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Effectiveness and safety of tranexamic acid In total knee arthroplasty: a systematic Review and meta-analysis 氨甲环酸在全膝关节置换术中的有效性和安全性:一项系统回顾和荟萃分析
Q3 Health Professions Pub Date : 2022-06-23 DOI: 10.5603/demj.a2022.0018
Jarosław Pecold, Mahdi Al-Jeabory, M. Pruc, Svitlana Doan, Ihor Navolokin, S. Znamerovskyi, L. Szarpak
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引用次数: 0
Should we use sodium bicarbonate during Pediatric cardiopulmonary resuscitation? 在小儿心肺复苏中是否应该使用碳酸氢钠?
Q3 Health Professions Pub Date : 2022-06-23 DOI: 10.5603/demj.a2022.0013
M. Zyla, M. Malysz, Fiza Najeeb, M. Pruc, L. Szarpak, Z. Rafique
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引用次数: 0
New hematological parameters as early Diagnosis and prognostic markers In critically patients 新的血液学参数作为危重患者早期诊断和预后指标
Q3 Health Professions Pub Date : 2022-06-23 DOI: 10.5603/demj.a2022.0020
B. Gullupinar, C. Sağlam, Emine Vildan Yavru, E. Aksoy, Serhat Koran, T. Evrin, Erden Erol Unluer
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引用次数: 1
Changes in violence against healthcare Professionals with the COVID-19 pandemic COVID-19大流行期间针对医护人员的暴力行为的变化
Q3 Health Professions Pub Date : 2022-06-22 DOI: 10.5603/demj.a2022.0015
E. Canpolat, U. Gulacti
INTRODUCTION: To investigate how the COVID-19 pandemic has affected violence against healthcare professionals (HCPs). Background: Violence poses a severe threat to healthcare providers. MATER IAL AND METHODS : All violence cases against HCPs reported in Adiyaman Training and Research Hospital were retrospectively examined in two different periods: between March 22, 2020-March 22, 2021 (pandemic period) and the previous year's same times (pre-pandemic period). RESULTS: Eighty-eight violence cases against HCPs occurred during the study period were included in the study. Of these cases, 64.8% occurred during the pre-pandemic period and 35.2% during the pandemic period. While the incidence of violence against HCP in the emergency department was 40.4% in the pre-pandemic period, it decreased to 29% in the pandemic period. While the most reason for resorting to violence was not wanting to wait in line in the pre-pandemic period, it was reported as hospital rule violations during the pandemic period. CONCLUSIONS: Our results showed that characteristics of violence against HCPs have changed in the COVID-19 pandemic. Copyright © 2022 Via Medica.
前言:调查2019冠状病毒病大流行如何影响针对医护人员的暴力行为。背景:暴力对卫生保健提供者构成严重威胁。材料和方法:对Adiyaman培训和研究医院报告的所有针对医务人员的暴力案件在两个不同时期进行回顾性调查:2020年3月22日至2021年3月22日(大流行时期)和前一年同期(大流行前时期)。结果:研究期间发生的88起针对医护人员的暴力案件被纳入研究。在这些病例中,64.8%发生在大流行前时期,35.2%发生在大流行期间。在大流行前,急诊科针对HCP的暴力发生率为40.4%,而在大流行期间,这一比例降至29%。虽然诉诸暴力的最主要原因是在大流行前不想排队,但据报告,在大流行期间,这是违反医院规则的行为。结论:我们的研究结果显示,针对医务人员的暴力行为特征在COVID-19大流行中发生了变化。版权所有©2022 Via Medica
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引用次数: 0
Factors Affecting False Calls To Prehospital Emergency Medical Services And Analyzing The Recorded False Calls In The Dispatch Center 影响院前急救虚假电话的因素及对调度中心虚假电话记录的分析
Q3 Health Professions Pub Date : 2022-06-22 DOI: 10.5603/demj.a2022.0019
Z. Sheikhalipour, A. Ghahramanian, A. Dadashzadeh, O. Zadi akhuleh, F. Rahmani, Majid Fallah
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引用次数: 0
Association between low serum vitamin d and Increased mortality and severity due To COVID-19: reverse causality? 低血清维生素d与新冠肺炎导致的死亡率和严重程度增加之间的相关性:反向因果关系?
