scholarly journals Selection of formwork systems for arrangement of monolithic columns according to the method of integer rating of laborability and process duration

2021 ◽  
Vol 1 (47) ◽  
pp. 96-107
Author(s):  
G. Tonkacheev ◽  
V. Tonkacheev ◽  
K. Nosach
Keyword(s):  
Concrete Columns ◽  
Construction Equipment ◽  
Monolithic Columns ◽  
Cross Sectional ◽  
Reasonable Choice ◽  
Almost All ◽  
Monolithic Structures ◽  
Structural Versatility ◽  
Selection Of

The relevance of this article is related to the problem of standardization of technological processes in which there is construction equipment for concrete work. Almost all construction processes are performed using construction equipment. The arrangement of monolithic structures is accompanied by the processes of installation and dismantling of the formwork. It is impossible to make a reasonable choice of options for equipping construction processes according to the existing standard time norms. For all possible variants of column formwork, almost the same time norms are used [1]. The article considers the comparison of several formwork options for the installation of monolithic reinforced concrete columns of frame structures. To determine the duration and complexity of the process used the method of integer rationing [2], which allows taking into account even minor changes in the formwork. Calculation by this method makes it possible to select the most effective options for formwork. As a basis, this technique uses an analysis of the number of actions and responsibilities of these actions in relation to the quality of the process and its reliability. Any construction equipment is characterized by structural and technological versatility, which also affects the choice of options conditions of the process, so the article provides an analysis of these factors in terms of quality. If in the structure of the structure there are columns with different cross-sectional dimensions or heights, the preference is given to formwork options with greater structural versatility. The material of the article opens a whole direction for further research in the field of construction equipment in other processes.

scholarly journals RN4Cast Study in Portugal: Nurses and care left undone

2018 ◽  
Vol 7 (2) ◽  
pp. 58
Author(s):  
Clara Braga ◽  
Élvio Jesus ◽  
Beatriz Araújo
Keyword(s):  
Direct Patient Care ◽  
Cross Sectional ◽  
The Past ◽  
The North ◽  
Demographic Questionnaire ◽  
Surgical Units ◽  
Healthcare Quality Indicators ◽  
Almost All ◽  
Inpatient Units

Background: Over the past decades, nursing in Portugal has evolved greatly both academically and professionally and this evolution brought along growing concerns about the quality of the healthcare provided. Due to lack of time or poor organization of the workload, nurses are often faced with the need to choose between what must be done and what will have to be postponed or even not be done at all.Objective: To investigate the care activities that are most frequently left undone or are postponed by nurses working in medical and surgical inpatient units in Portugal.Methods: A descriptive, cross-sectional, quantitative study that follows the RN4CAST (Nurse Forecasting in Europe) methodology was carried out from October 2013 to April 2014. A total of 31 hospitals and a random sample of adult medical-surgical units were involved. The data were collected using a socio-demographic questionnaire and a nursing questionnaire that included the identification of the nursing activities of surveillance and direct patient care that were necessary but postponed or not performed by nurses in their most recent shift.Results: A total of 2,235 nurses participated. Almost all participants had a nursing bachelor degree (98.2%). The most frequently left undone or postponed care items were “Educating patients and family” (50.2%) and “Comfort/talk with patients” (50.1%); the least frequently left undone items were “Treatments and procedures” (3.9%) and “Pain management” (5.6%). Nurses in the North and Center regions of the country were the ones who reported less care left undone due to lack of time. Nurses under the age of 40 were those who reported a highest number of activities left undone.Conclusions: Nurses make selective choices about the care activities that are crucial for the patient. Some activities that may not have an immediate impact on the health of the patients are sidelined, although they may have an impact on other important healthcare quality indicators.

