scholarly journals Prevention of vertical transmission in the “Syphilis No!” Project: a study on the specificities of the investigation committees/space in the North Region of Brazil

2021 ◽  
Vol 33 ◽  
Author(s):  
Thereza Cristina de Souza Mareco ◽  
Thaísa Gois Farias de Moura Santos Lima ◽  
Marquiony Marques dos Santos ◽  
Ana Paula Cruz Beja Orrico Horta
Keyword(s):  
Vertical Transmission ◽  
Medical Records ◽  
Congenital Syphilis ◽  
Initial Training ◽  
Service Network ◽  
Missed Opportunities ◽  
Study Approach ◽  
The North ◽  
Adequate Prenatal Care

Introduction: Committees for investigation of vertical transmission (CIVTs) are strategic for the prevention of vertical transmission of syphilis (PVTS) and represent one of the fundamental actions of the project “Syphilis No!". This is mainly because of their role in the analysis of opportunities that were missed by the network of surveillance and care, and their potential to identify failures/difficulties in responding to syphilis and because they are configured as a space for recommending intervention to qualify the health service network. Objective: To describe and analyze a situation of CIVT/syphilis investigation spaces as strategic for PVTS from the implementation of the Syphilis No! project in priority municipalities in the North region of Brazil. Methods: Exploratory-descriptive study, with a qualitative case study approach. The data collection was carried out online, using the necessary questionnaires through the project at Plataforma LUES/FormLUES, from July 2019 to December 2020, and reports, minutes of meetings and reports of experiences, among other documents registered by project actors. Content analysis and bibliographic/documentary review were used. Results: The North region has eight priority municipalities for Syphilis No!, all with some CIVT strategy for syphilis. After the project implementation, five priority municipalities and three states in the region started to rely on CIVTs in their initial training for PVTS. Among the difficulties in the establishment and strengthening of CIVTs was the lack of human resources. Strategic actors and players in the North region pointed out advances/improvements in the service network since the committees' establishment, such as organization of the investigative space, an investigation by home visit/medical records, and expansion of the network. As for the missed opportunities in PVTS, we found a relationship between absences/failures in access to adequate prenatal care. Conclusion: CIVT strategies are important spaces in PVTS, and their maintenance as a prevention axis in the Syphilis No! project is essential for the reduction of congenital syphilis and, consequently, infant mortality.

scholarly journals ELECTRONIC MEDICAL RECORD ALGORITHM TO IDENTIFY UNDIAGNOSED (PRE)DIABETES: A CASE STUDY FROM HAWAIʻI

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S934-S934
Author(s):  
David Stupplebeen ◽  
Tetine L Sentell ◽  
Lance Ching ◽  
Blythe Nett ◽  
Hermina Taylor ◽  
...  
Keyword(s):  
Older Adults ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Clinical Laboratory ◽  
Older Men ◽  
State Health ◽  
Missed Opportunities ◽  
The Past ◽  
Department Of Health

Abstract An estimated one-quarter of United States’ older adults (≥65 years) have diabetes (DM) while half have prediabetes (PreDM). Timely diagnosis can prevent disease progression, but significant proportions of PreDM/DM are undiagnosed. Among Hawai‘i adults, one-third of diabetes and two-thirds of prediabetes cases are undiagnosed; rates for older adults are unknown. Algorithms integrated into Electronic Medical Records (EMR) may improve care by identifying probable undiagnosed cases in patient panels using clinical/laboratory measures. We assessed one algorithm developed by the Hawai‘i Department of Health that identified individuals overdue for screening or with Pre/DM using the records of 20,362 adult patients (51.33% were >65) from a major state health system. 6,371 (31.3%) patients were excluded from analysis; they had no HbA1c screening in the past year or were overdue for screening (70%) based on standard guidelines. Of the remaining 13,991 patients, 7317 were older adults; 6130 (84%) had a PreDM (50.6%) or DM (33.2%) HbA1c value; the rest were controlled or false-positive. Of those older adults with probable PreDM/DM, 38.6% were undiagnosed. Adults >65 were significantly more likely to be flagged with undiagnosed PreDM compared to their younger counterparts (58 versus 54%, p<.001). Notably, 61% of older men flagged with PreDM were undiagnosed. Of the 5,737 patients identified with DM, 22% of those 65 were undiagnosed. Given the recognized high burden of diabetes among older adults, results indicate substantial missed opportunities for the prevention and early treatment of this condition as identified by an EMR algorithm.

