Medical Science Pulse最新文献

{"title":"The assessment of exposures of preterm newborns with respiratory disorders to selected traumatic factors generated in the process of nursing care: an observational study","authors":"Grażyna Cepuch, Agnieszka Kruszecka-Krówka, Gabriela Pater, Anna Lalik","doi":"10.5604/01.3001.0015.7505","DOIUrl":"https://doi.org/10.5604/01.3001.0015.7505","url":null,"abstract":"Background \u0000The hospitalization of preterm newborns carries a risk of frequent exposure to traumatizing factors generated by the hospital environment and multi-specialty services. \u0000Aim of study\u0000The assessment of premature newborns with respiratory failure and exposure to traumatic factors such as pain and touch generated during nursing procedures. \u0000Material and methods \u0000The study was conducted on the 1st and 7th days of hospitalization during 2020 of a group of 10 premature newborns with respiratory disorders at the Department of Newborn Pathology of the Clinical Department of Neonatology at the University Hospital in Krakow (Poland). The research method was based on the 24-hour observation of newborns for exposures to factors generating pain and traumatic touch. The research tools included scales for assessing pain expression — Neonatal/Infant Pain Scale (NIPS), CRIES, and an original questionnaire. \u0000Results \u0000On the first day of hospitalization, the study group was subjected to 541 nursing procedures exposing the newborns to touch and generating pain. On the 7th day of hospitalization, the number of the procedures was 388. The average intensity level of procedural pain on the 1st day of hospitalization was 4.1 points (NIPS) and 2.5 points (CRIES), while the 7th day of hospitalization was 4.0 points and 1.8 points, respectively. The highest average pain intensity was generated by venous blood sampling for diagnostic tests and peripheral vessel cannulation. \u0000Conclusions \u0000Preterm newborns with respiratory failure are exposed to a significant number of procedures and actions considered traumatic. Therefore, it is reasonable to use more than one pain assessment scale for more objective results.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47179952","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}

{"title":"Evidence-based Public Health BA curriculum revision: an example of good practice","authors":"I. Cieślak, M. Panczyk, Szymon Musik, J. Grzebieluch, J. Gotlib","doi":"10.5604/01.3001.0015.7093","DOIUrl":"https://doi.org/10.5604/01.3001.0015.7093","url":null,"abstract":"Background\u0000The Medical University of Warsaw began teaching at the faculty of Public Health at the Division of Health Science in the academic year 2000/2001. Initially, it only offered M.A. studies; however B.A. degrees were introduced in 2003. Student self-assessment of their level of preparedness to embark on a career path upon completion of their studies, as well as their opinion on the degree to which specific education outcomes were achieved in their course of studies can be of high practical significance and can become a launchpad for the improvement and excellence of the quality of education at the faculty of Public Health. \u0000Aim of the study\u0000The purpose of the study was to compare opinions on achieving education outcomes and self-assessments of the perceived level of readiness to start a job of B.A. graduates at the Faculty of Public Health, Division of Health Sciences, Medical University of Warsaw. \u0000Material and methods\u0000The anonymous questionnaire consisted of two parts: 1. Students’ self-assessment of reaching the assumed education outcomes; 2. Students’ assessment of reaching the assumed education outcomes in the course of their studies. Each statement was assessed in a 5-point Likert scale. The studied population included 85 B.A. graduates (2015/16) (82 female, 3 males – 96% female). The mean age of students in the studied group was 23 ± 7.2 years.\u0000Results\u0000The most important result was the high degree of compliance identified between the students' self-assessments and the assessment of the level of education outcomes achieved in the course of their studies. \u0000Conclusions\u0000Graduate self-assessments and opinions on the level of achieving education outcomes during B.A. studies can help to modify the curriculum in question following the principles of evidence-based education. Such studies should be carried out regularly to adapt to current graduate needs and labour market requirements.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41312129","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}

{"title":"A novel approach for abdominal sonographic evaluation of the prostate, median lobe hypertrophy and huge prostatic hyperplasia","authors":"E. Doğan, U. T. Bilgilisoy, Yelda Dere, C. Elibol","doi":"10.5604/01.3001.0015.7092","DOIUrl":"https://doi.org/10.5604/01.3001.0015.7092","url":null,"abstract":"Background: The formula used for the calculation of prostate volume is roughly the three dimensions of prostate (L×W×H) multiplied by 0.52. Indeed, this is the formula for calculating the volume of a sphere. However, almost all of the papers on this topic describe the shape of the prostate as a pyramid. As the true prostate shape is a rhombohedral regular tetrahedron with a median lobe, a more effective calculation method is needed. Aim of the study: This paper aims to develop a different approach for sonographic measurement of the prostate through mathematical models. Case report: We present a 74-year-old patient with HPH and median lobe hypertrophy. Conclusions: The classical method is insufficient for accurate measurement in patients with median lobe hypertrophy. In prostates with median lobes, the measurement should be calculated as the median lobe volume plus the spheric prostate volume.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45411685","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}

