scholarly journals Quality Improvement Initiatives in Reforming Patient Support Groups—Three-Year Outcomes

2020 ◽  
Vol 17 (19) ◽  
pp. 7155
Author(s):  
Chieh-Liang Wu ◽  
Chia-Hua Liou ◽  
Shih-An Liu ◽  
Cheng-Hsu Chen ◽  
Wayne H-H Sheu ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Support Groups ◽  
Nurse Practitioners ◽  
Medical Laboratory ◽  
First Year ◽  
Patient Support ◽  
The Third ◽  
Change Team ◽  
Second Year

Background: Little has been done regarding the research on quality and quantity of patient support groups (PSGs) and how they can be improved. Here, we present three-year experiences of a quality improvement (QI) program of our PSGs. Methods: We launched earlier on a three-year project to improve our PSGs, including the number and quality of curricula. Data were collected on the number of PSGs, curricula, and participants. Results: In the first year, we organized relevant resources of our hospital and established a standard protocol for applying financial support and reporting the results. In the second year, we elected “the best patient” to promote sense of honor and better peer supports. In the third year, we surveyed through questionnaires participants’ health literacy to improve their feedback. Competitions and exhibitions of achievements were held each year to share results of every PSG. Finally, we had increased the volume of participation of patients and family over these three years (3968, 5401 (+35.5%) and 5963 (+50.3%)). Participation of staff also increased significantly (489 and 551 (+12.7%)). Furthermore, more interdisciplinary curricula were generated, with fewer doctors (38.2% to 29%), but greater numbers of the following: nurses (4.9% to 17.4%), nurse practitioners (0.4% to 14.5%), medical laboratory scientists (2.5% to 16.3%), social workers (4.7% to 41.7%), and teachers from outside (0% to 1.8%). Conclusion: In this first study on QI efforts on PSGs, we enlisted a core change team, drew a stakeholder map, and selected an improvement framework with good results.

scholarly journals AB0751 SAFETY AND PERSISTENCE OF USTEKINUMAB IN PATIENTS WITH PSORIATIC ARTHRITIS IN BIOBADASER

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1672.2-1672
Author(s):  
N. Busquets-Pérez ◽  
C. Sánchez-Piedra ◽  
P. Vela-Casasempere ◽  
M. Freire-Gonzalez ◽  
C. Bohórquez ◽  
...  
Keyword(s):  
Psoriatic Arthritis ◽  
Adverse Events ◽  
First Year ◽  
Line Treatment ◽  
Minimal Disease Activity ◽  
First Line ◽  
The Third ◽  
Minimal Disease ◽  
Second Year ◽  
Third Line

