scholarly journals [Availability and use of emergency services in Tunisia:main results of a comprihensive national survey]

2001 ◽  
Vol 7 (4-5) ◽  
pp. 805-811
Author(s):  
M. K. Chahed ◽  
N. Somrani ◽  
H. Achour
Keyword(s):  
Emergency Service ◽  
Emergency Services ◽  
Health Workers ◽  
University Hospital ◽  
Emergency Rooms ◽  
Hospital Emergency ◽  
Public Emergency ◽  
Use Of Emergency Services ◽  
The University

In order to assess hospital emergency rooms, a comprehensive national epidemiological investigation was conducted in all 155 public emergency structures in Tunisia. Here we present the main results of the levels of availability and use of emergency services. Coverage of the population by services is adequate [one emergency service per 60, 000 people]. Emergency wards admit about 2, 500, 000 patients every year [a quarter of the population of the country]. The university hospital emergency services are the most heavily used [150 patients per day on average]. Emergency services are sought for medical [60%], surgical [18%], paediatric [14%] and gynaecological reasons [5%]. It would be useful to assess the quality of care delivered and the satisfaction of citizens and health workers.

scholarly journals Vocational Training and Dental Care in the Unique Health System: Experience Report

2021 ◽  
pp. 15
Author(s):  
Keyword(s):  
Quality Of Care ◽  
Dental Care ◽  
Professional Training ◽  
Tertiary Care ◽  
Oral Care ◽  
Family Health ◽  
Experience Report ◽  
University Hospital ◽  
The University

Objective: To report the experience lived during the Integrated Multiprofessional Residency in Family Health at the Faculty of Medical Sciences of the University of Pernambuco – FCM/UPE – at the interface with the Residency in Hospital Dentistry with a focus on Oncology at the University of Pernambuco developed at the Oncology Center at the Oswaldo Cruz University Hospital of the University of Pernambuco – CEON/HUOC/UPE. Methods: This is an experience report of dental practice in the context of professional training, in SUS, both in primary, secondary and tertiary care. Results: It is noticeable the need for greater professional qualification of the graduate, their integration in the Services of the institutionalized network and their performance with efficiency in multiprofissional teams, emphasizing the importance of professional training through Residencies, allowing the dental surgeon to improve in the diferente fields of Dentistry activities and, in particular, rescuing the inter-trans-multidisciplinary performance in both primary and hospital care and in the area of oncology. It was noticed that the integrated performance of the dental surgeon in a multidisciplinar team in low and medium complexity with resolvability in oral care is essential for the quality of care in the hospital context. Conclusion: Dental care directly impacts the quality of care and patient’s lives. The training of the dental surgeon throug the Residencies can provide skills and contribute with the other professions to the patient’s quality of life. In addition to its assistance character, the Dentistry Service – CEON/HUOC/UPE assumes an important education function, serving as a teaching research and extension field.

scholarly journals Comparing the first and second waves of COVID-19 in a tertiary university hospital in Barcelona

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 1197
Author(s):  
Yolima Cossio ◽  
Marta-Beatriz Aller ◽  
Maria José Abadias ◽  
Jose-Manuel Domínguez ◽  
Maria-Soledad Romea ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Healthcare Systems ◽  
University Hospital ◽  
Emergency Rooms ◽  
Daily Number ◽  
Patient Demographics ◽  
Significant Difference ◽  
The University ◽  
Hospital Wards ◽  
Second Wave

Background: Hospitals have constituted the limiting resource of the healthcare systems for the management of the COVID-19 pandemic. As the pandemic progressed, knowledge of the disease improved, and healthcare systems were expected to be more adapted to provide a more efficient response. The objective of this research was to compare the flow of COVID-19 patients in emergency rooms and hospital wards, between the pandemic's first and second waves at the University Hospital of Vall d’Hebron (Barcelona, Spain), and to compare the profiles, severity and mortality of COVID-19 patients between the two waves. Methods: A retrospective observational analysis of COVID-19 patients attending the hospital from February 24 to April 26, 2020 (first wave) and from July 24, 2020, to May 18, 2021 (second wave) was carried out. We analysed the data of the electronic medical records on patient demographics, comorbidity, severity, and mortality. Results: The daily number of COVID-19 patients entering the emergency rooms (ER) dropped by 65% during the second wave compared to the first wave. During the second wave, patients entering the ER were significantly younger (61 against 63 years old p<0.001) and less severely affected (39% against 48% with a triage level of resuscitation or emergency; p<0.001). ER mortality declined during the second wave (1% against 2%; p<0.000). The daily number of hospitalised COVID-19 patients dropped by 75% during the second wave. Those hospitalised during the second wave were more severely affected (20% against 10%; p<0.001) and were referred to the intensive care unit (ICU) more frequently (21% against 15%; p<0.001). Inpatient mortality showed no significant difference between the two waves. Conclusions: Changes in the flow, severity and mortality of COVID-19 patients entering this tertiary hospital during the two waves may reflect a better adaptation of the health care system and the improvement of knowledge on the disease.

