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Determinants of the Frequency of Prenatal Consultations among Women Giving Birth in the Maternity Wards of the Commune of Agbangnizoun (Zou), Benin
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作者 Klikpézo Roger Hounkponou Nouéssewa Fanny Maryline +8 位作者 Atadé Sèdjro Raoul Dangbemey Djima Patrice Flénon-Yévidé Aubierge Joelle Ahouingnan Yeyinou Salifou Badaryatou Enassouan Marius Joseph Flénon Ouendo Marius Salifou Kabibou 《Open Journal of Obstetrics and Gynecology》 2023年第7期1127-1132,共6页
Antenatal care is a safe way to prevent pregnancy-related health problems, difficult deliveries and even further to anticipate low birth weight [1]. But pregnant women, especially in Africa, do not attend antenatal cl... Antenatal care is a safe way to prevent pregnancy-related health problems, difficult deliveries and even further to anticipate low birth weight [1]. But pregnant women, especially in Africa, do not attend antenatal clinics as recommended by the WHO. The general objective of this study was to study the norm in terms of Antenatal Consultation (ANC) frequency as well as the determinants of the frequency among women who gave birth in the maternity hospitals of Agbangnizoun. Our research was a cross-sectional, descriptive, retrospective and quantitative type, which was carried out among 335 women in Agbangnizoun, Benin from 1 February to 3 April 2020 (3 months), in order to find out the general or specific characteristics of women that we associate with the frequency of prenatal consultation. At the end of the study, we found that 60%, 68% and 15% of the surveyed population had received ANC in the first, second and third trimesters, respectively. Ethnicity, income level of spouses over the three trimesters as well as the level of their knowledge and overall practice of ANC are determinants of the frequency of prenatal consultation. 展开更多
关键词 Determinants FREQUENCY Prenatal Consultation Agbangnizoun Zou BENIN
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Patient Education Level and Utilization of Internet Resources by Patients in Orthopedic Hip and Knee Consultations
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作者 Kevin Koo Chris Farlinger +1 位作者 Samuel Johnson Khalid A. Syed 《Open Journal of Medical Psychology》 2013年第1期54-60,共7页
Introduction: Internet has become an increasingly popular source of reference for patients to learn about their medical problems. It is easily accessible, and a large number of uncensored information is available onli... Introduction: Internet has become an increasingly popular source of reference for patients to learn about their medical problems. It is easily accessible, and a large number of uncensored information is available online written from various sources and perspectives. However, the role of internet and its impact on patient’s care and understanding of the disease remains unclear. The purpose of this study is to evaluate the role and effect of internet use for patients seeking consultation for hip and knee arthritis. More specifically, the relationship between patient’s education level, internet use, motives for doing background readings, perception of internet information, and reactions to the available information will be studied. Method: Patients seeking orthopaedic consultation for knee or hip arthritis at the Toronto Western Hospital were identified and invited to fill out a questionnaire on their first visit. The questionnaire was designed to assess the patients’ pre-consultation reading habits, their use of internet, and their reaction to what they have read on the internet. The questionnaire also included questions about the respondent’s background.Results: In comparing patients holding college/university degree (CU) with patients having no college/university education (NoCU), the CU group were associated with increased internet use (CU vs. NoCU: 71.0% vs. 48.3%;p 0.01) and background reading (CU vs. NoCU: 82.2% vs. 17.8%;p 0.001) prior to consultation;fewer incidence of anxiety following internet use (CU vs. NoCU: 29.9% vs. 53.6%;p 0.05);and higher rates of decisions influenced by internet use (CU vs. NoCU: 20.8% vs. 3.6%, p 0.05). Internet users demonstrated a higher confidence in gathering and understanding medical information (Internet users vs. non-internet users: 6.59 ± 2.05 vs. 5.03 ± 2.78;p 0.001) and rated the accuracy of information on internet at 7.18 ± 2.01 (max = 10). Conclusion: Internet use can influence patient’s treatment decision, anxiety level, and understanding of their disease. Caregivers must recognize the growing trend of internet use and should counsel and educate their patients appropriately based on what they have read to help them accurately appreciate the nature of their disease. 展开更多
