scholarly journals During the COVID-19 Epidemic: Recommendations for the Admission and Treatment of Patients With Ovarian Cancer

2021 ◽  
Vol 8 ◽  
Author(s):  
Yu Ling ◽  
Ye Mingxia ◽  
Zhang Xiaoyan ◽  
Fan Yifan ◽  
Liu Peipei ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Health Care ◽  
Nucleic Acid ◽  
Uv Light ◽  
Chi Square ◽  
Number Of Patients ◽  
Before And After ◽  
Chi Square Test ◽  
Acid Test ◽  
The Impact

Background: The coronavirus disease 2019 (COVID-19) had become a health care event endangering humans globally. It takes up a large number of healthcare resources. We studied the impact of COVID-19 on patients with ovarian cancer by comprehensively analyzing their admissions before and after the epidemic, and made reasonable suggestions to improve their current situation.Methods: We randomly divided the enrolled patients into three groups, PreCOVID-19 Group (PCG) (2019.8.20–2020.1.20), COVID-19 Group (CG) (2020.1.21–2020.6.14), and Secondary Outbreak COVID-19 Group (SOCG) (2020.6.15–2020.10.10). One-way ANOVA and chi-square test were used for analysis.Results: The number of patients from other provinces decreased significantly (p < 0.05). The total hospital stay during the epidemic was substantially more extended (p < 0.05). Before the epidemic, our department performed more open surgery while during the epidemic outbreak, we tended to choose laparoscopy (p < 0.01). We took a longer surgery time (P < 0.05). Patients had significantly less post-operative fever during the epidemic (p < 0.001).Conclusion: During the COVID-19 epidemic, no patient was infected with COVID-19, and no patient experienced severe post-operative complications. We recommend maintaining the admissions of patients with ovarian cancer during the epidemic following the rules: 1. The outpatients must complete a nucleic acid test and chest CT in the outpatient clinic; 2. Maintain full daily disinfection of the ward and insist that health care workers disinfect their hands after contact with patients; 3. Increase the use of minimally invasive procedures, including laparoscopy and robotics; 4. Disinfect the ward twice a day with UV light and sodium hypochlorite disinfectant; 5. Patients need to undergo at least three nucleic acid tests before entering the operating room.

scholarly journals ROLE OF OBSTETRIC TRIAGE IN IMPROVING PATIENT HEALTH CARE AT CMH KHARIAN-A COMPARITIVE STUDY

2020 ◽  
Vol 70 (6) ◽  
pp. 1792-98
Author(s):  
Asma Ansari ◽  
Umbreen Akram ◽  
Hafsa Khalil ◽  
Ayesha Imran
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Management Plan ◽  
Military Hospital ◽  
P Value ◽  
Chi Square ◽  
Triage System ◽  
Before And After ◽  
Patient Health ◽  
Chi Square Test

Objective: To evaluate the up gradation of obstetric patient care by using obstetrics-specific triage acuity tool. Study design: Comparative prospective study Place and duration of study: This study was conducted at obstetrics unit of combined military hospital Kharian from June 2018 to Dec 2018. Methodology: Pregnant patients were triaged and prioritized according to Maternal fetal triage index (MFTI) into five levels. Primary outcome was time to triage and management plan documentation. Patient and health care provider satisfaction was evaluated using Likert’s scale before and after implementation of MFTI. Data was collected and expressed in frequencies and percentage. Chi square test was applied for association between before and after triage intervention variables, and a P value of 0.05 was considered significant. Results: A total of 1000 pregnant patients referred to OPD were enrolled, 500 patients before and 500 after implementation of MFTI. Patients were prioritized using MFTI system,10(2%) patients category 1 while category 2,3,4,and 5 were 28(5.6%),68(13.6%),150(30%) and 244(48.8%) respectively. There was significant reduction in waiting time from 35.4±8.2 minutes to18.2±6.5 p=<0.002. Hospital complaints reduced significantly from 25(5%) in before group to 4(0.8%) P=<0.001 after application of obstetric triage. Conclusion: Obstetric triage by MFTI focuses on the urgency and symptoms at presentation to decide further disposal. The usage of a systematic and properly developed triage system produces improvement in patient care. The results of study not only highlight the importance of usage of a triage system but also explore its usefulness and improvement in outcomes in a developing country like Pakistan.

scholarly journals Educational intervention improves measurement of blood pressure skills in Iranian medical students

