Hospital Practices and Research最新文献_第8页

Viral Etiological Factors Causing Acute Encephalitis Syndrome (AES) In Gaya Division, India 在印度Gaya地区引起急性脑炎综合征(AES)的病毒病因学因素

Hospital Practices and Research Pub Date : 2019-09-15 DOI: 10.15171/hpr.2019.18

R. Topno, K. Pandey, Banke Bihari Singh, M. Dikhit, Ashish Kumar, Maneesh Kumar, G. Sahoo, V. Rabidas, N. A. Siddiqui, Wakil Paswan, A. Lal, D. Dinesh, P. Das

{"title":"Viral Etiological Factors Causing Acute Encephalitis Syndrome (AES) In Gaya Division, India","authors":"R. Topno, K. Pandey, Banke Bihari Singh, M. Dikhit, Ashish Kumar, Maneesh Kumar, G. Sahoo, V. Rabidas, N. A. Siddiqui, Wakil Paswan, A. Lal, D. Dinesh, P. Das","doi":"10.15171/hpr.2019.18","DOIUrl":"https://doi.org/10.15171/hpr.2019.18","url":null,"abstract":"Background: From Gaya and adjoining regions, the trend in patients admitted with acute neurological illness was investigated. Illnesses were identified as sudden outbreaks of Japanese virus encephalitis (JE), Herpes simplex virus encephalitis (HSV1&2), and other acute encephalitis syndrome (AES). Objective: In the current study, an investigation was carried out to assess potential infectious pathogens in patients aged 16 years or younger who were admitted to Anugrah Narayan Magadh Memorial Medical College Hospital, Gaya, with encephalitis-like symptoms. Methods: Cross-epidemiological, serological, and molecular biological studies were performed on samples collected from 71 patients below 16 years of age. Patients’ clinical histories, i.e. fever, socio-demographic characteristics, and other clinical data, were extracted from patient files. Results: The results showed confirmed AES cases, including 49.30% JE and 7.04% HSV positive patients. A higher casefatality rate of 40% in JE and 40% HSV cases below 7 years of age were observed during treatment would become an unavoidable concern. The epidemical sex ratio was observed to be higher in girls than in boys (1.26:1). Conclusion: The results suggested that JE virus was found to be a main causative risk factor responsible for disease transmission in the outbreak area.","PeriodicalId":32113,"journal":{"name":"Hospital Practices and Research","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90418832","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

Professional Values in Nursing and the Factors Which Affect Them: A Specific Example of a Private Hospital 护理专业价值观及其影响因素:以某民营医院为例

Hospital Practices and Research Pub Date : 2019-08-31 DOI: 10.15171/HPR.2019.19

Tuğba Mert, S. Durmuş

{"title":"Professional Values in Nursing and the Factors Which Affect Them: A Specific Example of a Private Hospital","authors":"Tuğba Mert, S. Durmuş","doi":"10.15171/HPR.2019.19","DOIUrl":"https://doi.org/10.15171/HPR.2019.19","url":null,"abstract":"Background: A professional is an individual who prefers a profession, is specially qualified in its technical aspects, and makes a living with the profession. Objective: This research was conducted to determine the professional values of nurses and the factors affecting them. Methods: This descriptive research evaluated a sample of 97 nurses working in a private hospital in Ankara, Turkey. Data was collected using the demographic form and professional values scale (PVS). Results: Among the nurses in the study sample, 43% had a graduate degree, 84.5% were staff nurses, and 37.2% were surgery, obstetrics, and cardiovascular surgery nurses. The mean score of professional values of nurses in this study was determined to be 4.20 ± 0.55. It was determined that professional values of nurses in the 34-year and older group, including male nurses, those usually working the day shift, those who chose the profession, those with memberships in associations, and those who participated in scientific meetings/seminars, had higher scores for professional values, but this finding was statistically insignificant (P>0.05). Conclusion: The professional values of nurses was found to be above the middle level. In this light, it can be recommended, especially to managers, that training on professional values should be planned for nurses. It is also recommended that nurses receive undergraduate education and other comprehensive studies. In order to achieved a desired position in nursing, nurses must update regularly their scientific knowledge, participate in scientific meetings/seminars, and become members of professional associations.","PeriodicalId":32113,"journal":{"name":"Hospital Practices and Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89742456","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

Peer Review – Legal and Ethical Issues Faced by Medical Staff: The Mandate for Physician Leadership 同行评议——医务人员面临的法律和道德问题:医生领导的授权

Hospital Practices and Research Pub Date : 2019-08-26 DOI: 10.15171/HPR.2019.15

Zachary R. Paterick, T. Paterick

引用次数: 1

Cementless Total Hip Arthroplasty After an Iatrogenic Subtrochanteric Fracture due to Hardware Removal: A Case Report 无骨水泥全髋关节置换术治疗医源性股骨粗隆下骨折一例报告

