Galen Medical Journal最新文献_第7页

A Short Review On Advances in Early Diagnosis and Treatment of Ischemic Stroke 缺血性脑卒中早期诊断与治疗进展综述

IF 0.7

Galen Medical Journal Pub Date : 2023-08-21 DOI: 10.31661/gmj.v12i.2993

B. Sun, Zhigang Wang

{"title":"A Short Review On Advances in Early Diagnosis and Treatment of Ischemic Stroke","authors":"B. Sun, Zhigang Wang","doi":"10.31661/gmj.v12i.2993","DOIUrl":"https://doi.org/10.31661/gmj.v12i.2993","url":null,"abstract":"Ischemic stroke is a leading cause of morbidity and mortality worldwide, necessitating continuous research and advancements in early diagnosis and treatment modalities. This review aims to provide an overview of recent advances in the early diagnosis and treatment of ischemic stroke, highlighting the importance of timely intervention and the potential impact on patient outcomes. Recent advancements have focused on various aspects of stroke care, including imaging techniques, laboratory testing, telemedicine and mobile technology, intravenous thrombolysis, mechanical thrombectomy, and collaborative systems. Advances in imaging techniques have played a pivotal role in the early diagnosis and treatment of ischemic stroke. Computed tomography perfusion imaging, advanced MRI techniques, multimodal imaging, and automated image processing tools have greatly improved the ability to assess the extent of ischemic injury, identify viable tissue, and characterize intracranial occlusions. Incorporating these advancements into routine clinical practice allows for more accurate and timely treatment decisions, ultimately leading to improved outcomes for patients with ischemic stroke. Laboratory testing has seen significant progress in identifying biomarkers and genetic markers associated with ischemic stroke. High-sensitivity cardiac troponin assays have improved our understanding of the cardiac component of stroke and enabled early detection of cardiac injury. Telemedicine and mobile technology have revolutionized stroke care by enabling remote assessment and consultation with stroke specialists. Collaborative systems and telestroke networks, have optimized communication and coordination among healthcare providers. Interoperable electronic health records streamline information exchange and facilitate prompt decision-making. Targeted therapies and stroke prevention strategies offer new avenues for improving outcomes. Overall, advances in early diagnosis and treatment of ischemic stroke can enhance stroke care, reduce treatment delays, and improve patient outcomes.","PeriodicalId":44017,"journal":{"name":"Galen Medical Journal","volume":"5 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82430927","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

Best Practices of Hospitals in Management of Epidemic Conditions: A Scoping Review 医院在流行病管理中的最佳实践:范围审查

Galen Medical Journal Pub Date : 2023-08-20 DOI: 10.31661/gmj.v12i.2824

Ali Tahmasebi, Iravan Masoudi asl, Aidin Aryankhesal, Soudabeh Vatankhah, Gholamreza Masoumi

{"title":"Best Practices of Hospitals in Management of Epidemic Conditions: A Scoping Review","authors":"Ali Tahmasebi, Iravan Masoudi asl, Aidin Aryankhesal, Soudabeh Vatankhah, Gholamreza Masoumi","doi":"10.31661/gmj.v12i.2824","DOIUrl":"https://doi.org/10.31661/gmj.v12i.2824","url":null,"abstract":"Background: Many hospitals globally have valuable experiences in preparing for management and responding to infectious epidemics. Identifying and analyzing these experiences can provide comprehensive and practical data for decision-making and effective performance. This study aimed to conduct a scoping review and content analysis of the best practices of hospital (private or public) management in epidemic conditions.Materials and Methods: This research is a scoping review and content analysis, conducted in 2021. Data was collected by searching different databases, including Pubmed, Scopus, Web of Sciences, ProQuest, websites, search engines, and public reports without time limits. Content analysis was performed for data analysis.Results: We retrieved 8842 records from databases and other sources. Finally, 24 studies from 12 countries were selected for analysis. Most studies belonged to the United States (9 cases), and most subjects were on Coronavirus disease 2019 (Covid-19) (19 studies). We classified the results into two major categories of in-hospital executive readiness and logistic readiness. Executive readiness included 11 main categories (physical structure, resource management, exposure reduction, patients and caregivers’ management, corpse management, disinfection, staff support, patient admission, instructions and guidelines, tele- communication, and education) and 26 sub-categories. Logistic readiness consisted of three major categories (leadership/team making, communication, and using capabilities) and five sub-categories.Conclusion: Healthcare managers can use the identified categories and dimensions of managerial readiness and responsiveness as an action plan during an infectious disease epidemic.","PeriodicalId":44017,"journal":{"name":"Galen Medical Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135936917","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

The Role of Nursing Care in the Management of Patients with Traumatic Subarachnoid Hemorrhage. 护理在外伤性蛛网膜下腔出血患者管理中的作用。

