scholarly journals PARABORN: A Training Program for “Outdoor” Activities by Pregnant Urgent Patients for Paramedics

2019 ◽  
Vol 34 (s1) ◽  
pp. s155-s155
Author(s):  
Vaclav Jordan
Keyword(s):  
Obstetric Care ◽  
Hospital Environment ◽  
Premature Delivery ◽  
Practical Training ◽  
Emergency Situations ◽  
Standard Position ◽  
Cultural Conditions ◽  
Educational Concept ◽  
Newborn Child ◽  
Professional Assistance

Introduction:Spontaneous delivery is a completely physiological phenomenon. Occupational obstetric care in a hospital environment focuses on supporting the mother, the smooth progression of the baby, and the treatment of the newborn child. Occupational activities play a rather supportive and assisting role. The obstetrician and the midwife are ready to respond immediately in the hospital environment to any complications or sudden emergencies. During a birth outside of the hospital environment, there are a number of influences that can cause complications in an unprepared environment without professional assistance, endangering the condition of both the child and the woman.Methods:The educational concept of PARABORN focuses on situations outside the hospital environment. It is generalized and adaptable to varying geographic, economic, and cultural-political conditions of the target providers, particularly to rescue and paramedic teams. Educational concepts are specialized, interactive courses. The course includes a theoretical and practical block. In the theoretical part, the participants acquire knowledge of urgent obstetric conditions in an out-of-hospital environment including an overweight birth, bleeding, premature delivery, or a complicated delivery (non-standard position, umbilical cord prolapse, etc.). In the practical block, participants acquire the skills of acute interventions as well as methods of communication in these emergency situations. Practical training takes the form of case studies and can be tailored to the real geographic and cultural conditions in which the intervention units operate such as remote terrain, conflicts zones, etc.Discussion:The knowledge of the cultural and political environment is a necessary prerequisite for managing the urgent situation. Paramedics, as first responders, should have adequate training to manage maternity situations in an out-of-hospital environment where a hospital environment is not available or accessible either by choice or circumstance.

scholarly journals Training Foreign Students of Medical University for Medical Practice in Hospitals

2020 ◽  
pp. 72-79
Author(s):  
О.Н. Маслова ◽  
О.В. Алексеева
Keyword(s):  
Foreign Students ◽  
English Language ◽  
Foreign Student ◽  
Russian Language ◽  
Hospital Environment ◽  
Successful Implementation ◽  
Practical Training ◽  
Language Program ◽  
Medical University ◽  
The Russian Language

Скорость и качество овладения русским языком иностранными студентами, обучающимися в медицинских вузах России, во многом зависят от того, имеется ли у этих студентов возможность пройти предварительную языковую подготовку на подготовительном факультете. В условиях ее отсутствия студенты получают образование на языке-посреднике, а русский язык становится факультативной дисциплиной, в результате чего погружение в русскую культуру, понимание правил невербальной коммуникации в русскоязычной среде, равно как и просто уверенное владение русским языком становятся уделом избранных лиц. Вместе с тем каждый иностранный студент должен проходить практику в русских медицинских учреждениях. В связи с этим перед преподавателем русского языка как иностранного встает несколько задач, к числу которых относится не только общеязыковая подготовка иностранных обучающихся к прохождению медицинской практики, но и речевая, культурологическая и психологическая. Успешной реализации поставленных задач может способствовать создание и использование на занятиях специального словаря-разговорника, который позволит студентам заблаговременно познакомиться с правилами поведения в больнице, освоить необходимый для практики лексический минимум, ввести в активный речевой оборот ряд фраз, актуальных в повседневном общении медперсонала с больными. В статье раскрывается и объясняется структура словаря, обозначены его задачи и целевая аудитория. The speed and the quality of mastering the Russian language by foreign students studying at medical universities in Russia largely depend on whether these students have the opportunity to take a preliminary year-long Russian language course at the preparatory division. If the students receive education in the English language, the Russian language program is reduced to an optional course, not sufficient to ensure understanding of Russian culture and rules of non-verbal communication in a Russian-speaking environment. However, every foreign student must undergo practical training in Russian medical institutions. In this case the Russian language teacher faces an almost insurmountable task of equipping students with the skills of communicating with Russian patients and colleagues and with sufficient cultural and psychological awareness for adequate verbal and non-verbal behavior in a hospital environment. The successful implementation of these tasks can be facilitated by developing and using a special vocabulary-phrase book at the lessons of the Russian language. This manual will allow students to get acquainted with the rules of behavior in the hospital in advance, master the lexical minimum necessary for practice and introduce a number of phrases that are relevant in everyday communication of medical staff with patients. The article reveals and explains the structure of the manual, identifies its objectives and target audience.

