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Postnatal depression and social support during the COVID-19 pandemic among Arab women in Jordan and the United States: A comparative study 约旦和美国阿拉伯妇女在 COVID-19 大流行期间的产后抑郁和社会支持:比较研究
IF 2.1 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.29333/ejgm/13965
S. Abuhammad, Sarah Abu Al-Rub, Wael Al-Delaimy
Objectives: To compare the levels of postnatal depression experienced by Arab women in Jordan and the United States (USA) and the impact of social support during the COVID-19 pandemic. Methodology: Participants were recruited through online survey links and social media channels, as well as face to face. A sample comprising 434 women in the postnatal period participated in the study that included Arab women in the USA and Jordan women, responding to a comprehensive questionnaire that encompassed inquiries about their pandemic status, demographic characteristics, postnatal depression, and social support. CES-D depression scale was used to determine the level of depression. Findings: The depression mean score among women in the postnatal period from Jordan was 24.90±4.14 and the depression mean score among Arab women in the USA was 27.70±4.49. The prevalence of depression among Jordanian women was 52.8% and the prevalence of depression among Arab American women was 73.0%. There is a significant difference between both groups in depression during the postnatal period with more prevalence among Arab American women (t=7.64, p=.010). There are no significant differences between groups in tangible and actual social support among both groups (t=1.50, p=.127). Conclusions: This nationwide study conducted among postnatal women in Jordan has shed light on several critical findings. Our study found that Arab women in the USA were suffering from more depression compared to Jordanian women. Moreover, our research highlighted a significant inverse relationship between social support and postnatal depression, indicating that as social support increased, levels of depression decreased among women in the postnatal period.
目的比较约旦和美国(USA)的阿拉伯妇女产后抑郁的程度以及 COVID-19 大流行期间社会支持的影响。方法:通过在线调查渠道招募参与者:通过在线调查链接和社交媒体渠道以及面对面的方式招募参与者。参与研究的样本包括 434 名产后妇女,其中包括美国的阿拉伯妇女和约旦妇女,她们回答了一份综合问卷,其中包括有关大流行状况、人口特征、产后抑郁和社会支持的询问。采用 CES-D 抑郁量表来确定抑郁程度。研究结果约旦妇女产后抑郁的平均得分是(24.90±4.14)分,美国阿拉伯妇女产后抑郁的平均得分是(27.70±4.49)分。约旦妇女的抑郁症患病率为52.8%,美国阿拉伯妇女的抑郁症患病率为73.0%。两组妇女在产后抑郁方面存在明显差异,阿拉伯裔美国妇女的患病率更高(t=7.64,p=0.010)。两组妇女在有形和实际社会支持方面没有明显差异(t=1.50,p=.127)。结论这项在约旦产后妇女中开展的全国性研究揭示了几项重要发现。我们的研究发现,与约旦妇女相比,美国的阿拉伯妇女患有更多抑郁症。此外,我们的研究还强调了社会支持与产后抑郁之间的显著反向关系,这表明随着社会支持的增加,产后妇女的抑郁水平也会下降。
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引用次数: 0
Prediction of factors influencing hemorrhagic stroke death with brain herniation in teaching hospitals 教学医院出血性脑卒中脑疝死亡的影响因素预测
IF 2.1 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.29333/ejgm/13899
M. Martono, Sudiro Sudiro, Satino Satino, Siti Lestari, Insiyah Insiyah, Sri Martuti, Pradita Ayu Fernanda
Objectives: The purpose of this study was to identify and analyze the predictors of mortality in the cases of hemorrhagic stroke with brain herniation of hospitalized patients. Methods: In this retrospective cohort study, we analyzed 1,330 cases of hemorrhagic stroke with brain herniation from January 2015 to October 2020, and used logistic regression to identify the cause of death of hemorrhagic stroke with brain herniation. Results: A total of 1,330 stroke patients with brain herniation were identified. The mean age was 63.40±61.00 years and 56.50% of them were male. A total of 78.80% of the observed patients were discharged directly after recovery, 2.00% were discharged at the personal/family request, and number of patients who died after being treated 19.20% died (30.90% died after being treated for <48 hours, and 69.10% died after being treated for ³48 hours). Patients who were ³65 years old had more tendency to die than those who were younger, with a 95% confidence interval (CI) 6,859-26,486; p=0.001). The higher the systolic and diastolic blood pressure was, the greater the probability of dying after hospitalization (odds ratio [OR] 2.340, CI 1.334-4.104, p=0.022, OR 2.110, CI 1.042-4.273, p=0.026), the lower Glasgow coma scale (GCS) score at admission (<5), the more tendency for a patient to die (OR 1.376, CI 0.816–2.320, p=0.038) would be. Conclusions: Patient’s age ³65 years, high systolic blood pressure, high diastolic blood pressure, and GCS score <5 are predictors associated with the mortality of hemorrhagic stroke with brain herniation. The implications of these findings, if confirmed in prospective studies, would raise important policy considerations both in hospitals and at the overall health level, particularly regarding post-acute care.
