首页 > 最新文献

European Journal of Translational and Clinical Medicine最新文献

英文 中文
Clinical and demographic features of acutely hospitalised schizophrenia patients according to Toxoplasma gondii serostatus 急性住院精神分裂症患者弓形虫血清状态的临床和人口学特征
Q4 Medicine Pub Date : 2023-05-04 DOI: 10.31373/ejtcm/162759
Jakub Grabowski, P. Waszak, M. Przybylak, L. Bidzan
Background: Few data exist concerning the clinical correlates of Toxoplasma gondii infection in persons with schizophrenia. The aim of this study was to investigate the correlation between toxoplasmosis and schizophrenia regarding the quality of life, symptoms and course of hospitalisation in patients with schizophrenia. Methods: Acutely hospitalised patients (n = 67) were examined twice during their hospital stay. Schizophrenia psychopatho - logy, quality of life, extrapyramidal symptoms and T. gondii antibody titres were assessed upon admission and at discharge. Results: Toxo-IgG (+) patients (59.7%) were older, less educated, more obese and less eager to undertake psychotherapy. Female gender and higher fertility were dominant in this group with abnormal involuntary move - ments more commonly observed. Lower antipsychotic drug doses and monotherapy were used more frequently for Toxo-IgG (+) patients. Lower education (OR 2.41, 95% CI 1.21-4.79) was the most important factor associated with higher likelihood of IgG seropositivity. High levels of Toxo-IgM antibodies correlated with lower quality of life (r = -0.37; p = 0.02) and more severe positive (r = 0.40; p = 0.01) and focal (r = 0.32; p = 0.04) schizophrenia symp - toms. Conclusions: Toxoplasmosis is more common in older, obese women with lower education. Recent infection is linked to more severe schizophrenia symptoms. Patients with toxoplasmosis history were given less medication.
背景:关于精神分裂症患者弓形虫感染的临床相关性的数据很少。本研究的目的是调查精神分裂症患者的生活质量、症状和住院过程中弓形虫病和精神分裂症之间的相关性。方法:急性住院患者(n=67)在住院期间接受两次检查。入院和出院时评估精神分裂症精神病理学、生活质量、锥体外系症状和弓形虫抗体滴度。结果:Toxo-IgG(+)患者(59.7%)年龄较大,受教育程度较低,肥胖程度较高,不太愿意接受心理治疗。女性和较高的生育率在这一群体中占主导地位,异常的非自愿迁移更为常见。Toxo-IgG(+)患者更频繁地使用较低的抗精神病药物剂量和单一疗法。教育程度较低(OR 2.41,95%CI 1.21-4.79)是与IgG血清阳性可能性较高相关的最重要因素。高水平的Toxo-IgM抗体与较低的生活质量(r=-0.37;p=0.02)、更严重的阳性(r=0.40;p=0.01)和局灶性(r=0.32;p=0.04)精神分裂症症状相关。结论:弓形虫病在年龄较大、肥胖、文化程度较低的女性中更常见。最近的感染与更严重的精神分裂症症状有关。有弓形虫病史的患者用药较少。
{"title":"Clinical and demographic features of acutely hospitalised schizophrenia patients according to Toxoplasma gondii serostatus","authors":"Jakub Grabowski, P. Waszak, M. Przybylak, L. Bidzan","doi":"10.31373/ejtcm/162759","DOIUrl":"https://doi.org/10.31373/ejtcm/162759","url":null,"abstract":"Background: Few data exist concerning the clinical correlates of Toxoplasma gondii infection in persons with schizophrenia. The aim of this study was to investigate the correlation between toxoplasmosis and schizophrenia regarding the quality of life, symptoms and course of hospitalisation in patients with schizophrenia. Methods: Acutely hospitalised patients (n = 67) were examined twice during their hospital stay. Schizophrenia psychopatho - logy, quality of life, extrapyramidal symptoms and T. gondii antibody titres were assessed upon admission and at discharge. Results: Toxo-IgG (+) patients (59.7%) were older, less educated, more obese and less eager to undertake psychotherapy. Female gender and higher fertility were dominant in this group with abnormal involuntary move - ments more commonly observed. Lower antipsychotic drug doses and monotherapy were used more frequently for Toxo-IgG (+) patients. Lower education (OR 2.41, 95% CI 1.21-4.79) was the most important factor associated with higher likelihood of IgG seropositivity. High levels of Toxo-IgM antibodies correlated with lower quality of life (r = -0.37; p = 0.02) and more severe positive (r = 0.40; p = 0.01) and focal (r = 0.32; p = 0.04) schizophrenia symp - toms. Conclusions: Toxoplasmosis is more common in older, obese women with lower education. Recent infection is linked to more severe schizophrenia symptoms. Patients with toxoplasmosis history were given less medication.","PeriodicalId":52409,"journal":{"name":"European Journal of Translational and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46842662","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
The Ukrainian refugee crisis: its ethical aspects and challenges for the Polish healthcare system – a descriptive review 乌克兰难民危机:其伦理方面和波兰医疗保健系统的挑战-描述性审查