scholarly journals Total SGOT, SGPT and Bilirubin Levels in Pulmonary Tuberculosis Patients

2021 ◽  
Vol 3 (1) ◽  
pp. 13-23
Author(s):  
Titan Melina Putri
Keyword(s):  
Pulmonary Tuberculosis ◽  
Medical Records ◽  
Total Bilirubin ◽  
Data Retrieval ◽  
Case Study Approach ◽  
Tuberculosis Patients ◽  
Study Approach ◽  
Gender And Age ◽  
Males And Females

Tuberculosis is an infectious infection caused by Mycobacterium tuberculosis. Anti Tuberculosis drug therapy given has side effects, one of which is hepatotoxicity.. The purpose of this study was to describe the levels of SGOT, SGPT, and total bilirubin in pulmonary tuberculosis patients based on the characteristics of gender and age. This type of research is descriptive observational with a case study approach. Data retrieval using purposive sampling of 120 patients was carried out by analyzing data on medical records. The results of the study in the intensive stage of treatment showed an increase in SGOT for 12 males and females an average of 71 U/L and 93 U/L. The SGPT of 12 men and 14 women averaged 86 U/L and 92 U/L. Total bilirubin in 10 men and 12 women averaged 1.58 mg/dl and 1.68 mg/dl, respectively. The increase in SGOT in 15 patients 26-45 years, 8 patients 46-65 years, and 2 patients 65 years averaged 79 U/L, 70 U/L, and 97 U/L. SGPT occurred in 15 patients 26-45 years, 8 patients 46-65 years, and 3 patients 65 years with mean levels of 82 U/L, 97 U/L, and 96 U/L. Total bilirubin occurred in 15 patients 26-45 years, 5 patients 46-65 years, and 2 patients 65 years with mean levels of 1.72 mg/dl, 1.38 mg/dl, and 1.57 mg/dl. , whereas in the advanced stage of treatment, all patients had normal levels of SGOT, SGPT, and total bilirubin with an average of 27 U/L, 29 U/L, and 0.41 mg/dl.

scholarly journals A Case Study Approach: Legal Outreach Clinics at Northumbria University

2019 ◽  
Vol 26 (1) ◽  
pp. 179-215
Author(s):  
Lyndsey Bengtsson ◽  
Ana Speed
Keyword(s):  
Law School ◽  
Access To Justice ◽  
Case Study Approach ◽  
Clinical Supervisors ◽  
Study Approach ◽  
Legal Advice ◽  
North East ◽  
The North ◽  
Outreach Services

Through a case study approach, this paper discusses two projects which have been established by clinical supervisors at Northumbria University to support access to justice and promote the development of students’ professional skills and identities through CLE within disadvantaged or minority communities in the North East of England. The projects adopt the model of ‘legal outreach services’ because they operate within distinct communities to provide advice to target groups. The paper will first discuss the different models of CLE; simulation, drop in clinics, letters of advice and full representation. The second part of the paper will go on to discuss legal outreach models and set out the key features of the legal outreach approach. The third part of the article will set out the considerations underpinning the two outreach projects operated by Northumbria Law School: Legal Advice Byker (LAB) and Empower 4 Justice (E4J). The fourth part of the paper will set out in detail the operation of LAB and E4J.  The final part of the article will discuss the benefits and limitations of this approach to CLE from a student and community perspective.

scholarly journals Analisis Beban Kerja dan Kebutuhan Sumber Daya Manusia Petugas Rekam Medis Puskesmas Adan-adan Kabupaten Kediri

2020 ◽  
Vol 3 (1) ◽  
pp. 29-35
Author(s):  
Hikmawan Suryanto
Keyword(s):  
Human Resources ◽  
Health Center ◽  
Medical Record ◽  
Medical Records ◽  
Employee Recruitment ◽  
Study Approach ◽  
Quality Health ◽  
Vital Component ◽  
Quality Health Services

