Healthcare in Lowresource Settings最新文献_第5页

Assessment of blood culture and tube agglutination serology test for the diagnosis of typhoid fever amongst malaria-negative patients: a one-year hospital-based study 血培养和管凝集血清学试验对疟疾阴性患者伤寒诊断的评估:一项为期一年的医院研究

Healthcare in Lowresource Settings Pub Date : 2023-06-19 DOI: 10.4081/hls.2023.11345

K. Nirmal, Vikas Saini, Nadeem Ahmad, Narendra Pal Singh

{"title":"Assessment of blood culture and tube agglutination serology test for the diagnosis of typhoid fever amongst malaria-negative patients: a one-year hospital-based study","authors":"K. Nirmal, Vikas Saini, Nadeem Ahmad, Narendra Pal Singh","doi":"10.4081/hls.2023.11345","DOIUrl":"https://doi.org/10.4081/hls.2023.11345","url":null,"abstract":"Salmonella serotypes, including Salmonella Typhi, S. Paratyphi A, S. Paratyphi B, and S. Paratyphi C, are responsible for the systemic, protracted febrile sickness known as typhoid fever. Various antibody-based tests are being used for diagnosing typhoid fever. This study was carried out to assess the performance of the widal test and blood culture for the diagnosis of typhoid fever among malaria-negative patients in a tertiary care hospital in east Delhi, India. The study was conducted from July 2021 to June 2022 in the Department of Microbiology of a tertiary care hospital in Delhi. Patients, including the adult and pediatric population, were evaluated for typhoid fever and participated in an observational, prospective study on febrile patients that was malaria-negative. Venous blood samples were obtained under strict aseptic conditions and further processed for widal serology and blood culture tests for typhoid fever. In our study, the prevalence of blood culture-positive Salmonella species was 0.3% (30/10,000 = 0.3%) Among antimicrobial susceptibility patterns, S. Typhi revealed the highest resistance rates for Ciprofloxacin (43.33%), Azithromycin (36.66%), and third-generation cephalosporins. Out of 30 blood culture-positive Salmonella Typhi of typhoid fever patients, 5 (17%) samples were negative for the Widal test. Among 30 samples, all were blood culture positive, but only 25 samples show Widal titer above the baseline i.e. >1:64. Although blood culture is the gold standard for the diagnosis of typhoid fever, the Widal test does play a role in the diagnosis and management of typhoid fever, especially in suspected cases when blood culture is negative, especially in government tertiary care hospitals.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70168454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of MLSB Phenotypes of Staphylococcus aureus isolates in a tertiary care hospital of Delhi 德里一家三级护理医院分离的金黄色葡萄球菌MLSB表型的患病率

Healthcare in Lowresource Settings Pub Date : 2023-06-15 DOI: 10.4081/hls.2023.11229

Malika Grover, N. Goyal, Seema Gangar, N. Singh

{"title":"Prevalence of MLSB Phenotypes of Staphylococcus aureus isolates in a tertiary care hospital of Delhi","authors":"Malika Grover, N. Goyal, Seema Gangar, N. Singh","doi":"10.4081/hls.2023.11229","DOIUrl":"https://doi.org/10.4081/hls.2023.11229","url":null,"abstract":"Against the backdrop of the ever-changing Staphylococcal resistance pattern, clindamycin remains a viable therapeutic alternative Variation of Clindamycin drug resistance patterns with geographic area make inducible clindamycin resistance testing imperative for all staphylococcal isolates to avoid therapeutic failure. This was a prospective study conducted over a period of 1.5 years from January 2021 until June 2022. Prevalence of different MLSB Phenotypes of Staphylococcus aureus isolates was determined by standard disc diffusion method as per CLSI guidelines. Pyogenic samples received in the Microbiology lab that yielded Staphylococcus aureus were further tested for the presence of clindamycin resistance by disc diffusion method. Out of 6586 total pyogenic and respiratory specimens received in the lab, Staphylococcus aureus was yielded in 752 samples. On further testing for the MLSB phenotypes, 16.3% isolates were found to be iMLSB, 19.28% were cMLSB, 43.1% were of MSB type. ICR screening will reduce the unessential subjection of the patient to the antibiotic, and would prevent unnecessary adverse effects in the patients.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49041144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Value of biochemical markers in predicting outcome of COVID-19 infection in University Hospital, Alexandria, Egypt 埃及亚历山大大学医院生化标志物在预测新冠肺炎感染结果中的价值

