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Neurofibromatosis 1 Presence in Breast Tissue: Case Report 乳腺组织神经纤维瘤病1例报告
Pub Date : 2022-05-04 DOI: 10.31579/2642-9756/113
Samuel Lichtman-Mikol
Neurofibromatosis 1, also known as Von Recklinghausen disease, is the most common of the three neurofibromatoses. It is a multi-organ disease that is characterized by the development of cutaneous neurofibromas, plexiform neurofibromas, optic nerve gliomas, astrocytomas, Lisch nodules, and pheochromocytomas. We present a case of 66-year-old woman with NF-1. The disease presents with multiple cutaneous neurofibromas in both breasts. People living with NF-1 disease might have a different course of malignancy or other associated symptoms than the average individual without NF-1. It is essential that patients presenting with NF-1 symptoms are followed longitudinally to ensure that the progression of their symptoms are appropriately treated.
神经纤维瘤病1,也称为Von Recklinghausen病,是三种神经纤维瘤瘤病中最常见的一种。它是一种多器官疾病,以皮肤神经纤维瘤、丛状神经纤维瘤,视神经胶质瘤、星形细胞瘤、利施结节和嗜铬细胞瘤的发展为特征。我们报告了一例66岁女性NF-1。该病表现为双侧乳房多发性皮肤神经纤维瘤。患有NF-1疾病的人可能与没有NF-1的普通人有不同的恶性肿瘤或其他相关症状。至关重要的是,对出现NF-1症状的患者进行纵向随访,以确保其症状的进展得到适当治疗。
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引用次数: 0
Potassium Permanganate Necrosis of the Vagina 阴道高锰酸钾坏死
Pub Date : 2022-05-04 DOI: 10.31579/2642-9756/117
A. Slaoui
A 19-year-old woman was referred to our emergency department for massive vaginal hemorrhage following an attempted clandestine abortion by intravaginal instillation of potassium permanganate crystals. Primigravida, she was 7 weeks pregnant and had no particular pathological history. Upon admission, she was in hemorrhagic shock with blood pressure at 7/3 mmHg and tachycardia at 152 bpm. Pelvic examination revealed active bleeding from the right vaginal wall. The cervix and vulva were normal. Mechanical hemostasis using a sterile gauze pad mounted on a long forceps was directly applied at the same time as the resuscitative management. After 3 minutes of compression, hemostasis was achieved and vaginal necrotic lesions appeared
一名19岁的女性在尝试通过阴道内滴注高锰酸钾晶体进行秘密流产后,因阴道大出血被转诊至我们的急诊科。初产妇,她怀孕7周,没有特殊的病理病史。入院时,她处于失血性休克状态,血压为7/3毫米汞柱,心动过速为152次/分。骨盆检查显示右侧阴道壁有活动性出血。宫颈和外阴正常。在复苏管理的同时,直接使用安装在长镊子上的无菌纱布垫进行机械止血。按压3分钟后,止血,出现阴道坏死病变
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引用次数: 0
Supporting Non-Communicable Disease Patients in Time of The Covid-19 Pandemic: From Motivating Them to Qualifying the Role of Their Caregivers 在2019冠状病毒病大流行期间支持非传染性疾病患者:从激励他们到确定照顾者的角色
Pub Date : 2022-05-04 DOI: 10.31579/2642-9756/111
M. Votta, A. Aviles, Rossana Di Renzo
Evidence collected globally during the pandemic show that Covid-19 has had a significant impact on patients suffering from non-communicable diseases (NCDs). Indeed, oncological and chronic patients have been left almost alone for several months, especially during the first wave of the pandemic. At the European level, the hope is that the measures adopted thanks to the Next Generation EU Fund [1] can have, in the shortest period possible, a significant impact towards more resilient healthcare systems in each Member State, in which the issue of health acts as a key element within their National Resilience and Recovery Plans (NRRPs). In addition to this, it is extremely essential to act on two sides: to motivate patients to not neglect their treatment path, and to support as much as possible the ones who informally help them in the shadow. In fact, behind every sick person there is often a caregiver, for many of whom every day the work of care takes up almost all of their daily time, with considerable expenditure of physical and mental energy. What is the situation of caregivers across Europe? While challenges faced by patients are a frequently discussed topic, not much is known about the issues caregivers face daily. To shed light on the latter in Italy has been a civic survey carried out along 2020 by the Italian NGO Cittadinanzattiva [2], engaged also at the European level in order to motivate patients and, as an Ambassador of the EU Pillar of Social Rights [3], committed with EU institutions to implement the 20 principles of the Pillar for the benefit of both patients and their caregivers.
