Mohammad J Rababa, Shatha Al-Sabbah, Tala Abu Zahra
Objectives: The present study examines the importance of pain assessment, documentation, and education among nurses caring for critically ill patients. Methods: This cross-sectional descriptive study was conducted on a convenience sample of 200 nurses working in acute care settings of hospitals in Irbid, Jordan. Data were gathered via self-administered questionnaires. Eight items of the pain aassessment and management for critically ill questionnaire were used in this study to measure the importance of pain assessment, documentation, and education for nurses caring for critically ill patients. Results: There was a significant positive correlation between the use of pain assessment tools for patients’ able self-report and the importance of assessment tools. The nurses rated pain assessment in intensive care units patients with burns as being the most extremely important. Regarding the importance of assessing the need for pre-emptive analgesia before specific procedures, the most often rated as extremely important to do was the invasive line placement procedure. Most participants used the guidelines of clinical practice recommendations of the American Society of Pain Management Nursing for the assessment and management of pain. Conclusions: Poor pain assessment, documentation, and education are significant problems demanding a constructive re-appraisal of the present pain practices. Improving pain assessment, documentation, and education via extensive educational programs and campaigns is essential for optimal pain practice.
{"title":"Importance of pain assessment, documentation, and education among nurses caring for critically Ill patients: A cross-sectional study","authors":"Mohammad J Rababa, Shatha Al-Sabbah, Tala Abu Zahra","doi":"10.29333/ejgm/13292","DOIUrl":"https://doi.org/10.29333/ejgm/13292","url":null,"abstract":"Objectives: The present study examines the importance of pain assessment, documentation, and education among nurses caring for critically ill patients.\u0000Methods: This cross-sectional descriptive study was conducted on a convenience sample of 200 nurses working in acute care settings of hospitals in Irbid, Jordan. Data were gathered via self-administered questionnaires. Eight items of the pain aassessment and management for critically ill questionnaire were used in this study to measure the importance of pain assessment, documentation, and education for nurses caring for critically ill patients.\u0000Results: There was a significant positive correlation between the use of pain assessment tools for patients’ able self-report and the importance of assessment tools. The nurses rated pain assessment in intensive care units patients with burns as being the most extremely important. Regarding the importance of assessing the need for pre-emptive analgesia before specific procedures, the most often rated as extremely important to do was the invasive line placement procedure. Most participants used the guidelines of clinical practice recommendations of the American Society of Pain Management Nursing for the assessment and management of pain.\u0000Conclusions: Poor pain assessment, documentation, and education are significant problems demanding a constructive re-appraisal of the present pain practices. Improving pain assessment, documentation, and education via extensive educational programs and campaigns is essential for optimal pain practice.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44615044","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}
Tamadur Shudayfat, Salam H. Bani Hani, M. Al Qadire
Nurses with a high level of digital health literacy (DHL) play a key role in providing high-quality patient care and promoting self-care activities. This study assessed DHL among nurses in Jordanian hospitals. A cross-sectional, descriptive study design was used. Data were collected targeting 238 nurses conveniently from both public and private hospitals. A standard pre-designed tool was used to collect DHL data composed of 21 questions divided into seven subscales, each one having three items. These subscales are operational skills, navigation skills, information searching, evaluating reliability, determining relevance, adding self-generated health content, and protecting privacy. Participants mostly achieved very desirable results in operational skills, information searching, and navigational skills, with a percentage of total scores of 82.5%, 90.6%, and 81.7%, respectively. None of the demographics were significantly different from the total DHL score (p>0.05). This study provides essential insight into healthcare professionals’ DHL in Jordanian hospitals and their approach to seeking health information, determining relevancy and content, and maintaining privacy during the search for required information. Healthcare providers, including nurses, were at the frontlines in managing patients’ information effectively. These results indicate that a program to promote DHL level and skills in healthcare providers would be useful. Policymakers, health educators and public health practitioners engaged in health literacy programs might use the results of this study for informed decision-making, as well as to improve and enhance DHL levels.
