胞计数的比较研究
Pub Date : 2023-04-15 DOI: 10.18231/j.jchm.2023.003
Shalini Lobiyal, J. K. Mishra, Soumya Dash, Maninder Singh
Bronchial Asthma is defined by the history of respiratory symptoms such as wheeze, shortness of breath, chest tightness and cough that vary over time and in intensity, together with variable expiratory airflow limitation. Airflow limitation may later become persistent over the course of disease. To compare the findings of eosinophil counts in peripheral blood, induced sputum and bronchoalveolar lavage fluid in asthmatic patients and healthy individuals. This Case Control Cross sectional study was conducted among patients attending respiratory OPD at Sir Sunder Lal Hospital, BHU, Varanasi, with diagnosis of bronchial asthma (100) and healthy controls. Significant association was found between eosinophilic bronchial asthma and absolute eosinophil count (W = 1168.000, p = 0.020), total serum IgE (W = 1338.000, p = <0.001), BAL eosinophil count (χ2 = 94.589, p = <0.001), sputum eosinophil count (χ2 = 14.057, p = <0.001).
支气管哮喘的定义是呼吸道症状史,如喘息、呼吸短促、胸闷和咳嗽,这些症状随时间和强度的变化而变化,同时伴有不同程度的呼气气流限制。气流受限后来可能在病程中持续存在。比较哮喘患者与健康人外周血、诱导痰及支气管肺泡灌洗液中嗜酸性粒细胞计数的变化。本病例对照横断面研究在瓦拉纳西BHU Sir Sunder Lal医院呼吸内科就诊的诊断为支气管哮喘的患者(100例)和健康对照中进行。嗜酸性粒细胞支气管哮喘与嗜酸性粒细胞绝对计数(W = 1168.000, p = 0.020)、血清总IgE (W = 1338.000, p = <0.001)、BAL嗜酸性粒细胞计数(χ2 = 94.589, p = <0.001)、痰嗜酸性粒细胞计数(χ2 = 14.057, p = <0.001)有显著相关性。
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引用次数: 0
Exploring the controversies surrounding metabolically healthy obesity 探讨围绕代谢健康肥胖的争议
Pub Date : 2023-04-15 DOI: 10.18231/j.jchm.2023.008
R. Danasekaran
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引用次数: 0
Employer led model for TB and diabetes care in BEST, Mumbai, India 雇主主导的结核病和糖尿病治疗模式,孟买,印度
Pub Date : 2023-04-15 DOI: 10.18231/j.jchm.2023.005
Rachana Vishwajeet, Anil Singal
BEST is a public sector enterprise in Mumbai providing transportation and electric supply services. Its 30000 employees receive health services from its network of dispensaries. Regular preventive and curative services are offered according to guidelines. It also runs all public health programs including National TB Elimination Program. It is established that Diabetes increases risk of TB and negatively impacts treatment outcomes. To demonstrate Employer led model and intensified collaborative activities for TB and Diabetes care in BEST, Mumbai: The is a description study with cross sectional design. All Diabetic employees were given awareness talks of benefits of early diagnosis and treatment of TB along with the risks and benefits of tests. 1127 Diabetic employees volunteered after verbal consent for clinical evaluation and Xray and participated in the study. Of the 1127 diabetics screened for TB through clinical examination and Xray, abnormality was detected in 11 patients. The sputum sample of these patients was sent for NAAT of which 1 patient came positive. Another patient whose sample was negative, demonstrated active signs of TB on further clinical evaluation. 2 patients were put on treatment and both patients have favourable outcome.An integrated approach for TB-DM, implemented by the employer, where all DM patients were screened for TB has shown a significant impact on reduction in number of TB cases. BEST promotes organisations and advocates for policy to adopt their models and screen all diabetic patients for TB through clinical examination and X ray.
