Open Access Library Journal最新文献_第10页

Dose Load during Orthopedic Procedures 矫形手术中的剂量负荷

Open Access Library Journal Pub Date : 2021-02-01 DOI: 10.4236/OALIB.1107107

N. Ivanova, Javor Ivanov, M. Marinov, Miroslav Petrov

{"title":"Dose Load during Orthopedic Procedures","authors":"N. Ivanova, Javor Ivanov, M. Marinov, Miroslav Petrov","doi":"10.4236/OALIB.1107107","DOIUrl":"https://doi.org/10.4236/OALIB.1107107","url":null,"abstract":"This article discusses the dose load of people working with a C-arm X-ray system during orthopedic procedures. We measured the effective doses received by the doctor-operator and his assistant at three points of the body—head, gonads and feet, in radiography mode (single shot) and in three sub-modes of the fluoroscopy mode—continuous fluoroscopy; 1/2 dose fluoroscopy and pulse fluoroscopy. Calculations were made for dose rate the resulting our measurements due to the fact that at the different exposure modes are used different exposure times. For a more accurate comparison of the dose load in the different operating modes, we calculated the time for reaching the dose limit for the personnel given in the Bulgarian legislation is calculated—20 mSv per year. The results of all measurements and calculations show that the dose load in the radiography mode (single shot) is several times larger than the dose that was received in the three variations of the fluoroscopy modes. Our main goal by this research is to convincingly show orthopedic surgeons and traumatologists that using a fluoroscopy mode (in all its variations) of the C-arm X-ray system in the position of the tube under the patient table is best for their work, appreciating terms of work, image quality, informational value and dose load of the staff.","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"14 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79607002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determinants of the Quality of the Cesarean Section in Mbuji-Mayi City (Democratic Republic of Congo) Mbuji-Mayi市(刚果民主共和国)剖宫产质量的决定因素

Open Access Library Journal Pub Date : 2021-02-01 DOI: 10.4236/OALIB.1106307

Balela Kabasu Marie Claire, Mbuyi Mukendi Fortunat, K. M. John, Kadima Cibangu, Kakese Tshimanga, K. Michel, Kapanga Kapita Sébastien, Beya Beya Laurent-Blaise, Jean Cicéron Mbunda Mulowayi

{"title":"Determinants of the Quality of the Cesarean Section in Mbuji-Mayi City (Democratic Republic of Congo)","authors":"Balela Kabasu Marie Claire, Mbuyi Mukendi Fortunat, K. M. John, Kadima Cibangu, Kakese Tshimanga, K. Michel, Kapanga Kapita Sébastien, Beya Beya Laurent-Blaise, Jean Cicéron Mbunda Mulowayi","doi":"10.4236/OALIB.1106307","DOIUrl":"https://doi.org/10.4236/OALIB.1106307","url":null,"abstract":"Objective: The overall objective of this study was to make a small contribution to improving the health of mothers and children. Method: This is a transversal descriptive study, which took place in the city of Mbuji-Mayi, exactly in the general reference hospitals of this city during the period from March 13 to June 12, 2017, on a sample of 103 cases of cesarean sections. The determinants of the quality of the cesarean section were found by the bivariate analyzes on SPSS. Results: After collecting and analyzing data, we arrived at the results according to which: The cesarean section rate is 8.9%, the fairly good, low and medium quality cesarean section represented 51.5%, 2.9% and 45.6% respectively and if the operating room was available, the probability of having a mid-quality cesarean was 90 times higher (p < 0.001), 14 times higher in the case of a mother and child alive than in the event of death of the child (p < 0.001) and 4.3 times weak or fairly good with an ineffective kit (p < 0.001). Conclusion: The cesarean section rate is 8.9% and the determinants of quality cesarean section were: the availability of the operating room, mother-child prognosis and the availability of the operating kit. These results will help decision-makers in health matters to train and retrain health personnel, particularly midwives, on the benefits of prenatal consultation and its objectives, timely referral, and on the quality of work supervision.","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"15 1","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84293905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical and Epidemiological Aspects of Certain Diseases with Weekly Notification in the Democratic Republic of Congo (DRC): Case of Three Hospitals in Lubumbashi 在刚果民主共和国每周通报的某些疾病的临床和流行病学方面:以卢本巴希三家医院为例

Open Access Library Journal Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1107051

Basema Kindja Marie-France, M. Patricia, Ramazani Mupuluzi Theophile, Kampentenga Tshitenga Serges, K. Pascal, Matungulu Matungulu Charles, Ilunga Kandolo Simon, Kabyla Ilunga Benjamin

