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2021 ◽  
Vol 5 (4) ◽  
pp. 412
Author(s):  
Vaulin Vladimir Ivanovich ◽  
Singeev Sergey Aleksandrovich

Background: The article presents the results of a study of ensuring fire safety in medical and preventive institutions (LPI) on the example of the central city hospital.Objectives: Research is aimed at improving the fire safety of hospital complexes and hospitals in modern conditions.Materials and Methods: The study used the methods of system analysis of scientific research and statistical data on ensuring fire safety, methods of structural analysis of the practice of ensuring fire safety of hospital complexes, mathematical methods for calculating the evacuation of people from a building and the spread of a fire in a building, methods for calculating the economic efficiency of means of support fire safety.Results and Discussion: Based on the analysis of fire statistics in healthcare facilities in Russia, it is concluded that it is advisable to improve the fire safety of hospitals and hospital complexes in modern conditions. The point of view is expressed that along with the fact that fire safety in hospitals is observed, the analysis indicates the existing problems in the practice of implementation.Conclusion: In order to increase the level of fire safety, it is possible to introduce: a modern fire alarm system; video of control systems and monitoring of safety of objects on the territory of the medical facility; installation of automatic fire extinguishing systems in fire-hazardous premises; installation of additional emergency lighting and reflectors indicating the direction of evacuation in case of fire and smoke; carrying out organizational and practical measures to ensure the safety of patients in a medical institution in an emergency situation (ES), namely, it is proposed to develop a memo of actions for patients in the hospital complex on inpatient treatment in case of an emergency with a list in the instruction log; provision of medical facilities with individual rescue equipment and provision of hospitals and hospital complexes with highrise buildings with modern evacuation means.International Journal of Human and Health Sciences Vol. 05 No. 04 October’21 Page: 412-417


Author(s):  
Sanavar Bazarbaevna Shadmanova ◽  
Nargizakhon Odilovna Alimova

The article provides a scientific analysis of the issue of medical care for the population of Turkestan in the late XIX - early XX centuries, based on a gender approach, based on materials from periodicals and primary sources. The study notes that during this period, medical care for women was one of the biggest problems in Turkestan, and the first special medical facility for women was opened in Tashkent in 1883, before which women rarely, if ever, consulted male doctors. KEY WORDS: Tashkent, gender approach, Turkestan, medical institution, doctor, medical education, outpatient.


2021 ◽  
Vol 14 (7) ◽  
pp. e244095
Author(s):  
Prabhakar Singh ◽  
Abhishek Gupta ◽  
Richa Gupta ◽  
Amit Raj

We aim to highlight the ignorance and incidences of deliberate hiding of medical facts in society. The cause of it can be, the associated taboo with these diseases. The fear of social outcasts is the major barrier preventing diseased from accepting the diagnosis as well as treatment. Though the medical facility has improved significantly and has come up with a complete cure for these diseases, still these facilities are not able to trickle down to the lower socioeconomic group. The reason for facilities not reaching the lower socioeconomic strata is the self-made shield created by these people. The current case report tries to highlight the need to screen the family members and the contacts of patients with tuberculosis. The screening should be done holistically and thoroughly to rule out extrapulmonary pulmonary disease also.


World ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 351-375
Author(s):  
Durgham Darwazeh ◽  
Amelia Clarke ◽  
Jeffrey Wilson

A significant number of studies have assessed the impact of medical tourism from economic, technological and social perspectives. Few studies, however, have explored the development of the medical tourism sector from a sustainability perspective. This research brings a sustainability lens to medical tourism by extending Hart and Milstein’s framework (2003) for creating sustainable business value to advance the development of sustainable medical tourism facilities. To inform the analysis, the study conducted nine semi-structured interviews with members of the Jordan Medical Tourism Network (JMTN). Interview results confirmed the primary factors that motivate medical tourists, and characteristics of a sustainable medical tourism facility. The research provides insights on how sustainability is a driver of medical tourists’ decisions and a core aspect to be managed. The study also provides direction to advance sustainable medical tourism facilities in Jordan with replicability in other jurisdictions. The research proposes a path for medical tourism facilities to play further roles in their contribution to sustainable development by introducing a framework that aims to integrate four business strategies for establishing sustainable value through the integration of stakeholders’ interests and environmental practices.


