OCCUPATIONAL GENOTOXIC EFFECTS AMONG A GROUP OF NURSES EXPOSED TO ANESTHETIC GASES IN OPERATING ROOMS AT ZAGAZIG UNIVERSITY HOSPITALS

BACKGROUND & OBJECTIVE: One of the most important issues in healthcare is an awareness of and adherence to patients’ rights. Patients’ physical, psychological, spiritual and social needs should be treated as if they are standards and regulations that medical teams should know about and observe. Considered as important worldwide, patients’ rights are stressed in Islam too. The objective of the study is to compare the perspectives of the personnel, students, and patients in the university hospitals of Jahrom on care-providers’ awareness of and observance of patients’ rights in the operating rooms.METHOD: The present study is a descriptive-analytical, cross-sectional project that conducted in 2014. The sample consisted of 478 subjects; the patients were sampled based on the stratified sampling method, while the operating room personnel and students were selected based on the census method. A researcher-designed questionnaire that ensured the validity and determined the reliability of it was used to collect data.The collected data were analyzed using SPSS v. 23.RESULT: The average awareness score of the personnel was found to be 19.54 with the standard devia3.25; their observance score was 17.75 with the standard deviation ±4.69.The average patient’s-rights-awareness score of the patients was 15.99±5.82, while their score for patient’s rights observance was found to be 24.11±5.30.The average patient’s-rights-awareness score of the students was 20.061±3.411, while their score for patient’s rights observance was found to be 18.892±6.271.The results of the study showed that the awareness level of both the students and personnel was higher than that of the patients. Also, a comparison between the perspectives of the three groups on observance of patients’ rights revealed that the patients had higher expectations than both the students and personnel (P≤0.05).CONCLUSION: These findings stress the need for raising patients’ awareness about their rights and ways of demanding them in clinical environments. Raising students’ awareness about patients’ rights is equally important. Moreover, enhancing hospital personnel’s familiarity with patients’ rights can guarantee patients’ health and satisfaction.Patients’ greater concern about adherence to patients’ rights points to their rightful expectations and the need for hospital authorities and personnel to try harder to satisfy patients.Respect for patients’ basic rights and dignity is an important issue that is stressed by WHO too. As protectors of people’s health and lives, healthcare providers play a crucial role in every society.

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Exposure to anesthetic gases and ethanol during work in operating rooms.

Scandinavian Journal of Work Environment & Health ◽

10.5271/sjweh.2814 ◽

1976 ◽

Vol 2 (2) ◽

pp. 96-106 ◽

Cited By ~ 4

Author(s):

Carl-Johan Göthe ◽

Per Övrum ◽

Börje Hallen

Keyword(s):

Operating Rooms ◽

Anesthetic Gases

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Microclimatic and Environmental Surveillance of Operating Theaters: Trend and Future Perspectives

Atmosphere ◽

10.3390/atmos12101273 ◽

2021 ◽

Vol 12 (10) ◽

pp. 1273

Author(s):

Margherita Ferrante ◽

Gea Oliveri Conti ◽

Giuseppe Lucio Blandini ◽

Giuseppe Cacia ◽

Carlo Distefano ◽

...

Keyword(s):

Service Management ◽

Essential Element ◽

Operating Rooms ◽

Working Environment ◽

Risk Level ◽

Fundamental Parameter ◽

Monitoring Methods ◽

Limit Values ◽

Microbiological Parameters ◽

Anesthetic Gases

The health risk level in operating rooms is correlated to the safety levels of microclimatic parameters, thermal indices, anesthetic gases and microbiological parameters. The objective of this study was to estimate the staff and medical service management compliance with the suggestions resulting from monitoring. Methods: The environmental conditions of 38 different operating rooms in the Sicily region, Italy, from January 2011 to December 2020 were monitored. The results were compared with specific standards suggested by national and international laws and guidelines. Results: Almost all microclimatic and microbiological parameters were outside the limits. The monitoring of the anesthetic gases showed that 5.6% of sevoflurane measurements exceeded the limit values. Conclusions: Constant environmental monitoring is an essential element for maintaining optimal living conditions in the working environment. The compliance of staff with guidelines and rules is a fundamental parameter for achieving this objective.

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Hybrid treatment of multilevel revascularization in patients with peripheral arterial disease – a multi-centre study in Korea

VASA ◽

10.1024/0301-1526/a000694 ◽

2018 ◽

Vol 47 (3) ◽

pp. 235-241 ◽

Cited By ~ 2

Author(s):

Soon Cheon Lee ◽

Jin Hyun Joh ◽

Jeong-Hwan Chang ◽

Hyung-Kee Kim ◽

Jang Yong Kim ◽

...

