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The combination of letrozole and metformin has a better therapeutic effect on uterine and ovarian arteries in PCOS patients 来曲唑联合二甲双胍对PCOS患者的子宫和卵巢动脉有较好的治疗效果
Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2018.3252
N. Farshchian, Siavash Teimuri Nezhad, Parisa Bahrami Kamangar
Methods Intervention-applied study was performed on 108 women with secondary infertility due to PCOS in Imam Reza Hospital of Kermanshah in 2016. Women were divided in two groups of 54 people, for investigating the effect of letrozole-metformin and clomiphene-metformin on ovarian and uterine arteries. Results Blood flow in the uterus and ovaries significantly increased after treatment with letrozole-metformin and clomiphenemetformin (P<0.05). However, the effect of letrozolemetformin was significantly higher than that of clomiphenemetformin on uterine and ovarian arteries Resistance Index (RI) (P<0.05).
方法对2016年在克尔曼沙阿伊玛目礼萨医院就诊的108例多囊卵巢综合征继发性不孕患者进行干预应用研究。为了研究来曲唑-二甲双胍和克罗米芬-二甲双胍对卵巢和子宫动脉的影响,女性被分为两组,每组54人。结果来曲唑-二甲双胍和克罗米尼-二甲双胍治疗后子宫和卵巢血流量明显增加(P<0.05)。但来唑来甲双胍对子宫和卵巢动脉阻力指数(RI)的影响显著高于氯米苯乙双胍(P<0.05)。
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引用次数: 1
Polarised infrared light enables enhancement of histo-morphological diagnosis of prostate cancer 偏光红外光可增强前列腺癌的组织形态学诊断
Pub Date : 2018-01-01 DOI: 10.21767/amj.2018.3274
G. Kochiashvili, Alexandre Khuskivadze, B. Partsvania, K. Chubinidze
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引用次数: 1
John Billings, an Australian medical pioneer in research on fertility and contraception 约翰·比林斯是澳大利亚研究生育和避孕的医学先驱
Pub Date : 2018-01-01 DOI: 10.21767/amj.2018.3275
K. Kraetschmer
Background Contemporary rankings and ratings of contraceptive options frequently neglect the Billings’ ovulation method or cite inaccurate failure rates for this method. Aims The aim of the review is to clarify inaccurate data and to shed light on the role Billings’ discoveries play in contemporary research on contraception. Methods Systematic analysis of the failure rates of the most widely used ratings and rankings offered by influential research institutes and government agencies. Results Contemporary research uses Billings’ insights for stipulating new characterizations of contraceptive methods and fails to agree on estimates for these methods. Conclusion New data are needed to accurately assess the efficacy of the Billings’ ovulation method and to determine its place in international rankings.
当代避孕选择的排名和评级经常忽视比林斯的排卵方法或引用不准确的失败率。这篇综述的目的是澄清不准确的数据,并阐明比林斯的发现在当代避孕研究中的作用。方法系统分析有影响力的研究机构和政府机构提供的最广泛使用的评级和排名的不合格率。结果当代研究使用比林斯的见解来规定避孕方法的新特征,但未能就这些方法的估计达成一致。结论需要新的数据来准确评估比林斯排卵法的疗效,并确定其在国际上的地位。
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引用次数: 0
Prevalence and practice of oestrogen use among the male gym participants 男性健身房参与者雌激素使用的流行和实践
Pub Date : 2018-01-01 DOI: 10.21767/amj.2018.3305
Turki F. Alharthi, A. Alotaibi, N. M. Alqurashi, Sami D. Althobiti, K. Alswat
Background Oestrogen is the primary female sex hormone and has important functions in both female and male physiology. Recently oestrogen abuse among male gym participants had raised as it is considered to enhance gym performance and breast size. Aims This study assesses the prevalence of oestrogen use among male gym patrons in Saudi Arabia, their practice related to oestrogen abuse, and the profiles of users. Methods A cross-sectional study was conducted from February 2017 to May 2017 and included 4,860 male gym patrons. The participants were given a questionnaire with a total of 19 questions regarding socioeconomic information, knowledge and practices related to oestrogen, and lifestyle habits. Results The participants had a mean age of 28.6+6.2 years, 6.1 per cent of them abused oestrogen, and the most common forms used were ethinylestradiol (0.03mg) and drospirenone (3mg). Furthermore, 80.7 per cent of the users used it before exercise only. Breast enlargement was the main reason for oestrogen use, and local drug stores were the main source. Compared to non-users, oestrogen users were older (P=0.322), reported lower incomes (P=0.395), were more likely to be active smokers (P=0.597), and had a longer duration of gym participation (P<0.001). Conclusion The results indicate that 6.1 per cent of the surveyed male participants abused a combination of oestrogen and progesterone for breast enlargement, which was significantly more likely among males who had longer durations of gym participation.
