Emergency Care Journal最新文献_第9页

Terapi Gangguan Tidur pada Anak Tk dengan Sleep Hygiene

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Emergency Care Journal Pub Date : 2022-11-30 DOI: 10.35584/carejournal.v2i1.114

Poppy Farasari, Evita Widyawati, Friska Oktaviana, F. Farida, Yitno Yitno

{"title":"Terapi Gangguan Tidur pada Anak Tk dengan Sleep Hygiene","authors":"Poppy Farasari, Evita Widyawati, Friska Oktaviana, F. Farida, Yitno Yitno","doi":"10.35584/carejournal.v2i1.114","DOIUrl":"https://doi.org/10.35584/carejournal.v2i1.114","url":null,"abstract":"Gangguan tidur merupakan kelainan pada pola tidur seseorang dimana akan menimbulkan penurunan kualitas tidur yang ber dampak pada kesehatan dan keselamatan penderitanya. Terapi non farmakologi gangguan tidur antara lain adalah melalui aktivitas sleep hygiene. Sleep hygiene merupakan teknik melatih perilaku dan lingkungan yang bertujuan untuk memberikan lingkungan dan kondisi yang kondusif untuk tidur. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh terapi sleep hygiene terhadap gangguan tidur pada anak Taman Kanak-Kanak Alhidayah Desa Jombok Kecamatan Pule Kabupaten Trenggalek. Penelitian ini dilakukan pada tanggal 25 Maret sampai dengan tanggal 25 April 2022 dengan menggunakan metode Quasi Experiment Design dan menggunakan pendekatan one group Pre Test dan Post Test design. Populasi pada penelitian ini adalah anak usia sekolah (4-6 tahun) yang mengalami gangguan pada tidur di Taman Kanak-Kanak berjumlah 50 anak, sampel diambil menggunakan teknik purposive sampling berjumlah 33 responden. Variabel independentnya adalah terapi sleep hygiene, variabel dependentnya adalah gangguan tidur pada anak. Pengolahan data dengan editing, coding, scoring dan tabulating, dengan menggunakan analisa data uji Wilcoxon signed rank. Pada Hasil penelitian ini didapatkan jika sebelum dilakukan terapi sleep hygiene sebagian besar responden yaitu sebanyak 21 responden (63,6%) mengalami gangguan pada tidur berat dan sesudah sleep hygiene sebagian besar responden yaitu sebanyak 17 responden (51,5%) tidak mengalami gangguan pada tidur. Hasil dengan uji wilcoxon didapatkan bahwa P Value = 0,000 < 0,05. Dari hasil penelitian ini menunjukkan bahwa terdapat pengaruh terapi sleep hygiene terhadap gangguan tidur, hal ini terbukti jika terapi sleep hygiene mampu mengubah pola tidur pada anak menjadi lebih baik, sehingga hasil penelitian ini dapat dijadikan pedoman salah satu penatalaksanaan gangguan tidur pada anak menggunakan terapi sleep hygiene.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"442 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76053072","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

A case of unstable bradycardia requiring comprehensive management in the emergency department: BRASH syndrome 急诊科需要综合治疗的不稳定型心动过缓一例:BRASH综合征

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Emergency Care Journal Pub Date : 2022-09-27 DOI: 10.4081/ecj.2022.10566

S. Genç, Omer Yusuf Erdurmus, Abdullah Erhan, Ahmet Burak Oğuz, A. Koca, Müge Günalp Eneyli, O. Polat

引用次数: 0

The role of pre-hospital ambulance care in the management of road traffic injuries in Addis Ababa (Ethiopia) 院前救护车护理在亚的斯亚贝巴道路交通伤害管理中的作用（埃塞俄比亚）

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Emergency Care Journal Pub Date : 2022-09-27 DOI: 10.4081/ecj.2022.10745

