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Effect of Glycation on Urine Albumin Estimation by Immunoassay: An in-vitro Experiment 糖基化对免疫测定尿白蛋白影响的体外实验
Pub Date : 2022-09-09 DOI: 10.29011/2688-7460.100099
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引用次数: 0
Mindfulness to Reduce Loneliness and Social Isolation in Older Adults: A Scoping Review 正念减少老年人的孤独感和社会孤立:一项范围审查
Pub Date : 2022-09-09 DOI: 10.29011/2688-7460.1000200
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引用次数: 0
Dimercaptosuccinic Acid Scan versus Renal Ultrasound to Investigate Recurrent Urinary Tract Infection 二巯基丁二酸扫描与肾超声对比研究复发性尿路感染
Pub Date : 2022-09-08 DOI: 10.29011/2688-7460.100097
Alaa Altawalbeh, Mustafa AlHaji, Mayyada, Meqdady, Hala, Sweidan, Sondus Harahsheh, S. Tashtoush, Mousa Qatawneh, Doa’a Qudah, A. Alzboun
Investigate Abstract Objectives : To analyze the evolution of kidney damage in small female children diagnosed with recurrent urinary tract infection (UTI), a factor associated with progression of renal damage, and the importance of dimercaptosuccinicacid (DMSA) scan as a valuable indicator of early renal scars. Methods : In this retrospective study, 100 female patients aged 5 years or less, diagnosed with recurrent UTI, were recruited at Prince Rashed Military Hospital (PRH). The inclusion criteria are female patients who suffered from recurrent UTI ≥ 2 times and had visited a paediatrics specialist outpatient clinic in Prince Rashid Hospital from 1 st March 2021 to 1 st June 2022. The researchers received parents’ consent to follow the Health Insurance Portability and Accountability Act guidelines. Results : The peak age of children with recurrent UTI was 2-3 years, accounted 35% of the total cases. However, the peak age of children who had abnormal DMSA scans was 4-5years. The results of normal ultrasound (US) diagnosis revealed renal scars in 4% of cases. In addition, 60% of patients with 5 times recurrent UTI had a renal scar, compared to 30% with 4 times of recurrent UTI. Conclusion : Renal ultrasound is not sensitive enough to detect renal scars. DMSA scintigraphy is complementary to investigate renal scars found in pediatrics patients.
研究摘要目的:分析被诊断为复发性尿路感染(UTI)(一个与肾损伤进展相关的因素)的幼儿肾损伤的演变,以及二巯基丁二酸(DMSA)扫描作为早期肾瘢痕有价值指标的重要性。方法:在这项回顾性研究中,100名年龄在5岁或以下、被诊断为复发性尿路感染的女性患者在拉希德王子军事医院(PRH)接受了招募。纳入标准为复发性尿路感染≥2次的女性患者,并于2021年3月1日至2022年6月1日在拉希德王子医院的儿科专科门诊就诊。研究人员得到了父母的同意,同意遵循《健康保险便携性和责任法案》的指导方针。结果:复发性UTI患儿的高峰年龄为2~3岁,占总病例数的35%。然而,DMSA扫描异常的儿童的峰值年龄为4-5岁。正常超声(US)诊断结果显示4%的病例有肾瘢痕。此外,在5次复发的尿路感染患者中,60%的患者有肾瘢痕,而在4次复发的患者中,这一比例为30%。结论:肾脏超声对肾瘢痕的敏感性不高。DMSA闪烁扫描是对儿科患者肾瘢痕研究的补充。
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引用次数: 0
Patients’ Satisfaction on Virtual Clinic in Primary Health Care Centers in Prince Sultan Military Medical City, 2020-2021: A Qualitative Study 2020-2021年苏丹王子军事医疗城初级卫生保健中心虚拟诊所患者满意度的定性研究
Pub Date : 2022-08-18 DOI: 10.29011/2688-7460.100096
M. A. Alshehri, Layth Khalid Alsulaiman, Ayman, Afify, Kholoud Habib, Mostafa Kofi
Settings and background: With technology evolvement and COVID-19 Pandemic Virtual clinics are increasing nowadays, there is no single qualitative study in Saudi Arabia that make us knows patients’ opinion about this service, and this is what our study is about. Methods: It is a semi-structured phone interview of 36 participants who attended the virtual clinic in Prince Sultan Military Hospital in 2020, selected purposefully, then the interviews were transcribed then analyzed by thematic analysis. Results: 20 of the participants were males (55.5%) and 16 of them were females (44.4%), 6 were above or equal to 60 years of age (16.6%) and 30 participants were below 60 years of age (83.3%). In Theme 1: (Were the steps taken in the referral process to this service clear?) 75% (n=27) of them answered positively, 22.2% (n=8) answered negatively and one participant was neutral. In Theme 2: (Comparing to previous regular clinic visits, how did you find receiving information about your health in this clinic?) 27.7% (n=10) think it is better than regular clinic, However, 19.4% (n=6) think it is worse than the regular clinic, and the majority 55.5% (n=20) think they are the same. In Theme 3: was (Describe for us your experience in getting the medications form the pharmacy after the clinic) 77.7% (n=28) of participants were satisfied and 2 patients were not satisfied, remaining 6 did not take medicines. Conclusions: Virtual clinic is a good method in reducing costs and time in delivering health care, in patients’ opinions. In general, virtual clinic had high satisfaction rate among who benefit from the service. However, there are some concerns need to be addressed like referral or booking process for virtual clinic services.
