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Psycho-rehabilitation adaptation of pregnant women and mothers in the postpartum period who experienced traumatic events during the war 战争期间经历创伤事件的孕妇和产后母亲的心理康复适应
Pub Date : 2022-09-30 DOI: 10.57125/fem.2022.09.30.01
Background: Primary care and mental health services for pregnant and postpartum moms are facing increased difficulties as a result of the war in Ukraine.Objective: To review and identify the available literature and conduct a study in order to determine psychological rehabilitation adaptation of pregnant women and mothers in the postpartum period who experienced traumatic events during the war in UkraineMethodology: In order to assess the effects of this condition, data was gathered. The existence of risk factors, such as a change in lifestyle associated with being a refugee and rehabilitation, is the most important factor associated with PSTD in pregnant and postpartum moms.Results: Observational studies suggest that the symptoms of PSTD may be improved by coping self-efficacy therapies.Conclusion: Further study is required to examine these components in greater detail and to suggest additional rehabilitation strategies.
背景:由于乌克兰的战争,孕妇和产后母亲的初级保健和心理健康服务面临越来越大的困难。目的:对乌克兰战争期间经历创伤性事件的孕妇和产后母亲的心理康复适应情况进行研究。方法:为评估创伤性事件的影响,收集数据。风险因素的存在,如与难民和康复相关的生活方式的改变,是与孕妇和产后母亲PSTD相关的最重要因素。结果:观察性研究表明,应对自我效能治疗可以改善PSTD的症状。结论:需要进一步的研究来更详细地检查这些成分,并提出额外的康复策略。
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引用次数: 1
Innovations in Ukrainian medicine: priorities, directions, and forecasts 乌克兰医学的创新:重点、方向和预测
Pub Date : 2022-09-30 DOI: 10.57125/fem.2022.09.30.05
Olha Тatarina
Aims: There is a tangible informative lack in terms of medical innovation in Ukraine. Little accessible information regarding the steps being taken to foster medical innovation in Ukraine is due to the country's ongoing conflict and the significant pressure on its healthcare sector. Such an informative gap emphasises the necessity for additional research into Ukraine's unique medical landscape.Study design: Literature reviewMethodology: MEDLINE, Cochrane Reviews, and Pedro were among the databases used to conduct the literature search. The conjunctions "AND" and "OR" were used with certain keywords. The articles' time range was restricted between 2018 and 2022 in order to evaluate only present recent facts. Papers discussing innovative medicine, their development, distribution or procurement were included in the inclusion criteria.Results: Most studies examined how could be achieved the access to revolutionary medicine ignoring the medicine development. The creation of innovative medications was the subject of just one study. Most of the research discussed HTA and MEA and how important they were to ensuring patients had easy access to cutting-edge medications. Legislative or economic restrictions were the only one’s present.Conclusion: It is unclear how innovative pharmaceutical development is currently progressing in Ukraine. Health Technology Assessment (HTA) and Managed Entry Agreements (MEA) are being used to improve the access to innovative medicine in Ukraine. Buying medications for chronic illnesses is simple and convenient. In order to develop and distribute new medicine in Ukraine, regulatory and economic restrictions must be removed.Scientific Novelty: This study is the first to analyse the availability or development of innovative medication, therefore it can serve as the foundation for future studies by other groups. However, it would necessitate further on-the-ground research concerning the actual situation surrounding the creation, dissemination, and acquisition of innovative medicines. The ongoing war effort may hinder this.
