scholarly journals The collateral benefits of having chiropractic available in a public central hospital

2013 ◽  
Vol 2 (4) ◽  
pp. 138 ◽  
Author(s):  
Jan Roar Orlin ◽  
Andrè Didriksen ◽  
Helge Hagen ◽  
Anders Sørfonden
Keyword(s):  
Facial Pain ◽  
Hospital Setting ◽  
Public Hospitals ◽  
Central Hospital ◽  
Hospital Administrators ◽  
The Past ◽  
Pain Syndromes ◽  
Swallowing Difficulties ◽  
Pain Patients ◽  
Effective Procedures

Following previous reports on the co-operation between a chiropractor and a central hospital, experiences from the past five years are presented. The objective of this paper is to show that improved management of muscular and skeletal problems within a hospital setting depends on the availability of chiropractic health care as a treatment option. The following pain groups were sampled: 1) sacro-lumbar dysfunction and sciatic leg symptoms, with or without joint dysfunction and sciatica; 2) myo-fascial referred pain syndromes, frequently caused by peripheral nerve entrapment; and 3) tinnitus, dizziness/vertigo, facial pain, ear plug and swallowing difficulties, frequently caused by biomechanical components. A majority of pain patients, after being subjected to traditional conservative treatment, usually over a period of several years, fail to return to work despite younger than average age. The only effective procedures seem to be those of chiropractors. In order to benefit from their particular knowledge, public hospitals need to open their doors to chiropractors. For that to happen, determined hospital administrators are needed. 

EVALUATION OF THE EFFECTIVENESS OF NECK SHOULDER PAIN TREAMENT BY ACUPUNCTURE, MASSAGE AND TRADITIONAL MEDICINE REMEDY

2013 ◽  
pp. 110-117
Author(s):  
Thi Tan Nguyen
Keyword(s):  
Traditional Medicine ◽  
Shoulder Pain ◽  
Research Methodology ◽  
Pain Treatment ◽  
Central Hospital ◽  
Treatment Results ◽  
Good Account ◽  
Before And After ◽  
The City ◽  
Pain Patients

Objectives: To assess the effectiveness neck shoulder pain treatment by acupuncture, massage and traditional medicine remedy. Materials and Methods: 42 patients included in the inpatient and outpatient at the Department of Traditional Medicine, Hue Central Hospital and Traditional Medicine Hospital of Thua Thien Hue, was diagnosed as neck shoulder pain. Patients were treated with acupuncture, massage and medicine, according to the research methodology, assessing the results before and after treatment. Results: The age accounted for the highest proportion of 31-45 (42.49%), the second is between the ages of 46-60 (26.18%) and> 60 (26.18%). Incidence in the city (66.67%) than rural (33.33%) (p <0:05). Patients presented with neck shoulder pain (100%), together with the head pain, pain in the shoulder, arm numbness, movement restrictions tilted head bowed. Conclusion: good variety and accounted for 71.42% of which are quite good account of 14.28%, only 2.38% is poor. Results of good, high aged 31-45 (35.72%) and in patients with a course of treatment (66.66%). Key words: neck shoulder pain, acupuncture, massage, traditional medicine remedy.

Survey of Electronic Health Record (EHR) Systems in Kenyan Public Hospitals: A mixed-methods survey (Preprint)

2018 ◽  
Author(s):  
Naomi Muinga ◽  
Steve Magare ◽  
Jonathan Monda ◽  
Mike English ◽  
Hamish Fraser ◽  
...  
Keyword(s):  
Management Information System ◽  
Health Management ◽  
Public Hospitals ◽  
Health Management Information System ◽  
Adoption Process ◽  
Management Information ◽  
Health Records ◽  
Hospital Administrators ◽  
Ehr Adoption ◽  
Electronic Health