背景和背景:随着技术的发展和新冠肺炎大流行虚拟诊所的增加,在沙特阿拉伯没有一项定性研究能让我们了解患者对这项服务的看法,这就是我们的研究。方法:这是对2020年在苏丹王子军事医院虚拟诊所就诊的36名参与者的半结构化电话采访,有目的地选择,然后转录采访内容,然后通过主题分析进行分析。结果:20名参与者为男性(55.5%),16名参与者为女性(44.4%),6名参与者年龄在60岁以上(16.6%),30名参与者年龄低于60岁(83.3%)。主题1:(转介过程中采取的步骤是否明确?)75%(n=27)的参与者回答积极,22.2%(n=8)回答消极,1名参与者回答中立。主题2:(与以前的定期门诊相比,你是如何发现在这个诊所收到关于你的健康信息的?)27.7%(n=10)认为它比常规诊所好,然而,19.4%(n=6)认为它比常规诊所差,大多数55.5%(n=20)认为它们是一样的。在主题3中:是(为我们描述您在门诊后从药房获得药物的经验)77.7%(n=28)的参与者满意,2名患者不满意,其余6名患者没有服药。结论:在患者看来,虚拟诊所是一种降低医疗保健成本和时间的好方法。总体而言,虚拟诊所在受益人群中的满意度较高。然而,也有一些问题需要解决,比如虚拟诊所服务的转诊或预订流程。
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引用次数: 0
How to Improve the Post-Graduate Training of General Practitioners in Performing Joint Injection? Analysis of Training Courses and Literature Review 如何改进全科医生关节注射术的研究生培训?培训课程分析与文献综述
Pub Date : 2022-08-04 DOI: 10.29011/2688-7460.100095
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引用次数: 0
Five Steps to Understand Communication Skills in General Practice Logically 逻辑理解一般实践中的沟通技巧的五个步骤
Pub Date : 2022-07-29 DOI: 10.29011/2688-7460.100094
K. H. Tam
Communication skills play an important role in general practice. Good communication skills can improve patient compliance and overall satisfaction and a lack of these skills can increase medical error. Physical knowledge is growing and driving the perception that communication is peripheral, especially among medical trainees and junior physicians. This skill is often overlooked as easy or self-explanatory. However, the application of communication skills are very important while the development of these skills require a process. Furthermore, practicing communication skills alone cannot reduce medical error. A better understanding of the developmental process and concepts will result in more flexibility and better application. This article reviews five steps to understand the different level of communication skills logically (i.e., medical humanities, principles of family medicine/general practice, clinical methods, and counseling micro skills to clinical applications). The aim is to find a style in clinical consultation that comfortable and right for each physician.