目的:乌克兰在医疗创新方面存在明显的信息缺乏。关于乌克兰为促进医疗创新而采取的步骤,可获得的信息很少,这是由于该国持续的冲突及其医疗保健部门面临的巨大压力。这种信息差距强调了对乌克兰独特的医疗状况进行进一步研究的必要性。研究设计:文献综述方法:MEDLINE、Cochrane Reviews和Pedro数据库被用于进行文献检索。连词“AND”和“OR”用于某些关键字。文章的时间范围被限制在2018年至2022年之间,以便仅评估当前的事实。讨论创新药物及其开发、分销或采购的论文被纳入纳入标准。结果:大多数研究只关注如何获得革命性的药物,而忽视了药物的发展。创新药物的创造只是其中一项研究的主题。大多数研究讨论了HTA和MEA,以及它们对确保患者轻松获得尖端药物的重要性。立法或经济限制是唯一的现实。结论:目前尚不清楚乌克兰创新药物开发的进展情况。卫生技术评估(HTA)和管理准入协议(MEA)正在用于改善乌克兰获得创新药物的机会。购买治疗慢性病的药物既简单又方便。为了在乌克兰开发和分销新药,必须取消管制和经济限制。科学新颖性:这项研究首次分析了创新药物的可用性或发展,因此它可以作为其他小组未来研究的基础。然而,有必要对创新药物的创造、传播和获取的实际情况进行进一步的实地研究。正在进行的战争可能会阻碍这一点。
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引用次数: 2
The correlation between risk factors of COVID-19 and nervous system damage: Pakistan based Analysis 2019冠状病毒病危险因素与神经系统损伤的相关性:基于巴基斯坦的分析
Pub Date : 2022-09-30 DOI: 10.57125/fem.2022.09.30.03
Aims: This narrative review's main objectives are to give the idea thorough COVID-19 and neurological diseases overview as well as to request a significant attention to important research areas that are closely related to the topic.Methodology: "Coronavirus SARS/ COVID-19/ SARS-CoV-2," "neurology," "mechanism," "neuroinvasion," "neuron damage," "myopathy," "neuromuscular," "central nervous system," and "CNS" were used to search Medline, PubMed, and Google Scholar.Results: highlights a number of significant findings, some of which consist of the detection of SARS-CoV-2 genome RNA in the cerebrospinal fluid, a probability for immediate infection of the central nervous system, penetrating to the brain's cortex via the olfactory nerve, as well as the implication of the peripheral nervous system in neurological disorders that are associated with COVID-19. Pakistani studies that found substantial neurological adverse responses in 23% of COVID-19 participants, the most prevalent from them were headaches and insomnia.Scientific Novelty: Provide a deep overview of previous researches in order to find the link between COVID-19 and neurological diseases.Conclusion: The link between COVID-19 and nervous system symptoms development during the pandemic is supported by neurological manifestations, which in accordance with studies are addressing the cerebral involvement of SARS-CoV and MERS-CoV. It is probable that the presence of neurological disorders in COVID-19 instances may increase the probability of patients with symptoms connected to neuroscience receiving an inaccurate diagnosis. These neurological issues that have been reported highlight how vital it is to realise the link between the SARS-CoV-2 infection and neurological impairments, as well as its association with the severity of the disease and death. Healthcare establishments should educate customers about COVID-19's neurological issues and report adverse events. Media can spread these messages. Governments can support research to find methods of treatment, and trade systems can import foreign pharmaceuticals for best results.
目的:这篇叙述性综述的主要目标是全面介绍COVID-19和神经系统疾病的概述,并要求对与该主题密切相关的重要研究领域给予重大关注。方法:使用“冠状病毒SARS/ COVID-19/ SARS- cov -2”、“神经学”、“机制”、“神经侵袭”、“神经元损伤”、“肌病”、“神经肌肉”、“中枢神经系统”和“中枢神经系统”搜索Medline、PubMed和谷歌Scholar。结果:强调了一些重要发现,其中一些发现包括在脑脊液中检测到SARS-CoV-2基因组RNA,中枢神经系统立即感染的可能性,通过嗅觉神经渗透到大脑皮层,以及周围神经系统在与COVID-19相关的神经系统疾病中的意义。巴基斯坦的研究发现,23%的COVID-19参与者出现了严重的神经系统不良反应,其中最常见的是头痛和失眠。科学新颖性:深入综述以往的研究,以发现COVID-19与神经系统疾病之间的联系。结论:在大流行期间,COVID-19与神经系统症状之间的联系得到了神经系统表现的支持,根据研究,这些表现正在解决SARS-CoV和MERS-CoV的大脑受累问题。在COVID-19病例中,神经系统疾病的存在可能会增加与神经科学相关症状的患者得到不准确诊断的可能性。这些已报告的神经系统问题突出了认识到SARS-CoV-2感染与神经损伤之间的联系及其与疾病严重程度和死亡的关联是多么重要。医疗机构应向客户宣传COVID-19的神经系统问题,并报告不良事件。媒体可以传播这些信息。政府可以支持寻找治疗方法的研究,贸易系统可以进口外国药品以获得最佳效果。
