scholarly journals Evaluation of urgent caesarian according to colour code at the Befelatanana University Hospital Centre of Obstetric Gynecology in Antananarivo Madagascar

2019 ◽  
Vol 8 (6) ◽  
pp. 2193
Author(s):  
Randriamahavonjy Romuald ◽  
Rakotozanany Besaina ◽  
Ibrahim Housni ◽  
Rakotonirina Martial ◽  
Rakotoson Koloina Tiphaine ◽  
...  
Keyword(s):  
Analytical Study ◽  
Caesarian Section ◽  
University Hospital ◽  
Background Color ◽  
Color Code ◽  
First Time ◽  
Surgical Unit

Background: Color code was described for the first time in 2003 was described for the first time in 2003 by since and al. The objective of this study was to accomplish urgent caesarian sections according to color code over delays indications-births (DIN) in Motherhood Befelatanana, Antananarivo, Madagascar.Methods: It was about a longitudinal prospective, analytical study of caesarian sections performed in emergency in CHUGOB going from June 1st till December 31st, 2017.Results: Authors took a census 193 caesarian sections of emergency. Among these patients 28 (14.50%) had a caesarian section encode red, 42 (21.76%) an orange code and 123 (63.73%) a green code. The medium age of the patients was of 26.4 years and that of the gestation was of 37SA and 6 days. The delay indication-birth (DIN) medium was of 102.9 minutes for red code, 99.7 minutes for orange code and 75 minutes for green code.Conclusions: Authors could not attain DIN of 30 minutes shape in international recommendations. Authors must improve the delay indication entered in the surgical unit by reinforcing knowledge of the agents of support on the management of emergency obstetrical. The possibility of leading to a very quick birth is an indisputable progress in obstetrics but she should not make forget risks inherent in such procedure.

scholarly journals COT-13 Current situation and problems of cancer genomic profiling test in Kyoto University Hospital

2020 ◽  
Vol 2 (Supplement_3) ◽  
pp. ii22-ii22
Author(s):  
Yoshiki Arakawa ◽  
Junko Suga ◽  
Yukinori Terada ◽  
Kohei Nakajima ◽  
Masahiro Tanji ◽  
...  
Keyword(s):  
Treatment Options ◽  
Insurance Coverage ◽  
Germline Mutations ◽  
University Hospital ◽  
Genomic Profiling ◽  
Test Results ◽  
Final Test ◽  
First Time ◽  
To Receive ◽  
Secondary Finding

Abstract Objective: Kyoto University Hospital has introduced the cancer genomic profiling tests, Oncoprime in 2015, Guardant360 in 2018, which are not under insurance coverage, FoundationOne CDx(F1CDx) and OncoGuide NCC Oncopanel system(NCC OP) in 2019, which received approval for insurance coverage for the first time in Japan. We investigated the results of cancer genomic profiling test under insurance coverage in our hospital. Methods: A special facility for the cancer genomic profiling tests was produced. To perform the cancer genomic profiling test, an outpatient must visit the facility three times (learning, ordering of the test, and getting the results). The expert panels decide the final test results and treatment options with the all information of the patients. Results: From November 2019 to March 2020, 51 and 9 patients were tested with F1CDx and NCC OP, respectively. 16 patients (31%) of F1CDX and 2 patients (22%) of NCC OP got treatment recommendations from the expert panels. However, only 5 patients (9.8%) of F1CDX and 1 patient (11%) of NCC OP received the treatments. The secondary finding suspecting germline mutations was found in 8 patients of F1CDX. Conclusion: After the approval the cancer genomic profiling tests with insurance coverage in Japan, it becomes easy for the patients to perform the test and get the genetic information of the tumor. However, it remains not easy to receive the recommended drugs because of several limitations of their usages.

scholarly journals Prevalence of lung structure abnormalities in patients with acromegaly and their relationship with gas exchange: cross-sectional analytical study with a control group

2015 ◽  
Vol 133 (5) ◽  
pp. 394-400 ◽  
Author(s):  
Marcelo Palmeira Rodrigues ◽  
Luciana Ansaneli Naves ◽  
Carlos Alberto Viegas ◽  
Cesar Augusto Melo-Silva ◽  
Wagner Diniz de Paula ◽  
...  
Keyword(s):  
Gas Exchange ◽  
Analytical Study ◽  
University Hospital ◽  
Control Group ◽  
Chronic Obstructive ◽  
Structural Factors ◽  
Serum Growth Hormone ◽  
Cross Sectional ◽  
Arterial Blood ◽  
Lung Structure

