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Prevalence, Underreporting and Barriers of Needle Stick and Sharps Injuries (NSSIs) among Nurses at Primary Healthcare Centers, Riyadh, Saudi Arabia 沙特阿拉伯利雅得初级卫生保健中心护士针刺和锐器伤害(nssi)的患病率、漏报和障碍
Pub Date : 2021-12-24 DOI: 10.29011/2688-7460.100067
Sulaiman, Mohammed, Al-Qahtani, Yazeed, Rajab, Elzahrany, M. Alahmed, Rasmi Obaid Marei, Almutairi, Abdulrheem Dahman Alqhtani, R. S. Alqahtani
and Barriers of Needle
和针的屏障
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引用次数: 1
Prevalence of Gestational Diabetes Mellitus and Associated Risk Factors Among Pregnant Women Attending Antenatal Care in Primary Health Care Centers in Riyadh, Saudi Arabia 在沙特阿拉伯利雅得初级保健中心接受产前护理的孕妇中,妊娠期糖尿病患病率及相关危险因素
Pub Date : 2021-11-26 DOI: 10.29011/2688-7460.100064
Turki J. Alharbi, Abdelmohsen Albogami, Abdullah Allhuaidan, Saleh Alfawaz, Shatha Murad, Mostafa Kofi
Background: Pregnancy is a diabetogenic condition, with Gestational Diabetes Mellitus (GDM) developing in 3 to 25% of all pregnancies. GDM has unfavorable short- and long-term consequences for both mothers and their children. We conducted this study aiming to assess the prevalence of gestational diabetes and associated risk factors during pregnancy in Riyadh, Saudi Arabia. Methods: This was a retrospective cross-sectional survey study. GDM diagnosis was based on the universal two-hour 75 g OGTT. GDM cases were defined using the 75 g OGTT with at least one value of plasma glucose concentration equals to or exceeds the thresholds of 92 mg/dl, 180 mg/dl, and 153 mg/dl for fasting one-hour, and 2-hour post glucose, respectively. The data was collected by the study authors from patients’ files using a data collection form that included the oral glucose tolerance test results in addition to the participants’ socio-demographic data. Results : A total of 384 pregnant women were recruited, the highest percentage (29.7%) of them aged 26 to 30 years old, 35% were overweight and 24.5% were obese, and 72.4% were multi-parity. Based on the 2h OGTT, the prevalence of GDM was 32.6%. The univariate logistic regression analysis showed that old age, low educational level, higher BMI, family history of DM, higher rates of multi-parity, abortions, C-sections, and hypothyroidism were significant risk factors for GDM. On the other hand, there were no significant associations between occupational status, PCOS, preeclampsia, hypertension, asthma, and GDM. Conclusion: GDM diagnosed on basis of the OGTT criteria was very common among pregnant women in Saudi Arabia. Overweight and obesity as well as older age were associated with an increased risk of GDM. Also, low educational level, family history of DM, GDM history, history of abortion, and C-section were all significant risk factors of GDM.
背景:妊娠是一种糖尿病性疾病,妊娠糖尿病(GDM)占所有妊娠的3%至25%。GDM对母亲及其子女都有不利的短期和长期后果。我们进行了这项研究,旨在评估沙特阿拉伯利雅得妊娠期糖尿病的患病率和相关风险因素。方法:这是一项回顾性横断面调查研究。GDM的诊断是基于通用的两小时75克OGTT。GDM病例是使用75g OGTT定义的,血糖浓度至少有一个值分别等于或超过空腹1小时和2小时血糖后92mg/dl、180mg/dl和153mg/dl的阈值。研究作者使用数据收集表从患者档案中收集数据,除了参与者的社会人口学数据外,还包括口服葡萄糖耐量测试结果。结果:共招募了384名孕妇,其中26至30岁的孕妇比例最高(29.7%),35%的孕妇超重,24.5%的孕妇肥胖,72.4%的孕妇多胎。基于2小时OGTT,GDM的患病率为32.6%。单变量逻辑回归分析表明,老年、低文化水平、较高的BMI、DM家族史、较高的多产、流产、剖腹产和甲状腺功能减退是GDM的重要危险因素。另一方面,职业状况、多囊卵巢综合征、先兆子痫、高血压、哮喘和GDM之间没有显著关联。结论:根据OGTT标准诊断的GDM在沙特阿拉伯孕妇中非常常见。超重、肥胖以及年龄较大与GDM风险增加有关。低文化程度、DM家族史、GDM病史、流产史和剖腹产均为GDM的重要危险因素。
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引用次数: 2
Knowledge and Perception toward Menopause among Saudi Women Attending Primary Care Clinics; Riyadh, Saudi Arabia 参加初级保健诊所的沙特妇女对更年期的认识和看法;沙特阿拉伯利雅得
Pub Date : 2021-11-22 DOI: 10.29011/2688-7460.100062
A. Alharthi, Yazeed Elzahrany, H. Alkhalifah