BEST是孟买的一家公共部门企业,提供交通和电力供应服务。其3万名员工从其药房网络获得保健服务。根据指导方针定期提供预防和治疗服务。它还负责所有公共卫生项目,包括国家结核病消除项目。现已确定,糖尿病会增加结核病的风险,并对治疗结果产生负面影响。为了展示雇主主导的模式和加强结核病和糖尿病护理的合作活动,孟买:这是一项具有横断面设计的描述性研究。对所有患有糖尿病的员工进行了关于早期诊断和治疗结核病的益处以及检查的风险和益处的认识讲座。1127名糖尿病员工在口头同意后自愿参加临床评估和x光检查。在通过临床检查和x射线筛查的1127例糖尿病患者中,有11例患者检测到异常。这些患者的痰标本被送去进行NAAT检测,其中1例呈阳性。另一名样本呈阴性的患者在进一步的临床评估中表现出结核病的活动性体征。2例患者接受治疗,两例患者预后良好。雇主实施的结核病-糖尿病综合方法对所有糖尿病患者进行结核病筛查,对减少结核病病例数量产生了重大影响。BEST促进各组织和政策倡导者采用其模式,并通过临床检查和X光检查所有糖尿病患者的结核病。
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引用次数: 0
Quaternary prevention: The antidote to medical overuse! 四级预防:解药滥用!
Pub Date : 2023-04-15 DOI: 10.18231/j.jchm.2023.001
B. Mishra, N. Sinha, Bidushi Mishra
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引用次数: 0
Post-COVID impact: Misery of the indisposed 新冠疫情后的影响:身体不适者的痛苦
Pub Date : 2023-04-15 DOI: 10.18231/j.jchm.2023.006
J. Mukhopadhyay
COVID-19 seized human life with sickness & fatality; even elicited medical, social and financial unrest. Clinical symptoms continued for weeks after contracting COVID-19 with socio-emotional turmoil. Considering these adversities, it was decided to ascertain medico-social effect of COVID-19 on patients coming in contact with scholar during May 2020 to September 2021 in Kolkata. 83 COVID-19 positives were contacted for enlisting & consent on first opportunity, however only 79 responded & continued. A structured questionnaire was prepared including personal attributes, details of COVID-19 infection and post-COVID medico-social problems. Questionnaires were distributed online as and when contact established during study. Participants were contacted for clinical conditions every week during first month, thereafter once a month till 3 months. Finally, data collected were analyzed and tabulated.34 & 45 subjects had COVID-19 during 2020 & 2021 respectively. Majority were educated employed males of 41-50 years with co-morbidities (35.6-52.9%). All followed COVID appropriate behaviour. Fever, fatigue, breathlessness, sore-throat & cough were common during first week; even continued for some in following weeks. Headache, anosmia & ageusia, giddiness, weight-gain & insomnia were also persistent. Isolation, anxiety, avoidance by relatives, hardship in daily needs with apathy of attendants made lingering problems. 13-35% had financial hang-ups due to expenses & helplessness. Time with family, online counsellor support and upgraded home delivery services with containment-respite were in high demand.Study revealed prolonged medico-social sufferings of the COVID affected seeking online medical-social-psychological support. Further research is contemplated to plan possible future guidelines to resolve these kinds of hardships in pandemic.
COVID-19以疾病和死亡夺取了人类的生命;甚至引发了医疗、社会和金融动荡。在感染COVID-19并伴有社会情绪动荡后,临床症状持续了数周。考虑到这些不利因素,决定确定2019冠状病毒病对2020年5月至2021年9月在加尔各答与学者接触的患者的医学-社会影响。在第一次机会时联系了83名COVID-19阳性患者,以征求他们的同意,但只有79人回应并继续。编制结构化问卷,问卷内容包括个人属性、新冠肺炎感染细节和新冠肺炎后医疗社会问题。在研究期间建立联系时,在线分发调查问卷。在第一个月,每周与参与者联系一次临床情况,此后每月一次,直到3个月。最后,对收集到的数据进行分析和制表。2020年和2021年分别有34名和45名受试者感染COVID-19。以41 ~ 50岁受过教育、有工作的男性居多(35.6 ~ 52.9%)。所有人都采取了与COVID有关的行为。第一周常见发热、疲劳、呼吸困难、喉咙痛和咳嗽;甚至在接下来的几个星期里还在继续。头痛、嗅觉减退、眩晕、体重增加和失眠也持续存在。孤立、焦虑、亲戚的回避、日常生活的困难以及服务人员的冷漠都是挥之不去的问题。13-35%的人由于开支和无助而有财务问题。与家人在一起的时间、在线咨询支持和升级的家庭配送服务(包括隔离期)的需求很大。研究显示,新冠肺炎患者在网上寻求医疗社会心理支持的时间较长。正在考虑进一步的研究,以规划未来可能的指导方针,以解决大流行中的这些困难。
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引用次数: 0
期刊
The Journal of Community Health Management
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