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Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising
Zhang Yanping,
Zhang Pan,
Lv Changchun
Issue:
Volume 9, Issue 3, May 2021
Pages:
75-78
Received:
14 April 2021
Accepted:
30 April 2021
Published:
14 May 2021
Abstract: Objective: To investigate the myocardial damage and hyperbaric oxygen treatment of acute encephalopathy in CO poisoning. Methods: Since March 2015 - March 2020 admitted to 125 patients with acute CO poisoning encephalopathy, emergency admission GCS score 7-8 points or less, and the intracranial pressure, myocardial damage markers enzymes (CK - MB, CK, LDH, MYO, BNP) and troponin (cTnl), arterial COHb quantitative and electrocardiogram (EKG) dynamic inspection, row CT, MRI examination can at the same time, using air pressure cabin HBO treatment, Each patient choose 2.5-3 period of treatment (Every10 times is a course of treatment), 99.5-100% oxygen purity (liquid oxygen gasification), oxygen supply time 60 minutes or 80 minutes, interlude 10 minutes. Results: The higher the COHb, the deeper the coma, the increased intracranial pressure, the intracranial hypertension, and the morphological changes such as diffuse cerebral edema and symmetrical globulin necrosis were observed in 125 patients. However, the myocardial damaging enzymes and troponin markers were significantly increased and the EKG abnormalities were basically consistent. HBO treatment achieved remarkable curative effect, the incidence of delayed encephalopathy was significantly reduced, and no death occurred. Conclusion: Increased intracranial pressure induced by acute encephalopathy induced by CO poisoning can significantly increase the incidence of myocardial damage, subendocardial myocardial infarction, left heart failure and various arrhythmias. HBO is a treatment for etiology and should be preferred.
Abstract: Objective: To investigate the myocardial damage and hyperbaric oxygen treatment of acute encephalopathy in CO poisoning. Methods: Since March 2015 - March 2020 admitted to 125 patients with acute CO poisoning encephalopathy, emergency admission GCS score 7-8 points or less, and the intracranial pressure, myocardial damage markers enzymes (CK - MB, ...
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Analysis of the Application Effect of the Modified Mews Score After Correction in Cardiovascular Medicine
Juxian Wu,
Lin Li,
Tong Zhong,
Lingyi Liu,
Xuelu Yang,
Xia Wei
Issue:
Volume 9, Issue 3, May 2021
Pages:
79-82
Received:
26 April 2021
Accepted:
11 May 2021
Published:
15 May 2021
Abstract: Objective: Compare the application effect of the modified MEWS score before and after correction in cardiovascular medicine. Methods: A retrospective collection of 322 patients who were hospitalized in the Cardiovascular Department of our hospital from June 2018 to June 2019 and met the inclusion and exclusion criteria were used as the control group; 347 patients who were hospitalized in the Department of Cardiovascular Medicine of our hospital from July 2019 to July 2020 and met the inclusion and exclusion criteria were collected as the experimental group. The experimental group used the modified MEWS score after adjustment, and the control group used the modified MEWS score. The clinical outcome and prediction accuracy of the two groups of patients were compared. Results: There was no difference in the clinical outcome of the two groups of patients (P>0.05). The composition of different clinical outcomes of the two groups was different, and the composition ratio between the two groups of the same grade was also different. The prediction accuracy of the experimental group was significantly higher than that of the control group (P<0.05). With death and ICU admission as the event endpoints, the correlation between the occurrence of the event and the MEWS score and the area under the ROC curve was statistically different between the two groups (P<0.05). Conclusion: The corrected modified MEWS score further improves the accuracy of early warning based on the general modified MEWS score. It can be used to identify potentially critically ill patients.
Abstract: Objective: Compare the application effect of the modified MEWS score before and after correction in cardiovascular medicine. Methods: A retrospective collection of 322 patients who were hospitalized in the Cardiovascular Department of our hospital from June 2018 to June 2019 and met the inclusion and exclusion criteria were used as the control grou...
