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Exploring Iot Embedded Systems Along the Line of Identity Access Management for Enhanced Health Data Security 沿着加强健康数据安全的身份访问管理路线探索物联网嵌入式系统
Pub Date : 2024-04-12 DOI: 10.33140/jnh.09.02.09
A. Overview of IoT Embedded Systems The pervasiveness of Internet of Things (IoT) embedded systems in the digital era has significantly transformed numerous industries, including healthcare. These interconnected devices, capable of collecting, transmitting, and analyzing data, offer immense potential to improve healthcare service efficiency, accessibility, and quality. However, the escalating volume of sensitive health data being generated and exchanged necessitates the implementation of robust security measures. A critical element in this regard is Identity and Access Management (IAM), which governs the control of user identities and their access privileges within a specific system [1].
A.物联网嵌入式系统概述 物联网(IoT)嵌入式系统在数字时代的普及极大地改变了包括医疗保健在内的众多行业。这些能够收集、传输和分析数据的互联设备为提高医疗保健服务的效率、可及性和质量提供了巨大的潜力。然而,由于生成和交换的敏感医疗数据量不断增加,因此必须采取强有力的安全措施。这方面的一个关键因素是身份和访问管理(IAM),它对用户身份及其在特定系统中的访问权限进行控制[1]。
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引用次数: 0
The Effect of Psychoactive Substances Used on Clinical Outcomes in Injured Drivers Referred to Emergency Medicine; Case-Control Study 使用精神药物对急诊科转诊的受伤司机临床结果的影响;病例对照研究
Pub Date : 2024-01-05 DOI: 10.33140/jnh.09.01.02
Objective: The use of psychoactive substances increases the risk of accidents. This study evaluated the relationship between the type of psychoactive substances among traffic injured admitted to the medical center. Methods: Injured drivers (100 used drugs), (260 control group), who were transferred to 7-Tir Hospital from April 2021 to March 2022 were studied. The information related to the accident scene, personal characteristics, and the substance used was collected from the police and the medical center documents. We used multiple logistic regression to find the important factor in outcomes. Results: The mean age of the case group (37.49 ±13.61) compared to the control group (34.18 ±14.05) was significant (p=0.044). The most common substances in the case group were opioids which had the highest mean age (41.90 ± 13.541). Injured who used sedatives had higher signs of head trauma than the others. Also, being guilty had a remarkable difference in the groups (94.6 vs 62.4 p= <0.001). Motorcyclist drivers were 185(65%) as responsible for the accident, in addition, 69(69%) were in the case group. Head trauma, type of accident, and level of triage had a significant effect on the death of the injured. Conclusion: Using sedatives causes increased head trauma. Driving under the effect of psychoactive drugs is more common among motorcycle drivers, and a large percentage of them were guilty of accidents.
目的使用精神活性物质会增加事故风险。本研究评估了医疗中心收治的交通事故伤员中精神活性物质类型之间的关系。研究方法研究对象为 2021 年 4 月至 2022 年 3 月期间转入 7-Tir 医院的受伤司机(100 人使用过药物)(260 人为对照组)。我们从警方和医疗中心的文件中收集了与事故现场、个人特征和使用药物有关的信息。我们使用多元逻辑回归法来寻找影响结果的重要因素。结果病例组的平均年龄(37.49 ±13.61)与对照组(34.18 ±14.05)相比,差异显著(P=0.044)。病例组中最常见的药物是阿片类药物,其平均年龄最高(41.90 ± 13.541)。与其他人相比,使用镇静剂的伤者有更多的头部外伤迹象。此外,有罪与否在各组中也有显著差异(94.6 vs 62.4 p= <0.001)。185名摩托车驾驶员(65%)对事故负有责任,此外,69名摩托车驾驶员(69%)属于肇事组。头部创伤、事故类型和分流级别对伤者的死亡有显著影响。结论使用镇静剂会增加头部创伤。在精神药物作用下驾驶在摩托车驾驶员中更为常见,其中有很大比例的人是事故肇事者。
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引用次数: 0
A Thorough Study and Meta-Analysis of The Prognostic Relevance of the C-Reactive Protein-Albumin Ratio in Acute Pancreatitis 对急性胰腺炎患者 C 反应蛋白-白蛋白比值预后相关性的深入研究和 Meta 分析
