scholarly journals ORGANIZATION AND HOLDING OF HOSPITAL THERAPEUTIC NUTRITION IN HOSPITALS FOR ACTIVE TREATMENT IN RUSE’S TERRITORY

2021 ◽  
Vol 2 ◽  
pp. 25-29
Author(s):  
Despina Georgieva ◽  
Greta Koleva ◽  
Irinka Hristova

Introduction: Daily food consumption is a basic factor for improving both the quality of life and the well-being of people. Hospital medical nutrition needs to suit certain standards and requirements, so as to provide all the necessary micro- and macronutrients for patients. It has to be high-quality food and also has to mind the technological requirements for its preparation in the hospital, in addition to looking aesthetically pleasing and tasting good. Objective: This report’s goal is to study the hospital dietary nutrition in the hospitals for active care in Ruse, Bulgaria – University hospital Kanev; University hospital Medika; Mental health center Ruse; Complex-oncological center Ruse and the Specialized Hospital for active treatment of pneumo-phthisiatric diseases - Dr Dimitar Gramatikov. Methods: The survey was conducted between the months of April and September 2020. The criteria for inclusion of those hospitals are: to perform an organized hospital nutrition, and the medical institution to be a hospital itself. Results: In the medical establishments that are included in the study, medical dietary nutrition is carried out in accordance with the normative documents and standards which are in force for the country. The numerological system of nutrition Pevzner is applied, as the basic diets are from №1 to 15, as well as their varieties according to the disease’s acuteness. Conclusions: We find that, just because contemporary requirements for nutrition in the Republic of Bulgaria have been presented in developed national recommendations for healthy eating, this is not enough. What is needed is to develop and apply a fully adequate hospital diet, based on an individual assessment of nutrition status, and degree of risk from malnutrition.

2017 ◽  
Vol 4 (1) ◽  
pp. 46
Author(s):  
Sanja Gidumović ◽  
Meliha Hrustić ◽  
Dijana Nikolić ◽  
Ljubica Ćuk ◽  
Dejan Milanović

The Mental Health Project in BiH (PMZ BiH), Phase II, is a continuation of Phase I of the Mental Health Project. Direct results are: strengthened competencies and skills of multidisciplinary teams to provide better mental health services. In co-operation with sister associations from BiH, Swiss experts have supported the further strengthening of nursing staff in mental health through: support for the development of sister documentation, support in updating clinical guides with a focus on sister practice and providing training and / or direct support to selected members of sister associations in regarding the application of sister documentation and instructions for acting in their work.Assessment of the capacity of professional associations and specific needs of mental health professionals, realized within the BiH Mental Health Project, resulted in the signing of the Memorandum of Understanding and Cooperation between the above mentioned associations:1. Association of nurses and technicians in FBiH “UMSTFBiH”2. Association of nurses and technicians of the Republic of Srpska (Section nurses and technicians in the field of mental health of Republika Srpska)3. Udruženje “Medicinar” District Brčkowho implemented the Project: “Strengthening Nursing Competencies within the Center for the Protection of Mental Health”.Targeted sisterhood interventions will improve the orientation of the mental health system to the patient, provide health care with respect and understanding, and effectively treat patients. Interventions will contribute to better health outcomes, a better quality of life for mental health users and the general well-being of people with mental disorders, as well as those at risk of having a mental disorder.The project encompasses 40 centers for the protection of mental health in BiH with one representative - a medical nurse / technician. The acquired knowledge and skills, trained nurses / technicians, were passed on to other employees in the centers.The users with whom the sister documentation is applied are more satisfied with the speed and method of obtaining professional help. In 55.51% of respondents, the time of establishing the final diagnosis and condition is shortened. In 44.49% of users who are already in treatment in the centers, the deterioration of the disease is prevented by the introduction of a faster and better quality service.


Author(s):  
Tanja Laukkala ◽  
Jaana Suvisaari ◽  
Tom Rosenström ◽  
Eero Pukkala ◽  
Kristiina Junttila ◽  
...  

The COVID-19 pandemic has caused an unequally distributed extra workload to hospital personnel and first reports have indicated that especially front-line health care personnel are psychologically challenged. A majority of the Finnish COVID-19 patients are cared for in the Helsinki University Hospital district. The psychological distress of the Helsinki University Hospital personnel has been followed via an electronic survey monthly since June 2020. We report six-month follow-up results of a prospective 18-month cohort study. Individual variation explained much more of the total variance in psychological distress (68.5%, 95% CI 65.2–71.9%) and negative changes in sleep (75.6%, 95% CI 72.2–79.2%) than the study survey wave (1.6%, CI 0.5–5.5%; and 0.3%, CI 0.1–1.2%). Regional COVID-19 incidence rates correlated with the personnel’s psychological distress. In adjusted multilevel generalized linear multiple regression models, potentially traumatic COVID-19 pandemic-related events (OR 6.54, 95% CI 5.00–8.56) and front-line COVID-19 work (OR 1.81, 95% CI 1.37–2.39) was associated with personnel psychological distress but age and gender was not. While vaccinations have been initiated, creating hope, continuous follow-up and psychosocial support is still needed for all hospital personnel.


