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Objective:To explore the status of cancer health literacy of female patients with breast cancer and analyze its influencing factors, in order to provide a reference for formulating targeted interventions to promote the cancer health literacy of female breast cancer patients.Methods:A cross-sectional survey was conducted. From December 2021 to July 2022, 200 female breast cancer patients hospitalized in Hunan Cancer Hospital were investigated with general information questionnaire, chronic disease patients ′ Health Literacy Management Scale (HeLMS), Strategies Used by People to Promote Health (SUPPH) and Spiritual Attitude and Involvement List (SAIL). Results:The total score of cancer health literacy, self-management self-efficacy and spiritual attitude among female breast patients in this group was 84.63 (75.00, 97.00), 97.30(85.25, 112.00) and 105.00(96.00, 118.00) points. There was a positive correlation between cancer health literacy and self-management efficacy ( r=0.524, P<0.01) and spiritual attitude ( r=0.501, P<0.01). Multiple linear regression analysis showed that education level, average monthly family income, self-management efficacy and spiritual attitude were the influencing factors of cancer health literacy of female breast cancer patients ( t values were 2.86 to 5.91, all P<0.05), which explained 45.7% of the total variation. Conclusions:The cancer health literacy of female patients with breast cancer is at a medium level. Nursing staff can improve the self-management efficacy and spiritual attitude of female patients with breast cancer, so as to improve the level of cancer health literacy and quality of life of patients, and then alleviate the pain of patients.
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Objective:To analyze the relationship between physical appearance perfectionism, negative body self, fear of negative evaluation and social appearance anxiety in female patients with psoriasis.Methods:A total of 251 female patients with psoriasis in Xinhua Hospital Affiliated to Medical College of Shanghai Jiaotong University from June 2019 to June 2020 were selected as the subjects. Physical Appearance Perfectionism Scale (PPAS), Social Appearance Anxiety Scale (SAAS), Brief Fear of Negative Evaluation Scale (BFNES) and Negetive Physical Self Scale (Npss) were used in the survey. The correlation of negative body self and negative evaluation fear between the appearance perfectionism and social appearance anxiety of female psoriasis patients was analyzed.Results:The score of physical appearance perfectionism was 49.42±5.32, the score of social appearance anxiety was 58.72±6.24, the score of fear of negative evaluation was 30.59±7.21 and the score of negative physical self was 29.21±6.24. Pearson correlation analysis showed that there was a significant positive correlation among physical appearance perfectionism, social appearance anxiety, fear of negative evaluation and negative physical self ( r value was 0.402-0.488, P<0.01). The mediating effect of negative physical self between physical appearance perfectionism and social appearance anxiety was 0.164 (95% CI 0.082-0.227), the mediating effect of negative body self between physical appearance perfectionism and social appearance anxiety was 0.152 (95% CI 0.079-0.214) and the chain mediating effect of fear of negative evaluation and negative physical self was 0.067 (95% CI 0.025-0.108). Conclusions:Female patients with psoriasis have a high level of physical appearance perfectionism, which can directly affect their social anxiety, while fear of negative evaluation and negative physical self indirectly affect the correlation between appearance perfectionism and social appearance anxiety. Psychological intervention measures should be taken to reduce their psychological burden on their own appearance defects and carry out social anxiety and fear.
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EL Virus de Inmunodeficiencia Humana, constituye un grave problema de salud a nivel mundial. El VIH, es una patología que ataca las células CD4 del sistema inmunitario, ocasionando un desperfecto en el sistema inmune, lo cual hace más fácil la llegada de infecciones o enfermedades oportunistas. Objetivo: Conocer la especificidad de las pruebas rápidas y pruebas confirmatorias de pacientes con VIH en edades reproductivas del Hospital General Esmeraldas Sur, en el área de laboratorio clínico. Metodología: Es un estudio Cuantitativo, de corte longitudinal retrospectivo, con alcance descriptivo, que permitió ordenar, interpretar y tabular los resultados de las pruebas rápidas y pruebas confirmatorias de VIH/sida de pacientes femeninas en edades reproductivas. Evidenciándose la falta de información en el registro de pacientes con VIH/sida del HGES, de los datos estadísticos, en 49 pacientes femeninas registras en el HGES. Resultados: El estudio indica que existe un predominio de pacientes con VIH/sida 30 casos corresponde a pacientes al grupo etario ≤ 30 años, seguido por 12 casos que corresponde a pacientes del grupo etario ≤ 40 años, mientras que los pacientes del grupo etario ≤ 45 representan un 8% (4 casos) y el 6% (3 casos) corresponde a pacientes ≤ 20. El 61% corresponde a ≤ 30 años, en segundo lugar, con el 25% las ≤ 40 años. Conclusiones: Los registros observados en el HGES, durante el proceso de investigación, no fueron suficientes para alcanzar el objetivo propuesto, para tal efecto es necesario disponer de los registros completos de los pacientes con VIH/sida en todas las pruebas, según en algoritmo de la OMS. Además, de brindar confianza a la ciudadanía con resultados de calidad, se debe utilizar recursos tecnológicos y demás instrumentos que permitan al profesional de salud, dar un diagnóstico correcto y oportuno. Todo enmarcado en la ética principal, la conservación de la vida(AU)