Pub Date : 2024-01-04 DOI: 10.33140/jnh.09.01.01
Background: Although most cases of acute pancreatitis (AP) are minor, severe cases are associated with a substantial risk of death. Acute pancreatitis (AP) is a common illness. Therefore, it is critical to assess AP severity as soon as possible. This review aimed to ascertain the predictive significance of the CRP to albumin ratio in individuals with AP. Methods: We searched PubMed, Science Direct, and Cochrane Library electronic databases Until January 2023. Studies that reported the CRP/alb ratio at admission and its relationship to the severity or death of patients with AP were included. Using a random-effects model, we computed the pooled mean difference (MD) and 95% confidence interval (CI). The quality of the included studies was evaluated using the Newcastle-Ottawa scale. Results: This meta-analysis combined data from six trials with a total of 2244 patients. Upon admission, the CRP/alb ratio was higher in patients with severe AP than in those with mild to moderate AP (pooled MD:3.59; 95% CI:2.51- 4.68; p<0.00001). Additionally, non-survivor AP patients had a substantially higher CRP/alb ratio than survivor AP patients (pooled MD:2.12; 95% CI:0.43-3.8; p < 0.01). In conclusion, individuals with AP may benefit from a high CRP/ALB ratio as a preliminary indicator of poor prognosis.
背景:虽然大多数急性胰腺炎(AP)病例并不严重,但严重病例却有很大的死亡风险。急性胰腺炎是一种常见疾病。因此,尽快评估急性胰腺炎的严重程度至关重要。本综述旨在确定 CRP 与白蛋白比值对急性胰腺炎患者的预测意义。方法:我们检索了截至 2023 年 1 月的 PubMed、Science Direct 和 Cochrane Library 电子数据库。纳入了报告入院时 CRP/alb 比值及其与 AP 患者严重程度或死亡关系的研究。我们使用随机效应模型计算了汇总的平均差 (MD) 和 95% 置信区间 (CI)。采用纽卡斯尔-渥太华量表对纳入研究的质量进行了评估。结果该荟萃分析合并了六项试验的数据,共涉及 2244 名患者。入院时,重度 AP 患者的 CRP/alb 比值高于轻度至中度 AP 患者(汇总 MD:3.59;95% CI:2.51-4.68;P<0.00001)。此外,非存活 AP 患者的 CRP/alb 比值远高于存活 AP 患者(汇总 MD:2.12;95% CI:0.43-3.8;p <0.01)。总之,将高 CRP/ALB 比值作为预后不良的初步指标可能对 AP 患者有益。
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引用次数: 0
Understanding Pap Smears, HPV, and Preventive Measures in Relation to Cervical Health 了解子宫颈抹片检查、HPV 和与宫颈健康有关的预防措施
Pub Date : 2024-01-03 DOI: 10.33140/jnh.09.01.03
Understanding HPV, Pap Smears, and Preventive Measures are examined in various facets of cervical health and how important it is to women's life. The main points of contention here are the value of maintaining cervical health, the contribution of the Human Papillomavirus (HPV) to the development of cervical cancer, the necessity of Pap smears for early detection, and the preventive measures that can be taken to keep cervical health. It has covered the function of HPV, the significance of Pap smears, and a number of preventive strategies, such as HPV vaccine, responsible sexual behavior, and routine screenings. The author has placed a strong emphasis on the necessity of ongoing awareness campaigns and the vital role that healthcare providers play in teaching patients about cervical health throughout this essay. By putting these steps into practice, we can lower the prevalence of cervical cancer, identify anomalies early on, and ultimately save lives. For those who are interested in learning more about cervical health and for medical professionals who want to help and counsel their patients, this paper is a great resource. It emphasizes how crucial it is for medical experts, legislators, and the community to work together in order to realize the vision of a world free from cervical cancer and manageable with it.