Background: Menopause is a period in woman life that characterized by the permanent cessation of menses. Several symptoms can be experienced by the female as a result of menses cessation including hot flushes and mood swings, these symptoms may affect her life. Objective: To assess the knowledge and perception toward menopause and to identify factors that may affect the knowledge and perception of Saudi women attending general clinics, Al Wazarat health center, Prince Sultan Military Medical City (PSMMC), Riyadh. Methods: A cross-sectional study was conducted in November 2017. In total, 374 women aged 20-60 years were randomly interviewed using questionnaire interviewer-administered. The interview was based on a validated Arabic translated version of the pre-designed and validated questionnaire used on a previous similar study with adoption to our setting. Results: Of the 374 women, a total of 362 questionnaires/interviews were completed with a response rate of 96%. About half of our population (51.38%) showed good knowledge. About ninety percent (89.2%) were not aware of any menopausal age diseases and (98.9%) were not aware of any treatments available for menopausal symptoms. Participants in their thirties and those who were married had more knowledge than other participants, also women with primary or intermediate education and housewives had more knowledge than other women. Regarding perception, 97.23% of participants had a positive perception. Conclusion: Level of knowledge is considered average compare to similar studies but there were areas that showed significate lack of knowledge, about ninety percent (89.2%) were not aware of any menopausal age-related diseases and (98.9%) were not aware of any treatments available for menopausal symptoms. We have much more positive perception than similar studies. Family Medicine and Primary Care: Open Access Alharthi AF, et al. J Family Med Prim Care Open Acc 5: 162. www.doi.org/10.29011/2688-7460.100062 www.gavinpublishers.com
背景:更年期是女性生命中以月经永久停止为特征的一段时期。由于月经停止,女性可能会出现一些症状,包括潮热和情绪波动,这些症状可能会影响她的生活。目的:了解沙特阿拉伯妇女在利雅得苏丹王子军事医疗城(PSMMC) Al Wazarat卫生中心普通门诊就诊的绝经知识和认知,并探讨影响绝经知识和认知的因素。方法:于2017年11月进行横断面研究。采用问卷调查法对374名年龄在20-60岁之间的女性进行随机访谈。访谈的基础是经过验证的阿拉伯语翻译版本,该版本是预先设计并经过验证的问卷,在之前的类似研究中使用过,并采用了我们的设置。结果:374名女性共完成问卷/访谈362份,回复率96%。约有一半的人(51.38%)表现出良好的知识。约90%(89.2%)的妇女不知道有任何更年期疾病,98.9%的妇女不知道有任何治疗更年期症状的方法。30多岁的参与者和已婚的参与者比其他参与者知识更多,受过初等或中等教育的女性和家庭主妇的知识也比其他女性多。在感知方面,97.23%的参与者有积极的感知。结论:与类似研究相比,知识水平被认为是平均水平,但也有领域显示出明显的知识缺乏,约90%(89.2%)不知道任何更年期年龄相关疾病,(98.9%)不知道任何可用于更年期症状的治疗方法。与类似的研究相比,我们有更积极的看法。家庭医学和初级保健:开放获取Alharthi AF等。[J]中华家庭医学杂志,5(5):162。www.doi.org/10.29011/2688 - 7460.100062 www.gavinpublishers.com
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引用次数: 3
Trauma over the Life Course for Black Mothers in Chicago: Understanding Conditions, Meaning Making and Resiliency 芝加哥黑人母亲生命历程中的创伤:理解条件、意义创造和复原力
Pub Date : 2021-10-11 DOI: 10.29011/2688-7460.100059
R. Mendenhall, Kristen L. Ethier, Meggan J. Lee, Kanesha Overton, Samantha, Houser, C. Roberts
Background: Scholars are increasingly linking Adverse Childhood Experiences (ACEs) to mental and physical health outcomes over the life course. However, the influence of ACEs and continuous traumatic stress on health outcomes is less understood, particularly in contexts with high concentrations of community and police violence. Methods: This study analyzes survey and interview data from 93 low-income Black mothers living in neighborhoods with high levels of violence on the South side of Chicago to better understand the life course consequences of ACEs and continuous traumatic stress exposure. Results: Our analysis demonstrates the conditions and events that give rise to trauma over the life course, participants’ layered meaning making about trauma at the intersections of stress and resilience, the consequences of trauma exposures in the lives of the mothers, and their culturally-rich healing resources. Discussion: The relationship between continuous traumatic stress exposure on physical and mental health outcomes are particularly relevant for physicians and other health providers serving populations dually impacted by