Archives of community medicine and public health最新文献_第2页

Risk factors for COVID-19 infection in people with 4th dose of bivalent mRNA vaccines in general medicine from October 2022 to February 2023 2022年10月至2023年2月普通医学第4剂二价mRNA疫苗人群感染新冠肺炎的危险因素

Archives of community medicine and public health Pub Date : 2023-05-30 DOI: 10.17352/2455-5479.000198

Turabian Jose Luis

{"title":"Risk factors for COVID-19 infection in people with 4th dose of bivalent mRNA vaccines in general medicine from October 2022 to February 2023","authors":"Turabian Jose Luis","doi":"10.17352/2455-5479.000198","DOIUrl":"https://doi.org/10.17352/2455-5479.000198","url":null,"abstract":"Background: Risk factors of COVID-19 infection in people vaccinated with the 4th dose of mRNA COVID-19 vaccine remain the subject of debate. Objective: To identify risk and protective factors of COVID-19 in vaccinated people with 4th dose of bivalent mRNA vaccines. Location: General Practitioner consultation in Toledo (Spain). Methodology: Longitudinal and prospective study of cases and controls of adult patients with or without COVID-19 infection in vaccinated people with 4th dose of bivalent mRNA vaccines, from October 1, 2022, to February 28, 2023. Results: Five cases of COVID-19 infections in vaccinated people with 4th dose were included, which were compared with 52 controls (with 4th dose and without COVID-19 after the booster). The risk factors for COVID-19 infection with the 4th dose were: Women (RR = 1.67), Socio-Health Care Workers (RR = 10.39; p = 0.0349), Chronic Diseases of the blood (RR = 6.9. p = 0.0322), Chronic Diseases of Endocrine (RR = 2.72. p = 0.039425), and Chronic Diseases of Circulatory system (RR = 1.87). Conclusion: In the general practice setting in Toledo, Spain, being a socio-health care worker and having chronic diseases presumably associated with immunosuppression were statistically significant risk factors for COVID-19 infection in people vaccinated with the 4th dose of bivalent mRNA vaccines. The most exposed or immunosuppressed people continue to be at risk of becoming infected with SARS-CoV-2 despite having received the 4th dose of the mRNA COVID-19 vaccine, so other preventive methods in these groups are advisable.","PeriodicalId":87221,"journal":{"name":"Archives of community medicine and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43902227","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

A model rural rehabilitation service station in China– Evaluation after 5 years 中国农村康复服务站的示范——5年后的评价

Archives of community medicine and public health Pub Date : 2023-04-05 DOI: 10.17352/2455-5479.000197

引用次数: 0

Archives of community medicine and public health Pub Date : 2023-02-21 DOI: 10.17352/2455-5479.000196

Chen Chieh, D. Liao

{"title":"Medication-related osteonecrosis of the jaw-A case report and literature review","authors":"Chen Chieh, D. Liao","doi":"10.17352/2455-5479.000196","DOIUrl":"https://doi.org/10.17352/2455-5479.000196","url":null,"abstract":"Osteoporosis is a skeletal disease caused by changes in the structure of the human skeleton, resulting in fragile and easily fractured bones. Because it is more common in postmenopausal women or the elderly, fractures may cause disability in the elderly, resulting in reduced quality of life, bedridden, or increased mortality. Therefore, the treatment of osteoporosis is one of the important issues in today’s aging society. In addition, diseases such as bone metastasis of cancer and multiple myeloma also need to be paid attention to. Drugs for the treatment of osteoporosis have been widely used in the prevention and treatment of osteoporosis because of their inhibitory effect on osteoclast activity, and even become the first-choice drug for bone metastases of some malignant tumors. Drugs for the treatment or prevention of osteoporosis can inhibit osteoclasts, and can also be used to treat hypercalcemia complications of malignant tumors or bone-related systemic diseases. For example, bisphosphonates or monoclonal antibody preparations (eg: Denosumab, Romosozumab, etc.) can resist bone resorption. However, in recent years, the literature pointed out that patients using anti-bone resorption drugs may have adverse reactions to maxillofacial osteonecrosis. Medication-Related Osteonecrosis of the Jaw (MRONJ) may occur in patients with osteoporosis and tumors. Bisphosphonates or synthetic human monoclonal antibodies can inhibit bone resorption and are currently the most commonly used drugs for the treatment of osteoporosis in the world. The literature for nearly 20 years has shown that long-term use of such antiresorptive drugs increases the risk of osteonecrosis of the jaw in the oral cavity. Therefore, MRONJ is still a complication that we must pay attention to. Once MRONJ occurs, it is recommended to refer to an oral surgeon immediately; the current clinical treatment methods include the use of antibacterial mouthwash and drugs to control pain in mild cases, and antibiotics for infection control in moderate cases.","PeriodicalId":87221,"journal":{"name":"Archives of community medicine and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43426714","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

