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Knowledge and Practice of Iraqi Women Regarding Breast Self-Examination 伊拉克妇女关于乳房自我检查的知识和实践
Pub Date : 2021-11-26 DOI: 10.30935/ejmets/11378
T. Taher
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引用次数: 1
Relationship of Sirenomelia with Gestational Diabetes Mellitus and Hypothyroidism 妊娠期糖尿病、甲状腺功能减退与尿床的关系
Pub Date : 2021-10-14 DOI: 10.30935/ejmets/11275
Hilal Karabag Citlak, H. Kaya, I. Gokce
Sirenomelia is a rare congenital structural anomaly characterized by developmental disorders of the caudal region. Abnormalities observed in sirenomelia constitute the most severe form of caudal regression syndrome (CRS). It can be diagnosed by antenatal ultrasonography. The present study aimed to discuss a case with sirenomelia born from a mother with a history of gestational diabetes mellitus (GDM) and hypothyroidism. The present study is the first case report in the literature in which maternal hypothyroidism and sirenomelia were found simultaneously.
尾部畸形是一种罕见的先天性结构异常,其特征是尾部发育障碍。观察到的异常足部畸形构成最严重形式的尾侧退化综合征(CRS)。可通过产前超声检查诊断。本研究的目的是讨论一个母亲有妊娠期糖尿病(GDM)和甲状腺功能减退症的病例。本研究是文献中第一例同时发现母亲甲状腺功能减退和贫血的病例报告。
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引用次数: 0
The Importance of Palliative Care in COVID-19 姑息治疗在COVID-19中的重要性
Pub Date : 2021-10-14 DOI: 10.30935/ejmets/11273
Orkun Saricam, Dogan Akdogan
Palliative care, special medical care for a person maintaining his/her life with a severe illness, is a philosophy of care and clinical specialty that improves the life quality of the patient and his/her family, providing relief from the symptoms and stress of life-threatening diseases. For families and healthcare professionals, caring for COVID-19-infected patients require complex symptom management, specific care goals, and psychosocial support. There are studies in the literature showing many favorable aspects of palliative care enabling achievements such as improvements in the quality of life, a shortened length of hospital stay, and reduced costs of care. Palliative care should be provided to all patients in need, regardless of their prognosis, and patients should have access to such life-supporting interventions.
姑息治疗是对患有严重疾病的人维持生命的特殊医疗护理,是一种护理理念和临床专科,可改善患者及其家属的生活质量,减轻危及生命的疾病的症状和压力。对于家庭和卫生保健专业人员来说,照顾covid -19感染患者需要复杂的症状管理、具体的护理目标和社会心理支持。文献中的研究显示了姑息治疗的许多有利方面,例如改善生活质量,缩短住院时间和降低护理成本。应向所有有需要的患者提供姑息治疗,无论其预后如何,患者应能够获得此类维持生命的干预措施。
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引用次数: 0
Epidemiology of COVID-19 in Albania During the First Year of the Pandemic COVID-19大流行第一年在阿尔巴尼亚的流行病学
Pub Date : 2021-10-14 DOI: 10.30935/ejmets/11274
Blerta Budani, Erblin Shehu
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引用次数: 0
The Effects of Dual-Task Training with Online Video-Based Reminiscence Therapy on the Cognitive Status and Balance of Older People with Mild Cognitive Impairment: A Randomized Controlled Experimental Study 基于网络视频的双任务记忆训练对老年轻度认知障碍患者认知状态和平衡的影响:一项随机对照实验研究
Pub Date : 2021-10-06 DOI: 10.30935/ejmets/11257
Ayşe İnel Manav, Saliha Bozdoğan Yeşilot, Emir İbrahim Işık
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引用次数: 0
Comparative Study of Using Vein Finder and Common Venipuncture Method in Anxiety and Psychological Indicators of 3-6-years Old in the Ward of Pediatric Internal 静脉探测仪与普通静脉穿刺法对小儿内科病房3 ~ 6岁儿童焦虑及心理指标的比较研究
Pub Date : 2021-09-08 DOI: 10.30935/ejmets/11218
Z. Alizadeh
Introduction & Background: The current study aimed to compare the effect of vein finder device and conventional venipuncture technique on anxiety and physiological indices of children with 3-6 years old in pediatric medical care.Methods and Materials: This is a randomized clinical trial which was conducted on 62 children between 3-6 Years old who were eligible according to the study inclusion criteria. This study was patients hospitalized in pediatric ward of Namazi hospital, Shiraz-IRAN, 2015. Vein finder device was applied in the intervention group while the control group receives the conventional venipuncture technique. Anxiety responses such as heart rate, respiratory rate, blood pressure, and blood oxygen saturation were assessed at 5 minutes both before and after the intravenous catheter placement procedure in both groups. Yale Preoperative Anxiety Scale (YPAS) was used to measure children’s anxiety scale. The data were analyzed by using paired t-test, independent t-test, and ANOVA test in SPSS software.Results: Both groups were measured after the intervention. Parametric physiologic results reveal a significant difference in heart rate (p<0.001) and respiratory rate (p: 0.002) for both groups. No significant difference was reported for blood pressure and blood oxygen saturation. Mean anxiety score was reported 13/77 ± 1/94 in the intervention group and 18± 2/44 in the control group after applying the intervention (p: 0.001).Conclusion: Study findings indicate a significant decrease of anxiety score for intervention group after the IV insertion. vein finder technology device was along with positive effects on anxiety reduction and physiologic indices balance for children between 3-6 years old, it can be applied as a proper method for IV catheterization in pediatric medical wards.
