scholarly journals “Motorcycle Ambulance” Policy to Promote Health and Sustainable Development in Large Cities

2021 ◽  
pp. 1-6
Author(s):  
Korakot Apiratwarakul ◽  
Takaaki Suzuki ◽  
Ismet Celebi ◽  
Somsak Tiamkao ◽  
Vajarabhongsa Bhudhisawasdi ◽  
...  
Keyword(s):  
Sustainable Development ◽  
Response Time ◽  
Traffic Congestion ◽  
Cross Sectional Study ◽  
National Standard ◽  
Access Time ◽  
Cross Sectional ◽  
Study Objective ◽  
Automated External Defibrillators ◽  
Large Cities

Abstract Introduction: Motorcycles can be considered a new form of smart vehicle when taking into account their small and modern structure and due to the fact that nowadays, they are used in the new role of ambulance to rapidly reach emergency patients in large cities with traffic congestion. However, there is no study regarding the measuring of access time for motorcycle ambulances (motorlances) in large cities of Thailand. Study Objective: This study aims to compare access times to patients between motorlances and conventional ambulances, including analysis of the use of automated external defibrillators (AEDs) installed on motorlances to contribute to the sustainable development of public health policies. Methods: A cross-sectional study was conducted on all motorlance operations in Emergency Medical Services (EMS) at Srinagarind Hospital, Thailand from January 2019 through December 2020. Data were recorded using a national standard operation record form for Thailand. Results: Two hundred seventy-one motorlance operations were examined over a two-year period. A total of 52.4% (N = 142) of the patients were male. The average times from dispatch to vehicle (motorlance and traditional ambulance) being en route (activation time) for motorlance and ambulance in afternoon shift were 0.59 minutes and 1.45 minutes, respectively (P = .004). The average motorlance response time in the afternoon shift was 6.12 minutes, and ambulance response time was 9.10 minutes at the same shift. Almost all of the motorlance operations (97.8%) were found to have no access to AED equipment installed in public areas. The average time from dispatch to AED arrival on scene (AED access time) was 5.02 minutes. Conclusion: The response time of motorlances was shorter than a conventional ambulance, and the use of AEDs on a motorlance can increase the chances of survival for patients with cardiac arrest outside the hospital in public places where AEDs are not available.

scholarly journals “Motorcycle Ambulance” the Policy to Promote Health and Sustainable Development in Large Cities

2021 ◽  
Author(s):  
Korakot Apiratwarakul ◽  
Takaaki Suzuki ◽  
İsmet Çelebi ◽  
Somsak Tiamkao ◽  
Vajarabhongsa Bhudhisawasdi ◽  
...  
Keyword(s):  
Sustainable Development ◽  
Traffic Congestion ◽  
Access Time ◽  
Public Places ◽  
The Sustainable Development ◽  
Large Cities ◽  
The Times ◽  
And Control ◽  
Smart Vehicle

Motorcycles can be considered a new form of smart vehicle when taking into account their small and modern structure and due to the fact that nowadays they are used in the new role of ambu-lance to rapidly reach emergency patients in large cities with traffic congestion. However, there is no study regarding the measuring of access time for motorcycle ambulances in large cities of Thailand. Therefore, this study aims to compare access times to patients between motorcycle ambulances and conventional ambulances, including analysis of the use of AED installed on motorcycle ambulances to contribute to the sustainable development of public health policies. In two hundred and seventy-one operations, it was found that the times from dispatch to vehicle (ambulance and motorlance) being en route and times from the 1669 center (center for com-mand-and-control EMS in Thailand) call receipt to arrival on scene (response time) of motorcycle ambulances was shorter than that of a conventional ambulance and the use of AED on a motor-cycle ambulance can increase the chances of survival for patients with cardiac arrest outside the hospital in public places where AEDs are not available and in all cases where access to an AED was less than eight minutes.

scholarly journals A Novel Objective Approach Towards Physicians' Knowledge and Practice Patterns to Optimize Central Venous Catheter Placement: A Cross-sectional Study

2020 ◽  
Keyword(s):  
Intensive Care ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Clinical Practices ◽  
Central Venous ◽  
Cross Sectional ◽  
Study Objective ◽  
Catheter Tip

