scholarly journals Coronavirus Disease (COVID-19) Outbreak and Its Impact on Spinal Daily Practice : Preliminary Report from a Single (Regional) University Hospital in Republic of Korea

2020 ◽  
Vol 63 (4) ◽  
pp. 407-414 ◽  
Author(s):  
Chang Hwa Ham ◽  
Hong Joo Moon ◽  
Joo Han Kim ◽  
Youn-Kwan Park ◽  
Tae Hoon Lee ◽  
...  
Keyword(s):  
Preliminary Report ◽  
Daily Practice ◽  
University Hospital ◽  
Republic Of Korea ◽  
Regional University

Q fever and pregnancy: experience from the Limoges Regional University Hospital

2015 ◽  
Vol 294 (2) ◽  
pp. 233-238 ◽  
Author(s):  
Perrine Coste Mazeau ◽  
Sébastien Hantz ◽  
Jean-Luc Eyraud ◽  
Lorène Donadel ◽  
Aymeline Lacorre ◽  
...  
Keyword(s):  
Q Fever ◽  
University Hospital ◽  
Regional University

Space for intuition – the ‘Surprise’-Question in haemato-oncology: Qualitative analysis of experiences and perceptions of haemato-oncologists

2019 ◽  
Vol 33 (5) ◽  
pp. 531-540 ◽  
Author(s):  
Christina Gerlach ◽  
Swantje Goebel ◽  
Sascha Weber ◽  
Martin Weber ◽  
Katherine E Sleeman
Keyword(s):  
Palliative Care ◽  
Communication Skills ◽  
Outpatient Clinic ◽  
Qualitative Interviews ◽  
Daily Practice ◽  
University Hospital ◽  
Structured Interviews ◽  
Early Integration ◽  
Willingness To Use ◽  
Surprise Question

Background: Early integration of palliative care can improve outcomes for people with cancer and non-cancer diagnoses. However, prediction of survival for individuals is challenging, in particular in patients with haematological malignancies who are known to have limited access to palliative care. The ‘Surprise’-Question can be used to facilitate referral to palliative care. Aim: To explore experiences, views and perceptions of haemato-oncologists on the use of the ‘Surprise’-Question in the haemato-oncology outpatients clinics of a university hospital in Germany. Design: A qualitative study using individual semi-structured interviews transcribed verbatim and analysed thematically based on the framework approach. Setting/participants: The study took place at the haemato-oncology outpatient clinic and the bone marrow transplantation outpatient clinic of a university hospital. Nine haemato-oncologists participated in qualitative interviews. Results: Thematic analysis identified 4 themes and 11 subthemes: (1) meaning and relevance of the ‘Surprise’-Question; (2) feasibility; (3) the concept of ‘surprise’ and (4) personal aspects of prognostication. A key function of the ‘Surprise’-Question was to stimulate intuition and promote patient-centred goals of care by initiating a process of pause → reflection → change of perspective. It was easy and quick to use, but required time and communication skills to act on. Participants’ training in palliative care enhanced their willingness to use the ‘Surprise’-Question. Conclusion: Irrespective of its use in prognostication, the ‘Surprise’-Question is a valuable tool to facilitate consideration of patient-centred goals and promote holistic care in haemato-oncology. However, prognostic uncertainty, lack of time and communication skills are barriers for integration into daily practice. Further research should involve haematology patients to integrate their needs and preferences.

scholarly journals Impact of a Comprehensive Anti-Smoking Program at a Regional University Hospital and Predictive Variables of Being a Smoker among Hospital Workers

2020 ◽  
Vol 17 (22) ◽  
pp. 8432
Author(s):  
Antonio Ranchal-Sánchez ◽  
Esperanza Romero-Rodríguez ◽  
Jose Manuel Jurado-Castro ◽  
África Ruiz-Gandara ◽  
Manuel Vaquero-Abellán
Keyword(s):  
Health Program ◽  
Health Workers ◽  
Hospital Staff ◽  
Tobacco Consumption ◽  
University Hospital ◽  
Predictive Variables ◽  
Regional University ◽  
Hospital Building ◽  
Using Data ◽  
The Impact

The objective of this study was to evaluate the impact of a comprehensive anti-smoking health program conducted over twelve years at a regional university hospital in southern Spain. Prevalence of tobacco was compared retrospectively using data collected during occupational health assessments (n = 4291). Bivariate and logistic regression analyses were carried out to evaluate tobacco consumption differences according to age, sex, professional category, and workplace building. The results show a reduction in the active smoking rate among hospital staff evaluated (from 22.8% to 19.8%) with significant differences between non-health and health workers. Accumulated smoking consumption fell to 13.45 ± 14.60 packs/year with men presenting a higher consumption (p < 0.001). The predictive variables of tobacco use were sex (greater consumption among men, p = 0.021), number of cigarettes (greater consumption among professionals who smoked less than 1 pack/day, p < 0.001), and time smoking (greater use among professionals with more than 10 years smoking, p < 0.001). There was a higher rate of staff smokers at the hospital building with a majority of mental health inpatients. This study provides a practical example of making the optimum use of digital medical records in the evaluation of a comprehensive anti-smoking health program.

scholarly journals Phenotyping Adults with Non-Cystic Fibrosis Bronchiectasis: A 10-Year Cohort Study in a French Regional University Hospital Center

Respiration ◽  
2016 ◽  
Vol 92 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Matthieu Buscot ◽  
Héloïse Pottier ◽  
Charles-Hugo Marquette ◽  
Sylvie Leroy
Keyword(s):  
Cystic Fibrosis ◽  
Cohort Study ◽  
University Hospital ◽  
Regional University ◽  
Hospital Center

Pregnancy as a Risk Factor for the Patients with Hodgkin Disease: Preliminary Report.

