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Prostate cancer, its implications and awareness in the South Asian population: a retrospective cross-sectional cohort analysis 南亚人对前列腺癌及其影响和认识:回顾性横断面队列分析
Pub Date : 2024-04-10 DOI: 10.1097/gh9.0000000000000397
Saad Shakil, S. E. Akhtar, Akhtar Ali, Priya Kotak, Muhammad A. Niaz, Farhan Rana, Mouhammad Halabi, Akashnath Kivalur Ganeshanath, Abdulla K. Alsubai, Abdulla Almesri, Hani Khayyat, Uzair Malik
The second most frequent form of cancer in males and the main reason for cancer-related deaths worldwide is prostate cancer (PC). Despite being less common than in Western nations, PC incidence and death rates have been rising throughout South Asia. This study intends to evaluate how well-informed and knowledgeable the South Asian public is about PC, its symptoms, and screening procedures among men and women. From August to September of 2022, a cross-sectional survey was carried out throughout South Asia. Participants in the research had to be at least 24 years old, and it used a practical sampling approach. A self-created questionnaire with both closed- and open-ended questions was used to gather the data. SPSS was used to conduct statistical analysis, including χ 2 tests for relationships. A total of 378 individuals, comprising 57.6% men and 41.8% women, were involved in the study. Only 45.0% of participants were aware of prostate specific antigen testing for early PC diagnosis, however, 81.7% of people recognized what the prostate gland was. Approximately 87% of individuals had never received a screening for PC. Compared to males, women showed a stronger understanding of PC and its screening techniques. Notably, 94.7% believed the likelihood of effective therapy was increased by early identification. While women demonstrated better levels of knowledge, the study’s findings show that the general population in South Asia suffers from a serious shortage of reliable knowledge concerning PC. To promote early identification, lower morbidity, and enhance treatment success, awareness-raising and educational initiatives are essential, with a focus on both sexes. This study establishes the foundation for future research and emphasizes the necessity for targeted educational programmes in the area.
前列腺癌(PC)是男性第二大常见癌症,也是全球癌症相关死亡的主要原因。尽管与西方国家相比,前列腺癌并不常见,但在整个南亚地区,前列腺癌的发病率和死亡率一直在上升。本研究旨在评估南亚公众对 PC、其症状以及男性和女性筛查程序的了解和认识程度。 2022 年 8 月至 9 月,一项横断面调查在南亚各地展开。参与调查的人员必须至少年满 24 岁,并采用了实用的抽样方法。为收集数据,研究人员自制了一份问卷,其中既有封闭式问题,也有开放式问题。使用 SPSS 进行统计分析,包括关系的 χ 2 检验。 共有 378 人参与了研究,其中男性占 57.6%,女性占 41.8%。只有 45.0% 的参与者知道前列腺特异性抗原检测可用于早期 PC 诊断,但 81.7% 的人知道前列腺是什么。约 87% 的人从未接受过 PC 筛查。与男性相比,女性对 PC 及其筛查技术有更深入的了解。值得注意的是,94.7% 的人认为早期发现可增加有效治疗的可能性。 虽然女性的知识水平更高,但研究结果表明,南亚地区的普通民众严重缺乏有关 PC 的可靠知识。为了促进早期识别、降低发病率和提高治疗成功率,提高认识和开展教育活动至关重要,重点应放在男女两性身上。本研究为今后的研究奠定了基础,并强调了在该地区开展有针对性的教育计划的必要性。
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引用次数: 0
Feeding pattern in preterm neonates admitted in neonatology unit: a descriptive cross-sectional study 新生儿科早产儿的喂养模式:一项横断面描述性研究
Pub Date : 2024-04-10 DOI: 10.1097/gh9.0000000000000414
Sneha Kiran, Mukesh Bhatta, N. Bhatta, Shankar P. Yadav, R. Subedi, Abhishek Shah
The components of breast feeding including sucking, swallowing, and breathing, develop at different gestational ages, and are incomplete in preterm. Other modes of feeding like nasogastric/orogastric and cup are used till matured breast feeding skills appear. This descriptive cross-sectional study was done over a period of 1 year with objectives to observe the different feeding patterns in the preterm neonates, assess the time required to start feeding from the day of admission, and observe the time taken for transition from one feeding pattern to another feeding pattern. A total of 116 admitted preterm neonates born less than 34 weeks were included. The ethical clearance and informed consent were obtained. The time of admission, the duration between the time of admission and start of feeding, type of feeding, mode of feeding, and progression of feeding from one mode to another was noted, and appropriate statistical analysis done. Cup feeding (57.8%) was the most common mode of starting of feeding followed by orogastric feeding (42.2%). Mothers breast milk was the most common feed. The median duration of starting of feed from the day of admission was 2 days. The time gap between day of admission and starting of orogastric feed and cup feeding were 2 days and 5 days, respectively. The median time taken for transition from orogastric feed to cup feed and from cup feed to mothers breast feed was 5 days and 6 days, respectively. Babies with a higher age at starting of feeding took significantly lesser time to transit from cup feeding to mother’s breast feeding (P=0.01). Babies with Respiratory Distress Syndrome had a significantly higher transit time from orogastric feeding to cup feeding (P<0.001). The rate of advancement of feed depends on maturation of feeding skills, gestational age, birth weight, presence of comorbidities, and nursing care.