前言与背景:本研究旨在比较静脉探测仪与常规静脉穿刺技术对儿科医疗中3-6岁儿童焦虑及生理指标的影响。方法与材料:这是一项随机临床试验,选取符合研究纳入标准的3-6岁儿童62例。本研究以2015年伊朗设拉子市Namazi医院儿科病房住院患者为研究对象。干预组采用静脉探测仪,对照组采用常规静脉穿刺技术。两组患者的焦虑反应,如心率、呼吸频率、血压和血氧饱和度在静脉置管前后5分钟进行评估。采用耶鲁术前焦虑量表(YPAS)测量患儿的焦虑量表。在SPSS软件中采用配对t检验、独立t检验和方差分析对数据进行分析。结果:两组均在干预后进行测量。参数生理结果显示两组的心率(p<0.001)和呼吸频率(p: 0.002)有显著差异。血压和血氧饱和度无显著差异。干预组的平均焦虑评分为13/77±1/94,对照组的平均焦虑评分为18±2/44 (p: 0.001)。结论:干预组患者静脉注射后焦虑评分明显降低。静脉探测仪对3 ~ 6岁儿童的焦虑减轻和生理指标平衡均有积极作用,可作为儿科内科病房静脉置管的合适方法。
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引用次数: 0
Analysing Biochemical Parameters and Developing Risk Prediction Models in Patients with Schizophrenia and Bipolar Disorder 精神分裂症和双相情感障碍患者生化参数分析及风险预测模型的建立
Pub Date : 2021-08-06 DOI: 10.30935/ejmets/11129
D. Kuzay, I. Polat, N. M. Konar
Objectives: The aim of this study is to analyze biochemical parameters and develop risk prediction models in patients with schizophrenia and bipolar disorder.Methods: Biochemical values of 65 schizophrenia and 65 bipolar disorder patients were statistically compared by analyzing thyroid function tests (TSH, T3 and T4), 25-0H vitamin D3, calcium, ferritin, iron, folate, vitamin B12, and magnesium levels. Risk analysis of the control group was evaluated in line with the obtained findings.Results: Male patients diagnosed with schizophrenia were observed to have lower T3 level than that of control group (p<0.001). Vitamin B12 value and Ferritin levels of male patients diagnosed with bipolar disorder were higher than those of control group (p<0.05), while their T3 levels were lower comparing to control group (p<0.001).Female patients diagnosed with schizophrenia were observed to have higher Ferritin levels (p<0.05) and lower T3 levels comparing to control group (p<0.001). When female patients diagnosed with bipolar disorder were compared with control group, their Ferritin levels and T4 levels were observed to be higher (p<0.05).Conclusion: Unless an intervention is made by detecting vitamin deficiency, the treatment may fail with psychotropic medications. In psychotic symptoms, in addition to antipsychotic treatment, replacement of low serum vitamin level may have positive effects on recovery. Therefore, serum vitamin B12, T3, T4 and TSH hormones, and ferritin levels can be recommended to be used as routine screening tests especially in the first applications of psychiatric patients with cognitive disorders.
