scholarly journals Exploring nursing and allied health perspectives of quality oral care after stroke: A qualitative study

2019 ◽  
Vol 19 (6) ◽  
pp. 505-512
Author(s):  
Caleb Ferguson ◽  
Ajesh George ◽  
Amy R Villarosa ◽  
Ariana C Kong ◽  
Sameer Bhole ◽  
...  
Keyword(s):  
Allied Health ◽  
Current Knowledge ◽  
Point Of Care ◽  
Oral Care ◽  
Public Hospitals ◽  
Model Of Care ◽  
Stroke Patients ◽  
Knowledge Resources ◽  
Adequate Knowledge ◽  
And Training

Background: Maintaining good oral health remains a challenge among those hospitalised after stroke. Stroke nurses and allied health clinicians have a potential role in providing oral care, but no studies in Australia to date have explored their perceptions and needs. Aims: To explore the perspectives of nursing and allied health stroke clinicians regarding oral care for stroke patients across acute care and stroke rehabilitation settings. Methods: This study followed an exploratory qualitative design, using a constructivist approach. Participants from two metropolitan public hospitals were purposively recruited to participate in focus groups. Data was thematically analysed. Results: Twenty-one clinicians participated. Clinicians’ knowledge and practices relating to oral healthcare for stroke patients were inadequate. Most staff felt they did not have adequate knowledge, resources and training to administer oral care in this setting and proposed enhancing education of stroke clinicians, patients and informal caregivers, as well as improving quality point of care resources. There was overall support for the integrated dental care after stroke model of care. Discussion: This study revealed many gaps in current care and highlighted areas for improvement. Patients and their caregivers needed to be actively engaged as partners to improve oral healthcare within acute and rehabilitation stroke settings. Conclusion: This study provided insight into nurses’ and allied health stroke clinicians’ current knowledge and practices of oral care in various stroke settings. The findings from this study will inform development of a model of care to train stroke nurses in providing oral care.

PENERAPAN AKUNTANSI SEDERHANA PADA USAHA RETAIL RUMAH TANGGA BERBASIS MONEY MANAGER APPS DI KELURAHAN CIKASUNGKA, KABUPATEN TANGERANG

2020 ◽  
Vol 2 (1) ◽  
pp. 7
Author(s):  
Ani Kusumaningsih
Keyword(s):  
Community Service ◽  
Current Knowledge ◽  
Adequate Knowledge ◽  
The People ◽  
Training Materials ◽  
Retail Business ◽  
Financial Governance ◽  
Money Manager ◽  
Implementation Method ◽  
And Training

In this Community Service (PKM), the partners we are guiding are the people in the Cikasungka Village, Solear District, Tangerang City. Our target is a household retail business, mostly run by housewives. Based on our observations, we can identify several problems faced by partners, including: very minimal knowledge about management, accounting and information technology. This is based on the relatively low level of education of partners. Moreover, current knowledge as millennial children have about systems/applications such as Money Manager Apps. So the purpose of community service is to provide adequate knowledge to household scale retailers about simple accounting so that it can be applied in everyday life. It is hoped that with the knowledge they have, financial governance can be done better, so that cash flow runs properly and does not cause "losses" (due to mismanagement) in entrepreneurship. The Implementation Method used in carrying out this activity consists of 2 stages: preparation of training and training materials, guidance also assistance.  Keywords: Accounting, Retail Business, Household, Money Manager Apps

scholarly journals Management of acute ischemic stroke in patients with COVID-19 infection: Report of an international panel

2020 ◽  
Vol 15 (5) ◽  
pp. 540-554 ◽  
Author(s):  
Adnan I Qureshi ◽  
Foad Abd-Allah ◽  
Fahmi Al-Senani ◽  
Emrah Aytac ◽  
Afshin Borhani-Haghighi ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Current Knowledge ◽  
Intravenous Thrombolysis ◽  
Adult Patients ◽  
World Health ◽  
Stroke Patients ◽  
International Panel ◽  
Health Organization ◽  
Tract Infections

