scholarly journals Effect of skill drills on neonatal ventilation performance in a simulated setting—observation study in Nepal

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Rejina Gurung ◽  
Abhishek Gurung ◽  
Avinash K. Sunny ◽  
Omkar Basnet ◽  
Shree Krishna Shrestha ◽  
...  
Keyword(s):  
Observation Study ◽  
Neonatal Ventilation ◽  
Ventilation Performance

scholarly journals Effect of skill drills on neonatal ventilation performance in a simulated setting- observation study in Nepal

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rejina Gurung ◽  
Abhishek Gurung ◽  
Avinash K. Sunny ◽  
Omkar Basnet ◽  
Shree Krishna Shrestha ◽  
...  
Keyword(s):  
Clinical Case ◽  
Neonatal Resuscitation ◽  
Ventilation Rate ◽  
High Fidelity ◽  
Mask Ventilation ◽  
Observation Study ◽  
Adequate Ventilation ◽  
Effective Ventilation ◽  
Ventilation Performance ◽  
Bag And Mask Ventilation

Abstract Aim Maintaining neonatal resuscitation skills among health workers in low resource settings will require continuous quality improvement efforts. We aimed to evaluate the effect of skill drills and feedback on neonatal resuscitation and the optimal number of skill drills required to maintain the ventilation skill in a simulated setting. Methods An observational study was conducted for a period of 3 months in a referral hospital of Nepal. Sixty nursing staffs were trained on Helping Babies Breathe (HBB) 2.0 and daily skill drills using a high-fidelity manikin. The high-fidelity manikin had different clinical case scenarios and provided feedback as “well done” or “improvement required” based on the ventilation performance. Adequate ventilation was defined as bag-and-mask ventilation at the rate of 40–60 breaths per minute. The effective ventilation was defined as adequate ventilation with a “well done” feedback. We assessed the correlation of number skill drills and clinical case scenario with adequate ventilation rate using pearson’s correlation. We assessed the correlation of number of skill dills performed by each participant with effective ventilation using Mann Whitney test. Results Among the total of 60 nursing staffs, all of them were competent with an average score of 12.73 ± 1.09 out of 14 (p < 0.001) on bag-and-mask ventilation skill checklist. Among the trained staff, 47 staffs participated in daily skill drills who performed a total of 331 skill drills and 68.9% of the ventilations were done adequately. Among the 47 nursing staffs who performed the skill drills, 228 (68.9%) drills were conducted at a ventilation rate of 40–60 breathes per minute. There was no correlation of the adequate ventilation with skill drill category (p = 0.88) and the level of skill performed (p = 0.28). Out of 47 participants performing the skill drills, 74.5% of them had done effective ventilation with a mean average of 8 skill drills (SD ± 4.78) (p-value- 0.032). Conclusion In a simulated setting, participants who had an average skill drill of 8 in 3 months had effective ventilation. We demonstrated optimal skill drill sessions for maintain the neonatal resuscitation competency. Further evaluation will be required to validate the findings in a scale up setting.

PENGUATAN PENDIDIKAN AGAMA ISLAM MELALUI HAFALAN FURUDHUL AINIYAH DI SMP NURUL JADID PAITON

2017 ◽  
Vol 1 (1) ◽  
pp. 196-204
Author(s):  
Sulistiawati Sulistiawati
Keyword(s):  
High School ◽  
Religious Education ◽  
Junior High School ◽  
Qualitative Method ◽  
Religious Activities ◽  
Case Study Method ◽  
Literature Study ◽  
Observation Study ◽  
Homeroom Teachers

This research is intended to search and information about the strengthening of Islamic religious education (PAI) through the recitation of furudhul Ainiyah which is carried out in Nurul Jadid Paiton Junior High School. The method of this research is by qualitative method with case study method, to express. That is more intense and deep with the above phenomenon. Technique of completion of data and information is done through interview, observation, study study, and literature study. The findings of this research are 1). Students or students are required to complete the recitation of Furudhul Ainiyah as a condition to take the odd semester and even semester exam and become a requirement for class and graduation increase. 2). the implementation of the furudhul Ainiyah memorization is performed on Thursday and Friday nights and Tuesday nights, and can also be done during normal day breaks, 3). The responsible and recipient of the rote deposit are PAI teachers and their homeroom teachers, 4). For students and students who can not read written Al-qur'an is not subject to rote burden, but get special coaching related to Al-Qur'an reading written by the religious coordinator of students. 5). Memory materials include Aqidah, Fiqih or Amaliyah materials, and daily prayers for students of VII and VIII semerter 1 and 2, while for classes IX semesters 1 and 2 cover the material of the Qur'an and Fiqh. 6). (a). Principal, (b). Vice Principal of the curriculum section, (c). Coordinator of students' religious activities, (d). Teacher / teacher of PAI, (e). Homeroom, (e). Student religious coordinator, (f). Student.

Outlet Forceps in Modern Era - Study Of 50 Cases-Clinical Observation Study

2012 ◽  
Vol 2 (4) ◽  
pp. 292-294
Author(s):  
Dr. Vandana K Saini ◽  
◽  
Dr. Kishor D Kawad ◽  
Dr. Neha Gohel
Keyword(s):  
Clinical Observation ◽  
Observation Study ◽  
Modern Era

Current views of complications associated with neonatal ventilation

2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Gang Liu ◽  
Hongwei Wu ◽  
Zhenguang Li
Keyword(s):  
Neonatal Ventilation

Numerical and Experimental Modeling of Indoor Air Quality Inside a Conditioned Space with Mechanical Ventilation and DX-Air Conditioner

2020 ◽  
Vol 38 (9A) ◽  
pp. 1257-1275
Author(s):  
Wisam M. Mareed ◽  
Hasanen M. Hussen
Keyword(s):  
Air Quality ◽  
Indoor Air Quality ◽  
Indoor Air ◽  
Ventilation System ◽  
Thermal Conditions ◽  
Airflow Rate ◽  
Air Conditioner ◽  
Breathing Zone ◽  
Lecture Room ◽  
Ventilation Performance

 Elevated CO2 rates in a building affect the health of the occupant. This paper deals with an experimental and numerical analysis conducted in a full-scale test room located in the Department of Mechanical Engineering at the University of Technology. The experiments and CFD were conducted for analyzing ventilation performance. It is a study on the effect of the discharge airflow rate of the ceiling type air-conditioner on ventilation performance in the lecture room with the mixing ventilation. Most obtained findings show that database and questionnaires analyzed prefer heights between 0.2 m to 1.2 m in the middle of an occupied zone and breathing zone height of between 0.75 m to 1.8 given in the literature surveyed. It is noticed the mismatch of internal conditions with thermal comfort, and indoor air quality recommended by [ASHRAE Standard 62, ANSI / ASHRAE Standard 55-2010]. CFD simulations have been carried to provide insights on the indoor air quality and comfort conditions throughout the classroom. Particle concentrations, thermal conditions, and modified ventilation system solutions are reported.

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