scholarly journals Neonatal appendicitis: a survival case study

2017 ◽  
Vol 70 (6) ◽  
pp. 1296-1300 ◽  
Author(s):  
Izabela Linha Secco ◽  
Taine Costa ◽  
Etiene Letícia Leone de Moraes ◽  
Márcia Helena de Souza Freire ◽  
Mitzy Tannia Reichembach Danski ◽  
...  

ABSTRACT Objective: To report a case of neonatal appendicitis in a children’s hospital in southern Brazil, demonstrating the impact on neonatal survival. Method: Case study with data collection from medical records, approved by the Institution and Ethics Committee for Research with Human Beings. Results: The clinical picture is initially characterized by food intolerance, evolving to hypoactivity, alteration of vital signs and septicemia due to intestinal perforation. Management is exclusively surgical, since no case described in the literature was diagnosed preoperatively and the findings usually point to acute abdomen. Conclusion: A focused clinical surveillance should be established when the infant presents peritoneal irritation. Follow-up of the evolution and the worsening of the symptoms by nurses, as part of the care team in partnership with the medical team, enables an early surgical intervention, thereby avoiding complications such as septicemia and death.

Author(s):  
Kate de Medeiros ◽  
Aagje Swinnen

This chapter draws together four concepts — resilience and flourishing, creativity and play — to explore the impact of poetry interventions in the lives of people with dementia living in a care facility. Participatory arts programmes can provide opportunities for people to be reminded of their humanness and re-membered as valuable human beings. Opportunities to be creative and engage with others contribute to resilience or the ability to transcend many dementia-associated losses. Through imaginative play, regardless of cognitive ability, people can express and/or enact important aspects of meaning and selfhood/personhood that might otherwise go unacknowledged in the care environment. While arts interventions may not be able to reverse cognitive decline, the case study points to ways that the poetry intervention creates a time–space in which people can ‘flourish’, express affinity with others, and foster social bonds, and how, in turn, these contribute to meaningful moments in people's lives.


2020 ◽  
Author(s):  
Mehdi Gholamzadeh Baeis ◽  
Abolfazl Mozafari ◽  
Fatemeh Movaseghi ◽  
Mehdi Yadollahzadeh ◽  
Ahmad Sohrabi ◽  
...  

Abstract Background: The outbreak of coronavirus disease 2019 (COVID-19) becomes an enormous threat to all human beings. Via this retrospective study conducted on medical records of confirmed COVID-19 pneumonia patients on admission, we investigate the CT manifestation and clinical and laboratory risk factors associated with progression to severe COVID-19 pneumonia and assessed the association among clinical and laboratory records, CT findings, and epidemiological features. The medical records and radiological CT Features of 236 confirmed COVID-19 patients were reviewed at one public hospital and one respiratory clinic in Quom, from 1 August to 30 September 2020. Results: Among a total of 236 confirmed Covid-19 cases, 62 were infected with moderate to severe COVID-19 disease and required hospital admission, and 174 were followed up on outpatient bases. A significant difference was verified in the mean age between outpatients and hospitalized groups. The incidences of bilateral lung involvement, consolidation, linear opacities, crazy-paving pattern, air bronchogram sign, and the number of lobe involvement were significantly higher in hospitalized groups. However, only the crazy-paving pattern was significantly associated with an SpO2 level lower than 90%, with clinical sign of cough severity. Our data indicate that this pattern is also significantly associated with inflammatory levels and the presence of this pattern along with SpO2 level lower than 90%, older age, diabetes, on admission are independent risk factors for COVID-19 progression to severe level.Conclusions: The crazy-paving pattern can predict the severity of COVID-19, which is of great significance for the management and follow-up of COVID-19 pneumonia patients. The clinical factors of aging, male gender, and diabetes, may be risk factors for the crazy-paving pattern, whereas severe coughing is considered to be the most important clinical symptom related to this pattern, and SpO2 level lower than 90%, which is a matter of more severity.