Q3 Health Professions Pub Date : 2022-06-22 DOI: 10.5603/demj.a2022.0016
T. Oscanoa, Rawia A Ghashut, Alfonso Carvajal, R. Romero-Ortuño
We are very close to completing two years since the start of the COVID-19 pandemic. Even though vaccines have been developed and applied to more than 4 billion people in the world, SARS-CoV-2 continues to be a challenge for humanity. Therefore, it is important to study modifiable risk factors that may increase the severity of COVID-19, and one of the most discussed has been vitamin D. Currently, there is some evidence of association between low serum 25-hydroxyvitamin D [25(OH)D3] and increased mortality and severity due to SARS-CoV-2 infection. Before the pandemic, experimental evidence in animal and human studies had reported that an acute inflammatory process can cause a secondary decrease in 25(OH)D3. COVID-19 can be associated with a severe inflammatory process with an elevation of inflammatory markers;in this light, the reported association between low 25(OH)D3 and COVID-19 severity and/or mortality may be an epiphenomenon of the inflammatory process induced by SARS-CoV-2 and be an example of reverse causality. Copyright © 2022 Via Medica.
自新冠肺炎大流行开始以来,我们非常接近完成两年。尽管疫苗已经研发出来并应用于全球40多亿人,但严重急性呼吸系统综合征冠状病毒2型仍然是人类面临的挑战。因此,重要的是研究可能增加新冠肺炎严重程度的可改变风险因素,其中讨论最多的是维生素D。目前,有一些证据表明,低血清25-羟基维生素D[25(OH)D3]与SARS-CoV-2感染导致的死亡率和严重程度增加之间存在关联。在大流行之前,动物和人类研究中的实验证据表明,急性炎症过程会导致25(OH)D3的二次降低。新冠肺炎可能与炎症标志物升高的严重炎症过程有关;在这种情况下,报道的低25(OH)D3与新冠肺炎严重程度和/或死亡率之间的关联可能是由SARS-CoV-2诱导的炎症过程的副现象,并且是反向因果关系的一个例子。版权所有©2022 Via Medica。
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引用次数: 1
Prehospital Acute Stroke Training App (PASTApp) — prototype development and initial validation 院前急性中风训练应用程序(PASTApp) -原型开发和初步验证
Q3 Health Professions Pub Date : 2022-06-20 DOI: 10.5603/demj.a2022.0011
Natasza Blek, S. Blek, Aleksandra Olkiewicz, L. Szarpak
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引用次数: 0
Humanitarian disaster: mental health disorders at primary healthcare clinic 人道主义灾难:初级保健诊所的精神健康障碍
Q3 Health Professions Pub Date : 2022-03-31 DOI: 10.5603/demj.a2022.0001
Siti Salmiah Awang, S. E. Mohamad, S. Awaluddin
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引用次数: 0
Assessment of hospitals preparedness in road traffic crashes with mass casualty: the case of Iran 评估医院应对造成大规模伤亡的道路交通碰撞的准备情况:以伊朗为例
Q3 Health Professions Pub Date : 2022-03-31 DOI: 10.5603/demj.a2022.0003
S. Yousefian, S. Sohrabizadeh, M. Safi-Keykaleh, Z. Eskandari, F. Faghisolouk, H. Safarpour
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引用次数: 0
Disaster risk assessment of primary healthcare facilities in South East of Iran: a study with approach of disaster risk reduction 伊朗东南部初级医疗机构的灾害风险评估:一项减少灾害风险方法的研究
Q3 Health Professions Pub Date : 2022-03-31 DOI: 10.5603/demj.a2022.0002
Gholamreza Khademipour, H. Sheikhbardsiri
InTrodUcTIon: Disaster risk management requires a systematic process, including executive, organizational decisions, other capacities to perform policies, strategies, and social capacity to reduce the negative effects and consequences of risks. The purpose of this study is to investigate the risk assessment process in all healthcare facilities of South East of Iran. MATerIAL And MeTHods: This cross-sectional study was conducted at the Kerman University of Medical Sciences in 2021 and the population participating in this study was all healthcare facilities, n = 2835 in the cities of South East of Iran that were selected with a census method. The risk assessment of healthcare facilities was performed with two qualitative and quantitative methods. resULTs: The results of the current study showed that 26 main hazards threaten healthcare facilities in South East of Iran and high priorities of healthcare