Healthcare in Lowresource Settings Pub Date : 2023-06-08 DOI: 10.4081/hls.2023.11323

Neveen Rashad Mostafa, Abeer Ahmed Mohamed Ali, Rehab Moustafa Ezzat, Mostafa Kamel Bakry, R. Marzo

{"title":"Value of biochemical markers in predicting outcome of COVID-19 infection in University Hospital, Alexandria, Egypt","authors":"Neveen Rashad Mostafa, Abeer Ahmed Mohamed Ali, Rehab Moustafa Ezzat, Mostafa Kamel Bakry, R. Marzo","doi":"10.4081/hls.2023.11323","DOIUrl":"https://doi.org/10.4081/hls.2023.11323","url":null,"abstract":"This paper aims to examine the value of different biochemical markers in predicting the outcome of COVID-19 infection. A total of 140 patients with confirmed COVID-19 infection by polymerase chain reaction (PCR), different biochemical markers were tested, their relation to the outcome of the disease was monitored, and the most reliable tests were determined. The study found a significant correlation between all evaluated biochemical markers and severity of the disease, including C-reactive protein (CRP), D-dimer, alanine aminotransferase (ALT), Aspartate aminotransferase (AST), prothrombin time (PT), activated partial thromboplastin time (aPTT). In addition, ferritin, lactate dehydrogenase (LDH), procalcitonin (PCT) and Pro- Brain natriuretic peptide (proBNP) demonstrated highly sensitivity and specificity as well as significant prognostic performance. These markers were also independently significant in predicting mortality. Early assessment of biochemical markers in patients with COVID-19 can help clinicians in tailoring treatment and providing more intensive care to those with greater mortality risk. In particular, the assessment of ferritin, LDH, procalcitonin and proBNP can independently predict mortality.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48044411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving healthcare value: integrating medical practitioners into hospital design in developing countries 提高医疗保健价值：将医生纳入发展中国家的医院设计

Healthcare in Lowresource Settings Pub Date : 2023-06-08 DOI: 10.4081/hls.2023.11183

C. Noujeim

引用次数: 0

The effect of vitamin D deficiency on glycemic control in patients with type 2 diabetes mellitus 维生素D缺乏对2型糖尿病患者血糖控制的影响

Healthcare in Lowresource Settings Pub Date : 2023-06-08 DOI: 10.4081/hls.2023.11340

Neveen Rashad Mostafa, Abeer Ahmed Mohamed Ali, R. Marzo

引用次数: 0

Maggot therapy could provide affordable and efficacious wound care in Lebanon and other low- and middle-income countries 在黎巴嫩和其他低收入和中等收入国家，蛆疗法可以提供负担得起的有效伤口护理

Healthcare in Lowresource Settings Pub Date : 2023-05-25 DOI: 10.4081/hls.2023.11161

Salman Shayya, F. Stadler

引用次数: 0

Fear of COVID-19 among critical care nurses of public hospitals in Lahore: empirical evidence during third wave 拉合尔公立医院重症监护护士对COVID-19的恐惧:第三次浪潮期间的经验证据

Healthcare in Lowresource Settings Pub Date : 2023-05-18 DOI: 10.4081/hls.2023.10642

