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The Impact of Covid-19 Pandemic and Social Determinants of Health on the Prevalence of Intimate Partner Violence. A Systematic Review. Covid-19 大流行和健康的社会决定因素对亲密伴侣暴力发生率的影响。系统回顾。
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.295-303
Athanasios Pitis, Maria Diamantopoulou, Foteini Tzavella

Background: The pandemic has increased the rates of violent behavior towards women by their partners worldwide. Increased time spent living with the abusive partner, working at home and limited social contact combined with socioeconomic characteristics contributed to the increase in this type of violence.

Objective: To investigate the impact of pandemic COVID-19 and social determinants of health (SDOH) on the intimate partner violence (IPV) experienced by women from their partners.

Methods: A systematic review was conducted to investigate the impact of COVID-19 and social determinants of health on violence experienced by women from their partner(s) as a consequence of incarceration. The Pubmed and Scopus databases were searched during December 2022, using the keywords "intimate partner violence", "women", "COVID-19", "socioeconomic factors", "social determinants of health".

Results: Of the 917 studies initially retrieved, 38 studies found an increased prevalence of women's reported violence by their partners, 10 found a low prevalence, and 9 found no difference in prevalence before and during restraint. The most common forms of violence were psychological, physical and sexual. In 30 studies, social determinants such as socioeconomic level, education and living conditions were found to be associated with the prevalence of violence.

Conclusion: There was an increase in violence against women during quarantine which was associated with the effect of social determinants. However, due to research limitations of the studies, additional research is needed to draw firm conclusions that can be generalized to the population.

背景:大流行病增加了世界各地妇女遭受伴侣暴力行为的比率。与施暴伴侣生活在一起的时间增加、在家工作和有限的社会接触以及社会经济特征导致了此类暴力行为的增加:调查 COVID-19 大流行和健康的社会决定因素(SDOH)对女性遭受伴侣亲密伴侣暴力(IPV)的影响:为了研究 COVID-19 和健康的社会决定因素对女性因监禁而遭受伴侣暴力的影响,我们进行了一项系统性研究。2022 年 12 月,研究人员使用 "亲密伴侣暴力"、"妇女"、"COVID-19"、"社会经济因素"、"健康的社会决定因素 "等关键词在 Pubmed 和 Scopus 数据库中进行了检索:在最初检索到的 917 项研究中,有 38 项研究发现妇女报告的伴侣暴力发生率有所上升,10 项研究发现发生率较低,9 项研究发现限制前和限制期间的发生率没有差异。最常见的暴力形式是心理暴力、身体暴力和性暴力。在 30 项研究中,发现社会经济水平、教育和生活条件等社会决定因素与暴力行为的发生率有关:结论:检疫期间针对妇女的暴力行为有所增加,这与社会决定因素的影响有关。然而,由于研究的局限性,还需要进行更多的研究,才能得出可以推广到整个人群的可靠结论。
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引用次数: 0
Education on Vaccination Competence: an Intensive Course for Skillful Health Science Students. 疫苗接种能力教育:为卫生科学专业学生开设的强化课程。
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.312-318
Dimitra Perifanou, Eleni Konstantinou, Sari Nyman, Anne Nikula, Aija Ahokas, Joan-Carles Casas-Baroy, Daniela Cavani, Paola Ferri, Paola Galbany-Estragués, Cinzia Gradellini, Kristina Grendova, Michaela Machajova, Montse Romero-Mas, Daniela Mecugni, Xavier Palomar-Aumatell, Janka Prnova, Carme Roure Pujol, Heli Thomander, Evanthia Sakellari

Background: Vaccination is one of the most successful and cost-effective interventions for public health. Studies have shown that health professionals who have good knowledge and positive attitudes towards vaccination are more likely to provide effective vaccination protection to people, including themselves. Therefore, health science students must acquire evidence-based knowledge during their education to meet the challenges of healthcare.

Objective: The aim of this study was to investigate the knowledge, attitudes and feedback of health science students who participated in the Educating Vaccination Competence (EDUVAC) Intensive Course.

Methods: A five-day Intensive Course was implemented for health science students, which included a pre-assignment. The EDUVAC Intensive Course used different teaching methods (lectures, workshops, interactive games, discussions), group work, study visits, and cultural programs to encourage students' motivation. For the purpose of the study, students filled out an online questionnaire after giving informed consent.

Results: Sample consisted of 31 health science students from five European Higher Institutions. They had very good knowledge on most knowledge questions. In the post measurement it was significantly greater and equal to 81%, p<0.001. Almost all students (93.5%) totally agreed that "It is important for adults to receive all recommended vaccines according to national guidelines". The statement "I have had an active attitude and participation in the Intensive Course" received 80.6% total agreement. Over 90.3% rated the Intensive Course as "excellent" or "above average".

