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A Study on Assessment of Depression, Anxiety and Stress among South Indian Population During the COVID-19 Pandemic COVID-19大流行期间南印度人群抑郁、焦虑和压力评估研究
Pub Date : 2020-12-06 DOI: 10.37628/IJBME.V6I2.748
Sreeja Nyayakar
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引用次数: 0
Study on Antiviral Activities of Glycyrrhizin 甘草酸的抗病毒活性研究
Pub Date : 2020-11-09 DOI: 10.11648/J.IJBECS.20200604.11
Changchao Huan, Chun-qiao Chen, Xu Weiyin, Guo Tingting, Haochun Pan, Song Gao
Licorice has been a common Chinese medicine for thousands of years, which has good medicinal value and nutritional value. Is widely apply to traditional Chinese medicine. Many studies have shown that licorice contains more than 20 triterpenoids and nearly 300 flavonoids. According to the literature, licorice has many activities such as antibacterial, antiviral, antioxidant, and anticancer. It not only directly inactivates the virus, but also inhibits its adsorption. However, glycyrrhizin, glycyrrhetinic acid, glycyrrhiza polysaccharide and glycyrrhiza flavonoids are the main components of licorice which possess antiviral and antimicrobial activities. Among them, glycyrrhizin has many pharmacological activities, such as antiviral, anti-inflammatory, anti-tumor, antibacterial and many other activities. This paper provides a summary of antiviral activities of glycyrrhizin. This active ingredients and possible mechanisms are summarized in detail. The results showed that glycyrrhizin was widely used in antiviral field, but its material basis and mechanism of action were not perfect and unified. A large number of literatures about glycyrrhizin anti-virus were reviewed and analyzed, and it was suggested that more different ways should be adopted to study it, so as to provide a broader theoretical basis for developing new antivirus drugs of glycyrrhizin. It is hoped that this review will be helpful to further study the potential therapeutic effect of glycyrrhizin as an antiviral drug.
甘草作为一种常见的中药已有数千年的历史,具有良好的药用价值和营养价值。广泛应用于中医。许多研究表明,甘草中含有20多种三萜类化合物和近300种黄酮类化合物。据文献记载,甘草具有抗菌、抗病毒、抗氧化、抗癌等多种活性。它不仅能直接灭活病毒,还能抑制病毒的吸附。然而,甘草酸、甘草次酸、甘草多糖和甘草黄酮是甘草的主要成分,具有抗病毒和抗菌活性。其中,甘草甜素具有抗病毒、抗炎、抗肿瘤、抗菌等多种药理活性。本文综述了甘草甜素的抗病毒活性。对这些活性成分及其可能的作用机制进行了详细的综述。结果表明,甘草甜素在抗病毒领域有着广泛的应用,但其物质基础和作用机制尚不完善和统一。对大量有关甘草甜素抗病毒的文献进行了综述和分析,认为应采用更多不同的方法对其进行研究,为开发新的甘草甜素类抗病毒药物提供更广阔的理论基础。希望这篇综述将有助于进一步研究甘草甜素作为一种抗病毒药物的潜在治疗作用。
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引用次数: 3
Improving Clinical Teaching of Fourth Year Anaesthesia Students: The Case of Wolaita Sodo University 改进四年级麻醉专业学生临床教学——以卧龙塔大学为例
Pub Date : 2020-09-25 DOI: 10.11648/J.IJBECS.20200603.11
M. S. Obsa, Getahun Molla Shanka, Getahun Dendir Wolde, Wolde Facha Faltamo
Background: Anesthesia programs prepare students through course work that develops knowledge and skills in anesthesia practice as well as in organizational and leadership skills, and courses are strongly related to theoretical and clinical teaching. In health science professions, clinical or practical experience is necessary to develop knowledge and skills acquired theoretically. For this reason, both theoretical and clinical components of education are included in health science educational programmes. The purpose of the theoretical component is to provide students the opportunity to learn principles and concepts relevant for professional performance. Objective: To improve the practical teaching of fourth-year anesthesia students, CHSM, WSU from March 10-April 10, 2019. Methods and Materials: A cross-sectional study design was employed. Training was given for data collectors and supervisors. Regular supervision and follow-up were performed. Questionnaires was used as data collection tools. Conclusion: Anesthesia students’ clinical experiences are an important element of the profession as well as clinical teaching, which is the cornerstone of education.
