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Preterm birth and factors: An institution based cross-sectional study in case of southern Ethiopia 早产及其影响因素:埃塞俄比亚南部的一项基于机构的横断面研究
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.1.08-14
Kassahun Fikadu, A. Belete, Gabriela Gebrekidan, Hirut Ataklti, Talegeta Fikadu, Tariku Belay, Henok Asaminew
Background: Despite all the effort it has been taken, preterm birth is the most prevailed problem in modern obstetrics, in which it 40% of under-five death is accounted due to prematurity. In Ethiopia, 34% of neonatal deaths prematurity are because of prematurity. The multifactorial nature of factors related to preterm birth makes its etiology of poorly understood. In this regard, the evidence is limited in the study area. Therefore, this study aimed to assess preterm birth and associated factors in Southern Ethiopia. Methods: A hospital-based cross-sectional study was conducted on 258 samples from February to April 2018 in Jinka General hospital, Southern Ethiopia. By using face-to- face interviews, the data were collected and extracted using a structured extraction sheet from mothers' charts. Gestational age was calculated either by using the last menstrual period or Ballard maturity examination. Binary logistic regression was applied to control confounders. Results: Among mothers (n=258) enrolled in this study data on preterm birth was revealed 28.4%, in which the average age of subjects were between 18 to 34 years. The probability. of developing preterm birth were increased among subjects with gestational diabetes mellitus and no antenatal attendance (AOR=4.65, 95% CI=1.46, 14.80) was found to have a significant statistical association with preterm birth. Conclusion: The mangnitude of preterm birth in jinka general hospital was 28.4%. Having no antenatal visit and diabetes mellitus during pregnancy were significantly associated with preterm birth. Women should be encouraged to receive antenatal care in order to mitigate preterm birth in the study area. It is essential to give attention to increase the number of pregnant women who are visiting a hospital for perinatal care, yet further investigation is needed.
背景:尽管已作出种种努力,但早产仍是现代产科中最普遍的问题,其中40%的五岁以下儿童死亡是由于早产造成的。在埃塞俄比亚,34%的早产儿死亡是由于早产造成的。早产相关因素的多因素性质使得其病因尚不清楚。在这方面,证据在研究领域是有限的。因此,本研究旨在评估埃塞俄比亚南部的早产及其相关因素。方法:对2018年2 - 4月在埃塞俄比亚南部金卡综合医院采集的258份样本进行横断面研究。采用面对面访谈的方式收集数据,并使用结构化的提取表从母亲的图表中提取数据。通过最后一次月经或巴拉德成熟度检查计算胎龄。二元逻辑回归应用于控制混杂因素。结果:本研究纳入的258名母亲中,早产发生率为28.4%,平均年龄在18 ~ 34岁之间。的概率。妊娠期糖尿病患者发生早产的风险增加,无产前护理(AOR=4.65, 95% CI=1.46, 14.80)与早产有显著的统计学关联。结论:金卡综合医院早产儿发生率为28.4%。妊娠期未进行产前检查和糖尿病与早产有显著相关性。应鼓励妇女接受产前保健,以减少研究地区的早产。必须注意增加到医院接受围产期护理的孕妇人数,但还需要进一步调查。
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引用次数: 0
The Role and Prinicipals of Epidemiology in Relation to Public Health and Types of Epidemiology 流行病学在公共卫生中的作用和原则以及流行病学的类型
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.102-103
Akhila Sabbineni
The study of disease transmission is the investigation and examination of the dispersion (who, when, and where), examples and determinants of health and illness conditions in characterized populaces. It is a foundation of general wellbeing, and shapes strategy choices and proof based practice by recognizing hazard factors for illness and focuses for preventive medical services. Disease transmission experts assist with study plan, assortment, and measurable investigation of information, change translation and spread of results (counting peer audit and periodic orderly survey). The study of disease transmission has created approach utilized in clinical examination, general wellbeing contemplates, and, less significantly, essential exploration in the natural sciences [1].
