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Is type 2 Diabetes a Hereditary Condition? Causes, Genes, and Preventative Measures. 2型糖尿病是遗传性疾病吗?原因、基因和预防措施。
Pub Date : 2021-08-26 DOI: 10.4172/2165-7386.1000426
N. Mistry
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引用次数: 0
Evaluation of Factors Influencing Breastfeeding in Children Aged 0 to 24 Months Received in an Urban Community Health Center in Abidjan Cocody (Cote d'Ivoire) 对阿比让科迪(科特迪瓦)城市社区卫生中心接收的0至24个月儿童母乳喂养影响因素的评估
Pub Date : 2019-01-01 DOI: 10.4172/2165-7386.1000348
Mouroufie Akj, Kouakou Ekv, Kouakou Firmin K, Tanoh F. Eboua, Kouakou Ac, Kamara Siaky, Carene M. S. Konan, Djetouan K. J.Marus, Koko K. Bruno, Eudes S. Kpan, Kouame G. M. Bouafou, Hortense Fk, Kati-Coulibaly S
Purpose: The aim of this study is to evaluate the factors influencing breastfeeding among children aged 0 to 6 months received in an urban community health center in Abidjan Cocody (Côte d'Ivoire). Methods: To do this, a cross-sectional and analytical study was conducted in the Anono Urban Community Health Service with 362 mothers interviewed using survey cards. The socio-economic characteristics, the choice of breastfeeding, the type of breastfeeding influencing breastfeeding were studied. The study ran from March to April 2018. The data was processed using Excel 2007. Results: The results showed that some factors hinder exclusive breastfeeding. Mothers' function was an impediment to exclusive breastfeeding, 43.93% were civil servants and 29.56% were students and 26.51% were housewives or shopkeepers. In our study, more than 40% of mothers did not practice exclusive breastfeeding for a cosmetic problem, 31% were related to the sex of the baby, 15% associated with caesarean delivery, 11% for low education level and 2.5% because of the age of the mother. Among the civil servant mothers, or students, 100% practiced mixed breastfeeding. Overall (362) of the mothers surveyed, over 54% practiced mixed breastfeeding. The majority of these mothers introduced water (52%), fruit juice (24%), cereals (15%) and herbal teas at 9%. More than 47% were unable to practice exclusive breastfeeding for the first six months. In this study there is a problem of satiety at 25.41%, insufficient milk secretion 19.34% and other conditions contraindicated for exclusive breastfeeding. Conclusion: The factors of the non-practice of exclusive breastfeeding were low education level, function, early introduction of solid foods, aesthetic problem, and unavailability of time of mothers, satiety problem, insufficient milk secretion and conditions for breastfeeding. These factors will have to be taken into account in the strategy to increase the rate of exclusive breastfeeding and its continuation up to six months in mothers in communes where the standard of living is relatively high.
目的:本研究的目的是评估影响阿比让科迪(Côte科特迪瓦)城市社区卫生中心接收的0至6个月儿童母乳喂养的因素。方法:为此,在Anono城市社区卫生服务中心对362名母亲进行了横断面分析研究。研究了社会经济特征、母乳喂养的选择、母乳喂养的类型对母乳喂养的影响。这项研究从2018年3月持续到4月。数据使用Excel 2007进行处理。结果:研究结果表明,纯母乳喂养存在一些阻碍因素。妨碍纯母乳喂养的因素中,公务人员占43.93%,学生占29.56%,家庭主妇或店主占26.51%。在我们的研究中,超过40%的母亲不实行纯母乳喂养是因为美容问题,31%与婴儿的性别有关,15%与剖腹产有关,11%与教育程度低有关,2.5%与母亲的年龄有关。在公务员母亲或学生中,100%实行混合母乳喂养。在接受调查的362名母亲中,超过54%的人实行混合母乳喂养。这些母亲中的大多数推荐水(52%),果汁(24%),谷物(15%)和草药茶(9%)。超过47%的婴儿在头六个月无法进行纯母乳喂养。本研究中存在饱腹感25.41%的问题,泌乳不足19.34%的问题,以及其他纯母乳喂养禁忌的情况。结论:不实行纯母乳喂养的因素有:受教育程度低、功能不全、固体食物引入早、母亲审美问题、时间不充裕、饱腹感问题、乳汁分泌不足、母乳喂养条件等。在提高纯母乳喂养率的战略中必须考虑到这些因素,并使生活水平相对较高的社区的母亲的纯母乳喂养持续6个月。