BACKGROUND As healthcare facilities in Low- and Middle-Income Countries (LMICs) such as Kenya adopt Electronic Health Record (EHR) systems to improve hospital administration and patient care, it is important to understand the adoption process, identify the key stakeholders, and assess the capabilities of the systems in use. OBJECTIVE To describe the level of adoption of Electronic Health Records systems in public hospitals and understand the process of adoption from Health Management Information System (HMIS) system vendors and system users. METHODS We conducted a survey of County Health Records Information Officers (CHRIOs) in Kenya to determine the level of adoption of Electronic Health Records systems in public hospitals. We conducted site visits to hospitals to view systems in use and to interview hospital administrators and end users. We also interviewed Health Management Information System (HMIS) system vendors to understand the adoption process from their perspective. RESULTS From the survey of CHRIOs, all facilities mentioned had adopted some form of EHR. Hospitals commonly purchased systems for patient administration and hospital billing functions. Radiology and laboratory management systems were commonly standalone systems. There were varying levels of interoperability within facilities that had more than one system in operation. We only saw one in-patient EHR system in use although many vendors and hospital administrators we interviewed were planning to adopt or support such systems. From the user perspective, issues such as system usability, adequate training, availability of adequate infrastructure and system support emerged. From the vendor perspective, a wide range of services was available to the hospital though constrained by funding and the need to computerise service areas that were deemed as priority. Additionally, vendors were unable to implement some data sharing modules linking to national HMIS due to lack of appropriate policies to facilitate this and users’ lack of confidence in new technologies such as cloud services. CONCLUSIONS EHR adoption in Kenya has been underway for some years, particularly in comprehensive care clinics, and hospitals are increasing purchasing systems to support administrative functions. Considerable support from government, donors and regional health informatics organisations will be required to enable hospitals to move to full EHR adoption for in-patient care.

IMPROVING THE SERVICE QUALITY OF HEALTHCARE IN GHANA: The Role of Locum Nursing

2013 ◽  
Vol 03 (12) ◽  
pp. 01-14
Author(s):  
Keelson, Solomon A. ◽  
Ann Dodor
Keyword(s):  
Service Quality ◽  
Healthcare Delivery ◽  
Sampling Technique ◽  
Research Problem ◽  
Quality Of Healthcare ◽  
Public Hospitals ◽  
Nurse Shortage ◽  
Quality Healthcare ◽  
Hospital Administrators

The study was purposed to consider how encouraging use of locum nursing could aid in managing nurse shortage in the country and consequently improve the service quality of healthcare in Ghana. To be able to address the research problem and achieve the objectives, thirty public hospitals and thirty private hospitals were selected from the three major cities in Ghana to provide data for the study. Also, 250 locum nurses were sampled for information. Nursing Supervisors or Hospital Administrators from the selected hospitals were use as informant for the study. The paper adopted a survey approach, where incidental sampling technique was used to select the hospitals, and the snowball together with incidental sampling methods were used for selecting locum nurses for the study. Mean and standard deviation were the data analysis method used. The findings confirmed that locum practice in Ghana is relatively low. Similarly, the paper also suggested that locum contribute to addressing the issue of nurse shortage in Ghana. At the same time locum nursing was found to contribute to quality healthcare delivery in the country. Appropriate policy directions were recommended.

Substance P in the brain Cerebrospinal fluid of facial pain patients

Pain ◽  
1990 ◽  
Vol 41 ◽  
pp. S494
Author(s):  
A.J. Bouckoms ◽  
W.H. Sweet ◽  
N. Aronin
Keyword(s):  
Cerebrospinal Fluid ◽  
Substance P ◽  
Facial Pain ◽  
Pain Patients ◽  
The Brain

scholarly journals The double-edged sword of corporatisation in the hospital sector: evidence from Indonesia

2016 ◽  
Vol 12 (1) ◽  
pp. 61-80 ◽  
Author(s):  
Asri Maharani ◽  
Gindo Tampubolon
Keyword(s):  
Regression Analysis ◽  
Panel Data ◽  
Financial Performance ◽  
System Performance ◽  
Hospital Performance ◽  
Public Hospitals ◽  
Health System Performance ◽  
The Past ◽  
Panel Data Regression ◽  
Data Regression

AbstractHoping to improve their health system performance, many countries have corporatised their hospitals in the past 20 years. What this means for hospital performance remains as yet largely unknown. This study looks into the association of corporatisation and hospital performance in Indonesia. We apply panel data regression analysis to survey data on 54 public hospitals in East Java province. Our analysis suggests that corporatisation is associated with higher hospital income and expenditure, but fails to improve efficiency and equity. These findings suggest that hospital corporatisation policy in Indonesia should increase emphasis on efficiency and equity rather than on financial performance alone.

