scholarly journals Improving the safety of rapid tranquilisation in older people

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S28-S28
Author(s):  
Richard Harris ◽  
Rollo Sheldon ◽  
Jane McNulty ◽  
Scott Cherry
Keyword(s):  
Data Collection ◽  
Initial Data ◽  
Audit Committee ◽  
Treatment Algorithm ◽  
Oral Medication ◽  
Retrospective Case ◽  
Rapid Tranquilisation ◽  
Teaching Package ◽  
New Treatment ◽  
Health Complications

AimsTo identify intramuscular rapid tranquilisation (IMRT) events in all >65 years inpatients in Sussex Partnership NHS Foundation Trust (SPFT) and to establish whether accompanying documentation meets SPFT guidelines. This is a re-audit, initial data were collected in 2016. Multimodal intervention has been implemented since initial data collection. In psychiatric inpatients IMRT should be administered as a last resort to calm acutely disturbed patients after verbal de-escalation and an offer of oral medication has failed. IMRT can cause physical health complications and impact therapeutic relationships. Quality improvements made since initial data collection were: an IMRT treatment algorithm for >65s, a teaching package for staff, IMRT prescription area on medicine cards and post IMRT physical monitoring forms – in line with updates to trust IMRT policy.MethodRetrospective case note audit cycle of 119 patients. Electronic and paper records were reviewed for inpatients >65 years on 1/9/2019. Records were examined for instances of IMRT– the following features were noted: diagnosis; verbal de-escalation; oral medication offered prior to IMRT; IMRT prescription location; and post-IMRT monitoring. Descriptive statistics were performed. This audit was approved by the trust audit committee.ResultThere were 34 RT events in 17 patients, reduced from 83 RT events in 20 patients in 2016. De-escalation was attempted in 62% versus 34% in 2016, oral medication offered first in 71% versus 59% in 2016. Physical monitoring was fully completed in 50% of instances in 2019, an improvement from 23% in 2016.ConclusionEducation, a new treatment algorithm, medicine card changes, and IMRT physical monitoring forms have improved adherence to trust standards. There was a 49% reduction in IMRT events in 2019 versus 2016. De-escalation is being performed more frequently, and oral sedation offered in more cases. The physical monitoring of patients has improved.

PENERAPAN METODE STORY READING UNTUK MENINGKATKAN KEMAMPUAN BERBICARA ANAK USIA 5 - 6 TAHUN DI TK MELATI / ABA 005 PULAU BALAI

2015 ◽  
Vol 4 (2) ◽  
pp. 143
Author(s):  
Hasnidar '
Keyword(s):  
Data Collection ◽  
Initial Data ◽  
Research Data ◽  
Class Action ◽  
Percentage Increase ◽  
Story Reading ◽  
Reading Methods ◽  
Number Of Children ◽  
Class Actions ◽  
Speaking Skills

This study aims to improve speaking skills of children aged 5-6 through methods Story Reading in TK Melati/ ABA 005 Pulau Balai. The method used is a Class Action Research. Class actions that researchers do the research is to use the method Story Reading to improve speaking skills of children aged 5-6 years in TK Melati TK Melati/ ABA 005 Pulau Balai, and is observed by the observer. Samples taken are TK Melati/ ABA 005 Pulau Balai with the number of children of 20 people, consisting of 13 men and 7 women. Data collection techniques in this research is through observation of teachers and children as well as data capability speaking children aged 5-6 years with use of methods Story Reading. Hipotesis in this study is if the method will be applicable Story Reading can improve speaking skills of children aged 5-6 years in TK Melati/ ABA Pulau Balai 005 can be enhanced through storytelling. Results of the research data obtained by using the method Story Reading can improve the ability to speak of children aged 5-6 years in TK Melati / ABA 005 Pulau Balai. The percentage increase in the ability to speak the child at the age of 5-6 years using Story Reading methods in TK Melati/ ABA 005 Pulau Balai, from initial data to the second cycle increased by 32.2%. The implication of this study is the use of methods Story Reading used properly, can improve speaking skills of children aged 5-6 years in TK Melati/ ABA 005 Pulau BalaiKeywords: story reading, speech

scholarly journals Emergency management of the paediatric patient with convulsive status epilepticus

2021 ◽  
Vol 26 (1) ◽  
pp. 50-57
Author(s):  
Kyle C McKenzie ◽  
Cecil D Hahn ◽  
Jeremy N Friedman
Keyword(s):  
Clinical Practice ◽  
Status Epilepticus ◽  
Emergency Management ◽  
Treatment Algorithm ◽  
Position Statement ◽  
Convulsive Status Epilepticus ◽  
Pharmacological Management ◽  
The Past ◽  
New Treatment ◽  
New Evidence

Abstract This guideline addresses the emergency management of convulsive status epilepticus (CSE) in children and infants older than 1 month of age. It replaces a previous position statement from 2011, and includes a new treatment algorithm and table of recommended medications based on new evidence and reflecting the evolution of clinical practice over the past several years. This statement emphasizes the importance of timely pharmacological management of CSE, and includes some guidance for diagnostic approach and supportive care.

