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Global health research abstracts: January ‘25 全球健康研究摘要:25年1月
IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE Pub Date : 2025-04-10 DOI: 10.1016/j.afjem.2025.02.003
Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
《非洲急诊医学杂志》与其他几个区域急诊医学期刊合作,发表各自期刊的摘要。摘要不一定链接到开放获取论文,但是,所有摘要都可以在没有订阅的情况下访问。
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引用次数: 0
Global health research abstracts: April ‘25 全球健康研究摘要:25年4月
IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE Pub Date : 2025-04-02 DOI: 10.1016/j.afjem.2025.03.001
Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
《非洲急诊医学杂志》与其他几个区域急诊医学期刊合作,发表各自期刊的摘要。摘要不一定链接到开放获取论文,但是,所有摘要都可以在没有订阅的情况下访问。
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引用次数: 0
The effect of smartphones and mobile apps in Egyptian Emergency Departments: A cross-sectional study 智能手机和移动应用程序对埃及急诊科的影响:一项横断面研究
IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE Pub Date : 2025-03-27 DOI: 10.1016/j.afjem.2025.02.001
Mohamed Hassan , Roeya Aboelnasr , Aya Farag Attia Elsebaey , Sherif Shawky Elabd , Alaa H. Ewida , Waleed M. Taha

Background

The prevalence of mobile devices in healthcare environments has steeply increased the creation of medical software applications, or apps, for these platforms. It can enhance the provided healthcare services.

Aim

This study aimed to assess the prevalence of smartphone use among health care professionals (HCPs) in Egypt and detect the possible benefits and challenges identified by HCPs in the emergency department associated with the use of smartphones and mobile apps.

Methods

A cross-sectional 23-question structured survey-based study was conducted and distributed electronically via GoogleForms. The survey targeted all healthcare professionals working in emergency departments in Egypt either from University hospitals or the Ministry of Health.

Results

Among 130 responders, almost 89 % were physicians, while the rest were nurses. In addition, 53.1 % had one to four years of experience. Our study revealed that 62.3 % of the responders used medical apps daily with 61.5 % using smartphones during their work shifts. Though, about 81.5 % demonstrated limited or no availability of necessary technology infrastructure in ED. Furthermore, peer-reviewed evidence use was detected among 80 % of the responders using Google and other search engines for health-related information, and about 23 % of them used WikiEM and Wikipedia. Nevertheless, Medscape, MedCalc, and Up-to-date were among the most used medical apps with 69.2 %, 44.6 %, and 33.1 % respectively. Most of the responders were confident that smartphones could improve patient safety. In addition, satisfaction with current mobile apps was detected by more than 60 %, and most of the HCPs agreed that smartphones and mobile apps are crucial for future emergency healthcare delivery.

Conclusion

The use of smartphone apps in Egyptian ED is critical and is widespread among health providers; however, proper training on peer-reviewed resources can serve in improving medical health services.
背景:移动设备在医疗环境中的普及大大增加了针对这些平台的医疗软件应用程序(app)的创建。它可以增强所提供的医疗保健服务。目的本研究旨在评估埃及卫生保健专业人员(HCPs)使用智能手机的流行程度,并检测急诊部门卫生保健专业人员发现的与智能手机和移动应用程序使用相关的可能益处和挑战。方法采用横断面23个问题的结构化调查研究,并通过GoogleForms进行电子分发。该调查的对象是在埃及大学医院或卫生部急诊科工作的所有医疗保健专业人员。结果在130名应答者中,近89%为医生,其余为护士。此外,53.1%的人有一到四年的工作经验。我们的研究显示,62.3%的应答者每天使用医疗应用程序,61.5%的人在轮班期间使用智能手机。尽管如此,大约81.5%的人在ED中表现出有限或没有必要的技术基础设施。此外,80%的应答者使用b谷歌和其他与健康相关的信息搜索引擎检测到同行评议的证据,其中约23%的人使用WikiEM和Wikipedia。然而,Medscape、MedCalc和updated是使用率最高的医疗应用程序,分别占69.2%、44.6%和33.1%。大多数应答者都相信智能手机可以改善患者的安全。此外,超过60%的人对当前的移动应用程序感到满意,大多数医护人员都认为智能手机和移动应用程序对未来的紧急医疗服务至关重要。结论智能手机应用程序在埃及急诊科的使用至关重要,并且在卫生服务提供者中广泛使用;但是,对同行评议资源进行适当培训有助于改善医疗保健服务。
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引用次数: 0
Psychoactive substance use among psychiatric in-patients presenting to the Emergency Centre of a district hospital in Cape Town, South Africa. A retrospective descriptive study 南非开普敦一家地区医院急诊中心精神病住院患者的精神活性物质使用情况。一项回顾性描述性研究
IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE Pub Date : 2025-03-21 DOI: 10.1016/j.afjem.2025.02.006
Nardus Droomer, Paul Xafis, Philip Cloete

