scholarly journals EMS Stretcher “Misadventures” in a Large, Urban EMS System: A Descriptive Analysis of Contributing Factors and Resultant Injuries

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Jeffrey M. Goodloe ◽  
Christopher J. Crowder ◽  
Annette O. Arthur ◽  
Stephen H. Thomas
Keyword(s):  
Adverse Events ◽  
Significant Relationship ◽  
Descriptive Analysis ◽  
Hawthorne Effect ◽  
Contributing Factors ◽  
Exact Test ◽  
System A ◽  
Minor Injuries ◽  
One Year ◽  
The One

Purpose. There is a paucity of data regarding EMS stretcher-operation-related injuries. This study describes and analyzes characteristics associated with undesirable stretcher operations, with or without resultant injury in a large, urban EMS agency.Methods. In the study agency, all stretcher-related “misadventures” are required to be documented, regardless of whether injury results. All stretcher-related reports between July 1, 2009 and June 30, 2010 were queried in retrospective analysis, avoiding Hawthorne effect in stretcher operations.Results. During the year studied, 129,110 patients were transported. 23 stretcher incidents were reported (0.16 per 1,000 transports). No patient injury occurred. Four EMS providers sustained minor injuries. Among contributing aspects, the most common involved operations surrounding the stretcher-ambulance safety latch, 14/23 (60.9%). From a personnel injury prevention perspective, there exists a significant relationship between combative patients and crew injury related to stretcher operation, Fisher’s exact test 0.048.Conclusions. In this large, urban EMS system, the incidence of injury related to stretcher operations in the one-year study period is markedly low, with few personnel injuries and no patient injuries incurred. Safety for EMS personnel and patients could be advanced by educational initiatives that highlight specific events and conditions contributing to stretcher-related adverse events.

scholarly journals Pattern of Neuropsychiatric Illnesses in Geriatric Population: An Outpatient Study Report

2017 ◽  
Vol 4 (1) ◽  
pp. 12-19
Author(s):  
T.K. Aich ◽  
S. Shah ◽  
S Subedi
Keyword(s):  
Alcohol Dependence ◽  
Clinical Data ◽  
Psychiatric Patients ◽  
Descriptive Analysis ◽  
Medical Sciences ◽  
Geriatric Population ◽  
Psychiatric Illnesses ◽  
Alcohol Dependence Syndrome ◽  
One Year ◽  
The One

Introduction: Few studies are available till date on the pattern of neuro-psychiatric illnesses in geriatric population in Nepal.Objective: The study was aimed to know the demographic and clinical profiles of geriatric outpatients in our neuropsychiatry OPD.Method: This study was conducted at the Department of Psychiatry, Universal College of Medical Sciences-Teaching Hospital (UCMS-TH), Bhairahawa, Nepal. We screened through our ‘OPD case registrar’, which maintains few demographic and clinical data of all the new and old cases registered daily in the OPD. Socio-demographic and clinical data of all the patients in the age of 60 years and above were noted in a data sheet specially designed for the present study. This is a retrospective study by chart review. Descriptive analysis of these data were undertaken by using simple frequency distribution.Result: During the one year study period total number of new patients registered were 3711. Two-hundred and fifty-seven (6.9%) among them were in the geriatric age group (≥60 years age). Psychoses form the biggest diagnostic entity with 71 patients (27.6%) followed by Depression in 39 patients (15.2%), Chronic headache in 33 (12.8%), Alcohol Dependence Syndrome in 27 (10.5%), Anxiety disorders in 25 (9.7%) and Dementia in 23 (8.9%) elderly patients. We also recorded 11 patients (4.3%) with symptoms of Mania. ‘Psychosis’ and ‘Depression’, were more represented amongst female elderly while ‘Alcohol dependence’ and ‘Mania’ and were more frequently prevailed among male elderly patient population.Conclusion: Present study is expected to add some more light on this sub-specialty in Psychiatry and hope to induce more interest among young researchers to carry our further research among geriatric psychiatric patients in Nepal.

scholarly journals The Effect of Different Lower Third Molar Conditions on the Re-Crowding of Lower Anterior Teeth in the Absence of Tight Interproximal Contacts One-Year Post Orthodontic Treatment: A Pilot Study