hazards were earthquake, dust, drought, flood, and traffic incidents. Also, the results indicated that the vulnerability total mean score (733.26) of healthcare facilities was at a high level and the total mean score of response capacity (418.13) in healthcare facilities was at a moderate level. The results based on the assessment of three dimensions of hazard, vulnerability, and response capacity showed the risk total mean scores of healthcare facilities (117.39) was at a high level. concLUsIons: Current research showed that the risk level of disasters was very high in the majority of healthcare facilities of South East of Iran. Therefore, national and provincial decision-makers or policymakers should make the right decisions to decrease disaster risks level through special attention to structural, non-structural, functional, managerial vulnerabilities and improvement of response capacity of healthcare facilities. KeY Words: risk assessment; hazard; vulnerability; capacity; healthcare facilities; disaster Disaster Emerg Med J 2022; 7(1): 11–20 InTrodUcTIon Iran with a population of about 75 million is prone to a variety of natural and man-made disasters [1]. Providing resiliency for the society, health care facilities attempted to deliver essential services, improve the health condition, and deal with emergencies, efficiently [2]. Healthcare facilities should remain stable and deliver services when disasters occur [3, 4]. The goal of disaster risk management in health care systems is to reduce the adverse effects and consequences of natural and unnatural disasters [5]. The first step in the disaster risk management process Disaster anD emergency meDicine Journal 2022, Vol. 7, No. 1 12 www.journals.viamedica.pl to prevent and reduce damage is to perform a risk assessment [6]. Disaster risk assessments analyze potential hazards and evaluate vulnerability to identify the nature and extent of risk, which may harm exposed people, property, services, livelihoods, and the environment [7, 8]. Components of risk assessment are hazard identification and monitor
因此,本研究的目的是调查伊朗东南部所有医疗机构的风险评估过程(危害分析、应对能力和脆弱性)。换言之,本研究试图回答以下问题:a)威胁伊朗东南部医疗设施的危险是什么?b) 哪些危险具有更高的优先级?c) 医疗机构的脆弱性(结构性、非结构性和功能性)水平和条件是什么?d) 医疗机构对灾害的反应能力是什么?e) 医疗机构的风险水平(数量和质量)是多少?决策者可以利用这项研究的结果来确定资源的优先顺序,并将从灾害风险评估中获得的信息应用于新医疗设施的设计和建设,以减少脆弱性或提高现有医疗设施的能力。MATerIAL和MeTHods克尔曼医学科学大学在收集数据之前批准了这项研究。2021年采用了横截面设计。克尔曼省是伊朗最大的省份,位于伊朗东南部。根据伊朗统计中心2016年的数据,伊朗人口为3164177人。克尔曼是伊朗面积最大的城市之一,面积约183193平方公里,约占11%以上。克尔曼省27%的地区在不同季节面临干旱和强风,特别是在南部和东部地区,这严重限制了这些地区人民的生活。克尔曼省有13条活动断层,84%以上的人口面临地震灾害。样本和环境参与本研究的人群均为医疗机构,n=2835包括(克尔曼省各城市的卫生、地区卫生中心、城市综合卫生中心、农村综合卫生中心和城乡综合卫生中心的副主任、城市卫生站、卫生院(Kerman、Baft、Kouhbaan、Shahrbabak、Ravar、Bardsir、Orzueyeh、Rabor、Rafsanjan、Anar、Jiroft、Kahnooj、Anbrabad、Roodbar、Ghalehganj、Manoujan、Fareyab、Bam、Fahraj、Rigan、Rostamabad、Sirjan,伊朗东南部初级医疗机构的灾害风险评估13 www.journals.viamedical.pl因此,共有医疗机构参与了这项研究。医疗机构的风险评估是定性的(识别危险并确定其优先级)和定量的(评估能力和脆弱性)。纳入和排除标准纳入标准包括克尔曼省提供所有医疗服务的所有医疗机构,排除标准包括对共享组织信息的不满以及专家对参与互动小组讨论(IGD)会议的不满。数据收集定性方法(危险的识别和优先顺序)首先,在相关组织的合作下,通过IGD讨论和头脑风暴,在联席会议的基础上,识别和提取了威胁克尔曼省医疗设施的所有危险,包括地质、气候、社会、生物、技术和人为危险,以前的地图和对灾害发生的组织和历史证据的研究。在克尔曼医学科学大学的医疗紧急情况和事件管理中心举行了三次为期8小时的IGD会议,共有8人(一名地质学家、一名省级危机管理专家、两名卫生系统灾害风险管理专家、一名该省气象学家、一名区域水资源专家、一位消防员和一名红新月会专家)。在前两次会议上,两位有救灾经验的专家主持了会议,一个人写下了信息。在获得参与者的知情同意后,还使用录音机记录信息。在第三次会议中,根据IGD成员的意见,并使用国家灾害健康评估工具[16],分别确定了每个城市的危险概率、频率、严重程度和影响,如表1和表2所示。表2显示了如何根据表1中获得的分数对危险进行优先级排序,频率系数[7]、概率系数[2]、严重程度系数[6]和影响系数[5]是国家灾害健康评估工具的不变基础。在这项研究中,20-40分表示低级别危害,41-60分表示中等级别危害,61-80分表示高级别危害,81-100分表示非常高级别危害。基于上述工具,在此阶段提取的所有危险都根据危险特征进行了优先排序。 定量方法(评估脆弱性
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引用次数: 4
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Disaster and Emergency Medicine Journal
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