研究目的本研究的目的是确定并分析出血性脑卒中合并脑疝住院患者的死亡率预测因素。方法在这项回顾性队列研究中,我们分析了2015年1月至2020年10月的1330例出血性脑卒中合并脑疝病例,并采用逻辑回归法确定出血性脑卒中合并脑疝病例的死亡原因。结果:共发现 1,330 例脑疝脑卒中患者。平均年龄为(63.40±61.00)岁,男性占 56.50%。78.80%的患者在康复后直接出院,2.00%的患者在个人/家属要求下出院,19.20%的患者在治疗后死亡(30.90%的患者在治疗 <48 小时后死亡,69.10%的患者在治疗 ³48 小时后死亡)。65 岁以上的患者比年轻患者更容易死亡,95% 置信区间(CI)为 6,859-26,486; p=0.001)。收缩压和舒张压越高,住院后死亡的概率越大(比值比 [OR] 2.340,CI 1.334-4.104,p=0.022;OR 2.110,CI 1.042-4.273,p=0.026),入院时格拉斯哥昏迷量表(GCS)评分越低(<5),患者的死亡倾向越大(OR 1.376,CI 0.816-2.320,p=0.038)。结论患者年龄大于 65 岁、收缩压高、舒张压高、GCS 评分小于 5 分是出血性脑卒中合并脑疝死亡率的预测因素。这些发现的影响如果在前瞻性研究中得到证实,将对医院和整体健康水平,尤其是对急性期后护理提出重要的政策考虑。
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引用次数: 0
Pregabalin and gabapentin abuse among university students in Jordan: A cross sectional study 约旦大学生滥用普瑞巴林和加巴喷丁的情况:一项横断面研究
IF 2.1 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.29333/ejgm/14021
Ahmad A Altarifi, Omar Obeidat, Ahmad Guzu, Amr Said, Mahmoud Albakheet, Ahmad Makkawi, Zuheir Hasan, Mohammed Azab, M. Alotaibi, K. Kheirallah, T. Saleh
Introduction: Pregabalin and gabapentin (or gabapentanoids) have been reported to be abused for potentially euphoric effects. Objectives: In this work, we conducted a descriptive, cross-sectional study among university students from Jordan utilizing a structured online questionnaire. Results: 96.1% of the participants indicated no previous or current use of gabapentanoids, while 53 (3.9%) self-reported previous or current use (ever-use) of any of both drugs. The rate of abuse was higher among males and older students’ groups. 50.9% of drug users did not obtain a valid prescription. Most abusers indicated that their use of both drugs was for non-medical reasons (39.6%), and 69.8% students used both drugs despite being aware of their adverse effects. Hypersomnia was the most reported adverse effect. However, most participants (64.2%) did not report any withdrawal symptoms upon drug discontinuation. Marijuana/hashish was the most consumed substance with gabapentanoids. Conclusions: Our results invite for further prescribed drug control and increasing the awareness against drug abuse among the youth in Jordan.