Q4 Medicine Pub Date : 2023-05-02 DOI: 10.31373/ejtcm/162233
Kinga Kolińska, Anna Paprocka-Lipińska, M. Koliński
Since the start of the Russian Invasion of Ukraine on 24.02.2022, millions of people (mostly women and children) have fled Ukraine. Majority of them fled to Poland and providing adequate medical care for the massive influx of refugees is a considerable challenge for the Polish healthcare system, already burdened by the COVID-19 pandemic and staff shortages. The purpose of this study was to identify: the potential health problems of the incoming population, the legal and ethical aspects of the refugee crisis and its implications on public health. Combining the current data with previous research on refugee crises reveals a set of issues that need to be addressed. Ensuring continuity of chronic disease treatment, mental health, the risk of spreading vaccinable preventable diseases, high rates of tuberculosis, HIV and the ongoing COVID-19 pandemic are among the main concerns. In the near future, answers will have to be found to the emerging ethical questions of equal, safe ac - cess to care, implications of the language barrier, immunisation coverage, medical staff shortages, and existing legal and ethical regulations. As the emergency responses are addressed, the hosting countries need to prepare long-term resolutions.
自2022年2月24日俄罗斯入侵乌克兰以来,数百万人(主要是妇女和儿童)逃离了乌克兰。他们中的大多数人逃到了波兰,为大量涌入的难民提供足够的医疗服务是波兰医疗保健系统面临的一项相当大的挑战,该系统已经受到COVID-19大流行和人员短缺的负担。这项研究的目的是确定:新来的人口的潜在健康问题、难民危机的法律和伦理方面及其对公共卫生的影响。将目前的数据与以前关于难民危机的研究结合起来,可以发现一系列需要解决的问题。确保慢性病治疗的连续性、精神健康、可接种可预防疾病的传播风险、结核病和艾滋病毒的高发病率以及正在发生的COVID-19大流行是主要问题。在不久的将来,必须找到关于平等、安全获得护理、语言障碍的影响、免疫覆盖、医务人员短缺以及现有法律和道德法规等新出现的伦理问题的答案。在应对紧急情况的同时,东道国需要制定长期决议。
{"title":"The Ukrainian refugee crisis: its ethical aspects and challenges for the Polish healthcare system – a descriptive review","authors":"Kinga Kolińska, Anna Paprocka-Lipińska, M. Koliński","doi":"10.31373/ejtcm/162233","DOIUrl":"https://doi.org/10.31373/ejtcm/162233","url":null,"abstract":"Since the start of the Russian Invasion of Ukraine on 24.02.2022, millions of people (mostly women and children) have fled Ukraine. Majority of them fled to Poland and providing adequate medical care for the massive influx of refugees is a considerable challenge for the Polish healthcare system, already burdened by the COVID-19 pandemic and staff shortages. The purpose of this study was to identify: the potential health problems of the incoming population, the legal and ethical aspects of the refugee crisis and its implications on public health. Combining the current data with previous research on refugee crises reveals a set of issues that need to be addressed. Ensuring continuity of chronic disease treatment, mental health, the risk of spreading vaccinable preventable diseases, high rates of tuberculosis, HIV and the ongoing COVID-19 pandemic are among the main concerns. In the near future, answers will have to be found to the emerging ethical questions of equal, safe ac - cess to care, implications of the language barrier, immunisation coverage, medical staff shortages, and existing legal and ethical regulations. As the emergency responses are addressed, the hosting countries need to prepare long-term resolutions.","PeriodicalId":52409,"journal":{"name":"European Journal of Translational and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45062250","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
Malignant Pleural Mesothelioma: A Rare Case Report 恶性胸膜间皮瘤1例报告
Q4 Medicine Pub Date : 2023-04-28 DOI: 10.24018/clinicmed.2023.4.2.239
Benita Soundar Raj, Mohamed Sulaiman G, Monika Peter, Mousigan M.V
Malignant pleural mesothelioma (MPM) is a rare and extremely aggressive intrathoracic neoplasm that emerges from the mesothelial cells that line the ribs and the membrane that envelopes the lungs. We present the case of a 68-year-old male with complaints of breathlessness and fatigue. He had no history of exposure to asbestos and no association with familial exposure either. He was evaluated with a PET-CT scan, pleural cytology, and immunohistochemistry and was diagnosed with Malignant Pleural Mesothelioma. The patient was managed with chemotherapy, radiotherapy, and palliative care. A detailed report of malignant pleural mesothelioma was presented in this study.