Background

Mental illness and substance use are major global challenges, with their impact on Emergency Centres becoming evident, especially in South Africa. Patients facing these issues require significant resources from both hospital and community services. However, there is a lack of local data regarding the prevalence of concurrent mental health and substance use disorders. This study aims to evaluate the extent of psychoactive substance use within the psychiatric population at a District Hospital in Cape Town, South Africa.

Methods

This study is a single-centre, retrospective descriptive analysis. It includes all patients referred to the inpatient psychiatric service over six months, recorded in an electronic database. Data were statistically analysed, considering the following variables: urine drug test results to identify specific substance (s) used, sex, age, diagnosis, and repeat visits.

Results

A total of 597 patient visits were analysed. Fifty-nine percent tested positive for at least one substance. The patients’ average age was 34 years. A greater percentage of visits were for males (58 %), with males exhibiting a higher rate of positive test results (64 %) than females (51 %). Among the 146 repeat visits, a significant association was found between the number of visits and positive test results, with 73 % of patients with ≥2 repeat visits testing positive for substances (p < 0.001). Cannabis (60 %), methamphetamines (47 %), benzodiazepines (26 %), opioids (7 %), and cocaine (1 %) were the substances most frequently reported.

Conclusions

Emergency Centres in South Africa are impacted by individuals seeking mental health care, and substance use significantly exacerbates these challenges. Substance use creates serious physical, mental, and social implications for patients. As emergency care practitioners and members of the broader healthcare system, we play vital roles in addressing these issues. This study provides valuable insights into the complexities of the situation and suggests potential approaches for intervention.
精神疾病和药物使用是全球面临的重大挑战,它们对急救中心的影响越来越明显,尤其是在南非。面临这些问题的患者需要医院和社区服务部门提供大量资源。然而,缺乏关于精神健康和物质使用障碍同时流行的当地数据。本研究的目的是评估精神活性物质的使用范围在精神病人群在开普敦地区医院,南非。方法本研究采用单中心、回顾性描述性分析。它包括在电子数据库中记录的6个月以上转诊到精神科住院服务的所有患者。对数据进行统计分析,考虑以下变量:尿药检结果以确定使用的特定物质、性别、年龄、诊断和重复就诊。结果共分析597例患者就诊情况。59%的人至少对一种物质检测呈阳性。患者平均年龄34岁。男性的就诊比例更高(58%),男性的阳性检测结果率(64%)高于女性(51%)。在146次重复就诊中,发现就诊次数与阳性检测结果之间存在显著关联,73%重复就诊≥2次的患者物质检测呈阳性(p <;0.001)。大麻(60%)、甲基苯丙胺(47%)、苯二氮卓类药物(26%)、类阿片(7%)和可卡因(1%)是最常报告的物质。南非的急救中心受到寻求精神卫生保健的个人的影响,药物使用显著加剧了这些挑战。药物使用会对患者造成严重的身体、精神和社会影响。作为急诊护理从业人员和更广泛的医疗保健系统的成员,我们在解决这些问题方面发挥着至关重要的作用。这项研究对情况的复杂性提供了有价值的见解,并提出了潜在的干预方法。
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引用次数: 0
Global health research abstracts: February ‘25 全球健康研究摘要:25年2月
IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE Pub Date : 2025-03-19 DOI: 10.1016/j.afjem.2025.02.004
Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
《非洲急诊医学杂志》与其他几个区域急诊医学期刊合作,发表各自期刊的摘要。摘要不一定链接到开放获取论文,但是,所有摘要都可以在没有订阅的情况下访问。
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引用次数: 0
Global Health research abstracts: March ‘25 全球健康研究摘要:25年3月
IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE Pub Date : 2025-03-08 DOI: 10.1016/j.afjem.2025.02.005
Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
《非洲急诊医学杂志》与其他几个区域急诊医学期刊合作,发表各自期刊的摘要。摘要不一定链接到开放获取论文,但是,所有摘要都可以在没有订阅的情况下访问。
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引用次数: 0
Implementation of a cascade training model to enhance emergency care capacity of healthcare workers during the COVID-19 outbreak in Uganda 实施级联培训模式,以提高乌干达COVID-19疫情期间医护人员的急救能力
IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE Pub Date : 2025-02-01 DOI: 10.1016/j.afjem.2025.01.001
Sulaiman Bugosera Wasukira , Carl Trevor Kambugu , Judith Nanyondo S , Emmanuel Candia , Stephen Emmanuel Aporu , Patricia Ikwaru , Racheal Kwagala , Andrew Kwiringira , Peter Mukiibi , Costance Murungi , Marek Ma , Celine Jacobs , Cliff Asher Aliga , Afizi Kibuuka , Dathan M. Byonanebye , Sylvia Natukunda , Kenneth Bagonza , Rose Muhindo , Prisca Kizito , Benard Toliva Opar , Annet Alenyo-Ngabirano

