Pub Date : 2023-08-07DOI: 10.35584/carejournal.v2i2.150
Berlian Yuli Saputri, Ketjuk Herminaju, S. Sukanto, D. Retnowati
Nafsu makan normal pada balita adalah 3 kali dalam sehari, atau setara dengan 1400 kal/hari. Namun tidak semua balita mempunyai nafsu makan yang normal. Tanda gejala yang dapat dilihat apabila anak kurang nafsu makan adalah wajah terlihat lesu, tidak bersemangat, dan berat badan menurun. Penelitian ini bertujuan untuk mengetahui adanya pengaruh pemberian ekstrak temulawak terhadap peningkatan nafsu makan balita usia 3 – 5 tahun di Posyandu I Desa sumberejo wetan, Kecamatan Ngunut, Kabupaten Tulungagung. Metode yang digunakan dalam penelitian ini adalah metode eksperimen dengan 30 responden yang mempunyai masalah nafsu makan. Pengumpulan data dilaksanakan pada tanggal 28 mei – 4 juni 2022. Data dikumpulkan dengan cara pengisian quesioner (pre dan post pemberian ekstrak temulawak) yang selanjutnya data diolah dengan menggunakan tabulasi silang dalam bentuk persentase serta di analisa dan ditarik kesimpulan. Untuk mengetahui adanya pengaruh pemberian ekstrak temulawak terhadap balita usia 3 – 5 tahun dilakukan dengan uji statistik Wilcoxon Signed Rank Test didapatkan nilai p = 0,001 dimana α = 0,05 sehingga Hο ditolak dan Hı diterima yang berarti ada pengaruh pemberian ekstrak temulawak terhadap peningkatan nafsu makan balita usia 3 – 5 tahun di Posyandu I Desa Sumberjo wetan, Kecamatan Ngunut, Kabupaten Tulungagung. Disimpulkan bahwa terdapat pengaruh pemberian ekstrak temulawak terhadap peningkatan nafsu makan balita usia 3-5 tahun di Posyandu I Desa Sumberejo Wetan Kecamatan Ngunut Kabupaten Tulungagung. Setelah diadakannya penelitian ini diharapkan ibu yang memiliki balita dengan nafsu makan kurang dapat memberikan ekstrak temulawak sehingga nafsu makan anak meningkat. Jika nafsu makan meningkat kebutuhan gizi anak dapat tercukupi.
{"title":"Pengaruh Pemberian Ekstrak Temulawak terhadap Peningkatan Nafsu Makan Balita Usia 3-5 Tahun di Posyandu","authors":"Berlian Yuli Saputri, Ketjuk Herminaju, S. Sukanto, D. Retnowati","doi":"10.35584/carejournal.v2i2.150","DOIUrl":"https://doi.org/10.35584/carejournal.v2i2.150","url":null,"abstract":"Nafsu makan normal pada balita adalah 3 kali dalam sehari, atau setara dengan 1400 kal/hari. Namun tidak semua balita mempunyai nafsu makan yang normal. Tanda gejala yang dapat dilihat apabila anak kurang nafsu makan adalah wajah terlihat lesu, tidak bersemangat, dan berat badan menurun. Penelitian ini bertujuan untuk mengetahui adanya pengaruh pemberian ekstrak temulawak terhadap peningkatan nafsu makan balita usia 3 – 5 tahun di Posyandu I Desa sumberejo wetan, Kecamatan Ngunut, Kabupaten Tulungagung. Metode yang digunakan dalam penelitian ini adalah metode eksperimen dengan 30 responden yang mempunyai masalah nafsu makan. Pengumpulan data dilaksanakan pada tanggal 28 mei – 4 juni 2022. Data dikumpulkan dengan cara pengisian quesioner (pre dan post pemberian ekstrak temulawak) yang selanjutnya data diolah dengan menggunakan tabulasi silang dalam bentuk persentase serta di analisa dan ditarik kesimpulan. Untuk mengetahui adanya pengaruh pemberian ekstrak temulawak terhadap balita usia 3 – 5 tahun dilakukan dengan uji statistik Wilcoxon Signed Rank Test didapatkan nilai p = 0,001 dimana α = 0,05 sehingga Hο ditolak dan Hı diterima yang berarti ada pengaruh pemberian ekstrak temulawak terhadap peningkatan nafsu makan balita usia 3 – 5 tahun di Posyandu I Desa Sumberjo wetan, Kecamatan Ngunut, Kabupaten Tulungagung. Disimpulkan bahwa terdapat pengaruh pemberian ekstrak temulawak terhadap peningkatan nafsu makan balita usia 3-5 tahun di Posyandu I Desa Sumberejo Wetan Kecamatan Ngunut Kabupaten Tulungagung. Setelah diadakannya penelitian ini diharapkan ibu yang memiliki balita dengan nafsu makan kurang dapat memberikan ekstrak temulawak sehingga nafsu makan anak meningkat. Jika nafsu makan meningkat kebutuhan gizi anak dapat tercukupi.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87865437","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}