关键词 PATIENT Education Internet Use ORTHOPEDIC HIP KNEE consultations
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The Effect of Consultations on the Cost of Pre-Anesthetic Assessment
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作者 Omer LErhan Azize Bestas +3 位作者 Sait FOner Turkay Yucel Sibel Ozcan Hasan Arik 《International Journal of Clinical Medicine》 2013年第11期496-498,共3页
Background: In our study, researching the distribution of the consultations other than anaesthesia in compliance with the disciplines and ages of the patients and its effect on the assessment cost has been aimed. Meth... Background: In our study, researching the distribution of the consultations other than anaesthesia in compliance with the disciplines and ages of the patients and its effect on the assessment cost has been aimed. Methods: Our study has been conducted during 8 months by the retrospective assessment of the records of 3844 cases on which an elective surgical procedure was planned in the anesthesiology polyclinic of Firat University Hospital. The records of patients have been obtained through examining their files from the hospital record system. Results: The total number of patients whose consultations have been demanded was 367 (9.5%) and the number of male/female was 192/175. The number of cases about which more than one consultation has been demanded was determined as 87 (2.2%). The number of cases on which a method change for the anaesthesia was applied was 21 (5.7%), and the number of cases whose surgery was cancelled was 3 (0.81%). Requested consultation for each patient, the consultations of cardiology, chest diseases and internal medicine bring an additional cost on the total sum respectively as 37.2 TL (28.61 $), 29.8 TL (22.92 $) and 19.9 TL (15.30 $). Conclusions: We suggest that the cost analysis should be absolutely taken into consideration during the pre-anaesthetic assessment for the requirement of routine examinations. 展开更多
关键词 Pre-Anaesthetic Asessment consultations COSTS
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Hello,can you hear me?Orthopaedic clinic telephone consultations in the COVID-19 era-a patient and clinician perspective
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作者 Anuhya Vusirikala David Ensor +4 位作者 Ajay K Asokan Alvin JX Lee Ravi Ray Dimitrios Tsekes John Edwin 《World Journal of Orthopedics》 2021年第1期24-34,共11页
BACKGROUND The coronavirus disease 2019(COVID-19)pandemic has resulted in seismic changes in healthcare delivery.As a result of this,hospital footfall required to be reduced due to increased risk of transmission of in... BACKGROUND The coronavirus disease 2019(COVID-19)pandemic has resulted in seismic changes in healthcare delivery.As a result of this,hospital footfall required to be reduced due to increased risk of transmission of infection.To ensure patients can safely access healthcare,we introduced orthopaedic clinic telephone consultations in our busy district general hospital.AIM To investigate patients’and clinicians’perspective of telephone consultations during COVID-19,and whether this method of consultation could be a viable option in the post-pandemic future.METHODS This is a single centre,prospective study conducted in a busy National Health Service district general hospital.In May 2020,100 non-consecutive adult patients were contacted by independent investigators within 48 h of their orthopaedic clinic telephone consultation to complete a telephone satisfaction questionnaire.The questions assessed satisfaction regarding various aspects of the consultation including overall satisfaction and willingness to use this approach long term.Satisfaction and perspective of 25 clinicians conducting these telephone consultations was also assessed via an online survey tool.RESULTS 93%of patients were overall satisfied with telephone consultations and 79%were willing to continue this method of consultation post-pandemic.Patients found telephone consultations to reduce personal cost and inconvenience associated with attending a hospital appointment.72%of clinicians reported overall satisfaction with this service and 80%agreed that telephone consultations should be used in the future.The majority found it less laborious in time and administration in comparison to face to face consultations.Patients and clinicians expressed their desire for video consultations as a method of further improving their experience with remote consultations.CONCLUSION Our study has shown that telephone consultations are a safe and rapid method of adaptation to the COVID-19 pandemic,achieving the aim of reducing hospital footfall.This method of consultation has resulted in immense clinician and patient satisfaction.Our findings suggest that this tool has benefits in post pandemic healthcare delivery.It has also highlighted that telephone consultations can act as a steppingstone to the introduction of the more complex platform of video consulting. 展开更多
