scholarly journals Plastic cannulae versus metal needle cannulation in haemodialysis: Results of an international survey from the nurse perspective

2021 ◽  
pp. 112972982110667
Author(s):  
Ilaria de Barbieri ◽  
Davide Sisti ◽  
Veronica Strini ◽  
Helen Noble ◽  
Maria Teresa Parisotto ◽  
...  
Keyword(s):  
Adverse Events ◽  
Cross Sectional Survey ◽  
Maturation Period ◽  
Cross Sectional ◽  
Considerable Saving ◽  
The Public ◽  
Care Association ◽  
The Common ◽  
The Difference ◽  
Metal Needle

Background: In haemodialysis is key to successfully obtaining cannulation of the arteriovenous fistula (AVF). The literature agrees that cannulation, failing in the initial maturation period, can lead to delayed dialysis, haematoma, scarring, needle phobia and loss of confidence in the cannulator. The introduction of plastic cannulae for haemodialysis has changed cannulation practice positively, preventing frequent complications such as infiltration or trauma. Despite that, most countries have continued to use metal cannulation, in particular in Europe. This study investigates the common use of plastic cannulae versus metal needles for cannulation in dialysis units and explores the implications of focusing on the side effects of cannulation. Methods: The study is a cross-sectional survey. A questionnaire was created by a team of experts from the European Dialysis Transplant Nurse Association/European Renal Care Association (EDTNA/ERCA) to address the study's aims and sent online to nurse members. Results: Data collected suggested a strong resistance towards using plastic cannulae, with few respondents claiming to use these cannulas. Most of the respondents were female (74%), Europeans, working in nephrology for more than 10 years and most worked in the public sector. There was a strong correlation between the use of plastic cannulae and fewer adverse events in elbow located AVF and newly created or fragile AVF. Conclusions: The results are in line with the current literature. Possible resistance to the use of the plastic device includes the difference in cost between the two devices in favour of metal needles. However, it should be considered that the lower number of adverse events, in particular infiltration and haematoma caused by the metal needle, involves a considerable saving both in money and in terms of time and distress for the patient.

scholarly journals Comparison of two methods to estimate adverse events in the IBEAS Study (Ibero-American study of adverse events): cross-sectional versus retrospective cohort design

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e016546 ◽  
Author(s):  
Jesus Maria Aranaz Andrés ◽  
Ramon Limón Ramírez ◽  
Carlos Aibar Remón ◽  
Maria Teresa Gea-Velázquez de Castro ◽  
Francisco Bolúmar ◽  
...  
Keyword(s):  
Cohort Study ◽  
Adverse Events ◽  
Retrospective Cohort Study ◽  
Medical Records ◽  
Retrospective Cohort ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hospital Size ◽  
Cohort Design ◽  
Cohort Study Design

BackgroundAdverse events (AEs) epidemiology is the first step to improve practice in the healthcare system. Usually, the preferred method used to estimate the magnitude of the problem is the retrospective cohort study design, with retrospective reviews of the medical records. However this data collection involves a sophisticated sampling plan, and a process of intensive review of sometimes very heavy and complex medical records. Cross-sectional survey is also a valid and feasible methodology to study AEs.ObjectivesThe aim of this study is to compare AEs detection using two different methodologies: cross-sectional versus retrospective cohort design.SettingSecondary and tertiary hospitals in five countries: Argentina, Colombia, Costa Rica, Mexico and Peru.ParticipantsThe IBEAS Study is a cross-sectional survey with a sample size of 11 379 patients. The retrospective cohort study was obtained from a 10% random sample proportional to hospital size from the entire IBEAS Study population.MethodsThis study compares the 1-day prevalence of the AEs obtained in the IBEAS Study with the incidence obtained through the retrospective cohort study.ResultsThe prevalence of patients with AEs was 10.47% (95% CI 9.90 to 11.03) (1191/11 379), while the cumulative incidence of the retrospective cohort study was 19.76% (95% CI 17.35% to 22.17%) (215/1088). In both studies the highest risk of suffering AEs was seen in Intensive Care Unit (ICU) patients. Comorbid patients and patients with medical devices showed higher risk.ConclusionThe retrospective cohort design, although requires more resources, allows to detect more AEs than the cross-sectional design.

scholarly journals Does a Comparison View Improve the Reliability of Staging Wrist Osteoarthritis?

