Teikyo Medical Journal

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Teikyo Medical Journal

Journal ID : TMJ-17-05-2022-11288

Total View : 451

Title : Sensitivity and Specificity of Serological Test Compared to Real-Time Polymerase Chain Reaction (RT-PCR) in COVID-19 Patients

Abstract :

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is a new coronavirus, which was first detected in Wuhan, China. The high number of cases and the rapid process of infection require fast and accurate detection to establish a diagnosis of COVID-19. The study aimed to obtain the sensitivity and specificity of the SARS-CoV-2 Architect IgG serological test compared to RT-PCR in COVID-19 patients. This study uses a cross-sectional approach to diagnostic testing, using 128 patients obtained at Persahabatan Hospital. This study took place from April 2021 to July 2021 at the Persahabatan Hospital. Patients swabs were taken for RT-PCR and blood drawn for serological testing using the Architect® i2000SR from Abbott. This study obtained Architect sensitivity results of 27.37% (18.72–37.48%) and specificity results of 63.64% (45.12–79.60%), as well as NPV of 23.33% and PPV of 68.42%. Serology tests using Architect have low sensitivity and specificity, so it cannot be used as a screening test in the population.

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Journal ID : TMJ-16-05-2022-11286

Total View : 449

Title : Severity of pre-eclampsia and the risk of future cardiovascular disease: a systematic review and meta-analysis

Abstract :

Pre-eclampsia (PE) is found in 2-8% of pregnancies and is one of the leading causes of mortality and morbidity. Several studies showed an increased cardiovascular risk of PE in the form of hypertension, heart failure, ischemic heart disease, venous thromboembolism and death. This study aims to evaluate all available evidence on the effect that PE with severe features has on long-term cardiovascular risk compared with PE without severe features. PubMed and ProQuest were searched from January 2000 to December 2019 to identify relevant articles. We estimated the risk by using random effect meta-analysis. Twelve studies involving more than three million women were included. Our study showed the pooled relative risks (RRs) for women with a history of severe PE compared with mild PE were 1.32 (95 % confidence interval [CI] 1.13-1.53) for hypertension, 1.74 (95% CI 0.81-3.72) for heart failure, 1.06 (95% CI 0.78-1.43) for ischemic heart disease, 1.20 (95% CI 0.93-1.54) for thromboembolism, 1.46 (95 % CI 0.92-2.32) for cardiovascular hospitalization, and 1.02 (95 % CI 0.73-1.43) for cardiovascular mortality. Other study on ventricular fibrillation could not be pooled. Severe preeclampsia has an increased risk of hypertension by one- to two-fold compared to mild preeclampsia. Women with a history of preeclampsia should be educated about lifestyle modification as well as regular monitoring to reduce the risk of cardiovascular disease. Further consideration and evaluation should be given to preeclampsia with severe features.

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Journal ID : TMJ-15-05-2022-11285

Total View : 479

Title : Post-traumatic Stress Disorders and its impact on Health-Related Quality of Life among elderly during the post-COVID-19 era: Comparative study.

Abstract :

Covid-19 has a negative influence on the social, psychological, physical, and mental health of patients such as, increasing the likelihood of nervousness, and post-traumatic stress disorder (PTSD) especially among elderly. The aim of this research was to identify the level of the post-traumatic stress disorder and its impact on quality of life among those who survived the COVID-19 epidemic and their control group, as well as their associated correlates. Comparative cross-sectional research was undertaken among elderly patients (112Covid-19 patients and 112 non Covid-19 patient), including males and females, aged 60 and up. attending outpatient clinics and admitted to geriatric hospital in Ain shams university hospitals. Data collected by using three- sections structured questionnaire including sociodemographic and clinical section, Posttraumatic Stress Disorder Checklist-5 and Older People’s Quality of life Questionnaire. There was statistically significant difference (p <0.05) between elderly suffering from Covid-19 and elderly not suffering from Covid-19 in all items of Quality of Life and in development of post-traumatic stress disorders. In covid-19 group the Post traumatic stress disorders was statistically negative correlate with Quality Of Life, and severity of Covid-19 was significant factor affect it. The research found that QOL and PTSD are critical aspects of older people's life following Covid-19 infection. So There is an urgent need to raise awareness regarding post- COVID PTSD in the elderly population, with better psychological support services, as well as crisis interventions, to help this group cope with anxiety and post-traumatic stress disorder.

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Journal ID : TMJ-12-05-2022-11284

Total View : 443

Title : A Scoping Review of Hospital Strategic Planning in the COVID-19 ‎Era: Present Era and Future

Abstract :

Hospitals, as an organization, must implement a survival mechanism. Strategic plans that have been previously devised become guidelines and directions of the organization’s business processes, most of which must undergo changes and adjustments according to the conditions of the coronavirus disease 2019 (COVID-19) pandemic. This review systematically aimed to reevaluate the strategic planning of various hospitals and to evaluate multiple strategic planning aspects that more frequently change during the COVID-19 pandemic. This review is intended to determine whether strategic planning may still be modified and used despite various unexpected events such as the COVID-19 pandemic. Literature searches were initially performed on December 13, 2020. Besides the manual search of some journals in-hospital administration, electronic databases, including Proquest, Scopus, Ebscohost, and Cochrane Library, were explored for articles published in English on the hospital strategic planning used when facing the COVID-19 pandemic. A total of 1448 eligible articles were identified through initial searches, among which 1245 were excluded due to duplication, and 170 articles were excluded as the contents in the title and abstract were irrelevant to this review. The remaining 33 studies were screened again using the inclusion and exclusion criteria. An additional five articles that were not detected in the database search were found from the reference lists of selected articles using manual search. Subsequently, 21 articles were removed after a full-text review. Finally, 17 articles met the inclusion criteria for this review. The framework for determining the level of uncertainty surrounding strategic planning and for tailoring the strategy to that uncertainty. Efforts to respond to pandemics at the outset and then implement strategic steps largely depend on the resilience of hospitals. Strategic planning transformation can be the solution for hospital organizations to be resilient and move forward in an uncertain era.

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Journal ID : TMJ-12-05-2022-11283

Total View : 390

Title : Children’s Preference for Dentists’ Attire Based on Gender and Age Groups in Children Without Any Prior Dental Experience

Abstract :

This cross-sectional survey research investigates children's preference for dentists' attires based on different age groups and gender. Hundred twenty children were divided equally into two age-based groups, seven to nine years old and 10 to 12 years old with an equal number of male and female participants in each group. Data was collected using pretested survey form designed with photographs of four different types of dentists’ attire for the children to choose from. Pearson’s chi-square and multinomial logistic regression statistics were used to determine the association and interactions between independent and dependent variables. Pearson’s chi-square test with Bonferroni’s correction showed statistically significant association between gender [χ2 (3, N = 120) = 13.84, p < 0.01] and age group [χ2 (3, N = 120) = 8.13, p < 0.04] with type of preferred attire. Subsequently, the nominal logistic regression showed boys are less likely to choose pattern and colour attires compared to white coat [Odds Ratios of 0.22 (95%CI 0.06-0.79) and 0.23 (95%CI 0.07-0.73)] respectively. Furthermore, children in the upper age group (10 – 12 years old) are less likely to select pattern, formal and colour attires compared to white coat [Odds ratios of 0.12 (95%CI 0.03-0.47), 0.14 (95%CI 0.04-0.46) and 0.22 (95%CI 0.06-0.76)] respectively. Children’s gender and age influence the selection of dentists’ attire. Boys favour white coat and girls like more pattern and colour attires. Older children favour white coat more than other attire types.

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