Care in the final hours and days

2021 ◽  
pp. 352-360
Author(s):  
Dawn Davies ◽  
Justin Baker
Keyword(s):  
Care Providers ◽  
Her Family ◽  
Emergency Situations ◽  
Knowing That ◽  
Professional Assistance

Caring for a child and his or her family during the last hours and days of the child’s life is emotionally charged, with inherent pressure to ‘get things right.’ Anticipation and treatment of the patient’s changing symptoms are essential to stave off emergency situations or, at least, to be optimally prepared to deal with them. Parents must be actively supported during this time, regardless of the setting, and the availability of professional assistance must be continuous, even if this can be only by telephone in some circumstances. Access to emergency medications must be anticipated in this context. Communication must be seamless, and care providers must be prepared for sudden changes in the desired setting of care. It is much easier to plan for every contingency, knowing that some plans will go unused, than to have to cobble together suboptimal arrangements at the last minute.

Hydro Casthouse Reference Centre

2009 ◽  
Vol 630 ◽  
pp. 9-16
Author(s):  
Trond Furu ◽  
Idar Kjetil Steen
Keyword(s):  
State Of The Art ◽  
Casting Machine ◽  
Casting Process ◽  
Pilot Scale ◽  
Hot Tearing ◽  
Ceramic Foam ◽  
Practical Training ◽  
Emergency Situations ◽  
Reference Centre ◽  
Melt Treatment

Since October 2006 the Hydro Casthouse Reference Centre has been operating. The centre is a full scale state of the art pilot casting centre for extrusion ingot, sheet ingot and foundry alloys, consisting of a 17Mtons furnace with a metal loop, a launder system including modular in-line melt treatment units such as ceramic foam filters (CFF) and inline melt refining units (Hycast SIR) and a casting pit with the possibility to cast full size geometries and a casting length of 5.5m. A two strand horizontal casting machine further adds the possibility of continuous casting of extrusion ingot and foundry alloy ingot. The centre has a state of the art superior control system (SCS) and a lay-out, including control room facilities, well suited for training and demonstration purposes. In addition the centre has access to state of the art software codes for simulating the casting process (Alsim) and the as cast microstructure (Alstruc). The present paper gives some examples on how the centre is operating and the support that is offered to casthouses in Hydro. This includes (i) simulation of the casting processes (hot tearing and as cast structures) applying the Alsim and Alstruc codes, (ii) pilot scale testing of casting and melt treatment equipment, (iii) testing of new parameters and procedures for melt treatment and casting (iv) production of trial orders of new alloys and (v) practical training of casthouse operators (basic for molten metal handling, emergency situations and response, casting principles and trouble shooting, etc.).

METHODICAL ASPECTS OF BUSINESS GAME ON THE MANAGEMENT AUTHORITY ACTIONS IN EMERGENCY SITUATIONS

2019 ◽  
Vol 7 ◽  
pp. 5-16
Author(s):  
O. Bondarenko ◽  
O. Gudovych ◽  
O. Kovaliov ◽  
V. Mazurenko
Keyword(s):  
Fatal Outcome ◽  
Civil Defense ◽  
Successful Implementation ◽  
Practical Training ◽  
Civil Protection ◽  
Protection Measure ◽  
Training Activity ◽  
Simulation Exercise ◽  
Emergency Situations ◽  
Short Period

Successful implementation of civil protection measure depends on the level of training of executive bodies, staffs, services, command and staff of the civil protection governing bodies. Conducting exercises and trainings with a certain frequency allows to work out the whole set of events connected with the civil protection reality plans check, preparing the executive bodies for the intended purpose, organizing and conducting rescue and other emergency operations in difficult emergency situations within the short period of time. According to the experience obtained, one of the response emergency drawbacks is the lack of theoretical and practical training of both governing bodies and civil defense forces, which fulfill the tasks of preventing and eliminating the emergency response. It should be noted that one of the most important drawbacks during the process of performing these tasks is the executive bodies’ lack of competence. This, in turn, leads to the violation of the algorithm of safety actions that can result in injury of employees and sometimes even fatal outcome. Functional training organization on managerial decision making by SESU bodies in the event of threat or emergency are described in professional publications. The aim of the article is to study all possible approaches to SESU executive bodies’ training on actions in the event of threat or emergency. Threat and emergency require the sequential actions from the sequential management bodies which are aimed at restoration of vital activity of the emergency areas, prevention of people’s death, injuries, losses as well as damages reduction. We believe that providing such training activity as simulation exercise gives the opportunity to improve knowledge and develop skills of executive bodies’ managerial actions organization in the event of threat and emergencies. We are sure that such training activity as a simulation exercise gives the opportunity to improve knowledge and develop the skills of executive bodies’ managerial actions organization in the event of threat and emergencies. The exercises components can be used in pre-exercise training and conducting exercises in the area of civil protection.

