96小時重置周邊靜脈導管之效應：資料庫分析

2022 ◽  
Vol 16 (1) ◽  
pp. 048-054
Author(s):  
郭嘉琪 郭嘉琪 ◽  
王維那 Chia-Chi Kuo ◽  
柯雅婷 Wei-Na Wang
Keyword(s):  
Knowledge Translation ◽  
Odds Ratio ◽  
Medical Center ◽  
Incidence Rates ◽  
Incident Reporting ◽  
Local Database ◽  
Medical Institutions ◽  
Total Incidence ◽  
Southern Taiwan ◽  
Convenience Sampling

<p>目的：透過異常通報資料庫分析，探討96小時對照72小時重置周邊靜脈導管，對於靜脈炎發生率之影響。</p> <p>方法：方便取樣臺灣南部某醫學中心之異常通報資料庫，分析2011年9月1日至2014年8月31日之72小時重置組，與2014年9月1日至2017年8月31日之96小時重置組，2個時期之住院個案的靜脈炎發生率。</p> <p>結果：96小時對照72小時重置周邊靜脈導管，並未增加靜脈炎發生率。靜脈炎總發生率（勝算比[odds ratio,OR] = 0.70, p=.0290）與細菌性靜脈炎發生率(OR= 0.11, p=.0097)顯著減少，化學性與機械性靜脈炎發生率則無顯著差異。</p> <p>結論：本土性資料庫分析結果為在臺灣熱帶海島型潮濕氣候，三班評估無靜脈炎症狀下，96小時重置周邊靜脈導管並不會顯著增加靜脈炎風險，建議醫療機構可據此調整臨床作業規範，落實實證知識轉譯。</p> <p>&nbsp;</p><p>&quot;Purpose: To compare the effect of replacement of peripheral venous catheters at 96-hour intervals on the incidence of phlebitis with that at 72-hour intervals through analysis of an incident-reporting database.</p> <p>Methods: Convenience sampling of records from the incident-reporting database of a medical center in southern Taiwan was used to analyze the incidence of phlebitis among hospitalized patients with replacement of peripheral venous catheters at 72-hour intervals (from September 1, 2011, to August 31, 2014) or 96-hour intervals (from September 1, 2014, to August 31, 2017).</p> <p>Result: The analysis revealed that replacing peripheral venous catheters every 96 hours rather than every 72 hours did not increase the incidence of phlebitis. The total incidence of phlebitis (odds ratio [OR]=0.70, p=.0290) and the incidence of bacterial phlebitis (OR=0.11, p=.0097) decreased significantly, and no significant differences in the incidence rates of chemical or mechanical phlebitis were identified.</p> <p>Conclusion: According to the analysis results of a local database, under the humid tropical insular climate of Taiwan, replacement of peripheral venous catheters at 96-hour intervals did not significantly increase the risk of phlebitis in patients who exhibited no symptoms of phlebitis as assessed in three shifts. Medical institutions can adjust their clinical operation standards and implement knowledge translation accordingly.</p> <p>&nbsp;</p>

scholarly journals [Islamic Alternative Medical Center in Malaysia: Nurse Perception of Jin Application in Treatment] Pusat Perubatan Alternatif Islam di Malaysia: Persepsi Perawat Terhadap Aplikasi Jin dalam Rawatan

2015 ◽  
Vol 9 ◽  
pp. 43-63
Author(s):  
Mohd Farhan Md Ariffin ◽  
Khadher Ahmad ◽  
Muhammad Ikhlas Rosele ◽  
Mohamad Zaim Isamail
Keyword(s):  
Alternative Treatment ◽  
Medical Center ◽  
Treatment Center ◽  
Current Development ◽  
Medical Practitioners ◽  
Nurse Perception ◽  
Treatment Services ◽  
Medical Institutions ◽  
The University ◽  
Research Grant

