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Knowledge, attitude and practice of tobacco smoking among health colleges' students at Najran University, Saudi Arabia: A cross-sectional descriptive study 沙特阿拉伯纳吉兰大学卫生学院学生吸烟的知识、态度和行为:一项横断面描述性研究
Pub Date : 2017-01-01 DOI: 10.4103/2468-6360.198801
J. M. Al-Qahtani
Objectives: To assess the prevalence of tobacco smoking among health colleges' students at Najran University, and to investigate the students' attitude, practice and knowledge towards smoking and its risks. Settings and Design: A cross-sectional descriptive study was conducted at Najran University during the month of March 2014. Subjects and Methods: A pre-tested validated questionnaire based on the Global Adult Tobacco Survey was answered by 433 students (226 males and 207 females). Results: The prevalence of current cigarettes smokers was 30.1% for males and 0.5% for females (P < 0.001). For males, the prevalence of shisha smoking, snuff and smokeless tobacco usage was 28.3%, 16.8% and 14.6%, respectively. Applied medical sciences college's students had the highest prevalence (72%) of smoking, compared to 4% only at the college of medicine. Females had a better knowledge than males regarding the hazardous effects of smoking on health (87.1% vs. 99.5%; P = 0.007) and as a risk factor of brain thrombosis (67.2% vs. 94.2%; P = 0.001), heart attack (78.3% vs. 95.7%; P = 0.005) and lung cancer (82.3% vs. 99.5%; P = 0.001). Male and female students believed smokeless tobacco and shisha smoking are less harmful (59.7% vs. 30%; P = 0.001 and 38.5% vs. 7.7%; P = 0.001, respectively). Conclusions: Our results highlight the importance of initiating on-campus managed tobacco dependence treatment clinics to provide professional help for students to quit smoking. The results of this study can be used as a basis for the development of tobacco education programmes at Najran University and elsewhere.
目的:了解南京大学卫生学院学生的吸烟情况,了解学生对吸烟的态度、行为和知识及其危害。环境与设计:2014年3月在Najran大学进行了一项横断面描述性研究。受试者和方法:433名学生(226名男性和207名女性)回答了一份基于全球成人烟草调查的预测试有效问卷。结果:男性吸烟者患病率为30.1%,女性为0.5% (P < 0.001)。男性吸水烟、吸鼻烟和无烟烟草的比例分别为28.3%、16.8%和14.6%。应用医学学院的学生吸烟率最高(72%),而医学院的学生吸烟率仅为4%。女性比男性更了解吸烟对健康的危害(87.1%比99.5%;P = 0.007)和作为脑血栓形成的危险因素(67.2% vs. 94.2%;P = 0.001),心脏病发作(78.3% vs. 95.7%;P = 0.005)和肺癌(82.3% vs. 99.5%;P = 0.001)。男女学生认为无烟烟草和水烟危害较小(59.7% vs. 30%;P = 0.001和38.5% vs. 7.7%;P = 0.001)。结论:我们的研究结果强调了建立校园管理的烟草依赖治疗诊所为学生戒烟提供专业帮助的重要性。这项研究的结果可作为Najran大学和其他地方制定烟草教育方案的基础。
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引用次数: 20
Rhabdoid meningioma with lung metastasis in a paediatric patient: A case report and literature review 小儿横纹肌样脑膜瘤合并肺转移1例报告及文献复习
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191915
Hussein Kheshaifati, H. Alhindi, M. Homoud
Meningioma is a common intracranial tumour which is usually benign. It is well-known to be high grade as atypical or anaplastic with grade II or III. Meningiomas are rarely found in paediatric patients. Extracranial metastasis from brain meningioma is rare but can occur in the lungs, pleura, liver, lymph node and bones. In this paper, we report a 16-year-old female with an extracranial metastasis of grade III meningioma to the lung. She underwent gross total resection along with chemo- and radiotherapy. The outcome and treatment modality would also be discussed.