疾病传播研究是对特征人群中健康和疾病状况的分散(何人、何时、何地)、例子和决定因素的调查和检查。它是总体福祉的基础,并通过认识疾病的危险因素和预防医疗服务的重点,形成战略选择和基于证据的实践。疾病传播专家协助研究计划、分类和可测量的信息调查、改变翻译和传播结果(包括同行审计和定期有序调查)。对疾病传播的研究创造了用于临床检查、总体健康考虑以及(不太重要的)自然科学基本探索的方法[1]。
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引用次数: 0
The Importance of Antiretroviral Drugs in the Treatment of HIV and Coronavirus Disease 抗逆转录病毒药物在治疗HIV和冠状病毒病中的重要性
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.106-107
C. Jeffreys
Individuals living with HIV who are not taking antiretroviral treatment (ART) and have a low CD4 cell count, especially those with cutting edge HIV sickness, are at expanded danger of pioneering diseases and AIDS related difficulties. Be that as it may, there is advancing and clashing proof whether individuals living with HIV have an expanded danger of securing of SARSCoV-2 disease or potentially COVID-19 clinical confusions in PLHIV contrasted with everyone.
未接受抗逆转录病毒治疗且CD4细胞计数较低的艾滋病毒感染者,特别是那些感染艾滋病毒最严重的人,患开拓性疾病和与艾滋病有关的困难的危险更大。尽管如此,与每个人相比,艾滋病毒感染者是否有更大的感染SARSCoV-2疾病或潜在的COVID-19临床混淆的危险。
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引用次数: 0
Effectiveness of Medication Based Treatment for Opioid Use Disorder 阿片类药物使用障碍药物治疗的有效性
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.2.18
Gowthami Bainaboina
Many people with OUD enjoy treatment with medication for variable lengths of your time, together with womb-to-tomb treatment. in progress patient medication treatment for OUD is joined to higher retention and outcomes than treatment while not medication. Even so, some folks stop exploitation opioids on their own; others recover through support teams or specialty patient or residential treatment with or while not medication. Still, FDA-approved medication ought to be thought of and offered to patients with OUD as a part of their treatment. Benefits • The 3 FDA-approved medications accustomed treat OUD improve patients’ health and health by: • Reducing or eliminating withdrawal symptoms: synthetic heroin, buprenorphine. •Blunting or obstruction the consequences of illicit opioids: synthetic heroin, naltrexone, buprenorphine. •Reducing or eliminating cravings to use opioids: synthetic heroin, naltrexone, buprenorphine. Studies show that individuals with opioid use disorder UN agency follow detoxification with complete abstinence area unit terribly possible to relapse, or come to exploitation the drug. whereas relapse could be a traditional tread the trail to recovery, it may be life threatening, raising the danger for a fatal dose [1]. Thus, a crucial thanks to support recovery from diacetylmorphine or prescription opioid use disorder is to take care of abstinence from those medication. Somebody in recovery may use medications that scale back the negative effects of withdrawal and cravings while not manufacturing the high spirits that the first drug of abuse caused. as an example, the federal agency recently approved lofexidine, a non-opioid medication designed to cut back opioid withdrawal symptoms. synthetic heroin and buprenorphine area unit different medications approved for this purpose
