Pub Date : 2024-07-15DOI: 10.11648/j.ajhr.20241203.12
Mispar Wankam, Kengne Fabiola, Fouodji Sales
This study aims at exploring the role of the nurse in supporting patients with the amputated lower limb towards the acceptance of their new body images in the traumatology B unit of the Central Hospital in Yaoundé-Cameroon. The study used a qualitative exploratory design. The study population was made up of eight nurses from the traumatology unit of the central hospital in Yaoundé-Cameroon. Data were collected using a semi-structured interview guide from a purposeful sample of nurses. The saturation level determined the sample size for the study. Data were analyzed using inductive content analysis. The results obtained from this study showed that it is difficult to take care of patients with amputated lower limbs as physical support e.g. hygiene care; wound dressings, pain evaluation and care were outlined by most of the nurses as the main mode of support given to patients. Consideration should be given to non-pharmacological and less invasive surgical interventions for phantom limb pain, as they are associated with less common and less severe side effects. Active listening, reassuring patients, helping relationship and confidence were the main elements of psychological support stated by the nurses. The main challenges nurses encountered in supporting amputated patients were difficult communication and language barrier. The findings from this study proposed that there were many factors to take into account in order to be able to help patients with amputated lower limb: physical and moral pain, the psychological aspect with modification of body image, loss of self-esteem etc... The nurse must demonstrate human and relational qualities and great psychological resistance in order to effectively support the amputated patient on the physical level by providing hygiene and comfort care, dressing; and on the psychological level by questioning the patients about their difficult emotions while being available to listen in order to establish a nursing diagnosis and help the patients to cope with their difficulties.
本研究旨在探讨雅温得-喀麦隆中央医院 B 区创伤科护士在帮助下肢截肢患者接受新身体形象方面所起的作用。本研究采用定性探索设计。研究对象包括雅温得-喀麦隆中心医院创伤科的八名护士。研究采用半结构化访谈指南收集数据，对护士进行有目的的抽样调查。饱和度决定了研究的样本量。数据采用归纳式内容分析法进行分析。研究结果表明，护理下肢截肢患者非常困难，因为大多数护士都将卫生护理、伤口包扎、疼痛评估和护理等物理支持概述为给予患者的主要支持方式。应考虑对幻肢痛采取非药物和侵入性较小的外科干预措施，因为这些措施的副作用较小，也不常见。积极倾听、安抚患者、帮助关系和信心是护士们所说的心理支持的主要因素。护士在支持截肢病人时遇到的主要挑战是沟通困难和语言障碍。研究结果表明，要帮助下肢截肢患者，需要考虑许多因素：身体和精神痛苦、心理方面的身体形象改变、自尊心丧失等。护士必须表现出人文素质和亲和力，以及强大的心理抵抗力，才能在生理层面为截肢病人提供有效的支持，如提供卫生和舒适护理、穿衣；在心理层面，询问病人的困难情绪，同时随时倾听，以确定护理诊断，帮助病人应对困难。
{"title":"Supporting Patients with Amputated Lower Limb in Accepting Their New Body Images by Traumatology Nurses of Central Hospital Yaoundé-Cameroon: An Exploratory Study","authors":"Mispar Wankam, Kengne Fabiola, Fouodji Sales","doi":"10.11648/j.ajhr.20241203.12","DOIUrl":"https://doi.org/10.11648/j.ajhr.20241203.12","url":null,"abstract":"This study aims at exploring the role of the nurse in supporting patients with the amputated lower limb towards the acceptance of their new body images in the traumatology B unit of the Central Hospital in Yaoundé-Cameroon. The study used a qualitative exploratory design. The study population was made up of eight nurses from the traumatology unit of the central hospital in Yaoundé-Cameroon. Data were collected using a semi-structured interview guide from a purposeful sample of nurses. The saturation level determined the sample size for the study. Data were analyzed using inductive content analysis. The results obtained from this study showed that it is difficult to take care of patients with amputated lower limbs as physical support e.g. hygiene care; wound dressings, pain evaluation and care were outlined by most of the nurses as the main mode of support given to patients. Consideration should be given to non-pharmacological and less invasive surgical interventions for phantom limb pain, as they are associated with less common and less severe side effects. Active listening, reassuring patients, helping relationship and confidence were the main elements of psychological support stated by the nurses. The main challenges nurses encountered in supporting amputated patients were difficult communication and language barrier. The findings from this study proposed that there were many factors to take into account in order to be able to help patients with amputated lower limb: physical and moral pain, the psychological aspect with modification of body image, loss of self-esteem etc... The nurse must demonstrate human and relational qualities and great psychological resistance in order to effectively support the amputated patient on the physical level by providing hygiene and comfort care, dressing; and on the psychological level by questioning the patients about their difficult emotions while being available to listen in order to establish a nursing diagnosis and help the patients to cope with their difficulties.\u0000","PeriodicalId":503343,"journal":{"name":"American Journal of Health Research","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141833714","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}