2004 ◽  
Vol 5 (3) ◽  
pp. 66-73 ◽  
Author(s):  
Khalid M. Al-Balkhi
Keyword(s):  
Pilot Study ◽  
Orthodontic Treatment ◽  
Third Molar ◽  
Dental Arch ◽  
Third Molars ◽  
Lower Incisor ◽  
Exact Test ◽  
Anterior Teeth ◽  
One Year ◽  
The One

Abstract The role of lower third molars in lower incisor crowding is a debatable topic. Some believe the presence or eruption of lower third molars is associated with the crowding of mandibular incisors, others negate such association. Thirty-two newly debonded orthodontic patients, with ages ranging from 14-19 years, were randomly selected. No retainers were used for the lower dental arch. Removal of tight interproximal contacts of the lower anterior teeth was created and maintained by periodic abrasive stripping every 2-3 months, if needed. The cases were followed up for one year. Orthopantomographs (OPGs) and study casts were taken at debonding (post-treatment) and at the end of the one year follow up (post retention). Statistical analysis of the lower third molar conditions – erupted, unerupted, or missing with or without sufficient space for their eruption – versus re-crowding of lower incisors was evaluated using Fisher's Exact Test. The results of this pilot study revealed there was no significant correlation between the different conditions of the lower third molars versus lower anterior re-crowding in the absence of tight interproximal incisal contacts; however, a larger sample size is needed to verify such findings. Citation Al-Balkhi KM . The Effect of Different Lower Third Molar Conditions on the Re-Crowding of Lower Anterior Teeth in the Absence of Tight Interproximal Contacts One-Year Post Orthodontic Treatment: A Pilot Study. J Contemp Dent Pract 2004 August;(5)3:066-073.

scholarly journals Factors Affecting Implant Failure and Marginal Bone Loss of Implants Placed by Post-Graduate Students: A 1-Year Prospective Cohort Study

Materials ◽  
2020 ◽  
Vol 13 (20) ◽  
pp. 4511
Author(s):  
Gian Maria Ragucci ◽  
Maria Giralt-Hernando ◽  
Irene Méndez-Manjón ◽  
Oriol Cantó-Navés ◽  
Federico Hernández-Alfaro
Keyword(s):  
Graduate Students ◽  
Dental Implants ◽  
Implant Failure ◽  
Success Rates ◽  
Contributing Factors ◽  
Marginal Bone Loss ◽  
Post Graduate ◽  
One Year ◽  
The One

Statement of the problem: Most of the clinical documentation of implant success and survival published in the literature have been issued by either experienced teams from university settings involving strict patient selection criteria or from seasoned private practitioners. By contrast, studies focusing on implants placed and rehabilitated by inexperienced post-graduate students are scarce. Purpose: To record failure rates and identify the contributing factors to implant failure and marginal bone loss (MBL) of implants placed and rehabilitated by inexperienced post-graduate students at the one-year follow-up. Material and Methods: A prospective cohort study was conducted on study participants scheduled for implant therapy at the International University of Catalonia. An experienced mentor determined the treatment plan in accordance with the need of each participant who signed an informed consent. All surgeries and prosthetic rehabilitation were performed by the post-graduate students. Implant failure rate, contributors to implant failure, and MBL were investigated among 24 variables related to patient health, local site, and implant and prosthetic characteristics. The risk of implant failure was analyzed with a simple binary logistic regression model with generalized equation equations (GEE) models, obtaining unadjusted odds ratios (OR). The relationship between MBL and the other independent variables was studied by simple linear regression estimated with GEE models and the Wald chi2 test. Results: One hundred and thirty dental implants have been placed and rehabilitated by post-graduate students. Five implants failed before loading and none after restoration delivery; survival and success rates were 96.15% and 94.62%, respectively. None of the investigated variables significantly affected the implant survival rate. At the one-year follow-up, the mean (SD) MBL was 0.53 (0.39) mm. The following independent variables significantly affected the MBL: Diabetes, implant depth placement. The width of keratinized tissue (KT) and probing depth (PD) above 3 mm were found to be good indicators of MBL, with each additional mm of probing depth resulting in 0.11 mm more MBL. Conclusion: The survival and success rates of dental implants placed and rehabilitated by inexperienced post-graduate students at the one-year follow-up were high. No contributing factor was identified regarding implant failure. However, several factors significantly affected MBL: Diabetes, implant depth placement, PD, and width of KT. Clinical Implications: Survival and success rates of dental implants placed and rehabilitated by inexperienced post-graduate students were high at the one-year follow-up, similar to experienced practitioners. No contributing factors were identified regarding implant failure; however, several factors significantly affected MBL: Diabetes, implant depth placement, PD, and KM.