Asma Nadeem, Rubina Jabeen, Shehla Nazir, Shahbaz Haider

{"title":"Fear of COVID-19 among critical care nurses of public hospitals in Lahore: empirical evidence during third wave","authors":"Asma Nadeem, Rubina Jabeen, Shehla Nazir, Shahbaz Haider","doi":"10.4081/hls.2023.10642","DOIUrl":"https://doi.org/10.4081/hls.2023.10642","url":null,"abstract":"The world has seen a pandemic which disrupted the life. Till now there are aftershocks of the COVID-19 such as Omicron instilling fear among individuals. Healthcare staff is on alert specifically the nurses has suffered a lot mentally due to this issue by developing fatigue. The study conducted during deadly 3rd COVID-19 wave. The data were collected by developing the questionnaire of the previously validated measures related to the variables under study from nurses working in the intensive care unit, critical care unit and floor wards of COVID-19 at Services Hospital, Lahore. A total of 140 questionnaires were used for data analysis. The study used Statistical Package for Social Sciences for frequency and descriptive statistics. Whereas, the outcomes of fear of COVID-19 were assessed by using the latest Smart Partial Least Squares software which allows to assess the complex research frameworks. The results of the study revealed that the fear of COVID-19 results in poor quality of life among nurses and fatigue. Resilience among nurses can reduce the negative consequences but did not get the statistical support.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43005715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of the potential reasons for repeated radiography: a study in a major hospital in south eastern Iran 伊朗东南部一家大型医院重复放射线照相的潜在原因分析

Healthcare in Lowresource Settings Pub Date : 2023-05-18 DOI: 10.4081/hls.2023.10575

H. Dahmarde, Marzieh Abiri, Sharareh Sanei Sistani

{"title":"Analysis of the potential reasons for repeated radiography: a study in a major hospital in south eastern Iran","authors":"H. Dahmarde, Marzieh Abiri, Sharareh Sanei Sistani","doi":"10.4081/hls.2023.10575","DOIUrl":"https://doi.org/10.4081/hls.2023.10575","url":null,"abstract":"Introduction \u0000Rejecting, removing and repeating the process of taking diagnostic X-ray images could lead to professional and moral challenges in the case of radiologic imaging. The aim of this study was to investigate the reason for repetitive imaging and the types of images mostly repeated. \u0000Methods \u0000Radiographic images taken in this center in the first half of 1400 were evaluated. At the end of each week, repetitive images were referred to the researcher to analyze the frequency of repetitive radiographies and the causes. \u0000Results \u0000In this study, a total of 4916 radiographies taken in Ali Ibn-e-Abitibi Hospital during the first 6 months of the year 1400 were evaluated. Among 398 repetitive radiographies, 94 repetitions (23.62%) were due to inappropriate positioning, 92 repetitions (23.12%) were due to patient's movements, 56 repetitions (14.07%) were due to inadequate radiation, 51 repetitions (12.81%) were due to inadequate processing, 46 repetitions (11.56%) were due to inadequate preparation of the patient, and 59 repetitions(14.82 %) were due to other reasons \u0000Conclusion \u0000In this study, the rate of repetitive radiographies taken in Ali Ibn-e-Abi Talib Hospital was estimated as 8.10%, with the most common reason for repetitions being estimated inappropriate positioning. Considering the fact that repetitive radiography mostly depends on operator-related factors, it is recommended to repeat the study after educating staff in order to compare the rate and reason of repetition. ","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41765104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

High-grade cervical intraepithelial neoplasia treatment comparing two photodynamic therapy protocols 高级别宫颈上皮内瘤变治疗比较两种光动力治疗方案

Healthcare in Lowresource Settings Pub Date : 2023-03-27 DOI: 10.1117/12.2647382

N. Inada, C. A. de Castro, C. F. da Silva, W. Lombardi, Vanderlei Salvador Bagnato

引用次数: 0

Front Matter: Volume 12369 封面:12369卷

Healthcare in Lowresource Settings Pub Date : 2023-03-24 DOI: 10.1117/12.2676204

引用次数: 0