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Impact of the emigration of nurses on health care delivery system in selected hospitals,Benin‑City,Edo State,Nigeria

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Journal of Integrative Nursing 2020年第3期2卷 110-115页

作者： Olaolorunpo OLORUNFEMI David Idenyi AGBO Omotayo mercy OLORUNFEMI Esther OdoghoOKUPAPAT Department of Medical Surgical Nursing School of NursingUniversity of Benin Teaching Hospital Department of Measurement and Evaluation University of Benin Teaching Hospital Staff School Department of Perioperative Nursing School of Postbasic Nursing StudiesUniversity of Benin Teaching HospitalBenin-cityEdo StateNigeria

Background:Globally,there is a high demand for nurses,resulting in migration from low‑to high‑income *** emigration of nurses is the act of leaving one's own country to settle permanently in another country,leading to a shortage in the number of nurses in their home ***,this study aims to assess the impact of the emigration of nurses on the health‑care delivery system in *** and Methods:A descriptive cross‑sectional survey was conducted with a stratified sampling technique to select 270 nurses from three selected hospitals in Benin‑city Edo state.A self‑structured questionnaire with open and Likert scale questions were used as an instrument to assess the Impact of the Emigration of nurses on the Health Care Delivery *** collected were analyzed using tables,percentages,means,standard deviation and t‑***:The result showed a mean score of 1.59±0.92 impacts of the emigration of nurses on health‑care delivery system and identified how to reduce *** study also showed that there is no significant difference between gender and reason for emigration among nurses(t=3.84,P≤0.001).Conclusion:The emigration of nurses is severely affecting the health care delivery system in the ***,the Nursing and Midwifery Council of Nigeria gave the directive for training schools to increase their training capacity and number of students’intake to cushion the effect,and this study shows that this palliative can only be a short time measure,and however will encourage more nurses traveling abroad on the long ***,the hospital managers and government should provide a conducive working environment,better remuneration,attractive retirement benefit,and other incentives as a push in factor for nurses to stay back in their home countries.

关键词： Emigration health‑care system migration Nigeria nurses

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诊断流产什么时候可以确定流产？

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英国医学杂志中文版 2016年第12期19卷 675-676页

作者： Elizabeth Anne Stephen Tong 杨慧丽杨孜 University of Melbourne Department of Obstetrics and Gynaeealogy at Mercy Hospital for Women Heidelberg Victoria Australia 北京大学第三医院妇产科

流产的诊断很可能会毁灭许多夫妇的希望和梦想，可能使他们为这个未来新家庭成员对生活所做的调整成为泡影，如一套新房子、暂停工作并长时间休假、抚慰热切期盼的祖父母。所以临床医生每次的准确判断都至关重要。

关键词：流产诊断临床医生最新诊断标准先兆流产

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Overlap of diabetic ketoacidosis and hyperosmolar hyperglycemic state

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World Journal of Clinical Cases 2022年第32期10卷 11702-11711页

作者： Esraa Mamdouh Hassan Hisham Mushtaq Esraa Elaraby Mahmoud Sherley Chhibber Shoaib Saleem Ahmed Issa Jain Nitesh Abbas B Jama Anwar Khedr Sydney Boike Mikael Mir Noura Attallah Salim Surani Syed A Khan Critical Care Medicine Mayo Clinic Health SystemMankatoMN 56001United States Medicine St.Vincent's Medical CenterBridgeportCT 06606United States Medicine College of MedicineUniversity of SharjahSharjah 27272United Arab Emirates Medicine Mercy Catholic Medical CenterDarbyPA 19025United States Medicine Mayo HospitalLahore 54000PunjabPakistan Medicine Medical University of the AmericasNevisWest Indies Medicine BronxCare Health SystemBronxNY 10457United States Medicine University of Minnesota Medical SchoolMinneapolisMN 55455United States Medicine&Pharmacology Texas A&M University Health Science CenterCollege StationTX 77843United States Anesthesiolgy Mayo ClinicRochesterMN 55905United States

