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Prevalence of Hypertension and Associated Factors among Bank Workers in Harar Town, Eastern Ethiopia 2018 2018年埃塞俄比亚东部哈拉尔镇银行工作人员高血压患病率及相关因素
Pub Date : 2020-09-18 DOI: 10.31579/2639-4162/029
Gosaye Teklehaymanot Zewde
Background: Hypertension clinically defined as a blood pressure of 140/90 mmHg or more on at least two readings on separated time. It is one of the most prevalent non communicable diseases and the most important preventable risk factor for premature death worldwide, due to heart disease and stroke. It is the most important modifiable risk factor for coronary heart disease, stroke, congestive heart failure, end stage renal disease and peripheral vascular diseases Objective: To assess the prevalence of hypertension and its associated factors among bank workers in Harar town, Eastern Ethiopia 2018 Methods and material: Institutions based cross sectional study was conducted on 149 Bank workers in 6 governmental and 19 private banks which were found in Harar Town. Sample was allocated proportionately and study participant was selected by simple random sampling. Collected and checked data were entered in to Epi Data software version 3.02 and exported and analyzed using SPSS version 21. Descriptive statistics were used to determine prevalence such as frequency, percentage, mean and ratio. Both Bivariate and multiple logistic regressions were used to observe the association between the outcome variable and associated factors. P value less than 0.2 in Bivariate analysis was transferred to multivariate analysis and P value less than or equal to 0.05 was considered as level of statistically significance. Result: The prevalence of hypertension on this study was 27.5 %. Among study participant 6(4%) had diagnosed with hypertension and only 3 (2%) had on treatment and follow- up. 26(17.4%) bank workers BMI Was obsessed. In multivariable logistic regression analysis Age, Sedentary life style and BMI of bank workers had significant association with hypertension Conclusion and recommendation: The prevalence of Hypertension in the study was 27.5% Age, Sedentary life style and BMI (Obesity) in this study was positively associated with higher odds of having hypertension. Regular blood monitoring, conducting physical exercise and reduction of Alcohol consumption and street Treatment care and follow-up strategy need to be maintained.
背景:高血压在临床上被定义为在分开的时间内至少两次读数为140/90mmHg或更高的血压。它是世界上最流行的非传染性疾病之一,也是心脏病和中风导致过早死亡的最重要的可预防风险因素。它是冠心病、中风、充血性心力衰竭、终末期肾病和外周血管疾病最重要的可改变危险因素。目的:评估哈拉尔镇银行工作人员高血压的患病率及其相关因素,埃塞俄比亚东部2018方法和材料:对哈拉尔镇发现的6家政府银行和19家私人银行的149名银行工作人员进行了基于机构的横断面研究。样本按比例分配,研究参与者通过简单的随机抽样进行选择。收集和检查的数据输入Epi data软件3.02版,并使用SPSS 21版进行导出和分析。描述性统计用于确定患病率,如频率、百分比、平均值和比率。使用双变量和多元逻辑回归来观察结果变量和相关因素之间的相关性。将双变量分析中小于0.2的P值转换为多变量分析,将小于或等于0.05的P值视为具有统计学意义的水平。结果:本研究高血压患病率为27.5%。在研究参与者中,6人(4%)被诊断为高血压,只有3人(2%)接受了治疗和随访。26名(17.4%)银行员工BMI痴迷。在多变量logistic回归分析中,银行工作人员的年龄、久坐生活方式和BMI与高血压有显著相关性。结论和建议:本研究中高血压的患病率为27.5%。需要保持定期血液监测、进行体育锻炼和减少饮酒以及街头治疗护理和后续策略。
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引用次数: 0
Opinion Children 儿童意见
Pub Date : 2020-09-18 DOI: 10.31579/2639-4162/027
P. Cusack
When it comes to children, I wonder if they have an innate ability to do mathematics in the same way it is claimed they do for other language. Math is a language but is more based on graphics. Graphics is a spatial aptitude which boys may be more inclined toward from the time we were hunters and needed spatial aptitude to survive. Girls do as well as boys in math up until puberty. Then the mothering instinct takes over. Women are all about relationships
说到孩子,我想知道他们是否有一种天生的学习数学的能力,就像人们所说的学习其他语言一样。数学是一种语言,但更多的是基于图形。图形是一种空间天赋,男孩可能更倾向于这种天赋,因为我们是猎人,需要空间天赋才能生存。在青春期之前,女孩的数学成绩和男孩一样好。然后母性本能就起作用了。女人的一切都是为了关系
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引用次数: 0
The Ethics of Pricing and Access to Healthcare: A Social Justice Issue 医疗保健定价和获取的伦理:一个社会正义问题
Pub Date : 2020-09-16 DOI: 10.31579/2639-4162/026
Richard Boudreau
In most countries in the developed world, healthcare is considered a right, not a privilege. Access to appropriate medical services, including pharmaceuticals, is viewed as a natural part of the commitment of the government to its people. In the United States, though, the focus on pharmaceutical development has led to a kind of “free-for-all” in the industry, where each company strives to produce new products at an alarming rate, with the end goal of profitability and competitive advantage.