scholarly journals A Cross-sectional Study on Challenges Faced and Strategies Adopted in Responding to Corona Virus Disease (COVID-19) by Hospital Administrators in Kaski District

2021 ◽  
Vol 2 (4) ◽  
pp. 256-260
Author(s):  
KC Deepti ◽  
S Poudel ◽  
SB Hamal Thakuri ◽  
S Shrestha
Keyword(s):  
Virus Disease ◽  
Health Care Systems ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Hospital Administrators ◽  
Corona Virus ◽  
Care Systems ◽  
Private And Public

Background: Following the outbreak of Coronavirus disease in 2019, the year 2020/21 has been an incredibly challenging one for all global health-care systems. Methods: A cross sectional descriptive research design was used to conduct the study. The study was carried out in all general private and public hospitals of Kaski district of Nepal. Data were collected from 25th October to 5th December, 2020 from the Hospital administrators using a semi structured interview schedule. Descriptive statistics were used for data analysis. Results: Most (96.3%) of the hospitals reported that increased cost or expenses of the hospitals creating financial threat is the most challenging situation that hospitals are facing in this pandemic. In addition shortages of ventilators creating ethical dilemma for patient allocation and changing guidelines from authorities have been reported as a challenge by 88.9 percent of the hospitals respectively. All of the surveyed hospitals had developed the use of thermometers for screening at the hospital entrances to minimize the risk. Conclusion: Hospitals in this pandemic are facing a lot of challenges with regard to staff management, PPE management and so on. Hence they need to adopt best strategies in responding to the corona virus.

scholarly journals Oral lesions in patients with psychiatric disorders

2010 ◽  
Vol 138 (9-10) ◽  
pp. 564-569 ◽  
Author(s):  
Svetlana Jovanovic ◽  
Ivanka Gajic ◽  
Bojan Mandic ◽  
Jelena Mandic ◽  
Vlada Radivojevic
Keyword(s):  
Psychiatric Disorders ◽  
Facial Pain ◽  
Psychiatric Patients ◽  
Medical Documentation ◽  
Oral Lesions ◽  
Age And Gender ◽  
Taste Changes ◽  
Swallowing Difficulties ◽  
And Gender ◽  
Healthy Persons

Introduction. Oral diseases in psychiatric patients are usually a result of bad oral hygiene and psychopharmaceutical side-effects. Objective. The aim of this study was to detect oral lesions in patients hospitalized in psychiatric institutions with the confirmed diagnosis of psychiatric illness and mood disorder with psychotic characteristics, as well as to discover the factors that can influence these oral lesions. Methods. Cross-section study consisted of 186 hospitalized patients with psychiatric disorders in the experimental group, out of whom 87 were males and 99 females. Patients were aged from 18 to 59 years, mean age 46.0?8.0 years. The control group consisted of 186 healthy persons matched for age and gender. Data on oral lesions were obtained within history and clinical examination of the oral cavity. Other medical data were collected from medical documentation. Statistical analysis was performed by Student?s t-test, chi-square test and logistic regression. Results. Dry mouth was registered in 78.5% of patients. The difference in tongue and lip lesions, burning and stinging symptoms, bruxism, facial pain, low saliva rates, halitosis, taste changes and swallowing difficulties between the patients and healthy persons was highly statistically significant (p<0.001). Age and gender, as well as the factors of main disease, influence burning and stinging, bruxism, low saliva rates, swallowing difficulties, taste changes and facial pain of the psychiatric patients. Conclusion. Results imply that psychiatric patients are more frequently involved with oral lesions than healthy persons. It is necessary to organize specific preventive and educational oral health programmes with these patients, as well as with doctors who treat the basic illness.

