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Breast cancer awareness and the prevalence of breast cancer risk factors and warning signs among women in Aleppo, Syria: A cross-sectional study 叙利亚阿勒颇妇女的乳腺癌意识和乳腺癌危险因素的流行程度及警告信号:一项横断面研究
Pub Date : 2021-10-01 DOI: 10.4103/ijhas.ijhas_251_20
Ahmad Alhamid, A. Zazo, Rima Salem, Dina Alfarra, Zain Douba, Haya Jawish, Zainab Zeino, Fatima Muzayek, Rama Zazo, Rayan Hamada, Hala Alayyoubi, A. Mohamad, Rand Massri, Joud Shiekhoni, Dania Khudro, Ayla Baghdadi, Tasnim Altenji, Rama Aldakhil, Ziad Aljarad, Anwar Chammout
BACKGROUND: Breast cancer (BC) is classified as the most prevalent cancer worldwide. The incidence and prevalence of BC in Syria are not determined but expected to be high. Lack of awareness toward BC leads to higher incidence and mortality. There are no studies measuring BC awareness in Syria. Our study aims to evaluate BC awareness and attitudes, the obstacles preventing women from receiving BC-related medical care, and the prevalence of BC warning signs and risk factors among women in Aleppo. METHODS: A cross-sectional, survey-based study was conducted during August 2019 in Aleppo, Syria. Participants were randomly recruited from multiple health-care and social facilities. We targeted adult females aged and avoided current or previous cancer patients and the visitor of oncology and pathology departments. The questionnaire had six main sections: (1) demographic characteristics; (2) knowledge of basic symptomatology and epidemiology of BC; (3) similar previous symptoms that the participant ever experienced; (4) attitude and behavior related to BC screening; (5) obstacles from seeking medical consultation related to BC, and (6) the prevalence of some BC risk factors among participants. RESULTS: BC awareness levels are disappointing. About 9.3% of the participants are confident that they have not ever heard of BC, and only 0.4% know the age-related risk of BC. About 8.7% of the respondents never or rarely self-examine their breasts, and only 10% of the 40 years or older participants screened for BC by the mammogram. Emotional barriers, especially feeling scared about what the doctor might find, were the main barriers preventing women from seeking medical help related to BC. Lack of enough physical activity and smoking headed the list of the prevalent risk factors. CONCLUSIONS: BC awareness levels in Aleppo-Syria are worrying. It is recommended to launch more awareness campaigns, with a concentration on the weak points in women's knowledge.
背景:乳腺癌(BC)被列为世界范围内最常见的癌症。叙利亚BC的发病率和流行率尚未确定,但预计会很高。缺乏对BC的认识导致更高的发病率和死亡率。没有研究衡量叙利亚的BC意识。我们的研究旨在评估阿勒颇妇女对BC的认识和态度,阻止妇女接受BC相关医疗服务的障碍,以及BC警告信号和危险因素的流行程度。方法:2019年8月在叙利亚阿勒颇进行了一项基于调查的横断面研究。参与者是从多个保健和社会机构随机招募的。我们的研究对象是年龄较大的成年女性,避免了目前或以前的癌症患者以及肿瘤和病理部门的来访者。问卷主要分为六个部分:(1)人口统计学特征;(2)了解BC的基本症状学和流行病学知识;(3)参与者曾经经历过类似的既往症状;(4)与BC筛查相关的态度和行为;(5)寻求与BC相关的医疗咨询的障碍;(6)参与者中某些BC危险因素的患病率。结果:BC的认知水平令人失望。大约9.3%的参与者确信他们从未听说过BC,只有0.4%的人知道BC的年龄相关风险。约8.7%的受访者从未或很少自我检查乳房,40岁及以上的参与者中只有10%通过乳房x光检查筛查BC。情感障碍,特别是对医生可能发现的情况感到害怕,是阻碍妇女寻求与BC有关的医疗帮助的主要障碍。缺乏足够的体育活动和吸烟是最常见的危险因素。结论:叙利亚阿勒颇的BC意识水平令人担忧。建议开展更多的提高认识运动,重点是妇女知识的薄弱环节。
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引用次数: 0
Children as adherence enhancing agents in management of primary hypertension of adult family members 儿童在成人家庭成员原发性高血压治疗中的依从性增强作用
Pub Date : 2021-10-01 DOI: 10.4103/ijhas.ijhas_267_20
S. Monteiro, M. Hariharan
BACKGROUND: Self-management of hypertension requires timely medication, prescribed diet, consistent exercise, and daily monitoring of health parameters to avoid its fatal consequences. Compliance is often difficult without family support, and this study aims to explore the agency of children in the mitigation of the disease. OBJECTIVES: To examine the effectiveness of children in their family member's hypertension management, an antihypertensive educational module was provided to them. METHODS: A sample of 43 children between 11 and 14 years of age, who had each identified a hypertensive family member, was provided with holistic information about hypertension through a video, information booklet, and interactive discussions reinforced at three intermissions over a span of 6 weeks. Children and adults were assessed for hypertension knowledge before and following intervention. Change in hypertension compliance and blood pressure (BP) was observed for the adults. RESULTS: The results showed that children had a significant improvement in overall hypertension knowledge test including its domains. The monitoring records reported to highlight the efforts put by the children during the course of the study. Assuming its intended effects, a significant reduction in the systolic and diastolic BP reading was observed with an overall improvement in compliance. Interestingly, the knowledge status in adult participants had not increased. CONCLUSION: The results have been discussed which highlight the role of children in influencing “their patients.” It unlocks a gateway of research involving children, especially in primary and tertiary approaches to secure chronic disease prevention and management.