恶性胸膜间皮瘤(Malignant pleural mesothelioma, MPM)是一种罕见且极具侵袭性的胸腔内肿瘤,起源于肋骨和肺膜的间皮瘤细胞。我们提出的情况下,68岁的男性抱怨呼吸困难和疲劳。他没有石棉接触史,也没有家族接触史。通过PET-CT扫描、胸膜细胞学检查和免疫组织化学检查,诊断为恶性胸膜间皮瘤。患者接受化疗、放疗和姑息治疗。本文报告一例恶性胸膜间皮瘤。
{"title":"Malignant Pleural Mesothelioma: A Rare Case Report","authors":"Benita Soundar Raj, Mohamed Sulaiman G, Monika Peter, Mousigan M.V","doi":"10.24018/clinicmed.2023.4.2.239","DOIUrl":"https://doi.org/10.24018/clinicmed.2023.4.2.239","url":null,"abstract":"Malignant pleural mesothelioma (MPM) is a rare and extremely aggressive intrathoracic neoplasm that emerges from the mesothelial cells that line the ribs and the membrane that envelopes the lungs. We present the case of a 68-year-old male with complaints of breathlessness and fatigue. He had no history of exposure to asbestos and no association with familial exposure either. He was evaluated with a PET-CT scan, pleural cytology, and immunohistochemistry and was diagnosed with Malignant Pleural Mesothelioma. The patient was managed with chemotherapy, radiotherapy, and palliative care. A detailed report of malignant pleural mesothelioma was presented in this study.","PeriodicalId":52409,"journal":{"name":"European Journal of Translational and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78879168","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
Giant cell tumor of tendon sheath in the pediatric population – review 小儿腱鞘巨细胞瘤的研究综述
Q4 Medicine Pub Date : 2023-04-12 DOI: 10.31373/ejtcm/162882
Katarzyna Kopcik, A. Koberling, J. Koper, Magda Bichalska-Lach, M. Rudzki, D. Waniczek
Giant cell tumor of tendon sheath is a rare and benign soft-tissue tumor, which is even less common in the pe - diatric population. It may be connected with chromosomal translocations, often the 1p11-13. Symptoms include pain, swelling, palpable mass or limited range of motion. Magnetic resonance is the diagnostic method of choice. Histopathological image obtained from biopsy should be also evaluated. The gold standard of treatment is total surgical resection of the tumor, as incomplete excision may result in recurrence. Physicians should also consider the future function of the affected joint or limb. Our aim was to review the available literature about GCTTS in the pediatric population
腱鞘巨细胞瘤是一种罕见的良性软组织肿瘤,在儿科人群中更不常见。它可能与染色体易位有关,通常是1p11-13。症状包括疼痛、肿胀、可触及的肿块或活动范围有限。磁共振是首选的诊断方法。还应评估活检获得的组织病理学图像。治疗的黄金标准是肿瘤的全手术切除,因为不完全切除可能会导致复发。医生还应考虑受影响关节或肢体的未来功能。我们的目的是回顾儿科人群中关于GCTTS的现有文献
{"title":"Giant cell tumor of tendon sheath in the pediatric population – review","authors":"Katarzyna Kopcik, A. Koberling, J. Koper, Magda Bichalska-Lach, M. Rudzki, D. Waniczek","doi":"10.31373/ejtcm/162882","DOIUrl":"https://doi.org/10.31373/ejtcm/162882","url":null,"abstract":"Giant cell tumor of tendon sheath is a rare and benign soft-tissue tumor, which is even less common in the pe - diatric population. It may be connected with chromosomal translocations, often the 1p11-13. Symptoms include pain, swelling, palpable mass or limited range of motion. Magnetic resonance is the diagnostic method of choice. Histopathological image obtained from biopsy should be also evaluated. The gold standard of treatment is total surgical resection of the tumor, as incomplete excision may result in recurrence. Physicians should also consider the future function of the affected joint or limb. Our aim was to review the available literature about GCTTS in the pediatric population","PeriodicalId":52409,"journal":{"name":"European Journal of Translational and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42772916","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
Is medicine ready for ChatGPT – why not just ask ChatGPT? ChatGPT的医学准备好了吗?为什么不直接问ChatGPT呢?