导言:据报道,普瑞巴林和加巴喷丁(或加巴喷坦类药物)因潜在的兴奋作用而被滥用。研究目的在这项工作中,我们利用结构化在线问卷对约旦的大学生进行了一项描述性横断面研究。研究结果96.1%的参与者表示以前或现在没有使用过加巴喷坦类药物,而 53 人(3.9%)自我报告以前或现在使用过(曾经使用过)这两种药物中的任何一种。男性和高年级学生群体的滥用率较高。50.9%的吸毒者没有获得有效处方。大多数滥用者表示,他们使用这两种药物是出于非医疗原因(39.6%),69.8%的学生尽管知道这两种药物的不良影响,但仍然使用。报告最多的不良反应是失眠。不过,大多数参与者(64.2%)在停药后没有出现戒断症状。大麻/哈希什是与加巴喷坦类药物一起使用最多的药物。结论:我们的研究结果要求进一步对处方药进行管制,并提高约旦青少年对药物滥用的认识。
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引用次数: 0
Polypharmacy in the elderly: A bibliometric and visualization analysis 老年人的多重用药:文献计量和可视化分析
IF 2.1 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.29333/ejgm/13901
Ghaith M Al-Taani, S. Al‐Azzam, K. Alzoubi, W. Sweileh, S. Muflih
Background: The incidence of polypharmacy is increasing owing to population aging and the associated presence of multiple comorbidities. This study aimed to provide an extensive overview of the history and development of the scientific literature on polypharmacy. Methods: Data were gathered from the comprehensive Scopus database and assessed using various bibliometric methods, including analyses of citations, growth patterns, and key contributors in the field. Results: A notable upward trend in the publication rate of polypharmacy research was observed throughout the study period (1976-2022). Journal of the American Geriatrics Society emerged as the predominant platform for disseminating polypharmacy-related findings. Hughes CM from Queen’s University Belfast, the United Kingdom (UK), emerged as the most prolific author in this field. Most articles were authored by researchers affiliated with institutions in the United States (n=267), the UK (n=92), and Italy (n=72). Conclusion: This study provides compelling evidence of the escalating interest in polypharmacy and momentum in related research, highlighting the crucial publication-related aspects and indicators in this field. The findings underline the value of bibliometric analyses as a tool for healthcare professionals. The wide dissemination, influence, and visibility of polypharmacy research in reputable scientific journals emphasize the urgent clinical need for addressing polypharmacy concerns and encourage further exploration in this area.
背景:由于人口老龄化和与之相关的多种并发症的存在,多种药物治疗的发生率正在增加。本研究旨在广泛概述有关多重用药的科学文献的历史和发展。研究方法从综合性 Scopus 数据库中收集数据,并使用各种文献计量学方法进行评估,包括分析引文、增长模式和该领域的主要贡献者。结果在整个研究期间(1976-2022 年),多药治疗研究的发表率呈明显上升趋势。美国老年医学会杂志》成为传播多种药物相关研究成果的主要平台。来自英国贝尔法斯特皇后大学的休斯-CM 是该领域最多产的作者。大多数文章由美国(267 篇)、英国(92 篇)和意大利(72 篇)机构的研究人员撰写。结论本研究提供了令人信服的证据,证明了人们对多药疗法的兴趣不断升温,相关研究势头强劲,并强调了该领域与出版相关的重要方面和指标。研究结果强调了文献计量分析作为医疗保健专业人员工具的价值。多药治疗研究在著名科学杂志上的广泛传播、影响和知名度强调了解决多药治疗问题的迫切临床需求,并鼓励在这一领域进行进一步探索。
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引用次数: 0
Comparative studies of influence of palm oil on activity of xanthine oxidase and free radicals in liver and blood: Diabetes and metabolic syndrom 棕榈油对肝脏和血液中黄嘌呤氧化酶和自由基活性影响的比较研究:糖尿病和代谢综合征
Q2 Medicine Pub Date : 2023-11-09 DOI: 10.29333/ejgm/13876
Besim Memedi
Diabetes is a chronic metabolic disease, which has affected approximately 10.5% of the global population [1]. The most frequent types of diabetes are type-1 and type-2. The third frequent type is gestational diabetes. The pathogenicity of diabetes is multifactorial and involves various factors such as genetic, food, stress, environmental pollutants, and others, in most of the cases combination of two or more factors are noticed. Comparative studies of the influence of palm oil on the activity of xanthine oxidase (XOD) and free radicals in liver and blood. The research compared the effect of palm oil on carbohydrate metabolism in male rats: in young rats and adult rats. The research compared the effect of palm oil on free radicals in male rats: in adults and juvenile rats. Experimental animal body weight change research, 30 days after palm oil treatment. For this scientific research we utilized experimental animals of the male genus: mice of the Wistar type, small mice (45-60 g) and large mice (160-180 g). Experimental animals were divided into groups of six-eight experimental mice and details are shown in the corresponding part of the results. The results are shown in six figures and two tables. Results indicate an increase in the formation of free radicals in blood plasma, both in experimental juvenile mice and in experimental large mice under the influence of palm oil. Palm oil increases the activity of XOD in blood, both in small animals and in large experimental animals. Palm oil increases the formation of XOD in the black liver in both elderly groups. In all groups during the experiment there was an increase in body weight. Results from studies of the effect of palm oil on carbohydrate metabolism showed changes in glucose tolerance test. Current studies for the first time convincingly demonstrate the risk of using palm oil. Analysis of the results of two studies on XOD and carbohydrate metabolism showed a correlation between increased XOD levels and the development of prediabetes.
