URINARY CONTINENCE DIVERSION IN CHILDREN WITH NEUROGENIC BLADDER

Neurogenic bladder is a chronic condition affecting patients of all ages with significant medical and quality of life implications. Goals of treatment consist of protection of the upper urinary tract and promotion of reliable urinary continence. Successful management involves medications and most often bladder drainage via clean intermittent catheterization. This article reviews current literature on medical management to achieve goals of treatment.

Download Full-text

A review on the use of operational research techniques in the medical records department

Proceedings of Singapore Healthcare ◽

10.1177/2010105819899113 ◽

2020 ◽

Vol 29 (1) ◽

pp. 42-49

Author(s):

Hossein Bagherian ◽

Maryam Jahanbakhsh ◽

Nahid Tavakoli

Keyword(s):

Medical Records ◽

Operational Research ◽

English Language ◽

Quality Of Services ◽

Patient Scheduling ◽

Inclusion Criteria ◽

Workload Management ◽

Analysis Process ◽

Language Studies

Introduction: Various operational research (OR) techniques have been used in different areas of healthcare. One of the areas in which OR techniques can be effective is the medical records department (MRD). The aim of this study is to review the applications of OR in the management of MRD and its related processes. Methods: This is a review article. In order to collect data, English-language studies published between 2000 and 2018, related to the use of OR techniques in MRD, in the Medline, Science Direct, ProQuest and Web of science databases were investigated. From 1165 retrieved studies, 19 articles met the inclusion criteria and were included in the final review. Results: The results showed that different OR techniques such as linear programming, integer programming, simulation, hierarchical analysis process, etc. have been used in various aspects of the MRD and its ongoing processes such as improving efficiency, workload management, resource allocation, optimal scheduling of staff work hours, patient scheduling, patient admission and discharge. Conclusion: It can be concluded that if the managers and experts of MRD and health information management become familiar with the principles and techniques of OR and become aware of the importance of these techniques in improving efficiency of MRD, there is a hope that in the future these techniques will find their true place in MRD and ultimately enhance the quality of services provided to patients.

Download Full-text

Medical Management of Neurogenic Bladder

10.2310/uro.11051 ◽

2017 ◽

Author(s):

Anne P Cameron ◽

John T Stoffel

Keyword(s):

Botulinum Toxin ◽

Neurogenic Bladder ◽

Urinary Continence ◽

Nocturnal Polyuria ◽

Combination Drug ◽

Suitable Alternative ◽

Bladder Drainage ◽

Bladder Compliance ◽

Cord Injury

In the management of neurogenic bladder (NGB), the goals are first and foremost to protect the upper tract from damage. The second treatment goal is to maintain urinary continence, but all the while maintaining the patient’s quality of life. These goals are achieved by treating most patients with NGB in a targeted fashion based on urodynamic findings. Medical therapy optimization and appropriate bladder drainage are the cornerstones of NGB management. Detrusor overactivity, poor bladder compliance, and incontinence related to these are best initially managed with antimuscarinic agents,; however, there is an increasing role for the new beta3 agonists. In the event these therapies fail, botulinum toxin is often the next choice; however, is an expensive treatment, and some patients may be treated with combination drug therapy. Nocturnal polyuria is also extremely common in this group of patients and is quite bothersome. After other risk factors have been excluded, medical treatment with desmopressin may be a suitable alternative. This review contains 3 highly rendered figures, 2 tables, and 85 references Key words: adrenergic alpha blockers, antimuscarinics, botulinum toxin, desmopressin, imipramine, mirabegron, multiple sclerosis, neurogenic bladder, spinal cord injury

Download Full-text

Evaluasi Penggunaan Antibiotik pada Pasien Tifoid Rawat Inap di Salah Satu Rumah Sakit Pemerintah Provinsi Bali dengan Metode Gyssens dan ATC/DDD

Jurnal Farmasi Udayana ◽

10.24843/jfu.2020.v09.i01.p06 ◽

2020 ◽

pp. 37

Author(s):

I Gusti Ayu Nyoman Dyah Sukmawati ◽

Made Krisna Adi Jaya ◽

Dewa Ayu Swastini

Keyword(s):

