scholarly journals Risk assessment for foot ulcers among Tunisian subjects with diabetes: a cross sectional outpatient study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
B. Zantour ◽  
S. Bouchareb ◽  
Z. El Ati ◽  
F. Boubaker ◽  
W. Alaya ◽  
...  
2021 ◽  
Vol 12 (1) ◽  
pp. 16-20
Author(s):  
Samiah Hamad S Al-Mijalli

Diabetic foot infections (DFIs) are a significant health issue and a common complication among patients with diabetes. To develop antibiotic therapy for these high-risk patients, the current study evaluates the scope of DFIs and identifies the causing microbes. It also measures spectrum and antibiotic susceptibility of the pathogens isolated from adults with DFIs in Saudi Arabia. To achieve the study objectives, a cross-sectional study was implemented and the baseline characteristics for 44 patients with DFIs were defined. Optimal aerobic and anaerobic microbiological techniques were utilized to culture specimens isolated from infected foot ulcers. The standard microbiological methods were employed to identify the bacterial isolates and antibiotic susceptibility testing was conducted following the procedures of the Clinical and Laboratory Standards Institute (CLSI). Results showed that 12 microorganisms were isolated from the participants’ diabetic foot ulcers. Staphylococcus Aureus was ranked first because it appeared in 29 (65.9%) cases. Streptococcus Agalactiae was ranked second and multi-microbial infections were also found. Most of the organisms were susceptible to Vancomycin, Ciprofloxacin, and Cefalexin, but they were resistant to Methicillin, Gentamicin, and Ampicillin antibiotics. Staphylococcus Aureus was most sensitive to Ciprofloxacin, while it was resistant to Methicillin. About 10% of the isolates were multidrug-resistant. The study concludes that while Vancomycin should be used empirically for Gram-positive isolates, Ciprofloxacin can be taken into consideration for most of the Gram-negatives aerobes. Based on including various microorganisms and the advent of multidrug-resistant strains, proper culture and sensitivity testing are necessary prior to the empirical therapy.


2021 ◽  
pp. 003022282110034
Author(s):  
Azam Farmani ◽  
Mojtaba Rahimianbougar ◽  
Yousef Mohammadi ◽  
Hossein Faramarzi ◽  
Siamak Khodarahimi ◽  
...  

The aim of this research was to conduct a risk assessment and management of psychological, structural, social and economic determinants (PSSED) in a suicide attempt. The sample consisted of 353 individuals who had a recorded history of suicidal attempt; and 20 professional individuals by purposive sampling method within a descriptive cross-sectional design. Worksheets for RAM and AHP were used for data collection in this study. The rate of suicide attempt was 7.21 per 100,000 population in this study. Analysis showed that depression and mental disorders; personality disorders; family problems; socio-cultural and economic problems; lack of awareness; and low level of education have a high level of risk for suicide attempts. Psychiatric and psychological services; awareness and knowledge of life skills; medical services to dysfunctional families; development of community-based planning for PSSED of suicide; and employment and entrepreneurship services may lower suicide attempt risk.


Author(s):  
Seyedeh Samaneh Miresmaeeli ◽  
Nafiseh Esmaeili ◽  
Sepideh Sadeghi Ashlaghi ◽  
Zahra Abbasi Dolatabadi

Abstract Background: Exceptional children, like other children, have the right to be educated in a safe environment. Disasters are considered as serious issues regarding safety and security of educational environments. Following disasters, vulnerable groups, especially children with handicaps and disabilities are more likely to be seriously injured. Thus, the present study aimed to evaluate the safety and disaster risk assessment of exceptional schools in Tehran, Iran. Method: The cross-sectional study was conducted in exceptional schools in Tehran, 2018. First, 55 exceptional schools in all grades were selected based on census sampling method and evaluated by using a checklist designed by Tehran Disaster Mitigation and Management Organization (TDMMO) and Ministry of Education in 2015. The data were analyzed using Excel software and statistical descriptive tests. Result: Based on the results, school facilities are worn and have unsafe elevators (least safety: 7.69%), yards (least safety: 9.52%), laboratories (least safety: 16.67%), libraries (least safety: 24.24%), fire extinguishing systems (least safety: 28.99%), and storage rooms and kitchens (least safety: 33.33%) which require immediate considerations. In total, the safety of exceptional schools in this study was 70.13%, which suggests medium-risk level. Conclusion: The educational settings must be reconsidered, along with identifying the risk and safety at school. In addition, a standard should be established for evaluating safety, especially in exceptional schools.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Alan J. Drury ◽  
Matt DeLisi ◽  
Michael Elbert