大流行期间在全球收集的证据表明,Covid-19对非传染性疾病患者产生了重大影响。事实上,肿瘤和慢性病患者几乎已经被孤立了几个月,特别是在大流行的第一波期间。在欧洲层面,希望下一代欧盟基金[1]所采取的措施能够在尽可能短的时间内对每个成员国更具弹性的医疗保健系统产生重大影响,在这些系统中,健康问题是其国家弹性和恢复计划(nrps)的关键要素。除此之外,从两个方面采取行动是非常必要的:一是激励患者不要忽视他们的治疗途径,二是尽可能多地支持那些在阴影下非正式地帮助他们的人。事实上,每个病人的背后往往都有一个照顾者,对他们中的许多人来说,每天的照顾工作几乎占据了他们所有的日常时间,消耗了大量的身心能量。整个欧洲的护理人员情况如何?虽然患者面临的挑战是一个经常讨论的话题,但人们对护理人员每天面临的问题知之甚少。意大利非政府组织Cittadinanzattiva b[2]于2020年在意大利开展了一项公民调查,以激励患者,并作为欧盟社会权利支柱b[3]的大使,与欧盟机构共同致力于实施支柱的20项原则,以造福患者及其护理人员。
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引用次数: 0
Health Extension Postnatal Care Services Utilization and Associated Factors Among Mothers in Kindo Didaye District, Southern Ethiopia: a Community-Based Mixed-Method Study 埃塞俄比亚南部金多-迪达耶地区母亲的健康扩展产后护理服务利用及其相关因素:一项基于社区的混合方法研究
Pub Date : 2022-05-04 DOI: 10.31579/2642-9756/112
Temesgen Tantu, Damene Dawit Hadaro
Background: Postnatal care is care provisions being delivered during postnatal period. Lack of care in this period may result in death or disability as well as missed opportunities to promote healthy behaviors affecting women, newborns, and children. We need to understand the level and factors affecting health extension postnatal care services utilization. Objective: To determine the prevalence of health extension postnatal care services utilization and associated factors among mothers who gave birth in the last year in Kindo Didaye district, Southern Ethiopia, 2017. Methodology: A community-based cross-sectional mixed-method study was conducted from March 1-30, 2017 to get the final sample size of 645 mothers. Descriptive statistics were used to describe study participants. Binary logistic regression was used to identify associated factors among the explanatory variables at P < 0.05. Results: The prevalence of utilization of Post-natal care services is 32.8%. Having husbands attended secondary and above education, having at least one Antenatal care attendance, last delivery in the health institution, planning to utilize services, visitation, and notification of delivery by Health extension workers were factors to utilize services. The majority of Focus group discussion participants said that Health extension workers were not visiting at their homes and hence mothers might not be encouraged to attend health extension Post-natal care services. Conclusion: The prevalence of mothers who utilized health extension Post-natal care services in the district was very low. Thus, focusing on the identified factors could improve and sustain Post-natal care services from rural Health extension workers.