Hospital Practices and Research Pub Date : 2019-08-26 DOI: 10.15171/HPR.2019.21

F. Castagnini, G. Bracci, E. Tassinari, F. Biondi

引用次数: 1

Hand Hygiene Compliance in a Medical-Surgical Intensive Care Unit in La Habana 哈瓦那内科外科重症监护病房的手部卫生依从性

Hospital Practices and Research Pub Date : 2019-08-26 DOI: 10.15171/HPR.2019.20

H. G. Garcell, L. G. Alvarez, A. Valdés, K. C. Goulet, G. F. Septiem, Francisco Gutiérrez García

{"title":"Hand Hygiene Compliance in a Medical-Surgical Intensive Care Unit in La Habana","authors":"H. G. Garcell, L. G. Alvarez, A. Valdés, K. C. Goulet, G. F. Septiem, Francisco Gutiérrez García","doi":"10.15171/HPR.2019.20","DOIUrl":"https://doi.org/10.15171/HPR.2019.20","url":null,"abstract":"Background: Hand hygiene plays a key role in the prevention of healthcare-associated infection in critical patients. Objective: The current study aimed to evaluate compliance with hand hygiene practices. Methods: An observational and descriptive study was carried out in a 35-bed medical-surgical critical care unit in La Habana (Cuba) from January 2017 to December 2018. The observational method recommended by the World Health Organization (WHO) was used. Results: Overall compliance was 34.2% (5516/16125), with better compliance among physicians (39%) compared with nurses (31.4%) and ancillary staff (19.5%). Better compliance was observed after patient contact (65.7%) and after contact with patients’ surroundings (42.0%) in comparison with greater focus on patient safety as before patient contact (23.3%) and before an aseptic task (11.4%). Hand washing was performed more frequently than hand rubs. Conclusion: Compliance with hand hygiene practices is low and no improvement in compliance was observed during the study period. This practice is related to the high risk of transmission of healthcare-related infections in critical patients and requires quality improvement interventions.","PeriodicalId":32113,"journal":{"name":"Hospital Practices and Research","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81133101","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

Financial Burden of Border Hospital in Caring for Cross-Border Patients: A Short Note From Thailand 边境医院在照顾跨境病人时的经济负担：泰国简讯

Hospital Practices and Research Pub Date : 2019-08-26 DOI: 10.15171/HPR.2019.22

V. Wiwanitkit

引用次数: 0

Prevalence of Antibiotic Resistance to Isonicotinylhydrazide and Rifampicin in Culture Positive Pulmonary Tuberculosis Patients From 2014 to 2016 in Zahedan City, Iran 2014 - 2016年伊朗扎黑丹市培养阳性肺结核患者对异烟碱肼和利福平的耐药情况

Hospital Practices and Research Pub Date : 2019-06-17 DOI: 10.15171/HPR.2019.10

S. M. H. Shahri, Fatemeh Fardoust, S. M. O. Kalayeh, Mohammad Ghenaat Pisheh Sanani

{"title":"Prevalence of Antibiotic Resistance to Isonicotinylhydrazide and Rifampicin in Culture Positive Pulmonary Tuberculosis Patients From 2014 to 2016 in Zahedan City, Iran","authors":"S. M. H. Shahri, Fatemeh Fardoust, S. M. O. Kalayeh, Mohammad Ghenaat Pisheh Sanani","doi":"10.15171/HPR.2019.10","DOIUrl":"https://doi.org/10.15171/HPR.2019.10","url":null,"abstract":"Background: One third of the world’s population is infected with TB, and the disease is known as the second deadly global infection, even more severe than measles. The disease kills about 2 million people a year. Approximately 8 million people in the world are affected by advanced tuberculosis (TB). Objective: The current study aimed to determine the frequency of resistance to the antibiotics isoniazid and rifampin in positive culture pulmonary TB patients in Zahedan city during 2013-2016. Methods: This descriptive cross-sectional study studied 100 samples from patients who referred to Boo-Ali hospital of Zahedan city from 2014 to 2016. First, the isoniazid solution was prepared, and then the rifampin solution was prepared. After that, 200 μL of mycobacterium suspension was added to the antibiotic and antibiotic-free control. Results: Of 100 patients participating in the study, 50 (50%) were male and 50 (50%) were female. Participants had an average age of 51.69 ± 20.41 years (95-12 years), 79 (79%) were Iranians and 21 (21%) were Afghans. Of the 100 samples, 55 (55%) were from the year 2013, 21 (21%) were from 2014, 10 (10%) were from 2015, and 14 (14%) were from year 2016. The samples examined showed that 4 (4%) were resistant and 96% were sensitive. Conclusion: The results of the current study showed that out of 100 samples, 4 cases (4%) had resistance and 96% were sensitive; 2% were resistant to isoniazid, and 2% were resistant to isoniazid and rifampin.","PeriodicalId":32113,"journal":{"name":"Hospital Practices and Research","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88505716","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