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引用次数: 0
Vaccination of pregnant women against COVID-19 under martial law: a narrative review 戒严令下孕妇预防COVID-19疫苗接种:述评
Pub Date : 2022-06-30 DOI: 10.57125/fem.2022.06.30.01
Anatolija Krasnova
Background: Global vaccination programs against the coronavirus illness of 2019 (COVID-19) have been established as the primary measure to minimise and control the effects of the COVID-19 pandemic. During pregnancy, it is assumed that the expectant mother and her fetus are both in danger from the possibility of a viral infection.Aim: to evaluate the safety and effectiveness of vaccination against COVID-19 for pregnant women and determine the impact of vaccination on pregnancy outcomes.Methods: In this review, English studies from common databases such as Pubmed/MEDLINE, Web of Science, Scopus, and the Cochrane Library with the keywords "Vaccination," "pregnancy," and "pregnant women," combined with keywords, involving "COVID-19," were involved. The end date for this review is March 2022.Scientific novelty: The main objective of this paper is to evaluate the effect of vaccination of pregnant women against COVID-19. Even though many studies assessed the efficacy of vaccination against COVID-19, most failed to determine the safety and effectiveness of COVID-19 vaccination for immunocompromised patients, especially pregnant women. Additionally, the impact of COVID-19 vaccination on neonatal outcomes was evaluated.The practical significance of the obtained result: Concerns have also been raised about potential risks associated with vaccination during pregnancy or breastfeeding. Given these uncertainties, it is important for healthcare providers to carefully consider the risks and benefits of COVID-19 vaccination for pregnant women and their babies. Further research is needed to better understand the effects of vaccination on perinatal outcomes and to inform clinical decision-making around vaccine use in this population. Conclusion: The COVID-19 vaccination is a safe and effective way to protect pregnant women from the virus. The benefits of getting vaccinated outweigh the risks, as pregnant women are at an increased risk of severe illness and complications from COVID-19. The Centers for Disease Control and Prevention (CDC) recommends that pregnant women get vaccinated, and many healthcare providers also recommend it. However, it is important for pregnant women to discuss their individual situation with their healthcare provider before making a decision about vaccination. Overall, getting vaccinated can help to protect both the mother and her unborn child from COVID-19.Background: Global vaccination programs against the coronavirus illness of 2019 (COVID-19) have been established as the primary measure to minimise and control the effects of the COVID-19 pandemic. During pregnancy, it is assumed that the expectant mother and her fetus are both in danger from the possibility of a viral infection.Aim: to evaluate the safety and effectiveness of vaccination against COVID-19 for pregnant women and determine the impact of vaccination on pregnancy outcomes.Methods: In this review, English studies from common databases such as Pubmed/MEDLINE, W
