Surgical Site Infections and Perioperative Optimization of Host Immunity by Selection of Anesthetics

Surgical site infections are significant health care issues, and efforts to mitigate their occurrence have been ongoing worldwide, mainly focusing to reduce the spillage of microbes to the otherwise sterile tissues. Optimization of host immunity has been also recognized including temperature regulation (normothermia), adequate oxygenation, and glucose management. A number of papers have described the role of anesthetics in host immunity. The role of anesthetics in postoperative outcomes including surgical site infections has been also studied. We will review the current literature and propose the importance of anesthetic selection to potentially mitigate surgical site infections.

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A atuação do enfermeiro auditor na qualidade da assistência à saúde: revisão bibliográfica integrativa

Revista de Administração em Saúde ◽

10.23973/ras.83.293 ◽

2021 ◽

Vol 21 (83) ◽

Author(s):

Gabriela Marchiori do Carmo Azzolin

Keyword(s):

Health Care ◽

Quality Of Care ◽

Quality Of Health Care ◽

Nursing Process ◽

Inclusion Criteria ◽

Great Relevance ◽

Role Of Nursing ◽

Selection Of

Objetivo: descrever a atuação do enfermeiro auditor na qualidade da assistência a saúde. Método: trata-se de uma revisão integrativa de artigos publicados no período de 2015 a 2020. A pesquisa e seleção dos artigos foi realizada nas bases de dados: BEDENF, LILACS e MEDLINE, por meio dos descritores “Enfermagem”, “Auditoria de enfermagem” , “Registros de enfermagem” e “ Qualidade da assistência à saúde”. Os critérios de inclusão foram artigos online gratuitos, com textos completos, publicados de 2015 a 2020, nos idiomas português e inglês. Resultados: foram selecionados 11 artigos, por cumprirem os critérios estabelecidos no estudo. Na análise dos resultados foi possível evidenciar a importância significativa da qualidade dos registros no processo de enfermagem. Conclusão: a atuação da enfermagem na auditoria tem ganhado notoriedade nos últimos anos, por ser de grande relevância para a qualidade da assistência prestada e abranger muito mais que a gestão de custos.Palavras-chave: Enfermagem; Auditoria de enfermagem; Registros de enfermagem; Qualidade da assistência à saúde. The auditor's nurse's performance in the quality of health care: integrative bibliographic review ABSTRACTObjective: to describe the role of the nurse auditor in the quality of health care. Method: this is an integrative review of articles published from 2015 to 2020. The research and selection of articles was carried out in the databases: BEDENF, LILACS and MEDLINE, using the descriptors “Nursing”, “Nursing audit "," Nursing records "and" Quality of health care ". The inclusion criteria were free online articles, with full texts, published from 2015 to 2020, in Portuguese and English. Result: 11 articles were selected, as they meet the criteria established in the study. In the analysis of the results, it was possible to highlight the significant importance of the quality of the records in the nursing process. Conclusio: the role of nursing in the audit has gained notoriety in recent years, as it is of great relevance to the quality of care provided and covers much more than cost management.Keywords: Nursing; Nursing audit; Nursing records; Quality of health care.

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Analysis of the nursing staff selection system by the example of a stationary medical organization

Medsestra (Nurse) ◽

10.33920/med-05-2104-06 ◽

2021 ◽

pp. 59-67

Author(s):

Svetlana Viktorovna Arkhipova ◽

Tatyana Vladimirovna Bessonova

Keyword(s):

Health Care ◽

Human Resources ◽

Nursing Staff ◽

Medical Personnel ◽

Selection System ◽

Rational Selection ◽

Medical Organization ◽

Effective Use ◽

Selection Of

The aim of the study was to search for effective forms of selection of nursing personnel and their placement in a medical organization. Results: the analysis and study of the reasons for the turnover of nursing staff were carried out, effective forms of selection and placement of personnel in the organization were recommended. Conclusion: a qualitatively new level of development of the health care system cannot be achieved without the effective use of human resources. The study showed the role of personnel management, effective use of «human resources», rational selection of medical personnel.

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TheClostridium difficile spo0AGene Is a Persistence and Transmission Factor

Infection and Immunity ◽

10.1128/iai.00147-12 ◽

2012 ◽

Vol 80 (8) ◽

pp. 2704-2711 ◽

Cited By ~ 207

Author(s):

Laura J. Deakin ◽

Simon Clare ◽

Robert P. Fagan ◽

Lisa F. Dawson ◽

Derek J. Pickard ◽

...

