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A Review of Some Significant Breakthroughs in Textile Sutures for Ophthalmic Surgery 眼科手术用纺织缝合线的若干重大突破综述
Pub Date : 2019-03-31 DOI: 10.47363/jmhc/2021(3)141
N. Gokarneshan, U. Ratna
The article reviews some significant trends in textile sutures intended for use in ophthalmic surgery. Comparison has been made with rate and type of suture related complications between 10-0 monofilament nylon (Aurolab Nylon Sutures, double arm, Aurolab) and 10-0 polyglactin 910 sutures (Vicryl, single arm, Aurolab) for pediatric cataract surgery. It is a prospective, comparative study performed in children who underwent surgery for congenital or developmental cataract from March 2013 to February 2016. Patients underwent suturing with either nylon or Vicryl in unilateral cases, but in most bilateral surgeries, one eye received Vicryl sutures while the other eye received nylon. The sutures were compared for their complications and the need for suture removal. Also comparison has been made with regard to the clinical results of using silk versus nylon sutures for conjunctival autograft suturing in pterygium surgery. In this prospective, randomized, controlled, clinical trial 50 eyes from 50 patients with primary nasal pterygium were randomized to undergo pterygium surgery with the use of either nylon sutures or silk sutures for conjunctival autograft suturing. Patients were followed up for 6 months. Main outcome measures included recurrence, postoperative discomfort according to a visual analog scale (VAS), graft hyperemia, and graft edema.
本文综述了用于眼科手术的纺织缝合线的一些重要发展趋势。比较了用于儿童白内障手术的10-0单丝尼龙(Aurolab尼龙缝线,双臂,Aurolab)和10-0聚肌动蛋白910缝线(Vicryl,单臂,Aurolib)与缝线相关并发症的发生率和类型。这是一项前瞻性的比较研究,针对2013年3月至2016年2月接受先天性或发育性白内障手术的儿童。在单侧病例中,患者接受了尼龙或Vicryl缝合,但在大多数双侧手术中,一只眼睛接受了Vicryl缝线,而另一只眼睛则接受了尼龙缝线。比较了缝线的并发症和缝线取出的必要性。此外,还比较了在翼状胬肉手术中使用丝线和尼龙缝线进行自体结膜移植缝合的临床结果。在这项前瞻性、随机、对照的临床试验中,来自50名原发性鼻翼状胬肉患者的50只眼睛随机接受翼状胬肉手术,使用尼龙缝线或丝线缝线进行结膜自体移植物缝合。随访6个月。主要转归指标包括复发、根据视觉模拟评分(VAS)的术后不适、移植物充血和移植物水肿。
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引用次数: 0
Affordance-Based Assessment Cuts Across The Dichotomy Of Subjective-Objective Outcome Measure At The Knee Joint 基于造林的评估跨越了膝关节主观-客观结果测量的二分法
Pub Date : 2019-03-31 DOI: 10.47363/jmhc/2021(3)144
Wangdo Kim
There is increasing awareness of the need to include patient-reported outcome (PRO) instruments in evaluating the measurement of clinical outcomes, with an increasing focus placed on the patients’ perspective. Scientists have tried to link PROs with objective outcomes, providing unique information for managing patient care. Traditionally, objective and patient-reported outcomes (such as the Knee Injury and Osteoarthritis Outcome Score (KOOS)) are considered two distinct constructs, which cannot serve as a direct proxy for each other. Can Gibson´s affordance theory specify more about objective outcome measurements vs. subjective outcomes measurement and unify them? The present article develops a theoretical framework called entrainment of touch and posture that advocates the vis viva (living force) as the proper gauge for the dynamical action of a force, and that could explain “possibilities for action or affordance” during outcome measurement. We found that active touch and posture refer to what is ordinarily called touchingvariations in skin stimulation caused by surfaces are altered together by motor activity variations. This affordance of “walk-on-able” is worth noting because it is often neglected that locomotion and its surfaces form an inseparable pair. The assessment process can be viewed in terms of action possibilities provided by the active sets of organs residing that can obtain and utilize information about the tissue environments in which the grafts are to be located.
