RA JOURNAL OF APPLIED RESEARCH最新文献_第3页

Management of Complete Aortic Dissection in a 65-Year-Old Male: A Case Report 65岁男性完全性主动脉夹层的处理:1例报告

RA JOURNAL OF APPLIED RESEARCH Pub Date : 2023-10-19 DOI: 10.47191/rajar/v9i10.04

Skandaji M. A., Ibenchekroun M., Cherif A., Jroundi L., Cherti M.

{"title":"Management of Complete Aortic Dissection in a 65-Year-Old Male: A Case Report","authors":"Skandaji M. A., Ibenchekroun M., Cherif A., Jroundi L., Cherti M.","doi":"10.47191/rajar/v9i10.04","DOIUrl":"https://doi.org/10.47191/rajar/v9i10.04","url":null,"abstract":"Background: Aortic dissection is a life-threatening condition characterized by a tear in the aortic wall that separates its layers. Complete aortic dissection involves both the ascending and descending aorta, necessitating prompt diagnosis and intervention. We present a case report of a 65-year-old male with a complete aortic dissection and discuss the challenges and management strategies employed in his treatment. Case Presentation: A 75-year-old male with a history of hypertension presented to the emergency department with sudden-onset severe chest and back pain. Physical examination revealed unequal blood pressure readings in both arms, suggesting aortic involvement. Urgent computed tomography angiography (CTA) and TTE confirmed the diagnosis of a complete aortic dissection extending from the aortic root to the iliac arteries. The patient was promptly transferred to the operating room for surgical intervention. Discussion: The management of complete aortic dissection requires a multidisciplinary approach involving cardiovascular surgeons, interventional radiologists, and anesthesiologists. In this case, emergency surgery was performed to address the life-threatening condition. Aortic root replacement and ascending aorta repair were performed, followed by stent graft placement in the descending aorta to exclude the false lumen. Postoperative care involved close monitoring for potential complications such as renal dysfunction, paraplegia, and cardiac ischemia. Conclusion: Prompt diagnosis and appropriate surgical intervention are crucial in the management of complete aortic dissection. Collaboration among healthcare professionals is essential for optimizing patient outcomes. Further studies are warranted to assess long-term outcomes and identify strategies for preventing complications in patients with complete aortic dissection.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135730917","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

Mu Cang Chai Terraced Fields with Sustainable Tourism Development 木仓柴梯田与可持续旅游发展

RA JOURNAL OF APPLIED RESEARCH Pub Date : 2023-10-17 DOI: 10.47191/rajar/v9i10.03

Dr. Dang Thi Oanh, Dr. Nong Viet Yen, Dr. Tran Huu Son, Dr. Dang Ngoc Hung, B.E. Bui Quynh Trang

引用次数: 0

A Rare Case of Rheumatoid Arthritis Complicated by Complete Heart Block and Lead Thrombosis 罕见的类风湿关节炎并发完全性心脏传导阻滞及导联血栓1例

RA JOURNAL OF APPLIED RESEARCH Pub Date : 2023-10-14 DOI: 10.47191/rajar/v9i10.02

Souilk Houda, Bouamoud Asmae, Raissouni Rim, Pr Zarzur Jamila, Pr Cherti Mohamed

引用次数: 0

A RARE CASE OF FEMORAL COLUMN FRACTURE IN CHILDREN WITH CLOSED REDUCTION AND SPICA CAST: A CASE REPORT 儿童股骨柱骨折行闭合复位加特殊石膏治疗1例

RA JOURNAL OF APPLIED RESEARCH Pub Date : 2023-09-22 DOI: 10.47191/rajar/v9i9.06

M TANGGUH SATRIA, YAZID ACHARI

{"title":"A RARE CASE OF FEMORAL COLUMN FRACTURE IN CHILDREN WITH CLOSED REDUCTION AND SPICA CAST: A CASE REPORT","authors":"M TANGGUH SATRIA, YAZID ACHARI","doi":"10.47191/rajar/v9i9.06","DOIUrl":"https://doi.org/10.47191/rajar/v9i9.06","url":null,"abstract":"Background: Femoral column fracture is a rare case fracture in children. This is usually caused by high-energy trauma, such as falling from a height, or, in some cases, can also occur due to pathological fractures or repetitive trauma, such as running or jumping. Femoral column fractures can occure several complications, such as avascular necrosis (AVN), coxa vara, malunion, and osteonecrosis. Therefore, appropriate treatment is needed to reduce the risk of complications that may occur. Case Presentation: A 15 year old boy came to the emergency room with complaints of pain in base of his right thigh after falling while jumping over a tennis net with focus on his right leg. On examination, vital signs were normal, pain in the right groin had limited range of motion (ROM), and no other injuries or pain were found in his parts of the body. Then treatment was carried out using the closed reduction method and the installation of a spica cast without internal fixation. Conclusion: Although there is still a lot of controversy regarding the best time and method for administering therapy, determining the Delbet classification is very helpful as a consideration in choosing treatment and patient prognosis. In this case, treatment was given using close reduction and spica cast techniques with the consideration that anatomical reduction could be achieved.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136061134","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