了解人乳头瘤病毒、子宫颈抹片检查和预防措施》从各个方面探讨了子宫颈健康及其对女性生活的重要性。这里争论的焦点是保持宫颈健康的价值、人类乳头状瘤病毒(HPV)对宫颈癌发展的贡献、巴氏涂片早期检测的必要性以及保持宫颈健康可以采取的预防措施。书中介绍了 HPV 的功能、巴氏涂片检查的意义,以及一些预防策略,如 HPV 疫苗、负责任的性行为和常规筛查。作者在文章中着重强调了持续开展宣传活动的必要性,以及医疗服务提供者在向患者传授宫颈健康知识方面所扮演的重要角色。通过将这些步骤付诸实践,我们可以降低宫颈癌的发病率,及早发现异常,并最终挽救生命。对于那些有兴趣了解更多宫颈健康知识的人,以及想要帮助和咨询患者的医务人员来说,本文是一个很好的资源。它强调了医学专家、立法者和社会各界共同努力,以实现一个没有宫颈癌和宫颈癌可控的世界的愿景是多么重要。
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引用次数: 0
An Exploration/Investigation of General Practitioners’ and General Practice Nurses’ Opinions on Physical Activity Promotion to their Patients in Ireland 爱尔兰全科医生和全科护士对促进患者体育活动意见的探讨
Pub Date : 2023-08-10 DOI: 10.33140/jnh.08.04.05
Sean Kelliher, Maura Dowling, Sean Gerard Foley, Ananya Gupta, Corresponding
Chronic disease rates are increasing globally, this is partially attributable to the global epidemic of physical inactivity. Physical activity promotion in primary care is regarded as the best approach for combating chronic disease. This study investigated the common beliefs and opinions among general practitioners and nurses on promoting physical activity to patients in Ireland. This research took a mixed-methods approach consisting of an online questionnaire (n=79) and semi-structured interviews (n=8). Lack of time, expertise, cohesiveness, referral pathways, and exercise professionals were the main barriers to physical activity promotion experienced. A small minority (7.6%) of participants were trained in exercise prescription, and 40.5% had knowledge of a local exercise professional. Furthermore, the research indicated that 70.2% of GPs and 86.4% of GP nurses did not provide an exercise referral. Physical activity promotion in primary care needs a cohesive approach. Involving an exercise professional is crucial to help facilitate to aid physical activity promotion
全球慢性病发病率正在上升,部分原因是全球普遍缺乏身体活动。在初级保健中促进身体活动被认为是防治慢性病的最佳方法。本研究调查了爱尔兰全科医生和护士对促进患者体育锻炼的共同信念和意见。本研究采用混合方法,包括在线问卷(n=79)和半结构化访谈(n=8)。缺乏时间、专业知识、凝聚力、转诊途径和运动专业人员是促进体育活动的主要障碍。少数受访者(7.6%)曾接受运动处方训练,而40.5%曾认识本地运动专业人士。此外,研究表明70.2%的全科医生和86.4%的全科医生护士没有提供运动转诊。在初级保健中促进身体活动需要一种有凝聚力的方法。让运动专家参与对促进身体活动至关重要
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引用次数: 0
Dental Implantation After Jaws Resection in Oncopediatrics 肿瘤外科颌骨切除术后种植牙
Pub Date : 2023-08-09 DOI: 10.33140/jnh.08.04.04
Demenchuk Krasnov A.S., Omfs Researcher Dmitry Anna Dudaeva, Rogachev National Medical
Resume. The purpose of the work. Improving the technique of dental implantation in the area of free vascularized fibular flap in the projection of the jaws in adolescents who underwent jaw resection. Materials and methods. In this study, 9 patients with jaw neoplasms who underwent jaw resection aged 12 to 18 years (average age 13.4; 5 girls, 4 boys) were treated, including 6 patients with malignant tumors and 3 patients with benign jaw formations. Results. Based on digital planning, it was possible to improve the technique of dental implantation in the projection of a free fibular flap in adolescents who underwent jaw resection. This made it possible to reduce the risks of complications of dental implantation in the projection of a free fibular flap in adolescents who underwent jaw resection. Also, digital planning optimizes surgical intervention in the volume of dental implantation. 8 patients were fully rehabilitated by the time of adulthood (prosthetics was performed on dental implants in the area of a free vascularized fibular graft in the projection of the jaw) and 1 patient, due to the failure of the fibular flap, was rehabilitated using removable prosthetics. Conclusions. Based on the results of the study, the algorithm of rehabilitation of patients after jaw resection in oncopediatrics has been improved by means of using digital planning during dental implantation