Conclusions: After completing the EDUVAC Intensive Course, students felt confident in their vaccination knowledge and skills, which benefited their professional development.

背景:疫苗接种是最成功、最具成本效益的公共卫生干预措施之一。研究表明,对疫苗接种有良好了解并持积极态度的卫生专业人员更有可能为人们(包括他们自己)提供有效的疫苗接种保护。因此,健康科学专业的学生在接受教育期间必须掌握以证据为基础的知识,以应对医疗保健领域的挑战:本研究旨在调查参加 "疫苗接种能力教育(EDUVAC)强化课程 "的健康科学专业学生的知识、态度和反馈:为健康科学专业的学生开设了为期五天的强化课程,其中包括预习作业。EDUVAC 强化课程采用了不同的教学方法(讲座、研讨会、互动游戏、讨论)、小组合作、参观学习和文化活动,以鼓励学生的积极性。在知情同意后,学生们填写了一份在线问卷:样本由来自欧洲五所高等院校的 31 名健康科学专业学生组成。他们对大多数知识问题都非常了解。他们对大多数知识问题的了解程度都很高,在问卷后的测量中,他们对 "根据国家指南接种所有推荐的疫苗对成年人来说很重要 "这一说法的了解程度明显更高,达到 81%,p. "我曾积极接种过疫苗 "这一说法的了解程度也很高。对于 "我对强化课程持积极态度并参与其中 "这一说法,80.6% 的人表示同意。超过 90.3% 的人将强化课程评为 "优秀 "或 "高于平均水平":完成 EDUVAC 强化课程后,学生对自己的疫苗接种知识和技能充满信心,这有利于他们的专业发展。
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引用次数: 0
Internet Addiction in Undergraduate Students of the University of Medicine in Tirana, Albania. 阿尔巴尼亚地拉那医科大学大学生的网络成瘾问题。
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.334-338
Enkelejda Shkurti, Diamant Shtiza

Background: The usage of the internet amid university students and has increased significantly. Internet dependence between university students rises the hazard of adverse mental, somatic, economic concerns.

Objective: The objective of our study is to determine the prevalence and aspects related to internet dependence amid university students in the University of Medicine in Tirana, Albania.

Methods: This cross-sectional study was held in June-August 2022 at University of Medicine in Tirana, Albania. By using Internet Addiction Test (IAT) we collected data on respondents' social-demographic features, internet use rehearsals, observed mental status and interactive bond of participants.

Results: From 405 students who delivered their whole reply, we found that the prevalence of Internet Dependence is 109(27.65%).Regarding the gender the majority of the participants were females 275 (67.91%). Prior to the field of study the nursing students involved the larger part of the respondents 177 (43.7%). 234 (57.77%) of the students reported to have a middle economic status.

Conclusion: Almost twenty eight percent of medical university students in Albania depend on the internet. Internet dependence is correlated with applying the internet at the university, using more time on the internet per day, and spending the internet for social media. More surveys are required to regulate the load of psychological issues related to internet dependence in high-risk populations.

背景:大学生对互联网的使用大幅增加。大学生对网络的依赖会增加精神、躯体和经济方面的不良风险:我们的研究旨在确定阿尔巴尼亚地拉那医科大学大学生网络依赖的流行程度和相关方面:这项横断面研究于2022年6月至8月在阿尔巴尼亚地拉那医科大学进行。通过使用网络成瘾测试(IAT),我们收集了受访者的社会人口特征、网络使用演练、观察到的心理状态以及参与者的互动纽带等数据:从 405 名提交完整答卷的学生中,我们发现有 109 人(27.65%)患有网络依赖症,在性别方面,大多数参与者为女性,占 275 人(67.91%)。在研究领域之前,护理专业学生在受访者中所占比例较大,为 177 人(43.7%)。234(57.77%)名学生的经济状况处于中等水平:阿尔巴尼亚近 28%的医科大学学生依赖互联网。对互联网的依赖与在大学中使用互联网、每天使用互联网的时间较长以及将互联网用于社交媒体有关。需要进行更多的调查,以调节高危人群中与网络依赖相关的心理问题负荷。
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引用次数: 0
Academician Professor Suad Efendic, MD, PhD (1937) 苏德·埃芬迪奇院士、教授、医学博士、博士(1937年)
Pub Date : 2022-12-01 DOI: 10.5455/msm.2022.34.305-306
I. Masic
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引用次数: 0
Academician Professor Slobodan Loga, MD, PhD (1936) 院士Slobodan Loga教授,医学博士,博士(1936)
Pub Date : 2022-12-01 DOI: 10.5455/msm.2022.34.307-308
I. Masic
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引用次数: 0
Historical Background of Medical Informatics Development 医学信息学发展的历史背景
Pub Date : 2022-06-01 DOI: 10.5455/msm.2022.34.155-156
Slobodan Jankovic
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引用次数: 0
The Relationship Between the Weight of the Placenta, Body Mass Index and Fetal Birth Weight Among Sudanese Women. 苏丹妇女胎盘重量、体重指数和胎儿出生体重之间的关系。
Pub Date : 2020-09-01 DOI: 10.5455/msm.2020.32.196-199
Khalid Nasralla, Sumeya A Khieri, Abdelilah Kunna, Zaheera Saadia, Ali Osman Ali, Mohamed Alkhatim Alsammani