scholarly journals Construção de manual educativo sobre cateterismo vesical intermitente limpo: relato de experiência

2020 ◽  
Vol 10 (31) ◽  
pp. 183-189
Author(s):  
Dilcilene Aguiar Sousa Cavalcante ◽  
Tamires Barradas Cavalcante ◽  
Kezia Cristina Batista dos Santos ◽  
Apoana Câmara Rapozo ◽  
Vivian Brito Silva ◽  
...  
Keyword(s):  
Spinal Cord ◽  
University Hospital ◽  
Lower Urinary Tract Dysfunction ◽  
Bladder Catheterization ◽  
Urinary Infections ◽  
The University ◽  
Education Nursing ◽  
Catheterization Procedure ◽  
Lower Urinary

Trata-se de um relato de experiência com o objetivo de descrever a construção de manual educativo com informações e orientações sobre cateterismo vesical intermitente limpo. O estudo foi realizado entre os meses de junho e agosto de 2018, no setor de traumatologia e neurocirurgia do Hospital Universitário da Universidade Federal do Maranhão, São Luís, Maranhão, Brasil. O manual discorre sobre a técnica do procedimento cateterismo vesical intermitente limpo, com orientações e figuras ilustrativas voltadas aos pacientes com disfunção neurogênica do trato urinário inferior como sequela de trauma raquimedular. Identificou-se a importância da elaboração deste manual, como um material de apoio para o fornecimento de instruções e ensinamentos para a realização do cateterismo vesical intermitente limpo, visando a prevenção e redução de infecções urinárias e insuficiência renal, e ainda reinserção do paciente lesado medular ao convívio social proporcionando melhoria em sua qualidade de vida.Descritores: Cateterismo Uretral Intermitente, Educação em Saúde, Enfermagem. Construction of educational manual on clear intermitent bladder cathederism: experience reportAbstract: This is an experience report with the objective of to describe the construction of an educational manual with information and guidance on clean intermittent bladder catheterization. The study was carried out between June and August 2018, in the trauma and neurosurgery sector of the University Hospital of the Federal University of Maranhão, São Luís, Maranhão, Brazil. The manual discusses the technique of the clean intermittent bladder catheterization procedure, with guidelines and illustrative figures aimed at patients with neurogenic lower urinary tract dysfunction as a sequel of spinal cord trauma. The importance of preparing this manual was identified, as a support material for the provision of instructions and teachings for the performance of clean intermittent bladder catheterization, aiming at the prevention and reduction of urinary infections and renal failure, as well as there insertion of the injured spinal cord patient to social interaction providing improvement in their quality of life.Descriptors: Intermittent Urethral Catheterization, Health Education, Nursing. Construcción del manual educativo sobre catederismo vesical de intervalo claro: informe de experienciaResumen: Este es un informe de experiencia con el objetivo de describir la construcción de un manual educativo con información y orientación sobre la cateterización vesical intermitente limpia. El estudio se realizó entre junio y agosto de 2018, en el sector de traumatología y neurocirugía del Hospital Universitario de la Universidad Federal de Maranhão, São Luís, Maranhão, Brasil. El manual discute la técnica del procedimiento de cateterización vesical intermitente limpia, con pautas y figuras ilustrativas dirigidas a pacientes con disfunción neurogénica del tracto urinario inferior como secuela del trauma de la médula espinal. Se identificó la importancia de preparar este manual, como material de apoyo para la provisión de instrucciones y enseñanzas para la realización de una cateterización vesical intermitente limpia, con el objetivo de prevenir y reducir las infecciones urinarias y la insuficiencia renal, así como la reinserción del paciente con lesión de la médula espinal a la interacción social que mejora su calidad de vida.Descriptores: Cateterismo Uretral Intermitente, Educación en Salud, Enfermería.

scholarly journals Evaluation of the Quality of Medico-technical Equipment Sterilization in National University Hospital of Cotonou in Benin in 2013