In the current development, it is found that the growth of alternative treatment centers based on "Islamic treatment" is growing in line with the development of mainstream technology. The question is, what is the reality and significance of Islamic treatment institutions in Malaysia despite its rapid growth? Therefore, this article tries to reveal the reality and scenario of the development of Islamic treatment centers in Malaysia for the consideration of all parties. Islamic treatment centers in Malaysia do have the potential to be developed and even able to transcend national borders. This can be proven when the demand for treatment services based on "tibb nabawi" is getting more attention. However, after the growth of the Islamic treatment center, there were also heard complaints, ridicule and cynical tone towards the Islamic treatment center, either from patients or nurses of the same age. Many claim that certain treatment centers still practice the genie element in treatment. Not to be outdone, many patients and even Islamic medical practitioners themselves claim that there are still elements of the use of jinn in Islamic treatment. So, what is the view of the founders of Islamic medical institutions in Malaysia regarding the use of jinn in treatment? Through a study at seventy (70) Islamic treatment centers in Malaysia through a project under the University of Malaya research grant in December 2012 to June 2013 numbered UMRG 419-12 HNE Al-Quran & Al-Sunnah Alternative Treatment Center: A Malaysian study, researchers have conclude various useful inputs starting with the background of the nurse or founder as well as the background of the Islamic treatment institution in Malaysia itself. The views of the founders of the Islamic treatment center on the use of jinn are also included in order to be a medium of knowledge of members of the community as a whole to be used as a guide in assessing the credibility and integrity of Islamic treatment centers in Malaysia. Dalam perkembangan semasa kini, didapati pertumbuhan pusat rawatan alternatif berteraskan “rawatan Islam” semakin berkembang sejajar dengan perkembangan teknologi arus perdana. Persoalannya, apakah realiti dan signifikan institusi rawatan Islam di Malaysia di sebalik pertumbuhannya yang pesat? Justeru, artikel ini cuba mendedahkan tentang realiti dan senario perkembangan pusat rawatan Islam di Malaysia untuk renungan semua pihak. Pusat rawatan Islam di Malaysia sememangnya memiliki potensi untuk dikembangkan bahkan mampu melangkaui sempadan negara. Hal ini boleh dibuktikan apabila permintaan terhadap khidmat rawatan berasaskan “tibb nabawi” kian mendapat perhatian. Namun, setelah berkembangnya pusat rawatan Islam, terdengar pula di telinga rungutan, cemuhan dan nada sinis terhadap pusat rawatan Islam, sama ada dari pesakit atau perawat seangkatan. Banyak pihak yang mendakwa pusat rawatan tertentu masih mengamalkan unsur jin dalam rawatan. Tidak kalah juga ramai pesakit bahkan pengamal perubatan Islam sendiri yang mendakwa masih terdapat unsur-unsur penggunaan jin dalam rawatan Islam. Jadi, apakah pandangan para pengasas institusi rawatan Islam di Malaysia berkaitan penggunaan jin dalam rawatan? Melalui kajian di tujuh puluh (70) pusat rawatan Islam di Malaysia melalui projek di bawah geran penyelidikan Universiti Malaya pada Disember 2012 hingga Jun 2013 bernombor UMRG 419-12 HNE Pusat Rawatan Alternatif Berteraskan Al-Quran & Al-Sunnah: Kajian Malaysia, pengkaji telah menyimpulkan pelbagai input berguna bermula dengan latar belakang perawat atau pengasas serta latar belakang institusi rawatan Islam di Malaysia itu sendiri. Pandangan pengasas pusat rawatan Islam tentang penggunaan jin turut dimuatkan agar dapat menjadi medium ilmu pengetahuan anggota masyarakat seluruhnya untuk dijadikan panduan dalam menilai kredibiliti dan integriti pusat rawatan Islam di Malaysia.   Kata Kunci: Latar Belakang, Pengasas, Pusat Rawatan Islam, Pandangan, Jin.

scholarly journals The recent evolution of the HIV rates in Sub-Saharan Africa: Do differences still persist?

2019 ◽  
Author(s):  
antonio montañés bernal ◽  
Cristina Martínez
Keyword(s):  
Null Hypothesis ◽  
Incidence Rates ◽  
Sub Saharan Africa ◽  
Female Education ◽  
Prevalence Rates ◽  
African Countries ◽  
Total Incidence ◽  
Immunodeficiency Virus ◽  
Patterns Of Behavior ◽  
Sub Saharan

Abstract Background This paper studies the evolution of the human immunodeficiency virus (HIV) prevalence and incidence rates in Sub-Saharan African countries, paying special attention to the possible presence of a unique pattern of behavior of these variables across the mentioned countries during the 1990-2016 period. Methods We employ time series methods designed to analyze the hypothesis of convergence. We apply these tests to prevalence and incidence rates of the Sub-Saharan African countries for the 1990-2016 period. Results We cannot reject the null hypothesis of convergence for male prevalence rates and total incidence rates. By contrast, we can observe divergence in female prevalence rates, Conclusion The evolution of the male prevalence rates and incidence rates is quite similar for the Sub-Saharan countries. But, we can still find different patterns of behavior for female prevalence rates. Therefore, the recent HIV-oriented policies have not been able to control its transmission yet. We can also appreciate that some socioeconomic variables play a crucial role to explain the different behaviors of female prevalence rates, especially the level of female education. So, focusing on this variable is crucial to control this pandemia.