Background and purpose On 11 March 2020, World Health Organization (WHO) declared the COVID-19 infection a pandemic. The risk of ischemic stroke may be higher in patients with COVID-19 infection similar to those with other respiratory tract infections. We present a comprehensive set of practice implications in a single document for clinicians caring for adult patients with acute ischemic stroke with confirmed or suspected COVID-19 infection. Methods The practice implications were prepared after review of data to reach the consensus among stroke experts from 18 countries. The writers used systematic literature reviews, reference to previously published stroke guidelines, personal files, and expert opinion to summarize existing evidence, indicate gaps in current knowledge, and when appropriate, formulate practice implications. All members of the writing group had opportunities to comment in writing on the practice implications and approved the final version of this document. Results This document with consensus is divided into 18 sections. A total of 41 conclusions and practice implications have been developed. The document includes practice implications for evaluation of stroke patients with caution for stroke team members to avoid COVID-19 exposure, during clinical evaluation and performance of imaging and laboratory procedures with special considerations of intravenous thrombolysis and mechanical thrombectomy in stroke patients with suspected or confirmed COVID-19 infection. Conclusions These practice implications with consensus based on the currently available evidence aim to guide clinicians caring for adult patients with acute ischemic stroke who are suspected of, or confirmed, with COVID-19 infection. Under certain circumstances, however, only limited evidence is available to support these practice implications, suggesting an urgent need for establishing procedures for the management of stroke patients with suspected or confirmed COVID-19 infection.

scholarly journals New Perspectives in Stroke Management: Old Issues and New Pathways

2021 ◽  
Vol 11 (6) ◽  
pp. 767
Author(s):  
Fabio Pilato ◽  
Rosalinda Calandrelli ◽  
Fioravante Capone ◽  
Michele Alessiani ◽  
Mario Ferrante ◽  
...  
Keyword(s):  
Time Window ◽  
Enhanced Recovery ◽  
Current Knowledge ◽  
Oral Anticoagulants ◽  
Chronic Phase ◽  
Stroke Care ◽  
New Drugs ◽  
Stroke Patients ◽  
Social Burden ◽  
Novel Approaches

Stroke is a leading cause of disability and death worldwide and social burden is huge in terms of disabilities, mortality and healthcare costs. Recently, in an acute stroke setting, renewed interest in disease-modifying therapies and novel approaches has led to enhanced recovery and the reduction of long-term disabilities of patients who suffered a stroke. In the last few years, the basic principle “time is brain” was overcome and better results came through the implementation of novel neuroimaging tools in acute clinical practice, allowing one to extend acute treatments to patients who were previously excluded on the basis of only a temporal selection. Recent studies about thrombectomy have allowed the time window to be extended up to 24 h after symptoms onset using advanced neuroradiological tools, such as computer tomography perfusion (CTP) and magnetic resonance imaging (MRI) to select stroke patients. Moreover, a more effective acute management of stroke patients in dedicated wards (stroke units) and the use of new drugs for stroke prevention, such as novel oral anticoagulants (NOACs) for atrial fibrillation, have allowed for significant clinical improvements. In this editorial paper, we summarize the current knowledge about the main stroke-related advances and perspectives and their relevance in stroke care, highlighting recent developments in the definition, management, treatment, and prevention of acute and chronic complications of stroke. Then, we present some papers published in the Special Issue “Clinical Research on Ischemic Stroke: Novel Approaches in Acute and Chronic Phase”.

scholarly journals Implementation of an Antimicrobial Stewardship Program in Five Colombian Hospitals in 2018

2020 ◽  
Vol 41 (S1) ◽  
pp. s273-s273
Author(s):  
Christian Pallares ◽  
María Virginia Villegas Botero
Keyword(s):  
Infection Control ◽  
Antimicrobial Stewardship ◽  
Control Strategies ◽  
Education And Training ◽  
Public Hospitals ◽  
International Standards ◽  
International Consensus ◽  
Stewardship Program ◽  
And Training

Background: More than 50% of antibiotics used in hospitals are unnecessary or inappropriate. The antimicrobial stewardship programs (ASPs) are coordinated efforts to promote the rational and effective use of antibiotics including appropriate selection, dosage, administration, and duration of therapy. When an ASP integrates infection control strategies, it is possible to decrease the transmission of multidrug-resistant pathogens. Methods: In 2018, 5 Colombian hospitals were selected to implement an ASP. Private and public hospitals from different cities were included in the study, ranging from 200 to 700 beds. Our team, consisting of an infectious disease and hospital epidemiologist, visited each hospital to establish the baseline of their ASP program, to define the ASP outcomes according to each hospital’s needs, and to set goals for ASP outcomes in the following 6–12 months. Follow-up was scheduled every 2 months through Skype video conference. The baseline diagnosis or preintervention evaluation was done using a tool adapted from previous reports (ie, international consensus and The Joint Commission international standards). Documentation related to ASPs, such as microbiological profiles, antimicrobial guidelines (AMG) and indicators for the adherence to them as well as antimicrobial resistance (AMR) prevention through protocols, were written and/or updated. Prevention and infection control requirements and protocols were also updated, and cleaning and antiseptic policies were created. Training in rational use of antibiotic, infection control and prevention, and cleaning and disinfection were carried out with the healthcare workers in each institution. Results: Before the intervention, the development of the ASP according to the tool was 27% (range, 5%–47%). The lowest institutional scores were the item related to ASP feedback and reports (11% on average), followed by education and training (14%), defined ASP responsibilities (23%), ASP function according to priorities (26%), and AMR surveillance (27%). After the intervention, the ASP development increased to 57% (range, 39%–81%) in the hospitals. The highest scores achieved were for education and training (90%), surveillance (75%), and the activities of the infection control committee (70%). The items that made the greatest contribution to ASP development were the individual antibiogram, including the bacteria resistance profile, and the development of the AMG based on the local epidemiology in each hospital. Conclusions: The implementation of an ASP should include training and education as well as defining outcomes according to the hospital’s needs. Once the strategy is implemented, follow-up is key to achieving the goals.Funding: NoneDisclosures: None

