scholarly journals The Accuracy of Diagnosis and Treatment Made by Pre-hospital Emergency Medical Technicians in Patients Admitted to Hospitals in Qazvin, Iran

2020 ◽  
Vol 24 (6) ◽  
pp. 510-519
Author(s):  
Peyman Namdar ◽  
◽  
Amir Mohammad Kazemifar ◽  
Mahsa Mohammadi ◽  
◽  
...  
Keyword(s):  
Work Experience ◽  
Correct Diagnosis ◽  
Diagnosis And Treatment ◽  
Emergency Medical Technicians ◽  
Hospital Emergency ◽  
Chi Square ◽  
Emergency Medical ◽  
Treatment Measures ◽  
Service Training ◽  
Chi Square Test

Background: Correct diagnosis and appropriate treatment measures of pre-hospital Emergency Medical Technicians (EMTs) are very important in improving the quality of patient care and reducing mortality and costs. Objective: This study aims to investigate the accuracy of diagnosis and treatment made by pre-hospital EMTs in patients admitted to hospitals in Qazvin, Iran. Methods: In this descriptive study conducted in 2018, the medical records of 600 patients who were transferred to Bu-Ali Sina and Velayat hospitals in Qazvin by ambulance during March-June 2018 were examined. Diagnosis and treatment measures were extracted from the emergency sheet. Education, work experience, and amount of in-service training of pre-hospital EMTs were also collected. Data were analyzed in SPSS V. 23 software using ANOVA, Chi-square test, and t-test. Findings: Out of 600 cases, 71.7% of the initial diagnoses made by EMTs were correct, 8.5% were incorrect, and 19.8% were without initial diagnosis. Regarding the treatment measures, 65.8% were correct and 3.5% were incorrect. Conclusion: Prompt help and correct diagnostic and treatment measures of pre-hospital EMTs can significantly reduce mortality and potential injuries.

scholarly journals Knowledge on Pre-Hospital Emergency Management of Tooth Avulsion among Croatian Kindergarten Teachers

2020 ◽  
Vol 44 (3) ◽  
pp. 133-138
Author(s):  
Zvonimir Užarević ◽  
Marko Matijević ◽  
Nikola Matijević ◽  
Vedrana Nikolašević ◽  
Vesnica Mlinarević ◽  
...  
Keyword(s):  
Emergency Management ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Kindergarten Teachers ◽  
Hospital Emergency ◽  
Chi Square ◽  
Cross Sectional ◽  
Tooth Avulsion ◽  
Chi Square Test ◽  
Dental Professionals

The aim of this study was to evaluate knowledge on pre-hospital emergency management of tooth avulsion among Croatian kindergarten teachers. A cross-sectional study was conducted among 33 educators in kindergarten (average 43.9±9.7 years). The questionnaire contained 10 close-ended questions with two or eleven possible answers. Statistical significance was determined using chi-square test. Majority of participants had no experience with tooth injury among children in kindergarten. Questions about the familiarity with the terms of a knocked-out tooth and tooth replantation and whether the knocked-out tooth should be replanted were confirmatively answered by 90.9%, 57.6% and 63.6% of participants, respectively. Only 9.1% of participants provided the correct answer that replantation should be done within 30 minutes. 78.8% of participants would choose correct medium for cleaning if avulsed tooth got dirty. Tooth would be transported in appropriate medium by 48.5% of participants. Correct answers on both the transport medium and the cleaning of knocked-out tooth were provided by 45.5% participants. 57.6% participants would seek help for replantation by visiting the nearest dentist. None of the participants had ever received any kind of information on management of a knocked-out tooth. The kindergarten teachers have a lack of knowledge for immediate response to tooth avulsion. Every kindergarten teacher should be well informed what should be done if some type of dental injury happens. The official communication between dental professionals and kindergarten teachers should be improved at local and regional level.

scholarly journals Spatial Analysis of Pre-Hospital Emergency Bases in Disasters in Tehran Province, Iran

2021 ◽  
pp. 61-76
Keyword(s):  
Emergency Medical Technicians ◽  
Rational Maps ◽  
Medical Sciences ◽  
Hospital Emergency ◽  
Descriptive Research ◽  
Emergency Medical ◽  
Pilot Work ◽  
Tehran Province ◽  
Human Burden