Q4 Medicine Pub Date : 2023-04-07 DOI: 10.31373/ejtcm/162647
A. Rodigin
As it has often happened in the past, medicine may find itself in captivity of “pioneering and promising” technolo - gical trends and fashions. Indeed, while ChatGPT and its progeny may evolve and “become ready for primetime,” we may not – not now
正如过去经常发生的那样,医学可能会发现自己被“开拓性和有前途的”技术趋势和时尚所束缚。事实上,虽然ChatGPT及其后代可能会进化并“为黄金时段做好准备”,但我们可能不会——至少现在不会
{"title":"Is medicine ready for ChatGPT – why not just ask ChatGPT?","authors":"A. Rodigin","doi":"10.31373/ejtcm/162647","DOIUrl":"https://doi.org/10.31373/ejtcm/162647","url":null,"abstract":"As it has often happened in the past, medicine may find itself in captivity of “pioneering and promising” technolo - gical trends and fashions. Indeed, while ChatGPT and its progeny may evolve and “become ready for primetime,” we may not – not now","PeriodicalId":52409,"journal":{"name":"European Journal of Translational and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42433884","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
Analysis of diabetes-related complications and the cost of diabetes in Poland. The methodology and the research sample used in Economedica DM-PL Survey 波兰糖尿病相关并发症和糖尿病费用分析。Economedica DM-PL调查中使用的方法和研究样本
Q4 Medicine Pub Date : 2023-04-06 DOI: 10.31373/ejtcm/162189
Stefan Bogusławski, A. Wojciechowska, A. Smaga, K. Strojek, K. Wrobel, B. Wojtyniak, G. Juszczyk, M. Czech, T. Zdrojewski
Background: Knowledge about diabetes mellitus (DM)-related complications, the direct and indirect costs incur - red by patients with DM is still insufficient in Poland. Economedica DM-PL ( Economedica ) survey was a cross--sectional observational study that aimed to assess these issues. Material and methods: The survey was carried out in 2016 on a representative sample of 2032 diabetic patients recruited by 195 general practitioners (GP) and 48 diabetologists (D) randomly selected from the national registry of physicians. Each GP and D recruited 8 to 10 patients with DM according to the specified protocol. The study included 1938 medical questionnaires (comple - ted by the GPs and Ds), 1938 questionnaires about costs (completed by the patients) and 1532 treatment adhe - rence questionnaires. Results: The Economedica survey provided new insights into DM epidemiological and cost data. 70% of patients with type-1 DM were diagnosed with the disease before the age of 40. For 76% patients with type-2 DM, it was diagnosed after the age of 50. The average monthly out-of-pocket medical costs for DM patients in 2016 reached 66.2 EUR, while their non-medical costs were 36.8 EUR. Conclusions: The methodology applied in our study proved useful for providing new dimensions of DM epidemiological and cost data in Poland.
背景:在波兰,对糖尿病(DM)相关并发症、DM患者的直接和间接费用的了解仍然不足。Economedica DM-PL (Economedica)调查是一项旨在评估这些问题的横断面观察研究。材料与方法:调查于2016年在全国注册医师中随机抽取195名全科医生(GP)和48名糖尿病专家(D),共招募2032名糖尿病患者作为代表性样本。每个GP和D按照指定的方案招募8 - 10例DM患者。本研究包括1938份医学问卷(由全科医生和专科医生填写)、1938份费用问卷(由患者填写)和1532份治疗参考问卷。结果:Economedica调查为糖尿病流行病学和成本数据提供了新的见解。70%的1型糖尿病患者在40岁之前被诊断为糖尿病。76%的2型糖尿病患者在50岁以后才被诊断出来。2016年糖尿病患者每月平均自付医疗费用为66.2欧元,非医疗费用为36.8欧元。结论:在我们的研究中应用的方法证明对提供波兰糖尿病流行病学和成本数据的新维度是有用的。
{"title":"Analysis of diabetes-related complications and the cost of diabetes in Poland. The methodology and the research sample used in Economedica DM-PL Survey","authors":"Stefan Bogusławski, A. Wojciechowska, A. Smaga, K. Strojek, K. Wrobel, B. Wojtyniak, G. Juszczyk, M. Czech, T. Zdrojewski","doi":"10.31373/ejtcm/162189","DOIUrl":"https://doi.org/10.31373/ejtcm/162189","url":null,"abstract":"Background: Knowledge about diabetes mellitus (DM)-related complications, the direct and indirect costs incur - red by patients with DM is still insufficient in Poland. Economedica DM-PL ( Economedica ) survey was a cross--sectional observational study that aimed to assess these issues. Material and methods: The survey was carried out in 2016 on a representative sample of 2032 diabetic patients recruited by 195 general practitioners (GP) and 48 diabetologists (D) randomly selected from the national registry of physicians. Each GP and D recruited 8 to 10 patients with DM according to the specified protocol. The study included 1938 