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Impact of Virtual Interprofessional COVID-19 disaster simulation Tabletop Exercise (VICTEr) workshop on Disaster Preparedness among interprofessional trainees in a tertiary care teaching hospital in India 虚拟跨专业COVID-19灾难模拟桌面演习(VICTEr)对印度一家三级护理教学医院跨专业学员备灾讲习班的影响
Q3 Health Professions Pub Date : 2023-03-30 DOI: 10.21203/rs.3.rs-1625229/v1
V. Krishnan S, Teddy Andrews J, C. Mohammed, Sanjan Asanaru Kunju, W. Wilson, J. M. Balakrishnan, Sharath Kumar Rao
Introduction: Disaster planning is of significant importance for the healthcare professional and the healthcare setting. Hospital-based disaster protocols form the cornerstone of disaster response. There is a paucity of data on disaster preparedness training using the Virtual Tabletop exercise (VTTX) module for interprofessional education from in-hospital and prehospital settings. With the COVID-19 pandemic, we have seen a paradigm shift of education strategies to the virtual realm. Here we attempt to study the impact of an online tabletop exercise workshop on the knowledge and confidence of disaster preparedness among Interprofessional trainees. Methods Interprofessional trainees from medical, dental, nursing, respiratory therapy, and paramedic domains who consented were included in this study. Institutional ethics committee approval was received and the study was registered with the clinical trials registry India (CTRI), before initiation. The VTTX module has been adapted from the WHO COVID-19 training resources. Three international experts from the disaster medicine domain validated the module, questionnaire, and feedback. Wilcoxon signed-rank test was used to compare the parameters (Knowledge and confidence level) pre and post-workshop. Results A total of 76 candidates with a mean age was 21.67 ± 2.5 (Range:19–36) were part of the workshop. Comparison of the median scores and interquartile range of confidence level and knowledge respectively before [38 (29.25–45.75), 9 (7–11)] and after [51.50 (45–60), 11 (10–12)] the workshop showed vital significance (P-value < 0.001). All participants gave positive feedback on the workshop meeting the objectives. The majority agreed that the workshop improved their self-preparedness (90%) and felt that the online platform was appropriate (97.5%). Conclusion This study sheds light on the positive impact of the online VTTX workshop on disaster preparedness training among Interprofessional trainees. Disaster preparedness training using available online platforms may be effectively executed with a VTTX workshop even during the COVID-19 pandemic. The VICTEr workshop serves as a primer for developing online modules for effective pandemic preparedness training in interprofessional education. Registration - The study was approved by the Institutional Ethics Committee (Registration No. ECR/146/Inst/KA/2013/RR-19) (DHRRegistration No. EC/NEW/INST/2019/374) IEC:492–2021 , 14/07/2021 . Clinical Trials Registry-India registration number is CTRI/2021/08/035710 , 17/08/2021
简介:灾难规划对医疗保健专业人员和医疗保健环境具有重要意义。以医院为基础的灾害协议是灾害应对的基石。利用虚拟桌面练习(VTTX)模块进行医院内和院前跨专业教育的备灾培训数据不足。随着COVID-19大流行,我们看到教育战略向虚拟领域的范式转变。在此,我们试图研究在线桌面练习工作坊对跨专业学员备灾知识和信心的影响。方法对来自医学、牙科、护理、呼吸治疗和辅助医疗领域的跨专业实习生进行研究。该研究在启动前获得了机构伦理委员会的批准,并在印度临床试验登记处(CTRI)注册。VTTX模块改编自世卫组织COVID-19培训资源。三位来自灾害医学领域的国际专家验证了模块、问卷和反馈。采用Wilcoxon符号秩检验比较研讨会前后的参数(知识和置信水平)。结果共有76名患者参加,平均年龄21.67±2.5岁(范围:19-36岁)。车间前[38(29.25-45.75),9(7-11)]和车间后[51.50(45-60),11(10-12)]的置信水平和知识的中位数得分和四分位数范围的比较具有重要意义(p值< 0.001)。所有与会者都给予了积极的反馈,认为讲习班达到了目标。大多数人认为讲习班提高了他们的自我准备(90%),并认为在线平台是合适的(97.5%)。结论本研究揭示了在线VTTX研讨会对跨专业学员备灾培训的积极影响。即使在COVID-19大流行期间,利用现有在线平台的备灾培训也可以通过VTTX讲习班有效地执行。VICTEr讲习班是在跨专业教育中开发有效的大流行病防范培训在线模块的基础。注册-本研究已获院校伦理委员会批准(注册编号:ECR/146/Inst/KA/2013/ r -19Ec / new / inst /2019/374) iec: 492-2021, 14/07/2021。临床试验注册-印度注册号为CTRI/2021/08/035710, 17/08/2021