Dear Editor, In his essay "Considerations on Tasso," published in 1793, Galileo Galilei described Tasso as a man poor in concepts and lacking in knowledge, who resorted to literary subterfuges and "abstruse" literary techniques, thereby emphasizing the significance and centrality of knowledge and comprehension as integral components of communication.1 Although Galileo Galilei made his comments 230 years ago, we can still learn from them as we consider the importance of communication and the challenges of developing a trustworthy doctor-patient relationship. [...]
{"title":"Learning to communicate. The experience of an Italian emergency department","authors":"V. Vignola, D. Cassinelli, R. Berté","doi":"10.4081/ecj.2023.11466","DOIUrl":"https://doi.org/10.4081/ecj.2023.11466","url":null,"abstract":"Dear Editor,\u0000In his essay \"Considerations on Tasso,\" published in 1793, Galileo Galilei described Tasso as a man poor in concepts and lacking in knowledge, who resorted to literary subterfuges and \"abstruse\" literary techniques, thereby emphasizing the significance and centrality of knowledge and comprehension as integral components of communication.1 Although Galileo Galilei made his comments 230 years ago, we can still learn from them as we consider the importance of communication and the challenges of developing a trustworthy doctor-patient relationship. [...]","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48802343","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 : 2023-07-26DOI: 10.35584/carejournal.v2i2.141
Poppy Farasari
Coronavirus Disease atau Covid-19 bisa menyerang semua usia termasuk usia anak-anak. Sikap anak yang kurang terhadap protokol kesehatan adalah faktor dari penyebab kejadian Covid-19 pada usia anak semakin meningkat, sehingga perlu adanya edukasi tentang protokol kesehatan agar anak dapat menghindari dari tertularnya virus Covid-19. Tujuan penelitian ini untuk mengetahui pengaruh edukasi protokol kesehatan terhadap sikap pencegahan penularan Covid-19 pada anak 10-12 Tahun di SDI Bayanul Azhar Desa Bendiljati Kulon Sumbergempol Tulungagung. Penelitian ini dilakukan pada Februari sampai dengan April 2023 dengan menggunakan metode pre-eksperimental dengan pendekatan one group pre test-post test design. Populasi pada penelitian ini 180 anak dengan sampel 60 anak usia 10- 12 tahun, yang diambil dengan teknik stratified random sampling. Metode pengumpulan data menggunakan kuesioner tertutup, kemudian data diolah melalui editing, coding, scoring, dan tabulating. Uji statistik yang digunakan adalah Wilcoxon Signed Rank Test. Variabel independentnya adalah edukasi tentang protokol kesehatan, variabel dependentnya adalah sikap pencegahan penularan covid-19. Hasil penelitian didapatkan rata-rata peningkatan sikap sebelum perlakuan yaitu 44 responden (73,3%) mempunyai sikap baik, dan sesudah perlakuan yaitu 51 responden (85%) mempunyai sikap baik. Nilai p value didapatkan sebesar 0,000 dan α sebesar 0,05 yang berarti p value < α (0,000 <0,05). Disimpulkan bahwa ada pengaruh edukasi tentang protokol kesehatan terhadap sikap pencegahan penularan Covid-19 pada anak 10-12 di SDI Bayanul Azhar Desa Bendiljati Kulon Sumbergempol Tulungagung.