{"title":"Three Perspectives: The Approach of Neoadjuvant Treatment of Rectum Cancer According to Medical Oncologists, Radiation Oncologists, and Surgeons","authors":"I. Beypınar, M. Tercan, F. Tugrul","doi":"10.21203/rs.3.rs-1236318/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-1236318/v1","url":null,"abstract":"\u0000 Purpose\u0000\u0000Two treatment modalities are considerable for radiation therapy: short-course radiotherapy and immediate surgery or chemoradiation with 5-Fluorouracil based chemotherapy with delayed surgery. In this study, we try to evaluate the real-life treatment approaches of medical, radiation, and surgical oncologists for neoadjuvant treatment of rectal cancers.\u0000Method\u0000\u0000The online survey form was established via Google Forms. The survey was taken voluntarily by medical oncologists, radiation oncologists, surgical oncologists, and general surgeons.\u0000Results\u0000\u0000One hundred eighty-three of the participants were medical oncologists while 36 were radiotherapists and 36 were surgeons. Most of the study population preferred long-course radiation therapy and chemotherapy which was consisting eighty-five percent. Two-thirds of the participants apply chemotherapies before operation. The most frequent chemotherapy cycles for the pre-operative setting were ‘three’ or ‘four-or-more’ with the percent of 27,8 and 25,1 respectively. Medical oncologists had a significantly higher tendency of offering chemotherapy between radiation therapy and surgery compared with the other groups. The optimal time of surgery was different between groups. There was no difference among groups between surgery and the ‘watch & wait’ strategy. A significant difference was observed between groups in offered neoadjuvant chemotherapy regimens.\u0000Conclusion\u0000\u0000In our study, we found the new pre-operative chemotherapy regimen with short-course radiotherapy was slowly adopted in current practice. Also, medical oncologists tend pre-operative chemotherapy compared with other groups. The optimal surgery time for patients receiving neoadjuvant treatment is still controversial.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48419060","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}

{"title":"The role and preparedness of physiotherapists according to the results of students of two universities in the prevention of chronic diseases using stress urinary incontinence in women as an example","authors":"J. Witkoś, Magdalena Hartman-Petrycka","doi":"10.5604/01.3001.0015.6855","DOIUrl":"https://doi.org/10.5604/01.3001.0015.6855","url":null,"abstract":"Background: The health and financial burden imposed by chronic non-communicable diseases is expected to increase in parallel with the rapid rate of global population aging. Stress urinary incontinence (SUI) is an important health problem. Medical professionals should thus provide their patients with knowledge about the appropriate prevention and treatment of chronic diseases, including SUI. \u0000Aim of the study: This study compared the level of knowledge concerning the risk factors, prevention, and treatment of SUI in women between physiotherapy graduates at two different Universities with a focus on medicine (Med) and physical education (PE). \u0000Material and Methods: This study included final-year physiotherapy students (n=401). Respondents provided answers to open-ended questions used to measure their knowledge about SUI in women. \u0000Results: The complete and correct definition of SUI was provided by 64.4% of the students at University Med, and 56.3% of the students at University PE. Students at University Med, in comparison with the students at University PE, had a significantly higher awareness of the risk factors (86.4% vs. 69.4%), prevention methods (85.6% vs. 68.7%), and conservative (92.4% vs. 77.8%) as well as surgical treatment (28.0% vs 6.7%) of SUI in women (p<0.001). \u0000Conclusions: There is a need for greater emphasis on education about SUI in order to better prepare physiotherapy graduate students to provide optimal care to their female patients. The disciplinary focus of Universities that provide graduate programs in physiotherapy plays a significant role in gaining knowledge about SUI.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43401742","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}