Solve Cast-in-Place Floor Slab in Frame Structure Buildings in the Study of \" Strong Beam Weak Column\" Issue

2014 ◽  
Vol 638-640 ◽  
pp. 233-237
Author(s):  
Xiao Wei Duan
Keyword(s):  
Frame Structure ◽  
Construction Equipment ◽  
Construction Technology ◽  
Floor Slab ◽  
Almost All

With the development of construction technology and construction equipment, now almost all industrial and civil buildings are changing to frame structure. As a result of the differences in floor height, span and the thickness of the cast-in-place floor slab, so the frame column and beam stress is different. When the stress exceeds a certain limit, then it will result in the problem of “strong beam weak column”, and this affects the quality of the buildings, thus how to solve the strong beam weak column caused by the cast-in-place floor slab becomes very meaningful.

scholarly journals Gambaran Tingkat Kepuasan Pasien pada Pelayanan Kesehatan dengan Jamu di Rumah Riset Jamu Hortus Medicus Tawangmangu

2018 ◽  
pp. 81-86
Author(s):  
Tri Wahyuni Lestari ◽  
Nurhayati Nurhayati ◽  
Delima Delima ◽  
Cicih Opitasari ◽  
Hadi Siswoyo
Keyword(s):  
Patient Satisfaction ◽  
Health Service ◽  
Healthy Lifestyle ◽  
Secondary Data ◽  
Service Model ◽  
Cross Sectional ◽  
Research Activities ◽  
Treatment Action ◽  
Almost All

Abstrak Rumah Riset Jamu Hortus Medicus (RRJHM) berdasarkan Permenkes No.003/Menkes/Per/2010, merupakan klinik jamu yang melakukan kegiatan penelitian berbasis pelayanan. Sebagai bagian dari fasilitas penelitian berbasis pelayanan kesehatan, maka RRJHM terus meningkatkan kualitas pelayanannya agar senantiasa dapat memenuhi kebutuhan pasien. Salah satu aspek peningkatan mutu pelayanan adalah aspek kepuasan pasien. Penelitian ini menggunakan disain cross-sectional dan merupakan analisis lanjut dari data penelitian Model Pelayanan Kesehatan Tradisional tahun 2016. Subjek penelitian adalah pasien yang berobat di RRJHM pada saat penelitian berlangsung. Tujuan analisis untuk mengetahui gambaran tingkat kepuasan pasien yang berobat ke RRJHM. Data dianalisis secara deskriptif. Hasil penelitian menunjukkan hampir seluruh responden merasa puas terhadap pelayanan di RRJHM. Namun, masih ada beberapa responden yang berpendapat tidak atau kurang puas terhadap beberapa aspek pelayanan seperti: pelayanan yang dapat diberikan dengan cepat, selalu menanyakan keluhan pasien, selalu memberikan kesempatan bertanya kepada pasien, memberikan informasi tentang penyakit, cara pengobatan/tindakan yang dilakukan, kontra indikasi dan efek samping yang mungkin terjadi secara jelas/mudah dimengerti, memberikan edukasi tentang pola hidup sehat (diet, aktivitas fisik), prosedur administrasi yang cepat, ruangan yang tertata bersih, rapi dan nyaman. Kata kunci: Kepuasan pasien, pelayanan kesehatan, jamu Abstract Based on Permenkes No.003/Menkes/Per/2010, Rumah Riset Jamu Hortus Medikus (RRJHM) is a jamu clinic that conducts service-based research activities. As part of the service based research facility, RRJHM continues to improve the quality of its services so that it can always fulfill the needs of patients. One aspect of improving the quality of service is the aspect of patient satisfaction. This cross-sectional descriptive study is an analysis of secondary data from the former research i.e.Traditional Health Service Model in 2016 that was conducted regarding patient satisfaction who visited at RRJHM. This study aims to determine the aspects of patient satisfaction at RRJHM. Data were analyzed descriptively. The results show that almost all respondents satisfied with the service at the RRJHM. However, there are still some respondents who are not satisfied with the service, especially in the aspect such as: the service is given quickly, always asks the patient’s complaint, always gives the opportunity to ask the patient, providing information about the disease, how the treatment/action is done, contra indications and side effects that may occur clearly/easily understood, providing education about healthy lifestyle (diet, physical activity), rapid administration procedures, clean, neat and comfortable room. Keywords: patient satisfaction, health service, herbal medicine

scholarly journals Student’s perception about Modular teaching and various instructional strategies in the subject of Obstetrics and Gynecology.