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引用次数: 0
Prevalence of sleep disturbances among emergency response team paramedics working in shift systems 轮班制应急小组护理人员睡眠障碍的患病率
Q3 Health Professions Pub Date : 2023-03-30 DOI: 10.5603/demj.a2023.0009
Agnieszka Gonczaryk, Natalia Sady, M. Motyl, A. Strzelecka, Izabela Chojnowska-Ćwiąkała, M. Florek-Luszczki, J. Chmielewski
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引用次数: 0
Determination of factors related to emergency re-referral in patients with heart failure a hospital in Tehran — Iran: a cross-sectional study 伊朗德黑兰一家医院心衰患者急诊再转诊相关因素的确定:一项横断面研究
Q3 Health Professions Pub Date : 2023-03-17 DOI: 10.5603/demj.a2023.0010
Fateme Yazdi, Ali Reza Ghahri Sarabi, Fateme Monjazebi, Arash Ziapour, Francesco Chirico, Malihe Nasiri
INTRODUCTION: The re-referral of heart failure patients to the hospital is a significant health problem today and is one of the most costly and preventable events for these patients. The present study aimed to investigate the factors affecting the re-referral of patients with heart failure to the emergency department of Shahid Beheshti University of Medical Sciences in Tehran in 2021. Identifying these factors can lead to the recognition of patients at high risk for re-hospitalization and the design of preventive and effective interventions. MATERIAL AND METHODS: This descriptive-correlational research was performed cross-sectionally. Ninety patients with heart failure who were re-referred to the emergency department of Masih Daneshvari Hospital entered the study. Sampling was done for 6 months from December 2020 to May 2021. Data collection tools included a researcher-made questionnaire and a European self-care questionnaire for heart failure patients, and the New York Heart Association Classification (NYHA) standard for classifying heart failure class. After completing the questionnaires, the collected data were analyzed by SPSS23 software. RESULTS: the results showed that age (the mean age of the participants in the study was 69.9 years), duration of disease (77.8% was six months to four years), body mass index (the mean body mass index was 27.2) (demographic characteristics) dyspnea (78.9%), organs edema (47.8%), shortness of breath (pathological factors), high blood pressure (54.4%), diabetes (25%), chronic obstructive pulmonary disease (11.1%), and ischemic heart disease (3.3%), (background diseases), high creatinine (the mean 1.98), (laboratory findings), not using beta-blockers (18.4%) and not taking angiotensin receptor blockers (18.8%) (pharmacological agents), NYHA criteria (89% were in NYHA class 3 and 4) and self-care levels of heart failure patients (the mean self-care score was 37.4) have a statistically significant association to re-referrals to emergency (p-value < 0.05). CONCLUSIONS: Identify patients with a high risk of hospital re-referral and decrease additional costs imposed on care centers by recognizing the factors influencing the re-referral of patients with heart failure and design preventive and effective interventions. So, it is possible to increase the patient’s self-care level while reducing the number of re-referrals.
导读:心力衰竭患者重新转介到医院是当今一个重要的健康问题,也是这些患者最昂贵和可预防的事件之一。本研究旨在调查2021年德黑兰Shahid Beheshti医科大学(Shahid Beheshti University of Medical Sciences)心衰患者转诊至急诊科的影响因素。确定这些因素可导致识别高危患者再次住院和设计预防和有效的干预措施。材料和方法:本描述性相关研究是横断面进行的。90名被转到Masih Daneshvari医院急诊科的心力衰竭患者进入了这项研究。从2020年12月至2021年5月,采样时间为6个月。数据收集工具包括一份研究者自行制作的调查问卷和一份欧洲心力衰竭患者自我保健调查问卷,以及纽约心脏协会(NYHA)心力衰竭分类标准。完成问卷调查后,使用SPSS23软件对收集到的数据进行分析。结果:结果显示,年龄(研究参与者的平均年龄为69.9岁)、病程(77.8%为6个月至4年)、体重指数(平均体重指数为27.2)(人口统计学特征)、呼吸困难(78.9%)、器官水肿(47.8%)、呼吸短促(病理因素)、高血压(54.4%)、糖尿病(25%)、慢性阻塞性肺疾病(11.1%)、缺血性心脏病(3.3%)、(背景疾病)、高肌酐(平均1.98)、(实验室结果),未使用-受体阻滞剂(18.4%)和未服用血管紧张素受体阻滞剂(18.8%)(药物),NYHA标准(89%为NYHA 3级和4级)和心力衰竭患者的自我护理水平(平均自我护理评分为37.4)与急诊转诊有统计学意义的关联(p值<0.05)。结论:通过识别影响心力衰竭患者再转诊的因素,设计有效的预防干预措施,识别再转诊的高危患者,降低护理中心的额外费用。因此,在减少转诊次数的同时提高患者的自我护理水平是可能的。