2019 ◽  
Vol 8 (2) ◽  
pp. 80-84
Author(s):  
Mohammad Zakaria Pezeshki ◽  
Fatemeh Moghaddas ◽  
Samad Ghaffari
Keyword(s):  
Blood Pressure ◽  
Medical Students ◽  
Educational Intervention ◽  
Sampling Technique ◽  
Chi Square ◽  
Equal Importance ◽  
Training Class ◽  
Before And After ◽  
Chi Square Test ◽  
The Impact

Background: The routine method of measuring blood pressure (BP) is subject to numerous pitfalls. We evaluated the impact of a guidelines-based educational intervention on improvement of BP determination by fourth-year Iranian medical students. Methods: Using a consecutive sampling technique, 103 fourth-year medical students were recruited during their rotation in the Department of Community and Family Medicine at the Tabriz Medical School at the Tabriz University of Medical Sciences. All students attended a 3-hour training class covering accurate BP measurement. Using a valid checklist, sixteen elements of BP measurement skills were assessed among students before and after two weeks of training. McNemar’s test, paired-sample t tests and Pearson’s chi-square test were used to compare the data before and after training using SPSS version 23. Results: The study showed that before the training class most of the elements of BP measurement skills were not performed by most of the students, and 9 of 16 BP measurement skills were only performed by <20% of the students. Following the training class, however, 14 of 16 BP measurement skills were performed by >70% of the students. Before training, mean/SD of correctly-performed-skills out of 16 skills was 4.76/2.03. After training, the mean/SD was 13.99/5.19 (P < 0.001). Conclusion: This study showed a significant improvement in medical students’ BP measurement skills after a 3-hour course of training. Thus, it appears that periodic training sessions of accurate BP measurement for medical students may be of great benefit and equal importance in medical schools.

scholarly journals EMPLOYEES ATTITUDE TOWARDS STRESS AND ABSENTEEISM DURING COVID-19 CRISIS IN INDIAN HEALTHCARE INDUSTRY

2021 ◽  
Vol 9 (07) ◽  
pp. 567-580
Author(s):  
Ashika M.P. ◽  
Nitu Ghosh ◽  
Fazeelath Tabassum
Keyword(s):  
Health Care ◽  
Life Stress ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Healthcare Sector ◽  
Healthcare Industry ◽  
Chi Square ◽  
Frontline Workers ◽  
Chi Square Test ◽  
The Impact

The recent Covid-19 pandemic has created shockwaves across the globe and caused mental stress and depression leading to significant impact on an employees personal and professional life. Stress has profound impact on employees job performance, morale, job-satisfaction, behaviour, commitment and long-term productivity. Its malicious impact on employee wellbeing, job conduct and absenteeism cannot be ignored.The covid-19 crisis has imposed myriad of challenges on the healthcare professionals and stress levels have invariably soared, leading to depression, absenteeism, attrition, illness and lower morale to tackle the daily challenges in the healthcare industry. Thus, it becomes mandatory to focus on employees mental health, their attitude towards stress and absenteeism, especially during the crisis. The study attempts to understand the impact of work pressure of health-care workers during current pandemic as they have suffered maximumwork-stress due to overtime, workload and distressful work environment, leading to low job morale and absenteeism. The research design adopted is empirical involving a survey conducted on 108 healthcare workers through stratified sampling technique in sub-groups such as doctors, nurses, and frontline workers of private and government hospitals in the IT capital of India, Bangalore. The data was evaluated using descriptive analysis, regression test, correlation test, ANOVA, Chi square test through SPSS software.Findings show that the stress level among the employee in health-care sector leads to absenteeism and it has been particularly high during the current pandemic. Thus, healthcare sector should focus on such HR interventions that de-stress these employees and improve their morale to reduce absenteeism.

scholarly journals INNOVATION IN ENTREPRENEURSHIP EDUCATION THROUGH COMPETITION BASED LEARNING ROLE: STUDENTS’ PERSPECTIVE ON THE ENHANCEMENT OF SOFT SKILLS

2019 ◽  
Vol 7 (5) ◽  
pp. 862-869
Author(s):  
Ahmad Abushakra ◽  
M. Firdouse Rahman Khan ◽  
Rasha Abdul Wahhab ◽  
Hilal Al Maqbali
Keyword(s):  
Positive Impact ◽  
Soft Skills ◽  
Statistical Tests ◽  
Entrepreneurship Education ◽  
Chi Square ◽  
Before And After ◽  
Sample Test ◽  
Chi Square Test ◽  
Young Students ◽  
The Impact