Hand ◽  
2016 ◽  
Vol 12 (5) ◽  
pp. 439-445 ◽  
Author(s):  
Paul W. L. ten Berg ◽  
Tessa Drijkoningen ◽  
Thierry G. Guitton ◽  
David Ring
Keyword(s):  
Survey Study ◽  
Kappa Statistics ◽  
Scaphoid Nonunion ◽  
Educational Training ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Difference ◽  
Improve Reliability ◽  
Comparison View

Background: Radiological grading of wrist osteoarthritis associated with scaphoid nonunion advanced collapse (SNAC) can be difficult. A comparison radiograph of the contralateral healthy wrist and an educational training in the various SNAC stages may improve reliability. Our purposes were to evaluate the difference in the reliability: (1) between observers who rate SNAC wrists with and without a comparison radiograph; and (2) between observers who receive training prior to ratings and those who do not. Methods: In this cross-sectional survey study, 82 fully trained orthopedic or hand surgeons rated anteroposterior radiographs of 19 patient wrists following a scaphoid nonunion based on SNAC stages 0 to 4. Observers were randomized online in 4 groups: one group rated unilateral views without training, a second group unilateral views with training, a third group bilateral views without training, and a fourth group bilateral views with training. Training included a 1-page clarification of the SNAC stages. Interobserver agreement was calculated using kappa statistics. Results: There was no significant difference between agreement between observers who rated unilateral radiographs (κ = 0.55) and who rated bilateral radiographs (κ = 0.58) ( P = .14), nor between agreement between observers who received training (κ = 0.59) and who did not (κ = 0.54) ( P = .058). Conclusions: The use of an additional comparison view and/or training does not seem to be clinically relevant in SNAC staging. There is room for improvement in the way we assess patients with SNAC wrists.

scholarly journals Acceptance Rates and Beliefs toward COVID-19 Vaccination among the General Population of Pakistan: A Cross-Sectional Survey

2021 ◽  
Author(s):  
Farah Yasmin ◽  
Waleed Asghar ◽  
Maryam Salma Babar ◽  
Hiba Khan ◽  
Shoaib Ahmad ◽  
...  
Keyword(s):  
General Population ◽  
Cross Sectional Study ◽  
Vaccine Hesitancy ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Public ◽  
Polio Vaccination ◽  
Acceptance Rates ◽  
To Receive ◽  
Do So

Developing countries like Pakistan have previously suffered from barriers to acceptance of vaccination by the public because of financial and belief barriers. This study aims to explore these beliefs and highlight concerns regarding vaccine hesitancy in the general population of Pakistan since they are a hindrance to an effective coronavirus disease-19 (COVID-19) immunization in the country. A cross-sectional study was performed involving 1,778 participants from all four provinces of Pakistan. Results from the study showed more than half of the participants to be unsure of the safety (50%) and efficacy (51%) of the vaccine, whereas 42% were concerned about the side effects of the vaccine. About 72% of the respondents planned to get vaccinated, whereas 28% refused to do so. Internationally made imported vaccines were more trusted by the participants. Forty-four percent of the participants agreed to receive the vaccine upon recommendation from a physician. Lastly, participants who believed in the efficacy of the polio vaccination also considered the COVID-19 vaccine to be safe and effective.

scholarly journals An Exploratory Study of Students’ Indiscipline at Islamic University in Uganda

2021 ◽  
Vol 3 (1) ◽  
pp. 87-95
Author(s):  
Amina Hassan
Keyword(s):  
Survey Design ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Law Faculty ◽  
The Status ◽  
School Rules ◽  
The Common ◽  
Faculty Of Education ◽  
The University ◽  
Academic Year

The study explored the common students’ indiscipline at Islamic University in Uganda. The study was quantitative and a cross-sectional survey design was used. The population of the study was 3,486 registered students in the academic year 2019/2020. They were selected from the Faculty of Education, Faculty of Management Studies, Faculty of Law, Faculty of Social Sciences, and Faculty of Science. A sample of 265 respondents was selected for the study using proportionate and random sampling. The mean score was computed to analyse the data. To conclude, the point range of the arithmetic mean was considered. The study found that the common indiscipline among learners in IUIU included disrespect to teachers and school rules and regulations, theft, and irregular attendance. The study recommended IUIU administration improves staff remuneration to change the status of the teachers. Furthermore, the administration needs to tighten security in the university and residents need to take care of their property to avoid theft. The researcher also recommended that a study should be carried out to find out the cause of students’ irregular attendance

scholarly journals Epidemiology of traumatic injuries to the permanant incisors of 9-12-years-old school children in Damascus, Syria

