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Influence of chronic kidney disease on the effectiveness of cardiac rehabilitation in patients after cardiac surgery 慢性肾病对心脏手术后患者心脏康复效果的影响
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/fmpcr.2021.110365
I. Rotter, A. Mińko, Zuzanna Hilicka, Dominik Turzyński, Kacper Pajor, Justyna Szpyt, Joanna Findlik, Aleksandra Szylińska
Background. patients with chronic kidney Disease (ckD), with an additional burden of cardiovascular disease, should be monitored, educated and treated through the close cooperation between multidisciplinary nephrology and cardiology teams. one of the elements by which this can be achieved is cardiac rehabilitation programs. Objectives. The aim of this study is to assess the effect of chronic kidney disease on exercise performance within cardiac patients. Material and methods. 92 patients qualified for stationary cardiac rehabilitation took part in a study conducted at the cardiac surgery clinic of the spsk 2 pomeranian Medical university in szczecin. Among them, a group with ckD ( n = 24) and without ( n = 68) was se -lected. statistical analysis was performed on the basis of data from medical records and the results of the 6-minute walk test. Results. patients with and without ckD improved the results of the 6-minute test. From an average result of 256.21 (± 138.99) at the beginning of the rehabilitation to an average of 385.96 (± 109.09) after that for patients with ckD and from average result of 281.01 (± 110.16) to an average result of 422.29 (± 96.39) for patients without ckD. Conclusions. cardiac rehabilitation has a positive effect on physical fitness and exercise tolerance both in patients with ckD and with out. However, the coexistence of ckD results in less satisfactory results compared to the control group.
背景。慢性肾脏疾病(ckD)患者有额外的心血管疾病负担,应通过多学科肾脏病和心脏病学团队的密切合作进行监测、教育和治疗。实现这一目标的要素之一是心脏康复计划。目标。本研究的目的是评估慢性肾脏疾病对心脏病患者运动表现的影响。材料和方法。在什切琴市spsk 2波美拉尼亚医科大学心脏外科诊所进行的一项研究中,92名有资格进行固定心脏康复的患者参加了这项研究。其中,选择ckD组(n = 24)和无ckD组(n = 68)。根据病历数据和6分钟步行试验结果进行统计分析。结果。有和没有ckD的患者改善了6分钟测试的结果。ckD患者从康复开始时的平均256.21(±138.99)到康复后的平均385.96(±109.09),无ckD患者从281.01(±110.16)到422.29(±96.39)。结论。心脏康复对ckD和非ckD患者的体能和运动耐量均有积极影响。然而,与对照组相比,ckD共存的结果不太令人满意。
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引用次数: 0
Different consequences of the treatment of osteoarthritis in gastrointestinal comorbidity with exocrine pancreatic insufficiency 骨关节炎在胃肠道合并症与外分泌胰腺功能不全治疗中的不同后果
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/fmpcr.2021.108207
I. Halabitska, L. Babinets
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引用次数: 5
Expression of inflammatory markers and NMDA receptors in the peripheral blood of stroke patients 脑卒中患者外周血炎症标志物及NMDA受体的表达
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/FMPCR.2021.103160
A. A. Tameh, Bahareh Bahmani, M. Karimian, E. Kouchaki, H. Talari, C. Beyer
1 Anatomical Sciences Research Center, Kashan University of Medical Sciences, Kashan, Iran 2 Department of Biotechnology, Iranian Research Organization for Science and Technology (IROST), Tehran, Iran 3 Department of Molecular and Cell Biology, Faculty of Basic Sciences, University of Mazandaran, Babolsar, Iran 4 Institute of Neuroanatomy, Faculty of Medicine, RWTH Aachen University, Aachen, Germany
1伊朗卡尚医科大学解剖科学研究中心2伊朗德黑兰伊朗科学技术研究组织(IROST)生物技术系3伊朗马赞达兰大学基础科学学院分子与细胞生物学系4德国亚琛工业大学医学院神经解剖学研究所