{"title":"Assessment of nursing and midwifery students’ knowledge \u0000of treatment of diabetic foot syndrome using Lucilia servicata larvae","authors":"Beata Kozińska, E. Szlenk-Czyczerska","doi":"10.5604/01.3001.0015.6233","DOIUrl":"https://doi.org/10.5604/01.3001.0015.6233","url":null,"abstract":"Background. Diabetes mellitus is one of the most common chronic diseases, and \u0000in recent years its prevalence has been systematically increasing. Untreated or ineffectively treated diabetes leads to the development of many complications. Among these that can significantly affect the quality of life is diabetic foot syndrome (DFS). Larvotherapy is a therapeutic method of treating wounds arising during the course of DFS. \u0000Aim of the study. The main objective of this study was to assess the level of knowledge \u0000of nursing and midwifery students on the treatment of DFS using Lucilia sericata larvae. \u0000Material and Methods. This study is a cross-sectional, observational study in which 202 nursing and midwifery students of Opole University were surveyed. The study was conducted online between June and November 2020, using a questionnaire developed by the authors.\u0000Results. The analysis showed considerable variation in the level of students' knowledge of treatment techniques for DFS. Those with the highest level of knowledge represented 39.15% (n=79), the average level of knowledge was represented by 28.2% (n=57), and the lowest level of knowledge was represented by 32.7% (n=66) of students. Regarding biosurgery in general, the highest level of knowledge about biosurgery was represented by 48.0% (n=97) of students. Nursing students had a higher level of knowledge than midwifery students regarding DFS treatment methods (p=0.001). There was no difference in the level of knowledge about biosurgery between nursing and midwifery students (p=0.503).\u0000Conclusions. The research presented in this study indicates that nursing and midwifery students have insufficient knowledge of DFS treatment methods and biosurgery. Nursing students are more likely than midwifery students to derive knowledge of DFS treatment methods from their studies and the literature. Education on treatment methods and techniques for DFS should be increased among students. Students' knowledge can be increased by classes in the course of their education and meetings with professionals.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47635918","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}

{"title":"Assessment of nutrition knowledge during lactation among postpartum women","authors":"K. Kalita-Kurzyńska, Aleksandra Mołas, Karolina Kozak, Marta Dulęba, Iwona Kiersnowska","doi":"10.5604/01.3001.0015.6027","DOIUrl":"https://doi.org/10.5604/01.3001.0015.6027","url":null,"abstract":"Background: Breastfeeding is the most appropriate form of nutrition for newborns and infants. During lactation, milk production is an important function of a new mother’s body. The lack of a healthy, balanced diet carries a high risk of macro- and micronutrient deficiencies in postpartum women.\u0000Aim of the study: The aim of the study was to explore the nutrition knowledge of postpartum mothers during lactation, based on current guidelines.\u0000Material and methods: The study involved 103 postpartum mothers who stayed in the maternity and neonatal ward in a secondary care hospital from April 2019 to January 2020. The diagnostic survey method was used as the research tool, which included an original questionnaire. Participation in the study was voluntary and anonymous. Results were analyzed using Microsoft Excel descriptive statistics. The analysis of Spearman’s R correlation between the variables was performed in the Statistica 13.1 program. Statistical significance was taken at p < 0.05.\u0000Results: The average score among respondents was 4.82/10 points. Most study participants (77%, n = 79) considered breastfeeding women to have greater energy and nutritional requirements. More than half of the study participants (59%, n = 61) declared that some food products should be eliminated from the diet, namely strawberries, citrus fruit and chocolate.\u0000Conclusions: Women’s knowledge about nutrition during lactation is insufficient. There is a need to intensify education in this area by medical professionals including midwives.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48713954","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}

{"title":"The effects ofcombined diamond microdermabrasion and a mixture of cosmetic acids on the condition of acne prone skin: a case report","authors":"Karolina Chilicka","doi":"10.5604/01.3001.0015.5924","DOIUrl":"https://doi.org/10.5604/01.3001.0015.5924","url":null,"abstract":"Background: Exfoliating treatments are widely used in cosmetology and dermatology forthe treatment of skin lesions and, above all, toreduce the number of skin eruptions that occur with acne vulgaris. An effective treatment that can be offered to people suffering from this disease is diamond microdermabrasion. The addition of acid peeling to this treatment may lead to even better results than in the case of monotherapy.\u0000Aim of the study: To assess the effectiveness of a combination of microdermabrasion and acid peeling on a 21-year-old woman suffering from acne vulgaris.\u0000Case report: The patient suffered from acne vulgaris, too high a level of sebum on the entire surface of the face, and, over the course of the disease, developed open and closed blackheads and inflammatory pustules. The sebum level was measured with a DermaUnitSCC3 device and the number of skin eruptions was determined using the global acne severity scale (GAGS).\u0000Conclusion: The series of cosmetological treatments led to a reduction in the sebum on the surface of the epidermis and the number of skin eruptions.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45313534","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}