背景:高血压的自我管理需要及时用药,规定饮食,坚持运动,每日监测健康参数,以避免其致命后果。如果没有家庭的支持,依从性往往是困难的,本研究旨在探讨儿童在减轻疾病中的作用。目的:探讨儿童在家庭成员高血压管理中的有效性,为其提供一个降压教育模块。方法:选取43名年龄在11岁至14岁之间的儿童作为样本,这些儿童均有一名高血压家庭成员,通过视频、信息小册子和在6周的时间内三次间歇强化的互动讨论,向他们提供有关高血压的全面信息。在干预前后对儿童和成人的高血压知识进行评估。观察成人高血压依从性和血压(BP)的变化。结果:结果显示,儿童高血压综合知识测验及其领域有显著提高。报告的监测记录突出了儿童在研究过程中所做的努力。假设其预期效果,观察到收缩压和舒张压读数显著降低,顺应性总体改善。有趣的是,成年参与者的知识状况并没有增加。结论:研究结果强调了儿童对“患者”的影响。它为涉及儿童的研究打开了大门,特别是在确保慢性病预防和管理的初级和三级方法方面。
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引用次数: 1
Prehospital emergency care model using short code access number for refining dispatching of ambulances and clinical communication for patient transfer–Insights from a Private Medical College and Hospital, Mysuru, India 院前急救模式使用短代码访问号码来优化救护车调度和患者转移的临床沟通——来自印度Mysuru私立医学院和医院的见解
Pub Date : 2021-10-01 DOI: 10.4103/ijhas.ijhas_180_20
S. Nilakantam, Dayananda Melanahalli, Nisarg Karanth, S. Adarsh, N. Kumar
BACKGROUND: In healthcare, effective communication is essential, particularly in emergency situations, it is critical and important. This article suggests a prehospital emergency care model using short code access number, through which method of communication from dispatching of ambulances to arrival and handover of patients to hospital is facilitated in emergency instances. We also attempted to elaborate the procedure, we followed for establishing this emergency access number for this private medical college in South India. Practical recommendations are also provided for policymakers who wish to initiate such facilities. OBJECTIVES: To strengthen our prehospital emergency care with ambulance short code, to guarantee that it is flawlessly incorporated into the healthcare system and to promote public responsiveness in prehospital Emergencies. PROJECT METHODS: Establishment of in-hospital ambulance command center, using a project management cycle framework in the phases of planning, designing, training, and implementation. A needs assessment was conducted and a committee was developed with a multidisciplinary team for planning and implementing out this initiative. RESULTS: It was possible to implement hospital emergency short code access number for hospital ambulance operations along with the establishment of ambulance command center with a trained interdisciplinary team and achieve best practices by participating on refining existing infrastructure and human resources. CONCLUSION: Timely arrival of an ambulance can make the difference between survival and death, in life-threatening emergency situations in which every second counts. Our prehospital emergency care model will respond to the patient needs from the initial emergency request of ambulance and its dispatching to arrival of patient and his/her admission to the emergency medicine department of the hospital. Data generated by the program will be used to guide and design appropriate interventions.
