scholarly journals Acquisition of Behavioral Skills After Manikin-Based Simulation of Neonatal Resuscitation by Fellows in Neonatology

2021 ◽  
Author(s):  
Maiana Darwich Mendes Guerreiro ◽  
Joice Fabíola Meneguel Ogata ◽  
Adriana Sanudo ◽  
Ana Claudia Yoshikumi Prestes ◽  
Maria Florencia Conzi ◽  
...  
Keyword(s):  
Health Professionals ◽  
Simulation Training ◽  
Neonatal Resuscitation ◽  
Behavioral Performance ◽  
Behavioral Skills ◽  
The Third ◽  
Use Of Resources ◽  
Training Cycle ◽  
Before And After ◽  
The Moment

Abstract Background Behavioral performance of health professionals is essential for adequate patient care. There is little information on behavioral skills acquisition after simulation training of neonatal resuscitation. To assess the behavioral skills of fellows in neonatology before and after a simulation training program on neonatal resuscitation. Methods From March/2019 to February/2020, a prospective cohort with 12 second-year fellows in neonatology were evaluated during three training cycles (16 hours each) in manikin-based simulation of neonatal resuscitation with standardized scenarios. Each cycle lasted one month, followed by a 3-months interval. One video-recorded scenario of about 10 minutes was performed for each fellow at the beginning and at the end of each training cycle. Therefore, each fellow was recorded 6 times: before and after each one of three training cycles. Anxiety of the fellows was assessed by the Beck Anxiety Inventory applied before the first training cycle. The videos were independently analyzed in a random order by three trained facilitators using the Behavioral Assessment Tool. The behavioral performance was evaluated by repeated measures analysis of variance adjusted for anxiety and for previous experience in neonatal resuscitation. Results Fellows` overall behavioral performance improved comparing the moment before the first training and after the second training. The specific skills - communication with the team, delegation of tasks, allocation of attention, use of information, use of resources and professional posture - showed a significant improvement after the second month of training. No further gains were noted with the third training cycle. Anxiety was observed in 42% of the fellows and its presence worsened their behavioral performance. Conclusion An improvement in behavioral performance was observed comparing the moment before the first training and after the second training, without further gains after the third training. It is worth noting the important role of anxiety as a modulator of acquisition and retention of behavioral skills in health professionals in training.

scholarly journals CONSTRUCTION OF AN EFFECTIVE WAREHOUSE SYSTEM OF THE ENTERPRISE IN THE PROCESSING OF AGRICULTURAL CARGO

2021 ◽  
Vol 6 (166) ◽  
pp. 217-226
Author(s):  
O. Pavlenko ◽  
D. Velykodnyi
Keyword(s):  
Performance Indicator ◽  
Optimization Problems ◽  
Economic Effect ◽  
Unit Cost ◽  
Maximum Level ◽  
Technological Parameters ◽  
Goods And Services ◽  
The Third ◽  
Use Of Resources ◽  
The Moment

The article investigates the existing trends and prospects for the development of warehousing services in the system of production and processing of products, which allowed us to form the purpose of the research in this development. The chosen theme is quite topical, because warehousing processes are an integral part of the formation of supply logistics in modern production processes. One of the ways to reduce the cost of goods and services is the efficient use of resources. Ukrainian and foreign scientists have touched many questions concerning the development of the infrastructure component, solutions of optimization problems regarding the process of import-export of goods to the warehouse, but without determining the optimal values ​​of technological parameters of warehousing systems. The technological scheme of operation of the warehouse system of the enterprise LLC "MEGA CRISP» allows to see the whole chain of operations from the moment of arrival of the vehicle with cargo (containers and packaging) to the moment of sending the cargo (finished product) to the recipient; the necessary types of resources involved in these processes are also taken into account. Total costs were chosen as an evaluation indicator of the choice of an efficient supply channel. Relevant parameters of influence are taken into account: intensities of corresponding cargo flows, unit cost of the appropriate work and one hour of work of one worker, time of performance of an appropriate operation, quantity of the involved resources for performance of the appropriate operation and working time of the warehouse during the day. An imitation full-factor experiment was performed, based on the results of which a regression model in linear form with a non-zero coefficient was determined, in which each coefficient indicates the degree of influence of the relevant factor on the performance indicator. The results of determining the economic effect showed that "Variant 2" (increasing the number of workers) is the least expensive, and the level of costs is lower for all series of experiments compared to the basic variant - "Variant 1". The maximum difference is reached in 12217.8 hryvnias at the maximum loading of a warehouse. And when comparing the third and first variants: only at the maximum level of output flow (170 t / h), the third variant will be cheaper by 852.6 hryvnias. The highest level of positive value of the effect among the variants offered is "Variant 2", the level of savings will be 12,217.8 hryvnias per shift.

