Approaches to Case Assessment

2021 ◽  
pp. 135-140
Author(s):  
Scott Andrews
Keyword(s):  
Author(s):  
Yasir Almuzaini ◽  
Nour Abdulmalek ◽  
Sujoud Ghallab ◽  
Abdulaziz Mushi ◽  
Yara Yassin ◽  
...  

Heat-related illnesses (HRIs), such as heatstroke (HS) and heat exhaustion (HE), are common complications during Hajj pilgrims. The Saudi Ministry of Health (MoH) developed guidelines on the management of HRIs to ensure the safety of all pilgrims. This study aimed to assess healthcare workers’ (HCWs) adherence to the updated national guidelines regarding pre-hospital and in-hospital management of HRIs. This was a cross-sectional study using a questionnaire based on the updated HRI management interim guidelines for the Hajj season. Overall, compliance with HE guidelines scored 5.5 out of 10 for basic management and 4.7 out of 10 for advanced management. Medical staff showed an average to above average adherence to pre-hospital HS management, including pre-hospital considerations (7.2), recognition of HS (8.1), case assessment (7.7), stabilizing airway, breathing, and circulation (8.7), and cooling (5). The overall compliance to in-hospital guidelines for HS management were all above average, except for special conditions (4.3). In conclusion, this survey may facilitate the evaluation of the adherence to Saudi HRIs guidelines by comparing annual levels of compliance. These survey results may serve as a tool for the Saudi MoH to develop further recommendations and actions.


2000 ◽  
Vol 34 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Olson ◽  
Jennifer Coughlan ◽  
Isobel Rolfe ◽  
Hensley

2018 ◽  
Vol 210 ◽  
pp. 896-913 ◽  
Author(s):  
Eduardo A. Martínez Ceseña ◽  
Nicholas Good ◽  
Angeliki L.A. Syrri ◽  
Pierluigi Mancarella

2019 ◽  
Vol 49 (2) ◽  
pp. 139-155 ◽  
Author(s):  
Gianni Del Panta

AbstractWhilst much of the contemporary debate on regime change remains concentrated on transitions to and from democracy, this paper focuses on autocracy-to-autocracy transitions, a relatively understudied but particularly relevant phenomenon. Building on an updated typology of non-democratic regimes and through a qualitative case-by-case assessment, the present paper identifies 21 transitions from one dictatorship to another, out of 32 cases of autocratic breakdown during the 2000–15 period. Hence, after the fall of a dictatorship, the installation of a new authoritarian regime was almost twice as likely as democratization. Accordingly, the paper focuses on the 21 recorded autocracy-to-autocracy transitions and examines in which non-democratic regimes a transition from an autocracy to another is more likely to occur, which peculiar forms of authoritarian rule tend to be installed, and the specific ways in which the dismantling of the previous existing authoritarian rule is achieved.


2021 ◽  
Vol 55 (1 (254)) ◽  
pp. 91-102
Author(s):  
Siranush А. Mkrtchyan ◽  
Razmik А. Dunamalyan ◽  
Lilit E. Gukasyan ◽  
Marine A. Mardiyan

The developmental and behavioral disabilities remain high in children and in adults who were born preterm. In this case assessment of quality of life and development of preterm infants can be very informative and interesting. This is a prospective longitudinal (at 3, 6, 9 and 12 months) study of preterm birth and term control infants selected from pediatric polyclinics of Yerevan. The quality of life (QL) measures were done with QUALIN questionnaire and the developmental measures with Battelle Developmental Inventory. A total of 71 preterm and 105 term control infants underwent study. Among 71 preterm birth infants, who selected on the study at 3 months, 40 infant's score on the BDI was <–1 SD and 1 infants' score on the BDI was <–2 SD. However, at the age of 12 months 32 of these same children showed a BDI score >85. Parents and pediatricians reported worse QL for of preterm infants compared with control group. At same time parents of preterm infants reported better QL for their children compared with pediatricians. The lowest QL and developmental scores among preterm children were detected at 3 months. Improvement of QL and developmental score was observed in the next age groups.


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