2021 ◽  
Author(s):  
Ismael Niadawe Issaka

Abstract Background Antimicrobial resistance attributed to self-medication with antibiotics is a growing global health concern. Even among health-aware subgroups including medical and nursing practitioners, the prevalence of self-medication with antibiotics remains high. In Ghana, the extent of self-medication with antibiotics among health professionals is not yet fully known. This study draws from a primary cross-sectional study within a tertiary medical facility in Ghana to provide a first estimate of the proportion of nurses who had self-medicated with antibiotics within the last 12 months or longer at the time of the study. The primary study investigated associations between self-medication with antibiotics and socio-demographics, knowledge levels, perceived susceptibility, and perceived severity regarding antibiotic resistance- related conditions. Methods Cross-sectional survey design supported by a pre-tested, standardized, self-administered questionnaire was used to collect data among 170 nurses. Descriptive statistics was used to analyse variable distributions. Chi-square test was used for univariate analysis and logistic regression for multivariable analysis. A level of p < .05 was considered significant. IBM Statistical Package for the Social Sciences (SPSS) version 21 was used for data analysis. Results 77.1% of study participants recalled having practised self-medication with antibiotics within the last 12 months and longer. 72.9% of respondents obtained antibiotics from the medical store or pharmacy. In the multivariable logistic regression analysis, years of work ≤ 5 years (OR = 0.21, 95% CI: 0.061–0.708), knowledge of antibiotic resistance (OR = 0.178, 95% CI: 0.060–0.528), and high perceived personal severity of a disease related to antibiotic resistance (OR = 0.128, 95% CI: 0.046–0.357) were found significantly associated with the practice of self-medication with antibiotics. Conclusion To curb inappropriate use of antibiotics that increases the risk of antibiotic resistance, there is the need to promote education among nurses and stronger enforcement of laws which forbid sales without prescription.


Author(s):  
Prachu J. Patil ◽  
Ritika V. Zalke ◽  
Kalyani R. Tumasare ◽  
Bhavana A. Shiwankar ◽  
Shivani R. Singh ◽  
...  

One of the many challenges that the world faces is traffic hazard. The major cause of this traffic risk is the presence of a huge number of vehicles on the road. As a result, it generates the most challenging issues, leading to an increase in the death toll due to road accidents that occur throughout the world. As a result, it necessitates the need to provide adequate transportation facilities, which will reduce the number of collisions and save human lives. The GPS, GSM, accelerometer, Arduino UNO technology, and vibration sensor are used to design and develop a vehicle accident detection model. The proposed approach is classified into three stages to prevent and detect the vehicular accidents. At the detection stage, a vibration sensor will be utilized to determine the position of the accident and to alert the user by sending SMS via the GSM module, which will include the user's data stored in Android applications. This data will be taken from the GPS module. The second phase occurs when moderate accidents occur and in such situation, the location will be detected by using a GPS module. After that, the nearby hospital receives a message about the accidents and accordingly they provide services to the accidents. At the same time, after detecting the location, a patient receives a message from the hospital urging them to take precautions. .