Background:Ustekinumab has been efficacy and safety for psoriatic artritis in clinical trials.Objectives:To assess effectiveness, by means of drug persistence analisys, and safety of ustekinumab in patients with psoriastic arthritis in Biobadaser.Methods:BIOBADASER is the Spanish registry of biological drugs of the Spanish Society of Rheumatology and the Spanish Medicines Agency. We identified patients aged 18 years or more with psoriatic arthritis on Ustekinumab. A descriptive analysis was performed.The persistence of ustekinumab therapy was calculated with a Kaplan-Meier curve and was compared with the persistence of anti-TNF, according to line treatment. Log Rank test was used to establish a comparison. Adverse events occurring with ustekinumab are described according to year treatment.Results:One hundred and twelve patients were on ustekinumab. Most of them were on their second or third line treatment: 53.57% more than one biological therapy (BT), 19.64% second BT, 26.79% were naïve for BT. Most of them were on 45 mg dose: 88.24%. Median duration of disease at Ustekinumab initiation was 10.1 SD 7.2 years; 69.23% had peripheral arthritis; 45.24% had obesity and 39.29% were overweight; 40,6% were on prednisone and 59.82% on DMARD. The cause of discontinuation of treatment was mainly inefficacy (82.61%) and less common an adverse event (6.52%). The probability of persistence of treatment with ustekinumab was 0.83 (95% CI 0.63-0.92) at year 1, 0.79 (0.58-0.90) at year 2 and 0.79 (0.58-0.9) at year 3 when ustekinumab was prescribed as the first line treatment. The persistence decrease when ustekinumab was prescribe as a second and third treatment: being 0.53 (0.27-0.73) the first year, 0.46 (0.22-0.67) the second year and 0.46 (0.22-0.67) as a second line treatment and 0.58 (0.44-0.70) the first year, 0.33 (0.17-0.50) the second year and 0.33 (0.17-0.50) the third year as a third line treatment.The persistence was similar to anti-TNF treatment, according to line treatment. Adverse events were mainly mild (97.83%) and occurred the first year of treatment. Most of the adverse events were classified as “infections and infestations” (36.96%).Conclusion:The persistence of ustekinumab was high, being 83% at the end of the first year on treatment and 79% the second and the third year of treatment. The persistence of ustekinumab was higher when if it was the first line treatment compared as if it was used as the second o third BT option. The persistence of Ustekinumab is similar to the persistence of anti-TNF treatments in all the analyzed treatment lines (no statistically differences were found). Adverse events occurred mainly during the first year treatment. They were mainly mild adverse events and the frequency decreased within the second and third year of treatment.References:[1]Treatment with ustekinumab in a Spanish cohort of patients with psoriasis and psoriatic arthritis in daily clinical practice.Almirall M, Rodriguez J, Mateo L, Carrascosa JM, Notario J, Gallardo F. Clin Rheumatol. 2017 Feb;36(2):439-443;[2]Minimal disease activity in patients with psoriatic arthritis treated with ustekinumab: results from a 24-week real-world study.Napolitano M, Costa L, Caso F, Megna M, Scarpa R, Balato N, Ayala F, Balato A. J Clin Rheumatol. 2018 Oct;24(7):381-384;[3]Minimal Disease Activity and Patient-Acceptable Symptom State in Psoriatic Arthritis: A Real-World Evidence Study With Ustekinumab.Queiro R, Brandy A, Rosado MC, Lorenzo A, Coto P, Carriles C, Alperi M, Ballina J. Actas Dermosifiliogr. 2018 Jun 28;[4]An analysis of Drug Survival, Effectiveness, and Safety in Moderate to Severe Psoriasis Treated With Ustekinumab: An Observational Study of 69 Patients in Routine Clinical Practice.Salgüero Fernández I, Gil MH, Sanz MS, Gullón GR;Disclosure of Interests:None declared

scholarly journals ANÁLISIS DEL CRECIMIENTO Y LA MORTALIDAD DE ANISOTREMUS INTERRUPTUS (GILL) (PERCIFORMES: HAEMULIDAE) EN LA COSTA DE COLIMA, MÉXICO

2016 ◽  
Vol 33 ◽  
Author(s):  
Elaine Espino Barr ◽  
Manuel Gallardo Cabello ◽  
Fernando González Orozco ◽  
Arturo Garcia Boa
Keyword(s):  
Mortality Rate ◽  
Growth Parameters ◽  
Total Mortality ◽  
Condition Index ◽  
First Year ◽  
The Third ◽  
Second Year ◽  
First Year Of Life ◽  
Mortality Analysis

This paper deals with the growth and mortality analysis of the burrito grunt A n i s o t remus interru p t u s on the coast of Colima, México. The estimated growth parameters are: L¥ = 50.59 cm; W¥ = 5,051.04 g; k = 0.147 years- 1; to = -0.916 years; A0 . 9 5 = 19.46 years. Most of the growth occurred during the first year of life, when the grunt grows 12.52 cm, the second year it grows 4.95 cm and the third, 4.60 cm. The highest value of the condition index took place between February and September. The total mortality rate (Z) was calculated as 0.53 years- 1. These values are basic for the plan of administration of the fishery of this species.

scholarly journals Assessment of the Potential of 1-Methylcyclopropene Treatments to Maintain Fruit Quality of the Common Fig (Ficus carica L. cv. ‘Bursa Siyahi’) during Refrigerated Storage

2014 ◽  
Vol 42 (2) ◽  
pp. 516-522 ◽  
Author(s):  
Okan OZKAYA ◽  
Songül ÇÖMLEKÇIOGLU ◽  
Hatice DEMIRCIOGLU
Keyword(s):  
Respiration Rate ◽  
Cold Storage ◽  
Ficus Carica ◽  
Soluble Solids ◽  
First Year ◽  
Limited Effect ◽  
Growing Seasons ◽  
The Common ◽  
Second Year

