Uveal Melanoma – Standardised Procedure in Diagnosis, Therapy and Surveillance

2021 ◽  
Vol 238 (07) ◽  
pp. 761-772
Author(s):  
Nikolaos E. Bechrakis ◽  
Norbert Bornfeld ◽  
Ludwig M. Heindl ◽  
Nicole Skoetz ◽  
Serge Leyvraz ◽  
...  
Keyword(s):  
Uveal Melanoma ◽  
Current Knowledge ◽  
Standard Operating Procedure ◽  
Multistage Process ◽  
Consensus Process ◽  
Standard Operating ◽  
The Subject ◽  
Evidence Based Guideline ◽  
Diagnosis Therapy

Abstract Background Uveal melanoma is a rare intraocular tumour, for which there is currently no national evidence-based guideline in Germany. The aim of this project was to provide a common standard operating procedure (SOP) for the diagnosis, treatment and follow-up care of uveal melanoma, within the network of German leading oncology centres funded by German Cancer Aid. The SOP was created as part of a moderated consensus process. Results and Conclusion In a multistage process, a common SOP was developed for the diagnosis, therapy and follow-up of uveal melanoma, as based on current knowledge of the subject.

Evaluation of Third-Party Deep Cleaning as a Listeria monocytogenes Control Strategy in Retail Delis

2017 ◽  
Vol 80 (11) ◽  
pp. 1913-1923 ◽  
Author(s):  
Susan R. Hammons ◽  
Andrea J. Etter ◽  
Jingjin Wang ◽  
Tongyu Wu ◽  
Thomas Ford ◽  
...  
Keyword(s):  
Listeria Monocytogenes ◽  
Standard Operating Procedure ◽  
Third Party ◽  
Food Marketing ◽  
High Prevalence ◽  
Standard Operating ◽  
Before And After ◽  
Contact Surfaces ◽  
Very High

ABSTRACT The objective of this study was to develop and assess the efficacy of an aggressive deep cleaning sanitation standard operating procedure (DC-SSOP) in nine retail delicatessens to reduce persistent Listeria monocytogenes environmental contamination. The DC-SSOP was developed from combined daily SSOPs recommended by the Food Marketing Institute and input from experts in Listeria control from food manufacturing and sanitation. The DC-SSOP was executed by a trained professional cleaning service during a single 12-h shutdown period. A modified protocol from the U.S. Food and Drug Administration Bacteriological Analytical Manual was used to detect L. monocytogenes in samples from 28 food and nonfood contact surfaces that were collected immediately before and after each cleaning and in samples collected monthly for 3 months. The DC-SSOP significantly reduced L. monocytogenes prevalence overall during the 3-month follow-up period and produced variable results for persistent L. monocytogenes isolates. Six delis with historically low to moderate L. monocytogenes prevalence had no significant changes in the number of samples positive for L. monocytogenes after deep cleaning. Deep cleaning in very high prevalence delis (20 to 30% prevalence) reduced L. monocytogenes by 25.6% (Padj < 0.0001, n = 294) overall during the follow-up period. Among delis with extremely high prevalence (>30%), positive samples from nonfood contact surfaces were reduced by 19.6% (Padj = 0.0002, n = 294) during the follow-up period. The inability of deep cleaning to completely eliminate persistent L. monocytogenes was likely due to the diverse infrastructures in each deli, which may require more individualized intervention strategies.

scholarly journals Content design and validation of a Standard Operating Procedure to provide pharmacotherapy follow-up for the elderly in Cuba

2017 ◽  
Vol 53 (2) ◽  
Author(s):  
Irma Leonor Ortega López ◽  
Niurka María Dupotey Varela ◽  
Ivette Reyes Hernández ◽  
Miguel Ernesto Verdecia Rosés ◽  
Yoenia Veranes Vera ◽  
...  
Keyword(s):  
Operating Procedure ◽  
Standard Operating Procedure ◽  
The Elderly ◽  
Standard Operating ◽  
Content Design

scholarly journals HUBUNGAN PENGGUNAAN MASKER SUNGKUP SELAMA TERAPI NEBULIZER TERHADAP SATURASI PERIFER OKSIGEN PADA PASIEN PPOK DI IGD BRSU TABANAN TAHUN 2016

2018 ◽  
Vol 1 (1) ◽  
pp. 54
Author(s):  
Sastro Putre Gustiawan ◽  
Adi Satriani ◽  
Adi Satriani ◽  
Ni Putu Kamaryati ◽  
Inca Buntari Agustini
Keyword(s):  
Medical Staff ◽  
Sampling Technique ◽  
Standard Operating Procedure ◽  
Chi Square ◽  
Copd Patients ◽  
Standard Operating ◽  
Normal Outcome ◽  
Chi Square Test ◽  
Relationship Of