人们越来越意识到,在评估临床结果时,需要纳入患者报告结果(PRO)工具,并越来越关注患者的观点。科学家们试图将PROs与客观结果联系起来,为管理患者护理提供独特的信息。传统上,客观和患者报告的结果(如膝关节损伤和骨关节炎结果评分(KOOS))被认为是两个不同的结构,不能作为彼此的直接代表。Gibson的可供性理论能否更多地说明客观结果测量与主观结果测量,并将其统一起来?本文提出了一个名为“触觉和姿势的夹带”的理论框架,该框架主张将生命力作为力量动态作用的适当衡量标准,并可以解释结果测量过程中“行动或可供性的可能性”。我们发现,主动触摸和姿势指的是通常所说的触摸——由表面引起的皮肤刺激变化由运动活动变化共同改变。这种“行走能力”的启示值得注意,因为人们经常忽视运动及其表面是不可分割的一对。评估过程可以根据驻留的器官的活动集合所提供的动作可能性来看待,所述活动集合可以获得并利用关于移植物所处的组织环境的信息。
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引用次数: 0
Health Status and Predictors of Hypertension, Blood Pressure, and Pulse Rate of Jamaicans During the Covid-19 Pandemic 2019冠状病毒病大流行期间牙买加人高血压、血压和脉搏率的健康状况和预测因素
Pub Date : 2019-03-31 DOI: 10.47363/jmhc/2021(3)140
P. Bourne, Vincent M.S. Peterkin
The objectives of the current research are to examine Jamaicans’ health status, pulse rate, body mass index (BMI), hypertension, and factors influencing 1) hypertension, 2) blood pressure, and 3) pulse rate, during COVID-19. A cross-sectional survey using associational research design by way of convenience sampling was used to conduct this research. This study examined correlation of age, gender, BMI, hypertension, and blood pressure among Jamaicans age ranging from 15 to 85 and above. Cross–sectional study and associational research design were used to collect data for the period of June to August 2020. The study demonstrated that hypertension is significantly predicted by gender, age, and pulse rate one─Omnibus tests of model (χ2(4) =138.947, P < 0.0001, -2Ll=2098.67) and Wald statistic being 90.161, P < 0.0001, and the variance in model 10.8% (Nagelkerke R2). Furthermore, ordinary least square (OLS) regression can be used to model pulse rate (bpm) for Jamaicans (F [4, 1676] =17.236, P < 0.0001), with the model explaining 4.0% of the variance in pulse rate of Jamaicans. Gender, BMI and Hypertensive emerged as the factors that determine the pulse rate of Jamaicans. Diastolic & systolic blood pressure were determined by age, weight, and pulse rate, with age being the most significant predictor. The risk of hypertension was higher among population groups who were overweight and obese. Gender was found to correlate with blood pressure and hypertension; female participants were more likely to be hypertensive than the male participants. BMI measurement should be recommended as a simple and effective predictor of hypertension in public health strategies. There is empirical evidence that can be used to establish that Jamaicans health status has worsen since March 10, 2020, and that Covid-19 has brought with it unhealthy lifestyle practices, which are pending public health challenges come 2021 and beyond.
当前研究的目的是检查牙买加人在COVID-19期间的健康状况、脉搏率、体重指数(BMI)、高血压以及影响1)高血压、2)血压和3)脉搏率的因素。本研究采用方便抽样的关联研究设计横断面调查法进行。这项研究调查了年龄、性别、身体质量指数、高血压和血压在15至85岁及以上的牙买加人之间的相关性。采用横断面研究和关联研究设计收集2020年6月至8月的数据。研究表明,性别、年龄和脉搏率对高血压有显著的预测作用,模型综合检验(χ2(4) =138.947, P < 0.0001, -2Ll=2098.67), Wald统计量为90.161,P < 0.0001,模型方差为10.8% (Nagelkerke R2)。此外,普通最小二乘(OLS)回归可以用来模拟牙买加人的脉搏率(bpm) (F [4,1676] =17.236, P < 0.0001),该模型解释了牙买加人脉搏率4.0%的方差。性别、身体质量指数和高血压是决定牙买加人脉搏率的因素。舒张压和收缩压由年龄、体重和脉搏率决定,年龄是最重要的预测因子。超重和肥胖人群患高血压的风险更高。发现性别与血压和高血压相关;女性参与者比男性参与者更容易患高血压。在公共卫生策略中,应推荐BMI测量作为一种简单有效的高血压预测指标。有经验证据可以用来证明,自2020年3月10日以来,牙买加人的健康状况有所恶化,Covid-19带来了不健康的生活方式,这些不健康的生活方式将在2021年及以后面临公共卫生挑战。
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引用次数: 0
Investigation of Major Ecto-Parasite Affecting Backyard Chicken in Bishoftu Town, Ethiopia 埃塞俄比亚Bishoftu镇影响后院鸡的主要Ecto寄生虫调查
Pub Date : 2019-03-31 DOI: 10.47363/jmhc/2021(3)143
Wangelu Kebede
