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Validating a point of care lactate meter in adult patients with sepsis presenting to the emergency department of a tertiary care hospital of a low-to middle-income country

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World Journal of Emergency Medicine 2017年第3期8卷 184-189页

作者： Muhammad Akbar Baig Hira Shahzad erfan hussain Asad Mian Department of Emergency Medicine Aga Khan University Hospital Department of Medicine Aga Khan University Hospital Adult Critical Care Services Aga Khan University Hospital Department of Emergency Medicine Pediatrics and Child Health Aga Khan University Hospital

BACKGROUND: Timely identifi cation of high blood lactate levels in septic patients may allow faster detection of those patients requiring immediate resuscitation. Point-of-care(POC) testing is being increasingly utilized in the emergency department(ED). We examined the accuracy and timesaving effect of a handheld POC lactate device for the measurement of fingertip and whole blood lactate as compared with reference laboratory blood testing in septic ED ***: A convenience sample of adult ED patients receiving serum lactate testing were enrolled prospectively in the ED of a multidisciplinary tertiary care hospital serving the population of one of the major cities of Pakistan. Participants underwent fi ngertip POC lactate measurement with a portable device and simultaneous whole blood sampling for analysis by both the POC lactate device and standard laboratory method. Lactate measurements were compared by intraclass correlation(ICC) and Bland and Altman ***: Forty-three septic patients were included in the study. The fingertip POC & whole blood POC lactate measurements each correlated tightly with the reference method(ICC=0.93 & ICC=0.92, respectively). Similarly at 6 hours, the fingertip POC & whole blood POC lactate measurements demonstrated satisfactory correlation with the reference method(ICC=0.95 & ICC=0.97, respectively).CONCLUSION: Fingertip POC lactate measurement is an accurate method to determine lactate levels in septic ED *** WORDS: Sepsis; Point of care; Lactate; Emergency department;

关键词： Sepsis Point of care Lactate Emergency department Pakistan

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Knowledge, Attitudes and Practice about Obstetric Ultrasonography among Women Attending a University Hospital: A Cross-Sectional Study

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Open Journal of Obstetrics and Gynecology 2020年第12期10卷 1763-1775页

作者： Hassan S. Abduljabbar Nada A. Bin Jabal Fatheya A. hussain Roaa M. Alqabbaa Fawziah A. Marwani Shahd A. Alghamdi Lubna M. Alhosaini Hadeel S. Alsulami erfan Bagedo General Hospital IVF Unit Department Obstetrics and Gynecology King Abdulaziz University Jeddah KSA King Abdulaziz University Hospital Jeddah KSA

Background: Obstetric sonography is one of the prenatal tests offered to most pregnant women and an essential tool that helps health care providers to establish fetal condition and growth. The Objective: to assess the knowledge, attitudes, and practice about obstetric sonography among women at KAUH in Jeddah, Saudi Arabia. Method: A cross-sectional study was conducted during 2018-2019 among 367 women. It included all women that attend the OB/GYN outpatient clinic at KAUH in Jeddah. The data was collected through interviewing questionnaire. The questionnaire consisted of 5 items to assess their knowledge, attitude, practice, and sociodemographic characteristics. Data were entered into a Microsoft Excel 2014 sheet, and statistical analysis was performed using IBM SPSS Statistics. Result: The mean knowledge score about obstetric sonography was 13.9 ± 1.7, where 343 (93.0%) had good knowledge, and only 26 (7.0%) had poor knowledge. The result revealed that the third-fourths of the women 291 (78.9%) believed that obstetric sonography is safe, and 309 (83.8%) believed that obstetric sonography doesn’

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