INTRODUCTION: Tehran is always exposed to various dangers due to its high population density. A geographic information system (GIS) can be very useful for reducing the financial and human burden caused by accidents, disasters, and diseases. METHODS: This field study was performed using a practical and descriptive research method. The pre-hospital emergency bases in the east of Tehran province and all the emergency bases covered by Shahid Beheshti University of Medical Sciences in disasters were evaluated as a case study. The population of these cities amounted to 1,149,485 people and included cities in the east of Tehran province, Iran, including Damavand, Firoozkooh, Pakdasht, Pishva, Qarchak, and Varamin. FINDINGS: Rational maps were created and analyzed in the areas where emergency bases were located using ArcGIS software, as well as analysis of regions, distances, point density, and a combination of these factors. Regarding the standards and indicators, it was determined that the Disaster and Emergency Medical Management Center needs to have130 emergency medical technicians, 23 ambulances, and one ambulance bus to equip the exiting emergency bases according to the standard pre-hospital regulations. Other requirements in this regard include the replacement of worn-out ambulances with new ones, construction of two emergency bases in Qarchak, Tehran, Iran, and three emergency bases in Pakdasht, Tehran, Iran, as well as the transfer of bases in the proximity of faults and flood-prone areas to safe places. CONCLUSION: Based on the obtained results, a comprehensive pre-hospital database was designed for the use of managers and officials in the occurrence of accidents, which might be used as a pilot work that can be expanded to other areas of Tehran, Iran, and other provinces in managing disasters and accidents.

scholarly journals Depression, anxiety, and stress in dentists in times of covid-19 in northern Peru.

2021 ◽  
Vol 10 (2) ◽  
pp. 1-7
Author(s):  
Gleiser Arias-Vásquez ◽  
◽  
María Espinoza-Salcedo ◽  
Keyword(s):  
Work Experience ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Northern Region ◽  
Psychological Disorder ◽  
Mild Stress ◽  
Mild Depression ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Objective: To determine the levels of depression, anxiety, and stress in dentists working in the northern region of Peru in times of COVID-19. Material and Methods: 310 dentists working in the northern region of Peru in times of COVID-19 were evaluated by means of an observational and cross-sectional study. Subjects were asked to give their informed consent and answer a virtual questionnaire containing 21 items based on the DASS-21 Scale that assesses depression, anxiety, and stress. A descriptive analysis was carried out with frequencies; for the variables of gender and years of work experience the Chi square test (p<0.05) was used. Results: It was found that 291 (93.87%) of the dentists suffered from some type of psychological disorder: stress (35.74%), anxiety (35.05%), depression (29.21%). Mild stress was the most prevalent accounting for 49.04% (51); mild depression with 45.88% (39), and moderate anxiety with 40.20% (41). A higher prevalence was found in females and in those dentists who had less than 5 years of work experience. Conclusion: 93.87% of dentists working in the northern region of Peru in times of COVID-19 presented some type of psychological disorder, a higher frequency of mild stress was found, followed by mild depression, and moderate anxiety.

The Incidence Rate of Temporomandibular Joint Dysfunction in Patients with Earache

2020 ◽  
Author(s):  
Shamsoulmolouk Najafi ◽  
Nafiseh Sheykhbahaei ◽  
Maryam-Sadat Sadrzadeh-Afshar ◽  
Shahin Asadi-Ghalhari ◽  
Narges Gholizadeh
Keyword(s):  
Temporomandibular Joint ◽  
Incidence Rate ◽  
Correct Diagnosis ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Temporomandibular Joint Dysfunction ◽  
Chi Square Test ◽  
Axis I ◽  
And Gender

Background and Objectives: Temporomandibular joint dysfunction (TMD) is known as a chronic pain in the earsmanifested in the form of tinnitus, earache, hearingloss, vertigo, and other impairments. Although patients affected with this disorderundergo long-term treatmentsusing various medicines without significant pain relief,medical care is still possible with a correct diagnosis. This study investigated the incidencerate of TMD in patients suffering from earache. Materials and Methods:This cross-sectional study investigate theincidencerate of TMDin patients with earache referring todental clinics affiliated toTehran University of Medical Sciences (TUMS), Iran, including patients with over six months of earache or those having pain despite using medicines. The Diagnostic Criteria for TMD (DC/TMD) Axis I and II Protocol was used for examining TMD and stress, and also independent t-test and Chi-square test were employedto compare TMD patientsin terms of age and gender. Results:A total number of 100 individuals aged between 18 and 65 years, including 40 males and 60 females were examined in this study. The incidence rate of TMD in patients with earache was also reported by 76.5%. Conclusion:The results indicated a highincidence rate ofTMDin patients having earache. Accordingly, patients complaining about TMD required specialized earache evaluationsby dentists and medics.

scholarly journals Compliance with personal protective equipment use among non-medical healthcare professionals during Covid-19 pandemic

2021 ◽  
pp. 258-266
Author(s):  
Estika Mei Diana ◽  
Anna Wahyuni Widayanti ◽  
Satibi
Keyword(s):  
Personal Protective Equipment ◽  
Work Experience ◽  
Healthcare Professionals ◽  
Univariate Analysis ◽  
Virus Transmission ◽  
Binary Logistic Regression ◽  
Protective Equipment ◽  
Chi Square ◽  
Chi Square Test ◽  
Medical Healthcare