Abstract WP190: Clinical Features of Sarcoid Patients With Ischemic Stroke

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Ahmed Z Obeidat ◽  
Heidi Sucharew ◽  
Charles J Moomaw ◽  
Dawn O Kleindorfer ◽  
Brett M Kissela ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Current Knowledge ◽  
Case Reports ◽  
Brain Mri ◽  
Sporadic Case ◽  
Prior History ◽  
Stroke Patients ◽  
Stroke Subtype ◽  
Stroke Event ◽  
History Of

Background: Current knowledge on ischemic stroke in sarcoid patients stems from sporadic case reports. The mechanism is thought to be related to granulomatous involvement of brain vasculature. However, clinical, demographic, and radiographic features of sarcoid patients with ischemic stroke are lacking. If sarcoid patients are at higher risk for ischemic stroke event, we hypothesized that the risk factors for ischemic stroke and stroke subtype distribution would differ between sarcoid and non-sarcoid ischemic stroke patients. Methods: Cases of ischemic stroke were identified for the years 2005 and 2010 from the population-based Greater Cincinnati/Northern Kentucky Stroke Study (population 1.3 million). Ischemic stroke cases were physician study confirmed and patients with a history of sarcoid were identified through medical chart review. Clinical variables were compared between stroke patients with history of sarcoid and those with no prior sarcoid history. Results: A total of 4258 cases of ischemic stroke were identified; of them, only 18 had prior diagnosis of sarcoid (0.04%). Brain MRI showed diffusion restriction in 14 out of 15 (93%) MRIs performed in sarcoid patients. The table presents risk factor and subtype data on sarcoid patients compared with non-sarcoid patients. Conclusions: We identified only a few cases of prior sarcoid history in our two-year ascertainment of ischemic stroke patients in our population. In comparison with stroke patients with no prior history of sarcoid, the sarcoid patients tended to be of younger age at presentation, female, have a history of diabetes and hyperlipidemia, and more likely of African descent, perhaps related to the diagnosis of sarcoid itself. We were unable to detect differences in stroke subtype distributions between sarcoid and non-sarcoid ischemic stroke patients.

The Division of Laborers: Allied Health Professions

1973 ◽  
Vol 3 (3) ◽  
pp. 435-444 ◽  
Author(s):  
Carol A. Brown
Keyword(s):  
Health Services ◽  
Allied Health ◽  
Medical Profession ◽  
Health Professions ◽  
Education And Training ◽  
Health Occupations ◽  
Allied Health Professions ◽  
Professional Societies ◽  
And Training ◽  
Radiology And Pathology

As health services have become hospital-centered, many specialized health occupations have been created. The author maintains that these allied health occupations conflict with the medical profession for occupational territory, and that the development of these subordinate occupations has been controlled by the medical profession to its own benefit. This control is achieved through domination of professional societies, education and training, industrial rules and regulations, and government licenses. Detailed examples of the process of control are provided from the fields of radiology and pathology.

scholarly journals MEASURING KNOWLEDGE OF JORDANIAN NURSES WORKING IN CRITICAL CARE UNITS TOWARD STROKE PATIENTS

World Science ◽  
2020 ◽  
Author(s):  
Eslam Abd Alkreem Allsassmah
Keyword(s):  
Critical Care ◽  
Negative Relationship ◽  
Signs And Symptoms ◽  
Public Hospitals ◽  
Stroke Management ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Critical Care Units ◽  
Jordanian Nurses ◽  
The Impact

