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COVID-19 Guidance: Medical Care Suppliers In An Exceedingly Community Setting COVID-19指南:极端社区环境中的医疗保健提供者
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.1.17
Gowthami Bainaboina
Primary care will play a big role within the COVID-19 response by differentiating patients with metabolic process symptoms from those with COVID-19, creating associate early designation, serving to vulnerable folks address their anxiety regarding the virus, and reducing the demand for hospital services. This document provides national and subnational health managers, still as workers at medical care facilities, with interim steering on timely, effective and safe certificatory management of patients with suspected and confirmed COVID-19 at the first care level; and delivery of essential health services at the first care level throughout the COVID-19 eruption.
初级保健将在COVID-19应对中发挥重要作用,通过区分代谢过程症状患者和COVID-19患者,创建相关的早期诊断,为弱势群体提供服务,解决他们对病毒的焦虑,并减少对医院服务的需求。本文件为仍然是医疗机构工作人员的国家和地方卫生管理人员提供了临时指导,以便在第一护理级别及时、有效和安全地对疑似和确诊的COVID-19患者进行认证管理;在2019冠状病毒病爆发期间提供初级保健一级的基本卫生服务。
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引用次数: 0
Depression and Anxiety Among Employees in Workplace 职场员工的抑郁与焦虑
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.86
Gowthami Bainaboina
Depression and anxiety are exceptionally common mental problems, which can significantly affect the prosperity of individual and society. This examination surveys the downturn and nervousness scores of representatives of Gas Processing Company (SGPC) working further away from home contrasting these with a coordinated with bunch with research a potential relationship between work conditions and social help and wretchedness and uneasiness. All around the world, an expected 264 million individuals experience the ill effects of sorrow, one of the main sources of incapacity, with a considerable lot of these individuals additionally experiencing indications of nervousness. A new WHO-drove study gauges that downturn and uneasiness problems cost the worldwide economy US$ 1 trillion every year in lost efficiency. Joblessness is a very much perceived danger factor for emotional well-being issues, while getting back to, or getting work is defensive. A negative workplace may prompt physical and psychological wellness issues, hurtful utilization of substances or liquor, truancy and lost efficiency. Work environments that advance psychological wellness and backing individuals with mental problems are bound to lessen nonattendance, increment efficiency and advantage from related financial increases
抑郁和焦虑是非常常见的心理问题,它们会严重影响个人和社会的繁荣。这项调查调查了天然气加工公司(SGPC)在远离家乡工作的代表的低迷和紧张得分,并将这些与一组协调研究进行了比较,研究了工作条件与社会帮助以及悲惨和不安之间的潜在关系。在世界各地,预计有2.64亿人遭受悲伤的不良影响,这是丧失工作能力的主要原因之一,其中相当多的人还会出现神经紧张的迹象。世卫组织推动的一项新研究估计,经济衰退和不安问题每年给全球经济造成1万亿美元的效率损失。失业是人们普遍认为的情绪健康问题的危险因素,而重返工作或找到工作则是防御性的。消极的工作场所可能会引发身体和心理健康问题,有害地使用物质或酒精,旷课和效率低下。促进心理健康和支持有心理问题的人的工作环境必然会减少缺勤,提高效率,并从相关的经济增长中获益
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引用次数: 0
Management of Pain Induced By Exercise and Mobilization During Physical Therapy Programs: Views of Patients and Care Providers 在物理治疗方案中由运动和活动引起的疼痛的管理:患者和护理提供者的观点
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.2.22
Naveena Sadu
Exercise and Activity in Pain Management The International Association for Study of Pain (IASP) defines pain as “An unpleasant sensory and emotional expertise related to, or resembling that related to, actual or potential tissue harm.” It any states that “pain is often subjective, and every individual learns the applying of the word through experiences associated with injury in childhood.” IASP conjointly argues that activity iatrogenic in nociceptor and sensitive pathways by harmful stimulation isn't pain. For folks littered with pain, their initial response is to avoid activity and look for rest. And however exercise medical aid is usually prescribed as a treatment choice to manage pain. There square measure famed advantages of exercise and regular physical activity. government agency lists following because the advantages of physical activity: controls