International journal of biomedical engineering and clinical science最新文献

{"title":"SARS-CoV-2 Detection: Fast and Cost-Effective Sample Processing Prior to RT-PCR","authors":"C. Salvador-García, Maria Dolores Ocete-Mochon, Rafael Medina-Gonzalez, Begoña Fuster-Escrivá, Sonia Cortes-Badenes, Maria Carmen Breso-Vila, Maria Jose Lahiguera-Abalos, C. Gimeno-Cardona","doi":"10.11648/J.IJBECS.20210702.13","DOIUrl":"https://doi.org/10.11648/J.IJBECS.20210702.13","url":null,"abstract":"The pandemic COVID-19 needs a rapid microbiological diagnostic from Clinical Microbiology Units. Due to the fact that it is done by using a reverse transcription polymerase chain reaction (rRT-PCR) previous RNA extraction and automated equipment and reagents for RNA extraction represent an economic increase to the diagnosis, we describe an easy, cost-effective and fast alternative extraction-free SARS-CoV-2. Samples were treated with proteinase K for 10 minutes at 55°C. Then, there is a heat-process for 5 minutes at 98°C and finally, 3 minutes at -20°C before a commercial-commonly-used rRT-PCR procedure. The RNA automated-extraction was also performed with QIAsymphony RNA Kit (Qiagen) equipment. A total of 220 nasopharyngeal and oropharyngeal swabs were analyzed. 113 samples were tested positive whereas 106 samples were tested negative with RNA automated-extraction and extraction-free method, for an agreement of 99%. A total of one discordant sample was noted in which no amplified result (gene ORF1ab and N) were observed by RNA automated-extraction and gene ORF1ab (Ct 39) and gene N (Ct 37) by extraction-free. Thus, results were comparable with automated-extraction. This method is not only clinically acceptable but also confers an easy, fast, and cost-effective alternative to automated-extraction. Therefore, microbiological laboratories, with low economics resources and/or without automated-extraction equipment, could incorporate it.","PeriodicalId":73426,"journal":{"name":"International journal of biomedical engineering and clinical science","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87990960","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":"Clinical Competence and Associated Factors Among Nurses working in Selected Health Institutions of Ilu AbaBor Zone, South-West Ethiopia: A Cross Sectional Study","authors":"Bonsa Amsalu Geleta, Sanbato Tamiru Dingata, Milkias Dugassa Emanu","doi":"10.11648/J.IJBECS.20210702.11","DOIUrl":"https://doi.org/10.11648/J.IJBECS.20210702.11","url":null,"abstract":"Introduction: Clinical competence is fundamental element in the provision of nursing care and now a day it is the concern and the centre of attention for managers and the healthcare systems. Higher level of clinical competence has a positive impact on patient’s health outcome and nurse’s job performance and satisfaction. However, there is limited information on clinical competence of nurse in Ethiopia. Objective: The objective of this study was to assess clinical competency and associated factors among nurses working in selected health institutions of Illubabor zone, oromia regional state, north-west Ethiopia, 2019. Methods: Institution based cross-sectional study was employed on 160 nurses in two hospitals and 20 health centres. Simple random sampling technique was employed to select study participants. Structured self-administered questionnaire was used to collect data. Independent t-test and analysis of variance (ANOVA) were used to identify factors associated with clinical competence. The statistical significance was set at p<0.05. Results: Out 160 recruited, 156 participants were responded the questionnaire, making the response rate of 97.5%. The overall clinical competence of participants was 2.23 (SD=0.6) which indicates moderate level of clinical competence. Participants had higher competence score on Legal/ethical dimension and lower competence score on teaching coaching dimension. Age, marital status, level of education, work experience, type of health facility, average income, and current position, retrieval of newly published information, previous training, and frequency of trainings, having guideline/manual and using guideline/manual currently were the identified factors association with clinical competence of nurses. Conclusion: In the current rapidly changing healthcare environment, the need for clinical competence among nurses is continually increasing. However, clinical competence of nurses in the current study was inadequate in which the overall score of participants was almost only half of total score. It is recommended that health policy makers should set strategies to assess the clinical competence of nurses on a periodic basis in order to assure quality nursing service.","PeriodicalId":73426,"journal":{"name":"International journal of biomedical engineering and clinical science","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90387646","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":"Prevalence of Stillbirth and Associated Factors among Immediate Postpartum Mothers at Bahir Dar, Felegehiwot Hospital, Northwest Ethiopia: Cross-sectional Study","authors":"Agerie Mengistie Zeleke, M. Asemahagn","doi":"10.11648/J.IJBECS.20210702.12","DOIUrl":"https://doi.org/10.11648/J.IJBECS.20210702.12","url":null,"abstract":"Background: Stillbirth rates are among the indicators of maternal and child health care quality in the countries. However, the majority of neonatal deaths and almost all stillbirths were underreported in Ethiopia. Therefore, this study aimed to determine the prevalence of stillbirth and associated factors among immediate postpartum mothers in the study area. Methods: An institution-based cross-sectional