{"title":"Assessing digital health literacy level among nurses in Jordanian hospitals","authors":"Tamadur Shudayfat, Salam H. Bani Hani, M. Al Qadire","doi":"10.29333/ejgm/13466","DOIUrl":"https://doi.org/10.29333/ejgm/13466","url":null,"abstract":"Nurses with a high level of digital health literacy (DHL) play a key role in providing high-quality patient care and promoting self-care activities. This study assessed DHL among nurses in Jordanian hospitals. A cross-sectional, descriptive study design was used. Data were collected targeting 238 nurses conveniently from both public and private hospitals. A standard pre-designed tool was used to collect DHL data composed of 21 questions divided into seven subscales, each one having three items. These subscales are operational skills, navigation skills, information searching, evaluating reliability, determining relevance, adding self-generated health content, and protecting privacy. Participants mostly achieved very desirable results in operational skills, information searching, and navigational skills, with a percentage of total scores of 82.5%, 90.6%, and 81.7%, respectively. None of the demographics were significantly different from the total DHL score (p>0.05). This study provides essential insight into healthcare professionals’ DHL in Jordanian hospitals and their approach to seeking health information, determining relevancy and content, and maintaining privacy during the search for required information. Healthcare providers, including nurses, were at the frontlines in managing patients’ information effectively. These results indicate that a program to promote DHL level and skills in healthcare providers would be useful. Policymakers, health educators and public health practitioners engaged in health literacy programs might use the results of this study for informed decision-making, as well as to improve and enhance DHL levels.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48174792","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}
Introduction: Human papillomavirus (HPV) is the most common factor in causing cervical cancer. HPV vaccine is a successful strategy to prevent cervical cancer. Accordingly, the objective of this study was to examine female university students’ knowledge and perceptions concerning HPV infection and its vaccine. Materials & methods: The participants in this cross-sectional survey were female students of applied medical sciences at Imam Abdurrahman Bin Faisal University Dammam, Saudi Arabia. The study was conducted using a structured 28-multiple-choice items questionnaire. A total of 168 participants were included in the survey between September to November 2022. Results: The average age of participants was 20.10±1.74 years. The majority of the participants (52%) had knowledge of HPV. Whereas 52% of participants showed a positive attitude toward HPV vaccine. The age of the participants was positively and significantly associated with good knowledge of HPV (OR=1.884, 95% CI 1.06-3.35). Participants from a healthcare worker’s family were convinced that it could infect both men and women equally (67% vs. 42%, p-0.02). Conclusions: Overall knowledge and attitude toward HPV and its vaccine were found adequate. It is crucial to implement an educational program within universities and awareness campaigns in community to encourage vaccination, which leads to lower incidence of cervical cancer.
{"title":"Awareness and attitude of female university students on the human papillomavirus and vaccination: A cross-sectional study","authors":"Muzaheed Muzaheed","doi":"10.29333/ejgm/13385","DOIUrl":"https://doi.org/10.29333/ejgm/13385","url":null,"abstract":"<b>Introduction: </b>Human papillomavirus (HPV) is the most common factor in causing cervical cancer. HPV vaccine is a successful strategy to prevent cervical cancer. Accordingly, the objective of this study was to examine female university students’ knowledge and perceptions concerning HPV infection and its vaccine.<br /> <b>Materials &amp; methods:</b> The participants in this cross-sectional survey were female students of applied medical sciences at Imam Abdurrahman Bin Faisal University Dammam, Saudi Arabia. The study was conducted using a structured 28-multiple-choice items questionnaire. A total of 168 participants were included in the survey between September to November 2022.<br /> <b>Results: </b>The average age of participants was 20.10±1.74 years. The majority of the participants (52%) had knowledge of HPV. Whereas 52% of participants showed a positive attitude toward HPV vaccine. The age of the participants was positively and significantly associated with good knowledge of HPV (OR=1.884, 95% CI 1.06-3.35). Participants from a healthcare worker’s family were convinced that it could infect both men and women equally (67% vs. 42%, p-0.02).<br /> <b>Conclusions:</b> Overall knowledge and attitude toward HPV and its vaccine were found adequate. It is crucial to implement an educational program within universities and awareness campaigns in community to encourage vaccination, which leads to lower incidence of cervical cancer.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136081130","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}