IF 0.5

Galen Medical Journal Pub Date : 2023-08-20 eCollection Date: 2023-01-01 DOI: 10.31661/gmj.v12i0.3013

Qun Miao, Yan Yan, Mengjie Zhou, Xueqi Sun

{"title":"The Role of Nursing Care in the Management of Patients with Traumatic Subarachnoid Hemorrhage.","authors":"Qun Miao, Yan Yan, Mengjie Zhou, Xueqi Sun","doi":"10.31661/gmj.v12i0.3013","DOIUrl":"10.31661/gmj.v12i0.3013","url":null,"abstract":"Traumatic subarachnoid hemorrhage (tSAH) is a critical condition that requires comprehensive management to optimize patient outcomes. Nursing care plays a key role in the overall management of patients with tSAH via various aspects of care, including neurological assessment, monitoring, intervention, and education. In this review, we aim to evaluate the significant contributions of nursing care in managing patients with tSAH. Nurses perform initial neurological assessments, including the glasgow coma scale, pupil reactivity, vital signs, and sensory-motor evaluations. These assessments provide valuable information for early identification of deteriorating neurological status and prompt intervention. Additionally, nurses closely monitor intracranial pressure (ICP), cerebral perfusion pressure, and other hemodynamic parameters, assisting in the prevention and timely detection of secondary brain injury. For example, some strategies to manage ICP include elevating the head of the bed, maintaining adequate oxygenation and ventilation, administering proper medications, and ensuring fluid and electrolyte balance. Also, through careful monitoring, early recognition, and appropriate preventive measures, nursing care could prevent complications, including infections, deep vein thrombosis, and pressure ulcers. Furthermore, nursing care extends beyond physical management and encompasses psychosocial support for patients and their families. Nurses establish therapeutic relationships, providing emotional support, education, and counseling to alleviate anxiety, address concerns, and facilitate coping mechanisms. Education regarding medication management, lifestyle modifications, and the importance of regular follow-up enhances patient compliance and promotes long-term recovery.","PeriodicalId":44017,"journal":{"name":"Galen Medical Journal","volume":"12 ","pages":"1-11"},"PeriodicalIF":0.5,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11108670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of Nursing Care in the Management of Patients with Traumatic Subarachnoid Hemorrhage 护理在外伤性蛛网膜下腔出血患者治疗中的作用

IF 0.7

Galen Medical Journal Pub Date : 2023-08-20 DOI: 10.31661/gmj.v12i.3013

Q. Miao, Yan-ling Yan, Mengjie Zhou, Xueqi Sun

{"title":"The Role of Nursing Care in the Management of Patients with Traumatic Subarachnoid Hemorrhage","authors":"Q. Miao, Yan-ling Yan, Mengjie Zhou, Xueqi Sun","doi":"10.31661/gmj.v12i.3013","DOIUrl":"https://doi.org/10.31661/gmj.v12i.3013","url":null,"abstract":"Traumatic subarachnoid hemorrhage (tSAH) is a critical condition that requires comprehensive management to optimize patient outcomes. Nursing care plays a key role in the overall management of patients with tSAH via various aspects of care, including neurological assessment, monitoring, intervention, and education. In this review, we aim to evaluate the significant contributions of nursing care in managing patients with tSAH. Nurses perform initial neurological assessments, including the glasgow coma scale, pupil reactivity, vital signs, and sensory-motor evaluations. These assessments provide valuable information for early identification of deteriorating neurological status and prompt intervention. Additionally, nurses closely monitor intracranial pressure (ICP), cerebral perfusion pressure, and other hemodynamic parameters, assisting in the prevention and timely detection of secondary brain injury. For example, some strategies to manage ICP include elevating the head of the bed, maintaining adequate oxygenation and ventilation, administering proper medications, and ensuring fluid and electrolyte balance. Also, through careful monitoring, early recognition, and appropriate preventive measures, nursing care could prevent complications, including infections, deep vein thrombosis, and pressure ulcers. Furthermore, nursing care extends beyond physical management and encompasses psychosocial support for patients and their families. Nurses establish therapeutic relationships, providing emotional support, education, and counseling to alleviate anxiety, address concerns, and facilitate coping mechanisms. Education regarding medication management, lifestyle modifications, and the importance of regular follow-up enhances patient compliance and promotes long-term recovery.","PeriodicalId":44017,"journal":{"name":"Galen Medical Journal","volume":"107 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81413935","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

Overview On Current Trends and Emerging Therapies in the Chemotherapy of Patients with Human Epidermal Growth Factor Receptor 2-Positive Breast Cancer 人表皮生长因子受体2阳性乳腺癌患者化疗的当前趋势和新疗法综述

