scholarly journals The Status and Tendency of Recent Five-year Fungal Cultures as a Diagnostic Measure in a Tertiary Hospital in the Southwestern Daegu Area

2015 ◽  
Vol 20 (4) ◽  
pp. 93-101
Author(s):  
권현정 ◽  
박준수 ◽  
박경덕 ◽  
정현 ◽  
김형록 ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Diagnostic Measure ◽  
The Status

scholarly journals Social characteristics associated with outcome of paediatric human immunodeficiency virus admissions

2019 ◽  
Vol 6 (4) ◽  
pp. 1620
Author(s):  
Olusola Adetunji Oyedeji ◽  
Olasunkanmi Oladapo Olubanjo ◽  
Gabriel Ademola Oyedeji
Keyword(s):  
Human Immunodeficiency Virus ◽  
Parental Education ◽  
Economic Status ◽  
Tertiary Hospital ◽  
Social Characteristics ◽  
Background Information ◽  
Female Ratio ◽  
Immunodeficiency Virus ◽  
The Status ◽  
The Mean

Background: Information on social characteristics in human immunodeficiency virus (HIV) infected Nigerian children is scarce. The association between social characteristics such as single parenthood, low socio-economic status, polygamy and lack of parental education on the outcome of paediatric HIV admissions has been under studied.Methods: Information was obtained from the case notes of HIV infected children between the year 2006 and 2012 at a Nigerian tertiary hospital. Details of the information extracted include socio-demographics, diagnoses and outcome of management. Data was analysed with the SPSS 18 software.Results: Fifty (1.73%) of the total 2897 paediatric admissions were due to HIV disease. The mean age of the children studied was 3.7±2.9years and the 50 children were made up by 27 boys and 23 girls, giving a male to female ratio of 1:0.9. The mean age of the mothers and fathers were 28.7 and 36.7 years respectively. Pneumonia, septicaemia and tuberculosis accounted for more than 60% of admissions. Five (10.0%) children were from the upper, 12 (24.0%) from the middle and 33 (766.0%) from the lower socioeconomic classes. Twenty-four parents (couples) were both sero-positive for HIV and 7 discordant. Nineteen (38.0%) could not be classified because the status of the father was unknown. Of the 7 sero-discordant parents, 3 sero-negative fathers neglected their families. Thirty-nine children were from monogamous homes, nine from polygamous and two were raised by single parents. There were two discharges against medical advice and eleven deaths. The average number of siblings of the children studied was 2.57±2.1. Mortalities on admission were significantly associated with, parental financial constraints and the admitted HIV infected child having more than one sibling (p<0.05).Conclusions: It was concluded that appropriate interventions to manage these associations will most likely improve the outcome of admissions. Strategies of improving disclosure and prevention of negative outcome of disclosures, such as family neglect in sero-discordant couples also need to be identified. 

scholarly journals Status of Scar in Repeat Cesarean Section in a Tertiary Hospital

2016 ◽  
Vol 4 (1) ◽  
pp. 42
Author(s):  
Subha Shrestha ◽  
Raju Shakya ◽  
Buddhi Kumar Shrestha ◽  
Narinder Kaur ◽  
Babita Thapa
Keyword(s):  
Cesarean Section ◽  
Placenta Previa ◽  
College Teaching ◽  
Tertiary Hospital ◽  
Cesarean Scar ◽  
Medical College ◽  
Trial Of Labor ◽  
The Status ◽  
Repeat Cesarean Section ◽  
Scarred Uterus

