Case Series: Management of Hypernatremia in DKA in a Tertiary Healthcare Setting in a Developing Country

2021 ◽  
Vol Volume 14 ◽  
pp. 567-571
Author(s):  
Julius Nuwagaba ◽  
Sanjanaa Srikant ◽  
Dave Darshit
Keyword(s):  
Developing Country ◽  
Case Series ◽  
Healthcare Setting ◽  
Tertiary Healthcare

scholarly journals Feasibility and safety of on table extubation after corrective surgical repair of tetralogy of Fallot in a developing country: A case series

2015 ◽  
Vol 18 (2) ◽  
pp. 237 ◽  
Author(s):  
MohammadIrfan Akhtar ◽  
Mohammad Hamid ◽  
Anwar-Ul-Haq ◽  
Fauzia Minai ◽  
Naveed Rehman
Keyword(s):  
Developing Country ◽  
Tetralogy Of Fallot ◽  
Surgical Repair ◽  
Case Series

AACE2021-A-1033: Primary Thyroid Lymphoma: Case Series of Patients from a Developing Country

2021 ◽  
Vol 27 (12) ◽  
pp. S32
Author(s):  
Sajjad Ali Khan ◽  
Abdul Aziz ◽  
Dania Ali ◽  
Najmul Islam
Keyword(s):  
Developing Country ◽  
Case Series ◽  
Thyroid Lymphoma ◽  
Primary Thyroid Lymphoma

Epidemiological features of nosocomial Klebsiella pneumoniae: virulence and resistance determinants

2021 ◽  
Author(s):  
Mai M Zafer ◽  
Maha M El Bastawisie ◽  
Mona Wassef ◽  
Amira FA Hussein ◽  
Mohammed A Ramadan
Keyword(s):  
Klebsiella Pneumoniae ◽  
Resistance Genes ◽  
Antibiotic Resistance Genes ◽  
Pcr Amplification ◽  
Virulence Gene ◽  
Healthcare Setting ◽  
Virulence Determinants ◽  
Tertiary Healthcare ◽  
Insight Into ◽  
Common Sequence

Aim: The authors aimed to examine antibiotic resistance genes and representative virulence determinants among 100 Klebsiella pneumoniae isolates with an emphasis on capsular serotypes and clonality of some of the isolates. Methods: PCR amplification of ( rmpA, rmpA2, iutA, iroN and IncHI1B plasmid) and (NDM, OXA-48, KPC, CTX-M-15, VIM, IMP, SPM) was conducted. Wzi sequencing and multilocus sequence typing (MLST) were performed. Results: K2 was the only detected serotype in the authors' collection. RMPA2 was the most common capsule-associated virulence gene detected. All studied isolates harbored OXA-48-like (100%) and NDM (43%) (n = 43). ST147 was the most common sequence type. Conclusion: This work provides insight into the evolution of the coexistence of virulence and resistance genes in a tertiary healthcare setting in Cairo, Egypt.

scholarly journals Ultrasonographic length of morphologically-normal kidneys in children presented to a premier tertiary healthcare setting of Sri Lanka

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
W. D. Duminda ◽  
K. G. Pathirana ◽  
M. U. J. Fernando ◽  
R. A. N. K. K. Samarasinghe ◽  
W. D. H. A. Ananda ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Healthcare Setting ◽  
Tertiary Healthcare

scholarly journals Use of 30-Hz Accelerated iTBS in Drug-Resistant Unipolar and Bipolar Depression in a Public Healthcare Setting: A Case Series

2022 ◽  
Vol 12 ◽  
Author(s):  
Filippo Cantù ◽  
Giandomenico Schiena ◽  
Domenico Sciortino ◽  
Lorena Di Consoli ◽  
Giuseppe Delvecchio ◽  
...  
Keyword(s):  
Rating Scale ◽  
Bipolar Depression ◽  
Case Series ◽  
Healthcare Setting ◽  
Public Healthcare ◽  
Treatment Resistant Depression ◽  
Treatment Resistant ◽  
Resistant Depression ◽  
Depressive Episodes ◽  
Hamilton Rating Scale