Medical Records ◽

Antibiotic Use ◽

Research Data ◽

Provincial Government ◽

The Other ◽

Inclusion Criteria ◽

Inappropriate Use ◽

Government Hospitals ◽

Global Health Problem

Typhoid is a global health problem especially in developing countries, one of which is in Indonesia. The incidence of antibiotic resistance in typhoid therapy can occur due to inappropriate use of antibiotics. This study aims to determine patterns of antibiotic use as well as the quality and quantity of antibiotic use in typhoid therapy in one of the provincial government hospitals in Bali. This study was an observational study conducted retrospectively which was analyzed using the Gyssens and ATC/DDD methods. The research data were taken from the medical records of patients in the January-December 2019 period that met the inclusion criteria. The results showed that of the 40 total antibiotics prescribing, ceftriaxone was the most widely used antibiotic for typhoid therapy. The quality of antibiotic use as much as 40% is stated rational (category 0), while the other 60% is irrational (categories I-VI) which includes the use of antibiotics with incorrect interval of administration (IIB; 5%), the use of antibiotics that is too long (IIIA; 40%), the use of antibiotics that are too short (IIIB; 5%), there are other antibiotics that are more effective (IVA; 5%), and there are other antibiotics that are less toxic/safer (IVB; 5%). The quantity of antibiotic use was stated more than WHO standards which includes the use of ceftriaxone at 83.80 DDD/100 patient days; levofloxacin at 27.47 DDD/100 patient days; and azithromycin at 3.52 DDD/100 patient days. The results of this study are expected to be a consideration for the hospital as a material for evaluation and improvement in order to improve the rationality of antibiotic use.

Download Full-text

Medical Management of Neurogenic Bladder

10.2310/tywc.11051 ◽

2018 ◽

Author(s):

Anne P Cameron ◽

John T Stoffel

Keyword(s):

Botulinum Toxin ◽

Neurogenic Bladder ◽

Urinary Continence ◽

Nocturnal Polyuria ◽

Combination Drug ◽

Suitable Alternative ◽

Bladder Drainage ◽

Bladder Compliance ◽

Cord Injury

In the management of neurogenic bladder (NGB), the goals are first and foremost to protect the upper tract from damage. The second treatment goal is to maintain urinary continence, but all the while maintaining the patient’s quality of life. These goals are achieved by treating most patients with NGB in a targeted fashion based on urodynamic findings. Medical therapy optimization and appropriate bladder drainage are the cornerstones of NGB management. Detrusor overactivity, poor bladder compliance, and incontinence related to these are best initially managed with antimuscarinic agents,; however, there is an increasing role for the new beta3 agonists. In the event these therapies fail, botulinum toxin is often the next choice; however, is an expensive treatment, and some patients may be treated with combination drug therapy. Nocturnal polyuria is also extremely common in this group of patients and is quite bothersome. After other risk factors have been excluded, medical treatment with desmopressin may be a suitable alternative. This review contains 3 highly rendered figures, 2 tables, and 85 references Key words: adrenergic alpha blockers, antimuscarinics, botulinum toxin, desmopressin, imipramine, mirabegron, multiple sclerosis, neurogenic bladder, spinal cord injury

Download Full-text

Description Of Factors Affecting Delay Return Of Hospitalization Medical Record

Proceeding International Conference on Medical Record ◽

10.47387/icmr.v1i1.14 ◽

2021 ◽

Vol 1 (1) ◽

Author(s):

Linda Handayuni ◽

Dewi Mardiawati ◽

Ririn Afrima Yenni ◽

Elda Nelfia

Keyword(s):

Human Resources ◽

Medical Record ◽

Medical Records ◽

Research Method ◽

Rate Of Return ◽

Inclusion Criteria ◽

Literature Study ◽

Factors Affecting ◽

And Training

Background: The restoration of medical records is an important part of the medical record unit, because it is the beginning of activities before the start of processing the patient's medical records. Many factors influence the delay in returning medical records, namely the medical resume form sheets that have not been filled in completely by doctors and nurses who handle patients and the lack of good responsibility in returning inpatient medical records. The purpose of this literature study is to determine the factors that influence the delay in returning hospitalized medical records.Methods: The research method used is literature study with data search using google shoolar. The inclusion criteria used were journals to determine the factors that influenced the delay in returning fully accessed inpatient medical records.Results: The results of the literature study show that the rate of delay in returning inpatient medical records is still high 50%, late which is influenced by 44.4% poor responsibility for returning medical records, and doctor's discipline in filling in complete 70% complete medical resume.Conclusions: Based on the results of this study, it can be concluded that the rate of return of medical records in hospitals is still high. Researchers suggest cooperation between nurses and doctors in filling and returning medical records to improve the quality of hospital medical records, as well as the need to improve human resources and training.

Download Full-text