糖尿病是一种慢性代谢性疾病,影响了全球约10.5%的人口[1]。最常见的糖尿病类型是1型和2型。第三种常见类型是妊娠糖尿病。糖尿病的致病性是多因素的,涉及遗传、食物、应激、环境污染物等多种因素,多数情况下是两种或两种以上因素共同作用。棕榈油对肝脏和血液中黄嘌呤氧化酶(XOD)和自由基活性影响的比较研究。该研究比较了棕榈油对雄性大鼠:年轻大鼠和成年大鼠碳水化合物代谢的影响。该研究比较了棕榈油对雄性大鼠自由基的影响:成年大鼠和幼年大鼠。实验动物体重变化研究,棕榈油处理后30天。本科学研究使用雄性属实验动物:Wistar型小鼠,小鼠(45-60 g)和大鼠(160-180 g)。实验动物每组6 - 8只实验小鼠,详情见结果相应部分。结果以六个数字和两个表格的形式显示。结果表明,在棕榈油的影响下,实验幼鼠和实验大鼠血浆中自由基的形成都有所增加。棕榈油增加了小动物和大型实验动物血液中XOD的活性。棕榈油增加了两组老年人黑肝中XOD的形成。在实验期间,所有组的体重都有所增加。棕榈油对碳水化合物代谢影响的研究结果显示糖耐量试验发生了变化。目前的研究首次令人信服地证明了使用棕榈油的风险。两项关于XOD和碳水化合物代谢的研究结果分析表明,XOD水平升高与前驱糖尿病的发展存在相关性。
{"title":"Comparative studies of influence of palm oil on activity of xanthine oxidase and free radicals in liver and blood: Diabetes and metabolic syndrom","authors":"Besim Memedi","doi":"10.29333/ejgm/13876","DOIUrl":"https://doi.org/10.29333/ejgm/13876","url":null,"abstract":"Diabetes is a chronic metabolic disease, which has affected approximately 10.5% of the global population [1]. The most frequent types of diabetes are type-1 and type-2. The third frequent type is gestational diabetes. The pathogenicity of diabetes is multifactorial and involves various factors such as genetic, food, stress, environmental pollutants, and others, in most of the cases combination of two or more factors are noticed. Comparative studies of the influence of palm oil on the activity of xanthine oxidase (XOD) and free radicals in liver and blood. The research compared the effect of palm oil on carbohydrate metabolism in male rats: in young rats and adult rats. The research compared the effect of palm oil on free radicals in male rats: in adults and juvenile rats. Experimental animal body weight change research, 30 days after palm oil treatment. For this scientific research we utilized experimental animals of the male genus: mice of the Wistar type, small mice (45-60 g) and large mice (160-180 g). Experimental animals were divided into groups of six-eight experimental mice and details are shown in the corresponding part of the results. The results are shown in six figures and two tables. Results indicate an increase in the formation of free radicals in blood plasma, both in experimental juvenile mice and in experimental large mice under the influence of palm oil. Palm oil increases the activity of XOD in blood, both in small animals and in large experimental animals. Palm oil increases the formation of XOD in the black liver in both elderly groups. In all groups during the experiment there was an increase in body weight. Results from studies of the effect of palm oil on carbohydrate metabolism showed changes in glucose tolerance test. Current studies for the first time convincingly demonstrate the risk of using palm oil. Analysis of the results of two studies on XOD and carbohydrate metabolism showed a correlation between increased XOD levels and the development of prediabetes.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192203","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: 0
Analysis and mapping of the research landscape on occupational musculoskeletal disorders with an emphasis on risk factors and preventive approaches (1993-2022) 分析和绘制职业性肌肉骨骼疾病的研究图景,重点是风险因素和预防方法(1993-2022)
Q2 Medicine Pub Date : 2023-11-01 DOI: 10.29333/ejgm/13662
Waleed M Sweileh
Objective: The current study aims to provide a comprehensive overview of the research landscape on the risk factors and preventive approaches to occupational musculoskeletal disorders (MSDs).
Methods: A comprehensive search strategy was developed and used in the Scopus Database for the study period from 1993 to 2022.
Results: A total of 1,132 articles underwent analysis and mapping. Scholars from the United States made the largest contribution, while the Danish institution “National Research Center for the Working Environment” ranked first in the field. The map showed that the nursing profession was the most researched profession with regard to occupational MSDs. The top-100 cited articles included research themes focusing on risk factors, interventions and preventive strategies, and specific body regions affected.
Conclusions: More longitudinal research is needed to identify and confirm the causal relationship between different risk factors and occupational MSDs and more research is needed regarding the effectiveness of various interventional methods on occupational MSDs.