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引用次数: 0
Perceived barriers to the improvement of the performance transparency of hospitals in Iran: a qualitative study 提高伊朗医院绩效透明度的障碍:一项定性研究
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/FMPCR.2021.105906
H. Bouzarjomehri, Mostafa Salari-Javazm, Ebrahim Jaafaripooyan, Y. Herandi, A. Akbarisari
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引用次数: 0
Eating disorders in university students in Lodz, the role of a family physician 在大学生饮食失调的罗兹,一个家庭医生的角色
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/FMPCR.2021.105920
M. Koziarska-Rościszewska, Maria Dobielska, Marzena Ocetek, Patrycja Iwan, P. Malik, A. Józwik, J. Rysz
background. eating disorders (eDs) seem to be a serious health problem in contemporary Polish society. Family Physicians (FPs) have a vital and pivotal role to play in prevention, diagnosis, treatment and management of eDs
背景。饮食失调(eDs)似乎是当代波兰社会一个严重的健康问题。家庭医生在急诊科的预防、诊断、治疗和管理中发挥着至关重要的作用
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引用次数: 1
Screening of latent tuberculosis Infection among healthcare students and medical doctors using tuberculin skin test 利用结核菌素皮肤试验筛选保健生和医生的潜伏性结核感染
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/FMPCR.2021.105908
Reda Goweda
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引用次数: 0
The relationship between social support and self-care behavior in patients with diabetes mellitus 糖尿病患者社会支持与自我护理行为的关系
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/FMPCR.2021.105932
D. R. Sarpooshi, Mehrsadat Mahdizadeh, Alireza Jaferi, Hamid Robatsarpooshi, M. Haddadi, N. Peyman
Background. Diabetes mellitus (DM) is currently not curable but controllable and must be managed. Family support has been stated as a vital component in successful control of DM and the strongest determinant of adherence to diet therapy in DM pa tients. Objectives. The study was conducted to examine social support and its relationship with practicing self-care behavior in patients with DM in Mashhad. Material and methods. In this analytical cross-sectional study, 400 patients with DM were selected over two months from DM clin ics in Mashhad using the census sampling method. Data was collected using demographic information, social support and self-care questionnaires. Data analysis was done in SPSS 21 using the statistical Spearman’s rank correlation coefficient, t -Test and analysis of variance. Results. The results indicated a significant relationship between the social support and self-care behavior of DM patients ( p = 0.031). This means that social support is an effective factor in practicing self-care behaviors. Moreover, the results indicated that most of the samples had moderate social support and self-care behavior. There was a significant relationship between self-care and health literacy in the study ( p = 0.026): individuals with higher health literacy had better self-care. There was a significant relationship between educa tion and monthly income with self-care behaviors and support of the individuals ( p = 0.001). Conclusions. Individuals with better social support have adhered to DM self-care behaviors, and adhering to self-care behaviors has led to blood sugar control and prevention of adverse effects. Furthermore, patient support and participation in self-care enable them to take the next step for better management of the disease and prevention of future adverse effects.