study was employed at Felegehiwot comprehensive specialized hospital from March to May 2016 (n=310). A pretested structured interviewer- administered questionnaire and medical chart reviews were used to collect data from immediate postpartum mothers. Data were entered into Epi Info version 7 and analyzed using SPSS version 20. The binary logistic regression model fitted to identify stillbirth; adjusted odds ratio (AOR) with a 95% confidence interval (CI) was computed to assess the strength of association. Variables having less than 0.05 p-value of in the multivariable considered as factors associated with stillbirths. Result: The prevalence of stillbirth was 8.7% (95%CI: 5.8, 12.4). Rural dwelling (AOR=2.86, 95%CI: 1.10 7.47), twin pregnancy (AOR=6.69, 95% CI: 1.77, 25.2), medical or obstetrical illnesses during pregnancy (AOR=5.54, 95%CI: 1.71 17.94) and complications during labor and delivery (AOR=4.96, 95%CI: 1.48 16.58) were factors associated with stillbirths. Conclusion: This study revealed that the magnitude of stillbirth was high in rural dwelling, twin pregnancy, medical or obstetrical illnesses during pregnancy, and complicated labor were associated with increased occurrences of stillbirth. This finding suggests that particular emphasis on rural dwellers and strengthening quality of Maternal in pregnancy and labor delivery service and proper following during labor attending process are mandatory to reduce stillbirth.","PeriodicalId":73426,"journal":{"name":"International journal of biomedical engineering and clinical science","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85230119","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":"Ethical Principles Under the Challenge of Enhancing Medecine","authors":"Ismaila Mboutngam","doi":"10.11648/J.IJBECS.20210701.12","DOIUrl":"https://doi.org/10.11648/J.IJBECS.20210701.12","url":null,"abstract":"Our purpose in this article is to make a prospectivist evaluation of the enhancing medicine regarding the human nature. From this, we are interested by the future of humanity within the project of artificializing human life. In order to achieve our epistemological aim, we have distributed this work into three main parts. The first part is an analysis of medical ethical principles that are presented as the safety belt of human nature. The human being within Hippocratic tradition of medicine has always been treated with certain consideration since he is an absolute value. In all circumstances, physicians were bound to preserve live and protect human dignity. Then, the medical paradigm prevailing was the therapeutic one. In the second part, the concern is to scrutinize the biotechnological revolution mainly the process of genetic engineering. This revolution brought alongside medical practices another version of treating human being. It is the version of higher experimentation and scientific curiosity. Therefore, the practitioners of genetic engineering proceed by a profound intervention in human genome in order, not mainly to cure disease, but to discover what makes life and others human functions be possible. When these are discovered, they can program, design and enhance the future human being. This practice cannot go on without raising ethical questions such as the risk of alteration of human nature. It can also bring in the society the social injustice, giving the fact that those practices are more expensive to be at the level of all the social classes. The most eminent consequence of this social injustice is what we name bioimperialism where the natural human beings will become the slaves of artificial and enhanced human beings. Finally, we will bring a new perspective to contain the risks of enhancing medicine. It is necessary that man must recognize the limits of his power and the effects that the overuse of that power can generate as disasters. However, it is also relevant to notice that, enhancing medicine has already gained public opinion. Accordingly, theorical discourses of bioethicists and philosophical pessimism are not more able to bind the biomedical progress. What is important for bioethicists and humanity as whole, is a habitude of resilience consisting not of rejecting categorically the biomedical practices but to appreciate them according to the good there are able to achieve.","PeriodicalId":73426,"journal":{"name":"International journal of biomedical engineering and clinical science","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82523328","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":"Stroke in Sub-saharan Africa: Observations from Donka National Hospital","authors":"Vamala Guillavogui, D. Sylla, F. Sakadi, S. Diawara, Nestor Onikoyamou, Abdel-madjid Zakaria Zakaria, Kézély Béavogui, A. Cissé","doi":"10.11648/j.ijbecs.20210704.12","DOIUrl":"https://doi.org/10.11648/j.ijbecs.20210704.12","url":null,"abstract":"","PeriodicalId":73426,"journal":{"name":"International journal of biomedical engineering and clinical science","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78013235","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 Problem of Early Surgical Revisions After Abdominal Surgery, Study About 83 Cases Recorded in Bangui, Central African Republic","authors":"Doui Doumgba Antoine, P. Germain, Damassara Kokonga Innocent, Ngboko Mirotiga Pétula Anicette","doi":"10.11648/j.ijbecs.20210704.13","DOIUrl":"https://doi.org/10.11648/j.ijbecs.20210704.13","url":null,"abstract":"","PeriodicalId":73426,"journal":{"name":"International journal of biomedical engineering and clinical science","volume":"105 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80910473","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 Maternal Outcome