Temporal fluctuations of post-tonsillectomy haemorrhage

Abstract Purpose Although haemorrhage is a common and in some cases life-threatening complication after tonsillectomy, surprisingly little is known about the temporal fluctuations of the onset of bleeding. The purpose of this study was to assess circadian and seasonal rhythms of post-tonsillectomy haemorrhage (PTH) and potential ramifications to educate patients and health care staff. Methods This retrospective study carried out at a tertiary referral hospital included paediatric and adult patients requiring emergency surgery due to severe PTH between 1993 and 2019. Medical records were reviewed and patient demographics, details regarding the initial procedure, postoperative day of haemorrhage, and start time of emergency surgery were extracted. Descriptive statistics, Kruskal–Wallis test, Mann–Whitney U test, and Chi-square goodness of fit tests were used to detect potential differences. Results A total of 300 patients with severe PTH and subsequent emergency surgery were identified. The median postoperative duration until PTH was 6 (range: < 1–19) days. 64.7% (n = 194) of all emergency surgeries had to be performed during evening and night hours (6 pm—6 am) (p < 0.0001). Compared to diurnal incidents, the risk of a nocturnal PTH event increased, the longer ago the initial surgery was (p < 0.0001). No seasonal variations were identified. Age, sex, and details of the initial procedure had no significant influence on the start time according to the surgical protocol. Conclusion The discovered temporal fluctuations of PTH are of relevance for patient awareness and preoperative education. Due to possible life-threatening complications, management of severe PTH requires specific resources and trained medical staff on call.

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Prevalence of Perceived Experiences of Emotional, Physical, Sexual, and Health Care Abuse in a Swedish Male Patient Sample

Violence and Victims ◽

10.1891/0886-6708.24.2.265 ◽

2009 ◽

Vol 24 (2) ◽

pp. 265-279 ◽

Cited By ~ 19

Author(s):

Katarina Swahnberg ◽

Jeff Hearn ◽

Barbro Wijma

Keyword(s):

Health Care ◽

Sexual Abuse ◽

Emotional Abuse ◽

University Hospital ◽

Care Staff ◽

Health Care Staff ◽

Life Threatening ◽

Male Patients ◽

Perceived Experiences ◽

Abuse In Health Care

The aim of the present study was to estimate the prevalence of and current suffering from emotional abuse (EA), physical abuse (PA), and sexual abuse (SA) and abuse in health care (AHC) among male Swedish patients and compare prevalences of abuse between female and male patients at a Swedish university hospital. For data collection we used the NorVold Abuse Questionnaire, which has been validated in a female sample and in the present study. The lifetime prevalences were EA = 12.8%, PA = 45.7%, SA = 3.8%, and AHC = 8.1%. Current suffering from abuse among participants was 1% to 9%. The women reported higher rates than men of current suffering from all kinds of abuse and more severe forms of abuse, such as life-threatening PA. Health care staff should be aware of the documented high prevalences of abuse and learn to make good judgments as to when to ask male as well as female patients about experiences of abuse.

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Abruptio placentae: impact of early treatment on maternal and fetal outcomes

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20211133 ◽

2021 ◽

Vol 10 (4) ◽

pp. 1533

Author(s):

Shikha P. Mehta ◽

Prasad Y. Deshmukh ◽

Amarjeet K. Bawa

Keyword(s):

Early Treatment ◽

Care Staff ◽

Health Care Staff ◽

Tertiary Referral Hospital ◽

Time Duration ◽

Fetal Outcomes ◽

Abruptio Placentae ◽

Exact Test ◽

Abruptio Placenta ◽

The Impact

Background: Haemorrhage is the leading cause for maternal mortality in India as well as the world. Abruptio placenta is the second most common cause of antepartum haemorrhage and it is associated with sudden, severe and devastating maternal and fetal complications. The main objective of this study is to study the impact of early treatment on maternal and fetal outcomes.Methods: This single center retrospective study includes all patients admitted at Lokmanya Tilak Municipal General Hospital, a tertiary referral hospital, diagnosed to have abruptio placenta (grade II and grade III) from 01 July 2019 to 31 December 2019. In this study a total of 48 cases were included and data regarding time duration between onset of symptoms and initiation of treatment, clinical course and maternal and fetal outcomes was noted.Results: A total of 5059 deliveries occurred over six months. The incidence of placental abruption was found to be 0.94%. Patients receiving early care (30 cases, 62.5%) were found to have significantly better maternal outcomes (p=0.006, Chi square test) as well as fetal outcomes (p=0.007, Fischer’s exact test) than patients who received delayed care (18 cases, 37.5%).Conclusions: Abruptio placentae is an obstetric emergency and early diagnosis as well as initiation of treatment plays an important role in curbing complications. Strengthening of peripheral centers, availability of multi-disciplinary approach and educating health care staff as well as patients form the cornerstones of improved maternal and fetal outcomes.