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引用次数: 0
The Application of Combined Quality of Control Circle for Acute Spinal Cord Injury 综合质量控制圈在急性脊髓损伤中的应用
Pub Date : 2019-01-01 DOI: 10.4172/2165-7386.1000351
Mei-yue Liu, Lizhi Zhang, J. Zhang, Wanxia Zhong, C. Yang, Lunli Xie, Hongxia Zhu, Jun Zhu, Dan Pu
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引用次数: 0
Effect of Matrix Rhythm Therapy in B/L Adductor Muscle Tightness in Pediatric Cerebral Palsy: A Case Report 基质节律治疗对小儿脑瘫B/L内收肌紧绷的影响1例报告
Pub Date : 2019-01-01 DOI: 10.4172/2165-7386.1000349
Ketan Bhatikar
Cerebral palsy describes a group of chronic disorders that affect a person's ability to control body movement and posture, occurring in two to six cases in 1000 births. There are many types of cerebral palsy, of which spastic cerebral palsy is the most common form and is the type seen in 75 to 80 percent of cases. Spasticity is a common symptom seen after upper motor neuron syndrome. Spasticity due to neurological disorders such as cerebral palsy results from a significant increase in muscle tone and muscle tightness, limiting movement and joint mobility. Tight muscles cause a decrease in range of motion and limited joint mobility. This leads to an abnormal gait commonly observed as scissors, with 1 foot crossing in front of the other at each step. There are different physical therapies and modalities used in the treatment of muscle tightness caused by cerebral palsy, but have not yielded satisfactory results. The tightness of the bilateral adductors also influences the calf muscle, pulling the toes toward the ground and lifting the heel from the affected floor. The most commonly used techniques are passive stretching. Passive stretching uses an external force applied by the therapist to stretch the tense muscles. It shouldn't be painful, and excessive stretching can cause muscle damage. This stretching position is maintained for about 30 seconds and repeated several times to maintain the length. According to physical medicine and rehabilitation clinics in North America, passive stretching alone is not effective in improving long-term muscle tightness in children with cerebral palsy. Although passive stretching continues to be common among the long-standing component of physiotherapy programs, research has not proven effective over the long term. Passive stretching combined with active exercise has also shown little benefit in improving muscle strength. There is no specific division used which has shown an advantage in sealing the adductor muscles. Therefore, we need to look for new feelings in physical modalities or techniques that can show long-term results on muscle oppression. Reliable and valid tools should be used should be used to accurately assess spasticity in clinical practice and for research purposes. Results from several studies have shown that the interrater and intra-rater reliability of the modified Ashworth scale stated that repetition of measurements by the same physiotherapist and experience may not affect the reliability of the scale modified from Ashworth. The modified BohannonSmith Ashworth scale (MAS) was recently modified and is an ordinal measure of spasticity, which ranks the intensity of spasticity from 0 to 4. Recent studies on the modified modified Ashworth scale (MMAS) are a reliable measure to assess spasticity of the upper or lower limbs of patients with spasticity. Therefore, in this study, we used the modified Ashworth scale to record the basic study data. Matrix rhythm therapy is a basic therapy method to mainta