背景:在医疗保健中,有效的沟通是必不可少的,特别是在紧急情况下,它是至关重要的。本文提出了一种采用短码接入号的院前急救模式,在紧急情况下,通过短码接入号可以方便地实现从救护车调度到病人到达和移交医院的通信方式。我们还试图详细说明程序,我们遵循为南印度的这所私立医学院建立紧急接入号码的程序。还为希望启动此类设施的决策者提供了实际建议。目的:加强我国院前急救与救护车短码,以保证它是完美地纳入医疗保健系统,并促进公共响应院前紧急情况。项目方法:建立院内救护指挥中心,采用项目管理周期框架,从规划、设计、培训到实施。进行了需求评估,并成立了一个委员会,由一个多学科小组负责规划和执行这项倡议。结果:在建立救护指挥中心、组建训练有素的跨学科团队的同时,实施医院急救短码接入号,参与完善现有基础设施和人力资源,实现最佳实践。结论:在危及生命的紧急情况下,每一秒都很重要,救护车的及时到达可以决定生死。我们的院前急救模式将响应患者的需求,从最初的急救请求到救护车的调度,再到患者到达医院急诊科。该计划产生的数据将用于指导和设计适当的干预措施。
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引用次数: 0
Knowledge of herbal medicines among pregnant women attending some antenatal clinics in Eastern Nigeria 在尼日利亚东部一些产前诊所就诊的孕妇对草药的了解
Pub Date : 2021-10-01 DOI: 10.4103/ijhas.ijhas_3_21
M. Akunne, C. Anene-Okeke, A. Mosanya
BACKGROUND: There are no studies assessing the knowledge of herbal medicines among pregnant women in Eastern Nigeria despite a universal increase in herbal medicines used by this population who usually are at risk from their adverse effects. The purpose of this study was to investigate the knowledge of herbal medicines among expectant mothers in Eastern Nigeria in order to estimate any need for education on the safety and effectiveness of herbal medicines use in pregnancy. METHODS: A cross-sectional and descriptive method was adopted, and data were collected with a validated questionnaire between June and August 2018 in three health facilities in Nsukka among pregnant women who attended antenatal clinics. A total of 300 participants were conveniently sampled. Descriptive and inferential statistical analyses were performed using SPSS 23. For statistical significance, P < 0.05. RESULTS: Out of the 300 respondents who gave their consent, 93.3% were married, 89.9% were within the age range of 18–34 years old, and 82.8% of them had postprimary education. The mean percentage knowledge score of herbal medicine was 63.196%. More than half of the women scored below the mean score and were considered to have poor knowledge (57.9%). The respondents' sociodemographics had a nonsignificant statistical relationship with the level of knowledge of herbal medicines (P > 0.05). CONCLUSIONS: Most of the pregnant women assessed in this study had poor knowledge of herbal medicine and no association with their sociodemographic characteristics was observed.
背景:没有研究评估尼日利亚东部孕妇的草药知识,尽管这一人群普遍增加了草药的使用,而这些人群通常面临其不良反应的风险。本研究的目的是调查尼日利亚东部孕妇对草药的了解情况,以估计是否需要对怀孕期间使用草药的安全性和有效性进行教育。方法:采用横断面和描述性方法,并在2018年6月至8月期间在恩苏卡的三家卫生机构中使用有效问卷收集到产前诊所的孕妇的数据。共有300名参与者被方便地抽样。采用SPSS 23进行描述性和推断性统计分析。P < 0.05,差异有统计学意义。结果:在300名表示同意的调查对象中,93.3%的人已婚,89.9%的人年龄在18-34岁之间,82.8%的人受过小学以上教育。中草药知识得分平均百分比为63.196%。超过一半的女性得分低于平均得分,被认为知识贫乏(57.9%)。被调查者的社会人口学特征与中草药知识水平无统计学意义(P > 0.05)。结论:本研究评估的大多数孕妇中草药知识较差,与社会人口学特征无关联。
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引用次数: 0
Understanding migrants' reaction to the COVID-19 pandemic from evolutionary psychology 从进化心理学看移民对COVID-19大流行的反应
Pub Date : 2021-10-01 DOI: 10.4103/ijhas.ijhas_269_20
Ishita Akula, M. Kishor
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引用次数: 0
Risk communication in COVID-19 pandemic: A note for health-care workers COVID-19大流行中的风险沟通:给卫生保健工作者的说明
Pub Date : 2021-07-01 DOI: 10.4103/ijhas.ijhas_1_21
A. El-Gilany, Nesrine S Farrag
The concept of risk communication (RC) in the era of COVID-19 pandemic needs to be highlighted. Basic definitions, steps, principles, cycles, benefits, barriers, and harms of RC were briefly outlined. This brief review is intended to be a quick guide for health-care workers and risk communicators. It will be useful for busy health-care workers in providing information and counseling regarding COVID-19.