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引用次数: 0
C-reactive protein in COVID-19 patients 新冠肺炎患者的C反应蛋白
Q3 Health Professions Pub Date : 2023-03-14 DOI: 10.5603/demj.a2023.0012
Yevhenii Symonets, Oleksandra Tuboltseva, Mahdi Al-Jeabory, Svitlana Doan
ADDRESS FOR CORRESPONDENCE: Mahdi Al-Jeabory, Department of Trauma and Orthopedic Surgery, Ruda Slaska City Hospital, 2 Wincentego Lipa St, 41–703 Ruda Slaska, Poland e-mail: mmahdi@interia.pl, phone: +48696498240 Received: 28.01.2023 Accepted: 3.02.2023 Early publication date: 14.03.2023 This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially. C-REACTIVE PROTEIN IN COVID-19 PATIENTS
通讯地址:Mahdi Al Jeabory,Ruda Slaska市医院创伤和整形外科,2 Wincentego Lipa St,41-703 Ruda Sla斯卡,波兰电子邮件:mmahdi@interia.pl,电话:+48696498240收到时间:2021年1月28日接受时间:2003年2月3日早期发表日期:2023年3月14日这篇文章是根据创造性共同归因非商业非衍生工具4.0国际(CC BY-NC-ND 4.0)许可证开放获取的,允许下载文章并与他人共享,只要他们信任作者和出版商,但未经允许以任何方式更改或商业使用。新冠肺炎患者的C-反应蛋白
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引用次数: 1
Biomarkers levels indicate COVID-19 severity and fatality 生物标志物水平表明新冠肺炎的严重程度和死亡率
Q3 Health Professions Pub Date : 2023-03-07 DOI: 10.5603/demj.a2023.0007
S. Nasheda, Alla Navolokina, I. Hrytsan
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引用次数: 0
Disaster preparedness assessment in emergency department: a cross-sectional study 急诊科的灾害准备评估:一项横断面研究
Q3 Health Professions Pub Date : 2023-03-07 DOI: 10.5603/demj.a2023.0005
I. Khairina, Nelwati Nelwati, Esthika Ariany Maisa, D. Rahman
INTRODUCTION : The increasing incidence of natural and non-natural disasters has become a new challenge for nurses in the emergency department (ED). The efficiency of health services provided to the community is needed to optimize disaster preparedness management by nurses in ED. This study aimed to assess the level of disaster preparedness assessment among emergency nurses in Padang of Indonesia. MATERIAL AND METHODS: A cross-sectional study design was conducted in three emergency departments: a teaching hospital, a public hospital, and a referral hospital in Padang of Indonesia. Fifty nurses in ED were selected using a purposive sampling technique. A self-administered questionnaire was used to measure the sociodemographic of nurses. Meanwhile, the Emergency Preparedness Information Questionnaire (EPIQ) was used to measure emergency nurses' disaster preparedness assessment. Data were analyzed using independent T-test and One-way ANOVA.
引言:自然灾害和非自然灾害的发生率不断增加,这对急诊科的护士来说是一个新的挑战。为了优化急诊科护士的防灾管理,需要提高向社区提供的卫生服务的效率。本研究旨在评估印尼巴东急诊护士的防灾评估水平。材料和方法:在印度尼西亚巴东的三个急诊科:一家教学医院、一家公立医院和一家转诊医院进行横断面研究设计。采用有目的的抽样技术选择了50名急诊科护士。采用自填问卷对护士的社会人口学特征进行测量。同时,采用应急准备信息问卷(EPIQ)对急诊护士的灾害准备评估进行测量。使用独立T检验和单因素方差分析对数据进行分析。
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引用次数: 0
Factors affecting burnout in Iranian health care workers during COVID-19: a systematic review 新冠肺炎期间伊朗医护人员职业倦怠的影响因素:一项系统综述
Q3 Health Professions Pub Date : 2023-02-22 DOI: 10.5603/demj.a2023.0003
Fatemeh Aliakbari, Laila Ebrahimi Sheikh Shabani, Samaneh Dehghan-Abnavi, A. Sahebi, H. Sheikhbardsiri
INTRODUCTION: Working through the COVID-19 pandemic has exposed Health Care Workers to physical and psychological risks that can result in a broad range of mental health problems, including burnout. The aim of the present study was to investigate factors affecting burnout in Iranian Health Care Workers during the COVID-19 pandemic. Identifying the principal factors affecting burnout will assist efforts to prepare for, and, prevent harm, to staff participating in future healthcare emergencies
