Adoption of new technologies in laboratory workflow practices for positive blood culture bottles: a cross-sectional survey among hospitals in the Autonomous Community of Valencia, Spain

2019 ◽  
Vol 38 (6) ◽  
pp. 1199-1202
Author(s):  
Juan Carlos Rodríguez ◽  
◽  
Emilio Borrajo ◽  
Montserrat Bosque ◽  
Juan José Camarena ◽  
...  
Keyword(s):  
Blood Culture ◽  
Positive Blood Culture ◽  
New Technologies ◽  
Autonomous Community ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Laboratory Workflow

scholarly journals Electronic Health Use in the European Union and the Effect of Multimorbidity: Cross-Sectional Survey (Preprint)

2017 ◽  
Author(s):  
Francisco Lupiáñez-Villanueva ◽  
Dimitra Anastasiadou ◽  
Cristiano Codagnone ◽  
Roberto Nuño-Solinís ◽  
Maria Begona Garcia-Zapirain Soto
Keyword(s):  
Health Care Professionals ◽  
Online Survey ◽  
New Technologies ◽  
Cost Effective ◽  
Health Problems ◽  
Exploratory Research ◽  
The European Union ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Electronic Health

BACKGROUND Multimorbidity is becoming increasingly common and is a leading challenge currently faced by societies with aging populations. The presence of multimorbidity requires patients to coordinate, understand, and use the information obtained from different health care professionals, while simultaneously striving to distinguish the symptoms of different diseases and self-manage their sometimes conflicting health problems. Electronic health (eHealth) tools provide a means to disseminate health information and education for both patients and health professionals and hold promise for more efficient and cost-effective care processes. OBJECTIVE The aim of this study was to analyze the use of eHealth tools, taking into account the citizens’ sociodemographic and clinical characteristics, and above all, the presence of multimorbidity. METHODS Cross-sectional and exploratory research was conducted using online survey data from July 2011 to August 2011. Participants included a total of 14,000 citizens from 14 European countries aged 16 to 74 years, who had used an eHealth tool in the past 3 months. The variables studied were sociodemographic variables of the participants, the questionnaire items assessing the frequency of using eHealth tools, the degree of morbidity, and the eHealth adoption gradient. Chi-square tests were conducted to examine the relationship between the sociodemographic and clinical variables of participants and the group the participants were assigned to according to their frequency of eHealth use (eHealth user group). A one-way analysis of variance (ANOVA) allowed for assessing the differences in the eHealth adoption gradient average between different groups of individuals according to their morbidity level. A two-way between-groups ANOVA was performed to explore the effects of multimorbidity and age group on the eHealth adoption gradient. RESULTS According to the eHealth adoption gradient, most participants (68.15%, 9541/14,000) were labeled as rare users, with the majority of them (55.1%, 508/921) being in the age range of 25 to 54 years, with upper secondary education (50.3%, 464/921), currently employed (49.3%, 454/921), and living in medium-sized cities (40.7%, 375/921). Results of the one-way ANOVA showed that the number of health problems significantly affected the use of eHealth tools (F2,13996=11.584; P<.001). The two-way ANOVA demonstrated that there was a statistically significant interaction between the effects of age and number of health problems on the eHealth adoption gradient (F4,11991=7.936; P<.001). CONCLUSIONS The eHealth adoption gradient has proven to be a reliable way to measure different aspects of eHealth use. Multimorbidity is associated with a more intense use of eHealth, with younger Internet users using new technologies for health purposes more frequently than older groups with the same level of morbidity. These findings suggest the need to consider different strategies aimed at making eHealth tools more sensitive to the characteristics of older populations to reduce digital disadvantages.

scholarly journals Sepsis Criteria and Revision in Toxicological Intensive Care Unit

2020 ◽  
Vol 10 (4) ◽  
pp. 31452.1-31452.10
Author(s):  
Haleh Talaie ◽  
◽  
Maryam Nazari ◽  
Habib Emami ◽  
◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Blood Culture ◽  
Positive Blood Culture ◽  
Coagulase Negative Staphylococci ◽  
International Consensus ◽  
Suspected Sepsis ◽  
Cross Sectional ◽  
Arterial Blood ◽  
Study Results