在COVID-19大流行时代,需要强调风险沟通(RC)的概念。简要介绍了RC的基本定义、步骤、原理、周期、效益、障碍和危害。这篇简短的综述旨在为卫生保健工作者和风险传播者提供快速指南。这将有助于忙碌的卫生保健工作者提供有关COVID-19的信息和咨询。
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引用次数: 1
Normative assessment of renal dimensions from computed tomography 计算机断层扫描肾脏尺寸的规范评估
Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_78_20
D. Rokka, S. Paudel, P. Kayastha, Saroj Chhetry, Sudil Paudyal, S. Suwal
BACKGROUND: The values measured by ultrasound for normal renal dimensions in adults are well established, but not much is known about the normal renal size of Nepalese subjects from computed tomography (CT). This study aimed to establish normal CT values for kidney dimensions from patients undergoing contrast-enhanced CT (CECT) abdomen examination. MATERIALS AND METHODS: This was a cross-sectional study carried out in patients undergoing CECT scan with different clinical history excluding abnormalities with the urinary system. The study consisted of the measurement of 212 bilateral kidneys in 106 adults. The kidney length (KL) from pole to pole, kidney width (KW), and cortical widths (CW) at the upper, middle, and lower pole were measured. For measuring length, axes were adjusted for each kidney in double oblique sagittal planes, for the width of kidney and cortex in double oblique coronal planes using a 3D-software available in the scanner (Neosoft). Analyses for normal distribution, t-tests, and correlation were performed using SPSS version 20 (IBM, USA). RESULTS: KL was 95.52 ± 8.91 mm for the right kidney (RK), and 98.22 ± 8.85 mm for the left kidney (LK). CW at the upper, middle, and lower poles on RK was 5.33 ± 0.97 mm, 5.29 ± 0.97, and 5.03 ± 0.88 mm, whereas on the LK was 5.30 ± 0.94 mm, 5.19 ± 0.97, 5.03 ± 0.96 mm, respectively. The KW was 49.15 ± 5.76 mm and 49.11 ± 5.52 mm on RK and LK, respectively. The most significant independent factors for KL and KW were age, body surface area (BSA), gender, height, and weight and were found to be statistically significant (P< 0.05 each). CONCLUSIONS: We established the normal references of various renal measurements which provide the radiologists and the referring clinicians an insight about the normal range of different renal parameters. Since there are several influencing factors on kidney size, the assessment should be made individually. The major influencing factors found are BSA, height, gender, age, and weight.
背景:通过超声测量成人正常肾脏尺寸的数值已经很好地确立了,但是通过计算机断层扫描(CT)对尼泊尔受试者的正常肾脏尺寸知之甚少。本研究的目的是建立正常的CT值肾脏尺寸的患者进行对比增强CT (CECT)腹部检查。材料和方法:这是一项横断面研究,在接受CECT扫描的患者中进行,他们有不同的临床病史,排除了泌尿系统的异常。该研究测量了106名成人的212个双侧肾脏。测量上、中、下三极肾长度(KL)、肾宽度(KW)和皮质宽度(CW)。为了测量长度,在双斜矢状面上调整每个肾脏的轴线,在双斜冠状面上调整肾脏和皮质的宽度,使用扫描仪中可用的3d软件(Neosoft)。使用SPSS version 20 (IBM, USA)进行正态分布、t检验和相关性分析。结果:右肾KL (RK)为95.52±8.91 mm,左肾(LK)为98.22±8.85 mm。RK上、中、下极连续波分别为5.33±0.97 mm、5.29±0.97 mm和5.03±0.88 mm, LK上、中、下极连续波分别为5.30±0.94 mm、5.19±0.97、5.03±0.96 mm。RK和LK的KW分别为49.15±5.76 mm和49.11±5.52 mm。年龄、体表面积(BSA)、性别、身高、体重是影响KL和KW最显著的独立因素,差异均有统计学意义(P< 0.05)。结论:我们建立了各种肾脏指标的正常参考值,为放射科医生和临床医生了解不同肾脏参数的正常范围提供了依据。由于肾脏大小有多种影响因素,因此应单独进行评估。发现的主要影响因素是BSA、身高、性别、年龄和体重。
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引用次数: 0
Impact of physical activity levels on length of hospital stay in patients with severe COVID ARDS 体力活动水平对重症COVID - ARDS患者住院时间的影响
Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_271_20
H. Mistry, Akhila Natesan
SARS-CoV2 is a lethal virus that primarily affects the respiratory system causing severe pneumonia leading to ARDS. This case series describes the cases of two middle-aged men suffering from severe coronavirus disease-19 ARDS presenting to hospital with similar clinical signs who were given similar treatments. Pre infection activity levels of both patients were assessed using Global Physical Activity Questionnaire and length of hospital stay was observed for both patients. Patient with sedentary lifestyle prior to infection had a longer length of hospital stay of 25 days whereas the second patient who had an active lifestyle had a shorter length of hospital stay of 11 days. Based on our observations, we conclude that pre infection physical activity levels positively influences the severity of disease and helps to reduce length of hospital stay. With lockdown being declared in many parts of the world on account of the second wave of infection, it is important to encourage people to adopt a healthy lifestyle while adhering to the norms of lockdown.