Variable Outcome in Quintuplets Pregnancy Based on Obstetric Care

2011 ◽  
Vol 14 (6) ◽  
pp. 580-585
Author(s):  
Grzegorz H. Bręborowicz ◽  
Anna Dera ◽  
Marta Szymankiewicz ◽  
Mariola Ropacka-Lesiak ◽  
Wiesław Markwitz
Keyword(s):  
Medical Center ◽  
Tertiary Care ◽  
Obstetric Care ◽  
Bed Rest ◽  
Well Being ◽  
Developed Countries ◽  
Population Based ◽  
Premature Delivery ◽  
Fetal Reduction ◽  
Gestation Time

The incidence of multiple pregnancies has increased dramatically over the last few years in developed countries, largely attributed to delayed childbearing and the increasing use of assisted reproduction technologies and ovulation inducing hormones. Relatively few countries have population-based statistics covering birth statistics. Of those that do, the numbers of quintuplet pregnancies rose sharply in the nineties while, at the same time, their delivery rates decreased greatly because of the use of fetal reduction. Fetal reduction is not possible or legal in some countries, Poland being one of them, and therefore obstetricians are faced with the challenges of quintuplet deliveries. Conservative treatment and management is difficult, and outcomes often vary greatly. Despite this, expert care provided at tertiary care centers can positively influence outcomes. The objective of this article is to present different care options and their consequences in two illustrative cases, as well as to establish a set of obstetric care and management goals that would allow prolongation of the gestation time. Quintuplet pregnancy is rare but poses relevant clinical problems to both the obstetrician and the neonatologist. It should be managed with close cooperation between all concerned. Due to the extreme and invariable risk of premature delivery associated with quintuplet pregnancies, we recommend early diagnosis, adequate prenatal care at one tertiary medical center, routine hospitalization and bed rest, repeated ante partum ultrasound surveillance with tests of fetal well-being, tocolytic therapy at first signs of the risk of premature labor, and specialized neonatology care after delivery.

Safe hospital environment — patient safety

2021 ◽  
pp. 26-40
Author(s):  
Tatiana Viktorovna Svechnikova ◽  
Alexander Ivanovich Kuznetsov
Keyword(s):  
Nosocomial Infections ◽  
Action Plan ◽  
Obstetric Care ◽  
Maternity Hospital ◽  
Hospital Environment ◽  
Diagnostic Process ◽  
Safety Issues ◽  
Wide Range ◽  
Quality Of Obstetric Care

The aim of the study is to improve the quality of medical services in the maternity hospital while observing the sanitary and anti-epidemic regime at all stages of the work of specialists. Results. The basic principles of epidemiology, the main directions of surveillance and control of nosocomial infections were studied, measures taken to improve the quality of obstetric care were assessed, an action plan for the prevention of nosocomial infections was considered, and the level of knowledge and skills of nurses in infectious safety issues was assessed. Conclusion. To improve the safety of medical care, complex systemic efforts are needed, including a wide range of professional, organizational, legal and psychological measures to improve the treatment and diagnostic process, to ensure real conditions for risk management, including the safety of the use of drugs and the use of medical equipment., sanitary and epidemiological control, the safety of clinical practice and a safe environment (technogenic, fire-fighting, anti-terrorist, etc.) in health care institutions.

scholarly journals Simulation learning technologies in modern dental education: analysis of students’ opinions

2020 ◽  
Vol 47 (5) ◽  
pp. 135-146
Author(s):  
Elena V. Felker ◽  
◽  
Lilia A. Yachmeneva ◽  
Margarita A. Baroyan ◽  
Anna A. Zubkova ◽  
...  
Keyword(s):  
Simulation Training ◽  
Dental Students ◽  
Learning Technologies ◽  
Hospital Environment ◽  
First Year ◽  
Practical Training ◽  
Practical Skills ◽  
General Desire ◽  
Simulation Center ◽  
Medical University

Simulation training in medicine opens up new horizons for students’ practical training, advanced training of practicing physicians, as well as systems for assessing the formation of competencies. The Dentist Laboratory, in which dental students start learning already in the first year of study, is successfully functioning in the Training Simulation Center (TSC) of Kursk State Medical University (KSMU). To study the satisfaction of students with the effectiveness of using simulation training in the formation of practical skills, after passing the test during on-the-job training, a voluntary anonymous survey of 110 fourth-year students of the Faculty of Dentistry of Kursk State Medical University was conducted. The questionnaire included a question pool for approval of the argument, and the overwhelming majority of the surveyed students recognize the clear advantages of using simulation technologies at all stages of medical education. 84% of the respondents noted that the reality of sensations when modeling clinical situations in the phantom class of KSMU is close to a real hospital environment. The respondents identified the required number of trainings they needed to confidently master the basic practical skills, as well as highlighted the disadvantages of simulation training in comparison with actual clinical practice. Analyzing the data obtained and taking into account the students’ general desire to increase the total number of trainings, the schedule of classes in the simulation class of KSMU was corrected.

