scholarly journals Results of Lectures and Training on Two Methods of Disaster Triage for Local Residents who are not Medical Personnel.

2017 ◽  
Vol 32 (S1) ◽  
pp. S240
Author(s):  
Makoto Mitsusada ◽  
Atsushi Onogawa ◽  
Yoichirou Shima
2017 ◽  
Vol 44 (Suppl. 1) ◽  
pp. 52-54
Author(s):  
Toshihide Naganuma ◽  
Yoshiaki Takemoto

We report our activities training doctors on vascular access procedures at International University (IU) Hospital in Cambodia through a program facilitated by Ubiquitous Blood Purification International, a nonprofit organization that provides medical support to developing countries in the field of dialysis medicine. Six doctors from Japan have been involved in the education of medical personnel at IU, and we have collectively visited Cambodia about 15 times from 2010 to 2016. In these visits, we have performed many operations, including 42 for arteriovenous fistula, 1 arteriovenous graft, and 1 percutaneous transluminal angioplasty. Stable development and management of vascular access is increasingly required in Cambodia due to increased use of dialysis therapy, and training of doctors in this technique is urgently required. However, we have encountered several difficulties that need to be addressed, including (1) the situation of personnel receiving this training, (2) problems with facilities, including medical equipment and drugs, (3) financial limitations, and (4) problems with management of vascular access.


Author(s):  
David Ndeereh ◽  
Gerald Muchemi ◽  
Andrew Thaiyah

Many factors contribute to misdiagnosis and underreporting of infectious zoonotic diseases in most sub-Saharan Africa including limited diagnostic capacity and poor knowledge. We assessed the knowledge, practices and attitudes towards spotted fever group rickettsioses (SFGR) and Q fever amongst local residents in Laikipia and Maasai Mara in Kenya. A semistructured questionnaire was administered to a total of 101 respondents including 51 pastoralists, 17 human health providers, 28 wildlife sector personnel and 5 veterinarians. The pastoralists expressed no knowledge about SFGR and Q fever. About 26.7% of the wildlife sector personnel in Laikipia expressed some knowledge about SFGR and none in Maasai Mara. None of these respondents had knowledge about Q fever. About 45.5 and 33.3% of the health providers in Laikipia and Maasai Mara respectively expressed knowledge about SFGR and 9.1% in Laikipia expressed good knowledge on Q fever and none in Maasai Mara. The diseases are not considered amongst potential causes of febrile illnesses in most medical facilities except in one facility in Laikipia. Majority of pastoralists practiced at least one predisposing activity for transmission of the diseases including consumption of raw milk, attending to parturition and sharing living accommodations with livestock. Education efforts to update knowledge on medical personnel and One-Health collaborations should be undertaken for more effective mitigation of zoonotic disease threats. The local communities should be sensitized through a multidisciplinary approach to avoid practices that can predispose them to the diseases.


2019 ◽  
Vol 6 (1) ◽  
pp. 17
Author(s):  
Shengbin Zhang ◽  
Zhelin Yun ◽  
Erdengsuhe E ◽  
Baoqin Liu

Objective: The aim of the study is to analyze the risk factors of hepatic echinococcosis in mass epidemiological studies in Inner Mongolia of China and Mongolia and provide a basis for related authorities to make appropriate preventive measures.Methods: Eight areas in Inner Mongolia and Zamyn-Üüd region of Mongolia were selected as epidemiological fields. By distributing epidemiological questionnaires to local residents and performing serological examinations and abdominal ultrasound examinations, the data results were collected and analyzed to obtain the risk factors.Results: In this research, there were 7,373 cases of valid data in the area of Inner Mongolia and 1,500 cases in the area of Mongolia. The mean age of the whole survey samples was 52.86 ± 13.90, and the ratio of the female (58.35%) was much higher than that of the male (41.65%). Both univariate analysis and multivariate analysis in this study showed that the female (14.7%) had a higher risk of hepatic echinococcosis than the male (10.9%). From the perspective of profession, children, educators and medical personnel had a lower incidence, herdsmen had the highest positive rate of the disease (15.8%). Living in pastoral areas, having been to pastoral areas, eating uncooked food and drinking unboiled water, raising dogs and surrounding activities of foxes and voles can also increase the risk of positivity.Conclusions: Our findings demonstrate that the most important risk factor of hepatic echinoccosis is unhealthy lifestyles and customs in farmers and herdsmen. It is possible to provide a basis for related authorities to make effective protective measures aiming at hepatic echinococcosis.