Background: Sepsis is one of the significant causes of mortality in hospitalized patients. This cross-sectional study was performed to determine the frequency of positive blood culture and assess sepsis criteria based on Third International Consensus Definitions (related to Sequential Organ Failure Assessment score) and clinical and paraclinical findings (i.e., on-admission leukocytosis, increased lactate level, and fever) in poisoned patients admitted to the Toxicological Intensive Care Unit (TICU). Methods: Medical records of a total of 2000 poisoned patients admitted to the TICU of Loghman Hakim Hospital from 2016 to 2018 were assessed. Among them, 189 cases (9.45%) with suspected sepsis were considered eligible to be enrolled in the study. Results: Of 189 cases, 146 (77.24%) had possible signs and symptoms of sepsis as well as SOFA score higher than two with positive blood culture in 81 cases (55%). The Mean±SD serum level of lactate was 25.97±16.32 on admission. The most common pathogen detected in blood culture was coagulase-negative Staphylococci in 35 (24.0%) out of 146 cases. Glasgow Coma Scale (GCS) less than 12, age older than 50 years, and bilirubin more than 1.2 mg/dL were found as independent predictors of sepsis on multivariate analysis. Conclusion: Based on our findings, it is proposed that the sepsis definition should not be restricted to the guidelines. The patients’ poisoning background and presence of many confounding factors, including poisoning-induced on-admission increased lactate levels, leukocytosis, and disturbed arterial blood gas provide a critical decision-making situation to confirm sepsis according to guidelines.

scholarly journals Willingness to pay for improvements in rural sanitation: Evidence from a cross-sectional survey of three rural counties in Kenya

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0248223
Author(s):  
Diana Mutuku Mulatya ◽  
Vincent Were ◽  
Joseph Olewe ◽  
Japheth Mbuvi
Keyword(s):  
Willingness To Pay ◽  
New Technologies ◽  
Contingent Valuation Method ◽  
Evaluation Research ◽  
Total Sample ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Poor Households ◽  
Life Years ◽  
The Mean

Poor sanitation worldwide leads to an annual loss of approximately $222.9 billion and is the second leading cause of Disability-Adjusted Life Years (DALY’s) lost due to diarrhoea. Yet in Kenya, the slow rate and levels at which the household’s access improved sanitation facilities remain a concern, and it is unknown if the cost of new technologies is a barrier to access. This study assessed the maximum willingness to pay (WTP) for SAFI and SATO sanitation products and identified those factors that affect the willingness to pay (WTP) valuation estimates by households in three counties in Kenya. It used quantitative economic evaluation research integrated within a cross-sectional survey. Contingent valuation method (CVM) was used to determine the maximum WTP for sanitation in households. We used the logistic regression model in data analysis. A total of 211 households were interviewed in each county, giving a total sample size of 633 households. The mean WTP for SAFI latrines was $153.39 per household, while the mean WTP for SATO pans and SATO stools was $11.49 and $14.77 respectively. For SAFI latrines, households in Kakamega were willing to pay $6.6 more than average while in Siaya, the households were willing to pay $5.1 less than the average. The main determinants of households WTP for the two sanitation products included household’s proximity to the toilet (p = 0.0001), household income (β = .2245741, p = 0.004), sanitation product (β = -2968.091; p = 0.004), socioeconomic status (β = -3305.728, p = 0.004) and a household’s satisfaction level with the current toilet (β = -4570.602; p = 0.0001). Increased proximity of households to the toilet, higher incomes, and providing loan facilities or subsidy to poor households could increase the demand for these sanitation technologies.

scholarly journals Study of procalcitonin in neonatal sepsis with blood culture in suspected sepsis in North India

2021 ◽  
Vol 8 (7) ◽  
pp. 1241
Author(s):  
Munna Lal Jaipal ◽  
Ajit Kumar Shrivastava ◽  
Prema Ram Choudhary
Keyword(s):  
Blood Culture ◽  
Positive Blood Culture ◽  
Tertiary Care ◽  
Clinical Signs ◽  
North India ◽  
Care Hospital ◽  
Negative Blood Culture ◽  
Suspected Sepsis ◽  
Cross Sectional ◽  
Number Of Patients