Diabetic ketoacidosis(DKA)and hyperosmolar hyperglycemia state(HHS)are two life-threatening metabolic complications of diabetes that significantly increase mortality and *** major advances,reaching a uniform consensus regarding the diagnostic criteria and treatment of both conditions has been challenging.A significant overlap between these two extremes of the hyperglycemic crisis spectrum poses an additional *** has well been noted that a complete biochemical and clinical patient evaluation with timely diagnosis and treatment is vital for symptom ***,there is a lack of large-scale studies that help define how hyperglycemic crises should be *** article will provide a comprehensive review of the pathophysiology,diagnosis,and management of DKA-HHS overlap.

关键词： Diabetic ketoacidosis Hyperosmolar Coma Diabetes Metabolic acidosis Hypernatremia Hyperosmolar hyperglycemia state

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冠状病毒感染对心血管系统的损伤及可能机制

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中国临床医学 2020年第2期27卷 206-210页

作者：王宇成陈瑞珍熊丁丁上海市心血管病研究所复旦大学附属中山医院上海200032 mercy Children’s hospital Ohio 43085 USA

冠状病毒(coronavirus,CoVs)感染主要累及肺部,但对心血管系统损伤作用也不容忽视。CoVs感染引起的心脏损伤并非罕见,其发生与病情的严重程度密切相关。本文首先从CoVs引起心血管损伤的证据入手,进一步探讨了CoVs对心肌的直接损伤,以及... 详细信息

冠状病毒(coronavirus,CoVs)感染主要累及肺部,但对心血管系统损伤作用也不容忽视。CoVs感染引起的心脏损伤并非罕见,其发生与病情的严重程度密切相关。本文首先从CoVs引起心血管损伤的证据入手,进一步探讨了CoVs对心肌的直接损伤,以及肾素血管紧张素(RAS)系统激活和细胞因子风暴与炎症反应对心血管损伤的可能作用机制。相关心血管损伤的可能机制包括,(1)病毒直接作用:CoVs在心肌细胞复制,损伤心肌;(2)RAS系统激活:感染CoVs后,心脏血管紧张素转化酶2(angiotensin-converting enzyme 2,ACE2)的表达下调,激活RAS系统,使得血管紧张素Ⅱ(AngiotensinⅡ,AngⅡ)收缩血管功能增强,Ang1-7保护心脏效应减弱;(3)诱发细胞因子风暴:循环细胞因子和全身炎症反应引起心脏损伤;(4)其他:包括低氧血症和儿茶酚胺心脏毒性。本文就相关内容作一综述,为后续的详尽机制和治疗策略研究提供思路。

关键词：新型冠状病毒心脏损伤机制心脏血管紧张素转化酶2 细胞因子风暴

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136例腹膜型子宫内膜异位症病变特点分析

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中国妇产科临床杂志 2007年第1期8卷 20-22页

作者：艾星子.艾里丁岩郎景和 Peter Maher Jim Tsaltas 新疆医科大学第一附属医院妇科 830000 北京协和医院妇产科澳洲mercy hospital For Women 澳洲Monash Medical Centre

目的分析腹腔镜下腹膜型子宫内膜异位症的病变特点,评价腹腔镜配合病理诊断子宫内膜异位症的价值。方法对136例临床考虑子宫内膜异位症的患者进行腹腔镜手术,切除异位的病变组织常规送病理检查确实。结果①136例白色病变为82例,黑色病变... 详细信息

