scholarly journals Penggunaan Atrium pada Bangunan Rumah Sakit Bertingkat dan Pengaruhnya terhadap Keselamatan Jiwa terhadap Bahaya Kebakaran

2020 ◽  
Vol 18 (1) ◽  
pp. 13-26
Author(s):  
Lily Tambunan ◽  
◽  
Iwan Sudradjat ◽  
Suprapto Suprapto ◽  
◽  
...  
Keyword(s):  
Critical Condition ◽  
Fire Hazard ◽  
Healing Process ◽  
Life Safety ◽  
The Difference ◽  
Evacuation Route

The use of atrium in hospital buildings accelerating the patient's healing process and reduce the impression of stress on hospital buildings. However, the presence of the atrium can also pose a fire hazard because it can be a means of spreading smoke quickly. This study determines the effect of atriums in hospital buildings on the level of life safety in the event of a fire. The study was conducted at two hospitals in Bandung and Jakarta, Indonesia. The level of life safety is assessed through the difference between the time needed for the evacuation, referred to as RSET, and the time taken by smoke to cause a critical condition for occupants, called ASET, where RSET must be shorter than ASET. The analysis carried out on two physical configurations: open and closed atrium, and the results of this study showed that with an open atrium, the smoke quickly covered the evacuation route before the evacuation process completed, or ASET<RSET. The fire room door must be closed, and the smoke-barrier must be installed around the atrium to prevent the spread of smoke into patient rooms, thus fulfill the ASET<RSET criteria.

scholarly journals Investigation Of Spiritual Well-Being Palliative Care Of Patients

2019 ◽  
Vol 9 (7) ◽  
pp. 496-513 ◽  
Author(s):  
Fadime Çinar*, Turgay Sirin
Keyword(s):  
Palliative Care ◽  
Personal Information ◽  
Healing Process ◽  
Well Being ◽  
Term Treatment ◽  
Long Term Treatment ◽  
Spiritual Well Being ◽  
Life Threatening ◽  
The Difference ◽  
The Individual

Background: One of the indispensable aspects of the philosophy of holistic care,and negative situations such as life-threatening illness, spiritual well-being, which isdefined as the search for a relationship with a divine soul, is a requirement that mustbe met in order to maintain the existence of the individual. The patient's need forsocial and spiritual well-being increases even more in cases of long-term treatment,such as cancer, that reduce the quality of life. Determining and meeting the spiritualneeds of the individual in the difficult times of the crisis can be realized bydetermining the spiritual well-being levels of the individuals and by providing theindividual spiritual care. This study was conducted to determine the level of thespiritual well-being of palliative care patients diagnosed with cancer. Methods: Thisis a descriptive study. The population of the study consisted of 124 patientsdiagnosed with cancer who were hospitalized in the palliative unit between Januaryand August 2018 and were treated in two state hospitals operating on the Europeanside of Istanbul. The sample consisted of 111 people with voluntary participationand communication. Personal Information Form and Spiritual Well-being Scalewere used to collect data. Data were evaluated by one-way analysis of variance (one-way anova) and significance (t-test) of the difference between the two means.Results: The total score averages from the spiritual good scale of individualsparticipating in the Study were determined to be good with x = 4,15. In terms ofthe level of education of Scale scores, only "Anomi" is significantly differentiatedbetween groups of age, with a total score of the scale, In the sub-dimension oftranscendity and the subdimension of "Harmony with Nature" according to thevariable metastasis (p > 0.05). Conclusion: Spiritual Well-being has a positive effecton the healing process of individuals with impaired health. It helps individuals whohave a crisis in life threatening diseases such as Cancer to cope with this crisis and toprovide spiritual well-being in the sense of life. In This process, spiritual careinitiatives by healthcare professionals can be transformed into a part of the healingprocess and the spiritual goodness of the individual can be increased. Furtherresearch in This area is projected to contribute to the richening of the relevantliterature in Turkey.Key words: Spiritual, spiritual well-being, palliative care, palliative care unit

scholarly journals Healing Process Following Application of Set or Fresh Mineral Trioxide Aggregate as a Root-End Filling Material