脑膜瘤是一种常见的颅内肿瘤,通常为良性。众所周知,高度不典型或间变性为II级或III级。脑膜瘤在儿科患者中很少发现。脑膜瘤的颅外转移是罕见的,但可以发生在肺、胸膜、肝脏、淋巴结和骨骼。在本文中,我们报告一个16岁的女性与III级脑膜瘤颅内外转移到肺。她接受了大体全切除以及化疗和放疗。结果和治疗方式也将讨论。
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引用次数: 1
Haematopoietic bone marrow: An uncommon mesodermal derivative in mature teratoma 造血骨髓:成熟畸胎瘤中一种罕见的中胚层衍生物
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191914
Tarak Banik, K. Mondal, Rupali Mandal
Ovarian mature cystic teratoma is a common benign neoplastic condition. Pathogenetically, it arises from all three embryonic layers or any combination thereof. Histologically, it appears as disorganised mass of various tissue components. Rarely, these tissues are orchestrated in an orderly fashion to commence organogenesis and simulate a foetus, namely ′homunculus′. However, isolated organic development, particularly of mesodermal derivation, in an otherwise haphazard teratoma is exceptional. Herein, we discuss a case of mature cystic teratoma with multiple foci of haematopoietic bone marrow within its adipocyte-rich Rokitansky protuberance.
卵巢成熟囊性畸胎瘤是一种常见的良性肿瘤。从病理学上讲,它起源于所有三个胚胎层或它们的任何组合。组织学上,它表现为各种组织成分的无组织团块。很少,这些组织以有序的方式开始器官发生并模拟胎儿,即“小矮人”。然而,在偶发畸胎瘤中,孤立的有机发育,特别是中胚层起源是例外的。在此,我们讨论一例成熟的囊性畸胎瘤,在其富含脂肪细胞的Rokitansky突起内有多个造血骨髓灶。
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引用次数: 0
Flawed multiple-choice questions put on the scale: What is their impact on students′ achievement in a final undergraduate surgical examination? 有缺陷的多项选择题:它们对学生在本科外科期末考试中的成绩有何影响?
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191908
A. Omer, M. Abdulrahim, I. Albalawi
Background : Violation of item-writing guidelines is still frequently encountered in assessments in medical colleges. Flawed multiple-choice (MC) items affect students′ performance and distort examinations′ results. Aims: The aim was to assess the frequency and impact of flawed MC items on students′ achievement in our setting. Settings and Design: This is a quantitative descriptive study conducted at the Faculty of Medicine in the University of Tabuk, Saudi Arabia. Methods: We evaluated a 100 single-correct answer MC questions summative surgical examination administered to 44 6 th year final medical students in November 2014. MC items, which contain one or more violation of item-writing guidelines, were classified as flawed, those with no violation, were classified as standard. The passing rates and median scores of high- and low-achieving students were calculated on both standard and flawed test scales. Item performance parameters (difficulty index, discrimination power and internal consistency reliability (Kuder-Richardson formula 20) were calculated for standard and flawed items. Descriptive and comparative statistics with the relevant tests of significance were performed using the  SPSS (IBM SPSS Inc. Chicago, Illinois) computer software version 16. Results: Thirty-nine flawed items were identified (39%) which contain 49 violations of the item-writing guidelines. The passing rate was 93.2% and 91.8% on the total and standard scales, respectively. Flawed items benefited low-achieving students and disadvantaged the high-achieving students. Overall, flawed items were less difficult, less discriminating and less reliable than standard items. Conclusions: The frequency of flawed items in our examination was high and reflects the need for more training and faculty development programmes.
背景:在医学院校的评估中,违反项目写作准则的情况仍然经常发生。有缺陷的多项选择题影响了学生的表现,扭曲了考试结果。目的:目的是评估在我们的设置中有缺陷的MC项目的频率和对学生成绩的影响。环境和设计:这是一项在沙特阿拉伯塔布克大学医学院进行的定量描述性研究。方法:对2014年11月对44名16年级医学生进行的外科总结性检查的100道单正确MC题进行评估。包含一个或多个违反项目写作准则的MC项目被归类为有缺陷的,没有违反的被归类为标准。优等生和低等生的通过率和中位数分数是在标准和有缺陷的测试量表上计算的。对标准项目和缺陷项目计算项目性能参数(难度指数、辨析力和内部一致性信度(Kuder-Richardson公式20))。使用SPSS (IBM SPSS Inc.)进行描述性统计和比较统计,并进行相关显著性检验。芝加哥,伊利诺伊州)计算机软件版本16。结果:发现了39个(39%)有缺陷的项目,其中49个违反了项目写作指南。总体合格率为93.2%,标准合格率为91.8%。有缺陷的项目有利于成绩差的学生,不利于成绩好的学生。总的来说,与标准项目相比,有缺陷的项目难度更低,辨别能力更弱,可靠性也更差。结论:我们的考试中有缺陷的项目频率很高,这反映出需要更多的培训和教师发展计划。
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引用次数: 6
Tuberculosis diagnosis: Challenges and solutions 结核病诊断:挑战和解决方案
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191903
S. Huddart, M. Nash, M. Pai
More than 9 million people develop tuberculosis (TB) every year, but nearly a third are not diagnosed or not reported. The current diagnostic tools available range from a 100-year-old microscopy technique to the newest generation automated nucleic acid amplification tests, but they alone are not sufficient to ensure that we meet the goals of the end TB strategy. Several new TB tests are under development. As new diagnostics are developed, it is critical that we understand the particular challenges that arise in TB diagnosis, and ensure that existing tools are implemented correctly. We must encourage the development of diagnostics that meet the specific needs of the TB community as well as ensuring that new technologies are accessible to low- and middle-income countries. Finally, strong policy guidance is required to ensure that new and existing diagnostics are used as efficiently as possible. With this co-ordinated approach, new diagnostic tools can be the cornerstone of the effort to end TB.