Background. Stroke is a devastating disease. It is a major cause for the neurological admission to hospitals all over the world. Limited knowledge among the critical care nurses about stroke in general and specifically about the risk factors, signs, and symptoms of stroke usually is a main source of delayed prompt stroke management and non-compliance with follow-up rehabilitation. Therefore, there is a need for a study that examines the impact of these factors in order to promote stroke management and improve nursing care outcomes.Aim. This study aimed at measuring the knowledge of Jordanian nurses working in critical care units toward stroke patients.Methods. This cross-sectional study used the descriptive approach in order to measure the knowledge of the Jordanian nurses working in critical care units regarding stroke patients in the Jordanian hospitals. Data were collected from Jordanian critical care units' nurses from seven hospitals; five private and two public hospitals. Critical care units’ nurses were selected conveniently based on specific inclusion criteria. Eligible participants were required to complete self–reported questionnaires about knowledge in addition to completing demographic questionnaires. The descriptive and inferential statistics were conducted using the SPSS software. Results. A total of (200) Critical care units’ nurses from public and private hospitals participated in the study. The nurses in this study exhibited poor knowledge on the study scales. There were statistically significant differences among nurses according to the type of hospital on the one scales (P< .05). There is a negative relationship between the knowledge and years of nursing practice in ER or ICU (P= .013).Conclusions. The measures of knowledge among the nurses in critical care units in the Jordanian hospitals towards stroke patients seem to be highly poor. Nurses in critical care units seem to have acceptable information, but inadequate to correctly enhance stroke awareness. There is a gap that should be stuffed via planning and implementation of educational and instructional programs focused on hospital nurses as well as community sectors in order to improve the stoke focus and experience and avoid the delay in accessing the medical help which would, in return, improve stroke management and reduce its effect in Jordan.

scholarly journals Public health and hygienic condition of retailers at fish markets in Sylhet Sadar of Bangladesh

2019 ◽  
Vol 6 (12) ◽  
pp. 251-261
Author(s):  
Md. Alamgir Hossain ◽  
Md. Motaher Hossain ◽  
Md. Golam Rasul ◽  
Mohammad Abu Jafor Bapary
Keyword(s):  
Public Health ◽  
Value Chain ◽  
Formal Education ◽  
Fish Food ◽  
Fish Quality ◽  
Retail Markets ◽  
Adequate Knowledge ◽  
Sanitary Condition ◽  
Sanitary Conditions ◽  
And Training

The hygienic and sanitary conditions of majority of the retail fish markets are very poor and unhealthy that may have an impact on fish retailers. The present study was conducted in two retail fish markets located in Kajirbazar and Bondorbazar, in Sadar Sylhet, to assess the hygiene and sanitary condition of fish retailers. Information was collected through questionnaire interview and participatory rural appraisal (PRA) from the retailers and other value chain stakeholders. It was found that about 82% of fish retailers were permanent in these retail markets. The retailers are mainly involved in selling various species of fishes such as carps, catfishes, tilapia, koi, hilsa, shrimp and other small indigenous fishes. The sources of these fishes are mainly of nearby haors, river and ponds. The retailers get fishes from various suppliers and also collected from producers. The income level of fish retailers is relatively low although they are trying to improve their socio-economic conditions. Besides, about 9% of the retailers do not have any formal education whereas 70% and 21% have their education in primary and secondary level, respectively. Although the majority of the retailers were found literate, however, their knowledge on public health was seemed to be very poor. Due to lack of proper knowledge on public health, they are frequently affected by various diseases such as common cold, diarrhea, lesion, fever, skin disease and so on. Particularly, 48% of the fish retailers are affected by the lesion on hands, and 31% and 27% of retailers have been affected by the lesion between fingers or toes, respectively. About 20% of the retailers do not have adequate knowledge on fish quality or benefit of using ice in fish preservation in retail markets. Considering all together, the present study revealed that the retailers operated fish markets are ill-managed, unhygienic and unsatisfactory. The lack of proper fish preservation facilities, poor water supply and unplanned infrastructures are generally regarded as a noticeable problem in the retail markets. In addition, the lack of retailer’s education, consciousness about fish quality, lack of training on hygienic and sanitary conditions are seemed to be involved in spoiling or deteriorating fish quality before reaching to the consumers. Therefore, the proper education and training on hygienic and sanitary conditions as well as sufficient knowledge on maintaining fish quality is required for retailers involved in fish retailing in the markets. It can be concluded that the improvement of relevant facilities of fish markets and proper supervision by respective authorities can ensure the better public health for retailers and safe fish food for consumers.

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