沟通技巧在全科医学中发挥着重要作用。良好的沟通技能可以提高患者的依从性和整体满意度,而缺乏这些技能会增加医疗失误。物理知识正在增长,并推动人们认为沟通是次要的,尤其是在医学实习生和初级医生中。这项技能往往被忽视,因为它很简单或不言自明。然而,沟通技能的应用非常重要,而这些技能的发展需要一个过程。此外,仅仅练习沟通技巧并不能减少医疗失误。更好地理解开发过程和概念将带来更大的灵活性和更好的应用。本文回顾了从逻辑上理解不同水平的沟通技能的五个步骤(即医学人文学科、家庭医学/全科医学原理、临床方法和咨询微观技能到临床应用)。目的是在临床咨询中找到一种适合每位医生的舒适和正确的方式。
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引用次数: 0
Survey of Healthcare Professionals to Assess Severe Acute Respiratory Syndrome Coronavirus 2 Vaccination Hesitancy 医护人员评估严重急性呼吸系统综合征冠状病毒2型疫苗接种犹豫的调查
Pub Date : 2022-07-18 DOI: 10.29011/2688-7460.100093
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引用次数: 0
Prevalence of Burnout in Dementia Caregivers, Riyadh, Saudi Arabia 沙特阿拉伯利雅得痴呆症护理人员倦怠的患病率
Pub Date : 2022-07-13 DOI: 10.29011/2688-7460.100092
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引用次数: 0
Acceptance of Seasonal Influenza Vaccination by Healthcare Workers in Primary Health Care Workers Centers- Riyadh, Saudi Arabia 初级卫生保健工作者中心的卫生保健工作者接受季节性流感疫苗接种-沙特阿拉伯利雅得
Pub Date : 2022-06-16 DOI: 10.29011/2688-7460.100087
Muharib Alrashdi, A. AbdAlrouf, Mostafa Kofi
Background: Seasonal influenza disturbs work fluency and jeopardizes patients’ safety. Influenza vaccination uptake among Healthcare Workers (HCWs) is suboptimal all over the globe. This study aimed to study the influenza vaccination acceptance and uptake among HCWs in Wazarat Health Care Center (WHC) at Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia. Method: Two hundred out of randomly selected 240 HCWs working at WHC-PSMMC, Riyadh, Saudi Arabia were surveyed between May and June 2017. A validated 25-items self-administered questionnaire was used to collect the data. The collected data included sociodemographic, work and health related data, and beliefs towards influenza and its vaccine. Scoring system was used for transformed categorical data. The mean scores, median and Interquartile (IQR) were estimated and compared. Univariate and multivariate analysis were used to study the associations of the influenza vaccine uptake with those covariates. IBM® SPSS®16 Statistics software was used for data analysis. Ethical aspects including confidentiality, informed consent, and approval were carefully considered. Results: With a response rate of 83% to the survey, only 41% of the participants found have received the 2016 influenza vaccine. On univariate analysis gender, nationality, occupation, level of education, work nature, work experience, past infection, and previous vaccination were associated with vaccination uptake. The vaccinated HCWs were more likely to perceive themself susceptible to influenza and its complications and to perceive the influenza vaccine as safe and effective compared to unvaccinated HCWs. On Multivariate analysis, HCWs perceived influenza vaccine as beneficial, HCWs doing clinical works and non-Saudi HCWs were (Odd Ratio (OR):1.25 (95% Confidence Interval (CI); 1.10, 1.42) P=0.001), (OR: 2.83 (95% CI; 1.10, 7.28) P=0.03), and (OR: 3.81(95% CI; 1.24, 11.67) P=0.03) times more likely to vaccinate against influenza, respectively. Conclusion: Despite rigorous recommendation influenza vaccination uptake was suboptimal. Mandatory influenza vaccination policy may need to be adopted to achieve a vaccination coverage above 80% as recommended by the world health organization (WHO). This could be combined with interventions that address the associated factors to guarantee the maintenance of the desirable acceptance level and minimize the declination rate. Family Medicine and Primary Care: Open Access Alrashdi M, et al. J Family Med Prim Care Open Acc 6: 187. www.doi.org/10.29011/2688-7460.100087 www.gavinpublishers.com