Background. In Standard Operating Procedure, the use of hood mask on COPD patients in nebulizer therapy is used when necessary, which means that the medical staff able to wear a mask or not, it is because of lack of firmness in the Standard Operating Procedures created.Aim. To determine the relationship of the use of hoods during therapy nebulizer mask to saturation of peripheral oxygen in COPD patients in the ER Agency Tabanan General Hospital. Method. This research used non-probability sampling design, the sampling technique used in this study was consecutive sampling technique.Results. The respondents who wore hood mask on during nebulizer therapy as many as 84 respondents (98.8 percent), respondents who woremask on for 10-15 minutes by 85 respondents (100 percent), respondents who installed the rubber on mask during nebulizer therapy was 81 respondents (95.3 percent), the majority of respondents whom masks do did not come loose during nebulizer therapy as many as 76 respondents (89.4 percent). The saturation of oxygen peripheral therapy on COPD patients with nebulizer has a normal outcome as many as 82 respondents (96.5 percent).Conclusion. There was a significant relations between the use of hood mask during nebulizer therapy with the saturation of oxygen peripheral on COPD patients with the results of Pearson’s Chi-square test in Asymp.Sig value. (2-sided) of 0.00 (p = 0:00), because the value of Asymp.Sig. (2 -sided) 0:00 <0:05 (Alpha 5%).Suggestion. In a nebulizer therapy on COPD patients, medical staff should wear a hood mask during the therapy and follow-up the result of this study for the changes of standard operating procedures.Keywords:COPD, Hood Mask, Oxygen Peripheral Saturation, Nebulizer

scholarly journals ANALISIS INFORMED CONSENT TERHADAP PERLINDUNGAN HUKUM TENAGA KESEHATAN DI RUMAH SAKIT UMUM DAERAH KOTA BANDUNG

2020 ◽  
Vol 2 (1) ◽  
pp. 62-75
Author(s):  
Wahyudi, Dhita Annisa
Keyword(s):  
Informed Consent ◽  
Medical Staff ◽  
Research Method ◽  
Public Hospital ◽  
Legal Protection ◽  
Standard Operating Procedure ◽  
Health Staff ◽  
Standard Operating ◽  
The Subject ◽  
Descriptive Approach

The research aims to determine the analiysis of informed consent to the health staff legal protection at bandung regional public hospital. Informed consent is an agreement of medical action through a process of communication between the doctor and the patient about the agreement of medical action that the medical staff would do to the patient. The research method used is a juridical normative qualitative research method with a descriptive approach. Data collection techniques used are by way of literature studies related to the subject, interviews and field observations. The results of the research showed that in general the informed consent at bandung regional public hospital had been optimally implemented and  in accordance with the SOP (Standard Operating Procedure) in the hospital and there was also a General Consent, it’s a general agreement of the patient. Informed consent that has been optimally implemented and in accordance with the regulations in this hospital could protect the health staff and medical staff in carrying out medical actions on patients. For the suggestion given by researchers about health staff and medical staff have to give the socialization about the procedures of informed consent and medical staff have to understand about statute of law that exist, especially to the health staff and the hospital regulations

Rethinking Development Communication

2018 ◽  
Author(s):  
Bhavya Chitranshi ◽  
Anup Dhar
Keyword(s):  
Third World ◽  
Standard Operating Procedure ◽  
Communication Technologies ◽  
Development Communication ◽  
Middle Term ◽  
The Third ◽  
Standard Operating ◽  
Communication For Development ◽  
The Subject ◽  
The One

Here we, on the one hand, revisit the standard operating procedure in development strategies—“communication (technologies) for development”—and move instead to “development for facilitating communication” through exploring questions such as: Does communication facilitate development? Or does development facilitate communication? Which kind of communication can engender development? Which kind of development can ensure communication with the “margins”? We thus tighten and deepen the connection between the nature of development and the nature of communication; in the process we see communication for development and development for communication as mutually constitutive. We also invoke the question of praxis in three forms: (a) by exploring the connection between praxis and communication and seeing communication as not just a technique but as a question of praxis—where theories of communication and practices of communication are in a relationship, (b) by seeing developmental praxis as intimately tied to the question of communication, and (c) by letting praxis emerge as the “middle term” or the connecting link between development and communication. We deconstruct three discourses of development: the growth-centric discourse, those offering “developmental alternatives” (like human developmental perspectives), and those presenting “alternatives to development” (like postdevelopmentalist positions focused on “third world” or the “local,” etc.), to move to a fourth discourse that problematizes both modernism and capitalism, as it opens up the discourses of communication (modernist, dependency theory, participatory approach, etc.) for inquiry. We attempt to go beyond the modernist and capitalist understandings of development to introduce the logic-language-ethos of “world of the third” as against third world-ist imaginations. This helps us rethink the praxis of communication in creating, on the one hand, community- or social movements–driven developmental futures and, on the other, engendering post-Orientalist and postcapitalist forms of life in local or world of the third contexts. We also emphasize the need to reflect on the question of the “subject” (as also psychoanalytic conceptualizations of the “psyche”) and the need to learn to “work through” “groups” in order to usher in depth and nuance in the praxis of development communication.

scholarly journals Analisis Pelaksanaan Tindak Lanjut Hasil Pemeriksaan BPK RI atas Laporan Keuangan Pemerintah Daerah di Kabupaten Kepulauan Talaud

