The aim of this study was to determine the utilization of SRMD （stress related mucosal disease） prophylaxis in the ICU （intensive care unit） of a large teaching institution based on duration and defined adverse ef...The aim of this study was to determine the utilization of SRMD （stress related mucosal disease） prophylaxis in the ICU （intensive care unit） of a large teaching institution based on duration and defined adverse effects. Patients were reviewed for appropriateness of SRMD prophylactic therapy based on the presence of two independent risk factors （coagulopathy and mechanical ventilation greater than 48 hours） versus presence of any one risk factor from a list developed by the study investigator. Data was collected into spreadsheets and outcomes were analyzed using descriptive statistics. When evaluating patients based on the presence of any risk factor, 84 percent of patients had at least one risk factor present, while 16 percent did not have any. In patients who received famotidine, there was one occtLrrence of Clostridium difficile and 6 cases of electrolyte abnormalities. In patients who received a PPI, there was one documented case of HAP, two cases of ventilator-associated pneumonia, three cases of Clostridium difficile, and 14 patients who developed electrolyte abnormalities. Data does not show an association between acid suppression therapy and incidence of nosocomial infections. The number of patients whose therapy exceeded the appropriate stop-date compared with the number of patients in which SRMD prophylaxis was discontinued when risk factors diminished was greater when evaluating patients based upon the two independent risk factors.展开更多
Health literacy refers to the individual obtaining and understanding and dealing with the basic health information and/or services and the ability of use the information and services to make good health decisions.At p...Health literacy refers to the individual obtaining and understanding and dealing with the basic health information and/or services and the ability of use the information and services to make good health decisions.At present, research works related to health literacy in our country are in the initial stage, the information of floating population health literacy is blank, the Chinese Health Education Center （formerly the Chinese Disease Prevention and Control Center Health Education） Ministry of Social welfare studies undertaken special ＂Chinese public health Literacy survey and evaluation System ＂to develop a suitable evaluation index system of health literacy of the public, used for evaluation of our country＇ s public health literacy level. October to December 2007, the Chinese health education center of this set of evaluation index in Jinan Shandong province examines the health literacy status of floating population, analysis the influence factors of health literacy of the floating population, for the national macroeconomic regulation and control of the floating population, the rational allocation of health resources, determine priority health work, and provide evidence for health related policies and regulations of the floating population.展开更多
Approximately 15,000-17,000 thousand people die worldwide in traffic accidents as a consequence of all types of injuries. This study has a descriptive nature. It is based on data obtained from archives including the t...Approximately 15,000-17,000 thousand people die worldwide in traffic accidents as a consequence of all types of injuries. This study has a descriptive nature. It is based on data obtained from archives including the treatment database of the Emergency Center. The period January 2009 to December 2012 has been considered for this research. The aim of this study is to assess the prevalence of fatal road traffic accidents in Pristine, Kosovo, and describe their determinants. The number of injured in traffic accidents who have sought emergency medical assistance in the Emergency Center from January 2009 to December 2012 is increasing significantly. It is concluded that except reasons mentioned above and among others, there also are the following factors： enormous increase of number of persons equipped with driving license, driving speeds above limits which are considered to be the primary cause of the road traffic accidents. These findings can serve as a basis for health care professionals and policymakers to create preventive measures for traffic accidents.展开更多
United Nations Political Declaration 2011 on HIV and AIDS calls to reduce the sexual transmission and the transmission of HIV among people, who inject drugs by 50% by 2015, through different control strategies and pre...United Nations Political Declaration 2011 on HIV and AIDS calls to reduce the sexual transmission and the transmission of HIV among people, who inject drugs by 50% by 2015, through different control strategies and precautionary measures. In this paper, we propose and study a simple SI type model that considers the effect of various precaution- ary measures to control HIV epidemic. We show, unlike conventional epidemic models, that the basic reproduction number which essentially considered as the disease eradica- tion condition is no longer sufficient to eliminate HIV infection. In particular, we show that even when the basic reproduction number is made less than unity, the disease may persist if the initial outbreak is not low. Eradication of disease is however guaranteed if the ensemble control measure exceeds some upper critical value. It is also shown that an epidemic model with mass action incidence may exhibit backward bifurcation and bistability if density-dependent demography is considered. Our theoretical study thus indicates that extra attention should be given in controlling HIV epidemic to achieve the desired result.展开更多