雌激素是女性的主要性激素,在女性和男性生理中都具有重要作用。最近,男性健身房参与者滥用雌激素的情况有所增加,因为人们认为雌激素可以提高健身成绩和乳房大小。目的本研究评估了沙特阿拉伯男性健身房顾客中雌激素使用的流行程度,他们的行为与雌激素滥用有关,以及用户的概况。方法于2017年2月至5月对4860名男性健身房顾客进行横断面研究。参与者填写了一份调查问卷,共包含19个问题,涉及社会经济信息、与雌激素相关的知识和实践以及生活习惯。结果调查对象平均年龄28.6±6.2岁,滥用雌激素者占6.1%,最常见的是炔雌醇(0.03mg)和屈螺酮(3mg)。此外,80.7%的用户只在锻炼前使用它。隆胸是使用雌激素的主要原因,当地药店是雌激素的主要来源。与不使用雌激素的人相比,使用雌激素的人年龄较大(P=0.322),收入较低(P=0.395),更有可能成为活跃的吸烟者(P=0.597),并且参加健身房的时间更长(P<0.001)。研究结果表明,6.1%的受访男性滥用雌激素和黄体酮来隆胸,这在参加健身时间较长的男性中更有可能发生。
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引用次数: 1
Cultural competency of nursing faculty teaching in baccalaureate nursing programs in the United States 美国护理学士学位课程中护理教师教学的文化能力
Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2018.3335
Nadiah A. Baghdadi, S. Ismaile
Background Nursing education has acknowledged that cultural competency should be an educational competency of baccalaureate programs. Although nursing faculty are expected to adequately prepare all nurses to provide culturally competent care for patients, the literature suggests that nurse educators’ low levels of cultural competence contributes to under-preparation of new nurses to provide culturally competent care. Aims The study assessed nursing faculty cultural competence of teaching at a bachelor of science in nursing programs across the United States and identified demographic factors that are associated with that level. Methods Study used descriptive and correlational design through the use of online questionnaires. The study included (N=461) nursing faculty across the United States with a response rate of 23 per cent and included 461. Data were collected using a validated tool namely the “Cultural Diversity Questionnaire for Nurse Educators Revised”. Statistical analysis with means and standard deviation were calculated for all continuous variables. For all aims, results were summarized using regression estimates, p-values, and 95 per cent Confidence Interval (CI per cent). Results The Overall Cultural Competence (OCC) mean=166 indicated that nursing faculty has moderate level of cultural competence. The highest index was Cultural Knowledge Subscale M=43.53, and the lowest index was Cultural Encounter Subscale M=22.50. Regression analysis demonstrated that demographic variables were predictive of the mean score. Transcultural teaching behaviours subscale was considerably low related to the OCC scale, adjusting for all other variables. Conclusion The current study identified previous cultural exposure and cultural education as crucial factors to improve cultural competence. The researchers concluded that faculty cultural training needs to be mandated and should be more inclusive not only of educational material but also to include practice exposure to a diverse population. The training should occur during orientations, practice, and as an annual competency validation.
