Role of the Hospital Pharmacist in the Quality of Gastroenterology Endoscopy care

Author(s):  
Réda Sefrioui Mohamed ◽  
Jaouad Akrim ◽  
Hicham Fettah ◽  
Wissale Elammani ◽  
Sanaa Derfoufi ◽  
...  

Background: Despite the many efforts made in the field of endoscope treatment procedures, the risk of infection remains topical. Methods: We conducted an evaluation audit of the manual cleaning procedure applied to flexible endoscopes at the Gastroenterology II department of the Mohamed V Military Instruction Hospital in Rabat. For this, we used a ready-to-use test for detecting ATP according to a bioluminescence reaction. Results: Biological control of the internal canal of the endoscopes used showed that the cleaning was not in conformity with the target value in 62% of the cases. External biological control was non-compliant in 54% of the cases. Conclusion: Compliance with the basic rules of hospital hygiene, the application of rigorous cleaning and disinfection procedures and the orientation towards automated endoscope disinfection systems are essential elements in the prevention and fight against post-endoscopic infections.

Author(s):  
Mark Liponis ◽  
Bettina Martin

The past two decades have seen great progress in recognizing the importance of inflammation in medicine. Increased focus on inflammation in both prevention and treatment has improved outcomes and quality of life in chronic diseases. Science has improved our understanding of inflammation’s many causes and effects on health, and many advances have been made in the availability of targeted therapeutic options for treating inflammation. This chapter gives an overview of recognizing the many causes of inflammation, its many targeted treatments strategies, and the questions that still surround it. It discusses several integrative approaches to reducing inflammation, including exercise, diet, and different strategies for managing sleep, mood, and stress, such as meditation and massage.


2020 ◽  
Vol 21 (14) ◽  
pp. 4915 ◽  
Author(s):  
Bu Young Choi

Persistent hair loss is a major cause of psychological distress and compromised quality of life in millions of people worldwide. Remarkable progress has been made in understanding the molecular basis of hair loss and identifying valid intracellular targets for designing effective therapies for hair loss treatment. Whereas a variety of growth factors and signaling pathways have been implicated in hair cycling process, the activation of Wnt/β-catenin signaling plays a central role in hair follicle regeneration. Several plant-derived chemicals have been reported to promote hair growth by activating Wnt/β-catenin signaling in various in vitro and in vivo studies. This mini-review sheds light on the role of Wnt/β-catenin in promoting hair growth and the current progress in designing hair loss therapies by targeting this signaling pathway.


Author(s):  
John Aliu ◽  
Clinton Aigbavboa

Higher Education Institutions (HEIs) are developmental hubs that contributes to a country's economic growth through knowledge generation, dissemination and skills diffusion among students. For HEIs to maintain their roles in fostering construction education to equip students for the industry, the current traditional pedagogical approaches are simply not enough to deliver on its mandate. One of the many ways through which HEIs can improve the quality of construction education today is through collaborations with the construction industry. Through a structured questionnaire survey, this paper identified the possible roles that collaboration between HEIs and the construction industry will play in fostering construction education. The sample for this study consisted of one hundred and twenty-six (126) respondents drawn from professionals in the Nigerian construction industry. The study revealed that exposing construction students to the world of work, strengthening universities in conducting quality and relevant research and creating and training students with key skills industry require, are among the benefits of collaboration between the HEIs and the construction industry. The study found that there is an increased need for HEIs to collaborate with the construction industry to be progressive, relevant and produce skilled graduates who will spur the activities of the construction industry. This study recommends that HEIs seek collaboration with the industry so as to address the shortcomings of higher education in Nigeria and Africa in general.


The Oxford Handbook of Hope provides a comprehensive overview of current knowledge regarding the science and practice of hope. Hope has long been a topic of interest to philosophers and the general public, but it was only in recent decades that hope became a focus of psychological science. Rick Snyder defined hope as a cognitive trait that helps individuals to identify and pursue goals and consists of two components: pathways, the perceived capacity to identify strategies necessary to achieve goals, and agency, the willpower or motivation to pursue those pathways to achieve goals. Hope has become one of most robust and promising topics in the burgeoning field of positive psychology. This book reviews the progress that has been made in the past 25 years regarding the origins and influence of hope. Topics covered include current theoretical perspectives on how best to define hope and how it is distinct from related constructs, current best practices for measuring and quantifying hope, interventions and strategies for promoting hope across different settings and the lifespan, the impact that hope has on many dimensions and domains of physical and mental health, and the many ways and contexts in which hope promotes resilience and positive functioning. Experts in the field both review what is currently known about the role of hope in different domains and identify topics and questions that can help to guide the next decade of research. The handbook concludes with a collaborative vision on the future directions of the science of hope.


2020 ◽  
Vol 5 (10) ◽  

Introduction: Pain is ubiquitous in cancer and is the most dreaded symptom in children with cancer. It is a medical emergency. In Senegal, there is little data on the assessment and management of pain in children. The objective of this study is to evaluate the role of morphine in cancer pain management in children. Methodology: This is a prospective study carried out over a period of 4 and a half months (from April 15 to August 31, 2017). All children hospitalized at the pediatric Oncology Department and who used morphine as part of their treatment were included in this study. The hospital prevalence was 69.5%. The most common tumor pathologies found were acute leukemia, followed by nephroblastoma and Burkitt’s lymphoma. Results: Pain was present for an average of 30.3 days; It was abdominal in half of the cases. Nociceptive pain was present in 89.6% of cases. An average 40% reduction in pain intensity was observed following morphine administration on the first day. Analgesia was obtained on average after 6 days. Conclusion: Morphine has a crucial role in pain management in children with cancer. Efforts still need to be made in our unit to improve the quality of pain management in children.