背景:麻醉课程通过课程工作培养学生在麻醉实践以及组织和领导技能方面的知识和技能,课程与理论和临床教学密切相关。在健康科学专业中,临床或实践经验是发展理论知识和技能所必需的。因此,教育的理论和临床组成部分都纳入了健康科学教育方案。理论部分的目的是为学生提供学习与专业表现相关的原则和概念的机会。目的:从2019年3月10日至4月10日,改进WSU CHSM麻醉专业四年级学生的实践教学。方法和材料:采用横断面研究设计。对数据收集器和监督员进行了培训。进行了定期监督和随访。调查表被用作数据收集工具。结论:麻醉专业学生的临床经验是专业的重要组成部分,临床教学也是教育的基石。
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引用次数: 0
Association of Depressive Symptoms with Iron Management in Patients on Maintenance Hemodialysis: A Cross-sectional Study 维持性血液透析患者抑郁症状与铁管理的关系:一项横断面研究
Pub Date : 2020-06-30 DOI: 10.11648/J.IJBECS.20200602.14
Yoshihiro Tsuji, Naoki Suzuki, Yasumasa Hitomi, Y. Mizuno-Matsumoto, T. Tokoro, M. Nishimura
Background: Iron status has a critical role in depressive symptoms, but evaluation of depressive symptoms associated with iron metabolism is not usually included as a clinical parameter in hemodialysis (HD) patients. We aimed to assess the correlations between depressive symptoms and clinical, demographic, and laboratory variables including iron metabolism. Methods: One hundred and thirty-eight HD patients were evaluated in this study. The Beck Depression Inventory Second Edition (BDI−II) was used to quantify levels of depressive symptoms. BDI−II scores ≥ 14 were defined as depressive symptoms. Mean age, duration of HD, haemoglobin levels, serum ferritin levels, serum iron levels, transferrin saturation (TSAT), total iron binding capacity, serum albumin levels, and C-reactive protein were included in the model. Patients were categorized into four groups according to serum ferritin levels and TSAT. Backward stepwise logistic regression analysis was performed and odds ratios (ORs) and 95% confidence intervals derived. Results: Depressive symptoms were significantly associated with increased serum ferritin levels (OR, 1.010; p=0.0008). Compared with group 1 (ferritin <100 ng/dL, TSAT ≥20%) as reference, ORs for depressive symptoms were significantly increased in group 4 (ferritin ≥100 ng/dL, TSAT < 20%) (OR, 6.419; p=0.0073). Conclusion: Higher serum ferritin levels and decreased iron utilization efficiency were found to be involved in depressive symptoms among patients undergoing HD. Understanding the pathophysiology of depressive symptoms could provide insights into the design of clinical iron management in HD patients.