weight, reduces risk of illness disorder upset and metabolic disease, reduces risk of some cancers, strengthens bones and muscles, improves psychological state and mood, improves ability to perform daily activities and forestall falls, and will increase probabilities of living longer. Exercises and physical activity not solely have advantages in healthy individual however conjointly haswell-tried advantages in patients. Considering this some authors have postulated a plan that exercise ought to be thought of as a drug [1]. And infrequently most significant advantage of exercise for patients is improved pain control [2
国际疼痛研究协会(IASP)将疼痛定义为“一种与实际或潜在的组织伤害相关或类似的不愉快的感觉和情感体验。”它指出“疼痛通常是主观的,每个人都通过童年受伤的经历学会了这个词的应用。”IASP认为有害刺激引起的伤害感受器和敏感通路的医源性活动不是疼痛。对于那些痛苦不堪的人来说,他们的第一反应是避免活动,寻求休息。然而,运动医疗辅助通常被规定为治疗疼痛的一种选择。众所周知,锻炼和有规律的体育活动有很多好处。政府机构列出了以下几点,因为体育活动的好处:控制体重,减少疾病、紊乱和代谢疾病的风险,减少患某些癌症的风险,增强骨骼和肌肉,改善心理状态和情绪,提高日常活动能力,预防跌倒,并增加长寿的可能性。锻炼和体育活动不仅对健康个体有好处,而且对患者也有好处。考虑到这一点,一些作者提出了一种计划,即运动应该被视为一种药物[1]。运动对患者最显著的好处是改善疼痛控制[2]
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引用次数: 0
Integrating the safety of Patients on Nursing Education and Educating Future Leaders in Patient Safety 将患者安全纳入护理教育,培养患者安全的未来领导者
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.110-111
M. Razak
Patient security is essential to safe patient consideration. Albeit the standards and ideas of patient security are recognized as a basic piece of wellbeing proficient schooling and preparing, numerous medical care suppliers and scholastics stay questionable concerning how to coordinate patient wellbeing into medical care training and clinical consideration, and are yet to incorporate patient wellbeing information into bedside practice.
病人的安全对病人的安全考虑至关重要。尽管患者安全的标准和理念被认为是健康专业教育和准备的基本组成部分,但许多医疗保健供应商和学者对如何将患者健康协调到医疗保健培训和临床考虑中仍然存在疑问,并且尚未将患者健康信息纳入床边实践。
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引用次数: 0
Approach to Urticaria From Emergency Services and Primary Care 从急救服务和初级保健处理荨麻疹
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.4.49
Akhila Sabbineni
Urticaria may be a unwellness characterised by erythroderma, edematous, fretful and transient urticarial plaques, and covering the skin and mucose membranes. conjointly referred to as hives among individuals. it's a awfully common entity. 8.8–20% of people within the community expertise associate degree attack of rash a minimum of once in their lifespan [1]. It are often seen all told ages and sexes however is slightly a lot of common in young adults. In 40–50% of the patients, rash and angioedema area unit seen together, solely rash or angioedema is seen in four-hundredth and two hundredth of the individuals, severally [2]. Rash unremarkably presents with intensely pruritic wheals, typically with swelling of the connective tissue or animal tissue. it's a lifespan prevalence of regarding two hundredth. though typically ending and benign, it will cause vital discomfort, continue for months to years, and uncommonly represent a heavy general unwellness or severe aversion. rash is caused by antibody Eand non–immunoglobulin E-mediated unharness of amine and different inflammatory mediators from mast cells and basophils. identification is formed clinically; hypersensitivity reaction should be dominated out. Chronic rash is disorder in eightieth to ninetieth of cases. solely a restricted nonspecific laboratory workup ought to be thought of unless components of the history or physical examination recommend specific underlying conditions. The mainstay of treatment is turning away of triggers, if known. The first-line pharmacotherapy is second-generation H1 antihistamines, which may be titrated to bigger than customary doses. First-generation H1 antihistamines, H2 antihistamines, leukotriene receptor antagonists, high-potency antihistamines, and transient steroid bursts could also be used as connected treatment. In refractory chronic rash, patients are often remarked subspecialists for added treatments, like omalizumab or cyclosporine. quite common fraction of patients with chronic rash can have resolution or improvement of symptoms at intervals a year [3].