Principles of a new treatment algorithm in multiple sclerosis

2011 ◽  
Vol 11 (3) ◽  
pp. 351-362 ◽  
Author(s):  
Hans-Peter Hartung ◽  
Xavier Montalban ◽  
Per Soelberg Sorensen ◽  
Patrick Vermersch ◽  
Tomas Olsson
Keyword(s):  
Multiple Sclerosis ◽  
Treatment Algorithm ◽  
New Treatment

Analysis of unilateral complex orbital fractures with a new treatment algorithm

2014 ◽  
Vol 49 (2) ◽  
pp. 121-126 ◽  
Author(s):  
Mehtap Karamese ◽  
Osman Akdağ ◽  
Muhammed Nebil Selimoğlu ◽  
Tugba Gun Koplay ◽  
Berker Bakbak ◽  
...  
Keyword(s):  
Treatment Algorithm ◽  
Orbital Fractures ◽  
New Treatment

Hidradenitis Suppurativa: A Novel Model of Care and an Integrative Strategy to Adopt an Orphan Disease

2017 ◽  
Vol 22 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Wayne Gulliver ◽  
Ian D. R. Landells ◽  
David Morgan ◽  
Syed Pirzada
Keyword(s):  
Health Care Professionals ◽  
Hidradenitis Suppurativa ◽  
Management Strategies ◽  
Treatment Algorithm ◽  
Orphan Disease ◽  
Model Of Care ◽  
Integrative System ◽  
Inappropriate Treatment ◽  
The Status ◽  
New Treatment

Unnecessary investigations, inappropriate treatment, worsening disease, and frustration for both patients and health care professionals are the hallmarks of hidradenitis suppurativa (HS) management. In light of a new treatment algorithm and biologic therapies made available to patients, an HS model of care is outlined in this article. The recommendations and management strategy presented here have been developed to help address the currently unmet needs of this patient population. The patient-centred model of care and disease management strategies were developed through the guidance and recommendations of HS medical experts in Newfoundland and Labrador. This article lays the foundation for the resources and steps required to change the status of this orphan disease and firmly embed patients with HS within a coordinated and integrative system of care.

Portals Then and Now

2009 ◽  
Vol 1 (4) ◽  
pp. 21-33 ◽  
Author(s):  
Arthur Tatnall ◽  
Stephen Burgess
Keyword(s):  
Developing Countries ◽  
Data Collection ◽  
Initial Data ◽  
Case Studies ◽  
The Other ◽  
Web Portals ◽  
Web Portal ◽  
Different Types

This article investigates the evolution of two different types of Web portals, one in Bangladesh and the other in Australia. The initial data collection was conducted in the early 2000s and revisited in 2009. The idea of a Web portal is not new, but in the last few years the portal concept has gained considerably in importance as new types of portal are developed and new uses found for portal technology. The article begins with a brief classification of the types of portals in use today and then considers some of the advantages conferred on a business in using portal technology. Developed and developing countries have different problems in making use of e-commerce and see the advantages and problems of using portals rather differently. In the article the authors examine and compare case studies of a Horizontal B-B Industry Portal in Melbourne, Australia, and a Vertical Industry Portal in Dhaka, Bangladesh.

Update on covered endovascular reconstruction of the aortic bifurcation

Vascular ◽  
2020 ◽  
Vol 28 (3) ◽  
pp. 225-232
Author(s):  
Michel MPJ Reijnen
Keyword(s):  
Initial Data ◽  
Treatment Algorithm ◽  
Occlusive Disease ◽  
Surgical Reconstruction ◽  
Aortic Bifurcation ◽  
Flow Conditions ◽  
Local Flow ◽  
Current Review ◽  
Comparative Trials

Objective The covered endovascular reconstruction of the aortic bifurcation (CERAB) technique was introduced in 2009 in order to provide an anatomically and physiologically optimal endovascular reconstruction of the aortic bifurcation. Method In the current review, all available evidence on this technique was summarized. Results In vitro studies have shown a more favorable geometry of CERAB compared to kissing stents, leading to better local flow conditions. The results of CERAB are at least as good as those achieved with kissing stents in a more complex group of treated patients. The mid-term patency rates approach those of surgical reconstruction. Initial data show that the technique can also be used in combination with chimney grafts in order to preserve side branches. Conclusion CERAB has proven to be the most optimal endovascular treatment option for aorto-iliac occlusive disease with regard to geometry and flow and is related to promising clinical outcomes. Prospective and comparative trials are necessary to elucidate the most optimal treatment algorithm for patients with aorto-iliac occlusive disease.

scholarly journals Simulating Gaia observations and on-ground reconstruction

2007 ◽  
Vol 3 (S248) ◽  
pp. 278-279 ◽  
Author(s):  
E. Masana ◽  
C. Fabricius ◽  
J. Torra ◽  
J. Portell ◽  
J. Catañeda
Keyword(s):  
Initial Data ◽  
Data Base ◽  
Treatment Algorithm ◽  
Iterative Solution ◽  
Daily Basis ◽  
Data Treatment ◽  
Treatment Processes ◽  
Transit Times ◽  
Permanent Storage ◽  
Radial Velocity Data

AbstractOn a daily basis the Gaia telemetry data (some 30 GB) must be stored and treated in order to reconstruct the actual observations. This initial data treatment processes all newly arrived telemetry and various pieces of auxiliary data. The first part of the process is merely a reformatting to create raw objects for permanent storage in the raw data base (some 40 TB at the end of the mission). The next part is to analyze the data to derive initial values for the observables, e.g. transit times and fluxes, producing intermediate objects. Finally, the intermediate objects are matched with sources in the data base, linking all the observations of a given source.To check the initial data treatment algorithm we use simulations of the telemetry stream provided by GASS, the Gaia System Simulator. GASS simulates astrometric, photometric and radial velocity data, using models of the satellite and on-board instruments, as well as the models of different of objects observed by Gaia (stars, galaxies, solar system objects, . . .). On the other hand, the initial data treatment allows us to validate the data generated by GASS, which are used too to check other algorithms like the First Look or the Astrometric Global Iterative Solution (AGIS).

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