脑瘫指的是一组慢性疾病,影响一个人控制身体运动和姿势的能力,每1000个新生儿中发生2至6例。脑瘫有很多种类型,其中痉挛性脑瘫是最常见的形式,占75%至80%的病例。痉挛是上运动神经元综合征后的常见症状。脑瘫等神经系统疾病引起的痉挛是由于肌肉张力和肌肉紧绷度显著增加,限制了运动和关节活动。紧绷的肌肉会导致活动范围缩小和关节活动受限。这导致了一种异常的步态,通常被观察到像剪刀一样,每一步都有一只脚在另一只脚的前面交叉。脑瘫引起的肌肉紧绷有不同的物理疗法和方式,但没有取得令人满意的效果。双侧内收肌的紧绷也影响小腿肌肉,将脚趾拉向地面,并将脚跟从受影响的地面抬起。最常用的方法是被动拉伸。被动拉伸使用治疗师施加的外力来拉伸紧张的肌肉。它不应该是痛苦的,过度拉伸会导致肌肉损伤。这个伸展姿势保持约30秒,重复几次以保持长度。根据北美的物理医学和康复诊所,被动拉伸本身并不能有效地改善脑瘫儿童的长期肌肉紧绷。虽然被动拉伸在物理治疗方案的长期组成部分中仍然很常见,但研究尚未证明长期有效。被动拉伸与主动运动相结合,在提高肌肉力量方面也收效甚微。在封闭内收肌方面没有特殊的分割。因此,我们需要寻找新的感觉,在物理模式或技术,可以显示长期效果的肌肉压迫。在临床实践和研究中,应该使用可靠和有效的工具来准确评估痉挛。几项研究的结果表明,修改后的Ashworth量表的评定者间信度和评定者内信度表明,同一物理治疗师和经验的重复测量可能不会影响修改后的Ashworth量表的信度。修正的BohannonSmith Ashworth量表(MAS)是最近修订的,是一种痉挛的序数测量方法,它将痉挛的强度从0到4进行排序。近年来研究表明改良改良Ashworth量表(MMAS)是一种评估痉挛患者上肢或下肢痉挛程度的可靠方法。因此,在本研究中,我们使用修改后的Ashworth量表来记录研究的基础数据。基质节律疗法是一种基本的治疗方法,以保持良好的身体健康(预防)和支持愈合的肌肉骨骼,术后和康复问题。在疾病期间,细胞水平的能量代谢缺陷必须在适当的治疗之前正常化。节律基质疗法细胞代谢可以在随后的大运动量运动和训练肌肉之前恢复。它也有助于治疗疼痛和重新调整在细胞生物水平上转移的动态平衡,这种愈合必须在细胞水平上激活。
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引用次数: 3
Silver Linings: The Experience of Hope in Dyads with Motor Neuron Disease. An Explorative Study 一线希望:患有运动神经元疾病的二人组的希望体验。探索性研究
Pub Date : 2019-01-01 DOI: 10.4172/2165-7386.1000353
S. D. Morée, E. Smets, L. Visser, R. V. Vliet, E. K. Reenen, H. Grupstra, Sotice Pieters, M. Visser, H. D. Haes, F. Nollet, A. Beelen
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引用次数: 3
Early Palliative Care for Improving Quality of Life and Survival in Patients with Advanced Cancer: A Systematic Review and Meta-analysis 早期姑息治疗改善晚期癌症患者的生活质量和生存:一项系统回顾和荟萃分析
Pub Date : 2018-10-05 DOI: 10.4172/2165-7386.1000343
F. Zanghelini, I. Zimmermann, C. Andrade, O. Wu
Objective: The main goal was to evaluate the effectiveness of early palliative care in patients with advanced cancer.Methods: The search in the MEDLINE/PubMed, CRD, Cochrane Library, CINAHL, EMBASE, Google Scholar, ICTRP and ClinicalTrials.gov databases was conducted in June 2017. Two reviewers independently screened titles and abstracts with consensus agreement. We undertook quality assessment according to GRADE criteria. Randomized Controlled Trials (RCT) that assessed the effectiveness of EPC in adult patients with a diagnosisadvanced cancer were included. The quantitative evidence was summarized in a meta-analysis using random effect models.Results: The selection phase retrieved 14,026 records, 7 papers were included in the meta-analysis. The standardized mean difference the outcomes assessed were: improvement quality of life (0.17 higher; 95% CI; 0.05, 0.29) after 3 months, (0.42 higher; 95% CI; 0.21, 0.63) after 6 months, and (0.16 higher; 95% CI; -0.20, 0.53) after 12 months; improvement of symptom intensity (-0.13 lower; 95% CI; -0.26, 0.00) after 3 months, (-0.27 lower; 95% CI; -0.53, -0.01) after 6 months, and (-0.39 lower; 95% CI; -0.76, -0.03) after 12 months; improve depressive mood (-0.19 lower; 95% CI; - 0.36, -0.01) after 3 months, (-0.21 lower; 95% CI; -0.45, 0.04) after 6 months, and (-0.09 lower; 95% CI; -0.81, 0.63) after 12 months; and survival (OR = 0.71 higher; 95% CI; 0.51, 0.99).Conclusion: Our findings suggest that EPC effectively improves quality of life and consequently increases the likelihood of survival of patients with advanced or metastatic cancer. However, due to worsening of the disease stage over time, a limited effect was observed after 12 months of follow-up.