Study objective: Central venous catheterization is an essential component of intensive care of critically ill patients, and proper positioning of the catheter is essential to prevent position-related complications. This study was conducted by using digital tape measurement to objectively assess clinician preferences for central venous catheter positioning based on specific position levels and landmarks on post-procedural chest radiographs. Design: A cross-sectional study using electronic questionnaire survey. Setting: Single academic teaching hospital participated in this study. Participants: The study enrolled 276 physicians from multiple clinical disciplines. Interventions: None. Measurements: A seven-level reference system labeled on a sample chest radiograph was used to identify the acceptable lower and upper limits and landmarks used to determine the optimal central venous catheter tip position as well as the pattern of clinical practices based on the specialty and level of experience of participants. Main results: Among the 276 respondents, the ratio of cumulative acceptance for the lower and upper catheter tip limit was 62% and 66.3% within a 4-cm range below or above the carina, respectively. Intensive care unit (ICU) physicians showed a greater tendency to choose a catheter tip 4 cm below and 6 cm above the carina (p = 0.004 and 0.002, respectively) as did experienced physicians (p = 0.007 and < 0.001, respectively). The commonest reason for catheter tip withdrawal was arrhythmia (50% of cases). Physicians in the ICU and experienced physicians were more concerned about the risk of cardiac perforation than other respondents (p < 0.001 and < 0.001, respectively). The carina was the most commonly used landmark in 71.7% of all physicians, although 50% of radiologists also used other landmarks. Conclusions: The acceptable limit of the catheter tip is 4 cm above and below the carina (-4 to +4), as determined on chest radiography, without a need for tip adjustment.

Knowledge Attitudes and Practice of Breast Milk Expression and Storage Among Working Mothers With Infants Under 6 Months of Age in Public Well Baby Clinics

2020 ◽  
Author(s):  
PRISCILLAH wanini EDEMBA ◽  
Grace Irimu ◽  
RACHEL MUSOKE
Keyword(s):  
Breast Milk ◽  
Working Mothers ◽  
Tertiary Education ◽  
Working Women ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Study Objective ◽  
The Public ◽  
And Storage

Abstract Background: Many studies show that working mothers are unable to exclusively breastfeed successfully. Expression and storage of breastmilk is a strategy that ensures continued breastmilk consumption in the event of temporary separation of an infant from the mother. The 2017 Kenyan Health Act mandates employers to provide lactation rooms with guidance for appropriate utilization.Methodology: The study objective was to assess knowledge attitude and practice of breastmilk expression and storage among working women with infants below six months of age in Public Well Baby Clinics. This was a cross sectional study among 395 working women attending two large public hospitals in Nairobi Kenya. A structured questionnaire with open and closed ended questions was used to establish the knowledge and practice while a Likert scale was used to explore attitudes of the mothers towards expression and storage of breast milk. Results: Only 161(41%) were expressing breast milk. Those with tertiary education and those working in the public sector had significantly higher odds of having satisfactory knowledge OR4.47(95%CI 2.01-11.07) and OR2.26(95%CI 1.33-3.85) respectively. Attaining tertiary education was significantly associated with a possibility of expressing and storing breastmilk OR3.6(95% CI 1.81-7.95). The workplace did not provide adequate equipment to facilitate breastmilk expression. Challenges experienced were breast pain and cumbersome nature of expressing milk.Conclusion: The study revealed knowledge gaps in expression and storage of breastmilk that need to be addressed to enable the mothers fully utilize the lactation rooms when they become available at the workplace.

scholarly journals How far is too far? A nationwide cross-sectional study for establishing optimal hospital access time for Korean pregnant women

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e031882 ◽  
Author(s):  
Mi Young Kwak ◽  
Seung Mi Lee ◽  
Hyun Joo Kim ◽  
Sang Jun Eun ◽  
Won Mo Jang ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Maternal Morbidity ◽  
Cross Sectional Study ◽  
Obstetric Complications ◽  
Access Time ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospital Access ◽  
Maternal Morbidity And Mortality ◽  
Delivery Unit