The fig fruit is a unique, climacteric, highly perishable subject to rapid physiological breakdown. Application of 1-methylcyclopropene (1-MCP) was tested to delay ripening of black fig (Ficus carica L. cv. ‘Bursa Siyahi’) during storage overtwo growing seasons. Fruits were pre-cooled to 1 °C for 6 hours and afterwards treated with 500 or 1000 nl l-1 of 1-MCP for24 hours. Treated fruits were stored for 10 days at 1 °C, 90-95% RH and then evaluated. 1-MCP treatments showed thatethylene production, respiration rate, weight loss and concentrations of glucose, fructose and total soluble solids (TSS) were negatively correlated to the 1-MCP doses during cold storage (with the exception of TSS in the first year of experiment and respiration rate in the second year of the experiment). In contrast, pulp firmness and colour (ho) during cold storage werepositively correlated to the 1-MCP applied doses. Results of this study showed that although 1-methylcyclopropene applications slowed down fruit softening during the 10 days of storage, 1-methylcyclopropene appeared to have a relatively limited effect on slowing ripening of ‘Bursa Siyahi’ figs.

scholarly journals Winter Wheat Grain Quality, Zinc and Iron Concentration Affected by a Combined Foliar Spray of Zinc and Iron Fertilizers

Agronomy ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. 250 ◽  
Author(s):  
Etienne Niyigaba ◽  
Angelique Twizerimana ◽  
Innocent Mugenzi ◽  
Wansim Aboubakar Ngnadong ◽  
Yu Ping Ye ◽  
...  
Keyword(s):  
Winter Wheat ◽  
Foliar Application ◽  
Iron Concentration ◽  
Foliar Spray ◽  
Triticum Aestivum L ◽  
First Year ◽  
Zn Concentration ◽  
Yield Quality ◽  
Second Year

Wheat (Triticum aestivum L.) is one of the main foods globally. Nutrition problems associated with Zinc and Iron deficiency affect more than two billion individuals. Biofortification is a strategy believed to be sustainable, economical and easily implemented. This study evaluated the effect of combined Zn and Fe applied as foliar fertilizer to winter wheat on grain yield, quality, Zn and Fe concentration in the grains. Results showed that treatments containing high Fe increased the yield. Grain crude fat content remained unaffected. Crude fiber was enhanced up to three-fold by 60% Zn + 40% Fe5.5 (5.5 kg ha−1 of 60% Zn + 40% Fe). Moreover, 80% Zn + 20% Fe5.5 (5.5 kg ha−1 of 80% Zn + 20% Fe) was the best combination for increasing crude protein. Zinc applied alone enhanced Zn concentration in grain. In addition, Fe was slightly improved by an application of Zn and Fe in the first year, but a greater increase was observed in the second year, where 100% Fe13 (13 kg ha−1 of 100% Fe) was the best in improving Fe in grain. Foliar application of Zn and Fe is a practical approach to increase Zn and Fe concentration, and to improve the quality of wheat grains.

Shot-hole borer (Xyleborus fornicatus Eichh.) of tea in Ceylon II.—The effect of chemical control on the yield and manurial response of tea

1968 ◽  
Vol 57 (4) ◽  
pp. 619-641
Author(s):  
J. E. Cranham ◽  
P. Kanapathapillai ◽  
A. Kathiravetpillai
Keyword(s):  
Field Trials ◽  
First Year ◽  
Percentage Increase ◽  
Nitrogen Application ◽  
The Third ◽  
Prolonged Effect ◽  
Second Year ◽  
The Difference ◽  
Significant Regression ◽  
Effect On Yield

In 1960–65, six field trials were carried out on tea estates in Ceylon to assess the effect on yield, and on the response of the crop to fertilizer, of dieldrin sprays applied after pruning to control shot-hole borer (Xyleborus fornicatus Eichh.). Periodic sampling was carried out to assess the numbers of borers and their galleries. Yields were recorded by weekly or fortnightly weighings of the green leaf plucked, over pruning cycles of two to four years.The pattern of the yield increases on the sprayed plots was related to the difference in attack between the sprayed and unsprayed plots. Increases were, in general, small in the first year and much larger in the second year, reaching peak values of 32–58 per cent. (on the yields of successive three-monthly periods recorded) in the late second year, and declining thereafter through the third year as the difference in attack declined. Over the first two years there were marked yield increases in eight of the nine pruning cycles, and these ranged from 11·7 per cent, to 26·3 per cent. There was significant regression (P<0·001) of the percentage increase in yield on the maximum difference in gallery counts. Yield increases in the third year of pruning cycles were also considerable and the results evidence a prolonged effect of the heavy borer attack occurring in the second year.In one trial there was a significant interaction between the effects of dieldrin spraying and of nitrogen supplied. Control of the borer greatly improved the crop response to nitrogen. Nitrogen application increased the yield but resulted also in a proportionately larger loss of crop from borer attack. There was a small but significant increase in the number of borer galleries on the plots receiving nitrogen.The evidence on the size and pattern of crop losses caused by the borer suggests that these occur both from shoot breakages and from the direct effect of galleries on the growth of stems.The significance of the results in relation to estate practice, and the economics of spraying, are briefly discussed.