背景:铁状态在抑郁症状中起关键作用,但在血液透析(HD)患者中,抑郁症状与铁代谢相关的评估通常不被纳入临床参数。我们旨在评估抑郁症状与临床、人口统计学和实验室变量(包括铁代谢)之间的相关性。方法:对138例HD患者进行评价。贝克抑郁量表第二版(BDI - II)用于量化抑郁症状的水平。BDI−II评分≥14分定义为抑郁症状。模型包括平均年龄、HD病程、血红蛋白水平、血清铁蛋白水平、血清铁水平、转铁蛋白饱和度(TSAT)、总铁结合能力、血清白蛋白水平和c反应蛋白。根据血清铁蛋白水平和TSAT将患者分为四组。进行后向逐步logistic回归分析,得出优势比(ORs)和95%置信区间。结果:抑郁症状与血清铁蛋白水平升高显著相关(OR, 1.010;p = 0.0008)。与对照组1(铁蛋白<100 ng/dL, TSAT≥20%)相比,对照组4(铁蛋白≥100 ng/dL, TSAT < 20%)抑郁症状的OR显著升高(OR, 6.419;p = 0.0073)。结论:HD患者的抑郁症状与血清铁蛋白水平升高和铁利用效率降低有关。了解抑郁症状的病理生理学可以为HD患者的临床铁管理设计提供见解。
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引用次数: 0
Hearing Aids of the Future: A Simulation Study 未来的助听器:模拟研究
Pub Date : 2020-06-30 DOI: 10.37628/IJBME.V6I1.649
Akshay Mendhakar, Sneha Poochiriyan, Devi Neelamegarajan, Renuka Chandrakanth
Modern hearing aids are a derivative of bulky systems. Though the adaptability and effectiveness of hearing aid plays a crucial role, the current hearing aids fail to account these factors in different listening situations due to the limitations in their signal processing abilities. To tackle this issue, the current paper presents a simulation study which highlights the use of machine learning for dynamically programming hearing aids for different listening situations. To represent these conditions, a Deep Neural Network (DNN) was built and real time inputs of six different listening situations were taken. The dynamical programmability of the DNN was compared with that of a classic fit hearing aid. The final results were used to understand the impact of DNN on speech processing abilities of a single fit hearing aid. Keywords : adaptive, hearing aid, listening condition, machine learning, neural network Cite this Article: Akshay Mendhakar, Sneha K C, Devi N, Renuka C. Hearing Aids of the Future: A Simulation Study. International Journal of Biomedical Engineering . 2020; 6(1): 18–23p.
现代助听器是笨重系统的衍生物。虽然助听器的适应性和有效性起着至关重要的作用,但目前的助听器由于其信号处理能力的限制,无法在不同的听力情况下考虑到这些因素。为了解决这个问题,本文提出了一项模拟研究,该研究强调了机器学习在不同听力情况下动态编程助听器的使用。为了描述这些情况,我们构建了一个深度神经网络(DNN),并获取了六种不同听力情况的实时输入。将DNN的动态可编程性与经典助听器的动态可编程性进行了比较。最后的结果被用来了解深度神经网络对单个助听器语音处理能力的影响。关键词:自适应,助听器,听力条件,机器学习,神经网络引用本文:Akshay Mendhakar, Sneha K C, Devi N, Renuka C.助听器的未来:模拟研究。国际生物医学工程杂志。2020;6 (1): 18-23p。
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引用次数: 0
Association Between the Distributions of Mean Corpuscular Hemoglobin and Red Blood Cell, and Mortality in a 3-Year Retrospective Study of Hemodialysis Patients 3年血液透析患者平均肌红蛋白和红细胞分布与死亡率的相关性
Pub Date : 2020-06-30 DOI: 10.11648/J.IJBECS.20200602.13
Yoshihiro Tsuji, Yasumasa Hitomi, Naoki Suzuki, Y. Mizuno-Matsumoto, T. Tokoro, M. Nishimura
Introduction: A red blood cell (RBC) concentration of 300 to 350×104/μL and mean corpuscular hemoglobin (MCH) concentration of 30 to 35 pg have been proposed as management target values from the relationship of Hb=RBC×MCH to control anemia, wherein Hb levels should not exceed 12 g/dL. In contrast, even in patients whose Hb levels are maintained at 10 to 12 g/dL, Hb levels are widely distributed when divided into RBC and MCH. Objective: We examined the prognosis in the distribution of MCH and RBC. Methods: Patients were classified into two groups based on MCH and RBC values, wherein patients with MCH≥30 pg but 350×104/μL (Group II, n=217). Associations between all-cause mortality and the distributions of MCH and RBC as well as the iron profiles of these two groups were assessed by Kaplan-Meier curves and Cox proportional hazards regression model, respectively. Results: Patients with MCH 350×104/μL (Group II, n=217) had an increased long-term risk of death and a higher rate of iron deficiency than patients with MCH≥30 pg but<35 pg and RBC≤350×104/μL (Group I, n=177). Conclusions: The management goal for renal anemia would be to control MCH within the range of 30−35 pg and RBC within the range of 300−350×104/μL, and to avoid absolute iron deficiency.