racial health disparities and high levels of violence in their communities. Garnering deeper understandings of the impact of trauma will equip medical providers with tools to understand and support patients using a trauma and recovery informed lens. Conclusion: These findings showing the impact of ACEs and continuous traumatic stress are relevant in communities with high rates of community and police violence. These findings are also relevant due to the current COVID-19 pandemic with increased rates of stress, mental health challenges, child abuse and deaths from gun violence associated with the virus. Family Medicine and Primary Care: Open Access Mendenhall R, et al. J Family Med Prim Care Open Acc 5: 159. https://www.doi.org/ 10.29011/2688-7460.100059 www.gavinpublishers.com
背景:学者们越来越多地将不良童年经历(ace)与一生中心理和身体健康的结果联系起来。然而,人们对不良经历和持续创伤压力对健康结果的影响了解较少,特别是在社区和警察暴力高度集中的情况下。方法:本研究分析了生活在芝加哥南部高暴力社区的93名低收入黑人母亲的调查和访谈数据,以更好地了解ace和持续创伤应激暴露的生命历程后果。结果:我们的分析显示了在生命过程中导致创伤的条件和事件,参与者在压力和恢复力的交叉点上对创伤的分层意义,母亲生活中创伤暴露的后果,以及她们丰富的文化愈合资源。讨论:持续的创伤压力暴露与身心健康结果之间的关系,对于为受到种族健康差异和社区高度暴力双重影响的人群提供服务的医生和其他保健提供者特别相关。对创伤影响的深入了解将使医疗服务提供者能够使用创伤和康复知情透镜来理解和支持患者。结论:这些研究结果表明,在社区暴力和警察暴力发生率高的社区中,ace和持续创伤应激的影响是相关的。由于当前的COVID-19大流行,与该病毒相关的压力、精神健康挑战、虐待儿童和枪支暴力死亡发生率上升,这些发现也具有相关性。家庭医学和初级保健:开放获取Mendenhall R等。[J]中华家庭医学杂志,5:159。https://www.doi.org/ 10.29011/2688-7460.100059 www.gavinpublishers.com
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引用次数: 1
COVID-19 Pandemic Increased the Flu Vaccine Use: A Brief Report from the Campania Region COVID-19大流行增加了流感疫苗的使用:坎帕尼亚地区的简要报告
Pub Date : 2021-01-01 DOI: 10.29011/2688-7460.100057
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引用次数: 0
Role of Limited Hand Joint Mobility in Diabetic Type 1 Patients in Primary Health Care 1型糖尿病患者手部关节活动受限在初级卫生保健中的作用
Pub Date : 2021-01-01 DOI: 10.29011/2688-7460.100055
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引用次数: 0
Implementing an Exercise Evidence-Based Guideline for Type 2 Diabetes Mellitus Patients Using a Structured Referral Process 采用结构化转诊流程实施2型糖尿病患者运动循证指南
Pub Date : 2021-01-01 DOI: 10.29011/2688-7460.100058
Victor Madrigal, M. Courtney
Introduction: Type 2 Diabetes Mellitus (T2DM) is the seventh leading cause of death in the United States and affects 25.8 million Americans. Ninety to ninety-five percent of T2DM is manifested in adults and prevalence increases with age. Type 2 Diabetes Mellitus is a costly chronic disease that causes dysfunction in multiple organs. The incidence rate of T2DM continues to increase despite numerous efforts of by healthcare providers and politicians to halt this epidemic. New emerging research has shown that exercise in older adults is more effective in delaying and preventing negative healthcare outcomes than medications. Recently multiple healthcare associations have brought forth new Evidence-Base Guidelines (EBGs) on exercise for patients with T2DM: healthcare providers have been slow to respond to these current EBGs. The purpose of this project was to embed an EBG prescription for exercise and design a structured exercise referral process that incorporated a healthcare and community delivery system for patients with T2DM. Methods: The one-group pretest-posttest study design examined the healthcare providers’ knowledge, attitudes, and practices of EBGs before and after the implementation of the structured exercise referral process for patients with T2DM. Results: In this project, an increase in patient referrals was associated with the project’s intervention. In addition, 39% of patients who were referred attended structured exercise class and tended to remain involved in ongoing weekly sessions. Conclusions: Embedding EBGs into the daily clinical process with specific protocols, forms, and staff accountability can increase the likelihood of their use. Further investigation of the impact of structured exercise in older adults on diabetes control is recommended.