Legal analysis on the protection and development of the spotted seal population from a multi-dimensional perspective 多维视角下斑海豹种群保护与发展的法律分析

Archives of community medicine and public health Pub Date : 2023-02-18 DOI: 10.17352/2455-5479.000195

Pei Zhaobin, S. Xin

引用次数: 0

Human papillomavirus: What we know and what we doing? 人类乳头瘤病毒:我们知道什么，我们在做什么?

Archives of community medicine and public health Pub Date : 2023-02-03 DOI: 10.17352/2455-5479.000194

Akarsu Gökhan Doğukan, Akarsu Rukiye Höbek, Sungur Neslihan, Tufanoğlu Nur

引用次数: 0

Polar and extrahilar renal arteries: A case report 肾极动脉和肝门外动脉1例

Archives of community medicine and public health Pub Date : 2023-01-27 DOI: 10.17352/2455-5479.000193

Tivcheva Yoanna Vladimirova, Angelov Mihail, Krastev Nikolai, Kirilov Cvetomir, K. Dimo, Jelev L, A. A.

{"title":"Polar and extrahilar renal arteries: A case report","authors":"Tivcheva Yoanna Vladimirova, Angelov Mihail, Krastev Nikolai, Kirilov Cvetomir, K. Dimo, Jelev L, A. A.","doi":"10.17352/2455-5479.000193","DOIUrl":"https://doi.org/10.17352/2455-5479.000193","url":null,"abstract":"Introduction: The vascular system has a high frequency of variations, which are of interest to both anatomists and clinicians, as well as surgeons. The renal vasculature is quite variable and given the significant number of variations, the latter has proven difficult to classify. The conflicting terminology is often the cause of a poor understanding of the clinical implications of the presence of such variations. We present a case of bilateral accessory arteries, which can be classified as polar and extrahilar. Background: Variants of the renal artery are a common finding with additional vessels in up to 30% of cases. The supernumerary arteries are of end type and often enter the kidney outside the hilum. The arteries that enter the kidney in its upper or lower pole are referred to as polar arteries. Case report: During a routine dissection of a 73-year-old, female, formalin-fixed cadaver at the department of Anatomy, Histology and Embryology at the Medical University of Sofia, we discovered a right inferior polar artery and a left extrahilar renal artery, both originating from the abdominal aorta. The right kidney was located at the level of L1- L2. Conclusion: Accessory renal vessels have been an object of multiple cadaveric and in vivo studies. The terminology and classification of such variations in regard to their origin, course, and site of entrance in the kidney are conflicting and often prove inadequate to convey the clinical and surgical importance of their presence. Knowledge of such variants is of great significance when performing an explorative laparotomy, kidney transplantation, and assessing kidney injury. Such vessels are as well associated with cases of hypertension, hydronephrosis and other conditions.","PeriodicalId":87221,"journal":{"name":"Archives of community medicine and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46747697","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

Public diplomacy and construction of communicational spaces. The Cuban experience 公共外交与交际空间建设。古巴的经历

Archives of community medicine and public health Pub Date : 2022-12-10 DOI: 10.17352/2455-5479.000192