目的:</b>本研究旨在全面概述职业性肌肉骨骼疾病(MSDs)的危险因素和预防方法的研究概况。<br /></b>方法:</b>在Scopus数据库中制定并使用了1993年至2022年研究期间的综合检索策略。<br /></b>结果:</b>共有1132篇文章进行了分析和制图。来自美国的学者做出了最大的贡献,而丹麦机构“工作环境国家研究中心”在该领域排名第一。地图显示,在职业MSDs方面,护理专业是被研究最多的专业。被引用次数最多的100篇文章包括关注风险因素、干预措施和预防策略以及受影响的特定身体区域的研究主题。结论:需要更多的纵向研究来识别和确认不同危险因素与职业性MSDs之间的因果关系,以及各种职业性MSDs干预方法的有效性需要更多的研究。
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引用次数: 0
Parental knowledge and attitudes towards hereditary hearing loss and genetic technology 父母对遗传性听力损失和基因技术的认识和态度
Q2 Medicine Pub Date : 2023-11-01 DOI: 10.29333/ejgm/13813
Safa Alqudah, Alia Alqudah, Maha Zaitoun, Hussein Alqassem
Introduction: The knowledge and attitudes about genetic hearing loss are essential to prevent more hearing loss incidences in societies. However, limited studies have compared the knowledge and attitude toward genetic technology between parents of normal and impaired-hearing children.
&nbsp;Methods: A descriptive, cross-sectional study was performed involving 105 parents with one or more children having a hearing impairment and 204 control parents with children having normal hearing. Parents completed surveys designed to investigate their knowledge and attitudes about the genetic basis of hearing impairment and recent technologies. Descriptive and inferential statistics were used to measure response differences between the two groups.
Results: Both groups shared the same level of knowledge, with the average knowledge scores of parents with normal-hearing children (9.53/19±2.56 points) resembling those of parents with hearing-impaired children (10.08/19±3.17 points; F(1, 307)=-2.17, p=0.14). Moreover, parents had limited information about the genetic basis of hearing loss, specifically in estimating the recurrence of congenital hearing loss (n=26 of 105, 24.76%)and misunderstanding inheritance paradigms (n=24 of 105, 22.86%). Regardless of having children with auditory issues, parents expressed positive attitudes towards genetic testing.
Conclusions: These findings suggest that more genetic specialists are needed to educate families of children with hearing loss about the genetic attributes of hearing impairment and the significance of genetic technology.
& lt; b>介绍:& lt; / b>对遗传性听力损失的认识和态度对于预防社会中更多的听力损失发生率至关重要。然而,比较听力正常儿童和听力受损儿童父母对基因技术的知识和态度的研究有限。,, & lt; b>方法:& lt; / b>进行了一项描述性的横断面研究,涉及<b>105名有一个或多个孩子有听力障碍的父母和204名孩子听力正常的对照组父母。家长们完成了调查问卷,调查他们对听力障碍的遗传基础和最新技术的认识和态度。采用描述性统计和推理统计来衡量两组之间的反应差异。<br />& lt; b>结果:& lt; / b>两组的知识水平相同,听力正常儿童家长的平均知识得分(9.53/19±2.56分)与听力受损儿童家长的平均知识得分(10.08/19±3.17分)相当;F(1,307)=-2.17, p=0.14)。此外,父母对听力损失的遗传基础了解有限,特别是在估计先天性听力损失的复发率(105例中n=26例,24.76%)和误解遗传范式(105例中n=24例,22.86%)。无论孩子是否有听力问题,父母都对基因检测持积极态度。<br />& lt; b>结论:& lt; / b>这些发现表明,需要更多的遗传专家来教育听力损失儿童的家庭,让他们了解听力障碍的遗传属性和基因技术的重要性。
{"title":"Parental knowledge and attitudes towards hereditary hearing loss and genetic technology","authors":"Safa Alqudah, Alia Alqudah, Maha Zaitoun, Hussein Alqassem","doi":"10.29333/ejgm/13813","DOIUrl":"https://doi.org/10.29333/ejgm/13813","url":null,"abstract":"<b>Introduction:</b> The knowledge and attitudes about genetic hearing loss are essential to prevent more hearing loss incidences in societies. However, limited studies have compared the knowledge and attitude toward genetic technology between parents of normal and impaired-hearing children.<br /> &amp;nbsp;<b>Methods:</b> A descriptive, cross-sectional study was performed involving<b> </b>105 parents with one or more children having a hearing impairment and 204 control parents with children having normal hearing. Parents completed surveys designed to investigate their knowledge and attitudes about the genetic basis of hearing impairment and recent technologies. Descriptive and inferential statistics were used to measure response differences between the two groups.<br /> <b>Results:</b> Both groups shared the same level of knowledge, with the average knowledge scores of parents with normal-hearing children (9.53/19±2.56 points) resembling those of parents with hearing-impaired children (10.08/19±3.17 points; F(1, 307)=-2.17, p=0.14). Moreover, parents had limited information about the genetic basis of hearing loss, specifically in estimating the recurrence of congenital hearing loss (n=26 of 105, 24.76%)and misunderstanding inheritance paradigms (n=24 of 105, 22.86%). Regardless of having children with auditory issues, parents expressed positive attitudes towards genetic testing.<br /> <b>Conclusions:</b> These findings suggest that more genetic specialists are needed to educate families of children with hearing loss about the genetic attributes of hearing impairment and the significance of genetic technology.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135111240","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: 0