2011 ◽  
Vol 05 (01) ◽  
pp. 019-023 ◽  
Author(s):  
Mehdi Habibi ◽  
Jamileh Ghoddusi ◽  
Ataollah Habibi ◽  
Nooshin Mohtasham
Keyword(s):  
Healing Process ◽  
Mineral Trioxide Aggregate ◽  
Histological Evaluation ◽  
Filling Material ◽  
Chi Square ◽  
Unsuccessful Attempt ◽  
Gutta Percha ◽  
Significant Difference ◽  
Chronic Abscess ◽  
The Difference

ABSTRACTObjectives: An unsuccessful attempt to reach the apical area or to place the retrograde material is a major difficulty in periradicular surgery. The aim of this study was to compare the histological evaluation of the healing process following an orthograde versus a retrograde application of mineral trioxide aggregate (MTA) as a root-end filling material during apical surgery on cats’ teeth in order to find out whether orthograde placement of MTA before surgery can be used instead of retrograde placement during surgery. Methods: In this experimental study, 24 canine teeth in 12 mature and healthy cats were filled with either MTA or gutta-percha in an orthograde manner. Two weeks later, the teeth with MTA were surgically exposed and resected to the set-MTA within the canals. The teeth previously filled by gutta-percha were also surgically exposed, and retrograde cavities were prepared at the root ends and filled with fresh-MTA. After 8 weeks, the animals were euthanized by vital perfusion. Six-micron histological slices were prepared from samples, stained by Hematoxylin & Eosin, and histologically studied by means of a light microscope. The collected data was analyzed by the Chi-square and the T-test. Results: One of the samples in the fresh-MTA group was omitted during processing because of inappropriate sectioning. In the set-MTA group, 5 out of 12 showed chronic abscess, while in the fresh-MTA group, 2 out of 11 were discovered to have chronic abscess; however, no significant difference was observed (P>.05). Hard tissue healing (cementum, bone, cementum + bone formation) in the set-MTA and fresh-MTA groups were 7 out of 12 and 9 out of 11, respectively. While healing seemed more likely to occur in the fresh-MTA group, the difference was statistically insignificant (P>.05). The magnitude of bone, cementum, or bone and cementum formation showed slight differences between the two groups; however, the figures failed to show any marked differences (P>.05). Conclusions: Orthograde placement of MTA could be used as an obturation material before surgery. In this way, after root-end resection, there would be no need for root-end preparation and filling procedures. (Eur J Dent 2011;5:19-23)

Identifying wound infections for veterinary nurses

2020 ◽  
Vol 11 (10) ◽  
pp. 447-451
Author(s):  
Amanda Curtis
Keyword(s):  
Healing Process ◽  
Scar Tissue ◽  
Care Practice ◽  
Wound Infections ◽  
Tissue Formation ◽  
Deep Tissue ◽  
The Difference ◽  
Bite Wounds ◽  
Major Factors ◽  
Scar Tissue Formation

Heavily contaminated wounds are a common occurrence in both referral and primary care practice, with traumatic and bite wounds being among the most typical aetiologies seen. Each type of wound can be affected by numerous factors that can inhibit the healing process, one of these major factors is infection. Wound infections and the formation of biofilms can present veterinary nurses with a variety of challenges, which is why it is important that we understand the difference between normal inflammatory signs and the signs of infection. The early identification of infection and biofilms within a wound can influence healing times, scar tissue formation and length of healing. This article aims to highlight the difference between inflammation and infection, the different levels of contamination within a wound, and ways to decipher between superficial and deep tissue infections.

scholarly journals Fibrin Glue Does Not Improve Healing of Gastrointestinal Anastomoses: A Systematic Review