Backyard poultry production are considered as sources of meat and egg production. However, Parasites are among the main pathogenic agents, threatening the health of poultry and poultry products. The current study was conducted to investigate the prevalence of ectoparasite of poultry managed under backyard system started from November 2019 to April 2020 in Bishoftu town, surroundings of four kebeles; Babogaya, Danbi, 01kebele and 05 kebele in Oromia region South east of Finfinnee. 384 chickens of different age groups, both sexes and breeds were examined. Overall, 228/384 (59.4%) of chickens were infested with species of ectoparasites that mainly grouped into lice 141(36.7%), flea 79 (20.6%), and mite 8(2.1%). The prevalence of ectoparasite infection was 56(14.6%), 51(13.3%), 58(15.1%) and 63(16.4)% in Bishoftu town, Babogaya, Danbi, 01kebele and 05 kebele respectively, the difference in the prevalence of the parasites among difference kebeles were not statistically significant (P>0.05). The prevalence of ectoparasites infestation was higher in male 128(33.33%) chickens than females 100(26.04%) and higher in adult 150 (39.1%) than young chicken 78 (20.3%), high in local breeds 129(33.6%) than exotic breed 99 (25.8%). Seven species were identified with their attachments site, namely; menacanthus stremineus(13.3%) was found on skin, menopon gallinae(12.5%) was found on skin, thigh, feather and breast, goniodes gigas(5.5%) was found on skin and body feather, gonicotes gallinae (2.9%) was found on feather, lipeurus caponus(2.6%) was found on wing, skin, tail feather and a single species of flea(Echidnophaga gallinacae) 20.6% was found on eye, comb and wattle. while a single species of mite (ornithonyssus sylviarum) 2.1% was found on base of feather particularly, the vent area. In conclusion, infestation of chicken with ectoparasites was important constraint in poultry production sector. Associated with lack of attention with respect to hygienic system, treatment and control practices. Based on the results it could be suggested that, good management, biosecurity and the education of farmers could be a vital measure to keep free from ectoparasites and improve the productivity of the chicken.
后院家禽生产被认为是肉和蛋生产的来源。然而,寄生虫是主要病原体之一,威胁着家禽和家禽产品的健康。本研究调查了2019年11月至2020年4月在比绍图镇4个鸡舍周围的后院系统管理的家禽外寄生虫的流行情况;选取芬兰东南部奥罗米亚地区的Babogaya、Danbi、01kebele和05 kebele,共384只不同年龄、性别和品种的鸡。总共有228/384只(59.4%)鸡被体外寄生虫感染,主要有虱141种(36.7%)、蚤79种(20.6%)、螨8种(2.1%)。毕肖图镇、巴布加亚、丹比、01kebele和05 kebele的体外寄生虫感染率分别为56(14.6%)、51(13.3%)、58(15.1%)和63(16.4%)%,不同kebele间寄生虫感染率差异无统计学意义(P < 0.05)。雄鸡128(33.33%)比雌鸡100(26.04%)高,成鸡150(39.1%)比雏鸡78(20.3%)高,地方品种129(33.6%)比外来品种99(25.8%)高。鉴定出附着物位置的有7种,分别为;在皮肤、大腿、羽毛和乳房上发现了鸡翅翅螨(13.3%),在皮肤和体毛上发现了鸡翅翅螨(12.5%),在羽毛上发现了鸡翅翅螨(2.9%),在翅膀、皮肤和尾羽上发现了鸡翅翅螨(2.6%),在眼睛、梳子和鸡冠上发现了鸡翅翅蚤(20.6%)。鸟类螨(ornithonyssus sylviarum) 1种,占2.1%,主要分布在羽毛基部,尤其是气孔区。综上所述,鸡体外寄生虫感染是制约家禽生产的重要因素。与缺乏对卫生系统、治疗和控制措施的重视有关。结果表明,良好的管理、生物安全措施和对养殖户的教育是防治鸡体外寄生虫和提高鸡产量的重要措施。
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引用次数: 1
Fever Can Be A Symptom of Many Diseases 发烧可能是许多疾病的症状
Pub Date : 2019-03-31 DOI: 10.47363/jmhc/2021(3)146
S. Franjić
Fever is a condition of elevated temperature in the human body above normal levels. It is caused by the stimulation of the thermoregulatory center in the brain, and represents the body’s defensive reaction to the cause of the disease. The symptoms associated with fever may be: rapid heartbeat, rapid breathing, dry skin, changes in the composition of urine, and in severe forms of fever may occur auditory or visual hallucinations. Fever is not a disease, but it is a symptom of the disease. It usually is an infection that is often harmless and goes away on its own.