冠状动脉病毒或Covid-19可以影响所有年龄，包括儿童的年龄。儿童对健康协议的缺乏态度是儿童年龄增长时发生Covid-19事件的一个因素，因此需要对卫生协议进行教育，以便儿童能够避免Covid-19病毒的传播。本研究的目的是确定卫生协议对10-12岁儿童的Covid-19感染预防措施的影响。本研究于2023年2月至4月23日采用一组测试后设计方法进行试验试验。这项研究的人口是180名儿童，样本是60名10- 12岁的儿童，由随机抽样技术测定。数据收集方法使用一个封闭的问卷，然后通过编辑、编码、评分和标签来处理数据。使用的统计测试是Wilcoxon Signed Rank Test。独立变量是关于健康协议的教育，受受影响的变量是预防covid-19感染的态度。研究发现，治疗前的态度平均增加44名受访者(73.3%)有良好的态度，而治疗后51名受访者(85%)有良好的态度。p值价值得到了万万欧元和α0。05的大小意味着p value <α(万< 0。05)。据推断，卫生协议的教育对10-12个孩子的健康预防措施的影响影响了杜伦科迪尔村10-12名儿童的传播。
{"title":"Edukasi Protokol Kesehatan terhadap Sikap Pencegahan Penularan Covid-19 pada Anak 10-12 Tahun","authors":"Poppy Farasari","doi":"10.35584/carejournal.v2i2.141","DOIUrl":"https://doi.org/10.35584/carejournal.v2i2.141","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000Coronavirus Disease atau Covid-19 bisa menyerang semua usia termasuk usia anak-anak. Sikap anak yang kurang terhadap protokol kesehatan adalah faktor dari penyebab kejadian Covid-19 pada usia anak semakin meningkat, sehingga perlu adanya edukasi tentang protokol kesehatan agar anak dapat menghindari dari tertularnya virus Covid-19. Tujuan penelitian ini untuk mengetahui pengaruh edukasi protokol kesehatan terhadap sikap pencegahan penularan Covid-19 pada anak 10-12 Tahun di SDI Bayanul Azhar Desa Bendiljati Kulon Sumbergempol Tulungagung. \u0000Penelitian ini dilakukan pada Februari sampai dengan April 2023 dengan menggunakan metode pre-eksperimental dengan pendekatan one group pre test-post test design. Populasi pada penelitian ini 180 anak dengan sampel 60 anak usia 10- 12 tahun, yang diambil dengan teknik stratified random sampling. Metode pengumpulan data menggunakan kuesioner tertutup, kemudian data diolah melalui editing, coding, scoring, dan tabulating. Uji statistik yang digunakan adalah Wilcoxon Signed Rank Test. \u0000Variabel independentnya adalah edukasi tentang protokol kesehatan, variabel dependentnya adalah sikap pencegahan penularan covid-19. \u0000Hasil penelitian didapatkan rata-rata peningkatan sikap sebelum perlakuan yaitu 44 responden (73,3%) mempunyai sikap baik, dan sesudah perlakuan yaitu 51 responden (85%) mempunyai sikap baik. Nilai p value didapatkan sebesar 0,000 dan α sebesar 0,05 yang berarti p value < α (0,000 <0,05). \u0000 \u0000 \u0000 \u0000 \u0000Disimpulkan bahwa ada pengaruh edukasi tentang protokol kesehatan terhadap sikap pencegahan penularan Covid-19 pada anak 10-12 di SDI Bayanul Azhar Desa Bendiljati Kulon Sumbergempol Tulungagung.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"42 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83666922","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 : 2023-07-26DOI: 10.35584/carejournal.v2i2.142
Rio Ady Erwansyah, Yitno Yitno, Surtini Surtini
Kepercayaan diri menjadi bagian penting dari perkembangan kepribadian seseorang sebagai penentu keberhasilan mereka, kurangnya percaya diri menyebabkan putus asa dan tidak yakin akan keberhasilannya. Kemampuan interaksi sosial yang rendah menyebabkan sulit bergaul dan sulit menyesuaikan diri dengan lingkungannya. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kepercayaan diri remaja dengan kemampuan interaksi sosial pada karang taruna di desa bendo kecamatan gondang Desain penelitian yang digunakan adalah korelasional dengan pendekatan cross sectional yaitu semua pengukuran variabel independen dan dependen yang akan diteliti dilakukan pada waktu yang sama. Populasi dalam penelitian ini adalah anggota karang taruna yang ada di desa bendo kecamatan gondang sebanyak 43 orang yang dihitung berdasarkan rumus slovin, dengan menggunakan teknik purposive sampling. Pengambilan data menggunakan lembar