scholarly journals A DESCRIPTION OF THE CHARACTERISTICS OF HEPATIC CIRRHOSIS PATIENT IN ABDUL WAHAB SJAHRANIE REGIONAL PUBLIC HOSPITAL SAMARINDA

2020 ◽  
Vol 8 (1) ◽  
pp. 1-5
Author(s):  
Tri Wulandari Wulandari ◽  
Nirapambudi Devianto ◽  
Fransiska A. Sihotang
Keyword(s):  
Liver Disease ◽  
Outpatient Treatment ◽  
Medical Records ◽  
Public Hospital ◽  
Hepatic Cirrhosis ◽  
Cirrhosis Patient ◽  
Normal Hepatocyte ◽  
Maximum Period ◽  
Severe Degree ◽  
Hepatocyte Cells

Hepatic cirrhosis is a late stage liver disease characterized by the replacement of normal hepatocyte cells with fibrosis tissue. The severity of hepatic cirrhosis can be determined using Child-Pugh criteria which are divided into Grades A, B and C. This study aimed to find out the characteristics of hepatic cirrhosis patients in Abdul Wahab Sjahranie Regional Public Hospital in Samarinda. The design of this study was descriptive observational. Participants in this study consisted of 58 hepatic cirrhosis patients who were hospitalized in Abdul Wahab Sjahranie Regional Public Hospital in Samarinda from June 2017 to June 2018. Variables in this study were age, gender, period of stay, conditions at discharge, and the severity of cirrhosis. The researchers used data from medical records of cirrhosis patients. From 58 participants in this study, they were mostly people in the age of 46-55 years (43.1%) and the majority were male (70.7%).The maximum period of stay in hospital was less than 1 week (58.6%) and the condition when they went back home were mostly with outpatient treatment (79.3%). The severe degree of cirrhosis that was found was Child-Pugh C (63.8%).

Evaluation of Low-Dose Gentamicin Once Daily Dosing Regimen at A General Hospital in Malaysia

2018 ◽  
Vol 9 (01) ◽  
Author(s):  
Ab Rahman A F ◽  
Md Sahak N. ◽  
Ali A. M.
Keyword(s):  
Medical Records ◽  
Public Hospital ◽  
Low Dose ◽  
Dosing Regimen ◽  
Once Daily ◽  
Neutropenic Sepsis ◽  
Wide Acceptance ◽  
The Mean ◽  
Initiation Of Therapy ◽  
Almost All

Objective: Once daily dosing (ODD) aminoglycoside is gaining wide acceptance as an alternative way of dosing. In our setting it is the regimen of choice whenever gentamicin is indicated. The objective of this study was to evaluate the practice of gentamicin ODD in a public hospital in Malaysia. Methods: We conducted a retrospective review of medical records of patients on gentamicin ODD who were admitted to Hospital Melaka during January 2002 until March 2010. All adult patients who were on ODD gentamicin with various level of renal function were included in the study. Patients on gentamicin less than 72 hours and pregnant women were excluded. Results: From 110 patients, 75 (68.2%) were male and 35 (31.8%) were female. Indications for ODD gentamicin included pneumonia, 34 (31.0%) neutropenic sepsis, 27 (24.5%) and sepsis, 11 (10.0%). The mean dose and duration of gentamicin was 3.2 mg/kg/day and 7 days, respectively. Almost all patients were on gentamicin combined with other antibiotics. Clinical cure based on fever resolution was found in 89.1% of patients treated with ODD. Resolution of fever took an average of 48 hours after initiation of therapy. The evaluation for bacteriologic cure could not be performed because of insufficient data on culture and sensitivity. Out of 38 patients with analyzable serum creatinine data, four patients might have developed nephrotoxicity. Conclusion: In our setting, lower dosages of ODD gentamicin when used in combination with other antibiotics seemed to be effective and safe in treating most gram negative infections.

scholarly journals Determinants of Erythrocyte Size in Chronic Liver Disease

Blood ◽  
1969 ◽  
Vol 34 (6) ◽  
pp. 739-746 ◽  
Author(s):  
THOMAS M. KILBRIDGE ◽  
PAUL HELLER
Keyword(s):  
Bone Marrow ◽  
Liver Disease ◽  
Chronic Liver Disease ◽  
Peripheral Blood ◽  
Hepatic Cirrhosis ◽  
Alcoholic Cirrhosis ◽  
Clinical Findings ◽  
Red Cells ◽  
Red Cell ◽  
Cell Volumes