Among Preeclamptic Women at Dilla University Referral Hospital, Dilla Ethiopia","authors":"Zerihun Figa, T. Temesgen, Etaferahu Belekle, Abas Ahimed, Ruth Tilahun","doi":"10.11648/j.ijbecs.20210703.14","DOIUrl":"https://doi.org/10.11648/j.ijbecs.20210703.14","url":null,"abstract":": Background: Pre-eclampsia is hypertension in pregnancy after 20weeks of gestation characterized blood pressure greater than 140/90 mm Hg, using the Korotkoff phase V sound for the diastolic value, on two occasions 4 hours apart. It is one of a spectrum of pregnancy disorders which result in different complications including maternal death. Methodology: Retrospective cross-sectional study design was employed. A total of 295 samples were recruited and systematic sampling technique was used to select study subjects who were admitted with preeclampsia from January1, 2016 and December 31, 2018 at Dilla University Referral Hospital. Medical records review was done using pretested data abstraction tool. Data was entered in EpiData version 4.4.2.1and exported into SPSS (statistical package of social science) version 25.0 for analysis. Binary and multiple logistic regressions were used to identify association between variables. Adjusted odds ratio along with 95% confidence interval was estimated to assess the strength of the association, and a p-value ≤ 0.05 was used to declare the level of statistical significance. Results: In this study 295 medical charts of pre-eclamptic women were reviewed. The most 210 (72.2%) of the participants were between the age of 20-34years. Severe type of preeclampsia was 174 (58.0%). HELLP syndrome was the most common complication of severe preeclampsia 81 (66.6%) followed by DIC, renal failure and liver failure, 25 (20.5%), 9 (7.4%) and 1 (0.8%) respectively. Maternal deaths due to preeclampsia were 6 this gives case fatality of 2%. In multivariable logistic regression, rural residence has 5.038 times more risk of unfavorable maternal outcome [AOR=5.038, 95%CI 1.971-12.879], gestational age ≤33 weeks has 3.67 times higher risk of unfavorable maternal outcome [AOR=3.67, 95%CI 1.829-7.364] and admission of women with diagnosis of sever preeclampsia has 6.42 times higher risk of unfavorable maternal outcome [AOR=6.42, 95%CI 2.017-21.103]. Conclusion and recommendation: Although there was current envisaged on maternal health improvement, this study has shown that maternal complications were common among pre-eclamptic women. The most common maternal complications due to preeclampsia were HELLP syndrome, DIC and renal failure. Health care professionals specially who work at PHC center should take appropriate trainings on immediate management and counseling a women coming for ANC and prompt referral for preeclampsia women with severity sign.","PeriodicalId":73426,"journal":{"name":"International journal of biomedical engineering and clinical science","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77869332","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":"Using Eye Tracking to Explore Visual Attention in Adolescents With Autism Spectrum Disorder","authors":"Anne M. P. Michalek, Jonna Bobzien, Victor A Lugo, Chung-Hao Chen, A. Bruhn, M. Giannakos, Anne M. P. Michalek","doi":"10.4018/IJBCE.2021010101","DOIUrl":"https://doi.org/10.4018/IJBCE.2021010101","url":null,"abstract":"Video social stories are used to facilitate understanding of social situations for adolescents with autism spectrum disorder (ASD). This study explored the use of eye tracking technology to understand how adolescents with and without ASD visually attend to video social story content and whether visual attention is related to content comprehension. Six adolescents, with and without ASD, viewed a video social story of visiting a dental office. Eye gaze metrics, including fixation duration and count, and visit duration were collected to measure visual attention, and a knowledge assessment was administered for comprehension. Results indicated adolescents with ASD fixated and maintained visual attention at rates lower than peers without ASD. Adolescents with ASD scored higher (M=77.78) than peers without ASD (M=72.22) on the assessment indicating no relationship between eye gaze metrics and knowledge accuracy. Impact and implications of visual image type on frequency and duration of visual attention generated by participants is discussed.","PeriodicalId":73426,"journal":{"name":"International journal of biomedical engineering and clinical science","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75403659","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":"Subtle Activities of Specific Plain Subtalar Joint May Account for Non-injured Ankle Pain: A Case Report","authors":"Shenxing Du, Lihong Wei","doi":"10.11648/j.ijbecs.20210704.15","DOIUrl":"https://doi.org/10.11648/j.ijbecs.20210704.15","url":null,"abstract":"","PeriodicalId":73426,"journal":{"name":"International journal of biomedical engineering and clinical science","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78570614","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":"Therapeutic Efficacy of Albendazole and Tetraclozan Against Gastrointestinal Worms in Crossbred Cows of HARC, Welmera District, Central Ethiopia","authors":"Beksisa Urge, Tamirat Seyoum, Temesgen Kassa, Markos Tadele, F. Gutema, Neima Arebu, U. Galmessa, Million Tadese","doi":"10.11648/j.ijbecs.20210704.14","DOIUrl":"https://doi.org/10.11648/j.ijbecs.20210704.14","url":null,"abstract":"","PeriodicalId":73426,"journal":{"name":"International journal of biomedical engineering and clinical science","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84214102","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}