Non-medical healthcare professionals, including pharmacists, pharmacy technicians, nutritionists, and radiographers, have a high risk of  COVID-19 infection during work. Personal protective equipment use has shown effective in preventing virus transmission. This study aimed to investigate the compliance with personal protective equipment use and identify the factors that may influence their compliance. The study was designed cross-sectionally, with a self-administered questionnaire. The respondents were non-medical healthcare professionals recruited from covid and non-covid ward at Saiful Anwar General Hospital. The data were collected in November 2020. The questionnaire consists of four questions to assess compliance and eighteen questions to explore the factors that may relate to their compliance. This study used the Chi-square test to differentiate the level of compliance between two groups and binary logistic regression to analyze factors that may influence the compliance. Most participants in this study were female (84.8%), with a median age of 33 (23 – 57) years. More than 80 % of participants worked in the non-covid ward. Only one-fifth of participants had work experience of more than 15 years. The compliance with personal protective equipment was 67.3%. In univariate analysis, factors that influenced the compliance were difficulty using, removing, and disposing of personal protective equipment, lack of training and regular monitoring, unsure about the effectiveness of personal protective equipment, uncomfortable in donning personal protective equipment. Co-workers never reminding themselves to use personal protective equipment also influence compliance. In the multivariate analysis, the difficulty of using, removing and disposing of personal protective equipment (OR 2.83 (0.730 – 3.478), p=0.025) significantly influenced compliance with personal protective equipment use.

scholarly journals Knowledge about dentin hypersensitivity: A questionnaire-based survey among dental students and young dentists

2020 ◽  
Vol 7 (3) ◽  
pp. 175-183
Author(s):  
Emilia Bologa ◽  
◽  
Simona Stoleriu ◽  
Angela Cristina Ghiorghe ◽  
Galina Pancu ◽  
...  
Keyword(s):  
Clinical Teaching ◽  
Management Strategies ◽  
Treatment Strategies ◽  
Dental Students ◽  
Predisposing Factors ◽  
Average Score ◽  
Dentin Hypersensitivity ◽  
Chi Square ◽  
Treatment Measures ◽  
Chi Square Test

Introduction Continued education is a fundamental characteristic of one’s working life, especially in the medical field. Keeping up to date should be a mandatory element of dental practice. Dentin hypersensitivity (DH) has been a long-term significant challenge for practitioners due to the uncertainties around its diagnosis and treatment. The aim of this study is to assess the knowledge of senior dental students and young doctors with respect to this dental pathology. Methodology A total of 632 self-administered questionnaire were distributed to dental students and doctors for data collection. The 10 questions investigated the knowledge about the description of pain in DH, triggering and predisposing factors, treatment strategies, preventive and treatment measures, remineralization products, etiological factors of dental wear, and main characteristics of DH. The data were analyzed using SPSS 20.0. Standard descriptive statistics were computed and analytical statistical analysis was performed using Pearson’s chi-square test. Results The response rate for dental students was 87.87% and 10.2% for young doctors. Most respondents revealed a good level of knowledge regarding pain characterization, triggering factors, and predisposing factors of dentin hypersensitivity, and a satisfactory level for the disease management strategies. The average score of the questionnaire recorded at group level was 42.253. Conclusion Young dentists had better knowledge of DH compared to 6th-year dental students. The information obtained from this study revealed that there is a need to provide better theoretical but also clinical teaching opportunities to students, as well as continued educational programs to young doctors.

scholarly journals An Investigation into Training of Elementary and Secondary Level Teachers Regarding Modern Teaching Skills

2020 ◽  
Vol 1 (3) ◽  
pp. 200-211
Author(s):  
Dr. Muhammad Naeem Ullah ◽  
Dr. Muhammad Malik ◽  
Mr. Wahid Mehmood
Keyword(s):  
Human Resource Development ◽  
Human Resource ◽  
Secondary Level ◽  
Teaching Skills ◽  
Training Design ◽  
Chi Square ◽  
Service Training ◽  
Chi Square Test ◽  
Use Of Social Media ◽  
Skills Use