Introduction: In modern Obstetrics, with rising trends of primary Cesarean section (CS) for fetal and maternal interests, pregnancy over the scarred uterus is a challenge to all treating obstetricians. How better the cesarean scar is sutured, its exact fate in next pregnancy is still not measurable. Objective of this study was to evaluate the status of previous cesarean scar during repeat cesarean section (RCS) and calculate the maternal morbidity in those cases in a tertiary hospital.   Methods: It was a descriptive, retrospective study conducted at department of Obstetrics of Lumbini Medical College Teaching Hospital. The study was conducted from 15th July 2014 to 14th July 2015. The data were retrieved from the department of Medical Records. Women undergoing RCS were enrolled. The status of scar was evaluated in terms of intact scar, scar rupture, scar dehiscence, thin lower uterine segment, scar placenta previa, and adhesions as indicator of scar integrity.   Results: There were 534 (25.4%) CS among 2,098 deliveries during the study period. Ninety one (17.04%) of them were RCS. Elective RCS were 73.6% (n=67), and emergency RCS were 26.4% (n=24). Eighty two (90.1%) women had RCS once and 9 (9.9%) had RCS for second time. Scar was intact in 22 (91.6%), scar dehiscence in 1 (8.3%), scar with adhesions in 1 (8.3%) among  emergency RCS and intact in 53 (91.3%) and scar with adhesions in 5 (8.7%) among elective RCS. Among nine women of two RCS, three (37.5%) had thin scar, five (62.5%) had well formed scar,  seven (87.5%) had intact scar, and one (12.5%) had scar with adhesion. There was no scar dehiscence and no scar rupture in two RCS women.  Adhesions were documented twice higher in women whose primary CS was undertaken outside our hospital. Placenta previa and placenta accreta each were found in two cases.   Conclusion: Most of the scars of repeat Cesarean section were healthy with no scar rupture. We can consider trial of labor for scarred uterus with strict vigilance and in need,  CS is always at option.

scholarly journals The status of drug wastage in the pediatric emergency department of a tertiary hospital

2020 ◽  
Vol 10 (1) ◽  
pp. 10
Author(s):  
IbrahimHakan Bucak ◽  
Habip Almis ◽  
CaglaNur Dogan ◽  
Mehmet Turgut
Keyword(s):  
Emergency Department ◽  
Tertiary Hospital ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Drug Wastage ◽  
The Status

scholarly journals Blood utilization in elective surgery in a tertiary hospital in Dar es Salaam, Tanzania

2015 ◽  
Vol 17 (4) ◽  
Author(s):  
Larry O. Akoko ◽  
Alex B. Joseph
Keyword(s):  
Elective Surgery ◽  
Working Hours ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Dar Es Salaam ◽  
Cross Sectional ◽  
The Status ◽  
Blood Utilization ◽  
Cross Match ◽  
Structured Questionnaire

Background: There has been an observation of blood being unnecessarily requested even for surgeries that will not require transfusion. Furthermore, some patients have been denied surgery due to lack of blood causing surgical list disruptions and inconveniency to patients and their families. This study was carried out to determine the status of blood utilization practices at Muhimbili National Hospital (MNH) in Dar es Salaam, Tanzania.Methods: A descriptive cross-sectional study was carried out for a period of eight months. Data on blood requisition and usage was collected on a structured questionnaire, and analyzed for Cross-match to Transfusion (C/T) ratio, Transfusion probability (%T), and Transfusion Index (TI). For those procedures that showed more than two indices to be significant, a Maximum Surgical Blood ordering Schedule MSBOS was proposed.Results: Blood was over ordered for 76% of the patients while over eight percent of the patients had haemoglobin levels over 10g/dl. Only amputation, laparotomy for malignancies, pneumonenctomy, and bowel resection for malignancy had at least two of the transfusion indices showing significant blood utilization for general surgery cases.  For urological cases, only Cystectomy for bladder cancer and nephrectomy had at least two of the indices showing significant blood utilization. In the remaining cases, blood utilization was inefficient suggesting cross-matching of blood was unnecessary, which resulted in loss of nearly 73% of technician’s working hours and USD 425 for the study period.Conclusion: There is existence of over ordering of blood in this hospital. Blood ordering practices needs to be reviewed to minimize over ordering of blood. All the three indices showed inefficient use of blood in most of the operations. But even so, utilization can still be improved in some of the operations which showed significant utilization.

scholarly journals The assessment of returning to work following treatment and the associated personal, disease, and treatment factors among breast cancer survivors in central China

2021 ◽  
Author(s):  
Min Li ◽  
Jinnan Gao ◽  
Ming Li ◽  
Linying Wang
Keyword(s):  
Breast Cancer ◽  
Cancer Treatment ◽  
Breast Cancer Survivors ◽  
Tertiary Hospital ◽  
Axillary Node ◽  
Central China ◽  
The Status ◽  
Returning To Work ◽  
After Cancer