CONTEXT AND OBJECTIVE: Different functional respiratory alterations have been described in acromegaly, but their relationship with pulmonary tissue abnormalities is unknown. The objective of this study was to observe possible changes in lung structure and explain their relationship with gas exchange abnormalities. DESIGN AND SETTING: Cross-sectional analytical study with a control group, conducted at a university hospital. METHODS: The study included 36 patients with acromegaly and 24 controls who were all assessed through high-resolution computed tomography of the thorax (CT). Arterial blood gas, effort oximetry and serum growth hormone (GH) and insulin-like growth factor I (IGF-1) were also assessed in the patients with acromegaly. RESULTS: The abnormalities found in the CT scan were not statistically different between the acromegaly and control groups: mild cylindrical bronchiectasis (P = 0.59), linear opacity (P = 0.29), nodular opacity (P = 0.28), increased attenuation (frosted glass; P = 0.48) and decreased attenuation (emphysema; P = 0.32). Radiographic abnormalities were not associated with serum GH and IGF-1. Hypoxemia was present in seven patients; however, in six of them, the hypoxemia could be explained by underlying clinical conditions other than acromegaly: chronic obstructive pulmonary disease in two, obesity in two, bronchial infection in one and asthma in one. CONCLUSION: No changes in lung structure were detected through thorax tomography in comparison with the control subjects. The functional respiratory alterations found were largely explained by alternative diagnoses or had subclinical manifestations, without any plausible relationship with lung structural factors.

scholarly journals Good practices for preventing ventilator-associated pneumonia in the emergency department

2019 ◽  
Vol 53 ◽  
Author(s):  
Melissa Lopes Frota ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Luiz Humberto Vieri Piacezzi ◽  
Meiry Fernanda Pinto Okuno ◽  
...  
Keyword(s):  
Emergency Department ◽  
Analytical Study ◽  
Hospitalized Patients ◽  
Quantitative Approach ◽  
University Hospital ◽  
Care Process ◽  
Ventilator Associated Pneumonia ◽  
Cross Sectional ◽  
Good Practices ◽  
The City

ABSTRACT Objective: To evaluate the conformity of the set of good practices for preventing ventilator-associated pneumonia (VAP) in the emergency department of a university hospital. Method: A cross-sectional analytical study with a quantitative approach, conducted in a university hospital in the city of São Paulo. The study sample consisted of opportunities for care observations that comprise the set of good practices for preventing ventilator-associated pneumonia provided to intubated patients hospitalized in the emergency department. Results: A total of 209 observations were performed in 42 patients. Of the hospitalized patients, 23.8% developed VAP, and 52.4% died. Of the five recommended measures for preventing VAP, only two presented compliance above 50%. Conclusion: The care provided to patients is not in line with what is recommended in the literature, which demonstrates the need for periodic renewal of the team’s educational practices and the development of auditing projects to ensure improvements in the care process.

Prevalence of pressure ulcers in patients hospitalized in a surgical unit of a university hospital

2011 ◽  
Vol 5 (7) ◽  
pp. 1684
Author(s):  
Miguir Terezinha Vieccelli Donoso ◽  
Eline Lima Borges ◽  
Camila Patrícia Rennó Carazzato
Keyword(s):  
Nursing Care ◽  
Pressure Ulcers ◽  
Ethics Committee ◽  
Minas Gerais ◽  
Descriptive Statistics ◽  
University Hospital ◽  
Surgical Patients ◽  
Not At Risk ◽  
Transversal Study ◽  
Surgical Unit