2020 ◽  
Vol 27 (01) ◽  
pp. 40-45
Author(s):  
Umber Fatima ◽  
Mubashra Naz ◽  
Humaira Zafar ◽  
Anees Fatima ◽  
Rizwan Rasool Khan
Keyword(s):  
Instructional Strategies ◽  
Teaching Methods ◽  
Learning Experience ◽  
Cross Sectional Study ◽  
Obstetrics And Gynecology ◽  
Cross Sectional ◽  
The Subject ◽  
Teaching Learning ◽  
Almost All

Many modifications have been introduced in the field of medical education in recent past with a shift from didactic to more student focused teaching strategies. Modular study system for final year MBBS students was introduced in the subject of Obstetrics and Gynecology in 2018 session. Objectives: To determine the students′ perception about modular teaching and various instructional strategies through feedback in the subject of Obstetrics and Gynecology at undergraduate level. Study Design: Cross sectional study. Setting: University Medical and Dental College, Faisalabad. Period: 1st January to 30th October 2018. Material & Methods: Eight modules were designed in the subject of obstetrics and gynecology for final year MBBS students. In order to ascertain the quality of teaching and to monitor the effectiveness of teaching methodologies, feedback was obtained.  A written questionnaire was designed to collect feedback. Interpretation of collected data was performed on SPSS 20. Results: Total 136 students participated in study by giving back properly filled questionnaire. Modular teaching was appreciated as an effective method by 93.4% students. Case based teaching, small group sessions and problem based learning were considered most favored teaching methods (97.7%, 97.1% and 94.85%) respectively by the students. Conclusion: Modular teaching was found to be an interesting and a useful teaching - learning experience by majority of students. Almost all students showed positive acceptance for various teaching methods. Students’ feedback was also useful in identifying course components that need improvement so that appropriate measures can be made to improve the overall quality and effectiveness of the course in future.

scholarly journals Rational red blood cells administration - have we achieved a satisfactory level?

2020 ◽  
Vol 148 (5-6) ◽  
pp. 299-303
Author(s):  
Vojislav Lukic ◽  
Biljana Zivotic ◽  
Branislava Vasiljevic ◽  
Almira Sabani ◽  
Gradimir Bogdanovic ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Cross Sectional ◽  
Allogeneic Transfusion ◽  
Care Facilities ◽  
Almost All ◽  
Transfusion Ratio ◽  
Cross Match

Introduction. The important indicators of the quality of work in blood transfusion banks and health care facilities in general is the ratio of the cross-matched red blood cell (RBC) units, and the number of transfused RBC, known as cross-match to transfusion ratio (C:T). The objective of this research was to provide an assessment of the quality of our work in a cross-sectional study, showing C:T ratios for certain areas of surgery or particular surgical indications. Methods. We analyzed the data related to the activities of the Department for Pre-Transfusion Testing and Blood Distribution at the Blood Transfusion Institute of Serbia during the September and November of 2017 period. In total, 341 patients were included in the study, for whom 1,067 RBC units were requested. Results. In pre-transfusion testing, 562 units were cross-matched and 249 units were transfused. The overall C:T ratio was 2.25. There are variations in C:T by departments. For the departments of abdominal surgery and reanimation, where uncrossmatched RBC units were requested, C:T was < 2. Other departments had C:T > 3 for almost all therapeutic areas. Conclusion. Our results show that the C:T ratio ranged 2.02?3.6, indicating the need to reevaluate the protocols based on which the blood is requested according to individual indications, to adequately prepare patients for surgery in order to reduce the risk of possible allogeneic transfusion, and to apply Patient Blood Management protocols, which include the use of alternatives to allogeneic blood transfusion.