母乳喂养的各个环节,包括吸吮、吞咽和呼吸,在不同的胎龄发育,早产儿发育不完全。在出现成熟的母乳喂养技能之前,会使用其他喂养方式,如鼻胃喂养/口胃喂养和杯状喂养。 这项描述性横断面研究历时一年,旨在观察早产新生儿的不同喂养模式,评估从入院当天开始喂养所需的时间,并观察从一种喂养模式过渡到另一种喂养模式所需的时间。共纳入了 116 名出生不足 34 周的早产新生儿。研究人员已获得伦理许可和知情同意。研究人员记录了新生儿的入院时间、从入院到开始喂养之间的持续时间、喂养类型、喂养方式以及从一种喂养方式过渡到另一种喂养方式的过程,并进行了适当的统计分析。 杯状喂养(57.8%)是最常见的喂养方式,其次是口胃喂养(42.2%)。母乳是最常见的喂养方式。从入院当天开始喂养的时间中位数为 2 天。从入院当天到开始口喂和杯喂的时间间隔分别为 2 天和 5 天。从口胃喂养过渡到杯状喂养以及从杯状喂养过渡到母亲母乳喂养所需的时间中位数分别为 5 天和 6 天。开始喂养年龄越大的婴儿从杯喂过渡到母亲母乳喂养所需的时间越短(P=0.01)。患有呼吸窘迫综合症的婴儿从口胃喂养到用杯子喂养的时间明显较长(P<0.001)。 喂养进展速度取决于喂养技能的成熟度、胎龄、出生体重、是否存在合并症以及护理。
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引用次数: 0
Group logotherapy approach to enhance quality of life in patients undergoing hemodialysis – the future has arrived! 采用集体逻辑疗法提高血液透析患者的生活质量--未来已来!
Pub Date : 2024-04-10 DOI: 10.1097/gh9.0000000000000263
B. C. Anzali, Mehrdad Pashaei Taghlid Abad, Ali Darvishzadeh, Afsane Jangi, Rasoul Goli
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引用次数: 0
Previously unrecognized Morgagni’s hernia presenting with bowel obstruction: a rare case report 以前未被发现的莫尔加尼疝伴有肠梗阻:罕见病例报告
Pub Date : 2024-04-10 DOI: 10.1097/gh9.0000000000000444
Youness Slimi, Mohammed Mahmoudi, Mohammed Frikal, Anas Derkaoui, Tarik Deflaoui, Rachid Jabi, M. Bouziane
Morgagni’s hernia (MH) is a rare entity, it is defined by the protrusion of abdominal viscera through an anterior retrosternal diaphragmatic defect. It is mainly diagnosed during the perinatal and neonatal periods. A few cases have been reported in adults. The objective of this study was to report the case of a patient with an unrecognized MH, review the current literature on Morgani hernias in the adult population, and assess their clinical characteristics and therapeutic approach reported in adults. We here describe a rare case of a MH presenting with bowel obstruction as the primary symptom in adult life. A 52-year-old man presented to the emergency department with a bowel obstruction. The abdominal CT tomography showed an intestinal bowel obstruction above the hiatal hernia with an intrathoracic ascending colon. Exploratory laparotomy revealed a bilateral strangulated diaphragmatic hernia of Morgagni. The patient underwent closure of the diaphragmatic defect under tension by X-stitch. The recovery was uneventful, and the patient is in good health after 12 months of follow-up. The Morgagni hernias are usually asymptomatic; complications such as strangulation of the herniated colon or herniated stomach by stricture are exceptional. Surgical treatment is always recommended for MH. Postoperative complications are rare in simple diaphragmatic hernias, and the course is generally favorable. MH is the rarest form of congenital diaphragmatic hernia, with nonspecific symptomatology contributing to the delay in diagnosis. The cure is surgical, and the open surgical approach is preferable in emergency cases, while laparoscopic surgery is favored in elective settings and is associated with shorter hospitalization. Further studies are crucial in order to elucidate etiology and optimal therapeutic approach.