The effects of nitrogen and irrigation on timothy (Phleum pratense) grown for production of seed: I. Vegetative growth

1967 ◽  
Vol 69 (2) ◽  
pp. 225-230 ◽  
Author(s):  
D. A. Lambert
Keyword(s):  
Vegetative Growth ◽  
Irrigation Treatment ◽  
Phleum Pratense ◽  
First Year ◽  
Positive Effects ◽  
The Third ◽  
The Mean ◽  
Second Year ◽  
Additional Nitrogen ◽  
Applied Nitrogen

1. Plants of S.48 timothy were established on a 1 ft square pattern for production of seed. Two series of plots, one irrigated and one not irrigated, were treated with three levels of applied nitrogen: 0 (NO), 87 (Nl) and 261 (N2) lb N per acre (0, 97·5 and 292·5 kg N/ha) per annum, for 3 years. In this, the first of two papers, only vegetative aspects of growth are considered. Since the irrigation treatment started only 2 weeks before most of the data were recorded, effects of irrigation on vegetative growth were generally small.2. The number of tillers per plant was increased by application of nitrogen; the lower increment was more effective than the additional nitrogen in the higher dose.3. The weight of tillers per plant was increased by nitrogen at both levels of application. The mean weight of each tiller was increased by nitrogen after the first year, predominantly in the N 2 treatment. In the second year, irrigation also increased the weight per tiller.4. The weight of roots per plant was significantly affected by application of nitrogen. In the first year, the weight was increased by nitrogen in irrigated plots; in the second year the roots were significantly heavier in the Nl treatment than in N0 and N2 treatments, where weights were similar; the same situation existed in irrigated plots in the third year, but in non-irrigated plots the weights of roots were similar in N1 and N2 treatments and were heavier than in the N0 treatment. Irrigation had positive effects on the weight of roots in the first and second years.

scholarly journals Importance of psychological support for families of children with cancer

2012 ◽  
Vol 65 (5-6) ◽  
pp. 223-227 ◽  
Author(s):  
Tatjana Kisic ◽  
Nada Konstantinidis ◽  
Jovanka Kolarovic ◽  
Natasa Kacanski
Keyword(s):  
Support Groups ◽  
Positive Outcome ◽  
Psychological Support ◽  
Malignant Diseases ◽  
Community Based ◽  
Second Year ◽  
Psychological Survival ◽  
The Moment ◽  
Novi Sad

Introduction. A family of a child with cancer needs continuous help and support from medical and other professionals, relatives, friends and community at the moment of making diagnosis and during the treatment. The goal of this study was to find out the most frequent sources of individual or community based psychological support, reported by parents of children suffering from malignant diseases. We focused on the help received at the moment of making diagnosis and within the first and second year of treatment. Material and Methods. We analyzed data obtained by a questionnaire specially designed for parents of children suffering from different malignancies. The poll was conducted from April 2007 till October 2009 at the Hematology/ Oncology Department of Children?s Hospital of Novi Sad and it included 72 parents of both sexes, whose children were treated at our Department in the period from 2007 to 2009. The children were of different age. Results. The parents selected the following forms of support as the most important: support given by the emotional partner and other family members (together with sick and healthy child), communication with and accessibility of hospital stuff (physicians at the first place, but also psychologists, nurses, other parents, support groups?). They also expressed their need for contacting friends, relatives and other close people. The selected forms of support are extremely important for the patients (regardless of age) and for their family. All forms of organized and professionally conducted psycho-social support of patients and their family result in higher quality of psychological survival during the treatment and further rehabilitation of patients after rejoining their primary social environment. Conclusion. Family is the primary and the most important social surrounding within which disease both happens and is resolved. Adequate support can help family to overcome such crises, thus leading to the positive outcome.