Аpplying of high-frequency monopolar diathermocoagulation in the treatment of chronic pulpitis

2020 ◽  
Vol 1 (12) ◽  
pp. 40-42
Author(s):  
F. Yu. Daurova ◽  
D. I. Tomaeva ◽  
S. V. Podkopaeva ◽  
Yu. A. Taptun
Keyword(s):  
Root Canal ◽  
High Frequency ◽  
Antibacterial Effect ◽  
Comparison Group ◽  
Poor Quality ◽  
Endodontic Treatment ◽  
Root Canals ◽  
The Third ◽  
Before And After

Relevance: the reason for the development of complications in endodontic treatment is poor-quality instrumental treatment root canals.Aims: a study of the animicrobial action and clinical efficacy of high-frequency monopolar diathermocoagulation in the treatment of chronic forms of pulpitis.Materials and methods: 102 patients with various chronic forms of pulpitis were divided into three groups of 34 patients each. In the first two groups, high-frequency monopolar diathermocoagulation was used in endodontic treatment in different modes. In the third group, endodontic treatment was carried out without the use of diathermocoagulation (comparison group). The root canal microflora in chronic pulpitis in vivo was studied twice-before and after diathermocoagulation.Results: it was established that high-frequency monopolar diathermocoagulation in the effect mode is 3, power is 4 (4.1 W) and effect is 4, power is 4 (5.4 W) with an exposure time of 3 seconds, it has a pronounced antibacterial effect on all presented pathogenic microflora obtained from the root canals of the teeth.

GESTOGENS IN CORPUS LUTEUM OF CATTLE

1960 ◽  
Vol XXXIII (III) ◽  
pp. 417-427 ◽  
Author(s):  
John Kristoffersen
Keyword(s):  
Corpus Luteum ◽  
Average Value ◽  
Spectrophotometric Methods ◽  
The Third ◽  
Quantitative Measurements ◽  
Before And After ◽  
Luteal Tissue ◽  
In Pregnancy

ABSTRACT By means of chromatographic and spectrophotometric methods progesterone and a substance closely similar to 20β-hydroxy-pregn-4-ene-3-one has been detected in luteal tissue from non-pregnant and pregnant cows. In 21 animals quantitative measurements based on a method giving an average net recovery of 56 per cent showed that in pregnancy the average progesterone content in the corpus luteum reached a maximum in the third to fifth month, with low values before and after this period. For 6 nonpregnant cows, the average value was 20.2 μg/g tissue, which is considerably higher than previous values reported in the literature. The relation between these findings and the bovine dependence on a functional corpus luteum in pregnancy is discussed, and it is pointed out that more information about the metabolism of progesterone in cattle is highly desirable.

Māori Research(er) in Three Poems

2018 ◽  
Vol 2 (1) ◽  
pp. 35
Author(s):  
Jacquie Kidd
Keyword(s):  
Palliative Care ◽  
Health Literacy ◽  
Cultural Identity ◽  
Focus Groups ◽  
Health Professionals ◽  
Bell Hooks ◽  
Face To Face ◽  
The Third ◽  
Ruth Behar ◽  
Seeking Help