scholarly journals SYNTHESIS OF THE ORGANIZATION OF TREATMENT, RESEARCH AND TEACHING (CASE STUDY AT THE UNIVERSITY HOSPITAL IN AACHEN)

2021 ◽  
pp. 349-358
Author(s):  
Maryna Lienkova ◽  
Irina Bulakh
Keyword(s):  
Medical Center ◽  
Multidisciplinary Treatment ◽  
University Hospital ◽  
Survey Analysis ◽  
University Hospitals ◽  
Medical Institutions ◽  
Hospital Patients ◽  
Student Training ◽  
Treatment Research ◽  
The University

The article considers and analyzes the existing in the world, but new for Ukraine, type of healthcare institutions - a university hospital, which today is an example of one of the largest and best university hospitals in Germany - the Medical Center of the University of Aachen. The planning and functional structure of the university hospital and special design approaches that contributed to its design and development are analyzed. The purpose of the article is to illustrate an innovative approach for our state to the organization of medical institutions and to emphasize the importance of their implementation in the domestic healthcare system. The research methodology is based on the systematization and analysis of data from various information sources, as well as on the method of sociological survey (analysis of reviews). The article considers the features of the structure of the University Hospital Aachen, namely the multidisciplinary treatment, research and student training, which are combined in one institution. According to hospital patients, the only drawback of this structure is the frequent long wait for visitors. This is probably due to the significant daily flow of patients of varying complexity and, consequently, the shortcomings of the managerial approach. However, at the same time, the hospital has many advantages, which were highlighted in the article.  

A nationwide study on delirium in psychiatric patients from 1995 to 2011

2013 ◽  
Vol 26 (4) ◽  
pp. 234-239 ◽  
Author(s):  
Anne Sofie Lundberg ◽  
Niels Okkels ◽  
Lea Nørgreen Gustafsson ◽  
Janne Tidselbak Larsen ◽  
Lisbeth Uhrskov Sørensen ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Age Distribution ◽  
Psychiatric Hospitals ◽  
International Classification Of Diseases ◽  
Incidence Rates ◽  
Mental Illnesses ◽  
Central Research ◽  
Total Incidence ◽  
Classification Of Diseases ◽  
First Time

ObjectivesDelirium shares symptoms with some mental illnesses. This may lead to misdiagnosis of delirium in psychiatric patients and a risk of inadequate management. Moreover, literature on delirium in psychiatric patients is sparse. The aim was to analyse possible changes in the diagnostic incidence of delirium in psychiatric patients from 1995 to 2011, and to investigate the patients with regard to sex, age, and type of patient.MethodsAll first time ever diagnoses of delirium among psychiatric patients were identified in the nationwide Danish Psychiatric Central Research Register (DPCRR) from 1995 to 2011. The delirium diagnoses include (1) delirium unspecified, (2) delirium with dementia, and (3) drug-related delirium, all in accordance with International Classification of Diseases-10. The incidence rates were age standardised.ResultsA total of 15 680 persons diagnosed with delirium for the first time were identified in the DPCRR between 1995 and 2011. The total incidence rate of delirium has decreased, reaching 8.4/1000 person-years in 2011. In 2011, 2.6% of the demented patients were diagnosed with delirium with dementia. Diagnosis of delirium is significantly more common in men, and the three groups of delirium showed a characteristic age distribution.ConclusionOur incidences were markedly lower when compared with previous studies. This suggests a possible underdiagnosis of delirium in psychiatric hospitals and should be investigated further, as delirium is a serious state and identifying the syndrome is important for sufficient treatment.

Formation of the personnel reserve: world practice and Russian reality

2021 ◽  
pp. 13-24
Author(s):  
Evgeniy Viktorovich Zakablukovskiy ◽  
Nataliya Nikolaevna Surovenkova
Keyword(s):  
Medical Center ◽  
Talent Development ◽  
Theory And Practice ◽  
Local Theory ◽  
Medical Institutions ◽  
Management Succession ◽  
Executive Positions

The article offers an overview of various approaches to the management succession pool, taking into account international and local theory and practice. In medical institutions, both Western and Russian, various methods of identifying, developing and retaining personnel are practiced for the purpose of talent developing and forming a succession pool. The authors highlight the integral experience of the Greater Volga District Medical Center of the FMBA of Russia, which practices both forming an exclusive list of employees to fill vacant executive positions, as well as applying inclusive methodology for creating the relevant environment for talent development in the framework of the socalled «horizontal career» approach.