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Sisilia Amelia Essing ◽  
David P E Saerang ◽  
Linda Lambey
Keyword(s):  
Human Resources ◽  
Operating Procedure ◽  
Secondary Data ◽  
Standard Operating Procedure ◽  
Primary Data ◽  
Standard Operating ◽  
State Audit ◽  
Depth Interviews

Abstract. Follow up audit results by State Audit Agency or Badan Pemeriksa Keuangan (BPK) are intended to fulfill its obligations as recommended in Audit Report. The completion of follow up audit results has been slightly increased. The percentage is higher than average. However, it is still below the minimal standard determined by BPK. Time completion is ineffectively conducted. This study is a qualitative research and a case study.This research was conducted in Local Government of Talaud Islands Regency. Data consists of primary and secondar data. Primary data were collected with in-depth interviews. On the other hard, secondary data were employed by document analysis. Interviews were transcribed into data transcriptions, analysed, coded, and categorized into themes. Content analysis was used to analyse the data. Resuls indicate that the quality of human resources in this team faces obstacles : (1) The lack of understanding in responding or following up the audit recommendations; (2) The insufficient number of staff involving in executing the follow up audit results; and (3) The follow up process is not fully being implemented. The process must be in accordance to Standard Operating Procedure (SOP) of follow up audit results by BPK. Moreover, this SOP is not yet publicized among the team. Keywords : Follow-up audit results, Human Resources, and Standard Operating Procedure. Abstrak. Tindak lanjut hasil pemeriksaan Badan Pemeriksa Keuangan adalah tindak lanjut yang dilakukan oleh pemerintah daerah untuk memenuhi kewajiban seperti yang dituangkan dalam rekomendasi Laporan Hasil Pemeriksaan Badan Pemeriksa Keuangan. Penyelesaian tindak lanjut mengalami peningkatan walaupun sangat kecil. Persentasi saat ini berada diatas rata-rata, namun belum mencapai standar minimal dari Badan Pemeriksa Keuangan. Waktu penyelesaian tindak lanjut tidak efektif dilaksanakan. Penelitian ini merupakan penelitian kualitatif dengan jenis penelitian studi kasus. Lokasi penelitian di Pemerintah Daerah Kabupaten Kepulauan Talaud. Sumber data yang digunakan dalam penelitian ini adalah data primer dan data sekunder. Data primer diperoleh dari wawancara mendalam terhadap responden individual. Data sekunder diperoleh dari studi dokumentasi. Hasil wawancara di-transcribe menjadi transkrip data, kemudian dianalisis, diberi kode, dan dikategorikan ke dalam tema. Analisis data menggunakan analisis isi. Hasil penelitian menunjukkan bahwa kualitas Sumber Daya Manusia dari tim teknis cukup memadai. Namun masih ada hambatan bagi tim teknis : (1) kurangnya pemahaman tentang cara menindaklanjuti rekomendasi hasil pemeriksaan; (2) jumlah personil yang dilibatkan dalam pelaksanaan tindak lanjut masih kurang; (3) proses tindak lanjut belum sepenuhnya dilakukan berdasarkan prosedur yang tertuang dalam Standar Operasional Prosedur Tindak Lanjut Hasil Pemeriksaan Badan Pemeriksa Keuangan Republik Indonesia. Selain itu Standar Operasional Prosedur yang telah dibuat belum dipublikasikan kepada tim . Kata kunci:  Tindak lanjut hasil pemeriksaan, Sumber Daya Manusia, dan Standar Operasional Prosedur.

scholarly journals Penyusunan Standard Operating Procedures (SOP) Pada Dinas Pendidikan Kabupaten Bengkayang Dalam Rangka Peningkatan Mutu Manajemen Organisasi

2020 ◽  
Vol 10 (3) ◽  
pp. 263-268
Author(s):  
Herry Sanoto
Keyword(s):  
Standard Operating Procedure ◽  
Organizational Management ◽  
Implementation Team ◽  
Team Planning ◽  
Standard Operating ◽  
Preparation Stage ◽  
Qualitative Descriptive ◽  
Field Notes ◽  
The Subject ◽  
Preliminary Study

This study aims to prepare SOP for organizational management at Bengkayang Regency Education Office. This research is a qualitative descriptive study with the following steps: (1) preliminary study, (2) planning, and (3) implementation. The subject of this research is Bengkayang Regency Education Office. The data collection techniques used were interviews and observation. The results of interviews and observations were analyzed by reducing data, presenting data, and drawing conclusions. The results of the preliminary study show that the Bengkayang Regency Education Office does not yet have a Standard Operating Procedure (SOP) for organizational management. SOP preparation is carried out by making field notes on mentoring activities and compiling SOP formats. Meanwhile, the implementation of SOP preparation assistance is carried out in six stages, namely the preparation stage, the formation of an implementation team, planning, drafting, testing SOP drafts, and implementing SOP. SOP is needed to regulate quality assurance of organizational management.

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