scholarly journals Palliative Care in Congenital Syndrome of the Zika Virus Associated with Hospitalization and Emergency Consultation: Palliative Care and Congenital Syndrome of Zika

2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Aline Maria de Oliveira Rocha ◽  
Maria Julia Gonçalves de Mello ◽  
Juliane Roberta Dias Torres ◽  
Natalia de Oliveira Valença ◽  
Alessandra Costa de Azevedo Maia ◽  
...  
Keyword(s):  
Palliative Care ◽  
Zika Virus ◽  
Developmental Disorders ◽  
Tertiary Care ◽  
Congenital Infection ◽  
Longitudinal Component ◽  
Care Hospital ◽  
Care Needs ◽  
Cross Sectional ◽  
Congenital Syndrome

Background. Congenital syndrome of Zika virus (CSZV) is associated with neuromotor and cognitive developmental disorders, limiting the independence and autonomy of affected children and high susceptibility to complications, so palliative care needs to be discussed and applied. Aim. To identify factors associated with emergency visits and hospitalizations of patients with CSZV and clinical interventions performed from the perspective of palliative care. Design. This is a cross-sectional study with bidirectional longitudinal component. Data were collected between May and October 2017 through the review of medical records and interviews with relatives of patients hospitalized. Setting/Participants. The study was developed in a tertiary care hospital involving patients with confirmed CSZV born as of August 2015 and followed up until October 2017. Patients under investigation were excluded. Results. 145 patients were followed up at the specialized outpatient clinic, 92 (63.5%) were consulted at least once in the emergency room, and 49% had already been hospitalized, with the main reason being neurological causes, while 24.1% had never required any emergency visit or hospitalization. No risk factors were associated with the occurrence of consultations or hospitalizations. Such events happened at an early age and were accompanied by a high number of invasive procedures and interventions. An approach in palliative care was only identified in two hospitalized patients. Conclusions. For the patient with known severe malformations caused by congenital infection by the Zika virus with indication of palliative care, this approach could be used in order to allow life without suffering and disproportionate invasive method.

scholarly journals Knowledge in palliative care of nursing professionals at a Spanish hospital

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Elena Chover-Sierra ◽  
Antonio Martínez-Sabater ◽  
Yolanda Lapeña-Moñux
Keyword(s):  
Palliative Care ◽  
Basic Education ◽  
Statistical Significance ◽  
Descriptive Analysis ◽  
Tertiary Care ◽  
Educational Background ◽  
Cross Sectional Study ◽  
Study Data ◽  
Care Hospital ◽  
Cross Sectional

Resume Objective: to determine the level of knowledge in palliative care of nursing staff at a Spanish tertiary care hospital. Method: descriptive, cross-sectional study. Data were collected about the results of the Spanish version of the Palliative Care Quiz for Nurses (PCQN), sociodemographic aspects, education level and experience in the field of palliative care. Univariate and bivariate descriptive analysis was applied. Statistical significance was set at p < 0.05 in all cases. Results: 159 professionals participated (mean age 39.51 years ± 10.25, with 13.96 years ± 10.79 of professional experience) 54.7% possessed experience in palliative care and 64.2% educational background (mainly basic education). The mean percentage of hits on the quiz was 54%, with statistically significant differences in function of the participants’ education and experience in palliative care. Conclusions: although the participants show sufficient knowledge on palliative care, they would benefit from a specific training program, in function of the mistaken concepts identified through the quiz, which showed to be a useful tool to diagnose professionals’ educational needs in palliative care.

scholarly journals Analysis of Essential Medicines Used for Emergency Care in Pakistan

2020 ◽  
Vol 1 (1) ◽  
pp. 75-77
Author(s):  
Talha Khalid ◽  
Amna Khokhar ◽  
Naseem Jehan ◽  
Umar Sultan ◽  
Arooj Fatima
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Tertiary Care ◽  
Essential Medicine ◽  
Essential Medicines ◽  
World Health ◽  
Care Hospital ◽  
Care Needs ◽  
Cross Sectional ◽  
Health Organization