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Pertussis Cases Show Threat To Infants, Health Care Staff

Internal Medicine News ◽

10.1016/s1097-8690(05)70316-4 ◽

2005 ◽

Vol 38 (7) ◽

pp. 64

Author(s):

MIRIAM E. TUCKER

Keyword(s):

Health Care ◽

Care Staff ◽

Health Care Staff

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H1N1-Infected Health Care Staff Report Poor Infection Control

Hospitalist News ◽

10.1016/s1875-9122(09)70162-2 ◽

2009 ◽

Vol 2 (7) ◽

pp. 6

Author(s):

HEIDI SPLETE

Keyword(s):

Health Care ◽

Infection Control ◽

Care Staff ◽

Health Care Staff

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Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽

10.33883/jms.v21i2.328 ◽

2019 ◽

Vol 21 (2) ◽

pp. 117-119

Author(s):

Munir Ahmad Wani ◽

Mubarak Ahmad Shan ◽

Syed Muzamil Andrabi ◽

Ajaz Ahmad Malik

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Ct Scan ◽

Bowel Obstruction ◽

Emergency Surgery ◽

Gallstone Ileus ◽

Gall Stone ◽

Life Threatening ◽

Life Threatening Complication ◽

Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

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ReCOV: recovery and rehabilitation during and after COVID-19 – a study protocol of a longitudinal observational study on patients, next of kin and health care staff

BMC Sports Science Medicine and Rehabilitation ◽

10.1186/s13102-021-00299-9 ◽

2021 ◽

Vol 13 (1) ◽

Author(s):

E. Rydwik ◽

L. Anmyr ◽

M. Regardt ◽

A. McAllister ◽

R. Zarenoe ◽

...

Keyword(s):

Health Care ◽

Psychosocial Support ◽

Care Staff ◽

Psychological Wellbeing ◽

Health Care Staff ◽

Post Traumatic Stress ◽

Next Of Kin ◽

Related Quality ◽

Long Term Consequences

Abstract Background The knowledge of the long-term consequences of covid-19 is limited. In patients, symptoms such as fatigue, decreased physical, psychological, and cognitive function, and nutritional problems have been reported. How the disease has affected next of kin, as well as staff involved in the care of patients with covid-19, is also largely unknown. The overall aim of this study is therefore three-fold: (1) to describe and evaluate predictors of patient recovery, the type of rehabilitation received and patients’ experiences of specialized rehabilitation following COVID-19 infection; (2) to study how next of kin experienced the hospital care of their relative and their experiences of the psychosocial support they received as well as their psychological wellbeing; (3) to describe experiences of caring for patients with COVID-19 and evaluate psychological wellbeing, coping mechanisms and predictors for development of psychological distress over time in health care staff. Methods This observational longitudinal study consists of three cohorts; patients, next of kin, and health care staff. The assessments for the patients consist of physical tests (lung function, muscle strength, physical capacity) and questionnaires (communication and swallowing, nutritional status, hearing, activities of daily living, physical activity, fatigue, cognition) longitudinally at 3, 6 and 12 months. Patient records auditing (care, rehabilitation) will be done retrospectively at 12 months. Patients (3, 6 and 12 months), next of kin (6 months) and health care staff (baseline, 3, 6, 9 and 12 months) will receive questionnaires regarding, health-related quality of life, depression, anxiety, sleeping disorders, and post-traumatic stress. Staff will also answer questionnaires about burnout and coping strategies. Interviews will be conducted in all three cohorts. Discussion This study will be able to answer different research questions from a quantitative and qualitative perspective, by describing and evaluating long-term consequences and their associations with recovery, as well as exploring patients’, next of kins’ and staffs’ views and experiences of the disease and its consequences. This will form a base for a deeper and better understanding of the consequences of the disease from different perspectives as well as helping the society to better prepare for a future pandemic.

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Barriers and enablers to health service access amongst people with diabetes: An exploration of the perceptions of health care staff in regional Australia

Health & Social Care in the Community ◽

10.1111/hsc.13433 ◽

2021 ◽

Author(s):

Elizabeth L. Kennedy ◽

Brett A. Gordon ◽

Ashley H. Ng ◽

Gillian Smith ◽

Adrienne K. Forsyth

Keyword(s):

Health Care ◽

Health Service ◽

Care Staff ◽

Health Care Staff ◽

Service Access ◽

Health Service Access ◽

Barriers And Enablers ◽

Regional Australia

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Supporting Health Care Staff With Family Meals During the COVID-19 Pandemic

Health Promotion Practice ◽

10.1177/15248399211003545 ◽

2021 ◽

pp. 152483992110035

Author(s):

Jennifer Utter ◽

Sally McCray

Keyword(s):

Health Care ◽

Social Engagement ◽

Food Service ◽

Food Delivery ◽

Family Meals ◽

Care Staff ◽

Health Care Staff ◽

Health And Wellness ◽

Wellness Program ◽

Marketing Department

Family meals provide a unique opportunity for families to eat well and engage positively with each other. In response to the challenges presented by the COVID-19 (coronavirus disease 2019) pandemic, a new initiative to support health care staff to share healthy meals with their families was developed. At a hospital in Queensland, Australia, dietetic staff collaborated with the on-site food service retailer to develop and offer a range of hot meals that staff could take home for their families at the end of their day. The meals were nutritious, reasonably priced, and designed to feed a family of four. The dietetic staff worked with the hospital marketing department and staff health and wellness program to promote the initiative. Over the 3 months that it has been running, nearly 300 meals have been purchased. Anecdotal comments from the food service retailer highlighted that the initiative was a good thing to do for staff to maintain a positive reputation of the business. The staff evening meal initiative is a healthy, affordable, educational, and socially engaging alternative to takeaway meals and food delivery by app, and it is mutually beneficial for health care staff and the on-site food retailer. The initiative also offers a unique opportunity for promoting nutrition and social engagement during stressful times.

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