These three poems re-present the findings from a research project that took place in 2013 (Kidd et al. 2018, Kidd et al. 2014). The research explored what health literacy meant for Māori patients and whānau when they accessed palliative care. Through face-to-face interviews and focus groups we engaged with 81 people including patients, whānau, bereaved loved ones, support workers and health professionals. The poems are composite, written to bring some of our themes to life. The first poem is titled Aue. This is a Māori lament that aligns to English words such as ‘oh no’, or ‘arrgh’, or ‘awww’. Each stanza of the poem re-presents some of the stories we heard throughout the research. The second poem is called Tikanga. This is a Māori concept that encompasses customs, traditions and protocols. There are tikanga rituals and processes that guide all aspects of life, death, and relationships. This poem was inspired by an elderly man who explained that he would avoid seeking help from a hospice because ‘they leave tikanga at the door at those places’. His choice was to bear his pain bravely, with pride, within his cultural identity. The third poem is called ‘People Like Me’. This is an autoethnographical reflection of what I experienced as a researcher which draws on the work of scholars such as bell hooks (1984), Laurel Richardson (1997) and Ruth Behar (1996). These and many other authors encourage researchers to use frustration and anger to inform our writing; to use our tears to fuel our need to publish our research.

EVALUATION OF THE EFECTS OF ELECTRONIC ACUPUNCTURE COMBINED WITH “TAM TY THANG” REMEDY IN THE TREATMENT OF RHEUMATOID ARTHRITIS BY WIND-COLD-DAMP

2017 ◽  
pp. 122-127
Author(s):  
Thi Luu Nguyen ◽  
Thi Tan Nguyen
Keyword(s):  
Rheumatoid Arthritis ◽  
Side Effects ◽  
Prospective Study ◽  
Key Words Rheumatoid Arthritis ◽  
Good Effect ◽  
Good Level ◽  
Relieve Pain ◽  
Level Of Activity ◽  
Before And After ◽  
The Moment

Objectives: To assess the effect of electronic acupuncture combined with “Tam ty thang” remedy in the treatment of rheumatoid arthritis by wind-cold-damp. Materials and methods: prospective study, comparing before and after treatment, including 43 patients who were diagnosed with rheumatoid arthritis by wind-cold-damp according to traditional medicine. Results: good level occupied 69,8%, and fair good level occupied 30,2%.The improved motor function accounted for 95.3%, to relieve pain up to 95,3%, reducing inflammation of VSS in 1 hour at the moment No 31,65, N28 17,88. The improvement in the level of activity of the hand reached 48,8% for good level. Conclusions: The method of electronic acupuncture combined with “Tam ty thang” remedy have a good effect in the treatment of rheumatoid arthritis by wind-cold-damp and it didn’t cause significantly side effects in clinic. Key words: rheumatoid arthritis, electronic acupuncture, “Tam ty thang” remedy

Carthage after the Punic Wars and the Neo-Punic Legacy

2019 ◽  
pp. 182-196
Author(s):  
Matthew Hobson
Keyword(s):  
Twentieth Century ◽  
North Africa ◽  
Cultural Change ◽  
Language Use ◽  
Cultural Development ◽  
Initial Examination ◽  
The Third ◽  
Funerary Rituals ◽  
Before And After ◽  
Punic Wars

This chapter provides a brief introduction to how the historiographical development of Roman studies, since mid-twentieth century decolonization, has altered our understanding of the developments which took place in North Africa following the destruction of Carthage in 146 bce. The reader is introduced to literary, epigraphic, and archaeological sources of evidence, which have traditionally been used to argue for either cultural change or continuity. After an initial examination of the immediate aftermath of the Third Punic War, Roman land appropriation and taxation, the focus is on sources of evidence usually described as “Punic,” “neo-Punic” or “Late Punic,” covering the spheres of municipal institutions, language use, and religious and funerary rituals. The vibrant multiculturalism and regional diversity of the Mediterranean and especially North Africa, both before and after the Roman conquest, is the dominant theme. This is used to shift emphasis away from grand explanatory paradigms based on essentialist identity categories, and toward a more nuanced picture of the complex and multivariate processes of cultural development and integration.

scholarly journals Does Multidisciplinary Team Simulation-Based Training Improve Obstetric Emergencies Skills?

