Journal of Health Specialties最新文献_第8页

Invasive haemodynamic monitoring at critical care units in Sudan: Assessment of nurses′ performance 苏丹重症监护病房的侵入性血流动力学监测:护士绩效评估

Journal of Health Specialties Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186493

W. Ahmed, M. Eltayeb, N. Abd-Elsalam

{"title":"Invasive haemodynamic monitoring at critical care units in Sudan: Assessment of nurses′ performance","authors":"W. Ahmed, M. Eltayeb, N. Abd-Elsalam","doi":"10.4103/2468-6360.186493","DOIUrl":"https://doi.org/10.4103/2468-6360.186493","url":null,"abstract":"Background: Invasive haemodynamic monitoring is one of the major competencies required for critical care nurses. Critically ill patients need continuous assessment of their cardiovascular system to diagnose and manage complex medical conditions. Aim: This study aimed to assess critical care nurses′ knowledge and practice of invasive haemodynamic monitoring in Khartoum government hospitals. Materials and Methods: A descriptive study was conducted. It included ninety critical care nurses who worked in the Intensive Care Units (ICUs) of Khartoum government hospitals that have invasive haemodynamic monitoring system. The study extended from March 2013 to April 2014. Data were collected from ninety critical care nurses working in selected ICUs; using a validated questionnaire. The data were analysed by the Statistical Package for Social Services Version 20. Results: The results showed that availability of written protocols regarding invasive haemodynamic monitoring within ICUs was low (34.3%). The overall knowledge of critical care nurses (who participated in the study) about invasive haemodynamic monitoring was not acceptable. The results also showed that the estimated total practice of the registered nurses who participated in the study was either fair (75.6%) or poor (24.4%). This study indicated that critical care nurses′ knowledge was poor to fair and that of registered nurses′ practice was poor. Conclusion: The study showed unacceptable level of nurses′ knowledge on haemodynamic monitoring. The nurses′ practice about was poor.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78764229","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: 7

The perception of otolaryngology: Head and neck surgery speciality among physicians at a tertiary care hospital 耳鼻喉科:三级医院头颈外科专科医师的认知

Journal of Health Specialties Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186491

T. Al-Khatib, Bashair Al Asmari, Fai Al Maghrabi, Mariam Al-Sheikah, B. El-Deek

{"title":"The perception of otolaryngology: Head and neck surgery speciality among physicians at a tertiary care hospital","authors":"T. Al-Khatib, Bashair Al Asmari, Fai Al Maghrabi, Mariam Al-Sheikah, B. El-Deek","doi":"10.4103/2468-6360.186491","DOIUrl":"https://doi.org/10.4103/2468-6360.186491","url":null,"abstract":"Objective: To assess the awareness of physicians at King Abdulaziz University Hospital (KAUH), a tertiary care centre in Jeddah, Saudi Arabia, about the scope of practice of otolaryngologist (OTL) - head and neck surgeons. Furthermore, to identify diseases of the head and neck in which physicians may underestimate the role of OTLs. Study Design: Cross-sectional analysis. Background: The scope of practice of ear, nose and throat surgeons has impressively widened to include many subspecialities such as head and neck surgery (HNS). Encountering diseases that used to be or could be handled by other surgical specialities may cause confusion among physicians. This confusion may extend to mislead some physicians while referring. Methods: A total of 336 questionnaires were distributed to physicians at KAUH. The questionnaire targeted consultants, specialists and residents of different departments. The survey asked the responders which specialty they believed was the expert in managing certain clinical conditions related to OTLs. The respondents were allowed to choose one or more speciality for each question. Results: One hundred and seventeen questionnaires of the total 336 were analysed with a response rate of 34.8%. The analysis showed that 94.9% of the respondents believed that OTLs were experienced in dealing with pharyngeal lesions. Regarding hoarseness, 96% of the physicians thought that it was a symptom managed by OTLs. About 94% of the respondents chose OTLs as experts in managing patients with a foreign body ingestion. Almost 89% (88.9%) thought that OTLs were the physicians who perform tracheostomies. However, regarding cold or flu and oral lesions, OTLs only scored 68.4% and 64.1%, respectively. Conclusion: The study revealed the awareness of physicians at KAUH in regards to the extent of services provided by OTL-HNS as not fully satisfactory. It is our job as OTLs to raise awareness of our speciality among colleagues of other departments.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82251986","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: 3

Getting research into practice: The challenge for improvement in healthcare 将研究成果转化为实践:改善医疗保健的挑战

Journal of Health Specialties Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186483

J. Sandars

引用次数: 2

Communication skills: Key to understanding 沟通技巧:理解的关键

Journal of Health Specialties Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186508

