Medicine & health最新文献_第3页

Correlation of Corneal Thickness Measurements Between Tono-pachymeter and Scheimpflug- Placido Topography tono - pachyometer测量角膜厚度与Scheimpflug- Placido地形图的相关性

Medicine & health Pub Date : 2021-12-29 DOI: 10.17576/mh.2021.1602.12

Z. Ercan

{"title":"Correlation of Corneal Thickness Measurements Between Tono-pachymeter and Scheimpflug- Placido Topography","authors":"Z. Ercan","doi":"10.17576/mh.2021.1602.12","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.12","url":null,"abstract":"Central corneal thickness (CCT) measurements are important for diagnosis, treatment, and surgery planning in ophthalmology. The purpose of this study was to see whether CCT measurements taken with Tono-pachymeter and Scheimpflug- Placido Topography had any significant differences. Tono-pachymeter and topography CCT measurements were taken (n=400). Inter-measurement agreement between them was determined using Bland-Altman Plot analysis. Age groups were also formed as group 1 (aged 18-50 years, 94 males, 106 females) and group 2 (age >51 years, 100 males, 100 females). Mean CCTs measured by Tonopachymeter and topography were 563.77 +±26.43 and 560.88 + 26.341 microns. Bland-Altman Plot analysis showed in total, 13 were above the upper limit and 5 were under the minimum limit of agreement with regression analysis showing no significant relationships (p=0.213). Group 1 had 7 above and 2 below from the limits of agreement. Group two had 9 above and 2 below from the limits of agreement. Both groups showed insignificant differences between devices (p=0.07 and p=0.86). Tono-pachymeter and Scheimpflug-Placido Topography give reliable CCT results within each other. However, since the limit of agreement ranges can still affect one-to-one patient evaluations, we recommend clinics that use these devices to not interchange measurements in practice.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45089012","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

Neuroleptic Malignant Syndrome in an Elderly Patient with Bipolar Disorder 老年双相情感障碍患者的抗精神病药恶性综合征

Medicine & health Pub Date : 2021-12-29 DOI: 10.17576/mh.2021.1602.22

Luke Sy-Cherng Woon

{"title":"Neuroleptic Malignant Syndrome in an Elderly Patient with Bipolar Disorder","authors":"Luke Sy-Cherng Woon","doi":"10.17576/mh.2021.1602.22","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.22","url":null,"abstract":"Neuroleptic malignant syndrome (NMS) is a well-known and potentially fatal complication of antipsychotic use. The elderly population, with multiple risk factors, are more vulnerable to this condition. We described a case of an 80-yearold man with bipolar disorder, previously on oral extended-release sodium valproate, aripiprazole and long-acting injectable paliperidone, who developed NMS. He presented with generalised muscle rigidity, fever, fluctuating blood pressure and elevated creatinine kinase during his hospitalisation for a manic episode. Contributing factors included old age, underlying vascular Parkinsonism, electrolyte imbalance, intercurrent lung infection with acute exacerbation of chronic obstructive pulmonary disease, hyperactive delirium, and repeated administration of parenteral typical antipsychotic. Antipsychotics were withheld promptly, and the patient was treated with dantrolene, bromocriptine and amantadine. His symptoms resolved after a week. He subsequently remained well with oral extended-release sodium valproate alone. Relevant clinical points are discussed. Clinical vigilance, close interdisciplinary cooperation, and prompt interventions are keys to successful to management of NMS in elderly patients.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44792236","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

Perception of Firefighters on Risk of Exposure to Respiratory Health Hazard: A Qualitative Analysis in Malaysia 马来西亚消防员对呼吸系统健康风险的认知：定性分析

Medicine & health Pub Date : 2021-12-29 DOI: 10.17576/mh.2021.1602.05

Mohd Fathulzhafran Mohamed Hanan

{"title":"Perception of Firefighters on Risk of Exposure to Respiratory Health Hazard: A Qualitative Analysis in Malaysia","authors":"Mohd Fathulzhafran Mohamed Hanan","doi":"10.17576/mh.2021.1602.05","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.05","url":null,"abstract":"Firefighters are exposed to multiple occupational hazards, where one of the hazards is chemical hazard that can affect the respiratory system. However, little is known regarding the perception of firefighters on the source of exposure to respiratory hazards, particularly in Malaysia. This work aims to explore the firefighter’s perspective on respiratory hazard exposure and to examine the compliance of the use of personal protective equipment (PPE). In-depth interviews were employed among 12 firefighters at Fire and Rescue Department of Malaysia in September 2020. The interview recordings were transcribed verbatim and of thematic analysis done via the NVIVO 12 programme. All participants were Malay, male, and married. The respiratory hazard exposure perceived can be divided into occupational source (e.g. exposure to smoke from firefighting, fire training, firefight demonstration, commuting, firefight vehicles: chemicals and dust) and non-occupational source (e.g. smoking). Firefighter recognised both the importance of wearing PPE and the fact they are still not compliant in wearing it. They also perceived wearing PPE as burden and having only a limited stock of PPE. Education and training need to be reinforced to strengthen firefighters’ risk perception, hazard identification, and risk assessment of hazards exposure. Strict standard operating procedure (SOP) and supervision during firefighters’ task is crucial to reduce hazard exposure and increase PPE compliance. Systematic and thorough inventory management is needed to ensure adequate PPE supply. Post qualitative analysis, the firefighters’ perception on respiratory hazard exposure was obtained, demonstrating that the analysis is ready for further study.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44090244","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