2014 ◽  
Vol 54 (1-2) ◽  
pp. 1-13 ◽  
Author(s):  
Tyge Nordentoft ◽  
Hans-Christian Pommergaard ◽  
Jacob Rosenberg ◽  
Michael Patrick Achiam
Keyword(s):  
Systematic Review ◽  
Fibrin Glue ◽  
Healing Process ◽  
Gastrointestinal Surgery ◽  
Experimental Studies ◽  
Positive Influence ◽  
Qualitative Synthesis ◽  
Negative Effect ◽  
The Difference ◽  
Positive Effect

Background/Aim: Anastomotic leakage remains a frequent and serious complication in gastrointestinal surgery. In order to reduce its incidence, several clinical and experimental studies on anastomotic sealing have been performed. In a number of these studies, the sealing material has been fibrin glue (FG), and the results in individual studies have been varying. The positive effect of anastomotic sealing with FG might be due to the mechanical/physical properties, the increased healing of the anastomoses or both. The aim of this systematic review was to evaluate the existing evidence on the healing effects of FG on gastrointestinal anastomoses. Methods: PubMed, EMBASE and the Cochrane databases were searched for studies evaluating the healing process of gastrointestinal anastomoses after any kind of FG application. The search period was from 1953 to December 2013. Results: Twenty-eight studies were included in the qualitative synthesis. These studies were all experimental studies, since no human studies used histological or biochemical evaluation of healing. In 7 of the 28 studies, a positive effect of FG on healing was found, while 8 studies reported a negative effect and 11 studies found no effect. Furthermore, 2 studies reported unclear results. The difference in the study outcome was independent of the study design and the type of FG used. Conclusion: In the available studies, FG did not consistently have a positive influence on the healing of gastrointestinal anastomoses. It is consequently plausible that the positive effect of FG sealing of gastrointestinal anastomoses, if there is any, may be due to a mechanical sealing effect rather than due to improved healing per se.

scholarly journals FORECASTING OF FIRE DANGER BY WEATHER CONDITIONS IN FORESTS OF THE GREEN BELT OF KHARKIV CITY

2018 ◽  
pp. 131-140
Author(s):  
Ye. Ye. Melnyk
Keyword(s):  
Forest Fire ◽  
Fire Hazard ◽  
Current System ◽  
Weather Conditions ◽  
Fire Danger ◽  
Hazard Class ◽  
Green Belt ◽  
The Difference

The tendency of the fire emergence in the forests of Kharkiv city green belt was studied in the case of the forests located in Zhovtneve Forest Enterprise for the period of 2005–2017. The numbers of fire occurrences have been analysed and compared with the current system of assessing the fire hazard class in Ukraine. By the weather conditions the effectiveness of the system was assessed for the studying territory. The features of the emergence of fires in different months of the fire hazard period were investigated and the difference in numbers of forest fire occurrences was determined in separate seasons and decades of months. The number of fire incidents on an average per day has been analyzed for different classes of fire danger in the spring, summer and autumn seasons. According to the proportion of emerging fires and by the method developed by P. Kurbatskiy, modifications were made to the scale of assessment of fire hazard by weather conditions taking into account the season of the year.

PERBEDAAN PENYEMBUHAN LUKA PERINEUM PADA IBU POST PARTUM YANG DIBERIKAN KOMPRES POVIDONE IODINE 10 % DENGAN KOMPRES NaCI 0,9 % DI WILAYAH KERJA PUSKESMAS SOSIAL PALEMBANG TAHUN 2016

2019 ◽  
Vol 6 (2) ◽  
Author(s):  
LENY LENY
Keyword(s):  
Statistical Analysis ◽  
Povidone Iodine ◽  
Design Method ◽  
Wound Care ◽  
Post Partum ◽  
Healing Process ◽  
Perineal Wound ◽  
Wound Healing Process ◽  
The Difference