许多患有OUD的人享受不同时间长度的药物治疗,以及从子宫到坟墓的治疗。正在进行的OUD患者药物治疗与不药物治疗相比具有更高的保留率和预后。即便如此,一些人自己停止了对阿片类药物的利用;其他人则通过支持团队或专科患者或住院治疗(或不服药)康复。尽管如此,fda批准的药物应该被考虑并提供给OUD患者作为他们治疗的一部分。•fda批准的用于治疗OUD的3种药物通过以下方式改善患者的健康:•减少或消除戒断症状:合成海洛因,丁丙诺啡。•减弱或阻碍非法阿片类药物的后果:合成海洛因、纳曲酮、丁丙诺啡。•减少或消除对阿片类药物的渴望:合成海洛因、纳曲酮、丁丙诺啡。研究表明,患有阿片类药物使用障碍的人在戒毒后完全戒断,极有可能复发,或来利用药物。虽然复发可能是通往康复的传统道路,但它可能危及生命,增加致命剂量的危险[1]。因此,支持从二乙酰吗啡或处方阿片类药物使用障碍中恢复的一个关键感谢是注意戒断这些药物。恢复期的一些人可能会使用药物来减少戒断和渴望的负面影响,同时又不会像第一次滥用药物那样产生高昂的情绪。例如,联邦机构最近批准了洛非昔定,一种旨在减少阿片类药物戒断症状的非阿片类药物。合成海洛因和丁丙诺啡是被批准用于此目的的不同药物
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引用次数: 0
Neurobiology of Drug Addiction & The Treatment of Hard Drug Use Disorder 药物成瘾的神经生物学&重度药物使用障碍的治疗
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.67
Akhila Sabbineni
Cocaine produces its psychotropic and habit-forming effects primarily by working on the brain’s neural structure, a group of interconnected regions that regulate pleasure and motivation. An initial, short effect—a buildup of the organic compound dopamine—gives rise to high spirits and a want to require the drug once more. Researchers square measure seeking to know however cocaine’s several long term effects manufacture addiction’s persistent cravings and risk of relapse. within the author’s laboratory, work has targeted on buildup of the genetic transcription issue issue. Levels of ΔFosB within the neural structure correlate with addiction-like behaviors in mice and will precipitate terribly long changes to vegetative cell structure. any pursuit of this and similar leads square measure 1st steps toward a whole understanding of the transition from hard drug abuse to addiction—and, ultimately, more practical treatments for those that square measure alcoholic. Snorted, smoked, or injected, hard drug quickly enters the blood and penetrates the brain. The drug achieves its main immediate psychological effect—the high—by inflicting a buildup of the organic compound monoamine neurotransmitter. Dopamine acts as a pacesetter for several nerve cells throughout the brain. At each moment of our lives, monoamine neurotransmitter is answerable for keeping those cells operational at the acceptable levels of activity to accomplish our desires and aims. Whenever we want to mobilize our muscles or mind to figure more durable or quicker, monoamine neurotransmitter drives a number of the concerned brain cells to improve to the challenge.
可卡因主要通过作用于大脑的神经结构(一组相互关联的区域,负责调节愉悦感和动机)而产生精神和习惯形成效应。最初的短期效应——有机化合物多巴胺的积累——会让人情绪高涨,想要再次服用该药。研究人员试图了解可卡因的几种长期影响是如何造成成瘾的持续渴望和复发的风险的。在作者的实验室里,工作的目标是基因转录问题的建立。神经结构中的ΔFosB水平与老鼠的成瘾行为有关,并会导致营养细胞结构发生可怕的长期变化。任何这样或类似的研究都将为全面理解从滥用毒品到成瘾的转变迈出坚实的第一步,并最终为酗酒者提供更实用的治疗方法。吸食、抽吸或注射的烈性毒品会迅速进入血液并穿透大脑。这种药物通过增加有机化合物单胺类神经递质来达到其主要的直接心理效果——兴奋感。多巴胺是大脑中几个神经细胞的“领跑者”。在我们生命中的每一刻,单胺类神经递质负责保持这些细胞在可接受的活动水平上运作,以实现我们的愿望和目标。每当我们想要调动我们的肌肉或思维来更持久或更快地计算时,单胺类神经递质就会驱动一些相关的脑细胞来改进以应对挑战。
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引用次数: 0
Patients Fail to Disclose Their Symptoms During A Visit to Their Primary Care Physician 病人在看初级保健医生时没有透露他们的症状
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.2.20
Divya Karavadi