Inappropriate Use of Calcium Supplements among Patients with Low Risk for Osteoporosis and its Association with Knowledge on Calcium Supplements 骨质疏松症低风险患者钙补充剂使用不当及其与钙补充剂知识的关系

Medicine & health Pub Date : 2021-12-29 DOI: 10.17576/mh.2021.1602.07

H. Tohid

{"title":"Inappropriate Use of Calcium Supplements among Patients with Low Risk for Osteoporosis and its Association with Knowledge on Calcium Supplements","authors":"H. Tohid","doi":"10.17576/mh.2021.1602.07","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.07","url":null,"abstract":"Calcium supplement use without medical indications may be considered inappropriate as it could cause harms. This study aimed to determine the proportion of individuals with low risk for osteoporosis who used calcium supplements inappropriately. Their practice and factors influencing the use were also examined. This cross-sectional study was conducted at a university-based primary care clinic involving 125 patients, aged 18 to 64 years with low risk for osteoporosis (based on the Osteoporosis Self-assessment Tool for Asians, personal or family history of osteoporosis or hip fracture and diseases of secondary osteoporosis). A validated self-administered questionnaire was used to assess participants’ characteristics, knowledge on calcium supplements (KnowCas-12) and its practice. About 46.4% took calcium supplements within the past one year, whereby many had never discussed the use with doctors (46.6%). However, only 25.9% were compliant and almost all (95%) with incorrect consumption. The two commonest reasons for its use were “to prevent from fracture” (70.7%) and “not enough calcium through my diet” (56.9%). The median (inter quartile range) KnowCas-12 score was 6.0 (3.0) (the possible range: 0-12; the mid-point: 6). Multiple logistic regression showed only KnowCas-12 score had a significant independent association with the use (adjusted odds ratio: 0.79; 95% confidence interval: 0.64-0.98; p=0.031). In conclusion, the inappropriate use of calcium supplements was common among the low-risk individuals, but most were non-compliant with incorrect consumption. Their knowledge of calcium supplements was still lacking. As it could influence the use, educational interventions should be imparted to ensure correct osteoprotective behaviour.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43033025","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

Annual Scientific Congress for the Malaysian Society of Anaesthesiologists & College of Anaesthesiologists 马来西亚麻醉师学会和麻醉师学院年度科学大会

Medicine & health Pub Date : 2021-11-22 DOI: 10.17576/mh.2021.s1603

引用次数: 1

Malaysian International (Virtual) Conference on Menopause & Women’s Health 马来西亚更年期与妇女健康国际（虚拟）会议

Medicine & health Pub Date : 2021-08-24 DOI: 10.17576/mh.2021.s1601

引用次数: 0

Demoralisation in Cancer Patients: The Association with Distress, Depression and Positive Emotion 癌症患者的去极化：与痛苦、抑郁和积极情绪的关系

Medicine & health Pub Date : 2021-06-28 DOI: 10.17576/mh.2021.1601.10

T. Shin

{"title":"Demoralisation in Cancer Patients: The Association with Distress, Depression and Positive Emotion","authors":"T. Shin","doi":"10.17576/mh.2021.1601.10","DOIUrl":"https://doi.org/10.17576/mh.2021.1601.10","url":null,"abstract":"Cancer patients experience a high level of distress and depression. The understanding of its psychological correlates such as demoralisation and positive emotion helps in the management of these conditions. The study objectives are to examine the correlation between demoralisation and positive emotion, defined as discrete pleasant emotions, such as joy, pride, contentment or love, with depression and distress in cancer patients. The sociodemographic and clinical associated factors are also studied. This cross-sectional study recruited 178 cancer patients from a local university hospital. They were assessed using the Malay versions of the Demoralization Scales (DS-M), Positive Emotion Rating Scale (PERS), Centre for Epidemiologic Studies Depression (CESD) Scale, and Distress Thermometer. The mean age of the subjects was 53.6 + 16.51 years old, with 24% of them were in the advanced stage of cancer. Almost 38% of the subject were demoralised. Of them, 61.2% were depressed, 52.2% had low positive emotion, and 68.7% were distressed. Demoralisation was positively correlated with depression (r=0.78, p<0.01) and distress level (r=0.64, p<0.01) but negatively correlated with positive emotion (r=-0.69, p<0.01). In conclusion, demoralisation was highly prevalent and strongly associated with depression and distress in cancer patients. Assessment and early detection of demoralisation among cancer patients should receive more attention. Future studies on the management of this condition are needed.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48778584","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: 3