Introduction

The COVID-19 pandemic highlighted the gaps and the need to strengthen the emergency care system in Uganda. The Ugandan Ministry of Health implemented an emergency care capacity-building program during the COVID-19 pandemic response to improve COVID-19 case management in Uganda. We describe the curriculum development and rollout using a cascade model.

Methods

In June 2021, the World Health Organisation (WHO) Hospital Emergency Unit Assessment Tool (HEAT) was used to assess emergency units and document existing capacity gaps in regional referral hospitals and general hospitals. The WHO Basic Emergency Care curriculum was modified to a training curriculum for emergency care principles for COVID-19 management. Training of trainers was conducted across 14 health regions in July and August 2021. The trainers trained cascaded the training through facility-based training during continuous professional development sessions.

Results

Using the HEAT, 115 health facilities (14 regional and 101 general hospitals) were assessed. Only 31.3% (36/115) of the health facilities had a formal triage system. 53.5% (54/101) of general hospitals lacked non-rotating staff in the emergency unit. Some 511 healthcare workers from 205 facilities were trained as trainers, of whom 51.8% were nurses. The trainers trained cascaded the training to 3,550 healthcare workers. There was a significant difference between the overall median pre-test (71%) and median post-test (86.8%) scores of trainers trained (p<0.001).

Conclusion

There was a general lack of emergency unit protocols and a shortage of fixed staff at the emergency units. The cascade model facilitated the dissemination of emergency care knowledge to seven times more healthcare workers than the trainers trained. This demonstrates the efficiency of this approach in knowledge dissemination and its ability to be replicated in other low resource settings.
2019冠状病毒病大流行凸显了乌干达的差距和加强紧急护理系统的必要性。乌干达卫生部在应对COVID-19大流行期间实施了一项紧急护理能力建设方案,以改善乌干达的COVID-19病例管理。我们使用级联模型描述课程开发和推出。方法2021年6月,使用世界卫生组织(WHO)医院急诊单位评估工具(HEAT)评估急诊单位,并记录区域转诊医院和综合医院的现有能力差距。世卫组织紧急护理基本课程修改为COVID-19管理紧急护理原则培训课程。2021年7月和8月在14个卫生区域对培训人员进行了培训。在持续的专业发展课程中,培训师通过以设施为基础的培训进行梯级培训。结果利用HEAT对115家卫生机构(14家地区医院和101家综合医院)进行了评价。只有31.3%(36/115)的卫生设施有正式的分诊系统。53.5%(54/101)的综合医院急诊科缺乏非轮调人员。来自205个机构的约511名卫生保健工作者接受了培训,其中51.8%是护士。接受培训的培训人员对3 550名保健工作者进行了级联培训。训练者的总体前测中位数(71%)和后测中位数(86.8%)得分之间存在显著差异(p<0.001)。结论急诊科普遍缺乏应急规程,缺少固定的工作人员。级联模型促进了急诊护理知识的传播,传播到的医护人员比接受培训的培训人员多七倍。这证明了这种方法在知识传播方面的效率,以及在其他资源匮乏环境中复制的能力。
{"title":"Implementation of a cascade training model to enhance emergency care capacity of healthcare workers during the COVID-19 outbreak in Uganda","authors":"Sulaiman Bugosera Wasukira ,&nbsp;Carl Trevor Kambugu ,&nbsp;Judith Nanyondo S ,&nbsp;Emmanuel Candia ,&nbsp;Stephen Emmanuel Aporu ,&nbsp;Patricia Ikwaru ,&nbsp;Racheal Kwagala ,&nbsp;Andrew Kwiringira ,&nbsp;Peter Mukiibi ,&nbsp;Costance Murungi ,&nbsp;Marek Ma ,&nbsp;Celine Jacobs ,&nbsp;Cliff Asher Aliga ,&nbsp;Afizi Kibuuka ,&nbsp;Dathan M. Byonanebye ,&nbsp;Sylvia Natukunda ,&nbsp;Kenneth Bagonza ,&nbsp;Rose Muhindo ,&nbsp;Prisca Kizito ,&nbsp;Benard Toliva Opar ,&nbsp;Annet Alenyo-Ngabirano","doi":"10.1016/j.afjem.2025.01.001","DOIUrl":"10.1016/j.afjem.2025.01.