发烧是人体温度高于正常水平的一种状态。它是由大脑中的体温调节中枢受到刺激而引起的,代表着机体对疾病病因的防御反应。与发热相关的症状可能是:心跳加快、呼吸急促、皮肤干燥、尿液成分改变,严重的发热形式可能出现听觉或视觉幻觉。发烧不是疾病,而是疾病的一种症状。它通常是一种感染,通常是无害的,会自行消失。
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引用次数: 0
Long-term Care, Malnutrition and Covid-19: A Framework of Situation 长期护理、营养不良和Covid-19:形势框架
Pub Date : 2019-03-31 DOI: 10.47363/jmhc/2021(3)145
C. Finelli
J Med Healthcare 2021 Coronavirus disease 2019 (COVID-19), induced by the severe acute respiratory syndrome coronavirus-2, first developed in China in December 2019 and has since spread throughout the world [1]. It may progress to pneumonia, which necessitates hospitalization, or to severe acute respiratory distress syndrome, which requires treatment in an intensive care unit (ICU) [2]. Malnutrition is a side effect of infectious respiratory diseases, and this can exacerbate the prognosis [3]. According to research, approximately 50 % of the patients with COVID-19 have gustatory and olfactory nerves dysfunction [4].
2019冠状病毒病(COVID-19)是由严重急性呼吸综合征冠状病毒2型引起的,于2019年12月在中国首次发现,此后在全球蔓延。它可能发展为肺炎,这需要住院治疗,或发展为严重急性呼吸窘迫综合征,这需要在重症监护病房(ICU)治疗。营养不良是传染性呼吸道疾病的一个副作用,它会使预后恶化。根据研究,大约50%的COVID-19患者有味觉和嗅觉神经功能障碍。
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引用次数: 1
Low/High-risk Earmolds: New Technologies and their Application from 2019 to the Present 低/高风险耳模:2019年至今的新技术及其应用
Pub Date : 2019-03-31 DOI: 10.47363/jmhc/2021(3)142
B. A
Until 2019, hearing aid molds were made with silicones that copied the shape of the ear, creating a positive and a negative mold to reproduce the shape and volume in cubic centimeters of the ear. This system had the disadvantage of lack of precision. Due to the pressure of the silicones during their placement in the ear, the soft tissues are deformed. This is especially important when the deafness is severe or profound. Because a very high sound power is required and sound leakage occurs. That leaking sound is feedback into the hearing aid microphone and generates a “Larsen effect.” Patients describe this sound feedback as very high-pitched beeps from the hearing aid that can be heard by family and others close to them. During the time that the hearing aid is whistling, the user loses information and hearing, as well as being annoying for the family. In the case of high-powered hearing aids, it is difficult to balance the sound leakage that generates the “Larsen effect” and the excessive pressure that forms the canal. Also bear in mind that the user of this type of hearing aid uses it all day, so a little discomfort translates into anguish and nervousness. This is not an easy task for the audiologist, nor for the laboratory technician making ear molds. They are known by the technicians as “High Risk Feedback Molds”. Recently, 3D laser light measurement has been used for measurements. By not having contact with the skin, this new technique allows the tissues not to deform. And it gives us a view from inside the ear (and this is another novelty) because they are done by means of a small probe that acts as a laser beam that we introduce into the ear canal itself.
直到2019年,助听器模具都是用模仿耳朵形状的硅树脂制作的,制造了一个正模和一个负模,以立方厘米为单位再现耳朵的形状和体积。这个系统的缺点是精度不高。由于硅胶在耳内植入过程中的压力,软组织会变形。当耳聋严重或严重时,这一点尤为重要。因为需要很高的声功率,会发生漏音。泄漏的声音被反馈到助听器麦克风中,产生“拉森效应”。患者将这种声音反馈描述为助听器发出的非常高的哔哔声,家人和身边的人都能听到。在助听器吹口哨的过程中,使用者失去了信息和听力,也给家人带来了烦恼。在高功率助听器的情况下,很难平衡产生“拉尔森效应”的音漏和形成耳道的过大压力。还要记住,这种助听器的使用者整天都在使用它,所以一点不适就会转化为痛苦和紧张。这对听力学家和制作耳模的实验室技术人员来说都不是一件容易的事。它们被技术人员称为“高风险反馈模具”。近年来,三维激光测量已被用于测量。由于不与皮肤接触,这项新技术使组织不会变形。它能让我们看到耳朵内部的情况(这是另一个新奇之处)因为它们是通过一个小探针来完成的,它就像激光束一样,我们把它引入耳道。
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引用次数: 0
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Journal of medicine and healthcare
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