{"title":"Clinical and Epidemiological Aspects of Certain Diseases with Weekly Notification in the Democratic Republic of Congo (DRC): Case of Three Hospitals in Lubumbashi","authors":"Basema Kindja Marie-France, M. Patricia, Ramazani Mupuluzi Theophile, Kampentenga Tshitenga Serges, K. Pascal, Matungulu Matungulu Charles, Ilunga Kandolo Simon, Kabyla Ilunga Benjamin","doi":"10.4236/OALIB.1107051","DOIUrl":"https://doi.org/10.4236/OALIB.1107051","url":null,"abstract":"Introduction: In popular opinion, costs are equated with expenses, in other words, by costs we mean amounts that have to be spent on something. So, we often talk about health costs, when in fact we mean health expenditure, that is, all monetary expenses incurred in the framework of the health system. Methodology: This is a descriptive cross-sectional study with an analytical aim on the cost and the clinical and epidemiological aspects of diseases with weekly notification in children aged 0 - 5 years at the Chrina Medical Center, at the General Referral Hospital of Kamalondo and at the Katuba General Referral Hospital on 203 children aged 0 - 5 years during the first quarter of 2019. Results: The average cost of treating malaria at Chrina Medical Center is $60.2, it is $69 at Kamalondo General Referral Hospital and $77.6 at Katuba General Referral Hospital. Compared to clinical signs, all patients (100.0%) presented with Fever, 75.0% presented with Rash and only 50.0% presented with physical asthenia. Out of 203 cases identified malaria (88 cases), typhoid fever (78 cases), acute respiratory infections (33 cases) as well as measles (4 cases). Conclusion: Prevention is the best way to fight most of the communicable diseases which cause enormous damage both individually and collectively. There is an urgent need for health education to inform and educate the population on individual and collective hygienical measures as well as the risks related to the immediate environment, in particular, the lack of access to drinking water, sanitation, decent housing and a healthy living environment is among the factors behind the poor health of children under five in developing countries.","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"48 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73533392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Monotileable Amenable Groups: An Application 单片可修改组:一个应用

Open Access Library Journal Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1107012

Amal Mohammed Ahmed Gaweash, Hayat Yousuf Ismail Bakur, Mariam Almadi Mohammed Mu’lla

引用次数: 0

Growth Performance, Gonadal Weight and Fecundity: A Comparative Study of Rastrineobola argetea and Roasted Soybean Meal as Protein Ingredients for Brood Stock African Catfish (Clarias gariepinus) in Uganda 乌干达非洲鲶鱼育雏的生长性能、性腺重量和繁殖力:烤豆粕与黄颡鱼蛋白质成分的比较研究

Open Access Library Journal Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1106436

Robert Muyinda, Henry Felix Emejje, G. Zirintunda, Dr. Keneth Iceland Kasozi, Abel Patrick Mawadri

引用次数: 3

COVID-19 in Sri Lanka and Work Setting Changes 斯里兰卡的COVID-19和工作环境的变化

Open Access Library Journal Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1107008

Anuruddika Jayathilaka

引用次数: 4

On Opening the Gate to the Stars and the Drake Equation 关于打开通往星星的大门和德雷克方程

Open Access Library Journal Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1107129

L. Copertari

引用次数: 0

Quality Improvement Training Framework Adoption at Katutura Hospital in Windhoek Namibia 在纳米比亚温得和克的卡图图拉医院采用质量改进培训框架

Open Access Library Journal Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1106945

B. Maseke, Bongani Nyathi

{"title":"Quality Improvement Training Framework Adoption at Katutura Hospital in Windhoek Namibia","authors":"B. Maseke, Bongani Nyathi","doi":"10.4236/OALIB.1106945","DOIUrl":"https://doi.org/10.4236/OALIB.1106945","url":null,"abstract":"In Namibia, most health care facilities have not been yielding good results in response to patients’ health care needs. Health care systems are becoming more complex with paradoxical challenges resulting into inefficiencies due to ever increasing science and knowledge in medicine, which makes it difficult to internalise and understand, as well as to implement certain procedures. The study explored and found that research indicates that total quality management (TQM) and continual quality improvement (CQI) principles can be applied to strengthen a health system to improve its quality. This could be particularly useful in Namibia where people demand basic services and the health service users raise their issues with the Ministry of Health and Social Services (MoHSS). It becomes essential to ascertain the extent to which health care facilities have responded to this call. Against this background, it is important to analyze the responses to QI and QA and how it could be used to develop a framework for quality health care delivery at the health care facilities in Namibia. The main focus of this paper is to identify quality improvement aspects at Katutura Hospital and to develop a quality improvement training framework to empower and equip health professionals with the right knowledge, skills, aptitudes, and behaviours to apply the methods and techniques with the purpose of improving customer service.","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"1 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84601973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Electrochemical Degradation of Amoxicillin on a Ti/Ta2O5/Pt-RuO2-IrO22 Electrode Ti/Ta2O5/Pt-RuO2-IrO22电极上阿莫西林的电化学降解

Open Access Library Journal Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1106558

A. F. T. Auguste, L. Ouattara

引用次数: 4

Factors Influencing Clients in Choosing Insurance Companies 影响客户选择保险公司的因素

Open Access Library Journal Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1106944

B. Maseke, Dietilde Ndinelago Iipinge

{"title":"Factors Influencing Clients in Choosing Insurance Companies","authors":"B. Maseke, Dietilde Ndinelago Iipinge","doi":"10.4236/OALIB.1106944","DOIUrl":"https://doi.org/10.4236/OALIB.1106944","url":null,"abstract":"The paper was conducted to analyze different factors influencing clients’ choice of insurance companies. Insurance is essential for peace of mind, however, clients should be cautious when choosing insurers to avoid future disappointments. Clients should also be aware of fake agents, misrepresentation of information, fraud and coercion by agents and brokers. The main objective of this paper was to identify the factors that drive clients’ preferences in selecting insurance companies, whilst the second objective was to determine the relative importance of these particular factors (advertising, social and behavioral factors). This paper followed a survey design with questionnaires and 185 randomly selected participants from Keetmanshoop Namibia. The results showed that majority of participants chose insurers as a result of agents/broker persuasion, which is similar to what the majority of other researchers found in previous studies. None the less, 87% of participants are satisfied with their current insurers, leaving 13% unsatisfied and intending to switch to other insurers. In addition findings revealed a positive relationship between client’s relative importance of insurance and factors (social, advertising and behavioral factors).","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"171 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73353951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2