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A Study on the Concept of Organization and Administration 关于组织与管理概念的研究
Pub Date : 2024-02-15 DOI: 10.18231/j.ijrimcr.2024.008
Abdullah Abdulaziz Abdullah Hakami, S. Hakami
In the article the fundamental standards of process of sorting out administrative management in undertakings and associations are watched. A chain of factors that impact the span of management is recommended and the advantages and disadvantages of limited and wide span of management are arranged. In the article the levels and sorts of power, sorts of departmentalization and concentrated administrative management are depicted. In view of the allotment of factors that influence the degree of centralization and decentralization of administrative management, the quantity of advantages and disadvantages of these processes are built up.
文章探讨了企业和协会行政管理流程梳理的基本标准。文章对影响管理跨度的一系列因素提出了建议,并对有限管理跨度和广泛管理跨度的利弊进行了分析。文章描绘了权力的层次和种类、部门化的种类以及集中的行政管理。鉴于影响行政管理集权和分权程度的各种因素的分配,建立了这些过程的优势和劣势的数量。
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引用次数: 0
Prevalence of Neck Pain among Computer User-A Systematic Review 计算机用户中颈部疼痛的普遍性--系统性综述
Pub Date : 2024-02-15 DOI: 10.18231/j.ijrimcr.2022.025
Sharick Shamsi*, Shabana Khan, Nourah Ali Al Muhanna, Abdullah S. Bin Hussein, Abdulmohsen Hasan Abdullah Al Ghamdi, Zafrul Hasan, Ali Akhtar, Saleh Mohammed Alamri
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引用次数: 0
Cost-Effective Approach to AAV Viral Vector Manufacturing 经济高效的 AAV 病毒载体制造方法
Pub Date : 2024-02-15 DOI: 10.18231/j.ijrimcr.2022.024
Adel Mutlaq Alotaibi, Abdulrahman Alotaibi
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引用次数: 0
The Occurrence of Alloantibodies among Multitransfused Oncology Patients at Moi Teaching and Referral Hospital 莫伊教学和转诊医院多次输血的肿瘤患者中出现的异体抗体
Pub Date : 2024-02-15 DOI: 10.18231/j.ijrimcr.2021.024
Wapukha Zippy Bunoro, Emonyi Wilfred Injera, Tabitha Wanjau
This study aimed at determining the presence and type of specific antibodies among multitransfused oncology patients, that causes alloimmunization, the ABO and Rhesus blood group that is most affected by alloimmunization among multi transfused oncology patients, gender and age group that is most alloimmunized. The research study was conducted using experimental design. The sample size of the study was one hundred and sixty-two (162). Oncology patients were obtained through non-Probabilistic. The study used Non probabilistic and consecutive sampling which included all the subjects that were available. The one sixty-two (162) samples of multitransfused oncology patients who met the inclusion criteria were screened to determine the presence of alloantibodies. Out of 162 screened samples 152 had no alloantibodies, 10 were positive on antibody screening test resulting to Positivity rate of 10/162(6%). The findings of the identification of the type of alloantibodies in samples of multitransfused oncology patients, were as follows: out of ten (10) samples that had alloantibodies, five (5) samples had anti E, 5/10(50%), three (3) sample had anti K that is 3/10(30%) anti C, and anti D each had one alloantibody 1/10(10%). Alloimmunization are attributed to lack of proper management following potential sensitization events before and after blood transfusions. There is need to improve on the current practices of blood grouping and cross match in most of our Kenyan hospitals.