Keyword(s):

Health Care ◽

Clostridium Difficile ◽

Murine Model ◽

Persistent Infection ◽

Transcriptional Regulator ◽

Transmission Factor ◽

Content Type ◽

Antibiotic Associated Diarrhea ◽

Significant Health

ABSTRACTClostridium difficileis a major cause of chronic antibiotic-associated diarrhea and a significant health care-associated pathogen that forms highly resistant and infectious spores. Spo0A is a highly conserved transcriptional regulator that plays a key role in initiating sporulation inBacillusandClostridiumspecies. Here, we use a murine model to study the role of theC. difficile spo0Agene during infection and transmission. We demonstrate thatC. difficile spo0Amutant derivatives can cause intestinal disease but are unable to persist within and effectively transmit between mice. Thus, theC. difficileSpo0A protein plays a key role in persistent infection, including recurrence and host-to-host transmission in mice.

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Loneliness in Bereavement: Measurement Matters

Frontiers in Psychology ◽

10.3389/fpsyg.2021.741762 ◽

2021 ◽

Vol 12 ◽

Author(s):

Anneke Vedder ◽

Margeret S. Stroebe ◽

Henk A.W. Schut ◽

Kathrin Boerner ◽

Jeffrey E. Stokes ◽

...

Keyword(s):

Health Care ◽

Social Isolation ◽

Health Care Professionals ◽

Scientific Literature ◽

Informed Decision ◽

Core Symptom ◽

The Impact ◽

Precise Role ◽

Selection Of

The role of loneliness in the bereavement experience has been reported as substantial, with the death of a close person leaving a considerable void in the life of the bereaved. Yet, there is lack of agreement about its precise role and, notably, whether loneliness should be included as a core symptom for diagnosis of grief complications. The ongoing threat of heightened social isolation due to the COVID-19 pandemic underlines the need to understand the impact of loneliness, and to accurately chart its prevalence, intensity, duration, and associated difficulties in the context of bereavement. Assessment issues are central to this endeavor. In this article, we review the scientific literature to examine how loneliness after bereavement has been operationalized and measured. Sixty-three articles analyzing 51 independent datasets were reviewed. Results show major disparities: approximately half of the projects assessed loneliness by means of one of two validated scales (spanning different versions); the remainder included only single- or few-item measures. Diverse instructions, content and answer categories were used. While one size does not fit all, awareness of assessment options and dis/advantages may aid selection of the most appropriate measure, to suit the goals of a particular study and the specific groups under investigation. Our conclusion is that, in selecting a loneliness measure, health care professionals should come to their own well-informed decision, aided by the information provided in our review.

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THE HISTORY OF PEDIATRIC ONCOLOGY IN THE USSR-RUSSIA: THE 40TH ANNIVERSARY OF THE INSTITUTE OF PEDIATRIC ONCOLOGY AND HEMATOLOGY OF THE N.N. BLOKHIN RUSSIAN CANCER RESEARCH CENTER AND THE 20TH ANNIVERSARY OF PEDIATRIC ONCOLOGY

Russian Journal of Oncology ◽

10.18821/1028-9984-2017-22-1-107-112 ◽

2017 ◽

Vol 22 (2) ◽

pp. 107-112

Author(s):

M. Yu. Rykov ◽

V. G Polyakov

Keyword(s):

Health Care ◽

Cancer Research ◽

Pediatric Oncology ◽

40Th Anniversary ◽

National Health Care ◽

History Of ◽

20Th Anniversary ◽

Ussr Research ◽

Selection Of

The article describes the history of the selection of pediatric oncology as a separate specialty, the organization of first oncological departments and the creation of the first in the USSR Research Institute of Pediatric Oncology and Hematology. There is described the role of academician L.A. Durnov as the founder of oncopediatrics in the national health care

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Indirect Costs and Discounting in Health Care Decision-Making: The Role of Distortionary Taxation

The B E Journal of Economic Analysis & Policy ◽

10.1515/1538-0645.1512 ◽

2006 ◽

Vol 5 (1) ◽

Author(s):

Liqun Liu ◽

Andrew J Rettenmaier ◽

Thomas R Saving

Keyword(s):

Health Care ◽

Health Program ◽

Indirect Costs ◽

Rate Of Return ◽

Present Value ◽

Distortionary Taxation ◽

Care Decision ◽

Selection Of ◽

Gross Rate

AbstractTwo important unresolved issues in the evaluation of health care programs are the treatment of indirect costs and the selection of the appropriate discount rate. This paper emphasizes the role of distortionary taxation in addressing these issues. It establishes that: (i) indirect government-paid costs should be treated differently from indirect privately-paid costs; (ii) direct and indirect government costs of a health program should be discounted by the gross rate of return, while consumers' monetary valuations of the program's effects, less direct private costs, should be discounted at the net rate of return; and (iii) the present value of total government costs should be multiplied by a marginal cost of funds before it is comparable to the present value of net private benefits.

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