目的分析腹腔镜下腹膜型子宫内膜异位症的病变特点,评价腹腔镜配合病理诊断子宫内膜异位症的价值。方法对136例临床考虑子宫内膜异位症的患者进行腹腔镜手术,切除异位的病变组织常规送病理检查确实。结果①136例白色病变为82例,黑色病变为34例,红色病变为20例。其中病理确实为子宫内膜异位症的有115例(84.6%),但有21例没有内异症的证据(15.4%),其中100%的红色病变,92%的黑色病变和31%的白色病变病理证实为子宫内膜异位症。②最常见的病变部位是宫骶韧带和阔韧带后叶,依次为侧盆壁腹膜、卵巢窝、卵巢表面、子宫膀胱反折腹膜、输尿管和肠管浆膜面。③在取检的236处异位病变中,210处(89%)病变经组织学证实。腹腔镜和病理的符合率在宫骶韧带是88.2%,阔韧带是94.9%,侧盆壁是91.4%,卵巢窝是100%,膀胱反折腹膜是54.5%,输尿管是70%,肠管浆膜面是33.3%。结论子宫内膜异位症病灶可以形形色色,以白色病变多见,而红色病变的病理符合率最高,不是所有腹腔镜下可疑异位病灶均为子宫内膜异位症;常见的发病部位主要位于宫骶韧带和阔韧带后叶,精确的病理检查配合腹腔镜诊断治疗子宫内膜异位症是必要的。

关键词：子宫内膜异位症腹腔镜病理

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奥利司他对肥胖青少年体重和机体组分的影响——随机对照试验

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美国医学会杂志（中文版） 2006年第1期25卷 34-43页

作者： Jean-Pierre Chanoine, MD, PhD Sarah Hampl, MD, FAAP Craig Jensen, MD Mark Boldrin, MS Jonathan Hauptman, MD 李呈亿（译） Endocrinology and Diabetes Unit British Columbia Children＇s Hospital Vancouver Children＇s mercy hospitals and Clinics Kansas City Mo Department of Medicine Baylor College of Medicine Houston rex Hoffmann-La Roche Inc NutJey NJ 不详

背景：儿童和青少年超重和肥胖正迅速增加。在该人群，单纯行为疗法减肥及维持体重下降的效果有限，但是对药物治疗尚未进行广泛的研究。目的：确定奥利州他（Orlistat）在青少年体重治疗方面的效果及其安个性。设计、地点和病例：于美... 详细信息

背景：儿童和青少年超重和肥胖正迅速增加。在该人群，单纯行为疗法减肥及维持体重下降的效果有限，但是对药物治疗尚未进行广泛的研究。目的：确定奥利州他（Orlistat）在青少年体重治疗方面的效果及其安个性。设计、地点和病例：于美国和加拿大32个中心、539例肥胖青少年（12—16岁；体重指数[body mass index，BMI]在第95百分化之上≥2单位）进行的多ln0、54剧（2000年8月至2002年10月）随机双盲研究。干预：给予奥利司他（n=357）或安慰剂（n=182）120mg，每口3次，持续1年；加适度低热卡饮食（脂肪占30％）、运动和行为治疗。主要观察指标：BMI变化；二级指标包括腰围和髋用、体重下降、脂质测量以及机体对口服葡萄糖的血糖和胰岛素反心。结果：至12周时，两组BMI均有下降；此后，奥利司他组体重维持稳定而安慰剂组则超过基线。研究结束时，奥利司他组BMI下降0．55。而安慰剂组则增加0．31（P=0．001）。与安慰剂组的15．7％相比，奥利司他组26．5％的病例BMI下降≥5％（P=0．005）；BMI下降≥10％者分别为4．5％和13．3％（P=0．002）。在研究结束时，奥利司他组体重增加0．53kg，安慰剂组增加3．14kg（P〈0．001）。双能X线吸收测量娃示，这种差异可用脂肪体再的变化解释。奥利司他组腰围下降，安慰剂组腰围上升（-1．33cm比＋0．12cm；P〈0．05）。奥利司他组发生轻至中度胃肠道不良事件者为9％-50％，安慰剂组为1％～13％。结论：与安慰剂比较，奥利司他与饮食、运动和行为改善联合可显著改善肥胖青少年体重的治疗。在这个青少年人群，连续使用奥利司他1年并无重要安全问题，尽管奥利司他组胃肠道不良事件较为常见。

