ABSTRACT
Objective To investigate the effect of multiple physical exercises in improving the physical and mental health of PLA medical staffs in the Chinese Ebola Treatment Unit in Liberia. Methods The subjects were the Chinese medical staffs from People) Liberation Army who worked in the Chinese Ebola Treatment Unit in Liberia. The subjects were organized to participate in a variety of physical exercises during their stay in Liberia. And the effects of exercise on sleep, emotion, fear, physical quality of the subjects were investigated by a self-designed questionnaire. Results More than 60. 29% of the medical staffs believed that multiple physical exercises could improve their sleep quality; more than 80% thought that it could bring joyful mood, relieve anxiety, improve appetite, and enhance the physical quality and immunity; and 76. 47% appeared satisfied with the multiple physical exercises organized by the medical team. Running (25. 00%), fast walking (21. 88%), aerobic gymnastics (17. 19%) and badminton (17. 19%) in order were thought to be the most important exercises for improving the mood and physical fitness. The consistency analysis showed that the Kappa values between table tennis and running, walking were 0. 333 and 0. 381, respectively (P<0. 01), and the Kappa value between football and running was 0. 340 (P<0. 01). Conclusion Multiple physical exercise can improve the physical and mental health of medical staffs working in Chinese Ebola Treatment Unit in Liberia. Whole body exercises including running, walking, aerobics gymnastics and badminton have significant improvement effect, and they may be used to improve the physical health of staffs involved in other similar missions in the future.
ABSTRACT
<p><b>BACKGROUND</b>More and more Chinese drink hot water from water dispensers while many children were scalded due to this change. The present study aimed to propose a feasible strategy for prevention.</p><p><b>METHODS</b>A retrospective study was conducted for all water dispensers related pediatric burns admitted to Changhai Hospital from January 2005 to December 2009.</p><p><b>RESULTS</b>The number of new cases and incidences of pediatric burns due to hot water from water dispensers was significantly increasing year after year. In the total 238 involved cases, 175 cases happened on males and 78.9% were at the age of 1 - 4 years. The burn areas were mainly located in upper extremities. All water dispensers in the surveyed families had no isolate protection devices and 85.2% of their locations were easy for children to reach. Nearly half of the children were in the same room with their guardians when injured. Total 196 burned children were playing the taps of water dispensers before injured, unfortunately, 80.6% of them have not been stopped until burned.</p><p><b>CONCLUSION</b>As the kind of burns is quite serious and with bad outcome, some recommendations should be followed, such as buying water dispensers with protection devices, keeping children from touching them and so on.</p>
Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Accidents, Home , Burns , Epidemiology , Retrospective Studies , WaterABSTRACT
<p><b>BACKGROUND</b>Unplanned extubation is associated with adverse outcomes in intensive care unit. The massive burn patient differs from other critically ill patients in many ways. However, little is known about the unplanned decannulation (UD) in Burn Intensive Care Unit. This paper describes the special features of the circumstances and outcome of UD of tracheotomy tube in massive burn patients.</p><p><b>METHODS</b>A case series study was performed between January 1999 and December 2008 and UD of tracheotomy tube was analyzed retrospectively. A total of 21 patients with 29 UD events were identified. Demographic data, diagnosis, intervention, UD events and outcome of UD patients were collected. Differences in proportions were compared using the chi-square (χ(2)) or Fisher's exact test.</p><p><b>RESULTS</b>Patients with UD were often burned with head and neck (67%) and combined with inhalation injury (62%). The majority of them (76%) were transferred patients, occurred early (55%) and were accidental UD (79%). UD events tended to happen in day shift (90%) and to be associated with the medical procedure that was performing by caregivers at besides (79%). Loose of the stabilizing rope, medical procedure and tracheotomy malposition were the main causes of UD. Early UD and reintubation failure were associated with patients' death.</p><p><b>CONCLUSIONS</b>UD happened to massive burn patients can lead to patient death. Careful management of respiratory tract was essential for massive burn patients.</p>