SARS-CoV2是一种致命病毒,主要影响呼吸系统,引起严重肺炎,导致急性呼吸窘迫综合征。本病例系列描述了两例患有严重冠状病毒病的中年男性-19急性呼吸窘迫综合征,以相似的临床症状就诊,并给予类似的治疗。使用全球身体活动问卷评估两名患者感染前的活动水平,并观察两名患者的住院时间。感染前久坐生活方式的患者住院时间较长,为25天,而另一名生活方式积极的患者住院时间较短,为11天。根据我们的观察,我们得出结论,感染前的身体活动水平对疾病的严重程度有积极影响,并有助于缩短住院时间。由于第二波感染,世界许多地方宣布封锁,重要的是要鼓励人们在遵守封锁规范的同时采取健康的生活方式。
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引用次数: 2
COVID-19-positive health-care workers in an oncology setup: Considerations for return to work 肿瘤科机构covid -19阳性卫生保健工作者:重返工作岗位的考虑
Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_240_20
V. Bhat, P. Chavan, P. Bhat, N. Khattry
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引用次数: 0
Factors affecting accessibility of maternal health-care institutions in Meghalaya: A hospital-based study 影响梅加拉亚邦孕产妇保健机构可及性的因素:一项基于医院的研究
Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_188_20
Bibiana Momin, P. Dutta
BACKGROUND: The present study determines to understand the maternal health-care infrastructure in Meghalaya, a state of Northeast India. The state has large number of population of 2,964,007 (Census 2011), however, the state has only two public District Hospitals related to maternal health-care services – one in East Khasi Hills District and the other one in West Garo Hills District. Furthermore, according to the National Rural Health Mission (2015–2016), the maternal mortality ratio of Meghalaya is 211/100,000 live births which is higher than the national average. MATERIALS AND METHODS: A hospital-based mixed method study has carried out to identify the problems faced by the women during their maternity period and to assess the quality and availability of maternal care infrastructure in Meghalaya. To conduct the interview, the present study covered all 80 pregnant women who were admitted in the major two district maternal health-care hospitals of Meghalaya for maternity care (i.e., delivery and postdelivery period) during the period of hospital visit in October 2019. RESULTS: The study shows that majority of the admitted women came from different villages of different districts of Meghalaya as those remote areas have no adequate maternal health-care institutions nearby other than dispensary or subcenter. The study also revealed that women who came to get treatment in hospital during pregnancy had to face difficulties like to travel a long distance, use public transport, bad road conditions, and financial problems. CONCLUSION: To improve the health scenario of health-care system in the remote village areas, the Government should give more focus on infrastructure development in terms of availability of adequate facilities for handling any emergency cases of maternal care in remote areas of Meghalaya.
背景:本研究旨在了解印度东北部梅加拉亚邦的孕产妇保健基础设施。该州人口众多,达2 964 007人(2011年人口普查),然而,该州只有两家与孕产妇保健服务有关的公立区医院——一家在东卡西山区,另一家在西加罗山区。此外,根据国家农村卫生特派团(2015-2016年)的数据,梅加拉亚邦的孕产妇死亡率为211/10万活产,高于全国平均水平。材料和方法:开展了一项以医院为基础的混合方法研究,以确定妇女在生育期间面临的问题,并评估梅加拉亚邦孕产妇保健基础设施的质量和可用性。为了进行访谈,本研究涵盖了2019年10月在梅加拉亚邦两家主要地区孕产妇保健医院就诊期间接受产科护理(即分娩和产后)的所有80名孕妇。结果:研究表明,大多数入院妇女来自梅加拉亚邦不同地区的不同村庄,因为这些偏远地区附近除了药房或分中心外没有足够的孕产妇保健机构。研究还显示,在怀孕期间到医院接受治疗的妇女不得不面临长途旅行、乘坐公共交通工具、路况恶劣和经济问题等困难。结论:为了改善偏远乡村地区卫生保健系统的健康状况,政府应该更多地关注基础设施的发展,以提供足够的设施来处理梅加拉亚邦偏远地区的任何紧急孕产妇护理病例。
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引用次数: 0
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International Journal of Health and Allied Sciences
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