Pub Date : 2024-04-11DOI: 10.11648/j.ajhr.20241202.13
Laxmi Kanna, Rajashree Kulkarni, Sakshi Bhanap
The majority of the time, swollen lymph nodes are a sign that your body is battling a virus or bacterial infection. Immune cells, viruses or bacteria, and fluid fill the nodes, increasing their size. Rarely, other, graver diseases can also result in swollen lymph nodes. Lymphadenopathy is fairly typical. Typically, it is not clinically significant in and of itself. However, it might indicate a serious underlying illness. For clinicians, the challenge is to avoid aggressive examination and biopsy of the majority of children while providing prompt, accurate for kids with serious underlying diseases. Lymphadenopathy is the term for swollen glands or swelling of the lymph nodes. The lymph glands are part of the immune system and help fight infections and other disease. They are enlarged when the body is fighting infection or other diseases. In children its to be able to feel some lymph nodes small, movable lumps under the skin. But if the nodes get bigger than usual, your child may have an infection or other problem. In most cases, lymphadenitis clears up quickly with proper treatment but it may take more time for lymph nodes swelling to go away. Be sure to let your healthcare provider know if your lymphadenitis symptoms come back. The most common treatment for swollen lymph nodes caused by a bacterial infection is antibiotics.
{"title":"Determination of the Lymphadenopathy in Child Care","authors":"Laxmi Kanna, Rajashree Kulkarni, Sakshi Bhanap","doi":"10.11648/j.ajhr.20241202.13","DOIUrl":"https://doi.org/10.11648/j.ajhr.20241202.13","url":null,"abstract":"The majority of the time, swollen lymph nodes are a sign that your body is battling a virus or bacterial infection. Immune cells, viruses or bacteria, and fluid fill the nodes, increasing their size. Rarely, other, graver diseases can also result in swollen lymph nodes. Lymphadenopathy is fairly typical. Typically, it is not clinically significant in and of itself. However, it might indicate a serious underlying illness. For clinicians, the challenge is to avoid aggressive examination and biopsy of the majority of children while providing prompt, accurate for kids with serious underlying diseases. Lymphadenopathy is the term for swollen glands or swelling of the lymph nodes. The lymph glands are part of the immune system and help fight infections and other disease. They are enlarged when the body is fighting infection or other diseases. In children its to be able to feel some lymph nodes small, movable lumps under the skin. But if the nodes get bigger than usual, your child may have an infection or other problem. In most cases, lymphadenitis clears up quickly with proper treatment but it may take more time for lymph nodes swelling to go away. Be sure to let your healthcare provider know if your lymphadenitis symptoms come back. The most common treatment for swollen lymph nodes caused by a bacterial infection is antibiotics.","PeriodicalId":503343,"journal":{"name":"American Journal of Health Research","volume":"3 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140712527","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}
Pub Date : 2024-03-13DOI: 10.11648/j.ajhr.20241202.11
Zhanxiong Guo
Objective: Through the investigation of the development status and background of Internet hospitals, this paper analyzes the internal and external environment and advantages and disadvantages of Internet hospitals, so as to promote their high-quality and sustainable development under the background of the Healthy China strategy. Methods: SWOT analysis was used to analyze the advantages and disadvantages of Internet hospitals, as well as the opportunities and challenges faced by the development, analyze the development trend of Internet hospitals, and put forward countermeasures. Results: Internally, Internet hospitals have the advantages of improving patient medical efficiency and promoting the rational allocation of medical resources; and there are disadvantages of unclear service business positioning and the accuracy of telemedicine diagnosis to be improved; the external environment has the opportunity of national policy support and large demand for patient medical treatment; and there is the threat of low capital investment and the restriction of traditional medical concepts. Conclusions: It is suggested that the state should increase capital investment and policy norms to guide the orderly development of the Internet market, guide residents to change their medical habits, and medical institution managers should fully seize the development opportunities, grasp the development trend of the post-epidemic era, formulate growth strategies, torsion transformation strategies, defense strategies, and diversified strategies according to internal and external environmental factors, improve the construction of Internet hospital system, and help build a "healthy China".