Patient-physician communication is Associate in Nursing integral a part of clinical observe. once done well, such communication produces a therapeutic result for the patient, as has been valid in controlled studies. Formal coaching programs are created to reinforce and live specific communication skills. several of those efforts, however, specialise in medical faculties and early postgraduate years and, therefore, stay isolated in educational settings. Thus, the communication skills of the busy medical practitioner typically stay poorly developed, and also the want for established physicians to become higher communicators continues. during this article, the authors concisely review the why and the way of effective patient-physician communication. they start by reviewing current information on the advantages of effective communication within the clinical context of physicians caring for patients. The authors then supply specific steering on the way to attain effective communication within the patient-physician relationship. However, there's very little empirical proof relating to the role of patients in distinguishing and preventing medical damage[1]. For hospitalized patients, the technical complexness of treatment and also the acute nature of their sicknesses undermine their ability to acknowledge issues. In ambulant patients, many studies document poor understanding of treatment recommendations or medication regimens[2].Two recent reports address patients’ ability to spot medication-related errors and injuries in medical care. within the ambulant Quality Improvement Project, eighteen of patients in eleven medical care practices according a tangle because of medications within the previous year, however solely three-dimensional of patients’ charts recorded this finding.11 A limitation of the study was the dearth of certification by physicians of patient-reported medication symptoms. The goal of the current study was to know the medication-related symptoms old by members of this patient cohort yet because the contribution of poor patient-physician communication to ADEs. we have a tendency to theorized that if patients and physicians communicated additional effectively concerning medication-related symptoms, then the intensity or period of symptoms can be quenched. Specifically, we have a tendency to wanted to answer the subsequent questions: (1) What square measure the frequency, type, and severity of patient-identified medication symptoms? (2) however typically do clinicians accept as true with patients’ attribution of symptoms to their medications? (3) What factors square measure related to patients’ choices to inform physicians concerning symptoms? (4) What factors square measure related to physicians’ choices to handle patient-reported medication symptoms?
医患沟通是护理专业临床观察的重要组成部分。一旦做得好,这种交流就会对病人产生治疗效果,这在对照研究中是有效的。正式的培训课程是为了加强和实践特定的沟通技巧而创建的。然而,其中一些努力专门针对医学院和早期研究生,因此在教育环境中是孤立的。因此,忙碌的医生的沟通技巧通常仍然不发达,而且对现有医生成为高级沟通者的需求仍在继续。在本文中,作者简要回顾了有效医患沟通的原因和方法。他们首先回顾了在医生照顾病人的临床环境中有效沟通的优势的当前信息。然后,作者提供具体的指导方式,以实现有效的沟通,在医患关系。然而,关于患者在识别和预防医疗损伤中的作用,很少有经验证据[1]。对于住院病人来说,治疗的技术复杂性和他们疾病的急性性质削弱了他们承认问题的能力。在门诊患者中,许多研究表明对治疗建议或用药方案的理解不足[2]。最近的两份报告讨论了患者在医疗护理中发现与药物有关的错误和伤害的能力。在“门诊质量改进项目”中,11个医疗保健实践中有18个患者在前一年因药物而发生混乱,然而,只有三维患者图表记录了这一发现该研究的一个局限性是缺乏医生对患者报告的药物症状的证明。本研究的目的是了解该患者队列成员的药物相关症状,因为不良的医患沟通对ADEs的贡献。我们倾向于认为,如果患者和医生就药物相关症状进行更有效的沟通,那么症状的强度或周期就可以被消除。具体来说,我们倾向于回答以下问题:(1)什么方衡量患者确定的药物症状的频率、类型和严重程度?(2)临床医生通常如何接受患者将症状归因于药物的说法?(3)哪些因素平方测量与患者选择告知医生有关症状?(4)哪些因素平方测量与医生选择处理患者报告的药物症状相关?