Concepción Sunamis Fabelo

引用次数: 0

Hemoglobin genotype variants and Plasmodium Falciparum malaria in children receiving postpartum care at Faith Alive Foundation Jos, Plateau State, Nigeria 在尼日利亚高原州乔斯的活着的信念基金会接受产后护理的儿童中的血红蛋白基因型变异和恶性疟原虫疟疾

Archives of community medicine and public health Pub Date : 2022-11-23 DOI: 10.17352/2455-5479.000191

H. Njila, J. Idoko, A. Ombugadu, H. Zakari

{"title":"Hemoglobin genotype variants and Plasmodium Falciparum malaria in children receiving postpartum care at Faith Alive Foundation Jos, Plateau State, Nigeria","authors":"H. Njila, J. Idoko, A. Ombugadu, H. Zakari","doi":"10.17352/2455-5479.000191","DOIUrl":"https://doi.org/10.17352/2455-5479.000191","url":null,"abstract":"More and more data are showing a link between hemoglobin genotypes and Plasmodium falciparum malaria. In order to establish the prevalence of hemoglobin genotype variants and their association with P. falciparum malaria in children receiving postpartum care at Faith Alive Foundation Jos, Plateau State, we study the distribution of these variants. From each sample, thick and thin blood films were created, and hemoglobin genotypes were determined using electrophoresis. Out of 172 samples examined, 131 (76.16%) were infected with P. falciparum malaria while 41 (23.84%) were not infected. There was no significant difference (p > 0.05) in the distribution of P. falciparum malaria in relation to hemoglobin genotypes. P. falciparum malaria was highest in AA with 92 (70%) and SS was the least with 12 (9%). There was no significant difference (p > 0.05) in th+++e prevalence of P. falciparum malaria in relation to age. P. falciparum malaria infection was highest in the age group ≥ 12 months than age group 0 - 11 months. There was no significant difference (p > 0.05) in the prevalence of P. falciparum malaria in relation to sex. The result depicted that P. falciparum malaria infects more males than females. There was also no significant difference (p > 0.05) in the prevalence of P. falciparum malaria in relation to months. The month of September had the highest prevalence of P. falciparum malaria followed by October and August respectively. It is, therefore, recommended that public health education campaigns for mothers and healthcare givers be intensified to create awareness that will lead to the reduction of human-vector contact, especially in children.","PeriodicalId":87221,"journal":{"name":"Archives of community medicine and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47740510","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

Clinical features and outcomes of epidermolysis bullosa in thai children: A 20-Year review from a Tertiary Care Center 泰国儿童大疱性表皮松解症的临床特征和转归：一家三级护理中心的20年回顾

Archives of community medicine and public health Pub Date : 2022-11-05 DOI: 10.17352/2455-5479.000190

Niltem Ekamon, Rujimethapass Nootchanard, Sukhneewat Chonnakarn, Limpongsanurak Wanida, Singalavanija Srisupalak