{"title":"Analysis of the Development Trend and Countermeasures of Internet Hospitals Based on SWOT","authors":"Zhanxiong Guo","doi":"10.11648/j.ajhr.20241202.11","DOIUrl":"https://doi.org/10.11648/j.ajhr.20241202.11","url":null,"abstract":"<i>Objective</i>: Through the investigation of the development status and background of Internet hospitals, this paper analyzes the internal and external environment and advantages and disadvantages of Internet hospitals, so as to promote their high-quality and sustainable development under the background of the Healthy China strategy. <i>Methods</i>: SWOT analysis was used to analyze the advantages and disadvantages of Internet hospitals, as well as the opportunities and challenges faced by the development, analyze the development trend of Internet hospitals, and put forward countermeasures. <i>Results</i>: Internally, Internet hospitals have the advantages of improving patient medical efficiency and promoting the rational allocation of medical resources; and there are disadvantages of unclear service business positioning and the accuracy of telemedicine diagnosis to be improved; the external environment has the opportunity of national policy support and large demand for patient medical treatment; and there is the threat of low capital investment and the restriction of traditional medical concepts. <i>Conclusions</i>: It is suggested that the state should increase capital investment and policy norms to guide the orderly development of the Internet market, guide residents to change their medical habits, and medical institution managers should fully seize the development opportunities, grasp the development trend of the post-epidemic era, formulate growth strategies, torsion transformation strategies, defense strategies, and diversified strategies according to internal and external environmental factors, improve the construction of Internet hospital system, and help build a \"healthy China\".\u0000","PeriodicalId":503343,"journal":{"name":"American Journal of Health Research","volume":"638 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140246713","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}
Pub Date : 2024-03-07DOI: 10.11648/j.ajhr.20241201.12
Negeri Debela, Solome Nekahiwot
Sepsis, a life-threatening condition caused by the body's excessive response to an infection, has emerged as a global health menace. Around 20% of all global deaths are attributable to sepsis. Conversely, the presence of antimicrobial resistance (AMR) poses a significant peril to the health system. AMR constitutes an escalating pandemic that we must not disregard, as the absence of effective antibiotics would compromise the treatment of even commonplace bacterial infections. Therefore, the increasing prevalence of AMR further adds complexity to the management and outcomes of individuals with sepsis. AMR plays a contributory role in aggravating the consequences of sepsis, ranging from prolonged hospitalization to mortality. The World Health Organization (WHO) has prioritized AMR as a major concern necessitating immediate action to prevent dire consequences in the future. Though, One Health approach, infection prevention, rational use of antibiotics, strengthening surveillance systems, as well as research and development, are crucial strategies in combating antimicrobial resistance, alternative therapies, such as phage therapy and immunotherapeutics, are being explored for the management of AMR infections. Advances in these therapies show promise in addressing the challenges posed by antibiotic resistance in treating sepsis. In this critical assessment, we succinctly delineate the existing challenges of AMR in managing sepsis cases, and we provide an overview of the advancements in treating sepsis through alternative therapeutic modalities.
败血症是一种因机体对感染的过度反应而导致的危及生命的疾病，已成为全球健康的威胁。全球约 20% 的死亡病例可归咎于败血症。与此相反，抗菌药耐药性（AMR）的存在对卫生系统构成了重大威胁。由于缺乏有效的抗生素，即使是普通细菌感染的治疗也会受到影响，因此，AMR 构成了一种我们绝不能忽视的不断升级的大流行病。因此，AMR 的日益流行进一步增加了败血症患者管理和治疗结果的复杂性。AMR 在加重败血症的后果（从住院时间延长到死亡）方面起到了推波助澜的作用。世界卫生组织（WHO）已将 AMR 列为优先关注的重大问题，必须立即采取行动，防止未来出现可怕的后果。尽管 "一体健康 "方法、预防感染、合理使用抗生素、加强监测系统以及研究与开发是抗击抗生素耐药性的关键策略，但人们也在探索替代疗法，如噬菌体疗法和免疫疗法，以治疗 AMR 感染。这些疗法的进展表明，有望解决抗生素耐药性给败血症治疗带来的挑战。在这篇重要的评估报告中，我们简明扼要地描述了目前在管理败血症病例时所面临的 AMR 挑战，并概述了通过替代疗法治疗败血症的进展。