Acute lymphoblastic leukemia (ALL) is a severely invasive hematological cancer that results from the rapid increase and accumulation of lymphoid blasts in the blood, bone marrow (BM), and other organs. The pervasiveness of ALL has made it the prevalent childhood acute leukemia making up approximately 80% of leukemia in children and about 20% in adults. Due to the prevalence of ALL, more accurate diagnosis and prognostic methods are required. Proteome analysis uses a variety of analytical techniques, including protein sequencing, structural or expression proteomics, protein modification, sub-cellular protein localization, protein-protein interactions, and biological functional proteomics. Analysis of cell-signaling pathways and activation/deactivation are crucial to follow up the development, remission, or relapse of ALL. As a result, this review emphasizes cytogenetics and immunophenotyping while also highlighting the proteomic profile, clinical symptoms, diagnosis, and management of ALL. Also, it evaluates the procedures and techniques for the testing of bodily fluids (peripheral blood, cerebrospinal fluid, and BM) from ALL patients at various stages of disease, as well as the use of proteomic platforms in discovering sensitive and specific biomarkers for ALL.
{"title":"A new insight updates in diagnosis and management of acute lymphoblastic leukemia, cytogenetics, immunophenotyping, and proteomic profile","authors":"S. Saghir","doi":"10.29333/ejgm/13386","DOIUrl":"https://doi.org/10.29333/ejgm/13386","url":null,"abstract":"Acute lymphoblastic leukemia (ALL) is a severely invasive hematological cancer that results from the rapid increase and accumulation of lymphoid blasts in the blood, bone marrow (BM), and other organs. The pervasiveness of ALL has made it the prevalent childhood acute leukemia making up approximately 80% of leukemia in children and about 20% in adults. Due to the prevalence of ALL, more accurate diagnosis and prognostic methods are required. Proteome analysis uses a variety of analytical techniques, including protein sequencing, structural or expression proteomics, protein modification, sub-cellular protein localization, protein-protein interactions, and biological functional proteomics. Analysis of cell-signaling pathways and activation/deactivation are crucial to follow up the development, remission, or relapse of ALL. As a result, this review emphasizes cytogenetics and immunophenotyping while also highlighting the proteomic profile, clinical symptoms, diagnosis, and management of ALL. Also, it evaluates the procedures and techniques for the testing of bodily fluids (peripheral blood, cerebrospinal fluid, and BM) from ALL patients at various stages of disease, as well as the use of proteomic platforms in discovering sensitive and specific biomarkers for ALL.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44503861","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}
V. Purushothaman, Soonia Guna Segar, Yughdtheswari Muniandy, A. Subbarayalu, S. Prabaharan, Palanivel Rubavathi Marimuthu
Aim: Prolonged use of electronic devices (EDs) and adopting poor posture during ED usage might lead to musculoskeletal disorders among young adults and adolescents. Hence, this study compares neck muscle strength, range of motion (ROM), and craniovertebral angle (CVA) among Malaysian young adults using different EDs. Methods: A cross-sectional study using a quantitative study design was applied to compare neck muscle strength, ROM, and CVA between laptop and tablet users of Malaysian young adults. The population of this study covers young adults residing in Selangor, Malaysia. Among them, 30 laptop users and 30 tablet users were selected using the selection criteria and criterion-based sampling method. The data analysis was carried out with SPSS 20.0 at a 5% level of significance. Results: There was no significant difference between the laptop and tablet users concerning neck muscle strength and CVA. However, a significant difference was observed only in the neck extension ROM between laptop and tablet users. The mean neck extension ROM is lower in tablet users than in their counterparts. The mean CVA of laptop and tablet users was less than 50 degrees, indicating severe FHP. Most laptop users (73.3%) were categorized into severe FHP than tablet users (53.3%). Conclusion: The mean neck extension ROM is lower in tablet users than in laptop users. Most laptop users had severe FHP than tablet users. Hence, Malaysian young adults should adhere to the appropriate duration of ED usage, ergonomics while using ED. and postural correction exercises to prevent and reduce musculoskeletal problems.