目的:本研究的目的是分析精神分裂症和双相情感障碍患者的生化参数并建立风险预测模型。方法:通过分析65例精神分裂症患者和65例双相情感障碍患者的甲状腺功能指标(TSH、T3、T4)、25-0H维生素D3、钙、铁、铁、叶酸、维生素B12、镁水平,对其生化指标进行统计学比较。对照组的风险分析与研究结果一致。结果:男性精神分裂症患者T3水平明显低于对照组(p<0.001)。男性双相情感障碍患者的维生素B12和铁蛋白水平高于对照组(p<0.05), T3水平低于对照组(p<0.001)。女性精神分裂症患者的铁蛋白水平高于对照组(p<0.05), T3水平低于对照组(p<0.001)。诊断为双相情感障碍的女性患者与对照组比较,其铁蛋白水平和T4水平较高(p<0.05)。结论:除非通过检测维生素缺乏症进行干预,否则使用精神药物治疗可能会失败。在精神病症状中,除抗精神病药物治疗外,替代低血清维生素水平可能对康复有积极作用。因此,血清维生素B12、T3、T4和TSH激素以及铁蛋白水平可作为常规筛查试验,特别是在首次应用于有认知障碍的精神病患者时。
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引用次数: 0
Evaluation of Sarcopenia and Investigation of Prognostic Value Of Sarcopenia Using Psoas Muscle Area on Computed Tomography in Patients with Liver Cirrhosis 肝硬化患者腰大肌区ct对肌减少症的评价及预后价值的探讨
Pub Date : 2021-07-18 DOI: 10.30935/EJMETS/11094
M. Erkan, A. Ahmetoğlu, A. Cansu, M. Erkut
Objective: To investigate the frequency of sarcopenia in cirrhotic patients, the correlation of sarcopenia with conventional prognostic scores and its relationship with mortality by measuring the psoas muscle area at the level of mid-3rd lumbar (L3) vertebra on computed tomography (CT) scan.Materials and Methods: We included 229 cirrhotic patients who had undergone abdominal CT scan for hepatocellular carcinoma screening. A control group was formed in 204 healthy individuals who had undergone abdominal computed tomography examination due to trauma. 1- and 3-year follow-up results were recorded. Cross-sectional areas of the right and left psoas muscles were calculated in axial sections passing through the level of the mid-L3 in CT images. The cases with two standard deviations under the mean of the total psoas muscle area in control group were evaluated as sarcopenic.Results: Sarcopenia was detected in 39.7% of 229 cirrhotic patients. While a statistically significant difference was detected in the Child-Pugh prognostic score between cirrhotic patients with and without sarcopenia, there was a modest difference in the MELD score. The percentage of cirrhotic patients with sarcopenia who passed during 1- and 3- year follow-ups (28.6% and 40.7%, respectively) were significantly higher than non-sarcopenic patients (9.4% and 24.6%, respectively).Conclusion: The findings obtained in this study suggest that psoas muscle atrophy shown by CT scan image at the level of the mid-L3 vertebra has predictive value for mortality in cirrhotic patients.
目的:通过计算机断层扫描(CT)测量第3中腰椎(L3)椎体水平腰肌面积,探讨肝硬化患者肌少症的发生率、肌少症与常规预后评分的相关性及其与死亡率的关系。材料和方法:我们纳入229例接受腹部CT扫描进行肝细胞癌筛查的肝硬化患者。以204名因外伤而接受腹部计算机断层扫描检查的健康人作为对照组。记录1年和3年随访结果。通过CT图像中穿过l3中段水平的轴向切片计算左右腰肌的横截面积。对照组腰大肌总面积低于平均值2个标准差者为肌少症。结果:229例肝硬化患者中有39.7%出现肌肉减少症。虽然合并和不合并肌肉减少症的肝硬化患者的Child-Pugh预后评分存在统计学上的显著差异,但MELD评分存在适度差异。在1年和3年的随访中,肝硬化肌肉减少症患者的通过率(分别为28.6%和40.7%)显著高于非肌肉减少症患者(分别为9.4%和24.6%)。结论:本研究结果提示,在中l3椎体水平的CT扫描图像显示腰肌萎缩对肝硬化患者的死亡率具有预测价值。
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引用次数: 2
Transmission of Coronavirus (SARS-CoV-2) by Presymptomatic and Asymptomatic COVID-19 Carriers: A Systematic Review 冠状病毒(SARS-CoV-2)在症状前和无症状感染者中的传播:系统综述
Pub Date : 2021-07-13 DOI: 10.30935/EJMETS/11060
O. C. Obi, Desmond Ajuruchi Odoh
To mitigate the spread of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), many efforts have been made including the adoption of non-pharmaceutical measures such as hand hygiene, wearing of face mask, and social distancing. Sadly, the absence of symptoms in some SARS-CoV-2 carriers has impeded the success of these current interventions, and the number of COVID-19 cases continues to increase globally. Understanding the impact and pattern of transmission by presymptomatic and asymptomatic cases is crucial to the management of the disease. We aimed to review the transmission or spread of COVID-19, to provide insight into the impact of these silent spreaders, and inform public health policymaking. A systematic review of published articles was conducted. PubMed, Google Scholar, and Science Direct were searched for articles published in the English Language from January to July 2020. A total of 20 articles were found eligible for the review based on the predetermined inclusion and exclusion criteria. 17 articles, of which 13 were case reports, 1 serial interval report, 2 investigational reports, and 1 modeling study, provided evidence of asymptomatic and presymptomatic transmission. 3 articles reported on the quantitative contribution of asymptomatic and presymptomatic transmission. Evidence provided in the literature is not sufficient to elucidate the impact and relative contribution of asymptomatic and presymptomatic SARS-CoV-2 carriers on the spread of the disease. Strengthening of the current non-pharmaceutical measures or better still adoption of other innovative approaches is crucial to combating COVID-19 as far as presymptomatic and asymptomatic cases are concerned.