kuesioner yang dilengkapi data umum penelitian. Selanjutnya melakukan pengolahan data berupa editing, coding, scoring, data entri, tabulating, dan dianalisa menggunakan uji statistik Spearman Rho dengan program SPSS. Hasil penelitian ini menunjukan bahwa dari 43 responden sebagian besar 29 responden (67,4%) memiliki kepercayaan diri sedang dan 26 responden (60,5%) memiliki kemampuan interaksi sosial yang tinggi. Hasil uji Spearman Rho menunjukkan bahwa nilai ρ value 0,000 < 0,05 maka H0 ditolak H1 diterima artinya ada hubungan antara kepercayaan diri remaja dengan kemampuan interaksi sosial
{"title":"Hubungan Kepercayaan Diri Remaja dengan Kemampuan Interaksi Sosial pada Karang Taruna di Desa Bendo Kecamatan Gondang Kabupaten Tulungagung","authors":"Rio Ady Erwansyah, Yitno Yitno, Surtini Surtini","doi":"10.35584/carejournal.v2i2.142","DOIUrl":"https://doi.org/10.35584/carejournal.v2i2.142","url":null,"abstract":"Kepercayaan diri menjadi bagian penting dari perkembangan kepribadian seseorang sebagai penentu keberhasilan mereka, kurangnya percaya diri menyebabkan putus asa dan tidak yakin akan keberhasilannya. Kemampuan interaksi sosial yang rendah menyebabkan sulit bergaul dan sulit menyesuaikan diri dengan lingkungannya. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kepercayaan diri remaja dengan kemampuan interaksi sosial pada karang taruna di desa bendo kecamatan gondang Desain penelitian yang digunakan adalah korelasional dengan pendekatan cross sectional yaitu semua pengukuran variabel independen dan dependen yang akan diteliti dilakukan pada waktu yang sama. Populasi dalam penelitian ini adalah anggota karang taruna yang ada di desa bendo kecamatan gondang sebanyak 43 orang yang dihitung berdasarkan rumus slovin, dengan menggunakan teknik purposive sampling. Pengambilan data menggunakan lembar kuesioner yang dilengkapi data umum penelitian. Selanjutnya melakukan pengolahan data berupa editing, coding, scoring, data entri, tabulating, dan dianalisa menggunakan uji statistik Spearman Rho dengan program SPSS. Hasil penelitian ini menunjukan bahwa dari 43 responden sebagian besar 29 responden (67,4%) memiliki kepercayaan diri sedang dan 26 responden (60,5%) memiliki kemampuan interaksi sosial yang tinggi. Hasil uji Spearman Rho menunjukkan bahwa nilai ρ value 0,000 < 0,05 maka H0 ditolak H1 diterima artinya ada hubungan antara kepercayaan diri remaja dengan kemampuan interaksi sosial","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"59 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84084816","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}
A 7-day-old female neonate presented with feeding difficulties and respiratory distress. She was born at term by vaginal delivery, weighed 2625 gr, with Apgar scores 9 and 10 in the first and fifth minutes of her life. Her mother did make complete prenatal care, and she reported smoking 10 cigarettes a day during the pregnancy. The baby was born well and evolved without respiratory distress, with good reactivity, a positive neonatal reflex, the emission of meconium in the first 24 hours, and breastfeeding with valid suckling. The baby was discharged at home in good condition. Three days later, she presented with feeding difficulties, and she was admitted to our institute. At admission, the heart rate was 180 bpm, the respiratory rate was 70/minute, and the oxygen saturation was 93% in room air. At the clinical examination, subcoastal retractions and inspiratory stridor with cyanosis were evident. A right-sided heart auscultation and bowel sounds in the chest were detected. We decided to perform an X-ray of the chest and abdomen.