2001 ◽  
Vol 7 (1-2) ◽  
pp. 291-301
Author(s):  
N. Al Beiruti ◽  
W. Marcenes ◽  
D. Tayfour ◽  
S. Issa
Keyword(s):  
Primary Schools ◽  
Traffic Accidents ◽  
Public Health Problem ◽  
Epidemiological Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Public And Private ◽  
Traumatic Injuries ◽  
The Difference ◽  
Dental Injuries

This cross-sectional survey was carried out to assess epidemiological data concerning dental injuries to the permanent incisors of Syrian children. It included 1087 children aged 9 to 12 years, of both sexes, randomly selected from public and private primary schools in Damascus. The response rate was 100%. The prevalence of traumatic injuries to the permanent incisors rose from 5.2% at the age of 9 years to 11.7% at the age of 12 years [P = 0.007]. The difference in prevalence between boys and girls was not statistically significant [P > 0.05]. The majority [59.8%] of children who had experienced injuries to the permanent incisors reported that they were not taken to the dentist for evaluation or treatment of the damage. Among those children who had experienced traumatic injuries to the teeth 93.1% presented with untreated damage. Because some injuries were minor, such as small enamel fractures, the proportion of children who needed treatment was 63.2%. There was a tendency for children with an incisal overjet greater than 5 mm to have experienced dental injuries [P = 0.06]. Children with inadequate lip covcmgc were more likely to have experienced dental injuries than those with adequate lip coverage [P = 0.000]. The most common reported cause of iniuries to the permanent incisors was violence [42.5%], followed by traffic accidents [24.1%] collisions with people or inanimate objects [16.0%] and falls [9.1%]. In conclusion, traumatic dental injury may pose a serious dental public health problem.

scholarly journals Đánh giá ảnh hưởng của đau mạn tính lên sức khỏe tổng quát ở bệnh nhân điều trị tại khoa YHCT Bệnh viện TW Huế cơ sở 2

2020 ◽  
Author(s):  
Kim Lan Lại Thị
Keyword(s):  
Chronic Pain ◽  
Traditional Medicine ◽  
General Health ◽  
Common Symptom ◽  
Low Back ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medicine Department ◽  
Common Location ◽  
The Common

EVALUATING THE EFFECT OF CHRONIC PAIN TO PATIENT’S GENERAL HEALTH AT TRADITIONAL MEDICINE DEPARTMENT OF HUE CENTRAL HOSPITAL BRANCH 2 Background: Pain is a very common symptom in the community and it is a leading cause of patients have to meet doctors and come to hospitals. Chronic pain results in poor quality of life, many days lost from work and high direct and indirect costs for the health care system. Objective: To investigate on chronic pain and general health with their ralated factors on patients at Traditional medicine department. To evaluate the effects of chronic pain to general health. Participants and method: A cross-sectional survey was performed for patients at Traditional medicine department with the pain and general health questionaire from 6/2018 to 6/2019. Results: Duration of chronic pain is very long. The common location of pain is low back. Majority of patients reported their pain condition is from moderate to severe level. Majority of patients have general health is lower moderate level. Conclusion: Chronic pain is one of the major health problems of the population. The common location of pain is low-back. The first is not to determine the effect of pain to general health of patient. Keywords: chronin pain, general health

scholarly journals Knowledge and ability to manage medical emergencies among dental students

2021 ◽  
Vol 7 (3) ◽  
pp. 161-166
Author(s):  
Chitturi Prashanthi ◽  
Prashant B Patil ◽  
Vajendra Joshi ◽  
Kiran Kumar K R ◽  
Shilpa R T
Keyword(s):  
Life Support ◽  
Dental Students ◽  
Medical Emergency ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Chi Square Test ◽  
Medical Emergencies ◽  
The Difference

: An emergency can be encountered anytime and anywhere. Minimal knowledge about medical emergency and their etiology, primary protocol for management must be known to avoid potential consequences. Hence, the present study was undertaken to compare the knowledge, and ability to handle the medical emergencies among the dental students. A cross-sectional survey was conducted among 100 randomly selected dental students (post-graduate students and interns) comprising of two groups of students those who had underwent training and those who did not. The data obtained was analyzed using the SPSS for windows version 22.0 released 2013. Independent chi square test was used for comparison of responses and independent student t-test was used for the comparison of mean scores. The significance level was set at p<0.001. : The average mean knowledge and ability score was 68% & 61.4% respectively among the participants. On further comparison of mean knowledge & ability scores between the participants with & without basic life support training, participants with BLS training showed better knowledge than those without training and the difference was statistically significant between the two groups (p<0.001%). The study found deficiencies in the knowledge and ability of untrained graduates to deal with medical emergencies as compared to trained.

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