{"title":"Clinical features and outcomes of epidermolysis bullosa in thai children: A 20-Year review from a Tertiary Care Center","authors":"Niltem Ekamon, Rujimethapass Nootchanard, Sukhneewat Chonnakarn, Limpongsanurak Wanida, Singalavanija Srisupalak","doi":"10.17352/2455-5479.000190","DOIUrl":"https://doi.org/10.17352/2455-5479.000190","url":null,"abstract":"Background: Epidermolysis Bullosa (EB) is a heterogeneous genetic disorder with skin fragility. Only a few cases have been reported in Thailand. This study aims to determine the clinical characteristics, complications, and outcomes of EB stratified by subtype. Methods: A retrospective single-center study of EB patients at the Dermatology Unit, Queen Sirikit National Institute of Child Health, was reviewed from January 1, 2002, to December 31, 2021. Diagnosis is based on clinical manifestations and some skin biopsies. Results: There were 38 enrolled patients, age range from 0 to 25 years with a male-to-female ratio of 1.1:1. Family history of EB and consanguineous marriage were found in 6 cases and 2 cases, respectively. The most common type of EB was dystrophic EB (DEB) (26 cases) (68.4%), including recessive DEB in 15 cases (39.5%) and dominant DEB in 11 cases (28.9%). Other types were EB simplex in 10 cases (26.3%) and junctional EB in 2 cases (5.3%). Common complications were cutaneous bacterial infection (39.5%), anemia (31.6%), failure to thrive (18.4%), and protein energy malnutrition (15.8%). Musculoskeletal (21.1%), gastrointestinal (13.2%), and eye complications (7.9%) were exclusively found in DEB. Nineteen patients (50%) received regular follow-ups with a median duration of 9 months (range = 0.5 to 248 months). The mortality rate was 31.6% (6/19). Five cases died from bacterial sepsis, while one case died from metastatic squamous cell carcinoma. Conclusion: DEB is the most common type of EB in Thai children, and bacterial sepsis is the predominant cause of death. Further multicenter and molecular genetic studies are recommended for a definite diagnosis.","PeriodicalId":87221,"journal":{"name":"Archives of community medicine and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41912667","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

COVID-19 infection in an intensive care unit in Tunisia: Risk factors of mortality 突尼斯重症监护室新冠肺炎感染：死亡风险因素

Archives of community medicine and public health Pub Date : 2022-10-26 DOI: 10.17352/2455-5479.000189

Youssef Fatma Ben, Mlouki Imene, Jawed Oussama, Omri Nihel, Hassen Mohamed Fekih, El-Chemaly Souheil, SiK Ali Habiba Ben, Mhamdi Sana El

{"title":"COVID-19 infection in an intensive care unit in Tunisia: Risk factors of mortality","authors":"Youssef Fatma Ben, Mlouki Imene, Jawed Oussama, Omri Nihel, Hassen Mohamed Fekih, El-Chemaly Souheil, SiK Ali Habiba Ben, Mhamdi Sana El","doi":"10.17352/2455-5479.000189","DOIUrl":"https://doi.org/10.17352/2455-5479.000189","url":null,"abstract":"Introduction: Identification of COVID-19 patients at high risk of mortality is crucial to improve patient management. Our study aimed to identify mortality risk factors at the COVID-19 Intensive Care Unit (ICU), in Mahdia. Methods: We conducted a prospective study including patients admitted to the COVID-19 ICU at University Hospital Tahar Sfar Mahdia (September 2020 to February 2021). We used “The RAPID CORE CASE REPORT FORM” developed by the World Health Organization. Results: A total of 119 patients were included (60.5% male). The average age was 61.9 ± 12 years. During their stay, 51.8% of them had invasive ventilation, 31.3 % required vasopressors intake and 50.9% required a prone position. The mortality rate was 47.1%. Severe acute respiratory distress syndrome and Health Care Associated Infections (HAI) were associated with a higher risk of mortality (64.9% vs 17.8%; p < 0.001 and 81.1% vs 18.2 %; p < 0.001 respectively). Mortality was higher among intubated patients (79.7% vs 14.5%; p < 0.001). The mean Acute Physiology and Chronic Health Evaluation II (APACHII) score were higher in deaths than in survivors ((15.02 ± 7.6 vs 10.63 ± 5.31; p = 0.02). Low oxygen saturation on admission was associated with a higher risk of mortality (91.1% ± 6.44 vs 86% ± 11.25; p = 0.004). Binary logistic regression showed increased odds of mortality with health-acquired infection (OR, 7.96 [95% CI, 2.28 - 27.7], severe acute respiratory distress syndrome (OR, 4.04 [95% CI, 1.11 - 14.73]) and invasive ventilation (OR, 12.23 [95% CI, 3.31 – 45.2]). Conclusion: Interventions preventing the risk factors are needed to improve the prognosis of Covid-19 patients.","PeriodicalId":87221,"journal":{"name":"Archives of community medicine and public health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41656402","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