G1700204 Study of delivery type experimental education for maintenance engineers

2015 ◽  
Vol 2015 (0) ◽  
pp. _G1700204--_G1700204-
Author(s):  
Daisuke ITO ◽  
Takashi YOKOYAMA ◽  
Shinji OKAZAKI
Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 425
Author(s):  
Agnieszka Neumann-Podczaska ◽  
Mikołaj Seostianin ◽  
Konrad Madejczyk ◽  
Piotr Merks ◽  
Urszula Religioni ◽  
...  

Objective: To develop a mentor-supervised, interprofessional, geriatric telemedicine experiential education project in response to the COVID-19 pandemic. Method: Medical and pharmacy students collaborated via remote consultations to address the coexistence of multimorbidity and polypharmacy in geriatric patients. In-depth interviews of students and patients as well as Likert scale-based telephonic survey were performed for a comprehensive evaluation of the project’s significance. Results: To date, 49 consultations have been conducted. Remote consultations performed by medical and pharmacy students working collaboratively were beneficial for both students, participants. Conclusions and Practice Implications: This experimental education project provided students with authentic challenges while simultaneously delivering care to the older adults who are susceptible to disruption of care associated with the pandemic. Further development and expanded implementation of such approaches may be a post-pandemic practice to provide more accessible care for senior patients while incorporating interprofessional education.


2019 ◽  
pp. 200-202
Author(s):  
Claudia Traidl-Hoffmann

Introduction: Cowʼs milk allergy (CMA) is a common diagnosis in infants, requiring the exclusion of cowʼs milk until tolerance is recovered. In the present study, we aim to determine which factors are associated with the development of tolerance.Methods: Retrospective, observational study of subjects who underwent the same clinical follow-up methodology. We studied 245 cases of CMA (125 IgE-mediated and 120 non-IgE-mediated). The following variables were analysed: age at diagnosis, gender, type of delivery, type of feeding received, feeding during the first months of life, clinical features, and type of feed received as treatment: casein hydrolysates or casein hydrolysates with Lactobacillus rhamnosus GG (LGG).Results: Factors associated with earlier tolerance were non-IgE-mediated CMA (HR = 2.92; 95% CI: 2.20-3.88) and patients receiving casein hydrolysate with LGG (HR = 1.79; 95% CI: 1.33-2.42). Later tolerance was associated with caesarean delivery (HR = 0.78; 95% CI: 0.58-1.05) and breastfeeding for a period of at least 3 days (HR = 0.64; 95% CI: 0.44-0.93). The multivariate study shows that the type of formula (HR = 1.61; 95% CI: 1.19-2.18) and the type of CMA (HR = 2.82; 95% CI: 2.12-3.85) have an effect on the recovery time. Casein hydrolysates with LGG reduces the recovery time in IgE-mediated (HR = 1.88; 95% CI: 1.17-3.01) and non-IgE-mediated CMA (HR = 1.46; 95% CI: 0.98-2.17).Conclusion: Tolerance acquisition is faster in non-IgE-mediated CMA subjects and in those who received casein hydrolysate with LGG.


1980 ◽  
Vol 12 (1) ◽  
pp. 24-28
Author(s):  
Beth V. Goldstein ◽  
Linda G. Lockwood

2019 ◽  
Vol 220 (4) ◽  
pp. 405-407 ◽  
Author(s):  
Sarah S. Osmundson ◽  
Andrew D. Wiese ◽  
Jea Young Min ◽  
Robert E. Hawley ◽  
Stephen W. Patrick ◽  
...  

2019 ◽  
Vol 67 (3) ◽  
pp. 3_52-3_55
Author(s):  
Yasuo OHTSUBO

Author(s):  
Babita P. Vaswani ◽  
Aditi Trivedi ◽  
Sriram Gopal

Background: Cesarean section is becoming a more common delivery type worldwide. The objective of this study was to compare surgical morbidity in extraperitoneal versus transperitoneal techniques of cesarean section.Methods: A total of 60 patients was included in this study out of which 30 underwent extraperitoneal cesarean section(ECS) and 30 patients underwent transperitoneal cesarean section (TCS) and compared both the techniques with respect to nausea or vomiting intra-operatively, pain score (as measured by visual analogue scale) post operatively, return of bowel function and blood loss.Results: Intra-operative nausea and vomiting was noted in 33.34% of patients in TCS group while none of the patients in ECS group had any such complaints. No difference was noted in average blood loss between the 2 groups. Post-operative pain in ECS was 4.13 as compared to 6.86 in TCS. Return of bowel sounds in ECS group was much earlier (5.46 hours) as compared to TCS group (11.33 hours).Conclusions: We conclude that extraperitoneal technique is advantageous over transperitoneal approach. Decreased nausea and vomiting, early return of bowel function in the post-operative period, decreased post-operative pain allowing early feeding and mobilization are definite benefits of this technique. This further helps in making a relatively smoother post-operative recovery.


Author(s):  
M. Poovathi ◽  
N. Prasanna

Background: Management of the critically ill obstetric woman at an ICU is a unique challenge to ICU Physicians and obstetricians. Admission of obstetric patients occur approximately at 0.1-0.9% of the deliveries. The purpose of this study was to analysis of all critically ill obstetric patients admitted to a dedicated obstetric ICU to characterize the causes, clinical course, treatment any issues engendered by the presence of pregnant and postpartum women in a medical-surgical ICU.Methods: Details of all patients on the antepartum women or women less than six weeks postpartum admitted to the ICU from January 1, 2017 to December 31 ,2017 were reviewed. Obstetric data included gestational age at the time of admission and at delivery; type, indication, and location of delivery, and he ICU admitting diagnoses were categoried depending on the major system involved.Results: Out of a total of 10126 deliveries occurred in MGMGH, Trichy, in the past 1 year from January 2017 to December 2017 out of which the total number of ICU admissions were 141. The preclampsia/eclampsia related complications and Antepartum haemorrhage equally were responsible for the maximum number of obstetric ICU admissions and the number of ICU admissions for ventilator support and haemodynamic support were more.The leading cause of maternal death in the ICU admissions was pre-ecclampsia and eclampsia related complications .Ventilator support was required in 112 patients out of 141 ICU admissions , postpartum admissions were more than the antepartum admissions and nearly 73 of the ICU admissions were delivered by caesarean sections.Conclusions: The most common precipitants of ICU admission were obstetric hemorrhage and uncontrolled hypertension. Improved management strategies for these problems may significantly reduce major maternal morbidity.


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