Introduction: Accurate estimation of fetal birth weight is essential for the management of labor and delivery. The predictability of fetal weighs by clinical assessment and ultrasound is limited.

Aim: The study aimed to evaluate the association between fetal birth weight and placental weight and other demographic characteristics.

Methods: a total of 369 live born of a singleton term pregnancies (37 to 42 weeks gestations) were included in the study. Immediately after delivery, the placenta was weighed with cord and membranes. A linear regression was used to examine the effect of placental weight and other variables on fetal birth weight.

Results: The mean of birth weight was 3122.5±477.8 grams. Placenta weight had a mean of 556.92±112.488 grams. The mean gestational age was 39.0543±.89642 weeks. The association between the placental weight and the birth weight was significant, and we found that for each gram increase in placental weight, birth weight is increased by 2.848g (SE = 0.178, p < 0.01). Similarly, there was a significant association between placental weight and fetal birth weight, and we found that for each kg increase in maternal weight, birth weight is increased by 17.018 g (SE = 5.281, p =0.001).

Conclusion: Placenta weight and BMI are independent predictors of fetal birth weight.

导言:准确估计胎儿出生体重对分娩管理至关重要。目的:本研究旨在评估胎儿出生体重与胎盘重量及其他人口统计学特征之间的关联。方法:本研究共纳入 369 例单胎足月妊娠(孕 37 至 42 周)的活产儿。分娩后,立即对胎盘、脐带和胎膜进行称重。研究采用线性回归法检测胎盘重量和其他变量对胎儿出生体重的影响:结果:胎儿出生体重的平均值为(3122.5±477.8)克。胎盘重量平均为 556.92±112.488 克。平均胎龄为 39.0543±.89642 周。我们发现,胎盘重量每增加一克,出生体重就会增加 2.848 克(SE = 0.178,P < 0.01)。同样,胎盘重量与胎儿出生体重之间也存在显著关联,我们发现母体体重每增加一公斤,胎儿出生体重就会增加 17.018 克(SE = 5.281,P =0.001):结论:胎盘重量和体重指数是预测胎儿出生体重的独立指标。
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引用次数: 0
The Role of Diet Therapy in the Treatment of Liver Disease 饮食疗法在肝病治疗中的作用
Pub Date : 2020-09-01 DOI: 10.5455/msm.2020.32.200-206
B. Hajdarevic, Ines Vehabovic, T. Čatić, I. Masic
Introduction: The liver is the largest gland in the human body, and serves to store nutrients and neutralize harmful compounds. The liver plays a very important role in a number of metabolic, both catabolic and anabolic processes, and is therefore called the „central laboratory“ of the organism. If liver disease occurs, they can affect all its parts–liver cells, bile ducts, blood and lymph vessels. The liver is damaged by various toxins, drugs, infections, disturbances in the blood supply and other disorders. Diet therapy has been a part of the process in the treatment of liver disease for a while. The therapeutic principle is better known as the „liver diet“. The liver diet not only means the replenishment of calories and nutrients, but it significantly affects the course of the disease. Aim: The aim of the research is to show that diet therapy plays an important role in the treatment of liver disease as a component for faster recovery of the liver and restoration of its normal function, as well as protecting the liver after overcoming the disease. Results: Among the respondents, there were 39 men (64%) and 22 women (36%) who had liver disease as a chronic condition. Most respondents are between 51 and 65 years old (28 and 46%, respectively), while the least number of respondents are in the 20 to 30 age group. The largest number of respondents cited alcohol as the cause of the disease, 31 of them (50.8%), while the virus was the cause of the disease in 15 respondents (24.5%). Of the total sample, most respondents answered that they sometimes (45.9%) or often (47.5%) overeat. The results of the questionnaire showed that 85.2% of the respondents were smokers before the diagnosis of the disease. In most respondents, the food they ate before diagnosis was moderately fatty (52.5%). Using chi-square tests, it was found that there are statistically significant differences in the consumption of almost all foods before the diagnosis of the disease and after the obtained dietary recommendations (p<0.05). Conclusions: The aim of the research was confirmed that diet therapy plays an important role in the treatment of liver disease as a component for faster recovery of the liver and restoration of its normal function, and after overcoming the disease it still protects the liver. The main purpose of creating a diet therapy program and plan proved to be significant and necessary because more than half of the respondents rated our advice as excellent. As most causes of liver disease can be prevented, it is necessary to work on familiarizing the population with risk factors, promote a healthy lifestyle and proper nutrition, and identify at-risk patients who must enter the monitoring system for early detection of liver disease.
简介:肝脏是人体最大的腺体,用于储存营养物质和中和有害化合物。肝脏在分解代谢和合成代谢过程中起着非常重要的作用,因此被称为“中央实验室”“。如果发生肝病,它们会影响肝脏的所有部分——肝细胞、胆管、血液和淋巴管。肝脏会受到各种毒素、药物、感染、血液供应紊乱和其他疾病的损害。饮食疗法已经成为肝病治疗过程的一部分有一段时间了。治疗原理更为人所知的是“肝脏饮食”“.肝脏饮食不仅意味着补充热量和营养,而且会显著影响疾病的进程。目的:研究的目的是表明饮食疗法在肝病治疗中发挥着重要作用,是肝脏更快恢复和恢复正常功能的一个组成部分,也是在战胜疾病后保护肝脏的一个重要组成部分e.结果:在受访者中,有39名男性(64%)和22名女性(36%)患有慢性肝病。大多数受访者年龄在51至65岁之间(分别为28%和46%),而20至30岁年龄组的受访者人数最少。大多数受访者认为酒精是疾病的原因,其中31人(50.8%),而病毒是疾病的病因,有15人(24.5%)。在总样本中,大多数受访者回答说,他们有时(45.9%)或经常(47.5%)吃得过多。问卷调查结果显示,85.2%的受访者在确诊该疾病之前是吸烟者。在大多数受访者中,他们在诊断前吃的食物是中等脂肪的(52.5%),研究发现,在诊断出肝病之前和获得饮食建议之后,几乎所有食物的摄入量都存在统计学上的显著差异(p<0.05)正常功能,在战胜疾病后,它仍然可以保护肝脏。事实证明,制定饮食治疗计划的主要目的是重要和必要的,因为超过一半的受访者认为我们的建议非常好。由于大多数肝病病因都是可以预防的,因此有必要努力让人群熟悉风险因素,促进健康的生活方式和适当的营养,并确定必须进入监测系统以早期发现肝病的高危患者。
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引用次数: 2
Knowledge of Nurses in Prevention of Hospital Infection in Hospital “Sheikh Zayed” Vushtrri “Sheikh Zayed”Vushtrri医院护士预防医院感染的知识
Pub Date : 2019-09-01 DOI: 10.5455/msm.2019.31.207-211
Mexhit Mustafa, Afërdita Lahu
Introduction: Hospital infections are the major challenge of modern health care, and they are indicative of the quality of the services provided, a hospital or other health institution. Hospital infections also belong to gastric infections, which are the result of the mistakes of health workers during various diagnostic and therapeutic procedures. Aim: This study deals with the research of knowledge, experiences, and the work of nurses and their interventions in the prevention of hospital infections in the Vushtrri regional hospital center. Material and Methods: We used dry Sterilization (exposure at 160 ° C for 120 minutes or 170 ° C for 60 minutes) which is considered less safe than the first method especially for some devices with many tubes, pits, etc. Ethylene oxide and formaldehyde are released from use for safety reasons with the emission of gases. Results: From the research conducted we found that about 70% of nursing staff have satisfactory knowledge of hospital infections and the role of nursing care in preventing hospital infections, while only 55% have sufficient knowledge about the ways of spreading hospital infections. Over 77% of respondents have sufficient knowledge about the measures and prevention of hospital infections. Conclusion: The reason why we have been researching this topic has to do with many interventions, applications, nursing procedures is a series of actions that can contribute both to prevention and to the appearance of hospital infections. For their definition around the world, definitions of hospital infections are used according to the Center for Disease Control (CDC) from Atlanta.