FREQUENCY OF CARDIAC ARREST ASSOCIATED WITH ANESTHESIA IN INFANTS AND CHILDREN

PEDIATRICS ◽  
1961 ◽  
Vol 28 (5) ◽  
pp. 697-704 ◽  
Author(s):  
Herbert Rackow ◽  
Ernest Salanitre ◽  
Lynne T. Green
Keyword(s):  
Cardiac Arrest ◽  
Medical Center ◽  
Infants And Children ◽  
Total Incidence ◽  
In Infants And Children

At the Columbia-Presbyterian Medical Center, infants less than 1 year of age have a frequency of cardiac arrest during anesthesia, of 1:700, thought to be due to anesthesia, and a frequency of 1:600 attributed to anesthesia plus unknown causes. Children 1 to 12 years of age have a frequency of cardiac arrest during anesthesia of 1:2,300, thought to be due to anesthesia, and a frequency of 1:1,700 attributed to anesthesia plus unknown causes. The mortality and frequency of cardiac arrest during anesthesia in children (as defined by the number of deaths, and cardiac arrests due to anesthesia, in proportion to the incidence of anesthesia) cannot be determined in most previous reports because the total incidence of anesthesia for children was not presented. At the Columbia-Presbyterian Medical Center, the frequency of cardiac arrest during anesthesia in infants less than 1 year of age was found to be significantly higher than that in children 1 to 12 years of age or in adults 13 years of age or older. The rate for all children, infants plus children 1 to 12 years, is also significantly higher than the rate for adults. However, the rate of cardiac arrest during anesthesia in children 1 to 12 years of age was not significantly different from the rate in adults.

scholarly journals Detection of Plasmid-Mediated β-Lactamase Genes and Emergence of a Novel AmpC (CMH-1) in Enterobacter cloacae at a Medical Center in Southern Taiwan

2018 ◽  
Vol 8 (1) ◽  
pp. 8 ◽  
Author(s):  
Yee-Huang Ku ◽  
Mei-Feng Lee ◽  
Yin-Ching Chuang ◽  
Wen-Liang Yu
Keyword(s):  
Prevalence Rate ◽  
Medical Center ◽  
Genetic Resistance ◽  
Enterobacter Cloacae ◽  
Pcr Analysis ◽  
Genetic Evolution ◽  
Enterobacterial Repetitive Intergenic Consensus ◽  
Antibiotic Resistant ◽  
Resistance Trait ◽  
Southern Taiwan

The plasmid-mediated extended-spectrum β-lactamases (ESBLs) and AmpC β-lactamases in Enterobacter spp. have increasingly been reported. In this study, we investigated the prevalence of the plasmid-mediated β-lactamases in Enterobacter cloacae from bloodstream isolates at a medical center in southern Taiwan. ESBL and ampC genes were detected by PCRs and DNA sequencing. Conjugation experiments were conducted to confirm the transferability of the genetic resistance trait. Among 41 non-repetitive blood isolates of cefuroxime-resistant E. cloacae, eight isolates exhibited ESBL phenotype confirmed by double-disk synergistic tests. Nearly all the strains were susceptible to carbapenems. The prevalence rate of the plasmid-mediated blaampC genes was 73% (30/41), including one blaDHA-1, one blaMIR-6, two novel blaCMH-1 genes and other blaACT-like genes. Coexistence of plasmid-mediated blaACT and ESBL genes (10 with blaSHV-12 and one with blaCTX-M-3) was observed. Successful transmissions of the blaACT and blaCMH-1 were demonstrated in some transconjugants. The inducible or derepressed CMH-1 had expanded activity of isolates versus ceftazidime. Enterobacterial repetitive intergenic consensus (ERIC)-PCR analysis and pulsotype showed distinct patterns suggesting non-clonal relationship. In conclusion, plasmid-mediated blaACT-like ampC genes in E. cloacae isolates have been highly prevalent in southern Taiwan and may continue genetic evolution, contributing to the complexities in antibiotic-resistant mechanisms.

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