New and more effective application assays for hemostatic disorder assessment: A systematic review 止血障碍评估中新的更有效的应用方法:系统综述
IF 2.1 Q2 Medicine Pub Date : 2023-11-01 DOI: 10.29333/ejgm/13570
Faisal M Al-Zahrani
Background: Hemostasis research lacked novel platform assays for hemostatic disorder diagnosis. The current review study’s goal is to compare various assays for evaluating the novel hemostatic techniques used in the diagnosis of coagulation disturbances and to highlight each method’s strongest and weakest points.Methods: The PRISMA guidelines and the recommendations for observational studies in epidemiology were both followed in the current systematic review. The PRISMA-compliant electronic databases (PubMed), a novel platform for evaluating hemostasis, were searched using the keywords. The electronic databases (PubMed), a cutting-edge platform to assess hemostasis, were searched using the keywords. Articles published between December 2016 and December 2021 were only included in searches; original articles were written in English. In order to assess hemostasis studies, we gathered bibliographies of abstracts that were published on the new and more effective application assays for assessments of hemostasis disorders.Results: Following the removal of duplicates, articles were determined by examining the titles and abstracts. Disagreements were resolved through consensus and the application of novel hemostatic analysis methods. Then independently reviewed the relevant studies of the recognized records (n=503), excluding duplicates (n=9) and irrelevant studies (n=249). The remaining 254 studies were read in their entirety, the data from the seven included studies had been extracted.Conclusions: When expressed as an anticoagulant for the in vivo assessment of on the complement system, nanotechnology-based study was more effective in some laboratory tests, and flow cytometer evaluation could be a promising platform approach for use in hemostasis management.
背景:止血研究缺乏新的止血障碍诊断平台。目前的综述研究的目标是比较各种检测方法,以评估用于诊断凝血障碍的新型止血技术,并强调每种方法的最强点和最弱点。方法:在当前的系统综述中,遵循PRISMA指南和流行病学观察性研究的建议。使用关键词搜索符合PRISMA的电子数据库(PubMed),这是一个评估止血的新平台。使用关键词搜索电子数据库(PubMed),这是一个评估止血的尖端平台。2016年12月至2021年12月期间发表的文章仅包含在搜索中;最初的文章是用英语写的。为了评估止血研究,我们收集了发表在新的、更有效的止血疾病评估应用分析中的摘要目录。结果:去除重复后,通过检查标题和摘要来确定文章。通过达成共识和应用新型止血分析方法解决了分歧。然后独立审查已识别记录的相关研究(n=503),不包括重复研究(n=9)和无关研究(n=249)。对其余254项研究进行了全面阅读,并提取了7项纳入研究的数据。结论:当作为一种抗凝剂用于补体系统的体内评估时,基于纳米技术的研究在一些实验室测试中更有效,流式细胞仪评估可能是一种很有前途的止血管理平台方法。
{"title":"New and more effective application assays for hemostatic disorder assessment: A systematic review","authors":"Faisal M Al-Zahrani","doi":"10.29333/ejgm/13570","DOIUrl":"https://doi.org/10.29333/ejgm/13570","url":null,"abstract":"Background: Hemostasis research lacked novel platform assays for hemostatic disorder diagnosis. The current review study’s goal is to compare various assays for evaluating the novel hemostatic techniques used in the diagnosis of coagulation disturbances and to highlight each method’s strongest and weakest points.\u0000Methods: The PRISMA guidelines and the recommendations for observational studies in epidemiology were both followed in the current systematic review. The PRISMA-compliant electronic databases (PubMed), a novel platform for evaluating hemostasis, were searched using the keywords. The electronic databases (PubMed), a cutting-edge platform to assess hemostasis, were searched using the keywords. Articles published between December 2016 and December 2021 were only included in searches; original articles were written in English. In order to assess hemostasis studies, we gathered bibliographies of abstracts that were published on the new and more effective application assays for assessments of hemostasis disorders.