莫加尼疝(MH)是一种罕见的疝气,是指腹腔内脏通过胸骨后膈肌前部缺损突出。它主要在围产期和新生儿期被诊断出来。成人中也有少数病例报道。本研究旨在报告一例未被发现的 MH 患者,回顾目前有关成人摩根疝的文献,并评估成人摩根疝的临床特征和治疗方法。我们在此描述一例罕见的以肠梗阻为主要症状的成人摩根疝病例。 一名 52 岁的男子因肠梗阻到急诊科就诊。腹部 CT 断层扫描显示,食管裂孔疝上方有肠梗阻,并伴有胸内升结肠。探查性开腹手术显示患者患有双侧莫加尼绞窄性膈疝。患者在张力作用下接受了 X 线缝合膈肌缺损。术后恢复顺利,随访 12 个月后患者健康状况良好。 Morgagni 胃疝通常没有症状,但因狭窄导致疝出的结肠或疝出的胃发生绞窄等并发症的情况很少见。对于 MH 总是建议采用手术治疗。单纯性膈疝很少出现术后并发症,病程一般较长。 MH 是先天性膈疝中最罕见的一种,非特异性症状是延误诊断的原因之一。治疗方法是手术,急诊病例最好采用开腹手术,而择期手术则更倾向于腹腔镜手术,住院时间也更短。进一步的研究对于阐明病因和最佳治疗方法至关重要。
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引用次数: 0
Pediatric cancer in the Democratic Republic of Congo: facing the challenge and defining the future of treatment 刚果民主共和国的儿童癌症:面对挑战和确定治疗的未来
Pub Date : 2024-03-01 DOI: 10.1097/gh9.0000000000000430
Bugashane Bwa Mihigo Elie, Balagizi Ganywamulume, Chasinga Baharanyi Tshass, Alumeti Munyali Désiré
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引用次数: 0
Ectogenesis: understanding opportunities, implications, concerns, and ways forward 外显子发生:了解机遇、影响、关切和前进方向
Pub Date : 2024-01-01 DOI: 10.1097/gh9.0000000000000398
O. Okesanya, A. J. Gacutno‐Evardone, Abideen A. Olaniyi, H. K. Hassan, K. J. A. Gacutno, N. O. Olaleke, R. Adesola, Jose J. Lasala, E. Manirambona, D. Lucero‐Prisno
Ectogenesis is the practice of developing organisms in artificial settings, with applications that range from improving the outcomes of preterm babies to treating fertility issues. It was unveiled in 2017 and provides possibilities for both partial and full ectogenesis while sustaining fetal lambs with concepts like the biobag. Utilizing biobag artificial uteri, complete ectogenesis is the confinement of a woman’s pregnancy in an artificial womb from the inception of the embryonic stage to full gestation; while partial ectogenesis is the utilization of a biobag artificial uterus to continue gestation ex-utero. Ectogenesis may have advantages, but there are concerns about how it will affect children’s social and psychological development. It can benefit biological parenthood, newborn care, fetal therapy, maternal-fetal disputes, societal growth, reduce health risks, and alter cultural norms while promoting reproductive equity. Due to possible risks, rigorous research on human subjects is required before ectogenesis may be implemented. The paper seeks to provide a thorough study for society’s conversation and deliberation, examining its potential advantages as well as its technical, ethical, and regulatory elements.
外胚层发育是在人工环境中培养生物的做法,其应用范围从改善早产儿的预后到治疗生育问题不等。它于2017年亮相,为部分和完全异位生殖提供了可能,同时通过生物袋等概念维持胎羔的生长。利用生物袋人工子宫,完全异位妊娠是指从胚胎萌发阶段到完全妊娠,将妇女的妊娠限制在人工子宫中;而部分异位妊娠是指利用生物袋人工子宫继续宫外妊娠。异位妊娠可能有其优点,但也有人担心它会影响儿童的社会和心理发展。它可以有利于生儿育女、新生儿护理、胎儿治疗、母婴纠纷、社会发展、降低健康风险、改变文化规范,同时促进生殖公平。由于可能存在风险,在实施异位生殖之前,需要对人体进行严格的研究。本文试图对其潜在优势及其技术、伦理和监管要素进行深入研究,供社会讨论和审议。
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引用次数: 0
Flooding in Libya amid an economic crisis: what went wrong? 经济危机中的利比亚洪灾:出了什么问题?