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Michiyo Higuchi ◽  
Maki Endo ◽  
Asako Yoshino

Abstract Background In Japan, foreign residents, and particularly new arrivals in the country, experience barriers to health care and show poorer health outcomes when compared to Japanese nationals. The health-care-related situation for foreign residents in Japan has been characterized by drastic changes over time; thus, there is difficulty identifying individuals who are “left behind” by the system. In this study, we aimed to identify, among foreign residents who attended informal free medical consultations, factors associated with “being advised to visit a medical facility” and “being referred to a medical facility,” which represented hypothetical proxy indicators of barriers to health care. Methods Secondary data analyses were conducted using the activity records of a non-governmental organization that provides free consultations targeting foreign residents in various locations in Aichi Prefecture, Japan. Participant characteristics, including insurance coverage, were determined. Bivariate and multi-variate analyses were performed to identify factors associated with having barriers to health care. Results Among 608 extracted cases, 164 (27.5%) cases were advised to visit a medical facility, and 72 (11.8%) were referred to a medical facility during the consultations. Those who were not covered by public insurance showed a 1.56-time (95% confidence interval [CI]: 1.19–2.05) higher prevalence of being advised to visit a medical facility when compared to those who were covered by public insurance. Unemployed people and students were more likely to be referred to a medical facility than were professional workers; the prevalence ratios were 3.28 (95% CI: 1.64–6.57) and 2.77 (95% CI: 1.18–6.46), respectively. Conclusions Although the majority were insured, almost 30% were advised to visit a medical facility, which implied that they had had limited access to the formal health-care system before availing of the free consultations. The findings highlight those uninsured, unemployed people and students, who are considered vulnerable to access to health care. It is vital to provide those who are vulnerable with the necessary support while updatinge evidence, so that no one is “left behind.”


2021 ◽  
Vol 72 (3) ◽  
pp. 124-131
Author(s):  
Hiroyuki Ito ◽  
Takakuni Kato ◽  
Chiaki Koizumi ◽  
Yasushi Suzuki ◽  
Teiji Tanahashi ◽  
...  

2021 ◽  
Author(s):  
Rungsima Wanitphakdeedecha ◽  
Tatre Jantarakolica ◽  
Chadakan Yan ◽  
Janice Natasha C Ng ◽  
Tatchalerm Sudhipongpracha

Abstract Background: Port-wine stain (PWS) is a congenital capillary malformation associated with negative effects on the quality of life and psychological health of the patients. Pulsed dye laser (PDL) is the current treatment of choice for PWS, however there is little information on the factors determining the treatment price of PWS. We aim to explore the factors determining the treatment price of PWS.Methods: Data were collected through telephone surveys and self-reported questionnaires from hospitals, chain clinics, and doctor’s offices that offered PWS treatment from February 1 to March 30, 2021. Data were analyzed by descriptive statistics and multivariate analysis using a log-linear regression model.Results: A total of 104 observations were gathered. The estimated base price of the treatment without any additional features is 98.34 USD. Treatment by dermatologists has an additional charge of 28.41 USD or 28.9%. Some private clinics offer a lower price of 28.7% (or 28.27 USD) by illegally having non-medical doctors perform the treatment. Treatment with 595-nm PDL and 585-nm PDL and 1064-nm Nd:YAG lasers have an additional charge of 34% (or 33.45 USD) and 38% (or 37.41 USD), respectively. The location and type of medical facility can also affect the price of the treatment. Conclusion: Many factors determine the base price and shadow price of PWS treatment. By using Factors determining a higher cost of laser fee are non-government facilities, location within the capital city, and higher location cost like clinics in the shopping complexes. Lastly, the type of laser and medical personnel provider can also affect the price of the treatment.


Author(s):  
Mamta Sood ◽  
Rakesh K. Chadda

AbstractMedical profession has proved its versatility in the adoption of many strategies to deal with the impact of COVID-19. All India Institute of Medical Sciences (AIIMS), New Delhi, India is a large public funded medical school and general hospital in North India. Psychiatry department is one of the 42 departments at AIIMS. COVID-19 has impacted all the functions of the department: clinical care, teaching and training, research and other roles. In this communication, we report the strategies, simple yet effective improvisations to meet the challenges of COVID-19 so as to continue the basic functions of the discipline. This could serve as a model for continued functioning of a tertiary care teaching medical facility in a pandemic situation.


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