背景:季节性流感扰乱了工作的流畅性,危及患者的安全。在全球范围内,医护人员接种流感疫苗的情况并不理想。本研究旨在研究沙特阿拉伯利雅得苏丹王子军事医疗城瓦扎拉特卫生保健中心(WHC)HCW对流感疫苗接种的接受和接受情况。方法:在2017年5月至6月期间,从随机选择的240名在沙特阿拉伯利雅得WHC-PSMMC工作的HCW中抽取200人进行调查。使用经验证的25项自我管理问卷来收集数据。收集的数据包括社会人口统计、工作和健康相关数据,以及对流感及其疫苗的看法。评分系统用于转换的分类数据。对平均得分、中位数和四分位数(IQR)进行估计和比较。使用单变量和多变量分析来研究流感疫苗摄入与这些协变量的相关性。使用IBM®SPSS®16统计软件进行数据分析。包括保密、知情同意和批准在内的伦理方面都经过了仔细考虑。结果:调查的应答率为83%,只有41%的参与者接种了2016年流感疫苗。在单因素分析中,性别、国籍、职业、教育水平、工作性质、工作经历、既往感染和既往接种疫苗与疫苗接种率相关。与未接种疫苗的医务人员相比,接种疫苗的医护人员更有可能认为自己对流感及其并发症敏感,并认为流感疫苗安全有效。在多变量分析中,医务人员认为流感疫苗是有益的,从事临床工作的医务人员和非沙特医务人员的比值比(OR)为1.25(95%置信区间(CI);1.10,1.42)P=0.001)、(OR:2.83(95%CI;1.10,7.28)P=0.03)和(OR:3.81(95%CI:1.24,11.67)P=0.03。结论:尽管有严格的建议,但流感疫苗接种率并不理想。根据世界卫生组织(世界卫生组织)的建议,可能需要采取强制性流感疫苗接种政策,以实现80%以上的疫苗接种覆盖率。这可以与解决相关因素的干预措施相结合,以确保维持理想的验收水平并将下降率降至最低。家庭医学和初级保健:开放获取Alrashdi M,et al.J Family Med Prim Care Open Acc 6:187。www.doi.org/10.29011/2688-7460.100087 www.gavinpublishers.com
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引用次数: 0
Improve Quality of Life Client with Visual Impairment 提高视力障碍患者的生活质量
Pub Date : 2022-06-08 DOI: 10.29011/2688-7460.100088
Katarina Galof
Introduction: Blindness is considered one of the most serious diseases. Blindness causes mental and emotional problems in a person and is one of the most complex health problems in the world. Rehabilitation of blind clients focuses on independent performance of daily activities. The Kawa model in occupational therapy is a model that promotes better interaction between the client and the therapist and makes it possible to guide the client taking into account cultural factors. The model is used in different areas of occupational therapy and brings positive results. The purpose of this research is to learn about the Kawa model and apply it to blind clients. Methods: a qualitative research, a singular diachronic single case study was conducted. One case, which lasted 4 months, included a client who has been blind since birth. The occupational therapy process was conducted using Kawa’s step-by-step models. A tactile picture and a tactile magnetic board were made to represent the models, which are an innovative occupational therapy medium. Results: The Kawa model is interesting due to a different way of handling and at the same time very easy for the client to understand. The tactile aids made also contributed to this. The use of the Kawa model is also interesting from the point of view of how the client applies the theoretical knowledge in practice. The client expressed satisfaction with the ease of use of the model itself. Conclusion: The used modified media magnetic board and tactile picture represent an important contribution to the treatment. The occupational therapist in the rehabilitation of blind clients contributes with her knowledge to the independence and quality of life of these clients. It would be useful to conduct further studies on a larger sample and to include more other occupational therapy assessments in the occupational therapy process.
导语:失明被认为是最严重的疾病之一。失明会导致人的心理和情绪问题,是世界上最复杂的健康问题之一。盲人客户的康复侧重于日常活动的独立表现。职业治疗中的Kawa模式是一种促进客户和治疗师之间更好互动的模式,并使其能够在考虑文化因素的情况下指导客户。该模型被用于职业治疗的不同领域,并带来了积极的结果。本研究的目的是了解Kawa模型,并将其应用于盲人客户。方法:采用定性研究、单一历时个案研究的方法。一个病例持续了4个月,其中包括一名自出生以来一直失明的客户。职业治疗过程使用Kawa的逐步模型进行。制作了一张触觉图片和一块触觉磁板来代表这些模型,这是一种创新的职业治疗媒介。结果:由于处理方式不同,Kawa模型很有趣,同时客户也很容易理解。制作的触觉辅助工具也对此做出了贡献。从客户如何在实践中应用理论知识的角度来看,Kawa模型的使用也很有趣。客户对模型本身的易用性表示满意。结论:所用改良介质磁板和触觉图像对治疗有重要贡献。盲人客户康复的职业治疗师用她的知识为这些客户的独立性和生活质量做出贡献。对更大的样本进行进一步研究,并在职业治疗过程中纳入更多其他职业治疗评估,这将是有益的。
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引用次数: 0
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Family medicine and primary care -- open access
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