每年有900多万人患结核病,但近三分之一的人未得到诊断或未报告。目前可用的诊断工具从已有100年历史的显微镜技术到最新一代的自动核酸扩增检测,但仅凭这些工具还不足以确保我们实现终结结核病战略的目标。目前正在开发几种新的结核病检测方法。随着新的诊断方法的开发,我们必须了解结核病诊断中出现的特殊挑战,并确保正确实施现有工具。我们必须鼓励开发能够满足结核病群体特定需求的诊断方法,并确保低收入和中等收入国家能够获得新技术。最后,需要强有力的政策指导,以确保尽可能有效地利用新的和现有的诊断方法。通过这种协调一致的方法,新的诊断工具可以成为终止结核病努力的基石。
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引用次数: 12
Reasons for choosing Dermatology as a career choice 选择皮肤科作为职业选择的原因
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191912
R. Aldahash, Ghadah Alqahtani, A. Alkahtani, Hala Alnuaim, OmarAbdulrahman Alhathlol, Naif Alshahrani
Context: Determining factors that influence medical students′ choice in selecting their future careers are the key to achieving a balanced distribution of future doctors among all specialties. Aims: This study aimed to determine the factors associated with choosing Dermatology as a future career stream among medical students. Settings and Design: A cross-sectional study using consecutive sampling was carried out among Saudi medical students who were enrolled in King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) during the study. Subjects and Methods: A validated newly developed English questionnaire was sent via e-mail to 268 eligible students, of which 200 (75.3%) participated. Statistical Analysis Used: Categorical data were compared using Chi-square test and Fisher′s exact test. All tests were two-sided, and P < 0.05 was considered statistically significant. Results: A total of six (3%) students were considering Dermatology as their first choice, while it was the second choice for seven students (4.7%). Of the participants, 118 (60.8%) found ′the difficulty of getting into a Dermatology residency programme′ to be the least attractive factor. Factors that significantly attracted medical students to consider Dermatology as a career choice were the appeal of being a dermatologist, how dermatologists lead a satisfying family life, reliance on clinical diagnostic skills and research opportunities in Dermatology (P = 0.004, 0.024, 0.039 and 0.010, respectively). Conclusions: A variety of factors influenced the medical students of KSAU-HS when choosing a future specialty. Identification of these factors can help medical student mentors and residency training programme directors to motivate students choose specialties that are limited in our nation.