Human resources are an important and vital component in an organization's operations. Quality health services can not be separated from the organization of a good medical record. In order to run well, sufficient medical records are needed. In the Adan-Adan Health Center, the number of patient visits from July 2018 to July 2019 was 16,828 people. Medical records officer only numbered 1 person. The research objective is to calculate the needs of human resources in the medical record unit using the ABK method. The design of this research is descriptive observational with case study approach. Respondents in this study were medical staff at the Adan-adan Health Center in Kediri Regency with a total of 1 person. The results of the study are that there is a shortage of human resources in the Adan-Adan Health Center medical record unit which should be 3, but totaling 1 person. Suggestions for Adan-Adan Health Center are employee recruitment needs to be done so that the number of medical records officers can be fulfilled. AbstrakSumber daya manusia merupakan komponen penting dan vital dalam operasional sebuah organisasi. Pelayanan kesehatan yang bermutu tidak terlepas dari penyelenggaraan rekam medis yang baik. Agar berjalan dengan baik, maka dibutuhkan sumber daya rekam medis yang cukup. Kunjungan pasien di Puskesmas Adan-adan pada periode Juli 2018 – Juli 2019 sebesar 16.828 orang. Petugas rekam medis hanya berjumlah 1 orang. Tujuan penelitian untuk menghitung kebutuhan sumber daya manusia di unit rekam medis menggunakan metode ABK. Desain penelitian ini yaitu observasional deskriptif dengan pendekatan case study. Responden dalam penelitian ini yaitu petugas rekam medis Puskesmas Adan-adan Kabupaten Kediri yang bejumlah 1 orang. Hasil penelitian yaitu terdapat kekurangan jumlah sumber daya manusia di unit rekam medis Puskesmas Adan-adan yang seharusnya berjumlah 3, namun saat ini berjumlah 1. Saran bagi Puskesmas Adan-adan yaitu perlu dilakukan rekrutmen pegawai agar jumlah petugas rekam medis dapat terpenuhi.

scholarly journals Analisis Desain Formulir General Consent Rawat Inap (Studi Kasus di Lab RMIK Unjaya)

2021 ◽  
Vol 9 (1) ◽  
pp. 38-46
Author(s):  
Kori Puspita Ningsih ◽  
Zakya Sinta Mahbubah
Keyword(s):  
Medical Records ◽  
Birth Date ◽  
Record Management ◽  
Place Of Birth ◽  
Case Study Approach ◽  
Study Program ◽  
Study Approach ◽  
Additional Information ◽  
Group 2

AbstractOne of the forms that show the patient's consent or the patient's family and is related to the patient's right to obtain health services in the hospital is general consent. This study aims to determine the general consent function of inpatients and to analyze the design of the general consent form from physical, anatomical, and content aspects. This research is a descriptive study, with a case study approach in the Laboratory of Medical Records and Health Information (D-3), Faculty of Health, Jenderal Achmad Yani University, Yogyakarta. The results showed that general consent was used as material for inpatient registration practice for students of the RMIK Study Program (D-3). This activity is carried out to achieve the competence of Medical Record Management, which is carried out by the roleplay method. The results of the analysis of general consent on the physical, anatomical, and content aspects show that it is necessary to redesign general consent on the anatomy and content aspects, including: (1) changes in the placement of items on gender and blood group (2) additional information on how to fill in the checklist form on the instruction placed at the top of the form, (3) confirmation of important information by giving a Bold sign, (4) the name and logo of the hospital is updated (5) the identity of the person in charge is completed with gender, place of birth date and name, while the address of the immediate family is deleted, (6) additional information related to patient rights and obligations and other witness signatures.Keyword: design analysis, general consent, inpatients AbstrakSatu diantara formulir yang menunjukkan persetujuan pasien atau keluarga pasien dan berkaitan dengan hak kewajiban pasien untuk memperoleh pelayanan kesehatan di rumah sakit adalah general consent. Penelitian ini bertujuan mengetahui fungsi general consent pasien rawat inap dan menganalisis desain formulir general consent dari aspek fisik, anatomi dan isi. Penelitian ini merupakan penelitian deskriptif, dengan pendekatan studi kasus di Laboratorium Rekam Medis dan Informasi Kesehatan (D-3) Fakultas Kesehatan Universitas Jenderal Achmad Yani Yogyakarta. Hasil penelitian menunjukkan general consent digunakan sebagai bahan praktik pendaftaran pasien rawat inap mahasiswa Program Studi RMIK (D-3). Kegiatan tersebut dilakukan mencapai kompetensi Manajemen Rekam Medis yang dilaksanakan dengan metode roleplay. Hasil analisis general consent pada aspek fisik, anatomi dan isi menunjukkan perlu dilakukan desain ulang general consent pada aspek anatomi dan isi meliputi: (1) perubahan pada penempatan item pada jenis kelamin dan golongan darah (2) penambahan informasi cara pengisian ceklist formulir pada instruction yang diletakkan di bagian atas formulir, (3) penegasan informasi penting dengan pemberian tanda Bold, (4) nama dan logo rumah sakit diperbaharui (5) identitas penanggungjawab dilengkapi dengan jenis kelamin, tempat tanggal lahir, dan nama sedangkan alamat keluarga terdekat dihapus, (6) penambahan informasi terkait hak dan kewajiban pasien dan penambahan tanda tangan saksi.Kata Kunci: analisis desain, general conset, rawat inap