导言:2019冠状病毒病大流行期间的工作使卫生保健工作者面临身体和心理风险,可能导致包括职业倦怠在内的广泛精神健康问题。本研究的目的是调查在COVID-19大流行期间影响伊朗卫生保健工作者倦怠的因素。确定影响倦怠的主要因素将有助于努力为参与未来医疗紧急情况的工作人员做好准备并防止伤害
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引用次数: 1
Pulmonary involvement in Lassa fever: a scoping review 拉萨热的肺部受累:范围界定综述
Q3 Health Professions Pub Date : 2023-02-22 DOI: 10.5603/demj.a2023.0002
O S Ilesanmi, A. Afolabi, B. Adeniyi, B. Amodu, Chukwudi S. Ubah
INTRODUCTION: Lassa fever (LF) affects all body systems, however, inadequate knowledge exists on the involvement of the pulmonary system in LF infections. This scoping review, therefore, aimed to describe the pulmonary involvement of LF. MATERIAL AND METHODS: We conducted an extensive search of the literature on two databases, namely PubMed and Google Scholar. Overall, 5,217 articles were retrieved from a database search, out of which 107 duplicates were removed. Overall, 12 articles were included: four review articles, three case reports, three experimental inoculation studies, one retrospective study, and a prospective case-control study. RESULTS: Symptoms experienced included fever, pharyngitis, retrosternal pain, respiratory distress, and proteinuria. Complications included unique pulmonary arteritis, pulmonary embolization, mucosal bleeding, pleural or pericardial effusion, pulmonary edema, and interstitial pneumonitis. Consequences of the effect of Lassa virus infection were impairment of the immune system alongside continual replication of Lassa virus infection in affected tissues and death of affected individuals. LF has varied but serious effects on the pulmonary system. CONCLUSIONS: These symptoms, particularly in areas where LF is known to be endemic, should prompt clinicians to request LF polymerase chain reaction for confirmatory diagnosis. These features should promote the provision of respiratory support for patients in need of such.
引言:拉沙热(LF)影响所有身体系统,然而,对肺系统在LF感染中的作用知之甚少。因此,本范围审查旨在描述LF的肺部受累。材料和方法:我们在PubMed和Google Scholar两个数据库上进行了广泛的文献检索。总的来说,从数据库搜索中检索到5217篇文章,其中107篇重复文章被删除。总共纳入了12篇文章:4篇综述文章、3篇病例报告、3项实验性接种研究、1项回顾性研究和1项前瞻性病例对照研究。结果:症状包括发烧、咽炎、胸骨后疼痛、呼吸窘迫和蛋白尿。并发症包括独特的肺动脉炎、肺栓塞、粘膜出血、胸膜或心包积液、肺水肿和间质性肺炎。拉萨病毒感染的后果是免疫系统受损,同时拉萨病毒感染在受影响组织中持续复制,并导致受影响个体死亡。LF对肺系统有多种但严重的影响。结论:这些症状,特别是在已知LF流行的地区,应该促使临床医生要求LF聚合酶链式反应进行确认诊断。这些功能应促进为有需要的患者提供呼吸支持。
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引用次数: 0
Investigation of the relationship between HALP score and mortality in patients with acute ischemic stroke 急性缺血性脑卒中患者HALP评分与死亡率关系的研究
Q3 Health Professions Pub Date : 2022-12-30 DOI: 10.5603/demj.a2022.0036
E. Kurt, Ş. E. Eke Kurt
{"title":"Investigation of the relationship between HALP score and mortality in patients with acute ischemic stroke","authors":"E. Kurt, Ş. E. Eke Kurt","doi":"10.5603/demj.a2022.0036","DOIUrl":"https://doi.org/10.5603/demj.a2022.0036","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47201179","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
Community-based information for disaster risk identification 基于社区的灾害风险识别信息
Q3 Health Professions Pub Date : 2022-12-30 DOI: 10.5603/demj.a2022.0032
Ali A. Hamzah, Haris Sofyana, Henny Cahyaningsih, A. Hufad, V. R. Hasanah, Dini Handayani, G. P. Mulyo
{"title":"Community-based information for disaster risk identification","authors":"Ali A. Hamzah, Haris Sofyana, Henny Cahyaningsih, A. Hufad, V. R. Hasanah, Dini Handayani, G. P. Mulyo","doi":"10.5603/demj.a2022.0032","DOIUrl":"https://doi.org/10.5603/demj.a2022.0032","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42795678","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
Disaster and Emergency Medicine Journal
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