The Incidence of Low Back Pain among Healthcare Students and Their Beliefs on Its Association with Physical Function 保健学生腰痛的发生率及其与身体机能的关系

Medicine & health Pub Date : 2021-06-28 DOI: 10.17576/mh.2021.1601.08

Gurbinder Singh

{"title":"The Incidence of Low Back Pain among Healthcare Students and Their Beliefs on Its Association with Physical Function","authors":"Gurbinder Singh","doi":"10.17576/mh.2021.1601.08","DOIUrl":"https://doi.org/10.17576/mh.2021.1601.08","url":null,"abstract":"The high prevalence rate of low back pain (LBP) among healthcare professionals causes frequent hospitalisation, work absenteeism, and early retirement. Healthcare providers’ beliefs about LBP are essential in the recovery process of patients suffering from LBP. This study was aimed to investigate the incidence of LBP among healthcare students and their beliefs on the association between LBP and physical function. A cross-sectional study was used to collect online data from all years undergraduate healthcare students of four programmes. The Extended Nordic Musculoskeletal Questionnaire (NMQ-E) and Health Care Providers’ Pain and Impact Relationship Scale (HC-PAIRS) tools were used to determine LBP among the students and their beliefs on the impact of LBP on physical function, respectively. A total of 239 students participated in the study with a mean age of 21.90 years. Females (74.5%) outnumber the males (25.5%). Many students experienced LBP for a lifetime (82%) and last 12 months (55.2%) with initial onset at mid-teen-age. The physiotherapy and occupational therapy students experienced lower LBP during the last month and the day of data collection. The prevalence rate of LBP among males and females was the same, but higher among the seniors than junior students. Occupational therapy and physiotherapy students were found to have more negative and positive beliefs on LBP, respectively. The higher prevalence rate of LBP among the healthcare students requires appropriate interventions. The marginal positive beliefs among the healthcare students needs immediate actions to instil positive beliefs in them.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46577317","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

Orbital Aspergillosis Mimicking Giant Cell Arteritis 模拟巨细胞动脉炎的眼眶曲霉病

Medicine & health Pub Date : 2021-06-28 DOI: 10.17576/mh.2021.1601.22

Mae-lynn Catherine Bastion

引用次数: 0

The Association between Neuroticism Personality Traits and Depressive Psychopathology with Quality of Life among Diabetic Patients 糖尿病患者神经质人格特征、抑郁精神病理与生活质量的关系

Medicine & health Pub Date : 2021-06-28 DOI: 10.17576/mh.2021.1601.17

H. Sidi

{"title":"The Association between Neuroticism Personality Traits and Depressive Psychopathology with Quality of Life among Diabetic Patients","authors":"H. Sidi","doi":"10.17576/mh.2021.1601.17","DOIUrl":"https://doi.org/10.17576/mh.2021.1601.17","url":null,"abstract":"Diabetes mellitus (DM) is a chronic medical condition associated with psychological sequelae like depression and linked with specific personality traits. This study researched on quality of life (QoL) among patients with DM and its association with mood symptoms and personality traits. 291 diabetic respondents were recruited, where their socio-demographic data and other relevant profile were collected using the Beck Depression Inventory II (BDI-II), Generalized Anxiety Disorder scale (GAD-7), Big Five Inventory (BFI) and World Health Organization Quality of Life Instrument-Short Form questionnaire (WHOQoL-BREF). The mean age of the respondents was 60.43 years with approximately half of the respondents being males and married. Most respondents have been diagnosed with type 2 diabetes (N = 261, 89.7%) and the median duration of diabetes diagnosis was 14.17 years (SD = 9.72). The association between personality traits, psychological complications, and QoL after adjusting for demographic, personal, and clinical characteristics were studied. Based on the multiple linear regression models, after adjusting for age, employment, education status, monthly income, perceived social support, duration of DM and other variables, we found that the neuroticism (BFI) and mean BDI score was associated with poorer QoL, respectively. 1-unit increase in these two variables leading to 3.5- and 0.6-point decrease in QoL, (-3.465 (95% confidence interval, CI -5.788 to -1.143) and -0.560 (95% CI -0.779 to -0.341)) with p<0.001, respectively. An intervention focusing on the neuroticism and elevating the depressive psychopathology would help in the psychological management of patients with DM.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43792970","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