The treatment of resistant, chronic, headaches and facial pain patients in a comprehensive multidisciplinary, mind–body clinic

2014 ◽  
Vol 76 (6) ◽  
pp. 510
Author(s):  
A. Mosek ◽  
A. Alexandrovitz ◽  
A. Aylon ◽  
H. Baum ◽  
M. Dano ◽  
...  
Keyword(s):  
Facial Pain ◽  
Chronic Headaches ◽  
Pain Patients

Hemostatic and thrombotic disorders in the pediatric patient

Blood ◽  
2021 ◽  
Author(s):  
Sarah H. O'Brien ◽  
Ayesha Zia
Keyword(s):  
Venous Thromboembolism ◽  
Prediction Models ◽  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
Hospital Setting ◽  
Von Willebrand Disease ◽  
Assessment Tools ◽  
Excessive Bleeding ◽  
The Past ◽  
New Treatment

This review focuses on significant advances in the field of pediatric hemostasis and thrombosis, with a focus on published studies within the past decade. The evaluation and management of patients with excessive bleeding remain a cornerstone of consultative hematology. We will describe the development of validated bleeding assessment tools relevant to pediatric practice, laboratory advances in the evaluation of von Willebrand Disease, and a shift in clinical practice regarding the interpretation of normal coagulation studies in patients with significant bleeding phenotypes. There have also been critical advances in the management of hemostatic disorders. This review highlights new treatment paradigms in hemophilia and the rise of multidisciplinary medical homes for women living with bleeding disorders. Given the continued increase in the incidence of thrombosis, particularly in the hospital setting, a full call to arms against pediatric venous thromboembolism is now essential. This review will describe recently completed clinical trials of direct oral anticoagulants in children and adolescents and ongoing work to elucidate the appropriate duration of therapy for children with provoked thrombosis. Recent work regarding the prevention of pediatric venous thromboembolism is highlighted, including studies of thromboprophylaxis and the development of risk-prediction models for hospital-acquired thrombosis. Finally, we review advances in our understanding of post-thrombotic sequelae and the need for continued refinement of our evaluation tools. Despite the significant advances in pediatric hemostasis and thrombosis over the past decade, many unanswered questions remain for the next generation of investigators.

Patient Safety Culture in Emergency Departments of Yemeni Public Hospitals: A Survey Study

2021 ◽  
Author(s):  
Mohammed Alsabri ◽  
Mervat Abdulaziz AlGhallabi ◽  
Farouk Abdulrahman Al-Qadasi ◽  
Asma Abdullah Yahya Zeeherah ◽  
Adekemi Ebo ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Emergency Departments ◽  
Patient Safety Culture ◽  
Public Hospitals ◽  
Survey Study ◽  
The Past ◽  
Important Challenge ◽  
University Degree

Introduction: Quality and safety is an important challenge in healthcare systems all over the world particularly in developing parts. Objective: This survey aimed to assess patient safety culture (PSC) in emergency departments (EDs) in Yemen and identify its associated factors. Methods: A questionnaire containing the Hospital Survey on Patient Safety Culture (HSOPSC) was distributed to ED physicians, nurses, and clinical, and non-clinical staff at three public teaching general hospitals. The percentages of positive responses on the 12 patient safety dimensions and the summation of PSC and two outcomes (overall patient safety grade and adverse events reported in the past year) were assessed. Factors associated with PSC aggregate score were analyzed. Results: finally, out of 400 questionnaires, 250 (64%) were analyzed. In total, 207 (82.3%) participants were nurses and physicians; 140 (56.0%) were male; 134 (53.6%) were less than 30 years old; and 134 (53.6%) had a university degree. Participants provided the highest ratings for the “teamwork within units” PSC composite (67%). The lowest rating was for “non-punitive response to error” (21.3%). A total of 120 (48.1%) participants did not report any events in the past year and 99 (39.7%) gave their hospital an “excellent/very good” overall patient safety grade. There were significant differences between the hospitals’ EDs in the rating of “handoffs and transitions” (p=0.016), “teamwork within units” (p=0.018), and “frequency of adverse events reported” (p=0.016). Staff working in intensive care units (8.4%, n=21) had lower patient safety aggregate scores. Conclusions: PSC ratings appear to be low in Yemen. This study emphasizes the need to create and maintain a PSC in EDs through the implementation of quality improvement strategies and environment of transparency, open communications, and continuous learning.

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