scholarly journals A Report of Clinical Audit for Prevention and Improvement of Bedsore in Southwest Iran

2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Nader Pazyar ◽  
Nasrin Fatemi ◽  
Nosrat Mirzai ◽  
Mohammad Jahangir ◽  
Farahnaz Rasooli ◽  
...  
Keyword(s):  
Clinical Audit ◽  
External Pressure ◽  
Treatment Quality ◽  
Standards Of Care ◽  
Before And After ◽  
Emergency Units ◽  
Change Position ◽  
Southwest Iran ◽  
Implementation Of Standards

Objective:  Pressure ulcer is areas of necrosis caused by external pressure on bony prominences with a prevalence of 10-22%. Methods: This study was conducted to improve prevention and care of bedsore by clinical audit at Ahvaz Golestan Hospital. We included hospitalized patients at the risk of bedsore in general, special and emergency units at Ahvaz Golestan Hospital during a 6-month period. In accordance to the clinical audit cycle, the current situation was assessed by observation and consultation. After finding weakness points, proper interventions were implemented based on NICE guidelines for bedsore. Subsequently, another audit was performed to assess the effectiveness of intervention. Results: Comparison of results before and after intervention showed an increase in all studied variables. The changes in studied variables are listed as following: bedsore reduction (p=0.001), patients' assessment during the first 6 hours of hospitalization (p=0.008), assessment of external pressure (p=0.001), change position (p=0.001), care standards (p=0.170) and skin friction (p=0.001). The highest increase was seen in change position (p=0.001) and the lowest increase was seen in maintaining adequate skin hygiene (p=0.360). Conclusions: Clinical audit led to improvement of prevention and treatment quality of bedsore and also formulation and implementation of standards of care.

scholarly journals Improvement but no normalization of quality of life and cognitive functioning after treatment for Cushing’s syndrome

2019 ◽  
Author(s):  
Leonie H A Broersen ◽  
Cornelie D Andela ◽  
Olaf M Dekkers ◽  
Alberto M Pereira ◽  
Nienke R Biermasz
Keyword(s):  
Quality Of Life ◽  
Cognitive Functioning ◽  
Cushing’S Syndrome ◽  
Meta Analysis ◽  
Cushing's Syndrome ◽  
Treatment Quality ◽  
Cross Sectional ◽  
Effective Interventions ◽  
Before And After

Abstract Background Cushing’s syndrome is characterized by glucocorticoid excess, which induces physical and mental symptoms, impairments in functional status and perceived health, resulting in impaired quality of life. Biochemical remission is urgently required; however, quality of life and cognitive function may remain impaired. Objective To perform a systematic review and meta-analysis evaluating changes in health-related quality of life and cognitive functioning in patients with Cushing’s syndrome after treatment. Methods Eight electronic databases were searched in March 2017, and PubMed again in May 2018, to identify potentially relevant articles. Eligible studies were (randomized controlled) trials, cohort studies, and cross-sectional studies assessing quality of life or cognitive functioning in patients treated for Cushing’s syndrome. Differences were expressed as standardized mean difference, and reported with 95% confidence intervals. We compared patients before and after treatment (improvement), and patients after treatment and healthy controls (normalization). Results We included 47 articles with 2,643 patients. Most patients had Cushing’s disease and were in remission after treatment. Quality of life and cognitive functioning improved after treatment in all studied domains. Compared to a healthy control population, quality of life did not normalize. Cognitive functioning normalized in part, but not all, of the studied domains. Conclusions Treatment of Cushing’s syndrome improves quality of life and cognitive functioning. As normalization was not achieved in quality of life and in some aspects of cognitive functioning, special and continuous attention should be given to these aspects for patients after treatment. Effective interventions for further improvement and possibly normalization are urgently needed.

scholarly journals P-OGC03 Pancreatic enzyme supplementation improves quality of life in patients following surgery for upper GI cancer

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Robert Kay ◽  
Callum Alexander ◽  
Sajid Waheed Rahman ◽  
Chris Deans
Keyword(s):  
Quality Of Life ◽  
Pancreatic Enzyme ◽  
Treatment Quality ◽  
Exocrine Insufficiency ◽  
Abdominal Symptoms ◽  
Patient Reported ◽  
Before And After ◽  
Health Domains ◽  
Enzyme Supplementation