2011 ◽  
Vol 26 (S1) ◽  
pp. s115-s115
Author(s):  
T. Takeda

BackgroundMajor earthquakes with a magnitude of 7-8 are anticipated to occur in the next 30 years at a 60 percent chance on the southern coast of Mie, Japan. Since the most part of the Mie Prefecture, Japan, is likely to be damaged by tsunami and landslides, residents are expected to take self-reliant approach on the initial several days after the earthquake.AimDeveloping disaster support system in including community based medical disaster preparedness in the region.MethodsWe have been providing knowledge and techniques to cope with the earthquake cooperated with experts of earthquake engineering. Basic and advanced life support educational programs for acute illness and trauma that may occur in earthquake and/or tsunami as well as during the evacuation and sheltering have been developed for public, local medical associations and the main hospital in the region. Moreover, we have started a new community continuous educational course to promote the public disaster preparedness. We teach introduction of emergency and disaster medicine to enhance knowledge of natural and social science on disaster preparedness.ResultsLocal residents including public and medical personnel started to acquire a general idea of disaster and emergency medicine. The educational programs seemed to motivate local residents and healthcare professions.


2019 ◽  
Vol 1 (2) ◽  
pp. 93-97
Author(s):  
Lindayani Lindayani

The present study looks at in-patient nursing service at Garut Regional Public Hospital dr. Slamet and patient satisfaction as viewed from the gap between service performance and patient expectations. Using a descriptive approach, the influence of in-patient nursing service on patient satisfaction was analyzed. Research data were collected through observation and questionnaires addressed to the patients. The results of the study lead to a conclusion that patients were satisfied with the in-patient nursing care they received. It is suggested that the hospital improve their responsiveness to patient complaints, provide information in simple and easy to understand language, improve the skills of medical personnel by providing regular education and training, improve patient safety and trust, improve service personnel skills such as knowledge in using disease diagnostic tools, hospitality skills, and communication skills.


2018 ◽  
Vol 09 (01) ◽  
pp. 123-131 ◽  
Author(s):  
Pavan S. Upadhyayula ◽  
John K. Yue ◽  
Jason Yang ◽  
Harjus S. Birk ◽  
Joseph D. Ciacci

ABSTRACT Introduction: Rural and low-resource areas have diminished capacity to care for neurosurgical patients due to lack of infrastructure, healthcare investment, and training programs. This review summarizes the range of rural neurosurgical procedures, novel mechanisms for delivering care, rapid training programs, and outcome differences across international rural neurosurgical practice. Methods: A comprehensive literature search was performed for English language manuscripts with keywords “rural” and “neurosurgery” using the National Library of Medicine PubMed database (01/1971–06/2017). Twenty-four articles focusing on rural non-neurosurgical practice were included. Results: Time to care and/or surgery and shortage of trained personnel remain the strongest risk factors for mortality and poor outcome. Telemedicine consults to regional centers with neurosurgery housestaff have potential for increased timeliness of diagnosis/triage, improved time to surgery, and reductions in unnecessary transfers in remote areas. Mobile neurosurgery teams have been deployed with success in nations with large transport distances precluding initial transfers. Common neurosurgical procedures involve trauma mechanisms; accordingly, training programs for nonneurosurgery medical personnel on basic assessment and operative techniques have been successful in resource-deficient settings where neurosurgeons are unavailable. Conclusions: Protracted transport times, lack of resources/training, and difficulty retaining specialists are barriers to successful outcomes. Advances in telemedicine, mobile neurosurgery, and training programs for urgent operative techniques have been implemented efficaciously. Development of guidelines for paired partnerships between rural centers and academic hospitals, supplying surplus technology to rural areas, and rapid training of qualified local surgical personnel can create sustainable feed-forward programs for trainees and infrastructural solutions to address challenges in rural neurosurgery.


2020 ◽  
pp. 36-44
Author(s):  
Valeriy Karavaev

The article presents the authors' view on the state of staffing in healthcare organizations and training of medical personnel within higher education system. The necessity of reviewing approaches to the formation of management in healthcare institutions, to assess the effectiveness of work is shown. Options for improving activity of universities and health care system are proposed.


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