10.28945/4317 ◽  
2019 ◽  

[This Proceedings paper was revised and published in the 2019 issue of the journal Issues in Informing Science and Information Technology, Volume 16] Aim/Purpose: This paper presents an exploratory case study into using 360° videos to present small segments of lecture content for IT students in an Australian University. The aim of this study was to understand; what is the impact of incorporating 360° videos into class content for students and teaching staff? In this study the 360° videos are described as “learning atoms”. Learning atoms are short duration videos (1 to 5 minutes) captured in 360°. Background: Within this paper we conducted experiments in the classroom using 360° videos to determine if they have an impact on student's feeling of presence with class content. Additionally, to follow up, how does the inclusion of 360° impact on the teaching experience. Methodology: The methodology used in this study focused on both quantitative and qualita-tive aspects. Data was captured at the same time during the teaching period to address the research questions. In order to gauge the feeling of presence within the classroom a short survey was administered to students in the undergraduate IT class at the start (pre) and end (post) of the semester using the same questions to measure any change. Contribution: The main contributions from this study were that we demonstrated there is a potential for providing an alternative ‘immersive’ content presentation for students. This alternative content took the form of 360° learning atoms, whereas further showed our nuance process for creating and publishing of these atoms. Findings: The results show that for students, learning atoms can help improve the sense of presence, particularly for remote students, however the interactive experience can take student’s attention away from the lecturer. The results present potential for providing an alternative ‘immersive’ content presentation for students, however problems for uptake are present for both students and teachers, such as image capture quality and file size Impact on Society: We foresee this approach as being a new approach to teaching students in higher education within online spaces to increase engagement and move towards having a richer virtual experience no matter the location. Future Research: Future research will be conducted to resolve whether presence and engagement is supported by the inclusion of 360° videos in the classroom.


CJEM ◽  
2017 ◽  
Vol 20 (1) ◽  
pp. 142-145 ◽  
Author(s):  
Heather Murray ◽  
Tyson Savage ◽  
Louise Rang ◽  
David Messenger

ABSTRACTThe acquisition of competence in diagnostic reasoning is essential for medical trainees. Exposure to a variety of patient presentations helps develop the skills of diagnostic reasoning, but reliance on ad hoc clinical encounters is inefficient and does not guarantee timely exposure for all trainees. We present a novel teaching series led by emergency physicians that builds upon the existing medical education literature to teach diagnostic reasoning to preclinical (2nd year) medical students. The series used emergency department simulations involving patient actors and simulated vital signs to provide students with exposure to three acute care presentations: chest pain, abdominal pain, and headache. Emergency physicians coached and provided immediate feedback to the students as they actively worked through diagnostic reasoning. The participating medical students reported benefit from these sessions immediately following the sessions and in an 18-month follow-up survey where the students could consider the impact of the sessions on their clinical clerkship. Students felt that the sessions had assisted them in recognizing the key features of relevant diagnoses during clerkship as well as providing a helpful adjunct to their in-class learning.


2019 ◽  
Vol 15 (9) ◽  
pp. 155014771987587 ◽  
Author(s):  
Dominika Cupkova ◽  
Erik Kajati ◽  
Jozef Mocnej ◽  
Peter Papcun ◽  
Jiri Koziorek ◽  
...  

In recent years, the main area of interest in the issue of influencing mental states of people is the impact of lighting on human beings, their wellbeing but also workplace productivity. This work discusses in detail the problem of positively influencing people using intelligent technologies, especially the role of the colors. We describe techniques and technologies needed to implement the case study of an intelligent lighting system. The system proposed can detect humans from an IP camera, find faces, and detect emotion. The main aim is to adjust the lights accordingly to the emotional result to improve the mood of people while taking into consideration the principles of color psychology and daytime. We have evaluated our case study solution in a real-world environment and collected the feedback from participants in the form of a questionnaire. Evaluation of participants’ wellbeing was based on their subjective statements. There were several ideas on further functionality extension which needs to be explored. Among them is including wearable devices to the proposed system, validate the emotional results according to them, but also determine the impact of an increasing number of users interacting with the system at the same time.