The Human Immunodeficiency Virus constitutes a serious health problem worldwide. HIV is a pathology that attacks the CD4 cells of the immune system, causing damage to the immune system, which makes it easier for infections or opportunistic diseases to arrive. Objective: To know the specificity of the rapid tests and confirmatory tests of patients with HIV in reproductive ages of the General Hospital Esmeraldas Sur, in the clinical laboratory area. Methodology: It is a quantitative study, retrospective longitudinal section, with descriptive scope, which allowed ordering, interpreting and tabulating the results of rapid tests and confirmatory tests of HIV / AIDS of female patients of reproductive ages. Evidence of the lack of information in the registry of patients with HIV / AIDS of the HGES, of the statistical data, in 49 female patients registered in the HGES. Results: The study indicates that there is a predominance of patients with HIV / AIDS. 30 cases correspond to patients in the age group ≤ 30 years, followed by 12 cases corresponding to patients in the age group ≤ 40 years, while patients in the age group ≤ 45 represent 8% (4 cases) and 6% (3 cases) correspond to patients ≤ 20. 61% correspond to ≤ 30 years, secondly, with 25% those ≤ 40 years. Conclusions: The records observed in the HGES, during the research process, were not sufficient to achieve the proposed objective, for this purpose, it is necessary to have complete records of patients with HIV / AIDS in all tests, according to the algorithm of The OMS. In addition, to provide confidence to the public with quality results, technological resources and other instruments must be use that allow the health professional to give a correct and timely diagnosis. All framed in the main ethic, the conservation of life(AU)
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Femenino , Adolescente , Adulto , Persona de Mediana Edad , Antígenos CD4 , Células , VIH , Técnicas de Laboratorio Clínico , Diagnóstico , Sistema InmunológicoRESUMEN
Background: Specialized female surgical clinics are the basic requirement in surgical department which should be addressed routinely. The management of surgical problems in female patients requires multidisciplinary approach mainly general surgery, obstetrics and gynaecology, general medicine, paediatrics, dermatology and psychiatry. If proper care is provided then this will uplift the follow up of same patients in such clinics. The objective of the study was to assess the success rate of female surgical clinics and to determine the follow up visits done by female patients once visited the female surgical clinics.Methods: Prospective educational interventional study was conducted. A total of 952 patients visiting the clinic were studied. Statistical analysis was done.Results: Out of 952 cases 944 (99.2%) cases were willing to continue visit to the clinic, while 809 (84.9%) cases revisited for follow up treatment in female surgical clinics within one year duration.Conclusions: It can be concluded that there is a requirement and need of a fully functional specialized female surgical clinic in our hospital. As the success rate for follow up visit by patients in this clinic was high.
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Objective To investigate gait characteristics of both lower limbs in female patients before and after unilateral total knee arthroplasty (TKA). Methods Based on three-dimensional (3D) motion capture system and independent-sample t test, gait parameters of 10 female patients were compared in both lower limbs and compared with those of 10 healthy subjects before and after TKA. Results The preoperative stance phase, peak adduction angle, adduction-abduction range of motion (ROM) and peak flexion moment of the unoperated knee were significantly higher than those of the operated knee (P<0.05), while postoperative gait parameters were similar in both sides. Compared with the control group, the patients had significantly lower speed and stride length, longer double support time before TKA (P<0.05). Moreover, the operated knee demonstrated significantly lower peak extension and adduction angles, adduction-abduction ROM, peak flexion and abduction moments, higher peak adduction moment, and the unoperated knee revealed significantly lower peak extension angle, higher peak flexion and adduction moments than the control group before TKA (P<0.05). The greater differences of peak knee extension angles and adduction moments of both sides still existed in the two groups after TKA (P<0.05). Conclusions Unilateral TKA could ease pain and reduce gait deviations in both lower limbs of patients. However, there were still gait differences compared with the control group. Patients still suffered deficits in joint function, such as muscle strength and proprioception, and revealed pathological gait and posture. It’s advised that patients should enhance muscle strength of the operated limb, and take gait correction exercises. Female patients should also control walking speed to avoid increasing pressure on the knee after TKA.