在大多数发达国家,医疗保健被视为一种权利,而不是一种特权。获得适当的医疗服务,包括药品,被视为政府对其人民承诺的自然组成部分。然而,在美国,对药物开发的关注导致了该行业的一种“混战”,每家公司都以惊人的速度努力生产新产品,最终目标是盈利和竞争优势。
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引用次数: 0
Fever is not a symptom in COVID -19. None of the diseases require fever as its symptom 发烧不是COVID -19的症状。这些疾病都不以发烧为症状
Pub Date : 2020-07-29 DOI: 10.31579/2639-4162/022
K. Marma
A practicing physician in the field of healthcare in the state of Kerala in India for the last 31years and very much interested in basic research. My interest is spread across the fever, inflammation and back pain. I am a writer. I already printed and published nine books on these subjects. I wrote hundreds of articles in various magazines. I also prepared 8000 Affirmative cross checking questions. It can explain all queries related to fever After scientific studies for a long time, I have developed a theory, which can explain all queries related to fever. The real science of fever can be termed as the Physics of fever. I have written 3 books about fever in Malayalam language.
在过去的31年里,他是印度喀拉拉邦医疗保健领域的执业医师,对基础研究非常感兴趣。我的兴趣遍及发烧、炎症和背痛。我是一名作家。我已经印刷并出版了九本关于这些主题的书。我在各种杂志上写了数百篇文章。我还准备了8000个肯定性交叉核对问题。它可以解释所有与发烧有关的疑问经过很长一段时间的科学研究,我发展出了一个理论,它可以解释与发烧相关的所有疑问。真正的发烧科学可以称为发烧物理学。我用马拉雅拉姆语写了三本关于发烧的书。
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引用次数: 0
The Relationship between ABO Blood Group Type and the COVID-19 Susceptibility in Qatif Central Hospital, Eastern Province, Saudi Arabia: A Retrospective Cohort Study 沙特阿拉伯东部省卡提夫中心医院ABO血型与COVID-19易感性关系的回顾性队列研究
Pub Date : 2020-03-31 DOI: 10.4236/ojim.2020.102024
Ghada A Aljanobi, A. Alhajjaj, F. Alkhabbaz, J. Al-Jishi
Objective: To investigate the association between the ABO blood group and the COVID-19 susceptibility. Material & Methods: The study is a retrospective cohort study. It included all hospitalized confirmed COVID-19 patients in Qatif central hospital, Eastern province, Saudi Arabia. Results: Our sample consists of 72 patients, we found a percentage distribution of 23.62%, 33.33%, 9.72%, and 33.33% for blood groups A, B, AB and O, respectively. Our results showed significantly increased risk for AB blood groups and significantly lower risk for the O blood group. Although there was a higher percentage distribution of the B blood group among COVID-19 patients as compared to the blood donors’ groups, this difference did not reach statistical significance. Conclusion: patients with AB blood group have higher susceptibility while patients with O blood group have lower susceptibility to COVID-19 infection. Our study has limitations and further studies are needed.