护理教育已经认识到文化能力应该是学士学位课程的教育能力。虽然护理教师被期望为所有护士做好充分的准备,为患者提供文化上合格的护理,但文献表明,护士教育者的文化能力水平低,导致新护士准备不足,无法提供文化上合格的护理。目的本研究评估了美国护理专业理科学士学位教师的文化能力,并确定了与该水平相关的人口因素。方法采用描述性和相关性设计,采用在线问卷调查。该研究包括461名美国护理学院的学生,回复率为23%。数据收集使用一种有效的工具,即“修订护士教育工作者文化多样性问卷”。对所有连续变量进行均值和标准差统计分析。对于所有目的,使用回归估计、p值和95%置信区间(CI)对结果进行总结。结果护理教师的整体文化能力(OCC)平均值=166,表明护理教师的文化能力处于中等水平。最高指数为文化知识子量表M=43.53,最低指数为文化遭遇子量表M=22.50。回归分析表明,人口统计学变量对平均得分有预测作用。跨文化教学行为子量表在调整所有其他变量后,与OCC量表的相关性相当低。结论以往的文化接触和文化教育是提高文化能力的重要因素。研究人员得出结论,教师文化培训需要强制执行,不仅应该包括教育材料,还应该包括接触不同人群的实践。培训应在入职培训、实践和年度能力验证中进行。
{"title":"Cultural competency of nursing faculty teaching in baccalaureate nursing programs in the United States","authors":"Nadiah A. Baghdadi, S. Ismaile","doi":"10.21767/AMJ.2018.3335","DOIUrl":"https://doi.org/10.21767/AMJ.2018.3335","url":null,"abstract":"Background Nursing education has acknowledged that cultural competency should be an educational competency of baccalaureate programs. Although nursing faculty are expected to adequately prepare all nurses to provide culturally competent care for patients, the literature suggests that nurse educators’ low levels of cultural competence contributes to under-preparation of new nurses to provide culturally competent care. Aims The study assessed nursing faculty cultural competence of teaching at a bachelor of science in nursing programs across the United States and identified demographic factors that are associated with that level. Methods Study used descriptive and correlational design through the use of online questionnaires. The study included (N=461) nursing faculty across the United States with a response rate of 23 per cent and included 461. Data were collected using a validated tool namely the “Cultural Diversity Questionnaire for Nurse Educators Revised”. Statistical analysis with means and standard deviation were calculated for all continuous variables. For all aims, results were summarized using regression estimates, p-values, and 95 per cent Confidence Interval (CI per cent). Results The Overall Cultural Competence (OCC) mean=166 indicated that nursing faculty has moderate level of cultural competence. The highest index was Cultural Knowledge Subscale M=43.53, and the lowest index was Cultural Encounter Subscale M=22.50. Regression analysis demonstrated that demographic variables were predictive of the mean score. Transcultural teaching behaviours subscale was considerably low related to the OCC scale, adjusting for all other variables. Conclusion The current study identified previous cultural exposure and cultural education as crucial factors to improve cultural competence. The researchers concluded that faculty cultural training needs to be mandated and should be more inclusive not only of educational material but also to include practice exposure to a diverse population. The training should occur during orientations, practice, and as an annual competency validation.","PeriodicalId":46823,"journal":{"name":"Australasian Medical Journal","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68184671","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: 10
Impact of muscle strength ladder training on disabled elders 肌肉力量阶梯训练对残疾老年人的影响
Pub Date : 2018-01-01 DOI: 10.21767/amj.2018.3418
Ning Zhang, Z. Wang, Jiao-Jiao Bai, Ye Shen, Yu Fu, Yan Zhang
Background Currently, there are many studies focusing on the physical activity program of disabled elders, but little is known about effective and cheap appliances for the disabled elderly to take home exercise. Aims To evaluate the impact of muscle strength ladder training on the activity ability of disabled elders. Methods A self-control trial was applied to 35 disabled elders in the communities in Shanghai for three months. The patients were evaluated for muscle strength and daily living activity (ADL) at the time of entry and intervention for three months. Results After the intervention, the patient's muscular strength grade was improved (P<0.01), and the activity ability score was increased (P<0.01). Conclusion Muscle strength ladder training could improve the muscle strength and activity ability of the upper and lower extremities. With the help of the muscle strength ladder training, the convenience, effectiveness and safety of exercise training could be increased.