M. Ragasa, T. Legesse, Birhanu Asrat Wudineh, Helina Abayneh

{"title":"The role of pre-hospital ambulance care in the management of road traffic injuries in Addis Ababa (Ethiopia)","authors":"M. Ragasa, T. Legesse, Birhanu Asrat Wudineh, Helina Abayneh","doi":"10.4081/ecj.2022.10745","DOIUrl":"https://doi.org/10.4081/ecj.2022.10745","url":null,"abstract":"It is estimated that 1.35 million people die each year as a result of road traffic injuries worldwide, with Africa having the highest annual rate. Ethiopia has the highest fatality rate in road traffic accidents, at 79%. There is no well-established emergency medical system in Ethiopia to provide pre-hospital trauma care. A crosssectional study was conducted at selected public hospitals in Addis Ababa. Purposive sampling was used to select the victims who arrived at the emergency department by ambulance. Data was gathered through structured questionnaires administered by an interviewer and a review of victims’ medical records. SPSS Version 25 was used to analyze the data. In this study, 262 victims took part, with a 94% response rate. Patient positioning (50.8%) was the most commonly provided service, followed by bleeding control (43.5%). Within the first 24 hours, 8.4% of the victims died. The first 24-hours of injury-related death were significantly associated with head/neck/spine injury and total pre-hospital time. Action should be taken to increase the availability of necessary equipment in ambulances and the number of paramedic personnel.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44284864","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

CT imaging in idiopathic out-of-hospital cardiac arrest: An assessment of current practice and diagnostic utility 特发性院外心脏骤停的CT成像:当前实践和诊断效用的评估

IF 0.5

Emergency Care Journal Pub Date : 2022-09-27 DOI: 10.4081/ecj.2022.10669

Isla Harper, Kathryn Easterford, M. Reed

{"title":"CT imaging in idiopathic out-of-hospital cardiac arrest: An assessment of current practice and diagnostic utility","authors":"Isla Harper, Kathryn Easterford, M. Reed","doi":"10.4081/ecj.2022.10669","DOIUrl":"https://doi.org/10.4081/ecj.2022.10669","url":null,"abstract":"Idiopathic Out-Of-Hospital Cardiac Arrest (OHCA) requires urgent treatment. Early Computed Tomography (CT) imaging may be useful to aid diagnosis. We aimed to determine current CT imaging practice, safety, and diagnostic value in this patient population. This study was a single-centre, retrospective cohort study of patients presenting to the Emergency Department (ED) of the Royal Infirmary of Edinburgh with idiopathic non-traumatic OHCA and Return Of Spontaneous Circulation (ROSC). Between 1st January 2016 and 31st December 2019, 140 of 156 (90%) eligible patients underwent 195 CT scans identifying the cause of OHCA in 6 (4%). CT head diagnosed one ischaemic and three haemorrhagic strokes, and CT pulmonary angiogram diagnosed one acute coronary syndrome and one pulmonary embolism. CT head (134), CT pulmonary angiogram (25) and CT cervical spine (16) were the commonest scans. 68 of 195 (35%) CT scans showed important pathology, mostly secondary to OHCA. CT imaging was safe with no cases of contrast nephropathy, allergic reaction, or other complications. The diagnostic value of CT imaging in this patient population was limited. However, imaging was a valuable method of identifying other important secondary pathology.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42056525","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

What lies behind the pain after shoulder dislocation? 肩膀脱臼后疼痛的原因是什么?

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Emergency Care Journal Pub Date : 2022-09-27 DOI: 10.4081/ecj.2022.10691

Erika Poggiali, Elisa V. Biancalana

引用次数: 0

A direct comparison between five lung-US and chest-CT-scans in a patient infected by SARS-CoV-2 SARS-CoV-2感染患者5次肺- us和胸部ct扫描的直接比较

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Emergency Care Journal Pub Date : 2022-09-27 DOI: 10.4081/ecj.2022.10492

Valentina Poli, S. Spinelli, Manuela Toscano, F. Vitale, Alessandro Ranalli, M. Tonerini, C. Romei, A. De Liperi, G. Barbieri

引用次数: 1

COVID-19 in sub-intensive care unit: An italian single-center experience along the three epidemic waves 亚重症监护病房的新冠肺炎：意大利单中心在三波疫情中的经验