目的:探讨ABO血型与新冠肺炎易感性的关系。材料与方法:本研究为回顾性队列研究。其中包括沙特阿拉伯东部省Qatif中心医院所有住院的新冠肺炎确诊患者。结果:我们的样本由72名患者组成,我们发现a、B、AB和O血型的百分比分布分别为23.62%、33.33%、9.72%和33.33%。我们的研究结果显示,AB血型的风险显著增加,O血型的风险明显降低。尽管与献血者组相比,新冠肺炎患者中B血型的百分比分布更高,但这一差异并未达到统计学意义。结论:AB血型患者对新冠肺炎感染易感性较高,O血型患者对新冠肺炎感染易感性较低。我们的研究有局限性,还需要进一步研究。
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引用次数: 24
Cerebral Empyema Complicating a Dental Abscess 脑积脓并发牙脓肿
Pub Date : 2019-07-17 DOI: 10.31579/2639-4162/017
Lazraq Mohamed, Bensaid Abdelhak, Miloudi Youssef, E. Najib
Cervico-facial cellulitis can cause serious complications including neuro-meningeal infections. Among these neuro-meningeal infections are intracranial empyemas, which are rarer than brain abscesses. We report the case of a young patient of 25 years, immunocompetent, having presented a cerebral empyema secondary to diffuse cervicofacial cellulitis of dental origin. The diagnosis was suspected in the presence of cervicofacial cellulitis, febrile meningeal syndrome and consciousness disorder, confirmation was reported by brain MRI. The evolution was favorable after the recourse to the surgical treatment.
颈-面蜂窝织炎可引起严重的并发症,包括神经-脑膜感染。在这些神经-脑膜感染中有颅内脓肿,它比脑脓肿更罕见。我们报告的情况下,25岁的年轻患者,免疫能力,已经提出了脑脓肿继发于弥漫性颈面蜂窝织炎的牙齿起源。怀疑有颈面蜂窝织炎、发热性脑膜综合征和意识障碍,经脑MRI证实。手术治疗后病情的发展是有利的。
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引用次数: 0
The Concept of Minimalist Interventions in General Medicine: Minimum Means, Maximum Effect 全科医学中最小干预的概念:最小手段,最大效果
Pub Date : 2019-07-17 DOI: 10.31579/2639-4162/018
J. Turabián
Practical work requires deepening in the theory. In this way, the intention of this article is to systematize the concept of "minimal interventions", as well as draw attention to the impact that this type of interventions of the general practitioner can have on the patient, however small and insignificant, their action may seem. The doctor-patient relationship creates contexts that act, in one way or another, on the patient. There is no absence of medical intervention, even when there is no conscious intervention of the doctor on the patient. Non-intervention is a type of intervention. Non-intervention is a bio-fiction. The different types of doctor-patient relationship give rise, naturally, perhaps imperceptibly, to different models of educational intervention. In this scenario, a conceptualization and systematization of the "micro-interventions" in general medicine is presented: minimal, imperceptible, briefs, low cost, zen, human size, opportunistic, small and mild, but continuous interventions. These micro-interventions are cost-effective no matter how small and insignificant their action seems. These minimal interventions of the general practitioner are of great importance and constitute an updated form of the "less is more" rationalist, they express the power of the minimum gesture in general / family medicine, and can transform health / disease on a large scale. In this way we can hypothesize a plausible relationship between the minimal but concentrated and powerful means, that is to say "contextualized", and the intensity of the effect in general medicine. The clarity of the reading of a message depends on the appreciation of the context; what counts is not what, but how. The context highlights or "pulls" the message. Many small people, in small places, doing small things, can change the world.