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 170
Author(s):  
Encarna Hernández ◽  
Marcos Camacho ◽  
César Leal-Costa ◽  
María Ruzafa-Martínez ◽  
Antonio Jesús Ramos-Morcillo ◽  
...  
Keyword(s):  
Health Professionals ◽  
Multidisciplinary Team ◽  
Simulation Training ◽  
Observer Agreement ◽  
Second Phase ◽  
High Fidelity ◽  
Breech Delivery ◽  
Obstetric Emergencies ◽  
Quasi Experimental ◽  
The Impact

Clinical simulation in obstetrics has turned out to be a tool that can reduce the rate of perinatal morbidity and mortality. The objective of this study was to analyze the impact and evaluate the effects of training with high-fidelity simulation of obstetric emergencies on a multidisciplinary group. The quasi-experimental research study was structured in three phases: a first phase where the most important obstetric emergencies were determined, a second phase of design and development of the selected cases for simulation training, and a third and final phase where the abilities and satisfaction of the multidisciplinary team were analyzed. Three scenarios and their respective evaluation tools of obstetric emergencies were selected for simulation training: postpartum hemorrhage, shoulder dystocia, and breech delivery. The health professionals significantly improved their skills after training, and were highly satisfied with the simulation experience (p < 0.05). An inter-observer agreement between good and excellent reliability was obtained. Regarding conclusions, we can state that high-fidelity obstetric emergency simulation training improved the competencies of the health professionals.

Risk factors of postthrombotic syndrome before and after deep venous thrombosis treatment

2016 ◽  
Vol 32 (6) ◽  
pp. 384-389 ◽  
Author(s):  
Rob HW Strijkers ◽  
Mark AF de Wolf ◽  
Cees HA Wittens
Keyword(s):  
Risk Factors ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Treatment Options ◽  
Postthrombotic Syndrome ◽  
Factor X ◽  
Catheter Directed Thrombolysis ◽  
Before And After ◽  
Patient Selection Criteria ◽  
The Moment

Postthrombotic syndrome is the most common complication after deep venous thrombosis. Postthrombotic syndrome is a debilitating disease and associated with decreased quality of life and high healthcare costs. Postthrombotic syndrome is a chronic disease, and causative treatment options are limited. Prevention of postthrombotic syndrome is therefore very important. Not all patients develop postthrombotic syndrome. Risk factors have been identified to try to predict the risk of developing postthrombotic syndrome. Age, gender, and recurrent deep venous thrombosis are factors that cannot be changed. Deep venous thrombosis location and extent seem to predict severity of postthrombotic syndrome and are potentially suitable as patient selection criteria. Residual thrombosis and reflux are known to increase the incidence of postthrombotic syndrome, but are of limited use. More recently developed treatment options for deep venous thrombosis, such as new oral factor X inhibitors and catheter-directed thrombolysis, are available at the moment. Catheter-directed thrombolysis shows promising results in reducing the incidence of postthrombotic syndrome after deep venous thrombosis. The role of new oral factor X inhibitors in preventing postthrombotic syndrome is still to be determined.

On the issue of post-tuberculosis lesions of the larynx in pulmonary tuberculosis

1901 ◽  
Vol 1 (3) ◽  
pp. 195-196
Author(s):  
A. T. Ostrovskiy
Keyword(s):  
Pulmonary Tuberculosis ◽  
Mucous Membrane ◽  
The Third ◽  
Before And After

Abstracts. Internal diseases.A. T. Ostrovsky. To the question of post-tuberculosis lesions of the larynx in pulmonary tuberculosis. Diss. S.-PB.1900 g.The author cites the literature that exists on the issue of interest to him, before and after the discovery of tuberous sticks by prof. Kos'om. At the present time, regarding the secondary tubercle of the larynx, there are already not at all many, each having its own supporters, from which some admit the penetration of tuberous sticks from the epithelial cover of the mucous membrane of the larynx, others hold the view that the vessels for the lymph from the inside through the third In view of the fact that up to the present time the issue of post-tuberculosis lesions of the larynx remains not fully clarified, the author decided to take on his work as much as possible.

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