目前,针对残疾老年人的体育锻炼方案的研究较多,但对于有效、廉价的残疾老年人带回家锻炼的器具了解甚少。目的探讨肌力阶梯训练对老年人活动能力的影响。方法对35名上海市社区残疾老年人进行为期3个月的自我控制试验。在入组和干预三个月时评估患者的肌肉力量和日常生活活动(ADL)。结果干预后患者肌力等级改善(P<0.01),活动能力评分提高(P<0.01)。结论肌力阶梯训练能提高上肢和下肢的肌力和活动能力。借助肌力阶梯训练,可以提高运动训练的方便性、有效性和安全性。
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引用次数: 0
Interns’ knowledge of, and attitudes and practices towards malnutrition and hydration 实习生对营养不良和补水的知识、态度和做法
Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2018.3472
G. Whitelock, Elizabeth Kapur
Background Malnutrition and inappropriate hydration can result in adverse clinical consequences for patients in acute tertiarycare hospitals. Interns have an important role in ensuring optimal patient nutrition and hydration care. Aims To determine the knowledge of, and attitudes and practices towards, the assessment and management of malnutrition and hydration of interns working in an Australian acute tertiary-care hospital. Methods Eighty-four interns completed a purpose-designed questionnaire. Results The mean percentage of correct responses for knowledge questions was 53.4 per cent for malnutrition and 56.0 per cent for hydration. Most participants did not undertake assessment of nutritional status as part of their medical examination (n=55 [65 per cent]) whereas the majority did assess hydration status (n=78 [92 per cent]). A minority believed they had adequate knowledge to identify patients at risk of malnutrition (n=14 [16 per cent]) or manage a patient with malnutrition (n=13 [15 per cent]) whereas a majority believed they had adequate knowledge to manage patient hydration (n=61 [72 per cent]). The majority of participants indicated that further training on malnutrition (n=76 [90 per cent]) and hydration (n=74 [88 per cent]) would be beneficial. Conclusion Participants demonstrated poor knowledge of the core principles of malnutrition and hydration and acknowledged the need for further education. Given the detrimental impact of malnutrition and inappropriate fluid management on patient outcomes and healthcare costs, medical schools and hospitals need to collaborate and explore effective education strategies for interns.
背景:营养不良和不适当的水合作用可导致急性三级医院患者的不良临床后果。实习生在确保最佳患者营养和水合护理方面发挥着重要作用。目的了解澳大利亚一家三级急症医院实习生对营养不良和水合作用的评估和管理的知识、态度和做法。方法84名实习生填写问卷。结果营养不良和水合作用问题的平均正确率分别为53.4%和56.0%。大多数参与者没有将营养状况评估作为体检的一部分(n=55[65%]),而大多数参与者评估了水合状态(n=78[92%])。少数人认为他们有足够的知识来识别有营养不良风险的病人(n=14[16%])或管理营养不良的病人(n=13[15%]),而大多数人认为他们有足够的知识来管理病人的水合作用(n=61[72%])。大多数与会者表示,营养不良(n=76[90%])和水合作用(n=74[88%])方面的进一步培训将是有益的。结论参与者表现出对营养不良和水合作用核心原则的了解不足,并承认需要进一步教育。鉴于营养不良和不适当的液体管理对病人治疗结果和医疗费用的不利影响,医学院和医院需要合作,探索有效的实习生教育战略。
{"title":"Interns’ knowledge of, and attitudes and practices towards malnutrition and hydration","authors":"G. Whitelock, Elizabeth Kapur","doi":"10.21767/AMJ.2018.3472","DOIUrl":"https://doi.org/10.21767/AMJ.2018.3472","url":null,"abstract":"Background Malnutrition and inappropriate hydration can result in adverse clinical consequences for patients in acute tertiarycare hospitals. Interns have an important role in ensuring optimal patient nutrition and hydration care. Aims To determine the knowledge of, and attitudes and practices towards, the assessment and management of malnutrition and hydration of interns working in an Australian acute tertiary-care hospital. Methods