Technology-Enhanced Learning (TEL) in Higher Education

2019 ◽  
pp. 12-24
Author(s):  
Linda Daniela ◽  
Raimonds Strods ◽  
Daiga Kalniņa
Keyword(s):  
Higher Education ◽  
Data Analysis ◽  
Learning Outcomes ◽  
Descriptive Analysis ◽  
Technology Enhanced Learning ◽  
One Year ◽  
The One ◽  
Impact Of Technology ◽  
The Impact ◽  
Enhanced Learning

As technologies become more exciting, interactive, and reachable, various technological solutions are used in higher education. On the one hand, there is the conviction that technologies are indispensable, both for improving learning and for making learning process more effective, both in terms of learning outcomes and in terms of costs. Additionally, technology and technological solutions can provide sustainability of knowledge because students develop the competences that they will need in their future professional work. This chapter summarises the systematic literature review (SLR) carried out by the authors in analysing research that has been done on the impact of technology-enhanced learning on learning outcomes in order to understand what emerging research has been done, as the authors published a similar study one year ago. The SLR was conducted for the period of 2010 to 2018 by selecting peer-reviewed articles on specified terms. The selected articles were then analysed following sub-purposes. The descriptive analysis method was adopted for the data analysis.

scholarly journals Do radiological findings around the Fitmore stem change over time?

2022 ◽  
Vol 3 (1) ◽  
pp. 20-28
Author(s):  
Hideki Fujii ◽  
Tetsuo Hayama ◽  
Toshiomi Abe ◽  
Motoi Takahashi ◽  
Ayano Amagami ◽  
...  
Keyword(s):  
Japanese Population ◽  
Clinical Performance ◽  
Contributing Factors ◽  
Radiological Findings ◽  
Radiological Change ◽  
Review Protocol ◽  
Cortical Hypertrophy ◽  
One Year ◽  
The One

Aims Although the short stem concept in hip arthroplasty procedure shows acceptable clinical performance, we sometimes get unexplainable radiological findings. The aim of this retrospective study was to evaluate changes of radiological findings up to three years postoperatively, and to assess any potential contributing factors on such radiological change in a Japanese population. Methods This is a retrospective radiological study conducted in Japan. Radiological assessment was done in accordance with predetermined radiological review protocol. A total of 241 hips were included in the study and 118 hips (49.0%) revealed radiological change from immediately after surgery to one year postoperatively; these 118 hips were eligible for further analyses. Each investigator screened whether either radiolucent lines (RLLs), cortical hypertrophy (CH), or atrophy (AT) appeared or not on the one-year radiograph. Further, three-year radiographs of eligible cases were reviewed to determine changes such as, disappeared (D), improved (I), stable (S), and progression (P). Additionally, bone condensation (BC) was assessed on the three-year radiograph. Results CH was observed in 49 hips (21.1%), AT was observed in 63 hips (27.2%), and RLLs were observed in 34 hips (14.7%) at one year postoperatively. Among 34 hips with RLLs, 70.6% showed change of either D or I on the three-year radiograph. BC was observed in younger patients more frequently. Conclusion The Fitmore stem works well in a Japanese population with favourable radiological change on hips with RLLs. Longer-term follow-up is required to determine clinical relevance. Cite this article: Bone Jt Open 2022;3(1):20–28.

scholarly journals Hubungan Tingkat Kosmopolitan dan Karakteristik Inovasi dengan Sikap Peternak Sapi Potong pada Pengobatan Luka Traumatik Menggunakan Salep Ekstrak Tanaman Yodium