scholarly journals Consent to rate laws: A case study of the North Carolina homeowners insurance marketplace

2020 ◽  
Author(s):  
J. Bradley Karl ◽  
David C. Marlett ◽  
Faith Roberts Neale ◽  
Jamie Anderson-Parson
Keyword(s):  
North Carolina ◽  
Approval Process ◽  
Case Study Approach ◽  
Rate Regulation ◽  
Study Approach ◽  
Rate Laws ◽  
The North ◽  
Regulation Model ◽  
The Impact

In this paper, the authors discuss Consent to Rate (CTR) laws. These laws, found in many states, allow insurers in a given marketplace to charge a rate that differs from the approved rate if the insured completes the appropriate documentation consenting to the rate change. As such, CTR laws effectively allow for the circumvention of strict rate regulation laws by providing a way for insurers in highly regulated marketplaces (e.g., homeowners or automobile) to charge higher rates than those promulgated or approved by state insurance regulators. The paper proceeds as follows. First, an overview of CTR laws and the impact on consumers. Next, a case study approach is used, using three neighboring states to provide detailed information on their rate regulation model and the extent of use of CTR law. Based on the experience of the three states, the authors find evidence that insurers leverage CTR laws to obtain rate increases when rates are suppressed by the rate approval process.

scholarly journals What symptoms tell us: A multiple case study of oncology consultations

2020 ◽  
pp. 1-16
Author(s):  
Céline Bourquin ◽  
Friedrich Stiefel
Keyword(s):  
Multiple Case Study ◽  
Relationship Building ◽  
Case Study Approach ◽  
Missed Opportunities ◽  
Symptom Dimensions ◽  
Study Approach ◽  
Multiple Dimensions ◽  
Symptom Experiences ◽  
Multiple Case

Abstract Objectives While patients’ symptom experiences have been widely investigated, there is a lack of contextualized studies investigating how symptoms circulate in the medical consultation, how patients present them, what they convey, how physicians respond, and how patients and physicians negotiate with each other to find ways to address them. The aim of this study is to explore patients and physicians handling of symptoms throughout oncological consultations with a multiple case study approach. Methods Five consultations, purposively selected from an existing dataset of audiotaped consultations with patients with advanced cancer, were analyzed by means of an inductive analytical approach based on a sensitive framework from the literature. Results Patients’ symptoms showed multiple dimensions such as medical, cognitive, emotional, psychological, interactional, symbolic, experiential, and existential. Significance of results Different symptom dimensions remained unnoticed and unaddressed in the consultations. The physician-centered symptom approach that was observed leads to consumed time and missed opportunities for relationship building with the patient. Physicians showed a lack of sensitivity regarding the multiple dimensions of symptoms. Based on the findings, strategies for a more comprehensive symptom approach can be conceived.

scholarly journals DEVELOPING MARKETING STRATEGIES FOR FOOD DIVERSITY: A CASE-STUDY IN NORTHERN PORTUGAL

2018 ◽  
Author(s):  
Isabel Dinis ◽  
Pedro Mendes-Moreira ◽  
Susanne Padel
Keyword(s):  
Value Chain ◽  
Local Development ◽  
Genetic Erosion ◽  
Small Scale ◽  
Study Approach ◽  
The North ◽  
Processing Level ◽  
Maize Varieties ◽  
Local Actors