F. Munshi

引用次数: 2

Sniff to see. Comparing sniffing position versus simple head extension position for glottic exposure - A prospective, randomized cross over study 闻一闻看。比较嗅探体位与单纯头伸体位对声门暴露的影响——一项前瞻性、随机交叉研究

Journal of Health Specialties Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186503

N. Sahay, Devi P Samaddar, A. Chatterjee, Anubha Sahay, Shashi Kant, A. Ranjan

{"title":"Sniff to see. Comparing sniffing position versus simple head extension position for glottic exposure - A prospective, randomized cross over study","authors":"N. Sahay, Devi P Samaddar, A. Chatterjee, Anubha Sahay, Shashi Kant, A. Ranjan","doi":"10.4103/2468-6360.186503","DOIUrl":"https://doi.org/10.4103/2468-6360.186503","url":null,"abstract":"Background: Traditional teaching dictates that direct laryngoscopy is best performed with the patient′s head in the sniffing position. However, of late, many authors have challenged this concept. In a recent meta-analysis, based on studies involving 2759 participants researchers have found that sniffing position affords no added advantage over simple head extension. Our study highlights an important scientific fact overlooked in all previously done studies on the subject. Aim: We aimed to compare sniffing position and simple head extension position for ease of laryngoscopic intubation using an interval scale. Materials and Methods: A prospective single-blind crossover study of 200 patients, where glottic exposure in both positions was compared in the same patient using Cormack-Lehane (CL) grading and percentage of glottic opening (POGO) score. Intubation difficulty was compared using the intubation difficulty score. Results: In every study, CL grading, an ordinal scale, has been used for comparison of glottic exposure. In our set of patients, CL grading showed ′no change′ in glottic exposure quality in 85% of the laryngoscopies. When we used POGO system of classification which is an interval scale, for the same laryngoscopies in the same patients, sniffing position improved exposure in 106 patients, whereas simple head extension position improved exposure in 76 patients. Only 18 patients showed no glottic exposure. Statistical Analysis: Two-sample Wilcoxon rank-sum (Mann-Whitney) test and Chi-square tests showed sniffing position to be significantly better position for glottic exposure and for ease of intubation. Conclusion: Sniffing position provides better glottis exposure and it is easier to intubate a patient in the sniffing position as compared to simple head extension position. Sniffing position should therefore be used as initial position when attempting intubation.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83631885","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: 1

Risk factors of social anxiety in medical college students 医学生社交焦虑的危险因素

Journal of Health Specialties Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186496

S. Upadhyaya, C. Raval, D. Sharma, J. Charan

{"title":"Risk factors of social anxiety in medical college students","authors":"S. Upadhyaya, C. Raval, D. Sharma, J. Charan","doi":"10.4103/2468-6360.186496","DOIUrl":"https://doi.org/10.4103/2468-6360.186496","url":null,"abstract":"Context: Literature suggests that social anxiety develops due to the complex interplay of multiple risk factors including self-perception and negative life events. We examined the association between these variables and social anxiety among medical students. Aims: The aim is to assess the association of risk factors and social anxiety in medical students. Materials and Methods: In this cross-sectional observational study, 334 medical students were given a semi-structured self-reported questionnaire. It enquired about demographic details: self-satisfaction in terms of weight, body image and facial appearance; six negative life events which were conflict between parents, sexual, physical and emotional abuse, family violence and loss of someone close. Social anxiety was assessed using Liebowitz social anxiety scale (LSAS). Data were analysed using SPSS software (Version 16.0., SPSS Inc., Chicago, IL, USA). Chi-square and Student′s t-tests were used for qualitative and quantitative data, respectively. Linear regression analysis was performed to assess association between negative life events and social anxiety scores. The value of P < 0.05 was considered statistically significant. Results: Mean standard deviation (SD) age of sample was 18 (1.04) years. Mean (SD) LSAS score was 33 (20). Linear regression analysis adjusted for age, gender and family psychiatric history revealed positive association between LSAS score and dissatisfaction with body image (P = 0.001), dissatisfaction with facial appearance (P = 0.047), and family violence (P = 0.048). Dissatisfaction with weight showed association with social anxiety in univariate analysis, but it could not sustain on regression analysis. Other negative life events were not significantly associated with LSAS score. Conclusions: Development of social anxiety is significantly associated with dissatisfaction with body image and facial appearance. Exposure to family violence is also an associated factor.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79843870","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: 4

Three pillars of a biomedical research article: The title, abstract and keywords 生物医学研究文章的三大支柱:标题、摘要和关键词

Journal of Health Specialties Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186488

Muktikesh Dash

引用次数: 5

Management of complex diabetic foot wound by external fixation: An effective way for limb salvage 外固定架治疗糖尿病足复杂伤口:保肢的有效方法