关键词：青少年人群奥利司他体重下降随机对照试验肥胖机体低热卡饮食组分随机双盲研究双能X线吸收

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Assessing the Effect of Disease Progression on Spirituality

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Psychology Research 2012年第12期2卷 729-736页

作者： Siddharth Agarwal Vijai Kumar Preetvanti Singh P. K. Saxena Saran Ashram hospital Siddharth hospital Agra India Saran Ashram hospital Agra India Dayalbagh Educational Institute DeemedUniversity Agra India Dayalbagh Educational Institute Agra India

Disease and sufferings lead religious persons nearer to almighty in search of mercy. Not much is known about how to design and disseminate programs of spiritual exercises and spiritual indicators for persons suffering with some disease (sufferers). Research is required to advance the understanding of prioritized internal and external indicators responsible for spiritual awakening among these sufferers. In this paper, an attempt is made to compute OFDP (overall futuristic decision priority) weights to generate spiritual scenarios for spiritual awakening by using MCFDM (multi-criteria futuristic decision-making) methodology. The generated prioritized spiritual scenarios responsible for spiritual awakening among sufferers were then used to assess the effect of some kind of disease (physical problem, suffering, disorder, etc.) on strengthening their religious faith and defining their optimal spiritual trajectories towards ultimate reality. In this research work, a two-phased DRFI (disease-religious faith-interaction) experiment is also designed and developed. The results derived from Phase-I pilot research study based on prioritized spiritual scenarios on 20 male and female sufferers are also presented.

关键词：疾病评估宗教信仰实验设计多准则决策优先级指标方案未来主义

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HIV Prevalence amongst Pregnant Women Clients Attending Antenatal Clinic at the Faith Alive Foundation and PMTCT Centre, Jos Plateau State

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World Journal of AIDS 2016年第2期6卷 59-64页

作者： Anyaka Charles Oyebode Tinuade Musa Jonah Isichei mercy Anyaka Ifechi Isichei Christian Department of Obstetrics and Gynaecology University of Jos/Jos University Teaching Hospital Jos Nigeria Faith Alive Foundation and hospital Jos Nigeria Department of Surgery University of Jos/Jos University Teaching Hospital Jos Nigeria Our Lady of Apostles hospital Jos Nigeria Department of Chemical Pathology University of Jos/Jos University Teaching Hospital Jos Nigeria

Introduction: HIV infection and AIDS is a public health problem worldwide, particularly affecting the populace in resource challenged setting like sub-saharan Africa. Women of reproductive age are mostly affected and infected with the HIV disease. Methodology: A cross-sectional study of 216 randomly selected women that booked for antenatal care at the Faith Alive Foundation and PMTCT centre Jos between 1st July to 31st December, 2014 was carried out. Information regarding age, parity, gestational age at booking, educational status and HIV sero-status of the clients was analysed. Screening test was conducted in a serial two step approval using determine and UNIGOLD as the confirmatory test, while STAT-PAK was the tie-beaker with discordant result as per the national algorithm. Positive samples were confirmed by western blot method. Result: A total of 18 women out of the 216 women studied were positive giving a sero-prevalence rate of 8.3%. The highest sero-prevalent rate was amongst 25 - 29 years age group (31.5%). Women of parity 1 - 4 constituted the highest group of 62.9%. Majority of the women 65.7% booked in the second trimester while 26.9% booked in the 3rd trimester. Most of the women 47.2% had secondary school education while only 5.6% of them had no form of education. Conclusion: HIV infection prevalence rate among antenatal attendants at Faith Alive Foundation and PMTCT centre Jos is still high. Multisectorial approach and intervention strategies should be further scaled up for the prevention of vertical transmission of the virus. However, it is worth noting that it is mainly an HIV/AIDS hospital which should have affected the outcome.