Author(s):  
Evelina Rimkutė ◽  
Eglė Radzevičienė ◽  
Brigita Kreivinienė

Background. Stroke is one of the leading causes of morbidity, mortality and long-term disability worldwide. In terms of innovative technologies which help to recover from stroke one of the newest and least researched methods is physiotherapy in the water assisted by dolphins. Such an innovative case study was conducted in Lithuania. A great variety of scientifc literature on animal assisted therapies and interventions can be found worldwide, however, concerning research on human-animal interaction mechanisms a scientifc gap is still existing as presented in various journals of different felds (Beetz et al., 2012). The aim of the study was to determine the effectiveness of healing exercises in the water assisted by dolphins for motor skills of patients with haemorrhagic stroke. Methods. The study was carried out at the Dolphin Therapy Centre of the Lithuanian Sea Museum. The study lasted two weeks. The sample was a man diagnosed with a haemorrhagic stroke. The research data was collected on motor skills in the water, leg muscle strength, coordination, balance and gait. The patient participated in ten therapeutic activities in the water, assisted by dolphins (length of one activity – 30 minutes). The physiotherapist working with the patient applied balance and coordination exercises in the water. The status of the patient was evaluated four times: before activities with dolphins, after fve activities with dolphins, after ten activities with dolphins, and follow up in three weeks after ending the activities with dolphins. Results. The muscle strength of legs increased signifcantly in the foot group and slightly in the lower limb muscle group. The greatest result in balance was registered after ten therapeutic activities with dolphins in the water. The greatest improvement in coordination and walking occurred later. Assessing motor skills in the water, a signifcant positive change in equilibrium was observed. Conclusions. The results of the study showed that physiotherapy exercises in the water assisted by dolphins might help to achieve improvements in motor skills.Keywords: haemorrhagic stroke, motor skills in the water, balance, gait, therapeutic activities for assisting dolphins, physiotherapy in water.


2020 ◽  
Vol 44 (5) ◽  
pp. 666
Author(s):  
Andrew Staib ◽  
Clair Sullivan ◽  
Cara Joyce Cabilan ◽  
Rohan Cattell ◽  
Rob Eley

As the focus of clinicians and government shifts from speciality-based care to system-based key performance indicators such as the National Emergency Access Target (NEAT) or the 4-h rule, integration between emergency department (ED) and inpatient clinical workflows and information systems is becoming increasingly necessary. Such system measures drive the implementation of integrated electronic medical records (ieMR) to digitally integrate these workflows. The objective of this case study was to describe the impact of digital transformation of the ED–in-patient interface (EDii) of a large tertiary hospital on process measures and clinical outcomes for patients requiring emergency admission to hospital. Data were collected from routine clinical and administrative information systems to measure process and clinical outcome measures, including ED length of stay, compliance with the 4-h rule and in-patient mortality between 28 November 2014 and 28 February 2017. The 4-h rule compliance for all patients, as well as for the EDii group (admitted to hospital excluding short stay ward), declined after digitisation. There were 55 fewer deaths in the postintervention group (15% relative reduction; P = 0.02) and a 10% relative reduction in adjusted mortality as measured by the Hospital Standardised Mortality Ratio for emergency patients (eHSMR), which did not reach statistical significance. Digital deceleration in ED performance did occur with an ieMR rollout, but worsening of key patient outcomes was not observed. What is known about this topic? Much has been written about the introduction of electronic medical records (EMRs) in emergency departments. This work sits alongside a substantial body of evidence outlining the relationship between process measures of ED performance and important patient outcomes. However, much less is known about the impact of digital transformation on the complex adaptive system that is the EDii and the impact of digitisation on the vulnerable group of patients who require emergency admission to hospital. What does this paper add? The objective of this case study was to describe the effect of a rapid rollout of an integrated EMR. This EMR simultaneously transformed care delivery both in the ED and the inpatient space and impacted on the politically and clinically sensitive performance and outcome measures of the EDii in a large tertiary hospital. The present study is the first that specifically examined the effect of digitisation at the EDii. What are the implications for practitioners? The understanding that digital deceleration will occur, but that with good patient outcome monitoring worsening of key patient outcomes is not likely to occur, now holds a key place in digital transformation planning. The measures of the EDii examined in this case study provide a foundation for this montoring.


2021 ◽  
Author(s):  
Atef O. AbuSa’aleek ◽  
Mohammad Shariq

This study aimed to investigate the instructor’s electronic feedback practices during the COVID 19 Pandemic in terms of the nature of the content of e-feedback, the formulation, the challenges, and the multimodal nature of the instructor’s e-feedback. This study used a qualitative case study to obtain data from the instructor’s e-feedback in three linguistic courses as delivered, practiced by the single English language instructor. The instructor’s e-feedback via Blackboard and WhatsApp platform and the follow-up interview were analyzed qualitatively. The findings indicate that (1) the highest number of instructor’s e-feedback focused on global issues as compared to local issues, (2) the instructor composed his e-feedback in the form of eight main categories: explanations, suggestions, clarifications, questioning, repetitions, statements, praises, and commands, (3) the instructor used more screencasts for providing e-feedback, followed by written and audio modes respectively. The thematic analysis (4) revealed the instructor’s positive impression on providing e-feedback through these interactive modes (written, audio, and screencast) and a range of challenging issues such as students’ preference issues, technical issues, timing issues, financial and areal issues. This study is significant because it provides us with a comprehensive picture of the patterns of the feedback content, the formulation of the e-feedback, the multimodality of the instructor’s e-feedback, and the significant issues that emerged from the instructor’s e-feedback practices. However, further research should include a relative group of instructors to determine the impact of e-feedback on learners.