{"title":"Comparison of neck muscle strength, range of motion, and craniovertebral angle among Malaysian young adults using different electronic devices","authors":"V. Purushothaman, Soonia Guna Segar, Yughdtheswari Muniandy, A. Subbarayalu, S. Prabaharan, Palanivel Rubavathi Marimuthu","doi":"10.29333/ejgm/13185","DOIUrl":"https://doi.org/10.29333/ejgm/13185","url":null,"abstract":"Aim: Prolonged use of electronic devices (EDs) and adopting poor posture during ED usage might lead to musculoskeletal disorders among young adults and adolescents. Hence, this study compares neck muscle strength, range of motion (ROM), and craniovertebral angle (CVA) among Malaysian young adults using different EDs.\u0000Methods: A cross-sectional study using a quantitative study design was applied to compare neck muscle strength, ROM, and CVA between laptop and tablet users of Malaysian young adults. The population of this study covers young adults residing in Selangor, Malaysia. Among them, 30 laptop users and 30 tablet users were selected using the selection criteria and criterion-based sampling method. The data analysis was carried out with SPSS 20.0 at a 5% level of significance.\u0000Results: There was no significant difference between the laptop and tablet users concerning neck muscle strength and CVA. However, a significant difference was observed only in the neck extension ROM between laptop and tablet users. The mean neck extension ROM is lower in tablet users than in their counterparts. The mean CVA of laptop and tablet users was less than 50 degrees, indicating severe FHP. Most laptop users (73.3%) were categorized into severe FHP than tablet users (53.3%).\u0000Conclusion: The mean neck extension ROM is lower in tablet users than in laptop users. Most laptop users had severe FHP than tablet users. Hence, Malaysian young adults should adhere to the appropriate duration of ED usage, ergonomics while using ED. and postural correction exercises to prevent and reduce musculoskeletal problems.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42267452","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}
A lack of evidence of accuracy for various testing modalities for carbapenem-resistant Enterobacterales (CRE) reduces the efficiency of screening and delays the isolation of carriers. This study examined the performance of phenotypic detection of CRE in comparison to molecular testing. A cross-sectional study was conducted in an academic medical institution in Saudi Arabia on CRE-screened patients during a 36-month period (April 1, 2019, through March 31, 2022). Cases were followed up for their susceptibility status by the phenotypic gradient method and genotypes. Of 3,116 samples tested, 359 carbapenemase genes were detected in 297 strains (9.5%) belonging to 292 patients. Oxacilliniase-48 (OXA-48) was the most frequently detected genotype (n=190, 64%), followed by a combined New Delhi metallo-B-lactamase (NDM)/OXA-48 genotype (n=77, 25.9%). Variable missed isolation days were encountered for various genotypes (0-18.5 days), with an excellent clinical utility index obtained for screening the OXA-48 genotype phenotypically. The data provided some insights into the predictive role and shortcomings of the e-test alone in CRE screening. While it provided a reasonable approach in a CRE population dominated by OXA-48 genotypes, it was more likely to miss the NDM-incurred carbapenemase. Thus, local epidemiology in an institution must be considered when designing a local screening protocol in addition to consideration of cost and turnaround time.