关键词： HIV Prevalence Antenatal Clinic Faith Alive Foundation and PMTCT Centre Jos Plateau State

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Screen-and-Treat Approach in Secondary Prevention of Cervical Cancer among HIV-Infected Women in Faith Alive hospital, Jos Nigeria

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Open Journal of Obstetrics and Gynecology 2023年第4期13卷 792-801页

作者： John Onyeji mercy W. Isichei Charles U. Anyaka Emmanuel Osayi Olabanjo O. Ogunsola Oluwatomiini Ademuyiwa Abeeblahi Olafare Oluseye Ajayi Christian O. Isichei Solomon A. Sagay Perpetual C. Christopher Department of Obstetrics and Gynaecology Bingham University Teaching Hospital Jos Nigeria Faith Alive Foundation hospital Jos Nigeria Department of Surgery Jos University Teaching Hospital Jos Nigeria Department of Obstetrics and Gynaecology Jos University Teaching Hospital Jos Nigeria APIN Public Health Initiatves Abuja Nigeria Department of Chemical Pathology Jos University Teaching Hospital Jos Nigeria

Background: Cervical cancer is the fourth most common cancer among women globally, the second most common cancer in Nigeria and the most common cause of cancer-related death in Africa. In 2020, World Health Organization in its updated guidelines recommended cervical cancer screening using HPV DNA, HPV mRNA tests and subsequent treatment as appropriate. However, in resource-poor settings, Visual Inspections with Acetic Acid (VIA), Lugol’s Iodine (VILI) and subsequent treatment of precancerous lesions with thermal ablation remain the practical approaches. Objectives: To determine the prevalence of precancerous cervical lesions and associated risk factors among Women Living with HIV (WLHIV). Methods: A retrospective study on sexually active WLHIV aged 16 - 55 years screened for cervical cancer using VIA and VILI within 16 months period in Faith Alive hospital Jos. Data were analyzed using IBM-SPSS 26. Sociodemographic characteristics of the study participants and the screening results were presented in frequency tables, and logistic regression was performed to determine risk factors of pre-cancerous lesions. Results: 1113 women were screened for cervical cancer using VIA/VILI. 994 (89.3%) were negative, 101 (9.1%) were positive for precancerous lesions, and 18 (1.6%) were suspicious of cervical cancer. The mean age of clients with pre-cancerous lesions was 41.32 ± 9.89 years. A higher positivity yield (69.4%) was found in ages between 36 and ≥55 years while a less positivity yield (30.6%) was found in age’s ≤ 35 years. History of STI had 1.64 fold risk association with precancerous lesions. Conclusion: Our study demonstrated a high prevalence of precancerous cervical lesions among WLHIV;bimodal age distribution for cancer-suspicious lesions and risk associated with STI. Thus, a “screen-and-treat” approach to cervical cancer prevention by VIA and thermal ablation in resource-poor settings should be undertaken until widespread HPV testing to triage clients is feasible.

关键词： Faith Alive Women Living with HIV VIA Screen-and-Treat

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与Gartner管持续存在有关的先天性泌尿生殖道异常:文献回顾

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世界核心医学期刊文摘（妇产科学分册） 2006年第12期2卷 5-5页

作者： Dwyer P.L. Rosamilia A. 翁梨驹 Departm ent of Urogynaecology Mercy Hospital for WomenMelbourneAustralia

The embryogenesis and management of congenital urogenital anomalies that are associated with ureteric ectopia and the persistence of Gartner’s duct are discussed. Ureteric ectopia with Gartner’s duct cyst is caused by the failure of separation of the ureteric bud from the mesonephric duct,which leads to persistence of Gartner’s duct,frequently with cystic dilation. Abnormal development of the ureter subsequently causes maldevelopment or absence of the ipsilateral kidney. The diagnosis and treatment of 2 adult women with congenital urethrovaginal fistula that was associated with unilateral single ectopic ureter,renal agenesis,and Gartner’s duct anomaly are presented. Surgical repair of the urethrovaginal fistulae and removal of the Gartner’s duct and cyst was performed transvaginally.

关键词：泌尿生殖道 Gartner 文献回顾输尿管芽肾发育不良中肾管单侧输尿管发育异常尿道阴道瘘

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