scholarly journals A Case of Cloacal Anomaly Associated with Complications Leading to the Death of a New born: Lessons Learnt through Forensic Autopsy for Better Health Care

2021 ◽  
Vol 9 (2) ◽  
pp. 34
Author(s):  
S. Raveendran ◽  
S. R. Hulathduwa
Keyword(s):  
Health Care ◽  
Forensic Autopsy ◽  
New Born ◽  
Lessons Learnt ◽  
Cloacal Anomaly

scholarly journals Lessons learnt from CBR practice at Hua Don Primary Health Care, Thailand

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Phaksachiphon Khanthong ◽  
Chatchadapon Chaiyasat ◽  
Chayada Danuwong
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Leader ◽  
Second Phase ◽  
Target Area ◽  
Content Type ◽  
Community Based Research ◽  
Primary Health ◽  
Lessons Learnt ◽  
Essential Skills

PurposeThe purpose of this study is to determine the capacity map of professional learning community (PLC) practicing community-based research (CBR) in Ubon Ratchathani Rajabhat University, Thailand, and the implementation of the lessons learnt from the process and essential skills at Hua Don Primary Health Care (PHC).Design/methodology/approachParticipatory action research (PAR) design was conducted in two phases, one on campus and the other in the PHC. For gathering and validating the data, the snowball sampling technique, focus group, in-depth interviews and the triangulation method were used.FindingsThe PLC capacity map from the first phase provided the essential skills of CBR and the second phase revealed lessons learnt from the implementation in the Hua Don PHC. The shortcut in researching a new target area by a collaboration of the community leader and village health volunteers was prominent. The results could be interpreted in creating collaboration in health care with a new community.Originality/valueThe capacity map is a practical guideline for a beginner or CBR novice researcher, and the lessons learnt help the implementation in the health field, particularly in PHC, succeed smoothly.

Stress and Anxiety Management During the COVID-19 Pandemic (Lessons Learnt from a Cohort of Orthopaedic Registrars Redeployed to ITU)

2020 ◽  
Vol 22 (5) ◽  
pp. 303-312
Author(s):  
Joseph Boktor ◽  
Rhodri Gwyn ◽  
Gianluca Gonzi ◽  
Abhijeet Kumar ◽  
Kunal Roy ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Intensive Therapy ◽  
Vulnerable Groups ◽  
Anxiety Management ◽  
Good Communication ◽  
Active Involvement ◽  
Lessons Learnt ◽  
Care Workers ◽  
Future Challenges

Background. Working during the coronavirus pandemic has had a significant impact on health care workers. A group of orthopaedic trainees at Royal Gwent Hospital, UK, were redeployed to intensive therapy unit for four weeks during COVID-19 pandemic. This study reviews our experience; focusing on causes of stress and anxiety, and how they were managed. The lessons learnt could be used as a framework for pre-emptive me­asures during future challenges. Material and methods. Orthopaedic registrars were divided into two groups. Seven trainees (Redeployed group) moved to ITU for four weeks to support the critical care team. The other group (Retained group) of eight registrars continued to cover orthopaedic rota. A survey was done for anxiety levels comparing the two groups at three time points during these four weeks. Results. Anxiety and stress in the ITU-redeployed group was comparatively less than the continuing group as time progressed during the redeployment. Conclusions. 1. The disruptive impact of the COVID-19 pandemic has been a source of massive stress and an­xiety for health care workers. 2. Our experience shows that stress is controllable with the correct strategies. 3. The main points are early identification of vulnerable groups, proper induction, active involvement, adequate explanation, appreciation, good communication, and available psychological support whenever needed. 4. These are essential to maintain a resilient workforce against upcoming waves of COVID-19.

scholarly journals Innovation in primary health care responses to COVID-19 in Sub-Saharan Africa

2021 ◽  
Vol 22 ◽  
Author(s):  
Sunanda Ray ◽  
Robert Mash
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Family Medicine ◽  
Health Services ◽  
Primary Care Providers ◽  
Sub Saharan Africa ◽  
Care Providers ◽  
Primary Health ◽  
Lessons Learnt

Abstract Background: In May 2020, the African Journal of Primary Health Care and Family Medicine invited submissions on lessons learnt from responses to the COVID-19 pandemic from primary care providers in Africa. This included descriptions of innovations and good practices, the management of COVID-19 in district health services and responses of communities to the outbreak. Aim: To synthesise the lessons learnt from the COVID-19 pandemic in the Africa region. Methods: A thematic document analysis was conducted on twenty-seven short report publications from Botswana, Ghana, Nigeria, South Africa, Uganda and Zimbabwe. Findings: Eight major themes were derived from the data: community-based activities; screening and testing; reorganisation of health services; emergency care for COVID-19; maintenance of essential non-COVID-19 health services; caring for the vulnerable; use of information technology; and reframing training opportunities. Community health workers were a vital community resource, delivering medications and other supplies to homes, as well as following up on patients with chronic conditions. More investment in community partnerships and social mobilisation was proposed. Difficulties with procurement of test kits and turn-around times were constraints for most countries. Authors described how services were reorganised for focused COVID-19 activities, sometimes to the detriment of essential services and training of junior doctors. Innovations in use of internet technology for communication and remote consultations were explored. The contribution of family medicine principles in upholding the humanity of patients and their families, clear leadership and planning, multidisciplinary teamwork and continuity of care was emphasised even in the context of providing critical care. Conclusions: The community-orientated primary care approach was emphasised as well as long-term benefits of technological innovations. The pandemic exposed the need to deliver on governmental commitments to strengthening primary health care and universal health coverage.