\u0000Results: Following the removal of duplicates, articles were determined by examining the titles and abstracts. Disagreements were resolved through consensus and the application of novel hemostatic analysis methods. Then independently reviewed the relevant studies of the recognized records (n=503), excluding duplicates (n=9) and irrelevant studies (n=249). The remaining 254 studies were read in their entirety, the data from the seven included studies had been extracted.\u0000Conclusions: When expressed as an anticoagulant for the in vivo assessment of on the complement system, nanotechnology-based study was more effective in some laboratory tests, and flow cytometer evaluation could be a promising platform approach for use in hemostasis management.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49302985","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: 0
Impact of the COVID-19 pandemic on the outcomes of Indonesian chronic disease management program COVID-19大流行对印度尼西亚慢性病管理计划结果的影响
Q2 Medicine Pub Date : 2023-11-01 DOI: 10.29333/ejgm/13661
Sovia Salamah, Ristra Ramadhani, Mega Rizkya Arfiana, Ibrahim Syamsuri, David Nugraha, Fauzan Illavi, Asiyah Nida Khafiyya, Astri Dewayani, M Rifqi Rokhman, Firas Farisi Alkaff
Background: The Indonesian Government launched chronic disease management program (PROLANIS) with the aim of improving clinical outcomes and preventing disease complications of patients with type 2 diabetes (T2D). During the coronavirus disease 2019 (COVID-19) pandemic, the overwhelmed healthcare system shifted resources away from non-communicable diseases in the attempt to mitigate it. Thus, the implementation of PROLANIS during the COVID-19 pandemic might not be as optimal as before the pandemic era, leading to worse clinical outcomes. This pilot study aims to evaluate the impact of the COVID-19 pandemic on PROLANIS in rural areas by analyzing the changes of metabolic control and renal function parameters.
Methods: This study used data from three PROLANIS groups report in rural areas in East Java Province, Indonesia. Study population was PROLANIS participants who came for six-month-evaluation in December 2019 (T0), June 2020 (T1), and December 2020 (T2). Evaluated metabolic control parameters were body mass index (BMI), blood pressure, hemoglobin A1C (HbA1C), total cholesterol (TC), high-density lipid, low-density lipid, and triglyceride (TG), whereas evaluated renal function parameters were blood urea nitrogen, serum creatinine, and urinary albumin. Independent t-test and Wilcoxon signed-rank test were used for statistical analyses. p-value &lt;0.05 was considered statistically significant.
Results: Among 52 PROLANIS participants included in the analyses, four metabolic control parameters (BMI, blood pressure, TC, and TG) and all renal function parameters significantly worsened right after the pandemic started but improved 6 months afterwards. Meanwhile, HbA1C continuously worsened throughout the study period, albeit statistically insignificant.
Conclusions: The metabolic control and renal function parameters in our study population deteriorates especially in the beginning of the COVID-19 pandemic.
& lt; b>背景:& lt; / b> lt; i>印度尼西亚政府启动了慢性疾病管理方案(PROLANIS),目的是改善2型糖尿病患者的临床结果和预防疾病并发症。在2019年冠状病毒病(COVID-19)大流行期间,不堪重负的医疗保健系统将资源从非传染性疾病中转移出来,试图减轻这种疾病。因此,在COVID-19大流行期间实施PROLANIS可能不像大流行时代之前那样理想,导致临床结果更差。本试点研究旨在通过分析新冠肺炎大流行对农村地区PROLANIS的影响,分析代谢控制和肾功能参数的变化。& lt; b>方法:& lt; / b>本研究使用了来自印度尼西亚东爪哇省农村地区三个PROLANIS小组报告的数据。研究人群为PROLANIS参与者,他们于2019年12月(T0)、2020年6月(T1)和2020年12月(T2)来进行为期6个月的评估。评估代谢控制参数为体重指数(BMI)、血压、血红蛋白A1C (HbA1C)、总胆固醇(TC)、高密度脂质、低密度脂质和甘油三酯(TG),而评估肾功能参数为尿素氮、血清肌酐和尿白蛋白。采用独立t检验和Wilcoxon符号秩检验进行统计分析。p值<0.05被认为具有统计学意义。<br />& lt; b>结果:& lt; / b>在纳入分析的52名PROLANIS参与者中,4项代谢控制参数(BMI、血压、TC和TG)和所有肾功能参数在大流行开始后明显恶化,但在6个月后有所改善。同时,HbA1C在整个研究期间持续恶化,但无统计学意义。<br />结论:我们研究人群的代谢控制和肾功能参数恶化,特别是在COVID-19大流行开始时。
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引用次数: 0
Comparison of different cesarean delivery techniques: A systematic review and meta-analysis 不同剖宫产技术的比较:系统回顾和荟萃分析
IF 2.1 Q2 Medicine Pub Date : 2023-11-01 DOI: 10.29333/ejgm/13590
A. Yuldasheva, Gulzhakhan Omarova, Zhanara Begniyazova, Shynar Saduakassova, Elmira Makhmutova, Aliya Meirmanova