荨麻疹可能是一种以红皮病、水肿、烦躁不安和短暂性荨麻疹斑块为特征的疾病,并覆盖皮肤和粘膜。也被称为个体间的蜂巢。这是一个非常常见的实体。8.8-20%的社区专业人士在其一生中至少有一次皮疹发作。它经常出现在所有年龄和性别,但在年轻人中略多见。在40-50%的患者中,皮疹和血管性水肿面积单位同时出现,单独皮疹或血管性水肿见于百分之四和百分之二的个体,个别为100。皮疹不明显地表现为强烈的瘙痒性皮疹,通常伴有结缔组织或动物组织的肿胀。它的患病率大约是生命的百分之二。虽然通常是结束和良性的,但它会引起严重的不适,持续数月至数年,并且罕见地表现为严重的全身不适或严重的厌恶。皮疹是由抗体e和非免疫球蛋白e介导的胺和来自肥大细胞和嗜碱性粒细胞的不同炎症介质的释放引起的。临床鉴定形成;应控制过敏反应。慢性皮疹在80%到90%的病例中是一种疾病。除非病史或体格检查的组成部分提示有特定的潜在条件,否则应仅考虑限制性非特异性实验室检查。治疗的主要方法是避开诱因,如果知道的话。一线药物治疗是第二代H1抗组胺药,可能会滴定到比常规剂量更大的剂量。第一代H1抗组胺药,H2抗组胺药,白三烯受体拮抗剂,高效抗组胺药和短暂类固醇爆发也可以作为连接治疗。在难治性慢性皮疹中,患者通常被认为是补充治疗的亚专科医生,如奥马珠单抗或环孢素。相当常见的慢性皮疹患者可以在一年的时间间隔内缓解或改善症状。
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引用次数: 0
A key Learning on Health in All Policies 关于所有政策中健康的重要学习
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.2.19
Hathasa Gangavarapu
Health all told Policies (HiAP) could be a cooperative approach that integrates and articulates health issues into policymaking across sectors to boost the health of all communities and other people. People place high worth on health; it's core to their well-being and happiness. physiological condition allows an extended, fulfilling and productive life within which an individual will fancy life, study, work and look after others. Healthy youngsters learn additional effectively. Healthy adults ar ready to look after others. Health is additionally doubtless to be smart for business. Thus, health is a crucial enabler associated necessity for attaining not solely an individual’s goals and aspirations however conjointly society’s social and economic goals. The roots of HiAP is copied back to the first history of public health for a historical perspective). The term was coined within the late Nineties and explored full throughout the second Finnish EU Presidency in 2006,where it absolutely was the most health theme[1,2]. The goal of HiAP is to boost population health, health equity and therefore the context within which health systems function2 by amending public political across sectors so as to realize the foremost favourable impacts. Public policies that outline the role of the general public sector and therefore the restrictive house and capacities – further as education, economic, trade and monetary policies – are all vital in shaping the context of health systems functioning.
