Original Article
Zahra Alizadeh
EUROPEAN J MED ED TE, Volume 14, Issue 4, Article No: em2113
ABSTRACT
Introduction & Background: The current study aimed to compare the effect of vein finder device and conventional venipuncture technique on anxiety and physiological indices of children with 3-6 years old in pediatric medical care.
Methods and Materials: This is a randomized clinical trial which was conducted on 62 children between 3-6 Years old who were eligible according to the study inclusion criteria. This study was patients hospitalized in pediatric ward of Namazi hospital, Shiraz-IRAN, 2015. Vein finder device was applied in the intervention group while the control group receives the conventional venipuncture technique. Anxiety responses such as heart rate, respiratory rate, blood pressure, and blood oxygen saturation were assessed at 5 minutes both before and after the intravenous catheter placement procedure in both groups. Yale Preoperative Anxiety Scale (YPAS) was used to measure children’s anxiety scale. The data were analyzed by using paired t-test, independent t-test, and ANOVA test in SPSS software.
Results: Both groups were measured after the intervention. Parametric physiologic results reveal a significant difference in heart rate (p<0.001) and respiratory rate (p: 0.002) for both groups. No significant difference was reported for blood pressure and blood oxygen saturation. Mean anxiety score was reported 13/77 ± 1/94 in the intervention group and 18± 2/44 in the control group after applying the intervention (p: 0.001).
Conclusion: Study findings indicate a significant decrease of anxiety score for intervention group after the IV insertion. vein finder technology device was along with positive effects on anxiety reduction and physiologic indices balance for children between 3-6 years old, it can be applied as a proper method for IV catheterization in pediatric medical wards.
Keywords: anxiety, IV catheterization, hospitalized children
Original Article
Ayse Inel Manav, Saliha Bozdogan Yesilot, Emir Ibrahim Isik
EUROPEAN J MED ED TE, Volume 14, Issue 4, Article No: em2114
ABSTRACT
Objectives: This study was conducted to evaluate the effect of a dual-task training with online video-based reminiscence therapy on the cognitive status and balance of older people with mild cognitive impairment.
Materials and Methods: This is a randomized controlled experimental study. The study was carried out on August-October, 2018 in a Nursing Home. The study sample included 24 older people. The experimental group simultaneously did cognitive exercises including online video-based reminiscence therapy and balance exercises. The data were collected by Personal Information Form, the Standardized Mini-Mental State Examination, the Timed Up and Go Test, the Berg Balance Scale, the Single Task Timed 10 Meter Walk Test. The statistical analyses were performed using by IBM SPSS 22 and R Studio.
Results: The differences in the groups’ scores on the Standardized Mini-Mental State Examination, the Timed Up and Go Test, the Single Task Timed 10-Meter Walk Test, and the Berg Balance Scale were found significant.
Conclusions: This intervention made a significant improvement in the cognitive function and the balance of older people with mild cognitive impairment.
Keywords: older people, dual-task training, video-based reminiscence therapy, cognitive status, balance
Brief Report
Orkun Saricam, Dogan Akdogan
EUROPEAN J MED ED TE, Volume 14, Issue 4, Article No: em2115
ABSTRACT
Palliative care, special medical care for a person maintaining his/her life with a severe illness, is a philosophy of care and clinical specialty that improves the life quality of the patient and his/her family, providing relief from the symptoms and stress of life-threatening diseases. For families and healthcare professionals, caring for COVID-19-infected patients require complex symptom management, specific care goals, and psychosocial support. There are studies in the literature showing many favorable aspects of palliative care enabling achievements such as improvements in the quality of life, a shortened length of hospital stay, and reduced costs of care. Palliative care should be provided to all patients in need, regardless of their prognosis, and patients should have access to such life-supporting interventions.
Keywords: COVID-19, palliative care, respiratory failure
Original Article
Blerta Budani, Erblin Shehu
EUROPEAN J MED ED TE, Volume 14, Issue 4, Article No: em2116
ABSTRACT
COVID-19 is an infectious disease caused by a newly discovered strain of coronavirus, which affects the airway system in humans. This new version of the coronavirus became known in December 2019, after the spread of severe cases with pneumonia in Wuhan province, China which then spread worldwide causing a pandemic of international concern. Since the first confirmed case in Albania there have been 132,243 confirmed infections until May 25, 2021, of which 128,988 have recovered, 2,449 have passed away and 806 were active patients.
A descriptive study approach was used to determine the epidemiological characteristics of COVID-19 in Albania. The collected data includes the official number of confirmed cases: the active and recovered ones, as well as the number of deaths from day 1 (9 March) to May 25, 2021, distributed by gender, age and region.
Data shows that females are slightly more likely to get infected by COVID-19. The people who got infected the most in Albania were between the ages of 30 to 59 years old. Mortality rate is higher for males and the age group 70+ is the most affected one.
Similarities were found between the sex and age distribution of COVID-19 epidemiology in Albania and other countries across the world. A similar pattern of infection, recovery and mortality rate was identified which as vaccines are rolling out, could lead to a more universal response to the pandemic.
Keywords: COVID-19, coronavirus, pandemic, Albania
Original Article
Hilal Karabag Citlak, Huseyin Kaya, Ismail Kursad Gokce
EUROPEAN J MED ED TE, Volume 14, Issue 4, Article No: em2117
ABSTRACT
Sirenomelia is a rare congenital structural anomaly characterized by developmental disorders of the caudal region. Abnormalities observed in sirenomelia constitute the most severe form of caudal regression syndrome (CRS). It can be diagnosed by antenatal ultrasonography. The present study aimed to discuss a case with sirenomelia born from a mother with a history of gestational diabetes mellitus (GDM) and hypothyroidism. The present study is the first case report in the literature in which maternal hypothyroidism and sirenomelia were found simultaneously.
Keywords: sirenomelia, mermaid syndrome, caudal regression, hypothyroidism