  Persalinan sering kali mengakibatkan luka perineum, baik pada primigravida maupun pada multigravida, dengan perineum yang kaku perlu dilakukan penjahitan dan perawatan luka dengan baik agar mempercepat proses penyembuhan luka perineum. Tujuan penelitian ini untuk mengetahui perbedaan penyembuhan luka perineum pada ibu post partum yang diberikan kompres povidone iodine 10% dengan kompres NaCl 0,9% di Wilayah Kerja Puskesmas Sosial Palembang Tahun 2016. Penelitian ini menggunakan pra-eksperimen dengan metode postes only design (one shot case study). Populasi seluruh ibu post partum dengan luka perineum yang ada di Wilayah Kerja Puskesmas Sosial Palembang Tahun 2016. Sampelnya 20 orang responden, yaitu 10 responden diberikan kompres povidone iodine 10% dan 10 responden diberikan kompres NaCl 0,9%. Instrumen penelitian menggunakan lembar observasi. Teknik sampling yang digunakan yaitu sampling jenuh. Uji statistik bivariat menggunakan mann-whitney dan uji statistik univariat menggunakan deskriptif frekuensi. Hasil penelitian menunjukkan bahwa kesembuhan luka perineum dengan povidone iodine 10% sebesar 70,0%, sedangkan dengan NaCl 0,9% sebesar 30,0%. Ada perbedaan penyembuhan luka perineum yang diberikan kompres  povidone iodine 10% dengan NaCl 0,9% dengan nilai p = 0,029. Jadi dalam menangani pasien dengan perawatan luka perineum dapat menggunakan povidone iodine 10% karena dapat mempercepat proses penyembuhan luka.   ABSTRACT Labor frequently causes the tear perineum wound, especially in the case of solid perineum, either on primigravida or multigravida; with the case of solid perineum, it is necessary to perform sewing treatment and appropriate cure for the wound in order that process of the healing perineum wound may be accelerated. This research is aim to know the difference between perineum wound care with povidone iodine 10% compress and treatment with natrium chloride 0,9% compress on post-partum mother at Working Area Sosial Public Center Palembang 2016. The research used pre-experimental with post-test-only-design method (one short case-study). The population is all post-partum mothers with perineum care at Working Area Sosial Public Center Palembang 2016. The sample is 20 respondents; 10 respondents were treated with povidone iodine 10% compress, and 10 respondents were treated with natrium chloride 0,9% compress. The instrument for this research used observation sheet. Bivariate statistical analysis used Mann-Whitney formula, and univariate statistical analysis used descriptive frequency. Results of this research show that healing from perineum wound with povidone iodine 10% is 70,0%, whereas with natrium chloride 0,9% is 30,0%. Thus, it can be concluded perineum wound care that there is difference between treatment with povidone iodine 10% and treatment with natrium chloride 0,9%, where p equals 0,029. Therefore in dealing with patients with perineal wound care can use 10% povidone iodine because it can accelerate the wound healing process. .

Spatial Analysis for Fire Risk Reduction in Kampung Ampel Cultural Heritage Area, Surabaya

2020 ◽  
Vol 7 (1) ◽  
pp. 1-16
Author(s):  
Farida Hudanti ◽  
Takeyuki Okubo ◽  
Petrus Natalivan Indradjati
Keyword(s):  
Risk Reduction ◽  
Cultural Landscape ◽  
Open Space ◽  
Fire Hazard ◽  
Fire Risk ◽  
Risk Area ◽  
Entire Area ◽  
High Risk Area ◽  
Evacuation Route ◽  
Heritage Area