实际工作需要深化理论。通过这种方式,本文的目的是将“最小干预”的概念系统化,并提请注意全科医生的这类干预可能对患者产生的影响,无论他们的行动看起来多么微小和微不足道。医患关系创造了以这样或那样的方式作用于患者的情境。即使医生对病人没有有意识的干预,也不存在缺乏医疗干预的情况。不干预是干预的一种。不干涉是一部生物小说。不同类型的医患关系自然地(也许是不知不觉地)产生了不同的教育干预模式。在这种情况下,提出了一般医学中“微干预”的概念化和系统化:最小的,难以察觉的,简短的,低成本的,禅宗的,人性化的,机会主义的,小而温和的,但持续的干预。这些微观干预措施无论看起来多么微小和微不足道,都具有成本效益。全科医生的这些最小干预非常重要,构成了“少即是多”理性主义的更新形式,它们表达了一般/家庭医学中最小姿态的力量,并可以大规模地改变健康/疾病。通过这种方式,我们可以假设最小但集中和强大的手段(即“情境化”)与普通医学中效果的强度之间存在似是而非的关系。阅读信息的清晰度取决于对语境的理解;重要的不是做什么,而是怎么做。上下文突出或“拉动”信息。许多小人物,在小地方,做小事情,可以改变世界。
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引用次数: 0
Scientific Ethics applied to Medicine 科学伦理学在医学中的应用
Pub Date : 2019-05-21 DOI: 10.31579/2639-4162/015
M. Menapace
General medicine is the study of the science that allows physicians to deal with the prevention, diagnosis and treatment of adult diseases in human beings. Since medicine is the science or practice of the diagnosis, treatment, and prevention of disease.
普通医学是一门让医生能够预防、诊断和治疗人类成人疾病的科学。因为医学是诊断、治疗和预防疾病的科学或实践。
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引用次数: 0
A Few Words About a West Nile Virus 关于西尼罗河病毒的几句话
Pub Date : 2018-10-22 DOI: 10.31579/2639-4162/008
S. Franjić
West Nile Virus (WNV) can cause neurological disease and death in people. WNV is commonly found in Africa, Europe, the Middle East, North America and West Asia. WNV is maintained in nature in a cycle involving transmission between birds and mosquitoes. Humans, horses and other mammals can be infected. On web page of World Health Organisation [1], can be read how approximately 80% of people who are infected will not show any symptoms. West Nile virus is mainly transmitted to people through the bites of infected mosquitoes. The virus can cause severe disease and death in horses. Vaccines are available for use in horses but not yet available for people. Birds are the natural hosts of West Nile virus.
西尼罗河病毒(WNV)可导致人类神经系统疾病和死亡。西尼罗河病毒常见于非洲、欧洲、中东、北美和西亚。西尼罗河病毒在自然界中维持在一个涉及鸟类和蚊子之间传播的循环中。人类、马和其他哺乳动物都可能被感染。在世界卫生组织b[1]的网页上,可以看到大约80%的感染者不会出现任何症状。西尼罗河病毒主要通过受感染蚊子的叮咬传播给人类。该病毒可导致马匹严重疾病和死亡。疫苗可用于马,但还不能用于人。鸟类是西尼罗河病毒的天然宿主。
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引用次数: 0
Characterization of the Functional State in Fragile Bigger Adults from the Medical Practice 从医学实践看脆弱的大个子成人的功能状态特征
Pub Date : 2018-10-22 DOI: 10.31579/2639-4162/009
Jesús Cuéllar Álvarez, Aguedo Medardo Treto, Vivian Margarita Guerra Morales
Context: the fragility of the elderly served in a community health area and to characterize elderlies according to fragility criteria. Objective: to characterize the functional state in fragile bigger adults from the medical practice. Material and Methods: a descriptive, cross-sectional investigation with a quantitative approach was carried out between April 2017 and April 2018. Results: prevailed the alterations of mobility and balance in 54,8 %, only 16,1 % was alterations of the emotional state and 29,0 % was alterations functional cognitive. Conclusion: the presence of several fragility criteria such as elderlies older female sex with associated pathologies as hypertension.
背景:在社区保健区服务的老年人的脆弱性,并根据脆弱性标准确定老年人的特征。目的:从医学实践中探讨身体脆弱的大龄成人的功能状态。材料和方法:在2017年4月至2018年4月期间采用定量方法进行描述性横断面调查。结果:活动能力和平衡能力的改变占54.8%,情绪状态的改变占16.1%,功能认知的改变占29.0%。结论:存在多种易碎性标准,如老年女性性伴高血压等相关病理。
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引用次数: 0
期刊
General medicine and clinical practice
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