{"title":"Bowel sounds in the chest of a 7-day-old baby: what’s going on?","authors":"A. Di Nora, F. Pizzo, P. Pavone","doi":"10.4081/ecj.2023.11570","DOIUrl":"https://doi.org/10.4081/ecj.2023.11570","url":null,"abstract":"A 7-day-old female neonate presented with feeding difficulties and respiratory distress. She was born at term by vaginal delivery, weighed 2625 gr, with Apgar scores 9 and 10 in the first and fifth minutes of her life. Her mother did make complete prenatal care, and she reported smoking 10 cigarettes a day during the pregnancy. The baby was born well and evolved without respiratory distress, with good reactivity, a positive neonatal reflex, the emission of meconium in the first 24 hours, and breastfeeding with valid suckling. The baby was discharged at home in good condition. Three days later, she presented with feeding difficulties, and she was admitted to our institute. At admission, the heart rate was 180 bpm, the respiratory rate was 70/minute, and the oxygen saturation was 93% in room air. At the clinical examination, subcoastal retractions and inspiratory stridor with cyanosis were evident. A right-sided heart auscultation and bowel sounds in the chest were detected. We decided to perform an X-ray of the chest and abdomen.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44415276","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}
We present here the case of a 55-year-old male patient with a past medical history of HIV infection on appropriate antiretroviral therapy (Bictegravir/Emtricitabine/Tenofovir Alafenamide), previously treated for hepatitis C with sustained viral response, who was diagnosed with squamous cell cancer of his right hand 2 years before, and treated with carboplatin and taxol, and surgery (partial amputation) for cancer progression and recurrent infections. He presented to our emergency department for worsening pain (NRS 10/10) of a suppurative and foul-smelling interdigital ulcerated lesion of his left foot, that had been present for 3 months. He reported 100% adherence to his HIV therapy and denied fever or chills. Initial work-up showed 10,690/mm3 leukocytes (8,240/ mm3 neutrophils, 1,560/mm3 lymphocytes), and a C-reactive protein of 2.89 mg/dL (normal value 0-0.5). CD4 count on presentation was 225 cells/µL. The patient was immediately treated with morphine (10 mg iv) and piperacillin/tazobactam (4.5 gr iv). The lesion presented erythematous ulcerated bleeding surface with serous and fetid secretion on which mobile larvae were found inside (as showed in the video). We removed about 20 maggots with blunt pliers, identified as larvae of Musca domestica (housefly).