背景。糖尿病(DM)目前无法治愈,但可以控制,必须加以管理。家庭支持已被认为是成功控制糖尿病的重要组成部分,也是糖尿病患者坚持饮食治疗的最强决定因素。目标。本研究旨在探讨马什哈德糖尿病患者的社会支持及其与自我护理行为的关系。材料和方法。在这项分析性横断面研究中,采用人口普查抽样方法,在两个月内从马什哈德的糖尿病诊所中选择了400名糖尿病患者。通过人口统计信息、社会支持和自我保健问卷收集数据。数据分析采用SPSS 21统计Spearman 's秩相关系数、t检验和方差分析。结果。结果显示,社会支持与糖尿病患者自我护理行为存在显著相关(p = 0.031)。这意味着社会支持是实践自我照顾行为的有效因素。此外,研究结果显示,大多数样本具有中等的社会支持和自我照顾行为。自我保健与健康素养之间存在显著的相关关系(p = 0.026):健康素养越高的个体自我保健越好。受教育程度、月收入与个体的自我照顾行为和支持存在显著相关(p = 0.001)。结论。社会支持较好的个体坚持糖尿病自我保健行为,坚持自我保健行为可以控制血糖,预防不良反应。此外,患者支持和参与自我保健使他们能够采取下一步措施,更好地管理疾病和预防未来的不利影响。
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引用次数: 1
Identifying the factors causing malnutrition and its impact on mortality among under-five Bangladeshi children 查明造成孟加拉国五岁以下儿童营养不良的因素及其对死亡率的影响
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/fmpcr.2021.108185
F. Ahmed, M. Sultana, Mohammad Ali, M. Abedin, Benojir Ahammed, Anamika Yeasmin, Md. Maniruzzaman
Background. Nutritional status is the best indicator of global well-being. Childhood malnutrition is a major public health problem among Bangladeshi children. Objectives. The main objectives of this study are to: (i) determine the prevalence of malnutrition among under-five (U5) children; (ii) assess the association between malnutrition and selected factors; (iii) determine the high-risk factors for malnutrition and its impact on U5 mortality. Material and methods. The data was taken from the Bangladesh Demographic and Health Survey (BDHS), 2014. Chi-square analysis was performed to explore the association between malnutrition and selected potential factors. Moreover, logistic regression (LR) was also performed to determine the factors associated with malnutrition and its impact on U5 mortality based on the p-value and odds ratio (OR) along with a 95% confidence interval (CI). Results. The prevalence of stunting, wasting and underweight were 37.1%, 14.7% and 33%, respectively. Most of the selected factors were found to be highly significant (p < 0.05), which were performed via chi-square analysis. In the LR model, it was found that place of residence, region, mother’s working status, mother’s education, mother’s age at first birth, wealth index and toilet facilities were the factors mostly responsible for child malnutrition. Our study also showed that wasting and underweight have a significant impact on U5 mortality. Conclusions. It is recommended that educating mothers, delaying a mother’s age for first birth, improving sanitation facilities, reducing poverty and creating health-related services are essential to improve a child’s health and nutritional status. As a result, U5 mortality will be reduced in Bangladesh.
背景。营养状况是全球福祉的最佳指标。儿童营养不良是孟加拉国儿童的一个主要公共卫生问题。目标。本研究的主要目标是:(i)确定五岁以下儿童营养不良的发生率;评估营养不良与选定因素之间的关系;确定营养不良的高危因素及其对5岁以下儿童死亡率的影响。材料和方法。数据取自2014年孟加拉国人口与健康调查。卡方分析探讨营养不良与选定的潜在因素之间的关系。此外,根据p值、优势比(OR)和95%置信区间(CI),还进行了逻辑回归(LR)来确定与营养不良相关的因素及其对U5死亡率的影响。结果。发育迟缓、消瘦和体重不足的发生率分别为37.1%、14.7%和33%。所选因素中,大部分具有高度显著性(p < 0.05),采用卡方分析。在LR模型中,发现居住地、地区、母亲的工作状态、母亲的受教育程度、母亲的初产年龄、财富指数和厕所设施是造成儿童营养不良的主要因素。我们的研究还表明,消瘦和体重不足对U5死亡率有重大影响。结论。建议对母亲进行教育、推迟母亲的初次生育年龄、改善卫生设施、减少贫困和提供与健康有关的服务,这些对于改善儿童的健康和营养状况至关重要。因此,孟加拉国的5岁以下儿童死亡率将会降低。
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引用次数: 1
Investigation of the effect of postpartum home visit intervention on promoting mothers’ exclusive breastfeeding in Falavarjan, Isfahan Province: clinical trial research 伊斯法罕省法拉瓦扬市产后家访干预对促进母亲纯母乳喂养效果的临床研究