medical questionnaires (comple - ted by the GPs and Ds), 1938 questionnaires about costs (completed by the patients) and 1532 treatment adhe - rence questionnaires. Results: The Economedica survey provided new insights into DM epidemiological and cost data. 70% of patients with type-1 DM were diagnosed with the disease before the age of 40. For 76% patients with type-2 DM, it was diagnosed after the age of 50. The average monthly out-of-pocket medical costs for DM patients in 2016 reached 66.2 EUR, while their non-medical costs were 36.8 EUR. Conclusions: The methodology applied in our study proved useful for providing new dimensions of DM epidemiological and cost data in Poland.","PeriodicalId":52409,"journal":{"name":"European Journal of Translational and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48600365","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
Knowledge and Practice of Healthcare Waste Management among Healthcare Workers at Yusuf Dantsoho Memorial Hospital (YDMH), Kaduna, Nigeria 尼日利亚卡杜纳Yusuf Dantsoho纪念医院(YDMH)医护人员的医疗废物管理知识和实践
Q4 Medicine Pub Date : 2023-04-03 DOI: 10.24018/clinicmed.2023.4.2.249
S. Musa, A. Aliyu, A. Ikwuka, Francis Chigozie Udeh
Introduction: Hospital waste has been reported to be poorly handled and managed by the hospital staff and administration respectively, leading to environmental and health consequences within hospitals and to the population outside health facilities.Aim: To assess the knowledge and practice of healthcare waste management (HCWM) among healthcare workers at Yusuf Dantsoho Memorial Hospital (YDMH), Kaduna, Nigeria.Materials and Methods: A cross-sectional study was conducted amongst doctors, nurses, medical laboratory scientists and technicians, ward attendants, and cleaners at YDMH. A simple random sampling technique was used to select the study unit. A total of 73 health workers consented to an interview. The data was obtained through the administration of questionnaires on the knowledge of health workers while the practice was assessed by direct observation using a checklist. Data were collected and compiled using Microsoft Excel and analysed using IBM, SPSS version 23.0.Results: There were 39 (53.4%) males and 34 (46.4%) females in this study. The average age of participants was 36.8 ± 8.3 years. The study revealed good knowledge of waste management amongst nurses (88.18%), doctors (86.68%), medical laboratory scientists and technicians (77.48%), ward attendants (19.1%), and cleaners (17.5%), respectively. In practice, all the wards and departments observed do not have (0%) colour-coded plastic bags on their waste bins, with only 70% having their waste bins covered, 30% having posters to guide waste users displayed near the waste bins, and 0% waste treatment before disposal practice. The health facility’s method of final waste disposal is not in line with best practices.Conclusion: This study highlights the discrepancy and inadequacies of knowledge and practice of proper healthcare waste management among healthcare workers. The healthcare workers with adequate knowledge were the nurses, doctors, and medical laboratory scientists and technicians while the least knowledge was found amongst ward attendants and cleaners. The practice of healthcare waste management was poor across all professions. This calls for the need to train and retrain all health workers with emphasis on the ward attendants and cleaners. Also, there is a need for the provision of colour-coded waste bin liners in all wards and departments which should be adequately budgeted for by the management.
导言:据报告,医院工作人员和行政部门分别对医院废物处理和管理不善,导致医院内部和卫生设施外的人口产生环境和健康后果。目的:评估尼日利亚卡杜纳Yusuf Dantsoho纪念医院(YDMH)医护人员对医疗废物管理(HCWM)的知识和实践。材料和方法:在YDMH的医生、护士、医学实验室科学家和技术人员、病房服务员和清洁工中进行了一项横断面研究。采用简单的随机抽样技术选择研究单位。共有73名卫生工作者同意接受采访。数据是通过管理关于卫生工作者知识的问卷获得的,同时通过使用核对表进行直接观察来评估这种做法。数据收集、整理采用Microsoft Excel,分析采用IBM SPSS 23.0。结果:本组患者男性39例(53.4%),女性34例(46.4%)。参与者平均年龄36.8±8.3岁。研究显示,护士(88.18%)、医生(86.68%)、医学实验室科学家和技术人员(77.48%)、病房护理员(19.1%)和清洁工(17.5%)对废物管理有良好的了解。实际上,所有被调查的病房和部门(0%)都没有在垃圾桶上贴上颜色标示的塑料袋,只有70%的病房和部门的垃圾桶有盖,30%的病房和部门在垃圾桶附近张贴海报,以指导废物使用者,而0%的病房和部门在废物处理前采取了处置措施。卫生设施的最终废物处理方法不符合最佳做法。结论:本研究突出了卫生保健工作者在适当的医疗废物管理知识和实践方面的差异和不足。护士、医生和医学实验室科学家和技术人员是知识充足的卫生保健工作者,而知识最少的是病房服务员和清洁工。所有职业的医疗废物管理实践都很差。这就要求对所有卫生工作者进行培训和再培训,重点是病房服务员和清洁工。此外,各病房及部门亦有需要提供以不同颜色标示的垃圾桶衬垫,并由管理层作出适当的预算。