我们在此报告一例55岁男性患者，其既往有HIV感染病史，接受过适当的抗逆转录病毒治疗（比替拉韦/恩曲他滨/替诺福韦-阿拉芬酰胺），曾接受过持续病毒反应的丙型肝炎治疗，2年前被诊断为右手癌症鳞状细胞癌，并接受了卡铂和紫杉醇治疗，以及癌症进展和复发性感染的手术（部分截肢）。他因左脚化脓性、恶臭的指间溃疡病变疼痛加剧（NRS 10/10）而到我们的急诊科就诊，该病变已存在3个月。他报告说，他100%坚持接受艾滋病毒治疗，并否认发烧或发冷。初步检查显示10690/mm3白细胞（8240/mm3中性粒细胞，1560/mm3淋巴细胞），C反应蛋白为2.89 mg/dL（正常值0-0.5）。CD4计数为225个细胞/µL。患者立即接受吗啡（10 mg iv）和哌拉西林/他唑巴坦（4.5 gr iv）治疗。病变表现为红斑溃疡出血表面，有浆液性和恶臭分泌物，里面有可移动的幼虫（如视频所示）。我们用钝钳去除了大约20只蛆，这些蛆被鉴定为家蝇的幼虫。
{"title":"What lies beneath a maggot infestation of an ulcerated foot wound?","authors":"Irene Triggia, Erika Poggiali","doi":"10.4081/ecj.2023.11505","DOIUrl":"https://doi.org/10.4081/ecj.2023.11505","url":null,"abstract":"We present here the case of a 55-year-old male patient with a past medical history of HIV infection on appropriate antiretroviral therapy (Bictegravir/Emtricitabine/Tenofovir Alafenamide), previously treated for hepatitis C with sustained viral response, who was diagnosed with squamous cell cancer of his right hand 2 years before, and treated with carboplatin and taxol, and surgery (partial amputation) for cancer progression and recurrent infections. He presented to our emergency department for worsening pain (NRS 10/10) of a suppurative and foul-smelling interdigital ulcerated lesion of his left foot, that had been present for 3 months. He reported 100% adherence to his HIV therapy and denied fever or chills. Initial work-up showed 10,690/mm3 leukocytes (8,240/ mm3 neutrophils, 1,560/mm3 lymphocytes), and a C-reactive protein of 2.89 mg/dL (normal value 0-0.5). CD4 count on presentation was 225 cells/µL. The patient was immediately treated with morphine (10 mg iv) and piperacillin/tazobactam (4.5 gr iv). The lesion presented erythematous ulcerated bleeding surface with serous and fetid secretion on which mobile larvae were found inside (as showed in the video). We removed about 20 maggots with blunt pliers, identified as larvae of Musca domestica (housefly).","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45689155","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}
A. Zaboli, S. Sibilio, A. Cipriano, Naria Park, A. Bonora, N. Pfeifer, A. Giudiceandrea, F. Brigo, G. Turcato
The study aimed to validate the Manchester Triage System in a hospital setting using data for short- and medium-term death rates. A prospective observational study was conducted at the Emergency Department of Merano Hospital for two years. The discriminatory ability of MTS was tested using AUROCs and contingency tables, reporting sensitivity and specificity levels for each study outcome. A total of 98,443 patients were enrolled, 237 of whom died within 72h; 422 patients died within seven days, and 1025 died within 30 days. The MTS demonstrated excellent discriminatory ability, reporting AUROC values of 0.890 for death within 72h, 0.853 for death within seven days, and 0.781 for death within 30 days. A sensitivity of 87.7% and a specificity of 79.4% were reported for death at 72h, while a sensitivity of 69.6% and a specificity of 79.8% were reported for death at 30 days. The MTS has proven to be a good triage system capable of accurately identifying patients who are at risk of death in the short or medium term.