Abstract Serial determinations of red cell volumes were made with an electronic sizing device in 30 patients with hepatic cirrhosis. Variations in red cell volumes were correlated with other hematologic and clinical findings. The results of these studies suggest that volume macrocytosis in patients with alcoholic cirrhosis is either due to megaloblastosis of the bone marrow or to an accelerated influx of young red cells into the peripheral blood.

scholarly journals Electronic Medical Records for Discovery Research in Nonalcoholic Fatty Liver Disease

2019 ◽  
Author(s):  
Uri Kartoun ◽  
Rahul Aggarwal ◽  
Adam Perer ◽  
Yoonyoung Park ◽  
Ping Zhang ◽  
...  
Keyword(s):  
Liver Disease ◽  
Fatty Liver ◽  
Nonalcoholic Fatty Liver Disease ◽  
Electronic Medical Records ◽  
Statistical Methods ◽  
Medical Records ◽  
Fatty Liver Disease ◽  
High Probability ◽  
Nonalcoholic Fatty Liver ◽  
Discovery Research

Abstract Background: Nonalcoholic fatty liver disease (NAFLD) is a highly prevalent yet under-diagnosed and under-discussed disease. Given that NAFLD has not been explored sufficiently compared with other diseases, opportunities abound for scientists to discover new biomarkers (such as laboratory observations, current comorbidities, behavioral descriptors) that can be linked to the development of conditions and complications that may develop at a later stage of the patient’s life. Methods: We analyzed IBM Explorys, a repository that contains electronic medical records (EMRs) of more than 50 million individuals. We used a classification algorithm that members of our group have previously validated to identify patients at a high probability for NAFLD. The algorithm identified more than 80,000 patients with a high probability for NAFLD who had at least 5 years of follow-up. We applied standard statistical methods (such as logistic regression and bootstrapping) and used Clinical Classifications Software (CCS) definitions to identify associations between a variety of covariates and disease outcomes. Results: Our methodology identified several thousand strongly statistically significant associations between covariates and outcomes in NAFLD. Most of the associations are known, but others may be new and require further investigation in subsequent studies. Conclusions: A discovery mechanism composed of standard statistical methods applied on a large collection of EMRs, confirmed known associations and identified potentially new associations that can act as biomarkers that might merit further research.

scholarly journals The cost of excessive postoperative use of antimicrobials: the context of a public hospital

2014 ◽  
Vol 41 (3) ◽  
pp. 149-154 ◽  
Author(s):  
Rafael Santos Santana ◽  
Ariane de Carvalho Viana ◽  
Jozimário da Silva Santiago ◽  
Michelle Santos Menezes ◽  
Iza Maria Fraga Lobo ◽  
...  
Keyword(s):  
Postoperative Period ◽  
Medical Records ◽  
Public Hospital ◽  
Antimicrobial Prophylaxis ◽  
Therapy Cost ◽  
Improper Use ◽  
Compromise Patient Safety ◽  
Total Therapy ◽  
The Cost ◽  
The Impact

OBJECTIVE: To evaluate the improper use of antimicrobials during the postoperative period and its economic impact. METHODS: We conducted a prospective cohort study by collecting data from medical records of 237 patients operated on between 01/11/08 and 31/12/08. RESULTS: from the 237 patients with the information collected, 217 (91.56%) received antimicrobials. During the postoperative period, 125 (57.7%) patients received more than two antimicrobials. On average, 1.7 ± 0.6 antimicrobials were prescribed to patients, the most commonly prescribed antibiotic being cephalothin, in 41.5% (154) of cases. The direct cost of antimicrobial therapy accounted for 63.78% of all drug therapy, this large percentage being attributed in part to the extended antimicrobial prophylaxis. In the case of clean operations, where there was a mean duration of 5.2 days of antibiotics, antimicrobials represented 44.3% of the total therapy cost. CONCLUSION: The data illustrate the impact of overuse of antimicrobials, with questionable indications, creating situations that compromise patient safety and increasing costs in the assessed hospital.

scholarly journals Restrictive measure for the commercialization of antimicrobials in Brazil: results achieved

2019 ◽  
Vol 53 ◽  
pp. 68 ◽  
Author(s):  
Josiane Moreira da Costa ◽  
Cristiano Soares de Moura ◽  
Cristiane Aparecida Menezes de Pádua ◽  
Aline Siqueira Fogal Vegi ◽  
Sérgia Maria Starling Magalhães ◽  
...  
Keyword(s):  
Phase I ◽  
Phase Ii ◽  
National Health ◽  
Medical Records ◽  
Public Hospital ◽  
Health Surveillance ◽  
Hospital Infection ◽  
Historical Cohort ◽  
Restrictive Measure ◽  
Resistant Microorganism

