Operation notes in orthopaedics: Beliefs and practices in a developing country

Maintaining accurate and complete operation notes is an essential metric of the quality of surgical care. While developed countries have implemented electronic health records to improve documentation, financial constraints prevent this realisation in the Caribbean. Somewhat paradoxically, previous studies in this area have focussed on ‘process’ while neglecting the key role of the surgeon. We conducted a 25-item Knowledge, Attitudes and Practices survey of orthopaedic doctors to identify any culturally unique health-related behaviours. Our results indicate that while most doctors understand the importance of operation notes, many are unaware of international note-keeping recommendations. Legibility was identified as a significant issue by 92% of doctors. A disturbing and previously unreported finding from the study revealed that 72% of surgeons would occasionally write the operation notes, although they were not scrubbed in for the procedure. We suggest that future studies examine this peculiar behaviour in greater detail.

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Is the glass half-empty or half-full? The role of optimism in protective health behaviors and perceived health-related quality of life in a Colombian sample

PsycEXTRA Dataset ◽

10.1037/e546872013-237 ◽

2013 ◽

Author(s):

Susana C. Barradas ◽

Carolyn Finck ◽

Diana Agudelo

Keyword(s):

Quality Of Life ◽

Health Behaviors ◽

Perceived Health ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Physical capital stock, technological upgrading and modernisation in Hungary

Acta Oeconomica ◽

10.1556/aoecon.55.2005.2.4 ◽

2005 ◽

Vol 55 (2) ◽

pp. 201-221 ◽

Cited By ~ 7

Author(s):

Andrea Szalavetz

Keyword(s):

Capital Accumulation ◽

Physical Capital ◽

Developed Countries ◽

Point Of View ◽

Technology Generation ◽

Development Policies ◽

Specific Factors ◽

Physical Capital Accumulation

This paper discusses the relation between the quality and quantity indicators of physical capital and modernisation. While international academic literature emphasises the role of intangible factors enabling technology generation and absorption rather than that of physical capital accumulation, this paper argues that the quantity and quality of physical capital are important modernisation factors, particularly in the case of small, undercapitalised countries that recently integrated into the world economy. The paper shows that in Hungary, as opposed to developed countries, the technological upgrading of capital assets was not necessarily accompanied by the upgrading of human capital i.e. the thesis of capital skill complementarity did not apply to the first decade of transformation and capital accumulation in Hungary. Finally, the paper shows that there are large differences between the average technological levels of individual industries. The dualism of the Hungarian economy, which is also manifest in terms of differences in the size of individual industries' technological gaps, is a disadvantage from the point of view of competitiveness. The increasing differences in the size of the technological gaps can be explained not only with industry-specific factors, but also with the weakness of technology and regional development policies, as well as with institutional deficiencies.

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Thrombopoietin Receptor Agonists in Children with Immune Thrombocytopenia: A New Therapeutic Era

Endocrine Metabolic & Immune Disorders - Drug Targets ◽

10.2174/1871530320666200531142244 ◽

2020 ◽

Vol 20 ◽

Author(s):

Giuseppe Lassandro ◽

Valentina Palladino ◽

Giovanni Carlo Del Vecchioa ◽

Viviana Valeria Palmieri ◽

Paola Carmela Corallo ◽

...

Keyword(s):

Immune Thrombocytopenia ◽

Treatment Options ◽

Thrombopoietin Receptor Agonists ◽

Receptor Agonists ◽

Thrombopoietin Receptor ◽

Related Quality ◽

Health Related

Background and Objective: Immune thrombocytopenia (ITP) is a common bleeding disorder in childhood. The management of ITP in children is controversial, requiring personalized assessment of patients and therapeutic choices. Thrombopoietin receptor agonists (TPO-RAs), eltrombopag and romiplostim, have been shown to be safety and effective for the treatment of pediatric ITP. The aim of our research is defining the role of thrombopoietin receptor agonists in the management of pediatric ITP. Method: This review focuses on the use of TPO-RAs in pediatric ITP, in randomized trials and in clinical routine, highlighting their key role in management of the disease. Results: Eltrombopag and romiplostim appear effective treatment options for children with ITP. Several clinical studies have assessed that the use of TPO-RAs increases platelet count, decreases bleeding symptoms and improves health-related quality of life. Moreover, TPO-RAs are well tolerated with minor side effects. Conclusion: Although TPO-RAs long term efficacy and safety still require further investigations, their use is gradually expanding in clinical practice of children with ITP.

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