Abstract Background Unpleasant abdominal symptoms are common following surgery for upper gastrointestinal (UGI) cancer and may occur secondary to pancreatic exocrine insufficiency (EPI). This study investigated symptoms of EPI in patients following surgery and assessed the effect of pancreatic enzyme supplementation (PERT) on these symptoms and the effect of supplementation on quality of life. Methods Patients were assessed for symptoms of EPI using a novel questionnaire. Patients who reported two or more symptoms suggestive of EPI were prescribed PERT. Abdominal symptoms were reassessed following treatment. Quality of life (QoL) was studied using the SF-36 questionnaire before and after treatment. Faecal elastase was also measured in a patient subgroup. Results Fifty-six out of 57 patients (98%) reported at least two symptoms of EPI. Following PERT every patient reported fewer abdominal symptoms; median 5 symptoms before treatment reduced to two symptoms following treatment (p < 0.0001; Wilcoxon rank). Reduced faecal elastase concentration was associated with more frequent abdominal symptoms; median 5 symptoms versus 3 symptoms (p = 0.043; Mann Whitney U test). PERT increased quality of life scores for every patient in each of the 5 principle health domains. Conclusions Symptoms of EPI are common among patients following UGI cancer surgery. PERT reduces unpleasant abdominal symptoms and this leads to significant improvements in quality of life across global health domains. PERT should be offered to all post-operative UGI cancer patients with symptoms suggestive of EPI.

scholarly journals Shrinkage of Prostate and Improved Quality of Life: Management of BPH Patients with Croton membranaceus Ethanolic Root Extract

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
George Awuku Asare ◽  
Daniel Afriyie ◽  
Robert A. Ngala ◽  
Alfred A. Appiah ◽  
Yvonne Anang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Volume ◽  
Treatment Quality ◽  
Root Extract ◽  
Indirect Bilirubin ◽  
Free Psa ◽  
Apolipoprotein A ◽  
Freeze Dried ◽  
Before And After

Benign prostatic hyperplasia (BPH) is an enlargement of the prostate. The study aimed at validating the use of freeze-dried Croton membranaceus ethanolic root extract for BPH management. Thirty-three patients were observed before and after 3-month administration of 20 mg t.i.d orally. The International Prostate Symptom Score (IPSS), and the International Index of Erectile Function (IIEF) questionnaires were used. Total/free PSA (tPSA, fPSA), renal, liver function, lipid tests, and ultrasonographic imaging were performed. Thirty (30) patients (66 ± 11 years) completed the study. IPSS results showed 37% had severe, 40% moderate, and 23% mild symptoms before; 57% and 43% had moderate and mild symptoms, respectively, after treatment. IIED of patients’ results showed 30% with severe, 40% moderate, 24% mild-moderate, 3% mild, and 3% no erectile dysfunction before treatment and 20% severe, 43% moderate, and 37% mild-moderate dysfunction, after treatment. Quality of life (QoL) improved (P=0.001). Significant but non-pathological increases in total and indirect bilirubin as well as apolipoprotein A occurred. Mean tPSA reduced from 27.9 ± 19.0 to 16.2 ± 11.8 ng/mL (P=0.002); fPSA from 6.1 ± 4.8 to 3.9 ± 2.9 ng/mL (P=0.045); and prostate volume from 101.8 ± 41.3 to 54.5 ± 24.8 cm3  (P=0.023). C. membranaceus shrinks the prostate and improves QoL.

scholarly journals Penggunaan Audit Klinis Sebagai Cara Pembelajaran untuk Meningkatkan Perilaku Peserta Didik PPDS Onkologi Radiasi Periode September 2010 - Maret 2011

2013 ◽  
Vol 2 (1) ◽  
pp. 36
Author(s):  
Fielda Djuita ◽  
Harsono Mardiwiyoto ◽  
Ova Emilia ◽  
Soehartati Soehartati
Keyword(s):  
Standard Deviation ◽  
Clinical Audit ◽  
Quality Of Education ◽  
Before And After ◽  
Audit Score ◽  
Quasi Experimental ◽  
The Mean ◽  
And Performance