Use of water by six grass species. 1. Dry-matter yields and response to irrigation

1979 ◽  
Vol 93 (1) ◽  
pp. 13-24 ◽  
Author(s):  
E. A. Garwood ◽  
K. C. Tyson ◽  
J. Sinclair
Keyword(s):  
Perennial Ryegrass ◽  
Tall Fescue ◽  
Field Capacity ◽  
Italian Ryegrass ◽  
Grass Species ◽  
First Year ◽  
Full Irrigation ◽  
Yield And Quality ◽  
Second Year

SUMMARYThe yield and quality of herbage produced by six grasses (perennial ryegrass, cocksfoot, timothy, rough-stalked meadow grass, tall fescue and Italian ryegrass) were examined both without irrigation and under two irrigation regimes. Water was applied according to the potential soil water deficit (potential SWD): the soil was either partially returned to field capacity (FC) after each cut or fully returned to FC whenever the potential SWD reached 25 mm. The swards were cut either at 3 (C3) or 6 (C6) week intervals over a 2 year period.Partial irrigation increased yields by 12–14% in the first year and by 36–58% in the second. Full irrigation produced little more growth than partial irrigation in the first year (maximum SWD, 188 mm) but increased yield by 78–93% in the second, very dry, year (maximum SWD, 311 mm). Under treatment C3 response per unit of water applied was similar with both partial and full irrigation, but under C6 the response was greater with partial (2·86 kg D.M./m3) than with full irrigation (1·79 kg D.M./m3).There were marked differences between the species in their ability to grow under drought conditions in the second year of the experiment. Without irrigation, roughstalked meadow grass and Italian ryegrass did not survive the drought. The performance of tall fescue was markedly superior to both perennial ryegrass and cocksfoot in these conditions. Of the surviving grasses timothy made least growth.

Studies on Human Onchocerciasis and Simulium in Nyanza Province, Kenya

1951 ◽  
Vol 25 (3-4) ◽  
pp. 213-222 ◽  
Author(s):  
J. J. C. Buckley
Keyword(s):  
Adult Population ◽  
Complete Removal ◽  
Steady Increase ◽  
First Year ◽  
Partial Removal ◽  
Nyanza Province ◽  
The Third ◽  
Endemic Focus ◽  
Second Year

1. An experiment in bush-clearing was carried out at a small endemic focus of onchocerciasis in South Kavirondo district with a view to observing its effect on the adult population of S. neavei.2. The clearing consisted of the complete removal of undergrowth and partial removal of trees, from the banks of fly-infested portions of two confluent rivers, the Riana and the Yabe.3. In the first year of the experiment the clearing was carried out on the infested section of the Riana River, after which there was a decrease in the incidence of S. neavei on this section compared with that on the uncleared Yabe River.4. In the second year a similar clearing was effected on the infested section of the Yabe River, after which the S. neavei incidence on both sections came together again and during the third year showed a steady increase.

scholarly journals QUALITY OF LISTENING TEST VALIDITY OF THE NATIONAL LEAVING EXAM FOR SMA

2016 ◽  
Vol 1 (1) ◽  
pp. 33-44
Author(s):  
Wuwuh Yunhadi
Keyword(s):  
Content Analysis ◽  
Content Validity ◽  
Item Difficulty ◽  
Test Validity ◽  
First Year ◽  
Test Format ◽  
Listening Test ◽  
Second Year ◽  
English Listening Test

This study reports quality of content validity of items of  listening test of National Leaving Exam for SMA in Samarinda is constructed.  The quality was identified from task coverage, item difficulty, objective of item, and test format. This study used content analysis with qualitative design. The study revealed that content validity revealed three major findings. Task coverage is dominated by the first and the second year of SMA (8 items are from first year, 8 items are from second year, and 4 items are from third year of SMA).  Of 20 items, 9 (45%) are easy, 7 (35%) moderate, 4 (2o%) hard. The questions in the items are specified into 9 (45%) general, 5 (25%) comprehension, 4 (20%) application, and 2 (10%) analysis. The analysis on the Table of Specification reconstructed from the English listening test showed that the test has low content validity.  

Sign in / Sign up

Export Citation Format

Share Document