{"title":"Identification of Escherichia coli strains in the vaginal cultures of healthy women and their patterns of antibiotic resistance.","authors":"Jorge Angel Almeida Villegas, H. Reyes, Mariana Aguilar Sánchez, M. F. Cruz Rosas, Regina Sanchez Monroy, Jesus Emmanuel Bernal Zamudio, Ana Paula Palacios Rodriguez","doi":"10.5604/01.3001.0015.4250","DOIUrl":"https://doi.org/10.5604/01.3001.0015.4250","url":null,"abstract":"Background: Bacterial vaginosis is the most common cause of vaginitis in women of childbearing age, and\u0000it predominantly affects young sexually active women. Escherichia coli is one of the most common bacteria\u0000found in the genital tract of non-pregnant (9–28%) and pregnant women (24–31%). E. coli strains can colonize\u0000the vaginal and endocervical regions in pregnant women, and may lead to the development of urinary\u0000tract, intra-amniotic or puerperal infections.\u0000Aim of the study: Isolation and identification of the antibiotic resistance patterns of extended spectrum\u0000beta-lactamase (ESBL)-producing and non-producing E. coli in the vaginal cultures of healthy women.\u0000Material and methods: Vaginal samples were taken from 55 healthy women. For the bacterial identification\u0000and resistance patterns, automated equipment from Beckman Coulter was used. Phenotypic techniques were\u0000used to confirm the presence or absence of ESBL.\u0000Results: Fifty-five cultures developed E. coli, with the rest of the strains corresponding to different bacteria.\u0000Of the 55 E. coli cultures, 35 (63.63%) were ESBL-producing and 20 (36.36%) did not produce ESBL. There\u0000was an 80% resistance to penicillin, and a 76.4% and 65.5% resistance to the first and fourth generation\u0000cephalosporins, respectively. A 45.5% resistance was observed for the fluoroquinolones, 52.7% for trimethoprim/\u0000sulfamethoxazole, and 100% sensitivity to carbapenemics and amikacin.\u0000Conclusions: A large presence of vaginal ESBL-producing E. coli was observed in healthy women, which increases\u0000the risk of therapeutic failure due to high levels of antibiotic resistance.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44302201","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}

{"title":"Assessment of virtual healthcare: predictors of access and utilization before, during,\u0000and after the COVID-19 pandemic","authors":"W. Hills, Matthew Murphy, Karen T. Hills","doi":"10.5604/01.3001.0015.5391","DOIUrl":"https://doi.org/10.5604/01.3001.0015.5391","url":null,"abstract":"Background: Societal needs highlighted by the ongoing COVID-19 pandemic have resulted in rapid telehealth development and implementation. The broadening of guidelines for practice by regulatory bodies have\u0000allowed providers to employ video-capable devices in the virtual delivery of services to physical- and mentalhealth clients located across a broad range of settings.\u0000Aim of the study: This study examined use of synchronous, video-based, virtual healthcare before and during the COVID-19 pandemic. This included a comparison of: access for physical and mental health needs;\u0000differential assessment of service provision by professionals; consumer satisfaction; and, anticipated future\u0000use of virtual healthcare.\u0000Material and Methods: An online survey link was sent to three participant groups: college-aged students,\u0000adults, and retirement-aged persons. A total of 685 participants, varying in age, gender, ethnicity, and experience using tele-healthcare provided usable data for this study.\u0000Results: Half of participants (49.2%; n=337) used virtual healthcare; more people used it during the pandemic (87.2%; n=294) than before (26.4%; n=89). Physical services (86.8%; n=291; primarily physicians) were\u0000more common than mental health services (25.6%; n=86; primarily counselors). Access was most common\u0000through laptop computers (60.7%; n=204). Participants were satisfied with virtual healthcare experiences\u0000(Mdn=5). Almost all participants (94.2%; n=645) believed that virtual healthcare would continue after the\u0000pandemic, but only two-thirds (61.3%; n=420) reported they would use virtual healthcare if available in the\u0000future. Both previous experience with (p<0.001) and satisfaction with (p<0.001) virtual healthcare positively\u0000predicted anticipated future use.\u0000Conclusions: Tele-healthcare has experienced significant growth in the COVID-19 era. Emergency policy\u0000changes have resulted in services being developed and offered in the medical and mental health realms in\u0000conjunction with ongoing empirical evaluations of what does and does not work.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47086196","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}