The Relationship Between Performance Indicators and Readmission of Patients With Open Heart Surgery: A Case Study in Iran 性能指标与心脏直视手术患者再入院的关系:以伊朗为例

Hospital Practices and Research Pub Date : 2019-06-15 DOI: 10.15171/HPR.2019.11

Parvin Ebrahimi, Mohammadali Taghi Nattaj Darzi Naghibi, S. Vatankhah, Ghassem Faghanzadeh Ganji

{"title":"The Relationship Between Performance Indicators and Readmission of Patients With Open Heart Surgery: A Case Study in Iran","authors":"Parvin Ebrahimi, Mohammadali Taghi Nattaj Darzi Naghibi, S. Vatankhah, Ghassem Faghanzadeh Ganji","doi":"10.15171/HPR.2019.11","DOIUrl":"https://doi.org/10.15171/HPR.2019.11","url":null,"abstract":"Background: Open heart surgery is a prevalent therapeutic intervention for cardiovascular diseases. Significant adverse effects occur after heart surgery, one of which is patient readmission to the hospital. Objective: The present study aimed to determine the relationship between performance indicators and the readmission of patients with open heart surgery in a teaching hospital in Iran. Methods: This study was performed using a cross-sectional and descriptive method with a retrospective approach. Data was collected on a data collection form. The statistical population of this study comprised all patients who underwent open heart surgery from mid-September 2015 to mid-September 2016 in a teaching hospital in the north of Iran (n=849). Those patients readmitted to the hospital within 90 days after discharge, based on a review of patient records, were included in the study. Descriptive statistics and Spearman correlation coefficient were used for data analysis by SPSS 20. Results: Among the patients who had open heart surgery in the selected hospital, 12.5% were readmitted within 90 days after discharge. The most important reasons for readmission in this study were infection in surgery place (25.8%), pleural effusion (18.7%), warfarin toxicity (9.8%), and tamponade (8.9%). There were inverse relationships between patient readmission and the two performance indicators of bed occupancy percentage (r = -0.594, P=0.042) and bed turnover rate (r = -0.664, P=0.018). There were no statistically significant relationships between any of the other indicators (length of stay, mortality, and bed turnover interval) and readmission rate (P>0.1). Conclusion: Hospital authorities can use these results for bed management and targeting interventions to reduce costs and readmissions as a measure of hospital quality. However, further research into readmission factors in other hospitals is recommended.","PeriodicalId":32113,"journal":{"name":"Hospital Practices and Research","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80135322","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

Immunosuppressive Drugs and Kidney Post-transplant Diabetes Mellitus 免疫抑制药物与肾移植后糖尿病

Hospital Practices and Research Pub Date : 2019-06-15 DOI: 10.15171/HPR.2019.09

Ismael Bilal Ismael, S. Azeez

{"title":"Immunosuppressive Drugs and Kidney Post-transplant Diabetes Mellitus","authors":"Ismael Bilal Ismael, S. Azeez","doi":"10.15171/HPR.2019.09","DOIUrl":"https://doi.org/10.15171/HPR.2019.09","url":null,"abstract":"Background: As the rate of renal transplantation increases, more immunosuppressive drugs such as cyclosporine A (CsA) are consumed, particularly during the early months following transplantation, leading to post-transplant diabetes mellitus (PTDM) which can cause death. Objective: The present study examined the role of CsA in causing PTDM and other effective factors among patients with chronic kidney disease (CKD) who had undergone renal replacement therapy. Methods: The present investigation was a quantitative case-control study carried out on 30 CKD patients who had undergone renal transplantation and 30 healthy individuals. A questionnaire was utilized to gather their demographic information, and direct interviews were conducted with the subjects. To examine random blood sugar (RBS), white blood cell (WBC) count, creatinine level, and blood urea nitrogen (BUN), blood samples were obtained from the subjects. The mentioned parameters were analyzed using SPSS 22.0. Results: According to the results, the groups were homogenous in age, body mass index (BMI), and male-to-female ratio. However, there were significant differences between the two groups in RBS (P=0.011), WBC count (P=0.031), creatinine level (P=0.001), and BUN (P=0.001). Conclusion: Failure of allograft survival of renal transplantation was found to be a leading cause of death, which has been reportedly been treated by the consumption of immunosuppressive drugs such as CsA. However, this drug can increase the patient’s chances of developing PTDM. PTDM development can be reduced by applying a dosage of 10 mg/kg/d during the first week and 8-9 mg/kg/day during weeks 2-5 following transplantation.","PeriodicalId":32113,"journal":{"name":"Hospital Practices and Research","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85046715","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

Hurried Psychiatric Labelling: A Preventable Medical Error in an Emergency Department 匆忙贴上精神病标签：急诊科可预防的医疗失误

Hospital Practices and Research Pub Date : 2019-04-22 DOI: 10.15171/HPR.2019.14

M. Behzadnia

引用次数: 0