重新开始工作的目的。青少年下颌骨切除术后游离带血管腓骨瓣颌突区种植技术的改进。材料和方法。在本研究中,9例12至18岁的颌骨肿瘤患者接受了颌骨切除术(平均年龄13.4岁;女5例,男4例,其中恶性肿瘤6例,良性颌骨形成3例。结果。在数字规划的基础上,有可能改善青少年游离腓骨瓣投影种植技术。这就有可能降低青少年游离腓骨瓣投影种植的并发症风险。此外,数字化规划优化了植牙体积的手术干预。8例患者在成年时完全康复(在下颌突出的游离带血管的腓骨移植物区域进行修复),1例患者由于腓骨皮瓣失败,使用可移动的修复体进行修复。结论。基于本研究结果,通过在种植牙过程中使用数字化规划,改进了肿瘤学颌骨切除术后患者康复的算法
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引用次数: 0
Educational Intervention for The Promote Behaviors Related to Oral Health: A Randomized Controlled Trial Protocol 教育干预与口腔健康相关的促进行为:一项随机对照试验方案
Pub Date : 2023-07-27 DOI: 10.33140/jnh.08.04.03
Introduction: Considering that Oral health is an essential part of the overall health in infants, children, and adolescents; and on the other hand, nowadays; many adolescents use mobile applications to monitor their lifestyle behaviors and improve their health. Therefore, the present study will be conducted with the aim of the effect of Mobile App intervention based on the theory of self-efficacy on the promotion of behaviors related to oral health of adolescents. Materials and Methods: This is a randomized controlled trial that will be done in two steps. The first stage is related to a descriptiveanalytical study; at this stage, determination the current status and educational need assessment of behaviors related to oral health and will be reviewed eligible individuals. The second stage is an experimental study. At this stage, eligible adolescents are divided into two groups of intervention and control based on randomized allocation. Then the interventions will be implemented by using of educational strategies based on the self-efficacy theory through the mobile application. Evaluations will be performed with a standard questionnaire of self-efficacy and behaviors related to oral health (knowledge, attitude, behavior). Discussion: Adolescents who are in the early stages of permanent teeth; and this unfavorable condition of the mouth and teeth can have negative effects on the longevity of permanent teeth. Trial Registration: Iranian Registry of Clinical Trial (IRCT) IRCT20200120046204N1. Registered on 24 September 2022 Ethics code: IR.MODARES.REC.1401.125
引言:考虑到口腔健康是婴幼儿、儿童和青少年整体健康的重要组成部分;另一方面,现在;许多青少年使用移动应用程序来监控他们的生活方式行为并改善他们的健康。因此,本研究将以基于自我效能感理论的手机App干预对青少年口腔健康相关行为的促进作用为研究目的。材料与方法:这是一项随机对照试验,将分两步进行。第一阶段是描述性分析研究;在此阶段,确定口腔健康相关行为的现状和教育需求,并对符合条件的个体进行审查。第二阶段是实验研究。在此阶段,将符合条件的青少年随机分为干预组和对照组。然后利用基于自我效能感理论的教育策略,通过移动应用程序实施干预。评估将通过自我效能感和口腔健康相关行为(知识、态度、行为)的标准问卷进行。讨论:初长恒牙的青少年;口腔和牙齿的这种不利状况会对恒牙的寿命产生负面影响。试验注册:伊朗临床试验注册中心(IRCT) IRCT20200120046204N1。企业道德规范:IR.MODARES.REC.1401.125
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引用次数: 0
Autogenous Transplantation of Teeth 自体牙齿移植
Pub Date : 2023-07-25 DOI: 10.33140/jnh.08.04.02
Autogenous tooth transplantation, or autotransplantation, is the surgical movement of a tooth from one location in the mouth to another in the same individual. Despite current scientific evidence indicating that autotransplantation has favourable long-term survival rates, autotransplantation is still not generally regarded as mainstream practice outside of Scandinavian countries. Successful autotransplantation can offer many advantages in a growing patient, including a normally functioning periodontium, propriocepProponents of autotransplantation emphasize its ability to maintain and permit continuation of alveolar bone growth. A successfully transplanted tooth erupts with growth and can also be moved orthodontically. In the event that the autotransplantation eventually fails, the bone and soft tissue conditions would still be likely to be favourable for subsequent implant treatment.