Background: Sepsis can occasionally be difficult to demonstrate, and its difference from non-infectious conditions in critically ill patients is often a challenge. Serum procalcitonin (PCT) assay is one of the biomarkers of sepsis. The aim of the study was to investigate the value of procalcitonin, in the early diagnosis of neonatal sepsis.Methods: A cross-sectional study was conducted at tertiary care hospital in New Delhi. It included all neonates with clinical signs of sepsis. The neonates were divided into two groups as sepsis, and healthy neonates. The PCT level was measured by using ELISA technique and compared between the two groups. Statistical analysis was performed using SPSS windows version 20.0 software.Results: In this study total number of patients included 350, out of which 175 were clinically suspected sepsis cases and 175 were healthy controls. 68 (39%) neonates were show positive blood culture and 107 (61%) neonates were representing negative blood culture report in study group. The mean serum value of PCT was significantly (p<0.001) higher in sepsis neonates. The serum PCT value was significantly increased in neonate’s sepsis with positive blood culture (p<0.001) and negative blood culture (p<0.001) as compared to healthy neonates.Conclusions: It is concluded from this study that the PCT assay was established to be a valuable biomarker of sepsis in this study. The assay might be performed and reported quickly and gave precious information before availability of culture results. This might assist in avoiding unnecessary antibiotic therapy.

scholarly journals Technical worker’s participation in the CVET and company competitiveness

2014 ◽  
Author(s):  
Eduardo Figueira ◽  
Vítor Rosa ◽  
Timothy Koehnen ◽  
Ana Cordeiro ◽  
António Fragoso ◽  
...  
Keyword(s):  
Time Allocation ◽  
New Technologies ◽  
Methodological Approach ◽  
Learning Activities ◽  
Vocational Education And Training ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Adult Participation ◽  
Working People ◽  
Effective Use

The present study intends to understand how factors influence employed adults’ decision to participate in learning activities in two sectors of the five regions (NUT II) of the Portuguese continental territory. The factors associated to individuals’ participation in Continuing Vocational Education and Training (CVET) constitute an important issue to be studied given the need to understand why adults participate in CVET activities. This is important because continuing professional qualification of workers is assumed to be essential to improve workers’ employability and productivity in companies. In fact, the level of productivity of business depends on effective use of new technologies which is only possible with human resources continuously qualified. For this reason, results will allow us to elaborate recommendations for designing and implementing policies for CVET activities. The present research will be using a methodological approach framed by the ISSTAL (Interdisciplinary, Sequential-Specificity, Time-Allocation, Life-Span) model of social participation (Smith, 1980), already adapted and tested in USA by Cookson (1986) and in Alentejo and other EU regions by Figueira & others (2008) for studying adult participation in learning activities. The study will use a cross-sectional survey complemented by a focus group strategy to discuss survey results by continuing training specialists and practitioners and by a set of case studies to further understanding nature of the participation factors. The cross-sectional survey will use an instrument specifically developed to collect data from a two-stage stratified random sample drawn from a population constituted by technical working people of the two main sectors in the above Portuguese continental regions. According to results from previous studies, it will be expected that the ISSTAL model will be useful for explaining and understanding participation of adults in continuing training activities concerning the sectors of activity under analysis. The study will give an important contribution for promoting equal access to CVET for all workers, as a relevant pathway for a sustainable development of the Portuguese society.

scholarly journals Investigation of Antimicrobial Susceptibilities Among Bacteria Isolated from Blood Cultures in Hospitalized Patients, Tehran, Iran

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Shadi Aghamohammad ◽  
Maryam Nouri ◽  
Fatemeh Ashrafian ◽  
Mohtaram Sadat Kashi ◽  
Mehrdad Gholami ◽  
...  
Keyword(s):  
Blood Culture ◽  
Positive Blood Culture ◽  
Antimicrobial Agents ◽  
Clinical Laboratory ◽  
Blood Cultures ◽  
Multi Drug Resistance ◽  
National Committee ◽  
Coagulase Negative Staphylococci ◽  
Gram Positive ◽  
Cross Sectional

Background: Bacteremia is the status, which is detected via a positive blood culture test with no contamination. Centers for Disease Control and Prevention (CDC) indicates that direct medical procedures and total costs are significantly high. Antibiotic resistance can play a major role in the costs, which are related to the long duration of treatment. Objectives: The aim of this study was to investigate the rate and profiles of antimicrobial susceptibility of blood culture isolates from Tehran, Iran. Methods: In the current cross-sectional study, a total of 5,000 blood culture samples were collected from patients hospitalized in the Loghman General Hospital, Tehran, Iran, with positive blood culture results from 2012 to 2013. Susceptibility to antimicrobial agents was analyzed using National Committee for Clinical Laboratory Standards guidelines. Results: Coagulase-negative staphylococci (38.8%), Staphylococcus aureus (20.5%), Acinetobacter (11.9%), and Escherichia coli (11.7%) were the most frequent bacteria isolated from the blood cultures, collectively accounting for > 80% of the isolates. Of isolated microorganisms, 63.75% and 36.24% belonged to Gram-positive and Gram-negative bacteria, respectively. Moreover, 88% of the isolates were MRSA (oxacillin-/methicillin-resistant), and 7% were VRE (vancomycin-resistant). Conclusions: The most frequent isolated organisms were Gram-positive bacteria, and the rate of MDR (multi-drug resistance) was high. The results of the current study obviously indicate the misuse of antibiotic in society. National surveillance studies in Iran will be useful for clinicians to choose the right empirical treatment and will help control and prevent infections caused by resistant organisms.