{"title":"Predictive role of culture-based MIC testing vs. genotyping for carbapenem-resistant Enterobacterales in a non-universal screening, highly resourced setting","authors":"Amani M. Alnimr","doi":"10.29333/ejgm/13181","DOIUrl":"https://doi.org/10.29333/ejgm/13181","url":null,"abstract":"A lack of evidence of accuracy for various testing modalities for carbapenem-resistant Enterobacterales (CRE) reduces the efficiency of screening and delays the isolation of carriers. This study examined the performance of phenotypic detection of CRE in comparison to molecular testing. A cross-sectional study was conducted in an academic medical institution in Saudi Arabia on CRE-screened patients during a 36-month period (April 1, 2019, through March 31, 2022). Cases were followed up for their susceptibility status by the phenotypic gradient method and genotypes. Of 3,116 samples tested, 359 carbapenemase genes were detected in 297 strains (9.5%) belonging to 292 patients. Oxacilliniase-48 (OXA-48) was the most frequently detected genotype (n=190, 64%), followed by a combined New Delhi metallo-B-lactamase (NDM)/OXA-48 genotype (n=77, 25.9%). Variable missed isolation days were encountered for various genotypes (0-18.5 days), with an excellent clinical utility index obtained for screening the OXA-48 genotype phenotypically. The data provided some insights into the predictive role and shortcomings of the e-test alone in CRE screening. While it provided a reasonable approach in a CRE population dominated by OXA-48 genotypes, it was more likely to miss the NDM-incurred carbapenemase. Thus, local epidemiology in an institution must be considered when designing a local screening protocol in addition to consideration of cost and turnaround time.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49453182","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}
Muayyad M. Ahmad, Rana M Elayan, Salam H. Bani Hani, Eman S Qzih, F. Alhalaiqa
Background: Nurses are the most qualified judges for quality of nursing care (QNC) because they have the greatest experience with standard care. It is vital to examine QNC from the perspective of nurses who have experience as hospitalized patients or as caregivers in order to perform an accurate assessment of the nursing care that is delivered to meet the needs of patients. Aims: To examine the predictors of QNC from the perspective of nurses as patients and/or as caregivers for hospitalized relatives. Methods: This study aimed a cross-sectional correlational design that utilized a convenience sample of 231 registered nurses recruited from eight hospitals in three health care sectors in Jordan. Data were collected using caring behaviors inventory, nurse professional competence scale, and using a single item rating scale that asked nurses to respond to the overall QNC. Results: The hierarchical multiple regression showed that QNC scores was predicted with a high variance (61%) explained. The strongest predictive contribution was from nursing competencies. Only 34% of the participants gave positive scores for the overall QNC, and their perception was moderately positive. Conclusion: It is necessary to examine QNC from the perspective of nurses who have experience as hospitalized patients or as caregivers.
{"title":"When nurses become ill, are they able to identify the predictors of the quality of care they received?","authors":"Muayyad M. Ahmad, Rana M Elayan, Salam H. Bani Hani, Eman S Qzih, F. Alhalaiqa","doi":"10.29333/ejgm/13207","DOIUrl":"https://doi.org/10.29333/ejgm/13207","url":null,"abstract":"Background: Nurses are the most qualified judges for quality of nursing care (QNC) because they have the greatest experience with standard care. It is vital to examine QNC from the perspective of nurses who have experience as hospitalized patients or as caregivers in order to perform an accurate assessment of the nursing care that is delivered to meet the needs of patients.\u0000Aims: To examine the predictors of QNC from the perspective of nurses as patients and/or as caregivers for hospitalized relatives.\u0000Methods: This study aimed a cross-sectional correlational design that utilized a convenience sample of 231 registered nurses recruited from eight hospitals in three health care sectors in Jordan. Data were collected using caring behaviors inventory, nurse professional competence scale, and using a single item rating scale that asked nurses to respond to the overall QNC.\u0000Results: The hierarchical multiple regression showed that QNC scores was predicted with a high variance (61%) explained. The strongest predictive contribution was from nursing competencies. Only 34% of the participants gave positive scores for the overall QNC, and their perception was moderately positive.\u0000Conclusion: It is necessary to examine QNC from the perspective of nurses who have experience as hospitalized patients or as caregivers.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45261913","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}
H. J. Pereira de Godoy, A. C. Pereira de Godoy, J. M. Pereira de Godoy, M. F. G. Guerreiro Godoy
Aim: The present aimed study was to report the mobilization of body fluids after five days of intensive treatment for secondary lower limb lymphedema. Materials and methods: A crossover clinical trial was conducted involving the analysis of changes in intracellular and extracellular fluids in all extremities and the trunk in women with lower limb lymphedema secondary to treatment for gynecological cancer. Evaluations were performed with multi-segment bio impedance analysis before and after intensive treatment using Godoy Method® eight hours per day for five days. Comparisons were made using Wilcoxon signed-ranks test. Results: Significant changes in intracellular and extracellular fluids were found in all extremities and the trunk (p<0.0001 for all comparisons). Conclusion: Intensive Godoy Method® leads to important changes in the distribution of body fluids in the treatment of lower limb lymphedema following treatment for gynecological cancer, with a significant increase in fluids in the upper limbs and trunk as well as significant reductions in the lower limb and in intracellular and extracellular water.