IF 0.7

Galen Medical Journal Pub Date : 2023-08-20 DOI: 10.31661/gmj.v12i.3021

Jian Qian, Yunxia Xu, Xiaokai Ling, Fenhua Wang

引用次数: 0

Overview on Current Trends and Emerging Therapies in the Chemotherapy of Patients with Human Epidermal Growth Factor Receptor 2-Positive Breast Cancer. 人类表皮生长因子受体 2 阳性乳腺癌患者化疗的当前趋势和新兴疗法概览。

IF 0.5

Galen Medical Journal Pub Date : 2023-08-20 eCollection Date: 2023-01-01 DOI: 10.31661/gmj.v12i0.3021

Jian Qian, Yunxia Xu, Xiaokai Ling, Fenhua Wang

引用次数: 0

Nursing Interventions and Care Strategies for Patients with Coronary Heart Disease: A Comprehensive Review. 冠心病患者的护理干预和护理策略：全面回顾。

IF 0.5

Galen Medical Journal Pub Date : 2023-08-19 eCollection Date: 2023-01-01 DOI: 10.31661/gmj.v12i0.2994

Yangyan Shan, Jun Chen, Siwen Zhou, Guangxue Wen

{"title":"Nursing Interventions and Care Strategies for Patients with Coronary Heart Disease: A Comprehensive Review.","authors":"Yangyan Shan, Jun Chen, Siwen Zhou, Guangxue Wen","doi":"10.31661/gmj.v12i0.2994","DOIUrl":"10.31661/gmj.v12i0.2994","url":null,"abstract":"Cardiovascular diseases are a major cause of death worldwide, and coronary heart disease (CHD) is a prevalent cardiovascular condition and a significant health burden for the population. In this disease, insufficient blood flow to the heart due to plaque accumulation in the coronary arteries causes chest pain, heart attack, and even death. So, it is vital to identify risk factors, prevention, appropriate treatment, and rehabilitation. Nurses play an indispensable role in managing and caring for patients with CHD. Indeed, they possess a deep understanding of the disease and its complexities, enabling them to provide comprehensive care to patients. Nurses monitor vital signs, administer medications, and perform diagnostic tests, ensuring patients receive timely and appropriate interventions. They also educate patients and their families about CHD, emphasizing lifestyle modifications, medication adherence, and self-care practices. Moreover, nurses offer emotional support, guiding patients through the physical and psychological challenges associated with CHD. Their expertise, compassion, and dedication significantly improve patient outcomes and overall quality of life. Nurses are responsible for assessing, diagnosing, and counseling patients on how to manage their disease, making them the front line of defense in preventing and addressing this serious condition. In the current study, we reviewed the literature to consider the best practices and emerging trends in nursing interventions and care strategies for patients with CHD.","PeriodicalId":44017,"journal":{"name":"Galen Medical Journal","volume":"12 ","pages":"1-13"},"PeriodicalIF":0.5,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11108677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nursing Interventions in the Management of Mental Health and Alcohol Use Disorders: A Comprehensive Review 心理健康和酒精使用障碍管理中的护理干预:一项综合综述

Galen Medical Journal Pub Date : 2023-08-19 DOI: 10.31661/gmj.v12i.2999

Hailu Xu, Daoying Liu

{"title":"Nursing Interventions in the Management of Mental Health and Alcohol Use Disorders: A Comprehensive Review","authors":"Hailu Xu, Daoying Liu","doi":"10.31661/gmj.v12i.2999","DOIUrl":"https://doi.org/10.31661/gmj.v12i.2999","url":null,"abstract":"Co-occurring mental health disorders and alcohol use disorders (AUDs) present a challenge for healthcare professionals. The complexity of these conditions can hinder accurate diagnosis and effective treatment. Therefore, it is crucial for healthcare professionals to be aware of the potential for co-occurring disorders and to provide appropriate care. Evidence-based interventions in nursing are critical in managing these disorders and improving patient outcomes.  Nurses must be trained in these interventions to provide optimal care for patients with co-occurring disorders. Patients should be encouraged to disclose any substance use or mental health issues to ensure they receive the best care possible.  This review provides a comprehensive overview of nursing interventions for managing mental health and AUDs. It emphasizes the need for further research in this area. Nursing care is pivotal in managing these disorders, and interventions can significantly improve patient outcomes. By unifying the style and using clear, concise, and appropriate language for a scientific audience, this review aims to clarify the importance of nursing interventions in managing co-occurring mental health and AUDs.","PeriodicalId":44017,"journal":{"name":"Galen Medical Journal","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969487","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

Adult Patient Satisfaction with Nursing Care Services and Associated Factors Among Admitted Patients at Saint Paul’s Hospital, Millennium Medical College, Addis Ababa, Ethiopia, 2022: A Cross-Sectional Study 2022年，埃塞俄比亚，亚的斯亚贝巴，千禧医学院圣保罗医院成年患者护理服务满意度及相关因素:一项横断面研究