文摘The aim of this study was to determine the utilization of SRMD （stress related mucosal disease） prophylaxis in the ICU （intensive care unit） of a large teaching institution based on duration and defined adverse effects. Patients were reviewed for appropriateness of SRMD prophylactic therapy based on the presence of two independent risk factors （coagulopathy and mechanical ventilation greater than 48 hours） versus presence of any one risk factor from a list developed by the study investigator. Data was collected into spreadsheets and outcomes were analyzed using descriptive statistics. When evaluating patients based on the presence of any risk factor, 84 percent of patients had at least one risk factor present, while 16 percent did not have any. In patients who received famotidine, there was one occtLrrence of Clostridium difficile and 6 cases of electrolyte abnormalities. In patients who received a PPI, there was one documented case of HAP, two cases of ventilator-associated pneumonia, three cases of Clostridium difficile, and 14 patients who developed electrolyte abnormalities. Data does not show an association between acid suppression therapy and incidence of nosocomial infections. The number of patients whose therapy exceeded the appropriate stop-date compared with the number of patients in which SRMD prophylaxis was discontinued when risk factors diminished was greater when evaluating patients based upon the two independent risk factors.
文摘Health literacy refers to the individual obtaining and understanding and dealing with the basic health information and/or services and the ability of use the information and services to make good health decisions.At present, research works related to health literacy in our country are in the initial stage, the information of floating population health literacy is blank, the Chinese Health Education Center （formerly the Chinese Disease Prevention and Control Center Health Education） Ministry of Social welfare studies undertaken special ＂Chinese public health Literacy survey and evaluation System ＂to develop a suitable evaluation index system of health literacy of the public, used for evaluation of our country＇ s public health literacy level. October to December 2007, the Chinese health education center of this set of evaluation index in Jinan Shandong province examines the health literacy status of floating population, analysis the influence factors of health literacy of the floating population, for the national macroeconomic regulation and control of the floating population, the rational allocation of health resources, determine priority health work, and provide evidence for health related policies and regulations of the floating population.
文摘Approximately 15,000-17,000 thousand people die worldwide in traffic accidents as a consequence of all types of injuries. This study has a descriptive nature. It is based on data obtained from archives including the treatment database of the Emergency Center. The period January 2009 to December 2012 has been considered for this research. The aim of this study is to assess the prevalence of fatal road traffic accidents in Pristine, Kosovo, and describe their determinants. The number of injured in traffic accidents who have sought emergency medical assistance in the Emergency Center from January 2009 to December 2012 is increasing significantly. It is concluded that except reasons mentioned above and among others, there also are the following factors： enormous increase of number of persons equipped with driving license, driving speeds above limits which are considered to be the primary cause of the road traffic accidents. These findings can serve as a basis for health care professionals and policymakers to create preventive measures for traffic accidents.
文摘United Nations Political Declaration 2011 on HIV and AIDS calls to reduce the sexual transmission and the transmission of HIV among people, who inject drugs by 50% by 2015, through different control strategies and precautionary measures. In this paper, we propose and study a simple SI type model that considers the effect of various precaution- ary measures to control HIV epidemic. We show, unlike conventional epidemic models, that the basic reproduction number which essentially considered as the disease eradica- tion condition is no longer sufficient to eliminate HIV infection. In particular, we show that even when the basic reproduction number is made less than unity, the disease may persist if the initial outbreak is not low. Eradication of disease is however guaranteed if the ensemble control measure exceeds some upper critical value. It is also shown that an epidemic model with mass action incidence may exhibit backward bifurcation and bistability if density-dependent demography is considered. Our theoretical study thus indicates that extra attention should be given in controlling HIV epidemic to achieve the desired result.