{"title":"Knowledge and Practice of Healthcare Waste Management among Healthcare Workers at Yusuf Dantsoho Memorial Hospital (YDMH), Kaduna, Nigeria","authors":"S. Musa, A. Aliyu, A. Ikwuka, Francis Chigozie Udeh","doi":"10.24018/clinicmed.2023.4.2.249","DOIUrl":"https://doi.org/10.24018/clinicmed.2023.4.2.249","url":null,"abstract":"\u0000Introduction: Hospital waste has been reported to be poorly handled and managed by the hospital staff and administration respectively, leading to environmental and health consequences within hospitals and to the population outside health facilities.\u0000\u0000\u0000Aim: To assess the knowledge and practice of healthcare waste management (HCWM) among healthcare workers at Yusuf Dantsoho Memorial Hospital (YDMH), Kaduna, Nigeria.\u0000\u0000\u0000Materials and Methods: A cross-sectional study was conducted amongst doctors, nurses, medical laboratory scientists and technicians, ward attendants, and cleaners at YDMH. A simple random sampling technique was used to select the study unit. A total of 73 health workers consented to an interview. The data was obtained through the administration of questionnaires on the knowledge of health workers while the practice was assessed by direct observation using a checklist. Data were collected and compiled using Microsoft Excel and analysed using IBM, SPSS version 23.0.\u0000\u0000\u0000Results: There were 39 (53.4%) males and 34 (46.4%) females in this study. The average age of participants was 36.8 ± 8.3 years. The study revealed good knowledge of waste management amongst nurses (88.18%), doctors (86.68%), medical laboratory scientists and technicians (77.48%), ward attendants (19.1%), and cleaners (17.5%), respectively. In practice, all the wards and departments observed do not have (0%) colour-coded plastic bags on their waste bins, with only 70% having their waste bins covered, 30% having posters to guide waste users displayed near the waste bins, and 0% waste treatment before disposal practice. The health facility’s method of final waste disposal is not in line with best practices.\u0000\u0000\u0000Conclusion: This study highlights the discrepancy and inadequacies of knowledge and practice of proper healthcare waste management among healthcare workers. The healthcare workers with adequate knowledge were the nurses, doctors, and medical laboratory scientists and technicians while the least knowledge was found amongst ward attendants and cleaners. The practice of healthcare waste management was poor across all professions. This calls for the need to train and retrain all health workers with emphasis on the ward attendants and cleaners. Also, there is a need for the provision of colour-coded waste bin liners in all wards and departments which should be adequately budgeted for by the management.\u0000","PeriodicalId":52409,"journal":{"name":"European Journal of Translational and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88734220","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
Del Nido cardioplegia versus other contemporary solutions for myocardial protection – a literature review Del Nido心脏停搏液与其他当代心肌保护方案的比较——文献综述
Q4 Medicine Pub Date : 2023-03-31 DOI: 10.31373/ejtcm/163317
B. Brzeska, W. Karolak, Paweł Żelechowski, Andrzej Łoś, Nikodem Ulatowski, R. Pawlaczyk
Myocardial protection is one of the most important factors ensuring patient safety during cardiac surgery with the application of cardiopulmonary bypass. Infusion of cardioplegic solution into the coronary circulation pro - tects the heart and provides a standstill operating field for the surgeon. Cold blood cardioplegia and crystalloid cardioplegia are the two main types of solutions with a long history of use and a large amount of research proving their efficacy and safety. Relatively new del Nido cardioplegia seems to be an interesting alternative. We revie - wed the literature comparing del Nido cardioplegia with two other types of cardioplegic solutions. We took into consideration many different clinical and biochemical aspects may indicate the quality of cardioprotection.