背景:针对2019年冠状病毒病(COVID-19)的全球疫苗接种规划已被确立为最大限度地减少和控制COVID-19大流行影响的主要措施。在怀孕期间,孕妇和胎儿都有可能受到病毒感染。目的:评价孕妇接种COVID-19疫苗的安全性和有效性,并确定疫苗接种对妊娠结局的影响。方法:本综述纳入Pubmed/MEDLINE、Web of Science、Scopus和Cochrane Library等常用数据库中以“疫苗接种”、“妊娠”和“孕妇”为关键词并结合“COVID-19”相关关键词的英文研究。本次审查的结束日期是2022年3月。新颖性:本文的主要目的是评估孕妇接种COVID-19疫苗的效果。尽管许多研究评估了COVID-19疫苗接种的有效性,但大多数研究未能确定免疫功能低下患者(特别是孕妇)接种COVID-19疫苗的安全性和有效性。此外,还评估了COVID-19疫苗接种对新生儿结局的影响。所获得结果的实际意义:人们还对怀孕或哺乳期间接种疫苗的潜在风险表示担忧。鉴于这些不确定性,医疗保健提供者必须仔细考虑孕妇及其婴儿接种COVID-19疫苗的风险和益处。需要进一步的研究来更好地了解疫苗接种对围产期结局的影响,并为在这一人群中使用疫苗的临床决策提供信息。结论:接种新冠肺炎疫苗是一种安全有效的保护孕妇免受病毒感染的方法。接种疫苗的好处大于风险,因为孕妇患COVID-19严重疾病和并发症的风险增加。疾病控制和预防中心(CDC)建议孕妇接种疫苗,许多医疗服务提供者也建议接种疫苗。然而,在决定是否接种疫苗之前,孕妇与医疗保健提供者讨论他们的个人情况是很重要的。总的来说,接种疫苗有助于保护母亲和未出生的孩子免受COVID-19的感染。背景:针对2019年冠状病毒病(COVID-19)的全球疫苗接种规划已被确立为最大限度地减少和控制COVID-19大流行影响的主要措施。在怀孕期间,孕妇和胎儿都有可能受到病毒感染。目的:评价孕妇接种COVID-19疫苗的安全性和有效性,并确定疫苗接种对妊娠结局的影响。方法:本综述纳入Pubmed/MEDLINE、Web of Science、Scopus和Cochrane Library等常用数据库中以“疫苗接种”、“妊娠”和“孕妇”为关键词并结合“COVID-19”相关关键词的英文研究。本次审查的结束日期是2022年3月。新颖性:本文的主要目的是评估孕妇接种COVID-19疫苗的效果。尽管许多研究评估了COVID-19疫苗接种的有效性,但大多数研究未能确定免疫功能低下患者(特别是孕妇)接种COVID-19疫苗的安全性和有效性。此外,还评估了COVID-19疫苗接种对新生儿结局的影响。所获得结果的实际意义:人们还对怀孕或哺乳期间接种疫苗的潜在风险表示担忧。鉴于这些不确定性,医疗保健提供者必须仔细考虑孕妇及其婴儿接种COVID-19疫苗的风险和益处。需要进一步的研究来更好地了解疫苗接种对围产期结局的影响,并为在这一人群中使用疫苗的临床决策提供信息。结论:接种新冠肺炎疫苗是一种安全有效的保护孕妇免受病毒感染的方法。接种疫苗的好处大于风险,因为孕妇患COVID-19严重疾病和并发症的风险增加。疾病控制和预防中心(CDC)建议孕妇接种疫苗,许多医疗服务提供者也建议接种疫苗。然而,在决定是否接种疫苗之前,孕妇与医疗保健提供者讨论他们的个人情况是很重要的。总的来说,接种疫苗有助于保护母亲和未出生的孩子免受COVID-19的感染。
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引用次数: 2
Risks of anaesthetic management during laparoscopic interventions on the abdominal aorta and its branches 腹腔镜腹主动脉及其分支介入麻醉管理的风险
Pub Date : 2022-06-30 DOI: 10.57125/fem.2022.06.30.04
Aims: The main goal of this study is to draw attention to the dangers of anaesthetic management during laparoscopic procedures on the abdominal aorta and its branches.Methodology: In this study, the risks of anaesthetic management during laparoscopic interventions on the abdominal aorta and its branches were determined by a systematic search use. The most recent studies in Scopus, PubMed, and google scholar databases. The search terms used were: [Risk OR adverse effect OR side effects] AND [Anaesthesia OR Anaesthetic management] AND [laparoscopic intervention or laparoscopy] AND [abdominal aorta OR abdominal aortic aneurysms] were evaluated.Results: 1070 articles using electronic databases were first collected. After a deep search, 238 articles were selected and given to the writers for additional evaluations. A thorough brainstorming session that resulted in the selection of 12 relevant papers for the evaluation was conducted. Abdominal aortic aneurysms (AAAs) that is affected by age necessitate surgical treatment. For AAA patients, laparoscopic surgery has become a vital procedure with a number of advantages. Laparoscopic surgery has become a standard medical procedure because it reduces tissue trauma and provides significant advantages. The administration of anaesthesia in patients having laparoscopic surgery, however, is crucial and demands special attention. Despite the rarity of absolute contraindications, the anaesthetist must carefully choose the patients who may undergo such procedures and must constantly be prepared for intraoperative issues. The pain experienced by patients having laparoscopic operations, such as appendectomy, is likely to be understated, so small incisions do not always imply reduced pain levels.Scientific Novelty: This is the first systematic review that highlights anaesthetic management during laparoscopic interventions on the abdominal aorta and its branches risks.Conclusion: In extended laparoscopic surgery, general anaesthesia and epidural analgesia can be used together with the advantage of reduced postoperative pain severity thanks to patient-controlled spinal anaesthesia.