关键词 COVID-19 Telephone consultation Orthopaedic clinic Patient satisfaction Patient perspective Clinician perspective
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Use of Analogy by Public Health Nurses in Problem Solving for Individual Consultations in Japan: A Multiple Case Study
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作者 Masako Kageyama Taeko Shimazu +2 位作者 Atsuko Taguchi Satoko Nagata Kathy Magilvy 《Open Journal of Nursing》 2017年第3期345-360,共16页
Aim: Nurses must develop good problem-solving skills (PSS) to work in the complex health care environment. This study explored PHNs’ use of analogy in PSS development. The purposes of the study were to clarify how PS... Aim: Nurses must develop good problem-solving skills (PSS) to work in the complex health care environment. This study explored PHNs’ use of analogy in PSS development. The purposes of the study were to clarify how PSS developed in one area (i.e., mental health) could be applied to another area (i.e., maternal health) and whether new PSS could develop in response to PSS gained in another area. Methods: A multiple case study was conducted using interviews. We interviewed 27 consultations from eight Japanese PHNs who consulted in mental health departments before transferring to maternal health departments. The data on how PHNs applied PSS in the selection, mapping, evaluation, and learning stages of the analogy process were extracted from transcribed interviewed data and compared. Results: PHNs provided 59 PSS used in 27 consultations. All PHNs applied past mental health PSS to solve new problems in maternal health. They tended to select past PSS based on structural similarity and to apply PSS via low-level abstraction in serious situations or preventively to avoid causing the current situation to worsen. Notably, PHNs developed maternal health PSS by using past mental health PSS;these new PSS were derived through analogy from various failures and successes. Conclusions: PSS developed in one area can be applied in another area, and new PSS can develop through applying these previous PSS. Identification of structural similarities and preventive analogies must be included in nursing education, especially for nurses working in public health fields. 展开更多
关键词 ANALOGY CONSULTATION NURSING Education Problem Solving PUBLIC Health NURSE
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Trends in characteristics of neurologists who provide stroke consultations in the USA,2008-2021
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作者 Carter H Nakamoto Andrew D Wilcock +3 位作者 Lee H Schwamm Jennifer J Majersik Kori S Zachrison Ateev Mehrotra 《Stroke & Vascular Neurology》 SCIE CSCD 2023年第1期86-88,共3页
Introduction Patients with acute ischaemic strokes(AIS),on average,fare better with timely neurologist consultation,and a growing proportion of them receive one.However,little is known about trends in the characterist... Introduction Patients with acute ischaemic strokes(AIS),on average,fare better with timely neurologist consultation,and a growing proportion of them receive one.However,little is known about trends in the characteristics of neurologists who treat AIS.Methods We identified AIS and transient ischaemic attack(TIA)episodes with neurologist consults in fee-for service Medicare from January 2008 to September 2021.For each episode,we determined whether the neurologist was a vascular neurologist,was a high-volume provider,whether the patient was transferred between hospitals and the distance between the patient’s home and physician’s practice.Results From 2008 to 2021,the share of AIS/TIA episodes(n=5073294)with neurologist consults increased(52.9%to 61.7%).Among episodes with consults,the fraction conducted by a vascular neurologist(5.2%to 13.7%)or by a high-volume neurologist(13.2%to 14.9%)also increased.The fraction with the patient’s home and neurologist greater than 100 miles apart(4.8%to 9.6%)or in different states(5.1%to 8.1%)increased,as did the fraction with transfers(4.2%to 8.5%).Discussion Over the study period,the proportion of AIS/TIA episodes with consultations from neurologists with either vascular neurology certifications or high volumes increased substantially. 展开更多
关键词 acute CHARACTERISTICS CONSULTATION
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基于Consultant Climate导向与斯维尔验证的烟台某售楼处节能改造研究
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作者 郑徐魁 张巍 +1 位作者 李鑫儿 胡雅琦 《节能》 2024年第4期14-16,共3页
以烟台某售楼处节能改造项目为例,通过Consultant Climate分析帮助设计者快速找到主要能耗矛盾并进行节能改造,再利用斯维尔进行改造后的评价。结果显示:Consultant Climate能够快速找到地区气候缺陷并提出量化策略,斯维尔能够准确合理... 以烟台某售楼处节能改造项目为例,通过Consultant Climate分析帮助设计者快速找到主要能耗矛盾并进行节能改造,再利用斯维尔进行改造后的评价。结果显示:Consultant Climate能够快速找到地区气候缺陷并提出量化策略,斯维尔能够准确合理给出节能率。结合两者可以帮助设计者快速准确地找到适应气候的设计策略,提高工作效率,避免因气候调节能力不佳导致重新改造所带来的资源浪费。 展开更多