2021 ◽  
Vol 75 (1) ◽  
pp. 14-19
Author(s):  
Marianne Bird ◽  
Kendra M. Lewis

Participatory evaluation is a form of citizen science that brings program stakeholders into partnership with researchers to increase the understanding and value that evaluation provides. For the last four years, 4-H volunteers and staff have joined academics to assess the impact of the California 4-H camping program on youth and teen leaders in areas such as responsibility, confidence and leadership. Volunteers and nonacademic staff in the field informed the design of this multiyear impact study, collected data and engaged in data interpretation through “data parties.” In a follow-up evaluation of the data parties, we found that those who participated reported deeper understanding of and buy-in to the data. Participants also provided the research team insights into findings. By detailing the California 4-H Camp Evaluation case study, this paper describes the mutual benefits that accrue to researchers and volunteers when, through data parties, they investigate findings together.


Author(s):  
Deepak Kumar ◽  
Chaman Verma ◽  
Sanjay Dahiya ◽  
Pradeep Kumar Singh ◽  
Maria Simona Raboaca

Around the world, every year, about 17 million people death cause happen due to CardioVascular Diseases (CVD). As per clinical records, primarily sufferers exhibit myocardial infarctions and Heart Failures (HF). Creatinine is a Musculo - skeletal waste product. The kidneys filter creatinine from the blood and excrete it through the urine in a healthy body. High creatinine levels can suggest renal problems. Elevated Serum Creatinine (SC) has been well established in the HF. Patients’ electronic medical records can be used to quantify symptoms and other related clinical laboratory test values, which would then be utilized to direct biostatistics exploration to uncover patterns and associations that doctors would otherwise miss. The latest American Heart Association guidelines for 1500 mg/d sodium tend to be sufficiently relevant for patients with stage A and B with HF. In this article, we used a dataset of the year 2015 of heart patients records of 299 patients. The present paper used the data analytic and statistical tools to verify the significant differences between alive and dead patients’ SC and Serum Sodium (SS). It also demonstrates the impact of significant features on abnormal SC and SS on the Survival-Status levels. The Age-Group feature, which is derived from age attribute and, Ejection Fraction (EF), anemia, platelets, Creatinine Phosphokinase (CPK), Blood-Pressure (BP), gender, diabetes, and smoking-status were utilized to determine the potential contributing features to mortality with Cox regression model. The Kaplan Meier plot was used to investigate the overall pattern of survival concerning age-group. During pre-processing of the dataset, Age and SS were removed due to multicollinear features during performing machine learning algorithms experiments. This paper also predicted patients’ survival, age group, and gender using supervised machine learning classifiers. Detection of significant features would help in making informed decisions to balance the lifestyle of heart patients. The author revealed that the patient’s follow-up months, as well as SC, EF, CPK, and platelets, are sufficient key features to predict heart patient survival using Random Forest (RF) stratified 10-fold CV method with accuracy (96%) with 5% Standard Deviation (SD) from medical records dataset. We identified the age-group and gender of the patient, and the RF model outperformed others with the best accuracy 96% and 94% in both cases having 11% SD. Also, prominent features such as CPK, SC, follow-up month, platelets, and ejection were found to be significant factors in predicting the patient’s age-group. Smoking habits, CPK, platelets, follow-up month, and SC of each patient were discovered to be significant predictors of patient gender. The hypothetical study proved that SC and SS making substantial differences in the survival of patients (p < 0.05) and failed to reject that anemia, diabetes, and BP making a significant impact on the creatinine and sodium of each patient (p > 0.05). With χ2(1) = 8.565, the Kaplan Meier plot revealed that mortality was high in the extremely elder age-group. The finding has possible effects on clinical practice and becomes a new medical support system when predicting whether a patient can survive a heart attack or not. The doctor should primarily concentrate on follow-up month, SC and EF, CPK, and platelet count since the aim is to understand whether a patient survives after HF.


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