背景:产后护理是在产后期间提供的护理服务。在这一时期缺乏护理可能导致死亡或残疾,并错失促进影响妇女、新生儿和儿童的健康行为的机会。我们需要了解影响健康延伸产后护理服务利用的水平和因素。目的:了解2017年埃塞俄比亚南部Kindo Didaye地区去年分娩母亲健康延伸产后护理服务使用率及相关因素。方法:2017年3月1日至30日,采用基于社区的横截面混合方法进行研究,最终样本量为645名母亲。描述性统计用于描述研究参与者。采用二元logistic回归分析各解释变量间的相关因素,P < 0.05。结果:产后护理服务使用率为32.8%。丈夫受过中等及以上教育、至少有一次产前护理、最后一次在保健机构分娩、计划利用服务、就诊和保健推广工作人员的分娩通知是利用服务的因素。焦点小组讨论的大多数与会者说,保健推广工作人员没有到她们的家中访问,因此可能不鼓励母亲参加保健推广产后护理服务。结论:我区孕产妇利用健康延伸产后护理服务的比例较低。因此,关注已确定的因素可以改善和维持农村卫生推广工作者的产后护理服务。
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引用次数: 0
Oseltamivir and Its Potential Effect on the Management of the Flu in Children and Adolescents 奥司他韦及其在儿童和青少年流感管理中的潜在作用
Pub Date : 2022-03-11 DOI: 10.31579/2642-9756/103
Jhon Fredy Bello Cordero, Juan Pablo Gualdrón Moncada, Alieth Paola González Lozano, Andrea Carolina Wilcox Robles, Maria Gabriela Ascencio Vera, Ana María Caballero Mieles, Alexandra Paola Arrieta González
Influenza is a viral infection that mainly affects the respiratory tract from the most proximal to the most distal portion, it is characterized by lasting about 7 days and by having a variable clinical picture. This infectious disease is positioned as one of the most relevant causes of hospitalization in the child population associated with possible complications that can be fatal, generally the treatment is symptomatic but in special cases antivirals are used, in the pediatric population oseltamivir is the indicated drug.
流感是一种主要影响呼吸道的病毒感染,从最近端到最远端,其特征是持续约7天,临床表现多变。这种传染病被定位为儿童住院的最相关原因之一,与可能致命的并发症相关,通常治疗是对症的,但在特殊情况下使用抗病毒药物,在儿童人群中奥司他韦是指用药物。
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引用次数: 0
Amniopatch Treatment in Spontaneous Previable Preterm Rupture of Membranes with Neonatal Outcomes 羊膜贴治疗自发性早产胎膜破裂及新生儿预后
Pub Date : 2022-03-11 DOI: 10.31579/2642-9756/108
Alev Atış Aydın, Kamuran Şanlı, Zuhat Acar, Sema Suzen Çaypinar, D. Acar, O. Şahin
Objective: To evaluate the efficiency of amniopatch application in previable preterm rupture of membranes (pPPROM) between 17-23 gestational weeks of pregnancy. Methods: 30 pregnants with previable preterm rupture of membranes were given amniopatch as therapy option instead of termination.After one week of antibiotics and bed rest the volunteers were applied amniopatch under sonographic guidance by infusion of 100 mL of 0.9% Isotonic solution alternate infusions of platelets, normal saline and FFP with a total of 100cc of each maximally were given into amniotic cavity. During infusion, in the event of bradycardia, the infusion was stopped. Results: 38 amniopatches were applied to 30 pPPROM patients. 7 aborted, 17 gave an immature birth and 6 gave preterm birth None reached to term. Alive birth rate was %23, All of them were born prematurely with changing durations in Neonatal Intensive Care Unite (NICU). In the 7 alive newborns duration of NICU differed (10 days-91 days) with a mean of 44,5 days. Deepest vertical pocket normalized in only 4 of the 30 patients (13,3%) after one week. There were 2 ablatio plasenta cases, none born alive. Cesarean section rate was 6/30 (%20). Maternal complications were endometritis (5/30, 16%), chorioamnionitis 4/30 (13%) all cured with antbiotic regimens in one week, none had sepsis. Conclusion: Results of amniopatch treatment in pPPROM are not convincing, although you restore the amnion a little bit, the etiopathogenesis and underlying factors still exist and cause premature birth, resulting in neonatal complications.