2022 ◽  
Vol 18 (01) ◽  
pp. 49-58
Author(s):  
Budi Purwo Widiarso ◽  
Chichika Jeni ◽  
Nurdayati Nurdayati
Keyword(s):  
Beef Cattle ◽  
Correlation Coefficient ◽  
Plant Extract ◽  
Significant Relationship ◽  
Descriptive Analysis ◽  
Sample Technique ◽  
Saturated Sample ◽  
Innovation Characteristics ◽  
Cattle Breeders ◽  
The One

The research was conducted in Mangunrejo Village, Tegalrejo District, Magelang Regency. The purpose of the study was to determine the relationship between the level of cosmopolitan and innovation characteristics with the attitude of beef cattle breeders, in the treatment of traumatic wounds using Iodine plant extract ointment. Data were collected by means of observation and questionnaires. The variables observed were the level of cosmopolitan, innovation characteristics and attitudes. The study design used is the One Shot Case Study method. The population used is the Amanah farmer/livestock group with a sample of 32 people determined using the saturated sample technique. Analysis of the data used is descriptive analysis and statistical analysis (simple correlation or Pearson product moment and multiple correlation). The results showed a significant relationship (p < 0.05) between the cosmopolitan level and the attitude of goat breeders with a correlation coefficient (ryx1) of 0.395 (positive), indicating a significant relationship (p < 0.05) between the characteristics of innovation and the attitudes of cattle farmers. cut on the treatment of traumatic wounds using an iodine plant extract ointment and the correlation coefficient (ryx2)= 0.355 (positive). Taken together, there was also a significant relationship (p < 0.05) between the level of cosmopolitan and innovation characteristics with the attitude of beef cattle farmers on the treatment of traumatic wounds using plant extract ointment (Ryx1x2) of 0.473 (positive). This study can be concluded that there is a relationship between the level of cosmopolitan and innovation characteristics with the attitude of beef cattle farmers in the treatment of traumatic wounds using plant extract ointment.

Resources: Internet Resources for the Independent Medical Evaluator – 2007

2007 ◽  
Vol 12 (4) ◽  
pp. 4-7
Author(s):  
Christopher R. Brigham ◽  
Jenny Walker
Keyword(s):  
Head Trauma ◽  
Clonic Seizure ◽  
Acute Subdural Hematoma ◽  
Orbital Fracture ◽  
Orbital Wall ◽  
First Occurrence ◽  
One Year ◽  
The One ◽  
Neurological Injuries ◽  
Medial Orbital Wall

Abstract Rating patients with head trauma and multiple neurological injuries can be challenging. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, Section 13.2, Criteria for Rating Impairment Due to Central Nervous System Disorders, outlines the process to rate impairment due to head trauma. This article summarizes the case of a 57-year-old male security guard who presents with headache, decreased sensation on the left cheek, loss of sense of smell, and problems with memory, among other symptoms. One year ago the patient was assaulted while on the job: his Glasgow Coma Score was 14; he had left periorbital ecchymosis and a 2.5 cm laceration over the left eyelid; a small right temporoparietal acute subdural hematoma; left inferior and medial orbital wall fractures; and, four hours after admission to the hospital, he experienced a generalized tonic-clonic seizure. This patient's impairment must include the following components: single seizure, orbital fracture, infraorbital neuropathy, anosmia, headache, and memory complaints. The article shows how the ratable impairments are combined using the Combining Impairment Ratings section. Because this patient has not experienced any seizures since the first occurrence, according to the AMA Guides he is not experiencing the “episodic neurological impairments” required for disability. Complex cases such as the one presented here highlight the need to use the criteria and estimates that are located in several sections of the AMA Guides.