目的:本研究的主要目的是引起人们对腹腔镜下腹主动脉及其分支手术中麻醉管理的危险的关注。方法:在本研究中,通过系统的搜索使用确定了腹腔镜腹主动脉及其分支干预过程中麻醉管理的风险。Scopus, PubMed和google scholar数据库中的最新研究。使用的搜索词是:评估[风险或不良反应或副作用]和[麻醉或麻醉管理]和[腹腔镜干预或腹腔镜检查]和[腹主动脉或腹主动脉瘤]。结果:首次收录电子数据库文献1070篇。经过深入的研究,选出了238篇文章,并交给作者进行追加评价。进行了一次彻底的头脑风暴会议,最终选择了12篇相关论文进行评价。腹主动脉瘤(AAAs)受年龄影响,需要手术治疗。对于AAA患者,腹腔镜手术已成为一项重要的手术,具有许多优势。腹腔镜手术已经成为一种标准的医疗程序,因为它减少了组织创伤,并提供了显著的优势。然而,腹腔镜手术患者的麻醉管理是至关重要的,需要特别注意。尽管绝对禁忌症很少,但麻醉师必须仔细选择可能接受此类手术的患者,并必须不断为术中问题做好准备。腹腔镜手术(如阑尾切除术)患者所经历的疼痛可能被低估了,所以小的切口并不总是意味着疼痛程度的减轻。科学新颖性:这是第一个强调腹腔镜腹主动脉及其分支介入麻醉管理风险的系统综述。结论:在腹腔镜手术中,全身麻醉和硬膜外镇痛可配合使用,患者可控制脊髓麻醉,减轻术后疼痛程度。
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引用次数: 2
Implementation of digital technologies in the medicine of the future 数字技术在未来医学中的应用
Pub Date : 2022-06-30 DOI: 10.57125/fem.2022.06.30.02
The parallel development of digital and telecommunication technologies in recent years has created ample opportunities to improve traditional healthcare delivery systems. New models of healthcare services are supported by scientific developments and digital innovations.Objectives: To improve doctors’ expertise and healthcare managers with the main achievements of digital technologies introduction in practical medicine and the possibilities for further development of technologies in this area.Methodology: A review of articles from professional peer-reviewed journals in the online medical literature search system MEDLINE from the US National Library of Medicine for 2018-2022 was conducted. The article concerns the use of digital innovations in clinical medicine, their achievements in oncology, cardiology, medical imaging and other healthcare fields.Results: The article discusses the main digital strategies that are part of the practical work of doctors and create new workflows and interactions between patients and specialists of medical institutions. Attention is paid to the advances in computer technology and the challenges they pose to the quality of medical care. The introduction of telemedicine, problems of validation of results and clinical use of artificial intelligence applications, as well as opportunities for their development in the future are discussed.Conclusion: New technologies, including artificial intelligence algorithms, machine learning, image recognition, radiomics, and telemedicine, are creating the prerequisites for the development of new forms of healthcare delivery. The combination of telemedicine, server-based applications, and machine learning algorithms can provide a synchronised solution to the challenges faced by modern society in ensuring a healthy future around the world.
近年来,数字和电信技术的并行发展为改进传统的医疗保健服务系统创造了充足的机会。新的医疗服务模式得到了科学发展和数字创新的支持。目的:通过在实际医学中引入数字技术的主要成果以及该领域技术进一步发展的可能性,提高医生和医疗保健管理人员的专业知识。方法:对2018-2022年美国国家医学图书馆在线医学文献检索系统MEDLINE中专业同行评议期刊的文章进行综述。本文关注临床医学中数字创新的应用,以及它们在肿瘤学、心脏病学、医学成像和其他医疗保健领域的成就。结果:本文讨论了主要的数字策略,这些策略是医生实际工作的一部分,并在医疗机构的患者和专家之间创建了新的工作流程和互动。关注计算机技术的进步及其对医疗保健质量构成的挑战。讨论了远程医疗的引入、结果验证的问题和人工智能应用的临床应用,以及未来发展的机遇。结论:包括人工智能算法、机器学习、图像识别、放射组学和远程医疗在内的新技术正在为发展新形式的医疗服务创造先决条件。远程医疗、基于服务器的应用程序和机器学习算法的结合可以为现代社会在确保世界各地健康未来方面面临的挑战提供同步解决方案。
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引用次数: 1
Analysis of the state of medicine in Pakistan: challenges and future prospects 巴基斯坦医学状况分析:挑战和未来前景
Pub Date : 2022-06-30 DOI: 10.57125/fem.2022.06.30.05
Aims: This article examines the condition of medicine in Pakistan utilising existing scientific articles, reports, and other published information in order to describe the position of the country regarding medication quality and the presence of deprived and/or false pharmaceutical preparations.Methodology: In this study, studies concerned with the condition of medicine in Pakistan have been systematically searched. The most sustainable recent studies on the condition of medicine in Pakistan in PubMed, Medline, the Cochrane library, EmBase, and Google Scholar were evaluated for this systematic review. The search criteria were [Medicine or drug] AND [analysis] AND [Pakistan]. To guarantee the caliber and consistency of the selected articles, many criteria were utilised for article eligibility, in accordance with the PRISMA principles and critical assessment tools.Results: The authors first retrieved 750 papers for use in electronic databases. These publications were then once again compared to the study's goals, and any that didn't fit the bill were disregarded. After further screening 40 publications were chosen and dispersed to the authors for additional evaluations. The authors' detailed brainstorming session resulted in the inclusion of 18 pertinent papers in the review.Scientific Novelty: This is the first systematic review performed in Pakistan in order to highlight the state of medicine.Conclusion: The research suggests that to effectively regulate substandard and counterfeit medication in Pakistan, regulatory procedures for facility inspections and Good Manufacturing Practices (GMP) assessments, analytical laboratories, and capacity building, all need to be strengthened. The material that is currently available cannot support the claim that 40–50% of Pakistan's medications are of low quality. The primary causes of the subpar services provided by community pharmacies include a lack of competent personnel, a lack of advice, and a lack of professionalism on the part of the dispensers, as well as the vagueness of rules and how they are applied.