简介:2型糖尿病(T2DM)是美国第七大死因,影响着2580万美国人。90%至95%的2型糖尿病表现为成人,患病率随年龄增长而增加。2型糖尿病是一种代价高昂的慢性疾病,可导致多器官功能障碍。2型糖尿病的发病率持续上升,尽管医疗保健提供者和政治家做出了许多努力来阻止这一流行病。新出现的研究表明,在延缓和预防老年人的负面健康结果方面,锻炼比药物更有效。最近,多个医疗保健协会提出了关于T2DM患者运动的新的循证指南(EBGs):医疗保健提供者对这些现行EBGs的反应缓慢。本项目的目的是为2型糖尿病患者植入EBG运动处方,并设计一个结构化的运动转诊流程,该流程将医疗保健和社区交付系统结合起来。方法:采用一组前测后测研究设计,考察了医疗保健提供者在实施T2DM患者结构化运动转诊流程前后对EBGs的知识、态度和实践。结果:在这个项目中,病人转诊的增加与项目的干预有关。此外,39%的转介患者参加了有组织的锻炼课程,并倾向于每周持续参加锻炼课程。结论:通过具体的方案、表格和工作人员问责制,将EBGs纳入日常临床过程可以增加其使用的可能性。建议进一步研究老年人有组织的运动对糖尿病控制的影响。
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引用次数: 0
Involving Urban Single Low-Income African American Mothers in Genomic Research: Giving Voice to How Place Matters in Health Disparities and Prevention Strategies. 在基因组研究中涉及城市单身低收入非洲裔美国母亲:在健康差异和预防策略中如何发声。
Pub Date : 2020-06-30 DOI: 10.29011/2688-7460.100048
R. Mendenhall, Loren Henderson, B. Scott, L. Butler, K. Turi, Andrew J. Greenlee, G. Robinson, B. Roberts, S. Rodriguez-Zas, James E. Brooks, Christy L. Lleras
This article describes the process of using principles from community-based participatory action research to involve low-income, single, African American mothers on the south side of Chicago in genomic research, including as citizen scientists. The South Chicago Black Mothers' Resiliency Project used a mixed methods design to investigate how the stress of living in neighborhoods with high levels of violence affects mothers' mental and physical health. This article seeks to serve as a model for physicians and scholars interested in successfully involving low-income African American mothers in genomic research, and other health-related activities in ways that are culturally sensitive and transformative. The lives of Black mothers who struggle under interlocking systems of oppression that are often hidden from view of most Americans are at the center of this article. Therefore, we provide extensive information about the procedures used to collect the various types of data, the rationale for our procedures, the setting, the responses of mothers in our sample and methodological challenges. This study also has implications for the current COVID-19 pandemic and the need to train a corps of citizen scientists in health and wellness to avoid future extreme loss of life such as the 106,195 lives lost in the United States as of June 1, 2020.
本文描述了利用基于社区的参与性行动研究的原则,将芝加哥南部的低收入、单身、非裔美国母亲纳入基因组研究的过程,包括作为公民科学家。南芝加哥黑人母亲弹性项目采用混合方法设计,调查生活在暴力程度高的社区的压力如何影响母亲的身心健康。本文旨在为有兴趣成功地将低收入非裔美国母亲纳入基因组研究和其他具有文化敏感性和变革性的健康相关活动的医生和学者提供一个模型。黑人母亲在环环相扣的压迫制度下挣扎的生活,往往被大多数美国人所忽视,这是本文的中心。因此,我们提供了关于收集各种类型数据的程序、程序的基本原理、设置、样本中母亲的反应和方法挑战的广泛信息。这项研究还对当前的COVID-19大流行以及培养一支健康和保健方面的公民科学家队伍的必要性产生了影响,以避免未来的极端生命损失,例如截至2020年6月1日,美国有106195人丧生。
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引用次数: 1
Unilateral Purple Urine Bag Syndrome: A Case Report on a Nephrostomy Patient and Review of Literature 单侧紫尿袋综合征:肾造瘘患者1例报告并文献复习
Pub Date : 2020-01-01 DOI: 10.29011/2688-7460.100051
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引用次数: 1
Model of Transition from a Primary Health Care Provider to a Community Service Hub during COVID-19 Pandemic at Primary Health Care Corporation in Qatar 卡塔尔初级卫生保健公司在COVID-19大流行期间从初级卫生保健提供者过渡到社区服务中心的模式
Pub Date : 2020-01-01 DOI: 10.29011/2688-7460.100052
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引用次数: 0
期刊
Family medicine and primary care -- open access
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