ABSTRACTObjective: to identify the prevalence, staging, and risk for developing pressure ulcers (PU) of patients hospitalized in a surgical unit. Method: this is a transversal study, carried out with 20 surgical patients hospitalized in a university hospital in Minas Gerais, from both sexes, and older than 18 years. For the analysis the descriptive statistics – with distribution of frequency, minimum and maximum values, mean, standard deviation, and prevalence of PU – was used. The project was approved by the Universidade Federal de Minas Gerais Research Ethics Committee (process ETIC 150/05), Results: the prevalence of PU was 10%, 90% are not at risk for developing PU, two patients with PU presented 2 and 3 ulcers, respectively, classified as belonging to the stages I and II. Conclusion: considering the prevalence of PU, the need of an appropriate and individualized nursing care planning emerges, having as a reference each patient’s risk for developing this kind of ulcer. The need of adopting appropriate nursing practices has been realized, according to each patient’s risk score for developing PU. Descriptors: pressure ulcer; nursing; prevalence. RESUMOObjetivo: identificar a prevalência, o estadiamento e o risco de desenvolvimento de úlceras por pressão (UP) em pacientes internados em uma unidade cirúrgica, Método: estudo transversal, realizado com 20 pacientes cirúrgicos, internados em um hospital universitário de Minas Gerais, de ambos os sexos e com idade superior a 18 anos. Para análise utilizou-se estatística descritiva com a distribuição de freqüência, valores mínimos e máximos, mediana, desvio-padrão e prevalência de UP. O projeto foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal de Minas Gerais com parecer ETIC 150/05, Resultados: a prevalência de UP foi de 10%, 90% eram sem risco para formação de UP, dois pacientes com UP apresentaram duas e três úlceras, respectivamente, classificadas em estágio I e II, Conclusão: diante da prevalência de UP, surge a necessidade de uma planificação de cuidados adequados e individualizada, tendo como referência o risco que cada paciente apresenta para o desenvolvimento dessa úlcera. Percebeu-se a necessidade de implementação de cuidados adequados, de acordo com o escore que cada paciente apresente para o desenvolvimento da UP. Descritores: úlcera por pressão; enfermagem; prevalência.RESUMENObjetivo: identificar la prevalencia, estadiamiento y el riesgo de desarrollo de úlceras por presión (UP) en pacientes internados en una unidad quirúrgica. Método: estudio transversal, realizado con 20 pacientes quirúrgicos, internados en un hospital universitario de Minas Gerais, de ambos sexos y con edad superior a 18 años. Para el análisis se utilizó la estadística descriptiva mediante la distribución de frecuencia, valores mínimos y máximos, mediana, desvío-estándar y prevalencia de UP. El proyecto se aprobó por el Comité de Ética en Pesquisa de la Universidad Federal de Minas Gerais con parecer/laudo ETIC 150/05. Resultados: la prevalencia de UP fue de 10%, 90% lo eran sin riesgo para formación de UP, dos pacientes con UP presentaron dos o tres úlceras, respectivamente, clasificadas en estadio I y II. Conclusión: cara a la prevalencia de UP, surge la necesidad de una planificación de cuidados y de forma individualizada, teniendo como referencia el riesgo que cada paciente presenta al desarrollo de esta úlcera. Se detectó la necesidad de implementación de cuidados adecuados, según el marcador que cada paciente presente al desarrollo de la UP. Descriptores: úlcera por presión; enfermería; prevalencia.

scholarly journals Communicating risk in active surveillance of localised prostate cancer: a protocol for a qualitative study

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e017372
Author(s):  
Frances Rapport ◽  
Anne Hogden ◽  
Howard Gurney ◽  
David Gillatt ◽  
Mia Bierbaum ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Active Surveillance ◽  
Health Professionals ◽  
University Hospital ◽  
Human Research Ethics ◽  
Patient Questionnaires ◽  
Ethical Approval ◽  
Two Stages ◽  
First Time ◽  
To Receive

IntroductionOne in five men is likely to receive a diagnosis of prostate cancer (PCa) by the age of 85 years. Men diagnosed with low-risk PCa may be eligible for active surveillance (AS) to monitor their cancer to ensure that any changes are discovered and responded to in a timely way. Communication of risk in this context is more complicated than determining a numerical probability of risk, as patients wish to understand the implications of risk on their lives in concrete terms. Our study will examine how risk for PCa is perceived, experienced and communicated by patients using AS with their health professionals, and the implications for treatment and care.Methods and analysisThis is a proof of concept study, testing out a multimethod, qualitative approach to data collection in the context of PCa for the first time in Australia. It is being conducted from November 2016 to December 2017 in an Australian university hospital urology clinic. Participants are 10 men with a diagnosis of localised PCa, who are using an AS protocol, and 5 health professionals who work with this patient group (eg, urologists and Pca nurses). Data will be collected using observations of patient consultations with health professionals, patient questionnaires and interviews, and interviews with healthcare professionals. Analysis will be conducted in two stages. First, observational data from consultations will be analysed thematically to encapsulate various dimensions of risk classification and consultation dialogue. Second, interview data will be coded to derive meaning in text and analysed thematically. Overarching themes will represent patient and health professional perspectives of risk communication.Ethics and disseminationEthical approval for the study has been granted by Macquarie University Human Research Ethics Committee, approval 5201600638. Knowledge translation will be achieved through publications, reports and conference presentations to patients, families, clinicians and researchers.