关键词 节能改造 围护结构 节能率 Consultant Climate 斯维尔
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Accidental placement of venous return catheter in the superior vena cava during venovenous extracorporeal membrane oxygenation for severe pneumonia: A case report
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作者 Xiao-Qin Song Yun-Long Jiang +3 位作者 Xian-Bao Zou Shi-Chao Chen Ai-Jun Qu Ling-Ling Guo 《World Journal of Clinical Cases》 SCIE 2024年第4期782-786,共5页
BACKGROUND Venovenous extracorporeal membrane oxygenation(V-V ECMO)has become an important treatment for severe pneumonia,but there are various complications during the treatment.This article describes a case with sev... BACKGROUND Venovenous extracorporeal membrane oxygenation(V-V ECMO)has become an important treatment for severe pneumonia,but there are various complications during the treatment.This article describes a case with severe pneumonia success-fully treated by V-V ECMO,but during treatment,the retrovenous catheter,which was supposed to be in the right internal vein,entered the superior vena cava directly in the mediastinum.The ECMO was safely withdrawn after multidiscip-linary consultation.Our experience with this case is expected to provide a reference for colleagues who will encounter similar situations.CASE SUMMARY A 64-year-old man had severe pulmonary infection and respiratory failure.He was admitted to our hospital and was given ventilation support(fraction of inspired oxygen 100%).The respiratory failure was not improved and he was treated by V-V ECMO,during which the venous return catheter,which was supposed to be in the right internal vein,entered the superior vena cava directly in the mediastinum.There was a risk of massive mediastinal bleeding if the catheter was removed directly when the ECMO was withdrawn.Finally,the patient underwent vena cava angiography+balloon attachment+ECMO with-drawal in the operating room(prepared for conversion to thoracotomy for vascular exploration and repair at any time during surgery)after multidiscip-linary consultation.ECMO was safely withdrawn,and the patient recovered and was discharged.CONCLUSION Patients may have different vascular conditions.Multidisciplinary cooperation can ensure patient safety.Our experience will provide a reference for similar cases. 展开更多
关键词 Severe pneumonia Extracorporeal membrane oxygenation Complications Superior vena cava Multidisciplinary consultation Case report
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Assessment of Cardiovascular Risk Factors During Pregnancy: A Multicenter Study in West Africa, Dakar, Senegal
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作者 Aliou Alassane Ngaïdé Ngoné Diaba Gaye +4 位作者 Joseph Salvador Mingou Zineb Zinia Mouhamadou Bamba Ndiaye Alassane Diouf Abdoul Kane 《World Journal of Cardiovascular Diseases》 CAS 2024年第10期644-655,共12页
Context: Non-communicable diseases, including hypertension, are major causes of complications during pregnancy, posing significant risks to maternal and fetal health. Pregnancy increases cardiovascular risks, particul... Context: Non-communicable diseases, including hypertension, are major causes of complications during pregnancy, posing significant risks to maternal and fetal health. Pregnancy increases cardiovascular risks, particularly through the development of gestational hypertension and preeclampsia, requiring early screening and close monitoring to prevent adverse outcomes. Objectives: This study aimed to evaluate the frequency of cardiovascular risk factors in pregnant women in Senegal and identify associated socio-behavioral and economic determinants. Methodology: A descriptive, analytical cross-sectional study with prospective data collection was conducted over three months (April 10 to July 10, 2023). The study included pregnant women aged 15 and older from three public hospital maternity wards in Senegal. We studied sociodemographic aspects, cardiovascular risk factors, and collected information on previous and current pregnancies, including the number of pregnancies, parity, miscarriages, the number of prenatal consultations, and the number of fetuses. Written consent was obtained. A p-value ≤ 0.05 was considered statistically significant. Results: A total of 222 pregnant women were enrolled, representing 28% of prenatal consultations. The average age was 29.18 years (range 15 - 47). Most participants (90%) lived in Dakar suburbs, 74.20% had no medical coverage, 84% worked in the informal sector (p = 0.043), and 18% had no education. Among them, 30.63% were in their first pregnancy, 34% were nulliparous, and 3.15% were grand multiparous. The average number of prenatal visits was 3.5, with about 40% having more than four visits. Risk factors included hypertension (17%), more prevalent in women over 30 (p = 0.043), diabetes (4%), and smoking (2%). Conclusion: The study highlights critical prenatal health needs and socio-economic challenges faced by pregnant women, emphasizing the need for targeted strategies to improve healthcare access and health education. 展开更多