Blood ◽  
2009 ◽  
Vol 114 (22) ◽  
pp. 4636-4636
Author(s):  
Janet G. Grudeva
Keyword(s):  
Overall Survival ◽  
Risk Factor ◽  
Survival Time ◽  
Preliminary Report ◽  
Subsequent Pregnancy ◽  
Hodgkin Disease ◽  
University Hospital ◽  
Time Interval ◽  
Child Bearing ◽  
Mother And Child

Abstract Abstract 4636 Pregnancy as a risk factor for the patients with Hodgkin disease: preliminary report Grudeva-Popova J1, Nenova I1, Spasova M2 1Department of Oncology and Hematology, 2Department of Pediatrics and Medical Genetic, University Hospital “St George” – Plovdiv, Bulgaria Hodgkin disease is a potentially curable lymphoid malignancy, affecting predominantly young age. However, subsequent pregnancy in women in child-bearing age, previously diagnosed with Hodgkin disease, may raise some medical and ethical considerations regarding the prognosis of both mother and child. There are few published reports with controversial results about the influence of pregnancy on the duration of remission and overall survival of this subgroup of patients. The objective of the study is to analyze the long-term sequelae of subsequent pregnancy for women previously diagnosed with Hodgkin disease. Patients and methods We studied retrospectively 224 patients with Hodgkin disease, diagnosed, treated and followed-up during a 15-year period (1994-2009) at the Department of Hematology and the Department of Oncology and Hematology, University Hospital. Women in child-bearing age numbered 51, and pregnancy after the diagnosis of Hodgkin disease occurred in 5 of them. We analyzed the prognostic factors and possible influence of pregnancy on the duration of remission, and overall survival by logistic regression model and κaplan-Meier survival estimation. Results Relapse occurred in 3 out of 5 women with Hodgkin disease. Subsequent pregnancy with fatal outcome occurred in 2 of the 3 soon after delivery. We identified the following prognostically unfavorable factors in this subgroup of patients: advanced clinical stage, presence of B symptoms at the diagnosis of Hodgkin disease, lymphocyte depletion histology, and short time interval between the end of therapy and pregnancy. For the other 2 women pregnancy ended successfully for the mother and child, possibly because of a time interval exceeding 3 years between occurrence of remission and the pregnancy. Median survival time of the observed group was 73 months (95% CI: 10-137) and was shorter, compared to the survival time of the patients in the control group: 212 months (95%CI: 136-288). Conclusion The preliminary results of the study of this small subgroup of patients with Hodgkin disease show that women in child-bearing age previously diagnosed with Hodgkin disease, particularly with unfavorable prognosis, have increased relapse risk in case of subsequent pregnancy. The relapse risk appears to be higher in the first 3 years after remission induction. Disclosures: No relevant conflicts of interest to declare.

From painful busyness to emotional immunization: Nurses’ experiences of ethical challenges

2016 ◽  
Vol 24 (5) ◽  
pp. 556-568 ◽  
Author(s):  
Anne Storaker ◽  
Dagfinn Nåden ◽  
Berit Sæteren
Keyword(s):  
Data Storage ◽  
Ethical Issues ◽  
Daily Practice ◽  
University Hospital ◽  
Ethical Challenges ◽  
Ethical Guidelines ◽  
Science Data ◽  
Daily Work ◽  
Moral Blindness ◽  
Qualitative Interview Study

Background: The professional values presented in ethical guidelines of the Norwegian Nurses Organisation and International Council of Nurses describe nurses’ professional ethics and the obligations that pertain to good nursing practice. The foundation of all nursing shall be respect for life and the inherent dignity of the individual. Research proposes that nurses lack insight in ethical competence and that ethical issues are rarely discussed on the wards. Furthermore, research has for some time confirmed that nurses experience moral distress in their daily work and that this has become a major problem for the nursing profession. Objectives: The purpose of this article is to obtain a deeper understanding of the ethical challenges that nurses face in daily practice. The chosen research questions are “What ethical challenges do nurses experience in their daily practice?” Research design: We conducted a qualitative interview study using a hermeneutical approach to analyzing data describing nurses’ experiences. Ethical considerations: The Norwegian Social Science Data services approved the study. Furthermore, the head of the hospital gave permission to conduct the investigation. The requirement of anonymity and proper data storage in accordance with the World Medical Association Declaration of Helsinki was met. Method and results: The context for the study comprised three different clinical wards at a university hospital in Norway. Nine qualified nurses were interviewed. The results were obtained through a systematic development beginning with the discovery of busyness as a painful phenomenon that can lead to conflicts in terms of ethical values. Furthermore, the consequences compromising professional principles in nursing care emerged and ended in moral blindness and emotional immunization of the healthcare providers. Emotional immunization occurred as a new dimension involving moral blindness and immunity in relation to being emotionally touched.

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