The objective of the research is to improve fire risk reduction in Kampung Ampel Surabaya through: [1] identifying the current firefighting system in Surabaya; [2] identifying the characteristics and conditions of Kampung Ampel; [3] identifying structure of the problem; [4] proposing strategies for fire risk reduction in Kampung Ampel. The analysis will focus on determining risks and resources of Kampung Ampel to fire hazard using Geographic Information System (GIS) analysis. Risk and resources are combined to find out the areas that have the highest risk of fire hazard. The results of the analyses consist of challenges and possible solutions. The challenges can be concluded as follow: [1] resources for firefighting cannot cover the entire area of Kampung Ampel; and [2] resources for evacuation cannot accommodate all the population and visitors. The proposed solutions for those challenges are: [1] reactivation of inactive fire wells; [2] utilization on source of water in Ampel Mosque; [3] proposing wider road to connect roads which are wider than 3.5 meters but are blocked by narrower roads; [4] the purchase of adapters to connect different types of fire hoses; [5] adding the number of fire hoses brought to the site; [6] remodeling the vulnerable buildings using inflammable materials with keeping the value of cultural landscape; [7] keeping portable fire pump in Ampel Mosque to facilitate the fire handling by residents; and [8] preparing evacuation route to the closest open space areas. The application of those solutions can reduce the high-risk area from 26.6% to 0.2%.

Rehabilitation Counseling: In Critical Condition

1977 ◽  
Vol 8 (1) ◽  
pp. 15-21
Author(s):  
Maunsell W. Wilkinson
Keyword(s):  
Group Counseling ◽  
Critical Condition ◽  
Rehabilitation Counseling ◽  
The State ◽  
Federal System ◽  
Rehabilitation Process ◽  
Federal Program ◽  
The Past ◽  
Objective Evidence ◽  
The Difference

Although there has been an array of advances in rehabilitation within the past few years, rehabilitation counseling is presently in critical condition. Little objective evidence is available to indicate that intensive one-to-one or group counseling is well accepted in the rehabilitation process. This article maintains that counseling is not emphasized within the State-Federal system, and advocates putting the counselor back in rehabilitation since he is the vehicle by which rehabilitation advances are converted into rehabilitants. It is people who make the difference in other people, and the counselor is the person with whom the client associates. The continued dissipation of time spent counseling may one day see the State-Federal program as little more than a funding service for disabled individuals.

Limit-Based Fire Hazard Model for Evaluating Tunnel Life Safety

2014 ◽  
Vol 51 (3) ◽  
pp. 585-614 ◽  
Author(s):  
J. Gehandler ◽  
L. Eymann ◽  
M. Regeffe
Keyword(s):  
Fire Hazard ◽  
Hazard Model ◽  
Life Safety

scholarly journals Predicting lipoabdominoplasty complications with infrared thermography: a delta-R analysis

2021 ◽  
Vol 48 (5) ◽  
pp. 553-558
Author(s):  
Patricia Rodrigues Resende ◽  
Marcos Leal Brioschi ◽  
Franciele De Meneck ◽  
Eduardo Borba Neves ◽  
Manoel Jacobsen Teixeira
Keyword(s):  
Infrared Thermography ◽  
Thermal Imaging ◽  
Clinical Case ◽  
Healing Process ◽  
Postoperative Evaluation ◽  
Infrared Thermal Imaging ◽  
Thermal Index ◽  
The Difference ◽  
Mapping Techniques ◽  
Therapeutic Decision Making

The diagnosis of the main complications resulting from lipoabdominoplasty has not yet been standardized. Infrared thermal imaging has been used to assess possible complications, such as necrosis and changes in micro- and macro-circulation, based on perforator mapping techniques, among others. The objective of this study was to present two clinical cases involving thermal imaging monitoring of the healing process of lipoabdominoplasty in the immediate postoperative evaluation and its preliminary results. Infrared thermography was performed 24 hours after the operation and on postoperative days 5, 25, and 27. In clinical case 1, it was found that the delta-R (∆TR)–defined as the difference in minimum temperature between the highest and lowest points in the SA3 region (caution suction area) following the classification established by Matarasso–was 0.4°C at 24 hours after surgery and decreased to 0.1°C on a postoperative day 5. There were no complications in this case. In contrast, in clinical case 2, the ∆TR was 1.7°C at 24 hours after surgery (upon hospital discharge) and remained high, at 2.2°C, on postoperative day 5. A higher ∆TR was found in the second patient, who developed necrosis of the surgical wound. The ∆TR thermal index may be a new tool for predicting possible complications, complementing the clinical evaluation and therapeutic decision-making.

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