Antibiotic Susceptibility Patterns in the NICU of Ghaem Hospital of Mashhad

2021 ◽  
Author(s):  
Hassan Boskabadi ◽  
Elahe Heidari ◽  
Fatemeh Bagheri ◽  
Maryam Zakerihamidi
Keyword(s):  
Blood Culture ◽  
Positive Blood Culture ◽  
Neonatal Sepsis ◽  
Antibiotic Susceptibility ◽  
Clinical Signs ◽  
High Sensitivity ◽  
Signs And Symptoms ◽  
Clinical Syndrome ◽  
Cross Sectional ◽  
E Coli

Background and Aims: Neonatal sepsis is considered a clinical syndrome characterized by signs and symptoms of infection associated with positive blood culture. The present study investigates the rate of sensitivity and resistance to antibiotics in neonates with definite sepsis. Materials and Methods: This cross-sectional study was conducted on 268 neonates with definitive sepsis (positive blood culture with clinical signs of infection) hospitalized in the NICU of Ghaem Hospital of Mashhad, from 2008 to 2018. To investigate the antibiotic susceptibility pattern, identifying microorganism and antibiogram tests was performed according to the standard microbiological method. The data were collected through a questionnaire designed by the researchers. It included neonates’ characteristics, types of microorganisms in neonatal unite, and sensitivity and resistance to neonatal sepsis’s common microorganism. Results: Based on the results, Klebsiella showed sensitivity to norfloxacin (100%), ciprofloxacin (100%), meropenem (100%), imipenem (94%), cotrimoxazole (73%), and vancomycin (67%). Similarly, Enterobacter showed 100% sensitivity to ciprofloxacin, meropenem, norfloxacin, and high sensitivity to imipenem (94%) and co-trimoxazole (83%). Acinetobacter turned out to be sensitive to co-trimoxazole and norfloxacin (both of them were 67%) and to amikacin in 33% of the cases. E. coli was sensitive to imipenem (83.33%), ciprofloxacin (80%), and ceftazidime (71.43%). Finally, staphylococcus coagulase negative was sensitive to piperacillin in 100%, vancomycin in 96.67%, and imipenem in 71.43% of the cases. Conclusions: The findings of the present study suggest that high-sensitivity drugs for the treatment of definite neonatal sepsis are Meropenem(Klebsiella and E. coli), Enterobacter(Ampicilin), Acinetobacter(Imipenem) and Staphylococcus coagulase negative (vancomycin).

Building Proper Organizational Culture for IR 4.0 and Sustainability—A Conceptual Framework

2020 ◽  
Vol 17 (5) ◽  
pp. 2172-2175
Author(s):  
Sreenivasan Jayashree ◽  
C. A. Malarvizhi ◽  
Mohammad Nurul Hassan Reza
Keyword(s):  
Organizational Culture ◽  
Industry 4.0 ◽  
Structural Equation ◽  
Business Models ◽  
New Technologies ◽  
Design Procedure ◽  
Equation Modeling ◽  
Manufacturing Companies ◽  
Cross Sectional Survey ◽  
Cross Sectional

The use of new technologies in the industrial environment is entering a new era referred to as the 4th industrial revolution. This digital revolution appeals to enterprises due to different competitive advantages it offers. Industry 4.0 helps enterprises to change the products and production arrangement relating to the design, procedure, function and services. And the accomplishment of this concept has additional outcome for management and upcoming employment through generating new business models. Organizations can build their sustainability by implementing the principles of IR 4.0 and thus they can move towards a more sustainable society as well as the best and ecological production process. As a result, there is a primary need for supporting companies in the adaptation to Industry 4.0 technologies, and point them for developing their competencies in an identical, objective, and repeatable way. It’s the high time for Malaysian manufacturing companies to build transit to IR 4.0 as their current industrial range is 2.0 to 3.0. This study aims to assist the organizations through providing comprehensive guidance by exploring the dimensions of organizational culture. The study is planned to employ a cross-sectional survey and Structural Equation Modeling (SEM) will be used for data analysis.

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