目的:评价羊膜补片在妊娠17~23周前置性胎膜早破(pPPROM)中的应用效果。方法:对30例可预见性胎膜早破的孕妇进行羊膜补片治疗,而不是终止妊娠。在服用抗生素和卧床休息一周后,志愿者在超声引导下,通过输注100 mL 0.9%等渗溶液,应用羊膜贴片。交替向羊膜腔内输注血小板、生理盐水和FFP,每种最多100cc。在输液过程中,如果出现心动过缓,则停止输液。结果:30例pPPROM患者共应用38片羊膜补片。7人流产,17人早产,6人早产,均未足月。存活出生率为%23,均为新生儿重症监护病房(NICU)中早产,且持续时间不同。7例新生儿新生儿重症监护室存活时间不同(10天至91天),平均44.5天。一周后,30名患者中只有4名(13,3%)的最深垂直口袋正常化。消融性广场炎2例,无一例存活。剖宫产率为6/30(%20)。母体并发症为子宫内膜炎(5/30,16%)、绒毛膜羊膜炎4/30(13%),均在一周内用抗生素方案治愈,无败血症。结论:pPPROM的羊膜补片治疗结果并不令人信服,尽管你稍微恢复了羊膜,但病因和潜在因素仍然存在,并导致早产,导致新生儿并发症。
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引用次数: 0
Declining Son Preference among HIV infected Women in Northern Karnataka, India 印度卡纳塔克邦北部艾滋病毒感染妇女重男轻女现象下降
Pub Date : 2022-03-11 DOI: 10.31579/2642-9756/105
S. Halli, Rajeshwari A. Biradar
The study examined the sex preference among women living with HIV/AIDS (WLAHs) in Karnataka, India using a representative random sample of 633 women belonging to the age group 15-29 years since a large proportion of the women in India complete their family size before 30 years. The profile of the respondents indicates that the mean age was slightly over 25 years, was largely residing in rural areas and about a half of them were illiterate. There was a very high level of son preference prior to HIV infection. Though the percent of women desired to have a boy or daughter increased after being HIV positive, the results indicate a significant reduction in son preference after being tested positive compared prior to having any child and HIV negative. This could be due to a significant proportion of the WLHAs refine their desired family and sex preference possibly because of the fear of transmission of HIV virus to their child. The WLHAs desire could be healthy children irrespective of sex of the child so that the children do not have to suffer stigma and discrimination if they are HIV positive.
该研究调查了印度卡纳塔克邦感染艾滋病毒/艾滋病(WLAHs)的女性的性别偏好,使用了633名年龄在15-29岁之间的女性的代表性随机样本,因为印度很大一部分女性在30岁之前完成了家庭规模。答复者的概况表明,平均年龄略高于25岁,大部分居住在农村地区,其中约有一半是文盲。在感染艾滋病毒之前,重男轻女的现象非常严重。尽管艾滋病毒呈阳性的女性希望生男孩或女儿的比例有所增加,但研究结果表明,与未生孩子和艾滋病毒呈阴性的女性相比,检测呈阳性的女性对男孩的偏好显著减少。这可能是由于相当大比例的低生育意愿者可能因为害怕将艾滋病毒传染给孩子而改变了他们想要的家庭和性别偏好。妇女的愿望可以是健康的儿童,无论儿童的性别如何,以便儿童在艾滋病毒呈阳性时不必遭受耻辱和歧视。
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引用次数: 0
Awareness of Coronavirus among Healthcare Workers in Ghotki city of Pakistan: a Cross-Sectional Study 巴基斯坦Ghotki市医护人员对冠状病毒的认识:一项横断面研究
Pub Date : 2022-03-11 DOI: 10.31579/2642-9756/104
Naseer Ahmed, Farry Bruce Jeffery, Haleama Al Sabbah
Objective The fast spread and growing trends of coronavirus has turn out to be a main cause of fear for the healthcare workers. This study is aimed to report the awareness of Coronavirus and practices to control spread of infection amid Healthcare workers in the Ghotki city of Pakistan. Methods The sample of 200 healthcare workers from the Ghotki city of Sindh Province in Pakistan completed a research based survey to report the awareness, responsiveness, knowledge, and practices