背景:确定影响医学生选择未来职业的因素是实现未来医生在所有专业中均衡分布的关键。目的:本研究旨在了解医学生选择皮肤病学作为未来职业流的相关因素。背景和设计:在研究期间在沙特国王本阿卜杜勒阿齐兹健康科学大学(ksa - hs)注册的沙特医科学生中进行了一项采用连续抽样的横断面研究。对象与方法:通过电子邮件向268名符合条件的学生发送了一份经过验证的新开发的英语问卷,其中200名(75.3%)参加了问卷调查。统计分析方法:分类资料比较采用卡方检验和Fisher精确检验。所有检验均为双侧检验,P < 0.05为有统计学意义。结果:6名(3%)学生将皮肤病学作为第一选择,7名(4.7%)学生将皮肤病学作为第二选择。在参与者中,118人(60.8%)认为“进入皮肤科住院医师项目的难度”是最不吸引人的因素。吸引医学生将皮肤科作为职业选择的显著因素是皮肤科医生的吸引力、皮肤科医生如何过上令人满意的家庭生活、对临床诊断技能的依赖以及皮肤科的研究机会(P分别= 0.004、0.024、0.039和0.010)。结论:影响我校医学生未来专业选择的因素多种多样。识别这些因素可以帮助医学生导师和住院医师培训项目主任激励学生选择在我国有限的专业。
{"title":"Reasons for choosing Dermatology as a career choice","authors":"R. Aldahash, Ghadah Alqahtani, A. Alkahtani, Hala Alnuaim, OmarAbdulrahman Alhathlol, Naif Alshahrani","doi":"10.4103/2468-6360.191912","DOIUrl":"https://doi.org/10.4103/2468-6360.191912","url":null,"abstract":"Context: Determining factors that influence medical students′ choice in selecting their future careers are the key to achieving a balanced distribution of future doctors among all specialties. Aims: This study aimed to determine the factors associated with choosing Dermatology as a future career stream among medical students. Settings and Design: A cross-sectional study using consecutive sampling was carried out among Saudi medical students who were enrolled in King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) during the study. Subjects and Methods: A validated newly developed English questionnaire was sent via e-mail to 268 eligible students, of which 200 (75.3%) participated. Statistical Analysis Used: Categorical data were compared using Chi-square test and Fisher′s exact test. All tests were two-sided, and P < 0.05 was considered statistically significant. Results: A total of six (3%) students were considering Dermatology as their first choice, while it was the second choice for seven students (4.7%). Of the participants, 118 (60.8%) found ′the difficulty of getting into a Dermatology residency programme′ to be the least attractive factor. Factors that significantly attracted medical students to consider Dermatology as a career choice were the appeal of being a dermatologist, how dermatologists lead a satisfying family life, reliance on clinical diagnostic skills and research opportunities in Dermatology (P = 0.004, 0.024, 0.039 and 0.010, respectively). Conclusions: A variety of factors influenced the medical students of KSAU-HS when choosing a future specialty. Identification of these factors can help medical student mentors and residency training programme directors to motivate students choose specialties that are limited in our nation.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":"73 1","pages":"288 - 293"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86653302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
A pandemic in disguise: Zika virus vaccine development and counteractive measures analysis 伪装的大流行:寨卡病毒疫苗开发和应对措施分析
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191905
O. Fazal, Imran Siddiqui
In recent times, Zika virus has engendered concerns throughout the world, prompting the World Health Organization to promote the virus to epidemic status. This dramatic rise to prominence demands comprehensive research oriented towards effectively controlling the spread of this virulent disease. Despite the influx of information afforded by modern technology regarding the virus, there are yet to be licensed medical countermeasures (vaccines, therapies or preventive drugs) available for Zika virus infection and disease. Thus, diverting sizable funds towards prospective Zika virus vaccine candidates as well as appropriately educating the modern healthcare worker regarding the epidemiology of Zika virus is becoming increasingly imperative. Fortunately, a multitude of researchers are working towards instituting pragmatic measures directed towards limiting Zika virus′s spread in an interconnected global climate.
近年来,寨卡病毒引起了全世界的关注,促使世界卫生组织将该病毒提升为流行病。这一急剧上升的突出现象要求进行全面的研究,以有效控制这一致命疾病的传播。尽管有关寨卡病毒的现代技术提供了大量信息,但针对寨卡病毒感染和疾病的医疗对策(疫苗、疗法或预防性药物)尚未获得许可。因此,将大量资金用于潜在的寨卡病毒候选疫苗以及对现代卫生保健工作者进行寨卡病毒流行病学的适当教育变得越来越迫切。幸运的是,许多研究人员正在努力制定务实的措施,以限制寨卡病毒在相互关联的全球气候下的传播。
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引用次数: 1
Entering a new profession: Patient educator interns′ struggles for recognition 进入一个新的职业:病人教育实习生争取认可的斗争
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191907
Fatmah Almoayad, A. Ledger
Objective: To ascertain patient educator interns′ (PEIs) views on the internship experience and to explore how the transition to the workplace is experienced by new graduates from emergent professions. Methods: In this case study from Saudi Arabia, semi-structured interviews were conducted with 10 PEIs. Following a narrative type of analysis, case summaries were created, compared and interpreted. Results: Interns held preconceptions regarding the patient educator′s role, and these preconceptions were frequently not mirrored by actual practice. The clash of preconceptions and actual experiences led participants to encounter shock. Conclusion: Transition shock for PEIs seemed to be exacerbated due to their position within a new profession. This study adds to a growing literature about the challenges experienced by workers in new and emerging healthcare roles.