目的:本文利用现有的科学文章、报告和其他已发表的信息,考察了巴基斯坦的医药状况,以描述该国在药品质量和存在被剥夺和/或虚假药物制剂方面的立场。方法:在本研究中,系统地检索了与巴基斯坦医学状况有关的研究。本系统综述对PubMed、Medline、Cochrane图书馆、EmBase和谷歌Scholar中关于巴基斯坦医学状况的最新研究进行了评估。搜索条件为[药物或药物],[分析]和[巴基斯坦]。为了保证所选文章的质量和一致性,根据PRISMA原则和关键评估工具,采用了许多标准来确定文章的资格。结果:作者首次检索到论文750篇,纳入电子数据库。然后再一次将这些出版物与研究目标进行比较,任何不符合要求的出版物都被忽略。在进一步筛选后,选出40份出版物分发给作者进行进一步评价。作者进行了详细的头脑风暴会议,结果纳入了18篇相关论文。科学新颖性:这是在巴基斯坦进行的第一次系统评价,目的是突出医学状况。结论:该研究表明,要有效监管巴基斯坦的劣药和假药,需要加强设施检查和良好生产规范(GMP)评估的监管程序、分析实验室和能力建设。目前可获得的材料不能支持巴基斯坦40-50%的药物质量低的说法。社区药房提供的服务不合格的主要原因包括缺乏称职的人员、缺乏咨询意见和配药人员缺乏专业精神,以及规则及其应用方式的模糊性。
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引用次数: 0
Innovations in medicine: modern challenges, future definitions: A narrative review 医学创新:现代挑战,未来定义:叙述性回顾
Pub Date : 2022-06-30 DOI: 10.57125/fem.2022.06.30.03
Olha Yuryk, Olena Barabanchyk, Milan Malets
Background The improvement of healthcare services is one of the highest priorities for all societies worldwide. Healthcare services have shown vivid changes in the last decades due to technological advances, from examining patients and diagnosis to recently developed drugs. Although there are significant efforts to improve healthcare, humanity faces many challenges.Aim: to study the recent medical innovations in the different aspects of healthcare services. The authors also aim to investigate the various modern challenges in medicine.Methods: PubMed, Web of Science, Scopus, Embase, SpringerLink, and the Cochrane Library were searched in order to find various articles concerning this topic. The next search strategies were used: (medical innovations) AND (artificial intelligence) AND (medical challenges). These strategies were used for searches that ended in April 2022.Scientific novelty: Doctors used to make their own opinions in varied cases by means of limited tools. However, together with the introduction of modern technologies into the healthcare system over the previous few decades, medical practice has become increasingly dependent on technology. Medical technology is the development of instruments with the overall purpose of increasing patients' quality of life. There is much anticipation for the new tools one can create and for the outcomes they will enable, as diagnostic and treatment equipment constantly improves. Therefore, in this review, the aim is to address the tactics of the new technologies and applications in medicine.Conclusion: Medical innovations exist in all healthcare aspects, from education and diagnosis to management. Recent technologies have demonstrated a considerable benefit in healthcare services improvement. However, a number of obstacles that both societies and individuals face are illustrated. There is a growing interest in resolving current concerns and challenges and obtaining the greatest benefits from medical breakthroughs.