引言:根据Hb=红细胞×MCH的关系,提出了红细胞(RBC)浓度为300至350×104/μL和平均红细胞血红蛋白(MCH)浓度为30至35pg作为控制贫血的管理目标值,其中Hb水平不应超过12g/dL。相反,即使在Hb水平维持在10至12g/dL的患者中,当分为RBC和MCH时,Hb水平也广泛分布。目的:探讨MCH和红细胞分布对预后的影响。方法:根据MCH和红细胞值将患者分为两组,其中MCH≥30pg但350×104/μL的患者(II组,n=217)。通过Kaplan-Meier曲线和Cox比例风险回归模型分别评估了全因死亡率与MCH和RBC分布以及这两组铁谱之间的相关性。结果:MCH 350×104/μL患者(Ⅱ组,n=217)的长期死亡风险和缺铁率高于MCH≥30pg但<35pg和RBC≤350×104/μL的患者(Ⅰ组,n=177)。结论:肾性贫血的治疗目标是将MCH控制在30−35pg范围内,红细胞控制在300−350×104/μL范围内,避免绝对缺铁。
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引用次数: 0
Occupational Stress and Associated Factors among Nurses working in Public Hospitals of Arsi Zone, Oromia Regional State, Central Ethiopia, 2018 2018年埃塞俄比亚中部奥罗米亚州阿尔西区公立医院护士职业压力及相关因素分析
Pub Date : 2020-04-30 DOI: 10.11648/J.IJBECS.20200602.11
B. Hailu, Yohannes Ejigu, Y. Siraneh
Nursing, by its nature, is an occupation subject to a high degree of stress. This profession involves working with people who are themselves suffering a considerable degree of stress. Occupational stress compromised quality of service delivery and also leads as employees’ burnout, turnover and absenteeism. The Objective of the study is to determine the level of occupational stress and associated factors among nurses. The study employed facility based cross sectional study was conducted from August 13 –September 02, 2018. All nurses who served at least for 6 months in Arsi zone public hospitals were asked using self-administered structured questionnaire. The collected data was checked manually, edited, coded and entered into Epi-data version 3.1 and finally it was exported in to statistical package for social science version 24 for cleaning and analysis. Descriptive statistics were used to estimate frequency percent and mean. Dependent variables (occupational stress) were computed based on the respondents having average score of mean and above in expanded nursing stress scale. Then, associations between independent and dependent variables were analyzed first using bivariate binary logistic regression. Variables that had p<0.25 on bivariate binary logistic regression were entered into multivariable binary logistic regression and adjusted odds ratio (AOR) with 95% CI were reported. The study finding showed that 202 (53%) with (95% CI: 48.2-58.1) of nurses were occupationally stressful. Factors significantly associated with occupational stress among nurses were sex of respondents (female: AOR=2.37, 95% CI: 1.41, 3.97), marital status (ever married: AOR=2.49, 95% CI: 1.35, 4.60), Role ambiguity (nurses who had Role ambiguity: AOR=3.01, 95% CI: 1.79, 5.05) and working hours. (≥8hrs hours per day: AOR=2.85, 95% CI: 1.10, 7.36). In this study, more than half of nurses had occupational stress, Thus, Arsi zone public hospitals collaborative with concerned stakeholders to design stress reduction program for tackling occupational stress among nurses.