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引用次数: 0
Internet Use Patterns, Internet Addiction and Its Association With Psychological Self-Esteem Among Bahir Dar University Students, Ethiopia 埃塞俄比亚巴希尔达尔大学学生网络使用模式、网络成瘾及其与心理自尊的关系
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.3.27-35
Y. Y. Yedemie
Background: Internet addiction is a common problem in university students and negatively affects cognitive functioning, leads to poor academic performance and engagement in hazardous activities, and may lead to anxiety and stress. Behavioural addictions operate on a modified principle of the classic addiction model. The problem is not well inspected in Africa including Ethiopia. Objectives: The purpose of this is to investigate internet use patterns, internet addiction and its association with psychological self-esteem among Bahir Dar University students from December to May 2018/2019 in Bahir Dar University Peda Campus, Ethiopia. Methods: An institution-based cross-sectional study among 359 Bahir Dar University Peda campus students by using a self-administered questionnaire. The study subjects were selected randomly using a stratified sampling technique. The researcher used both descriptive and inferential statistics to present the study findings. Bi-variate techniques, independent sample T-Test and ANOVA were used for continuous variables; Pearson product moment correlation was used for measuring associations. Results: The results show that 91.3% of university students were using the Internet at the time of data collection from which majority 58.2% of them used Smartphone to access the internet. The majority of student under category of normal 36.7% and moderate (33.7%) level Internet addiction, and there is statistically significant difference between sex at (t=2.0, p = .001) in Internet addiction score. There is a negative relationship between students' level of Internet addiction and psychological self-esteem level. Conclusion: The current study documents a high prevalence of internet addiction among University students. Factors associated with internet addiction were spending more time, having mental distress, playing online games, current that chewing, and current alcohol use. As internet addiction becomes an evident public health problem, carrying out public awareness campaigns may be a fruitful strategy to decrease its prevalence and effect. Besides to this, a collaborative work among stakeholders is important to develop other trendy, adaptive, and sustainable countermeasures
背景:网络成瘾是大学生普遍存在的问题,会对认知功能产生负面影响,导致学习成绩不佳,参与危险活动,并可能导致焦虑和压力。行为成瘾是根据经典成瘾模型的修改原则运作的。在包括埃塞俄比亚在内的非洲,这个问题没有得到很好的检查。目的:本研究的目的是调查2018年12月至2019年5月在埃塞俄比亚巴希尔达尔大学佩达校区的巴希尔达尔大学学生的互联网使用模式、网络成瘾及其与心理自尊的关系。方法:采用问卷调查的方法,对巴希尔达尔大学佩达校区359名学生进行机构横断面调查。研究对象采用分层抽样法随机选择。研究人员使用描述性和推断性统计来呈现研究结果。对连续变量采用双变量技术、独立样本t检验和方差分析;使用Pearson积差相关来测量相关性。结果:91.3%的大学生在数据收集时正在使用互联网,其中58.2%的大学生使用智能手机上网。大多数学生在正常(36.7%)和中度(33.7%)水平的网络成瘾类别下,并且在网络成瘾得分上存在性别差异(t=2.0, p = 0.001)。大学生网络成瘾水平与心理自尊水平呈负相关。结论:目前的研究表明,大学生网络成瘾的患病率很高。与网络成瘾相关的因素包括花费更多的时间、精神困扰、玩网络游戏、咀嚼口香糖和饮酒。由于网瘾已成为一个明显的公共卫生问题,开展提高公众认识运动可能是减少其流行程度和影响的有效战略。除此之外,利益相关者之间的协同工作对于制定其他新潮、适应性强、可持续的对策也很重要
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引用次数: 1
Public Health Ramps up for COVID-19 Vaccine Uptake 公共卫生部门加大COVID-19疫苗接种力度
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.85
Zhan Ting