Abstract Purpose To assess the status of returning to work (RTW) following breast cancer treatment and to explore its associated factors among female patients. Methods Four-hundred-forty-two eligible patients admitted in a tertiary hospital since 2012 were followed up in 2018. Information about working status after treatment, date of RTW or reason for not RTW was obtained during a 30-min interview. Patients’ sociodemographic, disease, and treatment characteristics were retrieved from the hospital record. Overall prevalence rate and probability of RTW during the follow-up were estimated using Kaplan–Meier method. Factors associated with RTW were identified using regression analyses. Results Three-hundred-ninety-six patients (89.6%) completed the follow-up. The median follow-up was 31 months. Among them, 141 patents (35.6%) RTW of whom 68.1% (n = 96) were back within 12 months after cancer treatment. The reported reasons for not RTW included: prolonged fatigue, low self-esteem, lack of support from family and working unit, or voluntarily quitting. Patients aged under 50 years, being single, having higher level of education, not having extensive axillary node procedure, or without any comorbidities were more likely to RTW. Conclusion The rate of RTW after cancer treatment in this cohort was lower than those reported in others. Both personal and treatment factors were associated with RTW.

The study of interfacial reactions of nickel thin films on GaAs

1983 ◽  
Vol 41 ◽  
pp. 156-157
Author(s):  
L.J. Chen ◽  
Y.F. Hsieh
Keyword(s):  
Thin Films ◽  
Integrated Circuits ◽  
Interfacial Reactions ◽  
Metal Contacts ◽  
Nickel Thin Films ◽  
Thin Foils ◽  
The Status ◽  
Si Doped ◽  
Electron Microscopes

One measure of the maturity of a device technology is the ease and reliability of applying contact metallurgy. Compared to metal contact of silicon, the status of GaAs metallization is still at its primitive stage. With the advent of GaAs MESFET and integrated circuits, very stringent requirements were placed on their metal contacts. During the past few years, extensive researches have been conducted in the area of Au-Ge-Ni in order to lower contact resistances and improve uniformity. In this paper, we report the results of TEM study of interfacial reactions between Ni and GaAs as part of the attempt to understand the role of nickel in Au-Ge-Ni contact of GaAs.N-type, Si-doped, (001) oriented GaAs wafers, 15 mil in thickness, were grown by gradient-freeze method. Nickel thin films, 300Å in thickness, were e-gun deposited on GaAs wafers. The samples were then annealed in dry N2 in a 3-zone diffusion furnace at temperatures 200°C - 600°C for 5-180 minutes. Thin foils for TEM examinations were prepared by chemical polishing from the GaA.s side. TEM investigations were performed with JE0L- 100B and JE0L-200CX electron microscopes.

Fate of sperm membrane in fertilized ova

1993 ◽  
Vol 51 ◽  
pp. 40-41
Author(s):  
Frank J. Longo
Keyword(s):  
Electron Microscopy ◽  
Electrical Activity ◽  
Sea Urchins ◽  
Morphological Changes ◽  
Integrated System ◽  
Electrophysiological Recording ◽  
Experimental Conditions ◽  
The Status ◽  
Sperm Membrane ◽  
Temporal And Spatial

Measurement of the egg's electrical activity, the fertilization potential or the activation current (in voltage clamped eggs), provides a means of detecting the earliest perceivable response of the egg to the fertilizing sperm. By using the electrical physiological record as a “real time” indicator of the instant of electrical continuity between the gametes, eggs can be inseminated with sperm at lower, more physiological densities, thereby assuring that only one sperm interacts with the egg. Integrating techniques of intracellular electrophysiological recording, video-imaging, and electron microscopy, we are able to identify the fertilizing sperm precisely and correlate the status of gamete organelles with the first indication (fertilization potential/activation current) of the egg's response to the attached sperm. Hence, this integrated system provides improved temporal and spatial resolution of morphological changes at the site of gamete interaction, under a variety of experimental conditions. Using these integrated techniques, we have investigated when sperm-egg plasma membrane fusion occurs in sea urchins with respect to the onset of the egg's change in electrical activity.

Revisiting the status of dental ethics instruction

2000 ◽  
Vol 64 (11) ◽  
pp. 772-774 ◽  
Author(s):  
JG Odom ◽  
PL Beemsterboer ◽  
TD Pate ◽  
NK Haden
Keyword(s):  
Ethics Instruction ◽  
The Status
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