从本质上讲,护理是一项压力很大的职业。这个职业的工作对象本身也承受着相当大的压力。职业压力降低了服务质量,也导致了员工的倦怠、离职和缺勤。本研究的目的是了解护士的职业压力水平及相关因素。该研究采用基于设施的横断面研究于2018年8月13日至9月2日进行。采用自填式结构化问卷对所有在Arsi区公立医院服务至少6个月的护士进行调查。收集到的数据经过手工核对、编辑、编码后输入Epi-data 3.1版本,最后导出到social science version 24统计包中进行清理和分析。使用描述性统计来估计频率百分比和平均值。因变量(职业压力)根据被调查者在扩展护理压力量表中平均及以上得分计算。然后,首先使用二元逻辑回归分析自变量和因变量之间的关联。将双变量二元逻辑回归中p<0.25的变量纳入多变量二元逻辑回归,并报告校正优势比(AOR), 95% CI。研究发现,202名(53%)护士存在职业压力(95% CI: 48.2 ~ 58.1)。与护士职业压力显著相关的因素有性别(女性:AOR=2.37, 95% CI: 1.41, 3.97)、婚姻状况(曾经结婚:AOR=2.49, 95% CI: 1.35, 4.60)、角色模糊(有角色模糊的护士:AOR=3.01, 95% CI: 1.79, 5.05)和工作时间。(每天≥8小时:AOR=2.85, 95% CI: 1.10, 7.36)。在本研究中,超过一半的护士有职业压力,因此,Arsi地区公立医院与相关利益相关者合作,设计减压方案,以解决护士的职业压力。
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引用次数: 7
Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy 改良尿造瘘袋在经皮肾镜取石后肾造瘘管入口渗液收集中的应用
Pub Date : 2020-04-23 DOI: 10.11648/J.IJBECS.20200601.13
L. Lan, Guo Xiaoxia
Objective: We attempt to explore the effect of improved urostomy pouch on collecting the seepage from the entry of the nephrostomy tube after percutaneous nephrolithotomy. Methods: We selected 106 patients who underwent percutaneous nephrolithotomy and had indwelling nephrostomy tube with abnormal increase in seepage from the nephrostomy tube entry. Random number table was used to averagely divide them into observation group (53) and control group (53). For the observation group, we used improved urostomy pouches to collect seepage from the nephrostomy tube entry while for the control group, we dealt with the seepage through changing dressings following surgical routine. After that, we compared occurrence of dermatitis around the stoma, discomfort of stoma, stoma care cost, medical staff’s satisfaction with collection of seepage, frequency of changing dressings for stoma and material expenditure, etc. between the two groups. Results: occurrence of dermatitis around the stoma, discomfort of stoma and stoma care cost in observation group were lower than those in control group with a significant difference (P=0.000). Besides, medical staff’s satisfaction with collection of seepage in observation group was higher than that in control group with a significant difference (P=0.000). Frequency of caring for the stoma expenditure of dressings in the observation group were lower than those in the control group also with a significant difference (P=0.000). Conclusions: Improved urostomy pouches in collection of seepage from the stoma after PCNL can not only ensure the leakproofness of the urinary system and the function of nephrostomy tube but also reduce the occurrence of stoma infection to improve comfort of patients and accuracy of measurement of seepage, and reduce workload of medical staff. What’s more, the improved urostomy pouches help reduce the cost of changing dressings for patients and cost of materials of the department, and thus is worth application in collection of seepage from other drainage tubes.