{"title":"Multi-segment bioimpedance in the evaluation of treatment for secondary lower limb lymphedema: Gynecological cancer","authors":"H. J. Pereira de Godoy, A. C. Pereira de Godoy, J. M. Pereira de Godoy, M. F. G. Guerreiro Godoy","doi":"10.29333/ejgm/13148","DOIUrl":"https://doi.org/10.29333/ejgm/13148","url":null,"abstract":"Aim: The present aimed study was to report the mobilization of body fluids after five days of intensive treatment for secondary lower limb lymphedema.\u0000Materials and methods: A crossover clinical trial was conducted involving the analysis of changes in intracellular and extracellular fluids in all extremities and the trunk in women with lower limb lymphedema secondary to treatment for gynecological cancer. Evaluations were performed with multi-segment bio impedance analysis before and after intensive treatment using Godoy Method® eight hours per day for five days. Comparisons were made using Wilcoxon signed-ranks test.\u0000Results: Significant changes in intracellular and extracellular fluids were found in all extremities and the trunk (p<0.0001 for all comparisons).\u0000Conclusion: Intensive Godoy Method® leads to important changes in the distribution of body fluids in the treatment of lower limb lymphedema following treatment for gynecological cancer, with a significant increase in fluids in the upper limbs and trunk as well as significant reductions in the lower limb and in intracellular and extracellular water.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47099660","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}
Diego A Flores-Napa, L. Correa-López, J. R. Torres-Malca, Willer Chanduví Puicón, V. Vera-Ponce, J. A. De La Cruz-Vargas
Introduction: Colorectal cancer (CRC) represents the third most diagnosed form of cancer around the world, accounting for 11% of all cancer diagnoses. It has been seen that obesity is closely linked to this disease. Materials and methods: This study is a non-paired case-control study. To measure obesity, the body mass index (BMI), new body mass index (NBMI), and the triponderal index (TPI) were used. Logistic regression was used to obtain the adjusted odds ratio (aOR) by age and sex, confidence interval (95%CI). Results: The sample was 246 patients. The prevalence of obesity according to BMI was 12.20%. The multivariable analysis found statistically significant association between CRC and obesity according to BMI (aOR: 3.23; 95% CI 1.26-8.30) compared to normal weight; NBMI tertile 3 (aOR: 4.02; 95% CI 1.95-8.30), compared to tertile 1; and TPI tertile 3 (aOR: 4.55; 95% CI 2.21-9.35) versus tertile 1. Conclusions: Obesity, is a risk factor for CRC. Future studies might consider useful different ways to measure obesity to define population strata with a higher-risk of CRC.
