scholarly journals Administration of inhaled medications during noninvasive ventilation and/or tracheostomy

2020 ◽  
Vol 11 (1) ◽  
pp. 0372
Author(s):  
Kathleen ASTURIAN ◽  
Maria A. FERREIRA
Keyword(s):  
Educational Intervention ◽  
Noninvasive Ventilation ◽  
Ventilation System ◽  
Training Group ◽  
Descriptive Study ◽  
University Hospital ◽  
Inhalation Technique ◽  
Access Route ◽  
Inhalation Techniques ◽  
And Training

Objectives: To describe the clinical and demographic profile of hospitalized patients undergoing noinvasive ventilation (NIV) and/or tracheostomy (TQT) with prescription of the pressurized inhaler (pMDI) and the difficulties and interventions performed to adapt the inhalation technique. Methods: This is an observational, retrospective and descriptive study of a series of cases, carried out in three clinical units of a university hospital in the years 2017 and 2018. Results: We analyzed data from 25 patients who received NIV and/or TQT for whom guidance has been requested from the Inhalation Techniques Guidance and Training Group (GOTTI). Of these, 15 patients (60%) were using NIV, 5 (20%) were tracheostomized and 5 (20%) were tracheostomized with NIV. The difficulties identified in these patients were insecurity in removing the support, preference for nebulization, adaptation of the pMDI to the cannula and asynchrony between the jet firing and the beginning of inspiration. Conclusions: The use of aero-chamber coupled to the pMDI and tidal volume were the mostly made interventions. Masks and guidelines on the access route to the ventilation system were adapted in most cases This group of patients has particularities and difficulties in the inhalation technique that justify a specific educational intervention by professionals with more in-depth knowledge in the area.

scholarly journals Epidemiological profile, maternal and neonatal issue of uterine rupture at the Befelatanana Obstetrics and Gynecology University Hospital

2018 ◽  
Vol 7 (9) ◽  
pp. 3473
Author(s):  
Tanjona Andriamanetsiarivo Ratsiatosika ◽  
Romuald Randriamahavonjy ◽  
Andry Nirina Ravelojaona ◽  
Baco Abdallah Abasse ◽  
Housni Ibrahim ◽  
...  
Keyword(s):  
Uterine Rupture ◽  
Descriptive Study ◽  
The Other ◽  
University Hospital ◽  
Obstetrics And Gynecology ◽  
Maternal Deaths ◽  
Obstetric Emergency ◽  
Scarred Uterus ◽  
Epidemiological Profile ◽  
And Training

Background: Uterine rupture is an obstetric emergency. It involves the life of the mother and the fetus. The main objective of this study was to describe the epidemiological-clinical profile of uterine rupture in Befelatanana Obstetrics and Gynecology University Hospital from January 2016 to April 2018.Methods: This is a retrospective and descriptive study conducted from January 1, 2016 to April 30, 2018 at the Befelatanana Hospital Centre of Gynecology-Obstetrics. All pregnant patients with uterine rupture were included.Results: We recorded 35 cases of uterine rupture in 13184 deliveries with a prevalence of 2.65%. The average age was 27.69±6.21 years old. More than half of the pregnant women attended at least four prenatal care consultations. Uterine rupture occurred after a vaginal delivery attempt outside the centre in 62.86%. There were 77.14% cases occurring on non-scarred uterus and 14.29% on mechanical dystocia. A case of fetal macrosomia has been reported. There were 28.57% maternal deaths and 51.43% perinatal deaths, half of which were fetal deaths in utero and the other half were early neonatal deaths.Conclusions: Uterine rupture remains high in Madagascar. Quality antenatal care and training of the personal would be needed.