关键词 Cardiovascular Risk Factors PREGNANCY Prenatal Consultation
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Evaluating the Effectiveness of Consultants’ Roles in Improving Value for Money in Public Infrastructure Projects in Ghana
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作者 Sheitu Abu Nongiba Alkanam Kheni Adams Abudi 《Journal of Building Construction and Planning Research》 2024年第3期69-85,共17页
Ghanaian construction projects encounter a number of challenges, including low health, safety, and environmental requirements, poor performance, and time and cost overruns. To provide value for money (VFM) on governme... Ghanaian construction projects encounter a number of challenges, including low health, safety, and environmental requirements, poor performance, and time and cost overruns. To provide value for money (VFM) on government infrastructure projects in Ghana, this research assesses the roles of project consultants, specifically architects and quantity surveyors, and highlights important obstacles. A cross-sectional survey design involving architects and quantity surveyors yielded a 96% response rate after 100 questionnaires were distributed. Consultants’ responsibilities also include monitoring standards compliance, providing advice on delays, controlling budgets, and advising on project completion dates. Difficulties encompass a lack of promptness in decision-making, unethical conduct, political pressure, and inadequate focus on contract administration and construction audits. Project urgency, longevity, political clout, timely decision-making, and team experience are important variables that impact VFM. Policy makers and construction management practitioners should take note of the implications for Ghana’s public infrastructure projects. 展开更多
关键词 Consultants Value for Money Physical Infrastructure Ghana
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基于Climate Consultant的现代民居被动式优化策略分析——以豫北地区为例
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作者 夏宗俊 卢玫珺 《绿色科技》 2024年第2期216-222,260,共8页
为改善豫北地区现代民居室内热环境状况,提高民居气候适应能力。采用Climate Consultant软件分析豫北地区的气候数据,得出了适用于该地区的被动式建筑策略组合及各策略有效时间比。结合冬夏两季现代民居室内外的热环境实测数据,针对夏... 为改善豫北地区现代民居室内热环境状况,提高民居气候适应能力。采用Climate Consultant软件分析豫北地区的气候数据,得出了适用于该地区的被动式建筑策略组合及各策略有效时间比。结合冬夏两季现代民居室内外的热环境实测数据,针对夏季炎热和冬季寒冷问题分别提出了被动式优化策略:民居功能分区设计采用“向心性”的空间布局、冬季在一层檐廊处增设阳光间、改善围护结构保温隔热设计;夏季疏通建筑自然通风的路径、增设遮阳设施、改善庭院绿化。通过以上适宜性被动式优化策略,提高现代民居室内热舒适性,为豫北地区现代民居的建设和改造提供了重要的理论依据和有价值的参考。 展开更多
关键词 Climate Consultant软件 现代民居 热环境实测 被动式优化策略
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傣族传统民居建筑原型对气候设计策略的回应与补充研究 被引量:1
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作者 张涛 张宇轩 《西部人居环境学刊》 CSCD 2023年第5期153-157,共5页
随着美丽乡村的建设与乡村振兴步伐的驱动,一些不当思潮与建设的侵袭,传统民居被大量模仿现代城市建筑的新建民居取代,简单实现了功能空间多样化的需求,却成为生态脆弱、品质较差、文化缺失的代表,民居发展面临种种困境。为了科学有效... 随着美丽乡村的建设与乡村振兴步伐的驱动,一些不当思潮与建设的侵袭,传统民居被大量模仿现代城市建筑的新建民居取代,简单实现了功能空间多样化的需求,却成为生态脆弱、品质较差、文化缺失的代表,民居发展面临种种困境。为了科学有效地助力传统民居传承及美丽乡村建设,如何深入挖掘潜藏于传统民居建筑原型中的绿色属性与生态经验,成为在理论研究方面人们关注的热点问题。选择云南省勐腊地区的水傣干栏式傣家竹楼传统民居为研究对象,基于被动式气候设计理论,针对傣家竹楼建筑原型,提炼民居应对湿热气候的被动式设计原型策略,比对Climate Consultant软件分析所得的被动式设计标准策略,探讨民居建筑原型的原型策略对标准策略的回应率。研究结果表明:傣家竹楼建筑原型在遮阳、防热、防雨、防潮、保温与节能等方面对标准策略的最低、最高回应率分别为67%与100%,平均回应率84.8%。受材料及技术条件的限制,部分策略的回应不足,但是通过其他的方法及措施可以得到很好的补充。傣族传统民居建筑原型的绿色特性及生态智慧,揭示了地域性传统建筑以地域自然、社会环境为约束,以建筑综合性能为核心的生态设计理论控制的科学原理。本研究的结果对湿热地区民居的设计建造及现代传承提供理论依据。 展开更多
关键词 傣家竹楼 传统民居 建筑原型 气候设计策略 Climate Consultant
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Two surgical pathways for isolated hip fractures:A comparative study
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作者 Alexander A Fokin Joanna Wycech Knight +3 位作者 Maral Darya Ryan Stalder Ivan Puente Russell D Weisz 《World Journal of Orthopedics》 2023年第6期399-410,共12页
BACKGROUND Hip fractures(HF)are common among the aging population,and surgery within 48 h is recommended.Patients can be hospitalized for surgery through different pathways,either trauma or medicine admitting services... BACKGROUND Hip fractures(HF)are common among the aging population,and surgery within 48 h is recommended.Patients can be hospitalized for surgery through different pathways,either trauma or medicine admitting services.AIM To compare management and outcomes among patients admitted through the trauma pathway(TP)vs medical pathway(MP).METHODS This Institutional Review Board-approved retrospective study included 2094 patients with proximal femur fractures(AO/Orthopedic Trauma Association Type 31)who underwent surgery