OBJECTIVE: To assess whether the incidence of hospital infection by a resistant microorganism decreased after the implementation of the restrictive measure of the National Health Surveillance Agency for the commercialization of antimicrobials. METHODS: A historical cohort study of medical records of adult patients admitted to a general and public hospital from May 2010 to July 2011. A cohort was formed with patients admitted in the period before the restrictive measure for the commercialization of antimicrobials (Phase I) and a second cohort was formed with patients admitted after the implementation of the restrictive measure (Phase II). RESULTS: The instantaneous risk of hospital infection by a resistant microorganism was estimated at seven by 1,000 people-time (95%CI 0.006–0.008) in Phase I, and four by 1,000 people-time (95%CI 0.003–0.005) in Phase II of the study. The differences between the survival curves in the different phases of the study and stratified by age group were also significant (p < 0.05). CONCLUSIONS: The results suggest that the implementation of the restrictive measure of the commercialization of antimicrobials by the National Health Surveillance Agency reduced the incidence of hospital infection by a resistant microorganism.

scholarly journals Implementation of a trauma registry in a brazilian public hospital: the first 1,000 patients

2014 ◽  
Vol 41 (4) ◽  
pp. 251-255 ◽  
Author(s):  
Paulo Roberto Lima Carreiro ◽  
Domingos André Fernandes Drumond ◽  
Sizenando Vieira Starling ◽  
Mônica Moritz ◽  
Roberto Marini Ladeira
Keyword(s):  
Medical Records ◽  
Public Hospital ◽  
Trauma Registry ◽  
Average Length ◽  
Young Male ◽  
Successful Implementation ◽  
Male Victims ◽  
Quality Of Data ◽  
Trauma Registries ◽  
Epidemiological Characteristics

OBJECTIVE: Show the steps of a Trauma Registry (TR) implementation in a Brazilian public hospital and evaluate the initial data from the database.METHODS: Descriptive study of the a TR implementation in João XXIII Hospital (Hospital Foundation of the state of Minas Gerais) and analysis of the initial results of the first 1,000 patients.RESULTS: The project was initiated in 2011 and from January 2013 we began collecting data for the TR. In January 2014 the registration of the first 1000 patients was completed. The greatest difficulties in the TR implementation were obtaining funds to finance the project and the lack of information within the medical records. The variables with the lowest completion percentage on the physiological conditions were: pulse, blood pressure, respiratory rate and Glasgow coma scale. Consequently, the Revised Trauma Score (RTS) could be calculated in only 31% of cases and the TRISS methodology applied to 30.3% of patients. The main epidemiological characteristics showed a predominance of young male victims (84.7%) and the importance of aggression as a cause of injuries in our environment (47.5%), surpassing traffic accidents. The average length of stay was 6 days, and mortality 13.7%.CONCLUSION: Trauma registries are invaluable tools in improving the care of trauma victims. It is necessary to improve the quality of data recorded in medical records. The involvement of public authorities is critical for the successful implementation and maintenance of trauma registries in Brazilian hospitals.

scholarly journals Risk factors for medication errors in the electronic and manual prescription

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Cris Renata Grou Volpe ◽  
Eveline Maria Magalhães de Melo ◽  
Lucas Barbosa de Aguiar ◽  
Diana Lúcia Moura Pinho ◽  
Marina Morato Stival
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Medication Errors ◽  
Medical Records ◽  
Public Hospital ◽  
Study Data ◽  
Electronic Records ◽  
Brand Name ◽  
Electronic Prescription ◽  
Medication Process

ABSTRACT Objective: to compare electronic and manual prescriptions of a public hospital of Brasilia, identifying risk factors for the occurrence of medication errors. Method: descriptive-exploratory, comparative and retrospective study. Data collection occurred from July 2012 to January 2013, using an instrument for the review of the information contained in medical records related to the medication process. A total of 190 manual and 199 electronic records composed the sample, with 2027 prescriptions each. Results: compared to the manual prescription, a significant reduction was observed in the risk factors after implantation of the electronic prescription, in items such as "lack of the form of dilution" (71.1% to 22.3%) and "prescription with brand name" (99.5% to 31.5%). Conversely, the risk factors "no check" and "lack of CRM of the prescriber" increased. The lack of the allergy registration and the occurrences related to medication were the same for both groups. Conclusion: generally, the use of the electronic prescription system was associated with a significant reduction in risk factors for medication errors, concerning the following aspects: illegibility, prescription with brand name and presence of essential items that provide a safe and effective prescription.