Pharmaceutics ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 239
Author(s):  
Marios Spanakis ◽  
Maria Melissourgaki ◽  
George Lazopoulos ◽  
Athina E. Patelarou ◽  
Evridiki Patelarou

Background: Drug interactions represent a major issue in clinical settings, especially for critically ill patients such as those with cardiovascular disease (CVD) who require cardiothoracic surgery (CTS) and receive a high number of different medications. Methods: A cross-sectional study aimed at evaluating the exposure and clinical significance of drug–drug (DDIs) and drug–dietary supplement interactions (DDSIs) in patients admitted for CTS in the University Hospital of Crete Greece. DDIs were evaluated regarding underlying pharmacological mechanisms upon admission, preoperation, postoperation, and discharge from CTS clinic. Additionally, upon admission, the use of dietary supplements (DSs) and if patients had informed their treating physician that they were using these were recorded with subsequent analysis of potential DDSIs with prescribed medications. Results: The study employed 76 patients who were admitted for CTS and accepted to participate. Overall, 166 unique DDIs were identified, with 32% of them being related to pharmacokinetic (PK) processes and the rest (68%) were related to possible alterations of pharmacodynamic (PD) action. CVD medications and drugs for central nervous system disorders were the most frequently interacting medications. In total, 12% of the identified DDIs were of serious clinical significance. The frequency of PK-DDIs was higher during admission and discharge, whereas PD-DDIs were mainly recorded during pre- and postoperation periods. Regarding DS usage, 60% of patients were using DSs and perceived them as safe, and the majority had not informed their treating physician of this or sought out medical advice. Analysis of medical records showed 30 potential combinations with prescribed medications that could lead in DDSIs due to modulation of PK or PD processes, and grapefruit juice consumption was involved in 38% of them. Conclusions: An increased burden of DDIs and DDSIs was identified mostly upon admission for patients in CTS clinics in Greece. Healthcare providers, especially prescribing physicians in Greece, should always take into consideration the possibility of DDIs and the likely use of DS products by patients to promote their well-being; this should only be undertaken after receiving medical advice and an evidenced-based evaluation.


2021 ◽  
pp. bmjmilitary-2020-001702
Author(s):  
Doseon Jo ◽  
C K Koh

IntroductionNavy ships and submarines are important military measures that protect the Republic of Korea. They also comprise naval officers’ workplace. However, few studies have examined naval officers’ working environment and their job-related well-being. This study aimed to explore exposure to hazardous work environments among navy officers aboard ships and submarines and their association with job-related affective well-being.MethodsThis was a cross-sectional descriptive study. The sample comprised 146 officers from 4 navy ships and 98 officers from 5 submarines. Items of exposure to the eight types of hazardous work environments and the Job-related Affective Well-being Scale (JAWS) were included in the self-report survey questionnaires.ResultsThe most common hazards reported by officers aboard navy ships were vibration (63.7%) and air pollution (56.2%). For submarine officers, these hazards were lack of personal space (72.4%) and air pollution (67.3%). The average JAWS score for ship officers and submarine officers was 69.81 (SD=10.89) and 70.50 (SD=10.83), respectively. For ship officers, exposure to air pollution, noise, vibration, thermal discomfort during summer or winter and lack of personal space were significantly correlated with lower JAWS scores. For submarine officers, exposure to fire, burning or electrical shock, air pollution, noise, thermal discomfort during summer or winter and lack of personal space were significantly correlated with lower JAWS scores.ConclusionsThis study revealed that some naval officers aboard ships or submarines are exposed to hazardous work environments. Moreover, certain types of hazardous work environments were associated with naval officers’ job-related affective well-being.


Sensors ◽  
2018 ◽  
Vol 18 (9) ◽  
pp. 2760 ◽  
Author(s):  
Jure Trilar ◽  
Andrej Kos ◽  
Simona Jazbinšek ◽  
Lea Jensterle ◽  
Emilija Stojmenova Duh

Within the Active Living and Well-Being Project (RRP3), funded by the Republic of Slovenia and the European Regional Development Fund Investing in Your Future program, we aim to develop different approaches and prototype solutions to provide ICT solutions for the family in order to connect its members; communicate; promote quality family time, active life, a health-friendly lifestyle and well-being; and integrate various sensor and user-based data sources into a smart city ecosystem platform. A mixed methodology, combined qualitative and quantitative approaches, was selected to conduct the study. An online survey with a structured questionnaire as well as semi-structured interviews were performed. Through the analysis of the results, we tried to establish a family-centered design approach that would be inclusive as much as possible, creating benefits for all generations in order to develop an interactive prototype solution that would allow us to further test and verify different use-case scenarios.