自体牙齿移植,或自体移植,是一种在同一个体中将牙齿从口腔的一个位置移动到另一个位置的手术。尽管目前的科学证据表明自体移植具有良好的长期存活率,但在斯堪的纳维亚国家之外,自体移植仍未被普遍视为主流做法。成功的自体移植可以为生长中的患者提供许多优势,包括正常功能的牙周组织、本体感觉。自体移植的支持者强调其维持和允许牙槽骨继续生长的能力。移植成功的牙齿会长出来,也可以按正畸方式移动。在自体移植最终失败的情况下,骨和软组织状况仍可能有利于后续的植入治疗。
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引用次数: 0
Urine Therapy and Periodic Cleansing of the Body for Health and Enjoyabe Longevity 尿疗和定期清洁身体健康和享受长寿
Pub Date : 2023-07-24 DOI: 10.33140/jnh.08.04.01
We are self-organized systems, which have the ability to self-repair or self-fix themselves. How to activate the self-organization? The answer is - by closing the cycle. We drink water and other liquids and the urine is the waste product of our body functioning. To close the cycle means to start drinking the first urine – one 200 ml glass every morning (before breakfast, of course). By doing this we are raising a red flag: Attention, the body is malfunctioning, turn on the self-regulation [1]. To turn on the self-regulation mechanisms of your body, you must of course drink your own urine - don’t fall in the traps of companies trying to sell you products made from their urine.
我们是自我组织的系统,有自我修复或自我修复的能力。如何激活自组织?答案是——结束这个循环。我们喝水和其他液体,尿液是我们身体运作的废物。结束周期意味着开始喝第一次尿——每天早上一杯200毫升(当然是在早餐前)。通过这样做,我们就发出了一个危险信号:注意,身体出现故障,打开自我调节[1]。为了开启身体的自我调节机制,你当然必须喝自己的尿液——不要落入那些试图向你出售用他们的尿液制成的产品的公司的陷阱。
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引用次数: 0
New Medicine Using the Voice Frequencies of Holographic Sound Records for Diagnosis and Healing 利用全息录音的声音频率进行诊断和治疗的新医学
Pub Date : 2023-06-27 DOI: 10.33140/jnh.08.03.05
Since we are not consciously aware of the functioning of our organs, their function must be ruled from the Subconscious. From people who see with their subconscious mind when they are blindfolded, we know that they see holographic tri-dimensional images [1]. Since holographic images are created only with the waves of laser light in the visible spectrum, obviously the subconscious holographic images are created with waves in the visible spectrum [2].
由于我们没有意识到我们器官的功能,它们的功能必须由潜意识控制。从那些蒙上眼睛用潜意识看东西的人那里,我们知道他们看到的是全息的三维图像。由于全息图像仅由可见光谱中的激光波产生,显然潜意识中的全息图像是由可见光谱中的波产生的。
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引用次数: 0
期刊
Journal of Nursing &amp; Healthcare
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