at a level 1 trauma center between 2016-2021.There were 69 patients admitted through the TP and 2025 admitted through the MP.To ensure comparability between groups,66 of the 2025 MP patients were propensity matched to 66 TP patients by age,sex,HF type,HF surgery,and American Society of Anesthesiology score.The statistical analyses included multivariable analysis,group characteristics,and bivariate correlation comparisons with theχ^(2)test and t-test.RESULTS After propensity matching,the mean age in both groups was 75-years-old,62%of both groups were females,the main HF type was intertrochanteric(TP 52%vs MP 62%),open reduction internal fixation was the most common surgery(TP 68%vs MP 71%),and the mean American Society of Anesthesiology score was 2.8 for TP and 2.7 for MP.The majority of patients in TP and MP(71%vs 74%)were geriatric(≥65-years-old).Falls were the main mechanism of injury in both groups(77%vs 97%,P=0.001).There were no significant differences in pre-surgery anticoagulation use(49%vs 41%),admission day of the week,or insurance status.The incidence of comorbidities was equal(94%for both)with cardiac comorbidities being dominant in both groups(71%vs 73%).The number of preoperative consultations was similar for TP and MP,with the most common consultation being cardiology in both(44%and 36%).HF displacement occurred more among TP patients(76%vs 39%,P=0.000).Time to surgery was not statistically different(23 h in both),but length of surgery was significantly longer for TP(59 min vs 41 min,P=0.000).Intensive care unit and hospital length of stay were not statistically different(5 d vs 8 d and 6 d for both).There were no statistical differences in discharge disposition and mortality(3%vs 0%).CONCLUSION There were no differences in outcomes of surgeries between admission through TP vs MP.The focus should be on the patient’s health condition and on prompt surgical intervention. 展开更多
关键词 Isolated hip fractures Admitting service Trauma center Time to surgery American Society of Anesthesiologists score Preoperative consultations
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基于Climate Consultant的天水传统民居气候适应性分析
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作者 王霞丽 王天鹏 《甘肃科学学报》 2023年第2期31-38,共8页
天水传统民居建筑由于受到自然环境以及建筑文化的影响导致施工过程中存在较大的盲目性和自主性,缺乏相应的理论支持,同时建筑设计缺乏气候数据的量化设计。采用Climate Consultant分析软件将大量气候数据转化成便于理解的图示,同时得... 天水传统民居建筑由于受到自然环境以及建筑文化的影响导致施工过程中存在较大的盲目性和自主性,缺乏相应的理论支持,同时建筑设计缺乏气候数据的量化设计。采用Climate Consultant分析软件将大量气候数据转化成便于理解的图示,同时得到改善天水传统民居舒适度的被动优化策略,并结合现阶段传统民居建筑特点,对实际气候环境进行检测分析,从而针对天水地区冬季寒冷、夏季炎热的问题分别提出相对应的设计优化策略:冬季增设附加阳光间、加强外墙保温设计、优化门窗节能设计;夏季增设自然通风设计、遮阳措施设计、庭院绿化设计。通过改进传统民居的适宜性技术与设计措施,从而提高民居的热舒适性,为天水地区乃至整个西北地区传统民居的建设和更新提供了相应的理论依据和参考价值。 展开更多
关键词 天水传统民居 气候适应性 Climate Consultant分析软件 被动优化策略
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Medical consultation in ulcerative colitis:Key elements for improvement
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作者 Yago González-Lama Elena Ricart +3 位作者 Ana Cábez Pilar Fortes Susana Gómez Francesc Casellas 《World Journal of Gastroenterology》 SCIE CAS 2023年第6期917-925,共9页
Ulcerative colitis(UC)is a chronic inflammatory disease with a high impact.In order to improve patient outcomes,the clinician-patient relationship in daily practice is critical.Clinical guidelines provide a framework ... Ulcerative colitis(UC)is a chronic inflammatory disease with a high impact.In order to improve patient outcomes,the clinician-patient relationship in daily practice is critical.Clinical guidelines provide a framework for UC diagnosis and treatment.However,standard procedures and the medical content focused upon medical consultations in UC patients has not yet been defined.Moreover,UC is a complex disease,given that patient characteristics and patient needs have been proven to vary during clinical consultation since establishing the diagnosis and upon the course of the disease.In this article,we have discussed the key elements and specific objectives to consider in medical consultation,such as diagnosis,first visits,follow-up visits,active disease patients,patients on topical therapies,new treatment initiation,refractory patients,extra-intestinal manifestations,as well as challenging situations.The key elements have been mentioned to comprise effective communication techniques,motivational interviewing(MI),as well as information and educational aspects,or organizational issues.The key elements to be implemented in daily practice were reported to comprise several general principles like duly prepared consultations,in addition to honesty and empathy with patients,as well as effective communication techniques,MI,information and educational points,or organizational issues.The role of other healthcare professionals such as specialized nurses,psychologists,or the use of checklists was also discussed and commented on. 展开更多