Keyword(s):

Endovascular Treatment ◽

Combined Treatment ◽

Ankle Brachial Index ◽

Primary Patency ◽

Limb Ischaemia ◽

University Hospitals ◽

Multi Centre Study ◽

Free Survival ◽

Technical Success Rate ◽

Hybrid Treatment

Abstract. Background: Endovascular treatment is an alternative first-line management for peripheral artery disease (PAD). Hybrid treatment (HT) is defined as a combined treatment for patients with PAD using endovascular and open surgery, simultaneously performed in an operating room. The results of HT are reportedly good for multilevel revascularization (MR) in patients with chronic limb ischaemia, and even in older high-risk patients. The goal of this study was to examine the clinical and haemodynamic outcomes of HT in patients who need MR. Patients and methods: Nine university hospitals in Korea participated in this multicentre study. A total of 134 patients with multilevel PAD underwent HT and MR. Patients were enrolled from July 2014 to June 2015 and were followed for 18 months. Results: The mean age of the patients was 68.8 ± 9.93 years and 88.1 % were men. Patients with Rutherford category 2 to 3 and 4 to 6 comprised 59.0 % and 42.0 % of the group, respectively. The technical success rate was 100 %. The primary patency rates at 12 and 18 months were 77.6 % and 63.9 %, respectively. The primary-assisted patency rates at 12 and 18 months were both 90.0 %. The pre-operative mean ankle brachial index (0.43 ± 0.23) increased to 0.87 ± 0.23 at six months post-operatively (t-test, p < 0.05). The amputation free survival rate was 97.1 %. Conclusions: Although outcomes of multilevel PAD are reportedly poor when endovascular treatment alone is used, we have shown that HT is a feasible alternative modality for patients with multilevel PAD, with satisfactory amputation-free survival and freedom from re-intervention rates.

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Coordination and Workflow of Operating Rooms: Technology Support for Collaboration

PsycEXTRA Dataset ◽

10.1037/e496962008-001 ◽

2008 ◽

Author(s):

Yan Xiao ◽

Jacob Seagull ◽

Peter Hu ◽

Colin Mackenzie ◽

Young-Ju Kim ◽

...

Keyword(s):

Operating Rooms ◽

Technology Support

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Characterisation of the occupational thermal environment of operating rooms

PsycEXTRA Dataset ◽

10.1037/e604062012-403 ◽

2012 ◽

Author(s):

Alberto Miguel ◽

Nelson Rodrigues ◽

Senhorinha Teixeira ◽

Jose Teixeira ◽

Ricardo Oliveira

Keyword(s):

Thermal Environment ◽

Operating Rooms

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Hämophiliebehandlung als ganzheitliches Konzept der Patientenversorgung

Hämostaseologie ◽

10.1055/s-0037-1619771 ◽

2012 ◽

Vol 32 (S 01) ◽

pp. 25-S28

Author(s):

H. Rott ◽

G. Kappert ◽

S. Halimeh

Keyword(s):

Health Insurance ◽

Effective Treatment ◽

International Research ◽

Statutory Health Insurance ◽

Interdisciplinary Team ◽

Legal Basis ◽

University Hospitals ◽

Innovative Treatment ◽

Social Law ◽

Treatment Concepts

SummaryA top quality, effective treatment of haemophilia requires an integrated therapeutical concept and an excellent cooperation of an interdisciplinary team. Since years different models are discussed in Germany in order to enlarge the offers for a suitable care of patients with hard to treat diseases. The healthpolitical targets are expressed in the changes of the Code of Social Law number V (SGB V) and in innovations in the statutory health insurance. This new legal basis provides opportunities to implement innovative treatment concepts outside university hospitals and paves the way for ambulant haemophilia centres to offer an integral care, all legally saved by a contract.The Coagulation Centre Rhine-Ruhr reveals as an example how haemophilia treatment in accordance with guidelines and with the latest results of international research can be realise in an ambulatory network.

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Myocardial perfusion scintigraphy in Germany

Nuklearmedizin ◽

10.1055/s-0037-1621023 ◽

2007 ◽

Vol 46 (02) ◽

pp. 49-55 ◽

Cited By ~ 7

Author(s):

W. Burchert ◽

F. M. Bengel ◽

R. Zimmermann ◽

J. vom Dahl ◽

W. Schäfer ◽

...

Keyword(s):

Nuclear Medicine ◽

Myocardial Perfusion ◽

Attenuation Correction ◽

Working Group ◽

Primary Care Physicians ◽

Gated Spect ◽

Myocardial Perfusion Scintigraphy ◽

German Society ◽

University Hospitals ◽

Perfusion Scintigraphy

SummaryThe working group Cardiovascular Nuclear Medicine of the German Society of Nuclear Medicine (DGN), in cooperation with the working group Nuclear Cardiology of the German Cardiac Society (DGK), decided to conduct a national survey on myocardial perfusion scintigraphy (MPS). Method: A questionnaire to evaluate MPS for the year 2005 was sent. Results: 346 completed questionnaires had been returned (213 private practices, 99 hospitals and 33 university hospitals). MPS of 112 707 patients were reported with 110 747 stress and 95 878 rest studies. The majority (>75%) was performed with 99mTc-MIBI or tetrofosmin. 201Tl stress-redistribution was used in 22 637 patients (20%). The types of stress were exercise in 78%, vasodilation with adenosine or dipyridamol in 21% and dobutamine in 1%. 99.97% of all MPS were SPECT studies. Gated SPECT was performed in 36% of the stress and in 32% of the rest studies. An attenuation correction was used in 21%. 29 institutions (8%) performed gated SPECT (stress and rest) and attenuation correction. 47% of all MPS were requested by ambulatory care cardiologists, 17% by internists, 12% by primary care physicians, 21% by hospital departments and 2% by others. Conclusion: In Germany, MPS is predominantly performed with 99mTc-perfusion agents. The common type of stress is ergometry. Gated SPECT and attenuation correction do not yet represent standards of MPS practice in Germany, which indicates some potential of optimization.

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