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Periodontal tissue is the target tissue of sex hormone, physiological change of sex hormones affects the response of periodontal tissue to bacterial plague. The treatment of periodontal disease of female patients in special periods such as adolescence, menstruation, prepregnancy, pregnancy, puerperium, and menopause should be chosen carefully and correctly. This article attempts to expound these issues.
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Background: Obesity is an important preventable risk factor that can affect wound healing. Oral hypoglycemic drug metformin apart from its antihyperglycemic and not hypoglycemic property has been reported to promote wound healing in nondiabetic animal studies and weight reduction in non-diabetic individuals. Hence, this: prospective randomized study single-blind placebo-controlled study was designed with the aim to assess the efficacy and safety of metformin in wound healing and weight reduction in a tertiary care hospital in Pondicherry during the period between December 2012 and January 2014. Methods: 215 non-diabetic post-operative patients with body mass index (BMI) of 25-29.9 kg/m2 from the Department of Obstetrics and Gynecology included after obtaining informed consent received tablet metformin 500 mg or placebo B.D from 2nd post-operative day up-to 30 days. Fasting blood sugar, postprandial blood sugar, BMI were recorded initially, and at the end. Clinical evaluation of wound was done on 8th, 15th and 30th post-operative days. Unpaired t-test was applied to compare the two groups for quantitative analysis and Chi-square test to analyze the qualitative outcome by using GraphPad prism - 6 software. p<0.05 was considered to be statistically significant. Results: Surgical site infection of 13.3% and 3.3% was observed in control and metformin groups respectively. Wound healing promoting effect of metformin was evidenced by p=0.0087 and 0.01 on 8th and on 15th day. Weight reducing effect was evidenced by p=0.0001 on comparing BMI. No significant hypoglycemia was observed. No adverse drug reaction was reported. Conclusions: Our study has shown metformin having best wound healing and weight reducing effect without producing hypoglycemia. Long-term studies on all types of surgeries in both males and females including emergencies are suggested.
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Objective To analyze the falls of female inpatients with the psychotics diseases and summarize effective nursing intervention. Method Two hundred and eighty-nine psychiatric female inpatients from April 2014 to August 2014 were collected, and the reasons of falls cases during this period were analyzed and nursing methods were formulated. Result Nine patients fell, with an incidence of 3.11%(9/289) including the reason of lack of risk dynamic evaluation, lack of fall prevention measures and shortage of nursing personnel. Conclusions The reasons for the falls of the hospitalized psychiatric female patients include lack of risk dynamic evaluation, lack of fall prevention measures, shortage of nursing personnel. The nursing countermeasures include risk assessment of dynamic management and the implementation of the fall prevention measures , strengthening training and health education so as to prevent and reduce the occurrence of falls and ensure patients'safety.
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Ischemic heart disease is estimated to be the most important cause of mortality by the end of 2020 world wide despite sufficient improvement in health care. It has several modifiable and few non modifiable prognostic variables. Therefore, we analyzed the data of all patients admitted for the first time for acute myocardial infarction (MI) and evaluated the long term modifiable prognostic variables retrospectively. We did not find any difference in the age, blood pressure, hematological and several biochemical parameters between patients who survived and those who expired in 4 years of follow up. Our study revealed that in the expired group patients, the mean admission heart rate, ejection fraction, serum urea and creatinine levels were higher and bicarbonate level was lower compared to survived group patients at the first attack of MI. Also, despite the less incidence of myocardial infarction in females, the percentage of cardiac death was higher in female MI patients. We suggest from our retrospective analysis that MI patients with higher heart rate, altered renal function and metabolic acidosis should be rigorously followed up and special counseling should be provided to old age female patients for better prognosis and survival.
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Objective To explore the correlation between phenotypes in female with X-linked Alport syndrome(XLAS) and X-inactivation of different tissues.Methods Thirty-six female diagnosed as XLAS were studied,and proteinuria was taken as a marker of the severity of clinical phenotypes.X-inactivation patterns were analyzed in peripheral blood cells of 36 XLAS female and in skin fibroblasts of 12 XLAS female.The X-inactivation analysis was performed by using Hpa Ⅱ predigestion of DNA followed by polymerase chain reaction(PCR) of the highly polymorphic CAG repeat of the androgen receptor gene.Results The average X-inactivation levels of the mutant allele decreased while the degree of proteinuria increased,so there was a negative correlation between the degree of proteinuria and the X-inactivation ratios of the mutant allele in blood cells(r=-0.543,P=0.002).However,there was no correlation between the degree of proteinuria and the X-inactivation ratios of the mutant allele in skin fibroblasts(r=-0.131,P=0.701).Conclusions X-inactivation ratios might explain partially the diverse phenotypes in XLAS female patients,which suggested that the prognosis of XLAS female might be predicted via analysis of the X-inactivation in peripheral blood cells.