STUDY OF THE EXISTING FOR THE DEVELOPMENT OF AN E-COMMERCE MANAGEMENT SYSTEM 研究了现有的电子商务管理系统

RA JOURNAL OF APPLIED RESEARCH Pub Date : 2023-09-19 DOI: 10.47191/rajar/v9i9.05

SOUFIANE OUARIACH, OUARIACH SOUFIANE, KHALDI MOHAMED

引用次数: 0

ROLE BURNOUT IN MEDIATION THE INFLUENCE OF COMPETENCE AND WORKLOAD TO NURSE PERFORMANCE 角色倦怠在胜任力和工作量对护士绩效的中介作用

RA JOURNAL OF APPLIED RESEARCH Pub Date : 2023-09-16 DOI: 10.47191/rajar/v9i9.03

I NYOMAN WITARI

{"title":"ROLE BURNOUT IN MEDIATION THE INFLUENCE OF COMPETENCE AND WORKLOAD TO NURSE PERFORMANCE","authors":"I NYOMAN WITARI","doi":"10.47191/rajar/v9i9.03","DOIUrl":"https://doi.org/10.47191/rajar/v9i9.03","url":null,"abstract":"This research reveal burnout's role in mediate influence competency and work load to performance nurse at the Bali Province Psychiatric Hospital. Safety patient is priority main must implemented by the hospital, however, incident safety patients at the Bali Province Psychiatric Hospital happened. ideas that emerge is for convey importance competency and work load so that can reduce burnout so impact to performance nurse. This research use sample nurse data There are 100 executors working in the Inpatient Room of the Bali Province Psychiatric Hospital. PLS- based SEM with approach quantitative as well as scale measuring from study previously used in this research. Competence influential negative and significant against burnout as well influential positive and significant to performance. workload influential positive and significant against burnout as well influential negative and significant to performance nurse. Burnout effect negative and significant to performance as well as burnout able mediate on influence not direct competency and work load to performance employee. This research gave important contribution, performance nurse tends determined by competence, so advised to provide facility development source human resources through seminars, workshops, training and development his education through gift permission task specific study taller in accordance with field knowledge, relationship existing training with task tree nurse.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135352675","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

IMPACT OF MEDIATION OF PATIENT SAFETY IMPLEMENTATION ON SAFETY CULTURE AND COMMUNICATION AND ITS INFLUENCE ON NURSE PERFORMANCE IN BALI PROVINCE PSYCHIATRIC HOSPITAL 巴厘省精神病院患者安全实施对安全文化与沟通的中介作用及其对护士绩效的影响

RA JOURNAL OF APPLIED RESEARCH Pub Date : 2023-09-16 DOI: 10.47191/rajar/v9i9.04

LUH GEDE PARWATI

{"title":"IMPACT OF MEDIATION OF PATIENT SAFETY IMPLEMENTATION ON SAFETY CULTURE AND COMMUNICATION AND ITS INFLUENCE ON NURSE PERFORMANCE IN BALI PROVINCE PSYCHIATRIC HOSPITAL","authors":"LUH GEDE PARWATI","doi":"10.47191/rajar/v9i9.04","DOIUrl":"https://doi.org/10.47191/rajar/v9i9.04","url":null,"abstract":"Patient safety is a top priority that must be implemented by hospitals, however, incidents safety patients at the Bali Province Psychiatric Hospital still happens, this research was conducted to convey importance a safety culture and communication so that it can improve the application of patient safety so that it has an impact on nurse performance. This research purposes to uncover the mediating impact of implementing patient safety on safety culture and communication and its effect on nurse performance. This research is a quantitative research conducted with surveys, using a sample data of 100 nurses working in the inpatient room of the Bali Province Psychiatric Hospital. Analysis using PLS-based SEM with approach quantitative as well as scale measuring from study before. The results of the study found that safety culture and communication positive and significant effect on patient safety and nurse performance. Patient safety proven influential positive and significant to nurse performance, as well as the implementation of capable patient safety mediate on influence not direct safety culture and communication against employee performance and nurse performance tend defined by safety culture. Advice to management Bali Province Psychiatric Hospital to avoid the attitude of accusing incidents made or reported by staff so that these incidents can make learning not happen again.","PeriodicalId":20848,"journal":{"name":"RA JOURNAL OF APPLIED RESEARCH","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135352676","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

Base Economic Analysis of Banyuwangi District 半玉望基区基础经济分析

RA JOURNAL OF APPLIED RESEARCH Pub Date : 2023-09-05 DOI: 10.47191/rajar/v9i9.01

Lintangsari Susanto Putri

引用次数: 0

The Chemical and Mineralogical Studies of Microsilica for Obtaining Silicate Materials 制备硅酸盐材料用微二氧化硅的化学和矿物学研究

RA JOURNAL OF APPLIED RESEARCH Pub Date : 2023-08-24 DOI: 10.47191/rajar/v9i8.04

Niyazova Sh. M.

引用次数: 0

DIVIDEND POLICY AND SHARE PRICE VOLATILITY: EMPIRICAL EVIDENCE FROM INDUSTRIAL COMPANIES IN VIETNAM 股利政策与股价波动:来自越南工业企业的经验证据

RA JOURNAL OF APPLIED RESEARCH Pub Date : 2023-08-24 DOI: 10.47191/rajar/v9i8.03

Man Minh Cao

引用次数: 0