to contain spread of infection during Coronavirus pandemic in healthcare systems. The survey questionnaire was designed as per CDC (Centers for Disease Control) and WHO (World Health Organization) current provisional guidelines published for healthcare workers (Center for disease control, CDC. 2020). Data was collected through appropriate sampling method and results were reported as frequencies and percentages. The statistics were performed on the bases of percentage of correct responses. The median test was used to separate pairwise evaluations for percentage of correct responses. Results The general knowledge of coronavirus and awareness to prevention for all subcategories was un-adequate with 63% reporting un-correct answers. The maximum accurate replies were from private practicing doctors (Doctors running personal clinics with only out-patient services) and specialist 23%, lowest were from paramedical staff, non- clinical and administrative staff. A smaller amount of the total respondents could correctly define about contact precautions. Though, most of the healthcare workers were conscious of the accurate sequence for the use of a face mask. And, simply 23% of the individuals were found aware of the standards methods of hand wash as advised by who. Conclusion Healthcare workers from the Ghotki city showed inadequate awareness of Coronavirus in current pandemic at hospitals in Ghotki city with an overall percentage of 37 % correct responses.
目的新型冠状病毒的快速传播和增长趋势已成为医护人员恐惧的主要原因。本研究旨在报告巴基斯坦Ghotki市医护人员对冠状病毒的认识和控制感染传播的做法。方法对来自巴基斯坦信德省Ghotki市的200名卫生保健工作者进行调查,以报告冠状病毒大流行期间卫生保健系统中控制感染传播的意识、反应、知识和做法。调查问卷是根据CDC(疾病控制中心)和WHO(世界卫生组织)为卫生保健工作者发布的现行临时指南(疾病控制中心,CDC)设计的。2020)。通过适当的抽样方法收集数据,并以频率和百分比报告结果。统计是根据正确回答的百分比进行的。中位数检验用于分离正确率百分比的两两评估。结果对冠状病毒的一般知识和预防意识不充分,63%的人报告不正确的答案。准确性最高的答复来自私人执业医生(只提供门诊服务的私人诊所的医生)和专科医生23%,最低的答复来自医务辅助人员、非临床和行政人员。小部分受访者能够正确定义接触预防措施。尽管如此,大多数医护人员都意识到口罩使用的准确顺序。只有23%的人知道世卫组织建议的标准洗手方法。结论Ghotki市医院医护人员对本次大流行冠状病毒认知不足,正确率为37%。
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引用次数: 0
Analysis of contraceptive behavior of female athletes of reproductive age 育龄女运动员避孕行为分析
Pub Date : 2022-01-06 DOI: 10.31579/2642-9756/096
Bugaevsky Ka
The article presents the materials of a large-scale study devoted to the study of the contraceptive behavior of female athletes of reproductive age, representing different sports. It has been established that the most commonly used types of contraception, in all age categories, are: interrupted intercourse, spermicides, barrier contraception (male condoms), hormonal patches. The most rarely used are hormonal contraception (single-phase and three-phase combined oral contraceptives) and intrauterine contraception. It has been established that the choice of a particular type of contraception among athletes is determined by such leading factors as sexual activity, frequency of sexual contacts, the number of sexual partners, the presence or absence of a family and marriage.