2022 ◽  
Vol 12 ◽  
Author(s):  
Jung In Lim ◽  
Jason Yu ◽  
Young Woo Sohn

Many studies demonstrate that finding meaning in life reduces stress and promotes physical and psychological well-being. However, extant literature focuses on meaning in life among the general population (e.g., college students or office workers) in their daily lives. Thus, this study aimed to investigate the mechanisms of how individuals living in life-threatening and stressful situations obtain meaning in life, by investigating the mediating roles of leisure crafting and gratitude. A total of 465 Army soldiers from the Republic of Korea (ROK) participated in two-wave surveys with a 2-week interval. Structural equation modeling analyses indicated that the direct effects between the search for meaning, presence of meaning, leisure crafting, and gratitude were significant, except for the direct relationship between the search for meaning and the presence of meaning, and between leisure crafting and the presence of meaning. We tested indirect effects using a Monte Carlo approach and found that leisure crafting and gratitude sequentially mediated the relationship between the search for meaning and the presence of meaning. Our findings highlight the importance of the motivation behind searching for meaning, the proactive use of leisure time, and gratitude for individuals in stressful situations and controlled lifestyles. Finally, we discuss the implications and limitations of this research and future research directions.


2012 ◽  
Vol 10 (1-2) ◽  
pp. 0-0
Author(s):  
Tigran Zotov ◽  
Deimantas Šukys

Tigran Zotov, Deimantas Šukys Respublikinės Vilniaus universitetinės ligoninės Urologijos skyrius, Šiltnamių g. 29, LT-04130 Vilnius El. paštas: [email protected] Įvadas Varikocelė yra gan dažna liga, nustatoma 10 proc. suaugusių vyrų, ir net 25 proc. tų vyrų, kurie tiriami dėl nevaisingumo. Varikocelė mažina sėklidžių apimtį, blogina spermos kokybę ir Leidigo ląstelių funkciją. Po varikocelės gydymo sėklidė padidėja, pagerėja spermos kokybė. Respublikinėje Vilniaus universitetinėje ligoninėje buvo pradėta naudoti mikrochirurginė varikocelės gydymo metodika. Metodai Nuo 2009 m. balandžio iki 2011 m. gegužės buvo atliktos septynios varikocelektomijos operacijos naudojant mikrochirurginę techniką. Rezultatai Intraoperacinių ar ankstyvųjų pooperacinių komplikacijų nebuvo. Iškvietus pakartotinio patikrinimo operuotus pacientus nerasta nė vieno varikocelės recidyvo. Išvados Varikocelė yra gan dažna liga, galinti lemti nevaisingumą. Dėl nevaisingumo besikreipiantiems vyrams, kuriems yra klinikinė varikocelės raiška ir nenormalius spermos tyrimas, indikuojamas operacinis gydymas. Jei yra galimybė pasinaudoti operaciniu mikroskopu, tikslinga atlikti mikrochirurginę varikocelektomiją, o jei tokios galimybės nėra, pirmučiausia alternatyva yra laparoskopinė varikocelektomija. Reikšminiai žodžiai: varikocelė, chirurginis gydymas. Varicocele treatment by the microsurgical method Tigran Zotov, Deimantas Šukys Republican Vilnius University Hospital, Department of Urology, Šiltnamių Str. 29, LT-04130 Vilnius, Lithuania E-mail: [email protected] Background Varicocele is a rather frequent disease found in 10% of adult males and in 25% of infertile men. Varicocele reduces the testicular volume, declines sperm quality and the function of the Leydig cells. After varicocele treatment, the testicular volume increases and sperm quality improves. Varicocele treatment by the microsurgical method was started at the Republic Vilnius University Hospital. Methods Seven varicocelectomies by the microsurgical way were performed from April 2009 till May 2011. Results No intraoperative or early postoperative complications were observed. There was no varicocele recurrences found on postoperative control visits. Conclusions Varicocele is a rather frequent disease which can cause infertility. Its surgical treatment is indicated in cases of a clinically apparent varicocele and abnormal sperm analysis. If possible (where a surgical microscope is accessible), microsurgical varicocelectomy is the preferred way of treatment. Laparoscopic varicocelectomy is the method of choice if there is no possibility to perform a microsurgical procedure. Key words: varicocele, surgical treatment