全民健康政策(HiAP)可以是一种合作方法,将卫生问题纳入跨部门的政策制定,并将其明确表达出来,以促进所有社区和其他人的健康。人们很重视健康;这是他们幸福和快乐的核心。生理条件允许延长,充实和富有成效的生活,在这种生活中,个人将享受生活,学习,工作和照顾他人。健康的年轻人学习更有效。健康的成年人已经准备好照顾他人。健康无疑也是做生意的明智之选。因此,健康不仅是实现个人目标和愿望,而且是实现社会社会和经济目标的关键推动因素。从历史的角度来看,HiAP的根源可以追溯到公共卫生的第一个历史)。这个词是在90年代末创造的,并在2006年芬兰第二任欧盟轮值主席国期间得到充分探讨,在那里它绝对是最健康的主题[1,2]。HiAP的目标是通过修正跨部门的公共政治,以实现最有利的影响,促进人口健康和卫生公平,从而改善卫生系统运作的环境。概述一般公共部门的作用以及限制性机构和能力的公共政策,以及教育、经济、贸易和货币政策,在塑造卫生系统运作的背景方面都至关重要。
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引用次数: 0
Utilization and Associated Factors of Emergency Contraception among Female College Students in Addis Ababa, Ethiopia 埃塞俄比亚亚的斯亚贝巴女大学生紧急避孕措施的使用情况及相关因素
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.1.01-07
E. Sendo, Kassahun Fikadu
Background: Increasing the access and availability of modern contraceptives with emergency contraceptives prevent unplanned pregnancy. In Ethiopia, the rate of unintended pregnancy is high among adolescents. The role of the Emergency contraceptive is confirming in the prevention of unplanned pregnancy and its sequels. However, the use of emergency contraceptives in cities like Addis Ababa is verylow. Given that unsafe abortion is the leading cause of maternal mortality, appropriate use of emergency contraceptives as back up for regular contraceptive is therefore needed. Objective: This study has assessed the practice of emergency contraception and associated factors among female students in ALKAN Health Science Business and Technology (HSBT) College, Addis Ababa, Ethiopia. Methods: An institution-based study among 271 female ALKAN Health Science Business Technology College, Addis Ababa campus students using a self-administered questionnaire. The study subjects were selected randomly using a stratified sampling technique. We used both descriptive summaries statistics and logistic regression to present the study findings. Results: The majority (93.3%) had emergency contraceptives awareness. Among those who had heard about an emergency contraceptive, 81.5% had good emergency contraceptive knowledge. The magnitude of participants who had used emergency contraceptive was 12.9%, where oral pills (93.3%) were the most frequently used method. Factors significantly associated with the use of emergency contraception were user being sexually active [AOR=124.0, 95%CI=33.4-61.1)], age less than or equal to 20 years [AOR=5.7, 95%CI=2.35-3.91)], and being single [AOR=6.2, 95%CI= 1.91-20.0)]. Conclusion: Efforts should be made to educate college female students on emergency contraceptives usage in their formal lesson.
背景:增加现代避孕药具和紧急避孕药具的获取和供应可预防意外怀孕。在埃塞俄比亚,青少年的意外怀孕率很高。紧急避孕药具在预防意外怀孕及其后果方面的作用正在得到证实。然而,在亚的斯亚贝巴等城市,紧急避孕药具的使用率非常低。鉴于不安全堕胎是孕产妇死亡的主要原因,因此需要适当使用紧急避孕药具作为常规避孕药具的补充。目的:了解埃塞俄比亚亚的斯亚贝巴ALKAN健康科学商业技术学院(HSBT)女生的紧急避孕情况及相关因素。方法:采用问卷调查法对271名ALKAN健康科学商业技术学院亚的斯亚贝巴校区女学生进行机构调查。研究对象采用分层抽样法随机选择。我们使用描述性总结统计和逻辑回归来呈现研究结果。结果:绝大多数(93.3%)有紧急避孕意识。在听说过紧急避孕措施的人中,81.5%的人有良好的紧急避孕知识。使用紧急避孕药的参与者占12.9%,其中口服避孕药(93.3%)是最常用的方法。与使用紧急避孕药有显著相关性的因素为性活跃[AOR=124.0, 95%CI=33.4-61.1]、年龄小于或等于20岁[AOR=5.7, 95%CI=2.35-3.91]、单身[AOR=6.2, 95%CI= 1.91-20.0)]。结论:应在正式教学中加强对女大学生紧急避孕药使用的教育。
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引用次数: 0
The Impact of Activity Safety And Health Care Regulation 活动安全和卫生保健法规的影响
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.66
Gowthami Bainaboina
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引用次数: 0
Causes of Deaths for the Overdose of Opioids and Drugs 阿片类药物和药物过量的死亡原因
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.87
Ramyasubha Chiyyadri
The term “opioids” includes incorporates intensifies that are separated from the poppy seed just as semisynthetic and manufactured mixtures with comparable properties that can interface with narcotic receptors in the brain. Opioids are generally utilized for the therapy of torment, and incorporate meds like morphine, fentanyl and tramadol. Their non-clinical use, drawn out use, abuse and use without clinical oversight can prompt narcotic reliance and other wellbeing problems. Due to their pharmacological impacts, narcotics can cause breathing challenges, and narcotic excess can prompt death. Worldwide, about 0.5 million passings are owing to medicate use. Over 70% of these passings are identified with narcotics, with over 30% of those passings brought about by glut.
