scholarly journals Pengelolaan Ketidakefektifan Perfusi Jaringan Perifer Pada Pasien Post ORIF Hari Ke-3 Atas Indikasi Fraktur Femur Dextra 1/3 Distal Di RSUD Ungaran

2021 ◽  
Vol 3 (2) ◽  
pp. 41
Author(s):  
Anggi Agustina ◽  
Mukhamad Musta'in ◽  
Maksum Maksum
Keyword(s):  
Hospital Management ◽  
Tissue Perfusion ◽  
Regional Hospital ◽  
Peripheral Tissue ◽  
The Third

Fracture is the broken continuity of the bone. Based on type and size of the bone, bone can break when it is not strong enough to withstand the pressure applied to the bone. The purpose of this research was to determine the management of the ineffectiveness of peripheral tissue perfusion in Mrs.S suffering from third-day post ORIF with the indication of femur 1/3 distal dextra fracture in Cempaka room, Ungaran Regional Hospital. Management results obtained swollen femur on the third-day post ORIF. It can cause complications due to the ineffectiveness of peripheral tissue perfusion in the patient. A suggestion for nurses in the hospital is to be able to carry out routine observations in post-operative ORIF patients that might experience changing condition. Key words:ROM Exercise, Ineffective Peripheral Tissue Perfusion, Post ORIF

scholarly journals Quantitative Analysis of Peripheral Tissue Perfusion Using Spatiotemporal Molecular Dynamics

PLoS ONE ◽  
2009 ◽  
Vol 4 (1) ◽  
pp. e4275 ◽  
Author(s):  
Yujung Kang ◽  
Myunghwan Choi ◽  
Jungsul Lee ◽  
Gou Young Koh ◽  
Kihwan Kwon ◽  
...  
Keyword(s):  
Molecular Dynamics ◽  
Quantitative Analysis ◽  
Tissue Perfusion ◽  
Peripheral Tissue

Application of novel dynamic optical imaging for evaluation of peripheral tissue perfusion

2010 ◽  
Vol 145 (3) ◽  
pp. e99-e101 ◽  
Author(s):  
Yujung Kang ◽  
Jungsul Lee ◽  
Kihwan Kwon ◽  
Chulhee Choi
Keyword(s):  
Optical Imaging ◽  
Tissue Perfusion ◽  
Peripheral Tissue

The Importance of a Skin Bridge in Peripheral Tissue Perfusion in Perforator Flaps

2012 ◽  
Vol 130 (5) ◽  
pp. 757e-758e ◽  
Author(s):  
Jian-Wei Wei ◽  
Jiang-Dong Ni ◽  
Zhong-Gen Dong ◽  
Li-Hong Liu ◽  
Zhao-Biao Luo ◽  
...  
Keyword(s):  
Tissue Perfusion ◽  
Peripheral Tissue ◽  
Perforator Flaps

Visceral and peripheral tissue perfusion during hypothermic cardiac surgery

Perfusion ◽  
1991 ◽  
Vol 6 (2) ◽  
pp. 131-139 ◽  
Author(s):  
Kari Kuttila ◽  
Mika Valtonen ◽  
Waldemar Kostewicz ◽  
Esko Vänttinen ◽  
Juha Niinikoski
Keyword(s):  
Cardiac Surgery ◽  
Tissue Perfusion ◽  
Peripheral Tissue

scholarly journals Narrative review: clinical assessment of peripheral tissue perfusion in septic shock

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Geoffroy Hariri ◽  
Jérémie Joffre ◽  
Guillaume Leblanc ◽  
Michael Bonsey ◽  
Jean-Remi Lavillegrand ◽  
...  
Keyword(s):  
Septic Shock ◽  
Clinical Assessment ◽  
Tissue Perfusion ◽  
Narrative Review ◽  
Peripheral Tissue

scholarly journals Impact of the introduction of the active follow-up care of the third stage of childbirth in the prevention of delivery hemorrhage in the obstetrical gynecology department

2021 ◽  
Vol 11 (2) ◽  
pp. 227-236
Author(s):  
Jeremie Pagnol Bille Bonga ◽  
Michele Corneille Matchim Kamdem ◽  
Leila Sandra Nnanga ◽  
Ghislain François Eyimi Abessolo ◽  
Marcellin Ndoe Guiaro
Keyword(s):  
Data Collection ◽  
Regional Hospital ◽  
Prospective Data ◽  
The Third ◽  
Third Stage ◽  
Follow Up Care ◽  
Before And After ◽  
Study Participants ◽  
The Impact