Practical Training on Nosocomial Infections in a Hospital Environment

2006 ◽  
Vol 15 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Ĺubica Sobotová ◽  
Táňa Nosková ◽  
Janka Voleková ◽  
Ĺubica Ághová
Keyword(s):  
Nosocomial Infections ◽  
Hospital Environment ◽  
Practical Training

scholarly journals A SURVEY INTO THE SATISFACTION OF NURSING STUDENTS WITH THEIR PRACTICAL TRAINING

2017 ◽  
Vol 5 ◽  
pp. 580-586
Author(s):  
Snezhana Dragusheva ◽  
Biyanka Tornyova ◽  
Maria Semerdjieva ◽  
Silviya Novakova
Keyword(s):  
Job Satisfaction ◽  
Clinical Practice ◽  
Nursing Students ◽  
Total Duration ◽  
Hospital Environment ◽  
Professional Activity ◽  
Practical Training ◽  
Social Psychological ◽  
Important Indicator ◽  
Bulgarian Academy

The training nursing students in the Republic of Bulgaria confirms with the contemporary European requirements. The training is theoretical and practical, with the practical training accounting for at least 50% of the total number of hours in the specialty. The practical training includes clinical practice and pre-graduation traineeship, which complies with the Ordinance on the Unified state requirements regarding the training of nurses. The clinical practice and the pre-graduation traineeship involve a total duration of 2740 hours for students majoring in Nursing (Ordinance on the Unified state requirements). The level of satisfaction of these nursing students is an important indicator of the quality of the practical training. The study involved a sociological method of direct group survey involving an original set of questions with one developed specifically for this survey and others adapted from the questionnaire on job satisfaction of the Institute of Psychology at the Bulgarian Academy of Sciences. This questionnaire on satisfaction comprises 36 statements with three subscales: 1) work organization or organization of the practical training; 2) social-psychological conditions; and 3) material. The approach uses a Likert-type scale from 1 to 4 (1 = “no”, 2 = “to a certain extent”, 3= “very much”, and 4 = “extremely”) to score responses. The opinion of 280 fourth-year nursing students from three universities: the Medical University of Plovdiv, Trakia University of Stara Zagora, and ‘Prof. Dr. Asen Zlatarov’ University of Burgas, is surveyed. The analysis of the results from the conducted empirical survey shows that in their professional activity the surveyed students are primarily motivated by love and care for people (78.8%) followed by the desire to perform an activity that is beneficial to society (63.3%). Then follows the respect on behalf of patients, the team, and society as a whole (52.5%) and subsequently, the emotional attractiveness of the work reflected in the desire to do work that brings pleasure and joy (job satisfaction; 42.4%). The level of student satisfaction with their practical training depends on the organizational-educational, social-psychological, and material and technical conditions of the hospital environment. The analysis of the survey data confirms the significant role of practical training for the professional qualification of these nursing students. However, certain negative trends are also identified. These trends are connected with the satisfaction of the students concerning the procedures they have the opportunity to perform, their relationships with their mentors and medical teams, and that at times they are required to perform inappropriate activities. This calls for increased control on behalf of the tutors.

scholarly journals Methodology of Forming the Readiness of Miners for Work in Extreme Situations Using a Training Complex

2020 ◽  
Vol 15 (02) ◽  
pp. 86 ◽  
Author(s):  
Mikhail Krasnyansky ◽  
Sergey Karpushkin ◽  
Andrey Popov ◽  
Artem Obukhov ◽  
Denis Dedov
Keyword(s):  
Protective Effect ◽  
Educational Technologies ◽  
Practical Training ◽  
Emergency Situations ◽  
Breathing Apparatus ◽  
And Training

The article is devoted to the development of conceptual issues of the methodology for forming the readiness of miners for effective and safe activities in extreme situations in mines. The improvement of the efficiency of miners’ training is based on using the capabilities of digital educational technologies and the developed training complex. The article defines the competency structure of workers in hazardous industries, ensuring that they perform working functions in extreme situations and reduce the risk of their life and health in case of accidents. The problem factors in the system of professional retraining are researched. The psychological and pedagogical conditions for the success of the use of the training complex are determined. The main approaches to the formation of the content of theoretical and practical training are formulated. The structure of the training complex for the training of miners is described; the process of its adjustment and functioning is considered. The key stages of the developed methodology for the formation of readiness of miners for activities in emergency situations in mines are considered. Training, using the proposed methodology and training complex, has significantly improved the application of self-rescuers, which is confirmed by an increase in the time indicator of the protective effect of the breathing apparatus used by students after training on simulators.

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