Eighty-four interns completed a purpose-designed questionnaire. Results The mean percentage of correct responses for knowledge questions was 53.4 per cent for malnutrition and 56.0 per cent for hydration. Most participants did not undertake assessment of nutritional status as part of their medical examination (n=55 [65 per cent]) whereas the majority did assess hydration status (n=78 [92 per cent]). A minority believed they had adequate knowledge to identify patients at risk of malnutrition (n=14 [16 per cent]) or manage a patient with malnutrition (n=13 [15 per cent]) whereas a majority believed they had adequate knowledge to manage patient hydration (n=61 [72 per cent]). The majority of participants indicated that further training on malnutrition (n=76 [90 per cent]) and hydration (n=74 [88 per cent]) would be beneficial. Conclusion Participants demonstrated poor knowledge of the core principles of malnutrition and hydration and acknowledged the need for further education. Given the detrimental impact of malnutrition and inappropriate fluid management on patient outcomes and healthcare costs, medical schools and hospitals need to collaborate and explore effective education strategies for interns.","PeriodicalId":46823,"journal":{"name":"Australasian Medical Journal","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68186183","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: 1
Acute cholecystitis managed in a rural surgical department 急性胆囊炎在农村外科的治疗
Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2017.3171
D. Kopelman, N. Abaya, U. Kaplan, B. Kimmel, G. Shpolyanski, O. Hatoum
Objectives This study aims to define the outcome over a prolonged period of an unselected cohort of patients presenting with acute cholecystitis (AC) to a 560 bed rural hospital in Israel. Design, setting and participants Retrospective case series analysed from a single referral centre between 2006 and 2015. Separated into Group 1 managed by emergent cholecystectomy, Group 2 treated with antibiotics and delayed cholecystectomy, Group 3 treated with percutaneous cholecystostomy (PC) and selected delayed cholecystectomy and Group 4 managed entirely conservatively with no subsequent cholecystectomy. Methods Assessment of complication rates: in-hospital and delayed cause-specific morbidity and mortality along with conversion rates and the risk of intraoperative stone spillage. Results Of 321 patients hospitalized for AC, there were 50 in Group 1, 68 in Group 2, 59 in Group 3 and 98 in Group 4. Group 3 were older with more comorbidities and when coming to surgery had more open conversions. Intraoperative stone spillage was more common in Groups 2 and 3. The length of hospital stay was greater for Groups 1 and 3. Of the Group 4 cases, 63.2 per cent remained asymptomatic over a median follow-up of 78 months. Of those with recurrent biliary symptoms, 58.3 per cent were ASA Grade III/IV with 25/36 late deaths 80 per cent of which were from non-biliary causes. Conclusion In the management of AC, early cholecystectomy is favoured with non-operative approaches like PC drainage or antibiotic treatment alone being reserved for frailer comorbid cases. The absolute need for subsequent cholecystectomy is not supported by this series and requires further investigation.