目的:探讨改良造瘘袋对经皮肾镜取石后肾造瘘管入口渗液的收集效果。方法:选择106例经皮肾镜取石并留置肾造瘘管的患者,其肾造瘘管入口渗漏异常增加。采用随机数字表法将患者平均分为观察组(53例)和对照组(53例)。观察组采用改良的造瘘袋收集肾造瘘管入口渗液,对照组采用常规手术后更换敷料处理渗液。比较两组患者造口周围皮炎的发生情况、造口不适、造口护理费用、医务人员对渗液收集的满意度、换造口敷料次数、材料支出等情况。结果:观察组患者造口周围皮炎发生率、造口不适及造口护理费用均低于对照组,差异有统计学意义(P=0.000)。观察组医务人员对渗液收集的满意度高于对照组,差异有统计学意义(P=0.000)。观察组患者护理口用敷料的次数也低于对照组,差异有统计学意义(P=0.000)。结论:改良的造瘘袋用于PCNL术后造瘘口渗液收集,既能保证泌尿系统的防漏性和肾造瘘管的功能,又能减少造瘘口感染的发生,提高患者的舒适度和渗液测量的准确性,减轻医护人员的工作量。改进后的造口袋减少了患者更换敷料的费用和科室的材料费用,值得在其他引流管的渗漏收集中应用。
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引用次数: 0
Nursing Care Practices at Jimma University Medical Center: A Retrospective Cross - Sectional Study in Ethiopia 吉玛大学医学中心的护理实践:埃塞俄比亚的回顾性横断面研究
Pub Date : 2020-04-23 DOI: 10.11648/J.IJBECS.20200601.12
G. Abdissa, Daniel Geleta, Hiwot Berhanu, Birtukan Edilu
Nursing care is the gathering of information and prioritizing interventions before providing an appropriate cares using a specified assessment format to intervene the most common problems in Hospitals. Most of the nursing care activities were left undone or poorly assessed in Europe with further disrespect & abuse of women during institutional childbirth services in low-middle-income countries including Ethiopia. The current study focused to determine the status of nursing care practices in the obstetric ward of Jimma University medical center. Wherefore, a retrospective cross-sectional study was conducted from April 16, 2019 to May 15, 2019 with documentary analysis of 344 randomly selected medical records. A semi-structured and pretested questionnaire containing 16 items of nursing diagnoses were used to collect data, which was then analyzed by SPSS version 20 under formal consent of participants. During the process of management, frequencies & percentages were calculated and used to describe the data by tables & figures for ranking among the identified nursing cares. A total of 344 records were reviewed and analyzed by the study making 100% review rate. The study revealed all the nursing cares indicated in the domains were provided to labouring mothers with variable degrees. The most prominent nursing cares in the ward were recognized to be cares related to nausea (95.9%), fatigue (95.1%), acute pain relieve related to uterine contractions (94.8%), avoidance of imbalance nutrition due to poor intake (38.1%), bathing/toileting self-care deficit related to pain (27.6%) and constipation due hemorrhoids (24.4%). The remaining elements were practiced rarely. The care practice of labouring mothers in the study unit was not comprehensive. Therefore, the researchers recommend a compressive care approach as much as possible to the study unit and further study on the determinants of variation among the care domains.
护理是在提供适当的护理之前收集信息并优先考虑干预措施,使用特定的评估格式来干预医院中最常见的问题。在欧洲,包括埃塞俄比亚在内的中低收入国家,在机构分娩服务期间,大多数护理活动没有完成或评估不佳,进一步不尊重和虐待妇女。本研究旨在了解吉马大学医学中心产科病房护理实务的现况。因此,本研究于2019年4月16日至2019年5月15日进行回顾性横断面研究,随机选取344份病历进行文献分析。采用包含16项护理诊断的半结构化预测问卷收集数据,经参与者正式同意后,使用SPSS version 20进行分析。在管理过程中,计算频率和百分比,并以表格和数字的形式描述数据,以便在确定的护理事项中进行排名。本研究共审查和分析了344份记录,审查率为100%。研究发现,所有领域所示的护理都是不同程度地提供给劳动母亲的。病房中最突出的护理是恶心(95.9%)、疲劳(95.1%)、子宫收缩相关的急性疼痛缓解(94.8%)、避免因摄入不良导致的营养失衡(38.1%)、洗澡/如厕相关的自我护理缺陷(27.6%)和痔疮相关的便秘(24.4%)。剩下的元素很少被实践。研究单位产妇护理实践不全面。因此,研究人员建议尽可能对研究单位采取压缩护理方法,并进一步研究护理领域差异的决定因素。
