Journal of medicine and healthcare最新文献

{"title":"A Review of Some Significant Breakthroughs in Textile Sutures for Ophthalmic Surgery","authors":"N. Gokarneshan, U. Ratna","doi":"10.47363/jmhc/2021(3)141","DOIUrl":"https://doi.org/10.47363/jmhc/2021(3)141","url":null,"abstract":"The article reviews some significant trends in textile sutures intended for use in ophthalmic surgery. Comparison has been made with rate and type of suture related complications between 10-0 monofilament nylon (Aurolab Nylon Sutures, double arm, Aurolab) and 10-0 polyglactin 910 sutures (Vicryl, single arm, Aurolab) for pediatric cataract surgery. It is a prospective, comparative study performed in children who underwent surgery for congenital or developmental cataract from March 2013 to February 2016. Patients underwent suturing with either nylon or Vicryl in unilateral cases, but in most bilateral surgeries, one eye received Vicryl sutures while the other eye received nylon. The sutures were compared for their complications and the need for suture removal. Also comparison has been made with regard to the clinical results of using silk versus nylon sutures for conjunctival autograft suturing in pterygium surgery. In this prospective, randomized, controlled, clinical trial 50 eyes from 50 patients with primary nasal pterygium were randomized to undergo pterygium surgery with the use of either nylon sutures or silk sutures for conjunctival autograft suturing. Patients were followed up for 6 months. Main outcome measures included recurrence, postoperative discomfort according to a visual analog scale (VAS), graft hyperemia, and graft edema.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46354270","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":"Affordance-Based Assessment Cuts Across The Dichotomy Of Subjective-Objective Outcome Measure At The Knee Joint","authors":"Wangdo Kim","doi":"10.47363/jmhc/2021(3)144","DOIUrl":"https://doi.org/10.47363/jmhc/2021(3)144","url":null,"abstract":"There is increasing awareness of the need to include patient-reported outcome (PRO) instruments in evaluating the measurement of clinical outcomes, with an increasing focus placed on the patients’ perspective. Scientists have tried to link PROs with objective outcomes, providing unique information for managing patient care. Traditionally, objective and patient-reported outcomes (such as the Knee Injury and Osteoarthritis Outcome Score (KOOS)) are considered two distinct constructs, which cannot serve as a direct proxy for each other. Can Gibson´s affordance theory specify more about objective outcome measurements vs. subjective outcomes measurement and unify them? The present article develops a theoretical framework called entrainment of touch and posture that advocates the vis viva (living force) as the proper gauge for the dynamical action of a force, and that could explain “possibilities for action or affordance” during outcome measurement. We found that active touch and posture refer to what is ordinarily called touchingvariations in skin stimulation caused by surfaces are altered together by motor activity variations. This affordance of “walk-on-able” is worth noting because it is often neglected that locomotion and its surfaces form an inseparable pair. The assessment process can be viewed in terms of action possibilities provided by the active sets of organs residing that can obtain and utilize information about the tissue environments in which the grafts are to be located.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44975681","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":"Health Status and Predictors of Hypertension, Blood Pressure, and Pulse Rate of Jamaicans During the Covid-19 Pandemic","authors":"P. Bourne, Vincent M.S. Peterkin","doi":"10.47363/jmhc/2021(3)140","DOIUrl":"https://doi.org/10.47363/jmhc/2021(3)140","url":null,"abstract":"The objectives of the current research are to examine Jamaicans’ health status, pulse rate, body mass index (BMI), hypertension, and factors influencing 1) hypertension, 2) blood pressure, and 3) pulse rate, during COVID-19. A cross-sectional survey using associational research design by way of convenience sampling was used to conduct this research. This study examined correlation of age, gender, BMI, hypertension, and blood pressure among Jamaicans age ranging from 15 to 85 and above. Cross–sectional study and associational research design were used to collect data for the period of June to August 2020. The study demonstrated that hypertension is significantly predicted by gender, age, and pulse rate one─Omnibus tests of model (χ2(4) =138.947, P < 0.0001, -2Ll=2098.67) and Wald statistic being 90.161, P < 0.0001, and the variance in model 10.8% (Nagelkerke R2). Furthermore, ordinary least square (OLS) regression can be used to model pulse rate (bpm) for Jamaicans (F [4, 1676] =17.236, P < 0.0001), with the model explaining 4.0% of the variance in pulse rate of Jamaicans. Gender, BMI and Hypertensive emerged as the factors that determine the pulse rate of Jamaicans. Diastolic & systolic blood pressure were determined by age, weight, and pulse rate, with age being the most significant predictor. The risk of hypertension was higher among population groups who were overweight and obese. Gender was found to correlate with blood pressure and hypertension; female participants were more likely to be hypertensive than the male participants. BMI measurement should be recommended as a simple and effective predictor of hypertension in public health strategies. There is empirical evidence that can be used to establish that Jamaicans health status has worsen since March 10, 2020, and that Covid-19 has brought with it unhealthy lifestyle practices, which are pending public health challenges come 2021 and beyond.