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Improving PMTCT Coverage and Access in Communities with Unmet Needs in Jos, Nigeria by Adopting Task Shifting and Task Sharing Strategies
Tinuade Abimbola Oyebode,
Zuwaira Hassan,
Tolulope Afolaranmi,
Muazu Auwal,
Mohammed Shehu,
Ngwoke Kelechi,
Agbaji Oche,
Solomon Sagay,
Jerry Gwamna,
Prosper Okonkwo,
Phyllis Kanki
Issue:
Volume 9, Issue 3, May 2021
Pages:
83-93
Received:
28 April 2021
Accepted:
14 May 2021
Published:
26 May 2021
Abstract: Towards achieving an AIDS-free generation, UNAIDS set the 90-90-90 target aiming at 90% of HIV positive persons knowing their status, 90% of positives receive sustained antiretroviral drugs and 90% of those receiving ARVs attain virologic suppression by 2020. The attainment are dependent on continual access, quality care and treatment retention, so efforts must address context specific barriers to accessing services. The ethnoreligious conflicts in Jos created barriers to accessing HIV/PMTCT services, even when treatment sites existed around the metropolis. Fifteen communities lacked comprehensive HIV services and residents could not access treatment facilities because of security challenges. A specialized strategy using community oriented resource persons (CORPs) and task shifting task sharing (TSTS) principles conceptualized by stakeholders was utilized to bridge personnel gaps and scale-up PMTCT. The HIV Lead Implementing Partner supported a faith based community organization to identify and scale-up PMTCT into 28 hospitals in 15 communities. Training and task devolution to Community Health workers (CHWs), expert patients and Traditional Birth Attendants (TBAs) was utilized. The facilities were networked for service delivery, referrals, supervision and commodity logistics. HIV testing was provided to pregnant women during ANC, labour and postnatal, and their children and spouses. All 28 facilities offered HCT and provided ARVs to those testing positive in labour, women testing positive during ANC were managed/referred to 8 PMTCT sites for evaluation and ARV commencement according to Nigerian HIV Guidelines. Infants received Nevirapine, early infant diagnosis and Cotrimoxazole. HIV positive children and non-pregnant adults were referred to three ART sites for evaluation and treatment. The twenty-eight facilities were activated for HCT/PMTCT/ART using MNCH structures and CHEWs, TBAs and PLHIV expert patients provided care, support and tracking. After the six-month pilot, of 3,293 women receiving ANC, 3,094 (93.9%) accepted HCT and received same-day results. Thirty-four tested positive, but 15 previously knew their status and on ARVs, but had challenges accessing care, while 17 of 19 newly diagnosed women commenced ARVs while 2 defaulters are being tracked. Five HIV exposed babies delivered received Nevirapine and cotrimoxazole, four were tested HIV-negative. Also 7193 adults and 23 children received HCT and results, 69 positive adults and 2 positive children enrolled care, among who 33 adults and 2 children commenced ARVs. PMTCT diagnostics must identify specific barriers communities experience and implement multipronged context specific scale-up efforts to improve access/uptake to eliminate Paediatric HIV infections. CORPs and TSTS strategies are critical to improve service-delivery and retention in care.
Abstract: Towards achieving an AIDS-free generation, UNAIDS set the 90-90-90 target aiming at 90% of HIV positive persons knowing their status, 90% of positives receive sustained antiretroviral drugs and 90% of those receiving ARVs attain virologic suppression by 2020. The attainment are dependent on continual access, quality care and treatment retention, so...
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Analysis of the Epidemiological Characteristics of Rabies in Jingxi City, Guangxi from 2000 to 2020
Wang Fuchun,
Liang Guoyue,
Huang Yaming
Issue:
Volume 9, Issue 3, May 2021
Pages:
94-100
Received:
25 May 2021
Accepted:
9 June 2021
Published:
21 June 2021
Abstract: Objective Analyze the epidemiological characteristics of rabies in Jingxi City to provide a basis for formulating rabies control measures. Methods Descriptive epidemiological methods were used to analyze the surveillance data of rabies in Jingxi City from 2000 to 2020. Results A total of 73 rabies cases and 73 cases of rabies were reported in Jingxi City from 2000 to 2020, with an average annual incidence rate of 0.55/100,000, and a case fatality rate of 100%; cases were reported in 19 towns and townships; it occurred frequently in Summer and autumn, with 56.16% of cases from May to September. Mainly farmers, the incidence accounted for 84.93%; male incidence rate was 0.70/100,000, female incidence rate was 0.38/100,000, male and female incidence ratio was 2.04:1; the main wonding animals were dogs, accounting for 95.89%; humans No history of vaccination after exposure accounted for 97%. Conclusion The rural area Jingxi City is a key area for rabies Prevention and control. It is necessary to strengthen the propaganda of rabies prevention knowledge, standardize post-exposure treatment, and carry out large-scale dog immunization. Comprehensive prevention measures such as immunization and hunting to effectively curb the epidemic of rabies. Background: Jingxi, Guangxi is located on the border of China and Vietnam. The border with Vietnam to the south is 152.5km long. It has a subtropical monsoon climate. It has 19 villages and towns under its jurisdiction and has a total population of 670,000. Among them, ethnic minority imports account for 99.40%. The port was expanded to an international port with the approval of the state council, and the Yuexu port was also upgraded to a national first-level port. Border trade increased. Residents in rural areas have the habit of raising domestic dogs and eating dog meat. There are a large number of dogs, dog registration management, and immunization. The implementation of hunting and killing measures is not in place, the standardized disposal rate after exposure is low, and rabies epidemics occur from time to time.
Abstract: Objective Analyze the epidemiological characteristics of rabies in Jingxi City to provide a basis for formulating rabies control measures. Methods Descriptive epidemiological methods were used to analyze the surveillance data of rabies in Jingxi City from 2000 to 2020. Results A total of 73 rabies cases and 73 cases of rabies were reported in Jingx...
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