Galen Medical Journal Pub Date : 2023-08-19 DOI: 10.31661/gmj.v12i.2906

Bantalem Amanu Bogale, Sindew Mahmud Ahmed, Aynie Birhane Gebrekidan, Getachew Amanu Bogale

{"title":"Adult Patient Satisfaction with Nursing Care Services and Associated Factors Among Admitted Patients at Saint Paul’s Hospital, Millennium Medical College, Addis Ababa, Ethiopia, 2022: A Cross-Sectional Study","authors":"Bantalem Amanu Bogale, Sindew Mahmud Ahmed, Aynie Birhane Gebrekidan, Getachew Amanu Bogale","doi":"10.31661/gmj.v12i.2906","DOIUrl":"https://doi.org/10.31661/gmj.v12i.2906","url":null,"abstract":"Background: Providing comprehensive nursing care and ensuring patient satisfaction are essential health performance indicators worldwide. Despite some efforts to improve patient satisfaction with nursing care, the approach in developing countries, including Ethiopia, remains insufficient. This study aimed to assess the level of adult patient satisfaction and identify the factors affecting satisfaction. Materials and Methods: This cross-sectional study included 407 participants selected using a simple randomization technique. The samples were distributed using proportional allocation to each selected adult inpatient department. The participants were interviewed using a modified structured Amharic version of the Newcastle Satisfaction with Nursing Scale. Bivariate and multivariable logistic regression analyses were also performed. Results: The overall level of patient satisfaction with nursing care services was 54.3%. Respondents without formal education (P=0.010), male sex (P=0.041), free service consumers (P<0.001), and health insurance users (P<0.001) were significantly associated with satisfaction with nursing care. In addition, previously hospitalized patients (P=0.001), governmental workers (P<0.001), and patients admitted to the medical ward (P=0.010) were associated with patient dissatisfaction with nursing care services.Conclusion: This study revealed that adult patient satisfaction with nursing care services is low. A previous admission history, higher education level, paying cash for services, and private and governmental workers were significant predisposing factors for dissatisfaction with nursing care. On the other hand, patients without formal education, free-service consumers, and male sex were significant predictors of satisfaction with nursing care services. Therefore, hospital administrators are encouraged to focus on patients’ needs and expectations.","PeriodicalId":44017,"journal":{"name":"Galen Medical Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969484","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

Comparison Between the Effects of Transfer Energy Capacitive and Resistive Therapy and Therapeutic Ultrasound on Hamstring Muscle Shortness in Male Athletes: A Single-Blind Randomized Controlled Trial 传递能量、电容性和电阻性治疗与超声治疗对男性运动员腿筋肌短的影响比较:一项单盲随机对照试验

Galen Medical Journal Pub Date : 2023-08-19 DOI: 10.31661/gmj.v12i.2981

Haniyeh Choobsaz, Nastaran Ghotbi, Poria Mohamadi

{"title":"Comparison Between the Effects of Transfer Energy Capacitive and Resistive Therapy and Therapeutic Ultrasound on Hamstring Muscle Shortness in Male Athletes: A Single-Blind Randomized Controlled Trial","authors":"Haniyeh Choobsaz, Nastaran Ghotbi, Poria Mohamadi","doi":"10.31661/gmj.v12i.2981","DOIUrl":"https://doi.org/10.31661/gmj.v12i.2981","url":null,"abstract":"Background: Transfer energy capacitive and resistive (TECAR) therapy (TT) is a newly developed deep heating therapy that can generate heat within tissues through high-frequency wave stimulation. Compared to conventional physiotherapy methods, the application of TT especially in sports rehabilitation is becoming more popular. This study aimed to investigate the comparative effect of TT and therapeutic ultrasound (US) on hamstring muscle shortness. Additionally, the effects of TT with static stretching (SS) were compared with US combined with SS.Materials and Methods: Totally, 39 male athletes with hamstring shortness were randomly assigned into three groups: A, B, and C. Group A received 15 minutes of TT plus SS, while Group B received 15 minutes of US with SS, and Group C only performed SS. Hamstring flexibility was measured by active knee extension (AKE), passive knee extension (PKE), and the sit and Reach (SR) tests before the intervention, and following the first, and third treatment sessions.Results: The range of motion of the AKE and PKE, and displacement range in the SR test improved significantly after the first and third sessions in all three groups (P<0.0001). The improvement of the three flexibility indices in the TT group was greater than in the other two groups.Conclusion: The present study showed that TT could increase the flexibility of hamstring muscles more than US therapy. However, TT in combination with SS had a similar effect to SS alone.","PeriodicalId":44017,"journal":{"name":"Galen Medical Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969486","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