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/fmpcr.2021.108194
Razieh Fallahnejad, M. Zarshenas, Mahbobeh Valiani, Mehrab Saysdi, M. Akbarzadeh
1 department of Midwifery, school of nursing and Midwifery, shiraz University of Medical sciences, shiraz, iran 2 Community based Psychiatric Care Research Center, department of Midwifery, school of nursing and Midwifery, shiraz University of Medical sciences, shiraz, iran 3 department of Midwifery, nursing and Midwifery Care Research Center, school of nursing and Midwifery, isfahan University of Medical sciences, isfahan, iran 4 Student Research Committee, School of Medicine, Department of Biostatistics, Shiraz University of Medical sciences, shiraz, iran 5 Maternal-Fetal Medicine Research Center, department of Midwifery, school of nursing and Midwifery, shiraz University of Medical sciences, shiraz, iran
1设拉子医科大学护理与助产学院助产系,设拉子,伊朗设拉子2设拉子医科大学护理与助产学院助产系社区精神病学护理研究中心,设拉子,伊朗设拉子3伊斯法罕医科大学护理与助产学院助产系,护理与助产护理研究中心,伊朗伊斯法罕4医学院学生研究委员会,伊朗伊斯法罕5设拉子医科大学护理与助产学院助产系母胎医学研究中心,设拉子,伊朗设拉子
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引用次数: 0
Assessment of depressive symptoms among students at Al-Kindy College of Medicine in Baghdad 巴格达Al-Kindy医学院学生抑郁症状评估
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/fmpcr.2021.108195
Y. Hanoon, H. Habib
Background. depression is one of the most common medical illnesses worldwide. Medical students during their training will be subjected to many stressors, both mentally and emotionally. Objectives. Assess the prevalence of depressive symptoms among medical students and to identify any association between depressive symptoms and some socio-demographic factors. Material and methods. A descriptive cross-sectional study was conducted in Baghdad city, and our study sample was 800 medical students from all six stages at Al-Kindy College of Medicine. Out of those sample students, only a convenient sample of 301 students was selected, and they agreed to take part in the current study. Data was collected using a self-administered questionnaire form. Results. The overall prevalence of depressive symptoms is 55.48% among students. The stage of the study, gender and social relationship were significantly associated with depression symptoms, with no significant association between chronic disease and monthly family income. The highest percentage of depressive symptoms was seen among students of the first, third, and fourth grade, being female, and social students with a p-value less than 0.05. Conclusions. a high level of depressive symptoms among students at al-Kindy College of Medicine was reported, with females being more depressed than males, more than half of the participants showing symptoms and most students in the pre-clinical stage, whereas the lowest level appeared among stage six students.
背景。抑郁症是世界上最常见的医学疾病之一。医学生在训练过程中会受到许多精神和情感上的压力。目标。评估医学生中抑郁症状的患病率,并确定抑郁症状与某些社会人口因素之间的任何关联。材料和方法。在巴格达市进行了一项描述性横断面研究,我们的研究样本是来自Al-Kindy医学院所有六个阶段的800名医学生。在这些样本学生中,只选择了301名学生作为方便的样本,他们同意参加目前的研究。数据收集采用自我管理的问卷形式。结果。学生抑郁症状总体患病率为55.48%。研究阶段、性别和社会关系与抑郁症状有显著相关性,慢性疾病与家庭月收入无显著相关性。出现抑郁症状的比例最高的是一年级、三年级和四年级的女生和社会学生(p值小于0.05)。结论。据报道,al-Kindy医学院学生的抑郁症状水平很高,女性比男性更抑郁,一半以上的参与者表现出症状,大多数学生处于临床前阶段,而最低水平出现在第六阶段的学生中。
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引用次数: 2
期刊
Family Medicine and Primary Care Review
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