Purpose: The objective of the study is to critically analyze the impact of entrepreneurial competitions on the soft skills of Omani students. Design/methodology/approach: Purposive sampling methodology was adopted to perform the study. A sample of 125 students was selected among the 450 students from various Higher Education Institutions (HEIs) who participated in the entrepreneurship competition. The questionnaire was distributed two times to the students before and after the competition and 110 fully completed questionnaires only were taken into the research study. Using SPSS, statistical tests like non-parametric chi-square test, t-paired sample test, and Kolmogorov-Smirnov test were carried out the results were interpreted. Findings: The findings of the empirical study suggest that competitions have a positive impact on the students’ soft skills and their mindset after participating in the competitions. The study also confirmed that competition is an encouraging affair that makes the students learn new skills and new developments in the business fields. Further, the study also confirmed that competition makes it easy to explore the labor market in the area of requirements. Research limitations/Implications: HEIs should motivate and encourage students to participate in various entrepreneurial competitions inducing a spirit of entrepreneurship among the young students to enhance their soft skills for self-sufficiency and to identify the potentialities vested within them. Social implications: The study suggests that to improve the entrepreneurial mindsets of young students, and universities. Originality/Value Only a very few have examined the role of entrepreneurship education in developing soft skills through competition-based learning in Oman. Our study includes selected students from HEIs of Oman the study can further be extended to all the HEIs across Oman.

scholarly journals The microbiological quality of food in hospitals kitchen in Khartoum State, Sudan

2021 ◽  
pp. 049-057
Author(s):  
Hilwa Hamid Bajin Salam ◽  
Ekram Adam Eldoom ◽  
Fatima Fadul Ali ◽  
Abeer Magthop Mohammed
Keyword(s):  
Raw Materials ◽  
Microbiological Quality ◽  
Microbial Quality ◽  
Chi Square ◽  
State Hospitals ◽  
Paired Samples ◽  
Before And After ◽  
Chi Square Test ◽  
The Impact

An interventional research was conducted in the kitchens of Khartoum state hospitals 2021 on the impact of microbial quality in (12) hospital. Samples taken from meals, hands, environment, surfaces, equipment, and utensils before and after interventions and measuring results. Questionnaires were filled out with interview with nutrition supervisor about kitchens. The data was statistically analyzed by using the Statistic Package for Social Sciences (SPSS) program version 25; the Paired Samples T Test and Chi-Square Test was used and there is an improvement at the level of indication 0.000 at the level (0.05). The results showed that the lack of quality of kitchens in buildings, equipment, utensils, hand facilities and no periodic inspection for raw materials. The study concluded that taken samples has an effective impact on microbial quality. The study recommended that the ministry of health and hospitals to commitment to take samples periodically.

Impact of Michigan’s new opioid prescribing laws on spine surgery patients: analysis of the Michigan Spine Surgery Improvement Collaborative

2020 ◽  
pp. 1-6
Author(s):  
Paul Park ◽  
Victor Chang ◽  
Hsueh-Han Yeh ◽  
Jason M. Schwalb ◽  
David R. Nerenz ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Spinal Surgery ◽  
Readmission Rate ◽  
Rating Scale ◽  
Short Term ◽  
Readmission Rates ◽  
Opioid Prescribing ◽  
Number Of Patients ◽  
Before And After ◽  
The Impact

OBJECTIVEIn 2017, Michigan passed new legislation designed to reduce opioid abuse. This study evaluated the impact of these new restrictive laws on preoperative narcotic use, short-term outcomes, and readmission rates after spinal surgery.METHODSPatient data from 1 year before and 1 year after initiation of the new opioid laws (beginning July 1, 2018) were queried from the Michigan Spine Surgery Improvement Collaborative database. Before and after implementation of the major elements of the new laws, 12,325 and 11,988 patients, respectively, were treated.RESULTSPatients before and after passage of the opioid laws had generally similar demographic and surgical characteristics. Notably, after passage of the opioid laws, the number of patients taking daily narcotics preoperatively decreased from 3783 (48.7%) to 2698 (39.7%; p < 0.0001). Three months postoperatively, there were no differences in minimum clinically important difference (56.0% vs 58.0%, p = 0.1068), numeric rating scale (NRS) score of back pain (3.5 vs 3.4, p = 0.1156), NRS score of leg pain (2.7 vs 2.7, p = 0.3595), satisfaction (84.4% vs 84.7%, p = 0.6852), or 90-day readmission rate (5.8% vs 6.2%, p = 0.3202) between groups. Although there was no difference in readmission rates, pain as a reason for readmission was marginally more common (0.86% vs 1.22%, p = 0.0323).CONCLUSIONSThere was a meaningful decrease in preoperative narcotic use, but notably there was no apparent negative impact on postoperative recovery, patient satisfaction, or short-term outcomes after spinal surgery despite more restrictive opioid prescribing. Although the readmission rate did not significantly increase, pain as a reason for readmission was marginally more frequently observed.