结直肠癌(CRC)是世界上第三大被诊断出的癌症，占所有癌症诊断的11%。人们已经看到肥胖与这种疾病密切相关。材料与方法:本研究为非配对病例对照研究。采用体重指数(BMI)、新体重指数(NBMI)和三体指数(TPI)来测量肥胖。采用Logistic回归获得按年龄、性别、可信区间(95%CI)调整的优势比(aOR)。结果:样本为246例。根据BMI，肥胖患病率为12.20%。多变量分析发现，根据BMI，结直肠癌与肥胖之间存在显著的统计学相关性(aOR: 3.23;95% CI 1.26-8.30);NBMI指数为3 (aOR: 4.02;95% CI 1.95-8.30)，与0.05相比;TPI为3 (aOR: 4.55;95%可信区间为2.21-9.35)。结论:肥胖是结直肠癌的危险因素。未来的研究可能会考虑用不同的方法来测量肥胖，以确定结直肠癌的高危人群。
{"title":"Obesity indices as risk factor for colorectal cancer in patients at a national police hospital in Peru","authors":"Diego A Flores-Napa, L. Correa-López, J. R. Torres-Malca, Willer Chanduví Puicón, V. Vera-Ponce, J. A. De La Cruz-Vargas","doi":"10.29333/ejgm/13149","DOIUrl":"https://doi.org/10.29333/ejgm/13149","url":null,"abstract":"Introduction: Colorectal cancer (CRC) represents the third most diagnosed form of cancer around the world, accounting for 11% of all cancer diagnoses. It has been seen that obesity is closely linked to this disease.\u0000Materials and methods: This study is a non-paired case-control study. To measure obesity, the body mass index (BMI), new body mass index (NBMI), and the triponderal index (TPI) were used. Logistic regression was used to obtain the adjusted odds ratio (aOR) by age and sex, confidence interval (95%CI).\u0000Results: The sample was 246 patients. The prevalence of obesity according to BMI was 12.20%. The multivariable analysis found statistically significant association between CRC and obesity according to BMI (aOR: 3.23; 95% CI 1.26-8.30) compared to normal weight; NBMI tertile 3 (aOR: 4.02; 95% CI 1.95-8.30), compared to tertile 1; and TPI tertile 3 (aOR: 4.55; 95% CI 2.21-9.35) versus tertile 1.\u0000Conclusions: Obesity, is a risk factor for CRC. Future studies might consider useful different ways to measure obesity to define population strata with a higher-risk of CRC.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41985427","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}
Objective: To analyze worldwide research trends and patterns on COVID-19 vaccine hesitancy (VH) for the study period from January 2021 to December 2022. Materials and methods: Current descriptive bibliometric study used SciVerse Scopus to retrieve relevant articles. Results: The search strategy found 2,886 articles. Scholars from the United States participated in one-third of the retrieved articles. International research collaboration in the field was relatively strong. The retrieved articles focused on healthcare workers, epidemiologic studies, and misinformation. In addition to “Vaccine” and “Vaccines” journals, Lancet and BMJ journals had a leading role in the emergence of the topic. Leading global universities such as Harvard University, Johns Hopkins University, and University College London were most prolific in publishing articles on the topic. Conclusions: All countries and regions need information on VH to increase public awareness and counteract antivaccination movements.
{"title":"Analyzing research trends and patterns on COVID-19 vaccine hesitancy: A bibliometric study from 2021 to 2022","authors":"W. Sweileh","doi":"10.29333/ejgm/13186","DOIUrl":"https://doi.org/10.29333/ejgm/13186","url":null,"abstract":"Objective: To analyze worldwide research trends and patterns on COVID-19 vaccine hesitancy (VH) for the study period from January 2021 to December 2022.\u0000Materials and methods: Current descriptive bibliometric study used SciVerse Scopus to retrieve relevant articles.\u0000Results: The search strategy found 2,886 articles. Scholars from the United States participated in one-third of the retrieved articles. International research collaboration in the field was relatively strong. The retrieved articles focused on healthcare workers, epidemiologic studies, and misinformation. In addition to “Vaccine” and “Vaccines” journals, Lancet and BMJ journals had a leading role in the emergence of the topic. Leading global universities such as Harvard University, Johns Hopkins University, and University College London were most prolific in publishing articles on the topic.\u0000Conclusions: All countries and regions need information on VH to increase public awareness and counteract antivaccination movements.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44123502","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}
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