Background: The majority of pregnancies and births proceed without complications. However, all pregnancies present risks of complications that could endanger the maternal prognosis. One of the most serious of these complications is the bleeding during delivery. It’s often unpredictable nature, when it occurs, involves an urgent obstetric situation which requires early diagnosis and rapid and effective follow-up. The general objective of this study was to assess the impact of the introduction of the active follow-up care of the third phase of childbirth in the prevention of bleeding during delivery with our place of study, the obstetrical gynecology department of Kindia regional hospital (Konacri Guinea), with the aim of optimizing the follow-up care of pregnant women during their childbirth. Methodology: We carried out a case-control study with both retrospective and prospective data collection on the records of participants with cases of hemorrhage during delivery in the gynecology department of the Kindia regional hospital. Retrospective data collection covered a period of 25 months before the active follow-up care of the third stage of childbirth and concerned the control group of study participants, while the one of prospective data covered a period of 19 months after the introduction of the active follow-up care of the third stage of childbirth from the 1st January 2019 to 30th September 2020 and concerned the cases group. The criteria for matching these two groups of study participants were the diagnosis and the follow-up of the delivery hemorrhage. Results: During our study period in the gynecology department of the Kindia regional hospital, we identified 223 cases of delivery hemorrhage out of 2198 deliveries before the period of introduction of the active follow-up care of the third stage. This represents an incidence of 10.14%, compared to 73 cases of delivery hemorrhage out of 2714 deliveries during the period of the active follow-up care of the third stage. For an incidence of 2.68%. We found that the hemorrhages during delivery did not spare any age group and were observed for all parities. There were common reasons for admission before and after the integration of the active follow-up care of the third stage of childbirth namely vulvar hemorrhage and physical asthenia, which were reflected in the clinical picture of all cases bleeding from the issue. In addition, headaches, dizziness, and thirst were found, but in different proportions and significantly less frequent since the introduction of the active follow-up care of the third stage of childbirth. This sign were in this context the consequence of the state of shock with respective frequencies of 46.63% and 28.76% before and after the introduction of the active follow-up care of the third stage of childbirth and anemia was present in all cases of delivery hemorrhage. Conclusion: The introduction of active follow-up care of the third stage of childbirth has reduced the frequency of delivery hemorrhages and may therefore help to reduce maternal morbidity and mortality.

scholarly journals 989 Sustained and Further Improvements in Management of Open Fractures at a UK Major Trauma Centre

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Ramjeeawon ◽  
M Iqbal ◽  
E Abourisha ◽  
A Ahmad ◽  
Y Hasan ◽  
...  
Keyword(s):  
Junior Doctor ◽  
Hospital Management ◽  
Trauma Centre ◽  
Open Fractures ◽  
Management Guidelines ◽  
The Third ◽  
Management Standard ◽  
Major Trauma Centre ◽  
Fracture Management ◽  
Education And Awareness

Abstract Aim To re-audit pre-operative hospital management of open fractures following further interventions (junior doctor education and awareness, editing of trauma clerking form), after the initial audit and interventions led to improvements in all parameters. Method Pre-operative hospital management of open fractures was audited by reviewing patient notes using standards from the NICE (NG37) and BOAST/BAPRAS open fracture management guidelines. Patients included were treated by doctors with full exposure to the further interventions (due to junior doctor changeover the third cycle included fewer patients). Results All parameters remained improved in the third audit cycle compared to the first (before interventions were implemented). The following results compare the second (n = 30) and third audit (n = 14) cycles. Patients receiving correct antibiotics (96%vs100%) and in a timely manner (<2 hours) where not given pre-hospital (46%vs60%) improved. Initial neurovascular assessment (93%vs100%), specifying nerves assessed (60%vs71%), assessing all relevant arteries (60%vs71%) and nerves (63%vs71%) and using Medical Research Council (MRC) grading in nerve assessment (3%vs71%) improved, while specifying arteries assessed was similar (87%vs86%). Post-manipulation, neurovascular assessment (93%vs75%) and appropriate nerve examination (90%vs50%) deteriorated, however appropriate vascular assessment (60%vs75%) and use of MRC grading in nerve assessment (0%vs50%) improved. Documentation where neurovascular assessment was not possible, initially (50%vs93%) and post-manipulation (40%vs50%) improved. Photo availability deteriorated (70%vs64%). Tetanus cover (87%vs100%) and appropriate dressing use (47%vs71%) improved. Conclusions Most parameters showed sustained and further improvements. The haemodynamic stability variation of these patients may create difficulties in fully adhering to the management standard; in some cases, other acute concerns may take priority.

scholarly journals Double QSSE innovative hospital management model based on JCI standard and its application in private hospital in China

2020 ◽  
Author(s):  
Zong Yali ◽  
Dawei Zheng
Keyword(s):  
Private Hospital ◽  
Quality Management System ◽  
Hospital Management ◽  
Jiangsu Province ◽  
Public Hospitals ◽  
Management Mode ◽  
Management Model ◽  
Accreditation Standard ◽  
The Third ◽  
Service Staff

Abstract BackgroundThe Joint Commission on International Accreditation of Health Care Organizations (JCI) standard is a hospital accreditation standard recognized by the medical industry worldwide. However, the previous Chinese hospital management model cannot be fully integrated with the JCI standard. The purpose of this study is to explore a new Chinese hospital management mode that adapts to JCI standard.MethodsThis article retrospectively analyzed the initial results of the operation of the double QSSE management mode at Xuzhou Renci Hospital, a Chinese private hospital from 2016 to 2018. The innovation mode combines the four elements of patients' needs "Quaesitum, Solicitude, Surroundings, and Expenditure" with the four core contents of hospital management "Quality, Service, Staff and Economic operation".ResultsAfter two years implementation of the model, Xuzhou Renci hospital has reached a series of achievements, including being elected as the honest private hospitals and ranking first, achieved the highest grade of "special satisfaction" in the third-party hospital satisfaction survey organized by the government; being rated as "the most beautiful hospital in China" and awarded the title of "the most beautiful hospital in China—the light of the city"; promoted to the third-grade orthopedic hospital in 2019; ranked in the forefront of original non-public hospitals in northern Jiangsu Province in the Chinese hospital competitiveness conference hosted by Asclepius Health in Hong Kong 2019; recognized as the "safe demonstration hospital" in Jiangsu Province 2019.ConclusionThe double QSSE refined management mode has the characteristics of standardization, quantification, comparison, easy assessment and easy replication, which improves not only the patient-centered medical experience, but also the hospital-department quality management system. It is an innovative hospital management mode that conforms to JCI standard and adapts to China's national conditions.

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