Introduction: According to the World Health Organization (WHO), essential medicines (EM) have the ability to meet the health care needs of maximum individuals. High accessibility to essential medicines (EM) was proposed under the Millennium Development Goal. The access to high quality, suitable, and inexpensive essential medicines is an essential constituent of health care systems. Methodology: This retrospective cross-sectional observational study was performed at Jinnah Hospital Lahore from February 2018 to November 2018, for analysis of essential medicine usage in a public sector tertiary care hospital of Pakistan. The data were collected from records of patients admitted in the emergency department. Results: Drugs prescribed per encounter were estimated to be 3. Most patients got a single antibiotic, and cephalosporin was the most commonly prescribed antibiotic. Conclusion: The concept of essential drugs has gained high acceptance, but the EMs should be prescribed logically, appropriately and should be in line with WHO guidelines.

scholarly journals Study of Symptoms in Postmenopausal Women: A Hospital Based Study

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Dr. Ramalingam Kolisetty ◽  
Dr. Neeli Uma Jyothi
Keyword(s):  
Health Care ◽  
Sleep Disturbances ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Menopausal Symptoms ◽  
Care Hospital ◽  
Care Needs ◽  
Cross Sectional ◽  
Menopausal Women ◽  
Post Menopausal

Introduction: Menopausal symptoms, though well tolerated by some women, may be particularly troublesome in others. Severe symptoms can compromise the overall quality of life for those experiencing them. Material & Methods: A hospital based cross sectional study was done from a tertiary care hospital. The study was carried out from November 2014 to February 2015. A total of 152 women presenting to the outpatient department of the hospital were selected for the study using systematic random sampling technique. A pre-designed pre tested semi structured questionnaire was used for data collection. Results: Among the total 152 post menopausal women, prevalence of vasomotor symptoms including hot flushes & night sweats were observed in 38.6% & 43.7% of the study population respectively. Psychosomatic symptoms like sleep disturbances, muscle & joint pains were seen in almost half of the proportion. The overall prevalence of anxiety and depression was found to be 18.8% and 26.5% respectively. Conclusions: The present hospital based study among post menopausal women found a high prevalence of menopausal symptoms. Health education among women in the peri menopausal age group and specialist clinics at the primary & secondary health care level can probably cater the health care needs of the post menopausal women.

Assessing Knowledge of Zika Virus and a need for Continuous Medical Education (CME) in Post-Graduate Doctors of a Tertiary Care Hospital: A Single Center Experience

2020 ◽  
Author(s):  
Abdul Ahad Sohail
Keyword(s):  
Medical Education ◽  
Clinical Features ◽  
Zika Virus ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Continuous Medical Education ◽  
Care Hospital ◽  
Cross Sectional ◽  
Gynecology And Obstetrics

Background: The 2015-2016 Zika Virus Outbreak caused global concern. A study was done to assess knowledge about viral hemorrhagic fevers amongst healthcare professionals, which found only 57% doctors knew clinical features of hemorrhagic viral fever. The aim of this research was to assess the knowledge of physicians as well as the need for continuous medical education. Methods: A cross-sectional study was conducted on doctors working or undergoing postgraduate training in a private tertiary care hospital. A sample size of n=91 was reached after including most of the doctors working in these hospitals in the department of medicine, pediatrics, gynecology and obstetrics. Data was collected through self-administered questionnaire. Convenience sampling technique was employed. Informed oral consent was taken before administration of questionnaire. Analysis was done on SPSS version 20. Results: The doctors included in the study were from the departments of internal medicine, which were 46.2% (42), pediatrics, which were 19.8% (18), and gynecology and obstetrics. Only 17.6% (n=16) participants knew that the Zika virus can affect pregnant women in any trimester. If pregnant woman is infected only 65.9% (n=60) of all doctors were aware of the fact that it can cause microcephaly in the infants. Thus, 44% (n=40) of the participants demonstrated correct knowledge that Zika virus is associated with the Guillain-Barré syndrome (GBS). Conclusion: Our study determined that although many doctors demonstrated good knowledge regarding the clinical features of Zika virus, they had poor knowledge regarding the prevention of spread of disease.

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional
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