Happiness levels of the nurses working at a University Hospital

2018 ◽  
pp. 62-68
Author(s):  
Burcu Genc Kose ◽  
Tugba Balik ◽  
Sule Kurt ◽  
Havva Ozturk
Keyword(s):  
Working Hours ◽  
Descriptive Study ◽  
Working Time ◽  
University Hospital ◽  
Average Level ◽  
Hospital Nurse ◽  
The Mean ◽  
Average Happiness ◽  
Happiness Level ◽  
And Training

This study was planned to determine the happiness level of nurses. The population of this descriptive study was done with 121 nurses who accepted to participate in the study out of 323 nurses who worked at a research and training hospital. The average happiness score of the nurses is 108.63 ± 19.48. However, the mean scores of happiness scale of nurses who had an average working time of 120–180 hours per month and who were satisfied with nursing and working in the institution were higher (p < 0.005) and these findings were statistically significant. In conclusion, nurses’ happiness level was found to be higher than the average level (moderate level). But, it was identified that nurses who did not exceed weekly working hours were happier and nursing not being satisfied with working in the institutional negatively affects the level of happiness.Keywords: Hospital, nurse, happiness.

Nurses’ Performance of Inhalation Technique with Metered-Dose Inhaler plus Spacer Device

1993 ◽  
Vol 27 (2) ◽  
pp. 185-187 ◽  
Author(s):  
Timothy H. Self ◽  
Tiffany M. Kelso ◽  
Kristopher L. Arheart ◽  
Joyce H. Morgan ◽  
G. Umberto Meduri
Keyword(s):  
Outcome Measures ◽  
Educational Intervention ◽  
Clinical Pharmacist ◽  
Item Analysis ◽  
University Hospital ◽  
Dose Inhaler ◽  
Inhalation Technique ◽  
Metered Dose Inhaler ◽  
Metered Dose

Objective To determine if nurses could correctly use a metered-dose inhaler plus spacer (MDI–spacer) device after a brief description and demonstration of proper use by a clinical pharmacist. Design Pretest, educational intervention, posttest. Setting University hospital. Participants Twenty-three nurses. Interventions Nurses were asked to use the MDI-spacer (Aerochamber) and were scored using a nine-point checklist (pretest). Educational intervention by the clinical pharmacist consisted of a five-minute discussion and correct demonstration of the device. Nurses were then asked to use the device again (posttest). Main Outcome Measures Pre- and posttest scores. Results Total scores were improved after the educational intervention (66 percent pretest vs. 88 percent posttest, p=0.0001). In an item analysis, four of the nine steps had improved significantly. Conclusions A brief discussion and demonstration of correct use of MDI–spacers is effective in improving nurses’ skill in using the device.

CLINICAL AND PARA-CLINICAL CHARACTERISTICS OF SICK NEWBORN BABIES TREATED AT PEDIATRIC DEPARTMENT OF HUE UNIVERSITY HOSPITAL

2011 ◽  
pp. 112-117
Author(s):  
Thi Kieu Nhi Nguyen
Keyword(s):  
Respiratory Distress ◽  
Congenital Malformation ◽  
Clinical Characteristics ◽  
Descriptive Study ◽  
Neonatal Unit ◽  
University Hospital ◽  
Pediatric Department ◽  
Sick Newborn ◽  
Observational Descriptive Study

Objectives: 1. Describe neonatal classification of WHO. 2. Identify some principal clinical and paraclinical signs of term, preterm, post term babies. Patients and method: an observational descriptive study of 233 newborns hospitalized in neonatal unit at Hue university‘ s hospital was done during 12 months from 01/01/2009 to 31/12/2009 for describing neonatal classification and identifying principal clinical and paraclinical signs. Results: Premature (16.74%); Term babies (45.5%); Post term (37.76%); Premature: asphyxia (43.59%), hypothermia (25.64%), vomit (30.77%), jaundice (61.54%), congenital malformation (17.95%); CRP > 10mg/l (53.85%); anemia Hb < 15g/dl (12.82%). Term babies: poor feeding (21.7%); fever (24.53%); CRP > 10mg/l (53.77%); Hyperleucocytes/ Leucopenia (35.85%). Post term: respiratory distress (34%); lethargy (29.55%); vomit (26.14%); polycuthemia (1.14%); hypoglycemia (22.73%). Conclusion: each of neonatal type classified by WHO presente different clinical and paraclinical. Signs. The purpose of this research is to help to treat neonatal pathology more effectively.

scholarly journals Examination of the Educational Needs of Home Visit Nurses: A Cross-Sectional Descriptive Study