Coronavirus cases flooding to new highs and countless antibody dosages coming, the pressing factor is on to convince Americans to get vaccinated. General wellbeing couriers are attempting to meet that objective, however are confronting steep difficulties. Readiness to get a COVID-19 immunization has consistently gone up among U.S. grown-ups, yet suspicion stays a genuine obstruction to accomplishing group resistance — and doing as such in an evenhanded manner. A December overview from Kaiser Family Foundation found 71% of grown-ups would get a COVID-19 immunization that was resolved protected by researchers and accessible for nothing, up from 63% in September. In any case, in excess of a quarter were as yet reluctant, saying they presumably or unquestionably would not get inoculated In another study from general wellbeing gatherings, including the National Association of County and City Health Officials, just 50% of overview respondents said they would or most likely get inoculated, and a full 39% were uncertain, liking to keep a watch out how well vaccinations continue. Question of antibody wellbeing and viability is particularly high among Blacks and Hispanics, who likewise face higher paces of death and hospitalization from COVID-19 than whites With COVID-19 sicknesses stressing clinics, laborers and wellbeing frameworks across the U.S., authorities need to ensure the current year's influenza season doesn't deteriorate the circumstance
冠状病毒病例激增至新高,无数抗体剂量即将到来,当务之急是说服美国人接种疫苗。一般福利快递公司正试图实现这一目标,但却面临着严峻的困难。在美国成年人中,接受COVID-19免疫接种的意愿一直在上升,但怀疑仍然是实现群体抵抗的真正障碍——并且以公平的方式做到这一点。凯撒家庭基金会(Kaiser Family Foundation) 12月份的一项综述发现,71%的成年人会接种COVID-19免疫接种,这种免疫接种得到了研究人员的保护,并且可以免费获得,高于9月份的63%。无论如何,超过四分之一的人仍然不愿意,他们说他们可能或毫无疑问不会接种疫苗。在另一项来自包括全国县和市卫生官员协会在内的一般健康聚会的研究中,只有50%的总体受访者表示他们会或最有可能接种疫苗,39%的人不确定,喜欢密切关注疫苗接种的持续情况。黑人和西班牙裔的抗体健康和生存能力问题尤其高,他们也面临着比白人更高的死亡和住院率。美国各地的诊所、劳动者和福利框架都面临着COVID-19疾病的压力,当局需要确保今年的流感季节不会恶化这种情况
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引用次数: 0
Awareness of Diabetes Mellitus in Public Who are Suffering with it and its Practice among the Patients 公众糖尿病患者对糖尿病的认识及糖尿病患者的实践
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.108-109
Madden Cassola
Diabetes is an ongoing, metabolic infection described by raised degrees of blood glucose (or glucose), which leads after some time to genuine harm to the heart, veins, eyes, kidneys and nerves. The most well-known is type 2 diabetes, ordinarily in grown-ups, which happens when the body becomes impervious to insulin or doesn't make sufficient insulin. In the beyond thirty years the commonness of type 2 diabetes has risen drastically in nations of all pay levels. Type 1 diabetes, once known as adolescent diabetes or insulin-subordinate diabetes, is an ongoing condition where the pancreas delivers practically zero insulin without help from anyone else. For individuals living with diabetes, admittance to reasonable treatment, including insulin, is basic to their endurance. There is a universally concurred focus to stop the ascent in diabetes and weight by 2025. Medical care experts just as open approach producers are very much aware of the general wellbeing effect of diabetes. Diabetes is a quiet infection – numerous victims became mindful that they have diabetes just when they foster one of its dangerous intricacies. Information on diabetes mellitus can aid early recognition of the infection and decrease the frequency of intricacies. In this way, significant endeavors had been placed in to advise the general population about diabetes. Albeit much exertion has been committed to teaching the general population about diabetes through different types of media, the effect of such endeavors still can't seem to be authoritatively assessed. It isn't realized how much people in general really thinks about diabetes through the current projects. A comprehension of the degree of public mindfulness is useful for wellbeing teachers to anticipate future projects. In any case, a writing search recovered no article fair and square of diabetes information in everyone. Endeavors in this space were coordinated towards estimating patients' information.