本研究旨在确定在多次输血的肿瘤患者中是否存在导致同种免疫的特异性抗体及其类型、在多次输血的肿瘤患者中最易受同种免疫影响的 ABO 血型和恒河猴血型、最易受同种免疫影响的性别和年龄组。研究采用实验设计。研究样本量为 162(162)份。肿瘤患者是通过非概率方法获得的。研究采用了非概率和连续抽样的方法,包括所有可用的受试者。对符合纳入标准的 162 例多次输血肿瘤患者样本进行了筛查,以确定是否存在异体抗体。在筛查的 162 份样本中,152 份样本没有异体抗体,10 份样本在抗体筛查测试中呈阳性,阳性率为 10/162(6%)。多次输血的肿瘤患者样本中异体抗体类型的鉴定结果如下:在10个有异体抗体的样本中,5个样本有抗E抗体,占5/10(50%),3个样本有抗K抗体,占3/10(30%),抗C抗体和抗D抗体各占1/10(10%)。异体免疫归因于输血前后缺乏对潜在致敏事件的适当管理。肯尼亚大多数医院目前的血型鉴定和交叉配血做法需要改进。
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引用次数: 0
Knowledge, Attitude and Practice among Physical Therapists in Saudi Arabia towards the Use of Dry Needling on Spasticity in Patients with Stroke 沙特阿拉伯物理治疗师对使用干针治疗中风患者痉挛的认识、态度和做法
Pub Date : 2024-02-15 DOI: 10.18231/j.ijrimcr.2022.028
Saleh Ahmed Abu Araigah*, Bajran Mohammad Aldossari, Badar Abdullah Alfadhli, Mohamed Ibrahim Al Marshoud
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引用次数: 0
Retrospective Study of Meconium Stained Liquor and Its Fetal Outcome 胎粪染色液及其胎儿结局的回顾性研究
Pub Date : 2024-02-15 DOI: 10.18231/j.ijrimcr.2024.033
Lavanya P, Sravani K
Aims and Objectives: To determine the fetal outcome and mode of delivery in patient with meconium stained liquor during labour. Materials and Methods: This retrospective study was conducted from December 2018 to May 2019 on patients admitted to labour room, KGH. Out of 3548 deliveries, patients who met the inclusion criteria were enrolled in our study. The data was collected in a predesigned proforma. Results: Incidence of meconium stained amniotic fluid (MSAF) was 8.82%(313), Out of which 46.9%(147) required SNCU admission. 25.85%(38) developed meconium aspiration syndrome (MAS) among who got admitted, in which 8.84%(13) had neonatal mortality. There was significant association between grades of meconium and MAS, babies with thick meconium were prone to develop MAS. Postdated pregnancy, preeclampsia were significant factors associated with MSAF. Conclusion: MSAF alone is not associated with an adverse outcome. 53%(166) babies remained asymptomatic. There is increased chance of operative delivery in presence of meconium especially when associated with abnormal CTG. Increasing grades of MSL and abnormal CTG are associated with poor outcome.
目的和目标确定胎粪染色液患者的胎儿结局和分娩方式。材料与方法:这项回顾性研究于 2018 年 12 月至 2019 年 5 月期间进行,对象是入住 KGH 产房的患者。在 3548 例分娩中,符合纳入标准的患者被纳入我们的研究。数据以预先设计的表格收集。研究结果胎粪染色羊水(MSAF)的发生率为8.82%(313例),其中46.9%(147例)需要入住SNCU。住院患者中有 25.85%(38 例)出现胎粪吸入综合征(MAS),其中 8.84%(13 例)新生儿死亡。胎粪的等级与胎粪吸入综合征之间有明显的关联,胎粪粘稠的婴儿容易患胎粪吸入综合征。过期妊娠、先兆子痫是导致产妇死亡的重要因素。结论MSAF本身与不良预后无关。53%(166 名)的婴儿仍无症状。如果存在胎粪,特别是伴有 CTG 异常时,手术分娩的几率会增加。MSL 和 CTG 异常的等级越高,预后越差。
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引用次数: 0
Post-Traumatic Pseudoaneurysm of Superficial Branch of Radial Artery: A Case Report and Literature Review 桡动脉浅支创伤后假性动脉瘤:病例报告和文献综述
Pub Date : 2024-02-15 DOI: 10.18231/j.ijrimcr.2023.009
Agung Riyanto Budi Santoso*, Thomas Erwin Christian Junus Huwae, Dandy Drestanto Adiwignyo
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引用次数: 0
Effectiveness of Manual Therapy in Cervical Spondylitis: A Systematic Review 手法治疗对颈椎病的疗效:系统回顾
Pub Date : 2024-02-15 DOI: 10.18231/j.ijrimcr.2020.010
M. Alanazi, Khaled Abdulaziz Albaqamy
Background: Cervical spondylitis (CS) is a significant contributor to worldwide disability and poses a considerable financial burden to its stakeholders. Prognosis for chronic neck pain is generally poor, and the associated disability seems to be more persistent than low back pain. 66% of the population will suffer from neck pain at some point during their lifetime. More than one-third of people affected still have low grade symptoms or recurrences more than one year after treatment, often leading to chronic pain. More than one-third of those affected also show signs of mild pain or recurrence after 12 months of management, usually contributing to chronic pain. Different manual therapy methods and strategies exist; a common aspect is the use of hands during therapy which involves both manipulation and mobilization. Aim: To determine the recent research evidences for the effectiveness of manual therapy in cervical spondylitis patients. Method: This review includes randomized controlled trails (RCTs). Searching done by Google Scholar, PubMed and Pedro from 2010 to 2019. We used terms like-Neck pain, mobilization, manipulation, exercise, cervical spondylitis and physiotherapy management. Result: Present outcomes shows that manual therapy treatment is effective technique in reducing pain and increasing Range of motion (ROM) in CS patients without adverse effects. The search resulted in 100 articles but only 10 articles were selected for the study based on criteria. Conclusion: Manual therapy program designed for neck pain treatment can be more effective at increasing neck ROM and reducing pain.