There are many functions of Human Resource Management. Human Resource Development works under the supervision of HRM. HRD is a structure that helps the employees to get their skills, enhance their ability, and to get knowledge. It is framework to help the employees. HRD is a set of system which helps the employees to get a better opportunity and to enhance their skills to meet the circumstances of the future. It is a set of systematic activities by HRM. It is a systematic and efficient activity. This research aimed to measure the drawbacks of in-Service training Design for teachers at elementary and secondary levels in Punjab. The main objective of the study was (1) To investigate whether skills for modern teachers were inculcated in the training of Elementary and Secondary Level Teachers. The population of the study consisted of all Trainers and Trainees (Teachers) at Elementary and Secondary level in Punjab. The sample of the study was comprised of 665 trainers and trainees and the sample for supplementary Questioners comprised of 621 trainers and trainees.  Data was collected through Questioners. Two separate Questioners were developed for trainees and trainers and a supplementary Questionnaire was also prepared to address the remaining aspects related to disaster management, Computer skills, use of social media, and multigrade teaching. Three-Point scale was used for questionnaires and weightage was given as (1) Mostly (2) To Some Extent (3) Not at All. Chi-Square test was applied for Statistical analysis. The researcher personally visited the schools and distributed questionnaires among respondents. Data collected through research instruments were tabulated, analyzed, and was discussed. Rawalpindi and Gujranwala Divisions were selected for collection of data and the study was delimited to District Attock, Rawalpindi, and Gujranwala. This Research is fruitful for trainees and trainers as well as the administration of the Training Institutes. This study presents satisfactory results, but many aspects were being ignored in training which need attention and concentration accordingly.

scholarly journals Challenges of Organisational Structure and Human Resources in Pre Hospital Emergency Medical Systems for Cardiopulmonary Resuscitation: A Qualitative Study

2021 ◽  
Author(s):  
Nahid Dehghan Nayeri ◽  
Hassan Nouri Sari ◽  
Fatemeh Bahram Neghad ◽  
Fatemeh Hajibabaee ◽  
Mojtaba Senmar
Keyword(s):  
Qualitative Study ◽  
Cardiopulmonary Resuscitation ◽  
Human Resources ◽  
Work Experience ◽  
Hospital Setting ◽  
Organisational Structure ◽  
Medical Systems ◽  
Hospital Emergency ◽  
Emergency Medical ◽  
Emergency Medical Systems

Introduction: Studies about Cardiopulmonary Resuscitation (CPR) in pre hospital setting in Iran is limited. Despite the importance of this issue, numerous challenges in this area are left unattended. Aim: To explore the challenges of the organisational structure and the human resources in pre hospital Emergency Medical Systems (EMSs) for CPR. Materials and Methods: This qualitative study was conducted using content analysis approach. Data was collected through semi-structured interviews in 2020, until saturation was achieved. The participants were 16 Iranian emergency medical staff who were selected through a purposive sampling method. Data were analysed based on the Graneheim UH and Lundman B approach. Results: Thirteen participants were males and the rest were females. The mean age of the participants was 33.06±7.85 years and their mean work experience was 10.62±6.63 years. By analysing the data, the information was placed in two main categories- “the challenges of human resources” which includes four sub categories (lack of experience and skills, intrapersonal challenges, non targeted performance and weakness in education as the existing challenges), and “the challenges of organisational structure” which includes three sub categories (improper structure and access, lack of organisational support and shortages of the facilities and the equipment as the existing challenges). Conclusion: Results from the present study revealed that pre hospital EMSs staff had to face various problems, challenges and limitations in CPR. Therefore, the ability of these staff to manage these challenges should be increased through the opportunity to acquire clinical knowledge and skills in order to improve patient-centered services.

scholarly journals HR Marketing as a Supporting Tool of New Managerial Staff in Industry 4.0

2019 ◽  
Vol 9 (3) ◽  
pp. 60 ◽  
Author(s):  
Kateřina Jančíková ◽  
František Milichovský
Keyword(s):  
Roc Curve ◽  
Work Experience ◽  
Industry 4.0 ◽  
Business Environment ◽  
Sample Population ◽  
Chi Square ◽  
Chi Square Test ◽  
Managerial Positions ◽  
And Cluster Analysis ◽  
Graphical Design

Human resource marketing (HRM) is focused on the creation of job-position while including all relevant parameters such as work specification, wage, and adequate communication of a job offer. Wage is possible to understand as not only the amount of money received but also as all kinds of reward for the work that has been completed. Forms of staff renumeration have received more interest during the last decade, especially in regards to managers and the concept of industry 4.0. Job offer descriptions help to find suitable applicants for specific managerial positions. The main objective of this paper is to state the relationship between gender and the chosen variables (job sources). For this purpose, there was a realized questionnaire survey, focused on HRM in the business environment in the Czech Republic. The sample population for the survey consisted of 522 people, though feedback was only received from 185 participants (a return rate of 35.44%). To process the data, we employed Pearson’s chi-square test for independence and cluster analysis. Graphical design was made using an ROC curve (Receiver Operating Characteristic). According to the results obtained, there were defined relationships between gender and job servers as job sources, and between gender and social networks as job sources. This dependence is supported by the ROC curve, which shows the expectations of wage incomes according to the work-experience of the employee.

Sign in / Sign up

Export Citation Format

Share Document