scholarly journals The impact of COVID-19 related national lockdown on ophthalmic emergency in Italy: A multicenter study

2021 ◽  
pp. 112067212110280
Author(s):  
Maria L Salvetat ◽  
Carlo Salati ◽  
Patrizia Busatto ◽  
Marco Zeppieri
Keyword(s):  
Gender Bias ◽  
Tertiary Care ◽  
Lower Number ◽  
Electronic Records ◽  
Chi Square ◽  
Efficient Access ◽  
Chi Square Test ◽  
Unpaired Student ◽  
The Impact ◽  
Wet Amd

Purpose: To assess ocular pathologies admitted to Italian Emergency Eye Departments (EEDs) during the COVID-19 pandemic national lockdown in 2020 in comparison with the same period in 2019. Methods: Electronic records of all patients presenting at EEDs of two tertiary-care Eye Centers during the COVID-19 national lockdown in Italy (March 10–May 3, 2020) were compared with the equivalent period in 2019. Main outcomes were patient age, gender, and diagnoses. Statistical analysis included unpaired Student t-tests, Poisson regression, and chi-square test. Results: Overall EED visits significantly decreased by 54.1% during the 2020 lockdown compared to 2019 (851 vs 1854, p < 0.001). During lockdown, patients showed comparable mean age (52.8 years in 2020 vs 53.3 years in 2019, p = 0.52) and significant male gender bias (61.1% in 2020 vs 55.8% in 2019, p < 0.0001). The most frequent pathologies were eye inflammations, trauma-related incidents, and spontaneous acute vitreous detachment. Patients with inflammation, headache/hemicrania, and spontaneous subconjunctival hemorrhages were significantly less, whereas those with trauma-related diagnoses were significantly higher during the lockdown as compared with 2019 ( p < 0.05). The proportion of non-urgent visits decreased from 17% in 2019 to 8% in 2020 ( p < 0.001). Conclusions: During the 2020 lockdown, there was a significant reduction of accesses to EED, especially for non-urgent pathologies. Potentially visual function threatening conditions, such as trauma-related pathologies, retinal detachment or ruptures, and wet AMD, showed lower number of cases but higher or stable proportion relative to the total caseload, suggesting a correct and efficient access to ophthalmic health care during the pandemic period.

scholarly journals A Randomized, Controlled, Parallel-Group, Trial on the Effects of Melatonin on Fatigue Associated with Breast Cancer and Its Adjuvant Treatments

2021 ◽  
Vol 20 ◽  
pp. 153473542098834
Author(s):  
Abdolazim Sedighi Pashaki ◽  
Kamal Mohammadian ◽  
Saeid Afshar ◽  
Mohammad Hadi Gholami ◽  
Abbas Moradi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Adjuvant Chemotherapy ◽  
Intervention Group ◽  
Chi Square ◽  
Significance Level ◽  
Severe Fatigue ◽  
Before And After ◽  
Brief Fatigue Inventory ◽  
Chi Square Test ◽  
Student’S T

Objective: Fatigue associated with malignant conditions and their treatments is a disabling condition. This trial assessed the anti-fatigue effects of melatonin coadministration during adjuvant treatment of patients with the breast cancer. Material and Methods: Patients with breast cancer were randomly assigned to receive melatonin or placebo during adjuvant chemotherapy and radiotherapy. Thirty-seven patients were randomly enrolled in each group. The mean ages of patients in the intervention and control groups were 50.47 ± 10.79 and 46.05 ± 10.55 years, respectively ( P = .223). The intervention group received oral melatonin (18 mg/day) from 1 week before until 1 month after the adjuvant radiotherapy. The level of fatigue was assessed before and after intervention using Brief Fatigue Inventory (BFI) in both groups. To analyze data, the Student’s t-test and the Chi-square test were used at a significance level of P ≤ .05. Results: The BFI score was similar before the intervention in both groups, however, after the intervention, it was significantly lower in the melatonin group ( P < .001). Moreover, the frequency of severe fatigue in the melatonin group was significantly lower than in the placebo group after intervention (42.1% vs 83.3%, P < .001). Conclusion: Coadministration of melatonin during adjuvant chemotherapy and radiotherapy of women with breast cancer decreased the levels of fatigue associated with the malignant condition and its treatments.