Author(s):  
Michael K. Bednar

Corporate governance scholars have long been interested in understanding the mechanisms through which firms and their leaders are held accountable for their actions. Recently, there has been increased interest in viewing the media as a type of corporate governance mechanism. Because the media makes evaluations of firms and leaders, and can broadcast information to a wide audience, it has the potential to influence the reputation of firms and firm leaders in both positive and negative ways and thereby play a role in corporate governance. The media can play a governance role and even influence firm outcomes by simply reporting about firm actions, giving stakeholders a larger voice with which to exert influence, and through independent investigation. However, despite the potential for the media to play a significant governance role, several barriers limit its effectiveness in this capacity. For example, media outlets have their own set of interests that they must strive to fulfill, and journalists often succumb to several cognitive biases that could limit their ability to successfully hold leaders accountable. While significant progress has been made in understanding the governance role of the media, future research is needed to better understand the specific conditions in which the media is effective in this role. Understanding how social media is changing the nature of journalism is just one example of the many exciting avenues for future research in this area.


2018 ◽  
Vol 10 (1) ◽  
pp. 358-366 ◽  
Author(s):  
Krzysztof Widawski ◽  
Zdzisław Jary ◽  
Piotr Oleśniewicz ◽  
Piotr Owczarek ◽  
Julita Markiewicz-Patkowska ◽  
...  

AbstractThis article examines the tourist role of protected areas important for their unanimated nature potential. In Poland the highest form of legal protection is a national park. Babiogórski National Parks is one of 23 national parks in Poland. The aim of this article is to present its tourist attraction based on its geotourist potential considered by tourists who visit this park. At the beginning a brief history of protection of Babia Góra is presented. Based on stock-taking sightseeing method an analysis of the most important tourist attractiveness elements (like infrastructure or tourist values) is done. The focus on the values of unanimated nature is made grouping them into four main categories. As the result of research on infrastructure the most important accommodation units were indicated present at the surroundings of this National Park which is vital for its tourist capacity. For the correct functioning of tourist movement at the protected area the supporting infrastructure is important bearing a lot of functions. The function of channeling of the tourist movement as well as the didactic function are the most important for protection and correct use of geotourist values. Among the many elements of the supporting infrastructure the most important ones are tourist and didactic routes (their course and themes are presented). The most important part of the article is the presentation of the participants of the tourist movement opinions on the Babiogórski National Park tourist attractiveness. A survey was conducted and then analysed on 308 respondents in 2011. They were asked to judge both the quality of infrastructure as well as attraction of geotourist values together with their adaptation to reception by the tourist movement. The results analysis served as a base to appraise the state and perspectives for the geotourism development in Babiogórski National Park from the point of view of the receivers of tourist product i.e. the protected area.


2004 ◽  
Vol 17 (3) ◽  
pp. 160-166 ◽  
Author(s):  
Oralia V. Bazaldua ◽  
Jeri Sias

There is overwhelming evidence that disparities in the provision of health care exist between various groups of people. Pharmacists must be aware of these disparities and join the health workforce in closing the gap between people of different racial, ethnic, and cultural backgrounds. The role of the pharmacist has expanded, and this profession must embrace diversity to provide a higher quality of care to all patients. Cultural competence in health care is an ongoing process and starts with self-reflection. It incorporates the ability to recognize the unique needs of diverse gpopulations and the ability to adapt care accordingly. In addition to knowledge and skills, cultural competence requires a positive attitude that emphasizes respect across all cultures. While pharmacists have often lacked training in caring for diverse patients, learning a few basic concepts will assist them with their individual patient encounters. This article provides essential elements that will help pharmacists better understand cultural competence and apply this knowledge in pharmacy practice.


Author(s):  
Y Katsoulacos ◽  
G Makri

Abstract We empirically investigate, for the first time to the best of our knowledge, the role of economics in antitrust enforcement by EC’s Competition Authority (DGCOMP), by constructing and measuring indicators capturing the extent and type of economics used in reaching infringement decisions between 1992 and 2016. This allows us to identify the legal standards (LSs) adopted in assessing different conducts and their evolution and compare these to their theoretically optimal level, thus capturing the quality of enforcement. On average, economic analysis plays a modest role in investigations, with little analysis to substantiate consumer harm or to account for efficiencies, for conducts for which effects-based would be the appropriate LS. However, there is a consistent and significant improvement over time in the quality of enforcement in abuse of dominance cases, with effects-based LSs adopted in recent years. This contrasts to earlier findings and questions recent views, by indicating that DGCOMP has been influenced by the significant progress that economic analysis of antitrust has made in recent decades. Results on how LSs adopted affect the outcome of the judicial review (the rate of decision annulment) do not support the hypothesis that this increases as LSs move closer to effects-based.


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