scholarly journals Quality of life among newly admitted patients to cancer hospital in Vietnam and associated factors

2020 ◽  
Vol 7 (2) ◽  
pp. 205510292095304
Author(s):  
Bui Vinh Quang ◽  
Le Dai Minh ◽  
Le Thi Le Quyen ◽  
Duong Ngoc Le Mai ◽  
Nguyen Tien Dat ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cross Sectional Study ◽  
Gastrointestinal Cancers ◽  
Financial Difficulty ◽  
Cross Sectional ◽  
Cancer Hospital ◽  
Global Quality ◽  
Global Quality Of Life ◽  
Almost All

A cross-sectional study was conducted among 262 newly admitted patients of a cancer hospital in Vietnam. The Vietnamese version EORTC-30 questionnaire 3.0 was used to interviews patients during the first week after their admission. Lower global quality of life and physical functioning scores were significantly associated with older age, lung and gastrointestinal cancers. Emotional functioning score was lower among female patients as compared to males. Financial difficulty was an important preditor for almost all functional scales. Management of early symptoms, providing early emotional supports and appropriate policies to reduce financial difficulty are important to improve cancer patients’ quality of life.

Impact of Metabolic Status on the Course of Atrial Fibrillation

2018 ◽  
Vol 25 (2) ◽  
pp. 165-169
Author(s):  
Renate Dresmane ◽  
Laima Caunite ◽  
Aleksandrs Vasiljevs ◽  
Oskars Kalejs
Keyword(s):  
Atrial Fibrillation ◽  
Disease Burden ◽  
Cumulative Effect ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Single Risk Factor ◽  
Metabolic States ◽  
Metabolically Healthy ◽  
Almost All

Abstract Background and aims: Metabolic syndrome (MS) might influence the course of atrial fibrillation (AF) similarly to diabetes (DM). Aim of this research is to evaluate the quality of life, disease burden and medication adherence of patients with different metabolic states. Material and methods: A cross-sectional study of Latvian Center of Cardiology Arrhythmology Department patients with AF, sorting patients in 3 categories according to the National Institutes for Health guidelines criteria for MS. Results: From 133 patients, 51 were in metabolically healthy (MH) group, 58 in MS group and 24 had DM. Average age was 62.59 in MH, 67.59 in MS and 66.25 in DM group. Most common form of AF was persistent - MH 49%, MS 65.5%, DM 75%. Best EHRA median value was observed in DM group (29.2% reporting mild symptoms). Majority of patients had 1-2 comorbidities in MH and MS group and 3-5 in the DM group, with almost all patients using 4-9 drugs daily. Conclusions: A similar course of AF was observed in MS and DM groups. Since the same molecular pathways are involved, MS should be viewed as a cluster of risk factors with a cumulative effect - greater than the effect of a single risk factor.

scholarly journals Health-related quality of life predictors during medical residency in a random, stratified sample of residents

2009 ◽  
Vol 31 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Paula Costa Mosca Macedo ◽  
Vanessa de Albuquerque Cítero ◽  
Simone Schenkman ◽  
Maria Cezira Fantini Nogueira-Martins ◽  
Mauro Batista Morais ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Short Form ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Cross Sectional Study ◽  
First Year ◽  
Cross Sectional ◽  
Critical Patients ◽  
Almost All

OBJECTIVE: To evaluate the quality of life during the first three years of training and identify its association with sociodemographicoccupational characteristics, leisure time and health habits. METHOD: A cross-sectional study with a random sample of 128 residents stratified by year of training was conducted. The Medical Outcome Study -short form 36 was administered. Mann-Whitney tests were carried out to compare percentile distributions of the eight quality of life domains, according to sociodemographic variables, and a multiple linear regression analysis was performed, followed by a validity checking for the resulting models. RESULTS: The physical component presented higher quality of life medians than the mental component. Comparisons between the three years showed that in almost all domains the quality of life scores of the second year residents were higher than the first year residents (p < 0.01). The mental component scores remained high for third year residents (p < 0.01). Predictors of higher quality of life were: second or third year of residency, satisfaction with the training program, sufficient time for leisure, and care of critical patients for less than 30 hours per week. CONCLUSION: The mental component of quality of life was the most impaired component, indicating the importance of caring for residents' mental health, especially during their first year and when they are overloaded with critical patients.