scholarly journals Paradigm Shift in Clinical Practice of Sexual Health in Men During COVID-19 Pandemic

2021 ◽  
pp. 263183182110323
Author(s):  
Aditya Prakash Sharma ◽  
Japleen Kaur ◽  
Ravimohan S. Mavuduru ◽  
Shrawan K. Singh
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Surgical Procedures ◽  
Care Center ◽  
Tertiary Care ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Health Seeking ◽  
Number Of Patients ◽  
The Impact

Sexual health-care seeking behavior and practices have been affected during COVID-19 pandemic. The impact of COVID-19 on this subspecialty is far reaching. This study aimed to assess the impact of COVID-19 on health-care seeking practice pertaining to sexual health in men in our tertiary care center and review the relevant literature regarding impact of COVID-19 on sexual health seeking practice and challenges faced. Outpatient data was analyzed from January 2019 to April 2021. Patients awaiting surgical procedures due to COVID were documented. A narrative synthesis of literature based on systematic search using the keywords sexual health, sexual health seeking, sexual health practice, andrology, and COVID with operators “AND” and “OR” was carried out in three search engines PubMed, Scopus, and Embase. The study outcomes were obtained by comparing data of outpatient attendance and compiling the reviewed literature. The mean attendance fell significantly from 95.11±11.17 to 17.25±13.70 persons (P <.0001) per outpatient clinic, March 2020 being the reference point. Teleconsultation has taken over physical consultation. In 98/949 cases, teleconsult could not be provided despite registration. Over 25 patients were waiting for surgical procedures pertaining to andrology due to shut down of elective services. Similar trends have been reported from other countries. Number of patients seeking consultation for sexual health problems has dramatically decreased during COVID-19 era. Establishment of data safe teleconsultation facility and its widespread advertisement is needed to encourage patients to seek consult.

scholarly journals 252 COMPARISON OF TWO SPERM SEPARATION PRODUCTS FOR USE IN BOVINE IVF

2005 ◽  
Vol 17 (2) ◽  
pp. 276 ◽  
Author(s):  
J. Pryor ◽  
S. Romo ◽  
D.D. Varner ◽  
K. Hinrichs ◽  
C.R. Looney
Keyword(s):  
Sperm Concentration ◽  
Embryo Production ◽  
Chi Square ◽  
Vitro Fertilization ◽  
Before And After ◽  
Chi Square Test ◽  
Group 2 ◽  
Live Sperm ◽  
Sperm Separation

In commercial bovine in vitro fertilization (IVF) companies, there is a continuous need to improve results. Efforts to maximize in vitro embryo production have included modifications in the use of sperm separation gradients. The development of commercially available sperm centrifugation gradients represents a new possibility of increasing the number of viable sperm that can be obtained from low concentration (fresh or frozen, sexed or unsexed) semen samples in order to improve the efficiency of the IVF system to make embryo production as efficient as possible. The objective of this study was to compare two different separation gradients, as follows: Group 1: Percoll (Sigma, St. Louis, MO, USA), in 45% and 90% gradients; Group 2: EquiPure (Nidacon, Gathenburg, Sweden), in top and bottom layers. Before and after separation, sperm were evaluated at 200× magnification for total motility, and then stained to assess viability at 400× with fast-green/eosin stain (Sigma). Sperm separation was performed using frozen/thawed semen from one bull. Semen was separated by centrifugation at 200g for 30 min in both density gradients. Results obtained from Groups 1 and 2 were compared by chi-square test. Sperm separation with Percoll yielded lower numbers of sperm (average sperm concentration after separation of 92 × 106, vs. 159 × 106 sperm/mL for EquiPure; P < 0.05) but resulted in higher motility (60% vs. 39%, respectively; P < 0.05) of separated sperm. Rates of live sperm cells were not significantly different between groups (69.5% vs. 70%, respectively; P > 0.1). These results indicate that the commercial separation medium EquiPure may be associated with higher sperm concentration levels but with lowered sperm motility when compared to Percoll for bovine sperm separation. However, Equipure provided similar percentages of live sperm when compared to Percoll, which is currently used in our laboratory.

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