ObjectivesAccess to a delivery unit is a major factor in determining maternal morbidity and mortality. However, there is little information about the optimal access time to a delivery unit. This study aimed to establish the optimal hospital access time (OHAT) for pregnant women in South Korea.DesignNationwide cross-sectional study.SettingWe used the National Health Insurance System database of South Korea.ParticipantsWe analysed the data of 371 341 women who had experienced pregnancy in 2013.Primary and secondary outcome measuresAccess time to hospital was defined as the time required to travel from the patient’s home to the delivery unit. The incidence of obstetric complications was plotted against the access time to hospital. Change-point analysis was performed to identify the OHAT by determining a point wherein the incidence of obstetric complications changed significantly. As a final step, the risk of obstetric complications was compared by type among pregnant women who lived within the OHAT against those who lived outside the OHAT.ResultsThe OHAT associated with each adverse pregnancy outcomes were as follows: inadequate prenatal care, 41–50 min; preeclampsia, 51–60 min; placental abruption, 51–60 min; preterm delivery, 31–40 min; postpartum transfusion, 31–40 min; uterine artery embolisation, 31–40 min; admission to intensive care unit, 31–40 min; and caesarean hysterectomy, 31–40 min. Pregnant women who lived outside the OHAT had significantly higher risk for obstetric complications than those who lived within the OHAT.ConclusionsOur results showed that the OHAT for each obstetric complication ranged between 31 and 60 min. The Korean government should take the OHAT under consideration when establishing interventions for pregnant women who live outside OHAT to reduce maternal morbidity and mortality.

scholarly journals The Perspectives of Patients and Health Professionals Regarding the Tuberculosis Control Programme in Recife, Brazil: A Contribution to Evaluation

Pharmacy ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 70 ◽  
Author(s):  
Simone Santos Bezerra ◽  
Mara Pereira Guerreiro ◽  
Nathany França Pessoa ◽  
Maria Gabriela Pereira da Silva ◽  
Mirela Galvão de Barros ◽  
...  
Keyword(s):  
Control Program ◽  
Cross Sectional Study ◽  
Control Programme ◽  
Median Score ◽  
Tuberculosis Control ◽  
Cross Sectional ◽  
Study Objective ◽  
Levels Of Care ◽  
Starting Point ◽  
Overall Evaluation

The study objective is to describe patients and professionals’ perspectives on the Tuberculosis Control Program (PCT) in Recife, Brazil, contributing to the program evaluation. A cross-sectional study was conducted in three purposively selected sites, representing the three levels of care in the public health system. All eligible PCT patients in sites A, B and C were invited to participate (n = 123). Physicians, nurses, pharmacists and community health agents providing care to PCT patients in these sites, plus their managers, were purposively selected. Data were collected by means of interviews with 44 patients and a questionnaire to 24 professionals. Instruments encompassed previously published items to capture stakeholders’ perspectives (16 and 12 closed-questions, respectively), grouped into categories. The overall evaluation by patients was unsatisfactory (median score 35%; third quartile below 50%; interquartile range 21.9%). Analysis of scores by categories showed that opinions about organizational accessibility were significantly worse than about economic and geographical accessibility, taken together. Overall the median score attributed by professionals was 52% (third quartile below 65%). Professionals had significantly worse opinions about diagnosis, clinical and laboratory assistance. Patients and professionals’ perspectives highlight potential opportunities for improvement. Our findings can be used by managers as a starting point for shared decision-making, potentially contributing to a better performance of the PCT in Recife and, consequently, reducing the risk posed by tuberculosis.

scholarly journals Emergency room visits due to external causes and alcohol consumption - Capitals and the Federal District, Brazil, 2011

2015 ◽  
Vol 20 (4) ◽  
pp. 1037-1046 ◽  
Author(s):  
Márcio Dênis Medeiros Mascarenhas ◽  
Alice Cristina Medeiros das Neves ◽  
Rosane Aparecida Monteiro ◽  
Marta Maria Alves da Silva ◽  
Deborah Carvalho Malta
Keyword(s):  
Alcohol Consumption ◽  
Emergency Room ◽  
Federal District ◽  
Cross Sectional Study ◽  
Alcoholic Beverages ◽  
Emergency Room Visits ◽  
Emergency Rooms ◽  
Cross Sectional ◽  
Study Objective ◽  
External Causes