Vale do Sousa is a heterogeneous territory located in the North Region of Portugal. Until a few decades ago, the economy was based on small-scale farming with maize for bread (Broa) as one important crop. Each community had its own maize varieties and practices, which were reflected in the composition, shape, size and flavour of local Broa. In the last decades, the abandonment of agriculture was noticeable, leading to a progressive decrease in maize production and to genetic erosion. More recently, local stakeholders became aware of the important role that landraces and biodiverse food can play in local development and have engaged in finding new opportunities for a sustainable Broa value chain development in Vale do Sousa region. This paper aims at identifying opportunities and bottlenecks in the marketing of regional Broa. It uses a case study approach that, unlike the majority of the research in this area, covers the whole supply chain and includes needs and expectations of farmers, processors, consumers and their networks. The main problem identified by local actors is that traditional varieties are less productive, leading farmers to favour commercial maize varieties less suitable for baking. At the processing level, local actors raised the question of legislation, arguing that, in Portugal, European rules on food safety are not realistically applied to endogenous food products. The results also show that final consumers as well as restaurants recognize the quality of traditional Broa and seem to be willing to pay a price premium to reward farmers for using traditional varieties.

scholarly journals EXAMINATION OF CONTEXT-BASED PROBLEM-SOLVING ABILITIES OF PRE-SERVICE PHYSICS TEACHERS

2017 ◽  
Vol 16 (1) ◽  
pp. 113-122 ◽  
Author(s):  
Eser Ültay
Keyword(s):  
Graduate Programs ◽  
Point Of View ◽  
Middle Level ◽  
North Coast ◽  
Physics Teachers ◽  
Study Approach ◽  
The North ◽  
Data Collection Process ◽  
Evaluation Techniques

In recent years, while the context-based approach has been popular and the teachers have been using it in the classrooms, it is seen that they do not prefer using context-based evaluation techniques. This becomes a problem for students because they used to be taught in the context-based approach enriched by daily life examples and then they are measured by paper and pencil tests. From this point of view, the aim of this research was to examine the ability of the pre-service physics teachers creating context-based problem about pressure. A case study approach was used to answer the research questions. The research was carried out in a university on the north coast of Turkey. Participants were 25 pre-service physics teachers between 20-24 ages. Pre-service teachers were firstly taught the context-based approach and then to write context-based problems. In data collection process, they prepared context-based problems and they were evaluated by a rubric consisting six criteria and three categories. After data analysis, it was found that pre-service teachers remained in the middle level in terms of creating context-based problems. In undergraduate or graduate programs, pre-service teachers and teachers should be informed about the context-based approach and context-based evaluation techniques so that they can effectively use them. Key words: context-based evaluation, context-based problem, pre-service physics teachers.

scholarly journals Penerapan terapi spiritual emotional freedom technique (SEFT) pada penderita tuberculosis dengan masalah keperawatan di Puskesmas Sawahan

2020 ◽  
Vol 13 (01) ◽  
pp. 74-80
Author(s):  
Eppy Setiyowati ◽  
Alfin Hidayatur Rahman
Keyword(s):  
Medical Records ◽  
Disease Process ◽  
Term Treatment ◽  
Tuberculosis Patients ◽  
Respiratory Problems ◽  
Study Approach ◽  
Long Term Treatment ◽  
Standard Operating

Abstract: Pulmonary tuberculosis (TB) is an infectious disease caused by rod-shaped bacteria (bacilli) known as Mycobacterium tuberculosis. This tubercle basil will cause respiratory problems. In addition, the disease process and long-term treatment often cause anxiety in people with Tuberculosis. The purpose of this study was the application of SEFT therapy in Tuberculosis patients to reduce anxiety in Sawahan Surabaya Health Center. The method used was descriptive with a case study approach through nursing care with anxiety nursing problems in Tuberculosis patients. Data collection is done using the method of interviews, direct observation, and medical records. The results of the application of SEFT therapy were carried out once / day for 3 days at Mr. B. There was a decrease in anxiety which was resolved gradually after SEFT therapy. The application of SEFT therapy is effective in reducing anxiety felt by Tuberculosis patients. Therefore nurses are expected to be able to teach SEFT therapy according to standard operating procedures (SOP) so that patients and families can practice it again at home.

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