{"title":"Italian validation of the Manchester Triage System towards short-term mortality: a prospective observational study","authors":"A. Zaboli, S. Sibilio, A. Cipriano, Naria Park, A. Bonora, N. Pfeifer, A. Giudiceandrea, F. Brigo, G. Turcato","doi":"10.4081/ecj.2023.11443","DOIUrl":"https://doi.org/10.4081/ecj.2023.11443","url":null,"abstract":"The study aimed to validate the Manchester Triage System in a hospital setting using data for short- and medium-term death rates. A prospective observational study was conducted at the Emergency Department of Merano Hospital for two years. The discriminatory ability of MTS was tested using AUROCs and contingency tables, reporting sensitivity and specificity levels for each study outcome. A total of 98,443 patients were enrolled, 237 of whom died within 72h; 422 patients died within seven days, and 1025 died within 30 days. The MTS demonstrated excellent discriminatory ability, reporting AUROC values of 0.890 for death within 72h, 0.853 for death within seven days, and 0.781 for death within 30 days. A sensitivity of 87.7% and a specificity of 79.4% were reported for death at 72h, while a sensitivity of 69.6% and a specificity of 79.8% were reported for death at 30 days. The MTS has proven to be a good triage system capable of accurately identifying patients who are at risk of death in the short or medium term.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43914530","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 : 2023-06-27DOI: 10.35584/carejournal.v2i2.139
J. Prasetyo, Bekti Setiawan, Suhendra Agung Wibowo
Menurut National Institutes of Health (NIH), BPH mempengaruhi lebih dari 50% dari pria di atas usia 60 tahun dan sebanyak 90% dari pria di atas usia 70 dan berakhir dengan tindakan operasi. Inkontinensia urin merupakan masalah utama yang dirasakan bagi pasien post operasi prostatectomy pada saat kontrol pertama setelah dilakukan pelepasan selang kateter. Inkontinensia urin yang dialami setelah pelepasan kateter diakibatkan oleh otot detrusor kandung kemih yang tidak secara aktif mengkontraksikan dinding kandung kemih pada proses pengosongan urin akibat dari pemasangan kateter urin jangka lama sejak pasien mengalami masalah berkemih sampai dengan menjalani operasi. Hal ini akan mengakibatkan urin mengalir keluar kandung kemih melalui kateter urin secara terus menerus sehingga detrusor tidak dapat segera merespon untuk mengosongkan kandung kemih ketika kateter dilepas. Kondisi ini disebut instabilitas detrusor pasca kateterisasi. Desain penelitian ini adalah literature review yang dilakukan pada database pencarian Pubmed, Google Scholar, Taylor dan Francis, dan Proquest. Kata kunci yang digunakan adalah bladder training, inkontinensia urin, dan post operasi TURP dengan pembatasan 5 tahun terakhir. Studi tentang terapi cermin pada stroke ditemukan 55 artikel tetapi hanya 6 artikel jurnal yang sesuai dengan kriteria inklusi pencarian. Hasil literature review menunjukkan ada pengaruh terhadap pemberian bladder training terhadap inkontinesia urin.
{"title":"Efektifitas Bladder Training Mengatasi Inkontinesia Urin Post Oprasi TURP","authors":"J. Prasetyo, Bekti Setiawan, Suhendra Agung Wibowo","doi":"10.35584/carejournal.v2i2.139","DOIUrl":"https://doi.org/10.35584/carejournal.v2i2.139","url":null,"abstract":"Menurut National Institutes of Health (NIH), BPH mempengaruhi lebih dari 50% dari pria di atas usia 60 tahun dan sebanyak 90% dari pria di atas usia 70 dan berakhir dengan tindakan operasi. Inkontinensia urin merupakan masalah utama yang dirasakan bagi pasien post operasi prostatectomy pada saat kontrol pertama setelah dilakukan pelepasan selang kateter. Inkontinensia urin yang dialami setelah pelepasan kateter diakibatkan oleh otot detrusor kandung kemih yang tidak secara aktif mengkontraksikan dinding kandung kemih pada proses pengosongan urin akibat dari pemasangan kateter urin jangka lama sejak pasien mengalami masalah berkemih sampai dengan menjalani operasi. Hal ini akan mengakibatkan urin mengalir keluar kandung kemih melalui kateter urin secara terus menerus sehingga detrusor tidak dapat segera merespon untuk mengosongkan kandung kemih ketika kateter dilepas. Kondisi ini disebut instabilitas detrusor pasca kateterisasi. Desain penelitian ini adalah literature review yang dilakukan pada database pencarian Pubmed, Google Scholar, Taylor dan Francis, dan Proquest. Kata kunci yang digunakan adalah bladder training, inkontinensia urin, dan post operasi TURP dengan pembatasan 5 tahun terakhir. Studi tentang terapi cermin pada stroke ditemukan 55 artikel tetapi hanya 6 artikel jurnal yang sesuai dengan kriteria inklusi pencarian. Hasil literature review menunjukkan ada pengaruh terhadap pemberian bladder training terhadap inkontinesia urin.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"5 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86103914","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}
A 60-year-old man presented with a 2-week history of progressive dyspnea and bilateral leg edema. He had undergone a prosthetic mitral valve replacement 9 years earlier. The patient was in respiratory distress (respiratory rate 32/min, oxygen saturation 86% on air, heart rate 124/min, blood pressure 109/56 mmHg). Examination revealed bilateral lung crackles and reduced air entry with dullness to percussion and elevated jugular venous pressure. The electrocardiogram showed sinus tachycardia. A chest X-ray (CXR) (Figure 1) and bedside lung ultrasonography were performed (Figure 2A). A diagnosis of a large pleural effusion was made and urgent thoracocentesis was considered in view of the patient’s respiratory distress. A repeat ultrasonographic scan with adjusted angulation to identify the most suitable entry point for the chest drain (Figure 2B) yielded new results that led to the cancellation of the thoracocentesis.