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43215155","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":"Investigation of Major Ecto-Parasite Affecting Backyard Chicken in Bishoftu Town, Ethiopia","authors":"Wangelu Kebede","doi":"10.47363/jmhc/2021(3)143","DOIUrl":"https://doi.org/10.47363/jmhc/2021(3)143","url":null,"abstract":"Backyard poultry production are considered as sources of meat and egg production. However, Parasites are among the main pathogenic agents, threatening the health of poultry and poultry products. The current study was conducted to investigate the prevalence of ectoparasite of poultry managed under backyard system started from November 2019 to April 2020 in Bishoftu town, surroundings of four kebeles; Babogaya, Danbi, 01kebele and 05 kebele in Oromia region South east of Finfinnee. 384 chickens of different age groups, both sexes and breeds were examined. Overall, 228/384 (59.4%) of chickens were infested with species of ectoparasites that mainly grouped into lice 141(36.7%), flea 79 (20.6%), and mite 8(2.1%). The prevalence of ectoparasite infection was 56(14.6%), 51(13.3%), 58(15.1%) and 63(16.4)% in Bishoftu town, Babogaya, Danbi, 01kebele and 05 kebele respectively, the difference in the prevalence of the parasites among difference kebeles were not statistically significant (P>0.05). The prevalence of ectoparasites infestation was higher in male 128(33.33%) chickens than females 100(26.04%) and higher in adult 150 (39.1%) than young chicken 78 (20.3%), high in local breeds 129(33.6%) than exotic breed 99 (25.8%). Seven species were identified with their attachments site, namely; menacanthus stremineus(13.3%) was found on skin, menopon gallinae(12.5%) was found on skin, thigh, feather and breast, goniodes gigas(5.5%) was found on skin and body feather, gonicotes gallinae (2.9%) was found on feather, lipeurus caponus(2.6%) was found on wing, skin, tail feather and a single species of flea(Echidnophaga gallinacae) 20.6% was found on eye, comb and wattle. while a single species of mite (ornithonyssus sylviarum) 2.1% was found on base of feather particularly, the vent area. In conclusion, infestation of chicken with ectoparasites was important constraint in poultry production sector. Associated with lack of attention with respect to hygienic system, treatment and control practices. Based on the results it could be suggested that, good management, biosecurity and the education of farmers could be a vital measure to keep free from ectoparasites and improve the productivity of the chicken.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42830501","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":"Fever Can Be A Symptom of Many Diseases","authors":"S. Franjić","doi":"10.47363/jmhc/2021(3)146","DOIUrl":"https://doi.org/10.47363/jmhc/2021(3)146","url":null,"abstract":"Fever is a condition of elevated temperature in the human body above normal levels. It is caused by the stimulation of the thermoregulatory center in the brain, and represents the body’s defensive reaction to the cause of the disease. The symptoms associated with fever may be: rapid heartbeat, rapid breathing, dry skin, changes in the composition of urine, and in severe forms of fever may occur auditory or visual hallucinations. Fever is not a disease, but it is a symptom of the disease. It usually is an infection that is often harmless and goes away on its own.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47086486","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":"Long-term Care, Malnutrition and Covid-19: A Framework of Situation","authors":"C. Finelli","doi":"10.47363/jmhc/2021(3)145","DOIUrl":"https://doi.org/10.47363/jmhc/2021(3)145","url":null,"abstract":"J Med Healthcare 2021 Coronavirus disease 2019 (COVID-19), induced by the severe acute respiratory syndrome coronavirus-2, first developed in China in December 2019 and has since spread throughout the world [1]. It may progress to pneumonia, which necessitates hospitalization, or to severe acute respiratory distress syndrome, which requires treatment in an intensive care unit (ICU) [2]. Malnutrition is a side effect of infectious respiratory diseases, and this can exacerbate the prognosis [3]. According to research, approximately 50 % of the patients with COVID-19 have gustatory and olfactory nerves dysfunction [4].","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48792858","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":"Low/High-risk Earmolds: New Technologies and their Application from 2019 to the Present","authors":"B. A","doi":"10.47363/jmhc/2021(3)142","DOIUrl":"https://doi.org/10.47363/jmhc/2021(3)142","url":null,"abstract":"Until 2019, hearing aid molds were made with silicones that copied the shape of the ear, creating a positive and a negative mold to reproduce the shape and volume in cubic centimeters of the ear. This system had the disadvantage of lack of precision. Due to the pressure of the silicones during their placement in the ear, the soft tissues are deformed. This is especially important when the deafness is severe or profound. Because a very high sound power is required and sound leakage occurs. That leaking sound is feedback into the hearing aid microphone and generates a “Larsen effect.” Patients describe this sound feedback as very high-pitched beeps from the hearing aid that can be heard by family and others close to them. During the time that the hearing aid is whistling, the user loses information and hearing, as well as being annoying for the family. In the case of high-powered hearing aids, it is difficult to balance the sound leakage that generates the “Larsen effect” and the excessive pressure that forms the canal. Also bear in mind that the user of this type of hearing aid uses it all day, so a little discomfort translates into anguish and nervousness. This is not an easy task for the audiologist, nor for the laboratory technician making ear molds. They are known by the technicians as “High Risk Feedback Molds”. Recently, 3D laser light measurement has been used for measurements. By not having contact with the skin, this new technique allows the tissues not to deform. And it gives us a view from inside the ear (and this is another novelty) because they are done by means of a small probe that acts as a laser beam that we introduce into the ear canal itself.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41797689","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}