2021 ◽  
Vol 1 (1) ◽  
pp. 60-71
Author(s):  
Irina E. Abramova ◽  
Anastasia A. Ananyina ◽  
Anna M. Esengalieva

The world lives in the era of conflict, when the safety and well-being of states or individuals to a large extent depend on the availability of well-trained professionals who are able to perform mediating functions, keeping in mind ethnic, national, political, cultural and other differences between conflicting sides. However, employers increasingly claim that todays graduates lack the skills required for conflict management and mediation even in homogeneous working environments, let alone multinational teams and international interaction. This problem is particularly relevant for the field of international relations where conflict resolution by peaceful means is very important. Countries with transition economies, such as Russia and Kazakhstan, where there is a gap between labor market requirements and university teaching practices, have been searching for new ways to educate and train young specialists. This article presents the preliminary results of a collaborative project between Petrozavodsk State University of the Russian Federation and Gumilyov Eurasian National University of the Republic of Kazakhstan. The project includes a set of dialogue- and polylogue-based learning activities with special focus on addressing any discrepancies, misunderstandings and divergence of views. The aim of the paper is to assess the impact of professionally oriented cross-border communication in the English language on the readiness of international relations students from Russia and Kazakhstan for resolving future professional disputes through mediation. The authors used formal structured questionnaires with closed-ended questions for obtaining necessary data and the comparative analysis method for interpreting them. The results suggest that systematic English-language cross-border communication in a realistic work-like environment will demonstrate the importance of mediation as a component of professional communicative competence to the students and will better prepare future foreign affairs staff for conflict resolution and mediation.


2017 ◽  
Vol 98 (6) ◽  
pp. 1029-1033 ◽  
Author(s):  
A M Galieva ◽  
A Yu Vafin ◽  
I E Kravchenko ◽  
A N Galiullin

Aim. To conduct analysis of resource provision for medical care for patients with infectious pathology and to study primary infectious morbidity at the level of municipal districts of the Republic of Tatarstan. Methods. Study of primary infectious morbidity according to official statistics of the Federal Service for Supervision of Consumer Rights Protection and Human Well-Being in the Republic of Tatarstan based on form No. 2 with extracting data in 495 units, annual reports of Infectious Disease Service of the Ministry of Health of the Republic of Tatarstan for 2005-2015 - 66 units. The analysis of resource provision according to the central regional hospitals data, with extracting data in 70 units. Results. During the period of 2005-2015 the highest rates of primary infectious morbidity were observed in municipal districts where the administrative center is a city (13 054.01 per 100 000 population), the lowest - in rural areas (7953.6). The level of infectious morbidity in municipal districts is significantly lower than in average across the Republic of Tatarstan (р ˂0.05). 3 municipal districts having different types of administrative center are studied: Zainsky (urban population 72%), Apastovsky (rural people 73.9%), Drozhzhanovsky (rural people 100%) districts. The highest level of infectious morbidity in Zainsky District (2005 - 10 510; 2015 - 11 800.85 per 100 000 population), Apastovsky (7600.0 and 3612.44) and Drozhzhanovsky district (1629.68 and 4765.84). Differences in resource provision for infectious disease service are established: Zainsky district (there is an infectiologist, infectious beds, infectious disease office, specialized laboratory), Apastovsky district (service in infectious disease office is provided by part-time infectiologist), Drozhzhanovsky district (service in infectious disease office is provided by a nurse). In Drozhzhanovsky and Apastovsky districts there are no infectious beds and specialized laboratories. Conclusion. Level of infectious morbidity in municipal districts of the Republic of Tatarstan is closely related to the type of municipal district and resource provision for infectious disease service.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
SANDRA STANKOVIĆ ◽  
DEJAN VASOVIĆ ◽  
NENAD ŽIVKOVIĆ

The aim of this research is to emphasize the impact of extreme hydrological phenomena on thesustainable management of water-related societal needs. Therefore, it provides a definition of extreme hydrological events, as well as a survey of extreme hydrological events in the Republic of Serbia. It also gives a brief overview of Agenda 2030 with particular respect to Sustainable Development Goal (SDG) No 6 and highlights the impacts of extreme hydrological phenomena on the water resources, both from the perspective of the ecosystem and the society. Root-cause analysis and synthesis of data related to extreme hydrological events that occurred in the Republic of Serbia for characteristic years have been used as primary methods. The conclusion highlights the necessity of ensuring sustainable management of water resources in order to achieve the desired state of human well-being, as well as a healthy ecosystem. Keywords: extreme hydrological events, ecosystem services, sustainability, water resources, management


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