背景:颈椎炎(CS)是导致全球残疾的一个重要因素,并对其利益相关者造成了相当大的经济负担。慢性颈部疼痛的预后一般较差,与腰背痛相比,相关的残疾似乎更为持久。66%的人在一生中的某个阶段会受到颈部疼痛的困扰。超过三分之一的患者在治疗一年后仍有低度症状或复发,往往导致慢性疼痛。超过三分之一的患者在治疗 12 个月后仍有轻微疼痛或复发迹象,通常会导致慢性疼痛。目前存在不同的手法治疗方法和策略;其中一个共同点是在治疗过程中使用双手,包括手法和活动。目的:确定最近关于手法治疗对颈椎炎患者有效性的研究证据。方法:本综述包括随机对照试验(RCT)。通过 Google Scholar、PubMed 和 Pedro 进行搜索,搜索时间为 2010 年至 2019 年。我们使用的术语包括:颈部疼痛、活动、手法、运动、颈椎炎和理疗管理。研究结果目前的研究结果表明,手法治疗是一种有效的技术,可减轻 CS 患者的疼痛并增加其活动范围(ROM),且无不良反应。搜索结果有 100 篇文章,但根据标准只选择了 10 篇文章进行研究。结论为治疗颈部疼痛而设计的手法治疗方案能更有效地增加颈部活动范围并减轻疼痛。
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引用次数: 0
Study of Critically ill Patients with Obstetric Complications at Intensive Respiratory Care Unit, King George Hospital, Visakhapatnam 维萨卡帕特南乔治王医院呼吸重症监护室产科并发症重症患者研究
Pub Date : 2024-02-15 DOI: 10.18231/j.ijrimcr.2020.027
Sowmya Sree Bothsa, Aruna Subhasree
Aim: Obstetric emergencies are a unique challenge particularly because of its unpredictability. This study is to analyze the obstetric admissions to IRCU. Outcome in these patients is assessed. Risk stratification was done. Methods: This is a prospective study conducted over period of 1year, from January 2019-December 2019, King George Hospital, Visakhapatnam. All pregnant women and up to 42 days of postpartum who were admitted to IRCU were included. It is a tertiary care hospital with IRCU facilities not only to its own patients but also to the referrals from peripheries and other districts. Results: There were 142 obstetric admissions to IRCU accounting for 1.8% of total deliveries. 52.8% were in the age group of 20-25 years. 46.47% were in their first pregnancy. A majority of patients were admitted during postpartum period (69.71%). The leading obstetric indications for ICU admission were hypertensive disorders of pregnancy accounts for 44.3%. 12.67% of cases underwent emergency hysterectomy and 5.63% underwent emergency laparotomy. 57.04% need mechanical ventilation, 56.33 % need inotropic support. 57.7 % of individuals improved after treatment. In this study mortality was 42% of which 95% were referred from peripheries and surrounding districts in a severe morbid condition. Among the 142 obstetric admission to IRCU 85.9% were referrals. Conclusion: Common risk factors for ICU admissions are hypertensive disorders of pregnancy and obstetric hemorrhage. Other risk factors are severe anemia, heart disease, sepsis. It conclude that close follow up, early referrals of high risk pregnancies and optimal stabilization of their condition, safe transport, better education, before interventions improved the outcome of these patients.
目的:产科急诊是一项独特的挑战,尤其是因为它的不可预测性。本研究旨在分析急诊室收治的产科病人。评估这些患者的预后。进行风险分层。方法:这是一项为期一年的前瞻性研究,从 2019 年 1 月至 2019 年 12 月在维萨卡帕特南乔治王医院进行。研究对象包括所有在IRCU住院的孕妇和产后42天以内的患者。该医院是一家三级护理医院,不仅为本院患者提供 IRCU 设施,还为外围地区和其他地区的转诊患者提供 IRCU 设施。结果:共有 142 名产科病人入住综合监护室,占分娩总数的 1.8%。52.8%的产妇年龄在 20-25 岁之间。46.47%为首次怀孕。大多数患者在产后期间入院(69.71%)。入住重症监护室的主要产科适应症是妊娠高血压,占 44.3%。12.67%的病例接受了紧急子宫切除术,5.63%的病例接受了紧急开腹手术。57.04%的患者需要机械通气,56.33%的患者需要肌力支持。57.7%的患者在治疗后病情有所好转。在这项研究中,死亡率为 42%,其中 95% 的患者是从周边地区转来的,病情严重。在中心监护室收治的 142 名产科病人中,85.9% 为转诊病人。结论入住重症监护室的常见风险因素是妊娠高血压和产科出血。其他风险因素包括严重贫血、心脏病和败血症。结论是,密切跟踪、及早转诊高危妊娠和最佳稳定病情、安全转运、更好的教育和干预措施可改善这些患者的预后。
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引用次数: 0
Posterior Locking Nail Drop in Pantalar Arthrodesis: A Case Report 下肢关节置换术中的后锁钉脱落:病例报告
Pub Date : 2024-02-15 DOI: 10.18231/j.ijrimcr.2023.010
Liberson Aharon MD*, Heinig Ofer MD, Zari David Shaked
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引用次数: 0
期刊
International Journal of Recent Innovations in Medicine and Clinical Research
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