2021 ◽  
Vol 18 (5) ◽  
pp. 2319
Author(s):  
Kyuri Lee ◽  
Dukyoo Jung
Keyword(s):  
Home Visit ◽  
Medication Management ◽  
Health Assessment ◽  
Descriptive Study ◽  
Educational Needs ◽  
Cross Sectional ◽  
Term Care ◽  
Long Term Care Insurance ◽  
And Training

This study aimed to identify educational needs and determine priorities in nursing care for home visit nurses providing services within the national long-term care insurance system in South Korea. This cross-sectional descriptive study assessed the educational needs of 92 home visit nurses. Participants’ characteristics were analyzed using percentages, averages, and standard deviations. Educational needs were calculated for participants’ current and required competency levels, utilizing the paired t-test, Borich’s educational needs formula, and the locus for focus model. Four main categories were identified as top priorities: (1) health assessment, (2) cognitive function care, (3) disease management, and (4) medication management. The study’s findings could support the development of appropriate and responsive education and training programs for home-visit nurses—as it reflects the actual needs of this group.

scholarly journals Assessment of health promotion content in undergraduate physiotherapy curricula

2015 ◽  
Vol 71 (1) ◽  
Author(s):  
Kebogile Mokwena ◽  
Koketso Phetlhe
Keyword(s):  
Health Promotion ◽  
Descriptive Study ◽  
Practical Training ◽  
Undergraduate Training ◽  
Undergraduate Level ◽  
Minimum Standards ◽  
Rural Settings ◽  
Training Programmes ◽  
Depth Interviews ◽  
And Training

Background: The integration of health promotion in the treatment of patients should be included in all academic curricula in primary training of health professionals. However, the extent to which health promotion is included in the various curricula at undergraduate level is not known.Objective: To assess the extent to which health promotion content is integrated in undergraduate physiotherapy training programmes in South Africa. Method: This was a qualitative and descriptive study, using in-depth interviews with representatives of physiotherapy academic departments.Results: All universities have some content of health promotion, with the weighting varying between 12% and 40%. Health promotion is taught at various levels of study, and health promotion training blocks are in both urban and rural settings and include communities, schools and old-age homes. The theories of advocacy, enabling and mediation are covered, but there is limited practical training on these elements. There are limited human resources trained in health promotion, as well as a lack of clear processes of developing and reviewing teaching and training materials.Conclusion: There is lack of consensus on the weighting of health promotion, the level at which it is taught and how it is evaluated across universities. Challenges to integrate health promotion in physiotherapy curricula include lack of frequent curricula reviews, inadequate training of lecturers and lack of conducive practical sites.The physiotherapy profession needs to reach a consensus on minimum standards for integration of health promotion in undergraduate training, and the physiotherapy professional board has the potential to provide the required leadership.

scholarly journals Prescribing errors involving antineoplastics and others drug centre of preparation of injectable drugs

2020 ◽  
Vol 11 (1) ◽  
pp. 0335
Author(s):  
Luciana SANTOS ◽  
Thalita JACOBY ◽  
Sandro NESS ◽  
Gérson GUERRA ◽  
Carlos A. WAYHS
Keyword(s):  
Error Rate ◽  
Descriptive Study ◽  
University Hospital ◽  
Drug Preparation ◽  
Prescribing Errors ◽  
Prescription Error ◽  
Validation Phase ◽  
Injectable Drugs ◽  
Pharmaceutical Interventions

Objective: To describe the prescribing errors involving antineoplastics and others drugs in a centre for the preparation of injectable drugs at a university hospital. Method: A retrospective descriptive study was carried out based on the records of a drug preparation center with prescribing errors identified in the pharmaceutical validation phase prior to drug preparation in the period from 2016 to 2017.Results: A total of 1516 prescriptions/month were evaluated and 562 prescribing errors were identified and the prescription error rate involving medications was 1.5%. Of the drugs most involved in errors are cisplatin (37.5%), etoposide (14.1%), carboplatin (8.9%), cyclophosphamide (5.7%) and oxaliplatin (4.1%). Most of the errors were related to the diluents associated with the preparations, either in the absence of this information or in the prescription of volumes outside the concentration range required by the preparation of the drug with 56% and 22.6% respectively. In 94.3% of the prescriptions identified with errors, pharmaceutical interventions were necessary for its correction before preparation with adhesion in 99.6% of the cases. Conclusion: Although prescribing errors are described in the literature, the study presents the fragility of the prescriber system, even when it is computerized, and the importance of organized barriers or processes to avoid errors of prescription and manipulation in a centre for the preparation of injectable drugs