目的:了解患者教育实习生(PEIs)对实习经历的看法,并探讨新兴专业毕业生如何过渡到工作场所。方法:在这个来自沙特阿拉伯的案例研究中,对10名PEIs进行了半结构化访谈。在叙述性分析之后,创建、比较和解释了案例摘要。结果:实习生对患者教育者的角色持有先入为主的观念,而这些先入为主的观念往往不能反映在实际实践中。先入之见和实际经验的冲突导致参与者遭遇震惊。结论:PEIs的过渡冲击似乎因其在新职业中的位置而加剧。这项研究增加了越来越多的文献关于工人在新的和新兴的医疗保健角色所面临的挑战。
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引用次数: 3
Clinical nursing and midwifery research in Middle Eastern and North African Countries: A Scoping Review 中东和北非国家的临床护理和助产研究:范围综述
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191904
M. Al-Husaini, Carolyn Sun, E. Larson
The professions of nursing and midwifery currently face many challenges, such as an increasing number of patients with communicable and non-communicable diseases, which strains resources and requires nurses and midwives to develop their knowledge and skills to a higher level. This is also true in the Middle East, including the Mediterranean East and North African regions, which means it is vitally important that nurses and midwives have access to and use current research to inform their practice, with research targeting the most relevant issues, including complex humanitarian emergency situations that increase health issues and challenge health infrastructure. For this to be achieved, a scoping review of the indexed clinical nursing and midwifery literature in the Middle East was performed to identify gaps in clinical nursing and midwifery research and areas requiring focus. A search of PubMed, CINAHL/EBSCO, EMBASE, the Jordanian Database for Nursing Research resulted in 210/1398 articles which met the inclusion criteria: (1) original research, (2) conducted in Middle Eastern countries as defined by the World Health Organization, (3) had at least one nurse or midwife author (but not limited to nurses in Middle Eastern countries), (4) published in an indexed, peer-reviewed journal between January 1, 2000, and December 31, 2015, (5) included patient outcomes in the results, (6) written in English or Arabic and (7) included an abstract. Studies were found from 10 of the 22 countries; the majority (n = 199; 94.76%) was conducted in three countries: Jordan, Iran and Lebanon. Most studies (n = 158, 75.24%) used quantitative designs, primarily cross-sectional, descriptive studies (n = 106) and the most frequently researched topics were related to maternal child health and women′s health (n = 95, 48.5%). Strategies are needed to encourage collaboration between nursing and midwifery faculty members including clinicians to assure that clinical research is disseminated and used to improve patient care.
护理和助产专业目前面临许多挑战,例如传染病和非传染性疾病患者人数不断增加,这使资源紧张,要求护士和助产士将其知识和技能提高到更高水平。在中东,包括地中海、东部和北非区域也是如此,这意味着护士和助产士能够获得并利用当前的研究成果为其实践提供信息至关重要,研究应针对最相关的问题,包括复杂的人道主义紧急情况,这些问题会增加健康问题并对卫生基础设施构成挑战。为了实现这一目标,对中东地区的索引临床护理和助产文献进行了范围审查,以确定临床护理和助产研究中的差距和需要关注的领域。检索PubMed、CINAHL/EBSCO、EMBASE、约旦护理研究数据库,有210/1398篇文章符合纳入标准:(1)原创性研究,(2)在世界卫生组织定义的中东国家进行的研究,(3)至少有一名护士或助产士作者(但不限于中东国家的护士),(4)在2000年1月1日至2015年12月31日期间发表在有索引的同行评审期刊上,(5)在结果中包含患者结果,(6)用英语或阿拉伯语撰写,(7)包含摘要。研究来自22个国家中的10个;大多数(n = 199;94.76%)在三个国家进行:约旦、伊朗和黎巴嫩。大多数研究(n = 158, 75.24%)采用定量设计,主要是横断面、描述性研究(n = 106),最常见的研究主题是与母婴健康和妇女健康相关(n = 95, 48.5%)。需要制定策略,鼓励护理和助产教职员工包括临床医生之间的合作,以确保临床研究得到传播并用于改善患者护理。
{"title":"Clinical nursing and midwifery research in Middle Eastern and North African Countries: A Scoping Review","authors":"M. Al-Husaini, Carolyn Sun, E. Larson","doi":"10.4103/2468-6360.191904","DOIUrl":"https://doi.org/10.4103/2468-6360.191904","url":null,"abstract":"The professions of nursing and midwifery currently face many challenges, such as an increasing number of patients with communicable and non-communicable diseases, which strains resources and requires nurses and midwives to develop their knowledge and skills to a higher level. This is also true in the Middle East, including the Mediterranean East and North African regions, which means it is vitally important that nurses and midwives have access to and use current research to inform their