scholarly journals Challenges in Neonatal Screening in Health Care System

2018 ◽  
Vol 1 (1) ◽  
pp. 15-17
Author(s):  
Dr. AR Mullaicharam
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Neonatal Screening ◽  
Newborn Infants ◽  
Inherited Disorders ◽  
Congenital Diseases ◽  
Screening Programs ◽  
New Born ◽  
Drug Interventions ◽  
Apparently Healthy

Neonatal screening is a vital process that identifies apparently healthy neonates with serious inherited disorders, which are generally metabolic in origin and correctable by dietary or drug interventions. Comprehensive screening programs for congenital diseases of newborn infants are lacking at an international level.This article will review the challenges involved in the implementation of a sustainable program of new born screening.

Implementing and sustaining transformational change in health care: lessons learnt about clinical process redesign

2008 ◽  
Vol 188 (7) ◽  
pp. 422-422
Author(s):  
Katherine M McGrath ◽  
Denise M Bennett ◽  
David I Ben‐Tovim ◽  
Steven C Boyages ◽  
Nigel J Lyons ◽  
...  
Keyword(s):  
Health Care ◽  
Transformational Change ◽  
Process Redesign ◽  
Clinical Process ◽  
Lessons Learnt

scholarly journals NEONATAL RESUSCITATION;

2017 ◽  
Vol 24 (05) ◽  
pp. 729-732
Author(s):  
Abdur Rehman Malik ◽  
Ahmed Iqbal Quddusi ◽  
Nazia Fatima ◽  
Imran Iqbal
Keyword(s):  
Health Care ◽  
Study Design ◽  
Healthcare Providers ◽  
Neonatal Resuscitation ◽  
Special Care ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
New Born ◽  
Health Care Centers ◽  
Study Setting

Introduction: The need for neonatal resuscitation is usually unexpected andapproximately 10% infants require some assistance at birth to begin breathing. We conducteda study to know the facilities and practice of neonatal resuscitation among healthcareproviders at different healthcare centers of Multan. Study Design: A cross sectional descriptiveepidemiological study. Setting: Different Health Care Centers providing Gynecological andObstetrical Care in different areas of Urban Multan. Period: 15-08-2016 to 30-08-2016. Method:A questionnaire-type survey on neonatal resuscitation was performed at 69 different health carefacilities of Multan. Data were analyzed using SPSS version 17.0 for windows. The results arepresented using tables. Results: Out of 69 healthcare facilities, 50 (72.5%) were private hospitals.Majority of the center were run by doctors (52.2%). Ambu-bags were present in 83% centers,bulb sucker 68%, foot sucker 62% and electric sucker in 75% of healthcare centers. Routinedelivery room care like drying, warmth and wrap were given in 70%, 74% and 48% centersrespectively. Most common way of resuscitating the baby was suction 74%. Post resuscitationreferrals in cases needing special care to other facility were made by 88% centers. New bornresuscitation courses had been attended by only 36% of healthcare providers. Conclusion:Basic neonatal resuscitation facilities were available at most of the health facilities. There isincreased need of new born resuscitation courses attended by the healthcare providers.

Is Everything in the Garden Rosy? An Integrated Care Pathway for Acute Inpatient Mental Health Care, from Development to Evaluation: Part 1

2005 ◽  
Vol 9 (2) ◽  
pp. 67-73
Author(s):  
Julie Hall ◽  
Robert Grant ◽  
Roger Pritlove
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Integrated Care ◽  
Care Pathway ◽  
Current Version ◽  
Inpatient Mental Health ◽  
Lessons Learnt ◽  
Integrated Care Pathway ◽  
Health Trust

This paper is the first of two which consider the development, use and evaluation of an integrated care pathway (ICP) for acute inpatient mental health care. The care pathway discussed is in use on seven inpatient wards within a UK mental health trust. Pathway development began in January 2003, and after a pilot period the pathway was fully implemented in June 2003. Since that time the pathway has been revised twice and the current version can be viewed at http://www.nimhe-em.org.uk/pages/integrated_care_pathways/index.shtml . This paper describes ICP development and implementation, with extracts from variance reports, compliance audits and concluding with lessons learnt from the process. Paper 2 of the series, which follows, describes an evaluation of the pathway's impact upon securing interventions.

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