背景:改善卫生保健服务是全世界所有社会的最高优先事项之一。由于技术的进步,医疗保健服务在过去几十年里发生了生动的变化,从检查病人和诊断到最近开发的药物。尽管在改善医疗保健方面做出了重大努力,但人类仍面临许多挑战。目的:研究近年来在医疗保健服务的不同方面的医学创新。作者还旨在调查医学中的各种现代挑战。方法:检索PubMed、Web of Science、Scopus、Embase、SpringerLink和Cochrane Library,查找与该主题相关的各种文章。接下来使用的搜索策略是:(医疗创新)、(人工智能)和(医疗挑战)。这些策略被用于2022年4月结束的搜索。科学的新颖性:医生过去常常在各种情况下通过有限的工具发表自己的意见。然而,在过去的几十年里,随着现代技术的引入,医疗实践越来越依赖于技术。医疗技术是以提高患者生活质量为总目的的仪器的发展。随着诊断和治疗设备的不断改进,人们对可以创造的新工具以及它们将带来的结果充满了期待。因此,本文就新技术在医学上的应用策略进行综述。结论:从教育、诊断到管理,医疗创新无处不在。最近的技术已证明在改善医疗保健服务方面有相当大的好处。然而,社会和个人都面临着一些障碍。人们越来越有兴趣解决当前的关切和挑战,并从医学突破中获得最大利益。
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引用次数: 1
New research and changing paradigms of coagulopathy in children after cardiac surgery: A narrative review 心脏手术后儿童凝血功能障碍的新研究和变化范式:叙述性回顾
Pub Date : 2022-03-30 DOI: 10.57125/fem.2022.03.25.03
Background: Congenital heart disease (CHD) is a disorder and abnormality of the heart or the great vessels of the thorax, which usually occurs during fetal development. It has been reported that CHD is a common condition. Nearly 25% of newborns with critical types of CHD require surgical intervention in the first year of life. Hence, increasing numbers of the annually conducted cardiopulmonary bypass (CPB) cardiac surgeries are usually associated with postoperative bleeding and coagulopathy. Bleeding after CPB usually requires a replacement therapy, including the transfusion of whole blood, red blood cells, coagulation factors, or platelets.Aim: to identify the pathophysiology of coagulopathy following cardiac surgery, how it impacts the clinical outcomes, and the available management options.Methods: In this review, we only included English articles from common electronic databases such as PubMed /MEDLINE, Web of Science, Scopus, and the Cochrane Library with the keywords "congenital heart disease", "cardiac surgery" combined with keywords involving "coagulopathy" The end date for this review is February 2022.Scientific novelty: This review aims to briefly review the problem of post-CPB bleeding in the pediatric population regarding multiple aspects. The medical literature lacks a comprehensive review regarding the problem of CHD, its prevalence, types, surgical options, post-cardiac surgery complications such as coagulopathy, the pathophysiology of the coagulopathy, and the preventive and therapeutic measures.The practical significance of the result obtained: This review may help surgeons and pediatricians deeply understand post-CPB coagulopathy's pathophysiology and how to anticipate, prevent, and manage it properly. Antifibrinolytic pharmaceuticals represent the mainstay for managing this problem; their administration during CPB reduces the risk of postoperative bleeding. Blood component transfusion is also an alternative option.Conclusion: Post-cardiac surgery, coagulopathy, and bleeding are major problems facing cardiothoracic surgeons. Postoperative bleeding, especially in the pediatric population, is one of the common causes of surgical re-exploration, leading to a higher risk of morbidities and mortalities. Meticulous preoperative examination, investigation, and intraoperative protective measures are important factors in avoiding and properly managing postoperative bleeding risk.