在体外循环心脏手术中,心肌保护是确保患者安全的最重要因素之一。将心脏停搏液注入冠状动脉循环保护心脏,为外科医生提供一个静止的手术场地。冷血停搏液和晶体停搏液是两种主要的溶液,使用历史悠久,大量研究证明了它们的有效性和安全性。相对较新的del Nido心脏停搏液似乎是一种有趣的替代方案。我们回顾了将del Nido停搏液与其他两种类型的停搏液进行比较的文献。我们考虑了许多不同的临床和生化方面,这些方面可能表明心脏保护的质量。
{"title":"Del Nido cardioplegia versus other contemporary solutions for myocardial protection – a literature review","authors":"B. Brzeska, W. Karolak, Paweł Żelechowski, Andrzej Łoś, Nikodem Ulatowski, R. Pawlaczyk","doi":"10.31373/ejtcm/163317","DOIUrl":"https://doi.org/10.31373/ejtcm/163317","url":null,"abstract":"Myocardial protection is one of the most important factors ensuring patient safety during cardiac surgery with the application of cardiopulmonary bypass. Infusion of cardioplegic solution into the coronary circulation pro - tects the heart and provides a standstill operating field for the surgeon. Cold blood cardioplegia and crystalloid cardioplegia are the two main types of solutions with a long history of use and a large amount of research proving their efficacy and safety. Relatively new del Nido cardioplegia seems to be an interesting alternative. We revie - wed the literature comparing del Nido cardioplegia with two other types of cardioplegic solutions. We took into consideration many different clinical and biochemical aspects may indicate the quality of cardioprotection.","PeriodicalId":52409,"journal":{"name":"European Journal of Translational and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42755131","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
The prevalence of obesity diagnosed by different diagnostic criteria in Polish social-media users 波兰社交媒体用户通过不同诊断标准诊断的肥胖患病率
Q4 Medicine Pub Date : 2023-03-28 DOI: 10.31373/ejtcm/162572
G. Samek, A. Szulc, J. Dardzińska
Background: In 2020, Polish experts recommended the use of the guidelines of the American Association of Clini - cal Endocrinologist and the American College of Endocrinology (AACE/ACE) in the diagnosis of obesity instead of the 1998 WHO criteria. Thus, obesity can be also diagnosed in patients with BMI 25.0-29.9 if there are complica - tions related to the excess body weight including infertility and hypogonadism, asthma, sleep apnea, gastroeso - phageal reflux disease, stress urinary incontinence, osteoarthritis and depression. Material and methods: The aim of the study was to assess the prevalence of obesity diagnosed according to the new criteria in the group of Polish social media users. Results: Among the respondents, 9.7% had a BMI below 18.5 kg/m 2 , 63.9% declared normal BMI, and 18.8% had BMI 25.0-29.9 kg/m 2 . The value of BMI ≥ 30 kg/m 2 , equivalent to the diagnosis of obesity according to WHO, was found in 7.6% of the respondents. For comparison, the prevalence of obesity according to the AACE/ACE criteria was more than twice as high (17.2%, p < 0.05). Conclusions: Concluding, according to the new criteria, more respondents were diagnosed with obesity compared to WHO criteria. The results of the study indicate that the application of the new diagnostic criteria may enable earlier diagnosis and thus earlier treatment of obesity.
背景:2020年,波兰专家建议使用美国临床内分泌学家协会和美国内分泌学会(AACE/ACE)的指南来诊断肥胖,而不是1998年世界卫生组织的标准。因此,如果BMI为25.0-29.9的患者存在与超重相关的并发症,包括不孕不育和性腺功能减退、哮喘、睡眠呼吸暂停、胃肠道反流病、压力性尿失禁、骨关节炎和抑郁症,也可以诊断为肥胖。材料和方法:该研究的目的是评估波兰社交媒体用户群体中根据新标准诊断的肥胖患病率。结果:9.7%的受访者的BMI低于18.5kg/m2,63.9%的受访者宣称BMI正常,18.8%的受访者BMI为25.0-29.9kg/m2。在7.6%的受访者中发现BMI≥30 kg/m2,相当于根据世界卫生组织诊断的肥胖。相比之下,根据AACE/ACE标准,肥胖患病率高出一倍多(17.2%,p<0.05)。结论:根据新标准,与世界卫生组织标准相比,更多的受访者被诊断为肥胖。研究结果表明,应用新的诊断标准可以更早地诊断肥胖,从而更早地治疗肥胖。
{"title":"The prevalence of obesity diagnosed by different diagnostic criteria in Polish social-media users","authors":"G. Samek, A. Szulc, J. Dardzińska","doi":"10.31373/ejtcm/162572","DOIUrl":"https://doi.org/10.31373/ejtcm/162572","url":null,"abstract":"Background: In 2020, Polish experts recommended the use of the guidelines of the American Association of Clini - cal Endocrinologist and the American College of Endocrinology (AACE/ACE) in the diagnosis of obesity instead of the 1998 WHO criteria. Thus, obesity can be also diagnosed in patients with BMI 25.0-29.9 if there are complica - tions related to the excess body weight including infertility and hypogonadism, asthma, sleep apnea, gastroeso - phageal reflux disease, stress urinary incontinence, osteoarthritis and depression. Material and methods: The aim of the study was to assess the prevalence of obesity diagnosed according to the new criteria in the group of Polish social media users. Results: Among the respondents, 9.7% had a BMI below 18.5 kg/m 2 , 63.9% declared normal BMI, and 18.8% had BMI 25.0-29.9 kg/m 2 . The value of BMI ≥ 30 kg/m 2 , equivalent to the diagnosis of obesity according to WHO, was found in 7.6% of the respondents. For comparison, the prevalence of obesity according to the AACE/ACE criteria was more than twice as high (17.2%, p < 0.05). Conclusions: Concluding, according to the new criteria, more respondents were diagnosed with obesity compared to WHO criteria. The results of the study indicate that the application of the new diagnostic criteria may enable earlier diagnosis and thus earlier treatment of obesity.","PeriodicalId":52409,"journal":{"name":"European Journal of Translational and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43768750","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