Analytical Study and Experimental Confirmation of SNA Through Poincaré Maps in a Quasiperiodically Forced Electronic Circuit

2015 ◽  
Vol 25 (08) ◽  
pp. 1530020 ◽  
Author(s):  
A. Arulgnanam ◽  
Awadesh Prasad ◽  
K. Thamilmaran ◽  
M. Daniel
Keyword(s):  
Analytical Study ◽  
Poincaré Map ◽  
Initial Conditions ◽  
Nonlinear Element ◽  
Phase Portraits ◽  
Poincare Map ◽  
Explicit Analytical Solution ◽  
Strange Nonchaotic Attractors ◽  
First Time ◽  
Bifurcation Process

Quasiperiodically forced series LCR circuit with simple nonlinear element is studied analytically and experimentally. To the best of our knowledge, this is the first time that strange nonchaotic attractors (SNAs) are studied analytically. From the explicit analytical solution, the bifurcation process is shown. With a single negative conduction region of the nonlinear element two routes namely, Heagy–Hammel and fractalization routes to the birth of SNA are identified. The analytical analysis are confirmed by laboratory hardware experiments. In addition, for the first time, a detailed stroboscopic Poincaré map is generated experimentally for two different frequencies, for the above two routes, which clearly confirm the presence of SNAs in these two routes. Also, from the experimental data of the corresponding attractors, we quantitatively confirm the presence of SNAs through singular-continuous spectrum analysis. The analytical results as well as experimental observations are characterized qualitatively in terms of phase portraits, Poincaré map, power spectrum, and sensitivity dependance on initial conditions.

scholarly journals Prevalence of Selected Eye Diseases Using Data Harvested from Ophthalmic Checkup Examination of a Cohort of Two Thousand Middle Eastern and North African Subjects

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Nehal M. Samy El Gendy ◽  
Ahmed A. Abdel-Kader
Keyword(s):  
Diabetic Retinopathy ◽  
Middle East ◽  
Ocular Hypertension ◽  
Demographic Data ◽  
Nerve Fibers ◽  
University Hospital ◽  
North African ◽  
African Countries ◽  
Middle East Countries ◽  
First Time

Purpose. To highlight the prevalence of selected ophthalmic diseases accidentally discovered at first-time screening of a large sample of patients from the Middle East and North Africa visiting a large referral university hospital checkup unit based in Cairo. Material and Methods. A cross-sectional study of two thousand and thirteen subjects coming for routine ophthalmic medical checkups from different Middle East countries (mainly Egypt, Sudan, and Yemen). Patients were evaluated for prevalence of diabetic retinopathy, glaucoma, ocular hypertension, cataract, and amblyopia. Patients’ demographic data and medical history were collected. Complete ophthalmic examination was performed. Investigations were done when needed to confirm suspected conditions. Results. The study included 1149 males and 864 females. 652 Sudanese patients, 568 Yemeni patients, 713 Egyptian patients, and 63 patients from different Gulf and North African countries like Saudi Arabia, Qatar, Libya, and Jordan. Sudanese patients showed a higher percentage of glaucoma (13.3%) and ocular hypertension (8.3%). Yemeni patients showed the highest prevalence of amblyopia (6.7%), diabetic retinopathy (8.6%), and cataract (4.2%). The group of relatively higher economic classification seemed to show fewer prevalences of these ophthalmic conditions. Yemeni patients tended to have a high percentage of persistent myelinated nerve fibers. Conclusion. Different ophthalmic conditions were discovered for the first time at the general checkup clinic. Certain conditions were more common than others in certain countries. The lack of regular checkups and the unavailability of medical services due to low to moderate socioeconomic status as well as political turbulence may account for the delay in initial diagnosis of many treatable conditions.

scholarly journals Quality assessment of the wound dressing procedure in patients at a university hospital

2008 ◽  
Vol 16 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Eleine Aparecida Penha Martins Nonino ◽  
Maria Luiza Anselmi ◽  
José Carlos Dalmas
Keyword(s):  
Wound Dressing ◽  
Time Frame ◽  
University Hospital ◽  
Wound Dressings ◽  
Sectional Study ◽  
Logical Sequence ◽  
Activity Performance ◽  
Unit Organization ◽  
Surgical Unit

This observational and sectional study analyzed the quality of the wound dressing procedure performed on hospitalized patients at a medical surgical unit of a University Hospital, based on their classification according to the degree of care dependency and activity performance phases. Using a check list, 168 wound dressings were observed between October and December 2005. Procedure quality was analyzed based on the Positivity Index (IP) and values >70% were considered satisfactory.For the preparation, the IP was 68%, 63%, 73% and 75% for patients with degrees I, II, III and IV, respectively; for execution, 70%, 69%, 71% and 75% and, for unit organization, it was >70% for all degrees. However, the items: validity time frame checking, respect for aseptic principles and maintenance of logical sequence of procedures were compromised. Rigorous execution of procedures allows for risk decrease and assures benefic results for patients, conferring quality to nursing actions.

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