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Cardiovascular physiology and erectile dysfunction 心血管生理学与勃起功能障碍
Q3 Health Professions Pub Date : 2022-12-30 DOI: 10.5603/demj.a2022.0037
Leyla Ozturk Sonmez
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引用次数: 0
Tranexamic acid in polish pre-hospital emergency medicine and the competencies of medical rescue teams 氨甲环酸在波兰院前急救医学和医疗救援队的能力
Q3 Health Professions Pub Date : 2022-12-30 DOI: 10.5603/demj.a2022.0040
P. Jastrzębski, Szymon Kosiorek, Z. Adamiak, J. Snarska
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引用次数: 0
Job stress among Iranian firefighters: a systematic review 伊朗消防员的工作压力:系统回顾
Q3 Health Professions Pub Date : 2022-12-30 DOI: 10.5603/demj.a2022.0027
Sayedeh-Somayyeh Mousavipour, H. Sheikhbardsiri, Mohamad Golitaleb, Iman Farahi-Ashtiani, Kosar Yousefi, Ali Sahebi
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引用次数: 0
Social determinants of disasters occurrence and injuries: a scoping literature review 灾害发生和伤害的社会决定因素:范围界定文献综述
Q3 Health Professions Pub Date : 2022-12-30 DOI: 10.5603/demj.a2022.0029
Javad Babaie, Mohsen Nori, Behrouz Samei
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引用次数: 0
Spinal pain syndrome incidence among paramedics in emergency response teams 急救队护理人员中脊髓疼痛综合征的发生率
Q3 Health Professions Pub Date : 2022-12-30 DOI: 10.5603/demj.a2022.0035
Agnieszka Gonczaryk, J. Chmielewski, A. Strzelecka, Jarosław Fiks, Tomasz Wójcik, M. Florek-Luszczki
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引用次数: 0
Association between D-dimer and mortality in COVID-19 patients: a single center study from a Turkish hospital d -二聚体与COVID-19患者死亡率之间的关系:来自土耳其一家医院的单中心研究
Q3 Health Professions Pub Date : 2022-12-30 DOI: 10.5603/demj.a2022.0039
Mazlum Kılıç, U. Dalkilinc Hokenek
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引用次数: 4
Development and validation of heat wave hazard adaptation tool: a study protocol 热浪灾害适应工具的开发与验证:研究方案
Q3 Health Professions Pub Date : 2022-11-30 DOI: 10.5603/demj.a2022.0038
M. Kiarsi, M. Doustmohammadi, Mohammad Reza Mahmoodi, N. Nakhaee, A. Zareiyan, H. Aghababaeian, M. Amiresmaili
INTRODUCTION: Global warming, climate change, temperature fluctuations, and increasing concern about their possible impacts on health have drawn the attention of scholars and academia around the world. Previous studies suggested heat waves can increase mortality and diseases, the demand for ambulances, hospitalization rates, and severe consequences, especially in vulnerable groups. The most effective measures can be taken by effective planning and providing practical solutions in the mitigation and preparedness stage to prevent and mitigate the effects of disasters. Given the absence of a tool to determine the level of adaptation in the world, this study aimed to identify the strategies to adapt to heat waves and develop a tool to measure the level of adaptation to heat waves. MATERIAL AND METHODS: This exploratory sequential mixed methods (qualitative-quantitative) study was conducted in three phases. In the first phase, a qualitative study was carried out by conducting interviews with people affected by heat waves. The interview data were used to identify the themes related to adaptation to heat waves and the strategies to adapt to heat waves. In the second phase, a systematic review study was conducted to identify the strategies to adapt to heat waves in the world. Afterward, the data from the qualitative phase and systematic review were used to develop the items in the heatwave adaptation tool. Finally, in the third phase (the quantitative study), the psychometric properties of the developed tool were assessed using face validity, content validity, construct validity, and reliability indexes. CONCLUSIONS: The developed tool can measure the level of adaptation behaviors of people against heat waves in different communities. Thus, an awareness of less adaptable and more vulnerable communities can contribute to conducting some mitigation and preparedness interventions in these communities.