scholarly journals Boas Práticas na atenção obstétrica e sua interface com a humanização da assistência [Good Partices in obstetric care and its interface with humanization of assistance] [Buenas Prácticas en la atención obstétrica y su interrelación com la huamanización de la asistencia]

2017 ◽  
Vol 25 ◽  
pp. e26442
Author(s):  
Larisse Ferreira Benevides de Andrade ◽  
Quessia Paz Rodrigues ◽  
Rita de Cássia Velozo da Silva
Keyword(s):  
Medical Records ◽  
Public Hospital ◽  
Secondary Data ◽  
Obstetric Care ◽  
High School Education ◽  
Good Practices ◽  
Skin Contact ◽  
Las Mujeres ◽  
Skin To Skin ◽  
Buenas Prácticas

Objetivo: analisar as boas práticas adotadas na atenção à mulher e ao recém-nascido, em uma maternidade pública baiana, apoiada pela Rede Cegonha. Método: estudo descritivo com abordagem quantitativa, do tipo retrospectivo, a partir de dados secundários. A pesquisa documental foi realizada em prontuários de 337 mulheres, em setembro de 2015. O projeto obteve a aprovação do Comitê de Ética em Pesquisa da organização hospitalar, com o parecer consubstanciado nº 1.185.928/2015. Resultados: as mulheres do estudo predominaram entre 20 a 35 anos, a maioria negra e parda, com ensino médio e primípara. Identificou-se o uso das seguintes boas práticas: presença de acompanhante (79,2%), métodos não farmacológicos para o alívio da dor (23,1%), contato pele a pele imediato (51,6%) e amamentação na sala de parto (38%). A maioria dos partos (95,3%) foi assistida por médicos. Conclusão: dentre as boas práticas analisadas, apenas a presença de acompanhante e o contato pele e pele ocorreu com a maioria das mulheres. As demais apresentaram baixa adesão. É preciso empenho da organização e da equipe para que as boas práticas sejam efetivamente adotadas.ABSTRACTObjective: to analyze good practices adopted in caring for the woman and the newborn in a public hospital from Bahia supported by Brazilian Rede Cegonha. Method: it is a descriptive and retrospective study with a quantitative approach, based on secondary data. The documental research used the medical records of 337 women, on September 2015. The study was approved by the Research Ethics Committee of the hospital (registered as number 1185928 / 2015). Results: the predominant women in the study were 20 to 35 years old, afrodecendents, with high school education and in the first parturition. It was identified the use of the following good practices: the presence of companion (79,2%), non-pharmacological methods of pain relief (23,1%), immediate skin-to-skin contact (51,6%) and breastfeeding in the delivery room (38%). Most of parturition (95,3%) were assisted by doctors. Conclusion: among the good practices analyzed, only the presence of companion and skin to skin contact occurred with the majority of women. The others had low adherence. It is necessary the commitment from the organization and the team in order to make good practices effectively adopted.RESUMENObjetivo: analizar las buenas prácticas adoptadas en el cuidado de la mujer y el recién nacido en un hospital público de Bahía apoyado por la Rede Cegonha. Método: es un estudio descriptivo y retrospectivo con enfoque cuantitativo, basado en datos secundarios. La investigación documental utilizó los registros médicos de 337 mujeres, en septiembre de 2015. El estudio fue aprobado por el Comité de Ética en Investigación del hospital (registrado como número 1185928/2015). Resultados: las mujeres predominantes en el estudio fueron de 20 a 35 años, afrodescendientes, con educación secundaria y en el primer parto. Se identificó el uso de las siguientes buenas prácticas: presencia de acompañante (79,2%), métodos no farmacológicos de alivio del dolor (23,1%), contacto inmediato piel a piel (51,6%) y lactancia materna en la sala de partos (38%). La mayoría de los partos (95,3%) fueron atendidos por médicos. Conclusión: entre las buenas prácticas analizadas, solo la presencia del compañero y el contacto piel con piel ocurrió con la mayoría de las mujeres. Los otros tenían poca adherencia. Es necesario el compromiso de la organización y el equipo para hacer que las buenas prácticas se adopten efectivamente. DOI: http://dx.doi.org/10.12957/reuerj.2017.26442

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