本文介绍了一项大规模研究的材料,该研究致力于研究代表不同运动项目的育龄女运动员的避孕行为。已经确定,在所有年龄组中,最常用的避孕方式是:性交中断、杀精子剂、屏障避孕(男用避孕套)、激素贴片。最罕见的是激素避孕(单相和三相联合口服避孕药)和宫内避孕。已经确定,运动员选择特定类型的避孕措施是由性活动、性接触频率、性伴侣数量、是否有家庭和婚姻等主要因素决定的。
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引用次数: 0
Knowledge, Attitude, and Practice towards Emergency Contraceptives use Among Negelle Health Sciience College Female Students, South Eastern, Ethiopia: a Descriptive Cross-Sectional Study, 2021 埃塞俄比亚东南部Negele健康科学学院女生对紧急避孕药使用的知识、态度和实践:一项描述性横断面研究,2021
Pub Date : 2022-01-06 DOI: 10.31579/2642-9756/093
Gudisa Bereda
Background: Emergency contraceptives is the only method women cause to prevent pregnancy after they have had unprotected sexual intercourse. About 7.2% of women will be sexually assaulted by a stranger and depending on the region; 23-36% of women will experience unwanted sex from an intimate partner. Objective: To ascertain knowledge, attitude and practice towards emergency contraceptive use among female students in Negelle college of health sciences. Methods: A descriptive cross sectional study design was carried out July 29 /2021 to September 31/2021.Data was collected through employing semi-structured self-administered questioner, and then the collected data was cleared, coded and analyzed by statistical packages for social sciences 26.0 version statistical software. Descriptive statistics were used for variables using statistical parameters of frequencies, and percentages, and were presented in table format. Factors with a bivariate test value ≤ 0.05 were included. Results: The study was conducted on total sample of 152 participants, among the respondents, majority 131(86.2%) of them age was >20 years old. Above half 92(60.5%) of the study subjects was heard the cornerstones merit of contraceptives was to prevent pregnancy.82(53.9) respondents were agree about when having unintended sexual intercourse, they take ECPs.60 (39.5%) of the study subjects were agree about fear of side effects hinder them from not using ECPs.85(56.0%) were used EC pills after unprotected sexual intercourse. Age greater than twenty years and unmarred female students was predictors to have good knowledge about EC pills. Conclusion and recommendations: A majority of this study subjects were came from urban area, and majority of the study subjects were bought EC from pharmacy from pharmacy and shop. Knowledge, attitude and practice towards EC among female students were high. Health care workers should have to escalate awareness of the usage of emergency contraceptive methods among female students.
背景:紧急避孕药是妇女在无保护性交后预防怀孕的唯一方法。大约7.2%的女性会被陌生人性侵犯,这取决于地区;23-36%的女性会经历亲密伴侣的非自愿性行为。目的:了解奈吉尔卫生科学学院女学生对紧急避孕药的知识、态度和使用情况。方法:采用描述性横断面研究设计,于2021年7月29日至2021年9月31日进行。采用半结构化自填式问卷收集数据,然后使用社科26.0版统计软件的统计软件包对收集到的数据进行清理、编码和分析。对使用频率和百分比统计参数的变量进行描述性统计,并以表格形式呈现。纳入双因素检验值≤0.05的因素。结果:本研究共抽样152人,其中131人(86.2%)年龄在20 ~ 20岁之间。92名(60.5%)以上的调查对象认为避孕药具的主要作用是防止怀孕,82名(53.9%)的调查对象同意在发生意外性行为时服用避孕药(39.5%)的研究对象认为对副作用的恐惧阻碍了他们不使用避孕药,85人(56.0%)在无保护的性交后使用避孕药。年龄大于20岁和未婚女学生是对避孕药了解程度较高的预测因子。结论和建议:本研究对象大部分来自城市地区,大部分研究对象从药店和商店购买EC。女生对电子商务的知识、态度和实践水平较高。卫生保健工作者应该提高女学生对使用紧急避孕方法的认识。
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引用次数: 0
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Women health care and issues
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