scholarly journals The new jurisdiction: the impact of the Labour Relations Act

1970 ◽  
Vol 13 (3) ◽  
Author(s):  
John Hughes
Keyword(s):  
Trade Unions ◽  
Training Group ◽  
The State ◽  
Grievance Procedure ◽  
State Sector ◽  
Labour Relations ◽  
The Impact ◽  
And Training ◽  
The Way

The new jurisdiction conferred on the Labour Court by Part IX of the Labour Relations Act 1987 has a number of facets. First, there has been a widening of the categories of worker who may use the procedure, not only under the 1987 Act but also by virtue of the State Sector Act 1988. Secondly, there have been substantial changes to the way in which the personal grievance procedure operates. Thirdly, the grounds upon which a personal grievance claim may now be brought have been expanded. Fourthly, the available remedies, whilst not substantially changed, have been "tidied up". The treatment of these changes in this paper will be selective. The procedural changes have been excellently covered in Mike Dawson's indispensable guide Handling Personal Grievances Under the Labour Relations Act 1987 (Canterbury Trade Unions Research and Training Group/UEA, 1988). I would like to take the opportunity to highlight what seem to me to be some of the more far-reaching changes and, in the course of the paper, touch only lightly on the distinctly "procedural" aspects of the changes since the Labour Relations Act 1987 carne into force. Surprisingly few decisions so far have turned on the new provisions. Most retread the familiar ground of unjustifiable dismissal.

scholarly journals Automatic ICD-10 Coding and Training System: Deep Neural Network Based on Supervised Learning

10.2196/23230 ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. e23230
Author(s):  
Pei-Fu Chen ◽  
Ssu-Ming Wang ◽  
Wei-Chih Liao ◽  
Lu-Cheng Kuo ◽  
Kuan-Chih Chen ◽  
...  
Keyword(s):  
Neural Network ◽  
Deep Learning ◽  
Natural Language Processing ◽  
Natural Language ◽  
Language Processing ◽  
Deep Neural Network ◽  
University Hospital ◽  
Classification Model ◽  
Icd 10 ◽  
And Training

Background The International Classification of Diseases (ICD) code is widely used as the reference in medical system and billing purposes. However, classifying diseases into ICD codes still mainly relies on humans reading a large amount of written material as the basis for coding. Coding is both laborious and time-consuming. Since the conversion of ICD-9 to ICD-10, the coding task became much more complicated, and deep learning– and natural language processing–related approaches have been studied to assist disease coders. Objective This paper aims at constructing a deep learning model for ICD-10 coding, where the model is meant to automatically determine the corresponding diagnosis and procedure codes based solely on free-text medical notes to improve accuracy and reduce human effort. Methods We used diagnosis records of the National Taiwan University Hospital as resources and apply natural language processing techniques, including global vectors, word to vectors, embeddings from language models, bidirectional encoder representations from transformers, and single head attention recurrent neural network, on the deep neural network architecture to implement ICD-10 auto-coding. Besides, we introduced the attention mechanism into the classification model to extract the keywords from diagnoses and visualize the coding reference for training freshmen in ICD-10. Sixty discharge notes were randomly selected to examine the change in the F1-score and the coding time by coders before and after using our model. Results In experiments on the medical data set of National Taiwan University Hospital, our prediction results revealed F1-scores of 0.715 and 0.618 for the ICD-10 Clinical Modification code and Procedure Coding System code, respectively, with a bidirectional encoder representations from transformers embedding approach in the Gated Recurrent Unit classification model. The well-trained models were applied on the ICD-10 web service for coding and training to ICD-10 users. With this service, coders can code with the F1-score significantly increased from a median of 0.832 to 0.922 (P<.05), but not in a reduced interval. Conclusions The proposed model significantly improved the F1-score but did not decrease the time consumed in coding by disease coders.

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