导读:全球变暖、气候变化、温度波动及其对健康影响的日益关注引起了世界各地学者和学术界的关注。先前的研究表明,热浪会增加死亡率和疾病、救护车需求、住院率以及严重后果,尤其是在弱势群体中。最有效的措施是在减灾和备灾阶段进行有效规划并提供切实可行的解决办法,以预防和减轻灾害的影响。鉴于缺乏确定世界适应水平的工具,本研究旨在确定适应热浪的策略,并开发一种工具来衡量对热浪的适应水平。材料与方法:本探索性序贯混合方法(定性-定量)研究分三个阶段进行。在第一阶段,通过对受热浪影响的人进行访谈进行定性研究。访谈数据用于确定与热浪适应相关的主题和适应热浪的策略。在第二阶段,进行了系统的回顾研究,以确定适应全球热浪的策略。然后,利用定性阶段和系统评价的数据开发热浪适应工具中的项目。最后,在第三阶段(定量研究)中,使用面孔效度、内容效度、结构效度和信度指标评估所开发工具的心理测量特性。结论:开发的工具可以衡量不同社区人们对热浪的适应行为水平。因此,认识到适应能力较差和较脆弱的社区有助于在这些社区开展一些缓解和备灾干预措施。
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引用次数: 0
Systematic review and meta-analysis of intravenous and topical tranexamic acid in reducing blood loss in knee arthroplasty 静脉注射和外用氨甲环酸减少膝关节置换术出血量的系统评价和荟萃分析
Q3 Health Professions Pub Date : 2022-09-30 DOI: 10.5603/demj.a2022.0025
Jarosław Pecold, Mahdi Al-Jeabory, M. Matuszewski, M. Pruc, A. Maslyukov, Maciej Krupowies, Ewa Mańka, J. Smereka, L. Szarpak
InTrodUcTIon: The purpose of this review and meta-analysis is to compare tranexamic acid (TXA) administration via the intravenous route (IV-TXA) and topical route (T-TXA), in reducing blood loss in knee arthroplasty. MATerIAL And MeTHods: A systematic literature search was performed using Medline, EMBASE, Scopus and CENTRAL databases till December 20, 2021. Outcomes of interest included blood loss, hematocrit and hemoglobin drop, and adverse events. resULTs: A total of 3,363 patients (n = 1,307 in IV-TXA group; n = 2,056 in T-TXA group) from 23 studies were included. There was no statistically significantly difference between IV-TXA and T-TXA among to: total blood loss (874.8 ± 349.7 mL vs 844.9 ± 366.6 mL, respectively; SMD = 0.13; 95% CI: −9.37 to 85.32; p = 0.15), as well as transfusion needed (10.9% vs 15.4% respectively (RR = 0.79; 95% CI: 0.60 to 1.04; p = 0.09). Blood loss from the drain in IV-TXA and T-TXA varied and occurred 377.9 ± 191.9 vs 302.9 ± 182.6 mL for IV-TXA and T-TXA, respectively: (SMD = 0.52; 95% CI: 0.02 to 1.02; p = 0.04). concLUsIons: Our clinical findings support that TXA can effectively, safely, and decrease the number of transfusions without severe side effects in patients undergoing TKA. However, given the reports from individual single clinical trials of the superiority of T-TXA, further clinical trials and meta-analyses based on these findings are needed to standardize the approach to TXA use in patients undergoing knee arthroplasty.