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The COVID-19 pandemic highlighted the gaps and the need to strengthen the emergency care system in Uganda. The Ugandan Ministry of Health implemented an emergency care capacity-building program during the COVID-19 pandemic response to improve COVID-19 case management in Uganda. We describe the curriculum development and rollout using a cascade model.</div></div><div><h3>Methods</h3><div>In June 2021, the World Health Organisation (WHO) Hospital Emergency Unit Assessment Tool (HEAT) was used to assess emergency units and document existing capacity gaps in regional referral hospitals and general hospitals. The WHO Basic Emergency Care curriculum was modified to a training curriculum for emergency care principles for COVID-19 management. Training of trainers was conducted across 14 health regions in July and August 2021. The trainers trained cascaded the training through facility-based training during continuous professional development sessions.</div></div><div><h3>Results</h3><div>Using the HEAT, 115 health facilities (14 regional and 101 general hospitals) were assessed. Only 31.3% (36/115) of the health facilities had a formal triage system. 53.5% (54/101) of general hospitals lacked non-rotating staff in the emergency unit. Some 511 healthcare workers from 205 facilities were trained as trainers, of whom 51.8% were nurses. The trainers trained cascaded the training to 3,550 healthcare workers. There was a significant difference between the overall median pre-test (71%) and median post-test (86.8%) scores of trainers trained (<em>p</em>&lt;0.001).</div></div><div><h3>Conclusion</h3><div>There was a general lack of emergency unit protocols and a shortage of fixed staff at the emergency units. The cascade model facilitated the dissemination of emergency care knowledge to seven times more healthcare workers than the trainers trained. This demonstrates the efficiency of this approach in knowledge dissemination and its ability to be replicated in other low resource settings.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 1","pages":"Pages 565-570"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Empowering emergency nursing in Africa through research 通过研究增强非洲急诊护理能力。
IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE Pub Date : 2025-01-18 DOI: 10.1016/j.afjem.2025.01.002
Petra Brysiewicz
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引用次数: 0
Global health research abstracts: April ‘24 全球健康研究摘要:24年4月。
IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE Pub Date : 2025-01-15 DOI: 10.1016/j.afjem.2024.10.230
Dr Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
《非洲急诊医学杂志》与其他几个区域急诊医学期刊合作,发表各自期刊的摘要。摘要不一定链接到开放获取论文,但是,所有摘要都可以在没有订阅的情况下访问。
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引用次数: 0
Global health research abstracts: February ‘24 全球健康研究摘要:24年2月。
IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE Pub Date : 2025-01-14 DOI: 10.1016/j.afjem.2024.10.234
Dr. Jonathan Kajjimu
The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.
《非洲急诊医学杂志》与其他几个区域急诊医学期刊合作,发表各自期刊的摘要。摘要不一定链接到开放获取论文,但是,所有摘要都可以在没有订阅的情况下访问。
{"title":"Global health research abstracts: February ‘24","authors":"Dr. Jonathan Kajjimu","doi":"10.1016/j.afjem.2024.10.234","DOIUrl":"10.1016/j.afjem.2024.10.234","url":null,"abstract":"<div><div>The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 1","pages":"Pages 548-549"},"PeriodicalIF":1.4,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
African Journal of Emergency Medicine
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