背景:先天性心脏病(CHD)是一种心脏或胸腔大血管的紊乱和异常,通常发生在胎儿发育期间。据报道,冠心病是一种常见的疾病。近25%的危重型冠心病新生儿在出生后一年内需要手术干预。因此,每年越来越多的体外循环(CPB)心脏手术通常与术后出血和凝血功能障碍有关。CPB后出血通常需要替代治疗,包括输注全血、红细胞、凝血因子或血小板。目的:确定心脏手术后凝血功能障碍的病理生理学,它如何影响临床结果,以及可用的管理选择。方法:在本综述中,我们只纳入了PubMed /MEDLINE、Web of Science、Scopus、Cochrane Library等常用电子数据库中以“先天性心脏病”、“心脏外科”为关键词并结合“凝血病变”相关关键词的英文文章,本综述结束日期为2022年2月。科学新颖性:本综述旨在从多个方面简要回顾小儿cpb后出血问题。医学文献缺乏关于冠心病的问题、患病率、类型、手术选择、心脏手术后并发症如凝血功能障碍、凝血功能障碍的病理生理学以及预防和治疗措施的全面综述。本研究结果的现实意义:本综述可以帮助外科医生和儿科医生深入了解cpb后凝血病的病理生理,以及如何正确预测、预防和管理它。抗纤溶药物是处理这一问题的主要药物;CPB期间给药可降低术后出血风险。输血也是另一种选择。结论:心脏手术后凝血功能障碍和出血是心胸外科医生面临的主要问题。术后出血,特别是在儿科人群中,是再次手术的常见原因之一,导致更高的发病率和死亡率。周密的术前检查、调查和术中保护措施是避免和妥善处理术后出血风险的重要因素。
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引用次数: 0
Different treatment tactics of the pelvic organ prolapse according to the type and the degree of the prolapse: A narrative review 盆腔器官脱垂的不同类型及程度的治疗策略综述
Pub Date : 2022-03-30 DOI: 10.57125/fem.2022.03.25.04
Background: Women frequently experience pelvic organ prolapse, significantly impacting their quality of life. Pelvic organ prolapse has a variety of treatment opportunities that should be used to each patient's needs, but the general rule is that only those exhibiting symptoms should receive care.Aim: to evaluate the treatment options for prolapse, depending on the type of prolapse and its degree.Methods: In this review, English studies from common databases such as Pubmed/MEDLINE, Web of science, Scopus, and the Cochrane Library with the keywords “pelvic organ prolapse,” “uterine prolapse,” “vaginal hysterectomy,” combined with keywords, involving “laparoscopic hysterectomy,” were involved. The end date for this review is February 2022.Scientific novelty: The main objective of this paper is to evaluate the treatment options for prolapse, depending on the type of prolapse and its degree. Even though many researchers assessed these treatment options, very few researchers reported about the treatment options according to the degree of prolapse. Many researchers compared surgical interventions for the management of pelvic organ prolapse. Though there are similar works, in the present study, the results of the surgical management depending on the severity of the prolapse were evaluated.The practical significance of the result obtained: The results may help physicians to determine the option of management depending on the degree of prolapse. First-degree (mild) usually does not require any treatment. Second-degree (moderate) may be treated with pessary, exercise, and surgery. Third-degree (severe) may be treated with pessary or surgery. Fourth-degree (complete) may be treated with vaginal hysterectomy, sacrocolpopexy, colpocleisis, and uterosacral ligament suspension.Conclusion: Depending on the surgeon's expertise, using various approaches, pelvic organ prolapse treatment is accomplished in various situations. All previous research indicate that surgery aims to maximise patient satisfaction and return the pelvic organs to their original positions.
背景:女性经常经历盆腔器官脱垂,严重影响她们的生活质量。盆腔器官脱垂有各种各样的治疗机会,应该用于每个病人的需要,但一般的规则是,只有那些表现出症状应该得到照顾。目的:根据脱垂的类型和程度,评价脱垂的治疗方案。方法:本综述纳入Pubmed/MEDLINE、Web of science、Scopus、Cochrane Library等常用数据库中以“盆腔器官脱垂”、“子宫脱垂”、“阴道子宫切除术”为关键词并结合“腹腔镜子宫切除术”的英文研究。本次审查的结束日期是2022年2月。科学新颖性:本文的主要目的是根据脱垂的类型和程度来评估脱垂的治疗选择。尽管许多研究人员评估了这些治疗方案,但很少有研究人员报道了根据脱垂程度的治疗方案。许多研究人员比较手术干预盆腔器官脱垂的管理。虽然有类似的工作,在本研究中,手术处理的结果取决于脱垂的严重程度进行了评估。结果的实际意义:结果可以帮助医生根据脱垂的程度决定管理的选择。一级(轻度)通常不需要任何治疗。二度(中度)可通过按摩、运动和手术治疗。三度(严重)可通过手术或手术治疗。四度(完全)可通过阴道子宫切除术、骶骶固定术、阴道闭锁术和子宫骶韧带悬吊术治疗。结论:根据外科医生的专业知识,采用不同的方法,盆腔器官脱垂的治疗可以在不同的情况下完成。所有先前的研究表明,手术的目的是最大限度地提高患者的满意度,并使盆腔器官恢复到原来的位置。
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引用次数: 1
期刊
Futurity Medicine
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