Journal of Health Specialties Pub Date : 2016-04-01 DOI: 10.4103/1658-600X.179828

Biswaranjan Nayak, K. Mahapatra, R. Das

引用次数: 2

Antimicrobial susceptibility patterns of ESBL Escherichia coli isolated from community and hospital-acquired urinary tract infections 社区和医院获得性尿路感染分离的ESBL大肠杆菌的抗菌药物敏感性

Journal of Health Specialties Pub Date : 2016-04-01 DOI: 10.4103/1658-600X.179829

Najwa Al Mously, Ohoud Al Arfaj, Lenah Al Fadhil, S. Mukaddam

{"title":"Antimicrobial susceptibility patterns of ESBL Escherichia coli isolated from community and hospital-acquired urinary tract infections","authors":"Najwa Al Mously, Ohoud Al Arfaj, Lenah Al Fadhil, S. Mukaddam","doi":"10.4103/1658-600X.179829","DOIUrl":"https://doi.org/10.4103/1658-600X.179829","url":null,"abstract":"Context: Increasing resistance of extended-spectrum β-lactamases (ESBL) producing bacteria is an important challenge for clinicians. Aims: Monitor the antibiotic susceptibility pattern of community and hospital acquired urinary tract infections (UTIs) caused by ESBL Escherichia coli. Settings and Design: This is a retrospective observational study that was conducted at a tertiary hospital in Riyadh. Materials and Methods: Results of urine culture with E. coli and their bacterial antimicrobial susceptibility were collected from patients' records for the years 2011 and 2012. When there was bacterial resistance to three groups of antibiotics, a multi-drug resistant (MDR) pattern was considered. Results: Of 3,967 patients with E. coli UTIs, 1,086 (27.4%) of patients had ESBL E. coli. Mean age of the study population in years was 39.1 (±28.8), 67.5% were females, and 32% were in the paediatric age group. The percentage of hospital-acquired ESBL E. coli was 64.5%, while outpatient-acquired was 35.5%. Overall, 75.1% of ESBL E. coli were resistant to trimethoprim/sulfamethoxazole, (69.8%) to ciprofloxacin and (40%) to gentamicin. However, high sensitivity to imipenem and meropenem was reported (99.8% each). Out of all the identified ESBL E. coli, MDR strains were identified in 137 (46%), and 161 (54%) isolates during the years 2011 and 2012, respectively. Conclusion: This study highlights the source and current antimicrobial susceptibility pattern of ESBL E. coli. Since bacterial multidrug resistance is an increasingly existing problem, periodical monitoring of antimicrobial susceptibility, rotating the use of effective antimicrobial drugs, and research for finding novel drugs and their rational use should be considered.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72519616","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: 15

What encourages Saudis to quit smoking? 是什么鼓励沙特人戒烟?

Journal of Health Specialties Pub Date : 2016-04-01 DOI: 10.4103/1658-600X.179825

O. Al-Mohrej, Sarah D. Al-Shirian, Sara Altraif, H. Tamim, H. Fakhoury

{"title":"What encourages Saudis to quit smoking?","authors":"O. Al-Mohrej, Sarah D. Al-Shirian, Sara Altraif, H. Tamim, H. Fakhoury","doi":"10.4103/1658-600X.179825","DOIUrl":"https://doi.org/10.4103/1658-600X.179825","url":null,"abstract":"Context: Despite the noticeable increase in public awareness among Saudis, Saudi Arabia is still ranked as the fourth largest tobacco importer in the world. A very limited number of studies have studied ex-smokers in the Saudi population. Aims: In this study, we aimed to analyse the socio-demographic characteristics of ex-smokers in an attempt to determine who is most likely to quit smoking among Saudis. Settings and Design: This study is an extension to a previous cross-sectional study, which was conducted in Saudi Arabia during the period between April and May 2013. Subjects and Methods: A new questionnaire was developed and manually distributed electronically through different popular Twitter accounts. The questionnaire was written in Arabic and included information about socio-economic factors and smoking history. Results: The results of 2057 questionnaires showed that 808 (39%) were current smokers, 460 (22%) were ex-smokers while the remaining 808 (39 %) never smoked. The majority of ex-smokers (57%) decided to quit because of religious and social reasons. In addition, health reasons were the drive for 40% of the quitters while only 2.7% of the quitters made the decision because of financial reasons. In the multivariate analysis for reasons to stop smoking, we found that quitting was not influenced by gender, income or age at the onset of smoking. Conclusions: We have looked at smoking cessation from a broader perspective, analysing different categories of the Saudi population. Social, religious and health reasons must be emphasised by counsellors assisting Saudi smokers to quit.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85183990","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: 7