practice, with research targeting the most relevant issues, including complex humanitarian emergency situations that increase health issues and challenge health infrastructure. For this to be achieved, a scoping review of the indexed clinical nursing and midwifery literature in the Middle East was performed to identify gaps in clinical nursing and midwifery research and areas requiring focus. A search of PubMed, CINAHL/EBSCO, EMBASE, the Jordanian Database for Nursing Research resulted in 210/1398 articles which met the inclusion criteria: (1) original research, (2) conducted in Middle Eastern countries as defined by the World Health Organization, (3) had at least one nurse or midwife author (but not limited to nurses in Middle Eastern countries), (4) published in an indexed, peer-reviewed journal between January 1, 2000, and December 31, 2015, (5) included patient outcomes in the results, (6) written in English or Arabic and (7) included an abstract. Studies were found from 10 of the 22 countries; the majority (n = 199; 94.76%) was conducted in three countries: Jordan, Iran and Lebanon. Most studies (n = 158, 75.24%) used quantitative designs, primarily cross-sectional, descriptive studies (n = 106) and the most frequently researched topics were related to maternal child health and women′s health (n = 95, 48.5%). Strategies are needed to encourage collaboration between nursing and midwifery faculty members including clinicians to assure that clinical research is disseminated and used to improve patient care.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":"13 1","pages":"238 - 245"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79074685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Palliative management of intractable hiccups in a patient with an advanced brain tumour 晚期脑肿瘤患者顽固性打嗝的姑息治疗
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191913
S. Alshammary, B. Duraisamy, Lobna Saleem, Luma Abdelsalam Shraydeh Al Fraihat, Abdullah Altamimi, Stuart Brown
Intractable hiccupping is distressing for both patients under palliative care and their families, particularly if the patients have advanced cancer. The lack of clear management guidelines renders hiccup management challenging for health professionals. We report our management of intractable hiccups in a 70-year-old man with a progressive malignant brain tumour who was under palliative care. The hiccups were difficult to control; several drugs were tested before we finally introduced (and upwardly titrated) gabapentin, which appears to be safe when used to manage intractable hiccups.
顽固性打嗝对姑息治疗的患者及其家人来说都是痛苦的,特别是如果患者患有晚期癌症。缺乏明确的管理指导方针使得打嗝管理对卫生专业人员具有挑战性。我们报告我们的难治性打嗝的管理在一个70岁的男子与进展恶性脑肿瘤谁是姑息治疗。打嗝很难控制;在我们最终引入加巴喷丁之前,我们测试了几种药物,加巴喷丁在治疗顽固性打嗝时似乎是安全的。
{"title":"Palliative management of intractable hiccups in a patient with an advanced brain tumour","authors":"S. Alshammary, B. Duraisamy, Lobna Saleem, Luma Abdelsalam Shraydeh Al Fraihat, Abdullah Altamimi, Stuart Brown","doi":"10.4103/2468-6360.191913","DOIUrl":"https://doi.org/10.4103/2468-6360.191913","url":null,"abstract":"Intractable hiccupping is distressing for both patients under palliative care and their families, particularly if the patients have advanced cancer. The lack of clear management guidelines renders hiccup management challenging for health professionals. We report our management of intractable hiccups in a 70-year-old man with a progressive malignant brain tumour who was under palliative care. The hiccups were difficult to control; several drugs were tested before we finally introduced (and upwardly titrated) gabapentin, which appears to be safe when used to manage intractable hiccups.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":"9 1","pages":"294 - 296"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75548034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
期刊
Journal of Health Specialties
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