{"title":"A simple pleural effusion or not?","authors":"V. Teoh, Mohd Adli Deraman, A. Loch","doi":"10.4081/ecj.2023.11431","DOIUrl":"https://doi.org/10.4081/ecj.2023.11431","url":null,"abstract":"A 60-year-old man presented with a 2-week history of progressive dyspnea and bilateral leg edema. He had undergone a prosthetic mitral valve replacement 9 years earlier. The patient was in respiratory distress (respiratory rate 32/min, oxygen saturation 86% on air, heart rate 124/min, blood pressure 109/56 mmHg). Examination revealed bilateral lung crackles and reduced air entry with dullness to percussion and elevated jugular venous pressure. The electrocardiogram showed sinus tachycardia. A chest X-ray (CXR) (Figure 1) and bedside lung ultrasonography were performed (Figure 2A). A diagnosis of a large pleural effusion was made and urgent thoracocentesis was considered in view of the patient’s respiratory distress. A repeat ultrasonographic scan with adjusted angulation to identify the most suitable entry point for the chest drain (Figure 2B) yielded new results that led to the cancellation of the thoracocentesis.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48574480","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}
M. Reed, R. McLatchie, Sarah Wilson, Francoise Ticehurst, Kathryn Easterford, Salma Alawiye, Alicia Cowan, Aakash Gupta
Dear Editor, We thank Vercelli et al.1 for their comments on our paper: Why do emergency department clinicians miss acute aortic syndrome? A case series and descriptive analysis. We fully agree with the authors, that investigating the heart and aorta using POCUS may allow for an earlier diagnosis and therefore more expedient treatment of a patient with acute aortic syndrome (AAS). We would also agree with the authors that POCUS is a point of care test with good specificity for the detection of AAS (i.e., it may be good at ruling in the diagnosis) but has poor sensitivity for the detection of AAS (i.e., it is not good at ruling out the diagnosis).[...]
{"title":"Authors’ response to Comments on “Why do emergency department clinicians miss acute aortic syndrome? A case series and descriptive analysis”","authors":"M. Reed, R. McLatchie, Sarah Wilson, Francoise Ticehurst, Kathryn Easterford, Salma Alawiye, Alicia Cowan, Aakash Gupta","doi":"10.4081/ecj.2023.11470","DOIUrl":"https://doi.org/10.4081/ecj.2023.11470","url":null,"abstract":"Dear Editor,\u0000We thank Vercelli et al.1 for their comments on our paper: Why do emergency department clinicians miss acute aortic syndrome? A case series and descriptive analysis.\u0000We fully agree with the authors, that investigating the heart and aorta using POCUS may allow for an earlier diagnosis and therefore more expedient treatment of a patient with acute aortic syndrome (AAS). We would also agree with the authors that POCUS is a point of care test with good specificity for the detection of AAS (i.e., it may be good at ruling in the diagnosis) but has poor sensitivity for the detection of AAS (i.e., it is not good at ruling out the diagnosis).[...]","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42203171","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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