引言:医院感染是现代医疗保健的主要挑战,它们表明了医院或其他卫生机构提供的服务的质量。医院感染也属于胃感染,这是卫生工作者在各种诊断和治疗程序中失误的结果。目的:本研究旨在研究Vushtrri地区医院中心护士的知识、经验、工作及其在预防医院感染方面的干预措施。材料和方法:我们使用了干式灭菌(暴露在160°C下120分钟或170°C下60分钟),这被认为不如第一种方法安全,尤其是对于一些有很多管子、凹坑等的设备。出于安全原因,环氧乙烷和甲醛会随着气体的排放而停止使用。结果:从研究中我们发现,大约70%的护理人员对医院感染和护理在预防医院感染中的作用有满意的了解,而只有55%的人对医院感染的传播方式有足够的了解。超过77%的受访者对医院感染的措施和预防有足够的了解。结论:我们之所以研究这个话题,与许多干预措施、应用、护理程序有关,是因为一系列的行动既有助于预防医院感染,也有助于医院感染的出现。根据亚特兰大疾病控制中心(CDC)的说法,世界各地都使用了医院感染的定义。
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引用次数: 3
Efficacy and Safety of Lysozyme, Cetylpyridinium and Lidocaine Fixed Combination for Treatment of Chemotherapy- and Radiotherapy-Induced Oral Mucositis: a Pilot Study 溶菌酶、十六烷基吡啶鎓和利多卡因固定联合治疗化疗和放疗诱导的口腔粘膜炎的疗效和安全性:一项初步研究
Pub Date : 2019-09-01 DOI: 10.5455/msm.2019.31.166-171
Azra Rašić, Belma Kapo, Asmir Avdičević, Alma Mekić Abazović, S. Janković, Aida Lokvančić
Introduction: Beneficial effect of local administration of lysozyme in patients with recurrent aphthous stomatitis was demonstrated, but there are no published studies focused on treatment of chemotherapy or radiotherapy induced oral mucositis with lysozyme. Aim: The aim of this study was to compare efficacy and safety of Lysobact Complete spray (lysozyme, cetylpyridinium, and lidocaine) and compounded medication for local use in the treatment of radio- and chemo-therapy induced oral mucositis. Patients and Methods: This observational, phase IV study was designed as prospective cohort investigation, and conducted at two sites, Clinical Hospital Zenica and University Clinical Center Tuzla, Bosnia & Herzegovina, from August to November, 2018. The patients with oral mucositis after radio- or chemo-therapy were treated by either registered lysozyme-based or compounded medication (standardized and bicarbonate-based) for 21 days. Results: Both lysozyme-based (Lysobact Complete Spray) spray (lysozyme, cetylpyridinium and lidocaine) and compounded medication for local use were effective in local treatment of chemotherapy and radiotherapy-induced oral mucositis. However, lysozyme-based preparation was more effective, since signs of inflammation, number of oral ulcers and intensity of pain during eating and speaking withdrew to a greater extent than with highly variable compounded medication for local use. No adverse events were recorded in both treatment arms. Conclusions: Locally administered spray with fixed combination of lysozyme, cetylpyridinium and lidocaine (Lysobact Complete Spray) is very efficient and completely safe treatment of both radiotherapy and chemotherapy-induced oral mucositis.
引言:已证明局部给予溶菌酶对复发性口口炎患者的有益作用,但尚未发表关于溶菌酶治疗化疗或放疗诱导的口腔粘膜炎的研究。目的:本研究的目的是比较Lysobact全喷雾剂(溶菌酶、乙酰吡啶鎓和利多卡因)和局部使用的复合药物治疗放疗和化疗诱导的口腔粘膜炎的疗效和安全性。患者和方法:这项观察性IV期研究被设计为前瞻性队列调查,于2018年8月至11月在波斯尼亚和黑塞哥维那泽尼察临床医院和图兹拉大学临床中心两个地点进行。放疗或化疗后的口腔粘膜炎患者接受了21天的注册溶菌酶类或复合药物(标准化和碳酸氢盐类)治疗。结果:溶菌酶基(Lysobact全喷雾剂)喷雾剂(溶菌酶、十六烷基吡啶鎓和利多卡因)和复方局部用药均能有效地局部治疗化疗和放疗引起的口腔粘膜炎。然而,基于溶菌酶的制剂更有效,因为与局部使用的高度可变的复合药物相比,炎症迹象、口腔溃疡数量以及进食和说话时的疼痛强度在更大程度上消失了。两个治疗组均未记录不良事件。结论:局部使用溶菌酶、十六烷基吡啶鎓和利多卡因固定组合喷雾(Lysobact完全喷雾)治疗放疗和化疗诱导的口腔粘膜炎是非常有效和完全安全的。
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引用次数: 2
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Materia socio-medica
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