本研究旨在确定一组未选择的急性胆囊炎(AC)患者在以色列一家拥有560张床位的农村医院的长期预后。设计、环境和参与者2006年至2015年间对单个转诊中心的回顾性病例系列进行分析。1组采用紧急胆囊切除术,2组采用抗生素联合延迟胆囊切除术,3组采用经皮胆囊造口术(PC)并选择延迟胆囊切除术,4组完全保守治疗,不进行胆囊切除术。方法评估并发症发生率:住院和延迟的病因特异性发病率和死亡率、转化率和术中结石溢出的风险。结果321例AC住院患者中,1组50例,2组68例,3组59例,4组98例。第三组患者年龄较大,合并症较多,手术时开放性转换较多。术中结石溢漏在2组和3组更为常见。第1组和第3组住院时间更长。在第4组病例中,63.2%的患者在78个月的中位随访期间仍无症状。在胆道症状复发的患者中,58.3%为ASA III/IV级,其中25/36例晚期死亡,其中80%来自非胆道原因。结论在AC的治疗中,早期胆囊切除术是可取的,对于病情较轻的合并症患者应保留非手术方式,如PC引流或单独抗生素治疗。本研究并不支持绝对需要进行胆囊切除术,需要进一步的研究。
{"title":"Acute cholecystitis managed in a rural surgical department","authors":"D. Kopelman, N. Abaya, U. Kaplan, B. Kimmel, G. Shpolyanski, O. Hatoum","doi":"10.21767/AMJ.2017.3171","DOIUrl":"https://doi.org/10.21767/AMJ.2017.3171","url":null,"abstract":"Objectives This study aims to define the outcome over a prolonged period of an unselected cohort of patients presenting with acute cholecystitis (AC) to a 560 bed rural hospital in Israel. Design, setting and participants Retrospective case series analysed from a single referral centre between 2006 and 2015. Separated into Group 1 managed by emergent cholecystectomy, Group 2 treated with antibiotics and delayed cholecystectomy, Group 3 treated with percutaneous cholecystostomy (PC) and selected delayed cholecystectomy and Group 4 managed entirely conservatively with no subsequent cholecystectomy. Methods Assessment of complication rates: in-hospital and delayed cause-specific morbidity and mortality along with conversion rates and the risk of intraoperative stone spillage. Results Of 321 patients hospitalized for AC, there were 50 in Group 1, 68 in Group 2, 59 in Group 3 and 98 in Group 4. Group 3 were older with more comorbidities and when coming to surgery had more open conversions. Intraoperative stone spillage was more common in Groups 2 and 3. The length of hospital stay was greater for Groups 1 and 3. Of the Group 4 cases, 63.2 per cent remained asymptomatic over a median follow-up of 78 months. Of those with recurrent biliary symptoms, 58.3 per cent were ASA Grade III/IV with 25/36 late deaths 80 per cent of which were from non-biliary causes. Conclusion In the management of AC, early cholecystectomy is favoured with non-operative approaches like PC drainage or antibiotic treatment alone being reserved for frailer comorbid cases. The absolute need for subsequent cholecystectomy is not supported by this series and requires further investigation.","PeriodicalId":46823,"journal":{"name":"Australasian Medical Journal","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68181642","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
Facilitators and barriers to the privacy of Iranian hospitalized patients in government hospitals 伊朗政府医院住院病人隐私的促进者和障碍
Pub Date : 2018-01-01 DOI: 10.21767/amj.2017.3248
T. H. Tehrani, S. Maddah, Masoud Fallahi Khoshknab, Farhnaz Mohammadi Shahbooulaghi, A. Ebadi, M. Gillespie
Background Privacy is one of the essential needs of humans, and is therefore crucial in effective healthcare systems. There is limited research clearly addressing the facilitators and barriers underpinning privacy for hospitalized patients. Aims This study aimed to explore Iranian patients’ perceptions and experiences with the facilitators and barriers of privacy in government hospital in-patients. Methods This qualitative study was conducted on 22 patients admitted to the in-patient departments of government hospitals in Tehran, Iran, in 2016. The study population was selected through purposive sampling technique. The data were collected using individualized semistructured interviews, which were recorded and transcribed. Data analysis was performed by means of an inductive content analysis approach. Results The analysis of the experiences of the hospitalized patient’s extraction of six themes. These themes included the ethical and legal backgrounds of privacy, multi-dimensional design of privacy, perceived vulnerability, patriarchal care, conflict between privacy and care, individual backgrounds, nature of disease, and informed consent. Conclusion The privacy of the hospitalized patient is affected by complicated factors. These factors are facilitators and barriers and should be considered in the design of care.