关键词 Ulcerative colitis Patient experience Shared decision making Medical consultation Motivational interviewing Patient education
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Quality of Antenatal Care at the Referral Health Center of the Fourth Commune of Bamako District
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作者 Amaguiré Saye Dessé Diarra +13 位作者 Sirima Diarra Brahima Dembele Abdou Guire Souleymane Dembele Yéli Dianessi Moussa Samake Seydou Mariko Seydou Fomba Diakaridia Kone Abdoul Razakou Dicko Pierre Coulibaly Daouda Camara Hamidou Toure Mama Sy Konake 《Open Journal of Obstetrics and Gynecology》 2023年第3期609-624,共16页
Purpose: To contribute to the improvement of the quality of prenatal consultation at the reference health center of the commune IV of the district of Bamako. Patients Methods: This was a qualitative cross-sectional st... Purpose: To contribute to the improvement of the quality of prenatal consultation at the reference health center of the commune IV of the district of Bamako. Patients Methods: This was a qualitative cross-sectional study to assess the quality of prenatal consultation that took place from December 1, 2017 to January 31, 2018. It included 139 pregnant women whose consultations were monitored by the investigator and then the women were interviewed upon discharge from the facility to collect their opinions on the services they received. Results: The age group of 20 to 29 years was the most represented with 60.44%. In our study, 50% of our patients were managed by midwives. Among the antecedents constituting the risk factors sought in pregnant women, scar uterus was more frequent with 33.93% followed by arterial hypertension with 14.28% and multiparity with 7.14%. Conclusion: This study shows that the evaluation of the quality of services is an absolute necessity for the improvement of services in integrated reproductive health care centers. 展开更多
关键词 QUALITY Prenatal Consultation BAMAKO MALI
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Management of the Torsion of Spermatic Cord in the Urology-Andrology Department of the Ignace Deen National Hospital in Conakry
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作者 Thierno Mamadou Oury Diallo Mamadou Bissiriou Bah +8 位作者 Mamadou Diawo Bah Boris Amougou Daouda Kanté Alimou Diallo Demba Cissé Abdoul Haqq Bah L’Imam Mamadou Dian Oury Diallo Abdoulaye Bobo Diallo Oumar Raphiou Bah 《Open Journal of Urology》 2023年第10期399-406,共8页
Introduction: Torsion of the spermatic cord is an emergency whose delay in treatment conditions the functional prognosis of the testicle. The aim of this study was to analyze the management of spermatic cord torsion i... Introduction: Torsion of the spermatic cord is an emergency whose delay in treatment conditions the functional prognosis of the testicle. The aim of this study was to analyze the management of spermatic cord torsion in the Urology Andrology Department of the Ignace Deen National Hospital in Conakry. Material and methods: This was a ten-year retrospective descriptive study from January 1, 2012 to December 31, 2021. It involved all patients admitted for torsion of the spermatic cord, confirmed at surgical exploration. Results: We identified 21 cases of torsion of the spermatic cord. The mean age of the patients was 17.9 ± 4.4 years. The average consultation time was 19.2 ± 21.4 hours with extremes of [2 h and 98 h]. Only 6 patients (28.6%) consulted before the sixth hour. All patients presented with scrotal swelling. At scrototomy, all torsions were intravaginal with two turns of spiral in 13 cases and three turns in 8 cases. Orchiectomy followed by contralateral orchidopexy was performed in 6 cases. In the other cases, bilateral orchidopexy was performed after detorsion. The average hospital stay was 4.5 days. We recorded 4 cases of testicular atrophy after orchidopexy. Conclusion: Spermatic cord torsion is an infrequent emergency in our department. The delay in consultation remains the main predictive factor of testicular necrosis. Emergency exploratory scrotomy should be the rule. 展开更多
关键词 Spermatic Cord Torsion Delay in Consultation ORCHIDOPEXY ORCHIECTOMY Testicular Atrophy
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Using the Delphi method to propose foods for special medical purposes health effect evaluation indicators
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作者 Peng Ren Hai-Yue Wang Zeng-Ning Li 《Journal of Nutritional Oncology》 2023年第1期47-52,共6页