Use of real patients in teaching ENT diseases to undergraduate students and its effects on patient satisfaction: cross-sectional survey

2015 ◽  
Vol 129 (7) ◽  
pp. 666-669 ◽  
Author(s):  
E Löfgren ◽  
S Alikoski ◽  
S Hannula ◽  
M Sorri ◽  
O-P Alho
Keyword(s):  
Patient Satisfaction ◽  
Health Service ◽  
Undergraduate Students ◽  
Cross Sectional Study ◽  
Undergraduate Teaching ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Almost All ◽  
Real Patients

AbstractObjectives:To describe a method of using real patients in teaching ENT to undergraduates and to examine whether being a case patient affected patient satisfaction.Methods:In a cross-sectional study, 68 teaching-involved patients (case patients) with a suspected common ENT illness and 68 matched (in terms of age, sex and region of complaint) control patients evaluated the health service and their encounter with the physician. The students saw the case patients first independently and then saw the patient with the teacher physician. The controls were treated in a normal way.Results:Fifty-eight case patients (84 per cent) and 65 control patients (95 per cent) answered the questionnaire. The median duration of the visit was significantly longer for the case patients than the controls (115 vs 60 minutes). Almost all patients in both groups graded the overall quality of the health service, and the variables describing various aspects of the setting and the encounter with the physician, as either good or excellent.Conclusion:Patients who took part in the undergraduate teaching of ENT diseases were equally content with their primary visit as the control patients, even though their visit took a markedly longer time.

scholarly journals BOARDING TIME AND PATIENT SATISFACTION AT THE EMERGENCY DEPARTMENT

2019 ◽  
Vol 7 (2) ◽  
pp. 7
Author(s):  
Uswatun Hasanah ◽  
Nurul Jannatul Firdausi
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
General Hospital ◽  
Simple Random Sampling ◽  
Observational Research ◽  
Chi Square ◽  
Cross Sectional ◽  
Average Patient ◽  
Almost All

Background: Delays of inpatient transfer from the Emergency Department (ED) will affect delayed care, overcrowd at ED, and patient’s disappointment. Such patient transfer delay from the Emergency Departement (ED) also occurs at Haji General Hospital, Surabaya.Aims: This study analyzed the relationship  between inpatient boarding time from Emergency Departement (ED) and patient satisfaction at Haji General Hospital, Surabaya.Methods: This was an observational research using a cross-sectional approach. The population was 980 ED patients who decided to be hospitalized. Out of 980 ED patients, the study only involved 83 respondents selected by simple random sampling. The instruments used were observational sheet and questionnaires to collect data which were then analyzed with a chi-square test.Results: Average boarding time was 142 minutes 25 seconds (minimum = 60 minutes; maximum = 290 minutes). Almost all respondents (81.3%) were satisfied about fast boarding time. Inpatient boarding time at the Emergency Departement (ED) was significantly related to patient satisfaction (p = 0.058 <α = 0.1). The faster inpatients move to ED, the more satisfied they are.Conclusion: The average patient boarding time from the Emergency Departement (ED) to Inpatient Unit was slow. Respondents were satisfied with the quality of services even though patient boarding time was slow. The hospital should pay more attention to evaluate the minimal standard of boarding time, ensure the availability of beds,  and improve the quality of facilities and services to enhance patient satisfaction. Keywords: Boarding time, Emergency Department, Inpatient, Satisfaction.

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