The study objective was to describe the profile and factors related to alcohol consumption among emergency room visits by external causes. It is a cross-sectional study with data from the Survey of Violence and Injuries in Emergency between September and October 2011, in 24 state capitals and the Federal District. Statistical analysis were performed for all cases treated in selected services, comparing the characteristics of the victims, according to the statement of alcohol consumption. 33,289 visits to emergency rooms by external causes in the population above 18 years of age were included. The prevalence of self-reported statement of alcohol consumption among these services was 14.9% for the 24 capitals and the Federal District, and was significantly higher among visits by violent causes than by accidents. For both accidents and violence the associated causes were victims male, black/brown, less educated, members of specific populations, occurrences on public roads. The results support global discussions on the importance of establishing policies and legal measures to restrict the consumption of alcohol and vehicular direction, control advertising of alcoholic beverages, and laws normalizing the functioning of sales points of alcoholic beverages.

scholarly journals The Needs and Resources of Drug Information at Community Pharmacies in Gondar Town, Northwest Ethiopia

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Dessalegn Asmelashe Gelayee ◽  
Gashaw Binega Mekonnen ◽  
Mequanent Kassa Birarra
Keyword(s):  
Treatment Guidelines ◽  
Drug Information ◽  
Community Pharmacists ◽  
Relevant Information ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Information Resources ◽  
National Standard ◽  
Community Pharmacies ◽  
Cross Sectional

Background. Community pharmacists are in a key position to provide information on drugs and thus promote the rational use of drugs. Objectives. The present study was designed to determine the needs and resources of drug information in community pharmacies. Methods. A prospective institution based cross-sectional study was carried out and data were collected on 48 community pharmacists in Gondar, Northwest Ethiopia, using interviewer administered structured questionnaire. Results. Almost all pharmacists (N=47, 97.9%) often receive drug related queries and these were mainly from consumers (N=41, 85.4%). While most questions relate to drug price (N=29, 60.4%) and dosage (N=21, 43.8%), the information resources mainly referred to were drug package inserts and national standard treatment guidelines. However, limited availability of information resources as well as limited ability to retrieve relevant information influenced the practice of pharmacists. Female pharmacists claimed better use of different information resources than males (P<0.05). Conclusions. Community pharmacists in Gondar, Northwest Ethiopia, are often accessed for drug related information. But there are limitations in using up to date and most reliable resources. Therefore, intervention aimed at improving pharmacists’ access to and evaluation of drug information is urgently needed.

scholarly journals Traffic congestion and blood pressure elevation: A comparative cross-sectional study in Lebanon

2017 ◽  
Vol 19 (12) ◽  
pp. 1366-1371 ◽  
Author(s):  
Patrick Bou Samra ◽  
Paul El Tomb ◽  
Mohammad Hosni ◽  
Ahmad Kassem ◽  
Robin Rizk ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Traffic Congestion ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Blood Pressure Elevation ◽  
Pressure Elevation

scholarly journals Happiness Management: A Culture to Explore From Brand Orientation as a Sign of Responsible and Sustainable Production

2021 ◽  
Vol 12 ◽  
Author(s):  
Rafael Ravina-Ripoll ◽  
Estela Nunez-Barriopedro ◽  
David Almorza-Gomar ◽  
Luis-Bayardo Tobar-Pesantez
Keyword(s):  
Sustainable Development ◽  
Structural Equation ◽  
Cross Sectional Study ◽  
Sustainable Production ◽  
Primary Data ◽  
Cross Sectional ◽  
Brand Orientation ◽  
The Sustainable Development ◽  
Critical Dimensions ◽  
Managerial Implications

The overarching call to action represented by the sustainable development goals (SDGs) calls for new sustainable production and management models. Likewise, in periods of crisis, such as the current COVID-19 pandemic, companies are forced to develop competitive and sustainable development strategies to increase their brand value and achieve a good market position. Therefore, this work’s main objective is to design a structural equation modelling (SEM) to analyse the main critical dimensions of brand orientation to influence happiness in responsible and sustainable entities. For this purpose, a descriptive cross-sectional study was carried out based on primary data from a survey of a representative sample of 216 managers of small- and medium-sized enterprises in Andalusia (Spain) in the construction, industry and services sectors. The model results reveal significant dimensions of brand orientation and positively direct influence on happiness management. One of the significant managerial implications of this work is that the model allows for more responsible and sustainable management of entities by considering brand orientation about happiness.

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