Objective:The Delphi method was used to propose health effect evaluation indicators to assess foods for special medical purposes(FSMPs).This lays the foundation for the formation of a big data model for human health t... Objective:The Delphi method was used to propose health effect evaluation indicators to assess foods for special medical purposes(FSMPs).This lays the foundation for the formation of a big data model for human health testing,as well as a big data platform for the health and safety evaluation of special medical foods.Methods:The Delphi method was used to conduct two rounds of expert consultation on the constructed FSMP health effect evaluation indicators.Results:Ten major items were identified after two rounds of expert consultation.Among these,there were 10 primary entries,32 secondary entries,50 tertiary entries,and 28 quaternary entries.Conclusion:The complete list of evaluation indicators contains 10 entries,which can comprehensively and systematically monitor adverse reactions to the use of FSMPs.The present findings lay the foundation for a big data platform to evaluate the health and safety of special foods. 展开更多
关键词 Food for special medical purpose(FSMP) Delphi Health effect Expert consultation Evaluation indicators
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Accelerating Quantum Computing Readiness: Risk Management and Strategies for Sectors
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作者 Abdullah Ibrahim Salman Alsalman 《Journal of Quantum Information Science》 2023年第2期33-44,共12页
The potential impact of quantum computing on various industries such as finance, healthcare, cryptography, and transportation is significant;therefore, sectors face challenges in understanding where to start because o... The potential impact of quantum computing on various industries such as finance, healthcare, cryptography, and transportation is significant;therefore, sectors face challenges in understanding where to start because of the complex nature of this technology. Starting early to explore what is supposed to be done is crucial for providing sectors with the necessary knowledge, tools, and processes to keep pace with rapid advancements in quantum computing. This article emphasizes the importance of consultancy and governance solutions that aid sectors in preparing for the quantum computing revolution. The article begins by discussing the reasons why sectors need to be prepared for quantum computing and emphasizes the importance of proactive preparation. It illustrates this point by providing a real-world example of a partnership. Subsequently, the article mentioned the benefits of quantum computing readiness, including increased competitiveness, improved security, and structured data. In addition, this article discusses the steps that various sectors can take to achieve quantum readiness, considering the potential risks and opportunities in industries. The proposed solutions for achieving quantum computing readiness include establishing a quantum computing office, contracting with major quantum computing companies, and learning from quantum computing organizations. This article provides the detailed advantages and disadvantages of each of these steps and emphasizes the need to carefully evaluate their potential drawbacks to ensure that they align with the sector’s unique needs, goals, and available resources. Finally, this article proposes various solutions and recommendations for sectors to achieve quantum-computing readiness. 展开更多
关键词 Quantum Computing CONSULTANCY Governance Solutions Quantum Readiness Benefits of Quantum Readiness Increased Competitiveness Improved Security Structured Data Quantum Algorithms Quantum Service Provider CYBERSECURITY Data Management
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Study on Service Platform of Kunming Landscaping Plants Information 被引量:1
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作者 钱双艳 吴兵 李红刚 《Journal of Landscape Research》 2010年第4期93-95,99,共4页
For the purpose of Kunming City’s landscaping development and satisfying the needs of botanical garden workers who demand to quickly obtain landscaping plants information and select tree species, a landscaping plant ... For the purpose of Kunming City’s landscaping development and satisfying the needs of botanical garden workers who demand to quickly obtain landscaping plants information and select tree species, a landscaping plant information database was established, which contained almost all Kunming botanical garden plants information. This database was based on Kunming natural environment conditions, and finished by hard work of collecting and analyzing relevant written materials as well as pictures of garden plants. By using B/S Structure model, dynamic web programming language ASP and Photoshop, Dreamweaver as software tools, a Web-based illustrated remote consultation service system of landscaping plants information was constructed. 展开更多
关键词 LANDSCAPING PLANTS Web LANDSCAPING plant INFORMATION database REMOTE CONSULTATION ASP+SQL server
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