Background: The purpose of this systematic review and meta-analysis study was to compare various caesarean delivery methods.Methods: A search for available articles published since January 2023 was accomplished in PubMed, Medline, Embase, and Cochrane literature databases. The search method that encompassed all pertinent publications was developed using terms from the medical subject headings thesaurus and keywords from related literature. We also used the PICO method (where P is population, I is intervention, C is comparator/control, and O is outcome for our study) to establish research question. Whereas Cochrane handbook of “systematic reviews of interventions” was used for risk of bias assessment.Results: The results showed a significant difference in patient gratification between the gentle/natural/skin-to-skin contact caesarean and the traditional/conventional/standard caesarean. In assessing the satisfaction with delivery mode, the mean variance for these studies similarly revealed a significant difference between the natural caesarean and the conventional one. A skin-to-skin contact caesarean delivery takes less time to start nursing than a conventional delivery, according to the results of the study on the time of breastfeeding initiation after a natural caesarean. There was a low-risk bias among the selected studies.Conclusions: As a result of greater satisfaction with delivering experience the natural caesarean delivery was most preferred method. The enhanced skin-to-skin contact and breastfeeding suggested that natural caesarean is beneficial over the conventional method.
背景:本系统综述和荟萃分析研究的目的是比较不同的剖宫产方式。方法:在PubMed、Medline、Embase和Cochrane文献数据库中检索2023年1月以来发表的可用文章。包含所有相关出版物的搜索方法是使用来自医学主题标题同义词典的术语和来自相关文献的关键字开发的。我们还使用PICO方法(其中P为总体,I为干预,C为比较者/对照,O为我们研究的结果)来建立研究问题。而Cochrane手册“干预措施的系统评价”被用于偏见风险评估。结果:温和/自然/皮肤接触剖宫产与传统/常规/标准剖宫产在患者满意度上存在显著差异。在评估对分娩方式的满意度时,这些研究的平均方差同样显示了自然剖腹产和传统剖腹产之间的显着差异。根据对自然剖腹产后开始母乳喂养时间的研究结果,皮肤接触式剖腹产比传统分娩开始哺乳的时间更短。所选研究存在低风险偏倚。结论:产妇对分娩体验满意度较高,自然剖宫产是首选方式。增强的皮肤接触和母乳喂养表明,自然剖腹产比传统方法更有益。
{"title":"Comparison of different cesarean delivery techniques: A systematic review and meta-analysis","authors":"A. Yuldasheva, Gulzhakhan Omarova, Zhanara Begniyazova, Shynar Saduakassova, Elmira Makhmutova, Aliya Meirmanova","doi":"10.29333/ejgm/13590","DOIUrl":"https://doi.org/10.29333/ejgm/13590","url":null,"abstract":"Background: The purpose of this systematic review and meta-analysis study was to compare various caesarean delivery methods.\u0000Methods: A search for available articles published since January 2023 was accomplished in PubMed, Medline, Embase, and Cochrane literature databases. The search method that encompassed all pertinent publications was developed using terms from the medical subject headings thesaurus and keywords from related literature. We also used the PICO method (where P is population, I is intervention, C is comparator/control, and O is outcome for our study) to establish research question. Whereas Cochrane handbook of “systematic reviews of interventions” was used for risk of bias assessment.\u0000Results: The results showed a significant difference in patient gratification between the gentle/natural/skin-to-skin contact caesarean and the traditional/conventional/standard caesarean. In assessing the satisfaction with delivery mode, the mean variance for these studies similarly revealed a significant difference between the natural caesarean and the conventional one. A skin-to-skin contact caesarean delivery takes less time to start nursing than a conventional delivery, according to the results of the study on the time of breastfeeding initiation after a natural caesarean. There was a low-risk bias among the selected studies.\u0000Conclusions: As a result of greater satisfaction with delivering experience the natural caesarean delivery was most preferred method. The enhanced skin-to-skin contact and breastfeeding suggested that natural caesarean is beneficial over the conventional method.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45908984","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: 0
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Electronic Journal of General Medicine
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