IF 0.5

Emergency Care Journal Pub Date : 2022-09-27 DOI: 10.4081/ecj.2022.10648

F. Vallelonga, Francesco A Diella, M. Converso, G. de Filippi, F. Bosco, F. Panero, Franco Aprà, F. Elia

{"title":"COVID-19 in sub-intensive care unit: An italian single-center experience along the three epidemic waves","authors":"F. Vallelonga, Francesco A Diella, M. Converso, G. de Filippi, F. Bosco, F. Panero, Franco Aprà, F. Elia","doi":"10.4081/ecj.2022.10648","DOIUrl":"https://doi.org/10.4081/ecj.2022.10648","url":null,"abstract":"The goal was to characterize COVID-19 patients who needed treatment in Sub-Intensive Care Units (SICUs) for hypoxemic respiratory failure, describe their six-month mortality, and identify clinical and laboratory characteristics that were associated with death. Data from 216 consecutive patients admitted to the COVIDSICU of Turin’s San Giovanni Bosco Hospital were analyzed retrospectively. A total of 216 patients (24.5% of whom were female) were enrolled. The average age was 63±11.9 years. In the three waves, the six-month mortality rate was 32.8%, 35.1%, and 26.6%, respectively (p=0.52). The mortality rate was significantly higher in intubated patients compared to those not requiring intubation (60.8% versus 29.9%, p<0.01). On admission, deceased patients were older (69±7.7 versus 60.2±12.6 y.o., p<0.01), with a higher prevalence of dyslipidemia, coronary artery disease, chronic heart failure, and higher serum creatinine. However, only age was predictive of death at multivariate analysis (OR 5.29, p<0.01), with 63 years old as the best cut-point. At six months, mortality in COVID patients managed in a SICU is around 30%. Age is a significant negative prognostic factor, with 63 years of age being the best predicting cut-off.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48278089","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

Emergency medicine residents: Don’t give up! 急诊医师:不要放弃!

IF 0.5

Emergency Care Journal Pub Date : 2022-09-27 DOI: 10.4081/ecj.2022.10891

L. Ghiadoni

引用次数: 1

Out of hospital cardiac arrest during COVID-19 pandemic: A retrospective study from north east of Italy 2019冠状病毒病大流行期间院外心脏骤停:来自意大利东北部的回顾性研究

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Emergency Care Journal Pub Date : 2022-09-27 DOI: 10.4081/ecj.2022.10436

A. Breglia, Marco Stefano Ruggeri, Pietro Pettenella, R. Ippolito, Claudio Fossa, M. Zanatta

{"title":"Out of hospital cardiac arrest during COVID-19 pandemic: A retrospective study from north east of Italy","authors":"A. Breglia, Marco Stefano Ruggeri, Pietro Pettenella, R. Ippolito, Claudio Fossa, M. Zanatta","doi":"10.4081/ecj.2022.10436","DOIUrl":"https://doi.org/10.4081/ecj.2022.10436","url":null,"abstract":"The novel coronavirus disease 2019 (COVID-19) outbreak affected the epidemiology and the outcomes of Out-Of Hospital Cardiac Arrest (OHCA). We performed a retrospective observational study in the Western district of Vicenza (Veneto, Italy) to evaluate patients affected by non-traumatic OHCA and we analyzed epidemiological and clinical characteristics associated with sustained Return Of Spontaneous Circulation (ROSC). We collected 114 cases from January 2019 to May 2021 and we compared data of the pre-pandemic period (2019) with the pandemic one (2020-2021). During the pandemic we found an increase of bystander CPR, of OHCA with a cardiac cause and of shockable presenting rhythms. All these observations weren’t associated with an increase of sustained ROSC, which could be determined by both the reorganization of the health care system with the reduction of medical screenings and by the interruption of training courses reducing the efficacy of cardiopulmonary resuscitation. On the other hand, the higher percentage of presenting shockable rhythm reinforces the importance of bystander rule and of short time to start CPR.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45024369","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: 1

Fever and acute urticaria in a young male patient 一名年轻男性患者的发热和急性荨麻疹

IF 0.5

Emergency Care Journal Pub Date : 2022-09-27 DOI: 10.4081/ecj.2022.10742

G. Borio, F. Farolfi

引用次数: 0