THE NEW ARMENIAN MEDICAL JOURNAL最新文献

{"title":"Perceptions of Knowledge, Attitudes, and Skills about Non-Suicidal Self-Injury: A Survey of Emergency and Mental Health Nurses","authors":"A. Asiri","doi":"10.56936//18290825-2022.16.3-28","DOIUrl":"https://doi.org/10.56936//18290825-2022.16.3-28","url":null,"abstract":"Objective: The purpose of the study is to assess emergency department and mental health nurses’ knowledge, attitudes and skills related to non-suicidal self-injuries. \u0000Method: A descriptive cross-sectional research design was adopted in this study. The study used the convenient sampling method to recruit a sample of 195 emergency department and mental health nurses from three different settings; the psychiatric mental health hospital, King Fahad hospital, and King Khaled hospital in Tabuk city. To collect data, the study used the questionnaire that consisted of two parts: the socio-demographic part and the knowledge, attitudes, and skills related to non-suicidal self-injuries (27 statements). \u0000Result: The results of the study showed that emergency department and mental health nurses had a moderate level of knowledge about non-suicidal self-injuries (30.95±9.90), a high level of skills related to non-suicidal self-injuries (26.5±5.2), and neutral attitudes towards non-suicidal self-injuries (35.5±7.15). In addition, it was found that there was a significant statistical difference in knowledge about non-suicidal self-injuries referred to gender, unit/department, and receiving formal training about non-suicidal self-injuries. Moreover, it was found that there was a significant statistical difference in the mental health and emergency department nurses’ skills related to non-suicidal self-injuries referred to participants’ receiving formal training related to non-suicidal self-injuries, and there were significant statistical difference in attitudes towards non-suicidal self-injuries between nurses referred to unit/department, working institution, and receiving formal training related to non-suicidal self-injuries. \u0000Conclusion: The study concluded that emergency department and mental health nurses in Saudi Arabia have moderate level of knowledge, high level of skills and neutral attitudes towards non-suicidal Self-Injury.","PeriodicalId":353660,"journal":{"name":"THE NEW ARMENIAN MEDICAL JOURNAL","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116205633","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":"Complete versus non-complete fundoplication in surgical treatment of gastroesophageal reflux disease","authors":"S. Stepanyan, V. Hakobyan, A. Petrosyan, H. Yeghiazaryan, K. Papazyan, Hovhannes Batikyan, A.Yu. Aleksanyan, H. Safaryan, H. Shmavonyan, A.M. Babayan","doi":"10.56936/18290825-2022.16.4-64","DOIUrl":"https://doi.org/10.56936/18290825-2022.16.4-64","url":null,"abstract":"Gastroesophageal reflux disease is a common disorder accounting for approximately 75% of esophageal pathology. It seriously compromises quality of life. It develops when the reflux of gastric content causes troublesome symptoms or complications. During the last decades significant changes have occured in the role of surgery for gastroesophageal reflux disease. Initially antireflux surgery was reserved only for patients who had failed any kind of medical therapy. Now the range of indications for antireflux procedures is wide. Operations for gastroesophageal reflux disease are now well established and have good short- and long-term results, but no unique laparoscopic antireflux technique has been accepted so far, and a number of different antireflux procedures with numerous modifications have been reported. A total of 102 consecutive patients with gastroesophageal reflux disease were operated in the clinic of Republican Medical Center ‘’Armenia’’ (Yerevan, Armenia) and Mickaelyan Institute of Surgery (Yerevan, Armenia) from 2010 to 2021. In all cases the esophagogram showed hiatal hernia. Nissen, Nissen-Rossetti and Toupet fundoplications were performed as antireflux procedures. In all cases of combination of hiatal hernia and Gastroesophageal reflux diseasemesh reinforcement was performed. The results of follow-up assessment of the operated patients were compared. The results in early postoperative period were assessed with contrast X-ray examination and 24-hour pH-metry on the 5-th to 7-th days after surgery. The quality-of-life evaluation by the questionnaire showed a significant difference between the two groups, improvement of results in the laparoscopy group with complete fundoplication in comparison with not complete fundoplication. Complete fundoplication is a more reliable method of antireflux procedures for surgical treatment of gastroesophageal reflux disease. The division of short gastric vessels helps to prevent persistent dysphagia. The repair of esophageal hiatus of diaphragm is mandatory in antireflux procedures.","PeriodicalId":353660,"journal":{"name":"THE NEW ARMENIAN MEDICAL JOURNAL","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116926204","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 Statewide Study of Cardiovascular Outcomes in Patients with Ankylosing Spondylitis","authors":"D. Sargsyan, J. Cabrera, J. Kostis, M. Fahim, T. Beavers, S. Zinonos, V. Hsu, A. Mékinian, W. Kostis","doi":"10.56936/18290825-2022.16.2-4","DOIUrl":"https://doi.org/10.56936/18290825-2022.16.2-4","url":null,"abstract":"Numerous studies have shown that ankylosing spondylitis is associated with an increased risk of cardiovascular disease including heart failure, acute myocardial infarction, stroke, transient ischemic attack, and cardiovascular mortality. This may be a direct result of inflammation or an indirect one from the use of anti-inflammatory drugs needed to treat ankylosing spondylitis, or from the coexistence of traditional risk factors. This is a retrospective case-control study of the occurrence of cardiovascular events in ankylosing spondylitis patients and matched controls. Data was obtained from the Myocardial Infarction Data Acquisition System, a statewide database containing hospitalizations for cardiovascular diseases in New Jersey. Two types of analyses were performed: unadjusted and adjusted for comorbidities. The odds ratio of developing heart failure in the ankylosing spondylitis group vs. matched controls was 1.59 (95% CI 1.44 - 1.76, p < 0.001) in the unadjusted model and 1.31 (95% CI 1.18 - 1.47, p < 0.001) after adjustment for hypertension, diabetes mellitus, acute kidney failure/chronic kidney disease, chronic liver disease, chronic obstructive pulmonary disease, and hyperlipidemia. Similarly, risks of myocardial infarction and cardiovascular mortality in ankylosing spondylitis patients were significantly higher in both, unadjusted and adjusted models while odds ratio for transient ischemic attack became non-significant after the adjustment. Ankylosing spondylitis is associated with increased rates of the cardiovascular disease that are probably due of pathophysiologic changes attendant to the disease, as well as the presence of the comorbidities.","PeriodicalId":353660,"journal":{"name":"THE NEW ARMENIAN MEDICAL JOURNAL","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115063225","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}