Background: Depressive episodes, especially when resistant to pharmacotherapy, are a hard challenge to face for clinicians and a leading cause of disability worldwide. Neuromodulation has emerged as a potential therapeutic option for treatment-resistant depression (TRD), in particular transcranial magnetic stimulation (TMS). In this article, we present a case series of six patients who received TMS with an accelerated intermittent theta-burst stimulation (iTBS) protocol in a public healthcare setting.Methods: We enrolled a total number of six participants, affected by a treatment-resistant depressive episode, in either Major Depressive Disorder (MDD) or Bipolar Disorder (BD). Patients underwent an accelerated iTBS protocol, targeted to the left dorsolateral prefrontal cortex (DLPFC), 3-week-long, with a total of 6 days of overall stimulation. On each stimulation day, the participants received 3 iTBS sessions, with a 15-min pause between them. Patients were assessed by the Hamilton Rating Scale for Depression (HAM-D), the Montgomery-Asberg Depression Rating Scale (MADRS), the Hamilton Rating Scale for Anxiety (HAM-A), and the Mania Rating Scale (MRS). At baseline (T0), at the end of the second week (T1), and at the end of the cycle of stimulation (T2).Results: The rANOVA (repeated Analysis of Variance) statistics showed no significant effect of time on the rating scale scores, with a slight decrease in MADRS scores and a very slight increase in HAM-A and HAM-D scores. No manic symptoms emerged during the entire protocol.Conclusions: Although accelerated iTBS might be considered a less time-consuming strategy for TMS administration, useful in a public healthcare setting, our results in a real-word six-patient population with TRD did not show a significant effect. Further studies on wider samples are needed to fully elucidate the potential of accelerated iTBS protocols in treatment-resistant depression.

scholarly journals Cardiac Myxoma- A case series from a Cardiothoracic Unit in a developing country: Sri Lanka

2015 ◽  
Vol 10 (S1) ◽  
Author(s):  
Muditha N Lansakara ◽  
Mohomad N Jazeel ◽  
Athula Wijethunga ◽  
Kumaradasan Gnanakanthan ◽  
Samath D Dharmaratne
Keyword(s):  
Sri Lanka ◽  
Developing Country ◽  
Cardiac Myxoma ◽  
Case Series

Utilizing lean tools to improve value and reduce outpatient wait times in an Indian hospital

2015 ◽  
Vol 28 (1) ◽  
pp. 57-69 ◽  
Author(s):  
Richard Miller ◽  
Nirisha Chalapati
Keyword(s):  
Developing Country ◽  
Healthcare Providers ◽  
Healthcare Setting ◽  
Developed Countries ◽  
Value Stream Mapping ◽  
Wait Times ◽  
Scheduling Problems ◽  
Content Type ◽  
Value Streams ◽  
Lean Tools

Purpose – This paper aims to demonstrate how lean tools were applied to some unique issues of providing healthcare in a developing country where many patients face challenges not found in developed countries. The challenges provide insight into how lean tools can be utilized to provide similar results across the world. Design/methodology/approach – This paper is based on a qualitative case study carried out by a master’s student implementing lean at a hospital in India. Findings – This paper finds that lean tools such as value-stream mapping and root cause analysis can lead to dramatic reductions in waste and improvements in productivity. The problems of the majority of patients paying for their own healthcare and lacking transportation created scheduling problems that required patients to receive their diagnosis and pay for treatment within a single day. Many additional wastes were identified that were significantly impacting the hospital’s ability to provide care. As a result of this project, average outpatient wait times were reduced from 1 hour to 15 minutes along with a significant increase in labor productivity. Practical implications – The results demonstrate how lean tools can increase value to the patients. It also provides are framework that can be utilized for healthcare providers in developed and developing countries to analyze their value streams to reduce waste. Originality/value – This paper is one of the first to address the unique issues of implementing lean to a healthcare setting in a developing country.

Sign in / Sign up

Export Citation Format

Share Document