糖尿病是一种持续的代谢性感染,表现为血糖升高,一段时间后会对心脏、静脉、眼睛、肾脏和神经造成真正的伤害。最著名的是2型糖尿病,通常发生在成年人身上,当身体对胰岛素不敏感或不能产生足够的胰岛素时,就会发生这种情况。在过去的30年里,2型糖尿病的发病率在各个收入水平的国家急剧上升。1型糖尿病,曾经被称为青少年糖尿病或胰岛素从属型糖尿病,是一种持续的疾病,胰腺在没有其他任何人帮助的情况下几乎不分泌胰岛素。对于糖尿病患者来说,接受合理的治疗,包括胰岛素治疗,是他们耐力的基础。到2025年阻止糖尿病和体重上升是一个普遍的焦点。医疗保健专家就像开放式方法的生产者一样,非常清楚糖尿病对健康的总体影响。糖尿病是一种悄无声息的感染——许多患者在患上糖尿病的时候才意识到自己患有糖尿病。关于糖尿病的信息可以帮助早期识别感染,减少并发症的发生。通过这种方式,人们做出了重大努力,向普通民众提供有关糖尿病的建议。尽管通过不同类型的媒体向普通大众传授糖尿病知识已经付出了很多努力,但这种努力的效果似乎仍然无法得到权威的评估。目前还不清楚有多少人真正通过目前的项目来思考糖尿病。对公众正念程度的理解有助于福利教师预测未来的项目。在任何情况下,写作搜索都没有在每个人身上找到公平公正的糖尿病信息。在这个空间的努力是协调的,以估计患者的信息。
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引用次数: 0
Expert Method as a Quality Assessment Tool of a Multifunctional Hospital 专家法在多功能医院质量评价中的应用
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.88-95
Dunamalyan R.A, Mardiyan M.A, Mkrtchyan S.A, Sakanyan G.H
The systematic structural transformation of the system and the introduction of new technologies are not enough to create an effective system for the medical quality control. It is supposed, that the health care quality management system will be phased, so, it is necessary to emphasize the change in management decisions of medical care quality. The purpose of the research is to alter the traditional scheme of medical expertise conceptualization into innovation, which is based on effective motivation of staff. The object of the study was Astghik Medical Center, which is a multi-functional medical center. Combining medical errors with different components of medical care quality, determines the degree of their significance, which allows dividing medical error into 4 classes. Taking into account the severity of the medical error, the degree of discrepancy is divided into 6 classes. We have developed a Medical Record Examination Questionnaire: 340 medical records have been examined. The research results show, that, the second class of health care quality discrepancy is most common. As a result of analyzing, the following errors were discovered: Gather information about the patient (25.5%), drug therapy -the absence of the prescribed medication, the improper use of the medication (0.8%), error in treatment continuity (10.8%). The received data indicate that it is necessary to develop and introduce managerial decisions that will result in a reduction of medical care discrepancy error. In order to achieve this goal it is necessary to set up a working group, whose staff is desirable to involve the chiefs of departments and the assistant of chief doctor. Thus, managing of medical care quality within the limits of a separate medical institution confirms, that medical care quality can be improved by correctly using information about quality, by purposeful activity of the head, which will be aimed at solving main problem of medical care quality.
仅靠系统的结构改造和新技术的引进,不足以形成有效的医疗质量控制体系。医疗质量管理体系将逐步建立,因此,必须重视医疗质量管理决策的变化。本研究的目的是改变传统的医学专业知识概念化方案,以有效的员工激励为基础进行创新。研究对象为Astghik医疗中心,这是一家多功能医疗中心。将医疗差错与医疗质量的不同组成部分结合起来,确定其重要程度,从而将医疗差错分为4类。考虑到医疗差错的严重程度,差异程度分为6级。我们编制了一份病历检查调查表,共检查了340份病历。研究结果表明,第二类医疗质量差异最为普遍。通过分析,发现了以下错误:收集患者信息(25.5%),药物治疗-没有处方药物,药物使用不当(0.8%),治疗连续性错误(10.8%)。收到的数据表明,有必要制定和实行管理决策,以减少医疗差错。为了实现这一目标,有必要成立一个工作组,其工作人员最好包括科室主任和主任医生助理。因此,在一个单独的医疗机构范围内管理医疗质量证实,通过正确使用质量信息,通过负责人有目的的活动,可以提高医疗质量,这将旨在解决医疗质量的主要问题。
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Quality in primary care
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