Protocol for a scoping review of fecal microbiota transplantation from patients into animals 患者粪便微生物群移植到动物体内的范围审查方案
Q4 Medicine Pub Date : 2023-03-20 DOI: 10.31373/ejtcm/161737
Jakub Ruszkowski, Z. Kachlik, M. Wałaszek, D. Storman, A. Dębska-Ślizień
Microbiota studies have uncovered numerous associations between human gut microbes and health-related outcomes. However, since most of these correlations were observed in cross-sectional studies, the causal infe - rence is limited. The causal contribution of microbiota can be evidenced through disease induction or exacerba - tion in animal models after fecal microbiota transplantation (FMT) from patients. In this article we present a protocol for a scoping review on the subject of FMT from humans to animals. Besides assessing how the published studies were conducted, in that scoping review we aim to find out whether enough literature exists to conduct a systematic review of the evidence for microbiota participation in the pathophysio - logy of any human non-infectious disease or phenotypic trait. We will conduct searches on the Web of Science platform and databases: MEDLINE, Scopus, EMBASE. Citation chasing of included studies will be done. We will include studies assessing the effects of FMT collected from people with certain medical conditions on animals. Studies that recruited only healthy humans or used other animals as donors will be excluded. The results of this literature search will be tabulated and discussed. Moreover, we will provide a short list of human non-infectious diseases or traits with the highest number of FMT patient-to-animal studies.
微生物群研究揭示了人类肠道微生物与健康相关结果之间的许多关联。然而,由于这些相关性大多是在横断面研究中观察到的,因此因果影响是有限的。微生物群的因果作用可以通过患者粪便微生物群移植(FMT)后动物模型中的疾病诱导或加重来证明。在这篇文章中,我们提出了一个从人类到动物的FMT主题的范围审查方案。除了评估已发表的研究是如何进行的外,在该范围界定综述中,我们还旨在找出是否存在足够的文献来对微生物群参与任何人类非传染性疾病或表型特征的病理生理学的证据进行系统综述。我们将在Web of Science平台和数据库上进行搜索:MEDLINE、Scopus、EMBASE。将对纳入的研究进行引文追踪。我们将包括评估从患有某些疾病的人身上采集的FMT对动物影响的研究。只招募健康人类或使用其他动物作为捐赠者的研究将被排除在外。本次文献检索的结果将制成表格并进行讨论。此外,我们将提供一份人类非传染性疾病或FMT患者数量最多的特征的简短清单,供动物研究。
{"title":"Protocol for a scoping review of fecal microbiota transplantation from patients into animals","authors":"Jakub Ruszkowski, Z. Kachlik, M. Wałaszek, D. Storman, A. Dębska-Ślizień","doi":"10.31373/ejtcm/161737","DOIUrl":"https://doi.org/10.31373/ejtcm/161737","url":null,"abstract":"Microbiota studies have uncovered numerous associations between human gut microbes and health-related outcomes. However, since most of these correlations were observed in cross-sectional studies, the causal infe - rence is limited. The causal contribution of microbiota can be evidenced through disease induction or exacerba - tion in animal models after fecal microbiota transplantation (FMT) from patients. In this article we present a protocol for a scoping review on the subject of FMT from humans to animals. Besides assessing how the published studies were conducted, in that scoping review we aim to find out whether enough literature exists to conduct a systematic review of the evidence for microbiota participation in the pathophysio - logy of any human non-infectious disease or phenotypic trait. We will conduct searches on the Web of Science platform and databases: MEDLINE, Scopus, EMBASE. Citation chasing of included studies will be done. We will include studies assessing the effects of FMT collected from people with certain medical conditions on animals. Studies that recruited only healthy humans or used other animals as donors will be excluded. The results of this literature search will be tabulated and discussed. Moreover, we will provide a short list of human non-infectious diseases or traits with the highest number of FMT patient-to-animal studies.","PeriodicalId":52409,"journal":{"name":"European Journal of Translational and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47541483","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
European Journal of Translational and Clinical Medicine
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1