隐私是人类的基本需求之一,因此在有效的医疗保健系统中至关重要。明确解决住院患者隐私的促进因素和障碍的研究有限。目的本研究旨在探讨伊朗患者对公立医院住院患者隐私促进者和隐私障碍的看法和体验。方法对2016年伊朗德黑兰公立医院住院部收治的22例患者进行定性研究。通过有目的抽样技术选择研究人群。数据是通过个性化的半结构化访谈收集的,这些访谈被记录和转录。数据分析采用归纳内容分析方法进行。结果分析了住院患者提取6个主题的经验。这些主题包括隐私的伦理和法律背景、隐私的多维设计、感知脆弱性、父权制护理、隐私与护理之间的冲突、个人背景、疾病的性质和知情同意。结论影响住院患者隐私的因素复杂。这些因素既是促进因素,也是障碍,应在护理设计中加以考虑。
{"title":"Facilitators and barriers to the privacy of Iranian hospitalized patients in government hospitals","authors":"T. H. Tehrani, S. Maddah, Masoud Fallahi Khoshknab, Farhnaz Mohammadi Shahbooulaghi, A. Ebadi, M. Gillespie","doi":"10.21767/amj.2017.3248","DOIUrl":"https://doi.org/10.21767/amj.2017.3248","url":null,"abstract":"Background Privacy is one of the essential needs of humans, and is therefore crucial in effective healthcare systems. There is limited research clearly addressing the facilitators and barriers underpinning privacy for hospitalized patients. Aims This study aimed to explore Iranian patients’ perceptions and experiences with the facilitators and barriers of privacy in government hospital in-patients. Methods This qualitative study was conducted on 22 patients admitted to the in-patient departments of government hospitals in Tehran, Iran, in 2016. The study population was selected through purposive sampling technique. The data were collected using individualized semistructured interviews, which were recorded and transcribed. Data analysis was performed by means of an inductive content analysis approach. Results The analysis of the experiences of the hospitalized patient’s extraction of six themes. These themes included the ethical and legal backgrounds of privacy, multi-dimensional design of privacy, perceived vulnerability, patriarchal care, conflict between privacy and care, individual backgrounds, nature of disease, and informed consent. Conclusion The privacy of the hospitalized patient is affected by complicated factors. These factors are facilitators and barriers and should be considered in the design of care.","PeriodicalId":46823,"journal":{"name":"Australasian Medical Journal","volume":"133 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68182386","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
A surgeon, a rabbi and a lawyer walk in to an OR… Absorbable haemostatic agents and the dangers of product evolution – clinical, religious and legal implications 一个外科医生,一个拉比和一个律师走进手术室…可吸收的止血剂和产品进化的危险-临床,宗教和法律的影响
Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2017.3268
L. Gluch
Adjunctive haemostatic agents have been used in surgery for over 70 years. What surgeons may not know is that products intended for similar applications may have very different biological properties and that occasionally product upgrades may introduce a change in the material’s behaviour. Many of the agents employed to assist in haemostasis may have a biological (animal) origin. A recent case brought to light the need to recognise the possibility of biological interactions. As consideration into this surgical problem unfolded, religious and legal questions began to arise.
辅助止血剂已经在外科手术中使用了70多年。外科医生可能不知道的是,用于类似用途的产品可能具有非常不同的生物特性,偶尔产品升级可能会引入材料行为的变化。许多用于协助止血的药物可能具有生物(动物)起源。最近的一个案例表明,有必要认识到生物相互作用的可能性。随着对这个手术问题的考虑展开,宗教和法律问题开始出现。
{"title":"A surgeon, a rabbi and a lawyer walk in to an OR… Absorbable haemostatic agents and the dangers of product evolution – clinical, religious and legal implications","authors":"L. Gluch","doi":"10.21767/AMJ.2017.3268","DOIUrl":"https://doi.org/10.21767/AMJ.2017.3268","url":null,"abstract":"Adjunctive haemostatic agents have been used in surgery for over 70 years. What surgeons may not know is that products intended for similar applications may have very different biological properties and that occasionally product upgrades may introduce a change in the material’s behaviour. Many of the agents employed to assist in haemostasis may have a biological (animal) origin. A recent case brought to light the need to recognise the possibility of biological interactions. As consideration into this surgical problem unfolded, religious and legal questions began to arise.","PeriodicalId":46823,"journal":{"name":"Australasian Medical Journal","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68182923","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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Australasian Medical Journal
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