Catheter-directed foam sclerotherapy treatment of saphenous vein incompetence

VASA ◽  
2012 ◽  
Vol 41 (2) ◽  
pp. 120-124 ◽  
Author(s):  
Asciutto ◽  
Lindblad
Keyword(s):  
Saphenous Vein ◽  
Short Term ◽  
Foam Sclerotherapy ◽  
Results Of Treatment ◽  
Ulcer Healing Rate ◽  
Complete Obliteration ◽  
Ceap Classification ◽  
One Year ◽  
The One

Background: The aim of this study is to report the short-term results of catheter-directed foam sclerotherapy (CDFS) in the treatment of axial saphenous vein incompetence. Patients and methods: Data of all patients undergoing CDFS for symptomatic primary incompetence of the great or small saphenous vein were prospectively collected. Treatment results in terms of occlusion rate and patients’ grade of satisfaction were analysed. All successfully treated patients underwent clinical and duplex follow-up examinations one year postoperatively. Results: Between September 2006 and September 2010, 357 limbs (337 patients) were treated with CDFS at our institution. Based on the CEAP classification, 64 were allocated to clinical class C3 , 128 to class C4, 102 to class C5 and 63 to class C6. Of the 188 patients who completed the one year follow up examination, 67 % had a complete and 14 % a near complete obliteration of the treated vessel. An ulcer-healing rate of 54 % was detected. 92 % of the patients were satisfied with the results of treatment. We registered six cases of thrombophlebitis and two cases of venous thromboembolism, all requiring treatment. Conclusions: The short-term results of CDFS in patients with axial vein incompetence are acceptable in terms of occlusion and complications rates.

Purification of a Specific Placental Plasminogen Activator Inhibitor by Monoclonal Antibody and Its Complex Formation with Plasminogen Activator

1985 ◽  
Vol 53 (01) ◽  
pp. 122-125 ◽  
Author(s):  
B Åstedt ◽  
Ingegerd Lecander ◽  
T Brodin ◽  
A Lundblad ◽  
Karin Löw
Keyword(s):  
Monoclonal Antibody ◽  
Complex Formation ◽  
Plasminogen Activator ◽  
Plasminogen Activator Inhibitor ◽  
Tissue Type ◽  
System A ◽  
The One ◽  
Fast Acting ◽  
Chain Form ◽  
Activator Inhibitor

SummaryA monoclonal antibody of IgG2a-type was obtained against a specific fast acting plasminogen activator inhibitor found in placenta. The placental inhibitor was purified by affinity chromatography using the monoclonal antibody and additionally in a FPLC-system. A strong complex formation was found between the inhibitor and urokinase and also with the two-chain form of plasminogen activator of the tissue-type. A weaker complex was found between the placental inhibitor and the one- chain form of the tissue-type activator.

Nurse’s knowledge and Awareness Regarding Cervical Cancer and its Prevention in Different Hospitals of Quetta, Pakistan

2017 ◽  
Vol 4 (1) ◽  
pp. 436-441
Author(s):  
Saba Haider ◽  
Noman Ul Haq ◽  
Sohail Riaz ◽  
Aqeel Nasim ◽  
Muhammad Saood ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Family History ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Validity And Reliability ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Current Area ◽  
One Year

Objective: This study aimed to assess the knowledge and awareness regarding cervical cancer and its prevention among nurses working in different hospitals of Quetta, Pakistan. Methodology: The cross sectional, descriptive study was conducted by using structured questionnaire in different hospitals of Quetta from January to September 2016. Convenient sampling technique was applied by targeting all the nurses working in different hospitals of Quetta city. Study questionnaire was developed and tested for validity and reliability. Descriptive and inferential statistics (Mann Whitney U test and Kruskal Wallis tests, p<0.05) were used to assess the significance among study variables and were performed by using IBM SPSS v.20. Results: Out of 415 distributed questionnaires 324 were returned (response rate of 78%). The mean Age of respondents was 28.18 ±9.5 years. Majority (n=127, 43.3%) of participants were interns and had no or less than one year of experience (n=128, 43.7%) with negative family history of any cancer (n=275, 93.9%). Mean knowledge score was 18.52±4.84with majority (n=258, 88.1%) had adequate knowledge regarding cervical cancer. Respondent sage, current area of practice, qualification, Institute of degree and past family history were contributing factors (p > 0.05) in adequate knowledge in this study. The results also reviled that not only 68.3% (n=200) and 65.5% (n=192) respondents knew that cervical cancer is vaccine preventable and availability of the vaccine for it. Conclusions: Nurses working in different hospitals of Quetta city had better understanding of the disease cervical cancer and its prevention. Yet many of the respondent are not aware of it vaccine and its availability.

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