目的:评价晚期癌症患者早期姑息治疗的有效性。方法:2017年6月在MEDLINE/PubMed、CRD、Cochrane Library、CINAHL、EMBASE、Google Scholar、ICTRP和ClinicalTrials.gov数据库中进行搜索。两位评审员在一致同意的情况下独立筛选标题和摘要。我们根据GRADE标准进行了质量评估。纳入随机对照试验(RCT),评估EPC在诊断为晚期癌症的成年患者中的有效性。定量证据在使用随机效应模型的荟萃分析中进行了总结。结果:筛选阶段共检索到14026条记录,7篇论文被纳入荟萃分析。评估结果的标准化平均差异为:3个月后生活质量改善(0.17高;95%置信区间;0.050.29),6个月后(0.42高;95%可信区间;0.210.63),12个月后改善(0.16高;95%CI;-0.200.53);3个月后症状强度改善(-0.13降低;95%置信区间;-0.26,0.00),6个月后(-0.27降低;95%可信区间;-0.53,-0.01),12个月后改善(-0.39降低;95%CI;-0.76,-0.03);在3个月后改善抑郁情绪(降低-0.19;95%置信区间;-0.36,-0.01),在6个月后(降低-0.21;95%可信区间;-0.45,0.04),在12个月后,(降低-0.09;95%CI;-0.81,0.63);结论:我们的研究结果表明,EPC有效地改善了生活质量,从而增加了晚期或转移性癌症患者的生存可能性。然而,由于疾病阶段随着时间的推移而恶化,在随访12个月后观察到的效果有限。
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引用次数: 2
Development and initial cross-cultural validation of the Confucian Orientation Beliefs scale (COB) 儒家取向信念量表(COB)的发展及其初步跨文化验证
Pub Date : 2018-09-27 DOI: 10.4172/2165-7386-C3-020
pYvonne Hsiung, InFun Lip
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引用次数: 0
What is the evidence for early integration of palliative care into the management of serious illness 早期将姑息治疗纳入严重疾病管理的证据是什么
Pub Date : 2018-09-03 DOI: 10.4172/2165-7386-C1-015
pMellar P Davisp
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引用次数: 0
A multi-institutional, randomized, double-blinded, placebo-controlled trial of additive Duloxetine for cancerrelated neuropathic pain refractory to opioids and gabapentinoids: JORTC PAL-08 (DIRECT study) 一项多机构、随机、双盲、安慰剂对照试验:添加度洛西汀治疗阿片类药物和加巴喷丁类药物难治性癌症相关神经性疼痛:JORTC PAL-08 (DIRECT研究)
Pub Date : 2018-09-03 DOI: 10.4172/2165-7386-C1-014
pHiromichi Matsuokap
{"title":"A multi-institutional, randomized, double-blinded, placebo-controlled trial of additive Duloxetine for cancerrelated neuropathic pain refractory to opioids and gabapentinoids: JORTC PAL-08 (DIRECT study)","authors":"pHiromichi Matsuokap","doi":"10.4172/2165-7386-C1-014","DOIUrl":"https://doi.org/10.4172/2165-7386-C1-014","url":null,"abstract":"","PeriodicalId":91127,"journal":{"name":"Journal of palliative care & medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70691156","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
Hospice: The right to choose 临终关怀:选择的权利
Pub Date : 2018-09-03 DOI: 10.4172/2165-7386-C1-013
pMichaela Bercovitchp
Following your need to always fulfil the inspiration to obtain everybody is now simple. Connecting to the internet is one of the short cuts to do. There are so many sources that offer and connect us to other world condition. As one of the products to see in internet, this website becomes a very available place to look for countless palliative care for the elderly in india sources. Yeah, sources about the books from countries in the world are provided.
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引用次数: 0
期刊
Journal of palliative care & medicine
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