为缓解严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2)的传播,已经做出了许多努力,包括采取非药物措施,如手卫生、戴口罩和保持社交距离。遗憾的是,一些SARS-CoV-2携带者没有症状,阻碍了目前这些干预措施的成功,全球COVID-19病例数继续增加。了解症状前和无症状病例的影响和传播模式对该病的管理至关重要。我们旨在审查COVID-19的传播或传播,深入了解这些沉默传播者的影响,并为公共卫生政策制定提供信息。对已发表的文章进行了系统的综述。对2020年1月至7月期间发表的英语文章进行了PubMed、Google Scholar和Science Direct的搜索。根据预先确定的纳入和排除标准,共有20篇文章符合审查条件。17篇文章提供了无症状和症状前传播的证据,其中13篇是病例报告,1篇是系列间隔报告,2篇是调查报告,1篇是模型研究。3篇文章报道了无症状和症状前传播的定量贡献。文献提供的证据不足以阐明无症状和症状前SARS-CoV-2携带者对疾病传播的影响和相对贡献。就症状前和无症状病例而言,加强现有的非药物措施或更好地采用其他创新方法对于抗击COVID-19至关重要。
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引用次数: 6
Monkeypox: A Neglected Viral Zoonotic Disease 猴痘:一种被忽视的病毒性人畜共患疾病
Pub Date : 2021-05-15 DOI: 10.30935/EJMETS/10911
M. J. Oladoye
Over the years, the nations of the world have been plagued with several infectious diseases outbreak. With the continuous rise in the number of emerging and re-emerging infectious diseases such as monkeypox, it is high time we drew lessons and insights from past outbreaks to guide and effectively prepare for possible future outbreaks. Monkeypox, popularly known as the most important orthopoxvirus infection, is a viral zoonotic disease prevalent in Central and West Africa. There are 2 known genetic clades of the monkeypox virus reported so far, the Western African and the Central African clades. The human monkeypox though originated from Africa has grown to be a global concern with cases reported in the United States, United Kingdom, Israel, and Singapore. It is distinctively characterized by lymphadenopathy and systemic rash symptoms. Monkeypox has a low fatality rate (0-11%) with the highest rates occurring in children and young persons who were not part of the smallpox vaccinated population. Report suggests that consumption of bush meats could be a potential risk factor in the transmission of the infection or caring for an infected patient. Several factors have been responsible for the weak surveillance system of monkeypox including the current COVID-19 pandemic that has put more pressure on the fragile healthcare systems and infrastructures of most countries. This paper aims to guide global health policymakers on the impending danger of neglecting this disease. The discourse is concluded with the recommendation of strategies to effectively strengthen the disease surveillance system in combating this public health threat.
多年来,世界各国一直受到几种传染病爆发的困扰。随着猴痘等新发和再发传染病数量的不断增加,我们应该从过去的疫情中吸取教训和见解,以指导和有效地为未来可能发生的疫情做好准备。猴痘通常被称为最重要的正痘病毒感染,是一种流行于中非和西非的病毒性人畜共患疾病。迄今为止报告的猴痘病毒有两个已知的遗传分支,西非分支和中非分支。人类猴痘虽然起源于非洲,但已发展成为全球关注的问题,美国、英国、以色列和新加坡都报告了病例。它的特点是淋巴结肿大和全身皮疹症状。猴痘致死率低(0-11%),最高致死率发生在未接种天花疫苗的儿童和年轻人中。报告指出,食用丛林肉可能是传播感染或照顾受感染病人的潜在风险因素。若干因素造成了猴痘监测系统薄弱,包括当前的COVID-19大流行,这给大多数国家脆弱的卫生保健系统和基础设施带来了更大压力。本文旨在指导全球卫生政策制定者对忽视这种疾病的迫在眉睫的危险。最后,提出了有效加强疾病监测系统以应对这一公共卫生威胁的战略建议。
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引用次数: 20
期刊
European Journal of Medical and Educational Technologies
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