{"title":"Sepsis, Antimicrobial Resistance, and Alternative Therapies","authors":"Negeri Debela, Solome Nekahiwot","doi":"10.11648/j.ajhr.20241201.12","DOIUrl":"https://doi.org/10.11648/j.ajhr.20241201.12","url":null,"abstract":"Sepsis, a life-threatening condition caused by the body's excessive response to an infection, has emerged as a global health menace. Around 20% of all global deaths are attributable to sepsis. Conversely, the presence of antimicrobial resistance (AMR) poses a significant peril to the health system. AMR constitutes an escalating pandemic that we must not disregard, as the absence of effective antibiotics would compromise the treatment of even commonplace bacterial infections. Therefore, the increasing prevalence of AMR further adds complexity to the management and outcomes of individuals with sepsis. AMR plays a contributory role in aggravating the consequences of sepsis, ranging from prolonged hospitalization to mortality. The World Health Organization (WHO) has prioritized AMR as a major concern necessitating immediate action to prevent dire consequences in the future. Though, One Health approach, infection prevention, rational use of antibiotics, strengthening surveillance systems, as well as research and development, are crucial strategies in combating antimicrobial resistance, alternative therapies, such as phage therapy and immunotherapeutics, are being explored for the management of AMR infections. Advances in these therapies show promise in addressing the challenges posed by antibiotic resistance in treating sepsis. In this critical assessment, we succinctly delineate the existing challenges of AMR in managing sepsis cases, and we provide an overview of the advancements in treating sepsis through alternative therapeutic modalities.\u0000","PeriodicalId":503343,"journal":{"name":"American Journal of Health Research","volume":"21 97","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260234","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}
Pub Date : 2024-01-11DOI: 10.11648/j.ajhr.20241201.11
Zhou Feng, Liu Na, Guiran Yang
{"title":"Research Progress and Controversy on the Relationship Between Iodine Excess and Thyroid Cancer Occurrence","authors":"Zhou Feng, Liu Na, Guiran Yang","doi":"10.11648/j.ajhr.20241201.11","DOIUrl":"https://doi.org/10.11648/j.ajhr.20241201.11","url":null,"abstract":"","PeriodicalId":503343,"journal":{"name":"American Journal of Health Research","volume":" 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139625871","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}
Pub Date : 2023-12-18DOI: 10.11648/j.ajhr.20231106.12
Saja Abd Alrhaman Alshreef, Mohammed Hammad Jaber, Solafa Othman Elbadawi, Muhammad Ashir Shafique, Sara Salah Eldin Ali, Hiba Salah Abdelgadir
{"title":"Assessment of Anxiety Related To Osce Exam Among Alzaeim Al-Azahari University Medical Students 2022","authors":"Saja Abd Alrhaman Alshreef, Mohammed Hammad Jaber, Solafa Othman Elbadawi, Muhammad Ashir Shafique, Sara Salah Eldin Ali, Hiba Salah Abdelgadir","doi":"10.11648/j.ajhr.20231106.12","DOIUrl":"https://doi.org/10.11648/j.ajhr.20231106.12","url":null,"abstract":"","PeriodicalId":503343,"journal":{"name":"American Journal of Health Research","volume":"32 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139172876","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}
Pub Date : 2023-11-24DOI: 10.11648/j.ajhr.20231106.11
Mahmood Chowdhury Arzu, Anwarul Azim, Mohammad Shahab Uddin, Dhananjoy Das, Shanjana Islam, Wahida Akter, Rehana Ahmed, Mohammed Shahidullah Chowdhury
{"title":"Efficacy of Iron-Fortification in Complementary Feeding for Prevention of Iron Deficiency Anemia in Children of Bangladesh","authors":"Mahmood Chowdhury Arzu, Anwarul Azim, Mohammad Shahab Uddin, Dhananjoy Das, Shanjana Islam, Wahida Akter, Rehana Ahmed, Mohammed Shahidullah Chowdhury","doi":"10.11648/j.ajhr.20231106.11","DOIUrl":"https://doi.org/10.11648/j.ajhr.20231106.11","url":null,"abstract":"","PeriodicalId":503343,"journal":{"name":"American Journal of Health Research","volume":"2020 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139239683","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}
{"title":"Dietary Diversity Practice and Associated Factors Among Pregnant Mothers in Sebeta Awas District, Oromiya Special Zone Surrounding Finfine, Oromia, Central Ethiopia, 2022","authors":"Kena Wolde Bikila, Trhas Tadesse Berhe, Getachew Woldeyohannes Tedla, Addisu Tadesse Sahile","doi":"10.11648/j.ajhr.20231105.12","DOIUrl":"https://doi.org/10.11648/j.ajhr.20231105.12","url":null,"abstract":"","PeriodicalId":503343,"journal":{"name":"American Journal of Health Research","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139279691","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}
{"title":"Research Progress on Apoptosis Inhibitory Protein Survivin and Its Application in Digestive Tract Tumors","authors":"Zhang Shuli, Jianzhang Hou, Hongyan Li, Zhenjiang Hou, Fengqiao Zhang","doi":"10.11648/j.ajhr.20231103.13","DOIUrl":"https://doi.org/10.11648/j.ajhr.20231103.13","url":null,"abstract":"","PeriodicalId":503343,"journal":{"name":"American Journal of Health Research","volume":"59 7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139370717","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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