“阿片类药物”一词包括从罂粟种子中分离出来的结合强化剂,就像半合成和制造的混合物一样,具有类似的性质,可以与大脑中的麻醉受体相结合。阿片类药物通常用于治疗痛苦,包括吗啡、芬太尼和曲马多等药物。它们的非临床使用、长时间使用、滥用和在没有临床监督的情况下使用,都可能导致对麻醉品的依赖和其他健康问题。由于它们的药理作用,麻醉品会引起呼吸困难,过量的麻醉品会导致死亡。在世界范围内,约有50万例死亡是由于药物使用。其中超过70%的死亡与毒品有关,超过30%的死亡是由毒品过剩引起的。
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引用次数: 0
Healthcare Providers on the Frontline Against the COVID-19 Pandemic 站在抗击COVID-19大流行前线的医疗服务提供者
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.2.21
N. Nuthalapati
COVID-19 has affected the life and health of over one million individuals across the planet. This overwhelms several countries’ tending systems, and, of course, affects tending suppliers like nurses fighting on the frontlines to safeguard the lives of everybody affected. Exploring the problems that nurses face throughout their battle can facilitate support them and develop protocols and plans to boost their state. Thus, this integrative review can explore the problems facing Health care supplier throughout their response to the COVID-19 crisis. the key problems facing nurses during this state of affairs square measure the important shortage of nurses, beds, and medical provides, as well as personal and protecting instrumentation, as reviews indicate, psychological changes and fears of infection among nursing employees. The implications of those findings may facilitate to produce support and establish the wants of nurses all told affected countries to confirm that they will work and answer this crisis with additional confidence. Moreover, this can facilitate enhance state for pandemics and contemplate problems once drawing up crisis plans. the advice is to support the nurses, since they're a important line of defense. Indeed, additional analysis should be conducted within the field of pandemics concerning nursing.
2019冠状病毒病已经影响到全球100多万人的生命和健康。这使几个国家的护理系统不堪重负,当然也影响到护理提供者,如在前线战斗以保护受影响的每个人的生命的护士。探索护士在战斗中面临的问题可以促进支持她们,并制定方案和计划来提高她们的状态。因此,这一综合综述可以探讨医疗保健供应商在应对COVID-19危机过程中面临的问题。在这种情况下,护士面临的关键问题是护士、床位、医疗设备以及个人和保护仪器的严重短缺,正如综述所表明的那样,护士员工的心理变化和对感染的恐惧。这些发现的影响可能有助于产生支持并确定所有受影响国家护士的需求,以确认他们将以额外的信心工作并应对这场危机。此外,这有助于加强对流行病的状态,并在制定危机计划时考虑问题。建议是支持护士,因为她们是重要的防线。实际上,应当在大流行护理领域进行进一步分析。
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引用次数: 0
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Quality in primary care
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