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引用次数: 1
Cesarean Section and Associated Factors at Aira Hospital, Oromia Region, Western Ethiopia: A Retrospective Record Review 埃塞俄比亚西部奥罗米亚地区艾拉医院剖宫产及相关因素:回顾性记录回顾
Pub Date : 2020-04-08 DOI: 10.11648/J.IJBECS.20200601.11
Keressa Duressa, Gelana Fekadu, Bedasa Taye, Henock Asfaw
Introduction: According to the latest data from 150 countries, currently, 18.6% of all births occur by cesarean section, ranging from 6% to 27.2%. It is alarmingly increasing in the last decade with an average annual rate of increase by 4.4%. Objective: To assess the prevalence of the cesarean section and associated factors among mothers who gave a birth from January 01, 2014, to December 31, 2018, at Aira Hospital, west wollega zone, Oromia region, Ethiopia. Methods and materials: Study was conducted from June 1 to July 25, 2019, by retrospective review of complete medical records of mothers who gave birth from January 01, 2014, to December 31, 2018 at Aira general hospital, west wollega zone, Oromia region, Ethiopia. The sample size was determined by using single population proportion and the final sample size was 339. Check list was used for data collection which was adapted and developed by reviewing relevant literatures. The data was analyzed by statistical package for social science version 20. Odd ratio was used for the interpretation of strength of prediction of independent variable to outcome variable, cesarean section. The statistical significance was declared at P<0.05 with 95% confidence interval. Result: A total of 332 medical records were reviewed. More than half (51.8%) of mother were less than or equal to 24 years with the mean age of 24.23 (±5.17 SD). The prevalence of cesarean section was 33.1% (95%CI 31.3-35.2%). More than two third (85.5%) of mothers had antenatal care follow up and the gestational age at the time of delivery was 37-40 weeks for 90.7% of mothers. Maternal age, gestational age and fetal weight were factors associated with cesarean section. Conclusion: Since the current prevalence of cesarean section surpass the world health organization recommendation threshold vaginal delivery should be encouraged in appropriate cases and the time should be given for conservative management of fetal distress. Maternal age, gestational age and fetal weight were factors associated with cesarean section. We recommend a future researchers to examine the attitude of service providers and their influence on the growing cesarean section delivery rate.
引言:根据来自150个国家的最新数据,目前,18.6%的分娩是通过剖宫产进行的,从6%到27.2%不等。在过去十年中,剖宫产的增长率惊人,年均增长率为4.4%,2018年,在埃塞俄比亚奥罗米亚州西沃勒加地区的艾拉医院。方法和材料:研究于2019年6月1日至7月25日进行,通过对2014年1月1日到2018年12月31日在埃塞俄比亚奥罗米亚州西沃勒加区艾拉综合医院分娩的母亲的完整医疗记录进行回顾性审查。通过使用单个群体比例来确定样本量,最终样本量为339。检查表用于数据收集,该检查表是通过查阅相关文献进行改编和开发的。数据通过社会科学第20版的统计软件包进行分析。比值比用于解释独立变量与结果变量、剖宫产的预测强度。统计学意义为P<0.05,置信区间为95%。结果:共查阅332份病历资料。超过一半(51.8%)的母亲小于或等于24岁,平均年龄为24.23岁(±5.17 SD)。剖宫产的发生率为33.1%(95%CI为31.3-35.2%)。超过三分之二(85.5%)的母亲进行了产前护理随访,90.7%的母亲在分娩时的胎龄为37-40周。母亲年龄、胎龄和胎儿体重是剖宫产的相关因素。结论:由于目前剖宫产的流行率超过了世界卫生组织的建议阈值,在适当的情况下应鼓励阴道分娩,并应给予时间对胎儿窘迫进行保守治疗。母亲年龄、胎龄和胎儿体重是剖宫产的相关因素。我们建议未来的研究人员调查服务提供者的态度及其对剖宫产率增长的影响。
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引用次数: 1
期刊
国际生物医学工程杂志
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