2016 ◽  
Vol 9 (1) ◽  
pp. 53-64 ◽  
Author(s):  
Edgard-Marius D. Ouendo ◽  
Cyriaque Dégbey ◽  
Sossa J. Charles ◽  
Judith Sègnon ◽  
Jacques Saizonou ◽  
...  
Keyword(s):  
Nosocomial Infections ◽  
Medical Equipment ◽  
Health Workers ◽  
University Hospital ◽  
National Committee ◽  
Technical Equipment ◽  
Hospital Acquired Infections ◽  
National University ◽  
Hospital Acquired

Backgrounds: In low income countries, hospital-acquired infections continue to develop in hospitalized patients, and may also affect medical staff. Medico-technical equipment sterilization is critical for prevention and safety care of nosocomial infections. Objective: To assess the quality of medico-technical equipment sterilization at the National University Hospital of Cotonou in 2013. Method: This cross-sectional and evaluative study was conducted at the National University Hospital of Cotonou from 10th June to 04th July 2013. A sample of 51 health workers involved in the of medico-technical equipment sterilization system, two (02) administrative authorities, the responsible of National Committee for the Fight against nosocomial infections in the hospital, 41 sterilized instruments and compresses were assessed in the study. Health workers were observed in their work environment before undergoing an individual interview as well as the administrative authorities and the Responsible of the National Committee for the Fight against nosocomial infections. Sterilized instruments are analyzed in microbiology laboratory. Results: More than half of the participants were male (52.9%). The average age of respondents was 41 ± 7.5 years. The sterilization unit of the hospital was managed by common surgical department of the hospital and its mission was to provide sterile medico-technical equipment. The sterilization unit did not meet the standard architecture of sterilization environment. Equipment sterilization procedure did not meet standards of quality assurance. There was no preventive maintenance procedure for autoclave and poupinel that were used for sterilization of instruments. No indoor cleaning and air sterilization of the service of sterilization were planned. However, equipment sterilization supplies were available, and 13.72% of workers surveyed were well-skilled. Microbiological tests showed that 48.8% of sterilized medical equipment was contaminated by Staphylococcus aureus, Pseudomonas aeruginosa and Enterobacter cloacae. Conclusion: The quality of instrument sterilization system in the HKM National University hospital of Cotonou was poor. Sterilized equipment was contaminated by pathogens. Medical equipment sterilization process needs improvement to prevent hospital-acquired infections.

scholarly journals Improvement of modern teaching methods at the department of orthopedic dentistry KHNMU

2019 ◽  
Vol 06-07 (1-2) ◽  
pp. 38-42
Author(s):  
I. Dudina ◽  
V. Tomilin ◽  
I. Pereshivaylova ◽  
A. Pogorelaya
Keyword(s):  
Medical Education ◽  
Teaching Methods ◽  
Educational Process ◽  
University Hospital ◽  
Industrial Practice ◽  
European Universities ◽  
Internet Resources ◽  
Lecture Material ◽  
The University

he article analyzes the teaching methods at the Department of Orthopedic Dentistry of KNMU, taking into account the modern needs of the development of teaching and reforming the healthcare system of Ukraine. At present, when the process of Ukraine’s integration into the European space is on going, the European integration of medical education is the introduction of the European credit transfer system (ECTS) into the educational process, which helps to achieve the quality of medical education and is by introducing standards, recommendations and basic tools for the adaptation of our students and teachers to the system of education and teaching in European universities. At the Department of Orthopedic Dentistry, various teaching methods are used, namely: practical exercises that use modern pedagogical systems; various forms of presentation of lecture material, taking into account modern methods; phantom-simulation system for work-out of practical skills; consolidation of the gained practical and theoretical knowledge in the process of industrial practice on the basis of the University Hospital. Teaching students the skills of finding and using information in Internet resources. Teaching in English and writing methodological instructions on the subject allows you to attract students from different countries to study and to be involved in communication at the same level with the international dental community.

scholarly journals Health-Related Quality of Life in Stroke Survivors at the University Hospital of the West Indies

2017 ◽  
Vol 7 (3) ◽  
pp. 46-58 ◽  
Author(s):  
Jodian A. Pinkney ◽  
Francene Gayle ◽  
Kathryn Mitchell-Fearon ◽  
Jasneth Mullings
Keyword(s):  
Quality Of Life ◽  
West Indies ◽  
University Hospital ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
The West ◽  
Related Quality ◽  
Health Related ◽  
The University
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