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6541. The experience of family carers of children with incurable cancer: a qualitative study from the occupied Palestinian territory.
Treatments for childhood cancers have raised the survival rate, however different forms of malignancy continue to cause untimely deaths, and cancer remains a leading cause of death among children. Global research on paediatric cancer is limited for several reasons. Most research has focused on specific methodologies, including questionnaires with heterogeneous samples. In addition, many studies have covered a broad range of cancer diagnoses, and a wide range of children's ages and periods between diagnosis and treatment. These methods are unable to capture the essence of experiences and cultural differences. This study aimed to explore the experience of family carers of children with incurable cancer in occupied Palestinian territory.
6542. The prevalence of diabetic peripheral neuropathy among diabetic Palestinian refugees in the Nuzha area, Jordan: a cross-sectional study.
Diabetic peripheral neuropathy (DPN) is the most common type of diabetic neuropathy. It accounts for significant morbidity, including lower extremity amputations. There are few studies on the prevalence of DPN among Palestinian refugees in Jordan. This study aimed to determine the prevalence of DPN and its associated factors among Palestinian refugees with diabetes in the Nuzha area of Jordan, using the Michigan Neuropathy Screening Instrument (MNSI).
6543. Visual outcomes associated with delay from trauma to surgery for open globe eye injury in Palestine: a retrospective chart review study.
Open globe eye injuries have poor visual outcomes. In Palestine, no studies have completely described the impact of time delays to surgery on visual outcomes. This study examines the causal factors for open globe eye injuries, time to presentation, and the effects of delays to surgery on visual outcomes.
6544. Clinical audit as a quality improvement tool in the Gaza Strip: an audit of audits.
作者: Said Alyacoubi.;Bettina Böttcher.;Loai Albarqouni.;Khamis Elessi.
来源: Lancet. 2021年398 Suppl 1卷S13页
Clinical audit plays a fundamental role in improving the quality of patient care and hence, is considered a cornerstone of clinical governance. This quality improvement tool is newly introduced in the health-care system of the Gaza Strip. Although the number of audits completed in Gaza has been increasing over the past few years, little evidence is available of subsequent quality improvements in practice.
6545. Awareness and prevalence of needle stick injuries among cleaners and health-care providers in Gaza Strip hospitals: a cross-sectional study.
作者: Abdallah Alwali.;Ahmed Shaheen.;Mohammed Ahmed.;Zakaria Mansour.;Loay Kanou.;Belal AlQanoa.;Ahmed Abu-Lamzi.;Moath Enshassi.;Ahmed Kahlout.;Noureddin Shaheen.;Mahmoud Hamouda.;Bettina Böttcher.
来源: Lancet. 2021年398 Suppl 1卷S12页
Needle stick injuries (NSIs) are preventable hazards that can be avoided with appropriate staff training and safety systems. We assessed the prevalence and awareness of NSIs among health-care workers and cleaners in hospitals in Gaza.
6546. Assessment of pain control among patients with cancer in hospitals of the Gaza Strip: a cross-sectional study.
作者: Mohammad N Alswerki.;Abdallah Alwali.;Alaa Al-Aqad.;Mahmoud Hamouda.;Saad Al Massri.;Mohamedraed Elshami.;Khamis Elessi.
来源: Lancet. 2021年398 Suppl 1卷S11页
Poor control of cancer pain is a major public health problem worldwide. Many potential barriers can lead to suboptimal treatment of cancer pain. One such barrier is inadequate measurement and assessment of cancer-related pain control. This study aimed to assess current pain control and management for hospitalized adult patients with cancer in the Gaza Strip.
6547. The motives, academic performance, and career prospects of Gazan medical students abroad: a cross-sectional study.
作者: Muath Alser.;Mo'min Alkhatib.;Ahmed Alnakhala.;Mohammed Ibrahim Barhoom.
来源: Lancet. 2021年398 Suppl 1卷S10页
In Gaza, 2 million people have been affected by more than 13 years of strict land, air, and sea blockades and three wars, during which over 4000 people have been killed and many more have been injured. Additional severe effects have been seen on lives, aspirations, and prospects. Given the conditions, medical students have many competing reasons for and against studying medicine abroad. We investigated motives, academic situations, and future plans of the upcoming generation of doctors in Gaza, occupied Palestinian territory.
6548. Assessment of the influence of Facebook on eating out at fast food restaurants: a cross-sectional study of Palestinian college students.
Eating at fast food restaurants has become a worldwide phenomenon. To understand the factors that influence such behaviour is an important part of modern nutritional research. Social media may influence human eating behaviours in ways that have yet to be investigated. This study tests the possible relationship between two modern trends: social media usage and eating at fast food restaurants.
6549. Acute respiratory distress syndrome.
Acute respiratory distress syndrome (ARDS) is an acute respiratory illness characterised by bilateral chest radiographical opacities with severe hypoxaemia due to non-cardiogenic pulmonary oedema. The COVID-19 pandemic has caused an increase in ARDS and highlighted challenges associated with this syndrome, including its unacceptably high mortality and the lack of effective pharmacotherapy. In this Seminar, we summarise current knowledge regarding ARDS epidemiology and risk factors, differential diagnosis, and evidence-based clinical management of both mechanical ventilation and supportive care, and discuss areas of controversy and ongoing research. Although the Seminar focuses on ARDS due to any cause, we also consider commonalities and distinctions of COVID-19-associated ARDS compared with ARDS from other causes.
6552. Body-mass index and obesity in urban and rural China: findings from consecutive nationally representative surveys during 2004-18.
作者: Limin Wang.;Bin Zhou.;Zhenping Zhao.;Ling Yang.;Mei Zhang.;Yong Jiang.;Yichong Li.;Maigeng Zhou.;Linhong Wang.;Zhengjing Huang.;Xiao Zhang.;Liyun Zhao.;Dongmei Yu.;Chun Li.;Majid Ezzati.;Zhengming Chen.;Jing Wu.;Gangqiang Ding.;Xinhua Li.
来源: Lancet. 2021年398卷10294期53-63页
In China, mean body-mass index (BMI) and obesity in adults have increased steadily since the early 1980s. However, to our knowledge, there has been no reliable assessment of recent trends, nationally, regionally, or in certain population subgroups. To address this evidence gap, we present detailed analyses of relevant data from six consecutive nationally representative health surveys done between 2004 and 2018. We aimed to examine the long-term and recent trends in mean BMI and prevalence of obesity among Chinese adults, with specific emphasis on changes before and after 2010 (when various national non-communicable disease prevention programmes were initiated), assess how these trends might vary by sex, age, urban-rural locality, and socioeconomic status, and estimate the number of people who were obese in 2018 compared with 2004.
6554. Widespread implementation of a low-cost telehealth service in the delivery of antenatal care during the COVID-19 pandemic: an interrupted time-series analysis.
作者: Kirsten R Palmer.;Michael Tanner.;Miranda Davies-Tuck.;Andrea Rindt.;Kerrie Papacostas.;Michelle L Giles.;Kate Brown.;Helen Diamandis.;Rebecca Fradkin.;Alice E Stewart.;Daniel L Rolnik.;Andrew Stripp.;Euan M Wallace.;Ben W Mol.;Ryan J Hodges.
来源: Lancet. 2021年398卷10294期41-52页
Little evidence is available on the use of telehealth for antenatal care. In response to the COVID-19 pandemic, we developed and implemented a new antenatal care schedule integrating telehealth across all models of pregnancy care. To inform this clinical initiative, we aimed to assess the effectiveness and safety of telehealth in antenatal care.
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