Purpose Sex offender registration and notification act (SORNA) offenders are a source of scholarly study across the social, behavioral, forensic and legal sciences with the bulk of literature focusing on the legal standing and deterrent value of sexual offender registries. Less research focuses on the offending careers of current SORNA offenders relative to other types of sexual offenders whose current offense is not SORNA. The purpose of the current study is to examine this issue empirically. Design/methodology/approach Using cross-sectional data from a census of male federal offenders who ever perpetrated a sexual offense from the central USA between 2016 and 2020, the current study used t-tests, logistic regression and negative binomial regression to compare current SORNA offenders to other federal correctional clients in terms of their lifetime offending history, sexual violence and compliance on federal supervision. Findings Current SORNA offenders are significantly more severe and versatile in their sexual offending, have more extensive criminal careers and criminal justice system involvement, and exhibit significantly increased odds of revocation on supervised release despite controls for age, race and ethnicity. However, sensitivity models that specified the federal Post-Conviction Risk Assessment reduced the effects of SORNA status to non-significance in all models. Originality/value SORNA offenders are potentially a significant offender group with evidence of both and given their versatile and specialized lifetime offending and noncompliance on federal supervision. However, current SORNA status is rendered spurious once a risk assessment is controlled suggesting more research is needed to evaluate whether sex offender registries posit greater crime control benefit.


Author(s):  
Raditya Angga Pradipta

Logging the forest production is a high risk work. The condition of the forest acreage is difficult, the imbalance between the tools used by condition of the field and the skills of workers can lead to accidents. One of supporting job in the process of logging the forest production is the operation of the chainsaw that has hazards and risks which must be controlled. The main objective of this research was to risk assessment in the operational of the chainsaw in the work to cutting down trees in Perhutani KPH Madiun. This research was an observational research that conducted using cross sectional design and descriptive analysis. Data were used primary data based on interviews, observations and secondary data collected from the company. This research performed based on work activities of operating chainsaw. The result showed that based on idetification of hazards in activities of operating chainsaw in cutting trees, there were18 hazards Risk assessment showed that from 18 pure risks, there were 4 low risks,7 medium risks and 7 high risks. The conclusion from this research is the risk most dominant obtained from the risk assessment is high risk and risks while each one had the amount of 7 danger or 39 % of all the potential here hazards, to at a job should not be continued, work that needs to be set repeated or attempts to control at work to reduce the risk. Control must be reviewed for conformity before work began.Keywords: cut timber, identification hazards, risk assessment


2016 ◽  
Vol 15 (2) ◽  
Author(s):  
Talita Farias Feitosa ◽  
Moelisa Queiroz Dos Santos Dantas ◽  
Cássia Brito Da Silva ◽  
Álvaro Pereira

Aim: To verify, in the scientific production, the degree of reliability of the  Semmens-Weinstein  monofilament  as  a  risk  assessment  tool  for  diabetic  foot. Method:  This  is  an  integrative  literature  review  conducted  from  consultation  of  the electronic  databases  CINAHL,  MEDLINE,  SCOPUS  and  SCIELO.  Results:  Six  articles comprising  five  cross-sectional  studies  and  one  cohort  study  were selected.  The  six articles included in the review were taken from medical journals; no nursing publication was  found  that  met  the  goal.  Conclusion:  The  Semmens-Weinstein  monofilament  is  a reliable tool which has the best performance for assessing the risk for diabetic foot and its applicability is extremely important in consultations.


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