Background: Clinical Audit is one of the formative evaluations that conducted to maintain and increase behavior and performance of the Radiation Oncology students, as an effort to maintain radiotherapy services and grant the quality of education. The objective of this study is to evaluate the role of clinical audit in improving students’ behavior.Method: This was a quasi-experimental research time series. We have done audit to the medical record chart of the residences at Policlinic I, II, III and stay at semester 3, 4, 5 in FK UI/RSUPNCM between September 2010 and December 2011 (T0). Audit had done by the author and one of the lectures. After analyzing the audit report, the reports were sent to the students one by one through email followed by forwarding it to the lecturer involved in this research. Then we continue the audit by performing the second clinical audit (T1) from January until March 2011. We used the mean score from the two auditors. The score divided into 4 groups as follows: hospital clinical record, treatment prescription, simulation and planning also evaluation during treatment. After that the author compared the audit score before and after intervention with t-test.Results: There were 16 Oncology Radiation students with 163 cases (To) and 156 cases (T1) who worked at Policlinic I, II and III. Behavior mean score is 1.9229 (T0), standard deviation 0.0514 and mean score after first intervention is 1.9764, standard deviation 0.0479 with p= 0.006.Conclusion: The students’ behaviors and performance are changed significantly after intervention.

Kepuasan Masyarakat Terhadap Pelayanan Kelurahan Setelah Pemekaran Di Tangerang Selatan

Liquidity ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 151-159
Author(s):  
Pitri Yandri
Keyword(s):  
Public Perception ◽  
Service Personnel ◽  
Urban Services ◽  
Hospitality Workers ◽  
Care Workers ◽  
Before And After ◽  
Cartesian Diagram ◽  
Better Than

The purpose of this study is (1) to analyze public perception on urban services before and after the expansion of the region, (2) analyze the level of people's satisfaction with urban services, and (3) analyze the determinants of the variables that determine what level of people's satisfaction urban services. This study concluded that first, after the expansion, the quality of urban services in South Tangerang City is better than before. Secondly, however, public satisfaction with the services only reached 48.53% (poor scale). Third, by using a Cartesian Diagram, the second priority that must be addressed are: (1) clarity of service personnel, (2) the discipline of service personnel, (3) responsibility for care workers; (4) the speed of service, (5) the ability of officers services, (6) obtain justice services, and (7) the courtesy and hospitality workers.

Strategic Role of Zakat in Multidimensional Quality of Life in Sijunjung, Indonesia

2018 ◽  
Vol 15 (1) ◽  
pp. 55-72
Author(s):  
Herlin Hamimi ◽  
Abdul Ghafar Ismail ◽  
Muhammad Hasbi Zaenal
Keyword(s):  
Quality Of Life ◽  
Positive Impact ◽  
Wealth Distribution ◽  
Absolute Poverty ◽  
Before And After ◽  
The Status ◽  
Being There ◽  
The Impact

Zakat is one of the five pillars of Islam which has a function of faith, social and economic functions. Muslims who can pay zakat are required to give at least 2.5 per cent of their wealth. The problem of poverty prevalent in disadvantaged regions because of the difficulty of access to information and communication led to a gap that is so high in wealth and resources. The instrument of zakat provides a paradigm in the achievement of equitable wealth distribution and healthy circulation. Zakat potentially offers a better life and improves the quality of human being. There is a human quality improvement not only in economic terms but also in spiritual terms such as improving religiousity. This study aims to examine the role of zakat to alleviate humanitarian issues in disadvantaged regions such as Sijunjung, one of zakat beneficiaries and impoverished areas in Indonesia. The researcher attempted a Cibest method to capture the impact of zakat beneficiaries before and after becoming a member of Zakat Community Development (ZCD) Program in material and spiritual value. The overall analysis shows that zakat has a positive impact on disadvantaged regions development and enhance the quality of life of the community. There is an improvement in the average of mustahik household incomes after becoming a member of ZCD Program. Cibest model demonstrates that material, spiritual, and absolute poverty index decreased by 10, 5, and 6 per cent. Meanwhile, the welfare index is increased by 21 per cent. These findings have significant implications for developing the quality of life in disadvantaged regions in Sijunjung. Therefore, zakat is one of the instruments to change the status of disadvantaged areas to be equivalent to other areas.

Sign in / Sign up

Export Citation Format

Share Document