简介:本综述和荟萃分析的目的是比较氨甲环酸(TXA)通过静脉途径(IV-TXA)和外用途径(T-TXA)在减少膝关节置换术中失血量方面的效果。材料和方法:使用Medline、EMBASE、Scopus和CENTRAL数据库进行系统文献检索,检索截止日期为2021年12月20日。研究结果包括失血、红细胞压积和血红蛋白下降以及不良事件。结果:IV-TXA组共3363例患者(n = 1307);n = 2056 (T-TXA组),共纳入23项研究。IV-TXA与T-TXA在总失血量(874.8±349.7 mL vs 844.9±366.6 mL)之间无统计学差异;SMD = 0.13;95% CI:−9.37 ~ 85.32;p = 0.15),以及输血需求(10.9% vs 15.4%) (RR = 0.79;95% CI: 0.60 ~ 1.04;P = 0.09)。IV-TXA和T-TXA的引流失血量各不相同,分别为377.9±191.9 mL和302.9±182.6 mL (SMD = 0.52;95% CI: 0.02 ~ 1.02;P = 0.04)。结论:我们的临床研究结果支持TXA可以有效、安全地减少TKA患者的输血次数,并且没有严重的副作用。然而,鉴于单个临床试验对T-TXA优越性的报道,需要基于这些发现的进一步临床试验和荟萃分析来规范膝关节置换术患者使用TXA的方法。
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引用次数: 0
Omicron variants of the SARS-COV-2: A potentially significant threat in a new wave of infections 严重急性呼吸系统综合征冠状病毒2型的奥密克戎变异株:新一波感染中的潜在重大威胁
Q3 Health Professions Pub Date : 2022-09-30 DOI: 10.5603/demj.a2022.0033
L. Szarpak, M. Pruc, Alla Navolokina, K. Batra, Francesco Chirico, C. de Roquetaillade
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引用次数: 2
Screening role of complete blood cell count indices and C reactive protein in patients who are symptomatic for COVID-19 新冠肺炎症状患者全血细胞计数指数和C反应蛋白的筛查作用
Q3 Health Professions Pub Date : 2022-09-30 DOI: 10.5603/demj.a2022.0028
Bijan Ansari-moghaddam, Seyyed Amir Yasin Ahmadi, M. Matouri, Ali Ghaemmaghami, A. Amiri, Elham Tavakkol, F. Shahsavar
INTRODUCTION: Diagnosis of COVID-19 is through polymerase chain reaction (PCR) or typical involvement of the lung by the virus in computed tomography (CT) scan. However, PCR is not always available, and also CT scan has a high dose of radiation. This study was performed to find the role of complete blood cell (CBC) indices and qualitative C-reactive protein (CRP) in screening of symptomatic patients. MATERIAL AND METHODS: A diagnostic accuracy study was performed on symptomatic cases in Abadan. Four stepwise logistic regression models were designed that the outcomes were PCR positivity, CT scan positivity, PCR and CT scan positivity, and COVID-19 positivity (i.e., PCR or CT scan positivity). Post-estimation receiver operating characteristics (ROC) curve analysis was performed to report the area under the curve (AUC). RESULTS: A total of 104 patients were studied. The most accurate model was for the prediction of CT scan positivity (AUC = 0.874) in which the predictors were age [odds ratio (OR) =1.063] and CRP (OR = 2.661 for each plus of positivity). The second accurate model was for the prediction of COVID-19 positivity (AUC = 0.828) in which the predictors were white blood cell count (OR = 0.735 for every 1000 counts per μL) and neutrophil per lymphocyte ratio (OR = 1.248). CONCLUSIONS: Higher levels of CRP are associated with and predictor of lung involvement in COVID-19 infection. CRP qualitative levels can be measured before a CT scan if there is no other indication for imaging. © 2022 Via Medica.
简介:新冠肺炎的诊断是通过聚合酶链式反应(PCR)或计算机断层扫描中病毒对肺部的典型侵袭。然而,PCR并不总是可用的,而且CT扫描也有高剂量的辐射。本研究旨在探讨全血细胞(CBC)指数和C反应蛋白(CRP)在症状患者筛查中的作用。材料和方法:对阿巴丹有症状的病例进行诊断准确性研究。设计了四个逐步逻辑回归模型,结果分别为PCR阳性、CT扫描阳性、PCR和CT扫描阳性以及新冠肺炎阳性(即PCR或CT扫描阳性)。进行估计后受试者工作特性(ROC)曲线分析,以报告曲线下面积(AUC)。结果:共对104名患者进行了研究。最准确的模型是预测CT扫描阳性率(AUC=0.874),其中预测因素是年龄[比值比(OR)=1.063]和CRP(阳性率每增加一个,OR=2.661)。第二个准确模型用于预测新冠肺炎阳性(AUC=0.882),其中预测因子为白细胞计数(每1000个计数每μL OR=0.735)和中性粒细胞/淋巴细胞比率(OR=1.248)。如果没有其他成像指示,可以在CT扫描前测量CRP定性水平。©2022 Via Medica。
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引用次数: 2
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Disaster and Emergency Medicine Journal
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