Pub Date : 2024-01-01 DOI: 10.1097/GH9.0000000000000401
M. O. Oduoye, K. A. Karim, M. O. Kareem, Aminu Shehu, Usman A. Oyeleke, Habiba Zafar, Muhammad Muhsin Umar, Hafsa A.A. Raja, A. A. Adegoke
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引用次数: 0
Mosquito-borne diseases in Pakistan: challenges, strategies, and future prospects 巴基斯坦的蚊媒疾病:挑战、战略和未来前景
Pub Date : 2023-11-01 DOI: 10.1097/GH9.0000000000000385
Tehreem Fatima, Ashna Habib, Afsheen Khan, Rumaisa Riaz, Muhammad Zain ul Haq, N. Raufi
Mosquito-borne diseases, notably malaria and dengue, present substantial health concerns in Pakistan, necessitating urgent and evidence-based strategies for prevention. The epidemiology of these diseases is influenced by climate change, inadequate vector control, and socioeconomic factors. Aedes mosquitoes are the primary vectors for dengue, while Anopheles mosquitoes transmit malaria. Vulnerable populations, including those in poverty-stricken areas, face higher risks. Prevention strategies encompass vector control, vaccinations, health education, and community engagement. Government initiatives emphasize healthcare infrastructure, community involvement, and inter-departmental coordination. However, challenges such as climate impact, urbanization, and public awareness gaps persist. Overcoming these challenges requires a multidimensional approach and sustained efforts to curb the spread of mosquito-borne diseases in Pakistan.
蚊子传播的疾病,特别是疟疾和登革热,是巴基斯坦的重大健康问题,需要紧急采取循证预防战略。这些疾病的流行病学受到气候变化、病媒控制不足和社会经济因素的影响。伊蚊是登革热的主要病媒,而按蚊则传播疟疾。包括贫困地区在内的弱势群体面临的风险更高。预防策略包括病媒控制、疫苗接种、健康教育和社区参与。政府举措强调医疗保健基础设施、社区参与和部门间协调。然而,气候影响、城市化和公众认识差距等挑战依然存在。要克服这些挑战,就必须采取多层面的方法,持续努力遏制蚊媒疾病在巴基斯坦的传播。
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引用次数: 0
Pink eye is at it again in Pakistan; is it a condition to be worried about? 巴基斯坦又出现了红眼病,这种病症值得担心吗?
Pub Date : 2023-11-01 DOI: 10.1097/GH9.0000000000000369
M. O. Oduoye, Muhammad Furqan, S. C. Ubechu, Ahmad I. Ahmad, Huda Saeed
{"title":"Pink eye is at it again in Pakistan; is it a condition to be worried about?","authors":"M. O. Oduoye, Muhammad Furqan, S. C. Ubechu, Ahmad I. Ahmad, Huda Saeed","doi":"10.1097/GH9.0000000000000369","DOIUrl":"https://doi.org/10.1097/GH9.0000000000000369","url":null,"abstract":"","PeriodicalId":506642,"journal":{"name":"International Journal of Surgery: Global Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139294212","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
The emergence of H3N8 avian influenza virus in humans: a looming threat to global health 人类感染 H3N8 禽流感病毒:对全球健康迫在眉睫的威胁
Pub Date : 2023-11-01 DOI: 10.1097/gh9.0000000000000380
Sanila Mughal, Zobia Ansari, Rooja Zubair, S. Ghaddar
{"title":"The emergence of H3N8 avian influenza virus in humans: a looming threat to global health","authors":"Sanila Mughal, Zobia Ansari, Rooja Zubair, S. Ghaddar","doi":"10.1097/gh9.0000000000000380","DOIUrl":"https://doi.org/10.1097/gh9.0000000000000380","url":null,"abstract":"","PeriodicalId":506642,"journal":{"name":"International Journal of Surgery: Global Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139300623","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
期刊
International Journal of Surgery: Global Health
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